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The presentation will begin shortly. The content provided herein is provided for informational purposes only. The views expressed by any individual presenter are solely their own, and not necessarily the views of HRET. This content is made


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SLIDE 1

The presentation will begin shortly.

The content provided herein is provided for informational purposes only. The views expressed by any individual presenter are solely their

  • wn, and not necessarily the views of HRET. This content is made available on an “AS IS” basis, and HRET disclaims all warranties

including, but not limited to, warranties of merchantability, fitness for a particular purpose, title and non-infringement. No advice or information provided by any presenter shall create any warranty.

2014 Silver Award Recipient

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2014 Silver Award Recipient

Creating Effective Community Partnerships to Build a Culture

  • f Health

June 28, 2016

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Building a Culture of Health:

Joining Forces, Taking Action, Advancing Equity

Amy Slonim, Senior Program Officer

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Our vision is that we, as a nation, will strive together to build a Culture of Health enabling all in our diverse society to lead healthier lives, now and for generations to come.

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Culture of Health:

From Vision to Action

www.rwjf.org/actionframework

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Communicating Priorities to Catalyze Action

7

Drivers represent:

  • ‘Engine’ of the Framework
  • Long-term priorities
  • Areas within which RWJF

hopes to catalyze action

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SLIDE 8

2014 Silver Award Recipient

Speakers

  • Heather Jorna, Vice President for Health Care

Innovation, Health Research & Educational Trust

  • Michelle J. Lyn, Assistant Professor and Chief,

Division of Community Health, Duke Health

  • Gayle B. Harris, Public Health Director and General

Manager for Community Well-being, Durham County Department of Public Health

  • Leann Tobin, Director of Marketing and Public

Relations, Montrose Memorial Hospital

  • Jessica Beller, EdD Director of Instructional Services,

Montrose County School District

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2014 Silver Award Recipient

Overview of HRET/RWJF Project

  • Part of a grant from the Robert Wood

Johnson Foundation

– Purpose: To examine partnerships between hospitals and community organizations and understand what makes for effective partnerships – How can hospital and community organization partnerships help to create a Culture of Health in their communities?

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2014 Silver Award Recipient

Methodology

  • Identified diverse sample of 25 communities

from AHA/ACHI Population Health Survey

– Conducted interviews with leaders from both the hospital and community organization(s) – Analyzed qualitative results – Reviewed supporting documentation

  • Creating Leadership Guide

– Includes case studies – Will be available on www.hpoe.org

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2014 Silver Award Recipient

Study Population

11

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2014 Silver Award Recipient

Types of Partners

12

Category Examples

Community Organizations Social services organizations, Salvation Army, food banks, parks, zoos Educational Organizations Early childhood (day care, foster care), primary, secondary and post-secondary (college, university) Faith-based Organizations Temples, churches, mosques or other religious or spiritual congregations Housing and Transportation Services Homeless shelters, housing and land development planning commissions, transportation authorities Government Local (municipal, city, county), state or federal government individuals or organizations (Dept. of Justice, Dept. of Agriculture, HUD), as well as prisons, fire and police departments and ambulance services Local Businesses Chamber of Commerce, grocery stores, restaurants, manufacturing organizations, etc. Public Health Organizations Public health departments, foundations, institutes Service Organizations Lions, Leagues (Rotary Club), United Way, YMCAs, Boys and Girls clubs Health Care Organizations Other hospitals in the community, federally qualified health centers, community health centers, rural health or free clinics, mental health organizations, pharmacies, walk-in clinics, state hospital associations

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2014 Silver Award Recipient

Roles in Community Health

  • Specialist: Focuses on a

few specific issues

  • Promoter: Supports
  • ther organizations’

initiatives

  • Convener: Brings

together hospital and community stakeholders to work toward shared goals

  • Anchor: Leads initiatives

to build a culture of health

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2014 Silver Award Recipient

Strategic Considerations

  • Effective leadership, governance and organizational

structures

  • Aligned mission, vision and goals
  • Clearly defined roles and responsibilities
  • Operational structures and processes
  • Programs and interventions to address community

needs

  • Assessing the partnership
  • Intervention impact
  • Partnership effectiveness
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Creating a Culture of Health the Durham Way

