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But transitional chaos should be distinguished from enduring damage. However, the researchers found remarkable EHR-induced distress. It really is quantifiable and yet stubbornly not eminently. The objective of widespread EHR adoption, as envisioned by the Obama administration in 2008, was allowing a changeover from volume-based to value-based payments: an electronic infrastructure was needed for measuring quality. At the time, however, significantly less than 17 percent of physician methods were using EHRs, and their systems lacked necessary data-capture capabilities often. Provided the high up-front uncertainty and costs regarding long term returns, financial and cultural hurdles to adoption were formidable.