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good afternoon everyone good afternoon please take a break from your conversations and wed like to say welcome back thanks for sticking here through to the end and it looks like the crowd is absolutely fantastic hows the food everybody we do okay yeah the food is great so were going to go ahead to our keynote speaker and were really excited to have Larry here Larry has come to us from stillwater Medical Group theres something about the water in Minnesota I think were there their kindred spirits to Oregon in many ways and perhaps leading in the arena of patient experience and i would say transparency as well were fortunate to have larry with us hes had a tremendous amount of experience in using patient experience data and improving patient experience data Larry is actually the chair of the Minnesota shared decision-making collaborative which I know is one of his very big passions hes working to support and improve patient experience through a number of clinical implementing pro