Guest guest Posted April 19, 2007 Report Share Posted April 19, 2007 We have a separate Nurse Coordinator who works only with the living donors. We also have a different Social Worker that meets with the donor candidates. Betsy Fries Transplant Financial Coordinator Cedars-Sinai Comprehensive Transplant Center -----Original Message-----From: nancypyles1 Sent: Thursday, April 19, 2007 8:03 AMTo: TxFinancialCoordinators Subject: living donor advocate I am interested in hearing how your center is handling the "Living Donor Advocate" which is a standard in CMS's Condition of Participation. Who in your hospital is being the LD advocate or did you create a LD advocate position and hire someone outside? Do they see all the living donors and/or potential living donors? Do they have a form to complete? How are you handling this standard?Thank you in advance for your input........ PylesTransplant Financial Analyst Methodist Fort Worth Hospital IMPORTANT WARNING: This message is intended for the use of the person or entity to which it is addressed and may contain information that is privileged and confidential, the disclosure of which is governed by applicable law. If the reader of this message is not the intended recipient, or the employee or agent responsible for delivering it to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this information is STRICTLY PROHIBITED. If you have received this message in error, please notify us immediately by calling and destroy the related message. Thank You for your cooperation. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 19, 2007 Report Share Posted April 19, 2007 That's the same set-up here @University of Chicago Medical Center. Marsha Pruitt Financial Transplant Specialist RE: living donor advocate We have a separate Nurse Coordinator who works only with the living donors. We also have a different Social Worker that meets with the donor candidates. Betsy Fries Transplant Financial Coordinator Cedars-Sinai Comprehensive Transplant Center -----Original Message-----From: nancypyles1 [mailto:PylesTexasHealth (DOT) Org] Sent: Thursday, April 19, 2007 8:03 AMTo: TxFinancialCoordinators Subject: living donor advocate I am interested in hearing how your center is handling the "Living Donor Advocate" which is a standard in CMS's Condition of Participation. Who in your hospital is being the LD advocate or did you create a LD advocate position and hire someone outside? Do they see all the living donors and/or potential living donors? Do they have a form to complete? How are you handling this standard?Thank you in advance for your input........ PylesTransplant Financial Analyst Methodist Fort Worth Hospital IMPORTANT WARNING: This message is intended for the use of the person or entity to which it is addressed and may contain information that is privileged and confidential, the disclosure of which is governed by applicable law. If the reader of this message is not the intended recipient, or the employee or agent responsible for delivering it to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this information is STRICTLY PROHIBITED. If you have received this message in error, please notify us immediately by calling and destroy the related message. Thank You for your cooperation. ******************************************************************************** Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 19, 2007 Report Share Posted April 19, 2007 We have a team devoted to the evaluation and "mentoring" for the donor. They have a nurse coordinator, separate social worker and GI doc for evaluation. This team meets separately along with the recipient team to determine suitability. Hogan Transplant Financial Coordinator Lahey Clinic 41 Mall Rd. Burlington, MA 01805 phone fax RE: living donor advocate We have a separate Nurse Coordinator who works only with the living donors. We also have a different Social Worker that meets with the donor candidates. Betsy Fries Transplant Financial Coordinator Cedars-Sinai Comprehensive Transplant Center -----Original Message-----From: nancypyles1 [mailto:PylesTexasHealth (DOT) Org] Sent: Thursday, April 19, 2007 8:03 AMTo: TxFinancialCoordinators Subject: living donor advocate I am interested in hearing how your center is handling the "Living Donor Advocate" which is a standard in CMS's Condition of Participation. Who in your hospital is being the LD advocate or did you create a LD advocate position and hire someone outside? Do they see all the living donors and/or potential living donors? Do they have a form to complete? How are you handling this standard?Thank you in advance for your input........ PylesTransplant Financial Analyst Methodist Fort Worth Hospital IMPORTANT WARNING: This message is intended for the use of the person or entity to which it is addressed and may contain information that is privileged and confidential, the disclosure of which is governed by applicable law. If the reader of this message is not the intended recipient, or the employee or agent responsible for delivering it to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this information is STRICTLY PROHIBITED. If you have received this message in error, please notify us immediately by calling and destroy the related message. Thank You for your cooperation. ******************************************************************************** Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 19, 2007 Report Share Posted April 19, 2007 We have the same set up at Rogosin/New York Presby.Hospital -Cornell. At 11:02 AM 4/19/2007, you wrote: I am interested in hearing how your center is handling the " Living Donor Advocate " which is a standard in CMS's Condition of Participation. Who in your hospital is being the LD advocate or did you create a LD advocate position and hire someone outside? Do they see all the living donors and/or potential living donors? Do they have a form to complete? How are you handling this standard? Thank you in advance for your input........ Pyles Transplant Financial Analyst Methodist Fort Worth Hospital Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 19, 2007 Report Share Posted April 19, 2007 Does anyone know of any private insurance that covers Donor testing and costs for Kidney Transplants. Sheila Hammond RN CPUR Manager SHO-CCM/Transplants From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of marsha.pruitt@...Sent: Thursday, April 19, 2007 8:30 AMTo: TxFinancialCoordinators Subject: RE: living donor advocate That's the same set-up here @University of Chicago Medical Center. Marsha Pruitt Financial Transplant Specialist RE: living donor advocate We have a separate Nurse Coordinator who works only with the living donors. We also have a different Social Worker that meets with the donor candidates. Betsy Fries Transplant Financial Coordinator Cedars-Sinai Comprehensive Transplant Center -----Original Message-----From: nancypyles1 [mailto:PylesTexasHealth (DOT) Org] Sent: Thursday, April 19, 2007 8:03 AMTo: TxFinancialCoordinators Subject: living donor advocate I am interested in hearing how your center is handling the "Living Donor Advocate" which is a standard in CMS's Condition of Participation. Who in your hospital is being the LD advocate or did you create a LD advocate position and hire someone outside? Do they see all the living donors and/or potential living donors? Do they have a form to complete? How are you handling this standard?Thank you in advance for your input........ PylesTransplant Financial Analyst Methodist Fort Worth Hospital IMPORTANT WARNING: This message is intended for the use of the person or entity to which it is addressed and may contain information that is privileged and confidential, the disclosure of which is governed by applicable law. If the reader of this message is not the intended recipient, or the employee or agent responsible for delivering it to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this information is STRICTLY PROHIBITED. If you have received this message in error, please notify us immediately by calling and destroy the related message. Thank You for your cooperation. ******************************************************************************** Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 19, 2007 Report Share Posted April 19, 2007 Hi, Why would a transplant center bill an insurance company for Live Donor evaluations for Transplant when the Medicare Regulations indicate that the transplant center is responsible for those evaluations for donors whose potential recipients are Medicare Entitled (regardless of who the current primary payer is) or are in their “pre-entitlement” period (regardless of who their current primary payer is). Additionally, we never know, until the time of transplant, if Medicare is going to be involved or not. We recommend that the live kidney donor NEVER, be billed for evaluation services. Hope this helps, Thanks, Bill From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Hammond, Sheila (UM) Sent: Thursday, April 19, 2007 12:36 PM To: TxFinancialCoordinators Subject: RE: living donor advocate Does anyone know of any private insurance that covers Donor testing and costs for Kidney Transplants. Sheila Hammond RN CPUR Manager SHO-CCM/Transplants From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of marsha.pruittuchospitals (DOT) edu Sent: Thursday, April 19, 2007 8:30 AM To: TxFinancialCoordinators Subject: RE: living donor advocate That's the same set-up here @University of Chicago Medical Center. Marsha Pruitt Financial Transplant Specialist living donor advocate I am interested in hearing how your center is handling the " Living Donor Advocate " which is a standard in CMS's Condition of Participation. Who in your hospital is being the LD advocate or did you create a LD advocate position and hire someone outside? Do they see all the living donors and/or potential living donors? Do they have a form to complete? How are you handling this standard? Thank you in advance for your input........ Pyles Transplant Financial Analyst Methodist Fort Worth Hospital IMPORTANT WARNING: This message is intended for the use of the person or entity to which it is addressed and may contain information that is privileged and confidential, the disclosure of which is governed by applicable law. If the reader of this message is not the intended recipient, or the employee or agent responsible for delivering it to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this information is STRICTLY PROHIBITED. If you have received this message in error, please notify us immediately by calling and destroy the related message. Thank You for your cooperation. ******************************************************************************** Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 19, 2007 Report Share Posted April 19, 2007 Thanks Bill From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of VaughanSent: Thursday, April 19, 2007 10:39 AMTo: TxFinancialCoordinators Subject: RE: living donor advocate Hi, Why would a transplant center bill an insurance company for Live Donor evaluations for Transplant when the Medicare Regulations indicate that the transplant center is responsible for those evaluations for donors whose potential recipients are Medicare Entitled (regardless of who the current primary payer is) or are in their “pre-entitlement” period (regardless of who their current primary payer is). Additionally, we never know, until the time of transplant, if Medicare is going to be involved or not. We recommend that the live kidney donor NEVER, be billed for evaluation services. Hope this helps, Thanks, Bill From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Hammond, Sheila (UM)Sent: Thursday, April 19, 2007 12:36 PMTo: TxFinancialCoordinators Subject: RE: living donor advocate Does anyone know of any private insurance that covers Donor testing and costs for Kidney Transplants. Sheila Hammond RN CPUR Manager SHO-CCM/Transplants From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of marsha.pruittuchospitals (DOT) eduSent: Thursday, April 19, 2007 8:30 AMTo: TxFinancialCoordinators Subject: RE: living donor advocate That's the same set-up here @University of Chicago Medical Center. Marsha Pruitt Financial Transplant Specialist RE: living donor advocate We have a separate Nurse Coordinator who works only with the living donors. We also have a different Social Worker that meets with the donor candidates. Betsy Fries Transplant Financial Coordinator Cedars-Sinai Comprehensive Transplant Center -----Original Message-----From: nancypyles1 [mailto:PylesTexasHealth (DOT) Org] Sent: Thursday, April 19, 2007 8:03 AMTo: TxFinancialCoordinators Subject: living donor advocate I am interested in hearing how your center is handling the "Living Donor Advocate" which is a standard in CMS's Condition of Participation. Who in your hospital is being the LD advocate or did you create a LD advocate position and hire someone outside? Do they see all the living donors and/or potential living donors? Do they have a form to complete? How are you handling this standard?Thank you in advance for your input........ PylesTransplant Financial Analyst Methodist Fort Worth Hospital IMPORTANT WARNING: This message is intended for the use of the person or entity to which it is addressed and may contain information that is privileged and confidential, the disclosure of which is governed by applicable law. If the reader of this message is not the intended recipient, or the employee or agent responsible for delivering it to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this information is STRICTLY PROHIBITED. If you have received this message in error, please notify us immediately by calling and destroy the related message. Thank You for your cooperation. ******************************************************************************** Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 23, 2007 Report Share Posted October 23, 2007 Hi Kim, It is my understanding that it has to be someone from the "donor team" who does the eval who is not part of the recipients case. In our center we have a separate GI doc, a separate Psychiatrist and a separate social worker, along with a separate Transplant Nurse Coordinator. All these are a must and all can be considered a donor advocate. A post transplant patient cannot fill that role. Hogan Transplant Financial Coordinator Lahey Clinic 41 Mall Rd. Burlington, MA 01805 phone fax -----Original Message-----From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ]On Behalf Of KimSent: Tuesday, October 23, 2007 5:33 PMTo: TxFinancialCoordinators Subject: Living Donor Advocate Hi. We are still having issues with finding a Living Donor Advocate that is an employee of our Hospital, that is knowledgeble in transplant, but who doesn't work with recipients. Our team was discussing this issue last week and we may have a post tx patient that would like to fill this roll.Do you think that would be ok according to CMS?What are your thoughts?ThanksKim Transplant Financial CoordinatorMemorial Medical CenterSpringfield, ILSee our web page at http://www.lahey.org for a full directory of Lahey sites, staff, services and career opportunities. THIS MESSAGE IS INTENDED FOR THE USE OF THE PERSON TO WHOM IT IS ADDRESSED. IT MAY CONTAIN INFORMATION THAT IS PRIVILEGED, CONFIDENTIAL AND EXEMPT FROM DISCLOSURE UNDER APPLICABLE LAW. If you are not the intended recipient, your use of this message for any purpose is strictly prohibited. If you have received this communication in error, please delete the message and notify the sender so that we may correct our records. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 23, 2007 Report Share Posted October 23, 2007 Hi Kim, It is my understanding that it has to be someone from the "donor team" who does the eval who is not part of the recipients case. In our center we have a separate GI doc, a separate Psychiatrist and a separate social worker, along with a separate Transplant Nurse Coordinator. All these are a must and all can be considered a donor advocate. A post transplant patient cannot fill that role. Hogan Transplant Financial Coordinator Lahey Clinic 41 Mall Rd. Burlington, MA 01805 phone fax -----Original Message-----From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ]On Behalf Of KimSent: Tuesday, October 23, 2007 5:33 PMTo: TxFinancialCoordinators Subject: Living Donor Advocate Hi. We are still having issues with finding a Living Donor Advocate that is an employee of our Hospital, that is knowledgeble in transplant, but who doesn't work with recipients. Our team was discussing this issue last week and we may have a post tx patient that would like to fill this roll.Do you think that would be ok according to CMS?What are your thoughts?ThanksKim Transplant Financial CoordinatorMemorial Medical CenterSpringfield, ILSee our web page at http://www.lahey.org for a full directory of Lahey sites, staff, services and career opportunities. THIS MESSAGE IS INTENDED FOR THE USE OF THE PERSON TO WHOM IT IS ADDRESSED. IT MAY CONTAIN INFORMATION THAT IS PRIVILEGED, CONFIDENTIAL AND EXEMPT FROM DISCLOSURE UNDER APPLICABLE LAW. If you are not the intended recipient, your use of this message for any purpose is strictly prohibited. If you have received this communication in error, please delete the message and notify the sender so that we may correct our records. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 24, 2007 Report Share Posted October 24, 2007 Hi Kim I don’t see why not because I thought it could be anyone as long as they had no contact with the recipient and knowledgeable about transplant. If that is not correct please let me know. At our facility we are using our statistic person. Let me know if that is ok. Beverly Antoine, LPN Transplant Financial Coordinatorent LSU-UMC Laffayette, LA bantoi@... From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Kim Sent: Tuesday, October 23, 2007 4:33 PM To: TxFinancialCoordinators Subject: Living Donor Advocate Hi. We are still having issues with finding a Living Donor Advocate that is an employee of our Hospital, that is knowledgeble in transplant, but who doesn't work with recipients. Our team was discussing this issue last week and we may have a post tx patient that would like to fill this roll. Do you think that would be ok according to CMS? What are your thoughts? Thanks Kim Transplant Financial Coordinator Memorial Medical Center Springfield, IL Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 24, 2007 Report Share Posted October 24, 2007 Hi Kim, We are suggesting appropriate members of the Chaplaincy, the office of the Patient Advocate, members of the Social Services Department as examples. They can be trained, regardless of who you use; they have to have documented training. Even I could be a donor advocate. We have talked with one centers internal audit staff that thought it could be a fabulous job because they felt as though they were intelligent enough to learn the process and be able to discuss the process with patients on their own level. Hope this helps, Thanks, Bill From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Kim Sent: Tuesday, October 23, 2007 5:33 PM To: TxFinancialCoordinators Subject: Living Donor Advocate Hi. We are still having issues with finding a Living Donor Advocate that is an employee of our Hospital, that is knowledgeble in transplant, but who doesn't work with recipients. Our team was discussing this issue last week and we may have a post tx patient that would like to fill this roll. Do you think that would be ok according to CMS? What are your thoughts? Thanks Kim Transplant Financial Coordinator Memorial Medical Center Springfield, IL Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 24, 2007 Report Share Posted October 24, 2007 Hi Kim, We are suggesting appropriate members of the Chaplaincy, the office of the Patient Advocate, members of the Social Services Department as examples. They can be trained, regardless of who you use; they have to have documented training. Even I could be a donor advocate. We have talked with one centers internal audit staff that thought it could be a fabulous job because they felt as though they were intelligent enough to learn the process and be able to discuss the process with patients on their own level. Hope this helps, Thanks, Bill From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Kim Sent: Tuesday, October 23, 2007 5:33 PM To: TxFinancialCoordinators Subject: Living Donor Advocate Hi. We are still having issues with finding a Living Donor Advocate that is an employee of our Hospital, that is knowledgeble in transplant, but who doesn't work with recipients. Our team was discussing this issue last week and we may have a post tx patient that would like to fill this roll. Do you think that would be ok according