In his article "Technology: the New Rx" Brian LeClaire describes how technology-enabled "integrated care delivery brings together our three primary activities: care delivery, the consumer experience, and clinical and consumer insights."
The four enabling technologies include mobile, social, cloud, and analytics.
According to the ONC the Interoperability Standards Advisory serves the following three purposes.
1) To provide the industry with a single, public list of the standards and implementation specifications that can best be used to fulfill specific clinical health information interoperability needs.
2) To reflect the results of ongoing dialogue, debate, and consensus among industry stakeholders when more than one standard or implementation specification could be used to fulfill specific clinical health information interoperability need.
3) To document known limitations, preconditions, and dependencies as well as known security patterns among referenced standards and implementation specifications when they are used to fulfill a specific clinical health IT interoperability need.
As part of its role in Health IT the Office of the National Coordinator for Health Information Technology (ONC) provides safety and usability guidance for EHR development and implementation.
They recently addressed medication management errors in ambulatory EHR systems. This resulted in the "Report on the Safe Use of Pick Lists in Ambulatory Care Settings: Issues and Recommended Solutions for Improved Usability in Patient Selection and Medication Ordering."
According to a study by the Center for Studying Health System Change, a "Gap Exists Between Vision for Electronic Medical Records (EMRs) to Improve Care Coordination and Clinicians' Experiences."
The study found that commercial EMRs are better at meeting billing and documentation needs than clinical needs.
"This work emphasizes that improving care coordination will not happen with technology alone," said Commonwealth Fund Vice President Anne-Marie Audet, M.D. "What is needed is a redesign of care processes and work flow; clinicians will also need to adopt new ways of working and communicating within practices and across organizations."
As I have written before, Goals and Tools. It is not the tool makers responsibility for meeting business goals. It is the practitioner's responsibility for utilizing and taking advantage of the tools on hand to improve and optimize their outcomes. Even if it requires changing the way they work.