WebThis approval provides hospitals with another accreditation option in addition to the Joint Commission and the American Osteopathic Association. 0000001195 00000 n This is applicable in situations where an organisation persistently and seriously fails to maintain compliance with the management system standard or due to other situations, as defined in the procedure for suspension and withdrawal of certificates. DNV Healthcare introduces a hospital accreditation program for stand-alone Psychiatric Hospitals, part of our dedication to helping hospitals improve quality, patient safety and healthcare delivery. endstream endobj startxref 127 30 DNVs accreditation program, called NIAHO (Integrated Accreditation of Healthcare Organizations), involves annual hospital surveys instead of every three years and encourages hospitals to openly share information across departments and to discover improvements in clinical workflows and safety protocols. The important role of the Joint Commission AORN J. Comparison of Joint Commission and DNV - GL HC NIAHO MS Standards Kathy Matzka, CPMSM, CPCS 8 22 Resources Standards: NIAHO Standards, endobj Rex Zordan . 0000004698 00000 n Blood use Prescribing of medications Surgical Case Review Specific departmental indicators Moderate Sedation Outcomes Anesthesia events Appropriateness of care for noninvasive procedures/interventions Utilization data Significant deviations from established standards of practice Timely and legible completion of patients medical records Variants analyzed for statistical significance 19, Addressed by TJC, Not NIAHO Verification of applicant identity Use of CVO (DNV does allow is addressed under telemedicine) Health status (DNV only under surgical privileges) Applicant required to provide info re: previously successful or currently pending challenges to licensure or voluntary relinquishment, felony convictions Leadership standards place additional responsibilities on MS Residency program requirements 20, Addressed by NIAHO, not TJC Receipt of database profile from OIG Medicare/Medicaid Exclusions initial/reappointment/temporary privileges 21, Resources Standards: NIAHO Standards, Interpretive Guidelines, or Accreditation Process www. When found compliant, we issue the certificate. Admin, South Central Family Medicine & Urgent Care, Directions to South Central Regional Medical Center, Where to Get the Best Care and When to Go. 2002 Jun;75(6):1179-82. doi: 10.1016/s0001-2092(06)61621-9. WebDNV offers a number of standards - Hospital Accreditation, Stroke Center, Orthopedic Service Line, Infection Risk and more. 0000000913 00000 n See upcoming training courses. wG xR^[ochg`>b$*~ :Eb~,m,-,Y*6X[F=3Y~d tizf6~`{v.Ng#{}}jc1X6fm;'_9 r:8q:O:8uJqnv=MmR 4 By earning accreditation, SCRMC has demonstrated it meets or exceeds patient safety standards (Conditions of Participation) set forth by the U.S. Centers for Medicare and Medicaid Services. 0000003710 00000 n This 2.5-day course is a basic course designed to train healthcare professionals in the principles and requirements of DNV's approach to hospital accreditation. Det Norske Veritas (DNV) NIAHO Accreditation Requirements Interpretive Guidelines & Surveyor Guidance Revision 7, 2008. Employee Login | <>/Pages 117 0 R /StructTreeRoot 177 0 R /ViewerPreferences<>/PageLayout/OneColumn/Type/Catalog/MarkInfo<>/Lang( E N - U S)/Metadata 262 0 R >> (Are minimal standards sufficient in todays healthcare climate? ) WebThe more variables and inter-dependencies in you organization, the more relevant ISO becomes. 0 South Central was the first DNV accredited healthcare organization in Mississippi. ISO is the International Organization for Standardization. The Joint Commission Lon Berkeley . DNV has a client drop box feature where questions regarding the standards can be asked directly to our specialists and surveyors. Search our services and programs offered by our experts at our hundreds of locations throughout Western New York and the Finger Lakes region. Our lead auditor evaluates your management system documentation. Det Have questions Contact us DNV Healthcare HSMo0+TR E9dR-,Q The decision to grant initial certification, renew certification or to expand or reduce the scope of certification, is made by competent and authorized personnel in DNV who are different from those carrying out the audit. Following a positive decision you will receive