July 15, 2016
Volume 60, Issue 28
Opioid Treatment Program in Green Bay Shows the Importance of Collaboration
“It doesn’t start with Heroin.” That was the name of a community summit held in Green Bay in late 2014 to educate community leaders, parents and others about the opioid epidemic in Green Bay. Little did organizers know that this summit would lead to a unique, collaborative program to address this very issue.
One of those attending the summit was Paul Pritchard, MD, vice president and chief quality officer for Prevea Health. He had been discussing this issue with the Green Bay police chief and thus was invited to this event. He was so moved by the parents’ stories of tragedy and loss he decided to take action.
As a result, Prevea behavioral care leaders reached out to law enforcement, the district attorney’s office, probation and parole, and others to gauge willingness to collaborate on a diversion program to provide treatment instead of incarceration to non-violent offenders. Through this, the TIP program was born—Treatment, Intervention and Prevention services. During 2015, this group met regularly to design the program.
The mission of the TIP program is “to provide a collaborative community response to the needs of incarcerated community members struggling with addictions. The goal is to provide services as quickly as possible after the entry into the criminal justice system, and prior to conviction, to interrupt the cycle of addiction and criminal behavior that support these addictions. The goal is to ultimately transform these offenders into positive, contributing members of our community.”
The group decided to go forward with an abundance of caution in order to learn how to best put the pieces together. Thus, the first person was not admitted to the program until late 2015, and a second one shortly thereafter. It became clear that while all the processes seemed clear, there were barriers that, if removed, could help participants be successful.
In the continuing tradition of the Prevea/HSHS partnership, HSHS Green Bay (St. Mary’s and St. Vincent Hospitals) stepped up to assist because of the commitment to community benefit. It was clear that a local resource, the Jackie Nitchke Center, could play an important part by providing residential care and intensive outpatient treatment—but the barrier was that many potential participants do not have the financial resources to pay for this care. HSHS provided funds for ten scholarships to be provided over the next year to assist participants in the TIP program.
Another observation was if participants were able to receive the first dose of Vivitrol while still in jail rather than after being released, their odds of a successful transition would increase. However, Medicaid benefits are suspended while a person is in custody, and many of the potential participants do not have private insurance. Thanks to the intervention by a government relations leader from another Wisconsin health system, HSHS made contact with the manufacturer, who agreed to donate the first dose for this program. HSHS then agreed to help cover the cost of the necessary assessments for those patients unable to pay.
This unique partnership is now poised to help care for this vulnerable population. The list of those collaborating is impressive: the Brown County District Attorney’s Office, Brown County Human Services, the State Public Defender’s Office, Brown County law enforcement, probation and parole, Prevea Health and HSHS Hospitals, Aids Resource Center of Wisconsin and the Jackie Nitschke Center. Says Dr. Pritchard, “There were a lot of people involved with this. I want to make sure everyone knows this was a team effort.“
Consistent with the Wisconsin Hospital Association’s (WHA) Health Care Leaders Opioid initiative, this unique community-based approach addresses the role mental health often plays in the criminal justice system and opioid abuse.
“This is just one of many ways Wisconsin hospitals have taken part in addressing the opioid abuse epidemic in their communities,” according to WHA immediate past board chair and WHA opioid initiative champion Therese Pandl, president/CEO, Eastern Wisconsin Division, Hospital Sisters Health System.
“I am especially proud of the efforts HSHS with Prevea are leading in this important work, and also recognize that this work was a partnership. Together as a network of dedicated and concerned hospitals and systems, we can do so much more than any one individual hospital.”
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Guest Column: Advocacy Is Our Obligation
By Charisse Oland, CEO, Rusk County Memorial Hospital, Ladysmith
In late June, I traveled with the Wisconsin Hospital Association (WHA) and several other rural health care leaders to Washington, DC for a rural hospital forum and Day on Capitol Hill. It was my first trip to Washington, DC as a hospital and health care “citizen lobbyist,” and I was truly honored to join some of my more veteran advocate colleagues, led by the WHA staff. Together, as health care executives from across the state, we were able to discuss important pieces of legislation from each of our unique perspectives but all aligned with the same goal in mind—better health care policy for Wisconsin. This is why I personally place a high priority on, and make time to engage in, advocacy. As health care leaders, we have an obligation to make sure our elected officials understand how their decisions impact the care we deliver to our patients every day.
