Housing and Urban Development Rules on Tenants Termination

HUD Final Rule

HUD issued Final Rule in the Federal Register on December 13, 2024, regarding termination of tenancy for non-payment of rent.

Effective January 15, 2025, HUD requires that a 30-day notice to pay be given to the tenant before a judicial eviction is filed due to non-payment of rent. While Kansas law provides for a 3-day notice to pay or quit, the HUD requirement prevails.

In addition, HUD details the requirements of the notice. “All termination notices in cases of failure to pay must include:

 

  • Instructions on how the tenant can cure the nonpayment of rent violation, and include:
  • an itemized amount, separated by month of alleged rent owed by the tenant,
  • any other arrearages allowed by HUD and included in the lease, separated by month,
  • the date by which the tenant must pay the amount of rent owed before an eviction for nonpayment of rent can be filed.”

This means owners may no longer state only the total amount owed but must provide a separate line item for each fee. An example of the itemization follows:

January 2025 – rent $250
January 2025 – late fee $30
February 2025 – rent $350
February 2025 – late fee $30
February 2025 – Repayment agreement $50
Total balance due $710
The 20th annual Kansas Housing Conference will take place this Oct. 27-29 at the

Overland Park Convention Center. This year’s event brings together housing professionals from across the state and region to network, learn, and explore the latest trends and innovations in affordable housing.

Sponsor + Exhibitor registration is open, but space is limited. Reserve your spot today!

The conference hotel room block is open! Reserve your at the Sheraton Overland Park Hotel today! Our hotel block fills up quickly. We will share more information about overflow hotel booking as the Sheraton room block nears capacity. Unused rooms will be released on Oct. 6, 2025.

COMING SOON!

  • General registration opens; conference agenda released | mid-August 2025

Make sure you are subscribed to the conference mailing list for all the latest updates.

Questions? Contact conference@kshousingcorp.org.

Compliance Session Details

Gary Kirkman of US Housing Consultants will offer the following compliance training sessions for housing administrators Oct. 27-29, listed in the left column below. Attendees of these sessions will be provided with digital training materials.

Brandon Bay of US Housing Consultants will offer NSPIRE training sessions on Tuesday, Oct. 28, listed in the right column below. Attendees of NSPIRE training sessions will be provided with digital training materials that will make the class easy to follow.

Compliance Training

Monday, Oct. 27

2:15-3:45 | HOME Final Rule Summary

Gary Kirkman will delve into providing attendees with a brief overview of the HOME Final Rule. Some of the topics to be discussed will include income determinations, rent compliance, handling over-income tenant households, and what changed under verifications. Gary will conclude the session speaking about tenant protections and selection, which HUD delayed under April 20, 2026.

4:00-5:30 | Violence Against Women Act (VAWA) Training

Gary Kirkman will speak on the importance of understanding the Violence Against Women Act (VAWA). Gary will address where we are today as it relates to VAWA, protections under VAWA, key terms of VAWA you’ll want to remember, bifurcation process, and notification of occupancy rights. This session is vital to anyone working with applicants and tenants who have the ability to come in contact with those seeking protections under the law.

Tuesday, Oct. 28

9:00-10:30 | Calculating Income under HOTMA

Gary Kirkman will address how we calculate income to determine eligibility under HOTMA. Some of the topics to be discussed will include the Safe Harbor Income Determination, De Minimis Errors, Child Support/Alimony under HOTMA, student financial assistance for both Section 8 and non-Section 8 recipients, and the handling of in-kind benefits, when applicable. This session is a layered programs training and geared to those who will be determining a household’s eligibility.

10:45-12:15 | Calculating Assets Under HOTMA (Part 1)

Gary Kirkman will address how HOTMA changed the way we handle assets when determining a household’s eligibility. HUD recognizes that all assets fall into two categories, either personal property or real property, but how will that affect what we count as income, when do we need to impute, or how this affects the Asset Threshold (which can change each and every year). Gary will train to assist those working in the industry to determine eligibility for households to leave with a clearer understanding of the ins and outs of HOTMA assets!

2:00-3:30 | Calculating Assets Under HOTMA (Part 2)

Gary Kirkman will address how HOTMA changed the way we handle assets when determining a household’s eligibility. HUD recognizes that all assets fall into two categories, either personal property or real property, but how will that affect what we count as income, when do we need to impute, or how this affects the Asset Threshold (which can change each and every year). Gary will train to assist those working in the industry to determine eligibility for households to leave with a clearer understanding of the ins and outs of HOTMA assets!

