When Hospital Sisters Health System, a 13-hospital system in Wisconsin and Illinois, implemented computerized physician order entry and EHR, everything seemed fine—for a little while. Just a couple of months after the installation, William Montgomery, CIO, received a letter from the physicians listing 38 issues that they wanted fixed within two weeks. Montgomery and Robert Schwartz, MD, MPH, physician executive with Dearborn Advisors, discussed Sisters' situation during CHIME11, the Fall CIO Forum last week. The organization, with a $1.8 billion budget, 15,000 employees and 2,800 beds moved to "care integration" in 2008. Half were known issues at other hospitals in the organization and another quarter were related to training, he said.