Kaiser Permanente, along with the rest of the top five medical groups, have created a patient information exchange that uses only electronic medical records, but across the country, adoption of the technology has been low. On Kaiser's part, digitizing their records has saved the company 1,044 tons of paper and reduced toxic chemicals from X-ray machine scans by 33.3 tons. The implementation of virtual doctor-patient visits has saved 92,000 tons of CO2 emissions.