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Here on cspan2. The president pro tempore the senate will come to order. The chaplain, dr. Black, will lead us in prayer. The chaplain let us pray. Eternal god, your truth endures forever. Make us conscious of our shortcomings, limitations, and liabilities. Lord, guide our lawmakers. Give them the humility to deped on your leading and to receive the gift of your grace for daiy living. Create in them joy in living, courage in danger, and an enthusiasm in glorifying you in our nation and world. Inspire them to be people who will stand for right though the heavens fall. We pray in your sovereign ...

Gavel to gavel coverage on cspan now. [captions Copyright National cable satellite corp. 2018] [captioning performed by the national captioning institute, which is responsible for its caption content and accuracy. Visit ncicap. Org] the speaker pro tempore the will be in order. The chair lays before the house a communication from the speaker. The clerk the speakers room, washington, d. C. , september 19, 2019. Hereby appoint the honorable to act as speaker pro tempore on this day. Signed, nancy pelosi, speaker of the house of representatives. The speaker pro tempore pursuant to the order of th...

Healthcare continuum is really in the community. So there are four walls of our care settings. The clinics, the centres, the diagnostic centres, the procedural centres, and you look at things like e. M. S. Or ambulances. How do we effectively connect what is happening in the field, and the prehospital or precare setting where patients are actually seen a lot, and is the primary mode of transit or entry into our system. So not surprisingly, the ambulances and what we call the e. M. S. Services, they brought their own version of Electronic Health records and they have a whole different electroni...

In the community. So there are four walls of our care settings. The clinics, the centres, the diagnostic centres, the procedural centres, and you look at things like e. M. S. Or ambulances. How do we effectively connect what is happening in the field, and the prehospital or precare setting where patients are actually seen a lot, and is the primary mode of transit or entry into our system. So not surprisingly, the ambulances and what we call the e. M. S. Services, they brought their own version of Electronic Health records and they have a whole different electronic standard. We were able to map...

At the time that the e. Health exchange was stood up and really what is happening with the majority of Healthcare Organizations across the country , they Exchange Information, care summaries, and other Clinical Data. Some other networks popped up. One is the common well alliance which is a gender participation alliance, which they created their own network to Exchange Information with each other. Then i will get into the care quality which is our network, but also a framework. The sequoia project became is a private Public Partnership that oversees and manages the National Network, it is reall...