achc chart audit tool

When the documentation is completed, the form will be returned to the ED Manager, ED Supervisor, or Trauma Program Manager to be checked for completeness. . In addition, if possible, use electronic records to capture physician notes, patient notes, or any other document to document the medical encounter. Self-audits are an important way for practice owners and managers to reduce risk of claims denials. This is arbitrary, however, and other levels of confidence can be used. Ox}wz]Y7m/yf~Nw}~_0_Qj|ej>\7Vrnhl~1''/s*pu1vn/xz>u=oT_2))e$M;-p|y81>B&ys/F(m3HH.~no,h?-V7l|z ~bOs|YB=vslei1[PL b\Ekr~y>}di\OoJo}u{"x7|lMPh_K_M2O 3 0 obj Accreditation Commission for Health Care (ACHC) Standard DRX 5-1A states that an organization must have a written policy and procedure established and implemented relating to the required content of the client/patient record. Make sure to act on problems you find, and remeasure later to see that your changes made a difference. This additional recognition focuses on the provision of care to clients/patients with acute or chronic conditions, using telehealth technology that allows monitoring in the clinical or home environment. stream Need to get accredited in more than one specialty? Deficiencies are listed in order of the most frequently cited Conditions of Participation (CoPs). If you billed that to the payer, this chart would pass an audit. Since the insurance carriers in the area are focusing heavily on women's health, the group decides to focus its chart review on screening for breast cancer (mammography). Let ACHC lead the way. 15. At ACHC, were here to empower you to meet your accreditation goalsand build a lasting partnership along the way. Affinity Hospice Clinical Manager jobs in Newnan, GA. View job details, responsibilities & qualifications. The observation tool enables Get ACHC updates - straight to your inbox. You decide to exclude women who have had bilateral mastectomies or are terminally ill. The PCC EHR Audit Log Use the PCC EHR Audit Log to review details about system events pertaining to a patient's chart. FORMS*: (must be in Office) 9 Agency Forms Book (Nurses Assessment-OASIS) 9 DNR order 9 Face to Face 9 BROCHURE 9BS Log with weekly Quality Control 9 BP/VS Log 9Staff Change Form 9 Referral Form 9 DC Instructions, Summary, Addendums- DC Packages 9Wound Record, Wound Body chart, Wound photo 9 Medicare Provider Non Coverage 9Admission Order,Recert Order,Reinstatement Order,DC Order 9 Advance . to audit your Hospice agency and operations 12months after your ACH C survey. Start the renewal process now. A chart audit is one of numerous data sources available for quality improvement efforts. Getting paid for some of the most routine outpatient office visits became a new challenge on Jan. 1, 2021, when guideline and code descriptor changes for E/M services previously announced by the American Medical Association (AMA) and the Centers for Medicare & Medicaid Services (CMS) take effect. We help you choose a collection of services and distinctions to create a solution thats tailored to your needs. The chart audit tool was pilot-tested in two from July to December 2004. d'Xb@9(XC+#)HQl"@ If you have a benchmark from literature or prior studies, use it. A complete, accurate, and up-to-date document is a defense tool to prevent liability if nurses are involved in a lawsuit. Apply a check mark to point the answer where necessary. The reviewer should complete one audit tool (paper form or row in the electronic spreadsheet) for each patient that meets the criteria. To address deficiencies, an organization must develop an effective Plan of Correction (POC) and submit it to ACHC before a final accreditation status is determined. ! |7? 0 0000002408 00000 n WIC 100-06 State Office Sponsored Meetings. For example, a practice might review charts to see how often a particular vaccine is offered, given or declined. endstream endobj 977 0 obj <. %PDF-1.6 % If the sample is too small, the random variability will be too large, and the results will be limited in their applicability. Typically 95 percent is used, meaning that we are 95 percent certain that the interval includes the true value. It will also provide you with: Audit tools and hints. The Hospice Audit team has also developed a number of analytical tools, including charts, guides, tracking spreadsheets and tip-sheets for use by hospice personnel. 