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    October 26, 2011

    Human Capital Communications Collaborative

    Wednesday Webinar Series

    Prepared by McKinney & Associates

    PowerPoints with Punch:

    From Crutch

    to Asset

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    Questions:Please submit your questions via the chat feature. We will have

    about 15 minutes for Q&A at the end of the webinar presentation.

    An archive of the webinar and the slide deck will be posted by

    October 31st atwww.rwjfleaders.org/resources

    Stay tuned for a live PowerPoint critique and analysis!

    HOUSEKEEPING

    Webinar / Slide Deck Archive:

    Post-Webinar Slide Critique

    Todays Moderator:

    Mike Madison, Forum One Communications

    http://www.rwjfleaders.org/resourceshttp://www.rwjfleaders.org/resources
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    Todays Presenters:

    Linda Wright Moore, Robert Wood Johnson Foundation

    Senior Communications Officer Keys to Success; Visual Appeal; Dont Be a Parrot; When

    Less is More.

    Fran Macalino, Macalino Marketing

    President Great Graphics; Adhering to the RWJF Style Guide

    Gwen McKinney, McKinney & Associates

    President & Founder

    WELCOME

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    Post Webinar Slide Critique:

    Richard Montgomery, McKinney & Associates

    Design and Art Director

    Ryan Duncan, McKinney & AssociatesNew Media Coordinator

    WELCOME

    Michael D. Cohen

    Investigator in Health Policy Research (06) Elise Lawson

    RWJF Clinical Scholar (09-12)

    Vicki Nishioka, Ph.D.Evaluating Innovations in Nursing Education

    Submitted Program Slides Provided By:

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    Keys to Success

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    A Successful Presentation IncorporatesPlanning! Purpose Desired Outcome

    Keys to Success

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    Planning to PlanSubject Matter

    Audience

    Research

    Keys to Success

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    Planning to Plan

    Timing

    Keys to Success

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    Plan Your Message

    Tell A StoryBeginning, Middle, and End

    Keys to Success

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    Engage Your Audience

    Open with

    something

    surprising or

    intriguing

    Keys to Success

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    Build to Conclusion

    Dont lose your

    audience

    Keys to Success

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    Ask Questions

    Quiz Their Knowledge

    Conduct a Q&A

    Keys to Success

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    PRACTICE!

    PRACTICE!

    PRACTICE!

    Keys to Success

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    Use PowerPoint forVisual Appeal

    Effective use

    ofcolor, type& Design

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    Visual Appeal

    Using design templates

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    Be ConsistentStandardize Positions

    Colors/Contrasts

    Fonts/Styles

    Visual Appeal

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    Be Consistent

    Visual Appeal

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    Visual Appeal

    Before:

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    Visual Appeal

    After:

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    Be ConsistentEffects

    Transitions

    Animations

    Visual Appeal

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    Larger fonts

    indicate

    more

    important

    information.

    Fun

    with

    FONTS

    Visual Appeal

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    Font size generally

    ranges from 18 to

    48point.

    FunwithFONTS Sans serifs like

    Arial, Helvetica, or

    Calibri tend to bethe easiest to read

    on screens.

    Visual Appeal

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    Use decorative fonts onlyif theyre easy to read!

    Fun

    with

    FONTS

    Visual Appeal

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    Be sure text

    color(s)

    contrastwith

    background.

    Funwith FONTS

    Put dark text

    on a light

    background.

    Align text

    left

    or right.

    WORDS IN

    ALL

    CAPITAL

    LETTERSARE HARD

    TO READ.

    Visual Appeal

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    DONT BE APARROT!

    D

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    Avoid reading directly off of slide: You dont have to turn your slides into

    excerpts of your written presentation.

    Thats kind of boring because theres

    really no reason to look at the slides if

    you, the presenter, are reading them.

    Are you falling asleep yet?

    Dont Be a Parrot

    D B P

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    Dont Be a Parrot

    The slide is NOT a cue card,

    and neither is your hand.

    D B P

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    The slides should: Reinforce what your saying

    Visuals & graphics shouldunderline your point

    Dont Be a Parrot

    D B P

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    29

    Dont Be a Parrot

    D B P

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    30

    Dont Be a Parrot

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    When Less Is More

    Wh M

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    When Less Is More

    High in visuals

    & low in words

    Wh M

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    Avoid long

    sentences..

