This document discusses how health information technology (HIT) supports practice transformation and chronic disease management. It notes that while EMR adoption has increased, user satisfaction has decreased. HIT provides metrics for both individual patients and populations, but current EMRs are challenged in providing clinical decision support and acting as the "yardsticks" for measuring care quality. Alternative systems like registries may better track chronic conditions. The document envisions HIT that engages patients and facilitates self-management. Overall it argues that fully realizing HIT's potential will require addressing workflow, documentation, and decision support to improve both individual care and population health outcomes.