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 name. Amen. The president pro tempore will you please join me in the pledge of allegiance. I pledge allegiance to the flag of the United States of americ, and to the republic for which it stands, one nation under god, indivisible, with liberty and justice for all. Mr. Grassley mr. President . The presiding officer the senator from iowa. Mr. Grassley id like to address the senate for one minute in
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 the house of january 3, 2019, the chair will now recognize members from lists submitted by the majority and minority leaders for morning hour debate. The chair will alternate recognition between the parties. All time shall be equally allocated between the parties and in no event shall debate continue beyond 11 50 a. M. Each member other than the majority and minority leaders and the minority whip sh
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 electronic standard. We were able to map those standards together so that if a patient is seen by an ambulance in the field, they are able to connect and do the same kind of korey about patient formation and transmit that to the hospital or anywhere they want and pilots that we have done that came out of some initial successful pilots out of southern california, we did one in sacramento with the county fir
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 those standards together so that if a patient is seen by an ambulance in the field, they are able to connect and do the same kind of korey about patient formation and transmit that to the hospital or anywhere they want and pilots that we have done that came out of some initial successful pilots out of southern california, we did one in sacramento with the county fire to reduce unnecessary transfe
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 really important the work that the sequoia project is doing because they are joint hip and hip with o. N. C. Just blowing through some of the data that we have, it really is our current capability from our hospitals, exchanging care summaries at about 80 now. Finding data is about 60 now. The ambulatory providers, sharing data outside of the organizations, is probably at 40 or 50 now. When we talk abou