1. 360Exchange (360X) Project 07/18/13

2. Reminders / announcements 360X Update 1 Agenda

3. This meeting is being recorded. If you don’t wish to be recorded, please hang up now. If you’re not speaking, please mute your line. Please don’t put us on hold (though dance breaks are fun). Direct Boot Camp 2.0 – Alexandria, VA on August 13-14 2 Reminders / Announcements

4. In the past, we’ve talked about our guiding principles… – It’s not to demonstrate that it’s possible – It’s to ensure that it’s clinically relevant and useful – It’s to ensure that it’s rapidly and widely deployable – It’s to reduce friction and/or add lubricant Bad news: we’re a few months behind schedule, but… Good news: we’re more likely than ever to create something that is really useful and achieves these objectives. 3 360X Updates

5. 360X Payload Workgroup – Spent the past few months taking a detailed look at: Ensuring interoperability with MU2 certified systems that support and do not support 360X enhancements Defining meta-data elements, such as workflow states/statuses to support closer coordination of referrals – Examples: pending, accepted, scheduled, cancelled, etc. – Progress has been slow… Many issues are complex because we’re trying to share information about workflows without assuming that or requiring providers to follow a specific set of business or clinical practices 4 360X Updates

6. 360X Pilots – Awaiting draft of Implementation Guide v1.0 – Delayed due to focus on MU2 development/certification – Goal is to have two or more operational pilots in 2013 5 360X Updates