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  • Provider Sponsored Health Plan Analysis of Competitive Landscape
    healthcare workers More Information Session Spotlights Competition Consumerism and Choice Building a Better Healthcare Mar David Johnson will discuss how consumerism and related forces are driving new levels of competition in the healthcare market More Information Session Spotlights Provider Sponsored Health Plan Analysis of Competitive Landscape Paul Keckley PhD will discuss the current status of provider sponsored risk activities and the success of provider sponsored health plans More Information Session Spotlights What Drives Patient Loyalty Analyses from Inpatient Outpatient and Thomas Lee MD CMO Press Ganey will discuss strategies organizations have used that combine patient survey data and financial incentives to engage physicians in performance improvement efforts More Information Session Spotlights Enabling Physicians to Deliver Value Based Care Sachin Jain MD will share strategies and examples to leverage health data to improve patient health Dr Jain s work uses the understanding of actual patient experiences and outcomes and applying that knowledge to improve care delivery through appropriate use of medications medication adherence and advancing medical discovery More Information Session Spotlights Industry Trends and Credit Issues Martin Arrick will discuss the strategic shifts from fee for service to value based care and how that shift is leading institutions to focus less on volume and more on cost safety and quality outcomes and payment More Information Provider Sponsored Health Plan Analysis of Competitive Landscape Date Time Tuesday June 28 8 00 9 15 a m Speaker Paul Keckley PhD Managing Director Navigant Summary The consolidation of private insurers and shifting of financial risk to provider organizations by Medicare and other purchasers is prompting many health systems to consider the advisability of sponsoring a health plan themselves In this session the current status of provider sponsored risk activities and the success of provider sponsored health plans will be the focus Proprietary research about

    Original URL path: http://www.hfma.org/ANI/Contents/Sessions_2016/Provider_Sponsored_Health_Plan_Analysis_of_Competitive_Landscape/ (2016-02-10)
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  • Finding a Better Way Toward Patient-Centered Medicine
    Health Plan Analysis of Competitive Landscape Paul Keckley PhD will discuss the current status of provider sponsored risk activities and the success of provider sponsored health plans More Information Session Spotlights Competition Consumerism and Choice Building a Better Healthcare Mar David Johnson will discuss how consumerism and related forces are driving new levels of competition in the healthcare market More Information Session Spotlights Finding a Better Way Toward Patient Centered Medicine Vivian Lee PhD MD MBA will discuss how the University of Utah has simultaneously re defined treatment success improved patient expectations and engagement and created real and measurable cost efficiencies More Information Session Spotlights Industry Trends and Credit Issues Martin Arrick will discuss the strategic shifts from fee for service to value based care and how that shift is leading institutions to focus less on volume and more on cost safety and quality outcomes and payment More Information Session Spotlights Enabling Physicians to Deliver Value Based Care Sachin Jain MD will share strategies and examples to leverage health data to improve patient health Dr Jain s work uses the understanding of actual patient experiences and outcomes and applying that knowledge to improve care delivery through appropriate use of medications medication adherence and advancing medical discovery More Information Finding a Better Way Toward Patient Centered Medicine Date Time Monday June 27 9 45 11 00 a m Speaker Vivian Lee PhD MD MBA Sr VP for Health Sciences University of Utah Summary With pay for performance metrics the new normal organizations must learn to embrace a patient centered value driven transparent health care system and leaders must be integrated into this culture Through the use of a unique patient reported outcomes tool the University of Utah has simultaneously re defined treatment success improved patient expectations and engagement and created real

    Original URL path: http://www.hfma.org/ANI/Contents/Sessions_2016/Finding_a_Better_Way_Toward_Patient-Centered_Medicine/ (2016-02-10)
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  • Industry Trends and Credit Issues
    High Reliability Healthcare While Generating Positive ROI Mark Chassin MD will discuss a promising strategy to reach high reliability with the promising goal of efforts causing zero harm delivering health care without ever harming patients or healthcare workers More Information Session Spotlights Enabling Physicians to Deliver Value Based Care Sachin Jain MD will share strategies and examples to leverage health data to improve patient health Dr Jain s work uses the understanding of actual patient experiences and outcomes and applying that knowledge to improve care delivery through appropriate use of medications medication adherence and advancing medical discovery More Information Session Spotlights Provider Sponsored Health Plan Analysis of Competitive Landscape Paul Keckley PhD will discuss the current status of provider sponsored risk activities and the success of provider sponsored health plans More Information Session Spotlights Finding a Better Way Toward Patient Centered Medicine Vivian Lee PhD MD MBA will discuss how the University of Utah has simultaneously re defined treatment success improved patient expectations and engagement and created real and measurable cost efficiencies More Information Industry Trends and Credit Issues Date Time Wednesday June 29 9 45 11 00 a m Speaker Martin Arrick Managing Director Standard Poor s Summary The

