The discussion assignment for this week is to create a cover letter for your RFP and create a draft cover letter for your Request for Proposal (RFP)
WEBVTT 00:00:03.000 –> 00:00:11.000 Good evening everybody. Welcome to our live chat for the night live chat 4 of HCI for 90. 00:00:11.000 –> 00:00:24.000 Gonna get our PowerPoint pulled up and we will get started. Just a reminder if you are attending live, please feel free to keep yourself on mute just to cut down on background noise so everybody is able to hear. 00:00:24.000 –> 00:00:32.000 If you have any questions, comments, concerns, feel free to unmute yourself. Or you are more than welcome to type it in the chat box. 00:00:32.000 –> 00:00:39.000 I do monitor that throughout the evening. If you are watching this recording, feel free to reach out with any questions you may have. 00:00:39.000 –> 00:00:43.000 My email is here on the screen, but you are also welcome to reach out to me over Messenger, through phone or by text. 00:00:43.000 –> 00:00:51.000 So, feel free to reach out. 00:00:51.000 –> 00:00:59.000 So tonight we're gonna go over a review of unit 3 topics. We're gonna be covering some very important dates that we have coming up. 00:00:59.000 –> 00:01:05.000 We're gonna go over our unit for topics, uniform assignments, and then some tips for success. 00:01:05.000 –> 00:01:10.000 So like I mentioned, if you have any questions, feel free to reach out. I see no one is on yet. 00:01:10.000 –> 00:01:18.000 So if you think of any questions when you are watching this recording, feel free to reach out with any questions you may have. 00:01:18.000 –> 00:01:25.000 Last week we went over 3 main concepts. The first being clinical decision support systems CDSS. 00:01:25.000 –> 00:01:35.000 They are essentially tools that are put into an electronic health record. To help make better quality medical decisions for patients. 00:01:35.000 –> 00:01:45.000 And these can be something as simple as recognizing patient allergies all the way up to a provider that a patient is due for a preventative measure. 00:01:45.000 –> 00:01:54.000 All of these are very important when it comes to providing quality patient care. And there's some pros and cons to them. 00:01:54.000 –> 00:02:03.000 We talked about some of them last week. We talked about some in the discussion boards. But it's one of those things like a controlled medical vocabulary that it requires maintenance. 00:02:03.000 –> 00:02:21.000 So Somebody not only has to know how to use it, but how to keep it up to date. Additionally, we have some providers that feel that it takes away from their autonomy and their decision-making process because instead of allowing them to have free reign, you're giving them a list they need to check 00:02:21.000 –> 00:02:33.000 off. Additionally, some providers feel that they have enough alerts. Enough notifications that it just ends up getting overwhelming to them. 00:02:33.000 –> 00:02:45.000 So, there are pros and cons because ultimately it does help to provide better quality patient care when being used effectively and appropriately. 00:02:45.000 –> 00:02:46.000 We also talked about interoperability and how none of that would be possible without HL 7 and fire. 00:02:46.000 –> 00:03:02.000 These are the 2 primary languages that are used for interoperability at this moment. Interoperability is the ability for electronic health record systems to share information between each other. 00:03:02.000 –> 00:03:07.000 So something for example like electronically sending a script to a pharmacy is the result of interoperability. 00:03:07.000 –> 00:03:19.000 Sharing records between providers. Sending lab results back. These are all elements of interoperability. 00:03:19.000 –> 00:03:30.000 So ultimately interoperability is allowing us as healthcare providers, health care administrators to provide better quality patient care and more complete patient care. 00:03:30.000 –> 00:03:42.000 Because we are having a full picture of information and the data is almost real-time. So that is one of the great benefits is that we are not having to wait for results to be sent. 00:03:42.000 –> 00:03:55.000 We're not having to wait for medical records to be sent. Because if you remember back in the days when we used paper charts and paper records, you had weeks and weeks for copying, processing, mailing. 