 The change for patient safety and patient focus is a journey. It's not an event. And it began when Parrish Medical Center CEO and President George McIterian had the opportunity to build a new facility. We were not achieving the results that we needed. We had the reputation in the community was not where it needed to be. George knew that we had a single opportunity to begin a new journey in creating a healing environment and to what has been deemed from the Baptist Trust in Tennessee as one of America's finest healing organizations. We've really seen changes in the past seven to ten years in which we have developed a strategic plan we call our game plan and it is built around the value proposition of quality over cost. How can we as a independent not-for-profit hospital one of the very few left in the nation maintain our status and what we've done is adapt our culture around a culture of safety. One of our key principles is that when a person is in the hospital or in healthcare setting they are not a patient. They're not a broken leg. They're not a pneumonia or a cancer. We believe that focus or that starting point we then begin adopting practices and patterns based on evidence that lead to patient safety. Because of the evidence-based approach from the Patient Safety Movement Foundation in their apps it validated the focus and the work that we're doing within our strategic plan our game plan. I've continued to work with my organization in promoting the evidence-based approach with other organizations have been successful and until the time in which we stop competing we start collaborating. Collaborating not only across organizations but collaborating with the person or the family in the bed that's the time that we can reach zero.