Unit 4 ( HCI490) - DB Due 07.13.2023

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 ago, I worked for a specialty practice. Where one of the front office individuals emailed a patient's intake sheets to another patient. 00:29:15.000 --> 00:29:22.000 Because she named the filing correctly. These types of things happen. It had the patient's name, date of birth. 00:29:22.000 --> 00:29:31.000 Address, phone number, email. I think it may have had like their employer. But not much more than that. 00:29:31.000 --> 00:29:42.000 There wasn't a whole lot of information on it. So when we found out about this, we contacted our legal counsel who, coached us through it. 00:29:42.000 --> 00:29:48.000 Wrote a letter to the patient. We reached out to the patient said, hey, this is what happened. 00:29:48.000 --> 00:29:53.000 Here is a letter letting you know what happened. We disclosed it just to be safe to kind of cover our butts. 00:29:53.000 --> 00:30:00.000 Nothing ever came of it. The patient understood that accidents happen. It wasn't anything severe. 00:30:00.000 --> 00:30:10.000 And his response was, well, you can find all that information about me on line. It would have been a much different situation if we had disclosed perhaps the patient's labs. 00:30:10.000 --> 00:30:20.000 Or the, insurance for that patient. Any of those types of elements. So it's really important that even if it is something that's 00:30:20.000 --> 00:30:28.000 As benign as personal health information. That we're keeping our patients protected. 00:30:28.000 --> 00:30:39.000 Ultimately, one of the biggest risks we have as healthcare entities that use electronic health records systems is information breaches. 00:30:39.000 --> 00:30:55.000 Ultimately, an information breach is when outside entity attempts or successfully accesses information from our system. So if an information should breach is occurring, the first thing you want to do is remove the affected device from the network. 00:30:55.000 --> 00:31:03.000 The organization I used to work for, I was working remotely for, after I moved out to Philly. 00:31:03.000 --> 00:31:07.000 I still had my work computer and I was working on it for one. One night. IT didn't tell me that they were gonna be doing any work with it. 00:31:07.000 --> 00:31:17.000 So I'm just plugging along, doing my work, and all of a sudden my mouse starts moving and I'm freaking out. 00:31:17.000 --> 00:31:22.000 So I try taking it back thinking, okay, maybe the computer is just doing something and it has a delayed response with the mouse. 00:31:22.000 --> 00:31:29.000 No, it starts moving again. Now, obviously my computer is on a desktop so I cannot just unplug it. 00:31:29.000 --> 00:31:35.000 I end up holding the power down. Shutting it off. I call IT in a panic. 00:31:35.000 --> 00:31:43.000 I fortunately have the the head of our IT department cell phone number in my cell phone and I call him almost in tears. 00:31:43.000 --> 00:31:46.000 I'm freaking out. I'm like, something's wrong with my computer. Please tell me it was you. 00:31:46.000 --> 00:31:49.000 And he's like, calm down. Yes, it was me. Sorry, we probably should have told you we were going in your computer because we know you work weird hours. 00:31:49.000 --> 00:32:01.000 But yes, ultimately removing your affected device from the network any way you can, removing the battery, turning it off, unplugging it. 00:32:01.000 --> 00:32:10.000 You don't wanna, especially this is especially true with desktops. You don't want to put the computer in sleep because that does not remove the computer from the network. 00:32:10.000 --> 00:32:19.000 As an IT person, the IT person can be checking, the audit and logging systems to see what happened, what went wrong. 00:32:19.000 --> 00:32:30.000 We're gonna start changing all the passwords of the affected systems. And this is gonna, we're gonna talk about fishing a little bit later on, but this is included things like email. 00:32:30.000 --> 00:32:37.000 Electronic health record systems. The server, the computer password, all those things you want to change the passwords and make them unique. 00:32:37.000 --> 00:32:44.000 Because You want to make sure you're having secure passwords. So things like, for example, password one, not your best bet. 00:32:44.000 --> 00:32:49.000 Your dog's name, your cat's name, your child's name, any of those things. 