ࡱ> '$%&`!V(l0`_[xRMKQ=͌fp! 7- tQP-#j,)PAnkHԺ;q ja܏ysߌBpĐy"24WqV4j+kr6&JDz(by%'QJrK_PXOr䦾fnƲeh{K&-PNG  IHDR+kgAMAPLTEckks!!s!!{11{11JBJBZRZRkckc{sƭνRtRNS pHYsttfx dIDATx],^DZcs=Xi*ه" 5GIl}/[r;Ik#thnMthn$vp_ ݯWn+7ܞu#-$n -()]>-aԊ7J԰,ƶ~nS(XP?2Uͻ6L1m&݂niR؜ƭke:_-t@Kv})n'7m'v': -9X)%ZՐpԘtJ.˲tߓzlG>*_VԞԦ"K&ﻡG٠ dρq!a#b[,ؒH=cm)ERh:v]JNz-[Ug8 mS+0氵"2c*Q)}A:ZI~,:u`#63HNݺvE/X>_qq^>Y[9blVI>)5ے'zƁzxX~U(N@GvuaCR[Hh?]sjU۩Fǻp4jbmvWas3ivm2yh Ke9XH (Kŗԥ.hM Vze:;G=~кݼߋp?X &aݯvp_ ݯWnJR!أ(x bܼrN%T9__z1+S,zmvY]'ZyM¹8ԙ#!Y[|mLfhP_vMZtj߶Oq7ݼ(ϰGT0=A5[bE3rS[b~ 'a3e\8y&JY_z;vM-,1H%`b]6I%F2,2R?tXbͥeѾwkA8w(e-V_3m{B /2̯0:5fAG~ }lԤur4~h_yЏg?hHKhyS=Ĕh)u)qUBȜqϷޡ>Zu,ADzk:0/-9=ը";c̷xmAXΨUp{2E+5Hy>*z%!Ϸ=,-3Ud-wl6%!i<e?1݉[:<CƭUhЫݎk1ғ*gnӡp~m ܒE5믠:2)n?KUo2k4jun3ֵ{`\i 3KbYuAW4İ">.\so2zJ^}űZ:Ӹ)"e*ȇ"bXdc'C?L&,6E~Y2:Fwٓq{AFkș@J

yrTܾWcۭyR]n|thnMpOn+2P´T6TޑոE R m}[m4DN{xD% VRD!BM<[ڪn^,tAg {YQR<>g4֕BGw\W3' |tknHCg,>ŤH(Bx0TOK#x-ƬP;* /n|рD(ǨF2eJǹn;Idm2։ VKc8]_ pj4U8RJ;kMmĻc?9Q[$J d)0b_dRsV^]YNT0:R%g!8)5.15U '+u#|<}8ƳD#"٢I03ɟNdd2Z|kZ[s>bU&Q nn2ͷ8c3"Rgu #/^rO E4 zi>`۞75orɤCi'*XB 6R?rƦ'p뀫[ ZCU}^8"b3:Q CoqzU0Ow AS(Vwc,şa;)ݲo 7| dSm2}6<Gw\[劶N pG+Ee$LȦk? ,boI]0%&ͭpbeY3<[K36v Kк3[׮ HRcT0|c,e+Zq0_Tu/^q/Ix_ +\Eݜ[kA!mthn$vp_ ݯ >y2荸wrY[T' Q}j{zQ'ȳH^_ >A{[ƣo92bRk9[IL)uɟnۅԬUU)%c['3z[J;ەRկ?ܢ_9o'L08iH}C]7ǭ;E/hĘK>Wa/Ӭl.lFSK}][$9}﷯|qw)r*v{>:N?ۀ[o@ݯWn+J~%vp_ ݯWQ[{ ݯg!aªIENDB`(H(@  | -Picture Word.Picture.80,Microsoft Word Picture0)$Photo Editor Photo MSPhotoEd.30@Microsoft Photo Editor 3.0 Photo/ 0DTimes New RomanL|dv 0|( 0DMonotype SortsL|dv 0|( 0 DArialpe SortsL|dv 0|( 0" ` .  @n?" dd@  @@`` h4   C/X2$V(l0b$Ʋeh{K&-C x1? q~@8,g42d2dv 0pp p  <4BdBd 0,<4!d!d 0,g4-d-dv 0ppp pG©ʚ;2Nʚ;<4dddd{ 0:2___PPT9/ 0? %O =/ N  ` 3` y3` ___>?" ddn2?nKdin[ d97P nEnA@ 9 dw n?" dd@   @@``@n?" dd@  @@``PZ < 7 n    ` p>PE933>E93.. % ~ v  ( >  L   # 0H(     BC DE F f11? @0    BCYDEF f11?X @  Nd ? 3F  RImproving Patient Access in a Family Practice Clinic at an Academic Medical CenterS S.  Ht ? F$  RClick to edit Master text styles Second Level Third Level Fourth Level Fifth Level!     S8  C x@CC1 ?$ff'  x* 2(n77nn :  C xpCC1 ?$f/'   z*(2(n77nn :  C x CC1 ?$3B'  z*(2(n77nn x   `dΔ>? ? 3 Embossedu      P q( d L ? #  0H(    BCDE F f11?@   BC DEF f11?  @?  N ? FM  T Click to edit Master title style! !  H\ ?fAp  W#Click to edit Master subtitle style$ $<  C xCC1 ?$ff'  |* 2(n77nn >  C xCC1 ?$f/'   ~*(2(n77nn >   C xDCC1 ?$3B'  ~*(2(n77nn x   `dΔ>? ? 30 @8(  Mw(    f1 ?    X*    flƑ1 ? @   Z* d  c $ ?JP  L   fɑ1 ? @0  RClick to edit Master text styles Second level Third level Fourth level Fifth level!     S   # l͑1 ?   X*   # l,ӑ1 ? @  Z* H  0.k ? ̙33ˈ {s/ ˇ(   /  `X>1?O7|E : 2  v%  `A1? 7E : 2 q   fdD1?DA1  qImproving Patient Access in Family Practice at MetroHealth Medical Center Catalyst Initiative Improvement ProjectNJ02(82J6',6  # lA ?1?]F    fK1?  