Gayle B. Harris, MPH, RN Michelle J. Lyn, MBA, MHA

HRET Webinar: Creating Effective Community Partnerships to Build a Culture of Health June 28, 2016

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Ov Over ervi view

  • Snapshot of Durham County
  • Partnership for a Healthy Durham
  • Improving Health Equity
  • Use of County Health Rankings
  • Creating a Culture of Health
  • Before “The Prize”
  • After “The Prize”
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Dur urha ham

  • 2015 population (est.):

300,952

  • 4th largest city in North

Carolina

  • Area: 298 sq miles
  • 17% residents below

poverty level

  • 85% of residents live

within the City of Durham Race

  • 53% White (42% non-

Hispanic)

  • 38% African Americans
  • 9% Other

Ethnicity 13.4% (any race) Hispanic

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  • Community coalition – the place to hold conversations
  • n health and take action on Durham’s health

priorities

  • 500 active members
  • Health department became coordinating agency in

2004; conversations occurred in the prior 20+ years

  • Senior Leadership Team Members from Duke Hospital

and Duke Regional Hospital as well as Duke Division of Community Health and Office of Community Relations Appointed to all Partnership Committees.

  • Par

artner ership f for

  • r a

a Heal ealthy Du Durham am

(www.healthydurham.org)

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Community Health Assessment

  • NC Division of Public Health requirement
  • At least every four years
  • Part of Health Department accreditation
  • Healthy Carolinians initiative
  • Affordable Care Act requirement
  • Every three years
  • Non-profit hospitals
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CHA Process: Collect Data

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CHA Process: Use Data to Set Priorities

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Community Action Plans

3-year Community Health Action Plans for each priority that include:

  • Evidence-based interventions
  • Ways to impact health disparities
  • Community partners and responsibilities
  • Policy and environmental changes
  • Evaluation plan
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Health th P Prioriti ties ( (20 2015-20 2017) 17)

  • Obesity and chronic illness
  • Poverty
  • Education
  • Access to medical and dental care
  • Mental health and substance abuse
  • HIV and sexually transmitted infections
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Par artner ership f for a a Heal Healthy D Durham am: Most Networked P Partner ership

Collaborative partnerships Mapping PROJECT done by NCSU researchers (2/13): Branda Nowell, Ph.D., Mary Hano, MPH, Annie Izod, MPA, Zheng Yang, MA, Katherine Ngaruiya

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How D Dur urha ham Has U Used ed Co Coun unty Ra Rank nkings gs & Ro Roadmaps

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County Heal Health R Ran ankings M Model el

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Us Uses es o

  • f t

the he Coun unty H Hea ealth R h Rank nkings

  • 2014 Community Health Assessment:
  • Durham’s rank among counties
  • Data and research
  • Recommended strategies
  • Press releases
  • Community Health Improvement Plans
  • What Works for Health
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What t Works f s for

  • r H

Health

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Crea eating a g a Cul ulture o e of Hea ealth BEFO FORE “The P he Prize”

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BEFORE ORE “The P e Prize” e”…

  • Community health assessment and health priorities
  • Action plans
  • Data
  • Strategic plans
  • County & City
  • Public Health
  • Multiple Duke/Durham

Collaborative Clinical and Car and Care Management Programs in Durham

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BEFORE ORE “The P e Prize” e”

  • Multiple collaborative programs focused on vulnerable populations

with Duke Health’s Division of Community Health since 1998 including:

  • Northern Piedmont Community Care (6-County ACO for Medicaid)

http://www.npiedmontcc.org/

  • The Tooth Ferry Dental Van
  • Local Access to Coordinated Health Care (Uninsured)

http://sites.duke.edu/latch/

  • Neighborhood Clinics and School Based Health Centers
  • http://communityhealth.mc.duke.edu/access-care
  • Annual Duke/Durham Health Summit funded by Duke Health,

Office of Community Relations but jointly planned since 2002:

  • Data related to health priorities presented from CHA and SOTCH
  • Audience of more than 400 participants (community residents, elected
  • fficials & governmental agencies, providers, faith-based organizations,

businesses, non-profits, funders, etc.)

