Disease registries if their heart focuses on the preventive as it relates to particular disease theres a an opportunity to leverage some of the register work and Substance Abuse were providers of care we still do a lot of planning and education i agree there is an opportunity to show you some more of those types of metric i think we can easily do that. As a member of the new network it is important to for people to understand were a whole new organization in terms of the network but commissioner pating did was repeat was the real role of the Affordable Health care act and what is measured so ill suggest that we as the executive staff should develop goals well be needing and what the policy level we should focus on the plans and bring back metric dashboard to understand you did a go back in our outcomes we could really bring together a policy level conversation regarding triple a and to see what were doing he clinics to keep you at the level were meeting triple a to measure the finance
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