U MBackground Patient survey showed patient dissatisfaction with access MetroHealth leaders received complaints about access Demand exceeded supply. Attending physicians were scheduling 3 months out. National interest in Open Access< $% m    fO1?S +  }Aim To make appropriate access available when the patient wants it. To improve patient access To improve patient satisfactionh$@%:%@:m   fi1? W#4 First Improvement Cycle Analyzed Epic access reports and patient satisfaction data Listened to comments made by staff, patients, and providers Eliminated separate  Urgent Care half-day sessions  Carved Out urgent care slots (30% per session in each provider s schedule)<$%=   fy1?@Wq4 AFinal Improvement Cycle Revised templates created with 50% of slots to be filled within 2 weeks of the appointment. (Access Slots) Revised templates with 10% of slots to be filled within 1 day. (Urgent Slots) Education and feedback with clinical staff and physicians about the new process Information letters to patients<$*%+&F 6kE( ' 6kE&B  3 ;b!f<e"B  3 7kE&BB  3 47$dE$BB  3 47#dE#BB  3 47"dE"BB  3 47!dE!BB  3 47 dE BB  3 47dEN   S 7eE&N ! S `8e!e9&N " S <"=&N # S A:#B&N $ S 3fd9 j:&N % S 3f="?&N & S 3fB#C&N ' S i: p;&N ( S ?\" @&N ) S Cp$D&BB * 3 477&BB + 3 47&7&BB , 3 47$7$BB - 3 47#7#BB . 3 47"7"BB / 3 47!7!BB 0 3 47 7 BB 1 3 477BB 2 3 47&dE&BB 3 3 47&7&BB 4 3 42<&3<&BB 5 3 4@&@&BB 6 3 4dE&eE&B 7 3 :B 8 <L:?Bu i)Family Practice: How would you rate how$*) B 9 3 :mB : <ȇ:q.B h( long you waited to get an appointment? $)( B ; 3 8 R9Y! < <48 :9U! C43%$ B = 3 2=;"=" > <2=>"=" C31%$ B ? 3 A"~B.# @ <얇A"hB)# C26%$ B A 3 9 V:  B <ț9 @:  C47%$ B C 3 7>">" D <7>"">" C32%$ B E 3 BM#C# F <BO#mC# C21%$ B G 3 :K \;  H <\: E;f  C51%$ B I 3 & B0%$ B O 3 6$70% P <̽6$m7+% C10%$ B Q 3 6#7$ R <‡6#m7$ C20%$ B S 3 6"7# T <LJ6"m7# C30%$ B U 3 6!7! V <`̇6!m7! C40%$ B W 3 6z 7  X <Ї6} m7  C50%$ B Y 3 6i7 Z <ԇ6km7 C60%$ B [ 3 `8K&;& \ <؇_8N&;& UExcellent + Very Good$ B ] 3 $>K& ?& ^ <݇$>N&>& DGood$ B _ 3 UBK&D& ` <UBN&C& K Fair + Poor$  H a C 4b?E!N b S ??' B c 3 ?9DA  d <d?CL  [01/01/01 - 05/31/01 N=256$ N e S 3f?T ? B f 3 ?@ zC  g <?B C  [06/01/01 - 01/31/02 N=260$ N h S ? ? B i 3 ? eC  j <? C  [02/01/02 - 10/31/02 N=128$ B l 3 7N'~B(B m 3 7\'@' n <7&@V' w9Source: Quality Data Management Patient Satisfaction Data":9  P  f 1? W2a& Results Patient Satisfaction Improved Average Days Appt Made to Appt improved from 18 days to 9.9 days Average Days until 4th Available Slot improved from 11 days to 6.7 days<$% BB   f1?O2i How did we measure Success? Gathered Quality Data Management - Patient Satisfaction data: - How would you rate how long you waited to get an appointment?