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Example: : Project t Access o ss of Durham C County ty

  • 2003 health summit CEO of LCHC complained about the

need for access to specialty care for the uninsured

  • April 2006 summit focused on health disparities and access

to care

  • Fall of 2006 stakeholder group convened to select a

program to address the need for specialty care

  • December 2006 a workgroup convened to develop a

Durham version of Project Access of Durham County modeled after Project Access in Buncombe County, NC

  • November 2007 summit convened to discuss health plan
  • ptions for the uninsured including Project Access of

Durham County

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Projec ect Ac Acces ess o

  • f Du

Durham Co County (PADC) DC)

  • Since July 2008, over 700 clinicians have provided donated

specialty care and related services valued at approximately $24 million

  • 4,340 uninsured patients served through a network of clinics

and private providers, laboratories, pharmacies and hospitals

  • Durham County Government provides @ $350,000 each

year to support the program’s infrastructure and additional specialty medications in the Lincoln Community Health Center’s pharmacy

  • Care Management Services Provided by Duke Health’s Local

Access to Coordinated Health Care

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BE BEFORE RE “The P he Prize”

  • As of August 1, 2012, Board of

Health smoking prohibited on:

  • Bus stops
  • Transportation and train

stations

  • City and County property,

including public parks and

  • n trails
  • Public sidewalks abutting

schools, hospitals, and city and county property

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Crea eating a g a Cul ulture o e of Hea ealth AF AFTE TER “The P he Prize”

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“The context of people’s lives determines their health, and so blaming individuals for having poor health or crediting them for good health is inappropriate. Individuals are unlikely to be able to directly control many of the determinants of health.”

World Health Organization 2012

Health Equity - “When all people have the

  • pportunity to attain their full health potential and

no one is disadvantaged from achieving this potential because of their social position or other socially determined circumstance.”

http://www.cdc.gov/socialdeterminants/Definitions.html

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SLIDE 37
  • 2016 Duke-Durham Health Summit: Creating

Collaborations Across Durham to Achieve Health Equity

  • Courageous Conversations
  • Multiple Racial Equity Training Institute Workshops
  • Multiple Community Workshops on Health
  • Disparities and Health Inequities
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AFTER ER “The P he Prize”… e”…

  • Durham County supported a two-year pilot program –

Medical Respite for the Homeless.

  • Durham County Department of Public Health, Duke Division
  • f Community Health, and Durham Public Schools: Healthy

Futures Program in Five Elementary Schools

http://dconc.gov/government/departments-f-z/public- health/programs-and- services/school-health-program/child-health-assessment-and-prevention- program-chapp

  • Community Health Indicators Initiative – City and County of

Durham, Duke Health, and Lincoln Community Health Center

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AFTER ER “The P he Prize”… e”…

  • Mayor Bell launched the Poverty Reduction Initiative
  • Focusing on the 2nd most distressed neighborhood in Durham
  • Six task forces (Education, Finance, Health, Housing, Jobs, and

Safety)

  • Health Task Force created and launched Community Health Worker

Training Program.

