The document discusses opportunities in health information technology resulting from HITECH and next steps for the national health IT infrastructure. It notes that critical mass, common platforms, and secondary value can drive network effects and IT adoption. Mature data environments that support value require stable policies, business alignment, standards, and value from data exchange. The document outlines various needs and opportunities around EMR adoption, meaningful use, health information exchange, interoperability standards, and policy environments to continue advancing health IT.