Industry Visit - UPMC
International Immersion - Assignment #1

EPGP 2009-10 - Term IV- Individual Submission
28-Feb-2010

...
Table of Contents

1     EPGP’s visit to UPMC................................................................................
1   EPGP’s visit to UPMC

As part of international immersion module, EPGP undertook a visit to University of Pittsburgh fo...
2       UPMC
UPMC is an $8 billion integrated global health enterprise headquartered in Pittsburgh, Pennsylvania, and
one ...
unique strategy of combining clinical and research excellence with business-like discipline translates into
excellent pati...
3       Highlights about UPMC

3.1 UPMC Organizational Structure




3.2 Global health enterprise
    •    UPMC is an $8 b...
3.3 Financial Performance

Total Operating Revenue     $7.7 billion in fiscal year 2009
Total Assets                $7.5 b...
3.4 Scope of operation and services
  •   UPMC operates 20 academic, community, and specialty hospitals and 400 outpatient...
3.7 Commitment to community
    •    UPMC is committed to giving back and reinvesting in
         the community.
    •    ...
UPMC is operating cancer centers
        in    Waterford    and Dublin,
        Ireland, to deliver high-quality
        r...
training in University of Pittsburgh laboratories through a fellowship program sponsored by
        the Ricerca Mediterran...
5   International Locations
With nearly 5,000 affiliated physicians, 20 hospitals, and a myriad of community-based facilit...
UPMC Beacon Hospital

In February 2008, UPMC expanded its
partnership with Beacon Medical Group
beyond the radiation oncol...
Trauma Service launched at Hamad General Hospital (HGH)
• One of the busiest trauma centers in the world, admitting 3,500 ...
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Epgp 2009-10 int'al immersion- assignment_#1_upmc_rajendra inani #27

  1. 1. Industry Visit - UPMC International Immersion - Assignment #1 EPGP 2009-10 - Term IV- Individual Submission 28-Feb-2010 Instructor: Prof. S. Basu Submitted by: Rajendra Inani - #27 Page |1
  2. 2. Table of Contents 1 EPGP’s visit to UPMC................................................................................................................ 3 2 UPMC ......................................................................................................................................... 4 2.1 History of UPMC................................................................................................................. 4 2.2 Business Innovation at UPMC.......................................................................................... 4 2.3 One of America's Best ..................................................................................................... 5 3 Highlights about UPMC ........................................................................................................... 6 3.1 UPMC Organizational Structure ..................................................................................... 6 3.2 Global health enterprise ................................................................................................. 6 3.3 Financial Performance .................................................................................................... 7 3.4 Scope of operation and services .................................................................................. 8 3.5 UPMC’s health insurance ................................................................................................ 8 3.6 International ventures...................................................................................................... 8 3.7 Commitment to community........................................................................................... 9 3.8 Affiliated with University................................................................................................... 9 4 International and Commercial Services Division - Highlights ........................................... 9 4.1 Clinical Services Management ...................................................................................... 9 4.2 Infrastructure Consultation............................................................................................10 4.3 Translational Sciences....................................................................................................10 4.4 Strategic/Commercial Product Development Partnerships...................................11 4.5 National Security and Public Health ...........................................................................11 5 International Locations ......................................................................................................... 12 5.1 Cyprus...............................................................................................................................12 5.2 Ireland...............................................................................................................................12 5.3 Italy....................................................................................................................................13 5.4 Qatar ................................................................................................................................13 5.5 United Kingdom ..............................................................................................................14 6 Human Resource Global Assignment ................................................................................ 14 Industry Visit – UPMC - Assignment#1 Page |2