  • Offered by Durham Technical Community College
  • Credentialing of Community Health Workers Through the Durham

County Department of Public Health

  • Each task force is co-led by members of the City Council, Board
  • f County Commissioners and Board of Education and

community members

  • Broad community participation in developing strategies to

address issues identified by the residents in the area

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AFTER ER “The P he Prize”… e”…

  • RWJF Prize ($25,000) used to help fund:
  • HELP – to offer free durable medical equipment for loan

to county residents thru PADC

  • Durham Knows – to destigmatize and encourage HIV

testing through a public campaign

  • Safe Routes to School – to offer bicycle/pedestrian safety

“Let’s Go, NC!” curriculum and provide bicycles and equipment to fourth grade students at selected elementary schools

  • Double Bucks for Seniors – to support Grocers on Wheels

in providing vouchers to seniors to purchase fruits, vegetables, dairy and meat at mobile markets

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For more information contact:

Michelle J. Lyn, MBA, MHA Assistant Professor and Chief, Division of Community Health http://communityhealth.mc.duke.edu/ Co-Director, Duke Center for Community and Population Health Improvement Duke Health Michelle.Lyn@duke.edu (919) 681-3192 Gayle Harris, RN, MPH Director Durham County Department of Public Health http://dconc.gov/government/departments-f-z/public-health General Manager for Community Well-Being gharris@dconc.gov (919) 560-7650

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Co mmunity E ng a g e me nt

L e ann T

  • bin, Montrose Me morial Hospital

Dire c tor of Marke ting and PR Je ssic a Be lle r, E dD, Montrose County Sc hool Distric t Dire c tor of Instruc tional Se rvic e s

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Mission of MMH

To provide healthcare services to our communities with excellent service, compassion and fiscal responsibility

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Vision Of MMH

To be the hospital, the healthcare resource and the employer of choice in our communities

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 MMH is a 501 (c )3-Co mmunity b a se d no n-pro fit e ntity

 L

ic e nse d fo r 75 Be d

 680 E

mplo ye e s

 2nd L

a rg e st e mplo ye r in Mo ntro se

 L

e ve l 3 T ra uma d e sig na tio n

 100 Physic ia ns

 QHR ma na g e d sinc e the la te 1980’ s  Se rve s Mo ntro se , Sa n Mig ue l & Oura y c o untie s (PSA)

 Gunniso n, De lta , Hinsd a le a nd Sa n Jua n (SSA)

PSA: 51,927

SSA: 42,884

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MMH Earns Three National Awards for Cleanliness, Patient Satisfaction

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MMH Community E ng a g e me nt

Suc c e ss is a c hie ve d whe n the c ommunity vie ws the hospita l a s a c olla bora tive pa rtne r a nd a g ood ne ig hbor

 MMH will  Be kno wn a s a va lue d b usine ss pa rtne r  Be a n e xa mple fo r Clinic a l E

xc e lle nc e a nd Outc o me s

 Will c o nsiste ntly pro vide the Be st Custo me r Se rvic e

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MMH Community E ngage me nt

Mission, Vision, Va lue s Stra te g ic Pla n Se nior L e a de rship Sta ff

Patie nt

Community E ng a g e me nt Clinic a l E xc e lle nc e Gra nts

Phila nthr

  • py
  • Wome n’s
L e ade r ship Gr
  • up

PR & Ma rke ting T a le nt Ma tc h, Pro Bono Community Be ne fit E c onomic Impa c t Custome r Se rvic e F a c ilitie s a nd Prog ra ms

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Community e ngage me nt

(Stra te g ic )

Montr

  • se County Sc hool Distr

ic t 

ST E M Partne r

Care e r Options Se minar

Care e r F airs

Pr

  • ximity Spa c e

 E

r g onomic Spa c e @ Co-wor king wor kspa c e s

Montr

  • se Re c r

e a tion Distr ic t

Gir ls on the Run Volunte e r s a nd Sponsor

Montr

  • se County F

a ir

He a lth F a ir 

Ove r 2,500 partic ipate

Spe ake r s Bur e au

 ACO, CCA Boa r

ds

 Montr

  • se E

c onomic De ve lopme nt Counc il

 Montr

  • se County Sc hool Distr

ic t Boa r d

 Re g ion 10 Wor

kfor c e Boa r d a nd Cha mbe r Boa r d

 Montr

  • se Ar

ts Counc il Boa r d

 Hope We st (Hospic e ) Boa r

d

 Montr

  • se E

me r g e nc y Ma na g e me nt

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Co mmunity E ng a g e me nt

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Co mmunity E ng a g e me nt

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Ca re e r Optio n Se mina r with Mo ntro se Co unty Sc ho o l Distric t Stude nts

