Joe Kimura's dad was a professor of computer science, and Joe grew up taking computers for granted-until he got to his internal medicine residency and found patient hand-offs being handled via a batch of index cards held together by a ring.

"We would cross over 70 or 80 patients that way," he says, with no nostalgia whatsoever. His frustration eventually helped steer him into a health services research fellowship at Harvard, exploring the general question of how to use data to drive changes in care. "Physicians and nurses are data hungry, and they change when they believe the data they see," he says. "But you need a heck of a lot of data to make a case for change, and you have to make it easy for the practice to use."

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