Hi Mike, Not sure I can add much. But, obviously, the HCR-20 provided a platform for us.And having a couple of senior, very experienced,nurses (Mary-Lou and Connie) made the essential difference. Somewhat later, as I explained in a paper given at the Montreal IAFMHS meeting on our joint behalf, I realized that a dictionary of synonyms and antonyms could have saved us some work. I really do,though, believe that the only way to set up an SPJ device that has any hope of working is to establish a small group of colleagues willing to work together assiduously until the task is done. It is not a task for a committee and it is not a task for an individual person. It should, of course, be a topic to be studied and researched in its own right. Thanks, Roger, for getting this going! Cheers(We should be a formidable presence in Vcvr) Chris. ----- Original Message ----- From: Mike Doyle To: startgroup@xxxxxxxxxxxxx Sent: Thursday, July 09, 2009 4:15 PM Subject: [startgroup] START Nice one Roger! Looking forwarwd to networking with alll on the list. First query; where did the 20 items of the START come from? Thanks Mike