Health Insurance Portability and Accountability Act. In the spirit of getting back to the basics, a brief reminder of that the one and only “P” in HIPAA represents portability. With the running ‘carrot and the stick’ dialogue about “meaningful use” of EMR and the incentives for its demonstration within the clinic, lets not forget the portability not only of the information but of the patients as well. This portability must mean something to everyone in the clinic every day with every patient. In spite of the hype associated with chasing the “meaningful use” incentive, HIPAA is not just an IT issue with regard to privacy and security of personal health information.