Ms. Jan Paterson, Esq., PMP, has been working with state agency clients since 2009 to implement HITECH strategic planning and operations efforts. Her work has included developing EHR incentive payment programs; developing HIT and HIE Implementation Advance Planning Documents (IAPDs); developing State Medicaid HIT Plans (SMHP) and strategic and operational plans for statewide HIEs. As the HITECH program reaches its mid-point in 2016, performance measurements and ongoing audits for meaningful use (MU) become more important. Ms. Paterson has developed audit strategies and plans that incorporate the complex requirements for monitoring provider MU. As HITECH technical infrastructure matures, the business use cases for clinical data become more important. Ms. Paterson is participating in the development of second generation HIE for Medicaid.