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welcome and good afternoon and good morning to everybody and were going to get started in just a minute just giving everyone time to hop on great thank you all so much for joining us today were really excited to kick off this sec session on accreditation um we are going to have some great presentations and informative sessions today and were so happy that youre able to join us in this afternoon or morning depending on where youre joining us from i wanted to welcome you all to accreditation preparation and best practices the accreditation association for ambulatory healthcare also known as the triple a hc this session is a little longer than at one hour in length we will have a little extra time for q a and it represents the second session in our series on accreditation we will have sessions following this that focus on carf and ncqa accreditation processes as well we also had an overview session that happened a couple weeks ago that is available on our website but i wanted to get