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hello my name is Amy trong and this is my project on integrating acupuncture and fqhc an evaluation based on the quadruple aim this was a retrospective observational study looking at chart reviews between January 2020 to July 2022 the objective is to assess the outcome of the acupuncture program based on the quadruple aim the study was done at access Community Health at fqhc in Pleasanton California which serves about 13 000 patients annually based on 2021 data 64 percent of patients are in the working age of 18 to 64. 61 percent females and ethnic makeup is mostly of latinx followed by Asians the income of the patients are mostly 100 below FPL and the health plan coverage sources mainly from Medi-Cal the methods of assessing the quadruple aim which is looking at patient satisfaction provider satisfaction Health outcomes and cost benefit analysis the surveys were used to assess the satisfaction level for the patients and the providers to assess Health outcome chart review of patient s