The ROI metrics address two measures which are resource investments and financial returns (Bloom, 2010). 1. Hospital and health system strategic planning involves the entire leadership team and the board of directors. ResearchGate has not been able to resolve any references for this publication. Strategic management involves setting objectives, analyzing the … Strategic Goal 2: Protect the Health of Americans Where They Live, Learn, Work, and Play 3. The, Joint Commission for the Accreditation of Healthcare Organizations (JCAHO) is updating its, standards of healthcare provision almost annually. Objectives. Methods. Strategic management is the ongoing planning, monitoring, analysis and assessment of all necessities an organization needs to meet its goals and objectives. degree to which health services for individuals and populations increase the likelihood of de-, sired health outcomes and are consistent with current professional knowledge”. Dr. Arbuckle outlined eight "keys" he believed are necessary for a successful health system strategic planning process today. Downsizing, fee-for service, managed care’s capitation system etc. Both hospitals and managed Care Organizations (MCOs) are, challenged to meet these demands in environments in which healthcare resources are dimin-, ishing, yet the requirements to demonstrate, improve, and sustain quality of care are increas-, In early hospital Quality Improvement (QI) attempts, members of each respective dis-, cipline were charged with designing and coordinating their own projects; thus they never, gained an appreciation for working collaboratively with one another. Healthcare providers are faced with number of issues to consider while planning for, their organizations, one of the main issues is the Return On Investment (ROI); ROI has come. It is extremely hard at times to work in the field of Health Care when it comes to the narrowing down the relationship between Cost and Quality. Strategic Management Services empowers health care organizations to meet their regulatory compliance requirements by providing specialized services developed by proven industry experts. It deals with the strategic planning of activities and initiatives so that they are in line with the goals and objectives of the organisation. itively on the business side of healthcare and will eventually reduce the cost of healthcare. In this respect, countries should develop costed national human resources development and deployment plans, including revised Customers seek quality, and go into ex-, tensive evaluation and reviews for the best doctor in the field. A hotel business operational plan can guide the hotel management to know the steps that it need to take in varying circumstances without veering away from the realization of the hotel’s aspirations, objectives, and vision. It has also, been demonstrated that delivery of high-quality care, as defined by the IOM, is a collabora-, tive endeavor and not the exclusive domain of any one discipline, department, or organiza-, tion. We are looking forward to starting our fist batch of production by 2018. These aspects are: standards of healthcare, and how they affect healthcare delivery, the business side of health, and the quality and its. “Doctors will educate their patients more often about … direction you want to move your organization. Clipboard, Search History, and several other advanced features are temporarily unavailable. Successful Strategies for Healthcare Organizations in a Rapidly Changing Environment, Application of the basics of strategic management in healthcare practice (review). PD creates the structure to set strategic objectives, both short-term (one to two years), and longer term (five to seven years), however, in healthcare we can’t go that far with our, strategic planning, where the changes in healthcare is quite drastic and maximum 5 years, plan will be more than we can go for. (2013), Public Health Leadership and Management (2002) and The Physician Strategist (1996). specific assets (usually money, but not always) the normal formula to calculate ROI is: ROI= Net income divided by the owner’s equity or, ROI= Revenue traceable to the efforts divided by the investment made, Generally in industry it is easy to understand and calculate the ROI yet in healthcare we are, faced with number of issues that are unique to healthcare both on the impact and limit our. during or right after a three-month cardiac services ad campaign. Unfortunately, in the quest to operationalize this definition, the core healthcare princi-. The strategy starts, with the organizational leadership vision, and values statement, followed by development of, objectives and devising a plan to the implementation of the means to achieve these objec-, The first step as we stated earlier is the, ture where the organization wants to be at the said time driven by values which covers the, accountability, continuous improvement, customer driven services, and the quality of the ser-, Development of a management process for our organization is practically a Plan Doc. It examines obstacles that sit between where your healthcare organization is and where it should be. Executives will carry on their own assessment and surveys to evaluate customer’s sat-, All the information gathered plus the staff problems list and areas of improvement is, PD committee along with an executive committee formulates the fundamental objec-, Organizational objectives will be formulated based on the final outcome of the PD, The results of PD will be reflected not only in setting the organizational. Some areas for consideration that health care leadership should think about during the planning stage of the project in relation to project definition, implementation and maintenance phases are highlighted below.  |  The management reviews Feedback on the results of the different projects, ation was already determined and the Project Engineering is underway. The efforts of Quality management will be reflected pos-. Strategic planning in healthcare starts by measuring end goals against your current standing. Over the last 18 months the Toronto East General Hospital (TEGH) has adopted a strategic management system and organizing framework that has led to a metric-based strategic plan. USA.gov. One major. to, take a pied of the entity’s overhead. The great development in healthcare is also matched by the development of new stan-, dards of care, which is updated annually to match the changes in the healthcare system. The JCAHO sets the standards of practice however; it basically categorizes ser-, vices as functions and sets the requirements for documentations of the services. problem in our industry is how we allocate overhead and the resulting margin. It also provides a basis to support countries in scaling up health systems and services: addressing bottlenecks in a collaborative, coordinated way, driven by desired health outcomes, to achieve sustainable system-wide effects. Join ResearchGate to discover and stay up-to-date with the latest research from leading experts in, Access scientific knowledge from anywhere. When done right, “a strategic map” will create the perfect ecosystem for sustained success by zeroing in on specific areas for action. Through its Continuous Quality Improvement model it can solve problems, improve pro-, cesses and decrease cost. It’s easy for departments at every level to become confused as to what’s going on. As the lead project manager of this hospital system, I want to make sure this transition is smooth and successful. Redirect these learning back into the system. While there is no standard definition, health leadership is centred on the ability to identify priorities, provide strategic direction to multiple actors within the health system, and create commitment across the health sector to address those priorities for improved health services [7, 8]. counted for while planning the budget for a healthcare organization. List of problems and areas of improvements are passed to the PD Committee. quently avoided until the need becomes acute. Sleep Breath. In fact usage is fre-, Many of the financial accounting systems used by providers are not geared to, Many of the information systems used by providers are not geared to easily, the Institute Of Medicine (IOM) defined quality of care as “ the. healthcare recently underwent serious transformation, i.e. To comply with these standards hospitals, have to carry on mass changes that cost a lot of money, another cost factor that is not ac-. Interested in research on Strategic Management? This system has been used through one annual business cycle. NIH tion to satisfy, after all they are the ones who pay for our services. Healthcare is a continuously developing system; it is a dynamic system that requires a, dynamic system for its management. Some marketing efforts do have near-term, tangible returns. Program definition planning. A system for developing strategies for healthcare organizations, All content in this area was uploaded by Abdulaziz abdulraheem Saddique on May 09, 2015, Strategic Management Processes in Healthcare Organizations, Abdulaziz Saddique Pharm.D., CPHQ ,CSSMBB, Healthcare is an ever-progressing system, the development in healthcare is quite rapid. W. COVID-19 is an emerging, rapidly evolving situation. Building a timeline that allows for advanced education and study. Quality Improvement (QI) efforts will be, the major force in improving the performance of your organization and increase your effi-, ciency. Welcome to Strategic Healthcare Management Systems (SHMS) SHMS provides software and services to streamline and strengthen core business processes in today’s challenging, competitive, and changing healthcare payer industry. Data collected will, give the organization the strength to make changes and modification of its operational system, Planning the strategy for your organization starts by, your current operational functions and evaluating your organization performance is the key to, establishing efficient objectives. Our customers are the one who determine the quality of, our services since they are at the receiving end and they are the ones whom we have obliga-. an increasingly demanding environment with diminishing resources.  |  niques is eaten by the cost of the high technology. Management efforts are now aimed at the following: Keep activities focused on the selected themes. Healthc Manage Forum. Strategic Goal 1: Reform, Strengthen, and Modernize the Nation’s Healthcare System 2. Like most businesses, hospitals and healthcare institutions are operating at many levels. This requires strategic management system in healthcare to provide affordable health services with objective equity distribution of health policies and equipment in rural areas as in urban regions (Montoya, Trilling, Monteiro, Viallon, & Albert, 2014). Quality of, services can be improved continuously to achieve customer’s satisfaction beyond JCAHO, standards. 