  3. 3. 1 EPGP’s visit to UPMC As part of international immersion module, EPGP undertook a visit to University of Pittsburgh for two weeks. This team underwent Executive Leadership Program conducted over a period of two weeks (7th to 19th Feb 2010). Under the context of Industrial visit, our team visited three industries. This report covers our understanding of UPMC visit dated 12th Feb 2010. Our team visited UPMC facility located in downtown Pittsburgh at 600, Grand Street in one of the tallest building of Pittsburgh called US Steel Tower. Located on the 56th floor in the building, this office has demonstration of UPMC’s health care services and administrative offices. We were given presentation and demo of health care services using audio and visual tour. Mr. Michael Anderson, Director, Human Resources provided the presentation and guided tour of facility. We were introduced in details about its International and Commercial Services Division (ICSD). Industry Visit – UPMC - Assignment#1 Page |3
  4. 4. 2 UPMC UPMC is an $8 billion integrated global health enterprise headquartered in Pittsburgh, Pennsylvania, and one of the leading nonprofit health systems in the United States. As western Pennsylvania’s largest employer, with 50,000 employees, UPMC is transforming the economy of the region into one based on medicine, research and technology. By integrating 20 hospitals, 400 doctors’ offices and outpatient sites, long-term care facilities and a major health insurance services division, and in collaboration with its academic partner, the University of Pittsburgh Schools of the Health Sciences, UPMC has advanced the quality and efficiency of health care and developed internationally renowned programs in transplantation, cancer, neurosurgery, psychiatry, orthopedics, and sports medicine, among others. UPMC is commercializing its medical and technological expertise by nurturing new companies, developing strategic business relationships with some of the world’s leading multinational corporations and expanding into international markets, including Italy, Ireland, the United Kingdom, Cyprus, and Qatar. 2.1 History of UPMC Twenty years ago, the establishment of UPMC initiated an innovative new era in health care in Pittsburgh and beyond. But, UPMC's history began some time before then. Over the decades, the organization has evolved from a single psychiatric hospital, to an $8 billion integrated global health enterprise dedicated to changing the face of health care and creating a new export economy for the Pittsburgh region. UPMC’s transformation has been driven by a focus on core values that continue to shape its path. UPMC originated with a world-class academic medical center, organized in affiliation with the University of Pittsburgh: • In 1893, the tertiary care hospital that was to become UPMC’s flagship — UPMC Presbyterian — was founded. • In 1973, a comprehensive reorganization of Western Psychiatric Institute and Clinic and the University of Pittsburgh’s Department of Psychiatry, under the leadership of Dr. Thomas Detre and Jeffrey A. Romoff, began a new era of research-based medicine in Pittsburgh — and set the stage for UPMC’s eventual mission of clinical care, research, and teaching. • In 1986, three university-affiliated hospitals — Western Psychiatric Institute and Clinic, Presbyterian-University Hospital, and Eye & Ear Hospital of Pittsburgh — unified under an organization that would evolve into UPMC. • In 1990, the name “University of Pittsburgh Medical Center,” or UPMC, was adopted. UPMC continued to merge with community and specialty hospitals, creating the first truly integrated health care delivery system in the Pittsburgh region. • In 1997, recognizing the efficiencies possible from complementing its provider network with a health insurance product, UPMC started what today is its Insurance Services Division. Throughout these years, diversification into services such as home health care, assisted living and retirement communities, technology spin offs, and even international health care sites, has provided new means of supporting the academic and nonprofit mission that continue to this day. UPMC continues to reinvent itself to anticipate and prepare for the challenges facing academic and nonprofit medicine, both today and tomorrow. 2.2 Business Innovation at UPMC UPMC complements its traditional health care culture of dedication, diligence, and compassion with an entrepreneurial business model that rewards uncompromising innovation, breakthrough ideas, and the swift, effective translation of research and development to practical products and services. A passion for innovation lies at the heart of UPMC’s success, running through all of UPMC's operations. UPMC’s Industry Visit – UPMC - Assignment#1 Page |4
