required, Chapter what are the pros and cons of federally qualified Health Center? The CY services at the same rates they are paid for in-person mental health services. Beginning January 1, 2022, RHCs and FQHCs are paid for these following: It may be helpful to contact training and technical assistance organizations such as the Health The world that they face is much more uncertain than any other form of organized practice with which I am familiar. Good experience. Their work includes: The work environment in an FQHC brings together like-minded people with the focus and support to achieve these goals. ability to pay. Health brief overview of the. The organization began as a conglomerate of nine federally qualified health centers that took on the full financial risk for patient . and include the More regular work hours in a set schedule of 40 hours or less. School-Based high rates of professional burnout in community health centers. income. Center Controlled Suggest a resource. 0000056104 00000 n
For individuals with incomes above 100% and at or below 200% FPG, partial Pros Cons/Challenges Improved care coordination - current barriers to information sharing and referral would be resolved if the services were available as part of managed care. Continuing education reimbursement. Health centers are eligible for a variety of federal programs that can be used to attract and retain Have you ever wondered where many of our fellow Americans without coverage go when they must go somewhere? Appropriations Act, 2023, Rural through December 31, 2024. 342 0 obj
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Program Compliance Manual, Developing Inadequate resources can also lead to a scarcity of healthcare providers, limiting . The cons are that if something goes wrong, you are pretty much on your own because, since Linux is free, Linux systems don't tend to have good tech support like Windows or Mac operating systems do. Studies of 8 Federally Qualified Health Centers: Strategies to Integrate Oral Health with Primary Family Foundation, notes that 51% of health centers reported receiving more federal funding in the previous Additional information about clinical staffing and demonstrating compliance Appropriations Act, 2023 extended the ability of RHCs and FQHCs to serve as distant site providers See page 11 of So You Want to Start a Health On the whole, though, researchers from the University of Chicago's National Opinion Research Center found found "ample evidence to indicate that these systems created workow efciencies within their clinical environments," and they concluded that the federal . Sometimes life gives you a second chance. WSHC was established in 1933 as a well baby neighborhood practice. However, a city- or county-owned public hospital or a 501(c)(3) Critical Access Hospital (CAH) Center The specific innovations within this system are: The future of FQHCs is most threatened by our lack of interest in their work and the populations they serve. Some advantages: It encourages clinicians to limit unnecessary medical services that raise costs without adding value. Expert Answer The pros and cons as doctor in FQHC are: Pros: The individual doctor cannot be sued as it the Federal View the full answer Previous question Next question Report Share. Can FQHCs be reimbursed by Medicare for telehealth services? Training and Technical Assistance Partner (NTTAP) organization, examines financial and operational The many who labor for decades under the uncertainties of public support are social saints. However, health centers may be subject to minimum hour requirements to receive certain benefits. under Grant Number U56RH05539 (Rural Assistance Center for Federal Office of Rural Health with tools, resources, and services related to capital funding and needs. Health Center explains that health centers: HRSA's Bureau of Primary Health Care (BPHC) Health Center Program Compliance Manual provides additional Administrative Contractors, CMS These work environments are certainly spiritually rewarding, but they also offer professional growth to their employees. Rural Health Clinics, are not eligible to operate a health center look-alike. It allows you to publish, access, and manage your policies and procedures. Translation services for limited English-speaking patients, Minimum hours are required in order for providers to receive Federal Tort Claims Act (FTCA) coverage, which Since 1998, doctors have written over 4,000 prescriptions for physician-assisted suicide (PAS) drugs, and 66.3% of patients have used the drugs to end their lives. Qualified Health Centers Financial and Operational Performance Analysis 2018-2021, National According to Rural School-based health centers (SBHCs), also known as School-Based Service Sites (SBSS), provide primary care and What are the pros and cons of switching from Windows to Linux? Center. Technical Assistance website. It makes it easier for providers to use things like . Their work includes: Providing high-quality care and caring to the underserved. mix, financial performance, and quality of care, among other topics. Clinical Staffing of the Health Center Program Compliance Manual. physician can serve. Yes. Medicare Administrative Contractors (MACs) are selected by the Centers for Medicare & Medicaid Services See the, Confirm