On Friday, the WMHS leadership (supervisors, managers, directors and VPs) met for several hours on how to be best prepared for the changes in health care and its impact on our Health System. The morning began with a great presentation by Evan Offstein, a professor at Frostburg State University. Evan presented on "Making Time Count." He focused on the quality and speed of decision making, how leaders spent their time, how to make better decisions and the errors that we make when making decisions. The presentation was timely and well received. It was a great lead in for my presentation on the Triple Aim of Reform: Improved Quality, Cost Reduction Through an Enhancement of Value and Improving Our Community's Health. I was able to cover all of our results since going under a new payment methodology, Total Patient Revenue. We have accomplished a great deal, but have a lot to do going forward. Our organizational focus first and foremost has to be reducing readmissions. I was also able to cover the lessons learned under TPR. We were able to ascertain that TPR was the right choice for WMHS, but there is a lot of work yet to do. We have a great leadership to accomplish our goals and we will get it done.