1. www.DirectTrust.org 1101 Connecticut Ave NW, Washington, DC 20036 2:00 pm EDT, May 2, 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 DirectTrust Members 2 2

3. www.DirectTrust.org 1101 Connecticut Ave NW, Washington, DC 20036 Agenda Welcome and new member greetings Calendar of upcoming events DirectTrust Network metrics as of 3/31/2014 Workgroup updates, including report of Interoperability Testing DirectTrust comments to ONC on 2015 CEHRT NPRM Open discussion and comment

4. 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 Tenet Healthcare Corporation – Healthcare system Integrated Care Collaboration – Non-profit alliance of Healthcare organizations in Central Texas. Applied Research Works – Cloud-based product, real time analytics, focused on CMS incentive based programs. Hawaii HIE – Non-profit organization, State of Hawaii. VisionTree Software, Inc – Cloud-based, patient-centered engagement, interoperability and workflow optimization. Vanderbilt University Medical Center – Healthcare facility Last month

5. www.DirectTrust.org 1101 Connecticut Ave NW, Washington, DC 20036 Calendar of Events May 6 -- Board of Directors meeting ONC/HIT Policy May 7 – ONC/HIT Policy Committee EHR certification hearing, David Kibbe to provide testimony for DirectTrust. Washington, DC May 15 -- Cloud Computing East 2014, Scott Rea leading panel discussion on DirectTrust with Andy Heeren, David Kibbe. Washington, DC May 28 – DirectTrust Webinar: “ HIPAA, MU2, VDT, and CEHRT Unwound” with Deven McGraw. June 10 -- Annual Meeting and Mini-Conference – 1101 Connecticut Avenue, Washington, DC or other TBD. –Agenda –10:00 - 1:00 Board Meeting and Lunch –1:00 - 1:30 Annual Meeting –1:30 - 5:30 Mini-Conference DirectTrust: Myths, Facts, Outcomes, and Futures –5:30 - 6:30 Reception We’re still looking for sponsors! Please contact Ginna Yost at Ginna.Yost@DirectTrust or David.Kibbe@DirectTrust.orgGinna.Yost@DirectTrust

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

7. 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

8. 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

9. 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

10. 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 Care Coordination – Holly Miller and David Kibbe

11. www.DirectTrust.org 1101 Connecticut Ave NW, Washington, DC 20036 Member Presentation Greg Suenaga, Hawaii HIE

12. 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