The progress of EHR adoption and efforts in Washington state has exceeded the amount needed for participation for incentive payments that are given to participating states. The national average is 78% for physicians who have choose any EHR adoption measure. Compared to the national average of 81% of Washington state physician practices that have implemented. More specifically however, only 61% physician practices have adopted a basic EHR system and 56 % of primary care physicians have done so. This is a stark contrast of the national average of 48% physician practices and 53% primary care physician practices who have carried out this program. In an effort to increase adoption, the Washington State Health Care Innovation Plan is supporting efforts to help better hasten the quality of care for those covered by or use Medicaid to solidified an approach to a more connected system in which healthcare data can be exchanged electronically from one institution to the next in “real-time.” Washington has received $45 million to directly fund heath IT infrastructures and education to help the state meet the federal requirements to create groundwork for a more updated means of communication. I think that the efforts in here in Washington will be successful in that we already have a vast majority of physician based practices already on board to have at the very least a basic EHR system that they have in use. The money that is being funded lays the groundwork to teach clinical staff how to effectively and efficiently use these EHR programs to better document healthcare data that can then be sent in a timely manner to other health institutions without the wait and without the potential possibility of missing clinical data while still maintaining the patients confidentially. It would worry me if they percentage of these practices were low but the fact they are above the