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An SSS applicant society must meet 50 % of the current AMA membership requirement for Delegate status in the AMA House of Delegates in order to be granted or to maintain representation in the SSS . This article discusses ( 1 ) the role of evaluation both for program improvement and to determine program effects ; ( 2 ) the choices required to craft a strong and methodologically rigorous evaluation ; and ( 3 ) factors such as attrition and generalizability that policymakers and practitioners should consider when interpreting the results of home visiting evaluations . Through a series of workshops beginning in 1994 , stakeholders have had the opportunity to identify the major conservation issues confronting the wetlands , and to provide input to the strategic plan . Conference calls serve as a venue for clinician partners to question CDC experts and to provide input to CDC about their needs and concerns . Frequently additional time is requested by community groups and non-government organisations to review the draft and to provide comment . In addition to seeking input from caseworkers and other system users while developing SACWIS , many states continue to include users as a part of the implementation teams , to serve as contacts in the field and provide ongoing assistance , and to provide input on system enhancements .