CIS 450 Module 1 Introduction to Theory in Healthcare InformaticsIntroduction to Theory in Healthcar

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CIS 450 Module 1 Introduction to Theory in Healthcare Informatics

Introduction to Theory in Healthcare Informatics

Write an essay addressing each of the following points/questions. Be sure to completely answer all the questions for each number item. There should be three sections, one for each item number below, as well the introduction (heading is the title of the essay) and conclusion paragraphs. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least three (3) scholarly citations using APA citations in your essay. Make sure to reference the citations using the APA writing style for the essay. The cover page and reference page do not count towards the minimum word amount. Review the rubric criteria for this assignment.

Write an essay addressing the following prompts:

1. Electronic health records (EHRs) are easier to read than the paper charts of the past, but many complain that healthcare providers are focusing too much on the computer screen instead of the patient.
   • Is this due to a lack of skill or training, poor computer system design, or just the nature of computer charting?
   • Is patient care suffering from the implementation of EHRs?
   • Charting in an EHR consist of clicking boxes, do you feel this provides enough detail about the patient, condition, and events if there was a lawsuit?
2. Hebda, Hunter, and Czar (2019) identify three types of data that are currently being tracked by organizations (p. 46).
   • Identify and explain another type of data, specific to your practice, that is being tracked by an organization.
   • Why do you feel this data is important to track? 
   • Identify and discuss the organization that is tracking the data.
   • Are there any ethical concerns with an outside organization tracking this data, explain, and give examples?
3. In this week’s discussion post, you identified and explain the topic selected for the project.
   • Provide a description of your selected topic based on input from the discussion forum. What is your project, why is it relevant to this class, and why is it important to you?
   • Identify an informatics/healthcare theory from pages 29-30 of the textbook that aligns with the project and explain why.

NOTE: Looking Ahead: Module 8 Signature Assignment – research and present a 7-12 minute presentation on a healthcare informatics topic of your choice. For this first week, determine the topic of your project and begin to look for scholarly sources for the topic. Each week you should be adding to your research. (See Module 8 for details of the assignment).

M1 Assignment UMBO – 5

M1 Assignment PLG – 3

M1 Assignment CLO – 3

Assignment Dropbox

Instructions & SpecificationsSubmissionsRubric

Start by reading and following these instructions:

1. Study the required chapter(s) of the textbook and any additional recommended resources. Some answers may require you to do additional research on the Internet or in other reference sources. Choose your sources carefully.
2. Consider the discussion and the any insights you gained from it.
3. Review the assignment rubric and the specifications below to ensure that your response aligns with all assignment expectations.
4. Create your assignment submission and be sure to cite your sources, use APA style as required, and check your spelling.

The following specifications are required for this assignment:

Length: 1500 words total for this assignment

Structure: Include a title page and reference page in APA style. These do not count towards the minimum word amount for this assignment. All APA papers should include an introduction and conclusion. 

References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least three (3) scholarly sources to support your claims.

Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level.

Format: Save your assignment as a Microsoft Word document (.doc or .docx) or a PDF document (.pdf)

Filename:  Name your saved file according to your first initial, last name, and the module number (for example, “RHall Module 1.docx”)

