MARSHALL MEDICAL CENTER (1-RH) (PLACERVILLE, CA) Detailed Hospital Profile

Complaint Deficiency

Provide activities to meet the interests and needs of each resident
- Harm: Potential for minimal harm
- Scope: Many
Ensure the activities program is directed by a qualified professional
- Harm: Potential for minimal harm
- Scope: Many
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Approved construction type or materials
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Smoke barrier doors that can resist smoke for at least 20 minutes
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Record of quarterly fire drills for each shift under varying conditions
- Harm: Potential for minimal harm
- Scope: Many
An approved installation, maintenance and testing program for fire alarm systems
- Harm: Minimal harm or potential for actual harm
- Scope: Some
An approved automatic sprinkler system connected to the fire alarm system
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Portable fire extinguishers
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly protected cooking facilities
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Weekly inspections and monthly testing of generators
- Harm: Potential for minimal harm
- Scope: Many
Make sure services provided by the nursing facility meet professional standards of quality
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide necessary care and services to maintain the highest well being of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly located and lighted Exit signs
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Allow the resident the right to participate in the planning or revision of the resident's care plan
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure services provided by the nursing facility meet professional standards of quality
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that each resident gets a nutritional and well balanced diet, unless it is not possible to do so
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Give each resident enough fluids to keep them healthy and prevent dehydration
- Harm: Minimal harm or potential for actual harm
- Scope: Few
1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Corridor and hallway doors that block smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Few