@@%FO   f,1?WII/C  WGathered data from Epic on: - Average Days - Appt Made to Appt - Fourth Available Slot6%3;;u   f!1? @9$ yTeam Members Shawn Freeman, PSR Leslie Griessing, Cluster Support Assistant Cheryl Jakovcic, RN, Operations Director Laura Lang, Epic Project Leader, Information Services Kathleen Marko, RN Catherine Rutti, MBA, Administrator Mary Jo Slattery, RN, NP, Clinical Coordinator, Nurse Practitioner of Geriatrics Ethel Smith, MD, FPC Physician Stephen Zepp, Catalyst Project Manager< $m% nj  3 ,7?H j,Source: Epic Clarity Report: TURNAROUD TIMES"-,   o%  f 11? 6PF  : 2 ?8 q7 D  A& 7E.< y% # 7 DH z% C 7 D<B {% # 7 7<B |% # q77<B }% # q77<B ~% # q77<B % # q7 7 <B % # q7 7 <B % # 7D<B % # 77 <B % # B8C8 <B % # 99 <B % # 99 <B % # }:~: <B % # ;;<; <B % # ;; <B % # << <B % # u=v= <B % # 4>5> <B % # >> <B % # ?? <B % # n@o@ <B % # ,A-A <B % # AA <B % # BB <B % # gChC <B % # %D&D <B % # DD BB % 3 V7m8BB % 3 V8gb9mBB % 3 Vb9g :mBB % 3 V :m:tBB % 3 V:*;tBB % 3 V; Z<*BB % 3 VZ< =BB % 3 V==BB % 3 V=>BB % 3 V>S?BB % 3 VS?@BB % 3 V@@BB % 3 V@A BB % 3 VA LBBB % 3 VLB CBB % 3 V CCCBB % 3 VCCDyBB % 3 77S8TBB % 3 78Sb9TBB % 3 7b9S :TBB % 3 7 :S:TBB % 3 7:S;TBB % 3 7;SZ<TBB % 3 7Z<S=TBB % 3 7=S= BB % 3 7= >BB % 3 7> S?BB % 3 7S? @BB % 3 7@ @BB % 3 7@ ABB % 3 7A LBBB % 3 7LB  CBB % 3 7 C CBB % 3 7C DB % 3 78B % 3 898B % 3 K8l8B % 3 ~88B % 3 88B % 3 88B % 3  9*9B % 3 <9]9B % 3 b99B % 3 99B % 3 99B % 3 9:B % 3  :@:B % 3 S:s:B % 3 ::B % 3 ::B % 3 ::B % 3 ;1;B % 3 D;e;B % 3 w;;B % 3 ;;B % 3 ;;B % 3 <#<B % 3 5<V<B % 3 Z<{<B % 3 <<B % 3 <<B % 3 <= % zBC/DEF(/  @`=0= % zBC/DEF)/ @`4=G= % zBC/DEF)/  @`G="c=Q % zBC/DEF(/  @`c=_= % zBC/DEF(/ @`== % zBC/DEF)/ @`==  % zBC/DEF)/  @`=!=P % zB CDEF  @`=^=rB % 3 =k=rB % 3  >k*>rB % 3 =>k]>rB % 3 p>k>rB % 3 >k>rB % 3 >k>rB % 3 >k?rB % 3 .?kO?rB % 3 S?kt?rB % 3 ?k?rB % 3 ?k?rB % 3 ?k @rB % 3 @k2@rB % 3 D@ke@rB % 3 x@k@rB % 3 @k@rB % 3 @k@rB % 3 Ak#ArB % 3 6AkVArB % 3 iAkArB % 3 AkArB % 3 AkArB % 3 AkBrB % 3 'BkGBrB % 3 LBkmBrB % 3 BkBrB % 3 BkBrB % 3 BkCrB % 3  Ck+CrB % 3 =Ck^CrB % 3 pCkCrB % 3 CkCrB % 3 CkCrB % 3 CkDrB % 3 /DkODrB % 3 bDkDrB % 3 7 8B & 3 8 98B & 3 K8 l8B & 3 ~8 8B & 3 8 8B & 3 8 8B & 3  9 *9B & 3 <9 ]9B & 3 b9 9B & 3 9 9B  & 3 9 9B  & 3 9 :B  & 3  : @:B  & 3 S: s:B  & 3 : :B & 3 : :B & 3 : :B & 3 ; 1;B & 3 D; e;B & 3 w; ;B & 3 ; ;B & 3 ; ;B & 3 < #<B & 3 5< V<B & 3 Z< {<B & 3 < <B & 3 < <B & 3 < = & zBC/DEF(/  @`= 0= & zBC/DEF)/ @`4=*G=Y & zBC/DEF)/ @`P=mc= & zBC/DEF(/  @`c== & zBC/DEF(/  @`==  & zBC/DEF(/  @`=)=X !& zBC/DEF)/ @`=l= "& zB C DEF  @`==B #& 3 ==B $& 3  >*>B %& 3 =>]>B && 3 p>>B '& 3 >>B (& 3 >>B )& 3 >?B *& 3 .?O?B +& 3 S?t?B ,& 3 ??B -& 3 ??B .& 3 ? @B /& 3 @2@B 0& 3 D@e@B 1& 3 x@@B 2& 3 @@B 3& 3 @@B 4& 3 A#AB 5& 3 6AVAB 6& 3 iAAB 7& 3 AAB 8& 3 AAB 9& 3 ABB :& 3 'BGBB ;& 3 LBmBB <& 3 BBB =& 3 BBB >& 3 BCB ?