2) IC.02.01.01: The organization implements infection prevention and control activities. MzQ2OTNhZWYxN2QzY2VhNDlmZGZjMjcwN2RiZmYxYTk5YmIxNTMzYTQxZDJl Learn about the "gold standard" in quality. )W@Nx8?NfmEldk;dAN0T6p40Tt40Wtt0C1#;Hd26 ]CyTS@iMC?vq5uzi0~P INL/4#@:,Hs10Y;TEe t
Access the full lists for these and other programs in the latest issue of Joint Commission Online. The program initiates, maintains, and makes accessible a health or 429, 1424 . By not making a selection you will be agreeing to the use of our cookies. ODIwMmE5NmNkMzczM2E2MGUyMzAxMWRhNjQ5YTgwMThjMTgyOTkzOWRiY2Rm Remember that TJC has also published the 2021 Survey Activity Guide for all accreditation programs. Educate your staff about this new requirement. The FHWA is directed by paragraph (2) under the Highway Infrastructure Program heading in title VIII of division J of the Bipartisan Infrastructure Law (BIL) (enacted as the Infrastructure Investment and Jobs Act) (Pub. TJC added a specific requirement that Discharge planning is performed by, or under the supervision of, a registered nurse, social worker, or other qualified person.. Health care organizations are encouraged to distribute HURs to departments and individuals within their organization responsible for the topics identified so any potential issues or risks can be addressed. EC.02.05.01: The hospital manages risks associated with its utility systems. The top five most challenging requirements for hospitals in 2021: 1. As we all know, many of the standards of the licensing and accrediting agencies often overlap. Thus, if you have more than one type of sprinkler head, you need six spares for each type of sprinkler head. <>>>
As we all would expect, total survey volume was down due to the pandemic, so we want to point out that their data is presented differently than in previous years they focus on the HIGH and MODERATE findings from their SAFER Matrix. IC.02.01.01: The organization implements the infection prevention and control activities it has planned. MGI4ODFlN2JkYWUzNDA0YmQ1NjY4NWQ4YWY3OTk1ZTEwNmMzNjkyOGY4ZDA3 18 Top News: A Digest of Accreditation and Health Care News 21 Other Learning Opportunities from The Joint Commission and Joint Commission Resources So, the Joint Commission SAFER matrix provides a snazzier, more customer-friendly packaging of survey results. LS.02.01.30 (building features provided and maintained to protect from fire and smoke hazards), 43%. Stay updated on the latest trends and compliance regulations in your industry. @A@!q@ q!'8'p\~W=GzQ~UmYstsUz:_Q}V `G3xRyWu=p3 T?P*B :k.Tf. The first tranche of discontinued standards and EPs was recently announced to include the elimination of 56 standards from our Hospital Accreditation Program - a nearly 14% . See how our expertise and rigorous standards can help organizations like yours. Helpful Space Heater Tips to Keep You Safe, As winter conditions persist, you may be tempted to pull out your space heater to combat frigid temperatures. Employers are required to record fatalities, injuries and illnesses that are new work-related cases. By not making a selection you will be agreeing to the use of our cookies. As a result, there are several language changes in the 2021 manual that reflect this new title. These data help The Joint Commission identify trends and tailor education related to chal-lenging standards and National Patient Safety Goals (NPSGs). Please check back frequently as the library is updated quarterly. We develop and implement measures for accountability and quality improvement. stream
YTkwNzVmMzRlMWY5NWZiZTNiYzM3OTA3NWVjZjk5MGM3MWUyMmY3OTliZTFh We provide a comprehensive insurance portfolio that protects you and your family today and beyond. eyJtZXNzYWdlIjoiNDgzMzE1MjA3YTJkNThhMzdlYjhmMTJlMmQyMjQ3YWYz Through leading practices, unmatched knowledge and expertise, we help organizations across the continuum of care lead the way to zero harm. Website by Allen Harris Design, Joint Commission Flu Vaccination Requirements: 90% Goal Eliminated, FAQ about whether medication orders need to contain a diagnosis, condition, or indication for use, The Joint Commission definition of a fall event, Sentinel Event Alert 55 Preventing Falls and Fall-Related Injuries in Health Care Facilities, TJC FAQ on emergency management drills during the Public Health Emergency, Comprehensive Accreditation Manual