{"id":1139,"date":"2023-11-21T15:01:19","date_gmt":"2023-11-21T23:01:19","guid":{"rendered":"https:\/\/www.cdcr.ca.gov\/hcdom\/?post_type=dom&#038;p=1139"},"modified":"2024-08-23T15:58:19","modified_gmt":"2024-08-23T22:58:19","slug":"3-1-2-scope-of-patient-care-services","status":"publish","type":"dom","link":"https:\/\/www.cdcr.ca.gov\/hcdom\/dom\/chapter-3-health-care-operations\/article-1-complete-care-model\/3-1-2-scope-of-patient-care-services\/","title":{"rendered":"3.1.2 Scope of Patient Care Services"},"content":{"rendered":"\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p><strong>Procedure Overview<\/strong><\/p>\n\t\t\t\t\n\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Under the Complete Care Model (CCM), an assigned Primary Care Team (PCT) serves as the center of each patient\u2019s Health Home, directly delivering the majority of dental, medical, mental health, and nursing services and coordinating all care that falls outside the team\u2019s scope of services (refer to the figure below). \u00a0Applicable standards for the delivery and coordination of the services outlined in this procedure can be found in existing California Correctional Health Care Services (CCHCS) and Division of Health Care Services policies and procedures.\u00a0 PCTs remain responsible for adhering to these standards under the CCM (refer to Appendix 1, Services and\/or Coordinated by the Primary Care Team and Associated Standards in the Health Care Department Operations Manual).<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-no-marker\">\n\t\t\t\t\t<p>                                                   <strong>Complete Care Model Patient Care Services<\/strong><\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-no-marker\">\n\t\t\t\t\t<p><img loading=\"lazy\" decoding=\"async\" width=\"971\" height=\"831\" class=\"wp-image-949\" style=\"width: 900px\" src=\"https:\/\/www.cdcr.ca.gov\/hcdom\/wp-content\/uploads\/sites\/207\/2023\/11\/HCDOM-ch03-art1_IMAGE.jpg\" alt=\"This is an image titled Complete Care Model Patient Care Services. It is a tan circular image with the following patient care services aspects in a circle and a correlating graphic \u2013 Initial and Ongoing Health Risk Assessment has a graphic of a clipboard with a piece of blank paper and a teal background; Preventive Services has a graphic of a black stethoscope and a teal background; Diagnosis and Treatment of Acute and Chronic Illness has a graphic of an x-ray of the rib cage, pelvis, and arms with a teal background; Allied Health Services has an outline of three people who look like health care staff with a teal background; Emergency Response has a graphic of an ambulance with a gray background; Specialty Referrals and Follow-up has a graphic of a white medical briefcase with a red cross on the front of the case with a dark red background; End of Life Planning and Treatment has graphic of a doctor with a black tie, white coat, and stethoscope and a red background; Referrals to Higher Level of Care and Follow-Up has a graphic of a bed with a tan blanket and black bedframe with a bright red background; Handoffs Between Providers in Different Health Settings\/Between Care Teams has ta graphic of two hands shaking with a dark red background. In the middle of the circle is the outline of the human body, the left half of the body is shaded grey and the right half is shaded red on head of the body and gradually fades to teal at the feet.\" srcset=\"https:\/\/www.cdcr.ca.gov\/hcdom\/wp-content\/uploads\/sites\/207\/2023\/11\/HCDOM-ch03-art1_IMAGE.jpg 971w, https:\/\/www.cdcr.ca.gov\/hcdom\/wp-content\/uploads\/sites\/207\/2023\/11\/HCDOM-ch03-art1_IMAGE-300x257.jpg 300w, https:\/\/www.cdcr.ca.gov\/hcdom\/wp-content\/uploads\/sites\/207\/2023\/11\/HCDOM-ch03-art1_IMAGE-768x657.jpg 768w\" sizes=\"auto, (max-width: 971px) 100vw, 971px\" \/><\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>This procedure incorporates existing policies and procedures that describe the scope of primary care services provided and coordinated by the PCTs to fulfill their role as the center of each patient\u2019s Health Home by following the CCM.\u00a0 Refer to the Health Care Department Operations Manual and the Mental Health Services Delivery System Program Guide.\u00a0 In addition, the PCTs shall utilize existing decision support tools such as Care Guides, Nursing Protocols, Order Sets, Standing Orders, etc., when providing services.