0000053054 00000 n 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. The Services Directory has information about Nationwide providers. Inscrivez-vous pour postuler au poste de Medical Assistant chez Intermountain Health. 0000056444 00000 n 0000066617 00000 n 0000038376 00000 n 0000050331 00000 n 0000036974 00000 n 0000009347 00000 n 0000177729 00000 n (2) removing Intermountain data from any Intermountain information system; or 0000014673 00000 n 1425 0 obj <> endobj Second, primary care providers and care teams can intervene with children (6 18 years) who have experienced a potentially traumatic experience through the use of the Pediatric Traumatic Stress Screening Tool and Road Map of Care for Pediatric Traumatic Stress (see image below). 0 0000045214 00000 n 0000025653 00000 n Alongside clinical perspective and evidence-based literature, incorporating the viewpoints and experiences of patients who are living with conditions into the care pathway design process is resulting in what Dr Streather calls idealised pathways that will help improve both quality and operational efficiency. 0000071186 00000 n 0000060865 00000 n 0000004293 00000 n 0000019646 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.. 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. Acronym: CPM Targeted Populations: Ages 6-18; both males and females; for children who have experienced a wide range of traumas. 0000009348 00000 n 0000007424 00000 n 0000258879 00000 n Enzyme Replacement Therapy, Mucopolysaccharidosis Type I (MPS 1) Orthopedic Manifestations & 0000011998 00000 n xref 0000069209 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. 0000177088 00000 n 0000017260 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. Get care for low-level urgent conditions through a video chat with a provider, 24/7, on your computer or mobile device.Learn More. 0000176282 00000 n %PDF-1.7 % 0000009425 00000 n One of the best features of the child traumatic stress care process model is that it can be administered by people who don't have a clinical background. How can we help families with children who are 0-5? 0000065908 00000 n %%EOF 2007-2021 INTERMOUNTAIN HEALTHCARE. The EHR data from every patient treated by CPMs offer further points to improve the next application of the CPM through a nearly real-time feedback loop. 0000009452 00000 n Intermountain used this philosophy to organise its most common care processes under the direction of an operations structure called clinical programmes. 0000016612 00000 n 0000005131 00000 n 0000006529 00000 n 0000039302 00000 n This article originally appeared inPerspectives, a thought leadership publication dedicated to rising trends and issues in the healthcare and IT industry. trailer 0000068805 00000 n 0000081803 00000 n 0000010167 00000 n 0000021559 00000 n 0000179100 00000 n 0000018713 00000 n 0000006999 00000 n 0000017996 00000 n 0000079372 00000 n by Cerner UK Intermountain Health Care (IHC), an integrated delivery system based in Utah, has adopted a new strategy for managing health care delivery. 0000045478 00000 n 0000005140 00000 n 0000132822 00000 n If symptom severity remains unchanged or worsens, consider alternatives such as providing a new brief in-office intervention, reinforcing the need to follow through with treatment for those who have not, or changing the treatment stratification and therapy referral to a more intensive approach. 0000007562 00000 n 0000070665 00000 n 0000025382 00000 n 0000035663 00000 n 0000079708 00000 n 0000026552 00000 n 0000004046 00000 n 0000014285 00000 n trailer 0000066119 00000 n following: (1) modifying Intermountain data on any of Intermountain information systems; 0000110685 00000 n CPMs also include education, communication and data standards so process and outcome measures are truly meaningful and comparable across institutions. Users are prohibited from doing any of the 0000045385 00000 n The CPM also guides family decision making, links at-risk children to evidence-based trauma therapy, and encourages providers' use of in . 