The implementation of the electronic medical record (EMR) is a process that involves knowledge and skills of technology and group dynamics. The literature was reviewed to identify the most effective methodology for EMR implementation. Integral to the success of any EMR implementation is the 'buy-in' of the organization. To facilitate the implementation the use of a tiered team approach is advantageous. There must be an executive steering team whose role is to provide the vision, the approval, and the money for the project. The project steering team makes major policy decisions based on user needs and requirements, organization infrastructure, and general implementation strategies. The project work team has the responsibility of ensuring the implementation is satisfactory to the organization. This article discusses the membership, roles, and functions of the three EMR implementation teams.