Best practices within the ihs system itself and shared those and incense vized the ability to move that kind of activity that is providing highquality care for individuals in that system, in certain areas, and making certain that were able to extend that across the country in the ihs. Okay. We look forward to working with you on that. I think Best Practices is a good place to start. Obviously, those have not been employed in a lot of facilities in our state. In 2009, cms issued a final rule that required all Outpatient Therapeutic Services to be provided under direct supervision every year since then. The rule has been delayed. Either administratively or legislatively in small and rural hospitals. I shared this with you as well. In my statement we have a lot of critical access hospitals, rural areas, big geography to cover, and sometimes difficult to get providers out to these areas. So, the question is, if confirmed, will you work to
charge of some of these issues in a way that remove
kids doing? are they actually getting the kind of service and education that they need? are they improving? are we just being custodians? are we just parking kids in a spot or are we actually assisting in improving their lives and able to demonstrate that? if we re not asking the right questions f we re not looking at the right metrics, we won t get the right answers to expand what s actually working or modify it and move it in a better direction. thank you. i think that s one of the more important parts of your opportunity in this position, is looking at those kids, and you know as well as anyone as a doctor, those ages, before you ever get into pre-k, kindergarten, the development of the child in those first three or four years are powerful opportunities for us to direct one s potential so that they maximize it. sometimes we re missing those opportunities. we think somehow the education system will help that child catch up, but there are things that have to happen before they ever