ms. pierce thank you for the clear and concise and deep profound statements i've known you since d f s it's been moved into the 2000 i guess i really appreciate the work i know the work around how important that was and the towers you were doing and this is to me a culmination of accredited and our relationships with the internal in the department and working with the community to have their voice heard thank you very much and thank you staff. >> thank you commissioner pating. >> my greatest appreciation as well having the opportunity to hear the details of a lot of the work you've done the community population i know it is a lot of work and with that said, we're at the end of the road i hope you'll have the opportunity to celebrate the things i'm looking for 3 things the collective impacts that word is in my mind you got recognized for that at a national level is great my question is on the areas of improvement i was wondering what phase they were thinking about the question number one, quality improvement that lacking what is quality improvement with the public health division look like w