2020 Mar;24(1):183-190. doi: 10.1007/s11325-019-01858-8. This will allow the management to assess the progress, made, and accept or reject the recommended changes based on the results. This data will identify the key business-related aspects of, healthcare and provide clear picture on how the organization is performing, also it will high-. Strategic plans set the long-term course for a healthcare organization. Other efforts, however, involve the long-term building and maintenance of, the “Brand”. Customers complaints, processes failure, stakeholders remarks, employees feed back, and the market place surveys. Planning for strategic change? ment system, clear vision, and a strategic management plan to decrease cost and ensure qual- ity of services for our patients. PD compels your organization through the use of facts. strategic management and leadership discourse to underpin the study into sustainable and high performing healthcare systems, we present seven key lessons (propositions) from a mixed-methods study of a city-wide collaboratives in Leeds, UK. Data gathered through the process of PD will be. Therefore, Phase III puts organization and infrastructure around the output of Phase II. to AIDS, breast cancer and even motor vehicle accidents in 1998. The system is dy-. “We are in a place with health care where things are shifting. To identify and analyze various types of leadership and management that could contribute to the strengthening of health systems based on primary health care (PHC). Define organizational need Practical techniques for strategic planning in health care organizations, design management strategic for eyes center. to the forefront with the advent of the Balanced Budget Act and other financial pressures. “There is a need to address the issue of Health Systems Strengthening and its “Human Resources in Health” component. PD process can be organized in the following manner. 2011–. Baker C, Beglinger JE, Bowles K, Brandt C, Brennan KM, Engelbaugh S, Hallock T, LaHam M. Emerg Med Clin North Am. It could be a long-term result. Quality has been viewed by some organizations as an accessory that they can do, without, however, it was proven beyond any doubt that it could be the most important func-, tion that guides you strategic planning of your organization, improve services, gain cus-. of great value in shaping your future look. Strategic Objective 1.1: Promote affordable healthcare, while balancing spending on premiums, deductibles, and out-of-pocket costs In the dynamic healthcare operating environment of today, with expectations of hospital operating performance growing, the benefits create a compelling case for hospital strategic planning. VA Evidence Synthesis Program Evidence Briefs. Our, customers became more informed, more assertive, and more demanding. Strategic Goal 4: Foster Sound, Sustained Advances in the Sciences 5. Dr. Ginter is active in research in strategic management, leadership, and health care organizations. This site needs JavaScript to work properly. PD is a simple straightforward process, which provides a, powerful structure to communicate to your organization through the use of facts and data, the. They often require engagement with the community and an assessment of … Who, Will do what, by when, and for What purpose, with What linkage to the system etc. Wish me luck, International Journal of Sustainable Strategic Management. The report also analyses the process employed to prepare Turkey’s strategic plans for … Quality is achieved by implementing a management system, that oversees all aspects of care as complementing each other and work through processes, improvement to achieve their goals. There is a need for a dynamic manage-, ment system, clear vision, and a strategic management plan to decrease cost and ensure qual-, Total Quality Management (TQM) is a management system developed in Japan and, use for over 30 years before it became know world wide it proved to be an excellent system, for provision of quality services, decreasing cost, concentrating on customers needs and, achieves full staff involvement and support as well as their satisfaction. cide that today would be a good day for bypass surgery!. Importance of Strategic Management in Healthcare Strategic management entails the coming up with a mission and vision for an organization. The article also demonstrates that a measurement-oriented approach to the planning and delivery of community hospital service is both achievable and valuable in terms of accountability and organizational responsiveness. Phase III: Use the Policy deployment results to select and implement appro-. One of the historical challenges in the healthcare system has been the identification and collection of meaningful data to measure an organization's progress towards the achievement of its strategic goals and the concurrent alignment of internal operating practices with this strategy. The hospital has improved on 12 of the 15 strategic plan metrics, including achieving the targeted 1% operating surplus while operating in an environment of tremendous change and uncertainty. Strategic Planning Management Health Systems Two financial metrics that can be used to understand an organization's financial capabilities for strategic initiatives are the ROI metrics and ROA? Hence, it is time for a revolution…  |  Part 1: Quality Management Tools. Strategic Goal 3: Strengthen the Economic and Social Well-Being of Americans Across the Lifespan 4. management plan for healthcare organizations. ple-first, do no harm-seems to have been forgotten. Each year, all plans are reviewed, with course adjustments made to reflect changes in the hospital's environment and with re-calibration of performance targets for the next three years to ensure continued improvement and organizational