We have learned the hard way that most of what is stablished during office visits is not accomplished unless it is reinforced. Improve patient engagement by keeping patient connected even when not at the office. Reinforce the concept of the team concept with the key factor of reinforcing that the patient is always the center of the care team. ER visit and hospitalization avoidance by continued education and reinforcement. We believe in healthcare and not sick care. This is a destination; our skills will be the steps necessary to reach this destination. The information in this skill is provided for informational and educational purposes only.