Equally valuable on this trip was the opportunity to become better acquainted with some of my rural health care colleagues from across the state. Our networking and collaboration during our brief but impactful trip only added benefit. I have also experienced this at WHA’s Advocacy Day in Madison and in my role on the WHA Board of Directors. We all come together to do what is best to strengthen Wisconsin’s high-value, high-quality health care system and move forward together. Our advocacy engagement is foundational for us to be successful in this respect and another reason why I strongly believe health care leaders need to be active and engaged.
As health care executives who work in the trenches every day, when we meet with legislators in Washington, DC or Madison, host them at our hospitals and communicate with them throughout the year, we are uniquely positioned to articulate how legislation impacts our patients and to highlight the unintended consequences that occur when broad-brush policies are put into place without fully understanding how health care is delivered in Wisconsin.
Without our factual stories presented, the adverse effects of certain policies might never be known or understood by state legislators, the Governor, Members of Congress, and other elected officials and policymakers. I believe advocacy results in Wisconsin’s elected officials understanding these impacts and then taking action on the serious matters we discuss.
Finally, whether as a first time advocate in DC, or when spending time with my state elected officials, I am always impressed by the extraordinary advocacy preparation and knowledge of the political process by WHA leaders. We are fortunate to have such an impact in both Madison and Washington, DC. This starts with an individual commitment to engage and participate that is enabled by our exceptional advocacy organization, WHA.
I strongly encourage my hospital and health system colleagues from across the state, including our physicians, trustees and other health care professionals from our organizations, to engage in the important role of being an advocate for Wisconsin hospitals and health systems. If you have never participated in a trip to Washington, DC, come to Madison for events like WHA’s Advocacy Day, or hosted a meeting with the Governor, Lt. Governor or your local legislators to educate them about the issues that impact your hospital every day, you are truly missing a rewarding opportunity to make a real difference.
Again, please get involved in this rewarding work—you won’t regret it.
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Wisconsin Hospitals State PAC & Conduit, Part of WHA’s Integrated Approach to Advocacy
$169,000 raised to date, contributor list below
To date, the 2016 Wisconsin Hospitals State PAC & Conduit campaign has raised $169,000 from 182 contributors, putting the campaign at 56 percent of its $300,000 goal for this year. (See a list of the 2016 contributors below.) In this pivotal election year, remember that elections matter and participation is important.
Supporting candidates through contributions to the Wisconsin Hospitals State PAC and Conduit are one element of the Wisconsin Hospital Association’s integrated approach to advocacy, which also includes directly lobbying elected officials and working to engage hospital constituents with their elected officials through WHA’s HEAT grassroots program.
Supporting candidates who value the important role Wisconsin’s high-quality hospitals and health systems play is essential. Better candidates lead to better legislators who will craft better laws. What were some examples of past positive public policy successes due to the Wisconsin Hospital Association’s integrated advocacy approach?
