1. www.DirectTrust.org 1101 Connecticut Ave NW, Washington, DC 20036 2:00 pm EDT, July 11, 2014 https://global.gotomeeting.com/meeting/join/930802605 (773) 945-1030 -- 930-802-605#

2. www.DirectTrust.org 1101 Connecticut Ave NW, Washington, DC 20036 Agenda Welcome and new member greetings Calendar of upcoming events DTAAP and industry update Changes in Workgroup meeting schedules Workgroup updates, including report of Interoperability Testing Open discussion and comment “You are the most trusted names in Healthcare Exchange”

3. www.DirectTrust.org 1101 Connecticut Ave NW, Washington, DC 20036 DirectTrust Members 3 3

4. www.DirectTrust.org 1101 Connecticut Ave NW, Washington, DC 20036 DirectTrust Members, cont’d.

5. www.DirectTrust.org 1101 Connecticut Ave NW, Washington, DC 20036 Newest Members Northwest Florida Community Hospital Mana Health MedAZ.Net drchrono ezEMRx Flow Health

6. www.DirectTrust.org 1101 Connecticut Ave NW, Washington, DC 20036 Renewing Members

7. www.DirectTrust.org 1101 Connecticut Ave NW, Washington, DC 20036 Calendar of Events July 16, 2014 – DirectTrust Q&A Webinar, 11 am EDT. Please send your questions to Admin@DirectTrust.org as soon as possible. We will be assembling a panel of experts to address your questions.Admin@DirectTrust.org July 16, 2014 -- Dr. Kibbe will be teaching a short course on Direct enabled patient and consumer health information exchange on July 16, details here http://h2c.io/kibbe [Note: there is a $25 fee paid to Health 2.0 for this event.]http://h2c.io/kibbe July 24, 2014 – Several DirectTrust members will be attending the Redwood MedNet Conference in Santa Rosa, CA.

8. www.DirectTrust.org 1101 Connecticut Ave NW, Washington, DC 20036 Newest Members Sonnick Partners, LLC dba Silverline Wisconsin Health Information Network, WISHIN iSALUS, LLC Quality Health Network Summit Healthcare Services Last month Alere ACS Healthcare Data Solutions Healthcentrix

9. www.DirectTrust.org 1101 Connecticut Ave NW, Washington, DC 20036 Newest Accreditations updox

10. www.DirectTrust.org 1101 Connecticut Ave NW, Washington, DC 20036 Candidates list

11. www.DirectTrust.org 1101 Connecticut Ave NW, Washington, DC 20036 Interop Testing Matrix

12. www.DirectTrust.org 1101 Connecticut Ave NW, Washington, DC 20036 Workgroup Reports Patient and Consumer Participation in Direct – Lucy Johns and Leslie Kelly Hall Directory Policy – Bruce Schreiber and Jim Fisher Security and Trust Compliance – Luis Maas and Jeff McDonald Trust Anchor Bundle Operations – Greg Meyer Certificate Policy and Practices – Don Jorgenson and Scott Rea Trust Agent ID Vetting Sub-Workgroup – Pete Palmer and Ravi Ganesan New! Clinical Transitions of Care – Holly Miller and David Kibbe

13. www.DirectTrust.org 1101 Connecticut Ave NW, Washington, DC 20036 DTAAP Update Comments 53 organizations in DTAAP 86 DTAAP programs 14 fully accredited HISPs +18 candidates expected to reach full accreditation by end of 2014 Note trend toward out- sourcing of RA/CA role What is market valuation of this new industry sector? What are the cost savings to be gained from widespread deployment and use of Direct?

14. www.DirectTrust.org 1101 Connecticut Ave NW, Washington, DC 20036 DirectTrust Metrics Membership has grown to 125 organizations and individuals, a 3-fold increase from this time in 2013. Numbers of organizations served and accounts/addresses provisioned have doubled q3months x 3

15. www.DirectTrust.org 1101 Connecticut Ave NW, Washington, DC 20036 DirectTrust Metrics Membership has grown to 125 organizations and individuals, a 3-fold increase from this time in 2013. Numbers of organizations served and accounts/addresses provisioned have doubled q3months x 3

16. www.DirectTrust.org 1101 Connecticut Ave NW, Washington, DC 20036 DirectTrust Metrics Membership has grown to 125 organizations and individuals, a 3- fold increase from this time in 2013. Numbers of organizations served and addresses provisioned have doubled q3months x 3

17. www.DirectTrust.org 1101 Connecticut Ave NW, Washington, DC 20036 Discussion David C. Kibbe MD, President and CEO DirectTrust.org David.Kibbe@DirectTrust.org kibbedavid@mac.com 913.205.7968