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. Published on 8 March 2019. Published February 21, 2008. 0000070999 00000 n 0000063228 00000 n By integrating our care process models into the EHR, we make sure that not only is the information where clinicians need it, when they need it, but its also baked into the soul of the organisation, Dr Allen said. 0000193542 00000 n 0000039904 00000 n Additional assistance with risk assessment: iCentra order algorithm, Score Line 801-50-SCORE ( providers only ), and Connect Care 801-442-4457. 0000026834 00000 n It doesnt make sense to imagine that you can do a fundamental change programme without working with other people., Dr Wood agrees that creating partnerships is key to future growth. 0000013265 00000 n This CPM includes two processes to address child traumatic stress across the pediatric lifespan. Key Points All pregnant patients at 20 weeks of gestation require a Labor and . f-5Y)RqQ],Z*69=nwe.Io(MF ),m((KVorl= 4Yk/T=%AG> "}nrauFS %%EOF If the child is younger than 10 or has developmental limitations, then the parent/caregiver can complete the screener for them. 0000038525 00000 n 0000006553 00000 n 0000002048 00000 n We already have resource guides developed for many counties in Utah. 0000018223 00000 n 0000170561 00000 n 0000013703 00000 n D dL :G=%C>[wgG5wvorb$j9u>~U'/795}[ucCwOxEQ\hzAR>9d)oHH,YIPxM. Choose a state from the dropdown to add local service providers. The FSI Academy is focused on the onboarding of new hires who will be trained as interface engineers; responsible for implementing the technical mechanisms that allow the exchange of information between solutions and external systems. 0000018484 00000 n For many children, belly breathing or mindfulness training (teens) will be able to slow down a racing heart or mind at bedtime to fall asleep easier or reduce the intensity of anxious / fearful or angry feelings. This is not like an IQ test or psychological testing where the results could be skewed. It is based on expert opinion and clinical practice guidelines from the Infectious Disease Society of America (IDSA), the American Academy of Pediatrics (AAP), and the American Academy of Otolaryngology (AAO). CPM uses several different tools to look for trauma exposure (recent and remote events), suicidality and self-harm, and traumatic stress symptoms. 0000000016 00000 n 0000065800 00000 n 0000015124 00000 n 0000053140 00000 n <<5BE851667CC40543996F5A9ED21E16D8>]/Prev 646447/XRefStm 3820>> 0000045671 00000 n 0000070461 00000 n 0000179289 00000 n P.O. startxref 0000086035 00000 n 0000002947 00000 n 0000086222 00000 n 0000072789 00000 n hSYPW>G&$B% i}(!IA|C;N3mJd1 @EbBBDQ(+ 0000057886 00000 n 0000004309 00000 n Groundbreaking population health and value model will improve affordability and access to care. 0000178370 00000 n This care process model (CPM) is maintained by Intermountain Healthcare's Lower Respiratory Tract Infection Team, . 1506 0 obj <>stream 0000033890 00000 n 0000007790 00000 n The Child Traumatic Stress Care Process Model (CPM) offers an approach to be used in children's advocacy centers and pediatric primary care to identify children and families at risk of traumatic stress. 0000002361 00000 n Andrew D. Auerbach, M.D., M.P.H., C. Seth Landefeld, M.D., and Kaveh G. Shojanie, M.D. 0000087852 00000 n Contribute to Intermountain by participating in one of our charitable events, Find fresh ideas to manage your health, enjoy better quality of life, and LiVe Well, Learn more about Intermountain's mission: Helping people live the healthiest lives possible, Search and apply for volunteer opportunities at Intermountain. YC@NgR&Qr? >~.>* T`- 0000086396 00000 n 0000179484 00000 n 0000008676 00000 n 0000073461 00000 n 0000000016 00000 n Published August 9, 2007, Quality- Improvement Research and Informed Consent. In primary care settings, you can evaluate the response to services using the Pediatric Traumatic Stress Screening Tool at follow up visits. endstream endobj 1718 0 obj <>/Filter/FlateDecode/Index[179 1481]/Length 57/Size 1660/Type/XRef/W[1 1 1]>>stream hb```b``_` B,7v`P*u@O@PW]DATCSJVNR.1FZ;@'D0_EVSE:UH]d(GgP{/a{zI)yi=rzfL<5)C^AF^B,fV]yU\/_]*E@'2YS,]C0= xEP+h@E9PH[ B*U^F5k|}j2X6@i+, j-1,(>p*rbPr ']4Odg CPM020 - 01/21 3 COPD CPM JANUARY 2021 TABLES TABLE 1. | Dr Chris Wood Ping Identity Corporation. It turns out that clinical process management and improvement is our core business strategy.. Do I need to be a therapist to administer the screener or provide in-office interventions? 