00:03:55.000 –> 00:04:02.000 I mean, could you imagine trying to mail a medical record right now in the current speed that the USPS system is moving. 00:04:02.000 –> 00:04:09.000 It could be quite a while. It's also pretty costly, especially for a patient who has been a patient at a practice for a long period of time. 00:04:09.000 –> 00:04:21.000 Or has a complex record with specialist, any of those types of things. Because not only does it need to be mailed, it also needs to be mailed in a secure package. 00:04:21.000 –> 00:04:30.000 Because if you're just putting it in a brown envelope, the risk of it being open in the mail and therefore violating HIPAA is a high risk. 00:04:30.000 –> 00:04:44.000 We also talked about vendors. So we went over a few different vendors last week. But one of the things that we wanted to focus on is the fact that not every vendor is going to meet the needs of every healthcare organization. 00:04:44.000 –> 00:04:50.000 A great example of this is point-click care is in a great electronic health record system. 00:04:50.000 –> 00:05:06.000 But it is great for the specialty it works with. It is great for, long-term care facilities, inpatient rehab facilities, assisted living facilities anywhere that a patient is going to be staying at least overnight. 00:05:06.000 –> 00:05:17.000 Not in a hospital setting but in a lower level of care. So these are just some things that we want to keep in mind as we are thinking about vendors for the project. 00:05:17.000 –> 00:05:24.000 But also whenever we go out into the real world, what kind of software vendors are available for the type of practice we are working with. 00:05:24.000 –> 00:05:31.000 I work for a outpatient primary care provider that has a behavioral health element and some social service elements. 00:05:31.000 –> 00:05:35.000 A system like point-click care would not be effective for us. We are still small in size. 00:05:35.000 –> 00:05:48.000 With not a huge budget. A mid-size budget. So a behemoth is expensive like epic may not be a solution that fits for an organization like that. 00:05:48.000 –> 00:06:03.000 And that's something that you wanna make sure you're taking into account. Not only, like I said, for the project, but also whenever you are making these decisions as a electronic health record guru, the super user, the consultant, whoever you are in that project. 00:06:03.000 –> 00:06:07.000 That you're taking a look at that. 00:06:07.000 –> 00:06:16.000 We're gonna go over some important dates and I'm going to spend a decent amount of time on this just because the fact these are very very important dates. 00:06:16.000 –> 00:06:20.000 If you can believe that we are in week 4 of this class. This is a 5 week course. For some of you, this might be your last class for some of you at your second to last class. 00:06:20.000 –> 00:06:32.000 But either way, I'd like to make sure that you understand these dates coming up. So our last day of this class is July twelfth. 00:06:32.000 –> 00:06:39.000 Which is right around. July seventeenth. Wow. Sorry, July seventeenth, which is right around the corner. 00:06:39.000 –> 00:06:45.000 Definitely not July twelfth. July twelfth is during week 5 and it is a Wednesday. 00:06:45.000 –> 00:06:52.000 The July seventeenth, it is the last day of our class. That being said. 00:06:52.000 –> 00:07:05.000 No assignments can be submitted. After 1159 pm central standard time on july seventeenth now there is an exception to that and we'll get there in just a moment. 00:07:05.000 –> 00:07:21.000 But you want to make sure you have all of your work submitted by that date. If there is something that has happened in your life that pops up that occurs that is preventing you from getting everything in by that date. 00:07:21.000 –> 00:07:38.000 Let's have a chat. So CTU uses something called an incomplete and a lot of students freak out when they hear the phrase incomplete because some schools use it that you take it incomplete and you retake the course and the new grade replaces the incomplete, that is not the situation 00:07:38.000 –> 00:07:52.000 here. An incomplete at CTU gives you 5 extra days to complete the coursework. So let's say for example you have an extenuating circumstance, you've been sick, you've been caring for a family member who's been sick, there's an emergency. 