    Original URL path: http://www.hfma.org/ANI/Contents/Sessions_2016/Industry_Trends_and_Credit_Issues/ (2016-02-10)
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  • Getting to High Reliability Healthcare While Generating Positive ROI
    discuss a promising strategy to reach high reliability with the promising goal of efforts causing zero harm delivering health care without ever harming patients or healthcare workers More Information Session Spotlights Finding a Better Way Toward Patient Centered Medicine Vivian Lee PhD MD MBA will discuss how the University of Utah has simultaneously re defined treatment success improved patient expectations and engagement and created real and measurable cost efficiencies More Information Session Spotlights Provider Sponsored Health Plan Analysis of Competitive Landscape Paul Keckley PhD will discuss the current status of provider sponsored risk activities and the success of provider sponsored health plans More Information Session Spotlights What Drives Patient Loyalty Analyses from Inpatient Outpatient and Thomas Lee MD CMO Press Ganey will discuss strategies organizations have used that combine patient survey data and financial incentives to engage physicians in performance improvement efforts More Information Session Spotlights Enabling Physicians to Deliver Value Based Care Sachin Jain MD will share strategies and examples to leverage health data to improve patient health Dr Jain s work uses the understanding of actual patient experiences and outcomes and applying that knowledge to improve care delivery through appropriate use of medications medication adherence and advancing medical discovery More Information Getting to High Reliability Healthcare While Generating Positive ROI Date Time Monday June 27 9 45 11 00 a m Speaker Mark Chassin MD FACP MPP MPH President CEO Joint Commission Center for Transforming Healthcare Summary A growing number of hospitals and health systems are striving to reach high reliability The ultimate goal of these efforts is zero harm delivering health care without ever harming patients or healthcare workers Health care is learning from high reliability organizations in high risk industries for example commercial aviation nuclear power and amusement parks Getting to high reliability will be difficult

    Original URL path: http://www.hfma.org/ANI/Contents/Sessions_2016/Getting_to_High_Reliability_Healthcare_While_Generating_Positive_ROI/ (2016-02-10)
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  • Enabling Physicians to Deliver Value-Based Care
    the current status of provider sponsored risk activities and the success of provider sponsored health plans More Information Session Spotlights What Drives Patient Loyalty Analyses from Inpatient Outpatient and Thomas Lee MD CMO Press Ganey will discuss strategies organizations have used that combine patient survey data and financial incentives to engage physicians in performance improvement efforts More Information Session Spotlights Competition Consumerism and Choice Building a Better Healthcare Mar David Johnson will discuss how consumerism and related forces are driving new levels of competition in the healthcare market More Information Session Spotlights Industry Trends and Credit Issues Martin Arrick will discuss the strategic shifts from fee for service to value based care and how that shift is leading institutions to focus less on volume and more on cost safety and quality outcomes and payment More Information Session Spotlights Finding a Better Way Toward Patient Centered Medicine Vivian Lee PhD MD MBA will discuss how the University of Utah has simultaneously re defined treatment success improved patient expectations and engagement and created real and measurable cost efficiencies More Information Session Spotlights Getting to High Reliability Healthcare While Generating Positive ROI Mark Chassin MD will discuss a promising strategy to reach high reliability with the promising goal of efforts causing zero harm delivering health care without ever harming patients or healthcare workers More Information Enabling Physicians to Deliver Value Based Care Date Time Tuesday June 28 8 00 9 15 a m Speakers Sachin Jain MD Chief Medical Officer CareMore Summary As the health system guides its transformation by balancing improving quality measuring performance managing costs and controlling risk Dr Sachin Jain will share strategies and examples to leverage health data to improve patient health Dr Jain s work uses the understanding of actual patient experiences and outcomes and applying that knowledge

    Original URL path: http://www.hfma.org/ANI/Contents/Sessions_2016/Enabling_Physicians_to_Deliver_Value-Based_Care/ (2016-02-10)
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  • Competition, Consumerism, and Choice: Building a Better Healthcare Market
