Finally, the technical complexity of establishing specifications is daunting. As Koppel explains, something ostensibly simple even, such as blood-pressure measurement, can get dropped in translation due to the modifiers accompanying the quantities: standing, sitting, preinjection, labile, non-compliant. So imagine a common language for MRI reviews or operative notes. Although industry influence is indisputable, this description conflicts with the impression I got from Judy Faulkner, chief executive officer of EHR maker Epic Systems, who advocates for government-created criteria. Whether or not other vendors are prepared to make their items interoperable, government often overrides industry’s financial passions to achieve a larger public good.The majority are clustered in urban centers like New York City, Chicago and Washington, D.C. Officials estimate that 80 % of people returning from travel in West Africa, where Ebola is widespread, live within 200 miles of one of the designated hospitals. The list premiered after officials spent more than a month evaluating hospitals that could provide as referral centers for new Ebola cases that might take place. The 35 hospitals were deemed to have the staff, equipment and teaching to treatment effectively for Ebola patients safely and. Additional hospitals in other parts of the country are expected to become added in the arriving weeks. Ebola in the U.S.: Who will pay the bills?Four Ebola cases have been diagnosed in the United States.