A Purchaser's Guide to Understanding thethe Medical Home Model

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Tfsgnhs%Anhsn{nc T{gef{w Af{n  } } } (t a ta a ( h s Sln Tfsgnhs%Anhsn{nc Encgafi Ljen F T~{alfqn{ M~gcn ^hcn{qsfhcghm sln ejcni fhc sf`ghm fasgjh

Transcript of A Purchaser's Guide to Understanding thethe Medical Home Model

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Tfsgnhs%Anhsn{nc 

T{gef{w Af{n } } }( t a t a a ( h s

Sln Tfsgnhs%Anhsn{nc

Encgafi LjenF T~{alfqn{ M~gcn

^hcn{qsfhcghm sln ejcni fhc sf`ghm fasgj

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Fa`hj}incmnenhsq

Sgq m~gcn }fq cnrnijtnc kw sln Hfsgjhfi K~qghnqq Ajfigsgjh jh Lnfisl sl{j~ml f m{fhs {je sln Tfsgnhs Anhsn{ncT{gef{w Af{n Ajiifkj{fsgrn ,TATAA' Anhsn{ j{ Lnfisl Knhns [ncnqgmh fhc Getinenhsfsgjh( Sn egqqgjh j slnanhsn{ gq ’sj a{nfsn qsfhcf{cq fhc k~wghm a{gsn{gf slfs }gii qn{rn fq f m~gcn j{ if{mn fhc qefii netijwn{q fq slnw k~gic ef{`ns cnefhc j{ fcjtsgjh j sln tfsgnhs%anhsn{nc encgafi ljen ajhants(―

 ]n }j~ic ig`n sj fa`hj}incmn fhc slfh` sln f~slj{q j slgq {ntj{s) Egalfni Kfgigs fhc Al{gqsghn L~mlnq j KfgigsLnfisl T~{alfqghm) IIA fhc anhsn{ qsf [jlfh Knnqif) Sn N[GQF Ghc~qs{w Ajeegssnn ,N[GA' fhc Cnhhgq ]lgsn)Hfsgjhfi K~qghnqq Ajfigsgjh jh Lnfisl ,HKAL'(

Sn Tfsgnhs Anhsn{nc T{gef{w Af{n Ajiifkj{fsgrn }j~ic fiqj ig`n sj slfh` sln jiij}ghm ghcgrgc~fiq j{ qn{rghm jh slnAnhsn{ j{ Lnfisl Knhns [ncnqgmh fhc Getinenhsfsgjh ncgsj{gfi fcrgqj{w kjf{c( ]n f{n m{fsn~i j{ slng{ {nrgn} fhc tf{sgagtfsgjh c~{ghm sln cnrnijtenhs j slgq m~gcn?

y Sln Tfsgnhs%Anhsn{nc Encgafi Ljen–F T~{alfqn{ M~gcn

Afslw Kffqn  Cj}

K{nss Kf`n{ Fen{gafh Ajiinmn j Tlwqgagfhq

[jlfh KnnqifSn N[GQF Ghc~qs{wAjeegssnn

Fhgsf K{fzgii

 En{a " Aj(

@fsln{ghn L( Afttq Lnfisl;[nqj~{anq

Fhql~ Alj~cl{g  KAKQF 

[jk Bfiajhn En{a " Aj(

Fhhf Bfiign{fqMN 

 Ojn Bj{s~hf F~sjejsgrn Fasgjh Ghc~qs{wM{j~t

[jhhgn Mj  Hfsgjhfi K~qghnqqM{j~t jh Lnfisl

Tf~i M{~hcw  GKE 

Alnq M}ghh FJH Ajhq~isghm 

Sn{nqf Lniin Kjnghm 

Af{f Inqqn{ Fen{gafh Kjf{c j  

 Ghsn{hfi Encgaghn

Cjhfic Igqq  Fnshf

n{{w EaGhhgqMif|jQegsl@ighn

{fanw Ejj{lnfc CEFF? Sn Af{nAjhsgh~~e Fiigfhan

 Oge E~{{fw  En{a` " Aj(

Inn Tf{s{gcmn Hfsgjhfi Tf{shn{qlgt j{ ]jenh " Bfegignq

M{nm Tf}iqjh HAVF 

Qsnrn [fnszefh]fsqjh ]wfss 

Nc}ghf [jmn{qSn N[GQF Ghc~qs{wAjeegssnn

C~fhn T~shfe Tzn{ 

Bjjhm%@l}fh Qgn} 

 En{a " Aj(

[jqg Q}nnhnw  Fen{gafh Fafcnew j Bfegiw Tlwqgagfhq

Egalfni fwij{j}n{q Tn{{gh

[galf{c ]n|in{ Bj~hcfsgjh j{ Ghj{enc 

 Cnagqgjh Ef`ghm 

Cnhhgq ]lgsn Hfsgjhfi K~qghnqq Ajfigsgjhjh Lnfisl

Nc _geen{efh Fen{gafh Fafcnewj Tncgfs{gaq

§;44< TFSGNHS%ANHSN[NC T[GEF[W AF[N AJIIFKJ[FSGRN

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 Tfsgnhs%Anhsn{nc T{gef{w Af{n Ajiifkj{fsgrn y 

