commissioner loyce? >> vice president loyce: i think that part of the process is, yes, everybody has gone through training but you can't do this big box of training so there were primary cares doing this, taking the principals and the objectives and the metrics and applying specifically to primary care clinics and making it useful to those clinics for the work that they do on a daily basis. the seven categories if you look at them, they are in this document here, i want to get them quick all from the same department. care experience, financial development, financial stewardsh stewardship, quality, safety and equity. that's for the whole department. nothing is different there. so take those and everybody in the department understands those six, seven objectives and now it's the application of the lean process to them. so as i said earlier, all 90 of the folks who are in primary care in terms oh -- of the seniors have had the opportunity to sit down and have discussions for what we are doing for cohorts in

>> vice president loyce: what happens is that dr. hammer hosts on a monthly basis all of the senior managers involved and providing services so they get an opportunity to hear from those cohorts that are actively engaged in the lean process and they also can begin to apply some of the tools that are being utilized even though they may not have the specific training that cohort one and cohort two has. so once a month 90 people get together to walk through this process. >> president chow: any other questions? yes. >> commissioner guillermo: just a comment. i'm very pleased to see the progress or the process that's been put in place, particularly focused on primary care within the network because i think -- i don't know for sure but it appears very unique to me for this to be in place. i'm althoug also really excited the lean process and i'm looking forward to the reports that will be coming forward for us to review and ultimately the difference is going to be making in the lives of our patients here in the county, particularly those th

there was it was the government loyce the policeman was never called to testify but he went missing to his corpse was later found in quote. mark the city worker on waldo had gone missing i look at work that. was executed by an armed condo on may fifteenth two thousand and seventeen in the center of scio dad quote him are innocent of this is that the bill nelson since then our hopes of finding my brother even lower than this this is the last picture on waldo took on his phone or his gather all possible evidence on her brother's case after authorities did little to investigate but it is estimated that one person disappears every two hours in mexico but less than ten percent of cases are solved. activists say the authorities often have little incentive to investigate. the causes of us and seventeen cases of human rights violations where the army of the federal police is involved they would have to investigate themselves. the case of the forty three missing students where the army and the prosecutor's office is involved why do we think they would want to do it. kick at that or i believe th

the most of us the government looks loyce the policeman was never called to testify but he went missing to his corpse was later found in. the city will for a while though had gone missing i look at what that. was executed by an armed condo on may fifteenth two thousand and seventeen in the center of scio dad to mark in the center of this is that what was it with the equal missile since then our hopes of finding my brother this one this job and this is the last picture on waldo took on his phone says on his gather all possible evidence on her brother's case after authorities did little to investigate. she shows us the file she's been creating with the documents provided by a human rights organization that is helping her there from the prosecutor's office and. a city in the northern state of chihuahua where i'm waldo had moved to work in a mine. i want to make it clear that we disagree with the prosecutor's office because they say room well don't just got lost. we know it was a forced disappearance. but it's awful to people that it is estimated that one person disappears every two hours i

and this is a question i know because commissioner loyce isn't here, he and i had talked about where he would like to see outcomes, also. >> correct. correct. so a couple of things. we are adding performance measures around hospitalization -- repeat hospitalization recidivism, as well as when people leave hospital, what service are they getting upon leaving. so that's one thing we can easily give data on because we're going to start getting that. as we start finalizing the grings of the i.c.n., starting in september, we're going to be doing utilization -- [inaudible] >> -- coming up with a transition plan. one agency, as we complete one, go to the next one. so starting september, we'll see that flow, and then, you would basically be able to see how we are opening up slots, and we'll be able to sort of be able to provide those slots to people who need it. and this is the work that directly we're doing with our consultant and system of care and our providers. and the other thing i wanted to mention, even though this is identified in the triannual audit, we have actually done very well