3:45-5:15 Conducting Annuals & Interims under HOTMA

Gary Kirkman will tackle the complexity of conducting Annual and Interim Recertifications which changed under HOTMA. Gary will address how income should be calculated for recertifications, when you will be required to conduct interims, and speak about HUD’s non-interim transactions. This session is designed for those working HUD multifamily housing projects and will serve as a review of how HUD looks to see certifications processed for the tenants we serve at our properties.

Wednesday, Oct. 29

9:30-11:00 | Handling Student Eligibility

Gary Kirkman will review student eligibility requirements for our common affordable housing programs (e.g., LIHTC, HUD, Rural Development and HOME). Each of the programs has their own student requirements in order for a household to be eligible for housing, but what happens when management has layered funding at a property? Does one student rule outweigh another’s student requirements? This session will help clear up some of the questions an attendee may have to whether a student reside in a unit or not and be eligible.

11:15-12:45 | The Average income Test Refresher

Gary Kirkman will speak about the Average Income Test (AIT) and the requirements we have to remember when working on those projects where the owner made this very important Minimum Set-Aside MSA) election. Gary will review the two-point test owners/agents have to remember to satisfy AIT, speak about the grouping of units when determining AIT and the Applicable Fraction, and discuss the importance of AIT as it relates to handling non-compliances. This session is designed to be a refresher in this MSA and for those curious to see how units can affect the owner’s ability to claim credits.

Tuesday, Oct. 28 | NSPIRE Training

9:00 a.m.-10:30 a.m. | NSPIRE Chapter 1 Review

This first 90-minute segment includes a breakdown of the origins of NSPIRE, and the differences between UPCS, HQS, and NSPIRE. This includes the breakdown of the new severity ratings; the new pass or fail rating; the applicability of the rules for HCV, PBV, HUD CPD programs; and REAC agency inspections from Multifamily Section 8, Public Housing, and LIHTC. The course then reviews the procedures required to close out findings in REAC’s new online system after REAC Inspection, and the expectations of closeout procedures. We will then discuss new procedures for REAC appeals, consequences for non-compliance, and new oversight processes from both HUD and REAC.

10:45 a.m.-12:15 p.m. | NSPRIE Chapters 2-4 Review

This session will review the NSPIRE standards, following manual chapters 2 through 4 as a guide, including: Fire and life safety standards, and kitchen and bathroom standards. We will then cover how to understand the requirements and the underlying codes that many of these standards are based upon.

2:00-3:30 p.m. | NSPIRE Chapters 5-7 Review

This session will review the NSPIRE standards, following manual chapters 5 through 7 as a guide, including: Interior finishes; guardrails and railings; lighting and electrical standards; and windows and doors. We will then cover how to understand the requirements and the underlying codes that many of these standards are based upon.

3:45-5:15 p.m. | NSPIRE Chapters 8-11 Review

This session will review the NSPIRE standards, following manual chapters 8 through 11 as a guide, including: Mechanical standards; hazards; site and grounds standards; and structural issues. We will then cover how to understand the requirements and the underlying codes that many of these standards are based upon.

Brandon Bay, a Pacific Northwest native and father of two girls, has passionately worked in the Affordable Housing Industry in many capacities over the last 10 years. He is eager to use his knowledge and experience to serve the clients and partners of US Housing Consultants. His journey began as an investor in multifamily properties. Shortly thereafter, he began to develop properties and subsequently founded his own real estate investment, development and holding company in Oregon.

During this time, Brandon worked on all areas of Multifamily housing, and often refers to himself as “Maintenance Guy-CEO”, having truly learned to understand and appreciate all the roles involved in operating Affordable Housing. Brandon is an enthusiastic and engaging trainer. His passion for the sharing of knowledge is self-evident in his presentations. He conducts public and private trainings and also delivers information at industry conferences. He offers open forums with positive interaction, and assures attendees, “There is never a question that doesn’t benefit the entire room.”

Mr. Gary Kirkman has acquired over 18 years of valuable leadership experience within the affordable housing industry and now serves as the Director of Compliance Training for US Housing Consultants. Having started in the industry as a Regional Property Manager, Mr. Kirkman managed Rural Development and HUD properties before being promoted to Training Specialist, where he was responsible for overseeing multiple affordable communities while training personnel on the affordable housing programs.