    harming patients or healthcare workers More Information Session Spotlights Industry Trends and Credit Issues Martin Arrick will discuss the strategic shifts from fee for service to value based care and how that shift is leading institutions to focus less on volume and more on cost safety and quality outcomes and payment More Information Session Spotlights What Drives Patient Loyalty Analyses from Inpatient Outpatient and Thomas Lee MD CMO Press Ganey will discuss strategies organizations have used that combine patient survey data and financial incentives to engage physicians in performance improvement efforts More Information Session Spotlights Enabling Physicians to Deliver Value Based Care Sachin Jain MD will share strategies and examples to leverage health data to improve patient health Dr Jain s work uses the understanding of actual patient experiences and outcomes and applying that knowledge to improve care delivery through appropriate use of medications medication adherence and advancing medical discovery More Information Session Spotlights Provider Sponsored Health Plan Analysis of Competitive Landscape Paul Keckley PhD will discuss the current status of provider sponsored risk activities and the success of provider sponsored health plans More Information Session Spotlights Competition Consumerism and Choice Building a Better Healthcare Mar David Johnson will discuss how consumerism and related forces are driving new levels of competition in the healthcare market More Information Competition Consumerism and Choice Building a Better Healthcare Market Date Time Monday June 27 9 45 11 00 a m Speaker David Johnson CEO Founder 4Sight Health Summary Dave Johnson author of Market vs Medicine America s Epic Fight for Better Affordable Healthcare will discuss how consumerism and related forces are driving new levels of competition in the healthcare market This will create better choices for consumers new opportunities for innovators and significant challenges for healthcare organizations trying to maintain the status quo

    Original URL path: http://www.hfma.org/ANI/Contents/Sessions_2016/Competition,_Consumerism,_and_Choice__Building_a_Better_Healthcare_Market/ (2016-02-10)
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  • What Drives Patient Loyalty? Analyses from Inpatient, Outpatient, and Emergency Department Patients
    institutions to focus less on volume and more on cost safety and quality outcomes and payment More Information Session Spotlights What Drives Patient Loyalty Analyses from Inpatient Outpatient and Thomas Lee MD CMO Press Ganey will discuss strategies organizations have used that combine patient survey data and financial incentives to engage physicians in performance improvement efforts More Information Session Spotlights Enabling Physicians to Deliver Value Based Care Sachin Jain MD will share strategies and examples to leverage health data to improve patient health Dr Jain s work uses the understanding of actual patient experiences and outcomes and applying that knowledge to improve care delivery through appropriate use of medications medication adherence and advancing medical discovery More Information Session Spotlights Finding a Better Way Toward Patient Centered Medicine Vivian Lee PhD MD MBA will discuss how the University of Utah has simultaneously re defined treatment success improved patient expectations and engagement and created real and measurable cost efficiencies More Information Session Spotlights Getting to High Reliability Healthcare While Generating Positive ROI Mark Chassin MD will discuss a promising strategy to reach high reliability with the promising goal of efforts causing zero harm delivering health care without ever harming patients or healthcare

    Original URL path: http://www.hfma.org/ANI/Contents/Sessions_2016/What_Drives_Patient_Loyalty__Analyses_from_Inpatient,_Outpatient,_and_Emergency_Department_Patients/ (2016-02-10)
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  • The EHR Evolution: New Priorities and Implementation Challenges
    approach also allows not only for building in the change management that is so important for any organization undertaking such a big implementation but also for being able to do it iteratively to help build credibility and trust while testing different options The idea is that once physician charge capture is implemented in one specialty where the kinks can be worked out those physicians will be able to serve as physician champions for a wider rollout later in the year Physician Engagement According to many IT leaders the ability to involve physicians deeply and obtain their support for EHR adoptions and changes remains key to the success of such initiatives Chadi Nabhan MD medical director of the cancer clinics at University of Chicago Medicine has served as a physician champion during more than one EHR implementation It s important to recognize that there is going to be a learning curve Nabhan says If you are starting with an organization that does not have an EHR it is going to be a challenge in the beginning There is no question about that There will be disruptions to the workflow Organizations can obtain physician buy in by showing that the change will reduce their documentation time but making the switch ultimately is about reducing errors increasing patient safety and complying with the federal mandates When discussing the importance of the EHR implementation with physicians leaders should highlight the potential rewards and benefits and spell out the repercussions of not undertaking the effort It s not all just about the money piece but money is a component of it Nabhan says In addition to designating physician champions in every group or organization to answer physician questions and address challenges