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hi Im Jason Roberts Im the general manager a non-invasive cardiovascular services and pulmonary services First Coast Cardiovascular Institute in Jacksonville Florida and what I would like to talk about today is accreditation and really what does it mean accreditation means several things for the patient it means quality and for the industry it means standardization so basically when a facility a cardiovascular facility is accredited we have protocols and we have standardized protocols and we have quality metrics that we have to can do on a continual basis against the national standards so for patients who walk in the First Coast Cardiovascular Institute they need to know that all of our testing is fully accredited all of our techs are fully registered in every modality that they do in this does several things as I previously stated for the patient in the industry how does they keep the pasta down to the patient in the system it also provides a qualitative look and a qualitative piec