This article provides an overview of a patient portal implementation conducted by Patients First within east central Missouri counties. The NextMD patient portal was rolled out in August 2010 and serves three core functions:  1) Providing patients with an electronic clinical summary, 2) Providing timely access to lab results, and 3) Providing secure messaging with clinical and office staff.

Key areas of Patient Portal implementation include overviews and findings related to:

• Adoption
• Implementation both in terms of Providers and Patients
• Meaningful Use Objectives addressed
• Key Challenges identified
• And next steps in patient porrtal roll-out