One thing i thought i heard is not just providers willingly sharing this data by being proactive about writing the standards. How do we know what you are doing . Is learn it involved to try to get some outcome that turks like that that would be widely available . We participate in a couple of different organizations. In the process of thinking about three authorization we have been taking of this issue. We cannot just sit back. It is not going to be as bold and fault that it should be. We have taken up this discussion about what we need to do to reauthorize. I am going to take this conversation back to my other colleagues. We need to step up our efforts and not just focus on this. I do not know when this is going to happen. The need to be looking at how we influence these metrics now. We play a part in this. She points to really interesting point. There is a tension, all of this. While there are certain for profits that will go the extra yard, because the purchasers to not necessarily
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