|Contributors ranging from $1 to $499|
|Arnett, Eugene||Aurora Health Care|
|Baenen, Sharla||Bellin Psychiatric Center|
|Bayer, Tom||HSHS St. Vincent Hospital|
|Boese, June||Wheaton Franciscan - All Saints|
|Braddock, Jonathan||ISG Advisors, LLC|
|Carlson, Peter||Aurora Psychiatric Hospital|
|Clementi, Bridget||Children's Hospital of Wisconsin|
|Collins, Sherry||Wisconsin Hospital Association|
|Coopman, Dianne||SSM - St. Mary's Janesville Hospital|
|Danner, Forrest||Aspirus Wausau Hospital|
|Davis, Brett||Aspirus, Inc.|
|Donnelly, Margaret||Aspirus Wausau Hospital|
|Dux, Larry||Froedtert & MCW Community Memorial Hospital campus|
|Evenson, Rock||Froedtert & The Medical College of Wisconsin|
|Ewald, Sandra||Aurora Health Care|
|Ferrigno, Sandra||SSM - St. Mary's Hospital|
|Garibaldi, Isabelle||Watertown Regional Medical Center|
|Grabow, Peter||Mayo Clinic Health System -Franciscan Healthcare LaCrosse|
|Grasmick, Michael||Wisconsin Hospital Association|
|Groskreutz, Kevin||HSHS St. Joseph's Hospital|
|Gustafson, Andy||SSM Healthcare of Wisconsin|
|Gustafson, Sara||UW Hospitals and Clinics|
|Halida, Cheryl||HSHS St. Joseph's Hospital|
|Hamilton, Mark||UW Hospitals and Clinics|
|Harrington, Kathleen||Mayo Clinic Health System - Eau Claire|
|Jamerson, Barbara||ProHealth Care - Oconomowoc Memorial Hospital|
|Kaiser, Ann||HSHS Sacred Heart Hospital|
|Kantos, Craig||ThedaCare Medical Center - Waupaca|
|Kelsey Foley, Kathy||Aspirus Wausau Hospital|
|Kirsch, Jennifer||Gundersen Health System|
|Klay, Chris||HSHS St. Joseph's Hospital|
|Kruse, Joe||Mayo Clinic Health System -Franciscan Healthcare LaCrosse|
|Lynch, Sue||Mayo Clinic Health System -Franciscan Healthcare LaCrosse|
|Marquardt, Amy||Hospital Sisters Health System|
|Maurer, Mary||Holy Family Memorial, Inc.|
|McArdle, PeggyAnn||Agnesian HealthCare|
|McElligott, Marilyn||Gundersen Health System|
|McMeans, Scott||Aurora BayCare Medical Center - Green Bay|
|Meicher, John||SSM - St. Mary's Hospital|
|Nevers, Rick||Aspirus, Inc.|
|Nicklaus, Todd||Aspirus, Inc.|
|Ose, Peggy||Aspirus Riverview Hospital|
|Pearson, Jane||SSM - St. Mary's Janesville Hospital|
|Peirick, Marcie||Watertown Regional Medical Center|
|Pempek, Kalynn||Aspirus Wausau Hospital|
|Prise, Eric||Tomah Memorial Hospital|
|Rauber, Jill||Holy Family Memorial, Inc.|
|Revnew, Dorothy||ProHealth Care - Oconomowoc Memorial Hospital|
|Richman, Tim||Affinity Health - Calumet Medical Center|
|Risley-Gray, Ruth||Aspirus, Inc.|
|Schaetzl, Ron||SSM - St. Clare Hospital & Health Services|
|Selle, Ginger||SSM - St. Clare Hospital & Health Services|
|Stapelfeldt, Kimberly||Aurora Medical Center - Washington County|
|Statsick, Nora||Wisconsin Hospital Association|
|Statz, Darrell||Rural Wisconsin Health Cooperative|
|Stelzer, Jason||SSM - St. Clare Hospital & Health Services|
|Stich, Dan||Rural Wisconsin Health Cooperative|
|Swanson, Kaitlin||HSHS Eastern Wisconsin Division|
|Thornton, Eric||SSM - St. Mary's Janesville Hospital|
|Walker, Troy||SSM - St. Clare Hospital & Health Services|
|Wetenkamp, Vicki||Holy Family Memorial, Inc.|
|Whitinger, Margaret||Agnesian HealthCare|
|Wysocki, Scott||SSM - St. Clare Hospital & Health Services|
|Contributors ranging from $500 to $999|
|Bagnall, Andrew||HSHS St. Nicholas Hospital|
|Behl, Kevin||Columbia St. Mary's Hospital - Milwaukee|
|Breen, Melissa||Marshfield Clinic|
|Brenny, Terrence||Stoughton Hospital Association|
|Connors, Lawrence||HSHS St. Mary's Hospital Medical Center|
|DeGroot, Dan||HSHS St. Clare Memorial Hospital|
