Intermountain CIO Marc Probst had this response to John Halamka's post "Five reasons for Hope"

"As a CIO in an integrated delivery system I have had my eyes opened to see the wisdom and benefit of following proven informatics principles.  Although we may not be perfect, our organization has achieved some amazing results by using data and knowledge.  HIT will not save healthcare, but as an integral component with operations and organizational leadership, HIT can help in this transformation. 

Please let's not waste this
opportunity.  $20 billion properly spent will provide great
improvements.  $20 billion spent as it appears it may be spent will
just raise costs and make getting to where we need to be harder."

Tcoyote wrote in on the same post:

"Agree on the quality of the people.  Can you please tell us where the 200 thousand new jobs estimate you gave NPR for $20 billion in healthcare IT spending came from?"

Virginia Mason CEO Gary Kaplan, the author of "An Urgent Shared Commitment to Change," had this reply to commenters who asked a number of tough questions.

"It's very important for me to chime in about a few comments here on the role of a not-for-profit board. Let me be the first to say our board and executive team are very focused on fulfilling our mission and vision on behalf of our patients and our community. This is our primary fiduciary responsibility.

Also, profitability is not the goal, but a net margin is an essential ingredient. Our patients and community count on us to provide high-quality care; stay up-to-date with treatment and technology; employ smart, skilled medical professionals; and keep our doors open. We simply cannot do any of these things without diligence and prudence — and a net margin allows us to invest in our mission to improve the health and well being of the people we serve and our vision to be the quality leader in health care."

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