Quality Measures

Percent of short-stay residents who self-report moderate to severe pain

This Hospital:	29.5%
State:	21.2%

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine

Here:	98.3%
California:	81.9%

Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine

This Hospital:	98.1%
State:	79.7%

Percent of short-stay residents who newly received an antipsychotic medication

This Hospital:	1.1%
California:	2.2%

Inpatient Prospective Payment System (IPPS) - Medicare Provider Charge Data

Acute Myocardial Infarction, Discharged Alive with Complications

Average Covered Charges

This Hospital:	$60,206
California:	$55,746

Average Total Payments

Here:	$8,058
State:	$9,903

Number of discharges: 12

Here:	0.74%
California:	0.48%

Acute Myocardial Infarction, Discharged Alive with Major Complications

Average Covered Charges

This Hospital:	$105,184
State:	$83,364

Average Total Payments

Here:	$12,962
California:	$15,491

Number of discharges: 19

This Hospital:	1.17%
State:	0.94%

Acute Myocardial Infarction, Discharged Alive without Complications

Average Covered Charges

Here:	$49,043
California:	$40,505

Average Total Payments

This Hospital:	$5,632
State:	$6,444

Number of discharges: 14

Here:	0.86%
California:	0.21%

Atherosclerosis without Major Complications

Average Covered Charges

Here:	$37,229
California:	$28,823

Average Total Payments

Here:	$4,328
State:	$4,913

Number of discharges: 15

This Hospital:	0.93%
State:	0.40%

Back and Neck Procedures Except Spinal Fusion without Complications

Average Covered Charges

Here:	$68,378
California:	$57,529

Average Total Payments

This Hospital:	$7,353
State:	$8,621

Number of discharges: 19

Here:	1.17%
California:	0.62%

Cardiac Arrhythmia and Conduction Disorders with Complications

Average Covered Charges

Here:	$42,388
State:	$39,980

Average Total Payments

This Hospital:	$6,225
California:	$7,146

Number of discharges: 27

Here:	1.67%
California:	1.30%

Cardiac Arrhythmia and Conduction Disorders with Major Complications

Average Covered Charges

Here:	$57,840
State:	$59,369

Average Total Payments

This Hospital:	$8,802
California:	$10,810

Number of discharges: 13

This Hospital:	0.80%
State:	0.79%

Cardiac Arrhythmia and Conduction Disorders without Complications

Average Covered Charges

Here:	$34,315
State:	$28,713

Average Total Payments

This Hospital:	$4,238
State:	$4,819

Number of discharges: 31

Here:	1.91%
California:	1.18%

Cellulitis without Major Complications

Average Covered Charges

Here:	$50,613
California:	$36,707

Average Total Payments

Here:	$6,710
California:	$7,245

Number of discharges: 50

This Hospital:	3.09%
California:	2.08%

Chest Pain

Average Covered Charges

This Hospital:	$49,314
State:	$29,034

Average Total Payments

Here:	$4,672
State:	$4,742

Number of discharges: 35

This Hospital:	2.16%
California:	2.11%

Chronic Obstructive Pulmonary Disease with Complications

Average Covered Charges

Here:	$54,981
California:	$46,809

Average Total Payments

Here:	$8,128
California:	$8,290

Number of discharges: 35

This Hospital:	2.16%
State:	1.75%

Chronic Obstructive Pulmonary Disease with Major Complications

Average Covered Charges

This Hospital:	$76,922
California:	$58,013

Average Total Payments

Here:	$10,335
State:	$10,305

Number of discharges: 60

This Hospital:	3.70%
California:	2.00%

Chronic Obstructive Pulmonary Disease without Complications

Average Covered Charges

Here:	$43,216
California:	$35,163

Average Total Payments

This Hospital:	$5,903
California:	$6,206

Number of discharges: 11

This Hospital:	0.68%
State:	1.11%

Circulatory Disorders Except Acute Myocardial Infarction, with Card Cath without Major Complications

Average Covered Charges

Here:	$79,808
State:	$62,234

Average Total Payments

Here:	$9,066
State:	$9,681

Number of discharges: 27

Here:	1.67%
California:	1.28%

Esophagitis, Gastroent and Miscellaneous Digestive Disorders with Major Complications

