. >> one comment is, thomas bodden hymner was a colleague of mine in 1982. it's nice to see it looks healthier and happier not providing primary care seven days a week basically and so he seems to be a an example of what you are talking about. you mention mention kaiser. half my professional career was primary care and the other half was doing infectious disease at kaiser and many issues are implemented at kaiser and some have been abandon. your work flow day i have to say that model has been tried and no way that one can do that and some patients take longer so you can't huddle and you think you can and the pay for performance. >> it's a huge area that we're seeing more and more. they invest resources in and one thing that is extremely important in team base care is actually having a team that is intact and table and meaning they are working together in time. typically we're seeing that providers are paired up with specific medical assistance and varying in number and that they're working with the same ones overtime so what happens is that providers panel o