 Good afternoon. It's great to be here. My name is Robin Betts. I'm the vice president of quality clinical effectiveness and regulatory services for Kaiser Permanente in Northern California Kaiser is one of the nation's largest not-for-profit health plans and we serve a little over 12.2 million members across the country our company is headquartered in Oakland, California, and is comprised of Kaiser Foundation hospitals and its subsidiaries Kaiser Foundation health plan and we partner with the Permanente medical groups To provide medical services for our members in Northern California We are responsible to deliver on our mission of providing Affordable high-quality health care to our members and the communities in which we serve Northern California alone has almost 4.3 million members that come to us every day with a sacred trust that we will heal them and And and and keep them safe and treat them and their families with respect and compassion So as a health care provider, we have a moral obligation to do no harm Safety is our top priority because if we fail on safety We fail on the rest and what I mean by that Even if it when we harm someone even if we ultimately heal them and are nice to them They haven't had the extraordinary experience that we'd hoped for So with safety top of mind, we are committed to eliminating medical errors and have Made six commitments to the patient safety movement foundation and will expand our commitments this coming year Kaiser is proud to share with you today. Some of our successes from 2018 So first we spread across our 21 hospitals a predictive algorithm Embedded in our electronic medical record that alerts us to patients whose cumulative clinical Picture shows signs of decompensation within 12 hours This allows us to move upstream to put in a care plan and interventions More quickly instead of waiting till they completely decompensate. So we Sorry, I think I lost my notes here, but anyway, this really aligns with the With the patient safety movement foundation apps of failure to rescue In the first six months of no in the in the first during our pilot and in the first six months of this year The results of that saved a hundred and sixty nine lives and we're really looking forward to in 2019 sharing a more comprehensive cumulative total This success really like I said aligns with the patient safety movement foundation apps failure to rescue now second We with almost 24 million Medication doses administered during our baseline year. So think about that in one year in my 21 hospitals I have an opportunity To get it right every time 24 million times to administer a medication correctly So because of that high risk We have a continuous focus on reducing adverse drug events and have committed to reducing Our adverse drug event rate by 30% our work this year resulted in saving 13 lives now third we have a continued focus on See difficile infection reduction even with our current stratified infection ratio of 0.6 We want to improve and have committed to further Reducing our events and this has resulted in saving two lives this year Fourth we're focusing on central line associated bloodstream infections Across our organization. This is a very costly Condition for both our patients and the organization. So we're actually performing relatively well on this edge Indicator, but yet we're not at zero. So our work this year resulted in saving two lives Finally, we have also committed to reducing falls with injury and hospital-acquired pneumonia Our work around hospital-acquired pneumonia resulted in saving five lives So we really appreciate the opportunity to publicly commit to saving lives and Through the patient safety movement foundation as well as having access to and the opportunity to contribute to the actionable patient safety solutions that provide Evidence-based leadership Governance and interventions proven to eliminating harm. So thank you