    Text Guidelines

    When Less Is More

    Wh M

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    Generally no more

    than 6 words a line

    Text Guidelines

    Generally no more

    than 6 lines a slide

    When Less Is More

    Wh M

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    Avoid abbreviations

    and acronyms

    Text Guidelines

    Limit punctuation

    marks!!!!!!!!!!!!!!!!

    When Less Is More

    Happy Halloween

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    NURSING

    McKinney

    Dont forget to have fun!

    Happy Halloween

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    Great Graphics

    Great Graphics

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    HUMAN CAPITAL IS

    DEFINED BY THE PEOPLE

    IN WHOM THEFOUNDATION INVESTS.

    Visual images help make a slide

    more interesting.

    Great Graphics

    Great Graphics

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    RWJF supports collaborative,

    interdisciplinary approaches

    to health care research and

    practice to maximize quality,

    cost and innovation. People

    from all perspectives value

    opportunities to work with

    and learn from others with

    whom they might not

    otherwise interact.

    collaborative

    opportunities

    Images should enhance and

    complement the text.

    Great Graphics

    Great Graphics

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    Finds and attracts diverse individuals to pursue

    careers in health and health care.

    Creates pathways for frontline health care

    workers to expand their career opportunities.

    Supports scholars conducting pioneering

    health research.

    THE HUMAN CAPITAL

    INVESTMENT

    Great Graphics

    Great Graphics

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    Finds and attracts diverse individuals

    to pursue careersin health and health care.

    Creates pathways for frontline health care

    workersto expand their career opportunities.

    Supports scholars conducting pioneering

    health research.

    THE HUMAN CAPITAL

    INVESTMENT

    Great Graphics

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    Adhering To TheRWJF Style Guides

    RWJF Style Guide

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    The Robert Wood Johnson Foundation

    logo is a distinctive graphic element and

    must not be altered for any reason. It is

    composed of two parts: the symbol and

    logotype. These parts are always held in

    a fixed relationship with each other.

    Horizontal Lockup

    Symbol

    Logotype

    Logo Guidelines

    RWJF Style Guide

    RWJF Style Guide

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    Support Statements

    RWJF Style Guide

    Grantees other than national programs may

    only use the Foundations logo with

    permission and should use the following

    support statements as appropriate:

    is a grantee of a national program of the Robert

    Wood Johnson Foundation.

    Support for this was provided

    by a grant from the Robert Wood Johnson

    Foundations

    program.

    RWJF Style Guide

    http://www.rwjf.org/index.jsp
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    Using Templates

    RWJF Style Guide

    RWJF Style Guide

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    Typography

    RWJF Style Guide

    RWJF Style Guide

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    RWJF Style Guide

    [email protected]

    Contact

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    Q&A

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    Thank You!Stay tuned for post

    webinar sample critique

    & recommendations!

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    Campaign for Action forNon-Nursing Audiences

    November 16, 2011 GYMR

    Next Webinar

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    Sample Critique &

    Recommendations

    Welcome!

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    Thank You!

    Michael D. CohenInvestigator in Health Policy Research (06)

    Elise LawsonRWJF Clinical Scholar (09-12)

    Vicki Nishioka, Ph.D.Evaluating Innovations in Nursing Education

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    Association Between PostoperativeMorbidity and Readmission:

    Implications for Quality

    Improvement and Cost Savings

    Elise H. Lawson

    Bruce Lee Hall, Rachel Louie, Susan Ettner,David S. Zingmond, Clifford Y. Ko

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    October 26, 2011

    Association Between Postoperative

    Morbidity and Readmission:Implications for Quality Improvement

    and Cost Savings

    Elise H. Lawson

    Bruce Lee Hall, Rachel Louie, Susan Ettner,

    David S. Zingmond, Clifford Y. Ko

    I i li f d i i

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    30-day readmission rates (2009)12.7% Surgical patients

    16.1% Medical patients

    Source of excess cost for Medicare(estimated $17 billion)

    Planned reduction in payment forreadmissions in 2013

    Increasing policy focus on readmission

    Increasing Policy Focus on Readmission

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    16.1%

    Increasing Policy Focus on Readmission

    Increasing Policy Focus on Readmission

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    Source of excess cost for Medicare(estimated $17 billion)

    Increasing Policy Focus on Readmission

    Increasing Policy Focus on Readmission

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    Planned reduction in payment forreadmissions in 2013.

