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Http://www.govhealthit.com/online/news/350107-1.html "Even systems certified by the Certification Commission for Healthcare Information Technology generally lack four features needed to improve population health, said Dr. Farzad Mostashari, who heads New York City’s Primary Care Information Project. He listed these features: # Structured data collection, which means using standard terms and codes that can be interpreted by computers, rather than free-form text notes. # Registry functions, which enable users to generate lists of patients needing certain treatments or tests. For example, a medical practice should be able to compile a list of all patients over 60 who have not had colon exams and send them reminders. # Quality measures, or built-in capabilities to assess the health of a set of patients and how well they are being treated for priority conditions. # Decision support tools, which deliver reminders and warnings to doctors and inform them of best practices in treatment." Do you think he's been looking at non-USA systems? MaryH -- Mary Hawking