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Although the health care industry has made great strides in health IT, large numbers of providers remain slow to reap the benefits of a “digital transformation”. Health care organizations focus on what they get paid for and neglect other practices that would improve care and security. At conferences and meetings year and after year, I have to listen to health care leaders tediously explode the same myths and explain the same principles over and over. In this article I'll concentrate on the recent EXPO.health conference, put on in Boston by John Lynn's Healthcare Scene, where the topics of free and open source EHRs, security, and cloud migration got mired down in rather elementary discussions.

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