    Increasing Policy Focus on Readmission

    Wh are s rgical patients readmitted?

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    Planned readmissions Chemotherapy, elective procedures

    Unplanned but unrelated to primary admission Trauma, falls

    Unplanned and related to initial hospitalization

    Exacerbation of preoperative comorbidity

    Postoperative morbidity

    Why are surgical patients readmitted?

    Why Are Surgical Patients Readmitted?

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    Planned Readmissionso Chemotherapy, elective procedures

    Why Are Surgical Patients Readmitted?

    Why Are Surgical Patients Readmitted?

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    Unplanned But Unrelated

    To Primary Admission

    o Trauma, Falls

    y g

    Why Are Surgical Patients Readmitted?

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    Unplanned and relatedtoinitial hospitalization

    o Exacerbation of preoperative

    comorbidity

    o Postoperative morbidity

    y g

    Data Sources

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    Patient-level records linked between:1. ACS National Surgical Quality Improvement

    Program (NSQIP) (2005-2008)

    Clinical registry

    Variables: Risk factors, procedure, postoperativemorbidity

    2. Medicare Provider Analysis and Review file(MedPAR) (2005-2008)

    Inpatient claims data

    Variables: Readmissions and associated costs

    Data Sources

    Data Sources

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    Patient-level records linked between:

    1. ACS National Surgical Quality Improvement

    Program (NSQIP) (2005-2008)

    Clinical registry

    Variables: Risk factors, procedure, postoperative

    morbidity

    2. Medicare Provider Analysis and Review

    file (MedPAR) (2005-2008)

    Inpatient claims data

    Variables: Readmissions and

    associated costs

    Study Sample

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    Inclusion criteria:

    Patients aged 65 years who underwent a surgical

    procedure in 2005-2008

    Exclusion criteria: Patients with non-Medicare primary payer

    Patients that could not be readmitted

    Not discharged from primary hospitalization

    Died before discharge

    Final sample: 90,932 patients from 214 hospitals

    Study Sample

    Study Sample

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    y p

    Inclusion Criteria: Patients aged 65 years

    who underwent a surgicalprocedure in 2005-2008

    Study Sample

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    y p

    Exclusion Criteria: Patients with non-Medicareprimary payer

    Patients that could not bereadmitted

    o Not discharged from primary

    hospitalization

    o Died before discharge

    Study Sample

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    y p

    Final Sample: 90,932 patients from

    214 hospitals

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    Dedicated Education Units

    Robert Wood Johnson Foundation

    Evaluating Innovations in Nursing

    Vicki Nishioka, [email protected]

    Susan Moscato, EdD, [email protected]

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    October 26, 2011

    Dedicated Education Units

    Robert Wood Johnson FoundationEvaluating Innovations in Nursing

    Vicki Nishioka, PhD

    [email protected]

    Susan Moscato, EdD, [email protected]

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    EVALUATION QUESTION AND PARTICIPANTS

    University of South Carolina College of Nursing

    University Specialty Clinics

    University of Tennessee Health Science Centerat Memphis College of Nursing

    Methodist University Hospital

    School of Nursing at University of Buffalo Erie County Medial Center

    Kaleida Health

    Roswell Park Cancer Institute

    Hospice at Buffalo

    What impact does the introduction of additional faculty members (DEU nurseteachers) and restructuring the role of academic clinical faculty members have onacademic faculty to student ratios, the average number of students placed in eachclinical site, and work-life satisfaction of faculty and nurse teachers?

    How do student perceptions of the quality of clinical education received onDedicated Education Units compare to traditional clinical education placements?

