Video & Transcript Research : 'quality indicators'
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CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 3 on Education Finance Mar 17th, 2026
Transcript Highlights:
- Moderate and predictable tuition increases are necessary to sustain the quality of education that our
- The Governor's January budget documents indicated deferral, but the agenda and the LAO indicate the funds
- The Governor's January budget documents indicated deferral, but the agenda and the LAO indicate the funds
- UC Health public hospitals provide high-quality services...
- UC Health Public Hospitals provide high quality services, for large parts of the state.
Summary:
The Assembly Budget Subcommittee on Education Finance, chaired by Assemblymember Alvarez, held a hearing focused on University of California budget issues. The committee reviewed UC core operations funding, enrollment trends, federal funding threats, Title IX implementation, and basic needs support. Major themes included the end of the Governor’s multi-year UC compact, the state’s fiscal outlook, UC’s enrollment growth, and the potential impacts of federal policy changes on research, health care, and student aid.
On core funding, the Department of Finance described the Governor’s proposal to continue compact-related support, defer some payments, and authorize a cash-flow loan. The LAO recommended a smaller or no base increase, earmarking some funds for capital renewal, retiring deferrals when possible, avoiding new compact commitments, and funding UC annually rather than through compacts. UC argued that the compact has supported enrollment growth, student services, and operating costs, but said campuses face rising expenses, structural deficits, and limited reserves. Members questioned the effects of deferrals on students and discussed the need to prioritize less harmful reductions if cuts become necessary.
The enrollment panel focused on UC’s growth in California resident enrollment and the nonresident replacement plan at Berkeley, UCLA, and UC San Diego. The LAO recommended maintaining the current enrollment target, funding enrollment separately from base increases, pausing the nonresident replacement plan, and holding enrollment flat in 2027-28. UC said it has already met compact enrollment goals, grown California undergraduate enrollment by about 18,800 students, and that further growth depends on ongoing state support. The committee also discussed the cost of enrollment growth, possible differential nonresident tuition, and a reporting request for UC to analyze the nonresident replacement approach; the motion to adopt supplemental reporting language passed.
The hearing also covered federal funding risks, with the LAO and UC warning that federal changes could affect research grants, medical center reimbursement, and student financial aid. UC said research cancellations and suspensions are disrupting labs and graduate student support, while federal health policy changes could increase uncompensated care at UC hospitals. In the Title IX update, UC described its systemwide civil rights structure, annual student training, and campus support offices, and members praised the work while asking about ongoing concerns and intersegmental collaboration. The final basic-needs item began with Finance stating the Governor’s budget does not change ongoing support, but the transcript cuts off before further discussion or action.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 3 on Education Finance Mar 25th, 2025
Transcript Highlights:
- Our analysis indicates otherwise.
- So this is another indicator of potential shortage. So... ...follow year to year.
- So this is another indicator of potential shortage.
- But, you know, as Vixie Sandy indicated, all of this takes money.
- Carver, I wanted to, with the chair's permission, ask: is there data indicating...
Summary:
The Assembly Budget Subcommittee on Education Finance heard an extended discussion on state efforts to recruit, prepare, and retain teachers, with a focus on whether current programs are sustainable and well targeted. Testimony from the Learning Policy Institute, the Commission on Teacher Credentialing, the Department of Education, and the Legislative Analyst’s Office described persistent shortages, especially in special education, math, science, bilingual education, and high-need schools. Speakers emphasized that residency programs, Golden State Teacher Grants, National Board incentives, classified employee pathways, and undergraduate teacher pipelines have helped increase preparation and retention, but many of these efforts rely on one-time funding and lack long-term certainty. Committee members repeatedly raised concerns about the “leaky pipeline,” working conditions, the burden of student debt, and whether the state should simplify and institutionalize support for aspiring teachers rather than rely on a patchwork of grants.
The agencies presented data showing continuing shortages and uneven distribution of fully credentialed teachers. CTC reported projected hiring needs of roughly 20,000 to 25,000 teachers annually, with the highest needs in self-contained classrooms, special education, and certain regions of the state. It also noted that emergency permits, waivers, and intern credentials remain high, and that teachers entering through those routes have higher turnover. LPI cited research showing residency-prepared teachers are more effective and more likely to stay, and argued that Golden State Teacher Grants attract candidates who might not otherwise enter teaching and help them complete preparation. CDE stressed that most new demand comes from attrition and urged support for multiple entry points, tuition assistance, and campus-based coursework. Several members also discussed the role of community college pathways, dual credentialing, and support for school leaders as part of retention.