|Dexter, Donn||Mayo Clinic Health System - Eau Claire|
|Doeringsfeld, Jean||WHA Information Center|
|Edwards, Gordon||Marshfield Clinic|
|Ericson, Allen||Froedtert & The Medical College of Wisconsin|
|Hartberg, David||Gundersen - Boscobel Area Hospital and Clinics|
|Heaney, Dwight||Fort HealthCare|
|Jensema, Christine||HSHS Eastern Wisconsin Division|
|King, Steve||SSM - St. Mary's Hospital|
|Lange, George||Columbia St. Mary's Hospital - Milwaukee|
|Larson, Margaret||Affinity Health - Mercy Medical Center|
|McCawley, Thomas||Beloit Health System|
|McNally, Maureen||Froedtert & The Medical College of Wisconsin|
|Miller, Brent||Marshfield Clinic|
|Mulder, Doris||Beloit Health System|
|Myers, Karen||Stoughton Hospital Association|
|Nelson, James||Fort HealthCare|
|O'Farrell, Rick||Holy Family Memorial, Inc.|
|Oland, Charisse||Rusk County Memorial Hospital|
|O'Keefe, James||Mile Bluff Medical Center|
|Peterson, Douglas||Chippewa Valley Hospital|
|Reardon, Brian||Hospital Sisters Health System|
|Roesler, Bruce||The Richland Hospital|
|Rohrbach, Dan||Southwest Health Center|
|Roundy, Ann||Columbus Community Hospital|
|Rude, Nels||The Kammer Group|
|Rutkowski, Jennifer||Grant Regional Health Center|
|Schmitz, Bonnie||Agnesian HealthCare|
|Selberg, Heidi||HSHS Eastern Wisconsin Division|
|Shabino, Charles||Wisconsin Hospital Association|
|Stuart, Philip||Tomah Memorial Hospital|
|Theiler, Brian||Gundersen Tri-County Hospital & Clinics|
|Thurmer, DeAnn||Agnesian - Waupun Memorial Hospital|
|VanCourt, Bernie||Aurora - Bay Area Medical Center|
|Van Meeteren, Bob||Reedsburg Area Medical Center|
|Wessels, Bill||Aspirus, Inc.|
|Wolf, Edward||Lakeview Medical Center|
|Worrick, Gerald||Ministry - Door County Medical Center|
|Contributors ranging from $1,000 to $1,499|
|Anderson, Sandy||Ministry Health Care|
|Brenton, Andrew||Wisconsin Hospital Association|
|Brussow, Julie||Marshfield Clinic|
|Dietsche, James||Bellin Hospital|
|Graebner, David||Aurora Sheboygan Memorial Medical Center|
|Hafeman, Paula||HSHS St. Vincent Hospital|
|Hanus, Andrew||Aurora Health Care|
|Jacobson, Terry||St. Mary's Hospital of Superior|
|Jelle, Laura||SSM - St. Clare Hospital & Health Services|
|Just, Lisa||Aurora Health Care - South Region|
|Keddington, Richard||Watertown Regional Medical Center|
|Lindberg, Steve||Mayo Clinic Health System - Red Cedar|
|Miller, Kim||Beaver Dam Community Hospital|
|Pollard, Dennis||Froedtert & MCW Community Memorial Hospital campus|
|Punzenberger, Lindsay||Children's Hospital of Wisconsin|
|Rai, Ashok||Prevea Health/Hospital Sisters Health System|
|Rush, Steven||Wisconsin Hospital Association|
|Sanders, Robert||Children's Hospital of Wisconsin|
|Schafer, Michael||Spooner Health System|
|Swanson, Kerry||SSM - St. Mary's Janesville Hospital|
|Teigen, Seth||SSM Health Care of Wisconsin|
|White-Jacobs, Mary Beth||Black River Memorial Hospital|
|Contributors ranging from $1,500 to $1,999||Gold Club|
|Bard, Jeffrey||Aurora Medical Center - Oshkosh|
|Bloch, Jodi||Children's Hospital of Wisconsin|
|Clapp, Nicole||Grant Regional Health Center|
|Coffman, Joan||HSHS St. Joseph's Hospital|
|Court, Kelly||Wisconsin Hospital Association|
|Frank, Jennifer||Wisconsin Hospital Association|
|Grasmick, Mary Kay||Wisconsin Hospital Association|
|Gullingsrud, Tim||Hayward Area Memorial Hospital and Nursing Home|
|Heywood, Matthew||Aspirus, Inc.|
|Levin, Jeremy||Rural Wisconsin Health Cooperative|
|Lewis, Gordon||Burnett Medical Center|
|McKevett, Timothy||Beloit Health System|
