COMPETE ΙΙΙ built on the research initiated in COMPETE I and II. This next stage of investigation was broadened to vascular risk— diabetes, hypertension, cholesterol, previous heart attack or stroke. The electronic health care network was also expanded beyond patients and primary care providers to include specialists and Clinical Care Coordinators. The focus was to optimize patient-clinician interactions with the support of the technology to enhance the quality, safety and efficiency of care.