00:07:52.000 –> 00:08:03.000 You've been impacted significantly by these wildfires or these storms. It's one of those things that. 00:08:03.000 –> 00:08:04.000 If you and I have a discussion because you have something that's coming up. I'm a reasonable person. 00:08:04.000 –> 00:08:13.000 So everybody's gonna have something that's a little bit different, but those are some examples. We're gonna have that talk. 00:08:13.000 –> 00:08:20.000 We're gonna set up a game plan to make sure you are set up for success. And we can get you those 5 extra days. 00:08:20.000 –> 00:08:30.000 If you think you would benefit from those 5 extra days. I would much rather you apply for them. And not need them, then need them and not have them. 00:08:30.000 –> 00:08:38.000 Because on July fourteenth at 1159 pm central state of time that is the cut off to apply for an incomplete. 00:08:38.000 –> 00:08:45.000 So by July fourteenth at 1159 PM. Through a CTU approved form of messaging. 00:08:45.000 –> 00:08:53.000 So either through messenger or in my CTU inbox for email. I can come from your personal email, but it needs to be in my CTU email. 00:08:53.000 –> 00:09:01.000 There needs to be a request that states. I am requesting it incomplete because in insert reason here. 00:09:01.000 –> 00:09:10.000 So because I've been sick because the wildfires impacted my health. Whatever your situation might be. 00:09:10.000 –> 00:09:20.000 It is important that you have both of those because just saying you need an incomplete. Is not a full application for this incomplete. 00:09:20.000 –> 00:09:26.000 So if you Think you're going to need it. It's better to apply early. 00:09:26.000 –> 00:09:32.000 And it's better that if you might need it that you apply for it and not need it. Because I can submit your grade. 00:09:32.000 –> 00:09:43.000 Still at the normal time if you're able to get everything in. I have had students before that they have requested the incomplete got everything in just in time for the end of the course. 00:09:43.000 –> 00:09:52.000 And we process their grade as if they hadn't had an incomplete anyways. So, it is very, very difficult to get an incomplete approved. 00:09:52.000 –> 00:10:03.000 After the fact. I've been teaching at CTU now for almost 3 years. And it is, I've gotten to approved at this point. 00:10:03.000 –> 00:10:13.000 So it is a challenge to get that taken care of after the fact. Because you have to have an extenuating circumstance of why you could not apply. 00:10:13.000 –> 00:10:19.000 So if you have questions on whether or not you qualify for an incomplete, if an incomplete would benefit you. 00:10:19.000 –> 00:10:22.000 The process for applying for an incomplete again because this is such a unique circumstance for every person. Please reach out. 00:10:22.000 –> 00:10:33.000 We'll have a discussion about this. And we can go through that application process for you. But again, it does need to be in writing. 00:10:33.000 –> 00:10:40.000 It needs to be in a CTU approved form of messaging. So either messenger or my CTU email. 00:10:40.000 –> 00:10:49.000 And it has to have that you are requesting it incomplete and the reason why. By July fourteenth at 1159 pm central standard time. 00:10:49.000 –> 00:10:54.000 Let's say for example you do not apply for an incomplete and you get all your work in. 00:10:54.000 –> 00:11:06.000 Your grades will be posted by July nineteenth at 1159 pm central standard time. So again, last day of the course, if you are not applying for an incomplete is is July, the seventeenth. 00:11:06.000 –> 00:11:16.000 Grades are posted 2 days later at 1159 PM. If you have questions about where your grade is and it is before 1159 p. 00:11:16.000 –> 00:11:25.000 MI promise you it is coming. I try to get them done early. It doesn't always happen because you know life happens unfortunately. 00:11:25.000 –> 00:11:40.000 I've had times that my power goes out, my internet goes out. My own personal illness all sorts of things so just a little bit of patience if you have questions about your grade though don't hesitate to reach out. 00:11:40.000 –> 00:11:46.000 As I mentioned, July fourteenth is the deadline to apply for an incomplete. Just because you are applying for an incomplete does not mean that it is approved. 00:11:46.000 –> 00:12:07.000 So please keep that in mind. If you are granted an incomplete. You have until July 20 s at 1159 pm central standard time to submit your work so that is 5 extra 5 extra days after the initial cutoff for the course. 