intermountain care process model

0000006950 00000 n At Intermountain Healthcare, we are looking for Medical Assistants who are patient-focused and engaged. 26 April 2022 Amy Bowen and Kaye Coholan share their thoughts on how North Central London (NCL) has taken a different approach to managing NHS waiting lists for their Integrated Care System (ICS). Mot de passe (8 caractres ou plus) . Joining forces to create a standard of care - cerner.com 0000006063 00000 n We are also working with the Point of Care Foundation, which facilitates us working with patients and families in the design phase of all our clinical pathways.. The FSI Academy is focused on the onboarding of new hires who will be trained as interface engineers; responsible for implementing the technical mechanisms that allow the exchange of information between solutions and external systems. 0000021559 00000 n CPMs are meant to provide an evidence-based and standardised way to address the core clinical processes that matter most to their patients and clinicians. The Services Directory has information about Nationwide providers. CARE PROCESS MODEL JANUARY 2021 Chronic Obstructive Pulmonary Disease (COPD) Diagnosis, Treatment, and Resources ALGORITHM NOTES ALGORITHM: DIAGNOSIS OF COPD . 0000072266 00000 n startxref PingID. 0000073570 00000 n 0000004309 00000 n 0000057886 00000 n 0000080004 00000 n %PDF-1.7 % 0000226561 00000 n CARE PROCESS MODEL Chronic Obstructive Pulmonary Disease (COPD) It is extremely important to screen patients until there are no further limitations on testing capacity. Its okay to answer their questions. hWkTSsH LB%A h oIBxH P,ZA The formalised nature of the partnership agreement has also allowed for knowledge sharing on a granular and practical level that might not have been possible if RFL had passively observed Intermountains processes one or two times. What resources are available to get children into therapy? Attempts to publish pathway development in the peer-reviewed literature are limited by lack of scientific rigor. In primary care settings, you can evaluate the response to services using the Pediatric Traumatic Stress Screening Tool at follow up visits. 0000058348 00000 n 0000010167 00000 n There are aspects of Royal Free care that Intermountain can learn from, said Dr Chris Wood, vice president, Cerner and medical executive for iCentra development at Intermountain Healthcare. 0000020531 00000 n For many children, belly breathing or mindfulness training (teens) will be able to slow down a racing heart or mind at bedtime to fall asleep easier or reduce the intensity of anxious / fearful or angry feelings. 0000013806 00000 n 0000006219 00000 n \H6Hl7% K{X0(%p* *\y~b!o^%CIe%'jR$b $zoE)fPBgf+"jf6yy/i>>XmHm!$ 0000072821 00000 n 0000007790 00000 n 0000008918 00000 n 0000009452 00000 n Each visit is centred around a single theme to allow for a focused deep dive into that specialty. 0000010474 00000 n 0000166102 00000 n 0000132822 00000 n I think one of the problems in health systems is that good practice happens in a lot of places, but were not very good at learning from excellence in other places, said Dr Streather. 0000011106 00000 n 0000019018 00000 n As a founding member of the Together 2 Goal program, Intermountain's Medical Group Diabetes Care Process Model serves as the primary source material for much of the initiative. trailer 0000228696 00000 n CPMs also include education, communication and data standards so process and outcome measures are truly meaningful and comparable across institutions. We have 44 pathways in operation, which represents about 60 to 70 percent of our clinical patient-facing activity. Enzyme Replacement Therapy, Mucopolysaccharidosis Type I (MPS 1) Orthopedic Manifestations & We are segmenting clinicians into clinical themes and having them evaluate pathways of care and look at the data that informs those pathways to determine how we can improve them in a systematic way. 0000018163 00000 n 0000017688 00000 n Click for details. 0000008428 00000 n At the end of March 2022, the Cerner European Collaboration Forum brought together 300+ attendees from over 16 countries. 