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This complexity makes decisions for improved water quality and cost-effectiveness very difficult without research aimed at understanding and quantifying these choices . During the House of Delegates , I learned a lot about the process of making decisions and improving policies that directly affect the profession of Dental Hygiene and its patients . Effective evaluation is essential for assessing the outcomes of service learning programs , for making decisions about improving the program , and for strengthening support for the program in the school district and community . Given reliable information about quality and cost , patients , doctors , hospitals , and payers will make decisions that improve quality and reduce the cost overall . But Kuykendall warns that the emphasis should be on whether users can make decisions or improve processes based on the data .