  5. 5. unique strategy of combining clinical and research excellence with business-like discipline translates into excellent patient care for both western Pennsylvanians and the global community. UPMC is expanding the boundaries of health care by: • Continuing to develop and refine UPMC’s western Pennsylvania operations in both clinical care and and an integrated family of insurance options, with particular attention to operational efficiency, integration, and positioning the organization for health care reform • By pursuing best-in-class quality results and reaching new heights of patient satisfaction and consumer empowerment, serving as a national model for the health care system of the future • Nurturing new businesses through an operating component called International and Commercial Services, which exports UPMC's medical and technical capabilities in ways that transform the American and international health care landscapes • Expanding clinical services and state-of-the-art medical expertise into international markets, including Italy, Ireland, the United Kingdom, Qatar, and Cyprus • Pioneering information technology to link and integrate electronic medical records across multiple hospitals and care settings, both in UPMC's own network and as an exportable product • Seeding new fields, such as regenerative medicine and biosecurity In collaboration with business partners, UPMC is developing new models of connected medicine that integrate information technologies, electronic medical records, and devices to put patients at the center of health care. The new businesses that UPMC launches, by itself or with multinational strategic partners, foster innovation and invention within UPMC and make health care improvements more quickly available to hospitals and physicians across the globe. By combining peerless clinical services, robust intellectual capital in biomedicine and technology, and proven management expertise, UPMC has taken a successful domestic model of comprehensive medicine to the world stage, sharing knowledge, pooling medical and scientific talent among nations, and accelerating innovation worldwide. 2.3 One of Americaʹs Best UPMC has received national recognition as one of “America’s Best Hospitals,” earning 13th position in U.S. News & World Report’s annual guide. The 2009 results mark UPMC’s 10th year on the prestigious Honor Roll, which this year includes only 21 hospitals nationwide that are considered the “best of the best,” according to the publication. In addition, UPMC is nationally ranked in 13 of the 16 medical specialties surveyed—and is the only local hospital to receive recognition in any category on this influential list. Of the 4,800 medical centers in the nation that were analyzed, only 174 were ranked in one or more specialties. To be in the elite Honor Roll group, hospitals had to achieve high scores in six or more specialties, demonstrating “breadth of excellence,” according to the guide. Industry Visit – UPMC - Assignment#1 Page |5
  6. 6. 3 Highlights about UPMC 3.1 UPMC Organizational Structure 3.2 Global health enterprise • UPMC is an $8 billion integrated global health enterprise headquartered in Pittsburgh, Pennsylvania, and is one of the leading health systems in the United States. • UPMC is a nonprofit that melds an unwavering community mission with entrepreneurial business models. UPMC is the first nonprofit health system to fully adopt Sarbanes-Oxley. • UPMC is western Pennsylvania’s largest employer, with 50,000 employees, and ranks as the no. 2 employer in the Commonwealth. • A recognized innovator in information technology, UPMC has deployed an electronic health record across its hospitals and is developing a semantic interoperability solution to unify information from multiple systems. These capabilities, which are being developed in collaboration with industry leaders like Cerner, GE, and IBM, will result in products that are commercialized nationally and abroad. Industry Visit – UPMC - Assignment#1 Page |6
  7. 7. 3.3 Financial Performance Total Operating Revenue $7.7 billion in fiscal year 2009 Total Assets $7.5 billion in fiscal year 2009 UPMC Provider Services • 20 hospitals with more than 4,200 licensed beds Division • More than 400 clinical locations in western Pennsylvania • Nearly 5,000 affiliated physicians, including 2,700 employed by UPMC • More than 40 UPMC Cancer Centers with 180 affiliated oncologists • More than 200 psychiatrists and psychologists providing Behavioral Health services at five hospitals and more than 50 outpatient and ambulatory locations • 16 retirement and long-term care facilities, assisting more than 2,000 senior residents • More than 50 hospital and outpatient rehabilitation facilities UPMC Insurance Services Nearly 1.4 million members covered by UPMC Health Plan products Division UPMC International and UPMC is commercializing its expertise, bringing world-class health care, Commercial Services advanced technologies, and management to markets throughout the Division world, including Italy, Ireland, Cyprus, Qatar, and the United Kingdom Employees 50,000 Annual Patient Activity More than 187,000 inpatient admissions More than 4.5 million outpatient visits More than 480,000 emergency visits More than 165,000 surgeries More than 800,000 home care visits Market Share 55.5 percent medical-surgical market share in Allegheny County 30.3 percent medical-surgical market share in western Pennsylvania (29 counties) Community Benefits $518 million, including: $169 million in care for those without means to pay and shortfalls in payments for those covered by government programs for low-income households $99 