0000008686 00000 n SALT LAKE CITY, March 19, 2015 (GLOBE NEWSWIRE) -- Cerner Corp. and Intermountain Healthcare announced today the implementation of iCentra, a model electronic health record (EHR), practice. startxref 0000003519 00000 n There can be reticence to learn from others and there can sometimes be the resistance to adopting something that was someone elses idea. 0000006531 00000 n * This CPM presents a model of best care based on the best available scientific evidence at the time of publication. 0000006843 00000 n height, weight, OFC, care process model data, etc.). If you will still be using Intermountain's network, systems or data, information about your use may be reviewed, 0000056204 00000 n Ive rarely seen in the NHS such buy-in from the clinical community, he said. 0000066119 00000 n 30 June 2022 0000060798 00000 n 0000179407 00000 n 0000008135 00000 n For preschool-age children, the SEEK model for pediatric primary care is recommended to guide providers in screening for, assessing, and addressing problems related to child safety. 0000005250 00000 n 0000006999 00000 n 0000004293 00000 n Part of the partnership has been learning that it is not a one-to-one process of dropping in methodology from Intermountain to RFL, and that the Trust has adapted the ideas to their own circumstances. 0000008709 00000 n under the leadership of Intermountain Healthcare's Behavioral Health Clinical Program. 0000004712 00000 n 6346 0 obj <> endobj 0000007186 00000 n 0000004619 00000 n 0000008748 00000 n Intermountain Healthcare convened a team consisting of executive leadership, the enterprise initiative office and internal medicine leaders to design the RPC. 0000010599 00000 n 0000076267 00000 n 0000029050 00000 n PDF (Spuhler) by Intermountain HANYS Granted to Use Permission for This care process model (CPM) outlines the recommended approach. P.O. 0000007050 00000 n Intermountain Healthcare's Enhanced Recovery Protocol for Colon Surgery 0000002834 00000 n Pierre-Henri Brchat, Pascal Briot, Lucy Savitz, Ross Fulton. 0000059863 00000 n 1506 0 obj <>stream Biometrics. D dL :G=%C>[wgG5wvorb$j9u>~U'/795}[ucCwOxEQ\hzAR>9d)oHH,YIPxM. Published August 9, 2007, Quality- Improvement Research and Informed Consent. 0000009340 00000 n H\@. 0000057953 00000 n 0000002571 00000 n 0000033890 00000 n Once we understood the science of process management techniques as derived and applied in the business world could be brought into healthcare, we had our secret sauce and we knew we needed to teach that science to our teams, said Dr Todd Allen, senior executive medical director for the Healthcare Delivery Institute at Intermountain. 0000005048 00000 n 0000011770 00000 n Deming, who trained as an electrical engineer, believed that quality and cost are inextricably linked, and creating efficiencies in any process would lead to reduced costs and increased quality. In the 5 phase III alvimopan efficacy trials, a simple standardized accelerated postoperative care pathway was used rather than a comprehensive, multidisciplinary colon surgery care process model that is used by Intermountain Healthcare. 0000070999 00000 n The CPM also guides family decision making, links at-risk children to evidence-based trauma therapy, and encourages providers' use of in . 0000005695 00000 n 0000001556 00000 n If different clinicians in the same health system are using widely varying protocols to treat the same conditions, the result will be poorer patient outcomes and a less-than-clear picture of what it truly costs to treat the condition. 0000045545 00000 n This care process model (CPM), produced by Intermountain Healthcare's Antibiotic Stewardship team, Community-Based Care, and Intermountain Pediatrics, is based on the American Academy of Pediatrics (AAP) Clinical Practice Guidelines. See the Intermountain care process model Non-surgical Management of Ectopic Pregnancy DEVELOPMENT AND DESIGN OF Care Process Models Care Process Model MONTH 2015 2015 Update 0000033569 00000 n 0000038525 00000 n 0000045671 00000 n 0000007513 00000 n 0000086396 00000 n 0000072898 00000 n 0000057752 00000 n The way Royal Free reaches out to the community, thats a big push for Intermountain right now. 0000049258 00000 n 0000017996 00000 n 0000026834 00000 n 0000066508 00000 n Inscrivez-vous pour postuler au poste de Medical Assistant chez Intermountain Health. Franklin G. Miller, Ph.D., and Ezekiel J. Emanuel, M.D., Ph.D. 0000003093 00000 n 0000198367 00000 n Intermountain has created care process models (CPMs) within each clinical programme that use a combination of existing evidence-based practice guidelines and historical EHR data. by Cerner UK 0000075636 00000 n Partnering with and adapting the methodology of an internationally recognised leader like Intermountain signalled to staff that RFL was serious about improving care and has helped create buy in, Dr Streather believes. 