dr. bennet is doing work on in the same area and will give a presentation at an upcoming mighting. labor relations. that's under rhonda simmons. we have bargain this year it starts about march and ends in may to be approved by the board of supervisors. this is a breakdown of unions and the largest is over just 4,000 in the miscellaneous group and if you add nurses it's about 6,000 staff. they looked at the work we're doing and this gives the idea of the work. we always look at the lowest form of conduct so counselling and last thing you want to do is terminate or do a suspension but we do use that as a tool as well. we needed a whistleblower complaint to work on lean. that work is now going to be done by karen hill because she had done it at zuckerberg and will do it for the rest of the department. they worked with the office and worked with maggie rakowski. we also have done a lot of work in hiring to create more path ways. we looked at black nurses conference to recruit diversity and make sure once we recruit them we have a program for mentoring and support to have a retention ra

dr. john bennet, have really worked to reduce barriers to primary care and improve chronic disease care in that way. and it is a win for everybody. >> we talked a lot about innovation, and so for mr. cavanaugh, and mr. micklos, given your work with providers and experiences at hhs, could you share with us the importance of patient involvement and consumer education to the success of innovative health care models? >> certainly. when i was at cms, and we were initially kicking off the whole aco program, there was a lot of speculation. >> would acos want sick patient ors would they want well patients? which way would they select? and now i'm in the aco business, what i learned is acos want is engaged patients. the doctors don't care if you're sick, healthy, but if you're engaged, it makes the physician's job so much easier. so we're con tantly looking for ways to engage the patient, working with community organization, religious organizations, anything that motivates the patient. trying to address issues beyond the medical issues that are recall important to the patient. because if they see t