it is important to acknowledge that physicians will need to devote more time in the first six months to learn the system and document properly The challenges of that first six months can be eased by setting up a 24 hour hotline physicians can call with questions about the system as well as IT support physically located in every clinic during business hours University of Chicago Medicine also provides weekly ongoing lessons onsite as well as online modules to help the 1 200 medical staff and more than 3 000 nurses adapt to new systems Assisted Approach An alternative approach to switching EHR systems has allowed Chesapeake Regional Healthcare CRH in Chesapeake Va to cut costs and speed implementation First CRH decided to move to a single vendor s enterprisewide EHR due to its scalability and dominance among hospitals in the region and throughout the state which has provided an effective health information exchange for both its patients and nearly 700 physicians on staff and credentialed That decision was informed by a partnership between the vendor and Bon Secours subsidiary Good Help Connections cited previously We wanted to avoid the typical pain that goes along with full on implementation which includes a build process changing the workflow within your organization going live and going through years where you have to tweak the system says Ken Deans vice president and CIO for CRH We wanted to minimize that so we could focus on the business of health care rather than being constantly in this implementation mode Instead of spending time and effort building the system the partnership approach has allowed most of the implementation to focus on workflow modifications Having worked on several of these over the past two decades it seems there s never enough time to focus on workflow in a door to exit EHR Deans says That s a luxury we have this time in that the primary focus has been that workflow And I attribute that comfort level to the model CRH s implementation which is scheduled to go live in March also has been quicker and less costly in both resources and the organizational learning curve Deans says Combining Systems Population health priorities and financial constraints have led another health system to forge a different path following a major consolidation Baylor Scott White Health was formed by the October 2013 merger of two large Texas based health systems with disparate EHRs Scott White Healthcare headquartered in Temple had just finished switching from more than 40 disparate EHRs to an enterprisewide EHR that included inpatient outpatient clinical and revenue cycle functions But Baylor Health Care System in Dallas continued to use more than 60 EHRs in a best of breed approach To determine the best EHR strategy for the newly combined system the leaders of the merged health system used a variety of quantifiable cost models comparing various strategies and less quantifiable impacts You ve been through a multi year EHR implementation It s working it s stable your physicians know how to use it says Matthew Chambers CIO for Baylor Scott White Health Do you want to switch And can you afford to do so and not just financially but also in terms of productivity patient satisfaction physician satisfaction Those are very heavily weighted questions In addition to the sizable capital investment required to consolidate on a single enterprisewide EHR that approach would consume capital from an overarching priority of moving toward a population health model What s important to us is being able to move to a population health model quickly Chambers says Do we need to be on one EHR to do that or is there a bridge strategy that helps us get there faster The answer is There is a bridge strategy that helps us move faster The health system eventually chose a single commercial health information exchange platform to integrate the disparate clinical systems A Key Ingredient for EHR Success Implementing a bridge strategy such as the one undertaken by Baylor Scott White Health requires highly effective physician leadership to ensure clinician adoption The same is true of any other major health IT project In Baylor Scott White Health s case effective physician leadership was what led to the selection of the information exchange platform most favored by the system s physicians based on its usability You can buy a Ferrari but if you never get it out of the garage it s not beneficial Chambers says Rich Daly is a senior writer and editor for HFMA based in Washington D C Publication Date Monday February 01 2016 BACK TO PAGINATION Hospitals and health systems have learned key leadership lessons in selecting and implementing EHRs that can help organizations meet shifting priorities for the industry Healthcare organizations began implementing electronic health records EHRs more than 10 years ago and the move was accelerated by the federal EHR incentive program that began in 2011 However major changes are still underway Many smaller systems and individual hospitals are still looking to implement comprehensive EHRs or convert from disparate applications provided by multiple vendors to a unified system according to industry officials and provider surveys Meanwhile many larger health systems continue to undertake large conversions of the EHRs of acquired hospitals to a single preferred systemwide EHR Other large organizations are considering switching to a new EHR because they are dissatisfied with their current systems Another factor driving some of the changes seen in recent years are the shifting goals