The February 4 edition of the New England Journal of Medicine includes Dr. David Blumenthal's report on Launching HITECH. His report includes a summary of the various investment actions including:

"Defining meaningful use is a first step toward (using EHRs to improve processes of care and outcomes) ... but other elements must also fall into place. Multiple studies
have shown that health care providers need help overcoming several
key obstacles to adopting and using HIT. Many lack the financial
resources to purchase, implement, and maintain EHRs. They also
lack the technical expertise to pick the right HIT systems and
use them in ways that will improve care. And no infrastructure
exists in most areas of the country for secure health information
exchange among providers and between providers and consumers.
The various HITECH Act programs and regulations address these
obstacles."
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