00:32:49.000 --> 00:32:54.000 They're not the best things to have as part of your passwords because they are easier to guess. 00:32:54.000 --> 00:33:05.000 You also want to try to make sure that you have separate personal and work passwords. IT is gonna start an investigation of what happened and determine the root cause. 00:33:05.000 --> 00:33:10.000 How did the person get into the system? What did they do to get in the system? What was their way into the system? 00:33:10.000 --> 00:33:17.000 Did they send an email that somebody opened? Did they hack into the system? Did they access the firewall? 00:33:17.000 --> 00:33:28.000 Did somebody put a flash drive in the system? How did they get it? They're gonna then outline the next steps on what's gonna happen, how it's going to happen and when it's gonna happen. 00:33:28.000 --> 00:33:39.000 And then you're gonna communicate your plan both internally and externally. And an important thing, especially when it comes to employee relations as you want to make sure that your employees are hearing it first. 00:33:39.000 --> 00:33:53.000 Prior to sharing it to external resources because you want to make sure your employees are in formed. And also that they are coached if they are going to be individuals who are gonna be taking phone calls about it on how to respond. 00:33:53.000 --> 00:33:59.000 Because especially when it's some of these large-scale breaches, you're gonna have a lot of very, very angry people. 00:33:59.000 --> 00:34:03.000 So how are you going to trade your phone staff on how to take those calls? I think it was about a year ago, maybe 2 at this point. 00:34:03.000 --> 00:34:11.000 Where Chronos was hacked by ransomware. Chronos is a timekeeping system. 00:34:11.000 --> 00:34:17.000 That resulted in a lot of people not getting their paychecks. A lot of employers blamed Kronos. 00:34:17.000 --> 00:34:27.000 So a lot of employees got very angry and were calling Chronos. So making sure that you have coached your staff and you're providing support to your staff. 00:34:27.000 --> 00:34:36.000 On what to do when angry. Customers, angry patients are calling in. How do you direct them? What supports can you provide those types of things? 00:34:36.000 --> 00:34:44.000 Because they're upset. And it's a reasonable expectation their information has been compromised not accessible any of those types of things. 00:34:44.000 --> 00:34:51.000 So you want to make sure that your staff is aware of what to do. Prior to it going public. 00:34:51.000 --> 00:34:59.000 And this may mean you're bringing on additional staff or reallocating resources to support that increase in demand. 00:34:59.000 --> 00:35:05.000 So as I mentioned, we're gonna be talking a little about fishing. About vishing and text message fishing. 00:35:05.000 --> 00:35:15.000 We can also talk a little bit about things called juice jacking. And the use of flash drives. 00:35:15.000 --> 00:35:27.000 So first step we're gonna talk about fishing. Fishing is with a pea. Is the attempt of a friendly third party that wants your information to send you an email. 00:35:27.000 --> 00:35:41.000 That looks completely innocence. That looks like a normal run of the mill email. In hopes that you're gonna click that link and give them your login credentials or your bank information. 00:35:41.000 --> 00:35:51.000 And sometimes they look Really convincing. I get One on a regular basis from HR at my organization. 00:35:51.000 --> 00:35:52.000 Org. Except for the fact I know that we don't have an email that is HR at my organization. 00:35:52.000 --> 00:36:07.000 Network. Our HR department has their own individual emails. And there isn't actually one. So, some things to look for in these emails. 00:36:07.000 --> 00:36:13.000 The first thing is urgency. So the email that's right here on the screen, if you notice it says your password is going to expired one day. 00:36:13.000 --> 00:36:17.000 Your password expires in 24 h. Please follow this link to update your password. 00:36:17.000 --> 00:36:22.000 Now this may be a legitimate issue. I get these emails from time to time where yes it is your passwords expiring in 2 months. 00:36:22.000 --> 00:36:32.000 Your passwords expiring in 2 weeks. If the first email you get says your password expires to tomorrow, fix it now. 00:36:32.000 --> 00:36:40.000 That is usually a cause for a red flag. Because if it is something that important, they're gonna be giving you notice leading up to it. 00:36:40.000 --> 00:36:42.000 Your password expires in a week. Your password expires in 5 days, 2 days, those types of things. 