and now to susan reinhart, now that susan that we know who the chronically ill are, that their needs are not all the same, and we talked about consumer engagement or patient engagement or person engagement, and shared decision making, how do we bring all of those things together? >> thanks, susan. i figured you left the best for last because you wanted the patient perspective, which i'm happy to try to bring to this discussion. can you hear? is this on? okay. so what i wanted to talk about is this idea that i know ken does such a great job in all of this work, talking about the need for better patient and family self-management, and the need for tools for that. so as we talk about who are the chronically ill, how they're spending their dollars, the technology that is certainly has to be used by the patient and family, what are the patients telling us in any model that we might develop and use? and so, a couple of years ago, we at the public policy institute at aarp conducted a national survey of both patients and family caregivers, asking -- and these were people with multiple chroni

now to susan reinhart. now we know who the chronically ill are and their needs are not all the same and we talk about consumer engagement or person engagement, why don't we bring those things together? >> if you left that because you wanted a patient perspective which i am happy to try to bring to this discussion -- can you hear me? is this on? so what i want to talk about is this idea that can does a good job in all of his work talking about the need for better patient and family self management and the need for pools for that. as we talk about who are the chronically ill, how they're spending their dollars, technology that is certainly going to have to be used by the patient and family, what are the patients telling us in any model we might develop and use? a couple of years ago, at the public policy institute we conducted a national survey of location and family care givers. these are people with multiple chronic conditions experienced transitions. that is the focus of this work. we talked about what the