Back from HIMSS 2010. It's hard right now to write "meaningful use" without flinching, even harder to think about it. Never has there been so much talk about something that so little apparently is known about. And that's after 500-plus pages from the federal government and approximately 2,000 HIMSS sessions.

That, incredibly, wasn't the only HIMSS topic. ICD-10 sucked the joy out of every room where it was mentioned, and attendees develop facial tics at the mention of crosswalks. Health Information Exchanges are sprouting up like spring corn. When I lay down Monday night there were about a hundred operational; when I woke up the next morning I heard about at least another thousand. But the one's I got details about have a business model beyond cashing state and federal grant checks.

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