Post notes several barriers to successful implementation of an EMR system for US.
Although the federal government set a goal five years ago of creating an electronic health record for every American by 2014, the effort has lagged for several reasons. Roadblocks include concerns over lack of universal protocols for collecting data as well as rules that establish how, with whom and under what circumstances the data can be shared. Many health-care providers — physician practices, testing facilities, hospitals and clinics — fear liability if private information gets into the wrong hands. Embedded in all these issues is the cost, an estimated $150 billion, which has proven to be a significant barrier to that 2014 target.
So, who is responsible for defining the standards? Who will define liabilities? How many stakeholders are there to be included to construct a realistic evaluation model?
Jim's Blog 
Simple – CCR, CCD, HL-7, and CCHIT certification gives us these standards.
So, are all the stakeholders in agreement?
Well the work which certain hospitals are doing, I personally think that they will be achieve their target to digitize all their records by the end of 2014.
The training of doctors and staff would be really helpful in using EMR system. Jay i don`t thing the govt. would be able to digitize the whole system by end of 2014.