to CMS? What are your thoughts? Thanks Kim Transplant Financial Coordinator Memorial Medical Center Springfield, IL Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 24, 2007 Report Share Posted October 24, 2007 Hi Pat, It is my understanding and I may be mistaken but the donor advocate may not be a member of the transplant team at all. From the inspection standards: X122 (1) The living donor advocate or living donor advocate team must not be involved in transplantation activities on a routine basis. “Routine” is defined as scheduled participation with any activities involving any transplant recipients regardless of organ type, for example, on-call, waiting list management, organ allocation decisions, direct transplant patient care, and clinical transplant coordination, etc. It is expected that the living donor advocate will have detailed knowledge and understanding of the transplantation and donation process. Therefore, this section does not require that the individual conduct his or her donor advocate activities entirely outside the operation of the transplant program. However, the surveyor must be able to confirm through the review of all interactions between the advocate and donor that no influence was given as a result of any involvement the donor advocate may have with organ transplantation. The above is from the inspection standards, Hope this helps, Thanks, Bill From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Hogan, Sent: Tuesday, October 23, 2007 5:46 PM To: TxFinancialCoordinators Subject: RE: Living Donor Advocate Hi Kim, It is my understanding that it has to be someone from the " donor team " who does the eval who is not part of the recipients case. In our center we have a separate GI doc, a separate Psychiatrist and a separate social worker, along with a separate Transplant Nurse Coordinator. All these are a must and all can be considered a donor advocate. A post transplant patient cannot fill that role. Hogan Transplant Financial Coordinator Lahey Clinic 41 Mall Rd. Burlington, MA 01805 phone fax Living Donor Advocate Hi. We are still having issues with finding a Living Donor Advocate that is an employee of our Hospital, that is knowledgeble in transplant, but who doesn't work with recipients. Our team was discussing this issue last week and we may have a post tx patient that would like to fill this roll. Do you think that would be ok according to CMS? What are your thoughts? Thanks Kim Transplant Financial Coordinator Memorial Medical Center Springfield, IL See our web page at http://www.lahey.org for a full directory of Lahey sites, staff, services and career opportunities. THIS MESSAGE IS INTENDED FOR THE USE OF THE PERSON TO WHOM IT IS ADDRESSED. IT MAY CONTAIN INFORMATION THAT IS PRIVILEGED, CONFIDENTIAL AND EXEMPT FROM DISCLOSURE UNDER APPLICABLE LAW. If you are not the intended recipient, your use of this message for any purpose is strictly prohibited. If you have received this communication in error, please delete the message and notify the sender so that we may correct our records. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 24, 2007 Report Share Posted October 24, 2007 Hi Pat, It is my understanding and I may be mistaken but the donor advocate may not be a member of the transplant team at all. From the inspection standards: X122 (1) The living donor advocate or living donor advocate team must not be involved in transplantation activities on a routine basis. “Routine” is defined as scheduled participation with any activities involving any transplant recipients regardless of organ type, for example, on-call, waiting list management, organ allocation decisions, direct transplant patient care, and clinical transplant coordination, etc. It is expected that the living donor advocate will have detailed knowledge and understanding of the transplantation and donation process. Therefore, this section does not require that the individual conduct his or her donor advocate activities entirely outside the operation of the transplant program. However, the surveyor must be able to confirm through the review of all interactions between the advocate and donor that no influence was given as a result of any involvement the donor advocate may have with organ transplantation. The above is from the inspection standards, Hope this helps, Thanks, Bill From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Hogan, Sent: Tuesday, October 23, 2007 5:46 PM To: TxFinancialCoordinators Subject: RE: Living Donor Advocate Hi Kim, It is my understanding that it has to be someone from the " donor team " who does the eval who is not part of the recipients case. In our center we have a separate GI doc, a separate Psychiatrist and a separate social worker, along with a separate Transplant Nurse Coordinator. All these are a must and all can be considered a donor advocate. A post transplant patient cannot fill that role. Hogan Transplant Financial Coordinator Lahey Clinic 41 Mall Rd. Burlington, MA 01805 phone fax Living Donor Advocate Hi. We are still having issues with finding a Living Donor Advocate that is an employee of our Hospital, that is knowledgeble in transplant, but who doesn't work with recipients. Our team was discussing this issue last week and we may have a post tx patient that would like to fill this roll. Do you think that would be ok according to CMS? What are your thoughts? Thanks Kim Transplant Financial Coordinator Memorial Medical Center Springfield, IL See our web page at http://www.lahey.org for a full directory of Lahey sites, staff, services and career opportunities. THIS MESSAGE IS INTENDED FOR THE USE OF THE PERSON TO WHOM IT IS ADDRESSED. IT MAY CONTAIN INFORMATION THAT IS PRIVILEGED, CONFIDENTIAL AND EXEMPT FROM DISCLOSURE UNDER APPLICABLE LAW. If you are not the intended recipient, your use of this message for any purpose is strictly prohibited. If you have received this communication in error, please delete the message and notify the sender so that we may correct our records. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 24, 2007 Report Share Posted October 24, 2007 We have chosen to use one of our hospital chaplins. She attends our txp selection meetings and is trained in ethics. Thank You, Clarice S. Zess Transplant Financial Coordinator St. Luke's Medical Center Abdominal Transplant Clinic Transplant Services Phone: Fax: The information contained in this transmission contains confidential or privileged material and is intended only for the person(s) to whom it was addressed. Any retransmission, dissemination or other use of, or taking of any action in reliance upon this information by persons or entities other than the intended recipient(s) is prohibited. If you receive this transmission in error, please contact the sender, delete the material from any computer and destroy all copies of this message and any attachments. Thank You. . " Hogan, " " Hogan, " Sent by: TxFinancialCoordinators 10/23/2007 04:44 PM Please respond to TxFinancialCoordinators To <TxFinancialCoordinators > cc Subject RE: Living Donor Advocate Hi Kim, It is my understanding that it has to be someone from the " donor team " who does the eval who is not part of the recipients case. In our center we have a separate GI doc, a separate Psychiatrist and a separate social worker, along with a separate Transplant Nurse Coordinator. All these are a must and all can be considered a donor advocate. A post transplant patient cannot fill that role. Hogan Transplant Financial Coordinator Lahey Clinic 41 Mall Rd. Burlington, MA 01805 phone fax Living Donor Advocate Hi. We are still having issues with finding a Living Donor Advocate that is an employee of our Hospital, that is knowledgeble in transplant, but who doesn't work with recipients. Our team was discussing this issue last week and we may have a post tx patient that would like to fill this roll. Do you think that would be ok according to CMS? What are your thoughts? Thanks Kim Transplant Financial Coordinator Memorial Medical Center Springfield, IL See our web page at http://www.lahey.org for a full directory of Lahey sites, staff, services and career opportunities. THIS MESSAGE IS INTENDED FOR THE USE OF THE PERSON TO WHOM IT IS ADDRESSED. IT MAY CONTAIN INFORMATION THAT IS PRIVILEGED, CONFIDENTIAL AND EXEMPT FROM DISCLOSURE UNDER APPLICABLE LAW. If you are not the intended recipient, your use of this message for any purpose is strictly prohibited. If you have received this communication in error, please delete the message and notify the sender so that we may correct our records. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 24, 2007 Report Share Posted October 24, 2007 We have chosen to use one of our hospital chaplins. She attends our txp selection meetings and is trained in ethics. Thank You, Clarice S. Zess Transplant Financial Coordinator St. Luke's Medical Center Abdominal Transplant Clinic Transplant Services Phone: Fax: The information contained in this transmission contains confidential or privileged material and is intended only for the person(s) to whom it was addressed. Any retransmission, dissemination or other use of, or taking of any action in reliance upon this information by persons or entities other than the intended recipient(s) is prohibited. If you receive this transmission in error, please contact the sender, delete the material from any computer and destroy all copies of this message and any attachments. Thank You. . " Hogan, " " Hogan, " Sent by: TxFinancialCoordinators 10/23/2007 04:44 PM Please respond to TxFinancialCoordinators To <TxFinancialCoordinators > cc Subject RE: Living Donor Advocate Hi Kim, It is my understanding that it has to be someone from the " donor team " who does the eval who is not part of the recipients case. In our center we have a separate GI doc, a separate Psychiatrist and a separate social worker, along with a separate Transplant Nurse Coordinator. All these are a must and all can be considered a donor advocate. A post transplant patient cannot fill that role. Hogan Transplant Financial Coordinator Lahey Clinic 41 Mall Rd. Burlington, MA 01805 phone fax Living Donor Advocate Hi. We are still having issues with finding a Living Donor Advocate that is an employee of our Hospital, that is knowledgeble in transplant, but who doesn't work with recipients. Our team was discussing this issue last week and we may have a post tx patient that would like to fill this roll. Do you think that would be ok according to CMS? What are your thoughts? Thanks Kim Transplant Financial Coordinator Memorial Medical Center Springfield, IL See our web page at http://www.lahey.org for a full directory of Lahey sites, staff, services and career opportunities. THIS MESSAGE IS INTENDED FOR THE USE OF THE PERSON TO WHOM IT IS ADDRESSED. IT MAY CONTAIN INFORMATION THAT IS PRIVILEGED, CONFIDENTIAL AND EXEMPT FROM DISCLOSURE UNDER APPLICABLE LAW. If you are not the intended recipient, your use of this message for any purpose is strictly prohibited. If you have received this communication in error, please delete the message and notify the sender so that we may correct our records. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 24, 2007 Report Share Posted October 24, 2007 geeez, if you can't trust the chaplain to be non partisan and a patient advocate for the donor, who can you trust? Patti Montemayor, RN CCTC Transplant Coordinator and White Hospital 2401 S. 31st Street Temple, TX 76508 254/724-8448 FAX 254/724-8772 >>> Vaughan@... 10/24/2007 12:08 AM >>> Hi Pat, It is my understanding and I may be mistaken but the donor advocate may not be a member of the transplant team at all. From the inspection standards: X122 (1) The living donor advocate or living donor advocate team must not be involved in transplantation activities on a routine basis. " Routine " is defined as scheduled participation with any activities involving any transplant recipients regardless of organ type, for example, on-call, waiting list management, organ allocation decisions, direct transplant patient care, and clinical transplant coordination, etc. It is expected that the living donor advocate will have detailed knowledge and understanding of the transplantation and donation process. Therefore, this section does not require that the individual conduct his or her donor advocate activities entirely outside the operation of the transplant program. However, the surveyor must be able to confirm through the review of all interactions between the advocate and donor that no influence was given as a result of any involvement the donor advocate may have with organ transplantation. The above is from the inspection standards, Hope this helps, Thanks, Bill _____ From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Hogan, Sent: Tuesday, October 23, 2007 5:46 PM To: TxFinancialCoordinators Subject: RE: Living Donor Advocate Hi Kim, It is my understanding that it has to be someone from the " donor team " who does the eval who is not part of the recipients case. In our center we have a separate GI doc, a separate Psychiatrist and a separate social worker, along with a separate Transplant Nurse Coordinator. All these are a must and all can be considered a donor advocate. A post transplant patient cannot fill that role. Hogan Transplant Financial Coordinator Lahey Clinic 41 Mall Rd. Burlington, MA 01805 phone fax Living Donor Advocate Hi. We are still having issues with finding a Living Donor Advocate that is an employee of our Hospital, that is knowledgeble in transplant, but who doesn't work with recipients. Our team was discussing this issue last week and we may have a post tx patient that would like to fill this roll. Do you think that would be ok according to CMS? What are your thoughts? Thanks Kim Transplant Financial Coordinator Memorial Medical Center Springfield, IL See our web page at http://www.lahey.org for a full directory of Lahey sites, staff, services and career opportunities. THIS MESSAGE IS INTENDED FOR THE USE OF THE PERSON TO WHOM IT IS ADDRESSED. IT MAY CONTAIN INFORMATION THAT IS PRIVILEGED, CONFIDENTIAL AND EXEMPT FROM DISCLOSURE UNDER APPLICABLE LAW. If you are not the intended recipient, your use of this message for any purpose is strictly prohibited. If you have received this communication in error, please delete the message and notify the sender so that we may correct our records. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 24, 2007 Report Share Posted October 24, 2007 geeez, if you can't trust the chaplain to be non partisan and a patient advocate for the donor, who can you trust? Patti Montemayor, RN CCTC Transplant Coordinator and White Hospital 2401 S. 31st Street Temple, TX 76508 254/724-8448 FAX 254/724-8772 >>> Vaughan@... 10/24/2007 12:08 AM >>> Hi Pat, It is my understanding and I may be mistaken but the donor advocate may not be a member of the transplant team at all. From the inspection standards: X122 (1) The living donor advocate or living donor advocate team must not be involved in transplantation activities on a routine basis. " Routine " is defined as scheduled participation with any activities involving any transplant recipients regardless of organ type, for example, on-call, waiting list management, organ allocation decisions, direct transplant patient care, and clinical transplant coordination, etc. It is expected that the living donor advocate will have detailed knowledge and understanding of the transplantation and donation process. Therefore, this section does not require that the individual conduct his or her donor advocate activities entirely outside the operation of the transplant program. However, the surveyor must be able to confirm through the review of all interactions between the advocate and donor that no influence was given as a result of any involvement the donor advocate may have with organ transplantation. The above is from the inspection standards, Hope this helps, Thanks, Bill _____ From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Hogan, Sent: Tuesday, October 23, 2007 5:46 PM To: TxFinancialCoordinators Subject: RE: Living Donor Advocate Hi Kim, It is my understanding that it has to be someone from the " donor team " who does the eval who is not part of the recipients case. In our center we have a separate GI doc, a separate Psychiatrist and a separate social worker, along with a separate Transplant Nurse Coordinator. All these are a must and all can be considered a donor advocate. A post transplant patient cannot fill that role. Hogan Transplant Financial Coordinator Lahey Clinic 41 Mall Rd. Burlington, MA 01805 phone fax Living Donor Advocate Hi. We are still having issues with finding a Living Donor Advocate that is an employee of our Hospital, that is knowledgeble in transplant, but who doesn't work with recipients. Our team was discussing this issue last week and we may have a post tx patient that would like to fill this roll. Do you think that would be ok according to CMS? What are your thoughts? Thanks Kim Transplant Financial Coordinator Memorial Medical Center Springfield, IL See our web page at http://www.lahey.org for a full directory of Lahey sites, staff, services and career opportunities. THIS MESSAGE IS INTENDED FOR THE USE OF THE PERSON TO WHOM IT IS ADDRESSED. IT MAY CONTAIN INFORMATION THAT IS PRIVILEGED, CONFIDENTIAL AND EXEMPT FROM DISCLOSURE UNDER APPLICABLE LAW. If you are not the intended recipient, your use of this message for any purpose is strictly prohibited. If you have received this communication in error, please delete the message and notify the sender so that we may correct our records. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 24, 2007 Report Share Posted October 24, 2007 Hi Bill, That certainly fits. Our program has completely separate teams which have nothing to do with the recipient at all. It is explained to the donor that any one of these team members are there for them and them only. They work in different departments within the hospital. They do not speak at all the recipient. I think we are fortunate to be able to do this. Thank you for sharing this. So, to answer Kim's question, can a s/p transplant patient, if trained, be an advocate for someone not related? Sounds like it IS possible.. Thanks Bill Hogan Transplant Financial Coordinator Lahey Clinic 41 Mall Rd. Burlington, MA 01805 phone fax -----Original Message-----From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ]On Behalf Of VaughanSent: Wednesday, October 24, 2007 1:09 AMTo: TxFinancialCoordinators Subject: RE: Living Donor Advocate Hi Pat, It is my understanding and I may be mistaken but the donor advocate may not be a member of the transplant team at all. From the inspection standards: X122 (1) The living donor advocate or living donor advocate team must not be involved in transplantation activities on a routine basis. “Routine” is defined as scheduled participation with any activities involving any transplant recipients regardless of organ type, for example, on-call, waiting list management, organ allocation decisions, direct transplant patient care, and clinical transplant coordination, etc. It is expected that the living donor advocate will have detailed knowledge and understanding of the transplantation and donation process. Therefore, this section does not require that the individual conduct his or her donor advocate activities entirely outside the operation of the transplant program. However, the surveyor must be able to confirm through the review of all interactions between the advocate and donor that no influence was given as a result of any involvement the donor advocate may have with organ transplantation. The above is from the inspection standards, Hope this helps, Thanks, Bill From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Hogan, Sent: Tuesday, October 23, 2007 5:46 PMTo: TxFinancialCoordinators Subject: RE: Living Donor Advocate Hi Kim, It is my understanding that it has to be someone from the "donor team" who does the eval who is not part of the recipients case. In our center we have a separate GI doc, a separate Psychiatrist and a separate social worker, along with a separate Transplant Nurse Coordinator. All these are a must and all can be considered a donor advocate. A post transplant patient cannot fill that role. Hogan Transplant Financial Coordinator Lahey Clinic 41 Mall Rd. Burlington, MA 01805 phone fax -----Original Message-----From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ]On Behalf Of KimSent: Tuesday, October 23, 2007 5:33 PMTo: TxFinancialCoordinators Subject: Living Donor Advocate Hi. We are still having issues with finding a Living Donor Advocate that is an employee of our Hospital, that is knowledgeble in transplant, but who doesn't work with recipients. Our team was discussing this issue last week and we may have a post tx patient that would like to fill this roll.Do you think that would be ok according to CMS?What are your thoughts?ThanksKim Transplant Financial CoordinatorMemorial Medical CenterSpringfield, IL See our web page at http://www.lahey.org for a full directory of Lahey sites, staff, services and career opportunities. THIS MESSAGE IS INTENDED FOR THE USE OF THE PERSON TO WHOM IT IS ADDRESSED. IT MAY CONTAIN INFORMATION THAT IS PRIVILEGED, CONFIDENTIAL AND EXEMPT FROM DISCLOSURE UNDER APPLICABLE LAW. If you are not the intended recipient, your use of this message for any purpose is strictly prohibited. If you have received this communication in error, please delete the message and notify the sender so that we may correct our records. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 24, 2007 Report Share Posted October 24, 2007 HI Pat, We were told that a regular member of the team that says yes or no to a potential recipient or potential live donor can not be the Donor Advocate. We do believe that a transplant recipient can be “trained” to be the donor advocate just like a Chaplain or any other staff member. There is nothing that says that they must be a “medical professional”. Hope this helps, Thanks, Bill From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Hogan, Sent: Wednesday, October 24, 2007 8:25 AM To: TxFinancialCoordinators Subject: RE: Living Donor Advocate Hi Bill, That certainly fits. Our program has completely separate teams which have nothing to do with the recipient at all. It is explained to the donor that any one of these team members are there for them and them only. They work in different departments within the hospital. They do not speak at all the recipient. I think we are fortunate to be able to do this. Thank you for sharing this. So, to answer Kim's question, can a s/p transplant patient, if trained, be an advocate for someone not related? Sounds like it IS possible.. Thanks Bill Hogan Transplant Financial Coordinator Lahey Clinic 41 Mall Rd. Burlington, MA 01805 phone fax Living Donor Advocate Hi. We are still having issues with finding a Living Donor Advocate that is an employee of our Hospital, that is knowledgeble in transplant, but who doesn't work with recipients. Our team was discussing this issue last week and we may have a post tx patient that would like to fill this roll. Do you think that would be ok according to CMS? What are your thoughts? Thanks Kim Transplant Financial Coordinator Memorial Medical Center Springfield, IL See our web page at http://www.lahey.org for a full directory of Lahey sites, staff, services and career opportunities. THIS MESSAGE IS INTENDED FOR THE USE OF THE PERSON TO WHOM IT IS ADDRESSED. IT MAY CONTAIN INFORMATION THAT IS PRIVILEGED, CONFIDENTIAL AND EXEMPT FROM DISCLOSURE UNDER APPLICABLE LAW. If you are not the intended recipient, your use of this message for any purpose is strictly prohibited. If you have received this communication in error, please delete the message and notify the sender so that we may correct our records. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 24, 2007 Report Share Posted October 24, 2007 HI Pat, We were told that a regular member of the team that says yes or no to a potential recipient or potential live donor can not be the Donor Advocate. We do believe that a transplant recipient can be “trained” to be the donor advocate just like a Chaplain or any other staff member. There is nothing that says that they must be a “medical professional”. Hope this helps, Thanks, Bill From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Hogan, Sent: Wednesday, October 24, 2007 8:25 AM To: TxFinancialCoordinators Subject: RE: Living Donor Advocate Hi Bill, That certainly fits. Our program has completely separate teams which have nothing to do with the recipient at all. It is explained to the donor that any one of these team members are there for them and them only. They work in different departments within the hospital. They do not speak at all the recipient. I think we are fortunate to be able to do this. Thank you for sharing this. So, to answer Kim's question, can a s/p transplant patient, if trained, be an advocate for someone not related? Sounds like it IS possible.. Thanks Bill Hogan Transplant Financial Coordinator Lahey Clinic 41 Mall Rd. Burlington, MA 01805 phone fax Living Donor Advocate Hi. We are still having issues with finding a Living Donor Advocate that is an employee of our Hospital, that is knowledgeble in transplant, but who doesn't work with recipients. Our team was discussing this issue last week and we may have a post tx patient that would like to fill this roll. Do you think that would be ok according to CMS? What are your thoughts? Thanks Kim Transplant Financial Coordinator Memorial Medical Center Springfield, IL See our web page at http://www.lahey.org for a full directory of Lahey sites, staff, services and career opportunities. THIS MESSAGE IS INTENDED FOR THE USE OF THE PERSON TO WHOM IT IS ADDRESSED. IT MAY CONTAIN INFORMATION THAT IS PRIVILEGED, CONFIDENTIAL AND EXEMPT FROM DISCLOSURE UNDER APPLICABLE LAW. If you are not the intended recipient, your use of this message for any purpose is strictly prohibited. If you have received this communication in error, please delete the message and notify the sender so that we may correct our records. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 24, 2007 Report Share Posted October 24, 2007 > Thank you Bill and to all that responded! It is always GREAT to go into a meeting and know what you are talking about - which is what I was able to do this morning after reading the List Serve! I hope you have a easy going rest of your week! Kim Transplant Financial Coordinator Memorial Medical Center Springfield, IL HI Pat, > > We were told that a regular member of the team that says yes or no to a > potential recipient or potential live donor can not be the Donor Advocate. > > > > We do believe that a transplant recipient can be " trained " to be the donor > advocate just like a Chaplain or any other staff member. There is nothing > that says that they must be a " medical professional " . > > > > Hope this helps, > > Thanks, > > Bill > > > > _____ > > From: TxFinancialCoordinators > [mailto:TxFinancialCoordinators ] On Behalf Of Hogan, > > Sent: Wednesday, October 24, 2007 8:25 AM > To: TxFinancialCoordinators > Subject: RE: Living Donor Advocate > > > > Hi Bill, > > > > That certainly fits. Our program has completely separate teams which have > nothing to do with the recipient at all. It is explained to the donor that > any one of these team members are there for them and them only. They work > in different departments within the hospital. They do not speak at all the > recipient. I think we are fortunate to be able to do this. > > Thank you for sharing this. So, to answer Kim's question, can a s/p > transplant patient, if trained, be an advocate for someone not related? > Sounds like it IS possible.. > > > > Thanks