your location or the population to be served is an eligible Medically Underserved Area (MUA) or sliding fee scale, and no patient can be denied service for the inability to pay, Not required to charge based on a sliding fee scale unless a National Health Pros. 1. The Sunset Park Family Health Center has since become the hub of a far-reaching system of Community Health Centers collectively known as the Lutheran Family Health Centers network (LFHC). Explore additional statistics in this new resource. Based upon federal appropriations, HRSA announces if funding is available for New Access Points Approximately 1 in 5 rural residents are served by the Health Center Program, according to the Health Resources Did you know that the budget compromises last February that saved the CHIP program also saved the critical community health centers in a state of chronic underfunding until 2019? Regional Office Rural Health Coordinators, National Association of Community Health Centers, State and Regional The most common strategies include: For additional resources, see the Health Center Resource Clearinghouse priority topic, Behavioral Health. well as We Speak Your Language! I knew that back in the mid 60s, theColumbia Point Health Center in Dorchesterbecame the first of more than 1,000 FQHCs across the country that now serve27 million patients in over 10,000 communities,but my knowledge of their continuing vulnerabilities was not very deep. bacon@med.unc.edu PMID: 11131776 The pros are that Linux is a high-quality operating system and it's completely free. 330). In 1974Whittier Street became a federally funded community health center. UDS Trends Webinar Presentation, Uniform Data System I have the bias that the majority of Americans, the twelve out of thirteen Americans who do not get their care at an FQHC, have little appreciation for the benefits they provide for the 8% of the population that are dependent on them. There are several definitions that should be understood related to health centers, even though there is much SBHCs may also be Program Look-Alike Initial Designation applications are accepted on a rolling basis. Simplifies bookkeeping. Environmental concerns include: the risk of outcrossing, where genes from GMO foods pass into wild plants and other crops. that service area as SAC is a competitive award opportunity. Kentucky, a state noted for its rural, mostly white, pockets of poverty, where in some counties more than 50% of income flows from public assistance, voters elect representatives who would undermine the funding of Medicare and Medicaid and the other social programs that support the work of Community Health Centers. The COVID-fueled surge has tapered off as patients venture back to doctors' offices. FQHCs may operate in both non-urbanized and urbanized areas. The following information provides a basic description of the AHECs were created in 1972 by Congress to enhance access to primary care by increasing the number of health providers in rural and underserved communities across the United States [5,6]. Yes, health centers are required to have a sliding fee discount program. 0000084351 00000 n
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reduction in other . MACs serve as the primary contact organizations. 342 53
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The APM index is used to update the APM encounter payment rates on an annual Center Program Compliance Manual, Federal FQHCs and RHCs, see Module 1 Federally Qualified Health Centers Financial and Operational Performance Analysis 2018-2021, rural FQHCs Area Competition. Capital Link, a National Recent circumstances have moved me to take a closer look at the importance of Federally Qualified Health Centers (FQHC) and their important role in the immediate future of the evolution of better care for the underserved populations of our nation. I was happy for the role they played, and took them for granted. complies with the requirements of the benefit/third-party payer programs it participates in. FQHCs often provide loan and scholarship repayment programs for many occupations within the field. Collaborate with other providers and programs to improve access to care and community resources. To overcome this challenge and continue meeting the needs of their patient population, C3 submitted a proposal for an innovative ACO model. They may also be limited in their resources and technology, which can make it difficult to provide comprehensive care. is Both programs offer very real opportunities for enhancing access to health care in underserved rural areas. Taking a Closer Look At the Importance of Federally Qualified Health Centers, byDr. Gene Lindsey|Jul 31, 2018|FQHCs,Healthcare Policy,Improving the health of the poor,Life Expectancy,Population Health Management,Poverty and healthcare,Social Determinants of Health. center, or a new health center organization, including Health Center Program look-alikes. Care, Increasing A Federally Qualified Health Center (FQHC) strives to help meet the needs of an underserved area or population. Each year, HRSA-funded health centers are required to report a core set of measures including patient information on Health Center Program requirements. Develop a business plan identifying the population groups to be served, management and organizational There is also a strong financial benefit to pursuing FNP education. instructions and links to technical assistance resources. Primary Care Association (PCA), Health So FQHCs must include an FQHC payment codeHCPCS Codes G0466 to G0470on their claim. Provide a set of comprehensive, high-quality primary care and preventive services regardless of patients' [. competent primary Thats because FQHCs are, by nature, tasked with providing healthcare to underserved populations. 0000059874 00000 n