00:12:07.000 –> 00:12:15.000 And if you were granted an incomplete, your grade to be posted by 1139 pm central standard time on July, the 20 fourth. 00:12:15.000 –> 00:12:24.000 I'm gonna be posting these dates into the classroom shortly after this. Class. So if you have questions about these, do not hesitate to reach out. 00:12:24.000 –> 00:12:33.000 I'd be more than happy to go over this with you. Again, it is such an individualized thing that having that discussion is usually better. 00:12:33.000 –> 00:12:38.000 So if you think you could benefit from it. Let me know. And we can talk it through. Any questions from anyone who is on at this moment? 00:12:38.000 –> 00:12:49.000 I know. I heard at least one person hop in. Yes. We got one person in. 00:12:49.000 –> 00:13:03.000 Julius, did you have any questions while I'm on here at the topic? 00:13:03.000 –> 00:13:09.000 So tonight we're going to be going over a few different topics when it comes to legislation in health care. 00:13:09.000 –> 00:13:17.000 We got a few different ones that we're gonna be going over tonight, but there are other pieces of legislation that exist in the health care realm. 00:13:17.000 –> 00:13:26.000 So things like the PPACA. Patient protection and a formidable care act. HIPAA, high tech. 00:13:26.000 –> 00:13:36.000 Patient identifying information, information breaches, and then there's a whole bunch of other information, especially pertaining to genetics and research as well. 00:13:36.000 –> 00:13:46.000 We're not gonna be going over those tonight in our class. But there is information in Muse about these because these are becoming much much more common. 00:13:46.000 –> 00:13:56.000 Right now. In the role of healthcare as genetic research is being done on a much more like outpatient over the counter basis. 00:13:56.000 –> 00:14:02.000 So So things like, 23 and me and those types of like ancestry. Com, DNA testing. 00:14:02.000 –> 00:14:09.000 Because all of our DNA essentially is floating around somewhere there is legislation in place to help protect. 00:14:09.000 –> 00:14:23.000 People. And same thing with research. So with those, a lot of times you can opt into research, but there are obligations by the researcher to make sure everything is ethical and protected and de-identified. 00:14:23.000 –> 00:14:31.000 So there's a whole bunch of things related to that. So first off we're gonna be talking about the patient protection and affordable care act. 00:14:31.000 –> 00:14:39.000 This is known as a lot of things. PPACA is the official acronym, but a lot of times it is shortened into AKa. 00:14:39.000 –> 00:14:53.000 Or Obamacare. So the patient protection and Affordable Care Act is relatively newer legislation overall, but it had 3 main benefits that came. 00:14:53.000 –> 00:15:04.000 Through it. For consumer health care. The first is preventative care expansion. Previously, health insurances did not have to cover preventative care measures. 00:15:04.000 –> 00:15:09.000 So things, for example, like an annual gynecological exam. Those were not covered by most insurances. 00:15:09.000 –> 00:15:19.000 I remember when I was younger, my gynecologist was only covered every 3 years under my medical insurance. 00:15:19.000 –> 00:15:24.000 And not even just the pap smear at part. The actual exam was only covered every 3 years. 00:15:24.000 –> 00:15:30.000 So it was a lot of struggle and even then it had a copay. So there was a lot of issues with that. 00:15:30.000 –> 00:15:41.000 It was up to the insurance to decide these things. Under the Affordable Care Act, things like preventative care measures have no copay associated with it. 00:15:41.000 –> 00:15:48.000 So if you are in on an insurance a health insurance plan that is under the Affordable Care Act guidelines. 00:15:48.000 –> 00:15:58.000 Preventative care measures like vaccines, regular screenings, annual physicals if you are on a Medicare plan a Medicare wellness exam. 00:15:58.000 –> 00:16:10.000 They are not gonna have a copay associated with those elements. Now if you are coming in for a problem-focused visit or a sick visit, those ones are going to end up having a copay associated with it. 00:16:10.000 –> 00:16:23.000 But overall, just a regular visit is not going to preventative care visit is not going to. The Affordable Care Act also worked to set the framework for Medicaid expansion. 