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.
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.
Authors: Peter K Lindenauer; Denise Remus; Sheila Roman; Michael B Rothberg; Evan M Benjamin; Allen Ma; Dale W Bratzler Journal: N Engl J Med Date: 2007-01-26 Impact factor: 91.245
Authors: Dennis T Ko; David A Alter; Peter C Austin; John J You; Douglas S Lee; Feng Qiu; Therese A Stukel; Jack V Tu Journal: Am Heart J Date: 2008-02 Impact factor: 4.749
Authors: Christina Korownyk; James McCormack; Michael R Kolber; Scott Garrison; G Michael Allan Journal: Can Fam Physician Date: 2017-09 Impact factor: 3.275
Authors: Christina Korownyk; James McCormack; Michael R Kolber; Scott Garrison; G Michael Allan Journal: Can Fam Physician Date: 2017-09 Impact factor: 3.275
Authors: Michelle Greiver; Jan Barnsley; Richard H Glazier; Rahim Moineddin; Bart J Harvey Journal: Can Fam Physician Date: 2011-10 Impact factor: 3.275
Authors: Michelle Greiver; Jan Barnsley; Richard H Glazier; Bart J Harvey; Rahim Moineddin Journal: BMC Health Serv Res Date: 2012-05-14 Impact factor: 2.655