of many EHR conversions In many organizations with advanced EHR capabilities efforts that initially were clinically focused with the goal of moving patient data from paper to electronic formats to increase data accessibility have increasingly shifted to a focus on the business functions of EHRs and on seamlessly integrating revenue cycle functions into the systems Given the variety of changes that have occurred as hospitals have switched integrated and or upgraded their EHRs hospitals that are in the earlier stages of EHR implementations or upgrades should seize every opportunity to learn from those that have successfully completed such efforts Here several hospitals and health systems share their experiences and provide critical lessons learned Mature Upgrades Bon Secours Health System BSHSI based in Marriottsville Md initiated an EHR implementation 10 years ago after a rigorous selection process that included many clinicians and other key staff from across the Catholic health system which at that time included 14 hospitals The implementation process provided key insights that informed not only future EHR upgrades but also the eventual integration of revenue cycle functions For instance the system initially used a staggered go live approach at two of its hospitals in Greenville S C with phased functionality introduced at intervals including medication bar coding and nursing documentation going live prior to computerized physician order entry CPOE The approach also integrated the EHR with the legacy revenue cycle application Guiding Principles and Objectives for EHR Implementation It was painful says Laishy Williams Carlson CIO and formerly the co director for the system s EHR implementation The workflows that you had to go through to integrate that clinical EHR with a pretty solid but old fashioned revenue cycle solution were not wonderful We got a lot of feedback from our clinicians Even after Bon Secours implemented the entire EHR in the two hospitals the staff continued to struggle with the interface created to mesh the disparate EHR and revenue cycle systems The results of this initial effort led Bon Secours to reassess its approach The health system decided the best way to avoid the obstacles encountered during the first two implementations was to adopt the EHR vendor s revenue cycle system with the clinical application and to redesign the implementation of the EHR around both systems Bon Secours next implementation site was at a facility in Richmond Va As an additional way to avoid the problems experienced by the Greenville facilities the health system decided to dispense with the staggered go live approach and go live all at once using a process that included the EHR vendor s revenue cycle system With the staggered approach we found that all of the technical and training work that we performed to bridge the workflows of the new system was not worth the effort it was much easier simply to rip the Band Aid off and say OK everything changes when you go live on the new system Williams Carlson says A key advantage of implementing all at once which was how Bon Secours proceeded with every subsequent EHR implementation was the focus on monitoring both clinical and financial indicators when the system went live The approach included a pre implementation analysis which included the expected daily revenue of each department During the implementation revenue was reviewed daily and if staff noticed that their department was off its typical revenue then the department managers were alerted so they could ascertain why We heard some of the horror stories that came out a few years ago where hospitals found out they hadn t billed correctly for months and we used a methodology to make sure nothing like that would happen Williams Carlson says We anticipated every nickel ahead of time and built it into the methodology to be used during the go live The collaboration with our revenue cycle and chargemaster teams was integral to our success Another important success factor in each Bon Secours EHR implementation was the creation of a group called the quality hub which included quality managers and nurses from across the system charged with examining clinician documentation practices to make sure the organization was accurately representing the patient care it was delivering This group helps ensure that new users do not become so focused on following the technical steps of the system that they undervalue the patient care narrative As part of that effort the quality hub randomly selects records for chart review to monitor the documentation and use of the system and to provide real time feedback on ways to improve For some care delivery situations critical to patient safety or identified as high risk charts were reviewed in more detail to ensure appropriate documentation was provided It has worked out very well for us because of the methodology we use we have had a great track record Williams Carlson says Bon Secours continues to use the same approach to implement the EHR for its hundreds of physicians in established practices and for customers supported through their Good Help Connections subsidiary which assists independent hospitals with EHR adoption The success of the revamped approach also has fostered an institutional preference toward using the EHR vendor s system which came into play as various smaller legacy digital record systems reached the end of their life cycles Although much of Bon Secours EHR function has switched to the system provided by the chosen EHR vendor some disparate