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\t<\/ul>\n\t\n\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p><strong>Responsibility<\/strong><\/p>\n\t\t\t\t\n\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p><strong>Statewide<\/strong><\/p>\n\t\t\t\t\n\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block is-style-no-marker\">\n\t\t\t\t\t<p>California Department of Corrections and Rehabilitation and CCHCS departmental leadership at all levels of the organization, within the scope of their authority, shall ensure administrative, custodial, and clinical systems are in place and appropriate tools, training, technical assistance, and levels of resources are available so that Care Teams can successfully implement the Scope of Patient Care Services Procedure.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\t<\/ul>\n\t\n\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p><strong>Regional<\/strong><\/p>\n\t\t\t\t\n\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block is-style-no-marker\">\n\t\t\t\t\t<p>Regional Health Care Executives are responsible for implementation of this procedure at the subset of institutions within an assigned region.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\t<\/ul>\n\t\n\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p><strong>Institutional<\/strong><\/p>\n\t\t\t\t\n\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>The Chief Executive Officer (CEO) has overall responsibility for implementation and ongoing oversight of a system to provide management of the Scope of Patient Care Services. The CEO delegates decision-making authority to designated Institutional Health Care Executives for daily operations of the Scope of Patient Care Services Procedure and ensures adequate resources are deployed to support the system.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>The CEO and all members of the institution leadership team are responsible for ensuring all necessary resources are in place to support the successful implementation of this procedure at all levels including, but not limited to, the following:<\/p>\n\t\t\t\t\n\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Institution level<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Patient panel level<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Patient level<\/p>\n\t\t\t\t\t<\/li>\n\t\n\t<\/ul>\n\t\n\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>The CEO and all members of the institution leadership team shall ensure access to and utilization of equipment, supplies, health information systems, patient registries and summaries, and evidence-based guidelines.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>The CEO and all members of the institution leadership team as a part of the Quality Management process on an ongoing basis shall:<\/p>\n\t\t\t\t\n\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Review and compare institutions\u2019 PCT performance, including the overall quality of services, health outcomes, assignment of consistent and adequate resources, utilization of Dashboards, Master Registries, Patient Summaries, decision support tools and address issues pertaining to delivery of the Scope of Patient Care Services.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Provide PCT members with adequate resources, including protected time, staffing, physical plant, information technology, and equipment\/supplies to accomplish daily tasks.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Work with custody staff to minimize unnecessary patient movement and ensure appropriate escort and transport.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\t<\/ul>\n\t\n\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>The Chief Nurse Executive is responsible for the overall daily clinic operations and ensuring that the institution has designated supervisors to monitor clinic operations including, but not limited to:<\/p>\n\t\t\t\t\n\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Efficiency.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Coordination.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Supplies.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Equipment.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Physical plant issues.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Scheduling and access to care on a daily basis.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Identifying and addressing or elevating concerns regarding barriers.