John Halamka, chief information officer at Beth Israel Deaconess Medical Center, graded the health information technology effort a 'B-' in a talk at the AMDIS/HIMSS Physicians' IT Symposium, citing quality measurement and reporting gaps as reasons why this arena didn't do better. Halamka mentioned his father's care for multiple sclerosis as an example of the problem: Guidelines for the elder Halamka's drug regimen led to side effects that were worse than his disease, yet the physicians had no systematic way of measuring that, Halamka said.