QUALITY April 2022
Great Catch Award 51
CONGRATULATIONS
Nancy Nguyen, RN
IMCU Nurse
A “Great Catch” is an event or circumstance that has the
potential to cause harm to a patient but never reaches the
patient due to the actions of a staff member. These type of
events are encouraged to be reported by placing an event in
Meditech. Each month, these are reviewed and one is
chosen to receive the “Great Catch Award”. All staff
members are responsible for patient safety standards but
this award recognizes a staff member that demonstrates an
exceptional commitment to patient safety.
QUALITY
Days Since Last Fall Update
has made
244+
Days with NO FALLS!
52
QUALITY WE ARE SO
PROUD OF YOU!
celebrates
1 YEAR 53
with NO
HAI’s
QUALITY
Leapfrog
Hospital
Safety
Grade
The Leapfrog Hospital Safety Grade is a composite
score made up of up to 27 national performance
measures of patient safety measures that indicate
how well hospitals protect patients from
preventable errors, injuries and infections.
© 2020. CONFIDENTIAL – Contains proprietary information. Not intended for external distribution. 54
HCA Clinical Excellence
Updated ICU 1EAST 2EAST MS2 MS3 MS4 MS5 MS6
4/4/2022
Number of Days Since Last HAI Event
CLABSI 382 1311 399 123 29 1071 396 1799
3/18/2021 9/1/2018 3/1/2021 12/2/2022 3/6/2022 4/29/2019 3/04/2021 5/1/2017
CAUTI 445 1311 390 620 322 308 601 1799
1/14/2021 9/1/2018 3/10/2021 7/23/2020 5/17/2021 5/31/2021 8/11/2020 5/1/2017
CDIFF 546 1168 1311 586 351 1155 659 799
10/05/2020 1/22/2019 9/1/2018 8/26/2020 4/18/2021 2/4/2019 6/14/2020 1/26/2020
MRSA 559 802 1311 123 1282 1066 786 1799
9/22/2020 1/23/2020 9/1/2018 12/2/2022 9/30/2018 5/4/2019 2/8/2020 5/1/2017
Less than 100 days More than 1000 days
© 2020. CONFIDENTIAL – Contains proprietary information. Not intended for external distribution.
PATIENT EXPERIENCE
INPATIENT WINNER OUTPATIENT WINNER
Q1 2022 Winner MS3 Main
Rad
56
Dominica Rock 57
“I received word that a patient’s wife wanted
someone to call her in order to have the
opportunity to convey her appreciation for the
care her husband received. He was discharged
from MS5 yesterday, 3/23/22. The patient’s wife
stated that her husband’s night nurse, Dominica
Rock, exemplified professionalism and gave
excellent medical care. She went on to explain
that she was attentive and had a wonderful
personality. She said her husband felt reassured
and comfortable that he was receiving the best
care he could. She was very thankful and
wanted to make sure these nurses knew how
they felt.”
Great job and way to really “care like family”!!
Michelle Marshall, RN, MSN – Quality Department© 2020. CONFIDENTIAL – Contains proprietary information. Not intended for external distribution.
PATIENT EXPERIENCE
ONLINE REVIEWS
“These are really heroes. The ca…re… that my “My mom is currently in the ICU here,
mother received was extraordinary. This team and she could not be receiving better
of nurses and P.T. along with Dr's a had a great care. Her doctors and nurses are so
knowledge and a professional unmatched...and attentive and take the time to tell us
at the same time, they were carrying, and what’s going on. We are very happy
really took their job seriously. Very admirable. with the level and quality of care
It brings so much peace of mind to family received.” – Google
members when you can TRUST your loved ones
in the care of others... Thank you a thousand “Thank you for everything you do everyday. You
times....you really blessed all our family , when all are amazing! Loved spending time with you
you blessed and served my mom!.” – Google all!” – Facebook Comments
. 58
PATIENT EXPERIENCE JBV6273
The “Top Box” score represents the most favorable response that can be
selected on the survey our patients receive.
The “Top Box” score represents the percentage of Press Ganey Surveys
with overall ratings of 9 and 10.