& 3  C+CB @& 3 =C^C: B& 3 pCC: C& 3 CC: D& 3 CC: E& 3 CD: F& 3 /DOD: G& 3 bDD H&  B.CCDEF.!C! @`77 I&  B/CCDEF/!C! @`L88 J&  B/CCDEF/"C" @`EJ9y9 K&  B.CCDEF.!C! @`L :7: L&  B.CCDEF.!C! @`S:: M&  B.CCDEF.!C! @` ;;L N&  B/CCDEF/!C! @` C>6 R&  B.CCDEF."C" @`>!R d& s *A?a?!R e& s *?@!R f& s *@@!R g& s *{AA!R h& s *:BZB!R i& s *BC!R j& s *CC!R k& s *tDD!@ l& C 3377:B m& 3 3377:B n& 3 3377:B o&@ 3 3377:B p& 3 3377@ q& C 3388:B r& 3 3388:B s& 3 3388:B t&@ 3 3388:B u& 3 3388@ v& C 33O9y9:B w& 3 33T9b9:B x& 3 33b9o9:B y&@ 3 33T9b9:B z& 3 33b9o9@ {& C 33 :7::B |& 3 33: ::B }& 3 33 :.::B ~&@ 3 33: ::B & 3 33 :.:@ & C 33:::B & 3 33:::B & 3 33:::B &@ 3 33:::B & 3 33::@ & C 33;;:B & 3 33;;:B & 3 33;;:B &@ 3 33;;:B & 3 33;;@ & C 33H>:B & 3 33W>>k:B & 3 33k>>:B &@ 3 33k>>:B & 3 33W>>k@ & C 33PA?j?:B & 3 33WE?S?k:B & 3 33kS?a?:B &@ 3 33kE?S?:B & 3 33WS?a?k@ & C 33P?)@:B & 3 33W@@k:B & 3 33k@@:B &@ 3 33k@@:B & 3 33W@@k@ & C 33P@@:B & 3 33W@@k:B & 3 33k@@:B &@ 3 33k@@:B & 3 33W@@k@ & C 33P{AA:B & 3 33WAAk:B & 3 33kAA:B &@ 3 33kAA:B & 3 33WAAk@ & C 33P:BcB:B & 3 33W>BLBk:B & 3 33kLBZB:B &@ 3 33k>BLB:B & 3 33WLBZBk@ & C 33PB!C:B & 3 33WB Ck:B & 3 33k CC:B &@ 3 33kB C:B & 3 33W CCk@ & C 33PCC:B & 3 33WCCk:B & 3 33kCC:B &@ 3 33kCC:B & 3 33WCCk@ & C 33PtDD:B & 3 33WyDDk:B & 3 33kDD:B &@ 3 33kyDD:B & 3 33WDDk &  B%C5DEF%5 @` 77 &  B%C5DEF%5 @` 88 &  B%C5DEF%5 @` O9t9 &  B%C5DEF%5 @` :2: &  B&C5DEF&5 @` :: &  B%C5DEF%5 @` ;; &  B%C5DEF%5 @` H> &  B%C5DEF%5 @`A?f? &  B%C5DEF%5 @`?$@ &  B%C5DEF%5 @`@@ &  B%C5DEF%5 @`{AA &  B%C5DEF%5 @`:B_B &  B%C5DEF%5 @`BC &  B%C5DEF%5 @`CC &  B%C5DEF%5 @`tDD & 6PB8(D 6Family Practice - Number of Days - 4th Available Slot$76$ & 6` 7=8n D16.2$  & 6x l88$ D17.5$  & 69 #<<  D19.7$  & 6D)?? C9.8$  & 60?j@ D10.2$  & 6@(A D10.9$  & 6@KdAA C9.7$  & 6Q"BB C9.6$  & 6QBPC C9.6$  & 6CD C8.7$  & 6ĉ]DD/ C7.7$  & 6ɉ A99 D17.7$  & 6͉ 9: D17.5$  & 64щ :N; D17.4$  & 6LՉ=K> D10.8$  & 6dىz>> C9.5$  & 6|݉u <=  D19.3$  & 6 |; < D18.8$  & 67q7I C5.0$  & 66q7C D10.0$  & 66q77 D15.0$  & 6P 6q71 D20.0$  & 6h 6q7%  D25.0$  & <; 748  FMay-01$  & <;78! FJun-01$  & <;8y9% FJly-01$  & <;X9@:; FAug-01$  & <; &::- FOct-01$  & <;:;5 FNov-01$  & <;,;< FDec-01$  & <;W<1=9 FJan-02$  & <;@==6 FFeb-02$  & <;!=>9 FMar-02$  & <;&>m?. FApl-02$  & <;l+E?-@B FMay-02$  & <;$0@@6 FJun-02$  & <;4@A% FJly-02$  & <;9AlB; FAug-02$  & <;L>DB#C= FSep-02$  ' <;CCC- FOct-02$  ' <;GCD5 FNov-02$  ' <tLz66W DDays$ RE8 7OE .O7E< . # 7OEB . 3 7OE<B . # 7E<B . # 77<B . # ;8<8<B . # 88<B  . # o9p9<B  . #  : :<B  . # ::<B  . # B;C;<B  . # ;;<B . # v<w<<B . # ==<B . # ==<B . # C>D><B . # >><B . # w?x?<B . # @@<B . # @@<B . # EAFA<B . # AA<B . # ~BB<B . # CC<B . # CC<B . # LDMD<B . # DD<B . # EEBB . 