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We were able to cut down readmission rate dramatically and our emergency room rate dramatically. The only thing that went up in our database was primary care visits. Once again, not necessarily perfection but i think as a Clinical Study it was shown to be effective. And once again the reimbursement and the savings bears out that case. We also initiated some relatively interesting demonstration projects. We identified our congestive Heart Failure patients who were having problems with frequent readmissions. We did something very simple. We put scales in their house that automatically sent their weights directly to the doctors Electronic Medical records. Not a very expensive proposition. As soon as it was greater than a one pound change in the patients they got a phone call to find out what had changed and whether or not they were being noncompliant with either medication or diet or what changes had occurred. And in patients who routinely would have four or five hospital admissions in a

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