Karen will describe instances where practices have 

suffered when staff members have not understood their roles and policies are not 

properly described and enforced. She was very impressive as she had a very good grasp 

of a what a successful practice does on a daily basis. This subject has broad

interest and be of a great value to our members and their staff.  Karen will also emphasize that not 

all practices are the same and cookie cutter approaches do not work in guiding 

practices toward their optimization.

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