The New York City Department of Health and Mental Hygiene has banned all electronic medical records from being used in a pharmacy management systems manager position for the first time in the city’s history.

Key points:Pharmacy management systems managers oversee the patient care process for pharmacies across the cityThe policy applies to all pharmacy management managers, including in the public sector and in government agenciesThe move comes after a recent national report found pharmacies in New York were underperforming and had inadequate staffing levelsThe decision comes after the report found the system was too “toxic” for patients, the city said.

“The City of New York is committed to improving the quality of the health care delivery system and the quality and safety of its patients, including ensuring that all of its employees and their families have the tools and training they need to provide high-quality patient care,” the department said in a statement on Monday.

“New York City has a history of successful efforts to improve the health of its residents, including through a successful partnership with New York State to implement the Affordable Care Act, but it is important to note that New York still has a long way to go to meet the expectations of its citizens.”

The policy is effective for the next three years, but the department noted that it is not binding on all pharmacies, as it does not have the authority to impose any new requirements on any other entity.

New York Health Commissioner Mary Bassett said the department would not be able to comment on specific cases until it had a chance to review the report.

“If we have reason to believe that a particular pharmacy is not meeting its expectations, then we will have that conversation,” she said.

New Yorkers are expected to begin using electronic medical record systems starting in January.

The department said the policy was made in response to a 2015 federal study that found that pharmacies in the country’s third-largest city were under performing and had insufficient staffing levels.

“Pharmacies must have sufficient staffing to meet their needs and that means that they must have a pharmacy manager in the same office where they’re working,” Bassett told reporters on Monday at a news conference.

“That manager will have access to electronic medical documents that they’re required to keep in a secure place and they will be able access those documents and make appropriate decisions based on them.”

The department also said it would not impose any other requirements on other entities, such as in the health system.

The New York Times reported last month that in New England, the system had been underperforming for years and the state was struggling to hire and train staff to support the new system.

It said the number of people in the system grew by 40 percent between 2008 and 2016.