0000005003 00000 n 0000050231 00000 n 0000015820 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. 0000072821 00000 n 0000035552 00000 n <<969DFD35F0E1574DA86361927245C514>]/Prev 975812/XRefStm 3817>> \H6Hl7% K{X0(%p* *\y~b!o^%CIe%'jR$b $zoE)fPBgf+"jf6yy/i>>XmHm!$ Deming was also an advocate of considering systems as a whole, not as disparate smaller component parts that could be changed without influencing an entire operation. monitored, audited, and stored. 0000005233 00000 n 0000005795 00000 n startxref When we visit Intermountain, we bring senior-level executives, but we also take people who are directly involved in care, said Dr Streather. 0000128388 00000 n 0000044620 00000 n Intermountain will use a regional deployment strategy to bring all acute care facilities, ambulatory . Copyright 2023, Intermountain Healthcare, All rights reserved. 0000014338 00000 n 0000168976 00000 n 0000066141 00000 n 0000005541 00000 n Biometrics. 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 0000015893 00000 n 0000014981 00000 n 0000013806 00000 n 0000054196 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. 0000009144 00000 n 0000009576 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. 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. 0000016722 00000 n 0000017688 00000 n 0000051705 00000 n :x-)KYYY"3%C_hS! 0000177263 00000 n 0000178724 00000 n 0000013288 00000 n 0000063001 00000 n 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. %%EOF View wait times and save your place in line at an Intermountain InstaCare location near you. 0000066508 00000 n 0000050364 00000 n 0000014102 00000 n 0000003302 00000 n 0000118904 00000 n Prnom. Each pathway is redesigned in a series of at least two workshops and then iterated upon using Plan, Do, Study, Act (PDSA) cycles and Institute for Healthcare Improvement (IHI)-based Quality Improvement methodology. Nope. 0000006007 00000 n xref 0000044721 00000 n 0000005695 00000 n 0000176241 00000 n %PDF-1.7 % 0000007153 00000 n Each clinical programme is led by a doctor, nurse and administration triad, and is resourced with all those whose work affects the patients care and outcome. 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. 0000129815 00000 n 0000002244 00000 n 0000016011 00000 n 0000008994 00000 n Intermountain monitors use of the Information Systems resources. hb``0f``d`e` l,x70y7Yc[%Lq|cO 'rX)!2[HQ(WVE 0khhDGG; J@(}=bw&5_R 0000005448 00000 n 0000003519 00000 n Special Instructions. Mary Ann Baily, Ph.D. The approach focuses management attention not only on the facilities where care takes place but also on physician decision making and the care process itself, with the aim of boosting physician productivity and improving care quality, while saving money. 0000051498 00000 n 0000007843 00000 n 0000050145 00000 n It is extremely important to screen patients until there are no further limitations on testing capacity. Treesa Carter and James Hitter share their experiences of working on the transformation of health and social care integration at Suffolk County Council. 0000045738 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. 0000176611 00000 n 0000041140 00000 n 0000059783 00000 n 2:1b``AY0 tbg(8/C3n0=~ 0000179023 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. 0000005911 00000 n 0000020129 00000 n 0000006881 00000 n 0000004263 00000 n 0000008541 00000 n 0000002281 00000 n 0000005907 00000 n 0000002388 00000 n The power of building relationships is not just what can be done today, but what we can work on tomorrow, he added. 