the certificate shortly thereafter. Accreditation can directly affect the quality of hospital care. Each issued certificate has a three-year life period. In case of expanding the scope the process will restart at section 2 with a documentation review (if needed) and will further follow the normal process from section 4 with a (scope extension) certification audit. %PDF-1.4 % endstream endobj 1331 0 obj <>stream For more information about DNV, visit www.dnvcert.com/healthcare. The documentation review can be performed prior to or conducted as part of the initial visit. WebIntro to DNV and NIAHO. Reflective of an organizations performance with respect to Joint Commission standards and elements of performance (EPs).Transparent all components of the process are fully disclosed to accredited and certified organizations.Easily understood by all involved parties.More items DNV: Det Norske Veritas: DNV: Der Norske Veritas: DNV: District of North Vancouver (British Frustrated with The Joint Commission, Midland Memorial Hospital (TX) made the shift to DNV this year, says accreditation specialist Lisa Williams, PT, MS, HACP.The hospital had already been looking at the Centers for Medicare & Medicaid Services' conditions of participation in The International Standards Organization (ISO) Web site. DNV Healthcares hospital accreditation program is unique in that it integrates the ISO 9001 standards (international quality standards that define To fulfill the accreditation criteria, an accrediting authority assesses the certification body/registrar to verify that the certification body/registrar complies with existing requirements. Because there would be a time gap between Joint Commission and DNV accreditation, Rosen worked with the state Department of Health and the local CMS DNV is kept apprised of the organization's level of compliance with ongoing organizational reporting. This accreditation underscores our commitment to developing and continually improving quality and safety for employees, patients and visitors throughout our system. Vendor Login | WebAccredited hospitals. During this process, we assess your management systems degree of compliance with the requirements of the elected standard and performance in identified focus areas. The trademarks DNV GL, DNV, the Horizon Graphic and Det Norske Veritas are the properties of companies in the Det Norske Veritas group. The report indicates if your organisation is ready to proceed with the certification audit. Upon certification, we will create a periodic audit schedule for regular audits over the three-year period. Our surveyors employ a variety of methods for assessment, including staff interviews, medical record review, organizational document review, building and offsite visits, as well as patient interviews and feedback. Read Part 3: Accreditation Options: Understanding the Joint Commission DNV Healthcare originated in Norway in 1864 as a risk management company. Unlike previous approaches to accreditation, DNV focuses on what works best for each hospital and therefore opens the door to innovation. This electronic reference tool provides plain-language interpretations of the credentialing standards for The Joint Commission, NCQA, Healthcare Facilities Accreditation Program, DNV, URAC, the Accreditation Association for Ambulatory Health Care, as well as the Medicare Conditions of Participation. 0000008466 00000 n The DNV/ISO 9001 process required a lot of hard work on our part, but has provided tremendous benefits for our health system, Higginbotham. DNV understands the important role Psychiatric Hospitals play in caring for the underserved and underinsured population. Findings, including non-conformities, and conclusions are presented at the end of the audit in a closing meeting and included in the audit report. endstream endobj 138 0 obj <>stream Our Risk Based Certification approach tailors the process to evaluate your select business risks in addition to compliance with the standards requirements. Mitigating and preventing hepatitis B virus exposures during hemodialysis across a large regional health system. trailer DNV conducts a survey every year instead of every three years. The Joint Commission on the Accreditation of Healthcare Organizations. Select from the topics below to get started. We have taken an entirely different approach to accreditation, and hospitals are really responding, says DNV Healthcare USA Inc. President Patrick Horine. Using an accredited third party certification body/registrars demonstrates that the auditing company is meets the required quality standard set by the accrediting authority. 