SERVICE LINE n TOP BOX SCORE % RANK MONTH REPORTED
Ambulatory Surgery 129 82% 19th March 2022
Inpatient 76 68% 48th March 2022
Emergency Room 92 57% 17th March 2022
Outpatient 367 81% 41st March 2022
59
GROWTH Surgery Volume
Visits All Other Visits OP Surg IP Surg
Total ED Visits
4,425 4,986
3,472 3,999 4,077 194 222 203 179 200 134 160 212 211 215 236
3,930 4,251 180
2,504 3,042 3,865 42,,399191 4,762 4,451 4,110 4,029
3,794 2,531 2,365 2,226 1,978 32,,419528 2,279
3,434 1,767 126 175
2,969
357 476 531 472 529 480 494 466 440 514 539 370 469 552
1,108
Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar
'21 '22 '21 '22
Admissions HCA
North Cypress
Adj Admissions Admissions
Admissions,
1,391 1,641 1,809 1,760 1,745 1,787 1,675 1,445 1,660 1,758 1,676 1,542 1,561 1,795 Visits & Volume
741 827 871 874 787 868 862 751 860 845 821 838 811 931
Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar
'21 '22
© 2020. CONFIDENTIAL – Contains proprietary information. Not intended for external distribution. 60
OPERATIONS
HCA North Cypress Average Patient Length of Stay
4.48 Days
March 2022
2021- 2022 Hospital Financials
Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar
'21 '22
Actual 61
Budget© 2020. CONFIDENTIAL – Contains proprietary information. Not intended for external distribution.
OPERATIONS Launch of Robotic Pulmonary
Procedures (Ion Robot) –
GME Program Suite -
Replacement of Main
Nuclear Medicine Camera Hospital MRI -
Replacement -
Replacement of 1 of 2
3rd Cath Lab Capable of Linear Accelerators
Neuro Intervention - (LINAC) in Radiation
Oncology -
2nd CT added in Main Hospital -
ED Expansion & Privatization
Newly-constructed ENDO & Project -
Radiology departments -
Lobby Refresh -
© 2020. CONFIDENTIAL – Contains proprietary information. Not intended for external distribution.
Hospital Updates 62
Hospital Updates
Did you find your ¾ ID throughout the Cy-Press?
Great NEWS! Stop by HR to claim your prize!
63
HUMAN RESOURCES
HCA HH North Cypress – Hope Fund YTD Updates!
18% of our employees contribute to the fund (goal is 20%)
$39,810 HCA NC employees contributed YTD in 2022
$30,376 matched by HCA in 2022
3 Grants awarded to HCA North Cypress totaling $4,000
64
HUMAN RESOURCES
Diversity, equity
and inclusion
Our award-winning BRAVE (Bold, Relevant, MAQ6822
Authentic, Valuable and Educational) Conversations
program provides colleagues an opportunity to discuss CONFIDENTIAL – Contains proprietary information. Not intended for external distribution.
complex topics in a safe and respectful setting. In 2020,
we debuted a new virtual format which tripled colleague
attendance.
We are committed to expanding our relationships with our
communities by investing $10 million over the next three
years in Historically Black Colleges and Universities
(HBCUs) and Hispanic Serving Institutions (HSIs) across
our footprint starting in 2021.
We’ve been recognized as a military-friendly employer
and military-spouse friendly employer for 10 years, hiring
more than 40,000 veterans, active-duty personnel and
military spouses since 2012.
65
HUMAN RESOURCES
[email protected]
GCDO.DiversityEquityInclusion@HCA
Healthcare.com
66 CONFIDENTIAL – Contains proprietary information. Not intended for external distribution.
HUMAN RESOURCES
Diversity, Equity & Inclusion Networks
HCA Houston Healthcare • Veterans : Troy Sarver
North Cypress Colleague • Hispanic/Latinx : Liana Larson
• Mind Matters : Brittany Lollis
Network Team Leads • Women’s : Allison Horvitz
• Young Professionals : Ashley Calvin
• Asian : An Dieu
• LGBTQ+ : Karen Bard
• The Voice : Junnius Pollard
67
© 2020. CONFIDENTIAL – Contains proprietary information. Not intended for external distribution.
HUMAN RESOURCES
Employee Benefits
Direct Debit NOW Available for Colleagues on Leave of Absence Did you add a dependent during annual benefits enrollment?
