Technical issues as well as concerns related to cost and physician resistance are among the "major hurdles" in implementing the HITECH Act, which aims to boost the adoption of electronic solutions for medical records and other clinical data, said Dr. David Blumenthal, national coordinator for health information technology. In an article published by the New England Journal of Medicine, Blumenthal underscored the need to tighten the certification procedure for health IT systems and explained that HITECH's success will depend on how the "meaningful use" of such applications is defined.

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