TY - JOUR T1 - Implementation of electronic medical records JF - Canadian Family Physician JO - Can Fam Physician SP - e381 LP - e389 VL - 57 IS - 10 AU - Michelle Greiver AU - Jan Barnsley AU - Richard H. Glazier AU - Rahim Moineddin AU - Bart J. Harvey Y1 - 2011/10/01 UR - http://www.cfp.ca/content/57/10/e381.abstract N2 - 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. ER -