Undergrad Simple Essay Rubric v1

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CriteriaDoes Not Meet 0%Approaches 60%Meets 70%Exceeds 100%Criterion ScoreContent Weight: 30%0 pointsTopic is inappropriate to assignment, inaccurate understanding of concepts, unclear and difficult to understand; does not address many assignment requirements. Information has weak or no connection to the assignment topic.18 pointsTopic is mostly covered and appropriate to assignment, but does not adequately demonstrate accurate understanding of concepts; mostly clear and understandable; lacks some of the requirements of the assignment description and/or provides little detail; Information relates to the main topic, but few details and/or examples are given.21 pointsTopic is covered completely and appropriate to assignment; overview of key concept dimensions is evident; clear and understandable; addresses all of the requirements of the assignment description, with adequate attention to detail.30 pointsIn-depth coverage of topic; outstanding clarity and explanation of concepts demonstrated in information presented; approaches assignment with depth and breadth, without redundancy, using clear and focused details.Score of Content Weight: 30%,/ 30Organization Weight: 25%0 pointsOrganization is confusing and interferes with reader’s ability to follow ideas. Weak or no introduction of topic or purpose is unclear, weak, or missing. Conclusion lacks a summary of topic, or is missing or irrelevant.15 pointsIdeas are sometimes disorganized or irrelevant; Flow is sometimes choppy; somewhat clear organization. Basic introduction that states topic but is presented in an uninteresting way. Conclusion contains basic summary of topic without final concluding ideas, may inappropriately introduces new information.17.5 pointsStructures ideas in a coherent, organized order that has good flow and an obvious framework. Proficient introduction that is interesting and states topic. Conclusion contains good summary of topic with credible concluding ideas and introduces no new information.25 pointsExceptionally clear, logical, mature, and thorough organization permitting smooth flow of ideas; Introduction that grabs interest of reader and states topic in clear, unambiguous terms. Excellent concluding summary with succinct and precise ideas that impact reader.Score of Organization Weight: 25%,/ 25Logic/Argument Weight: 15%0 pointsDemonstrates little logical reasoning for the claims and thoughts within assignment; Many claims are weak or illogical.9 pointsLacks some logical reasoning for the claims and thoughts within the assignment; Some claims are weak.10.5 pointsUses solid logical reasoning for the claims and thoughts within the assignment.15 pointsProvides exemplary logical reasoning for the claims and thoughts within the assignment.Score of Logic/Argument Weight: 15%,/ 15Support Weight: 20%0 pointsLacks support; Uses poor sources for references; Citations lack credibility, relevance, or academic quality or are not current; Does not meet the minimum number of required citations in assignment description. APA format and style are not evident.12 pointsProvides weak support or not enough support; Citations are not consistently credible, current, relevant or academic; Meets the minimum number of required citations in assignment description Missing APA elements; in-text citations, where necessary, are used but formatted inaccurately and not referenced.14 pointsProvides sufficient support with credible, current, relevant academic citations; Meets the minimum number of required citations in assignment description. ; In-text citations and a reference page are present with few format errors. Mechanics of writing are reflective of APA style.20 pointsProvides very strong support from credible, current, relevant, academic citations; Meets or exceeds the minimum number of required citations in assignment description. Accurate citations and references are presented. No APA errors are evident.Score of Support Weight: 20%,/ 20Quality of Written Communication Weight: 10%0 pointsStyle and voice inappropriate or do not address given audience, purpose, etc. Word choice is excessively redundant, clichéd, and unspecific. Inconsistent grammar, spelling, punctuation, and paragraphing. Surface errors are pervasive enough that they impede communication of meaning.6 pointsStyle and voice are somewhat appropriate to given audience and purpose. Word choice is often unspecific, generic, redundant, and clichéd. Repetitive mechanical errors distract the reader. Inconsistencies in language, sentence structure, and/or word choice are present.7 pointsStyle and voice are appropriate to the given audience and purpose. Word choice is specific and purposeful, and somewhat varied throughout. Minimal mechanical or typographical errors are present, but are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.10 pointsStyle and voice are not only appropriate to the given audience and purpose, but also show originality and creativity. Word choice is specific, purposeful, dynamic and varied. Free of mechanical and typographical errors. A variety of sentence structures and effective figures of speech are used. Writer is clearly in command of standard, written, academic English.Score of Quality of Written Communication Weight: 10%,/ 10

Total

Score of Undergrad Simple Essay Rubric v1,

/ 100

Overall Score

Level 1

0 points minimum

Level 2

60 points minimum

Level 3

70 points minimum

Level 4

100 points minimum

Module 1 Discussion

Discuss your current practice setting and how informatics is involved in your practice. Include what work-related tasks you complete using healthcare informatics and what server your facility uses. Lastly, think of one or two topics for the Signature Assignment project (look ahead to Module 8 for details) you will complete during this course and provide a brief description.

Please reply to at least two peers: In your current practice, is the use of informatics the same or different as your classmates? Provide additional thoughts or perspective on a classmate’s topic selection that will help develop the selected topic. Also provide possible search ideas for selected topic based on your suggestions.  

Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook. Please reply to at least two classmates. Replies to classmates should be at least 200 words in length. 

DQ1 UMBO – 5

DQ1 PLG – 3

DQ1 CLO – 3

Discussion Forum

Posting ReplyingRubric

1. Review the rubric in the tab below. Also take a look at the Getting Started Guide to find due dates and other discussion post requirements.
2. Select the Discussion Forum button above.
3. Complete this discussion post by selecting the “Start a New Thread” button, entering a subject title, and then answering the question above.
4. To properly post your answer, please select the “Post” button.
5. After posting your contribution, you must read what others have posted, reply to at least two of those posts, and respond (when appropriate) to those you have responded to you.

**Note: Directions on submitting your posts will also be listed within the discussion question forum.

Module 1 Discussion Sample Approach

Contains unread posts

Stephanie S posted Sep 14, 2023 6:15 PM

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                Currently I work in home health, my practice currently use informatics greatly due to the fact that I am going into the patients homes and always need to be able to have access to the patient’s records. When it comes to me being able to complete my work, I have to be able to have access to all the patients information from the hospital to their time on home health to be able to determine what has been happening. Patient’s rely on home health nurses to be able to help them in their times of need and making sure that they are getting the appropriate treatment especially in times of emergency. My company currently uses NDOC for all our charting purposes, we get all of our hospital information for the patient directly loaded into the patients chart and it is accessible by anyone that is able to access the chart. All of our charting, orders, schedules and anything to do with patient care takes place directly in the NDOC system and if the system goes down then we are unable to chart or access any of our patients information.

                The system that we use allows for people that are working in the office to work out of a live mode while people that are out seeing patients are working in field mode. When the system goes down it usually allows anyone that is working in live mode to continue to work but anyone in field mode requires a synchronization and it won’t work without the synchronization. According to Sockolow (2021) interoperability is something that people experience in home health due to the fact that nurses don’t have the ability to access all the information that they need due to the fact that they have to search through the electronic health record. This is something that is time consuming for nursing staff due to the fact that they have to sort through multiple pages of a referral to be able to process the information that they need to appropriately treat patients.

                One topic that might be beneficial for home health would be to find a system that can help minimize the amount of searching through a referral that we get on a patient, whether that is a way to incorporate the hospital system into the chart to be able to see what was done to the patient since we mostly get a discharge summary that includes some snippets of what we did to help the patient but doesn’t include the testing and the reports of those tests.

Sockolow, P. S., Bowles, K. H., Topaz, M., Koru, G., Hellesø, R., O’Connor, M., & Bass, E. J. (2021, February 17). The time is now: Informatics research opportunities in home health care. Applied Clinical Informatics. https://www.thieme-connect.de/products/ejournals/html/10.1055/s-0040-1722222#N10D7D

Discussion 1 Sample Approach 2

Contains unread posts

Myounghee posted Sep 14, 2023 8:43 PM

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How Informatics is Involved in Your Practice

Over the last two decades, healthcare systems have undergone enormous changes due to increasing pressures to improve quality, value, affordability, and, most importantly, safety. The complexity of healthcare delivery systems and regulatory forces resulted in demands to digitize the entire industry. In 2016, researchers at Johns Hopkins determined that medical error is the third leading cause of death in the United States (Makary & Daniel, 2016).

Since I work in the psychiatric unit in the hospital setting, these are a few examples in the field of healthcare informatics as everyday tasks, offering a wide range of opportunities and tasks. First, making accurate medical records for patient safety is vital as a nurse. Managing Electronic Health Records (EHR) is essential, which involves maintaining and updating patient records electronically, ensuring accuracy and privacy. Also, Healthcare informatics professionals analyze large sets of healthcare data to identify trends, patterns, and insights that can improve patient care and outcomes.

Second, Implementing and maintaining health information systems,  which includes the implementation, customization, and maintenance of health information systems such as Electronic Medical Record (EMR) systems, Picture Archiving and Communication Systems (PACS), and Clinical Decision Support Systems (CDSS).

