Meaningful use requires that electronic health records enable data solutions for informing and improving care have not only been toothless but the burden was shifted to clinicians. Like Tantalus of Greek mythology, we are immersed in data that we painstakingly collect but cannot use to satisfy our need to measure and improve care, to report quality or share data, or integrate with other data to understand our patients and their needs. For more than a decade, the ABFM has asked its Diplomates to use their clinical data to assess their practices and choose quality improvement activities. The Federal Quality Payment Program has adopted a similar process for value-based payments. There is growing pressure to use data from other sources, claims data and social determinant data, for example, to assess patient risks, adjust payments, and assess outcomes.