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Career Options Seminar

STEM (Science,

Technology, Engineering, Mathematics)

Movement

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9th-12th grade 4 Career Options

Seminars

16+

Career Clusters

  • Health Sciences
  • Management & Administration
  • Marketing
  • Business
  • Work for Credit
  • Paid approved job, applied work skills,

100 minimum hours

  • Career Internship
  • Career pathway of interest, 120

minimum hours

  • 1,200 students.
  • ~300/year participate in the COS
  • ~60 students/year are part of the health

sciences cluster

  • ~24/year complete their work at MMH

17+

departments

  • Acute Rehab
  • Business Office
  • Cancer Center
  • Day Surgery
  • Family Center
  • Human Services
  • Medical Surgical Unit
  • Midwifery
  • Nutrition
  • Pathology
  • Physical Therapy (Pediatric

& Adult)

  • Phlebotomy
  • Radiology
  • Respiratory
  • Surgical Center
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4 days a week

1.5 hours/day (M.T.TH.F) students rotate

24 students/ semester

invest our time & talent feedback & community showcase

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school district’s worker’s comp liability contract

background checks parent & student contract

HIPPA & Confidentiality Immunizations

mentors support

hospital policies, procedures, etc

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Career Fairs PoWeR Center Pizza with Professionals

Roundtable presentations for students to visit with professionals according to Career Clusters Assists the ICAP (Individual Career & Academic Plan) process & students in reaching their goals of entering into the workforce, beginning a career, or selecting post- secondary education

  • ptions.

Opportunities for 6th-12th grade students to explore careers, visit with professionals, and consider post-secondary options.

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Purpose 1 Vision

14

schools

5 Priority Industry Sectors

  • 6 elementary schools
  • 3 middle schools
  • 2 high schools
  • 1 virtual K-12 school
  • 6,000 students, 800 staff

#1: Healthcare

To engage our schools & community in developing a STEM system aligned at all levels, in all schools, with all students.

Provide all students with a robust educational experience, engaging them in critical thinking and collaborative problem solving through relevant, real- world applications & experiences that prepare them for future careers.

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invest our time & talent

build the system together p-tech

partnership feedback

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L e sso ns L e a rne d

 Co mmunic a tio n is K

e y!

 T

he stude nt’ s e xpe rie nc e is o nly a s g o o d a s the ir pre c e pto r(s) a nd the ir inte re st le ve l

 Orie nta tio n to MMH must b e ve ry b a sic a nd spe c ific  Bo th MMH a nd the Sc ho o l distric t a re c o mmitte d to

ma ke this pro g ra m suc c e ssful!

 T

ime & ta le nt inve stme nt – no t mo ne y

 Ne w physic ia n to o ur c o mmunity – pa rtic ipa te d in the

COS pro g ra m in Hig h Sc ho o l 

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Co nta c ts:

 L

e a nn T

  • b in

 Dire c to r o f Ma rke ting a nd

Pub lic Re la tio ns

 Mo ntro se Me mo ria l Ho spita l  lto b in@ mo ntro se ho spita l.c o m  970.240.7344  Je ssic a Be lle r, E

dD

 Dire c to r o f I

nstruc tio na l Se rvic e s

 Mo ntro se Co unty Sc ho o l

Distric t

 Je ssic a .Be lle r@ mc sd.o rg  970.240.6431

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Please click the link below to take our webinar evaluation. The evaluation will

  • pen in a new tab in your default browser.

https://www.surveymonkey.com/r/hpoe-webinar-06-28-16

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@HRETtweets

#hpoe

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Check out hpoe.org for information on upcoming webinars

For more information go to www.hpoe.org