Another noteworthy fact is that in ensuring data security and privacy, with the increasing use of digital health records, healthcare informatics professionals play a crucial role in safeguarding patient data, implementing security measures, and ensuring compliance with privacy regulations.

The hospital in my place uses a variety of servers and systems to facilitate its operations. EHR systems store and manage patient health records, including medical history, diagnoses, medications, and laboratory results. These servers ensure secure and efficient access to patient information for healthcare providers.

In addition, Picture Archiving and Communication System (PACS) servers store and manage medical images, such as X-rays, MRIs, and CT scans. They enable healthcare professionals to view, store, and share these images for diagnostic and treatment purposes.

Moreover, Hospitals use various applications and software systems for different functions, such as patient scheduling, billing, and laboratory information management. Application servers host and run these applications, allowing users to access and utilize their functionalities.

We cannot overlook Health Information Exchange (HIE), which enables the secure exchange of patient information between healthcare institutions. HIE enhances care coordination, allowing healthcare providers to access comprehensive patient data, leading to better-informed treatment decisions (Hebda et al., 2019).

Lastly, Hospitals rely on communication servers for efficient and secure communication among healthcare professionals, staff, and patients. These servers may include email servers, messaging platforms, and video conferencing systems.

In conclusion

Informatics is crucial in the hospital setting for patient care. Informatics helps in the implementation and management of EHR systems. EHRs enable healthcare providers to access and update patient information and track medical history, medications, and test results, improving the accuracy and efficiency of patient care. Informatics continues to advance healthcare delivery, enhancing communication, decision-making, and patient outcomes in the hospital setting.

Signature Assignment Project

For a signature assignment topic, I would like to gain academic knowledge of telehealth, which refers to using information and communications technologies, including videoconferencing, to deliver health care remotely, including evaluations, medication management, and psychotherapy. Telemental Health has been successfully implemented with multiple populations across various mental health conditions and clinical settings ( Whaibeh et al., 2020). Another topic would be wound care with pressure injury prevention in the hospital setting, which provides an opportunity for me to understand and master in-depth study for better patient outcomes. As a wound care council member, It would be a great chance to demonstrate critical thinking, problem-solving and provide a comprehensive assessment of patient care.

References

Hebda, T., Hunter, K., & Czar, P. (2019). Handbook of informatics for nurses and healthcare professionals (6th ed.). Spiegelhalter, D. (2019, April 5). 

Makary, M. A., & Daniel, M. (2016, May 3). Medical error-the third leading cause of death in the US. BMJ, 1-5. http://dx.doi.org/10.0036/bmj.i2139

Melnick, E. R., Sinsky, C. A., & Krumholz, H. M. (2021). Implementing measurement science for electronic health record use. JAMA, 325(21), 2149-2150.

Whaibeh, E., Mahmoud, H., & Naal, H. (2020). Telemental health in the context of a pandemic: the COVID-19 experience. Current Treatment Options in Psychiatry, 7, 198-202.

CIS 450 Module 2 Discussion

This week, you should be locating sources for your Signature Assignment project. What problems are you having locating sources for your project? Is the wording of an article hard to comprehend? What sites have you found helpful? Please locate at least two scholarly sources for your project and describe the information you found in these sources that you intend to use for your presentation.

Please reply to at least two peers offering support and assistance, including recommendations for locating sources for their projects.

Your initial posting should be at least 400 words in length and utilize at least two scholarly sources other than the textbook. Please reply to at least two classmates. Replies to classmates should be at least 200 words in length. 

DQ1 UMBO – 3

DQ1 PLG – 1

DQ1 CLO – 7

Discussion Forum

Posting ReplyingRubric

1. Review the rubric in the tab below. Also take a look at the Getting Started Guide to find due dates and other discussion post requirements.
2. Select the Discussion Forum button above.
3. Complete this discussion post by selecting the “Start a New Thread” button, entering a subject title, and then answering the question above.
4. To properly post your answer, please select the “Post” button.
5. After posting your contribution, you must read what others have posted, reply to at least two of those posts, and respond (when appropriate) to those you have responded to you.