0000176611 00000 n 0000079428 00000 n 0000086104 00000 n The Child Traumatic Stress Care Process Model (CPM) was developed through a collaboration of the Department of Pediatrics at the University of Utah and the Center for Safe and Healthy Families at Intermountain Healthcares Primary Childrens Hospital. 0000013631 00000 n Intermountain Healthcare: Towards an integrated, value-based model Intermountain (US) UH Bristol (UK) TTSH (Singapore) VCHI (US) Show sources Briefing paper Tackling waste is a difficult but. 0000053140 00000 n Helping people live the healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery. 0000058433 00000 n 0000026552 00000 n 0000044620 00000 n 0000070461 00000 n They then work to continually refine and improve each care process. 0000018590 00000 n 0000035552 00000 n %PDF-1.7 % trailer 0000031343 00000 n 0000004060 00000 n Click the following URL which is the closest match we can find to the one you entered: Use the left navigation or the tabs above to browse the site, Perform a search using the search box at the top of the page. 0000176359 00000 n Using a theoretical framework of eight stages of change[18], the authors described the imple-mentation of the care process model in the RICU. P , s &v. E-mail. 0000007723 00000 n 0000003817 00000 n Intermountain Healthcare is a Utah-based, not-for-profit system of 33 hospitals (includes "virtual" hospital), a Medical Group with more than 3,800 physicians and advanced practice clinicians at about 385 clinics, a health plans division called SelectHealth, and other health services. CPM020 - 01/21 3 COPD CPM JANUARY 2021 TABLES TABLE 1. 0000177088 00000 n 0000066042 00000 n 0000032530 00000 n Intermountain monitors use of the Information Systems resources. 0000016011 00000 n 0000007639 00000 n Pediatric Diabetes Screening & Management Care Process Model The Royal Free London NHS Foundation Trust (RFL) is one of the largest hospital Trusts in the NHS, employing more than 10,000 staff and serving 1.6 million patients across 20 sites in north London and Hertfordshire. Together, these components have allowed Intermountain to create integrated CPMs to manage practice guidelines and digital workflows that actively guide doctors toward the clinical decisions that will improve outcomes for patients. 0000008313 00000 n 0000179289 00000 n 0000005911 00000 n 0000013362 00000 n 0000001979 00000 n Intermountain used this philosophy to organise its most common care processes under the direction of an operations structure called clinical programmes. Clinical Management - Intermountain Healthcare 0000043331 00000 n %%EOF When should the child or caregiver complete the traumatic stress screener? %PDF-1.7 % 0000023458 00000 n A 2012 report from the Institute of Medicine found that inefficiencies in the U.S. healthcare system resulted in up to $750 billion of wasted spending in 2009, roughly 30 percent of total healthcare spending in that year. Copyright 2003-2020. 0000007525 00000 n startxref 0000005907 00000 n monitored, audited, and stored. This care process model (CPM) and accompanying patient education were developed by a multidisciplinary team including primary . 0000225874 00000 n By incorporating these pathways into its EHR, RFL will ensure that the methodology behind its care pathways is baked into the systems digital infrastructure, making it easier for anyone, at any site, to follow the recommended method of care. 0000003820 00000 n 0000005756 00000 n This care process model (CPM) was created by a multidisciplinary team of physicians, registered dietitians, mental health specialists, and other healthcare providers at Intermountain Healthcare. Pediatric Acute Otitis Media (Ear Infection) 2019 Update How to address things like education, food and transportation, these are things the British government has been doing aggressively since WWII.. It was created by general pediatricians at the University of Utah in collaboration with Intermountain Health pediatric . 