00:36:42.000 --> 00:36:49.000 Not just 24 h before. 00:36:49.000 --> 00:36:58.000 This one right here, if you notice and it has some other red flags to it. So. 00:36:58.000 --> 00:37:08.000 From some user at memphis. Edu to you to your students faculty and staff. This email is from Memphis Information Technology Services, ITS. 00:37:08.000 --> 00:37:16.000 Please kindly verify your Memphis. Edu email within 24 h or your email will be temporarily suspended. 00:37:16.000 --> 00:37:23.000 Click here to verify your email. Memphis. EDU IT help desk. So I'm going to point out some things here. 00:37:23.000 --> 00:37:30.000 Our little red bubbles here show some things. So first off we have that threat. Your emails can be turned off within 24 h. 00:37:30.000 --> 00:37:36.000 If this is the first you're hearing of it, that's a bit concerning. This is saying it's a trusted sender. 00:37:36.000 --> 00:37:41.000 If you hover over a link in an email, it's gonna tell you where it's taking you. 00:37:41.000 --> 00:37:47.000 And in this case, click here to verify your email. You would assume that it's taking you somewhere for Memphis. 00:37:47.000 --> 00:37:53.000 Edu's website. And when you hover, it has a completely different website associated with it. 00:37:53.000 --> 00:38:00.000 Another thing is they don't always use the same verbiage. So Memphis Information Technology Services, ITS. 00:38:00.000 --> 00:38:13.000 Memphis.com. Additionally, it ends with a comma. I don't know any departments that end with a comma unless you have like a title after your name. 00:38:13.000 --> 00:38:21.000 So for example, someone who has the PhD you might put comma PhD after their name. So just some things to be looking out for. 00:38:21.000 --> 00:38:30.000 Additionally, a lot of these emails are coming from people who are not English as a first language speakers. 00:38:30.000 --> 00:38:43.000 And kindly is a word that is very commonly used for these individuals. So a lot of times it is a red flag when you see kindly in an email that it is not. 00:38:43.000 --> 00:38:54.000 A legitimate email. So, some other things to look at whenever it comes to those emails. Strange characters. 00:38:54.000 --> 00:38:57.000 So for example, 00:38:57.000 --> 00:39:07.000 You get some sometimes that they'll have like the C from the French language that has the little 5 below and I forget what it's actually called as the C, might have exclamation points instead of eyes. 00:39:07.000 --> 00:39:15.000 There's all different ways that people will replace symbols with letters because that way at a quick glance it looks legitimate. 00:39:15.000 --> 00:39:22.000 But it truly isn't. So those are just some things to look out for. But the big thing is they want you to act impulsively. 00:39:22.000 --> 00:39:28.000 You're gonna see some grammar heirs. You're gonna see some inconsistencies and those links are not accurate. 00:39:28.000 --> 00:39:36.000 If you ever have any questions on whether or not an email is legitimate, send it over to your IT department and say, hey, I think this might be fishing. 00:39:36.000 --> 00:39:45.000 Can you take a look and let me know if it's legitimate? Because sometimes Emails make come over that look. 00:39:45.000 --> 00:40:01.000 Illegitimate that look like a fishing thing and they are real emails. I got one from my IT department at 1 point in time that was from a person at the IT department that I have never spoken to and being somebody who worked in health informatics, I knew everybody in that IT department. 00:40:01.000 --> 00:40:09.000 It was a security email with no content. And the subject was just secure to email telephones. I had no idea what it was about. 00:40:09.000 --> 00:40:13.000 I sent it over to the IT help desk. I'm like, I think this might be fishing. 00:40:13.000 --> 00:40:20.000 I don't know who this person is. It's a secure email. I'm not opening it until you tell me I can. 00:40:20.000 --> 00:40:27.000 They let me know, yes, this person really does work for the organization. You just have't met them yet. 00:40:27.000 --> 00:40:41.000 So I was able to open it. It truly was about telephones. That's wonderful. But it was one of those things that I would rather ask the IT department at no than not ask them and open an email that affects the system. 