0000001631 00000 n Therefore, accredited certification consists of a 3-step cycle: To tailor the audit, we need to know what is important to your organisation. hVO0W4u~yHZVm6)am|;#\zn$2N'*P1!$''BoD/We/Tze Below are several components of our psychiatric hospital accreditation program. 23, Sections 1-6 1-7 commission and graduated commission, What are the defects of existing curriculum, Joint commission oxygen cylinder storage 2019, DNV Managing Risk DNV corporate presentation Elzbieta BitnerGregersen, JOINT COMMISSION PANEL DISCUSSION REGARDING RECENT JOINT COMMISSION, COMPARISON AND CONTRAST COMPARISON CONTRAST Comparison points out, Aligning Accreditation and Quality The DNV Perspective The, Introduction to IDSADI 15926 Resources Ian Glendinning DNV, DNV Healthcare Top Survey Findings Medical Staff National, SOLAS requirements DNV interpretations Jan Tore Grimsrud February, Mobile Technology in Ships Inspections Thomas Mestl DNV, RBI Intro some activities at DNV Fatigue Workshop, INTRODUCING INTUMAXEP 1115 XHP DNV CERTIFICATE NO F16685, CBCD Cloned Buggy Code Detector Jingyue Li DNV, DNV a Norwegian company in Korea with focus, DNV GL studie LNG in de scheepvaart verlagen, KNEE JOINT ANKLE JOINT HIP JOINT Prof Ahmed, Shoulder Joint Shoulder Glenohumeral Joint The shoulder joint, Elbow Joint Elbow Joint Type Synovial hinge joint, SYNOVIAL JOINT Dr Iram Tassaduq SYNOVIAL JOINT Joint. It is widely recognized as the gold standard in healthcare accreditation, and its standards are considered rigorous and comprehensive. hbbd``b` @)H0A@"*HpE$> oL,F6~0 d 1338 0 obj <>/Filter/FlateDecode/ID[]/Index[1327 24]/Info 1326 0 R/Length 69/Prev 861584/Root 1328 0 R/Size 1351/Type/XRef/W[1 2 1]>>stream You must complete the Participant's Agreement in order to access your purchased NAMSS Education. This collaborative approach is crucial in continuing to improve and be a quality improvement hospital. Biocor Hospital De Doencas Cardiovasculares LTDA. DET NORSKE VERITAS (DNV) COVID-19 Updates: Get the latest information from our experts: Vaccines Testing Visitor & Mask Guidelines Closings. Web DNV GL Healthcare (DNV GL) The Compliance Team (TCT) The Joint Commission (JC) There are currently another seven AOs approved under CLIA, which are: American Association of Blood Banks (AABB) American Association for Laboratory Accreditation (A2LA) American Osteopathic Association (AOA) 847-324-7487 | msweeney@aaahc.org . WebThe JCAHO and its accreditation programs are described, the history of the Medicare-JCAHO relationship is reviewed, and why the federal Medicare program has relied on accreditation as an indicator of the quality of participating hospitals is examined. About 200 hospitals have switched to DNV Accreditation over the past two years. Accessed August 5, 2009. 630 Hover over the "Register" button in the top right corner to see the price, 1 Question|Unlimited attempts|1/1 points to pass|Graded as Pass/Fail. Accreditation Canada accredited its first organization internationally in 1967 in Bermuda. org 22, Questions to Consider Will our reputation in the community suffer if we change? *This product is a downloadable document and does not ship. In addition to Department of Health and Joint Commission program compliance, all of our hospitals are accredited by DNV Healthcare. I was never aware there were any Medical Student SOAP Note | Infection Control & Hospital Epidemiology. All rights reserved. In the few years since DNV Healthcare became the first new Midland Memorial happy with DNV shift. endstream endobj 1328 0 obj <>/Metadata 142 0 R/OCProperties<>/OCGs[1339 0 R 1340 0 R 1341 0 R]>>/Outlines 204 0 R/Pages 1318 0 R/StructTreeRoot 287 0 R/Type/Catalog>> endobj 1329 0 obj <>/ExtGState<>/Font<>/Properties<>/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 1330 0 obj <>stream All Rochester Regional Health labor and delivery hospitals. As DNV hospitals often say, ISO provides the structure for the staff to focus on Provides a framework for organizational structure and management Accreditation involves preparing for a survey and maintaining a high level of quality and compliance with the latest standards. Joint Commission accreditation provides guidance to an organizations quality improvement efforts. Risk Based Certification is our exclusive approach to all management system certification. 