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Transforming healthcare through meaningful use (MU) has unique and similar challenges for different types of healthcare organizations. Health Information Exchanges (HIEs), hospitals/IDNs and provider practices are defining their approaches, tools and methodologies to comply with the new requirements. This workshop will focus on the approach for helping practices attain MU criteria as set forth in the current Proposed Rule. This presentation will communicate the current status of MU rules, including CMS incentives and penalties as well as actual office proven strategies used to improve EHR functionality. Attendees will gain direct knowledge from their constituent’s prior attempts at implementing MU criteria. Both successful and unsuccessful examples will be provided. Defining the resources that proved to be instrumental in successful implementation will also be included. Knowing what has worked in different types of organizations will provide unique insight for attendees. Another key focus for organizations is to build on the current performance measurement capabilities. The goal is to incorporate decision support and performance management at the point of care in order to realize improved quality of care and reduced cost. Each type of healthcare organization contributes particular competencies to achieving the national objectives of informing clinical practice, connecting clinicians, personalizing care and improving population health. The workshop will also describe the difficult work of redesigning organizational competencies and workflows required to meet MU performance targets. The process, practice and organizational capabilities that must be assessed to determine performance levels and redesign requirements will be described – as well as the challenges and limitations of available functionality, particularly reporting, in the market.