1 Resources for Parents and Caregivers 0000014401 00000 n Helping people live the healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery. 0000079428 00000 n 0000012129 00000 n Involving patients and clinicians in the design of care pathways has also given them a stake in the success of the project. startxref 0000008837 00000 n Copyright 2003-2020. 0000004619 00000 n The multidisciplinary team is tasked with asking how they can improve the care processes within the programme. 3175 0 obj <> endobj Continue below to learn more about the implementing the Child Traumatic Stress Care Process Model in a pediatric primary care setting. 0000005681 00000 n 0000084783 00000 n 0000011817 00000 n 0000001556 00000 n 0000066042 00000 n Only authorized users with an appropriate business need and legal right may use these resources. 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. 0000044299 00000 n 0000023933 00000 n 0000038439 00000 n 0000073493 00000 n This work was funded through federal grant monies allocated by the National Child Traumatic Stress Initiative (NCTSI), which is part of the Substance Abuse and Mental Health Services Administration (SAMHSA). 0000023593 00000 n 0000023486 00000 n 0000028737 00000 n 0000008686 00000 n 0000075971 00000 n . It has three main hospitals the Royal Free Hospital (founded in 1828 with the direct mission of providing free, quality care to patients with little or no means), Barnet Hospital and Chase Farm Hospital. Published February 21, 2008, Harming Through Protection. 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 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. 30 June 2022 0000079777 00000 n 0000055101 00000 n 0000128347 00000 n 0000003556 00000 n 0000023429 00000 n 0000005644 00000 n 0000004401 00000 n 0000007337 00000 n It was created by general pediatricians at the University of Utah in collaboration with Intermountain Health pediatric . Its important for them to see what were doing in action somewhere else.. This care process model (CPM) was developed by Intermountain Healthcare's Antibiotic Stewardship and Community-Based Care teams. 0000006373 00000 n When should the child or caregiver complete the traumatic stress screener? This care process model was developed to help guide the general practitioner on outpatient screening for diabetes and management of type 2 diabetes in patients within the University of Utah and Intermountain Healthcare systems. 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. 0000011885 00000 n 0000071068 00000 n 0 0000132101 00000 n Within a health system, unwarranted clinical variance is understood as the difference in clinical practices and services that do not derive from unique patient needs and that may involve the overuse, underuse or misuse of medical services. Then make 3 key decisions. The partnership between Intermountain and RFL involves teams from each organisation visiting the other to observe and attend workshops and monthly teleconferencing so that Intermountain can provide remote support to RFL as the Trust implements clinical practice groups (CPGs), RFLs version of CPMs. @G 0000065867 00000 n 0000054036 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. 0000018163 00000 n 0000089548 00000 n by Dr Todd Allen 0000073570 00000 n 0000007723 00000 n 0000008976 00000 n hUiPG~=";.^qv12%&e-Kg.^OPxx7(w~X]"`~g 3 September 2021 0000029472 00000 n Provides patient education as directed (content reflects specific MA training, guidelines, care process models, protocols). 0000023543 00000 n 0000006219 00000 n ALL RIGHTS RESERVED. 0000013362 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. 0000032034 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. 0000008535 00000 n %2O92qx`x@7l* eLBX&4*p*x 9`%jX,/p*x2 aWbL dTK`rX/i-'bT Df`9D3hA9@@!N Hg1pfM_:+.y- iM=5{*g2msZ:G3Lrtwsut e5b1L & Go to my One Account. 0000058348 00000 n 0000176436 00000 n 0000014009 00000 n 0000007513 00000 n Its okay to answer their questions. 0000058433 00000 n 0000004300 00000 n 0000009527 00000 n 0000023553 00000 n 0000007488 00000 n 0000048189 00000 n At Salt Lake City-based Intermountain Healthcare, ensuring the alignment of all these things to provide extraordinary care requires a constant regimented focus across our 23 hospitals, 170. 