The first line of this story tells all, something we face here too in the US.  BD 

The bigger you are as a jurisdiction, the tougher it is,” said Alvarez.

Still, if Ontario makes electronic health records a priority they could “overtake the rest of the country,” he said.  Ontario isn't making enough progress and is falling behind, said Ms. Cavoukian.

Without immediate access, doctors and their staff have to get on the phone seeking the information and test results they need, said Dr. Willett, who adds she spends about 15 per cent of her time tracking down patient information.

globeandmail.com: Ontario chided over health records

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