Kansas Housing Resources Corporation

200 S.W. 6th Avenue | Topeka, KS 66603

[email protected]

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Bourbon County Commission Employee Handbook Work Session Summary from Aug 4th, 2025

(Employee Handbook Review — Watch Full Video)

The Bourbon County Commissioners — Sam Tran, David Beerbower, and Mika — along with HR consultant Steve Cohen, met to review updates to the county employee handbook. Discussion centered on aligning policies with legal requirements, ensuring fairness for employees, and clarifying ambiguous language.

Major Decisions and Policy Updates

  • Clarifying Promises by Officials
    Commissioners agreed to specify that no promises or statements from supervisors, managers, or elected officials outside the commission constitute agreements with employees 06:56.

  • Terminology Update
    All references to “company” in the handbook will be replaced with “county” 08:51.

  • Harassment and Bullying Policies
    The harassment policy was kept with detailed procedures, and a new bullying policy was added 09:42.

  • Standards of Conduct
    Language was changed from “efforts to operate profitably” to “efforts to operate efficiently,” reflecting county priorities 10:35.

  • Firearms Policy Flagged for Review
    The section prohibiting firearms on county property was flagged for legal review due to questions about enforceability under Kansas law 11:02.

  • Expanded Disciplinary Process
    Commissioners voted to add a Personal Improvement Plan (PIP) and Corrective Action Plan between oral reminders and written warnings 14:13.

  • One-Year Introductory Period
    A 12-month probationary period for new employees was adopted, aligning with federal standards 18:18.

  • Work Schedules Set by Department
    Rather than standard hours, departments will set schedules, with a baseline of 40 hours per week 19:29.

  • Holiday Policy Review
    Holidays will be reviewed annually instead of guaranteeing specific days indefinitely. The list was expanded to include MLK Day, Washington’s Birthday, Good Friday, and Juneteenth 30:38.

  • Vacation Blackout Days Removed
    A proposed section restricting vacation around holidays and events (e.g., Thanksgiving, Valentine’s week, Super Bowl) was completely removed 31:54.

  • Vacation and Sick Leave Maintained
    The commission chose to retain current vacation and sick leave policies, with Steve tasked to incorporate the existing schedule 39:25.

  • Maternity and Paternity Leave
    The handbook will specify compliance with federal standards, allowing up to six weeks of unpaid leave 42:19.

  • Workers’ Compensation Language Updated
    References to Missouri law will be replaced with Kansas statutes, and OSHA applicability will be verified 44:01.

  • Dress Code Review
    Sam raised concerns that the dress code section was too vague 46:34. He noted the policy did not clearly address safety attire like steel-toed boots. Steve agreed to revise the section for greater clarity, ensuring workplace safety needs are explicitly covered.

  • Social Media and Public Communication
    Mika recommended replacing references to “county owners” with “county leaders” and “customers” with “taxpayers” to better reflect county operations and relationships with the public 47:29.

  • EMS Vacation Concerns
    EMS employees raised concerns that taking vacation reduces overtime pay. Commissioners discussed allowing the option to cash out unused vacation at year’s end to avoid financial loss 52:44.


Next Steps

  • Dr. Steve Cohen (HR Consultant) will integrate all approved edits into a revised draft of the handbook.

  • The current vacation and sick leave policy from the existing handbook will be imported directly into the new version.

  • Legal counsel (Bob) will review:

    • The enforceability of firearms restrictions on county property.

    • Whether OSHA documentation rules apply to the county.

  • The dress code section will be rewritten to clarify expectations, especially for roles requiring safety gear.

  • Social media policy will be updated to reflect language that acknowledges public service (e.g., changing “customers” to “taxpayers”).

  • The revised handbook draft will be shared with the commission and possibly the public, with changes clearly marked for comparison (Steve mentioned using a Google Docs revision format 48:08).

  • A future benefits committee may be formed or expanded to review leave, holidays, and compensation structure more broadly.

U.S. Representative Derek Schmidt Weekly Newsletter

Rep. Derek Schmidt's header image

Friends,

 

After a busy first half of the legislative year, Congress recently began our annual extended district work period. It has been a productive few months. While we certainly have much more work to do, I’m proud of what we’ve been able to accomplish to date. We’ve had a great first quarter of the 119th Congress, and we’re just getting started.

