 We know that colon cancer is a condition that can be prevented, and if we systematically and effectively screen for these pre-cancerous polyps, removing them, we can prevent colon cancer. TR is the singular exceptional driving force behind our success. Colorado cancer is the second leading cause of cancer death among men and women, both nationally and within Kaiser Permanente. Before we started, the screening program consisted of flexible sigmoidoscopy, primarily by referral from primary care doctors. TR's challenge was to try to figure out a way to reach all our members as quickly as possible with a screening modality that worked for everybody. In 2004, he was named the clinical lead for screening for colon cancer and looked around and realized in England they were starting a program of home screening. So we had kind of a framework for how to do the work. The laboratory medicine people got wind of this very early and said we absolutely need a test that's automated that can be run on large volumes, you know, repeatedly and reliably. And then we worked with the vendor and we had to do a lot of improvement on that. There was the outreach effort, which was the mailings and trying to reach as many members as we could that were initially at the age of 60 to 69 and then we broadened it to 50 to 75. We gradually expanded the population. In 2007, we were mailing out to the entire region. People are scared of screening. They don't want to have to come in. And with the FitKid, it's mail to your house. It's easy to do. It's not intimidating. We leveraged the electronic record. That's how we identify who's due every year for screening. We leverage our integrated model. So primary care and specialty care and laboratory services, we're all working together. Quality and operation support is providing oversight. Technology group has built Prompt, which has been a huge plus for us in terms of letting everyone know where people are on the screening. In addition to being sent the kits, they receive a series of reminders. The reminders are done by mail, by telephone. With a reminder to please return your FitKid that screens for colon cancer. When they go to the doctor's office, their medical assistant or the physician themselves will remind them, do your kit. We mail out about 15,000 FitKids every week. The lab process is between 3,000 and 5,000 FitKids a day. We moved our screening rates from 35% to almost 80%. What's most astounding with respect to this work is that we've reduced the incidence of colon cancer by about 25%. So as physicians, we're lucky if we can say we've saved a life here, a life there. I think equally and can accurately say that Dr. Levin has saved hundreds, if not thousands of lives, by diagnosing colon cancer early. I was coming to Kaiser Permanente on October of 2016 to get my flu shot. The lady that was behind the counter, she noticed that I just turned 50, so she offered me to do the fit test because it would be an easy thing to do at home. I got the FitKid on the mail and I did the test and it was very simple to do it and I mailed it out to Kaiser Permanente. The test was positive and I had to call in and go in for a colonoscopy. And that's when I met Dr. Levin because he was the one who performed the colonoscopy. You know, within a couple of seconds of starting his procedure, lo and behold there was a cancer right in the lower part of his colon. It's truly groundbreaking and fits with our mission of preventative care at Kaiser Permanente. And I'm glad that something so simple can make such a big difference in somebody's life. I'm hopeful he's going to do the same thing for more people. Thanks to Dr. Levin and Kaiser Permanente, we can attack the problem before it becomes uncurable. Thanks to the test, I'm doing great. I'm living a normal life with my wife, my kids, and I'm going to be able to grow all with my wife and see my kids grow. I owe my life to the test.