**Note: Directions on submitting your posts will also be listed within the discussion question forum.

Example Discussion Solution 1

Tele ICU is a concept that is new at the facility I work at, but it is not necessarily a new concept in healthcare. I have heard of telemedicine being helpful is the outpatient setting for follow up visits but had never experienced using it in the inpatient setting. Research has shown that tele-ICU has saved many patients from fatal outcomes due to constant visualization and availability of electronic health records (Udeh et. al., 2018). Considering this is not a new platform and it is used in many large healthcare organizations, it has not been very difficult to find sources that share the many aspects where tele-ICU is beneficial to hospital settings. Some of the sources that I have found are scholarly articles from PubMed and Google Scholar. The scholarly articles that I found were easy to read as the wording is clear and sy to follow due to the variety of stdies that have been made to show cost effectiveness, ease on staff shortages, and convenience to the availability of providers and registered nurses who can assess, sign off, admit, and discharge patients remotely.

According to a study I found, COVID surged an emergent amount of safety concerns for the individuals caring for patients in the pandemic, therefore, there was an increase in telemedicine use due to conditions in which nurses felt unsafe being exposed to the illness (Kemp et. al., 2022). COVID allowed for telemedicine to become more prevalent in the inpatient healthcare setting without the scrutiny that would come from older generations (Kemp et. al., 2022). Healthcare is always evolving and the incorporation of technology within the system has pushed those who are not well versed to use these services as they are more cost effective and shown to be beneficial for years (Udeh et. al., 2018). Overall, finding information on this topic has not been difficult because of the rise in use of informatics in the clinical setting.

Kemp Van Ee, S., McKelvey, H., Williams, T., Shao, B., Lin, W. T., Luu, J., Sunny, D., Kumar, S., Narayan, S., Urdaneta, A., Perez, L., Schwab, H., Riegle, S., & Jacobs, R. J. (2022). Telemedicine Intensive Care Unit (Tele-ICU) Implementation During COVID-19: A Scoping Review. Cureus, 14(5), e25133. https://doi.org/10.7759/cureus.25133

Udeh, C., Udeh, B., Rahman, N., Canfield, C., Campbell, J., & Hata, J. S. (2018). Telemedicine/Virtual ICU: Where Are We and Where Are We Going?. Methodist DeBakey cardiovascular journal, 14(2), 126–133. https://doi.org/10.14797/mdcj-14-2-126less

Example Discussion Solution 2

I have been looking for applicable sources for my module eight project. Telehealth is the topic that I have chosen, and specifically how telehealth can help more people have access to healthcare that would not normally. Informatics plays a huge role in the success of telehealth.  Telehealth became a more viable option due to the recent pandemic. There are copious amounts of literature available about telehealth, and sometimes it is difficult to sift through all the data to find articles that apply to my paper. I have found Proquest Central to be particularly easy to use. It is accessed through Aspen University’s online library. I also find that Google Scholar is a valuable source of information. I found several great articles about telehealth regarding implementation, training, and evaluation.

Telehealth services have been around for several years. Telehealth is the use of digital information and communication technologies to access health care services remotely and manage your health care. Technologies can include computers and mobile devices, such as tablets and smartphones. This may be technology you use from home, or a nurse or other health care professional may provide telehealth from a medical office or mobile van, such as in rural areas. Telehealth can also be technology that your health care provider uses to improve or support health care services. With dynamic shifts in the business of healthcare delivery and reimbursement, the market for telehealth solutions is poised to expand from its historical role supporting clinical care within hospitals to supporting patient care and self-management beyond the clinic walls (Telehealth Services Market Must Extend Beyond the Hospital to Achieve Full Potential: Latest Chilmark Research Report Identifies Growth Factors, Challenges, and Market Leaders for Future Telehealth Adoption, Highlighting Impact of Value-Based Care and New Consumer-Centric Business Models, 2018).

Telehealth is certainly changing the landscape of healthcare. There are many benefits to utilizing telehealth. A few of the benefits are that it is cost-effective and improves access and timeliness of care. A few of the known challenges to the telehealth model are the widening disparities of care and the overutilization or misuse of care. As we move forward from the current pandemic, lessons learned from the studies demonstrating benefits and challenges associated with telehealth should be taken into account when drafting post-pandemic telehealth policies. Special attention should be paid to ensuring that telehealth narrows, and not widens, the currently existing disparities in access to healthcare (Mahtta et al., 2021).