systems from other vendors continue to be used including a lab system some niche cardiology functions and the picture archiving and communication system PACS We can always go back to the perennial argument of best in breed versus integration and we long ago decided that we liked the overall functionality for the patient of having an integrated solution that spans the care continuum Williams Carlson says The health system recently decided to use the EHR vendor s infection control module despite the preference of some clinicians for other boutique products that were evaluated The decision ultimately was driven by Bon Secours selection criteria which included articulating the health system s expectations for the software e g what problems the software was expected to solve and the organization s goals for clinical transformation Identifying the health system s specific needs informed the decision to go with the selected vendor It s easy to just see something and fall in love with it because of what the vendor demonstrated but you need to step back from that and think of what you need to accomplish Williams Carlson says If you get folks to step back a little bit from the dazzle of the demo and be clearer about what they re trying to accomplish they are likely to find that the integrated solution makes perfect sense and actually goes a little further Bon Secours success with its EHR initiative has prompted the health system to undertake the addition of a home health component to the EHR The health system is now focused on enhancing the system to support population health and person centered care Changing Emphasis Although it has been 10 years since University of Chicago Medicine first implemented an EHR at its flagship academic medical center the organization has since become part of the movement to improve the business functions and interoperability of such systems Not every EHR is created equal and can do everything says Heather Nelson executive director at University of Chicago Medicine For example an EHR that is good at things like placing orders and managing allergies might not be a good PACS solution or have a good laboratory system So there still need to be interfaces Unfortunately the interfaces the organization was able to cobble together slowed data transmission and workflows That challenge led the health system to prioritize interoperability over the past couple of years particularly with new additions which included the decision in 2014 to add its EHR vendor s revenue cycle management product from two separate platforms for hospital billing and professional billing The organization wanted a single billing office to avoid a situation where two different statements are sent to patients after they leave the organization Nelson says Other decision points included improved access to analytics and the ability to support the hospital and professional billing workflows in one tool The decision also was influenced by the availability of real time dashboards to inform the medical center s executive leaders of changes in the length of stay lag time for bills and areas of the organization that need help or are outperforming The two year revenue cycle implementation which is slated to be completed by November 2016 follows a staggered launch approach to identify quick to value features and functions throughout the life cycle of the project For example physician charge capture is a quick to value workflow that the hospital plans to pilot this spring It moves from physicians checking boxes on a piece of paper and turning that in to the billers and coders to a digital system based on clinical documentation already provided by physicians We re spending a lot of money and effort on this initiative to be able to show that the system is worth it Nelson says about the staggered implementation But this approach also allows not only for building in the change management that is so important for any organization undertaking such a big implementation but also for being able to do it iteratively to help build credibility and trust while testing different options The idea is that once physician charge capture is implemented in one specialty where the kinks can be worked out those physicians will be able to serve as physician champions for a wider rollout later in the year Physician Engagement According to many IT leaders the ability to involve physicians deeply and obtain their support for EHR adoptions and changes remains key to the success of such initiatives Chadi Nabhan MD medical director of the cancer clinics at University of Chicago Medicine has served as a physician champion during more than one EHR implementation It s important to recognize that there is going to be a learning curve Nabhan says If you are starting with an organization that does not have an EHR it is going to be a challenge in the beginning There is no question about that There will be disruptions to the workflow Organizations can obtain physician buy in by showing that the change will reduce their documentation time but making the switch ultimately is about reducing errors increasing patient safety and complying with the federal mandates When discussing the importance of the EHR implementation with physicians leaders should highlight the potential rewards and benefits and spell out the repercussions of not undertaking the effort It s not all just about the money piece but money is a

    Original URL path: http://www.hfma.org/Content.aspx?id=46000 (2016-02-10)
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