Dennis Sapien Pangandian

speaker
184 appearances 1 recordings 1 series first heard Jul 2026 last heard 31 Jul

Dennis Sapien Pangandian’s voice in public audio — every appearance, attributed to the second.

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Recordings per month over the last 12 months — 1 in all, peaking in Jul 2026 with 1.

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Sure.
So information blocking, as defined by the 21st Century Cures Act and the regulations, it generally means any practice that is likely to interfere with the, what is it, access, exchange, or use of electronic health information, EHI.
Now, it impacts different types of actors, and we can kind of get into that because depending on how you're defined as an actor, there's different standards of intent that's applicable to them that the government has to prove in order to show a violation.
But it's generally meant to capture –
Back in 2015, the Office of the National Coordinator for Health IT wrote a report for Congress outlining what this conduct is.
They essentially said there's these health IT developers and actors out there.
that are actually inhibiting the exchange of EHI because what we really want is an empowered patient population to be able to control their EHI, I guess.
But for various anti-competitive reasons that ONC laid out, there's various practices there that try to stymie that.
Yeah.
Sure.
I mean, it goes back to the advancement and adoption of EHR technology, right?
Yeah.
Sure, you can get access to your medical records, and there is some overlap.
There is potential overlap, right, between a HIPAA violation and information blocking violation.
You could potentially see that happening.
And actually, the 21st Century Cures Act has built in provisions there where, you know, if there is a clarification that the Office of Civil Rights for HHS can clean up for people, then, you know, OIG or the regulators can defer to them to do that.
with the adoption of EHRs, you can imagine that there's, you know, think of it as, and not to knock any brands out there, but think of it as like the Apple ecosystem, right?
Like it actually makes it very difficult to transfer to Android sometimes when you're switching phones or different models or things like that.
So in the same way, you can imagine that there's patients that may be captive to specific providers or specific entities because they,
it's difficult to get their electronic health records, uh, transferred over, uh, regardless of, of, of the HIPAA laws notwithstanding.
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