Mid-Columbia Medical Center is a community hospital like many others in a small city serving a semi-rural area, though natives would argue the bucolic region in north-central Oregon along the Columbia River -- bulging with cherry orchards and graced by the neighboring magnificence of Mount Hood -- is not like other places.
The locus of health IT efforts has been in Washington so long—in Congress, at Health & Human Services, in long meetings of policy and standards committees— that you might not notice the scene subtly shifting to the nation's physician offices and hospital corridors and out to the surrounding communities.