00:40:41.000 --> 00:40:48.000 An important thing to point out though is if you watch any major medical drama that is on TV right now. 00:40:48.000 --> 00:40:57.000 They are going to have some sort of episode about fishing. The one I remember the most is, the good doctor. 00:40:57.000 --> 00:41:11.000 The good doctor is on, I don't wanna say NBC. I get them all confused. It's on one of the primetime channels and it is about a doctor who works at a hospital. 00:41:11.000 --> 00:41:20.000 The doctor is the autistic, he's a surgeon. But in this, in his girlfriend, wife, fiance, I'm not quite sure what she is at this point in the series. 00:41:20.000 --> 00:41:30.000 Works in their IT department. And somebody opened an email for a fishing attack. The system gets taken over completely. 00:41:30.000 --> 00:41:37.000 An IT tech, not the girlfriend. So spilled coffee on the server. So all the backups are lost. 00:41:37.000 --> 00:41:48.000 And somehow or another in like the eleventh hour she pulls it off and recovers all the data because while the systems are down they have no access to any records, all the systems are locked. 00:41:48.000 --> 00:41:59.000 They are a super high-tech hospital. So many of their imaging is down. Their surgical units are down because they can't do imaging, they can't access patient charts, all sorts of issues. 00:41:59.000 --> 00:42:07.000 So something as simple as opening an email you want to make sure that you are making smart choices with. 00:42:07.000 --> 00:42:17.000 Now, this here is an example of text message fishing. I have 2 different examples up here and there are 2 very common scans that are used in text message fishing. 00:42:17.000 --> 00:42:20.000 The first one on the left, again, you're gonna see a lot of those things that we pointed out in those emails. 00:42:20.000 --> 00:42:32.000 So dear Bank of America, Dear Customer Bank of America is closing your bank account. Please confirm your PIN at website here that looks legitimate to keep your account activated. 00:42:32.000 --> 00:42:42.000 When these are sent out, they are mass set to people regardless of who their bank is because they're casting a wide net and hopes to catch one or 2 people. 00:42:42.000 --> 00:42:53.000 You may not have a Bank of America account and you're getting this text message. It's one of those situations where they're just casting as wide of a net as they can. 00:42:53.000 --> 00:43:03.000 If you ever get one from your personal bank, Do yourself a favor and call the number on the back of the card to make sure that it is not a true attempt. 00:43:03.000 --> 00:43:11.000 By your bank to reach out to you. Typically they're gonna tell you, no, we're never going to send you that kind of message, but it's better again to hear it from the horse's mouth. 00:43:11.000 --> 00:43:17.000 Then to try to investigate it yourself by clicking that link. Because in this case, it's not patient information. 00:43:17.000 --> 00:43:24.000 It is your bank account information and your money. So. It's usually a good idea to investigate these things. 00:43:24.000 --> 00:43:35.000 On the right is a very, very common scam that goes through. I've seen it through email, but text messaging is one of the more common ones right now where somebody who claims to be a close contact to you is reaching out asking you to buy gift cards. 00:43:35.000 --> 00:43:49.000 Or to send them money or anything like that. So on the right, Hiberta, it's the Dean. 00:43:49.000 --> 00:43:53.000 Are you there? Yes. How are you? I'm not feeling well. 00:43:53.000 --> 00:44:00.000 I've got a cold. How are you and where are you? I need a quick favor. Do you have Zell and have you use Zell before? 00:44:00.000 --> 00:44:04.000 And then a minute later, I need a quick favor. Do you have Zell? Have you use L before? 00:44:04.000 --> 00:44:09.000 3 min later, Roberta, are you there? Sorry you have a cold. I am really good. 00:44:09.000 --> 00:44:19.000 Sorry, what can I, sure, what can I do for you? I need you to do a Zell transfer to one of the advisory board representatives as I need her to pick up a few items for the Dean's office. 