Average Covered Charges

Here:	$81,908
State:	$55,838

Average Total Payments

This Hospital:	$9,818
California:	$10,485

Number of discharges: 16

This Hospital:	0.99%
State:	0.67%

Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications

Average Covered Charges

Here:	$56,908
State:	$36,899

Average Total Payments

This Hospital:	$5,498
State:	$6,233

Number of discharges: 65

This Hospital:	4.01%
State:	3.09%

G.I. Hemorrhage with Complications

Average Covered Charges

This Hospital:	$58,011
California:	$46,039

Average Total Payments

Here:	$7,682
State:	$8,685

Number of discharges: 31

Here:	1.91%
State:	1.95%

G.I. Hemorrhage with Major Complications

Average Covered Charges

This Hospital:	$80,999
State:	$80,936

Average Total Payments

Here:	$13,277
State:	$15,696

Number of discharges: 13

This Hospital:	0.80%
California:	0.79%

G.I. Obstruction with Complications

Average Covered Charges

This Hospital:	$58,942
California:	$44,086

Average Total Payments

Here:	$6,942
State:	$8,042

Number of discharges: 16

Here:	0.99%
California:	0.72%

Heart Failure and Shock with Complications

Average Covered Charges

Here:	$51,773
California:	$47,292

Average Total Payments

Here:	$7,605
California:	$8,831

Number of discharges: 40

Here:	2.47%
California:	2.91%

Heart Failure and Shock with Major Complications

Average Covered Charges

This Hospital:	$86,924
State:	$70,963

Average Total Payments

Here:	$11,891
California:	$13,159

Number of discharges: 36

This Hospital:	2.22%
California:	3.03%

Heart Failure and Shock without Complications

Average Covered Charges

This Hospital:	$42,266
California:	$32,995

Average Total Payments

This Hospital:	$5,083
California:	$5,851

Number of discharges: 17

Here:	1.05%
State:	1.02%

Hip and Femur Procedures Except Major Joint with Complications

Average Covered Charges

Here:	$117,783
California:	$88,197

Average Total Payments

This Hospital:	$14,280
California:	$15,201

Number of discharges: 35

Here:	2.16%
California:	1.05%

Infectious and Parasitic Diseases with O.R. Procedure with Major Complications

Average Covered Charges

This Hospital:	$355,409
State:	$260,329

Average Total Payments

Here:	$55,788
California:	$51,393

Number of discharges: 13

This Hospital:	0.80%
California:	0.87%

Intracranial Hemorrhage or Cerebral Infarction with Complications

Average Covered Charges

This Hospital:	$55,950
California:	$55,669

Average Total Payments

This Hospital:	$8,719
California:	$9,837

Number of discharges: 30

This Hospital:	1.85%
California:	1.65%

Intracranial Hemorrhage or Cerebral Infarction with Major Complications

Average Covered Charges

Here:	$71,834
California:	$95,326

Average Total Payments

Here:	$13,050
California:	$17,327

Number of discharges: 18

This Hospital:	1.11%
State:	1.11%

Kidney and Urinary Tract Infections with Major Complications

Average Covered Charges

Here:	$52,531
California:	$52,262

Average Total Payments

This Hospital:	$8,755
State:	$10,172

Number of discharges: 16

Here:	0.99%
California:	0.99%

Kidney and Urinary Tract Infections without Major Complications

Average Covered Charges

Here:	$46,515
California:	$36,114

Average Total Payments

Here:	$5,808
State:	$6,728

Number of discharges: 43

This Hospital:	2.65%
State:	2.98%

Laparoscopic Cholecystectomy without C.D.E. with Complications

Average Covered Charges

This Hospital:	$103,105
State:	$83,366

Average Total Payments

This Hospital:	$13,828
State:	$14,137

Number of discharges: 16

This Hospital:	0.99%
California:	0.25%

Major Gastrointestinal Disorders and Peritoneal Infections with Complications

Average Covered Charges

Here:	$83,216
California:	$59,926

Average Total Payments

Here:	$10,581
State:	$10,745

Number of discharges: 14

Here:	0.86%
California:	0.36%

Major Joint Replacement or Reattachment of Lower Extremity without Major Complications

Average Covered Charges

Here:	$145,221
State:	$88,239

Average Total Payments

Here:	$15,511
California:	$17,187

Number of discharges: 106

This Hospital:	6.54%
State:	6.26%

Major Small and Large Bowel Procedures with Complications

Average Covered Charges

Here:	$186,622
California:	$124,615

Average Total Payments

This Hospital:	$23,535
California:	$22,968

Number of discharges: 16

Here:	0.99%
California:	0.69%

Major Small and Large Bowel Procedures with Major Complications

Average Covered Charges

This Hospital:	$233,419
State:	$258,767

Average Total Payments

Here:	$39,999
California:	$49,384

Number of discharges: 14

Here:	0.86%
State:	0.51%

Medical Back Problems without Major Complications

Average Covered Charges

Here:	$50,694
State:	$42,156

Average Total Payments

Here:	$6,083
State:	$6,908

Number of discharges: 23

This Hospital:	1.42%
California:	0.92%

Misc Disorders of Nutrition, Metabolism, Fluids or Electrolytes without Major Complications

Average Covered Charges

Here:	$49,355
California:	$32,446

Average Total Payments

Here:	$5,017
State:	$5,975

Number of discharges: 14

Here:	0.86%
California:	2.21%

Other Digestive System Diagnoses with Complications

Average Covered Charges

This Hospital:	$88,276
State:	$49,604

Average Total Payments

This Hospital:	$18,076
State:	$8,812

Number of discharges: 12

This Hospital:	0.74%
State:	0.66%

Peripheral Vascular Disorders with Complications

Average Covered Charges

Here:	$43,399
State:	$46,464

Average Total Payments

Here:	$6,934
State:	$8,334

Number of discharges: 11

Here:	0.68%
State:	0.45%

Permanent Cardiac Pacemaker Implant with Complications

Average Covered Charges

This Hospital:	$108,702
State:	$107,281

Average Total Payments

Here:	$19,669
California:	$22,071

Number of discharges: 11

Here:	0.68%
State:	0.47%

Permanent Cardiac Pacemaker Implant without Complications

Average Covered Charges

Here:	$99,110
State:	$78,140

Average Total Payments

This Hospital:	$15,153
California:	$16,377

Number of discharges: 11

Here:	0.68%
State:	0.41%

Pulmonary Edema and Respiratory Failure

Average Covered Charges

Here:	$90,998
California:	$64,758

Average Total Payments

This Hospital:	$11,125
State:	$11,179

Number of discharges: 49

This Hospital:	3.02%
California:	1.15%

Red Blood Cell Disorders without Major Complications

Average Covered Charges

This Hospital:	$44,279
California:	$35,878

Average Total Payments

Here:	$5,907
California:	$7,039

Number of discharges: 15

Here:	0.93%
State:	1.21%

Renal Failure with Complications

Average Covered Charges

This Hospital:	$43,086
State:	$48,439

Average Total Payments

This Hospital:	$7,613
California:	$8,967

Number of discharges: 14

This Hospital:	0.86%
State:	1.90%

Renal Failure with Major Complications

Average Covered Charges

This Hospital:	$100,685
California:	$72,128

Average Total Payments

This Hospital:	$14,111
State:	$14,548

Number of discharges: 18

This Hospital:	1.11%
California:	1.48%

Respiratory Infections and Inflammations with Complications

Average Covered Charges

This Hospital:	$64,742
State:	$70,949

Average Total Payments

Here:	$10,602
State:	$12,543

Number of discharges: 55

This Hospital:	3.40%
State:	1.04%

Respiratory Infections and Inflammations with Major Complications

Average Covered Charges

Here:	$110,700
California:	$101,885

Average Total Payments

This Hospital:	$16,334
California:	$17,925

Number of discharges: 71

Here:	4.38%
State:	1.30%

Septicemia or Severe Sepsis without Mechanical Ventilation 96+ Hours with Major Complications