00:16:23.000 –> 00:16:33.000 We recently had a Medicaid expansion that went away, but that is above and beyond what the Affordable Care Act facilitated. 00:16:33.000 –> 00:16:44.000 So providing Medicaid to individuals who qualify is a very important thing. Medicaid overall is a great safety net and a great tool for individuals who need it. 00:16:44.000 –> 00:16:49.000 And by, the Affordable Care Act being implemented, it actually expanded eligibility and allowed for more individuals, especially in more conservative states. 00:16:49.000 –> 00:17:02.000 To be able to receive Medicaid coverage. Recently we just went through Medicaid expansion under the public health emergency. 00:17:02.000 –> 00:17:10.000 And as the public health emergency ended in April, that expansion was rolled back. So those are 2 separate expansions. 00:17:10.000 –> 00:17:19.000 The Medicaid expansion under the Affordable Care Act has not been rolled back. But the Medicaid expansion under the public health emergency has been. 00:17:19.000 –> 00:17:39.000 And some important designation between the 2 of them. Is while they both focused on expanding the number of individuals who receive Medicaid, the more recent one under the public health emergency also removed the requirement to renew benefits while we were in the public health emergency. 00:17:39.000 –> 00:17:50.000 And on the surface, this is a wonderful, great thing. Because during a pandemic during a public health emergency, remembering to reapply for your benefits. 00:17:50.000 –> 00:17:59.000 Can be a problem because you have other priorities, especially in the early days of the pandemic when finding groceries, making sure you're paying your bills. 00:17:59.000 –> 00:18:07.000 All those things were much, much higher priorities than things like filling out a piece of paper to apply for Medicaid or reapply for Medicaid. 00:18:07.000 –> 00:18:17.000 So that is a great thing. But at the same point in time when the public health emergency ended, all of the requirements of Medicaid gave came back into the world. 00:18:17.000 –> 00:18:27.000 So effective when the public health emergency ended, you have to renew your Medicaid benefits on your annual basis. 00:18:27.000 –> 00:18:34.000 For many individuals who've been on Medicaid for a long period of time or who work with Medicaid, this is not a Huge issue. 00:18:34.000 –> 00:18:45.000 However, I am one of the individuals who ended up moving during the public health emergency 3 times. As such. 00:18:45.000 –> 00:18:56.000 My address has not been the same. And as I mentioned during course one, I am a adoptive and foster parent. 00:18:56.000 –> 00:19:05.000 And our adopted daughter has Medicaid insurance to the state because she is adopted through foster care. And I did not change her address. 00:19:05.000 –> 00:19:12.000 How many other individuals did not change their address for everyone who benefited from the public health emergency Medicaid expansion? 00:19:12.000 –> 00:19:18.000 How do I not remember to change her address but her Medicaid renewal packet came, it would have been sent to the wrong address. 00:19:18.000 –> 00:19:27.000 And then returned because mail forwarding does not last that long. In which case I would not know that her Medicaid was due for renewal. 00:19:27.000 –> 00:19:41.000 And her Medicaid would terminate. So it creates a huge issue because how many individuals have have transient housing are unhoused, have moved, have a different address than what they did whenever they lasted a Medicaid renewal. 00:19:41.000 –> 00:19:49.000 For these individuals, whatever their renewal is due, this Medicaid expansion rollback is going to be problematic. 00:19:49.000 –> 00:19:56.000 We're going to have many individuals that are going to lose Medicaid coverage because of a change in address. 00:19:56.000 –> 00:20:04.000 Because for some people it's been 2 and a half, 3 years since they renewed their benefits. 00:20:04.000 –> 00:20:17.000 So it can be problematic there. But one of the biggest things that came out of the patient protection and Affordable Care Act is protection for individuals with pre-existing health conditions. 