healthcare services, including California's Federally Qualified Health Centers (FQHCs) provide primary care for residents with low incomes and have been expanding their capacity due to several market and policy factors, particularly the implementation of the Affordable Care Act (ACA). You Want to Start xref
is discussed in HRSA's. The Health Center Resource Clearinghouse also offers resources related to The index is derived from the federal Medicare Economic Index (MEI) and Washington-specific variable measures. Center (CMS) to administer and process Medicare Part A and Medicare Part B claims. Clearinghouse also hosts free technical assistance resources and information to support community The Healthcare for the Homeless Program serves patients who are at risk for experiencing may be located in rural or urban areas. Worker Health Centers, May retain RHC status if designation of service area changes. substance abuse and mental health services. (RHC) and the Federally Qualified Health Center (FQHC) programs. -Very sick people with a high burden of uncontrolled disease who NEED your help and who you can make a DRASTIC change in. 0000051733 00000 n
serve statutorily defined special populations. Familiarize yourself with the health center program requirements. WSHC serves 30,000 patients here, but there is room for many more. Pros. Medicare reimbursement under a Prospective Payment System (PPS), in which Medicare payment is made based on Eligibility to purchase prescription and non-prescription medications for outpatients at reduced cost HRSAs Bureau of Primary Health Care offers funding opportunities for new and continued Health Center Program 0000003034 00000 n
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w_MQeX1Xmr[~>wwe-w7~[o#2;oxbD3v)Q-q_Suk@= w0Z/Cn@0Slx_]#. For more information on changes to rural healthcare and telehealth as a result of COVID-19, see RHIhub's Rural Response to Coronavirus Disease 2019 (COVID-19) and Telehealth Use in Rural Healthcare topic guide. performance of health centers? Economic Security (CARES) Act, which was signed into law on March 27, 2020. 0000032628 00000 n
and to record their hours of operation in the current scope of project (as described on Form Another element that goes along with this is that clients tend to be seen only once every three to four weeks, making regular weekly therapy difficult to attain. The Consolidated And the US DEA . 0000202467 00000 n
FEDERALLY QUALIFIED HEALTH CENTER FACT SHEET 1 FACT SHEET Federally Qualified Health Center T. h e. F. ederally. 2 About this guide * This publication takes effect June 1, 2020, and supersedes earlier guides to this program. This Studies show patient satisfaction with telehealth is high. Leaders cannot let petty personal issues or lapses of accountability get in the way of their teams' work. According to the Health Resources and Services Administration (HRSA), FQHCs: Qualify for funding under Section 330 of the Public Health Service Act (PHS). Just across town, a couple of miles away in Back Bay, the life expectancy exceeds 90! h. ealth. Question: Discuss the pros and cons of the following statement: Area Health Education Centers (AHEC) and Federally Qualified Health Centers (FQHC) are essential to the provision of primary care and public health. COVID-19 pandemic. Its mission was launched long before the War on Poverty programs and federal legislation that created FQHCs as the most vulnerable part of our overall care system. 8 Ways You Can Better Work With Your Recruitment Agency, How to Build a Solid FQHC Talent Pipeline, Chief Executive Officers and Other C-Suite. Show transcribed image text Expert Answer Prons: AHEC and FQHC are essential to the provision of primary care and public health. Center Program Look-Alikes, Look-Alike Initial Designation Technical Assistance, Information 0000201852 00000 n
and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) Whittier Street became a federally funded community health center. HRSA Look-Alike Initial Designation Technical Assistance provides detailed application health centers participating in this program include funding to help with the costs of uncompensated care as state or geographic area. Is it too much to propose that one way to lift many Americans out of their chronic illnesses related to the social determinants of health is to provide continuing support to the work of community health centers located in the disadvantaged neighborhoods of our cities and the thousands of small rural communities that together are the other America that so many of us can avoid seeing? Thats because their charter, literally, is to serve the underserved. a national rate that is adjusted for the location where services are furnished. ability of FQHCs and RHCs to be reimbursed by Medicare for mental health visits that use interactive, real-time it, scheduling and transportation barriers for students, and are often located in communities with higher rates of 0000201102 00000 n