million in community service programs to meet health needs and donations to support other community organizations $250 million in costs incurred to support research and to educate tomorrow's health professionals Economic Impact The spend and re-spend cycle that UPMC's activities initiate translates into a regional economic impact of more than $16 billion, and 100,000 jobs. Education • Nearly 1,400 medical residents • More than 100,000 physicians participate in our continuing medical education programs each year. • More than 3,100 nurses in training each semester Research More than $450 million in National Institutes of Health funding annually to the University of Pittsburgh and affiliated programs, ranking among the top 10 recipients in the United States Industry Visit – UPMC - Assignment#1 Page |7
  8. 8. 3.4 Scope of operation and services • UPMC operates 20 academic, community, and specialty hospitals and 400 outpatient sites, employs 2,700 physicians, and offers an array of rehabilitation, retirement, and long-term care facilities. • UPMC has created a genuinely integrated health delivery system. With renowned centers of excellence in transplantation, cancer, neurosurgery, psychiatry, rehabilitation, geriatrics, and women’s health, it is ranked among “America’s Best Hospitals” by U.S. News & World Report. • UPMC’s facilities are among the most technologically advanced in the nation. The recently opened Children’s Hospital of Pittsburgh of UPMC is one of only a handful of “paperless” hospitals in existence, and is one of two UPMC facilities to reach HIMSS Stage 6 in electronic health record implementation. 3.5 UPMC’s health insurance • UPMC’s health insurance arm serves 1.4 million members and has some of the fastest growing health plans in the region. It offers commercial, Medicare, Medical Assistance, CHIP, behavioral health, employee assistance, and workers’ compensation products. • It provides a “public-health” focused front door to a network that includes world-renowned medical experts, quality health promotion and health management programs, and unmatched service. • It has been nationally recognized by business and industry groups for innovation and service excellence. 3.6 International ventures • Through its International and Commercial Services Division, UPMC has launched a portfolio of new businesses and international ventures. • UPMC is commercializing its expertise, bringing world- class health care, advanced technologies, and management skills to markets throughout the world through: clinical services management, infrastructure consultation, strategic and commercial product development partnerships, translational sciences, and national security and public health. Each component is designed to drive transformation of health care delivery worldwide. • Internationally, UPMC operates a hospital specializing in transplant in Italy, two cancer centers and a hospital in Ireland, and an emergency medical system in Qatar; is implementing information technology solutions in the United Kingdom; and will manage a newly created hospital and cancer center Cyprus and a biomedical research center in Italy. Industry Visit – UPMC - Assignment#1 Page |8
  9. 9. 3.7 Commitment to community • UPMC is committed to giving back and reinvesting in the community. • In the most recent fiscal year, UPMC’s community contributions topped $500 million and represented 13 percent of net patient revenue. • In 2007, UPMC made a $100 million commitment to The Pittsburgh Promise to fund postsecondary education for Pittsburgh’s high school graduates. 3.8 Affiliated with University • UPMC is closely affiliated with the University of Pittsburgh, which ranks fifth in NIH research funding. 4 International and Commercial Services Division - Highlights UPMC strives to deliver the right care to the right patient, at the right time — every time. This focus extends beyond the walls of UPMC’s western Pennsylvania network of hospitals, community-based services, physicians, and outpatient care. It is a vision that permeates all that UPMC does. To that end, UPMC actively commercializes its expertise globally, bringing world-class health care, advanced technologies and management skills to markets through its International and Commercial Services Division (ICSD). The goal is to advance UPMC’s mission of positively transforming the way health care is provided in the U.S. and abroad, while revitalizing the economy of western Pennsylvania. Further, UPMC is building a global health care brand that will continue to attract the best and brightest physicians, nurses, researchers and staff for the benefit of all of its patients and business ventures. UPMC is commercializing its expertise, bringing world-class health care, advanced technologies, and management skills to markets throughout the world. The goal is to advance UPMC’s mission of positively transforming the way health care is provided, while revitalizing the economy of western Pennsylvania. UPMC is building an integrated global health enterprise that will attract the best and brightest physicians, nurses and researchers for the benefit of all of its patients. UPMC’s International and Commercial Services Division (ICSD) focuses on operations in five areas: clinical services management, infrastructure consultation, strategic and commercial product development partnerships, translational sciences, and national security and public health. Each component is designed to drive transformation of health care delivery worldwide. 4.1 Clinical Services Management Working with private partners and governments around the world, UPMC provides hands-on management of clinical care and specialty services, leveraging the clinical and managerial expertise honed in Pittsburgh. Major areas of focus include cancer clinics, emergency medicine, hospital management, and transplantation. UPMC’s Istituto Mediterraneo per i Trapianti e Terapie di Alta Specializzazione (ISMETT) in Sicily is now one of the leading organ transplant centers in Italy and the Mediterranean. Industry Visit – UPMC - Assignment#1 Page |9
