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Information-based transformation: the need for integrated, enterprisewide informatics: it has often been said that health care is "data rich and infor

This situation has been getting steadily worse with the increasing adoption of advanced clinical information systems electronic health records. These systems are designed to provide fast response time, one patient at a time. They are not designed to easily support cross patient analysis and reporting. Organizations spend tens of millions of dollars acquiring and implementing these systems with a focus on clinical transformation--improving clinical efficiency and outcomes only to be stymied when trying to access the data to evaluate how EHR adoption is affecting the performance of the organization. The time has arrived for health care to seriously pursue methods to turn data into information.

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