Workers and labor unions should be partners in the process of implementing electronic health records, and policymakers can promote or require such participation.  One approach could be to model work councils in some European countries, where worker representatives are elected and the committees are given certain powers over a range of decisions related to technology. Alternatively, workers and unions could be granted greater influence over existing labor-management safety and health committees in some states in the U.S. Research documents superior outcomes in the implementation of electronic health records when workforce planning was integrated in the policy, operations, and design process.