When it comes to the meaningful use program, Tenet Healthcare's Liz Johnson is a happy camper-about $320 million happy. That's the amount that Tenet's 49 member hospitals (which last fall expanded to 77 after a merger with Vanguard Health) stand to receive from the EHR incentive program through 2017, estimates Johnson, vice president, applied clinical informatics.

In 2014, Tenet's legacy hospitals are in line for about $75 million-a number sure to rise, as the health system is still calculating the total payout once it has consolidated management of its newly acquired facilities. Tenet spans 23 states, but widespread geography has not gotten in the way of a technology deployment that demands standardization of workflows. "Sixty-six of our hospitals have attested for at least one stage of meaningful use," Johnson says, adding that more than 35 of the facilities will begin attesting for stage two in 2014.

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