. >> thanks richard ann marie for brown and i've been terribly alone and forgotten in manhattan i'm here to talk about the program the question how it is impacting the quality costs and patient experience my answer to those questions have through care management brown and i've been terribly alone and forgotten in manhattan has hired the corridors to help them understand their medications and identify symptoms and manage their disease their - the patient can call the number one way we get patient into our program is following an event an emergency room visit or stay we have a route call we make to the folks after discharge or an emergency visit and often can identify small problems if we identify bigger problems we move them into the case management program and that program we coordinate the care with the physicians and do a lot of teaching and help the patient manage their disease and void costing admissions i'm going to bring up an example of a member urging a member named mar not a real name but a patient in the city and county of san francisco maria 64-year-old woman that went to the