Average Covered Charges

This Hospital:	$99,121
State:	$90,173

Average Total Payments

This Hospital:	$16,101
California:	$16,748

Number of discharges: 193

Here:	11.91%
State:	7.21%

Septicemia or Severe Sepsis without Mechanical Ventilation 96+ Hours without Major Complications

Average Covered Charges

Here:	$63,118
California:	$50,385

Average Total Payments

Here:	$8,921
State:	$9,612

Number of discharges: 65

This Hospital:	4.01%
State:	2.35%

Simple Pneumonia and Pleurisy with Complications

Average Covered Charges

This Hospital:	$53,888
California:	$48,755

Average Total Payments

This Hospital:	$7,401
California:	$8,695

Number of discharges: 32

Here:	1.98%
California:	2.75%

Simple Pneumonia and Pleurisy with Major Complications

Average Covered Charges

Here:	$76,382
California:	$70,362

Average Total Payments

Here:	$11,346
State:	$12,496

Number of discharges: 35

This Hospital:	2.16%
California:	1.89%

Simple Pneumonia and Pleurisy without Complications

Average Covered Charges

Here:	$44,146
California:	$34,477

Average Total Payments

This Hospital:	$5,248
State:	$5,838

Number of discharges: 15

Here:	0.93%
California:	0.97%

Syncope and Collapse

Average Covered Charges

This Hospital:	$52,516
California:	$37,038

Average Total Payments

This Hospital:	$7,360
California:	$6,233

Number of discharges: 36

Here:	2.22%
State:	1.60%

Transient Ischemia

Average Covered Charges

Here:	$41,826
State:	$37,396

Average Total Payments

This Hospital:	$5,423
California:	$6,120

Number of discharges: 17

This Hospital:	1.05%
State:	0.94%

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

Here:	100.0%
State:	99.3%

Percent of Patients Given Aspirin at Discharge

This Hospital:	100.0%
State:	99.0%

Percent of Patients Given Beta Blocker at Discharge

This Hospital:	100.0%
State:	98.5%

Average number of minutes before outpatients with chest pain or possible heart attack got an ECG

Here:	6
State:	9

Outpatients with chest pain or possible heart attack who got aspirin within 24 hours of arrival

Here:	98.0%
California:	97.2%

Outpatients with chest pain or possible heart attack who got drugs to break up blood clots within 30 minutes of arrival

Here:	78
State:	69

Patients Given a Prescription for a Statin at Discharge

Here:	88.0%
State:	97.5%

Median Time to Fibrinolysis

This Hospital:	28
State:	27

Heart Failure

Percent of patients who were given an evaluation of Left Ventricular Systolic Dysfunction (LVSD)

This Hospital:	100.0%
State:	98.9%

Percent of Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)

Here:	94.0%
State:	96.2%

Percent of Patients Given Discharge Instructions

Here:	96.0%
State:	93.5%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	100.0%
State:	99.4%

Pneumonia

Percent of Patients Given Initial Antibiotic(s) within 6 Hours After Arrival

This Hospital:	95.0%
California:	96.1%

Percent of Patients Whose Initial ER Blood Culture Was Performed Prior To Administration Of First Dose Of Antibiotics

This Hospital:	99.0%
State:	96.7%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	98.0%
California:	98.1%

Percent of Patients Given the Most Appropriate Initial Antibiotic(s)

This Hospital:	94.0%
California:	95.9%

Percent of Patients Assessed and Given Influenza Vaccination

Here:	96.0%
State:	94.3%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Hospital:	97.0%
State:	95.8%

Surgery

Percent of Surgery Patients given an antibiotic at the right time (within one hour before surgery) to help prevent infection

This Hospital:	100.0%
State:	98.1%

Percent of Surgery Patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)

Here:	98.0%
California:	96.3%

Percent of Surgery Patients who were given the right kind of antibiotic to help prevent infection

Here:	100.0%
California:	98.2%

Percent of Surgery Patients who got treatment at right time (within 24 hours before or after surgery) to help prevent blood clot

Here:	92.0%
State:	96.0%

Percent of Surgery Patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries

Here:	94.0%
State:	96.9%

Percent of Surgery Patients needing hair removed from the surgical area before surgery who had hair removed using a safer method