3 3377C8DBB . 3 3378C$9DBB  . 3 337$9C9DBB !. 3 3379CX:DBB ". 3 337X:C:DBB #. 3 337:C;DBB $. 3 337;C&<DBB %. 3 337&<C<DBB &. 3 337<CZ=DBB '. 3 337Z=C=DBB (. 3 337=C>DBB ). 3 337>C-?DBB *. 3 337-?C?3BB +. 3 337?3a@4BB ,. 3 337a@3@4BB -. 3 337@3A4BB .. 3 337A3.B4BB /. 3 337.B3B4BB 0. 3 337B3bC4BB 1. 3 337bC3C4BB 2. 3 337C3D4BB 3. 3 337D30E4B 4. 3 337I-8SB 5. 3 33S8I8SB 6. 3 338I8SB 7. 3 338I)9SB 8. 3 33 9Ia9SB 9. 3 339I9SB :. 3 339I9SB ;. 3 33 :I]:SB <. 3 33T:I:SB =. 3 33:I:SB >. 3 33:I/;SB ?. 3 33T;I;SB @. 3 33;I;SB A. 3 33;I+<SB B. 3 33"<Ic<SB C. 3 33<I<SB D. 3 33<I<SB E. 3 33"=I_=SB F. 3 33U=I=SB G. 3 33=I=SB H. 3 33=I1>SB I. 3 33V>I>SB J. 3 33>I>SB K. 3 33>I1?S L. zB%CCDEF33?%C  @`(?DM? M. zB%CCDEF33?%C  @`R?w? N. zB%CCDEF33?%C  @`??G O. zB C5DEF330 5  @`?d?B P. 3 33?@B Q. 3 33)@e@B R. 3 33\@@B S. 3 33@@B T. 3 33@7AB U. 3 33\AAB V. 3 33AAB W. 3 33A3BB X. 3 33*BkBB Y. 3 33BBB Z. 3 33BCB [. 3 33*CgCB \. 3 33^CCB ]. 3 33CDB ^. 3 33C9DB _. 3 33^DDB `. 3 33DDB a. 3 33D5EB b. 3 73-8<B c. 3 S838<B d. 3 838<B e. 3 83)9<B f. 3  93a9<B g. 3 939<B h. 3 939<B i. 3  :3]:<B j. 3 T:3:<B k. 3 :3:<B l. 3 :3/;<B m. 3 T;3;<B n. 3 ;3;<B o. 3 ;3+<<B p. 3 "<3c<<B q. 3 <3<<B r. 3 <3<<B s. 3 "=3_=<B t. 3 U=3=<B u. 3 =3=<B v. 3 =31><B w. 3 V>3><B x. 3 >3><B y. 3 >31?< z. zB=C4DEF/0=4 @`#?3`?g {. zB8C>DEF3>80 @`n?{? |. zBCDEF  @`??B }. 3 ?@B ~. 3 )@e@B . 3 \@@B . 3 @@B . 3 @7AB . 3 \AAB . 3 AAB . 3 A3BB . 3 *BkBB . 3 BBB . 3 BCB . 3 *CgCB . 3 ^CCB . 3 CDB . 3 C9DB . 3 ^DDB . 3 DDB . 3 D5E<B . # V78<B . # V8$9<B . # V$9L9<B . # V9LX:s<B . # VX:C:s<B . # V:C;<B . # V; &<<B . # V&< <+<B . # V<Z=+<B . # VZ==<B . # V=s><B . # V>!-?s<B . # V-?!? <B . # V?a@ <B . # Va@@<B . # V@A<B . # VA.B<B . # V.BB$<B . # VB$bCl<B . # VbClC<B . # VCD<B . # VD0EZ . s *747LZ . s *|848LZ . s *94.9LZ . s *949LZ . s *J:4b:LZ . s *:4:LZ . s *~;4;LZ . s *<40<LZ . s *<4<LZ . s *L=4c=LZ . s *=4=LZ . s *>4>LZ . s *?46?LZ . s *?$?<Z . s *S@$j@<Z . s *@$A<Z . s *A$A<Z . s * B$8B<Z . s *B$B<Z . s *TC$lC<Z . s *C$D<Z . s *D$D<Z . s *"E$9E< .  BCDEF @`7?7\ .  BCDEF @`|8?8\ .  BCDEF @`9?29\ .  BCDEF @`9?9\ .  BCDEF @`J:?f:\ .  BCDEF @`:?;\ .  BCDEF @`~;?;\ .  BCDEF @`<?4<\ .  BCDEF @`<?<\ .  BCDEF @`L=?h=\ .  BCDEF @`=?>\ .  BCDEF @`>?>\ .  BCDEF @`??;?\ .  BCDEF @`?? .  BCDEF @`S@o@ . # BCDEF @`@A . # BCDEF @`AA . # BCDEF @` BE: . 3 $78O@B . C 33)777@B . C 33777F@B .@ C 33777F@B . C 33)777: . 3 $x88O@B . C 33)|887@B . C 33788F@B .@ C 337|88F@B . C 33)887: . 3 $9<9O@B . C 33)9$97@B . C 337$929F@B .@ C 3379$9F@B . C 33)$9297: . 3 $99O@B . C 33)997@B . C 33799F@B .@ C 33799F@B . C 33)997: . 3 $F:p:O@B . C 33)J:X:7@B . C 337X:f:F@B .@ C 337J:X:F@B . C 33)X:f:7: . 3 $: ;O@B . C 33)::7@B . C 337:;F@B .@ C 337::F@B . C 33):;7: . 3 $z;;O@B . C 33)~;;7@B . C 337;;F@B .