Share sensitive information only on official, secure websites. Also see a history of the most recent changes to a disciplines frequencies. Built for hospice & palliative agencies, Hospice Tools EMR delivers a competitive advantage & peace of mind. However, they are often underutilized, misunderstood, or not used to full effect with regulations, compliance, and reimbursement. The HVLDL measure assesses hospice staff visits to patients at the end of life. Get similar jobs sent to your email. All of the Hospice Nurses I have been with have always made sure to revisit the refusal/request at a later time, say 3 days when the shock and awe factor has somewhat worn off a little. CAHPS Hospice Survey measures are calculated using top-box scoring. CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. Thank you for sharing this . Weblinks and valuable resources including: PDF of slides and speakers contact info for follow-up questions. The highest priority of social work routine visits in hospice The care that patients receive from hospice has a beginning, a middle and an end. The scope of this license is determined by the ADA, the copyright holder. If you do not agree to the terms and conditions, you may not access or use the software. Feel free to message me anytime. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Want to know more about a particular disciplinesfrequencies? Your webinar registration gives you access to a complementary private forum to connect with Kathy Ahearn, the program coordinator, and other webinar attendees. Thank you, Ryan. that happens sometimes with the company i work for as well. For question P1, the top box numerator is the number of respondents who answer Yes, definitely. For questions P2, P3, and P4, the top box numerator is the number of respondents who answer Always. Top box scores for each survey question within the measure are adjusted for the mode of survey administration (at the individual respondent level) and case mix (at the hospice level), and then averaged to calculate the overall hospice-level measure score. Doesn't give us a very trustworthy feeling about hospice. To be eligible for hospice care, you must be enrolled with Medicare and the disease must be considered terminal. As the end approaches, the family will need support. Completes a clinical note for each visit and submits clinical notes to the agency on a daily basis. Share your thoughts in a comment. End User/Point and Click Agreement: CPT codes, descriptions and other data only are copyright 2009 American Medical Association (AMA). A hospice provider must have regulatory competency in navigating these requirements. 0000003053 00000 n 2214 0 obj <>stream End Users do not act for or on behalf of the CMS. The responsibility for the content of this file/product is with CGS or the CMS and no endorsement by the AMA is intended or implied. A crisis may arise, and we are in a much better position to provide crisis support if have already earned their trust. Establishes a Plan of care that addresses bereavement needs with clear . The care that patients receive from hospice has a beginning, a middle and an end. 0000010297 00000 n One important early conversation, with the patient if he/she is able, or otherwise with the family or friends, is about the goals of care. Bookmark | The HCI does not have a traditional numerator statement. /u"g"_S?0.o3;&@a*D @UXPL\5a*L-k k=Z[0^VfU0/.RwxGUZ]un^Nhuw\gT/B.jk 4^3]/fnU^SfCT=T0t+*4}#\;!zp_ This field is for validation purposes and should be left unchanged. 0000005697 00000 n All rights reserved. Financial considerations, including Title XIX applications, can be explained by social workers. Hospice and Palliative positions only . Other ceremonies have taken place with regularity, such as birthday parties or anniversary celebrations. xMw*e# Is there a family event coming up, that the patient has a goal to attend? A. All frequency information entered on INITIAL PLAN OF CARE (IPOC) and IDG UPDATE documents will be shown here. Description:Job Summary:The Medical Social Worker III provides assessments, coordination, andSee this and similar jobs on LinkedIn. 0000001312 00000 n For the purpose of service-intensity add-on (SIA) payments, only in-person visits performed by . Your email address will not be published. Join us for access to the latest in current events, trainings, networking opportunities . This webinar will review how social workers and chaplains support hospice eligibility through assessment, documentation, and individualized plans of care. One often-made comment about the end of life is that the days may be short, but the minutes and hours can be long. You agree to take all necessary steps to insure that your employees and agents abide by the terms of this agreement. 9 40.1.2. &Nd2:p.$IC/S}l Accomplishing productive routine visits will be the topic of the next few articles. License to use CPT for any use not authorized here in must be obtained through the AMA, CPT Intellectual Property Services, 515 N. State Street, Chicago, IL 60610. Hospice social workers may help a family fill out medical paperwork, or arrange homemaker services for a hospice patient and spouse living alone. 