References

Mahtta, D., Daher, M., & Lee, M. (2021). Promise and perils of telehealth in the current era. Current Cardiology Reports, 23(115). https://doi.org/10.1007/s11886-021-01544-w

Telehealth services market must extend beyond the hospital to achieve full potential: latest chilmark research report identifies growth factors, challenges, and market leaders for future telehealth adoption, highlighting impact of value-based care and new consumer-centric business models. (2018, November 8). PR Newswire. Retrieved May 2, 2023, from https://aspenuniversity.idm.oclc.org/login?url=https://www.proquest.com/wire-feeds/telehealth-services-market-must-extend-beyond/docview/2130761719/se-2

Undergrad Discussion Question Rubric v1

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CriteriaDoes Not Meet (0%)Approaches (60%)Meets (70%)Exceeds (100%)Criterion ScoreContent of Initial Thread/Post Weight: 40%0 pointsResponse contains little to none of the required aspects of the prompt; Content is off topic; references are not included. APA reference/citation format is not used.4.8 pointsMajor required aspects of the prompt are not addressed or the response speaks in vague generalities. Information is too general; 1 reference is present, but it is non-scholarly (if required) and/or it does not appropriately reflect the topic. APA reference/citation format may be inaccurate in the response.5.6 pointsResponse addresses prompt requirements. Content is relevant and germane to the intent of the prompt; 1 or more references are scholarly (if required) and/or appropriately reflect topic, and have few APA formatting errors.8 pointsContent includes additional or novel points beyond the intent of the prompt. References are sufficient, scholarly in nature, and are formatted correctly in APA format.Score of Content of Initial Thread/Post Weight: 40%,/ 8Critical Thinking of Thread/Post Weight: 10%0 pointsLittle analysis or insight is displayed; Little or no logical support or reasoning is present1.2 pointsSome illogical statements and poor reasoning displayed; argument is unclear or convoluted1.4 pointsResponse indicates that thought, insight, and analysis has taken place; Argument is solid and logical2 pointsResponse is rich in critical thinking, and full of thought, insight, and analysis; Argument is clear and conciseScore of Critical Thinking of Thread/Post Weight: 10%,/ 2Quality of Written Communication in Initial Thread/Post Weight: 20%0 pointsStyle and voice inappropriate or do not address given audience, purpose, etc. Word choice is excessively redundant, clichéd, and unspecific. Inconsistent grammar, spelling, punctuation, and paragraphing. Surface errors are pervasive enough that they impede communication of meaning.2.4 pointsStyle and voice are somewhat appropriate to given audience and purpose. Word choice is often unspecific, generic, redundant, and clichéd. Repetitive mechanical errors distract the reader. Inconsistencies in language, sentence structure, and/or word choice are present.2.8 pointsStyle and voice are appropriate to the given audience and purpose. Word choice is specific and purposeful, and somewhat varied throughout. Minimal mechanical or typographical errors are present, but are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.4 pointsStyle and voice are not only appropriate to the given audience and purpose, but also show originality and creativity. Word choice is specific, purposeful, dynamic and varied. Free of mechanical and typographical errors. A variety of sentence structures and effective figures of speech are used. Writer is clearly in command of standard, written, academic English.Score of Quality of Written Communication in Initial Thread/Post Weight: 20%,/ 4Discussion Responses to Classmates’ Threads/Posts Weight: 30%0 pointsDid not make an effort to participate in learning community as it develops; Displays lack of engagement with discussion forum; Did not make the minimum of 2 responses to classmates.3.6 pointsOccasionally makes meaningful reflection on group’s efforts; Marginal effort to become involved with group; Made one response to classmates4.2 pointsFrequently attempts to direct the discussion and present relevant viewpoints for consideration by group; Interacts freely; Met the minimum of 2 responses to classmates6 pointsShows astute awareness of needs of community; Frequently attempts to motivate the group discussion; Pre

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