The HITECH health information technology for economic and clinical health act was signed into law in 2009 as a part of the economic stimulus package formally known as American recovery and reinvestment (ARRA)(4). The primary focus of HIETCH act was to stimulate the adoption of Electronic Health Records (EHR) to promote patient safety(5). In addition to making clinical data available real time for a wide range of activities such as research, regulatory reporting and resource utilization, the transition of health records from paper to electronic medium also facilitated addition of key EHR functionalities such as clinical decision support for quality improvement.