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\t<\/ul>\n\t\n\t<\/li>\n\t\n\t<\/ul>\n\t\n\t<\/li>\n\t\n\t<\/ul>\n\t\n\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p><strong>Procedure<\/strong><\/p>\n\t\t\t\t\n\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block is-style-no-marker\">\n\t\t\t\t\t<p><strong>Services Delivered and\/or Coordinated by the Primary Care Team<\/strong><\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>The PCT is responsible for coordinating care for patients within the assigned panel and pulling in other health care staff as necessary to meet the needs of the patient.\u00a0 The PCT identifies services that are outside of the team\u2019s purview, coordinates patients\u2019 access to necessary services, and ensures appropriate follow up after services have been provided by other providers in other health care settings.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>The PCT provides the full scope of primary care services to patients within an assigned patient panel including, but not limited to:<\/p>\n\t\t\t\t\n\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Care coordination.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Initial and ongoing health risk assessment.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Preventive services, such as health screenings, health promotion, and health maintenance services.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Diagnosis and treatment of acute and chronic illness.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Allied Health Services required for diagnosis and treatment of acute and chronic illness such as diagnostic testing, medication administration, nutritional services, and health care equipment and supplies.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Emergency response.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Planning for end-of-life care such as advance directives, Physicians\u2019 Orders for Life-Sustaining Treatment, and palliative care.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Specialty referrals and follow up.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Referrals to higher levels of care and follow up.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Facilitating handoffs between providers in different health care settings or between Care Teams to ensure the best possible care for the patient and continuity of planned care, pending appointments or services, medications, medical equipment and supplies, and all other necessary treatment.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\t<\/ul>\n\t\n\t<\/li>\n\t\n\t<\/ul>\n\t\n\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-no-marker\">\n\t\t\t\t\t<p><strong>Appendices<\/strong><\/p>\n\t\t\t\t\n\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block is-style-bullet\">\n\t\t\t\t\t<p>Appendix 1: Services Delivered and\/or Coordinated by the Primary Care Team and Associated Standards in the Health Care Department Operations Manual<\/p>\n\t\t\t\t\t<\/li>\n\t\n\t<\/ul>\n\t\n\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-no-marker\">\n\t\t\t\t\t<p><strong>References<\/strong><\/p>\n\t\t\t\t\n\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block is-style-bullet\">\n\t\t\t\t\t<p>Health Care Department Operations Manual, Chapter 3, Article 1, Section 3.1.1, Complete Care Model<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-bullet\">\n\t\t\t\t\t<p>Health Care Department Operations Manual, Chapter 3, Article 3, Dental Care<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-bullet\">\n\t\t\t\t\t<p>California Department of Corrections and Rehabilitation, Mental Health Services Delivery System Program Guide, 2009 Revision<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-bullet\">\n\t\t\t\t\t<p>National Committee for Quality Assurance \u2013 Patient-Centered Medical Home Recognition <a href=\"http:\/\/www.ncqa.org\/Programs\/Recognition\/Practices\/PatientCenteredMedicalHomePCMH.aspx\">http:\/\/www.ncqa.org\/Programs\/Recognition\/Practices\/PatientCenteredMedicalHomePCMH.aspx<\/a><\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-bullet\">\n\t\t\t\t\t<p>The Joint Commission Primary Care Medical Home Certification<br><a href=\"http:\/\/www.jointcommission.org\/accreditation\/pchi.aspx\">http:\/\/www.jointcommission.org\/accreditation\/pchi.aspx<\/a><\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-bullet\">\n\t\t\t\t\t<p>Agency for Healthcare Research and Quality \u2013 Patient Centered Medical Home Resource Center <a href=\"https:\/\/www.ahrq.gov\/\">https:\/\/www.ahrq.gov\/<\/a><\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-bullet\">\n\t\t\t\t\t<p>Commonwealth Fund \u2013 Safety Net Medical Home Initiative<br><a href=\"http:\/\/www.commonwealthfund.org\/interactives-and-data\/multimedia\/videos\/2011\/safety-net-medical-home-initiative\">http:\/\/www.commonwealthfund.org\/interactives-and-data\/multimedia\/videos\/2011\/safety-net-medical-home-initiative<\/a><\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-bullet\">\n\t\t\t\t\t<p>Robert