00:44:19.000 --> 00:44:24.000 So again, we have that urgency. We have that pushing. Hey, I need this. I need this. Where are you? 00:44:24.000 --> 00:44:37.000 Why are you responding? I see this commonly as a Facebook scam as well. And it's one of those situations that if this person truly is somebody who would be reaching out to you. 00:44:37.000 --> 00:44:41.000 To get information if this truly was the Dean and the Dean is your boss. Give the dean a call and be like, hey, I'm getting this text message from you. 00:44:41.000 --> 00:45:04.000 Are you are you okay? Is everything fine? I had a situation once where a patient's email got hacked and we started getting emails at the providers office I worked at that was like hey I need it I'm stuck in a country I need a visa gift card can you send that to me and I will pay you 00:45:04.000 --> 00:45:18.000 back when I come in for my visit on Tuesday. Deep. The person who hacked into the email got access to the patient's calendar, calendar, saw they were coming for an appointment on Tuesday were able to verify all sorts of information about the patient. 00:45:18.000 --> 00:45:21.000 But at the end of the day, when we called the patient, the patient had no idea any of this was going on. 00:45:21.000 --> 00:45:35.000 So the patient changed his email password and was able to secure everything. No damage done. So it's one of those things always think before you act, especially whenever you're trying to click a link or send money. 00:45:35.000 --> 00:45:47.000 And then, is essentially the same thing, but you are, calling the patient, of calling the person, trying to gather information, banking information over the phone, getting people to give their bank information. 00:45:47.000 --> 00:45:58.000 You by claiming that you're somebody else. A really common one that I hear for this is people claiming to be the IRS. 00:45:58.000 --> 00:46:10.000 About 2 years ago or so, I got all sorts of angry phone calls and voice mails claiming to be from the IRS that they were gonna put me in jail and all that kind of sort of stuff. 00:46:10.000 --> 00:46:17.000 So that's fun. Another one that a lot of people will get preyed on, especially the elderly population. 00:46:17.000 --> 00:46:31.000 Is they will get a call from somebody claiming to be from A jail that has their grandchild. And they'll play a clip of the grandchild talking or saying something, any of those types of things. 00:46:31.000 --> 00:46:43.000 And it's a way that a lot of elderly people will send money to criminals essentially that can result in these types of things. 00:46:43.000 --> 00:46:49.000 So. What in doubt makes sure you're investigating it if it's a text message, a link, a phone call. 00:46:49.000 --> 00:46:57.000 I think the first time I got that IRS call, I freaked out. I remember logging into my IRS account to make sure. 00:46:57.000 --> 00:47:06.000 But I can imagine somebody who didn't know how to do that might just call that number back and be like, yes, here's my money, please don't arrest me type situation. 00:47:06.000 --> 00:47:14.000 So, always make sure you are thinking things through and using your best judgment. 00:47:14.000 --> 00:47:20.000 So this week again we have a discussion board. Our discussion board is due Thursday with peer responses due Saturday. 00:47:20.000 --> 00:47:29.000 I highly suggest working on this discussion board as soon as you possibly can, especially the feedback. Because this is going to be part of your IP 4. 00:47:29.000 --> 00:47:38.000 So you are going to write a cover letter for your request for proposal. And review the cover letters prepared by at least 2 of your classmates. 00:47:38.000 --> 00:47:44.000 You're going to continue to utilize the scenario that was provided to you. You're going to draft a cover letter. 00:47:44.000 --> 00:47:53.000 And you're going to use it for your individual project. It's going to be a one page cover letter that is sent along with the request for proposal to the vendor for any information. 00:47:53.000 --> 00:47:59.000 If you need help with writing a business letter, you're gonna go to the learning center in the classroom. 00:47:59.000 --> 00:48:06.000 Choose writing support. Click on the writing tabs. Go to workplace writing and then choose letter. 00:48:06.000 --> 00:48:14.000 It's gonna look something like this. Here's a letter and right here we have 3 different examples regarding formal business letters. 