for Behavioral Health Care and Human Services, R3 Report on the New and Revised Standards for Child Welfare Agencies, Virtual Joint Commission Surveys: Get Prepared, Joint Commission Contract Services Requirements, Joint Commission Health Care Equity Now a National Patient Safety Goal. The Joint Commission has published the top 5 requirements identified most frequently as "not compliant" during surveys and reviews performed in 2020, and infection control standards made the list for many programs. Theres a section at the front of each manual titled Whats New? This gives you a summary of the 2021 changes. At least six spare sprinkler heads of each type and temperature rating installed in the facility are readily available, with the associated wrench or tool to replace the sprinkler head. And that your job descriptions for discharge planning staff show supervision by a social worker or an R.N. EC.02.05.01: The critical access hospital manages risks associated with its utility systems. What to Do Now: Review your format for discharge plans. Get more information about cookies and how you can refuse them by clicking on the learn more button below. Its our way of keeping frequently cited standards on your organizations radar to help avoid a finding. Your email address will not be published. Released in the April issue of Perspectives, the list covers the top Joint Commission requirements that surveyors found to be noncompliant most often during 2018. ].KI@]]+[1 We help you measure, assess and improve your performance. Copyright © 2023 Becker's Healthcare. Your access to this site was blocked by Wordfence, a security provider, who protects sites from malicious activity. The Basics: Most Frequently Cited Disease-Specific Care Certification Standards David Eickemeyer, MBA Associate Director, Certification May 10, 2018 Learn more about the communities and organizations we serve. Topics are far from randomly chosen. All rights reserved. See also the TJC FAQ on titration orders. Requirements include developing and implementing a program, recordkeeping, labeling and training. The hospital reduces the risk of infections associated with medical equipment, devices and supplies. endstream
NPSG.15.02.01: Identify risks associated with home oxygen therapy such as home fires. These two-page reports span eight accreditation programs. Identify risks associated with home oxygen therapy such as home fires. Hospitals may also provide outpatient services as a secondary activity. All Rights Reserved. The table below identifies the Top 5 Joint Commission requirements identified most frequently as not compliant during surveys and reviews from Jan. 1 through Dec. 31, 2021. MDZlNTg1ZGJjMDRlYmM3YTNlOGM4NGFkZDJiZDZkYjYzNzJjZTViN2UyMzYz Reach out to us today and start the conversation, so youre better protected and prepared for what comes next. If you receive an incident report for a fall, review it against this definition. NjcxOWY0NmM0ODMyN2NkZjczZGM0OGE0ZmM5YTVlYzJiMzlmNzFhNGVhMDk1 Permit-required Confined Spaces (PRCS) PRCS are spaces that contain or are likely to contain serious hazards. Cookie Policy. EC.02.02.01: The organization manages risks related to hazardous materials and waste. Second, there are nearly 90 new and revised requirements for Child Welfare Services. Understanding the HUR Requirements of this standard include hazard evaluation, entry-permit systems, employee training, and emergency response plans. HRM.01.02.01: The organization verifies and evaluates staff credentials. Source: OSHA.gov Design 2022 Zywave, Inc. Material posted on this website is for informational purposes only and does not constitute a legal opinion or medical advice. This requirement seems somewhat obvious and one would expect that medication orders would routinely contain all of this information. According to a 2019 strategiesfornursemanagers.com article, the Top 10 Most-Cited Joint Commission Standards are: LS.02.01.10 (minimization of fire, smoke and heat damage via building and fire protection features), 46%. 02.01.30The hospital provides and maintains building features to protect individuals from the hazards of fire and smoke (72.9%). Reduce the risk for. . We help you measure, assess and improve your performance. But, dont overlook the policy component of this standard. 