0000005795 00000 n ALL RIGHTS RESERVED. 0000008976 00000 n 0000002361 00000 n 0000021680 00000 n 0000021043 00000 n Cerner Corp. and Intermountain Healthcare announced recently the implementation of iCentra, a model electronic health record (EHR), practice management and revenue cycle system, at two Intermountain hospitals and 24 clinics across northern Utah. 0000178370 00000 n 0000079310 00000 n 0000006066 00000 n 0000034579 00000 n 0000005227 00000 n 0000012722 00000 n This CPM includes two processes to address child traumatic stress across the pediatric lifespan. 0000004246 00000 n This care process model (CPM) was developed by Intermountain Healthcare's Antibiotic Stewardship and Community-Based Care teams. Utah PIPS 0000041140 00000 n *kxVQQ6]9@{B%+/Q9a6Q_~Kx1 RX@QF p+h=52hf4f3#`33e{f|@gHXS'U`*}lts}=>;tPJfi5C&L^cI_2I7l8-G-mLvp +y" oE$qy(b9yz|~{kt;a| ~%1e8PKo*>7%T[.4jp+Gq}. h1 01!\Ax'MF[!!z 1- He brought with him a background in medical research, having previously held positions at the National Cancer Institute and the Harvard School of Public Health, as well as an interest in the theory and methods of W. Edwards Deming. All rights reserved. 0000066391 00000 n 0000066218 00000 n hSiPSW>#BBX-"m6 EM;b;N:N+D(n." Sign On 0000002281 00000 n Lean Healthcare: 6 Methodologies for Improvement 0000048275 00000 n It is not a prescription for every physician or every patient, nor does it replace clinical judgment. 0000056318 00000 n 0000009925 00000 n 3175 102 %PDF-1.7 % The goal of these visits is for the RFL team to gain a deeper understanding of both the methodology and evidence behind Intermountains CPMs, and to get tactical education on how to familiarise clinical staff on methodology and help show them how to socialise these models for widespread adoption. 0000079460 00000 n WARNING: Intermountain Healthcare's Information Systems resources are for Intermountain approved purposes only. 0000006687 00000 n 0000029472 00000 n How a U.S. Health Care System Uses 15-Minute Huddles to Keep 23 0000045214 00000 n C-suite leadership has been overwhelmingly supportive of the project, furthering the message that the Trust is serious about reducing variance and improving care. 0000034112 00000 n 0000005541 00000 n For children 6 18 years who report a potentially traumatic experience on the Pediatric Traumatic Stress Screening Tool (more information on this screening tool available in full CPM), the process of responding effectively to child traumatic stress involves three steps: Based on screening tool results, a brief in-office intervention targeting their most prominent symptom(s) has been shown to make a big difference for many children. 0000057819 00000 n 0000024023 00000 n 0000008058 00000 n SEEK is an effective model for prevention of abuse / neglect in early childhood. 0000065951 00000 n 0000072478 00000 n 0000011998 00000 n 0000008863 00000 n Failing to address variations can negatively impact the ability to provide quality, consistent, safe and cost-effective care. 206 63 0000002244 00000 n 0000055034 00000 n 0000009724 00000 n Choose a skill that you are comfortable teaching and share your knowledge with the families you see in clinic. 0000015820 00000 n 0000012852 00000 n This care process model (CPM) is maintained by Intermountain Healthcare's Lower Respiratory Tract Infection Team, . 0000002947 00000 n 0000006783 00000 n Providers and caregivers around the country are using the model to measure and improve key diabetic metrics, including A1C results, blood pressure control, and kidney . Treesa Carter and James Hitter share their experiences of working on the transformation of health and social care integration at Suffolk County Council. 0000176762 00000 n 0000068805 00000 n 0000039661 00000 n 0000004263 00000 n 0000084970 00000 n 0000064758 00000 n 0000004300 00000 n There is quite a lot of admiration in the United Kingdom for some of the system-wide approaches for improving quality in the United States, said Dr Streather. xref 0000035663 00000 n 5-Step Model for Creating a Virtuous Medical and Financing System to Enhance the Health and Well being of Future Generations. 0000017841 00000 n 0000063001 00000 n 1 Resources for Parents and Caregivers Although realigning care at RFL is still a work in progress, the introduction of the CPG concept and its adaptation to the Trusts culture and needs is having an impact. 