Top Trends: What am I Missing?

I recently had a meeting at which I was asked to present some of the major trends in healthcare IT --- here they are (these are rough notes)
Investment optimization -- Initial monies have been spent (electronic medical record packages)– now it's time to focus on continuing education, optimization, change management, adoption, fostering adoption—getting more people to use using more of the system – how do you get the right information to the right clinician at the right time in the right format (Clinical decision support)

Stark – everyone wants to lock up the docs first

ERP optimization -- Integrating revenue cycle management, computerized physician order entry (CPOE), operating room scheduling into enterprise resource planning for financial reporting and analytics

Efficiency – staffing/scheduling, patient logistics, asset and patient tracking

Patient safety – reducing medical errors, medication administration, CPOE, workflow management, optimization

Cross vendor application integration --- integration (sharing single database) rather than interfacing – HL7, CCR, DICOM, CCHIT, HITSP, ASTM

Project management – system selection – how many to involve, super-users

Vendor relationship management --Utilization of consultants in baseline, needs assessment, request for proposal development, system selection, contract negotiation, and service level agreement management (it’s a marriage)

what do you think?