We all know our current paper-based health information process wastes hundreds of billions of dollars annually. Transforming this into a streamlined 21st century electronic system will require moving though stages of maturity from paper charts to the cross provider electronic health record (EHR). And yes, Forrester will be publishing it's maturity model soon which hopefully will be more understandable then the health care bill. Our basic conclusion is that a narrow focus on electronic medical records packaged apps. or paper replacement technologies will fall short of stated goals. Meaningful use - as in qualifying for governement bonuses - will require a process –centric  view  and a portfolio of  technologies including enterprise content management (ECM), business process management (BPM), analytics and Forms Automation.  Our three phase maturity model will show how these foundation technologies help move through the phases most providers will transit  to get to  the 21^st century health care system we all need. Stay tuned.