In the rush to achieve "meaningful use" of EMRs, have you taken the time to see how various components of health IT fit into organizational strategy? That's the question posed on our Hospital Impact blog by Dr. Marco Huesch of Duke University's Fuqua School of Business. "When Beth Israel Deaconess Hospital gets paid substantially less than Partners HealthCare despite clinical parity or superiority, it's hard to imagine real 'interoperability' working out just yet," notes Huesch, a nonpracticing physician from Australia. "But what if 'interoperability' does get exploited in all its neat potential? What happens to your strategy when the balance of power in your relationships with other providers, regulators and referrers gets turned?" Hospital Impact