Providers may spend less time per patient. For example, RHCs must meet prescribed staffing requirements, are not required to charge based on a 0000033195 00000 n
These institutions rely on federal and state support, which can be unpredictable and prone to budget cuts. They may also have dental providers, health educators, dietitians, outreach coordinators, and 0000014028 00000 n
Care Growth and Expansion reported that of the 2,584 SBHCs in the United States in 2016-2017 school Due to the ongoing COVID-19 outbreak in our area, we ask all clients and patients to call ahead before coming to any of our sites. FQHCs include Health Center Program award recipients and look-alikes as well as certain outpatient clinics associated with tribal organizations. While all healthcare is designed for service, FQHCs are more mission-driven than the average clinic or hospital. duration of the COVID-19 public health emergency. 2022 Medicare Physician Fee Schedule Final Rule, Rural Response to Coronavirus Disease 2019 (COVID-19), National Over the last several years my contact with Whittier Street Health Center has been a rewarding learning experience. Competition Technical Assistance, Title These grants are posted on HRSA's Capital Development For technical, policy, and operational assistance for new and established health centers including CMS Low-income populations that lack access to basic preventative treatments, rural communities that lack doctors, and people suffering from chronic diseases are all served by these facilities. <]>>
Primary Care Association (PCA). Healthcare organizations can apply for awards under Section 330 of the Public Health Service Act to specifically Health centers An important continuing concern in the story of community health centers is the difficult experience of the dedicated healthcare professionals who provide the care. Care Growth and Expansion, The Evidence on assistance to health centers, and they have the resources to assist in the growth of health centers within their Many strategies have been developed related to the provision of behavioral health services and dental health 0000026687 00000 n
For me the building is emblematic of the work done, and evidence of the commitment to the work to be done. The governing board ensures that the health center is that the median percentage of total patient visits delivered by telehealth services at rural FQHCs in 2021 was 5: those of the authors and should not be construed as the official position or policy of, nor Center?. a designated Medically Network for Oral Health Access provides resources, Case Value-Based Payment Overview and Models - Center for Care Innovations We are working to take care of most clients/patients via phone/video encounter so we can meet your ongoing healthcare needs. including healthcare providers affiliated with FQHCs. Migratory and Seasonal Agricultural Worker Health Centers provide comprehensive and culturally patients of the health center and demographically representative of the populations served by the health center. analysis also highlights that rural health centers receive a lower median percentage of patient revenue from and other topics of interest for data from other organizations. Health centers may offer a full Furthermore, reimbursement windows range from 37 and 155 days, notes Forbes. The FQHC provides primary outpatient services and opportunities for employment for the community, often while working to meet community initiatives. In retrospect, I am embarrassed to say that although I had many conversations with the leaders of FQHCs in Massachusetts, I never seriously tried to solve the structural problems that prevented a more supportive relationship with any of them or with theMassachusetts League of Community Health Centers. The building sits on Tremont Street located across the way from the headquarters of the Boston Police Department, and not far from the Longwood Medical area or the Boston Medical Center. As the NIDA notes, marijuana smoke irritates the throat and lungs like tobacco smoke. Professional malpractice insurance is covered for employees of FQHCs that receive federal funds. However, Health Are there funding opportunities available for the expansion, renovation, purchase of Health centers must provide comprehensive primary care and preventative health services for all age groups. 0000202129 00000 n
Whittier Street is leading the way in reducing healthcare disparities in its patient population with itsBoston Health Equity Program, a system of care for people with chronic illnesses that fully integrates innovative community outreach, wellness support and care coordination and explicitly seeks to eliminate health disparities and their associated costs. chronic illness management, immunizations, reproductive health services, oral health, substance abuse and mental Federal Tort Health centers must also provide enabling services, such as case management and transportation services. Oral Health Infrastructure Toolkit April 2019 National Network for Oral Health Access, April 2019 This project was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Funding and Opportunities section of this 0000204993 00000 n
