Dr. Robert Issenman was trained at McMaster, McGill and Harvard. He is currently a Professor of Pediatrics at McMaster University. HHSC will go live with the New Epic Electronic Health Record in 4 months culminating 30 years of development. The vast majority of children’s care is delivered in ambulatory settings with the care for children with chronic disease and conditions at its core. If we learn to use the system well, this is the best chance to make our care safe, high quality effective and efficient.