Co-Hosted with HIMSS: Dr. Robert Keet, President of Western Medical Associates, Inc., Santa Cruz, CA, discusses ten years of experience in building a Regional Health Information Organization in Santa Cruz California. The community now has two independent hospitals and the majority of outpatient laboratory, radiology, and transcription providers linked electronically with over 300 private and public physicians. Providers receive clinical data electronically in a system that provides EHR functionality across the community using Web based tools.