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The Beth Israel Deaconess CIO looks back at the big events that shaped health IT in 2014 -- and ahead to what they portend for the coming year. "2014 was quite a year," he writes. "Thinking back to December 2013, I cannot believe that so much has happened."

Now that we have experience with two stages of meaningful use, it's also clear that a three year cycle is needed to ensure safe, high value, well adopted, introduction of new IT functionality.

After nearly 20 years as a CIO, I've learned that even with the best people, best planning and appropriate budgets, large, complex projects encounter issues imposed by external factors that cannot be predicted during initial project scheduling.