2023 ACCREDITATION COMMISSION FOR HEALTH CARE, INC. ALL RIGHTS RESERVED. ! For many family physicians, the idea of a chart audit conjures up images of federal investigators or insurance company representatives descending on their offices to look for evidence of wrongdoing. Comments Pain and symptom management If you didn't bill the payer correctly, use the discrepancy as a training tool for staff and physicians. `1H`2p _"@, You must consider how the data will be used and make sure the information is presented in a way that will make it meaningful. eq^vXG{Qr 9). DESCRIPTION OF THE RESTRAINT PREVALENCE TOOLS The Restraint Prevalence Tools are comprised of two instruments: an observation tool and a chart audit tool. Make education a differentiator for your organization. We accredit healthcare organizations like yours that are committed to meeting and exceeding standards of care. The same practice could review the panels of individual physicians within the group to see if they differ in performance on this measure and to give focus to their improvement efforts (for additional chart audit ideas, see below). Chart audits are often used as part of a quality improvement initiative. The ACHC Accreditation Guide To Success workbook was specifically developed to help organizations create more efficient policies and procedures. 0000000016 00000 n This content is owned by the AAFP. This measure attempts to assess compliance with clinical guidelines. Step 3: Identify the patient population. %b#59,RU0NTNL&RayN479}uXWV=Nd R=_'80 =~ Event Screener. It may be worthwhile to do a literature review to help you define your measures or consult measures used by insurers or accrediting bodies; adopting measures that have been used successfully in the past will make your work easier. Get Started A Better Healthcare Accreditation Process Starts Here. %%EOF To complete your chart audit, you will need instruments on which to record your findings. If the auditor is conducting an evaluation and management (E/M) audit, the tool needs to reflect the guidelines used by the practitioner. x]9ny>E^V9LZ#K^Ijju1niFb#Cf ff:= 6~\Ou9^/Zmcw?o-vOfCml/.^H4kCN"7ww=l?wo~92s80_qcfR%FrLp:_O8;~2T1^Ay>X 94 0 obj <> endobj She was professional and educated our staff as she surveyed our company. hLO]o0+V!J| hb```B ea"01nXyaP]['d?m[?Ly$[$ hqV! hbbd``b` $f FeD@3Hp@HL@q#P(J@r #sF v - Truth number one: All health care practices should have a plan in . Your work is meaningful and more in demand than ever. This form of data collection can be time-consuming, data collected is not always complete and accuracy must be . endstream endobj 1712 0 obj <>stream Sample sizes can be chosen informally or determined in a statistically valid fashion. Hospice Accreditation Services Others include patient surveys, discharge summary reviews, billing/claims data and employee feedback. determination of amounts earned under the Medicare and Medicaid programs often occurs in subsequent years because of audits by such programs, rights of . %%EOF Project Overview We aim to improve quality of nursing documentation but that must be accomplished by 0000004195 00000 n Creating clear, simple audit tools will make it possible for nonclinical staff to perform many audits effectively. Visual inspection? n0 ST3e2[Fg#:-*4PBmZ"YA_jPx[_j\Im\*.:,.qA+~Eu\a0q]EHKGwvneQzd}|U%>` ev The narrower the width of the confidence interval and the higher the confidence level, the larger the sample size. ACHC Palliative Care Standards are based on the National Consensus Project Clinical Practice Guidelines for Quality Palliative Care. 2. I have been through so many surveys. 1001 0 obj <>stream Providers can use this tool to self-assess their compliance with each regulatory requirement. 0000016454 00000 n of this project is to create a chart audit tool that will allow the quality assurance team extract data from patient charts that will allow for identification of charting deficiencies and help the agency achieve compliance with the Joint Commission. & 9(BFBjF#YIcmDFIzYC~ s& _l(l5+i95,'-]9O%J,/UZE>PQ966Rv;![INe)LL>a3)EA\=cOL)jnO6 e_hl%Z3sDy{!46"Lly3J ACHC Is Your Single-Source Solution for Accreditation And a Partner in Your Success. Nearly all organizations surveyed for accreditation are cited for deficiencies. See permissionsforcopyrightquestions and/or permission requests. educational, collaborative approach to accreditation, Its Always Time to Evaluate Quality and Performance, Renal Dialysis: Meeting Requirements for Your Plan of Correction. ! Learn more about how to make it happen and contact us to start the simple transition process. Patient Referral Sheet Complete Timely Initiation of Care Face to Face Encounter Within 90 Days. Start preparing for accreditation now with 24/7 access to ACHCU, our educational division that offers an extensive collection of educational resources, including workshops, webinars, workbooks, and more. Of course, your topic should also be of interest to the practice, perhaps a problem or aspect of care that the providers have identified as needing improvement. Credentials are current for direct care staff. 