It is not clear to what degree the physician community was able to provide input into the rating system. We recognize that large health systems and IT vendors make up the bulk of the “community”, however many of our members are far less resourced and do not have IT staff on hand to support data exchange let alone make informed decisions regarding reusability. For instance, how were the perspectives of small and solo medical practices considered when ranking these approaches? How were unique needs of specialty medical practices and practices in rural locations reflected in these considerations? At the very least, the concept of “community support” should be clarified and the text should elaborate on who the community represents.

Existing Wording:

that reflects the degree of community support for the approach