Lowering Drug Prices

An overwhelming majority of Kansans agree drug prices are too high. For years, foreign countries have benefitted from American ingenuity, capitalizing on our domestic innovation without paying the cost of research & development (R&D). The statistics are staggering: though American patients account for less than 5% of the global population, we fund nearly 75% of global pharmaceutical profits around the world. In 2023 alone, manufacturers invested over $96 billion in R&D, with more than $71 billion coming from the United States.

 

Encouraging continued pharmaceutical R&D investment is critical to achieving medical breakthroughs; however, Kansans shouldn’t have to bear an unfair share of the cost. That why I recently joined my colleagues to encourage United States Trade Representative (USTR) Jamieson Greer to take further action to address foreign policies that force the American health care system to subsidize an unfair share of pharmaceutical R&D. We wrote the letter following the establishment of USTR’s commonsense Request for Comments Regarding Foreign Nations Freeloading on American-Financed Innovation initiative, which aims to end years-long practices by foreign nations who benefit from American ingenuity without paying their fair share.

 

President Trump and Ambassador Greer have done an excellent job securing trade deals that protect our domestic industries from foreign competitors while leveling the playing field for American producers and manufacturers in global markets. Foreign countries’ price controls have negatively affected American patients for far too long; I’m optimistic we can finally address this glaring problem and lower prices for patients in Kansas and across the country.

Assisting Kansas Veterans

Last week, President Trump signed the VA Home Loan Program Reform Act into law. I proudly supported this legislation in the House.

Originally introduced by my colleague Rep. Derrick Van Orden from Wisconsin, the VA Home Loan Program Reform Act will provide a critical lifeline to help many veterans facing financial difficulties avoid losing their homes.

 

Kansas is home to nearly 150,000 of our nation’s heroes. Many veterans carry visible and invisible wounds with them for their entire lives, which can make stable employment and income difficult to maintain. This lack of stability unfortunately often leads to a host of problems, including bankruptcy and loss of housing. In fact, the U.S. Department of Housing and Urban Development (HUD) estimates that 40,056 veterans are homeless on any given night. That number represents 13% of our country’s adult homeless population.

 

This legislation provides a safety net to our veterans by creating a partial claim program that is in-line with current Federal Housing Administration loan relief programs, with the goal of assisting veterans in avoiding foreclosure on their homes. 3.7 million veterans currently using the VA Home Loan program could benefit from having the safety net created by this bill, should they need it.

 

This legislation is an important step toward achieving President Trump’s goal of ending veteran homelessness. In June, the House took another step toward achieving this goal when we advanced the annual appropriations bill that provides funding for the Department of Veterans Affairs and military construction projects. Our legislation makes historic investments in veterans’ care by increasing funding levels from fiscal year 2025, ensuring those who have served have access to the full scope of benefits they’ve earned.

 

Providing adequate benefits for current and former servicemembers in Kansas and across the country will always be one of my top priorities in Congress. I’m proud my colleagues and I were able to pass this legislation, and I look forward to supporting similar legislation in the future.

A Kansas Visitor and Another Telephone Town Hall

Thank you to State Senator Rick and Pennie Kloos for visiting me in Washington recently! Staying connected with our local and state officials is critical to ensuring the federal government remains a good partner to Kansas.

Thank you also to all the Kansans who joined our recent telephone town hall! Speaking directly with Second District residents is critical to ensuring I’m representing you to the best of my ability. If you weren’t able to join us, be sure to keep an eye out for our next one.

Though Congress won’t be in session in August, I’ll still be working every day for the people of our Second District. I look forward to being back home with the people I’m blessed to represent!

As always, my office is here to serve you. Please do not hesitate to contact me with any questions or concerns you may have. Be sure to also follow me on social media at the links below for timely updates from my office.

 

It’s an incredible honor to represent our Second Congressional District in Congress!