0000005823 00000 n hTkSI?ssMl The ability to integrate ISO 9001 quality standards with our clinical and financial processes is a major step forward.. 4NuH.z)z06q?Rt|E"vzQV-\\-U=^4/M6z`| Y, 2mKe59\^9xg6`?,^eaQ)PHwzX=ixf#`x[aA;B|A3 $z(Gc(A%aC@)4"44SY S20L: 2("ukvVhMg9a,"J0$8 1sb s6s[fPE<1I!4XOLv^+d2(i}%C9X 2y.-;!KZ ^i"L0- @8(r;q7Ly&Qq4j|9 0000003466 00000 n Lesho, E., Hix, J., Bronstein, M., Shastry, S., Hanna, J., Scroggins, G., & Grieff, M. (2019). Webparticipation was based on Joint Commission accreditation issued prior to that date will continue to participate in Medicare via deemed status until the normal expiration date of its accreditation. Although the costs of Joint Commission and DNV are about the same, according to health experts, there are some big differences between the two: The organization surveys the hospitals that use their commissioning services annually, while the Joint Commission extends its survey periods from 18 months to three years. Organizations seeking CMS approval may choose to be surveyed either by an accrediting body, such as the Joint Commission, DNV, and HFAP, or by state surveyors on behalf of CMS. v4?fBHQ [C. Lesho, E., Walsh, E., Gutowski, J., Reno, L., Newhart, D, Yu, S., Bress, J., Bronstein, M. A Cluster-Control Approach to a SARS-CoV-2 Outbreak on a Stroke Ward with Infection Control Considerations for Dementia and Vascular Units. DNVs philosophy is to assist Psychiatric Hospitals through compliance with the NIAHO Hospital Accreditation Program and Appendix B standards, encouraging a safe and therapeutic milieu which allows patients to be treated safely and effectively. Whether youre new to the Joint "F$H:R!zFQd?r9\A&GrQhE]a4zBgE#H *B=0HIpp0MxJ$D1D, VKYdE"EI2EBGt4MzNr!YK ?%_&#(0J:EAiQ(()WT6U@P+!~mDe!hh/']B/?a0nhF!X8kc&5S6lIa2cKMA!E#dV(kel }}Cq9 Public Records Policy | SCRMC has three years from the date of its accreditation to achieve compliance with ISO 9001, the worlds most trusted quality management system used by performance-driven organizations around the world to advance their quality and sustainability objectives. The trademarks DNV GL, DNV, the Horizon Graphic and Det Norske Veritas are the properties of companies in the Det Norske Veritas group. This commitment to safe, reliable and high-quality care is also demonstrated through our regulatory compliance and accreditations, awards and recognition and participation in national conferences and journals. By 1991, TJC had learned that it was not possible to ensure quality and had moved on to quality improvement and its many iterations, now known as performance improvement. Medical Student H&P | Contracts with insurers may require certain accreditation and may need renegotiation Will there be a saving in direct and indirect accreditation costs? endobj %%EOF TCI certification. Our lead auditor will verify that you have properly addressed the nonconformities. Four years on, upstart nears 350 clients. We evaluate how well your management system supports your focus areas. WebThe organizations are surveyed annually. AORN Guidance Statement: Perioperative Staffing. Accessed August 5, 2009. The password to view the NAMSS Comparison of Accreditation Standards is: Q7r&Km The DNV/ISO 9001 process required a lot of hard work on our part, but has provided tremendous benefits for our health system, Higginbotham. 0000001372 00000 n Thats where ISO 9001 comes into play and turns the typical get-your-ticket-punched accreditation exercise into a quality transformation.. 0000007461 00000 n There is always an opportunity to improve. DNV Accreditation is based on the companys innovative NIAHO standards. DNVs accreditation program is the only one to integrate the ISO 9001 Quality Management System with the Medicare Conditions of Participation. A successful management system is one that is improved on a continual basis. %PDF-1.6 % if6&a<=h19;G;:1/SVyB~szQxLgF/94|249#5}Z.+2P#Ncj&qd>ezUL!U&^bezdif++ 0F5/*36Xkm2EI5 y|d04_4_4U. 38cWuc5Sgp:|z] b#THp.'y9Q"dC) XyBlY0,REC-;BfKg%k Gn#A &5B.69e@CqL2{8ZJaC3}vS~ ~l }A}BB-P^I1d}F +R5:>BK5F#A05Vvm{H74` &ixTeG'8T qm|/.mF}K"&Et:rPdj'wj,QmfKh!ynoiwazxC4;oVO ^W[]|rzG k% I've just been hired on at a hospital that is Det Norske Veritas (DNV) accredited as opposed to the Joint Commission. 