Bill > > Hogan > Transplant Financial Coordinator > Lahey Clinic > 41 Mall Rd. > Burlington, MA 01805 > phone > fax > > Living Donor Advocate > > Hi. We are still having issues with finding a Living Donor Advocate > that is an employee of our Hospital, that is knowledgeble in > transplant, but who doesn't work with recipients. Our team was > discussing this issue last week and we may have a post tx patient that > would like to fill this roll. > > Do you think that would be ok according to CMS? > > What are your thoughts? > > Thanks > Kim > Transplant Financial Coordinator > Memorial Medical Center > Springfield, IL > > See our web page at http://www.lahey.org for a full directory of Lahey > sites, staff, services and career opportunities. > > THIS MESSAGE IS INTENDED FOR THE USE OF THE PERSON TO WHOM IT IS ADDRESSED. > IT MAY CONTAIN INFORMATION THAT IS PRIVILEGED, CONFIDENTIAL AND EXEMPT FROM > DISCLOSURE UNDER APPLICABLE LAW. If you are not the intended recipient, your > use of this message for any purpose is strictly prohibited. If you have > received this communication in error, please delete the message and notify > the sender so that we may correct our records. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 24, 2007 Report Share Posted October 24, 2007 > Thank you Bill and to all that responded! It is always GREAT to go into a meeting and know what you are talking about - which is what I was able to do this morning after reading the List Serve! I hope you have a easy going rest of your week! Kim Transplant Financial Coordinator Memorial Medical Center Springfield, IL HI Pat, > > We were told that a regular member of the team that says yes or no to a > potential recipient or potential live donor can not be the Donor Advocate. > > > > We do believe that a transplant recipient can be " trained " to be the donor > advocate just like a Chaplain or any other staff member. There is nothing > that says that they must be a " medical professional " . > > > > Hope this helps, > > Thanks, > > Bill > > > > _____ > > From: TxFinancialCoordinators > [mailto:TxFinancialCoordinators ] On Behalf Of Hogan, > > Sent: Wednesday, October 24, 2007 8:25 AM > To: TxFinancialCoordinators > Subject: RE: Living Donor Advocate > > > > Hi Bill, > > > > That certainly fits. Our program has completely separate teams which have > nothing to do with the recipient at all. It is explained to the donor that > any one of these team members are there for them and them only. They work > in different departments within the hospital. They do not speak at all the > recipient. I think we are fortunate to be able to do this. > > Thank you for sharing this. So, to answer Kim's question, can a s/p > transplant patient, if trained, be an advocate for someone not related? > Sounds like it IS possible.. > > > > Thanks Bill > > Hogan > Transplant Financial Coordinator > Lahey Clinic > 41 Mall Rd. > Burlington, MA 01805 > phone > fax > > Living Donor Advocate > > Hi. We are still having issues with finding a Living Donor Advocate > that is an employee of our Hospital, that is knowledgeble in > transplant, but who doesn't work with recipients. Our team was > discussing this issue last week and we may have a post tx patient that > would like to fill this roll. > > Do you think that would be ok according to CMS? > > What are your thoughts? > > Thanks > Kim > Transplant Financial Coordinator > Memorial Medical Center > Springfield, IL > > See our web page at http://www.lahey.org for a full directory of Lahey > sites, staff, services and career opportunities. > > THIS MESSAGE IS INTENDED FOR THE USE OF THE PERSON TO WHOM IT IS ADDRESSED. > IT MAY CONTAIN INFORMATION THAT IS PRIVILEGED, CONFIDENTIAL AND EXEMPT FROM > DISCLOSURE UNDER APPLICABLE LAW. If you are not the intended recipient, your > use of this message for any purpose is strictly prohibited. If you have > received this communication in error, please delete the message and notify > the sender so that we may correct our records. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 24, 2007 Report Share Posted October 24, 2007 Our donor advocate is somebody hired by the hospital on a contractual basis...I believe she is a LISCW. It is working out very well. Sherri Sbalbi Financial Counselor Division of Transplant Baystate Medical Center 300 Birnie Avenue-Suite 301 Springfield MA 01107 fax Living Donor Advocate> > Hi. We are still having issues with finding a Living Donor Advocate > that is an employee of our Hospital, that is knowledgeble in > transplant, but who doesn't work with recipients. Our team was > discussing this issue last week and we may have a post tx patient that > would like to fill this roll.> > Do you think that would be ok according to CMS?> > What are your thoughts?> > Thanks> Kim > Transplant Financial Coordinator> Memorial Medical Center> Springfield, IL> > See our web page at http://www.lahey.org for a full directory of Lahey> sites, staff, services and career opportunities.> > THIS MESSAGE IS INTENDED FOR THE USE OF THE PERSON TO WHOM IT IS ADDRESSED.> IT MAY CONTAIN INFORMATION THAT IS PRIVILEGED, CONFIDENTIAL AND EXEMPT FROM> DISCLOSURE UNDER APPLICABLE LAW. If you are not the intended recipient, your> use of this message for any purpose is strictly prohibited. If you have> received this communication in error, please delete the message and notify> the sender so that we may correct our records.> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 24, 2007 Report Share Posted October 24, 2007 Our donor advocate is somebody hired by the hospital on a contractual basis...I believe she is a LISCW. It is working out very well. Sherri Sbalbi Financial Counselor Division of Transplant Baystate Medical Center 300 Birnie Avenue-Suite 301 Springfield MA 01107 fax Living Donor Advocate> > Hi. We are still having issues with finding a Living Donor Advocate > that is an employee of our Hospital, that is knowledgeble in > transplant, but who doesn't work with recipients. Our team was > discussing this issue last week and we may have a post tx patient that > would like to fill this roll.> > Do you think that would be ok according to CMS?> > What are your thoughts?> > Thanks> Kim > Transplant Financial Coordinator> Memorial Medical Center> Springfield, IL> > See our web page at http://www.lahey.org for a full directory of Lahey> sites, staff, services and career opportunities.> > THIS MESSAGE IS INTENDED FOR THE USE OF THE PERSON TO WHOM IT IS ADDRESSED.> IT MAY CONTAIN INFORMATION THAT IS PRIVILEGED, CONFIDENTIAL AND EXEMPT FROM> DISCLOSURE UNDER APPLICABLE LAW. If you are not the intended recipient, your> use of this message for any purpose is strictly prohibited. If you have> received this communication in error, please delete the message and notify> the sender so that we may correct our records.> Quote Link to comment Share on other sites More sharing options...
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