  10. 10. UPMC is operating cancer centers in Waterford and Dublin, Ireland, to deliver high-quality radiotherapy services. Royal Berkshire NHS Foundation Trust in the United Kingdom has also signed an agreement with UPMC to create additional cancer centers. UPMC Beacon Hospital, an independent, full-service hospital in Dublin, is owned and operated by UPMC. Qatar emergency medicine benefits from an agreement for UPMC to provide training and technical services to three hospitals in Qatar. UPMC’s Emergency Medicine Program is considered one of the top four in the United States. UPMC will manage a newly created hospital and cancer center in Cyprus. 4.2 Infrastructure Consultation As a leader in applying information technology to improve the quality and efficiency of health care, UPMC brings that expertise to the development of innovative IT products and services for customers worldwide. The Newcastle upon Tyne Hospitals and Royal Berkshire NHS Foundation Trust have engaged UPMC to design and implement comprehensive electronic medical records systems. dbMotion is a provider of Web-based technology that seamlessly integrates patient records from across disparate information systems, providing a single and meaningful record to clinicians. UPMC is partnering with dbMotion to implement and refine this technology. Prodigo Solutions provides health care-focused supply-chain management solutions. Powered by technology licensed from Vinimaya, this e-procurement solution enhances contract compliance, automates the requisition process, and through a user-friendly online shopping portal helps drive end-user compliance. 4.3 Translational Sciences UPMC is leading the way in speeding scientific research from the laboratory bench to the bedside — and to the health care marketplace. These efforts promote advances in patient care, while boosting local economies through the development of new biotechnology companies. Based on its success at ISMETT, UPMC has been chosen to develop and co- manage aBiomedical Research and Biotechnology Center (BRBC) in Sicily. Until the BRBC opens in 2013, postdoctoral scientists are Industry Visit – UPMC - Assignment#1 P a g e | 10
  11. 11. training in University of Pittsburgh laboratories through a fellowship program sponsored by the Ricerca Mediterranea Foundation (Ri.Med). A state-of-the-art cell factory in Palermo, Italy, is one of the country’s most innovative research projects. It processes, stores, and distributes human cells to be used for regenerating damaged organs at transplantation centers throughout Europe. 4.4 Strategic/Commercial Product Development Partnerships UPMC is actively forging long-term partnerships with technology and health care industry leaders. UPMC acts as a hands-on equity partner, using its $8 billion integrated global health enterprise to develop and evaluate products and services designed to improve health care delivery. Alcatel-Lucent, Cerner, General Electric, and IBM have created joint development funds with UPMC to develop technologies and build businesses that will improve the quality of health care and reduce its costs. The strategic partnerships that UPMC has established collectively provide $150 million to develop solutions to challenging problems facing health care today. These unique joint development funds are part of UPMC’s large-scale effort to commercialize leading-edge technologies and ideas that will bring real change to health care throughout the world. Omnyx, a new company jointly owned by GE and UPMC, will develop and market digital pathology solutions. This technology will transform diagnostic processes that traditionally have relied on outdated manual methodologies. TheraDoc software provides real-time information and reporting of infection factors to help clinical staff and infection control specialists better assess infection risks and support infection reduction initiatives. ImPACT software, developed by doctors at the UPMC Sports Medicine Concussion Program for rapid concussion injury assessment, is now used by more than 2,000 schools, universities, professional sports programs, and sports medicine centers. D3 Radiation Planning is a leader in rapidly implementing and supporting intensity-modulated radiation therapy (IMRT). Since 2001, D3’s expert physicists and physicians have assisted more than 80 clinics nationally with advanced radiotherapy and supported the treatment of more than 7,500 patients. Via Oncology, created by UPMC, uses Web-based technology to provide physicians with evidence-based treatment "pathways" for any given state and stage of cancer, thereby reducing variability and improving outcomes for patients. 4.5 National Security and Public Health Protecting western Pennsylvania and the nation from threats to public health is a critical part of UPMC’s mission. • The Center for Biosecurity of UPMC provides independent, critical research and analysis to inform decision makers in government, national security, bioscience, medicine, public health, and private industry. • 21st Century Biodefense (21CB) is UPMC's proposed model to create a flexible, multi-product vaccine development and production facility aimed at protecting the nation from bioterrorism and infectious disease pandemics. Industry Visit – UPMC - Assignment#1 P a g e | 11