00:20:17.000 –> 00:20:37.000 So prior to the Affordable Care Act, If you had a preexisting condition. And pre-existing condition is very loosely defined because there is a list that you can find online that lists, I think it's about 5 pages of pre-existing conditions and they are things that are every day run of the mill conditions 00:20:37.000 –> 00:20:50.000 that can be treated with medications. So for example, asthma. I know many individuals that are well controlled with asthma that may have a flare up and have to use her inhaler from time to time, but they have a diagnosis of asthma. 00:20:50.000 –> 00:20:57.000 And under that, that's technically considered a pre-existing condition. Pregnancy is considered a pre-existing condition. 00:20:57.000 –> 00:21:07.000 Diabetes, hypertension, high cholesterol. Many autoimmune disorders, endocrine disorders. 00:21:07.000 –> 00:21:25.000 There's all sorts of different, diagnoses on this list. That most individuals have. And what this preexisting condition clause in an insurance gave the insurance right the right to do is if a patient had a pre-existing condition. 00:21:25.000 –> 00:21:36.000 The insurance had 2 options. They could either charge more for the insurance. Then a healthy individual. Or they could refuse to ensure that individual. 00:21:36.000 –> 00:21:43.000 And that was at the discretion of the insurance plan. So Blue Cross can make one decision. United Health Care could make a decision. 00:21:43.000 –> 00:21:50.000 Etna could make a decision. And they could all have different price points because wild Blue Cross may say, no, we are not ensuring this patient. 00:21:50.000 –> 00:21:58.000 United health care said it might say, yeah, you know, we'll insure them for $1,200 a month for that individual loan. 00:21:58.000 –> 00:22:11.000 And Aetna might say, yeah, we'll insure them for 900. So it becomes a process of trying to find and insurance or if you're unlucky, you you're not finding any insurances or you're finding really poor quality insurances. 00:22:11.000 –> 00:22:20.000 The Affordable Care Act removed this ability. So plans that are under the guidance of the Affordable Care Act cannot. 00:22:20.000 –> 00:22:36.000 Designate part of their plan and pricing under pre-existing conditions. So if you are an individual with a pre-existing condition and your plan is under the Affordable Care Act, you cannot be denied for coverage under that preexisting condition. 00:22:36.000 –> 00:22:46.000 Or charged more than your comparable peer. For the same benefit of insurance in the same zip code and that sort of thing. 00:22:46.000 –> 00:22:51.000 There are different things where. Insurance may cost more if you're in a different zip code or different county. 00:22:51.000 –> 00:23:02.000 So a little bit of a comparison shopping there, but they can't charge more than your hypothetical peer in the same demographics. 00:23:02.000 –> 00:23:12.000 We talked in IP 2 in unit 2 about the importance of HIPAA. We went over the different penalties, the different fines, the jail time associated with them. 00:23:12.000 –> 00:23:16.000 Here is hippocampus. 00:23:16.000 –> 00:23:24.000 So just as a reminder, HIPAA is the health insurance. Portability and Protection Act. 00:23:24.000 –> 00:23:31.000 An important thing. That is not the correct acronym. Sorry, my 00:23:31.000 –> 00:23:38.000 Memory is a little slow today. Health insurance portability and accountability act. There we go. Sorry about that. 00:23:38.000 –> 00:23:50.000 So HIPAA essentially is making sure that we are keeping information for patients private. An individual who doesn't have the right to know a patient's information doesn't need to know that information. 00:23:50.000 –> 00:24:02.000 And that is ultimately what the civil level is. So this is protecting patient information from willful neglect. Hackers any of those types of things. 00:24:02.000 –> 00:24:12.000 Whereas the criminal penalties are more than lines of selling information or just being blight having blatant disregard for patient information. 00:24:12.000 –> 00:24:20.000 An important thing to know about HIPAA. Is when HIPAA was originally written. There was no electronic health records. 00:24:20.000 –> 00:24:30.000 So that is where part of high tech came in. High-tech is the health insurance technology for economic and clinical health acts. 00:24:30.000 –> 00:24:38.000 High-tech. High-tech essentially created penalties for hippo violations through electronic health record systems. 00:24:38.000 –> 00:24:42.000 Because when a HIPAA was written HIPAA did not have to worry about electronic health records. 00:24:42.000 –> 00:24:48.000 They just had paper records. And obviously there's only so much you can do with a paper record. 