0000031441 00000 n 0000031920 00000 n 0000002325 00000 n 0000041107 00000 n 0000011030 00000 n 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. 0000036090 00000 n 0000005441 00000 n 0000032127 00000 n <<099953D8ECDC4449BF4B89817F7FC266>]/Prev 820759/XRefStm 5250>> 0000179407 00000 n 0000088537 00000 n Sign In Options. 0000110646 00000 n Two of the first clinical programmes developed were cardiovascular, and women and newborns. 0000084852 00000 n 0000076267 00000 n 0000021255 00000 n What if the child or parent asks me a question about the screener while they are filling it out? 0000054116 00000 n 0000022567 00000 n hSiPSW>#BBX-"m6 EM;b;N:N+D(n." 0000007050 00000 n 1 KEY POINTS The focal points discussed in this CPM include: Treating asymptomatic bacteriuria with antibiotics offers no benefit 0000003820 00000 n 6346 0 obj <> endobj 0000057752 00000 n Send us an email or give us a call if you have questions. 0000043417 00000 n WARNING: Intermountain authorized users only. 0000015005 00000 n 0000004926 00000 n 0000023004 00000 n 0000004772 00000 n by Treesa Carter | James Hitter 0000004256 00000 n 0000081400 00000 n 0000050475 00000 n 0000009984 00000 n 3175 102 0000015431 00000 n 0000005907 00000 n 0000056318 00000 n intervention with those in the low symptom range. 0000220433 00000 n Each of the eight stages of change has a corresponding pitfall. 0000014978 00000 n Because of its unique size and scope, Royal Free London was concerned with reducing variation across its venues of care while increasing quality and decreasing costs. 0000011615 00000 n 0000165722 00000 n /}>8N{oN9sw @P|&AM. xref 0000020693 00000 n Modified Medical Research Council Breathleness Scale (mMRC) 0000084446 00000 n For more information about Perspectives, gohere. 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 . [EV~P\>Qr78vJ|;w,qdP7Q)N/(5kJ[;zXG$Ai?"s nBg5S9"{Y(^rS4w7,!l2"O+^y'UvvBbS=&r65[8gx&DnyegC_oWvem$,kN 0000021696 00000 n 0000052164 00000 n 0000005093 00000 n 0000010599 00000 n 0000005387 00000 n 0000009151 00000 n 0000079927 00000 n 0000079895 00000 n Mot de passe (8 caractres ou plus) . 0000087608 00000 n We looked at a number of places known for their international best practice, and the most advanced version of what we were trying to do was happening at Intermountain.. 0000177828 00000 n 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. 0000017396 00000 n Click for details. 0000059943 00000 n 0000076158 00000 n 0000019018 00000 n Additionally, the PIPS team has clinicians available for consultation when needed. 0000006066 00000 n It helps primary care providers identify areas of potential high risk for the child and provide relevant information and support to the parents / caregivers. 0000176359 00000 n 0000010514 00000 n 0 0000169759 00000 n . 0000086104 00000 n 0000050304 00000 n 0000028071 00000 n 0000005079 00000 n 0000043331 00000 n 0000008500 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. 0000170459 00000 n If you will still be using Intermountain's network, systems or data, information about your use may be reviewed, It is not a prescription for every physician or every patient, nor does it replace clinical judgment. 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. 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. 0000022401 00000 n PingID. 0000004465 00000 n 6346 95 Choose a skill that you are comfortable teaching and share your knowledge with the families you see in clinic. 0000016002 00000 n 0000004089 00000 n 0000008863 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. We recommend that child or caregiver complete the child traumatic stress screener while in the waiting room, prior to their appointment. 0000006937 00000 n 0000009340 00000 n 0000008428 00000 n 0000225756 00000 n 0000066540 00000 n 0000006822 00000 n 0000002580 00000 n 0000059623 00000 n 0000012722 00000 n 1425 82 0000071295 00000 n Each visit is centred around a single theme to allow for a focused deep dive into that specialty.
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