  12. 12. 5 International Locations With nearly 5,000 affiliated physicians, 20 hospitals, and a myriad of community-based facilities and outpatient programs serving 29 counties in western Pennsylvania, UPMC is the leading provider of health care services in the region and one of the most recognized medical centers in the United States. UPMC’s rehabilitation network includes more than 50 hospitals and outpatient facilities; imaging services are available in more than 30 locations, and UPMC Cancer Centers offers more than 40 locations throughout the region. Spanning the globe and continuing to grow, UPMC is creating an international medical, research, and academic network providing patients around the globe access to world-class health care closer to home. International locations include: 5.1 Cyprus • UPMC formed a joint venture with a local partner to develop a specialty hospital in Neapolis Park that will include transplantation, orthopedics, neurosurgery, cardiothoracic surgery, and cosmetic surgery. • The existing Iasis 30-bed hospital will be converted to a comprehensive cancer center. Outpatient services will include programs such as physician clinics, ambulatory surgery, and emergency services. (Paphos, Cyprus ) 5.2 Ireland Two cancer centers opened in Ireland in 2007 • UPMC Whitfield Cancer Centre, Waterford • UPMC Beacon Cancer Centre, Dublin Advanced cancer treatments that are firsts in Europe: Telemedicine network brings UPMC Cancer Center expertise, technology, and the most advanced cancer treatments available today to patients with limited access to these services, including: • Intensity-modulated radiation therapy (IMRT) • Four-dimensional computed tomography (4DCT) • Stereotactic radiosurgery (SRS) Industry Visit – UPMC - Assignment#1 P a g e | 12
  13. 13. UPMC Beacon Hospital In February 2008, UPMC expanded its partnership with Beacon Medical Group beyond the radiation oncology center at UPMC Beacon Hospital to include management responsibility for the operation of the entire facility. • Hospital capacity: 183 beds • Services offered include: o Cardiology o Dermatology o Neurology o Orthopedics • UPMC oversees the day-to-day operations, staffing and clinical programs 5.3 Italy Mediterranean Institute for Transplantation and Highly Specialized Therapies (ISMETT) • Managed and operated by UPMC since 1996 • Four operating rooms, 70 inpatient beds • Creation of a “medical highway” – exchanging physicians, nurses, and technicians between ISMETT in Palermo and the Thomas E. Starzl Transplantation Institute in Pittsburgh. • Leading organ transplant center in Europe • More than 850 transplants performed • Number one in Italy for patient survival one year after liver transplantation 5.4 Qatar Providing world-class emergency care to the citizens of Qatar • In June 2006, UPMC entered into a four-year partnership with Hamad Medical Corporation (HMC). • HMC hospitals provide emergency medical care to more than 700,000 people annually. • UPMC physicians, nurses, surgeons and paramedics provide education, on-the-job training, and clinical service. Industry Visit – UPMC - Assignment#1 P a g e | 13
  14. 14. Trauma Service launched at Hamad General Hospital (HGH) • One of the busiest trauma centers in the world, admitting 3,500 trauma patients annually • Trauma registry created to track and improve patient outcomes • Plans to become the region’s first Level 1 Trauma Center 5.5 United Kingdom Newcastle upon Tyne Hospitals - UPMC to install and adapt electronic health record applications at three Newcastle hospitals • Applications include inpatient order entry, patient administration, pharmacy management, accident and emergency services, and operating room systems. • UPMC and Newcastle Hospitals have also formed a joint venture to provide information technology services to other U.K. hospital trusts. 6 Human Resource Global Assignment UPMC shared about its requirement of resources globally. It also shared the challenges associated with such assignment in terms of availability of talent, willingness to relocate, remuneration, cost to company etc. Based on these constraints, it has categorized the assignment in the following broad categories. • Long-term assignees (expatriates) - one year and involves relocation • Short-term assignees - 3 months to one year • Rotational - commuting to another country for short durations • Extended business travelers - frequent international trips but do not relocate • Local Nationals - Employees hired locally ******************end of report *********************** Industry Visit – UPMC - Assignment#1 P a g e | 14

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