Summarize of paper that include what is pay for performance how could it stimulate or encourage the EMR adoption? what are the advantage and the limitation of cost-benefit analysis from the it adoption decision? supposed to practice had decided not to adopt the EMR what would have been the cost of such decision and what Milestone should be achieved in the term of it Reading Readiness before a group of practice decide to implant the EMR or could there be less and intensive and indifference set off challenge form for smaller practice to the take of the HMIS projects such as the EMR implementation that largest Care Health Services organization such as the multi provider Health maintenance organization if so what is the difference in the term of the incentive why and why not.