00:48:14.000 --> 00:48:28.000 So this is all in the writing center. It's a great tool to use. An important thing though is if you are using the template for the business letter that you make sure to remove any boilerplate text. 00:48:28.000 --> 00:48:42.000 Now, in a real world situation, you would not be using references in a professional letter. However, because we are still in school, it is important that you are using it at least 2 references and you are citing them according to APA guidelines. 00:48:42.000 --> 00:48:52.000 So that's going to mean in-text citations and references. At the end of the letter that can be a second page, but you do need to have 2 references. 00:48:52.000 --> 00:49:00.000 That's very important. So again, here's the letter section. There's some templates. 00:49:00.000 --> 00:49:06.000 This week for unit 4. For our IP, you're going to be having part of that cover letter be implemented. 00:49:06.000 --> 00:49:20.000 So first off. It breaks into 2 parts. You are going to be taking all of the sections you have written for IP 1 2 and 3 and you are going to combine them together in a cohesive document. 00:49:20.000 --> 00:49:28.000 So part one. You're gonna compile that information. You're gonna have an introductory paragraph for what the plan is about, what you are discussing and why it is necessary. 00:49:28.000 --> 00:49:37.000 You're gonna put all your components of the plans. Into one document. Make sure you address the readiness assessment benefits. 00:49:37.000 --> 00:49:52.000 Any implementation issues. You're gonna go over the overall project of the plan. Be organizations. You're gonna talk about the organization, the migration path, plan for communication stakeholders and change management. 00:49:52.000 --> 00:49:57.000 At the end, you're gonna have that recommendation of vendor section that we went over for IP 3. 00:49:57.000 --> 00:50:03.000 You're gonna be saying who the vendors were you considered? Remember you picked at least 2 vendors that you were going through. 00:50:03.000 --> 00:50:09.000 What vendors did you research? Why did you pick those vendors? What considerations went into picking them? 00:50:09.000 --> 00:50:17.000 And then finally what vendor was selected and why you selected them. So all of that you have done in IPs 1, 2, and 3. 00:50:17.000 --> 00:50:23.000 Heart 2 is new content. So now that you've selected a vendor, let's say for example you picked Epic. 00:50:23.000 --> 00:50:34.000 To supplier replacement EHR vendor for the clinic you must submit a request for proposal. The request for proposal is a valuable tool that is going to be used to provide detailed requirements to vendors to give them guidelines. 00:50:34.000 --> 00:50:45.000 During the bidding process. The RFP is a solicitation to a vendor to provide information that helps them make a decision on which vendor to choose for the new EHR. 00:50:45.000 --> 00:50:49.000 So essentially you are writing this request for proposal and this cover letter as a, hey, look at this. 00:50:49.000 --> 00:50:59.000 This is what we have. This is what you need to know about us. Epic, please work with us that type of thing. 00:50:59.000 --> 00:51:07.000 We would love to hear from you. And an important thing especially in that cover letter. Is that you go over the high level things. 00:51:07.000 --> 00:51:09.000 So So we are Yorkshire Clinic. We have X number of providers. We have X number of patients. 00:51:09.000 --> 00:51:21.000 We are an outpatient care provider that does telehealth and on-site provider care. 00:51:21.000 --> 00:51:32.000 We have whatever you might have that's important. Your needs, your wants, those types of things that you have those high-level items. 00:51:32.000 --> 00:51:44.000 And there's 2 reasons here. First off, if I am a salesperson for a software, I want that commission, but I also want to make sure that you are picking a product. 00:51:44.000 --> 00:51:54.000 That we can meet your expectations for. And what I mean by this is if you want to telehealth to be embedded hypothetically into the electron health record system. 00:51:54.000 --> 00:52:02.000 And my electronic health record system cannot provide that. That's something I wanna make sure you know because that way we are managing expectations. 00:52:02.000 --> 00:52:08.000 We may have a workaround system you may be using DC or you may be using something else. 00:52:08.000 --> 00:52:16.000 But but we gotta make sure that you know these things. Similarly. As I mentioned before, not all. 00:52:16.000 --> 00:52:26.000 Healthcare providers are the same. It's not a one size fits all model. So even though the software may work for different size organizations. 