Clinical Transformation and the Future of Health IT: A Case Study of Marshfield Clinic Healthcare in the United States is rapidly changing with no clear endpoint. Single payer systems, stimulus funds, PQRI, medical home, declining reimbursement, aging populations with resulting increase in utilization all will require massive reworking of existing infrastructure and systems. Caught squarely in the middle is the critical role and function of information systems. Dr. Robert Carlson (CIO) and Carl Christensen (CTO) from Marshfield Clinic will review the ongoing development of next generation IT systems. Marshfield’s long 40+ year history of clinical computing, its complete deployment of a paperless, multi-system, tablet-based EHR puts Marshfield in a unique cutting edge position for developing next generation IT systems. The transition from a retrospective, documentation based system to a proactive, population based approach will be reviewed along with current challenges and initiatives. (Javascript is required to view Mediasite content)