Clinical informatics is poised for a period of rapid growth and expansion. A confluence of forces and trends, including pressure to contain healthcare costs and simultaneously expand access and coverage, a desire to reduce medical error and healthcare disparities, the need to better understand and optimize our clinical interventions and delivery systems, the need to translate new knowledge into practice quickly and effectively, and the need to demonstrate the value of our services, all call for the application of the methods and techniques of our field.

Medical experts in informatics discuss both problems and solutions

Managing Change.- Back Breaking Work: Implementing a Spine Registry in an Orthopedic Clinic.- A RHIO Struggling to Form: Will it Get Off the Ground?.- A Rough Ride at the Theodore Roosevelt Cancer Center.- Implementation of an Electronic Prescription Writer in Ambulatory Care.- Online Health Care: A Classic Clash of Technology, People, and Processes.- Patient Safety.- A Dungeon of Dangerous Practices.- Different Sides of the Story.- Barcode Medication Administration Implementation in the FIAT Health System.- H.I.T. or Miss.- Organizational Impact and Evaluation.- The Implementation of Secure Messaging.- Who Moved My Clinic? Donnelly University Pediatric Rehabilitation: The Wheelchair Clinic.- OncoOrders: The Early Years.- Implementing a Computerized Triage System in the Emergency Department.- Medication Barcode Scanning: Code "Moo": Dead COW.- Integration.- Project NEED: New Efficiency in an Emergency Department.- Digital Radiology Divide at McKinly.