We are pleased to announce that colleagues on a leave of absence now If you added a dependent to your coverage, you must submit
have a direct debit option available to pay for benefits coverage. This documentation (such as birth certificate or marriage license) to verify he
means they can now submit a payment electronically instead of mailing a or she is eligible for benefits. If you do not complete this process, your
check to BConnected. dependent will not receive coverage.
Here’s what to do: How to Verify Dependents:
• Go to HCAhrAnswers.com Go to HCAhrAnswers.com* and click HCA Rewards
• Click HCA Rewards Click BConnected for instructions
• Click BConnected Click Verify to submit your documents directly from your device to
• Click My Health Benefits BConnected
• Click on More…
• Click Update Payment Information and follow the instructions If you How to Check Status of Dependent Verification:
No need to call! On the BConnected site, click the My Life tab and select
have questions, call BConnected at (800) 566-4114. Track My Newly Added Dependents. If you still have questions, call
BConnected at (800) 566-4114.
*If your facility does not use HCA hrAnswers, go to Atlas Connect
(http://connect.medcity.net) while logged in to the HCA Healthcare
network and click the HCA Benefits and Rewards icon. If your facility also
does not use Atlas Connect, log on to HCArewards.com.
69
HUMAN RESOURCES
Employee Benefits
Take Care… Wellbeing Resources Available! Employee Referral Bonus
Colleagues are encouraged to access the HCA Rewards Wellbeing Hub RN
for resources and tools to support all aspects of their life including: Full Time, 2+ years
experience
Emotional Wellbeing All departments are
Family and Household (including resources for center-based eligible $10,000
and in-home child care)
Financial & Legal RRT/Cath Lab/MT Techs/CT/MRI
Overall Health & Fitness Full Time, 2+ years
Diversity & Inclusion experience
Time Away From Work Eligible $10,000
And more!
Referral program
Log on to HCAhrAnswers.com*, choose HCA Rewards and select the 1st bonus payment of
Wellbeing icon. $2500 at 90 days
$2500 at 6 months
*If Your Facility Does Not Use HCAhrAnswers: Go to Atlas Connect $5000 at 1 year
(https://connect.medcity.net) while logged in to the HCA Healthcare
network and click the HCA Benefits and Rewards icon from the list of HR, Supervisors, and Management
app options. personnel are not eligible for
employee referral bonuses
70
Cafeteria Menu
71
CAFE 1 HOURS CAFE 2 HOURS
Café Monday – Friday Monday – Friday
Hours of 6:30 a.m. – 6:30 p.m. 6:30 a.m. – 3:30 p.m.
Operation
Saturday – Sunday Saturday – Sunday
72 7:00 a.m. – 5:30 p.m. CLOSED
Extended Hours by Request!
CONFIDENTIAL – Contains proprietary information. Not intended for external distribution.
May 2nd – May 6th 2022 Hours: Monday-Friday
Breakfast: 7:00 a.m. – 9:00 a.m.
Lunch: 11:00 a.m. – 2:00 p.m.
Menu items subject to change
Tuesday Wednesday Thursday Friday
Monday
Cypress Line: Cypress Line: Cypress Line: Employee Event Cypress Line:
Flounder w/ Cajun Cream Sauce Beef Medallions Chick-Fil-A Chicken Fried Chicken
Dirty Rice Basmati Rice Beef Enchiladas Mashed Potatoes
Green Beans Garlic Roasted Asparagus Spanish Rice Green Beans
Kernel Corn
Action Station Action Station Action Station Nacho Bar Action Station
SW Salad BBQ Pork Sliders Greek Salad Salmon Salad
Meat, Beans, Cheese, Jalapenos,
Soup of the Day: Soup of the Day: Soup of the Day: Sour Cream, Pico de Gallo, Soup of the Day:
Minestrone Red Pepper Bisque SW Chicken Tortilla Salsa & Black Olives Chicken Noodle
Dessert
Churros
Grill Station Grab & Go Grill Station Grab & Go Grill Station Grab & Go Grill Station Grab & Go Grill Station Grab & Go
Wings, Tenders Wings, Tenders Wings, Tenders Wings, Tenders Wings, Tenders
Hamburgers and Cheeseburgers Hamburgers and Cheeseburgers Hamburgers and Cheeseburgers Hamburgers and Cheeseburgers Hamburgers and Cheeseburgers
Hand Crafted Sandwich Bar Hand Crafted Sandwich Bar Hand Crafted Sandwich Bar Hand Crafted Sandwich Bar Hand Crafted Sandwich Bar
Sandwich of the Day Sandwich of the Day Sandwich of the Day Sandwich of the Day Sandwich of the Day
Ruben Sandwich Pulled Pork Grilled Cheese French Dip Italian Beef
73 | HCA Houston North Cypress Monthly Newsletter CONFIDENTIAL – Contains proprietary information.