Wood Johnson Foundation \/ Improving Chronic Illness Care \u2013 The Chronic Care Model <a href=\"http:\/\/www.improvingchroniccare.org\/index.php?p=About_US&amp;s=6\">http:\/\/www.improvingchroniccare.org\/index.php?p=About_US&amp;s=6<\/a> and Reducing Care Fragmentation <a href=\"http:\/\/www.improvingchroniccare.org\/downloads\/reducing_care_fragmentation.pdf\">http:\/\/www.improvingchroniccare.org\/downloads\/reducing_care_fragmentation.pdf<\/a><\/p>\n\t\t\t\t\t<\/li>\n\t\n\t<\/ul>\n\t\n\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-no-marker\">\n\t\t\t\t\t<p><strong>Revision History<\/strong><\/p>\n\t\t\t\t\n\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block is-style-no-marker\">\n\t\t\t\t\t<p>Effective: 06\/2016<br>Revised: 03\/2017<\/p>\n\t\t\t\t\t<\/li>\n\t\n\t<\/ul>\n\t\n\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-no-marker\">\n\t\t\t\t\t<p><strong>Appendix 1:  Services Delivered and\/or Coordinated by the Primary Care Team and Associated<\/strong> <strong>Standards in the Health Care Department Operations Manual<\/strong><\/p>\n\t\t\t\t\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><strong>Service Type<\/strong><\/td><td><strong>Applicable Standards<\/strong><\/td><\/tr><tr><td><strong>Initial and Ongoing Health Risk Assessment<\/strong><\/td><td>\u2219 Reception Center (HCDOM Section 3.1.9)<br>\u2219 Health Care Transfer (HCDOM Section 3.1.10)<br>\u2219 Comprehensive Accommodation (HCDOM Section 3.6.2)<br>\u2219 Medical Classification System (HCDOM Section 1.2.14)<br>\u2219 Care Team and Patient Panels (HCDOM Section 3.1.3)<br>\u2219 Scheduling and Access to Care (HCDOM Section 3.1.6)<br>\u2219 Population and Care Management Services (HCDOM    Section 3.1.7)<\/td><\/tr><tr><td><strong>Preventive Services<\/strong><\/td><td>\u2219 Public Health and Infection Control (HCDOM Chapter 3, Article 8)<br>\u2219 Patient Health Care Education (HCDOM Section 3.1.4)<br>\u2219 Patient Care During Pregnancy and Childbirth (HCDOM Section 3.1.17)<br>\u2219 Dental Services (HCDOM Chapter 3, Article 3)<\/td><\/tr><tr><td><strong>Diagnosis and Treatment of Acute and Chronic Illness<\/strong><\/td><td>\u2219 Scheduling and Access to Care (HCDOM Section 3.1.6)<br>\u2219 Medication Management (HCDOM Chapter 3, Article 2)<br>\u2219 Clinical Guidelines (HCDOM Section 1.2.2)<br>\u2219 Gender Dysphoria Management (HCDOM Section 4.1.7)<br>\u2219 Hepatitis C Management<br>\u2219 Nursing Services\/Protocols<br>\u2219 Dental Services (HCDOM Chapter 3, Article 3)<\/td><\/tr><tr><td><strong>Allied Health Services<\/strong><\/td><td>\u2219 Laboratory Services (HCDOM Section 3.1.15)<br>\u2219 Medical Imaging Services (HCDOM Section 3.1.14)<br>\u2219 Outpatient Dietary Intervention (HCDOM Section 3.1.12)<br>\u2219 Durable Medical Equipment and Medical Supply (HCDOM Section 3.6.1)<br>\u2219 Pharmacy Services (HCDOM Chapter 3, Article 5)<\/td><\/tr><tr><td><strong>Emergency Response<\/strong><\/td><td>\u2219 Emergency Medical Response (HCDOM Chapter 3, Article 7)<\/td><\/tr><tr><td><strong>Specialty Referral and Follow-Up<\/strong><\/td><td>\u2219 Outpatient Specialty Services (HCDOM Section 3.1.12)<br>\u2219 Utilization Management Program (HCDOM Section 1.2.15)<br>\u2219 Physician Orders for Life Sustaining Treatment (HCDOM Section 2.4.2)<\/td><\/tr><tr><td><strong>End-of-Life Planning and Treatment<\/strong><\/td><td>\u2219 Palliative Care and Treatment (HCDOM Section 3.1.18)<br>\u2219 Advance Directive for Health Care (HCDOM Section 2.4.1)<br>\u2219 Physician Orders for Life Sustaining Treatment (HCDOM Section 2.4.2)<\/td><\/tr><tr><td><strong>Referrals to Higher Levels of Care and Follow-Up<\/strong><\/td><td>\u2219 Health Care Transfer (HCDOM Section 3.1.10)<br>\u2219 Specialized Health Care Housing (HCDOM Section 3.1.11)<\/td><\/tr><tr><td><strong>Handoffs Between Providers in Different Health Settings\/Between Care Teams<\/strong><\/td><td>\u2219 Health Care Transfer (HCDOM Section 3.1.10)<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block is-style-no-marker\">\n\t\t\t\t\t<p>                                    This list is not a complete listing of all associated policies and procedures.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\t<\/ul>\n\t\n\t<\/li>\n\t\n\t<\/ul>\n\t","protected":false},"parent":179,"template":"","class_list":["post-1139","dom","type-dom","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>3.1.2 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