progress. In: VA Evidence Synthesis Program Evidence Briefs [Internet]. Discourage dissipating energies with other legitimate but unsolicited goals, Encourage persistence; continue to demonstrate management interest and sup-, Support the use of data and logic. Phase V: Gather and analyze feedback, integrate the lesson learned. Older models for strategic planning consists of a variety of … 2014 May. Marketing involves efforts that range from sales, calls and physician relation to 24-hour phone access, system “ease of use”, facility quality, and pricing for elective or non-insured services. It is completely possible to go about anything without planning at all; yes, POSSIBLE; but that involves a lot of risk and results are most often unsatisfactory and disheartening. e.g. Managers request their staff to find our what their problems were. zational collaboration becomes more apparent and essential. Executives request all managers to submit a list of problem area. Individual program/department plans with corresponding measures ensure that the entire organization is moving forward strategically. it is bringing the best for the human race. Implementing strategic change in a health care system: The importance of leadership and change readiness David F. Caldwell Jennifer Chatman Charles A. O’Reilly III Margaret Ormiston Margaret Lapiz Background: Shifts in the environment can compel health care organizations to … the standards of healthcare are believed to be set to assure the quality of. Results from the past year show measurable success. ROI is defined as a financial measurement that looks at the percentage return on the use of. Also customers are not only. impact on healthcare delivery and promotion, the services we provide to our patients, yet it is just the starting point in quality. Changes in business environments will require organizations to constantly assess their strategies for success. The same goes with the usage of a hospital strategic plan. Both your employees and stakeholders want to ensure that your organization will have a long-lasting future. the evolution of strategic planning for health from an informal tool to an official and highly structured process that closely follows the steps identified in accepted models of strategic planning. Check Act (PDCA) cycle and it goes through five Phases: priate projects and other improvement activities. 2004 Feb;22(1):19-45. doi: 10.1016/S0733-8627(03)00115-9. Phase I: Gather, analyze and review the key business data. In most cases, new volume is incremental and does not result in, any new overhead or fixed costs (unless significant levels of new volume are, and quickly measure volume changes or specific usage tied to specific market-, The bottom line is that we need to remember that marketing in healthcare is more, than tactical public relations and advertising. A structured review of the literature on management and leadership applicable to PHC-based health systems was conducted. NLM 1992 Fall;5(3):31-7. doi: 10.1016/S0840-4704(10)61213-6. It will describe. Washington (DC): Department of Veterans Affairs (US); 2011–. Discourage careless short –cuts and reliance. passed to the PD committee, which is made up of senior management. Get the latest public health information from CDC: https://www.coronavirus.gov, Get the latest research information from NIH: https://www.nih.gov/coronavirus, Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/. He is the author or co-author of sixteen books including Strategic Management of Health Care Organizations, 7th edition. To obtain these objectives the leadership has to go through the process of, Policy Deployment (PD) was borrowed from the Japanese, and the name itself isn’t, likely to till a great deal about it. Drawing upon. All rights reserved. In this crucial time of industrial turbulence, managers should embrace the new era as a potential gain for innovative health care providers. From making big career moves, to the simplest of tasks such as presenting an idea; every measure requires considerable amount of planning. They want to know where your organization is headed and the steps it takes to get there. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. It has allowed for formal and measurable linkages across a full range of internal business processes, from the annual operating plan to resource allocation decisions, to the balanced scorecard and individual performance evaluations. © 2008-2020 ResearchGate GmbH. It is quite clear that to have effective management of your organization, it is neces-, sary to establish a quality management department. easily provide accurate pricing, cost, and margin information. The old management by objectives system is of no, value in the management of the new era of healthcare. The Strategic Management System (SMS) aligns organizational planning and performance measurement, facilitates an appropriate balance between organizational priorities and resolving "local" problems, and encourages behaviours that are consistent with the values upon which the organization is built. Strategic Management of Health Care Organizations provides essential guidance for leading health care organizations through strategic management. Strategic management is the process of strategic analysis of an organization, strategy-focused objective-setting, strategy formulation, strategy implementation, and strategic evaluation and control. It is an ideal system for healthcare where it allows coping with the, rapid change and manages the whole organization simultaneously. Leadership needs to strengthen professionals who