00:24:48.000 –> 00:24:54.000 A hacker can't come in through your copy machine and take all the information there. They can't come in through your carbon copies of papers. 00:24:54.000 –> 00:25:06.000 Any of those types of things. But they can come in through your firewall. So there had to be a way to protect. 00:25:06.000 –> 00:25:18.000 Health care providers, health care patient information from that electronic element. So HIPAA as it was originally written did not cover electronic health records high-tech allowed for it to do that. 00:25:18.000 –> 00:25:25.000 And an important thing to note is HIPAA is spelled HIPAA. It is not HI PPA. 00:25:25.000 –> 00:25:34.000 And I will tell you it is an extremely common mistake. Because even the CEO of my organization will sometimes type it in correctly. 00:25:34.000 –> 00:25:44.000 So, just keep an eye on that. Because it is important that you do spell it correctly because it changes the acronym a little bit. 00:25:44.000 –> 00:25:51.000 High-tech also incentivized EHR adoption. Because when EHRs first came out. 00:25:51.000 –> 00:26:00.000 There was a huge barrier for providers to adopt it. They were going from paper to an entirely electronic record system. 00:26:00.000 –> 00:26:07.000 So not only are they needing to spend money on the software because we discovered software is not inexpensive. 00:26:07.000 –> 00:26:18.000 And the hardware. And the internet. And the security and the storage. But we're also having to spend time. 00:26:18.000 –> 00:26:29.000 Not just the time to train people. But also any downtime created by system outages. Downtime created by the implementation process. 00:26:29.000 –> 00:26:36.000 Downtime created by having to pull paper records to transfer in because if you have ever had to take a price quote for the cost of transferring paper to electronic health records. 00:26:36.000 –> 00:26:51.000 It is a pretty high cost. And it is a pain to do it by yourself. So it's important that you're taking all of these costs into effect. 00:26:51.000 –> 00:27:00.000 Hi-tech work to create incentives for health care providers to early adopt to health care. Electric health record systems. 00:27:00.000 –> 00:27:08.000 So it helped to lower some of those barriers. It wasn't perfect. Especially in the beginning because there weren't quite as many options as there is now. 00:27:08.000 –> 00:27:17.000 But it was a helpful. Elements. 00:27:17.000 –> 00:27:28.000 So we also have P II and PHI. PII is personal identifying information and PHIS personal health information. 00:27:28.000 –> 00:27:40.000 I personally like to talk about PII as anything you can Google about yourself. So if you go and type your name into Google and you put a quoteation mark at the beginning and the end. 00:27:40.000 –> 00:27:51.000 Anything that you can find about yourself on there is personal identifying information. So you might find addresses, both current and former addresses, phone numbers, current and former. 00:27:51.000 –> 00:28:01.000 Employers, currents and former. You might find all sorts of things who you might be associated with, your spouse, any of those types of things. 00:28:01.000 –> 00:28:12.000 It is personal identifying information. Personal health information is the more private type thing. So maybe your health insurance, your diagnosis, your lab results. 00:28:12.000 –> 00:28:23.000 Your office notes those types of elements that are associated with your personal health care. It is not something that you are going to want that's closed on the internet. 00:28:23.000 –> 00:28:27.000 I mean, some people don't really care about their personal health information because there's nothing remarkable. 00:28:27.000 –> 00:28:37.000 Or if it is something remarkable, it might be something they're very open about. So for example, a lot of people who have cancers that do like charity walks. 00:28:37.000 –> 00:28:43.000 They might be open about the fact, yes, I have this diagnosis of cancer, those types of things. 00:28:43.000 –> 00:28:48.000 And this is a very important, distinguishing factor when it comes to HIPAA. 00:28:48.000 –> 00:29:00.000 So hip-hop protects the health information. But the personal identifying information, it's usually good to disclose when those types of elements are involved in a breach. 00:29:00.000 –> 00:29:15.000 So for example, many, many years