David Blumenthal, M.D., has left government service to return to Harvard, having spent a whirlwind two years as national coordinator for health information technology. I have mixed feelings about his performance, but that doesn't temper the respect I have for the overall job he did.

On the negative side, he wasn't particularly media-friendly. When we talked it wasn't for long and he stuck to the script as much as possible. He never fixed the glaring lack of representation of physician practices and community hospitals on the HIT Policy and Standards advisory committees, which have considerable influence over the meaningful use rules and design of the emerging nationwide health information network.

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