The conditions of communications depend on the message and the audience. It should be a conscious choice, not driven by emotions, although emotions do play a role in good communications. Within the communications management plan is the communications plan, the execution vehicle for the communications management plan. Both tools and techniques are used to positively influence communications. Another necessary component to a good communications management plan is the final communications on the project, or project closure communications. The communications management plan must include how project artifacts, lessons learned, and formal acceptance are to be communicated. Sometimes those communications may be as simple as an invoice to be paid now that the project is complete. The number of American adults who looked for health information online has doubled in under a decade. More and more patients look to connect directly with healthcare providers via social networking platforms like Facebook, Twitter, and YouTube.