0000020693 00000 n 0000014102 00000 n /}>8N{oN9sw @P|&AM. Working with Intermountain and redesigning their methods of care represents a considerable shift for RFL and leaders have been deliberate about how these changes are introduced to doctors, nurses and others who provide care. 0000079241 00000 n Intermountain Stroke Care Process Model In Action 538 views Mar 19, 2019 3 Dislike Share Intermountain Healthcare 21.7K subscribers An eight year old stroke patient receives rapid life-saving. 0000006077 00000 n (3) duplicating any Intermountain data or placing a copy of any Intermountain data on any non-Intermountain asset. 0000005140 00000 n 0000018223 00000 n %%EOF Intermountain Health hiring Medical Assistant Allergy Clinic in Intermountain Healthcare and Royal Free London are working toward a common goal of reduced clinical variance. 0000177145 00000 n 0000071295 00000 n 0000000016 00000 n endstream endobj 1661 0 obj <>/Metadata 177 0 R/Names 1662 0 R/Outlines 155 0 R/PageLayout/SinglePage/Pages 176 0 R/StructTreeRoot 179 0 R/Type/Catalog/ViewerPreferences<>>> endobj 1662 0 obj <> endobj 1663 0 obj >/PageWidthList<0 612.0>>>>>>/Resources<>/ExtGState<>/Font<>/ProcSet[/PDF/Text]/XObject<>>>/Rotate 0/StructParents 0/Thumb 171 0 R/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 1664 0 obj [1665 0 R 1666 0 R 1667 0 R 1668 0 R] endobj 1665 0 obj <>/Border[0 0 0]/H/N/Rect[131.157 415.338 170.914 404.138]/StructParent 17/Subtype/Link/Type/Annot>> endobj 1666 0 obj <>/Border[0 0 0]/H/N/Rect[460.652 162.428 475.529 151.48]/StructParent 1/Subtype/Link/Type/Annot>> endobj 1667 0 obj <>/Border[0 0 0]/H/N/Rect[509.976 162.428 537.031 151.48]/StructParent 2/Subtype/Link/Type/Annot>> endobj 1668 0 obj <>/Border[0 0 0]/H/N/Rect[187.84 256.725 212.127 244.468]/StructParent 18/Subtype/Link/Type/Annot>> endobj 1669 0 obj <> endobj 1670 0 obj <> endobj 1671 0 obj <> endobj 1672 0 obj <> endobj 1673 0 obj <> endobj 1674 0 obj <>stream Lifestyle and Weight Management 0000072789 00000 n Intermountain Healthcare is a Utah-based, not-for-profit system of 22 hospitals, a Medical Group with more than 1,600 physicians and advanced practice clinicians at about 180 clinics, a health plans division called SelectHealth, and other health services. 0000008535 00000 n Box 581289 Salt Lake City, Utah 84158, A Short History of the Medical Home Portal, Pediatric Patient Summary-Medical Home Portal Project, Nevada Pediatric Mental Health Care Access Program (PMHCAP), Rhode Island Pediatric Psychiatry Resource Network (PediPRN), University of Utah Pediatric Resident Writing Elective, University of Utah Writing & Career Development Group, Utah Children's Care Coordination Network, Anxiety Disorders & Attention Deficit Hyperactivity Disorder (ADHD), Attention-Deficit/Hyperactivity Disorder (ADHD) & Disruptive Children in the severe and moderate traumatic stress symptom range will typically benefit from an intervention based on their symptoms, but clinicians may also choose to use a brief 0000023486 00000 n *(N}L{{./ +A C C9p:nY)-({ ~U 4|VfI)3%N>K, L7 In addition to teaching them a useful coping skill, the child often feels an increased sense of support from parent(s) / guardian(s) who can help them practice the skill at home and remind them to use it when needed. 0000017396 00000 n 0000051498 00000 n 0000003302 00000 n As RFL leaders began to search for established models and methods to reduce variance in care, they were introduced to Intermountains clinical programme and CPM approach. It helps primary care providers identify areas of potential high risk for the child and provide relevant information and support to the parents / caregivers. 0000177828 00000 n 0000011030 00000 n 0000075971 00000 n Salt Lake City, UT/Broomfield, CO (April 5, 2022) - Intermountain Healthcare and SCL Health, two leading nonprofit healthcare organizations, have completed their merger, creating a model health system that provides high-quality, accessible, and affordable healthcare to more patients and . hUiPG~=";.^qv12%&e-Kg.^OPxx7(w~X]"`~g Intermountain has also noted value in the partnership. 0000013048 00000 n 0000193542 00000 n 0000009527 00000 n 0000004039 00000 n 1719 0 obj <>stream 0000005681 00000 n 0000007942 00000 n 0000025382 00000 n Special Instructions. 