PT  - JOURNAL ARTICLE
AU  - Michelle Greiver
AU  - Jan Barnsley
AU  - Richard H. Glazier
AU  - Rahim Moineddin
AU  - Bart J. Harvey
TI  - Implementation of electronic medical records
DP  - 2011 Oct 01
TA  - Canadian Family Physician
PG  - e381--e389
VI  - 57
IP  - 10
4099  - http://www.cfp.ca/content/57/10/e381.short
4100  - http://www.cfp.ca/content/57/10/e381.full
SO  - Can Fam Physician2011 Oct 01; 57
AB  - Objective To study the effect of electronic medical record (EMR) implementation on preventive services covered by Ontario’s pay-for-performance program. Design Prospective double-cohort study. Participants Twenty-seven community-based family physicians. Setting Toronto, Ont. Intervention Eighteen physicians implemented EMRs, while 9 physicians continued to use paper records. Main outcome measure Provision of 4 preventive services affected by pay-for-performance incentives (Papanicolaou tests, screening mammograms, fecal occult blood testing, and influenza vaccinations) in the first 2 years of EMR implementation. Results After adjustment, combined preventive services for the EMR group increased by 0.7%, a smaller increase than that seen in the non-EMR group (P = .55, 95% confidence interval −2.8 to 3.9). Conclusion When compared with paper records, EMR implementation had no significant effect on the provision of the 4 preventive services studied.