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Since the inception of the HITECH Act health organizations have faced increased pressure to update their health information technology (HIT) resources. As discussed last week many believe that the increased use of electronic health records and the quick and efficient communication afforded by HIT can lead to improved quality of patient care. Yet there are significant costs associated with implementing such systems. What can organizations do to ensure that the correct system is selected and that the system will be appropriate for those required to use it? Who should be involved in those decisions?