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so for health departments there is one board public health Accreditation Board so fab is the acronym its a nonprofit organization and it advances the quality and performance of the public health department so it measures our performance against a national set of standards that our practice focused in evidence-based and they also believe in continuous quality improvement so they started at version 1 theyre on version 1.5 and then early this year theyll go into version 2.0 so theyre continuously reevaluating their standards and taking feedback from health departments that have become accredited there are six health departments in Nebraska that have undergone accreditation and so this slide just kind of shows as I was saying it its not if theres this kind of continuous cycle so we work to improve ourselves and then we go through accreditation and then we continue to approve ourselves improve ourselves and then we go through accreditation so once were credited it doesnt stop we ev