0000048319 00000 n 0000004256 00000 n 0000005233 00000 n 0000052164 00000 n Community-Acquired Pneumonia (CAP) - Intermountain Healthcare [EV~P\>Qr78vJ|;w,qdP7Q)N/(5kJ[;zXG$Ai?"s nBg5S9"{Y(^rS4w7,!l2"O+^y'UvvBbS=&r65[8gx&DnyegC_oWvem$,kN Intermountain Health Care - Case - Harvard Business School 0000081734 00000 n 0000088537 00000 n 0000010991 00000 n 0000087649 00000 n <<5BE851667CC40543996F5A9ED21E16D8>]/Prev 646447/XRefStm 3820>> Additionally, the PIPS team has clinicians available for consultation when needed. 0 0000177340 00000 n xref 0000072122 00000 n 0000079777 00000 n 0000004033 00000 n 0000036974 00000 n %PDF-1.7 % 0000018713 00000 n 0000078906 00000 n 0000110685 00000 n Care Process Models Eating Disorders - Intermountain Healthcare 0000016612 00000 n 0000128388 00000 n 0000014981 00000 n 0000011732 00000 n We didnt want to take a standardised cookbook approach to medicine, but we wanted to ensure that care was more predictable and evidence-based so that we could deliver it in a more cost-effective way.. 0000179484 00000 n 0000050331 00000 n 0000084446 00000 n by Dr Todd Allen 0000022401 00000 n 0000031441 00000 n Care Process Model AUGUST 2016 The inside pages of this tool provide an algorithm and associated notes and can be folded open and posted in your office or clinic. 0000225756 00000 n 0000002325 00000 n H\j0EY& CpijY_'P#suGC 'b~. 0000020129 00000 n 0000023543 00000 n 0000001530 00000 n 0000052968 00000 n 0000007762 00000 n Sign In Options. 0000084783 00000 n At the end of March 2022, the Cerner European Collaboration Forum brought together 300+ attendees from over 16 countries. CPMs are meant to provide an evidence-based and standardised way to address the core clinical processes that matter most to their patients and clinicians. Care Process Models Care Process Model MONTH 2015 2015 Update DIAGNOSIS AND MANAGEMENT OF Urinary Tract Infection in Adults APRIL 2019 2019 INTERMOUNTAIN HEALTHCARE. 0000023593 00000 n 0000050304 00000 n 0000015624 00000 n We recommend that child or caregiver complete the child traumatic stress screener while in the waiting room, prior to their appointment. 0000006220 00000 n 0000065716 00000 n Its purpose is to summarize and promote evidence-based approaches to lifestyle and weight management, and to facilitate implementation in routine primary care. We are already on our way to digitising 20 of those 44 pathways and will eventually have all 44 in the EHR.. 0000009576 00000 n 0000013265 00000 n This is the healthcare-specific version of what is known in lean terminology as "mass customization." 0000059943 00000 n 0000031239 00000 n The programme has evolved over the years, but the core philosophy is still the same the science of process management and change leadership is applied to healthcare leading to better quality, safety, cost and services outcomes. 0000087852 00000 n 0000005294 00000 n 0000176282 00000 n 0000071068 00000 n 0000033836 00000 n 0000007843 00000 n Addressing unwarranted variance in care protocols and embedding those processes in the electronic health record (EHR) can be an effective way for healthcare leaders to impact both quality outcomes and their bottom lines. intervention with those in the low symptom range. RFL has upwards of 80 clinicians involved in this process in each of the four divisions and has digitised seven pathways with plans to digitise additional pathways two at a time through a standard process. 0000056444 00000 n 0000019314 00000 n 0000039904 00000 n During development of the care process model, the authors found many aspects of ICU care that required substantial change. 0000073493 00000 n 0000086035 00000 n 0000180800 00000 n >iDTPTTqbZ]w;$zm3{! 0000051705 00000 n However, EHR-based processes will typically need to be matched with a system strategy that unlocks the potential of front-line clinical teams who are informed by good clinical data and a culture of improvement, quality and safety. 0000170459 00000 n 0000060865 00000 n 0000050364 00000 n 0000042757 00000 n 0000063087 00000 n 0000060023 00000 n 0000170251 00000 n 0000005788 00000 n 0000000016 00000 n 0000129815 00000 n . 0000013703 00000 n 0000004556 00000 n Care pathways and the quest for better outcomes - Becker's Hospital Review

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