A standardized surveillance reporting form was used to collect epidemiologic and medical data, including demographic characteristics; underlying medical conditions; history of seasonal influenza vaccination; recent exposures to swine, poultry, or other animals; latest visits to a live animal market; clinical symptoms and signs; chest radiographic results; laboratory testing outcomes, including diagnostic testing for influenza and other respiratory infections; antiviral treatment; clinical complications; and outcomes.Hospitals that usually do not meet federal guidelines by 2015 face reductions in Medicare reimbursement. The survey reveals that work to accomplish meaningful use is normally well underway: 67 % of hospital executives have previously implemented or are along the way of implementing new capabilities in order to meet up with the federal government requirements, and 51 % are targeting fiscal calendar year 2011 to be eligible for meaningful use. Approximately one-third are looking at fiscal year 2012. The biggest barrier for hospitals to go forward in finding your way through meaningful make use of, as indicated in the study results, was the lack of final guidelines . Just a small number of hospitals have not taken any activities to get ready for meaningful use requirements. The survey also reveals a clear reputation of issues in meeting meaningful make use of incentive requirements.