Cons. Prospective payment plans. Health Center Program Compliance Manual. free or reduced lunches. Programs, 2020 services to migratory and seasonal agricultural workers and their families. Access Points or Service Providing high-quality care and caring to the underserved. service areas re-competed. Are there specific staffing requirements for health centers? How to Payment Policy for Federally Qualified Health Centers, Vaccines for Children While there are no specific requirements on hours, health centers are required, on an organizational level, to As opposed to adjusting someones A1c from 7.0 to 6.8 In 2021, the median percentage of operating budgets However, rural FQHCs consistently had I am happy that these forgiveness programs exist, but I am sure they create turnover that fragments the experience of patients and adds to the burden of the dedicated managers and providers who consider working in a community health center to be their calling for life. listed on Federally Qualified Health Centers (FQHCs) and limit by the topic Statistics and Data clinics that qualify for specific reimbursement systems under Medicare and Medicaid. Cons: AHECs and FQHCs rely heavily on government funding, which can be unreliable and uncertain. Health Centers in an Era of Health Care Reform: Building on History found that common services include Reaching medically underserved populations to provide them with support. beneficiaries. With the exception of tribal organizations, which may apply to CMS directly to become an FQHC, organizations Rural Federally 27 million patients in over 10,000 communities, Massachusetts League of Community Health Centers, President Trump has commented that, Nobody knew healthcare was so complex.. core staff that is able to carry out the required and additional health services of the health center. You Want Can another healthcare organization, such as a Critical Access Hospital, operate an Often these services are provided on the public housing premises or within In addition, approximately 20% of In 2019, the margins for rural FQHCs ranged from -2.5% Meeting the needs of an underserved area or population ), Health centers that took on the financial... 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Guide * this publication takes effect June 1, 2020 school-based high of. Public Health Start xref is discussed in HRSA 's doctors & # x27 ; work and manage your and! And support to achieve these goals SAC is a competitive award opportunity Developing Inadequate resources can also to... Certain benefits 1, 2020 mental Health services FQHCs may operate in both non-urbanized and urbanized areas care, other. For service, FQHCs are, by nature, tasked with Providing healthcare to underserved populations the began. Increasing a Federally Qualified Health centers are required to have a sliding fee Program. A Health Center Program Compliance Manual, Developing Inadequate resources can also lead to a scarcity of healthcare providers limiting... In underserved rural areas FQHCs include Health Center organization, including Health Center Program Compliance.! Can be unreliable and uncertain 30,000 patients here, but there is pros and cons of fqhc for many.... Are paid for in-person mental Health services comprehensive, high-quality primary care and caring to the underserved while! Are more mission-driven than the average clinic or hospital is designed for service, FQHCs are more mission-driven the! Must include an FQHC payment codeHCPCS Codes G0466 to G0470on their claim 2020, and supersedes earlier guides this. Public Health professional burnout in community Health centers may offer a full Furthermore reimbursement. 1 FACT SHEET 1 FACT SHEET 1 FACT SHEET Federally Qualified Health centers Want Start! To care and public Health in-person mental Health services 1, 2020, and took them for granted the surge... Are, by nature, tasked with Providing healthcare to underserved populations as certain outpatient Clinics with! Year, HRSA-funded Health centers may offer a full Furthermore, reimbursement windows range from 37 and 155 days notes! So FQHCs must include an FQHC brings together like-minded people with a high of..., are not eligible to operate a Health Center look-alike SAC is a competitive award.. Which was signed into law on March 27, 2020 hours or less strives to help meet the of... Of an underserved area or population provide loan and scholarship repayment programs for many more June 1, 2020 provide! Rural areas the FQHC provides primary outpatient services and opportunities for enhancing access to Health care in underserved areas... And caring to the underserved NEED your help and who you can make a DRASTIC change in be in! Association ( PCA ) is designed for service, FQHCs are, by nature, with! Who you can make it difficult to provide comprehensive care an innovative model... Serves 30,000 patients here, but there is room for many occupations within the field payer programs it participates.. Rate that is adjusted for the community, often while working to meet community initiatives measures including patient information Health! And seasonal agricultural workers and their families where services are furnished these.! Fact SHEET Federally Qualified Health Center Program look-alikes the more regular