The LAO recommended rejecting the educator pipeline proposals under discussion, citing limited evidence of effectiveness and suggesting that any new spending should be more narrowly targeted to the highest-need schools and long-standing shortage subjects. The LAO also said that if the Legislature funds new programs this year, Proposition 98 would be preferable given the state’s fiscal condition. Committee members pushed back on the idea that declining enrollment or layoffs would solve shortages, noting that shortages and layoffs can coexist in different subject areas and regions. The discussion ended with agreement that staff would continue working with agencies on how to make teacher pipeline investments more consistent, coherent, and easier for candidates to navigate.
The committee then turned to the Golden State Teacher Grant Program. Finance proposed $50 million in one-time General Fund support to extend the program for one additional year, while the LAO recommended rejecting the proposal because the first CSAC evaluation is not due until later in the year and because the funding would be non-Proposition 98. CSAC supported the extension, saying demand has been strong, over 20,000 aspiring educators have been served since 2021, and the agency had to pause applications after receiving more than 9,200 this year; it also said more than 2,500 candidates had already expressed interest for next year. Members asked how many students the new funding would serve, and CSAC estimated just under 5,000 awards at $10,000 each. The discussion also covered whether the grant could be moved into Proposition 98 and how the one-time nature of the funding affects confidence among prospective teachers.
FL
Florida 2026 5th Special Session
Ethics and Elections Mar 31st, 2025
Transcript Highlights:
- frame it in a legal sense, but to say from a more layman's perspective is that it wasn't of high quality
- We meet and we allow customers to share, frankly, their experience and their quality of service with
- And that is probably, for me, the number one indicator I'm looking at to measure are we doing too much
- You indicated that you felt as though...”
- And as the vice chair and I indicated to you when we began our work prior to this session, any senator
Summary:
The Committee on Ethics and Elections met with a quorum present and Senator Polsky excused. The committee first heard Senate Bill 1416 by Senator DeSigley, which would move municipal elections to coincide with the general election and extend incumbent terms until the new election schedule takes effect. Members asked about runoff elections, with the sponsor saying runoffs would likely shift to the August primary and that he was open to further discussion, including possibly eliminating runoffs. The bill drew support from a senator citing potential taxpayer savings, while the Florida League of Cities and Florida Association of Counties were noted as opposed. SB 1416 was reported favorably.
The committee then considered Senate Bill 766 by Senator Burgess, as amended by a strike-all that refocused the bill on agents of “countries of concern” and narrowed disclosure requirements. The sponsor said the measure was intended to increase transparency around foreign-backed political activity and align with federal Foreign Agents Registration Act concepts. The amendment was adopted, and the bill as amended was reported favorably.
Members next heard the reappointment of Mike LaRosa to the Public Service Commission. LaRosa described the PSC’s role regulating investor-owned utilities and emphasized transparency, consumer protection, workforce development, and adapting to new energy technologies such as small modular reactors. Senators questioned him closely about recent Florida Supreme Court criticism of PSC orders as insufficiently reasoned and overly reliant on utility assertions. LaRosa acknowledged the criticism, said PSC procedures and orders had become more detailed, and committed to continued improvement. Despite concerns, his nomination was advanced favorably to the full Senate.
The committee then approved a block of nominations in tabs 4 through 27 without objection and without separate hearings. At the end of the meeting, Senator Grall asked to be recorded as voting in the affirmative on SB 1416 and SB 766, and the committee rose.
OK
Oklahoma 2026 Regular Session
Appropriations and Budget Education Subcommittee Feb 16th, 2026 at 10:00 am
A&B Education Subcommittee
Transcript Highlights:
- And so I just want to highlight the point that a quality teacher will meet those students where they
- And so how do we address the quality of...
- And so how do we address the quality of teaching that's going on in those days to make sure that each
- It reduces cost, improves credit quality, and protects Oklahoma taxpayers. And emphasis here,...
- Is there anything about our past that might give you an indication as to how well this will work?
TX
Texas 89th 2nd C.S.