Sincerely,

Derek Schmidt

Member of Congress

Washington D.C. Office
1223 Longworth

House Office Building

Washington, DC 20515

Topeka Office

3550 SW 5th St.

Suite B

Topeka, KS 66606

Pittsburg Office

402 North Broadway St.

Suite B

Pittsburg, KS  66762

KS Tax Collections Up in July

July Total Tax Collections at $670.2M;
3.3% Above Estimate


TOPEKA
– The State of Kansas ends July 2025 with total tax collections at $670.2 million. That is $21.2 million, or 3.3%, above the estimate. Total tax collections were up 1.5% from July 2024.

“While this month’s tax collections highlight the strength of Kansas’ workforce and economy in the short-term, I remain concerned about the long-term fiscal health of the state,” Governor Laura Kelly said. “We must stay vigilant and recommit to fiscally responsible budgeting in order to stay out of the red in the coming years.”

Individual income tax collections were $347.5 million. That is $32.5 million, or 10.3% above the estimate. Individual income tax collections were up 12.7% from July 2024. Corporate income tax collections were $18.5 million. That is $16.5 million, or 47.1% below the estimate, and down 46.0% from July 2024.

Combined retail sales and compensating use tax receipts were $291.8 million, which is $2.2 million, or 0.8% below the estimate, and down 4.4% from July 2024.

Click here to view the July 2025 revenue numbers.

Obituary of Jo Ann Thomas

 

 

Jo Ann Thomas, 83, of Fort Scott, passed away peacefully on the morning of July 27, 2025, surrounded by family.

 

Jo Ann was born on May 4, 1942, in Ft Scott, KS to Oscar and Jimmie Sapp. As a young girl, a serious bicycle accident with her sister led her to Mercy Hospital in Fort Scott for recovery. It was there she first felt called to become a nurse—a decision that would define much of her life.

 

She attended the Mercy School of Nursing, living in the convent with the sisters. After briefly parting ways with her boyfriend at the time, Hubert, the sisters themselves summoned Hubert and encouraged a reunion as her grades were being impacted. Those same sisters would later be present for the births of their children.

 

Jo Ann’s passion for nursing guided a remarkable career. After earning her bachelor’s degree from Pittsburg State University, she went on to receive her master’s from the University of Kansas and later graduated with the first class of Nurse Practitioners at KU. She began her career as a supervisor at Mercy Hospital before moving with her husband, Hubert, to Germany, where they worked at the same hospital. Hubert often joked that the Army had made him a medic just so Jo Ann could serve as a civilian nurse at the Army Hospital.

 

When they returned to Kansas, Jo Ann resumed her work at Mercy Hospital in Fort Scott, eventually serving in multiple leadership roles, including Chief Nursing Officer. She later founded Executive Rural Nurses, a consulting group dedicated to helping rural hospitals move from operating “in the red back into the black”. Her success in that role led to her appointment at Allen County Hospital as Chief Nursing Officer and Chief Operating Officer, where she achieved financial stability for the hospital after years of losses.

 

Even in retirement, Jo Ann continued to give back, accepting the role of Director of the School of Nursing at Fort Scott Community College to ensure a local pathway for future nurses. During these years, she was also elected by her peers to the Kansas State Board of Nursing, where she served for several years as President, leaving an enduring mark on the profession she loved so deeply.

 

Jo Ann’s Catholic faith was a constant source of strength and meaning throughout her life. She gave generously of her time to Saint Mary’s Catholic Church and School, where she was a familiar and devoted presence. While she cherished her faith deeply, she also delighted in life’s simple joys—music, sunshine, and long afternoons at Thomas Lake, floating in the water and making sure her hair stayed perfectly dry.

 

Jo Ann and Hubert, whom she lovingly called Tommy, built a life together that was full of kindness, patience, and unwavering love. They raised three children—Gregory Owen, Elizabeth Ann, and Natalie Sue—and their home was later filled with the laughter and love of grandchildren and great-grandchildren. Some of the family’s fondest memories are of the many trips Jo Ann and Hubert took their grandchildren on in their motor home. Adventures that were always filled with joy and togetherness. Passing only months apart, Hubert and Jo Ann leave their family with the peace of knowing their love story continues beyond this life.

 

She is survived by her three children Gregory Thomas, Elizabeth (Joe) Wright, Natalie (John) Snyder, her seven grandchildren, Bart (Nicole) Wright, Nicholas (Chelsea) Thomas, Drew (Hannah) Wright, Zachary (Stevie) Snyder, Lucas Snyder, Ella Snyder, Thanya Brown-Thomas, and four great grandchildren, Raelynn Wright, Sofia Thomas, Brooks Wright, and Ellison Thomas. One sister Bobbi Kemna.

