for us public heflt accreditation is about the passionate pursuit of results, equity, and accountability for community health. naturally we want our strategic framework, reach, for result, equity and accountability for community health. to ensure high performance we are focused on these results, integrating health equity into quality improvement activities, ensuring accountability for continuous process improvements and practice based evidence. reach is focused on achieving aspirational results. although we are healthier than most regions in the united states, we still have room for improvement. we continue to have health inequities in san francisco especially with our black african americans and latinos. we have adopted a results based collective impact framework that is community centered, data driven and evidence based. our strategic plan will present result statements and headline indicators for our highest pry torety focus areas. reach is focused on integrating health equity into quality improvement. we have moved from the mission and values statement to quality improvement practice