Physicians have long operated as autonomous problem solvers, but healthcare complexity and costs will drive change to act like systems. Atul Gawande outlines 3 key skills that only exist in limited pockets but are central to the transformation.

Health IT-enabled capabilities to coordinate care and electronically supply patients their data will challenge providers in meaningful use stage 2, report said.

Is there a civil war already underway between healthcare industry associations? And why hasn't the federal government properly assessed if ICD-10 is even sustainable for all but the largest providers?

Critics say Washington is moving too slowly on regulations and guidance for health insurance exchanges, leaving states in a time crunch wherein they must act on imperfect information.

The two HIT initiatives could be taken together for a smoother transition that saves time and money. Here are two of the reasons why that is not happening.