@ C 337~;;F@B . C 33);;7: . 3 $<>O@B / C 33)==7@B / C 337=>F@B  /@ C 337==F@B  / C 33)=>7:  / 3 $>>O@B  / C 33)>>7@B  / C 337>>F@B /@ C 337>>F@B / C 33)>>7: / 3 $?D?O@B / C 33)?-?7@B / C 337-?;?F@B /@ C 337?-?F@B / C 33)-?;?7: / 3 ??@B / C 33??@B / C 33??@B /@ C 33??@B / C 33??: / 3 N@x@@B / C 33S@a@@B / C 33a@o@@B /@ C 33S@a@@B / C 33a@o@: / 3 @A@B  / C 33@@@B !/ C 33@A@B "/@ C 33@@@B #/ C 33@A: $/ 3 AA@B %/ C 33AA@B &/ C 33AA@B '/@ C 33AA@B (/ C 33AA: )/ 3 BFB@B */ C 33 B.B@B +/ C 33.B/ C 33DD@B ?/ C 33DD@B @/@ C 33DD@B A/ C 33DD: B/ 3 EGE@B C/ C 33"E0E@B D/ C 330E>E@B E/@ C 33"E0E@B F/ C 330E>E G/ # B/C0DEF/0 @`78 H/ # B/C0DEF/0 @`s88 I/ # B/C0DEF/0 @`| 9<9 J/ # B/C0DEF/0 @`499d K/ # B/C0DEF/0 @`[A:p: L/ # B/C0DEF/0 @`+: ;[ M/ # B/C0DEF/0 @`u;; N/ # B/C0DEF/0 @`<> R/ # B/C0DEF/0 @`[{>> S/ # B/C0DEF/0 @` ?D?9 T/ # B/C0DEF/0 @`??$ U/ # B/C0DEF/0 @`I@x@ V/ # B/C0DEF/0 @`@A W/ # B/C0DEF/0 @`}AA X/ # B/C0DEF/0 @`BFB Y/ # B/C0DEF/0 @` BB< Z/ # B/C0DEF/0 @`TKCzC [/ # B/C0DEF/0 @`lCD \/ # B/C0DEF/0 @`DD ]/ # B.C0DEF.0 @`vEGE `/ <b;;` A9.4" a/ <~;l< B12.1" b/ <䱋<= B11.4" c/ <t"== B12.3" d/ <9=$> A8.7" e/ <,[>>4 B10.2" f/ <D‹>s? B11.7" g/ <\Ƌ?? A7.4" h/ <tʋw7@@ A7.6" i/ <΋|@*A A7.5" j/ <dӋ9jAA A8.7" k/ <؋9B^B A8.8" l/ <܋BB A7.0" m/ <8CC. A5.7" n/ <DC,DF A5.3" o/ <)lDDv A4.4" p/ <E`EP A5.1" q/ <lS778 B12.8" r/ <$\88a B13.4" s/ <$ 8T9V A9.6" t/ <9: B10.9" u/ < *::V B10.2" v/ < :8; B11.0" w/ <<7y7 A0.0" x/ <l7y7 A5.0" y/ <V6|7 B10.0" z/ <?6|7 B15.0" {/ < )6|7v B20.0" |/ B;$,67y HJan 5-01$  }/ B;)078} HFeb 5-01$  ~/ B;d.0%8*9} HMar 5-01$  / B;p3+89x HApl 5-01$  / B;D81S9c:~ HMay 5-01$  / B;P=+9:x HJun 5-01$  / B;$B':;t HJly 5-01$  / B;0G2!;0< HAug 5-01$  / B;L5;< HSep 5-01$  / B;Q)f{ HNov 5-01$  / B;Z0=>} HDec 5-01$  / B;_,3>5?y HJan 5-02$  / B;d0>?} HFeb 5-02$  / B;i0a?f@} HMar 5-02$  / B;n+@Ax HApl 5-02$  / B;0s1@A~ HMay 5-02$  / B;> ? ̙330 x0 ( 3  R  3 JP   ~  C ޑ @0    H  0.k ? ̙33 Nx[klU>wfv}-P,BҒhH)`" },dT hL$P%BhZ5ƈ?DI{t]@U79s9}o;6n1I^M>ߎw\?[H9 6Br!]F~V[ifGP~gY\Pd8Fr~s;~9 ~U7`-֘tGf|DcCdO'x"Fib6݆Md iPh`)ȧCVv$pۻ}޾^{İ8b'^E׽BKK A} +5効cjč$.KOz a> u1ȎmC|vUfܯ.hna{w0Z3ރh̋>8 ŠYH_:9hTO1޴Z1$pC^x~quهq>^s6kSk3 $!6/?w[VE1ﰾsX.FX5bmCGR6(Vsܜ^B,\)<DIӌz7\'.0t:8Oo5XFފF)FetB!YvO(ҳFH)&9C2\wS\r#rq܋0@$_蘤RHgqlHϝZN6X0D_yKNg&57X /W d=m-ӵ?. }F E3__iw65l n4y=l{L<#pFsЧ[\ɝw$5-#[{!7&I+C-?Ԏu-9 `&ɟ3~p9/<{$UTz;VKRn}U׷?=7ղ[;S7F'svfyԍ7o01o>D2$ "]1   7J'>t'NN>)O|gx6Lglsg</|./|>E/|!m"-/ %/|)ी|w^x.+w WU k_7^x= ??òso <ୀo|mo|!w ݀>9w|q;{=ڭ-/|d|}˳K.{^o\o@bÙ|Z}4 ,ǖ%Vu۠os Û>Z|[d,V|snֲSoU3]fi\=3[1{݆>wwsϽ©x¹S  :s?|ǭ{? }xʥK˗^ѫW?vן|3v[Ҙ1cƎeٶMm k-l~b~W-lpV gjC5١Ppvf8;TQn:6QJduңֱ vFFP^ދ6E7j [zo4Ye.OSeaz(y,Rex|8cy e܁$M /gXL)d*%+NtX3ͶZ: $G15g} ANJ4BU>"EG1+؇%iD뇳dto%! DZp˱u1c(즥0dec'8ulӤol^*eS)ا=xSꇍW7+߱%Il:ųI؊Aڳj)Ɲ$X>hb֑ԍOiiZPklؑhdjKlލ'ꇲ19qΏW;gY5H< ٞUKӈȨk3̓b[GԓJzgY4V(|ʕ9}ݜ%\1C YTR#8LFxx^w9xl\٢Clg OY>.