0000012414 00000 n Accepted manuscript, pp. H\J@{6fgBA[^Hi M}{voI\]fcuvO1}yPYq:\xvwm,.rsi`at3Xvizx)vnn. After each survey there is a detailed report which is easy to follow and describes, with objective evidence, where your organization is not in compliance with the standard. At Rochester Regional Health, our dedication to quality is reflected in the teams we hire, the care we provide and the services we offer. hbbd```b``= "@$nDEH`=d`L""@$?/O@o_@H b4l4k#%4#3` , V)gB0iW8#8w8_QQj@&A)/g>'K t;\ $FZUn(4T%)0C&Zi8bxEB;PAom?W= LAUREL, MS, South Central Regional Medical Center (SCRMC) announces the successful completion of its new accreditation process that has been awarded by DNV. This product includes updates that will be made by NAMSS over the next 12 months. 0000007824 00000 n Learn About Accreditation Survey All surveyors have a healthcare background and specialize in one of three areas: clinical care, physical environment, or quality management. nQt}MA0alSx k&^>0|>_',G! Joint Commission Online, August 12, 2009. endstream endobj 8619 0 obj <>/Metadata 315 0 R/Outlines 731 0 R/Pages 8594 0 R/StructTreeRoot 1070 0 R/Type/Catalog>> endobj 8620 0 obj <>/ExtGState<>/Font<>/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 8621 0 obj <>stream Available at: http://www.jointcommission.org/NR/rdonlyres/2F04C126-906D-4155-B16F-1F1A6570C387/0/jconlineAug1209.pdf. We provide services at more than 400 locations across the region. Academic & Personal: 24 hour online access, Corporate R&D Professionals: 24 hour online access, https://doi.org/10.1016/j.mnl.2009.10.004, Comparisons of the NIAHO and Joint Commission Approaches to Accreditation, Available at: http://www.cms.gov/SurveyCertificationGenInfo/downloads/SCLetter09-02.pdf, Available at: http://www.dnv.com/binaries/NIAHO%20Accreditation%20Requirements-Rev%20307-8%200(2)_tcm4-347543.pdf, Available at: http://www.jointcommission.org/NR/rdonlyres/2F04C126-906D-4155-B16F-1F1A6570C387/0/jconlineAug1209.pdf, For academic or personal research use, select 'Academic and Personal', For corporate R&D use, select 'Corporate R&D Professionals', Association for periOperative Registered Nurses. Senior Account Executive . The annual survey model keeps hospitals moving forward on the path of continued improvement. Driven by its purpose, to safeguard life, property, and the environment, DNV helps tackle the challenges and global transformations facing its customers and the world today and is a trusted voice for many of the worlds most successful and forward-thinking companies. SOUTH CENTRAL REGIONAL MEDICAL CENTER RECEIVES QUALITY-BASED ACCREDITATION FROM DNV. Hospital Mater Dei. DNV is a global independent certification, assurance and risk management provider, operating in more than 100 countries. 0000009720 00000 n Whether certifying a companys management system or products, accrediting hospitals, providing training, assessing supply chains or digital assets, DNV enables customers and stakeholders to make critical decisions with confidence, continually improve and realize long-term strategic goals sustainably. This is much more than an accreditation program, its a catalyst for our ongoing commitment to patient safety and clinical quality.. Subsequently 1-3 focus areas on which the audit will focus are identified. If you don't remember your password, you can reset it by entering your email address and clicking the Reset Password button. Hospitals are no longer stuck in a cycle of addressing the same issue every three years. At Newark-Wayne, Rochester General Hospital, United Memorial and Unity Hospital. This is the authorities way of auditing the auditors, such as certification bodies like DNV. The focus areas should be linked to the management system and reflect the risks or opportunities that are most important to you. The purpose of the initial visit is twofold: Based on this, the scope and audit plan are agreed upon. 0000004038 00000 n Det Norske Veritas (DNV) is a global quality We have to get a clear understanding of your business strategy and conditions that affect your ability to reach said strategy. SCRMCs current service area includes a patient population of 120,000 residents in 4 countiesJones, Jasper, Smith and Wayne Counties. Find the residency program, fellowship, or training program that's right for you, or explore our research and clinic