Heidi Heitkamp actually said...

None of us can be happy with those statistics because they indicate a systemic problem within Indian Country and certainly with the delivery...

We have made some progress but I feel we are just beginning to get to the important work of changing and improving the Indian Health Service...

I would suggest that the ultimate measure of your success is the health of Indian people, not necessarily accreditation.

This is a critical disconnect if we are going to look at reforms.