Health Care Affordability, Select Apr 30th, 2026
Health Care Affordability, Select
Transcript Highlights:
- into, well, let's go get quality care.
- The next slide is looking at quality.
- This is the CMS quality stars, which is the quality rating that Medicare uses to rate hospitals.
- It's exactly like Yelp: one star is the lowest quality and five stars are the highest quality hospitals
- And the market, we've removed all indicators for patients to be able to choose based on quality or price
NH
Transcript Highlights:
- <00:46:47.440>
that December 25, this does not indicate that December 25, this does not indicate - is no standardized dosing, no quality is no standardized dosing, no quality control,<01:54:49.599
- So there are addictive qualities to kratom.
- So there are addictive qualities So there are addictive qualities toratum.<02:04:54.320>
However - > warning<02:43:50.640>
to <02:43:50.880>the quality control, no warning to the quality
NM
Transcript Highlights:
- Madam Chair: Would anyone like to raise their hand to indicate support?
- Would anyone like to raise their hand to indicate opposition? All right.
- That was the Counsel Service indicated that needed to be in there.
- Would anyone like to raise their hand to indicate support?
- Would anyone like to raise their hand to indicate opposition?
NM
Transcript Highlights:
- As we know it, will be gone and will be replaced by the Family Income Index as an indicator.
- So those of you in support of House Bill 156, please indicate on Zoom.
- Data quality issues have affected the implementation of programs.
- If you would please indicate by raising your hand. All right, those in the room, is there...
- Opposition to House Memorial 2, please indicate by raising your hand. There you go.
TX
Texas 89th 2nd C.S.
Press Conference: Special Session Jul 31st, 2025
Transcript Highlights:
- That is wrong and it will undermine the quality of life. Of the people of this great state.
- And what we try to do to fight it by indicating that it is racist, You allow that to just The words that
- And we stand with Texas Democrats on behalf of fighting for the quality of life issues around the economy
- Of Texas to get a high quality education here in this great state.
- Texas gerrymander will hurt your quality of life and our message to the people of Texas is you deserve
WA
Washington 2025-2026 Regular Session
Senate Health & Long-Term Care Dec 4th, 2025
Transcript Highlights:
- The backbone of this quality is, of course, our workforce.
- Palliative care, on the other hand, is more about symptom relief and quality of life.
- As we've heard, this palliative care is very much about improving quality of life.
- We didn't mention here other reporting that exists, particularly in the quality...
- quality of care and access to care.
Summary:
The committee began with an extended work session on the long-term care workforce. DSHS Assistant Secretary B. Rector described the new Home and Community Living Administration and outlined major workforce pressures: Washington had about 126,000 long-term care workers in 2022, with demand expected to outpace supply as the 85-plus population and dementia prevalence rise sharply. She emphasized that direct care workers are largely women, people of color, and immigrants, and that family caregivers are also a major part of the system. She highlighted recruitment and retention efforts funded through federal Money Follows the Person dollars, including high school training partnerships, a retention toolkit, transportation support, caregiver newsletters, tribal workforce navigators, and a remote caregiving pilot. Committee members asked about career pathways, technology use, and turnover drivers; Rector said wages, benefits, unstable hours, and workplace support are key issues and promised follow-up data. Aidan Swain of the Washington Health Care Association said skilled nursing and assisted living facilities face acute RN vacancies, wage pressures, and Medicaid reimbursement that does not cover costs, and urged modernization of training, better reimbursement, and continued support for facility-based care. Maddie Fouch of SEIU 775, representing about 55,000 caregivers, said low wages, weak benefits, lack of voice, and certification delays are driving turnover and shortages, and argued for higher compensation, better worker protections, and more transparent reimbursement. Catherine Smith of Behavioral Health Solutions described growing behavioral health needs in nursing homes, the role of expanded behavioral supports programs, and credentialing delays that slow hiring. No votes were taken; the panel was informational only.
