As the first South Dakota physician to meet the Meaningful Use standards for Electronic Health Records (EHRs), Dr. Bosworth employed technology to create a channel for information flowing both ways. The ability to submit questions and get rapid replies is the most striking feature of the Portal. Patients have her ear outside the office and well beyond office hours. She operates a private practice, Meaningful Medicine. It’s a mobile-clinic practice delivering coordinated primary care with an emphasis on prevention and accountability.