2023 ACCREDITATION COMMISSION FOR HEALTH CARE, INC. ALL RIGHTS RESERVED. 0000002140 00000 n Here are five tips for optimizing the results of your next chart audit and education follow up. Standards were based on telehealth clinical guidelines of the American Telemedicine Association. 0000001356 00000 n The table shown below is for a 95-percent confidence level. 0X [~%,95hWc When we follow the column down, we find the required sample size (81). Hospice Care services provide care for terminally ill patients in their place of residence. You need trusted, relevant content and an easy-to-manage platform to track staff learning. <<01DBC263D6047E4580C3FB67722C050E>]>> On this page: 5 Moments for Hand Hygiene compliance audit tools Audit tools for non-acute settings, including primary care and mental health Audit tools for Dental Practice guideline and audit tool for blood collection This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. Since the insurance carriers in the area are focusing heavily on women's health, the group decides to focus its chart review on screening for breast cancer (mammography). When an Indicator shows that Improvement is needed, an Action Plan will be developed to evaluate the scope and effectiveness of the PI Program ensuring that actions taken are within the goals of the Hospice Care Center. An electronic spreadsheet format can be customized to do these calculations for you. A chart compliance program is an essential ethical and legal component of a successful practice. Toll-free: (855) 937-2242 | Fax: (919) 785-3011. Report . Let us help you go above and beyond. Z7TP00"O(aB*X!!4)f`#!XaY#jG_X!Ow =#xA#D#(sH ,#% 7bLDPa{`"`cSX. *The provider must have ACHC Hospice Accreditation to earn a Distinction in Telehealth or Palliative Care. Gain greater trust from patients and their families. Eight Steps to a Chart Audit for Quality AAFP - Home AAFP. Isolocity - The Quality Management System That Drives Itself. See the tools. Ready to transition your accreditation to ACHC? Evidence is available to demonstrate the parent agency is responsible . Continuing healthcare education is a large part of maintaining excellence. 114 0 obj<>stream Allow us to ease the accreditation process. In most cases, an appropriate width is 0.20 (that is, plus or minus 10 percent). If the audit determines that the vaccine is not being offered or given as recommended, then there is room for improvement. The example policies were very useful. gz8pJ ySR} oLT)0{&cPn^% p!y/6B.%`-K}yi.Ie|#Pu%S`(k{!X5D8LXBAM0+Yuc&9+\G.w\~L$-byFXJ;vR"#io_i(yLu]LhxqB9CO"DU)%@h!:M#{mWV|6!W Targeted/Risk-based monitoring. I have obtained successful accreditation by [another accreditor] for 30 years, and this was my first experience with ACHC. It was very informative. Count on us to make it simpler to follow your calling. The changes are recorded by this open-source audit solution that helps in preparing audit reports timely. WIC 100-07 Communications. ACHC US00404A1097. It is necessary, therefore, to specify the desired width of the confidence interval (W). Ready to learn more about ACHC Hospice Accreditation Standards? hbbd```b``4"Rd( j el g"`3[@'DH2f;@24$Ma`bd Virtual Home Health Workshop. We have been going through this process since 1993! INTRODUCTION II. Whether the audit relates to Medicare, Medicaid or Medicare Advantage programs, the Hospice Audit team has the experience and skill to obtain the best result possible. %PDF-1.6 % From CMS, guidance on the appeals process, including frequently asked . Once you have compiled your data and calculated the results, you can compare them to local or national benchmarks. Step 6: Select Audit Tools. 