 

She was preceded in death by her beloved husband, Hubert Owen Thomas, and her parents Oscar & Gladys “Jimmie” Sapp, grandsons Nathanial Wright, Hunter Thomas and soon to be daughter-in-law Nong Brown.

 

A Funeral Mass was held on August 1st at 10 am at Saint Mary’s Catholic Church,   burial followed at Clarksburg Cemetery. A Rosary was held at Cheney Witt Funeral Home on Thursday, July 31.

 

In lieu of flowers, memorial contributions may be made to the Jo Ann Thomas Memorial Nursing Scholarship in care of Cheney Witt. Donations may also be dropped off at City State Bank, Ft. Scott, KS.

 

Jo Ann will be remembered for her compassion, her unwavering love, and her devotion to both her family and her profession. Her legacy lives on in the countless lives she touched.

 

 

Traditions Continue At the 120th Old Settlers Picnic Aug. 29-Sept.1

The 120th Old Settlers Picnic in Uniontown has traditionally been a day for the community to view a parade and enjoy a community picnic, with fun activities for all ages throughout the whole weekend.
A street dance, 5K Run/Walk,  fishing derby, co-ed ranch rodeo, community church service, bingo, family fun night, youth rodeo, food and craft vendors, car show, baby contest, a children’s parade separate from the bigger parade, and drawings for the raffles and bicycles will make up the weekend’s festivities.
The theme this year is Remembering the Past, Planning the Future.
Aligning with the theme, not only the recognition of the Old Settlers, but “recognizing the future generation throughout the Monday activities, including the youngest attendee,” said Mike Ramsey, planning committee vice president.
The parade grand marshals are the family of Bill and Doris George.
This year, the West Bourbon Elementary School will be the new location for the Dale Jackson Memorial Car Show.
“We’ve brought back the baby contest,” Ramsey said. “Registration at 9 a.m. with the contest at 9:30 a.m.” The location is at the gazebo in Uniontown’s City Park.
” We’ve brought back the kids’ races on Monday at 1 p.m. on the streets” surrounding the downtown park, he said.
Girls race in a contest during a prior Old Settler’s Picnic.
“Personally, I’m excited about having Dustin Treiber playing for the Street Dance Friday night.” On August 29, there will be a street dance with a food truck available for refreshments.
The planning committee is comprised of Rhonda Dewitt, president; Ramsey, vice president; Mary Pillion, treasurer; and Carissa Jones, secretary.

 

The Uniontown High School Class of 1959 wait to board their float for the 2019 Old Settlers Picnic Parade on Labor Day, 2019.

Freeman Wins Multi-Disciplinary Quality Improvement Award

 

Improving Patient Outcomes Across Multiple Clinical Specialties

                                     

Joplin, MO. – Freeman Health System has received the American Heart Association’s Commitment to Quality award for achieving high performance across three or more clinical areas in the Get With The Guidelines® program.

This is the first year for this special award level. Only 158 hospitals in the nation met the criteria for this award; hospitals earning this new award demonstrate a comprehensive approach to quality improvement. By participating in three or more Get With The Guidelines programs, they commit to using real-time data registries, evidence-based protocols and cross-disciplinary teamwork to raise the standard of care across multiple specialties.

 

“Freeman has an unwavering commitment to excellence that is exemplified through the active participation in the Get With The Guidelines Quality Registry,” said Paige Moschner, Service Line Director for Freeman’s Cardiac and Vascular Services. “By embracing evidence-based care and continuous improvement, Freeman is not only elevating cardiovascular outcomes but also setting a standard for compassionate, high-quality care in our community.”

 

Get With The Guidelines is the American Heart Association’s hospital-based quality improvement initiative that helps ensure patients are treated in accordance with the most up-to-date, research-based guidelines. Participating hospitals benefit from tools, resources and peer benchmarking to drive better patient outcomes.

 

“This award highlights the impressive commitment Freeman Health System has made to improving care across multiple disciplines,” said Donald Lloyd-Jones, past volunteer president of the American Heart Association and current volunteer chair of the Association’s Quality Oversight Committee. “By taking a systems-level approach to quality, these hospitals are building a foundation for better outcomes, fewer complications, and stronger communities.”

 

 

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