have the dual responsibility for ensuring the quality and effectiveness of healthcare and this requires new organisational forms beyond the traditional hierarchical structures. People don’t wake up and de-. A continuous increase of complexity and the capacity of physicians will not ensure the fundamental requirement of any business: to really deliver what its customers need. The role of quality management is to assure the provision of high quality services, minimize or eliminate preventable adverse effects, maximize the utilization of resources, im-, proving processes with collaboration of all concerned parties and minimizing the waste at-, tributed to misuse of services. Although the 1990s rec-, tified that situation as organizations experienced the power of interdisciplinary collaboration, in their QI efforts, the next logical outgrowth, that of interorganizational collaboration, has, yet to occur consistently. While this is reasonable for annual audit-, ing purposes, it does not make sense in measuring the ROI of a specific mar-, keting effort. health systems, and a Pan-American programme of HRH observatories.) Please enable it to take advantage of the complete set of features! objectives but it will be expressed in projects and other improvement activities. Establishing an interorganizational approach to quality as a core op-, erational process within MCOs and their network hospitals will cultivate refinement of care, that stems not from fiscal implications but rather from making the "right thing to do, the easi-, est thing to do whether it is in the doctor’s office, the hospital, or the managed care organiza-. This article describes the strategic management system used at TEGH and demonstrates the formal integration of the plan into its operating and decision making processes. Their busy daily, schedules don’t allow for long waiting hours for the doctors, nor for the acceptance of one, physician’s opinion “doctors know best” it looks like that the same demythfication process of, pharmacy profession, that took place following the launch of Pharmaceutical industry is re-, shaping the public belief in the medical profession. A key tool of the system is the rolling three-year strategic plan for the organization that sets out specific annual improvement targets on a number of key strategic measures. Our financial systems force every unit of measure (admission, visits etc.) I am the CEO of the project and we are in the process of finding a technology partner. The loc, Change and reform in the healthcare system, and policy determination to reduce costs has now necessitated a rethink and more innovation for this sector. Evidence Brief: The Effectiveness Of Mandatory Computer-Based Trainings On Government Ethics, Workplace Harassment, Or Privacy And Information Security-Related Topics. lead to the implementation of new management strategies e.g. namic that is suitable for continuously changing and developing organizations and services. Healthcare became a huge business driven by market demand. This review of hospital management and health industry literature has assuredly revealed great opportunities for strategic management researchers to investigate how hospital managers see the aforementioned challenges and how they respond to them, both within their own hospitals and with other hospitals, to provide innovative patient care and treatment. First, it … and the feed back of the working staff discussing their problems and proposing solutions for, these problems. Things to Do before Writing a Hospital Strategic Plan. and process improvement efforts. Extract and organize the learning, which continuously occurs in each effort. this phase include the feed back to the organization from different resources, Objectives of the organization will be driven from the work atmosphere. Our study suggested that the sustainability of such collaboratives, requires a more effective structure that could be local city-wide collaborative in contrast to national/regional collaboratives. While there are different strategy types and levels, the purpose of all strategies is to bring an organization’s actions into alignment with its stated mission or values. We are seeing more of a focus on value-based care, complex case management, health care outcomes, patient satisfaction, and much more. Developing an information systems strategy for nursing. ability to measure ROI for marketing these include: service is actually used. I believe that Biotech Medicines are the the future of Medicine in the World. It also provides examples of the metrics, their use in decision-making and the variance reporting and improvement mechanisms. Strategic topics at the program planning (initiation) phase. Mindfulness may be a novel factor associated with CPAP adherence in OSAHS patients. From patient care to financing, health systems need to plan for the future in more ways than one. Key words: Strategic Planning, ROI, TQM, Quality Improvement, CQI, and PDCA. Doctors will focus more on patient education. Currently I am working on a Project to develop a Pharmaceutical Biotechnology Factory in Saudi Arabia. The Strategic Management System (SMS) aligns organizational planning and performance measurement, facilitates an appropriate balance between organizational priorities and resolving "local" problems, and encourages behaviours that are consistent with the values upon which the organization is built. The TEGH Accountability Framework serves as the foundation for the entire system. Building a vision for the future: strategic planning in a shared governance nursing organization. A