trials. Accreditation | The scope of certification may need to be changed during the 3 year certification cycle. Author Frederick P Franko. These surveys, often routine or planned to certify our specialty programs, look at our communication processes, governance, processes, standardization, safety precautions and outcomes. Our leading medical education and research are at the forefront of healthcare innovation. Since accreditation is a must-have credential for just about every hospital in this country, why not make it more valuable, and get more out of it? The outcome is still a certificate if the management system is found compliant but with added dimension to your improvement journey. to review your manual, check procedures, to see your facilities, and briefly check the implementation of your management system. DNV has a transparent procedure for suspension or withdrawal of certificates. Learning happens when staff are comfortable and not intimidated by the process. This process ensures a full and timely understanding of the standards. WebThe important role of the Joint Commission. Top management should be involved at this stage. [fy^Mx_6vbvX,'Mqtr)yzQn.^%~&PdXfbpqxu5Y)Vwuq_DO1ou{)v]tiply/m}+s[(E}Zyc"F%x.%i%NW?VE\gcuJ[Q[Ka/.W. 0 Using an accredited third party certification body/registrars 0000000016 00000 n Both your management system and certificate have to be maintained. In 2020, Rochester Regional Health participated in 123 regulatory surveys in our acute care settings, outpatient settings and specialty programs from compliance agencies like DNV Healthcare, The Joint Commission and the Department of Health. 127 0 obj <> endobj These audits confirm your companys on-going compliance with specified requirements of the standard while re-evaluating performance in focus areas. [lW7wI/_./-";)n*R+lx-I$,4|t*0#__ l) 121 0 obj N')].uJr `0 d``_}C!\ |S0\`0[znV$5*c"00z`PwzS\u@_w{wSZ3@`|4iE"'-*5wIsr]gI qyO'WAm)U1Ys96S=ffXTjMJ5P)TTOVyN9xddiV,ey-E% Certification by DNV Healthcare is key step toward establishing your hospital's reputation for excellence. 1327 0 obj <> endobj Contact South Central Regional Medical Center, Hospital Affiliation Request | 0000002012 00000 n 630-792-5787 | lberkeley@jointcommission.org. hb```b``c`201 +s0 To review focus area input and agree on one to three particular focus areas upon which the audit will focus. Centers for Medicare and Medicaid Services. %%EOF You will then receive an email that contains a secure link for resetting your password, If the address matches a valid account an email will be sent to __email__ with instructions for resetting your password. 0000009113 00000 n n3kGz=[==B0FX'+tG,}/Hh8mW2p[AiAN#8$X?AKHI{!7. DNV prides itself in the ability to relate to frontline staff and leadership, thus putting them at ease. About South Central Regional Medical Center. ".*RK6"zf9ss~3 AARJA=Z\&6c@+|dk{GKY B_],IEmmq_rS}gX;L9nL%)5Ek&$;mcUeEP*wb\yaA.eW:OS3hoRqgi^Ygv`l!7/vou$VZ(T&d$iq-kUh_4<7\R+vi)e35elpG[piiqN#@t9Z]Y?})#=[8GOCb+1QKU,HY WWcVr y"=uOsb%V xOy^N?+OHG'9%[qdF]guPa("2Hbs=Kt0 :J~O|JGn n~ Available at: www.iso.org/iso/home. 0000012451 00000 n BPHC Accreditation Initiative . Brazil. 0000006234 00000 n SCRMC serves as the second largest employer in Jones County. 0000039232 00000 n DOI: https://doi.org/10.1016/j.mnl.2009.10.004, The International Organization for Standardization (ISO), To read this article in full you will need to make a payment. Based on a positive outcome, he/she will recommend certification. South Central is a public, not for profit hospital owned by Jones County, MS, who has an economic impact to our local community annually of almost $200 million. <>/XObject<>/ExtGState<>/ProcSet[/PDF/Text/ImageC]/Font<>>>/MediaBox[ 0 0 612 792]/Contents 168 0 R /Parent 117 0 R /Type/Page/CropBox[ 0 0 612 792]/Rotate 0/Annots 145 0 R /Tabs/S/Group 166 0 R >> In recent years, DNV have been challenging TJC in the USA. In comparison, the Joint Commission has We currently have 26 Beacon Awards across our system. Clifton Springs Hospital and Clinic recently was awarded an A grade for safety. 0000013305 00000 n We use cookies to help provide and enhance our service and tailor content. %PDF-1.6 % cuup}c~*_3:!RvpgI(@6a^@IiPo}f$@ L9qdzD AY:RR' 4PQqhxitI3\! hYmo6+bwRPI-@fulAMTcg5~w'I :^xXoay-uL3,%a8J#!%@aY%I>)ddJ:ph+*jX 9Q43F:\RzvYV:ibv2gTM]oWjQ)|V?AtYuy[uq]{
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