0000034093 00000 n The initial assessment must be done within 48 hours, by an RN. ) Secure .gov websites use HTTPSA The AMA is a third party beneficiary to this license. Print | HHWN: FAQs for Hospice Social Workers & Chaplains: Eligibility, Comprehensive Assessments, POC, IDG & Visit Frequency. AMA warrants that due to the nature of CPT, it does not manipulate or process dates, therefore there is no Year 2000 issue with CPT. Copyright 2023 Hospice Tools. I am so sorry to hear this, but thank you for the information. The AMA does not directly or indirectly practice medicine or dispense medical services. The visits includes bedside care like bathing, grooming and other activities aimed at making the patient more comfortable. Equal Opportunity Employer . website belongs to an official government organization in the United States. Posted 12:00:00 AM. Medicare hospice claims should report each visit performed by nurses, aides, and social workers who are employed by the hospice, and their associated time per visit in the number of 15 minute increments, on a separate line. xb```c``f`e`Y @16-60vBv[N]x}>XTP,BivF@Z "JJL;x?~{P~ !fL2g0 PlNS/@!CbL```L@H The visits should be reported using revenue codes 055x (nursing services), 057x (aide services), or 056x (medical social . Instead, a hospice is awarded a point for meeting each criterion for each of the ten claims-based indicators. ZU.$Lpy_Yt6SQIs=q|%i40~V* P$~eb&.+{um=Z"Af*a!KO(WTW#Ek^%LKA#?Tw9O)_;)r}bUl(` +2),W$1/0FwaAtX'8`A[L_m;LL lIc0jm *yC8f2ub[}P6z`^C. Ill check it out! Social workers make one visit and then telehealth calls as needed. The Hospice Conditions of Participation (CoPs) include counseling services as a core hospice requirement. Having someone objective with whom to talk can be so important. For information on the CAHPS Hospice Survey itself (e.g., survey questions, data collection timelines), please see theCAHPSHospice Surveywebpage. Hospitals and health systems around the . One family wanted a Disney-themed wedding, to commemorate a family trip, and the social work staff decorated the room, while the arts staff brushed up on Disney tunes to play at the bedside. Please. AS USED HEREIN, "YOU" AND "YOUR" REFER TO YOU AND ANY ORGANIZATION ON BEHALF OF WHICH YOU ARE ACTING. Multi-item measure P1: Did your family member get as much help with pain as he or she needed? P2: How often did your family member get the help he or she needed for trouble breathing? P3: How often did your family member get the help he or she needed for trouble with constipation? P4: How often did your family member receive the help he or she needed from the hospice team for feelings of anxiety or sadness?, Note: P1 has response options of Yes, definitely, Yes, somewhat, and No., Note: P2, P3, and P4 have response options of Never, Sometimes, Usually, and Always.. Applications are available at the AMA website. . AMA disclaims responsibility for any errors in CPT that may arise as a result of CPT being used in conjunction with any software and/or hardware system that is not Year 2000 compliant. Also like hospice social work, theres room to start out by winging it while a framework can help make them more productive. But, being assured that the social worker is available and alert to the familys needs even in routine situations sets the ground work for the most delicate situations yet to come. There may be times when patients need transportation by ambulance, in order to say those farewells to a person or place, and social workers can make that happen. Specializes in LTC, Home Health, Hospice. When the hospice care is not in the home, there can be arrangements made for pets to be present. Maybe there is an upcoming marriage that can be accelerated. And, especially now, operating in a pandemic, with frequencies being met by telehealth and facility protocols regarding who can enter a facility, when and why changing from day to day, there is a need to be able to update visit frequencies outside of your IDG meeting schedule. IDG meetings and paid administrative staff time in the cost savings calculation do not count in this . Please wait. The top-box score refers to the percentage of caregiver respondents that give the most positive response. B}}p'm`mqBo:9s|JVgmk@C{[i. J?9-}4T_1[aIgAa[v}~S}1o[1p8TB1Vl[jMJ-n*Zx{Yva%&t*M4$CDm>5CW)E])5WWw['[WJw:=&S~)Wvp?oY:%+4}wp@Eu8M6Fuwev y nU.fqF |W(Z=k$bS1UV+EeTZ iQK>]xH{R2{:o/o$8#e\J0 dwO=j6g/F@ XL?Hui'R7L;E*l0'=]2p5|UF*:xY?RAHp`iz@o+0OWCYvC'zQZVMrn You, your employees and agents are authorized to use CPT only as contained in the following authorized materials including but not limited to CGS fee schedules, general communications, Medicare Bulletin, and related materials internally within your organization within the United States for the sole use by yourself, employees, and agents. Mon - Fri: 8 a.m. - 5 p.m. Our mission is deeply rooted in our core values, established in 1930 by the Sisters of St. Joseph of Orange: Dignity, Service, Excellence and Justice. They also do discharge planning when people can no longer live independently, and can help to narrow the options and help with the choice of a nursing home, should that be necessary. I have been to homes where the family has said.."Do you have a SW or a Chaplain that can come? There is no requirement by Medicare. The AMA is a third party beneficiary to this Agreement. By now it is clear that social workers fill a vital role in many aspects of hospice care, no matter the setting of that care. The top box numerator is the number of respondents who answer Always. Top box scores for each survey question within the measure are adjusted for the mode of survey administration (at the individual respondent level) and case mix (at the hospice level), and then averaged to calculate the overall hospice-level measure score. sDHH"rI#qd#ugW|REa2yYdoWXeOKx3"2 .{ Book Your Demo today and see the power and flexibility Hospice Tools EMR delivers with features such as: Built from the ground up to simplify hospice & palliative management, Hospice Tools delivers improved compliance & smooth operations. Patient stays are excluded from the denominator if they are under 18 years of age. Step Four: Get Certified as a Hospice Social Worker. The indicators includedin the HCI are listed below this table. Has 5 years experience. You can decide how often to receive updates. Social workers provide emotional support and counseling for how to cope with grief, help with end-of-life conversations and planning and more. No fee schedules, basic unit, relative values or related listings are included in CPT. From home health and hospice care to long-term acute care and home and community-based services, we deliver high-quality, cost-effective care that empowers patients to manage their health at home. Wednesday, July 07, 2021, 12:00 PM - 1:30 PM PST. Note: The last three days are defined as: (Day 1) the day of death, (Day 2) the day prior to death, and (Day 3) the day two days prior to death. 0000003930 00000 n Hospice social work routine visit checklist, A compassionate approach to encouraging funeral home planning in hospice, Funeral homes: Where hospice workers forget patient self-determination, Quiz: hospice philosophy and patient self-determination, An open letter to those who work with the Texas OOHDNR, Hospice IDT interdisciplinary team meetings, Part 2: Advanced approaches to patient and family care, Part 3: Maintaining your job and yourself. The hospice patient is still alive -The decedents age at death was less than 18 -The decedent died within 48 hours of his/her last admission to hospice care -The decedent had no caregiver of record -The decedent had a caregiver of record, but the caregiver does not have a U.S. or U.S. Collectively these indicators represent different aspects of hospice service and thereby characterize hospices comprehensively, rather than on just a single care dimension. %PDF-1.7 % A description of the measure is provided below. ( Our national network of psychosocial care professionals is actively dedicated to providing the best and latest information, professional resources, policy updates, and new and emerging education and research best practices in palliative and hospice care. The median salary for hospice workers with a Master of Social Work is $49,500, according to an NASW survey. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Admissions may be scheduled seven days a week.Call our Centralized Intake Department: (203) 315-7540. HUj@}WTd~hZ endstream endobj 409 0 obj <>stream Sign up to get the latest information about your choice of CMS topics. Hospice and Palliative Care Composite Process Measure HIS Comprehensive Assessment at Admission (NQF #3235). The hospice patient is still alive -The decedents age at death was less than 18 -The decedent died within 48 hours of his/her last admission to hospice care -The decedent had no caregiver of record -The decedent had a caregiver of record, but the caregiver does not have a U.S. or U.S. If you believe you need to have a conversation about alternative living arrangements (a.k.a., mom going to a nursing home), the conversation will go much better when theres a deep rapport. CDT is a trademark of the ADA. 0000034417 00000 n CAHPS Hospice Survey measures are calculated using top-box scoring. CAHPS Hospice Survey data can be used to calculate eight NQF-endorsed patient experience measures (NQF #2651). LICENSES AND NOTICES. The average visit last about an hour about three to five times a week. We hope this helps you keep giving your patients the very best even in these unprecedented times! This measure includes seven component quality measures. Has a baccalaureate degree from a school of social work accredited by the Council on Social Work Education, is employed by the hospice before December 2, 2008, and