A MERGE statement might get you where you need to be or at least closer to a solution.
http://technet.microsoft.com/en-us/library/bb510625(v=sql.105).aspx
MERGE #UpdatedData AS target_tbl
USING #OriginalData AS source_tbl
ON target_tbl.MemberID = source_tbl.MemberID
WHEN MATCHED AND target_tbl.FirstName != source_tbl.FirstName THEN
UPDATE SET target_tbl.FirstName = source_tbl.FirstName
OUTPUT $action, Inserted.MemberID;
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- Nate