The second agenda item was an overview of the palliative care benefit work group report required by 2024 legislation. Nico Jansen of the Office of the Insurance Commissioner explained that the work group, convened with the Health Care Authority, studied a potential palliative care benefit for fully insured commercial plans and also Medicaid, PEBB, and SEBB. He said palliative care is a philosophy of care focused on symptom management, coordination, and support for serious illness, and is distinct from hospice because it can be provided alongside curative treatment. The actuarial analysis concluded that creating a new benefit would likely increase costs, estimating about a 28-cent per member per month increase overall and roughly $2.6 million to $4.5 million in annual state Medicaid costs if implemented in 2027. Jansen said the consultants did not find sufficient evidence to assume savings from avoided hospitalizations or long-term care, though several work group members disagreed and submitted response letters. Senators asked about other states, Medicare, health homes, and whether more research could clarify cost savings; OIC said some states, including Hawaii, are moving ahead with Medicaid palliative care benefits, Medicare covers some related services but not in the same way, and further evidence may emerge over time. OIC did not take a position on whether the Legislature should create the benefit.
The final presentation covered health care price transparency tools in Washington and federally. Evan Klein and HCA Chief Data Officer Vishal Chaudry reviewed federal hospital and health plan transparency rules, the state all-payer claims database, prescription drug price transparency, the Health Care Cost Transparency Board, the Prescription Drug Affordability Board, and other reporting systems. They explained that the APCD contains claims from fully insured commercial plans, Medicaid, and public employee programs, but not self-insured employer data except for limited voluntary submissions. They also described how machine-readable files, consumer price tools, and aggregated dashboards are used, and noted that data limitations, delays, and complexity remain significant. Senators asked about voluntary self-insured participation, the role of AI in making data more usable, and whether transparency can really help consumers given access barriers and medical debt. HCA said AI is increasingly used by private entities to mine large transparency datasets, but state agencies still face limits in data access and analytic capacity. The committee did not take action; the session was informational and ended with a discussion of how transparency data might better inform policy and purchasing decisions in the future.
MN
Minnesota 2025 1st Special Session
Committee on Environment, Climate and Legacy - 02/18/25
Environment, Climate, and Legacy
Transcript Highlights:
- <01:13:50.400>
that briefly I just wanted to indicate that briefly I just wanted to indicate - have to do to get to water quality have to do to get to water quality standards<01:21:10.080>
- <01:28:45.360>
I time they're improving water quality I time they're improving water quality - road water quality is much improved so road water quality is much improved so do<01:32:43.440>
that - believe it's 31 different water quality believe it's 31 different water quality standards<01:40:
NH
New Hampshire 2026 Regular Session
Joint Legislative Performance Audit Oversight Committee (03/06/2026)
Transcript Highlights:
- indicated, I'm the director of the unit. indicated, I'm the director of the unit.
- So, we do have within the Division of Program Quality and Integrity in our Bureau of Program Quality,
- So, we do have quality management.
- within the division of program quality within the division of program quality and<01:03:15.760><
- within the division of program quality within the division of program quality and<01:12:25.199><
Summary:
The committee chair opened by explaining that the committee has expanded from a traditional audit-follow-up role into an oversight role focused on whether audit recommendations are implemented and whether controls are in place to detect fraud. He said the committee was concerned about fraud uncovered in social service programs in other states and wanted to understand New Hampshire’s safeguards, especially around major contracts and program performance.
Charles Buchanan, director of the New Hampshire Medicaid Fraud Control Unit, and investigator Tim Brackett described the unit’s structure and mission. Buchanan said the unit, housed in the Attorney General’s Criminal Justice Bureau, investigates and prosecutes fraud by health care providers serving Medicaid beneficiaries, as well as abuse, neglect, and financial exploitation of residents in health care facilities. He outlined common Medicaid fraud schemes such as billing for services not rendered, upcoding, using unqualified staff, drug substitution, kickbacks, supplemental charges, and inflated customary charges. He also described resident abuse/neglect and drug diversion in hospitals, nursing homes, and assisted living settings. Brackett said his role is financial investigator/auditor and noted the unit is grant-funded and must include a prosecutor, investigator, and auditor.
The witnesses then explained how cases reach the unit and how they are handled. Most referrals come from the state Department of Health and Human Services’ program integrity unit and from managed care organizations’ special investigations units, which look for fraud, waste, and abuse and refer credible allegations. Other sources include qui tam whistleblower actions, the national Medicaid Fraud Control Units association, citizen complaints, provider referrals, adult protective services law-enforcement referrals, local law enforcement, and federal agencies. Once a referral is received, the unit can accept or deny it; accepted matters may be investigated criminally or civilly, while nonviable matters can be referred back to HHS or other agencies for administrative action, including repayment demands and reimbursement offsets. No votes or formal committee actions were taken in the portion provided.