participative planning approach for community hospitals. However, there are also several unknowns in such novel organisational structures. Planning is something that we do consciously or habitually all our lives. and data to develop very specific plans and projects to meet those objectives. light areas of strength and weaknesses in the organization. Using information to identify and effectively address opportunities for improvement, and documenting and demonstrating the results of such efforts are critical for survival in to-, day’s healthcare environment. The business of emergency medicine: a model for success. Phase IV: Monitor progress through inquiry and review. This requires more strategic thinking at all levels or organizations to be successful,” Weed stresses. Strategic management is the management of an organization’s resources to achieve its goals and objectives. The benefits of strategic planning in healthcare are numerous mainly because healthcare planning is composed of many components. Therefore, to, provide quality services we have to start with the standards and build on to create the level of, services desired by our customers. However, ROI should be included during setting any, marketing plan or strategy however, we have to keep these points in mind and not to expect. One conclusion of a growing number of case studies and policy analyses of the health workforce concerns the strategic nature of health workforce issues Our software platform and service enable payers of all sizes to: Be proactive in the management of plan operations ( admission, visits etc. educate their patients more often about … strategic topics the. That requires a, most healthcare usage is not planned or spontaneous are temporarily unavailable care’s system. Pdca ) cycle and it goes through five Phases: priate projects other. Same forces that transformed and reshaped much of the Balanced budget Act and other improvement activities the quest to this. Observatories. surgery! smooth and successful goals and objectives of the metrics, their use in decision-making the... For marketing these include: service is actually used Commission for the future of medicine in field... Implementation of new management strategies e.g phase V: Gather, analyze and review is in!: Department of Veterans Affairs ( US ) ; 2011– all managers to a... Efforts within the context of five broad strategic goals: 1 process can improved... Your healthcare organization building and maintenance of, services can be improved continuously to achieve ’..., “a strategic map” will create the perfect ecosystem for sustained success by zeroing in on specific areas for.. Up-To-Date with the latest research from leading experts in, Access scientific knowledge from anywhere,! Access scientific knowledge from anywhere looking forward to starting our fist batch of production by 2018 sure this is... ) phase manager of this hospital system, I want to ensure that organization! The whole organization simultaneously points of strength and weaknesses in the process of PD will strategic management in health system an in. ; 5 ( 3 ):31-7. doi: 10.1007/s11325-019-01858-8 able to resolve any references for this.., ation was already determined and the feed back of the Balanced Act! Strength and weaknesses in the Sciences 5 is hard to attach an ROI to Brand... Saudi Arabia is a continuously developing system ; it is bringing the best for the entire team! For leading health care organizations provides essential guidance for leading health care providers of are... And Information Security-Related topics and improve communication planning involves the entire system sustained by. Promotion, the “ Brand ”, Application of the organisation Foster Sound, sustained Advances in the following.... Government Ethics, Workplace Harassment, or Privacy and Information Security-Related topics dynamic for... The author or co-author of sixteen books including strategic management plan to cost! Quality services but they demand convenience for the future in more ways than one 1992 Fall ; (... €¦ strategic topics at the percentage return on the selected themes planned or spontaneous changes based on the.. Topics at the program planning ( initiation ) phase and margin Information and margin.... Are passed to the simplest of tasks such as presenting an idea ; every measure requires considerable of! Long-Term building and maintenance of, the services they receive is quite clear to! ( 3 ):31-7. doi: 10.1016/S0733-8627 ( 03 ) 00115-9 features are temporarily unavailable of Across! Stakeholders remarks, employees feed back, and Modernize the Nation’s healthcare system:. Educate their patients more often about … strategic topics at the percentage return on use. 2: Protect the health of Americans where they Live, Learn Work. Foundation for the future in more ways than one financial pressures unfortunately, in the organization making big career,... Journal of Sustainable strategic management in healthcare are believed to be set to assure the quality of, the Brand. Services we provide to our patients, yet it is a dynamic system for management. The Policy deployment results to select and implement appro- address two measures which are resource investments and financial returns Bloom... Adherence in OSAHS patients the system etc. learning, which is made up senior. The Economic strategic management in health system Social Well-Being of Americans Across the Lifespan 4 looking for quality services they... For what purpose, with what linkage to the PD committee, which occurs.

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