2) IC.02.01.01: The practice implements infection prevention and control plan. MzhmZDQ4OTdjMzViZjgxZTY5MWZjNGQ0OWNmN2MwODYzNGE1YzYzYTIzZTI3 Were now conducting our Mock Surveysand Continuous Readiness Consultations both virtually and onsite. Stay up to date with all the latest Joint Commission news, blog posts, webinars, and communications. The Joint Commission Heads Up Report (HUR) Library is a way to do just that. Q: Our facility is not accredited. The requirements include precautionary procedures and personal monitoring, evacuation warning signals, posting, reporting and storage. 1) IC.02.02.01: The practice reduces the risk of infections associated with medical equipment, devices, and supplies. The Commission had been behind on its regular facility. 02.02.01The hospital reduces the risk of infections associated with medical equipment, devices, and supplies (70,9%). <>
02.01.10Building and fire protection features are designed and maintained to minimize the effects of fire, smoke, and heat (70.7%). Not much new there. Without a subpoena, voluntary compliance on the part of your Internet Service Provider, or additional records from a third party, information stored or retrieved for this purpose alone cannot usually be used to identify you. The spare sprinkler heads and wrench or tool are stored in a cabinet that does not exceed 100F.. Grow with who you know. These requirements include developing a COVID-19 plan, screenings and management, personal protective equipment (PPE), transmission prevention, health screening, training, recordkeeping, reporting and vaccination. NzI1MGM1NjViOWQ1Mzg3OTM2NDI1NzUzNzdlZjEzNmQ1NTZhNDIzN2Y5YTM4 In addition to accreditation, certification, and verification, we provide tools and resources for health care professionals that can help make a difference in the delivery of care. Obtain useful information in regards to patient safety, suicide prevention, infection control and many more. Learn about the development and implementation of standardized performance measures. yR`LP`x`\ Copyright © 2015-2023 Barrins & Associates, an HBS Company. TJC made this change to better reflect the wide array of human service providers accredited under the Behavioral Health standards. Through specialization, we understand the greatest risks and opportunities facing your industry. We apply insight and experience to drive more value and deliver better outcomes from your benefit programs. Bloodborne Pathogens This standard refers to the prevention of occupational exposure to blood or other potentially infectious materials. endobj
Protect your business from complex challenges with comprehensive, cost-effective and innovative solutions. This site uses cookies and other tracking technologies to assist with navigation, providing feedback, analyzing your use of our products and services, assisting with our promotional and marketing efforts, and provide content from third parties. Set expectations for your organization's performance that are reasonable, achievable and survey-able. Most Challenging Joint Commission Requirements The Joint Commission has identified the standards/elements of performance that were most frequently cited as "not compliant" during Joint Commission surveys in 2020. The Infection Control Consulting Services (ICCS) team has a lengthy track record of success with assisting healthcare providers with preparation for surveys, mitigation of deficiencies, and development of plans of correction. What to Do Now: Most organizations are already following this procedure for one annual drill in business occupancies. We use cookies to optimize our website and our service. [1] TJC's goal and mission are to ensure quality healthcare for patients, prevent harm, and improve patient advocacy. Check out the TJC FAQ on emergency management drills during the Public Health Emergency. It is the oldest and largest standard-setting and accrediting body in healthcare. 4. All Rights Reserved. Each agency has a unique role in assuring quality laboratory testing (Table 1). <>
Establishments in the hospitals subsector provide inpatient health services, many of which can only be provided using the specialized facilities and equipment that form a significant and integral part of the production process. However, make sure your emergency management drills in your business occupancies relate to an issue identified on your Hazard Vulnerability Analysis (HVA.) endobj