Not intended for external distribution.
May 9th – May 13th 2022 Hours: Monday-Friday
Breakfast: 7:00 a.m. – 9:00 a.m.
Lunch: 11:00 a.m. – 2:00 p.m.
Menu items subject to change
Tuesday Wednesday Thursday Friday
Monday
Employee Event Cypress Line: Cypress Line: Cypress Line: Cypress Line:
Spaghetti and Meatballs Chick-Fil-A King Ranch Jerk Chicken
Baked Salmon Rice and Peas
w/ Marinara Sauce Roasted New Potatoes
Garlic Bread w/ Orange Glazed Sauce Sautéed Carrots Braised Cabbage
Asparagus Cilantro Rice
Employee Event Employee Dessert Event
Steamed Cauliflower Apple Pie & Ice Cream
Action Station Employee Dessert Event
Penne Sandwiches Italian Ice Cream Sundae
Soup of the Day: Action Station Action Station
Italian Wedding Philly Cheese Steak Beef Corn Dogs
Soup of the Day:
Grill Station Grab & Go Grill Station Grab & Go Soup of the Day: Grill Station Grab & Go Beef Vegetable
Wings, Tenders Wings, Tenders Vegetable Lentil Wings, Tenders Grill Station Grab & Go
Wings, Tenders
Hamburgers and Cheeseburgers Hamburgers and Cheeseburgers Grill Station Grab & Go Hamburgers and Cheeseburgers Hamburgers and Cheeseburgers
Wings, Tenders Hand Crafted Sandwich Bar
Hand Crafted Sandwich Bar Hand Crafted Sandwich Bar Sandwich of the Day
Sandwich of the Day Hamburgers and Cheeseburgers Sandwich of the Day
Ruben Sandwich BLT Penni Press
Hand Crafted Sandwich Bar Hand Crafted Sandwich Bar
Sandwich of the Day Sandwich of the Day
Club Sandwich Monte Cristo Sandwich
74 | HCA Houston North Cypress Monthly Newsletter CONFIDENTIAL – Contains proprietary information.
Not intended for external distribution.
May 16th – May 20th 2022 Hours: Monday-Friday
Breakfast: 7:00 a.m. – 9:00 a.m.
Lunch: 11:00 a.m. – 2:00 p.m.
Menu items subject to change
Tuesday Wednesday Thursday Friday
Monday
Employee Event Cypress Line: Cypress Line: Cypress Line: Cypress Line:
Baked Potato Bar Mango Cranberry Pork Chop Chick-Fil-A Jamaican Jerk Chicken Leg Qtr. Indian Curry Chicken
Chopped Beef Sandwich Tofu and Asian Vegetables
Vegetable Quinoa Sliced Beef Sirloin Cranberry Rice
Chips Red Potato Salad w/ Mushroom Sauce Asparagus Mashed Potatoes
Pecan Pie
Macaroni
Broccoli Action Station
Street Tacos w/ Corn in a Cup
Action Station Action Station Action Station
Chef Salad Shrimp/Beef Stir Fry Baked Potato Bar
Soup of the Day: Soup of the Day: Soup of the Day: Soup of the Day:
French Onion Soup Cream of Broccoli & Cheese Chicken & Rice Beef and Barley
Grill Station Grab & Go Grill Station Grab & Go Grill Station Grab & Go Grill Station Grab & Go Grill Station Grab & Go
Wings, Tenders Wings, Tenders Wings, Tenders Wings, Tenders Wings, Tenders
Hamburgers and Cheeseburgers Hamburgers and Cheeseburgers Hamburgers and Cheeseburgers Hamburgers and Cheeseburgers Hamburgers and Cheeseburgers
Hand Crafted Sandwich Bar Hand Crafted Sandwich Bar Hand Crafted Sandwich Bar Hand Crafted Sandwich Bar Hand Crafted Sandwich Bar
Sandwich of the Day Sandwich of the Day Sandwich of the Day Sandwich of the Day Sandwich of the Day
Ruben Sandwich Club Monte Cristo BLT Penni Press
75 | HCA Houston North Cypress Monthly Newsletter CONFIDENTIAL – Contains proprietary information.