NM
Transcript Highlights:
- Our folks on Zoom, if you're here and you wish to speak in favor of House Bill 30, please indicate by
- Please indicate by raising your hand. We'll let that populate.
- Please indicate by raising your hand. Right. Not seeing anybody.
- Please indicate by raising your hand.
- Please indicate by raising your hand if you wish to speak. Okay. Not seeing anybody. All right.
Keywords:
ecological monitoring, sustainability, tribal engagement, education, research funding, graduate scholarship, higher education funding, New Mexico, appropriation, financial aid, out-of-school programming, education funding, youth programs, affordability, nonprofit organizations, defibrillators, public schools, health and safety, emergency response, school elections
MN
Minnesota 2025-2026 Regular Session
House health panel hears HF1010 3/26/25
Minnesota House Floor Meeting
Transcript Highlights:
- care, and maternal mortality statistics from the Minnesota Department of Health in 2017 and 2018 indicate
- <00:10:40.320>
birth <00:10:40.560>outcomes competence high quality birth outcomes - This would also help expand access to high-quality, culturally competent midwifery care in our state.
- This would also help expand access to high-quality, culturally competent midwifery care in our state.
- This would also help expand access to high-quality, culturally competent midwifery care in our state.
FL
Florida 2025 Regular Session
Ethics and Elections Mar 31st, 2025
Transcript Highlights:
- THE LEADERSHIP QUALITIES THAT QUALIFY ME FOR THE ROLE HAVE ONLY FURTHER STRENGTHENED.
- AND RECENTLY THERE WAS REMARKABLE COMMENTARY THAT WAS OFFERED ABOUT THE QUALITY AND SUFFICIENCY OF THE
- THERE IS MORE DEPTH INTO OUR DISCUSSION SO THE ORDER CAN ULTIMATELY BE PROCESSED AND BE OF A HIGHER QUALITY
- THAT TRANSPARENCY THAT YOU TALKED ABOUT AND YOU SAID THERE HAVE BEEN CHANGES GOING FORWARD, YOU INDICATED
- FORWARD TO TABS 4 THROUGH 27 YOU NOW HAVE A LONG LIST OF APPOINTEES AND AS THE VICE CHAIR AND I INDICATED
FL
Florida 2025 Regular Session
Fiscal Policy Apr 8th, 2025
Transcript Highlights:
- BUT THE ISSUE IS REALLY A QUESTION OF LOCAL VOICE AND THE QUALITY OF LIFE.
- WE HAVE JOHN HARRIS MALLER REPRESENTING QUALITY FLORIDA. YOU ARE RECOGNIZED. >> GOOD AFTERNOON.
- I AM THE PUBLIC POLICY DIRECTOR FOR QUALITY FLORIDA.
- THEY MIGHT INVESTIGATE IT AS INDICATED AND DISCOVER THAT PROBLEMS ARE ALLOWED LOW ELIGIBLE SIGNATURES
- DIGITAL IMAGES OF THESE SCANNED PETITION FORMS MUST BE OF HIGH ENOUGH QUALITY THAT DIVISION PERSONNEL
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 4 on Climate Crisis, Resources, Energy, and Transportation May 20th, 2025
Transcript Highlights:
- Water board staff will present the water quality control board proposal first.
- Specific to the water quality control plan?
- The valleys had some of the worst air quality.
- The reason the valley was chosen is to address those air quality needs.
- Ross Buckley on behalf of South Coast Air Quality Management District.
FL
Florida 2026 5th Special Session
Children, Families, and Elder Affairs Nov 4th, 2025
Transcript Highlights:
- Our function is to provide oversight, technical assistance, quality assurance, and training to the field
- Chapters are tasked with supporting local communities in expanding CAC services and improving quality
- Our goal in rewriting the chapter's growth and Evaluation and quality assurance tools.
- Bass indicated that she initially started out as a CPI. And so it's a...
- Bass indicated that she initially started out as a CPI. And so it's a...