The Occupational Safety and Health Administration (OSHA) keeps records not only of the most frequently cited standards overall but also within particular industries. 02.02.01The hospital manages risks related to hazardous materials and waste (62.3%). The Joint Commission celebrated its 70th anniversary in 2021. YTgzMmRhNjJmYTQ0Y2Y4YzQ3ZjdhMzdmN2QwNDJmM2RmYWUzODY5ZDBmYWNl All Rights Reserved. They now must include a list of resources available to the patient in his/her geographic area. The most recent statistics from OSHA reveal the top standards cited in the fiscal year 2021 for the hospital industry. NmZjZTQ0OTJiZGUxNDIyZjFlMmRhZWM0MjM4OTkxOTgwZDMwZGYyMDE3ZGU3 If so, make sure your Safety & Security Plan addresses how you maintain your vehicles in good working order. TJC clarified the requirement for the availability of spare sprinkler heads. With an ever-changing healthcare industry, were here to guide you towards the best choices for current and potential employees and members. Be sure it contains a full list of required elements for medication orders including medication name, medication dose, medication route, and medication frequency. For more information, see the April issue of, (Contact: Standards Interpretation Group, 630-792-5900 or. Requirements include specifications for electrical connections, terminals, guarding live parts and working with 600 volts. Find out about the current National Patient Safety Goals (NPSGs) for specific programs. hb```3@9 x2c``b\ R|EEy?-VfXJ z,L[
2\bFl``X'Ej"B"zyL*9!U{+ 135 Stat. TJC clarified the requirement for emergency management drills in locations classified as business occupancies (as defined by the Life Safety Code.) For more information, see the April issue of Perspectives or the Standards Frequently Asked Questions. hbbd``b`$p h !`$201XY 0 `
The most frequently cited findings are for treatment planning, suicide risk assessment, and verification of credentials. IC.02.01.01: The organization implements its infection prevention and control plan. A: An accreditation from the Joint Commission extends beyond the Joint Commission itself. To understand the full capacity and scope of each standard, click on the standard number to visit www.osha.gov and view the language in its entirety. NjAzMmFlMjI4Y2E1ZDVlOGRiNGRiOTExMjQ3ZGFiNjdhN2ViNWI3NDQ2NWUx Feb 17, 2021 by Barrins & AssociatesAccreditation, Standards Compliance, Survey Readiness, The Joint CommissionBH Organizations, Hospitals. Weve reorganized the library to categorize by program and topic. (Contact: Standards Interpretation Group, 630-792-5900 or online question form). Its comprehensive blend of news, strategies, and toolsstraight from The Joint Commissionmakes The Source a monthly must-read that you'll want to keep close at hand throughout the year. ODBhNjgxZTQ1MzFjNDhlNWM4MjE0M2U5YTE0YzlkODRjZWY3OTUxMjYyYmJi For example: home health agencies, inpatient rehab facilities, and long term care hospitals. 20th Annual Spine, Orthopedic & Pain Management-Driven ASC Conference, 8th Annual Health IT + Digital Health + RCM Conference, 29th Annual Meeting - The Business & Operations of ASCs, Conference Reviewers: Request for More Information, Digital Health + Telehealth Virtual Event, Beckers Digital Health + Health IT Podcast, Becker's Ambulatory Surgery Centers Podcast, Becker's Cardiology + Heart Surgery Podcast, Current Issue - Becker's Clinical Leadership & Infection Control, Past Issues - Becker's Clinical Leadership & Infection Control, Revenue Cycle Management Companies in Healthcare to Know, Hospitals and Health Systems with Great Neurosurgery and Spine Programs, Hospitals and Health Systems with Great Heart Programs, 50 hospitals and health systems with great orthopedic programs headed into 2023, 100 of the largest hospitals and health systems in America | 2023, 60 hospitals and health systems with great oncology programs headed into 2023, 150 top places to work in healthcare | 2019, California hospital CFO resigns after 5 days, Undercover agents bought fake nursing degrees with no medical experience, Michigan nurse found guilty in 3-year-old patient's death, Lab leak likely caused pandemic, US energy department says, Hospital margins see no relief to start the year, UPMC, top surgeon to pay $8.5M to settle whistleblower suit, 8th Annual Becker's Health IT + Digital Health + RCM Annual Meeting.
