With changes in the final electronic health records meaningful use rule making most radiologists eligible for federal incentives if they meet the criteria, the race is on to make sure radiology information technology vendors are well aware of the program and upgrading their systems.

The worry is that radiology vendors are behind the learning curve, says Keith Dreyer, M.D., vice chair of radiology informatics at Massachusetts General Hospital in Boston. "I think there's quite a bit they don't know," he adds.

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