Celebrating the Small Wins: Respite From a Feast of Grand Visions

[Commentary] What a year it has been. Economic crisis. Multi-billion dollar stimulus for health IT. The contentious battle over health care reform. And the persistent rhetoric proclaiming that health IT will save the day. Lost among the grand and hopeful visions for health care reform and health IT subsidies, however, have also been the small victories that occur daily on the ground. Accomplishments unheralded. Challenges overcome. As we digest on a feast of grand visions, let's take a look back at a few notable milestones and data points from the year and appreciate the fact that actual progress is being made -- 1) National Exchange Goes Live, 2) Adherence Text Messaging, 3) E-Prescribing Adoption Curve, 4) Internet Pervasiveness.