Meaningful use turned one year old this week with little to no fanfare, perhaps because facilities and physicians are busy trying to comply. As a federally-mandated and subsidized program to move the nation toward EHRs, the success of meaningful use isnt assured, but its come a long way in a year. Much remains to be done; common complaints are 1) the rules as written dont allow enough time for organizations to implement and use health IT meaningfully, as defined by CMS; and 2) the registration/attestation/reporting processes need more work.