򛞢-1w^kbTϺa4ώvUcgO]lbhY>76GdRE*}UyΑ9_M?4NW6cg] g ,ui^M#1a+gا65(Fϛ>E4nYu$e(Y\n0GlZbJ8+] WI r+0-m9+u%mR"TWx.[(ggp8k%QZNlq#N8Fz ;'pW~2vlYld_b\3qcQb7AVh"> y𚫡+.shtl25cf1%A~HG\h"B60v{[4{ؖbrvqۚÿ79,NIlde3ύjPm;9{ 4P1߳}4}f,سb=7fC5١V+bC֪?;}] 虼xMէ%S/i8UnĖJZb=:"M>Q6Qdu$R|Hmg"`τfiϲ^cNw=Fq.E|2llU`^$ jJ0 K .uR0g"+D@r%Ru\l>}\%Cbz.;}[vy9[!p&>uk*9bp "eme eM MHY3W/nz4%EYjRrxb:灪4=Zo5beEQkGS#ʂUJ/,.p,kbʋ\lZ;ςcOS/H2qs% hj¹5$ۚgEcqJ ,aI^o^/Ie:E6O,k72U<+ asxV~^pJ4S9+DIwϪm4&yVrxK#g))X۳-mP=K Z8.F7Ϣr(*9PB^U4Lu, mL!&Z8_+(EGX^/VG,w+v>7gaY<1-a9Cms3J)-[N"Dَv\O6_>Jn-iNM%܇K<.keC:.\b.rl5Ϡ^6^$ü;'HgM2xfն}떺kl%k9۷Gwngq4ܯ[Ͻ63 gj߻_?7nSS,f[fyY z#哇ۅ ceFO:FP(k5m:( m۫~xrixuNv~M[|s8+um6ϒd C~V(PWT5te>k,F1Fr59*V9(W.jDn/6YTA$͢\/gE\Q9GuZOnR1j j˸+Ί2})H#-'}M>/ӱlڤ aB^RZ.QoLkYc*]ʹxI=xJ-ϖz2AqVկ-aKí鞎AgrAE]3,BK\WI5,52<X3kܐVVb+.誗Xk%%6ѳzj&>;T3 gjC5١Ppvf8;T3m/goXcƌm=p 뭻yoq+n^w7>/*v{jeOǭl}&K0[}< ~À(? O~ Ӏ,;?y/ E/.~+_]_7~ ۀw~>2#{ǀS x?oqg+*Cn Ð..w/9o3?m# +߀K7{|/EHp.=ӧYg "޻":ٺx1%W+W>j]1ڵOZO@3NqyO# ~16v؏X8`pGn|d[O[!Μ\Zg\>ŋĥK/[rիk׬'_-ƌ'tf;l;Ƕ}t3;hhoX-޿{W m6awf;l3ۤfnȿ'1Z["__;73y`w3Cv ӿ70NnBm݄"+'E @<:z\N@&*Om^p ΢UE1md\V1vk;.Q]e /QX4 <\FmP?9Dskfƨ>S_&4Gsxritw_Sid KF|C;J;h=u hW9^%"ib-2tx)ywwb31Q;B3.}qϿh$ޥon}䬫)R=.;i)d[;5oyhGqS/"fGlklkHF a,xL4(DYlpmv#A]= uqIze._X7[ݬ3G .^9o2Oq͉- DŽ+6h\Py_8[\c6ӿj)f2r̉1nhh񌓪uhNRᯒ }wS'n,aJWcF퍅̑*f/Hh Me4Xge.eK^kI'xM"|.': lgtg8Q̊s%iDQ9ݿ4s"MR3HndL)oVLsΣ&3cqX/g;Ct5BrmHz/wQcv7u7*}"coz^(_rIRyqD ѹgkQ+K_E\]QƵϣ_eizl=Zl{N3 m6awf;l3;|nL{m^LƍMzr0@%T\ q #Oh+'0d? px  0 < H T`hNo Slide TitleMHSNC:\Program Files\Microsoft Office\Templates\Presentation Designs\EMBOSSED.POT\Scottgr19tMicrosoft PowerPointoso@m&@"@0@`:dG=M  A& &&#TNPPD2OMi & TNPP &&TNPP     AA Z(Z@8ʦ """)))UUUMMMBBB999|PP3f3333f333ff3fffff3f3f̙f3333f3333333333f3333333f3f33ff3f3f3f3333f3333333f3̙33333f333ff3ffffff3f33f3ff3f3f3ffff3fffffffff3fffffff3f̙ffff3ff333f3ff33fff33f3ff̙3f3f3333f333ff3fffff̙̙3̙f̙̙̙3f̙3f3f3333f333ff3fffff3f3f̙3ffffffffff!___wwwܼܼܼܼܼܼܼܼܼܼܼܼܼܼܼܼܼܼܼܼܼܼܼܼܼܼܼܼܼܼܼܼܼܼܼܼܼܼܼܼܼܼܼܼܼܼܼܼܼܼܼܼܼܼܼܼܼܼܼܼܼܼܼܼܼܼܼܼܼܼܼܼܼܼܼܼܼἼݼܼݼݼܼݼܼݼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼܼܼܼܼܼܼܼܼܼܼܼܼܼܼܼܼܼܼܼݼܼݼܼܼݼܼܼܼܼܼܼݼܼܼܼݼܼܼܼݼܼܼܼݼܼܼܼݼܼܼܼݼܼܼܼݼܼܼܼݼܼܼܼݼܼܼܼݼܼܼܼݼܼܼܼݼܼܼܼݼܼܼܼݼܼܼܼݼܼܼܼݼܼܼܼݼܼἼݼܼݼݼܼݼܼݼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼἼܼܼܼܼܼܼݼܼܼݼܼܼܼݼܼܼܼݼܼܼܼݼܼܼܼݼܼܼܼݼܼܼܼݼܼܼܼݼܼܼܼݼܼܼܼݼܼܼܼݼܼܼܼݼܼܼܼݼܼhhhܼܼhhhἼݼܼݼܼݼܼݼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼhhhܼݼhhhἼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼܼݼhhݼܼhhἼݼܼݼݼܼݼݼݼݼܼݼݼݼܼݼݼݼܼݼݼݼܼݼݼݼܼݼݼݼܼݼݼݼܼݼݼݼܼݼݼݼܼݼݼݼܼݼݼݼhhܼݼhἼݼݼݼἸݼݼݼݼݼݼݼݼݼݼݼݼݼݼݼhݼhἼݼݼݼݼݼݼݼݼݼݼݼݼݼݼݼݼݼݼݼݼݼݼݼݼݼݼݼݼݼݼݼݼݼݼݼݼݼݼݼݼݼݼݼݼἼݼ⼸ݼݼ⼸ݼݼݼݼݼݼݼݼݼݼݼݼݼݼݼݼݼݼݼݼݼݼἼݼ⼼⼼ݼݼݼݼ⼼ݼݼ⼼ݼݼ⼼ݼݼ⼼ݼݼ⼼ݼݼ⼼ݼݼ⼼ݼݼ⼼Ἴݼݼݼ⼸ݼݼݼݼݼݼݼݼݼݼݼݼݼݼݼݼݼݼݼݼݼݼݼἼݼݼ⼼⼼ݼ⼼ݼ⼼ݼ⼼ݼ⼼ݼ⼼ݼ⼼ݼ⼼ݼ⼼ݼ⼼ݼ⼼ݼ⼼ݼ⼼ݼἼ⼼⼼⼸⼼⼼⼼⼼⼼⼼⼼⼼⼼⼼⼼⼼⼼⼼⼼⼼⼼⼼⼼⼼⼼⼼⼼⼼⼼⼼⼼⼼⼼⼼⼼⼼¼⼼¼⼼¼⼼¼⼼¼⼼¼⼼¼⼼¼⼼¼⼼¼⼼¼