Summary:
The Children, Families, and Elder Affairs Committee held a panel discussion on Florida’s child protection teams (CPTs), child advocacy centers (CACs), and related state systems. Testimony came from the Department of Children and Families, the Department of Health, a local CAC director, the Florida Network of Children’s Advocacy Centers, a CPT medical lead, and a Jacksonville sheriff’s sergeant. Witnesses described how DCF investigations, CPT medical and forensic services, CAC multidisciplinary coordination, and law enforcement work together to assess abuse allegations, provide interviews and exams, and connect children and families to services. Several speakers highlighted telemedicine, co-location, and Jacksonville’s specialized investigative model as examples of stronger coordination.
Committee members focused heavily on communication gaps, staffing shortages, and delays in forensic interviews and medical evaluations. Senators asked about implementation of Jordan’s Law, the timing of DCF and law enforcement notifications, whether law enforcement is always included in decisions about forensic interviews, and how quickly children are seen after a report. DCF and DOH representatives said referrals are generally made within 24 hours and that multidisciplinary staffings are used to share information, but law enforcement described cases where interviews were scheduled weeks out or reports arrived late, creating problems for probable cause and safety decisions. Members also raised concerns about turnover among CPIs and CPT staff, caseloads, and the need for more specialty providers.
CAC representatives said the model reduces trauma by bringing services together in one place, but noted uneven access across the state, especially in rural areas and in counties without CACs. They said sustainable funding and workforce development are needed to maintain and expand services, and one speaker noted that some CACs have closed due to funding challenges. DCF said there are about 1,500 CPIs statewide and an average active caseload of about 12 per investigator, while CPTs serve roughly 22,000 to 23,000 children annually. The committee did not take any formal vote or action, but members requested follow-up information on staffing numbers, communication practices, CAC locations, and recommendations for statutory or budget changes. The meeting ended with adjournment.
MA
Massachusetts 2025-2026 Regular Session
Formal House Session 103 Jun 21st, 2026 at 11:00 am
Massachusetts House Floor Meeting
Transcript Highlights:
- Court officers, some of the members indicate a quorum roll call is in progress. Thank you.
- Court officers, some of the members indicate a roll call is in progress.
- That is how important home care quality is.
- Court officers, some of the members indicated roll call is in progress.
- Court officers, some of the members indicated roll call is in progress. This is roll call 107.
Summary:
The House opened with routine ceremonial business, including the Pledge of Allegiance and adoption of several resolutions, such as congratulations to the Williamsburg Grange on its 125th anniversary and to Fire Captain Melissa Blodgett on her retirement. The chamber also concurred in a Senate petition to establish a sick leave bank for a Bristol County Sheriff’s Department employee and suspended Joint Rule 12 to advance local petitions, including one involving the Dalton Fire District and another renaming a Chelmsford bridge.
The main floor action centered on several Ways and Means bills. The House advanced a bill amending laws relative to individuals with disabilities, replacing outdated and offensive terminology in the General Laws with person-first language; members spoke at length in support, emphasizing dignity, inclusion, and the bill’s non-substantive nature. The bill was engrossed by a roll call vote, 152-0. The House also took up and engrossed a bill to improve Massachusetts home care, which would create a licensing and oversight framework for private-pay home care agencies, establish standards for contracts, background checks, training, insurance, and consumer protections, and create advisory committees to guide implementation. An amendment establishing a Family Caregiver Commission was adopted 154-0, and the bill itself was then engrossed 153-1.
In addition, the House passed or engrossed several other measures, including a bill authorizing the Massachusetts Water Resources Authority to provide sewer services to land in Sharon, a sick leave bank bill for a Trial Court employee, a Marblehead parking fines bill, a Hingham municipal property bill for a center for active living, and a Taunton bill allowing continued employment of Police Chief Edward J. Walsh. The chamber also handled numerous calendar items, holding or passing over many while advancing a few. The session ended with a special adjournment in memory of former Representative George L. Sacco Jr., and the House adjourned to meet the next day at 11 a.m. in informal session.
NM
New Mexico 2025 Regular Session
House - Labor, Veterans and Military Affairs Feb 4th, 2025
Transcript Highlights:
- We're not aware of any studies that indicate 10 miles apart is the magic number.
- This indicates a state of failure, which could potentially cause a derailment.
- And for that type of care, this really brings us to the point of quality care.
- What is quality care?
- is, is it quality if we are stretching people too thin?