Conclusions NH DPHS was able to take advantage of opportunities and resources beyond the State of NH. The brokered Orion Health Rhapsody MU certification solution provided a lower cost certification solution to hospitals (as compared to purchasing Rhapsody or certifying their EHR). NH DPHS was able to build an expandable public health MU infrastructure easily integrated with the NH HIE. The MU REC website provided guidance, FAQs, state rules and allowed NH DPHS to communicate effectively with hospital partners and the NH REC, to take advantage of REC expertise, and keep all partners informed.