>>[laughing] captain roland pickens starship numbers start a number i can buy first question is in regards to the second a-three on value-based implement, it seems to me the definition of value is changing. i guess the question is, are we going to make up the value were defining the whole person metrics based on our own view of that? they really haven't ruled out a cms in a conference of weight yet and i was wondering your thoughts on it. i like the direction this letter off i couldn't three but the definition of what valuable tool person care, i'm not sure what how that works >> my personal opinion on that. my opinion is the value is twofold. value one first of all is the value defined by cms because for the most part they are a major payer. so like it or not they get to assign the value. but also value comes from the point of the customer that can be either our patients in terms of the care they are receiving or are they getting better are the outcomes better? the value is also from our workforce could our staff. are they in environments in which they are thriving and want to be here and

i'm roland pickens director of the san francisco health network and it's my pleasure to provide you with an update on the status of the health network today. today's presentation will be at the network level. that you see highlighted on the left side of the organizational chart for the department. in today's presentation we will review three things. first, where we are with our strategic plan and our progress utilizing lean methodology in the implementation of that land. second, we will review the status of the nine strategic initiatives of the city to plan using the lien 8-3 team charter format. finally, we review the status of our true north metrics with our first report out at the network level on the status of those true north metrics. so on september 30 of this year to bring you up to date, the network and dph leaders can together for a one-day meeting your follow-up strategic planning retreat to our session back in march. your member back in march we stuck to very first tricky dick plan for the network using the methodology. at the session a few weeks ago in september, we received

i'm roland pickens director of the san francisco health network and it's my pleasure to provide you withthe status of the health network today. today's presentation will be at the network level. that you see highlighted on the left side of the organizational chart for the department. in today's presentation we will review three things. first, where we are with our strategic plan and our progress utilizing lean methodology in the implementation of that land. second, we will review the status of the nine strategic initiatives of the city to plan using the lien 8-3 team charter format. finally, we review the status of our true north metrics with our first report out at the network level on the status of those true north metrics. so on september 30 of this year to bring you up to date, the network and dph leaders can together for a one-day meeting your follow-up strategic planning retreat to our session back in march. your member back in march we stuck to very first tricky dick plan for the network using the methodology. at the session a few weeks ago in september, we received some foundatio

i'm roland pickens director of the san francisco health network and it's my pleasure to provide you withhe status of the health network today. today's presentation will be at the network level. that you see highlighted on the left side of the organizational chart for the department. in today's presentation we will review three things. first, where we are with our strategic plan and our progress utilizing lean methodology in the implementation of that land. second, we will review the status of the nine strategic initiatives of the city to plan using the lien 8-3 team charter format. finally, we review the status of our true north metrics with our first report out at the network level on the status of those true north metrics. so on september 30 of this year to bring you up to date, the network and dph leaders can together for a one-day meeting your follow-up strategic planning retreat to our session back in march. your member back in march we stuck to very first tricky dick plan for the network using the methodology. at the session a few weeks ago in september, we received some foundation