Not intended for external distribution.
May 23rd – May 27th 2022 Hours: Monday-Friday
Breakfast: 7:00 a.m. – 9:00 a.m.
Lunch: 11:00 a.m. – 2:00 p.m.
Menu items subject to change
Tuesday Wednesday Thursday Friday
Monday
Cypress Line: Cypress Line: Cypress Line: Cypress Line: Cypress Line:
Chicken Veracruz Creamy Tuscan Ravioli Chick-Fil-A Mole Con Pollo Asian Pork
BBQ Ribs Steamed Rice Fried Rice
Rice Pilaf Asparagus Baked Beans Roasted Vegetables
Sautéed Zucchini Garlic Toast Green Beans Corn Tortillas Braised Bok Choy
Action Station Action Station Action Station Action Station Action Station
Crispy Chicken Spinach Pasta Crispy Chicken Flatus Stir-Fry
Soup of the Day: Soup of the Day: Soup of the Day: Soup of the Day: Soup of the Day:
Butternut Squash Orzo Spinach Soup Vegetable Lentil Burrito California Asian Pho
Grill Station Grab & Go Grill Station Grab & Go Grill Station Grab & Go Grill Station Grab & Go Grill Station Grab & Go
Wings, Tenders Wings, Tenders Wings, Tenders Wings, Tenders Wings, Tenders
Hamburgers and Cheeseburgers Hamburgers and Cheeseburgers Hamburgers and Cheeseburgers Hamburgers and Cheeseburgers Hamburgers and Cheeseburgers
Hand Crafted Sandwich Bar Hand Crafted Sandwich Bar Hand Crafted Sandwich Bar Hand Crafted Sandwich Bar Hand Crafted Sandwich Bar
Sandwich of the Day Sandwich of the Day Sandwich of the Day Sandwich of the Day Sandwich of the Day
Chicken Club Torta SW Chicken Wrap Jersey Sub Penni Press
76 | HCA Houston North Cypress Monthly Newsletter CONFIDENTIAL – Contains proprietary information.
Not intended for external distribution.
May 30th – June 3rd 2022 Hours: Monday-Friday
Breakfast: 7:00 a.m. – 9:00 a.m.
Lunch: 11:00 a.m. – 2:00 p.m.
Menu items subject to change
Tuesday Wednesday Thursday Friday
Monday
Cypress Line: Cypress Line: Cypress Line: Cypress Line: Cypress Line:
Chicken Veracruz Beef Lasagna Chick-Fil-A Chicken Fried Steak Mahi Mahi w/ Pineapple Sauce
Garlic Mashed Potatoes
White Rice Garlicy Brocclini Mexican Picadillo Sweet Corn and Onions Steamed Rice
Sautéed Zucchini Garlic Toast Refried Beans Parsley
Spanish Rice Carrots
Action Station Action Station Action Station Action Station Action Station
Hot Dogs w/ Chili Crispy Chicken Chimichangas Quesadilla Sliders
Soup of the Day: Soup of the Day: Soup of the Day: Soup of the Day: Soup of the Day:
Butternut Squash Tuscan Tortellini Pozole Verde Tomato Soup Clam Chowder
Grill Station Grab & Go Grill Station Grab & Go Grill Station Grab & Go Grill Station Grab & Go Grill Station Grab & Go
Wings, Tenders Wings, Tenders Wings, Tenders Wings, Tenders Wings, Tenders
Hamburgers and Cheeseburgers Hamburgers and Cheeseburgers Hamburgers and Cheeseburgers Hamburgers and Cheeseburgers Hamburgers and Cheeseburgers
Hand Crafted Sandwich Bar Hand Crafted Sandwich Bar Hand Crafted Sandwich Bar Hand Crafted Sandwich Bar Hand Crafted Sandwich Bar
Sandwich of the Day Sandwich of the Day Sandwich of the Day Sandwich of the Day Sandwich of the Day
Chicken Club Monte Cristo Sandwich SW Chicken Wrap Jersey Sub Penni Press
77 | HCA Houston North Cypress Monthly Newsletter CONFIDENTIAL – Contains proprietary information.