Here:	100.0%
California:	99.8%

Percent of Surgery Patients whose urinary catheters were removed on the first or second day after surgery

Here:	86.0%
State:	93.9%

Surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on them

This Hospital:	100.0%
California:	96.1%

Outpatients having surgery who got an antibiotic at the right time - within one hour before surgery (higher numbers are better)

Here:	97.0%
State:	95.1%

Outpatients having surgery who got the right kind of antibiotic (higher numbers are better)

Here:	94.0%
California:	95.5%

Patients having surgery who were actively warmed in the operating room or whose body temperature was near normal

This Hospital:	100.0%
State:	99.6%

Outcome of Care

30-Day Mortality Rates from Heart Attack

This Hospital:	18.6%
California:	14.9%

30-Day Mortality Rates from Heart Failure

This Hospital:	11.4%
California:	10.9%

30-Day Mortality Rates from Pneumonia

This Hospital:	10.1%
California:	11.7%

30-Day Readmission Rates from Heart Attack

This Hospital:	18.2%
State:	19.3%

30-Day Readmission Rates from Heart Failure

This Hospital:	25.3%
State:	24.4%

30-Day Readmission Rates from Pneumonia

Here:	18.5%
California:	18.3%

Hospital Acquired Conditions

Falls and injuries

This Hospital:	0.570%
State:	0.625%

Infection from a Urinary Catheter

This Hospital:	2.281%
State:	0.608%

Use of Medical Imaging

Outpatients with low back pain who had an MRI without trying recommended treatments first, such as physical therapy.

This Hospital:	37.000%
California:	33.932%

Outpatients who had a follow-up mammogram or ultrasound within 45 days after a screening mammogram.

Here:	3.800%
State:	8.180%

Outpatient CT scans of the abdomen that were combination (double) scans.

Here:	0.386%
State:	0.170%

Outpatient CT scans of the chest that were combination (double) scans.

Here:	0.005%
California:	0.043%

Outpatients who got cardiac imaging stress tests before low-risk outpatient surgery

Here:	5.400%
State:	5.492%

Outpatients with brain CT scans who got a sinus CT scan at the same time

This Hospital:	1.200%
California:	1.898%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: 300 or more
Survey Response Rate: 34%

How often did nurses communicate well with patients?

Sometimes or never

Here:	3%
State:	7%

Usually

Here:	20%
California:	21%

Always

This Hospital:	77%
California:	72%

How often did doctors communicate well with patients?

Sometimes or never

Here:	6%
California:	6%

Usually

This Hospital:	21%
California:	17%

Always

This Hospital:	73%
California:	77%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Hospital:	10%
California:	13%

Usually

This Hospital:	30%
California:	28%

Always

Here:	60%
State:	59%

How often was patients' pain well controlled?

Sometimes or never

This Hospital:	7%
State:	8%

Usually

Here:	24%
California:	25%

Always

This Hospital:	69%
California:	67%

How often did staff explain about medicines before giving them to patients?

Sometimes or never

This Hospital:	14%
California:	23%

Usually

This Hospital:	20%
California:	19%

Always

This Hospital:	66%
State:	58%

How often were the patients' rooms and bathrooms kept clean?

Sometimes or never

Here:	7%
State:	10%

Usually

Here:	23%
State:	21%

Always

Here:	70%
California:	69%

How often was the area around patients' rooms kept quiet at night?

Sometimes or never

This Hospital:	21%
California:	18%

Usually

Here:	39%
California:	33%

Always

This Hospital:	40%
California:	49%

Were patients given information about what to do during their recovery at home?

Yes

This Hospital:	84%
California:	81%

Here:	16%
State:	19%

How do patients rate the hospital overall on a scale from 0 (lowest) to 10 (highest)?

6 or lower

Here:	8%
State:	10%

7 or 8

Here:	25%
California:	24%

9 or 10

Here:	67%
California:	66%

Would patients recommend the hospital to friends and family?

Here:	4%
California:	7%

Yes, probably

Here:	28%
State:	24%

Yes, definitely

This Hospital:	68%
California:	69%

MARSHALL MEDICAL CENTER (1-RH) - PLACERVILLE, CA

Complaint Deficiency

Quality Measures

Inpatient Prospective Payment System (IPPS) - Medicare Provider Charge Data

Process of Care

Heart Attack

Heart Failure

Pneumonia

Surgery

Outcome of Care

Hospital Acquired Conditions

Use of Medical Imaging

Hospital Consumer Assessment of Healthcare Providers

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