This document summarizes a panel discussion on meaningful use and achieving certification criteria for electronic health records. The panelists discussed how meaningful use goes beyond an IT project and requires organizational readiness, physician alignment, information technology considerations, and vendor sustainability. Key components for achieving meaningful use include governance, communication, physician alignment, IT considerations, quality measures, and legal issues around incentives.

1. Welcome “ Meaningful Use – What does it mean ? Panel Discussion May 19, 2010

2. Meaningful Use – What Does it Mean ? Panel Discussion Moderator: Paula M. Zalucki, FACHE President, Salus Strategy Group Panelists: Susan Walker Regional Director, Beacon Partners, Inc. Denise Webb Glass Partner, Fulbright & Jaworski, LLP Patricia Johnston, MS, FHIMSS Vice President, Electronic Health Record, Ambulatory and Acute Care Texas Health Resources

5. Susan Walker Regional Director, Beacon Partners, Inc.

6. Meaningful Use, It’s Not Just an IT Project A Roadmap to Organizational Readiness Presented by: Susan Walker Regional Director Date: 05/19/2010

8. Beacon Partners’ Position Meaningful Use This is part of an evolutionary path

11. Governance and Communication C-Suite Support of IT

14. Meaningful Use Check List “Starter Kit” Full Version Available in PDF

17. Clinical IT Adoption Process Have your organizational goals and expected results for the clinical IT project been identified in the planning stage? Design system from clinicians perspective. Successful Go-Live means TRAINING

21. Questions & Answers Thank You Susan Walker [email_address]

22. Denise Webb Glass Partner, Fulbright & Jaworski, LLP

23. Legal Issues Associated with Meaningful Use Standards Denise Webb Glass Women’s Healthcare Executive Network May 19, 2010

39. When You Think HEALTH CARE, Think Fulbright. TM AUSTIN • BEIJING • DALLAS • DENVER • DUBAI • HONG KONG • HOUSTON • LONDON • LOS ANGELES MINNEAPOLIS • MUNICH • NEW YORK • RIYADH • SAN ANTONIO • ST. LOUIS • WASHINGTON, D.C. www.fulbright.com • 866-FULBRIGHT [866-385-2744]

40. Patricia Johnston, MS, FHIMSS Vice President, Electronic Health Record, Ambulatory and Acute Care

41. Preparing for Meaningful Use: A Provider’s Perspective May 19, 2010

43. National Perspective Level of Concern in Meeting Deadline CHIME Survey/Dec 09 n=178

44. National Perspective Top Concerns in Implementing Standards CHIME Survey/Dec 09 n=178

45. What is on the Table for THR ? ENTITY 2010 2011 2012 2013 2014 TOTAL DENTON $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx THHEB $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx THFW $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx THNW $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx THSW $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx THC $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx THEC $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx THAM $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx THK $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx THP $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx THA $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx THD $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx Total $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ 53,649,710

46. Organizing for Action Infrastructure Development Capacity Building Proposal Development Number & $ Amount of Grants (ROI) “ Meaningful User” Definition for THR Data Collection Strategy Development Use of Consultants Stakeholder Development Preparation/Planning Assessment Advancing Physician Engagement Organizational Visibility THR Stimulus Taskforce Community Collaborations Activities/Tactics Outcomes Inputs Timing Staffing HIE PI’s TREI Grant Writers Agility Imperatives Stakeholders Enhanced Services & Systems Improved Health Outcomes Processes Organizational Capacity Community Health Comparative Effectiveness Prioritize Projects/Efforts ID Funding Opportunities Review for Capacity THR’s Funding Focus ITS Finance THR Org. Phys. Nursing Adv. & CB Dependencies Enhance Research Mission for TREI Cost-Effective System Provider & Coordinator of Care Execute Plan Health Information Technology Comprehensive View of Quality Transformational Themes Impacts Diversity Strengthening Our Culture C4L

49. Tracking Progress

50. Reporting Results Self Assessment Score Requirements Fully Implemented Life Cycle Score Process Group Overall 2011 2013 2015 Overall 2011 2013 2015 Clin Doc 0% 0% 0% NA 80% 80% 80% NA Decision Support 0% 0% 0% 0% 65% 80% 80% 20% Discharge Process 0% NA 0% NA 40% NA 40% NA Financial Mgmt 0% 0% NA NA 80% 80% NA NA Health Mgmt 0% 0% 0% 0% 42% 70% 30% 28% Meds Mgmt 0% 0% 0% NA 66% 75% 53% NA Orders Mgmt 0% 0% 0% NA 80% 80% 80% NA Patient Mgmt 0% NA 0% 0% 30% NA 60% 0% Registration 0% 0% NA NA 80% 80% NA NA Reporting 0% 0% 0% 0% 35% 56% 20% 15% Regulatory Compliance 0% 0% NA 0% 40% 80% NA 0% Total 0% 0% 0% 0% 52% 73% 53% 17%

54. Questions for the Panelists