00:52:26.000 --> 00:52:36.000 We may have different teams that work with different size practices because the lift of converting a large hospital wide network. 00:52:36.000 --> 00:52:45.000 From one system to another. Is much much higher than converting a single office practice. From one system to another. 00:52:45.000 --> 00:52:52.000 So you want to make sure not only that we've managed the expectations. But also that you are assigned to the right team of people. 00:52:52.000 --> 00:52:57.000 So you want to make sure you hit that in your cover letter. And also in your request or proposal. 00:52:57.000 --> 00:53:05.000 So the first part of your RFP is gonna be your cover letter with the general description of what is requested and what needs to be in the system. 00:53:05.000 --> 00:53:12.000 So what do you need them to cover? What do they need to know about Yorkshire? It's important that you have that in the cover letter. 00:53:12.000 --> 00:53:18.000 The second part is the proposal that the vendor would fill out to complete and cover the following. 00:53:18.000 --> 00:53:27.000 What qualifications does the vendor have? So general background of the vendor, experienced number of installations, financial stability and so forth. 00:53:27.000 --> 00:53:38.000 Proposed solution how the vendor believes its product meets the organizational goals. General contractual requirements, warranties, payment schedules, penalties for failure to meet special. 00:53:38.000 --> 00:53:45.000 Meet the schedule specified in the contract. That's important. And so forth. Pricing, the quotes, utilization. 00:53:45.000 --> 00:53:58.000 So on and so forth. Clinical decision support systems and other administrative tools. So you are going to fill out this part as if you are the vendor using the information that you have found from the vendors. 00:53:58.000 --> 00:54:08.000 It may not be a hundred percent correct because you may not know the payment schedule, but you are going to make a payment schedule up for that vendor. 00:54:08.000 --> 00:54:13.000 So some tips for IP 4. First off, make sure that you are starting your discussion board as early as you can. 00:54:13.000 --> 00:54:25.000 Giving feedback to other people. Give the quality of feedback that you would like to receive. So if you would like to receive constructive quality feedback, make sure you're providing that. 00:54:25.000 --> 00:54:35.000 Be sure to consider all your needs and barriers you identified in IPs one and 2. Be sure the knowledge gathered from the vendors in IP 3 are used in this as well. 00:54:35.000 --> 00:54:42.000 And make sure you are using APA formatting not just in the content but also in your cover letter. 00:54:42.000 --> 00:54:59.000 Again, it is an academic letter. Be sure that you are using references. So sometimes for success. If you think you might need an incomplete, let's talk about it because again, I would much rather you have an incomplete and not need it the need one and not habits. 00:54:59.000 --> 00:55:11.000 So again, your situation is unique to you only you know your situation. So if you think you might benefit from it please reach out to me as early as possible so we can get that taken care of. 00:55:11.000 --> 00:55:21.000 It helps to reduce your stress, especially as the term is winding down. Cause like I mentioned, we are in week 4 of 5, which is, it's, it's flying. 00:55:21.000 --> 00:55:27.000 Discussion boards. Start your discussion board early. Make sure you're providing that feedback to others. 00:55:27.000 --> 00:55:35.000 And then finally, use your previous assignments, IPs 1, 2, and 3. And the feedback that's been provided on them as a foundation for IP 4. 00:55:35.000 --> 00:55:41.000 If you have questions. Please do not hesitate to reach out. I'd much rather give you feedback. 00:55:41.000 --> 00:55:48.000 Or guidance. Now then having you be scrambling at the last minute. So. Other than that, that is everything we have this evening. 00:55:48.000 --> 00:55:58.000 Did anybody have any questions? 00:55:58.000 --> 00:55:59.000 No question. 00:55:59.000 --> 00:56:04.000 If not, you are free to. All right, perfect. Then you are free to go. Have a good evening. 00:56:04.000 --> 00:56:05.000 You as well. 00:56:05.000 --> 00:56:35.000 Thank you.