The industrialization of medical care delivery, compelled by fifteen y
ears of reimbursement reform, has given rise to a commercial health in
formation technology (HIT) industry. Well financed by Wail Street, the
HIT industry offers a variety of ready-made solutions designed to tra
nsform a health care organization's raw data resources into useful cli
nical information. Many of the. resulting clinical decision-support pr
oducts are encumbered by numerous insurmountable intellectual and tech
nical problems and, as a consequence, meet with cultural resistance fr
om physicians. The long-awaited but costly implementation of electroni
c medical records (EMRs) will make these pioneering but flawed efforts
obsolete, if EMR development successfully exploits recent technologic
al breakthroughs and the ongoing consolidation of health care organiza
tions.