Not intended for external distribution.
Birthdays
78
Annual Requirement Friendly Reminder!
During your birthday month, ALL employees are required to complete an Annual Health Screen Packet.
Please take the necessary steps to complete your screening by visiting HR.
Please ensure all your license and certifications are updated.
HR encourages all employees to call HR Answers after upload to verify.
79
Jim Brown 05/01 Melva Clark 05/06 Kristi Read 05/10
05/01 05/06 Teresita Ozaeta 05/10
Jason Mccuistion 05/02 Giovanna Lopez 05/06 Tuong 05/10
05/02 05/06 Bui 05/10
Susana Herrera 05/02 Joselito Millenas 05/07 Paul Protas 05/10
05/02 05/07 Tamera Rodriguez 05/10
Veronica Garza 05/03 Wei Gai 05/07 Olatunji Olowere 05/11
05/03 05/07 Jocelyn Garcia 05/11
Shareda McGowen 05/04 Samantha Duffy 05/07 Dale 05/11
05/05 05/08 Elyse Padua 05/11
Eva Lopez 05/05 Rosily Mathew 05/08 Chona Cherian 05/12
05/05 05/08 Vineeth Silva 05/12
Zana Hussain 05/05 Andrea Hutson 05/08 Ricardo Patel 05/12
05/05 05/09 Devangi Gonzales 05/13
Elizabeth Robledo 05/06 Christine Chi 05/09 Singh 05/13
05/06 05/10 Roy Acosta 05/13
Jacquiline Go Yovana Romero Nirlep Ogieva
Arely
Chenell Valentine Kuirshan Durio Ovbokhan
Yeounhee Lee Regulo Candanosa
Michael Douglass Shalemeckio Brown
Melinda Fernandez Karen Nall
Donna Laurent Charles Smith Iii
Bounthieng Ouanesisouk Katherine Garza
Susan Moreno Jonathan Keels
© 2019. CONFIDENTIAL – Contains proprietary information. Not intended for external distribution. 80
Enedina Tapia 05/13 Cindy Le 05/19 Hae Kang 05/25
05/13 Marnie Mclean 05/19 Mai Feah 05/25
Brian Gallegos Suarez 05/14 George Devillez 05/19 Karen Bard 05/26
05/14 Monica Mbugua 05/19 Holly Gonzales 05/26
Miriam Schuessler 05/14 Molly 05/20 Anne Hetletvedt 05/26 Aileen Juanillo 05/29
05/14 Armando Hone 05/20 Josette Allen 05/26 Steve Montes 05/30
Maria Olea 05/14 Olalde 05/20 Uyen Tran 05/26 Kevin Rodgers 05/30
05/16 Lori 05/20 Breana Thompson 05/26 Ivy Marie Blaza 05/30
Jason Ogden 05/16 Allison Lea 05/20 Emily Scott 05/26 Geraldine Denila 05/30
05/16 Payton D'Antoni 05/21 Cathy 05/27 Jean Nwogu 05/30
Gregory Marceron 05/16 Calynn Elbrich 05/22 Shineka Le 05/27 Raqena Williams 05/30
05/18 Uzoma Lastrape 05/22 Georgia Kindred-Smith 05/28 Sandra Leveritt 05/31
Ivette Oliva 05/18 Carrie Okeugo 05/22 Hilda 05/28 Aida Chacon 05/31
05/18 Jeanette Williams 05/23 Maria Mccool 05/28 Brea Gosserand 05/31
Alexandra Quijada 05/18 Basirat Moore 05/23 Asrar Oriadetu 05/29
05/18 Najjugi James 05/24 Denetra Glemao 05/29
Corina Scott Christine Rombe Ahmed
Asomugha
Tyria Armstrong Prater
Dominique Richardson
Ashley Burriss
Felisa Ocampo
Frances Deleon
Michelle Okorie
Christopher Justice
© 2019. CONFIDENTIAL – Contains proprietary information. Not intended for external distribution. 81