Despite knowledge of evidence-based guidelines physicians often do not follow best practices. Barriers to physician quality improvement efforts include a culture that does not value measurement time constraints and little training in quality improvement efforts. Electronic health records EHRs have been shown to improve care in patients with diverse medical problems including asthma diabetes congestive heart failure chronic kidney disease depression children with ADHD childhood obesity in preventive care screening for breast cancer and colorectal cancer EHRs have also been shown to reduce medication errors and infection rates. Meaningful use MU requirements are an attempt to incent physicians to use EHRs to improve quality by linking financial payments to quality reporting. This project examined whether physicians would report on clinical quality measures mandated by an outside agency and whether they would be willing to develop clinical quality metrics they felt exemplified quality in their specialty.