The good news for Ranjan Jayanathan, RadNet CIO, is that two of the nation's largest imaging center chain's sites in Brooklyn just successfully attested to Stage 1 meaningful use of health IT. The integrated solution features RIS and PACS from eRad (wholly owned by RadNet) and a report-generation solution featuring M*Modal's NLP technology, and is certified as a full ambulatory EHR. "It went way better than we expected," he offers. The bad news for Jayanathan is that he has at least 230 additional sites to make attestation-ready in 2012. That will involve replacing a dozen different PACS, a dozen different RIS, and introducing about 500 radiologists to a new reporting solution. "We have to fight in Afghanistan, Iraq, everywhere at once, we have 200 different battles," he says. With approximately $15 million in MU dollars at stake (and penalties looming in 2015), the carrot and the stick are both in play. A former colleague says if anyone can swing that, it's the MIT-educated Jayanathan. Intelerad just picked up full EMR certification for the Intelerad Meaningful Use Module, with InteleRis at the core, clinching several new deals with customers who were sitting on the fence, including one practice in the Northwest, reports Helene Gey, marketing veep. With a modular certification in hand since January, FUJIFILM is hoping for complete certification for its Synapse RIS by the end of the month, and informatics veep Jim Morgan acknowledges that he has lost a few pieces of business because practices would not bank on that projection. But when the system is certified, data collection will be integrated into the radiologist workflow instead of residing wholesale on a separate page, as did some of the first to market certified radiology EHRs. "We didn't want to just meet the criteria," says Chuck Socia, who worked on the MU certification. "We wanted to fit it into the workflow, to make sure the radiologist didn't have to stop to do medication reconciliation or BMI index."