⼼¼⼼¼⼼¼⼼¼⼼¼⼼⼼¼⼸¼¼⼸¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼⼼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼"""⼼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼"¼¼""""""⼼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¸¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼ü¼ü¼ø¼¼ü¼¼ü¼¼ü¼¼ü¼¼ü¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼üüøüüüüüüüüüüüüüüüüüüüüüüüüüü¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼üüøüüøüüüüüüüüüüüüüüüüüüü¼ü¼ü¼¼üü¼ü¼ü¼ü¼ü¼ü¼ü¼ü¼ü¼ü¼ü¼ü¼ü¼ü¼ü¼ü¼ü¼ü¼ü¼ü¼ü¼ü¼ü¼ü¼ü¼ü¼ü¼ü¼ü¼ü¼ü¼ü¼ü¼ü¼ü üøüüüüüüüüüüüüüüüü¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼¼üüüüüøüüüüüüüüüüüüüüüüüüüüüüüüüüü¼ü¼ü¼ü¼ü¼ü¼ü¼ü¼ü¼ü¼ü¼ü¼ü¼ü¼ü¼ü¼ü¼ü¼ü¼ü¼ü¼ü¼ü¼ü¼ü  ø  ø                        ¼¼ü¼¼ü¼ü¼¼ü¼ü¼ü¼ü¼ü¼ü¼ü¼ü¼ü¼ü¼ü¼ü¼ü¼ü¼ü¼ü¼ü¼ü¼ü¼ü¼ü¼à üü  ü  ü  ü  ü  ü  ü ü  ü¼üüüüüüüüüüüüüüüüüüüüüüüüüüüüüüüüüüüüüüÆüüà                                    †  ¼¼üüüüü¼ü¼üüü¼üüü¼üüü¼üüü¼üüü¼üüü¼üüüüüà                                     ¼ü ü üü  üü üü üü üü üü üü üü üü üü üü üü üü à  à  à  à   à   à   à   à   à à   à  à   à   à   à   à¼üüüüüüüüüüüüüüüüüüüüüüüüüüüüüüüüüüüüà                                                                                                        àà àà à àà à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à¼ü¸ü ü ü ü ü ü ü ü ü ü ü ü ü ü ü ü ü ü ü  à                                         à à à à àà à à à à à à à à  à à à à à à à à à à à à à¼    ¸                                  à                                         ààààààààààààààààààààààààààààààààààààààààààààààààààààffffààü ¸v ¸                               f_`_  à NNà  àà à à à à à à à à à à  à à à à à à à à à à à à à à à à à†`ff__fà   ¸ vNpv  f_†_  ààNÆNààÆff`àü ¸ v¸                   f_ àà àÆNàà ààà ààà ààà ààà ààà ààà ààà ààà ààà ààà ààà ààà ààà ààà ààà àÆff`__fà        ¸                                               f_f`_ ààààààààààààààààààààààààààààààààffffàü                                        àààààààààààààààààààààààààààààààààààààààààààààààààààààààààààà                                                                                àààààààààààààààààààààààààààààààààààààààü                                        ààààààààààààààààààààààààààààààààààààààààà   à   à   à   à   à   à   à   à   à   à   à   à   à   à   à   à   à   à   à   ààààààààààààààààààààààààààààààààààààààà--&TNPP &՜.+,0@    CustomThe MetroHealth System# Times New RomanMonotype SortsArial EmbossedMicrosoft Word Picture!Microsoft Photo Editor 3.0 PhotoPowerPoint Presentation  Fonts UsedDesign TemplateEmbedded OLE Servers Slide Titles_[ScottScott  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#(Root EntrydO)PicturesCurrent UserSummaryInformation(?PowerPoint Document( DocumentSummaryInformation8