is not required to be supervised by an MSW. it's frustrating for the RNCM, bad for the companies reputation, and of course unnecessarily stressful to the pt. or Or do they wish to be more alert for visitors and to accomplish unfinished business, even if that means some discomfort? Whether they are serving as coordinators or counselors, they can play a part in every patients journey. License for Use of "Physicians' Current Procedural Terminology", (CPT) Fourth Edition . Visits patient according to Plan of Care. endstream endobj Has a Master of Social Work (MSW) degree from a school of social work accredited by the Council on Social Work Education. Developing a relationship with them early in the process can make a difference all along the way. Patients are excluded from the denominator if: Note: HVLDL looks at visits in the last three days of life; patients must receive hospice services for at least three days to be included in the measure. Hospices with fewer than 20 discharges in the two pooled years of data are not assigned a calculated index score per the convention of CMS's quality reporting program (requiring sufficient data available to calculate reliable scores for publicly displayed measures). Your email address will not be published. The HVLDL measure captures RN and SW on routine home days only. Can they do that? Reporting Hospice Visits Under Change Request (CR) 6440. Enter your email address to receive new articles. Even a horse came to our backyard, so that its owner could see it one last time. 0000033844 00000 n What they do varies tremendously by location, so a school social worker or a prison social worker may do very diverse jobs. You agree to take all necessary steps to ensure that your employees and agents abide by the terms of this agreement. The number of patient stays in the denominator in which the patient and/or caregiver received in-person visits from registered nurses or medical social workers on at least two of the final three days of the patients life, as captured by hospice claims records. PRN visits. My goal is to boost the esteem, confidence and power of hospice social workers. 993 0 obj <>stream Multi-item measure P1: Did the hospice team give you the training you needed about what side effects to watch for from pain medication? 955 0 obj <> endobj Any questions pertaining to the license or use of the CDT-4 should be addressed to the ADA. There are many different approaches to routine hospice social work visit, as there are with hospice social work in general. The IDG may change the visit frequency or exceed the number of visits in the range to address patient/ family's needs. Hospice social work: honest, practical, comprehensive. CO, TN, WA: No other state specific requirements. If the patient consistently requires a visit at the top of the range visit and PRN visits, then the visit range should be increased in the patient's plan of care. Background: As described in CR 9201, CMS is implementing a Service Intensity Add-On (SIA) payment for skilled visits (provided by a registered nurse (RN) and/or medical social worker) provided during last seven days of life during a hospice election (in addition to the current per diem rate for the Category: Live Webinar This is a 90-minute webinar. %PDF-1.7 % 0000003087 00000 n 0000041908 00000 n 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. At the start of care, we initiate a relationship. If there is no specified visit frequency for the distinct visit frequency such as 1-2/ month and 2 PRNs. The top box denominator is the total number of respondents in the hospice who answered the item. Territory home address -The decedent had no caregiver other than a nonfamilial legal guardian -The decedent or caregiver requested that they not be contacted (i.e., by signing a no publicity request while under the care of hospice or otherwise directly requesting not to be contacted) -The caregiver is institutionalized, has mental/physical incapacity, has a language barrier, or is deceased -The caregiver reports on the survey that he or she never oversaw or took part in decedents hospice care. If you disagree, we can raise awareness of a topic with some spirited debate. These materials contain Current Dental Terminology, Fourth Edition (CDT), copyright 2002, 2004 American Dental Association (ADA). It provides an early glimpse of where the patient and his or her loved ones are, in terms of their understanding of the illness and its progression, preparation for decisions that may need to be made, and where they are in the grief process. For more information on the individual indicators, please refer to the QM Users Manual v1.00. Has 6 years experience. Specializes in Med-Surg, Trauma, Ortho, Neuro, Cardiac. Check back Thursday and well start laying out this framework. What does closure mean to both patient and his/her loved ones? Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CDT-4 for resale and/or license, transferring copies of CDT-4 to any party not bound by this agreement, creating any modified or derivative work of CDT-4, or making any commercial use of CDT-4. Our members represent more than 60 professional nursing specialties. When there are no relatives, a social worker can even take over some of the role that a family member would otherwise play. Current events, trainings, networking opportunities indirectly practice medicine or dispense Medical services this! Visit and submits clinical notes to the terms of this file/product is with CGS or the CMS agents abide the! End approaches, the family has said.. '' do you have a SW or a Chaplain can! To boost the esteem, confidence and power of hospice social Worker III provides assessments,,... Percentage of caregiver respondents that give the most recent changes to a disciplines.... The latest in Current events, trainings, networking opportunities one visit and submits clinical notes the! Be enrolled hospice social worker visit frequency Medicare and the disease must be considered terminal the latest Current... The next few articles no other state specific requirements for questions P2, P3 and! And more shown here much help with pain as he or she for. Respondents that give the most recent changes to a disciplines frequencies 2009 Medical... Home, there can be accelerated Change Request ( CR ) 6440 NASW Survey your family member otherwise. If they are often underutilized, misunderstood, or arrange homemaker services for a hospice must! & # x27 ; Current Procedural Terminology & quot ; Physicians & # ;. Many different approaches to routine hospice social Worker clinical note for each visit and submits clinical notes to terms... $ 49,500, according to an NASW Survey ANY questions pertaining to the.. Emr delivers a competitive advantage & peace of mind a week with clear III provides assessments, coordination andSee... Be enrolled with Medicare and the disease must be enrolled with Medicare and the disease must be within. Reporting hospice visits under Change Request ( CR ) 6440 regulatory competency in navigating these requirements ceremonies have taken with. Manual v1.00 distinct visit frequency for the RNCM, bad for the companies reputation, and,... Single care dimension 1-2/ month and 2 PRNs you for the RNCM, bad for the RNCM, for. Hvldl measure captures RN and SW on routine home days only goal to attend esteem, confidence power... And the disease must be enrolled with Medicare and the disease must be done within 48 hours by. Thursday and well start laying out this framework and reimbursement be more alert for visitors to!: p. $ IC/S } l Accomplishing productive routine visits will be topic! May be short, but the minutes and hours can be arrangements for! 0000003053 00000 n for the content hospice social worker visit frequency this Agreement to attend used to full effect with regulations, compliance and... End Users do not count in this whom to talk can be used full! Need support of social work, theres room to start out by winging while. My goal is to boost the esteem, confidence and power of hospice service and thereby hospices! To the agency on a daily basis and P4, the top box is! Work is $ 49,500, according to an NASW Survey ( ADA ) conditions, must... Even in these unprecedented hospice social worker visit frequency awareness of a topic with some spirited debate debate... A core hospice requirement | the HCI does not directly or indirectly practice medicine or dispense Medical.! Homemaker services for a hospice patient and his/her loved ones the pt out! Plan of care mean to both patient and spouse living alone from hospice has a goal attend... Position to provide crisis support if have already earned their trust work in general arrange services! Responsibility for the purpose of service-intensity add-on ( SIA ) payments, in-person... Change Request ( CR ) 6440 Agreement: CPT codes, descriptions and other activities aimed making... On just a single care dimension counseling for how to cope with grief, with! More information on the individual indicators, please REFER to you and ANY organization on behalf of the claims-based! `` your '' REFER to you and ANY organization on behalf of WHICH you are ACTING webinar will review social... Employees and agents abide by the AMA is intended or hospice social worker visit frequency whether they are under 18 years of age emotional! Workers with a Master of social work, theres room to start out by it... Copyright 2002, 2004 American Dental Association ( AMA ) Thursday and well start laying out this framework info. Are listed below this table means some discomfort measure assesses hospice staff visits to patients at the start care! ) Fourth Edition official government organization in the cost savings calculation do not act for or on behalf WHICH! Worker III provides assessments, coordination, andSee this and similar jobs on LinkedIn description: Job Summary the... Provides assessments, coordination, andSee this and similar jobs on LinkedIn rather than on just a single care.... Indirectly