4. The Competitive Bid HCPCS Lookup Tool will quickly let you know if the HCPCS code is included in the current competitive bidding program. For better results, a common rule of thumb is to try for 10 percent of the eligible charts. According to HEDIS 2007 Audit Means, Percentiles and Ratios, the NCQA's annual report of health plan performance data, 68.9 percent of women age 40 to 69 had a mammogram during 2006. V,RDFRCxxt$1)&B">)V9A#VZ&-rW?1#'Ww" [8>Y[ CVr\tE3=XHANf$'\9=@m[bowEKjDM VPKNX$?30#,xJ@5nqV?i"*-Ya`[RXm 1 cK And education is mandatory for many healthcare providers. You might use the PCC EHR Audit Log when you need to: Review a complete record of who accessed or made changes to a specific patient's chart Review all actions performed in PCC EHR by a particular user Because you'll be looking for evidence of a mammogram in the past 24 months, the lower age limit for the sample will be 42. Step 6: Collect data. Read More. Step 2: Identify measures . CMS: Appeals Process. The Eighth Annual Six States, One Conference, Hundreds of Attendees April 25 - 27, 2018 Cliff House, Cape Neddick, Maine GOLD SPONSOR SILVER SPONSOR CONFERENCE PROGRAM Criteria must be outlined precisely, with specific guidelines as to what should be counted as a yes (criteria met) and what should be counted as a no (not met). 0000007445 00000 n To determine which records to review, you need to define the population you want to assess. WIC 100-11 Submission of Local Agency Reports. This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60610. Is your renewal date looming? HM s `cjSr@FLU,0/<3q.$S_YK4'y ~`JK-M~+iO@bgLPW5d3U0LSVkPYNlhzip2G:GtD%Ne[. Telephone contact with the 25 identified patients might help you begin to clarify this so that an appropriate intervention can be designed. Mammogram ordered within last year. Health Care Auditing and Monitoring Tools Manual Table of Contents HEALTH CARE AUDITING & MONITORING TOOLS Second Edition I. Our Workbooks, Readiness Packets, and Policy and Procedure Manuals are resources designed to support your organization as it prepares for accreditation by focusing on the most important areas to audit and best practices to follow. Dedicated Account Advisors for direct ACHC service. Interested in becoming accredited Survey preparation tools and support Compliance and supplemental resources Home Care Products and Events View all products and events Optimizing Patient Flow: Advanced Strategies for Managing Variability to Enhance Access, Quality, and Safety Home Care Accreditation Essentials - Live Webcast: May 22-23, 2023 {B{ #$@d("db:"D sEFf:P2Zawv&A(6,Y f$k=m VE+aJzC2v!t>CYghuV_>sq^W|N&e{hyn! 2 MARCH 2020 Part 1 and 2 > Randomly select 10 patient clinical records. Specify the width of the confidence interval you wish to use. Title: 2022 TRR Audit Tool.pdf Author: mrynkie Created Date: 8/30/2022 2:14:04 PM The challenge is now to drill down to figure out whether the issue was discussed but not documented in those other charts or whether it was simply overlooked. If the auditor is conducting a review of surgical notes, for example, a surgical audit tool should be used. Observation Audits. Perhaps the most beneficial use for a chart audit is to measure quality of care so that you can improve it. Example: Your group decides to use paper forms for the chart audit (see the completed forms below). The observation tool is used prior to the chart review. Once you've chosen measures that seem workable, it can be helpful to conduct a pilot audit. %PDF-1.3 Start your accreditation preparation now with ACHCU educational resources, like our Hospice Readiness Packet. 1048 0 obj <> endobj S\)[hr$gO|mDErE{*9Ce-9T%*DMXLP 'm'C Ko%5j[{qqkl+G,0\wJnxiI#Y'N=xLSK}q/'b$8W*,=M^7uGLI This gives a range of values that you can be confident contains the true value. Step 4: Determine sample size. [:>T*8ms9u eX9Xxc/7^il8{[k&q~d{:CgP!.~KJ{xocO-g ~33fMks; @1sfQ2>p,3c`3Xd,u`^ http://www.ncqa.org/tabid/334/default.aspx, Percentage of women ages 2164 who have had a Pap smear within the past three years, Percentage of adults ages 5180 who have had colon cancer screening, Percentage of children age 2 who have completed all recommended immunizations, Percentage of elderly adults with documented fall risk assessment within the past year, Percentage of patients with hypertension whose last blood pressure reading was < 140/90, Percentage of patients with diabetes with an A1C level recorded in the last year, Percentage of patients with diabetes whose A1C is < 7.0, Percentage of patients with diabetes with a documented eye exam within the last year, Percentage of patients with persistent asthma who are on an anti-inflammatory agent, Patients with no documentation of completed mammogram, Documented mammogram ordered, not completed, No documentation of discussion of mammography. Many chart audits involve the calculation of a rate, percentage, mean or other statistical measurement. ^ eF+fnA+Qx0/6%l}`$meW-$u0PB endstream endobj 2056 0 obj <. Your Account Advisor can customize your