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The multitude of federal and state health information exchange initiatives are making information governance and the integrity of EHRs more challenging every day.

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The study did not examine why there were regional differences in doctors beliefs and practices about endoflife care, but training and other doctors influence likely play a role, the researchers said.

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Richard C. Veith, a professor of psychiatry and behavioral sciences at the University of Washington School of Medicine in Seattle, said in a news release from the American Heart Association.

Amesh Adalja is a senior associate with the University of Pittsburghs UPMC Center for Health Security.

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