christoph stein, the head of the anesthesiology department here at this clinic.

sandy, anesthesiology on call. i would like to first thing my colleague, dr. mark nagajima, all the nurse aanesthetists. as was described earlier, the situation rapidly escalated from the first victim that came up. i'd like to personally thank the calm, heroic demeanor and the professionalism that was exhibited by everyone that morning. i appreciated my surgical colleagues. we rapidly opened up the operating rooms in the face of potentially life-threatening, horrific injuries. i appreciate the calm demeanor and how things were handled and how it was triaged. we literally went from operating room to operating room so much so where i believe we were on our 13th procedure approximately at 6:00 in the morning. i just want to just express my thanks and gratitude for what was exhibited in the operating room from every member that was there that morning. the cases continued throughout the whole day. there was never any down time. we rapidly opened up as many operating rooms as was needed. i appreciated all the responders from the nurses, from our nurse anesthetists t

to improve chronic pain outcomes and partnered with the new pain clinic in the department of anesthesiology at san francisco general and we wanted to focus effort here and measure outcomes to see if we could improve outcomes for people living with non-malignant chronic pain. the next is the chief pharmacy officer david woods and it's in the area of resource utilization targeting high cost pharmaceuticals. i know we're looking at adherence to high cost pharmaceuticals for instance medications for treatment of hepatitis c treatment. these are a few examples of the pie metrics. there are 57 i think rough count and the thing to note about these they look fairly straightforward. yeah, we should know how many babies are breastfeeding. the devil is in the details and pulling the information as well as the metrics to include patients we haven't yet seen working with the health plan to get data about those enrolled individuals as well. so now switching to the global payment program so the global payment program again is really just focused on our decreasing number of uninsured people in the network.