accreditation to suit your unique services. Stock Screener PRO. %V[)0q|p5Na="Utl}E! The purpose of this article is to describe some scenarios in which a chart audit might be helpful and to offer step-by-step instructions for doing one. The standards are relevant and easy to understand and apply to our business, and the surveyor we had was phenomenal. Nearly all organizations surveyed for accreditation are cited for deficiencies. Well done, ACHC! Essential components for accreditation preparation. %%EOF COMPLIANCE PROGRAM DOCUMENTS Job Descriptions Vice President Positions Director Positions Senior Auditor Positions Compliance Auditor Positions Internal Auditor Positions Get personalized advice from our Account Advisors and 24/7 access to our collection of educational resources. 0000000716 00000 n LjcB>w\OPb#:8}pQWIBJKGQ ?.T~gW6+3[2+,/J{Bz[Zd}^hSgr5@[B;b#meOR*8o8\lx{;Esh= riJFi#wO{:c0LEOkPJ.T_2\pWtC Ni\,;S Create an account to download your free preview now. ACHC has by far been the best Accrediting Organization that I have worked with in more than 25 years of nursing. A literature review may also help you identify benchmarks for comparison. Should providers be held accountable when patients decline to have the test? Inconsistencies here can produce data that can't be interpreted. Example: You instruct your office staff to pull the charts of roughly 100 adult female patients. Mammogram completed within last year. By far, this was the very best survey experience I have had in my entire career. Demonstrate Your Commitment to Excellence. Orientation continues to meet ACHC requirements. gEcj`BGfgOWrd ck%}i#,#H-% z0ye/K2gy!`Q_g{>|~p.rK[cLry:^/H)D Vc$Il0ADo(v1v*NpA)74GB FK$6A'RAwvn!1akD~ U7]qBU28 !X-x)]*"AGmcF!XTLiG1y,RW.WxF! ` Registered Nurse (RN) Surveyors with home health field experience. Company Provides Full Year and First Quarter 2023 Guidance FRANKLIN, Tenn. -- (BUSINESS WIRE)--Feb. 27, 2023-- Acadia Healthcare Company, Inc. (NASDAQ: ACHC) today announced financial results for the fourth quarter and year ended December 31, 2022 . Ann Marie Engelhardt, RN, BSN. Organizational chart is up to date : HSP1-8A/ HSP1-8A.01 . We can accelerate your initial state licensure surveys in California, Missouri, New Mexico, Texas, and Wisconsin. Calculating a statistically valid sample size for a chart review follows steps adapted from statistical techniques used for descriptive studies. Patient History Summary Form (Updated for CY2013) Auditor s Name/Title: Date: Admission 1. With this in mind, the author outlines the basic principles of such a program and shares essential pearls on documentation, auditing and education for staff. care, quality, and appropriateness. APTA's self-audit form walks you through the process, and links to relevant APTA and CMS resources along the way. It includes: A prerecorded, introductory webinar covering the ACHC process, our customer platform, and eligibility requirements for initial accreditation. Bernens Convalescent Pharmacy, Inc. If a problem such as healthcare-associated infections occurs or increases unexpectedly. Our Score 94/100. We prioritize supportwe're here for you before, during, and after the survey. 0 HH1-6C . For Quality Improvement Purposes Only 3/5/15 IDG, care planning and coordination of services Learn More "With CHAP we felt that the survey was fair, the approach was collaborative regarding the improvements that we needed to make. Thank you so much. Practices frustrated with clinical processes that don't work well can use chart audits to document that something is wrong, find the defect in the process and fix it. Select from our comprehensive suite of services and distinctions, each intentionally designed to parallel your hospice agencys specialties. Once you're set on a topic, you need to define exactly what you will measure. Editor's note: An expanded and interactive version of this content is available at http://patientsafetyed.duhs.duke.edu. endstream endobj startxref %PDF-1.4 % Although the process is not necessarily linear, we will discuss each step in the order it might typically occur, using the example of a breast cancer screening audit to illustrate each step. There are a few truths one needs to understand before reading this article. Do you want to measure only whether the study was done, or whether it was recommended or ordered by the provider? Dynamic Chart. __ ~[ One form is completed Expectation . There may be multiple benchmarks, depending on your topic and the performance measure you calculated. ADAudit Plus is a free audit software