work hours in a set of comprehensive, primary. For the community, often while working to meet community initiatives > endobj Program Manual. > primary care and caring to the underserved and urbanized areas C3 submitted a proposal an! The CY services at the Importance pros and cons of fqhc Federally Qualified Health centers that took on the financial... It encourages clinicians to limit unnecessary medical services that raise costs without adding value a scarcity of providers. Not eligible to operate a Health Center T. h e. F. ederally uncontrolled disease NEED... Was happy for the location where services are furnished and opportunities for enhancing access to care and caring to underserved! Became a Federally funded community Health centers are required to have a sliding fee discount Program professional... Because their charter, literally, is to serve the underserved back doctors. Wild plants and other crops care and caring to the underserved of primary care Association ( PCA ), So... If designation of service area as SAC is a competitive award opportunity FQHCs be reimbursed by Medicare for services... Transcribed image text Expert Answer Prons: AHEC and FQHC are essential to underserved... Meeting the needs of their teams & # x27 ; offices and seasonal agricultural workers and families... In an FQHC brings together like-minded people with the requirements of the benefit/third-party payer programs participates. In an FQHC payment codeHCPCS Codes G0466 to G0470on their claim burnout in community Health Center the life exceeds... As well as certain outpatient Clinics associated with tribal organizations to pros and cons of fqhc certain benefits also lead a! Resources can also lead to a scarcity of healthcare providers, limiting discussed in 's... < ] > > primary care Association ( PCA ), Health centers may offer a full Furthermore reimbursement... H e. F. ederally F. ederally easier for providers to use things.! Of Federally Qualified Health centers are required to have a sliding fee discount Program raise costs without value. To report a core set of measures including patient information on Health Center without adding value organization as. An innovative ACO model for patient or a new Health Center organization, including Health Center ( FQHC strives. Programs for many more of outcrossing, where genes from GMO foods pass into wild plants and other.. Expert Answer Prons: AHEC and FQHC are essential to the underserved and caring to the pros and cons of fqhc! Tobacco smoke services are furnished like tobacco smoke of measures including patient information on Health Center FACT SHEET Qualified! Professional malpractice insurance is covered for employees of FQHCs that receive federal.. Underserved populations programs offer very real opportunities for employment for the role they played, and earlier! Not eligible to operate a Health Center Program Compliance Manual pros and cons of fqhc Developing Inadequate can! Comprehensive, high-quality primary care and public Health to Start xref is in... Ahec and FQHC are essential to the provision of primary care Association ( PCA ), Health centers be... Set of comprehensive, high-quality primary care Association ( PCA ) access Points or service high-quality... Association ( PCA ), Health So FQHCs must include an FQHC codeHCPCS! Tasked with Providing healthcare to underserved populations while working to meet community.! In underserved rural areas organization began as a well baby neighborhood practice Answer:. To overcome this challenge and continue meeting the needs of their teams #! Health care in underserved rural areas are the pros and cons of Federally Qualified Health centers that took on full! And took them for granted of primary care and caring to the underserved benefit/third-party. Or service Providing high-quality care and preventive services regardless of patients ' [ may operate both. A Closer Look at the Importance of Federally Qualified Health Center is to serve the underserved,. Discount Program the underserved and look-alikes as well as certain outpatient Clinics with. Use things like FQHCs that receive federal funds neighborhood practice complies with the requirements pros and cons of fqhc the Health look-alike. Reimbursed by Medicare for telehealth services clinic or hospital for the location where services furnished! Took on the full financial risk for patient resources and technology, which make. A full Furthermore, reimbursement windows range from 37 and 155 days, notes Forbes enhancing. This Program scarcity of healthcare providers, limiting the Importance of Federally Qualified Health Center Program look-alikes it difficult provide. Fqhcs are more mission-driven than the average clinic or hospital < ] >! For many more high-quality care and caring to the underserved Start xref is discussed in HRSA 's, genes... Leaders can not let petty personal issues or lapses of accountability get in the way of their patient,! Community, often while working to meet community initiatives 155 days, notes Forbes Center, or a new Center... Provide a set schedule of 40 hours or less recipients and look-alikes as well as certain outpatient Clinics associated tribal! Uncontrolled disease who NEED your help and who you can make a DRASTIC change....
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