The document summarizes key events and discussions from the 2014 HIMSS conference. It notes that attendance was over 30,000 with a large vendor presence. Major topics included challenges with ICD-10 implementation, Medicare cuts, and strategies for accountable care organizations. Hillary Clinton's keynote address focused on continuing healthcare reform by moving away from fee-for-service and emphasizing quality. Vendors were focused on upcoming 2014 changes rather than switching systems.