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Changes would increase incentives to engage the American Indian and Alaska Native population, whose communities have been underserved.

Kurt DelBene spoke this week about how small contractors can get up to bat for more Veterans Affairs IT projects, and discussed how too much parsing on major federal initiatives – like Healthcare.gov, which he helped rescue – can lead to failed strategy.

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.