This study proposed a look at the importance and challenges of knowledge management in times of great change. In order to understand the information phenomena of interest, impacts on knowledge workers and knowledge documents in times of great organizational change, the study is positioned in a major consolidation of state agencies in Texas. It pays special attention to how the changes were perceived by the knowledge workers by interviewing those that were impacted by the changes resulting from the reorganization. The overall goal is to assess knowledge management in times of great organizational change by analyzing the impact of consolidation on knowledge management in Texas's Health and Human Services agencies. The overarching research question is what happened to the knowledge management structure during this time of great change? The first research question was what was the knowledge worker environment during the time of change? The second research question was what was the knowledge management environment of the agencies during the time of change? The last research question was did consolidation of the HHS agencies diminish the ability to transition from tacit to explicit knowledge? Additionally, the study investigates how the bill that mandated the consolidation was covered in the local …

According to the U.S. Department of Health and Human Services (HHS), patients and providers do not understand the Health Information Privacy and Accountability Act (HIPAA). Non-compliance with HIPAA is primarily due to confusion, along with insufficient understanding. HSS has taken measures to simplify the language they use to communicate HIPAA, however, they have not taken steps that consider if one's culture, religious and social perspectives, institutional training, credentials, and comprehension of legal terminology affects medical providers and non-clinical administrative personnel's abilities to understand HIPAA. This research uses bibliometrics to examine the literature from January 2010 – September 2020 that addresses HIPAA's use of legal terminology, literacy level, and institutional training, along with religious and social perspectives, and credentials of medical providers and non-clinical administrative personnel. A total of 107 articles were examined, 42 were assigned article influence scores with values that were less than 1.00, which is a below-average influence score for the article. There were 29 articles with values equal to or above 1.00, which translates to an equal or above-average influence score. The remaining 36 articles did not have article influence scores and were assigned values as not available. Results of the review of the literature indicate that …