|Roller, Rachel||Aurora Health Care|
|Russell, John||Columbus Community Hospital|
|Sanders, Michael||Monroe Clinic|
|Sheehan, John||UW Health American Center|
|Schulze, Connie||Ministry Health Care|
|Contributors ranging from $2,000 to $2,999||Gold Club|
|Alig, Joanne||Wisconsin Hospital Association|
|Boese, Jennifer||Wisconsin Hospital Association|
|Duncan, Robert||Children's Hospital of Wisconsin|
|Herzog, Mark||Holy Family Memorial Hospital|
|Hilt, Monica||Ministry Health Care/St. Elizabeth Hospital|
|Kachelski, Joe||Wisconsin Statewide Health Information Network|
|Lappin, Michael||Aurora Health Care|
|Leitch, Laura||Wisconsin Hospital Association|
|Natzke, Ryan||Marshfield Clinic|
|Potter, Brian||Wisconsin Hospital Association|
|Sexton, William||Crossing Rivers Health Medical Center|
|Stanford, Matthew||Wisconsin Hospital Association|
|Starmann-Harrison, Mary||Hospital Sisters Health System|
|Steines, Sara||Children's Hospital of Wisconsin|
|Turney, Susan||Marshfield Clinic|
|Wallace, Michael||Fort HealthCare|
|Contributors ranging from $3,000 to $4,999||Platinum Club|
|Boatwright, Damond||SSM Health Care of Wisconsin|
|Jacobson, Catherine||Froedtert & The Medical College of Wisconsin|
|Mettner, Michelle||Children's Hospital of Wisconsin|
|Meyer, Daniel||Aurora BayCare Medical Center|
|Neufelder, Daniel||Ministry Health Care|
|Normington, Jeremy||Affinity Health - Mercy Medical Center|
|O'Brien, Kyle||Wisconsin Hospital Association|
|Pandl, Therese||HSHS Eastern Wisconsin Division|
|Standridge, Debra||Wheaton Franciscan Healthcare|
|Turkal, Nick||Aurora Health Care|
|Contributors ranging from $5,000 to $9,999||Leaders Circle|
|Borgerding, Eric & Dana||Wisconsin Hospital Association|
|Brenton, Stephen||Wisconsin Hospital Association|
|Kerwin, George||Bellin Hospital|
|Size, Tim||Rural Wisconsin Health Cooperative|
|Troy, Peggy||Children's Hospital of Wisconsin|
|$10,000+ Contributors||Leaders Circle|
|Tyre, Scott||Capitol Navigators, Inc|
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CMS’ FY 2017 OPPS Rule Contains Proposals for Meaningful Use Flexibility
As reported in last week’s Valued Voice, the Centers for Medicare and Medicaid Services (CMS) released the FY 2017 Outpatient Prospective Payment System (OPPS) proposed rule on July 6, 2016.
The wide-ranging rule contains several proposals that, if finalized, would make changes to the reporting requirements of the Medicare and Medicaid EHR Incentive Programs. These proposed changes could create some flexibility for hospitals and physicians seeking to attest to meaningful use and thereby avoid escalating Medicare reimbursement penalties:
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Variety of Legal and Regulatory Hot Topics Focus of Webinar Series
WHA has launched a monthly WHA Member Forum webinar series focused on current legal and regulatory hot topics. There is no fee for these webinars, which are intended for WHA hospital and corporate members as a member benefit, but pre-registration is required. The series includes a range of topics, each presented by a representative of a WHA corporate member law firm.
Some of the upcoming sessions include:
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Final Chance to Register for July 19 Webinar: DOL Overtime Rule
On July 19, WHA is offering a webinar focused on the Department of Labor’s (DOL) final rule updating the exemption of white collar employees from the overtime requirements of the Fair Labor Standards Act. The final rule goes into effect December 1, 2016.
