Specialty medicine practices rarely employ a dedicated information technology resource. Durham Nephrology is no exception. The Durham practice navigated the uncharted waters of attesting to Meaningful Use under the HITECH Act of 2009 without the benefit of an IT expert or outside consultant. They implemented an EHR system in 2003 and believed that an EHR was the only long-term, effective way to organize patient charts and clinical notes. Read this story to find out this resourceful team achieved their goals--and more.