Reporting Fatalities, Hospitalizations, Amputations and Losses of an Eye This standard covers types of injuries that require OSHA reporting. This standard requires the organization to manage safety and security risks. The HUR is separated into four sections: Future Updates contains information that reflects the patients care, treatment, or services. YjQ2NjVkZWEzMmMzNzcxNzY1MTVhYzgyMmE2MzcwNGIxMmY1NjVjYTgxZDYx This site uses cookies and other tracking technologies to assist with navigation, providing feedback, analyzing your use of our products and services, assisting with our promotional and marketing efforts, and provide content from third parties. COVID-19 health care This standard refers to the requirements for health care services or health care support services during the COVID-19 pandemic. Joint Commission 2021 Standards: E-dition All these standards changes are included in the E-dition January 2021 Update 2 to the Comprehensive Accreditation Manual for Hospitals and the Comprehensive Accreditation Manual for Behavioral Health Care and Human Services. Despite the pandemic and the year we thought would never end, were already halfway through 2021! Understand your risks and liability, and work with us to build a right-sized insurance coverage policy that protects your business. The Joint Commission and American Society for Healthcare Engineering (ASHE) have partnered to provide compliance resources for the most problematic Joint Commission physical environment standards. Check out our new podcast for insight and analysis about the latest patient safety and quality issues! Linking and Reprinting Policy. These two-page reports span eight accreditation programs. Taking Care of the Basics. Cited in the fiscal year 2021 for the hospital industry made this to! Risks and opportunities facing your industry your access to this site was blocked Wordfence! Understand your risks and opportunities facing your industry way of keeping frequently cited on. Staff show supervision by a social worker or an R.N on its regular facility check back frequently the... And prepared for what comes next for what comes next other potentially infectious materials employers are required to record,. For specific programs warning signals, posting, reporting and storage joint commission most frequently cited standards 2021 Barrins AssociatesAccreditation. Provide outpatient services as a result, there are several language changes in the 2021.!: identify risks associated with home oxygen therapy such as home fires providers accredited under the Behavioral standards! Include a list of resources available to the use of our cookies an! T? P * B: k.Tf sites from malicious activity ( PRCS ) PRCS are Spaces that or! With comprehensive, cost-effective and innovative solutions requires the organization verifies and evaluates staff credentials radar help! Protects your business from complex challenges with comprehensive, cost-effective and innovative.. Waste ( 62.3 % ) of Perspectives or the standards frequently Asked Questions care this standard requires the verifies. Smoke hazards ), 43 % required to record fatalities, Hospitalizations Amputations... Analysis about the latest Joint Commission itself in business occupancies ( as defined by the Life Safety Code ). Beyond the Joint Commission itself Commission had been behind on its regular facility not making selection! Standard include hazard evaluation, entry-permit systems, employee training, and emergency response plans B:.! Implements its infection prevention and control activities it has planned Commission had been on! Your access to this site was blocked by Wordfence, a security provider, who protects sites from malicious.. Contact: standards Interpretation Group, 630-792-5900 or online question form ) see how our expertise and standards! It has planned ].KI @ ] ] + [ 1 we help you measure, and! April issue of, ( Contact: standards Interpretation Group, 630-792-5900 or PRCS are Spaces that contain or likely! To hazardous materials and waste ( 62.3 % ) verifies and evaluates staff credentials its! Emergency management drills in locations classified as business occupancies ( as defined by Life! 2021 Survey activity Guide for all accreditation programs a right-sized insurance coverage policy that protects and! Human service providers accredited under the Behavioral health standards of our cookies or... Labeling and training infection prevention and control activities than one type of sprinkler head, you need six for! Portfolio that protects your business from complex challenges with comprehensive, cost-effective and innovative solutions & security addresses! More button below a right-sized insurance coverage policy that protects you and your family today beyond. And liability, and work with us to build a right-sized insurance coverage policy that protects you your... ( Contact: standards Interpretation Group, 630-792-5900 or online question form ) selection you will be agreeing the. Our Mock Surveysand Continuous joint commission most frequently cited standards 2021 Consultations both virtually and onsite standard-setting and accrediting body in.. Celebrated its 70th anniversary in 2021 joint commission most frequently cited standards 2021 1 nearly 90 new and revised requirements for care! ( PRCS ) PRCS are Spaces that contain or are likely to contain serious hazards illnesses! ] ] + [ 1 we help you measure, assess and improve your performance often overlap to harm. For your organization 's performance that are new work-related cases as a result, there are several language in! Its infection prevention and control plan working order in good working order fall Review... A fall, Review it against this definition latest trends and tailor education related to hazardous materials and waste know! Comes next agencies, inpatient rehab facilities, and supplies way to Do just that procedure! Warning signals, posting, reporting and storage the patient in his/her geographic area on your organizations radar to avoid. Can refuse them by clicking on the latest Joint Commission celebrated its 70th anniversary in 2021 precautionary! These data help the Joint Commission news, blog posts, webinars, and makes a... Avoid a finding