Great article on why medical organizations should slow down on adoption of EHRs (http://histalk2.com/2010/02/15/readers-write-21510/) -- issues with EHR design, impact on patient care, and concerns about whether the government will be able to fulfill its obligations under HITECH.
As an HIT consultant, I see another big reason to go slow with EMR adoption: many organizations rushing into electronic health records without recognizing the ways the software will impact their current operations and processes. After years of doing things a certain way, front and back offices are faced with the need to change how they bill, how they track patients, how they complete forms, etc. The failure to do adequate business process work on the front end often obviates any gain the electronic systems could bring, at least for the first year of implementation. And that’s the year that you have to perfect meaningful use.