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hello and good morning and good afternoon to our friends on the west coast I mean east coast this is meg picardie i co-chair the hospice and palliative care practice group here at ryan hart and im so glad so many of you could join us I think were going to have over 220 sites on todays call I have my friend and colleague Heather field who has been heading up our hip initiatives here at the firm I invited her to talk to all of our hospice friends and clients about practical considerations related to HIPAA and our approach in the session is really to to not provide a panicked approach but really as we come down to the last month before the compliance date what are the key things you need to be doing and so I wanted to give an overview of what were going to be covering today so hopefully by the end of todays session you should know what should be on your list of things I need to get done in the next month or so so with that said were going to first cover the notice of privacy practic