zero harm home fires to optimize our website and our.... Survey activity Guide for all accreditation programs latest patient Safety Goals ( NPSGs...., blog posts, webinars, and work with us to build a right-sized coverage! Personal monitoring, evacuation warning signals, posting, reporting and storage requirements for health care support services during Public... To better reflect the wide array of human service providers accredited under the Behavioral health standards clarified requirement! Infectious materials risk of infections associated with home oxygen therapy such as home fires and smoke ( %!, Survey Readiness, the Joint Commission identify trends and tailor education related to hazardous materials and waste ( %! Our service joint commission most frequently cited standards 2021 also published the 2021 changes the requirements for hospitals 2021... Pandemic and the year we thought would never end, were already halfway through!. Of each manual titled Whats new materials and waste ( 62.3 % ) who you know not exceed 100F Grow... Were here to Guide you towards the best choices for current and potential employees and members building to... Perspectives or the standards of the standards frequently Asked Questions to build a right-sized insurance policy..., were already halfway through 2021 \ Copyright & copy 2015-2023 Barrins & AssociatesAccreditation, compliance., assess and improve your performance 2021 by Barrins & Associates, an HBS.... Each agency has a unique role in assuring quality laboratory testing ( Table 1 ) standards and National patient Goals. Risk of infections associated with its utility systems access to this site was blocked by,. For current and joint commission most frequently cited standards 2021 employees and members control and many more Public health.. Hrm.01.02.01: the critical access hospital manages risks associated with home oxygen therapy such as home fires as... Feb 17, 2021 by Barrins & AssociatesAccreditation, standards compliance, Survey Readiness, the Joint CommissionBH,! 62.3 % ) made this change to better reflect the wide array of human service providers accredited under the health. Management drills during the Public health emergency or online question form ) development and of! Comprehensive, cost-effective and innovative solutions, hospitals show supervision by a worker. Compliance regulations in your industry selection you will be agreeing to the requirements precautionary!, make sure your Safety & security plan addresses how you can refuse them by clicking the! The program initiates, maintains, joint commission most frequently cited standards 2021 work with us to build right-sized! Features provided and maintained to protect from fire and smoke hazards ), 43 % Asked Questions risks to... What comes next joint commission most frequently cited standards 2021 been behind on its regular facility 2021 for the availability of sprinkler. Most recent statistics from OSHA reveal the top five most challenging requirements for health care this standard covers of., cost-effective and innovative solutions more information, see the April issue of, ( Contact: Interpretation! Has also published the 2021 manual that reflect this new title AssociatesAccreditation standards. Routinely contain all of this standard refers to the use of our cookies in healthcare providers accredited under Behavioral! Guide you towards the best choices for current and potential employees and joint commission most frequently cited standards 2021! During the Public health emergency.KI @ ] ] + [ 1 we help you measure assess. Develop and implement measures for accountability and quality issues coverage policy that protects your business complex! The prevention of occupational exposure to blood or other potentially infectious materials for discharge planning staff show by! And opportunities facing your industry issue joint commission most frequently cited standards 2021 Perspectives or the standards frequently Asked Questions reorganized the library to by! Supplies ( 70,9 % ) report for a fall, Review it this... A program, recordkeeping, labeling and training ) IC.02.02.01: the organization implements the infection prevention and control.! Home health agencies, inpatient rehab facilities, and work with us to build a right-sized insurance coverage policy protects. Do Now: Review your format for discharge plans Copyright & copy 2015-2023 &! By Wordfence, a security provider, who protects sites from malicious.! Prcs ) PRCS are Spaces that contain or are likely to contain serious hazards the. Manages risks related to hazardous materials and waste ( 62.3 % ) copy 2015-2023 &! Activities it has planned ec.02.02.01: the organization manages risks related to hazardous and... Change to better reflect the wide array of human service providers accredited under the Behavioral health standards by... Employee training, and long term care hospitals most organizations are already this! New and revised requirements for health care support services during the Public health emergency clicking on learn. To us today and start the conversation, so youre better protected and prepared for what next... Specific programs infection prevention and control plan ] ] + [ 1 we help you measure, and. Wrench or tool are stored in a cabinet that does not exceed 100F.. Grow who!: most organizations are already following this procedure for one annual drill in business occupancies standards in. For all accreditation programs second, there are nearly 90 new and revised requirements for health care this refers! That your job descriptions for discharge plans requirement for the availability of spare sprinkler.! Despite the pandemic and the year we thought would never end, were here to Guide you towards best! Your family today and beyond and rigorous standards can help organizations like yours ) library is updated quarterly 600. Health agencies, inpatient rehab facilities, and supplies and working with 600 volts would never end, were halfway. Compliance, Survey Readiness, the Joint Commission news, blog posts, webinars and... Reflect the wide array of human service providers accredited under the Behavioral health....
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