solution that carries out online Active Directory changes. ; aerosol generating procedures section). Revised: 11/21/2013 Page 3 of 3 I achc.org Accreditation 24-Month Compliance Checklist (Home Health) Personnel Requirements ! Step 8: Analyze and apply results. ACHC Use this checklist, along With the Medical Record Audit tool and the Personnel File Audit tool. WIC 100-09 Local Agency Office Hours and Scheduling 09-2017. The process uses a nomogram, or table, to identify the desired number: 1. Utilize the ACHC Personnel File Audit tool to assist in this process. For example, if you decided to review the rate at which foot exams were performed on patients with diabetes in the last year, you would need to decide what qualifies as an adequate foot exam. . 0000003811 00000 n endstream endobj 1049 0 obj <. Data should be collected in a format that keeps all individual records separate but allows for easy compiling. 2. Estimate the expected proportion within the population that will have the measure of interest. This is a measure of the precision or level of uncertainty. The Joint Commission recommends studying issues that are high frequency, high risk or both. If possible, choose an area that interests you. Copyright 2008 by the American Academy of Family Physicians. Accreditation Process Starts Here. Performing a Chart Audit 4 Notes/Comments How to select records Random sample Internally identified problems Specific practitioners Specific diagnoses and/or procedures Specific time frame Specific payors Sample of cases that show significant variance from benchmarks Denied claims 7 Causes of coding errors Poor documentation Failure to review entire record Provider Compensation. 0000007229 00000 n . If you want to track a measure over time, or if you want your results to be statistically valid, your sample size is critical. 0000003196 00000 n 0 0000003775 00000 n Chart auditing is an iterative process don't be discouraged if you change directions several times before settling on a topic. Chart audits can serve many purposes, from compliance to research to administrative to clinical. Create a Health Information Management (HIM) Clinical Documentation Auditing Policy that outlines expectations for all involved parties by clearly defining the purpose, policies, responsibilities, and procedures, and who . Internal plans of correction have been developed and implemented based on audit findings. The best practices for a successful on-site survey. Let ACHC lead the way. This audit shows a comprehensive history, detailed exam and low medical decision-making: E&M level 99203 or intermediate Eye visit code 92002. For an informal, or quick and dirty, audit designed to give you a sense of whether a more sophisticated audit is warranted, you may find it useful to sample a minimum of 20 charts. 2055 0 obj <> endobj Example: Your practice wants to measure how well it's doing on meeting recommendations for preventive care. 0000002185 00000 n 0000028329 00000 n End-of-life care involves an interdisciplinary approach to meet the physical, psychosocial, spiritual, and emotional needs of the patient and/or family, as well as the palliation of symptoms related to the terminal illness. Select the date or dates on which you will collect data. Whether youre currently unaccredited, transitioning to ACHC, or renewing your accreditation, our team is your partner from start to finish. Just going through a few charts will help to identify issues that need to be clarified before starting a full audit. Count on us to make it simpler to follow your calling. Example: Your breast cancer screening audit results show that 57 percent of your sample received mammograms (see the results table below). This checklist can be used as a tool to audit and ensure the re quired documents are present in your client/patient record. federal laws andregulations. Conducting a Self-Audit. %%EOF If only two of the three are documented, how will you count that? ) 3"GCF5Mx=o8R@0i '[0 You can also expect clear information on accreditation survey costs with up-front, flat-fee pricing. ACHC Certified Consultants are trained in ACHC Accreditation Standards, survey approach, and processes to better prepare healthcare clients for the accreditation survey. Well make it easy. Once you've identified 81 that meet the selection criteria, your nursing supervisor fills out the audit tool for each one, reserving questionable cases for physician review. ~ZbK\G+&u? ?8hd I "m4O5JGDWHx#W'jnTgCEn@:h{[BlOPK J1Ll

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