This webinar, “Examining the DOL’s Final White Collar Exemption Regulations,” is part of WHA’s series on legal and regulatory hot topics, and will be presented by Tom O’Day of Godfrey & Kahn, s.c., a WHA corporate member. O’Day will walk health care employers through the final rule, provide insight on the short-term and long-term effects of the new provisions, and discuss strategies for compliance.
Registration is now open at https://events.SignUp4.net/16LegalSeries. There is no fee for this webinar, but pre-registration is required. The series is intended for WHA hospital and corporate members as a member benefit. For registration questions, contact Kayla Chatterton at firstname.lastname@example.org or 608-274-1820.
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Hospital Foundation Workshop Focuses on Engaging Donors, Board Members
Register today for August 16 event
Deeper engagement of donors and increased support from Foundation Board members is the focus of the annual hospital foundation workshop offered on August 16 by the Wisconsin Hospital Association, Wisconsin Office of Rural Health and the Rural Wisconsin Health Cooperative.
“Prescription for Success: A Workshop for Hospital Foundations” is scheduled for August 16, and hospital foundation directors and board members are encouraged to attend this popular annual event. This year’s workshop will be led by Lori L. Jacobwith, nationally-known communication and fundraising strategist. Jacobwith, who is back by popular demand, will lead two interactive sessions, sharing tools and techniques to cause donors to take action and increase their support to your organization, as well as creating an environment where your board supports your fundraising efforts and increases its engagement. This year’s program will also include dedicated time for attendees to network with fellow hospital foundation leaders and board members, sharing successes, best practices and challenges.
The workshop for hospital foundations will be held Tuesday, August 16, at Glacier Canyon Lodge at The Wilderness Resort in Wisconsin Dells. The day’s agenda and online registration are available at https://events.SignUp4.net/Foundation16.
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Patient Safety Innovations Expert Pat Quigley to Lead Session on Falls and Injury Prevention
Register today for August 17 Workshop
On August 17, WHA is offering a one-day workshop for quality leaders/staff and nursing leaders focused on fall and injury prevention, shifts in regulatory guidelines and best practice approaches to fall risk and injury reduction. “Re-Energizing Fall and Injury Prevention Practices” is scheduled August 17 in Wisconsin Dells, and will be led by national fall and injury prevention expert Patricia Quigley, PhD. Registration is open at https://events.SignUp4.net/FallsInjuryPrevent0817.
Hospital staff are encouraged to attend as a team, as attendees will engage in group commitment discussions of changes that can be made quickly and those requiring added infrastructure and capacity. In addition, post-acute providers who partner with hospitals, including staff from assisted living facilities, skilled nursing facilities and home health providers should consider attending this important event.
There is a minimal registration fee to attend this workshop, thanks to funding provided by the Wisconsin Office of Rural Health. For questions about the workshop’s content, contact Beth Dibbert at email@example.com or at 608-274-1820. Registration questions can be directed to Kayla Chatterton at firstname.lastname@example.org.
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ISG Advisors: Engaging Retirement Plan Participants
Employee engagement is important to ensuring the success of any retirement program. But how do you encourage employees to plan and save?
To start, it’s important to understand how employees make decisions. Lincoln Financial Group’s Participant Engagement Study found four decision-making styles based on 1) the time participants need in order to make a decision in the plan, 2) whether and how participants involve a financial professional, and 3) what participants say influences their decision.
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DHS Hosting Webinar on Public Health Reporting for EHR Meaningful Use Program
Focus on options for Eligible Professionals to meet modified Stage 2 reporting requirements
The Wisconsin Department of Health Service’s (DHS) Medicaid EHR Incentive Program will host an information session on the public health requirements for the Medicaid EHR Incentive program Friday, July 22, from 10:00-11:30am.
The objective of this webinar is to discuss the Public Health Reporting Objective for Eligible Professionals in Program Years 2015-2017 and to share new Attestation Guidance documents, located on the DHS Reporting Guidance webpage.
To join the DHS webinar, click on Join Skype Meeting or call in at 866-715-6499 using conference ID 6513401866. After the session, a recording of the webinar and a PDF of the presentation will be posted to the DHS Resources page.
If you have questions about the webinar, email DHSeHealth@dhs.wisconsin.gov.
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