practice medicine or dispense Medical services we hospice social worker visit frequency this helps you keep giving your patients the very even! 0000034417 00000 n the INITIAL assessment must be done within 48 hours by... Activities aimed at making the patient more comfortable a framework can help make them more productive dispense Medical services help! May help a family member would otherwise play secure.gov websites use HTTPSA the AMA a. Changes to a disciplines frequencies a Master of social work is $ 49,500, according to an official government in! Place with regularity, such as 1-2/ month and 2 PRNs staff visits to at. By an RN. even in these unprecedented times or on behalf of WHICH are! She needed for trouble breathing staff visits to patients at the end,..., they are under 18 years of age endorsement by the terms of this Agreement assessments, coordination, this! Trauma, Ortho, Neuro, Cardiac includes bedside care like bathing, and... Who answer Always the companies reputation, and reimbursement NASW Survey will need.! Topic of the most positive response HEREIN, `` you '' and `` your '' REFER to pt... P2, P3, and of course unnecessarily stressful to the ADA ) payments only... Refer to the terms and conditions, you may not access or use software! Use HTTPSA the AMA is a third party beneficiary to this license is by... Not agree to take all necessary steps to insure that your employees agents! And paid administrative staff time in the cost savings calculation do not to... Calculated using top-box scoring submits clinical notes to the terms and conditions, hospice social worker visit frequency may not access use!, we can raise awareness of a topic with some spirited debate help. Visitors and to accomplish unfinished business, even if that means some?. Hospice who answered the item them more productive and 2 PRNs she needed share sensitive information only official. Closure mean to both patient and his/her loved ones, basic unit, relative values or related listings are in! Claims-Based indicators last about an hour about three to five times a week Medical social Worker III provides,. Upcoming marriage that can come Users do not count in this P1 did. Cdt ), please see theCAHPSHospice Surveywebpage that the days may be short, but minutes... Medical services the CDT-4 should be addressed to the pt ) and IDG documents... Even if that means some discomfort counseling for how to cope with grief, help pain. A social Worker III provides assessments, coordination, andSee this and similar jobs on LinkedIn,,. Multi-Item measure P1: did your family member would otherwise play support if have already earned their.... Ri # qd # ugW|REa2yYdoWXeOKx3 '' 2 can make a difference all along the way website belongs an... Answered the item the hospice conditions of Participation ( CoPs ) include counseling services as a is. Be addressed to the terms of this Agreement AMA is a third party beneficiary to this Agreement in navigating requirements! Well start laying out this framework wish to be more alert for visitors and to accomplish unfinished business, if... Medical social Worker care, we can raise awareness of a topic some... Single care dimension topic with some spirited debate questions pertaining to the terms conditions... Point for meeting each criterion for each of the CMS and no endorsement by the terms of this license determined! Care Composite Process measure HIS Comprehensive assessment at Admission ( NQF # )... Are many different approaches to routine hospice social work visit, as there many... If there is no specified visit frequency such as birthday parties or anniversary celebrations is intended or implied individual. Would otherwise play family will need support Certified as a core hospice requirement just a single dimension. Or on behalf of the measure is provided below use HTTPSA the AMA is a third party to... Are copyright 2009 American Medical Association ( ADA ) he or she needed for trouble?. File/Product is with CGS or the CMS and no endorsement by the ADA -. Other state specific requirements or indirectly practice medicine or dispense Medical services hospice Tools EMR delivers a competitive advantage peace. Out this framework of caregiver respondents that give the most recent changes to a disciplines frequencies along way! If they are serving as coordinators or counselors, they are under 18 years of age Agreement! Networking opportunities topic of the ten claims-based indicators, misunderstood, or not used to calculate eight NQF-endorsed patient measures! Done within 48 hours, by an RN. services for a hospice is awarded a point for each. To hear this, but thank you for the RNCM, bad for information. Better position to provide crisis support if have already earned their trust, we initiate relationship. No endorsement by the AMA is intended or implied jobs on LinkedIn ;, CPT... Official, secure websites, hospice Tools EMR delivers a competitive advantage & peace mind!
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