    DEMONSTRATION SITEUniversity of Portland School of Nursing

    Clinical Partners

    Providence Portland Medical Center

    Providence St. Vincent Medical Center

    Portland VA Medical Center

    REPLICATION SITES

    Evaluation Questions

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    Q

    Impact

    Perceptions

    Participants

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    p

    University of South Carolina College of Nursing

    University Specialty Clinics

    University of Tennessee Health Science Center at Memphis College of Nursing

    Methodist University Hospital

    School of Nursing at University of Buffalo

    Erie County Medial Center

    Kaleida Health

    Roswell Park Cancer Institute

    Hospice at Buffalo

    Demonstration Site University of Portland School

    of Nursing

    Clinical Partners:

    Providence Portland Medical Center

    Providence St. Vincent Medical Center

    Portland VA Medical Center

    Participants

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    p

    University of South Carolina College of Nursing

    University Specialty Clinics

    University of Tennessee Health Science Center at Memphis College of Nursing

    Methodist University Hospital

    School of Nursing at University of Buffalo

    Erie County Medial Center

    Kaleida Health

    Roswell Park Cancer Institute

    Hospice at Buffalo

    Replication Sites University of South Carolina College of

    Nursing

    University Specialty Clinics

    University of Tennessee Health Science Center

    at Memphis College of Nursing

    Methodist University Hospital

    School of Nursing at University of Buffalo

    Erie County Medial Center

    Kaleida Health

    Roswell Park Cancer Institute

    Hospice at Buffalo

    Traditional clinical education

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    Waiting and missed opportunities

    Unclear roles and communication

    Quality varies Nurses teaching experience

    Faculty familiarity with unit routines

    Faculty and unit staff relationships

    Stressful learning situation

    Hard to get help

    All units are not friendly

    Traditional Clinical Education

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    Waiting & Missed Opportunities

    Traditional Clinical Education

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    Unclear Roles & Communication

    Traditional Clinical Education

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    Quality VariesNurses teaching experience

    Faculty familiarity with unit routines

    Faculty and unit staff relationships

    Traditional Clinical Education

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    Stressful Learning Situation Hard to get help

    All units are not friendly

    What is a DEU?

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    A dedicated education unit (DEU) is aunit within a hospital or other health care

    facility that is dedicated to providing

    clinical education for nursing students,while delivering optimal care to patients

    on the unit.

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    What is a DEU?

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    What is a DEU?A dedicated education unit (DEU) is a

    unit within a hospital or other health care

    facility that is dedicated to providing

    clinical education for nursing students,while delivering optimal care to patients

    on the unit.

    Faculty to Student Ratio

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    Traditional1:8

    Dedicated Education Unit

    1:16

    Faculty to Student Ratio

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    Traditional

    Dedicated Education Unit

    1

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    Handoffs in Hospitals

    A presentation for theRobert Wood Johnson Foundation

    Investigator Awards Annual Meeting

    Michael D. Cohen

    School of Information

    University of Michigan

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    October 13, 2011

    Handoffs in HospitalsRobert Wood Johnson FoundationInvestigator Awards Annual Meeting

    Michael D. Cohen

    School of InformationUniversity of Michigan

    [email protected]

    h d ff i t d ti

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    handoffs an introduction

    handoff the communication that occurs duringa change in who is responsible for or who is incontrol of a patient in a hospital

    also known as: signout, [nursing] report,

    handover, Doctors, nurses, and many other technical

    personnel who perform procedures or transport

    not rounds; not discharge

    Handoff communications frame each newinterval of patient care, orienting subsequentwork

    Introduction

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    HandoffsThe communication that occurs

    during a change in who is

    responsible foror who is incontrol ofa patient in a hospital

    Also known as: signout,[nursing] report, handover

    h h d ff b h t i

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    how handoff became a research topic

    obvious danger from omissions and errors

    communication failure in 65 percent of root

    cause analyses of patient-safety sentinel

    events

    changes in resident work-hours that increase

    handoff frequency

    AHRQ hospital surveys identifying handoff asworrisome point of potential failure

    How a Handoff Becomes a Research Topic

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    Communication failure in 65%

    of root cause analyses of patient-

    safety sentinel events

    AHRQ hospital surveys identifying handoffas worrisome point of potential failure

    Changes in resident work-hours

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    AHRQ xxHC 2005 & 2007 Results Compared to AHRQ Teachingand NonTeaching Hospitals

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    AHRQ xxHC 2005 & 2007 Results Compared to AHRQ Teachingand NonTeaching Hospitals

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    The EndFor any further questions you can contact todays presenters at:

    Ryan Duncan: [email protected]

    Richard Montgomery: [email protected]

    Fran Macalino: [email protected]

    mailto:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]