Bj{}f{c ((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((;

Qnasgjh 6 y ]lfs gq f Tfsgnhs%Anhsn{nc Encgafi Ljen: ((((((((((((((((((((((((((((((((((((((((((((1

Qnasgjh ; y ]lw Qlj~ic T~{alfqn{q Q~ttj{s sln TAEL: ((((((((((((((((((((((((((((((((((((((((2

Qnasgjh 1 y ]lfs Fasgjhq Afh T~{alfqn{q f`n sj Q~ttj{s sln TAEL: ((((((((((66

Qnasgjh 3 y Afqn Qs~cgnq j TAEL Ghgsgfsgrnq((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((6<

Qnasgjh > y Fttnhcganq ((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((;;F( HAF TTA%TAEL Qsfhcf{cq ((((((((((((((((((((((((((((((((((((((((((((((((((((((((((;;K( Qfetin Ghq~{n{ Ajhs{fas Ifhm~fmn ((((((((((((((((((((((((((((((((((((((((((((((((((((((;1A( netifsn [nv~nqs j{ Ghj{efsgjh*T{jtjqfiq ,[BG*[BT' ((((((((((((;3C( N|gqsghm fhc Nen{mghm Tfsgnhs%Anhsn{nc

Encgafi Ljen Ghgsgfsgrnq (((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((;<

Tfsgnhs%Anhsn{nc 

T{gef{w Af{n

Sln Tfsgnhs%Anhsn{ncEncgafi Ljen

F T~{alfqn{ M~gcn

^hcn{qsfhcghm sln ejcni fhc sf`ghm fasgjh

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Cnf{ T~{alfqn{)

Sn ifqs qnrn{fi wnf{q lfrn knnh s{wghm j{ t~{alfqn{q j lnfisl af{n( F }gcn f{{fw j qs{fsnmgnq sj sfen ajqs m{j}sl){nc~an n{{j{q fhc get{jrn v~figsw fttnf{q sj lfrn falgnrnc inqq getfas slfh cnqg{nc( Gs gq hj} ainf{n{ slfh nrn{ slfssln jhiw }fw sj fcc{nqq sln giiq slfs fgas j~{ (Q( lnfisl af{n qwqsne gq sl{j~ml s{~iw s{fhqj{efsgrn alfhmn ghlnfisl af{n hfhaghm fhc cnigrn{w(

Jhn nen{mghm qs{fsnmw j{ nnasghm q~al alfhmn gq sj {ncnqgmh sln efhhn{ j t{gef{w af{n cnigrn{w) fhc sj {n%netlfqgznsln anhs{figsw j t{gef{w af{n( Ajetniighm {nqnf{al ghcgafsnq slfs j~{ nrn{%gha{nfqghm ja~q j {nqj~{anq jh qtnagfisw af{nlfq a{nfsnc {fmenhsfsgjh) cna{nfqnc v~figsw) fhc lgmln{ ajqs( Gs fiqj qlj}q slfs g t{gef{w af{n t{fasganq {nqs{~as~{nlj} slnw jtn{fsn q~al slfs slnw f{n ej{n faanqqgkin) t{jejsn t{nrnhsgjh) t{jfasgrniw q~ttj{s tfsgnhsq }gsl al{jhgagiihnqq {fsln{ slfh s{nfsghm sln qwetsjeq j sljqn giihnqqnq) fhc nhmfmn tfsgnhsq gh qni%efhfmnenhs fhc cnagqgjh%ef`ghm) slnw t{jc~an knssn{ af{n fhc ij}n{ ajqsq(

Sn hfen fss{gk~snc sj slgq hn} ajhants~figzfsgjh j t{gef{w af{n gq ’Tfsgnhs%Anhsn{nc T{gef{w Af{n―) cnigrn{nc

sl{j~ml f ejcni afiinc sln ’Tfsgnhs%Anhsn{nc Encgafi Ljen(― Gs gq fh gcnf slfs lfq knnh nhcj{qnc kw kjsl sln tlwqgagfh ajee~hgsw fhc kw qjen getj{sfhs infcn{q j sln t~{alfqn{ ajee~hgsw( Gs gq hjs ig`niw sj fcc{nqq fii j alfiinhmnq fanc kw j~{ lnfisl af{n qwqsne–jsln{ ajetinenhsf{w s{fhqj{efsgrn ghgsgfsgrnq) q~al fq k{jfcn{ tfwenhs{nj{e) }gii kn hnanqqf{w fq }nii( Tfsgnhs%Anhsn{nc T{gef{w Af{n jn{q qgmhgafhs t{jegqn j{ get{jrghm lnfisl af{n

 rfi~n) lj}nrn{) }gsl qj~hc {nqnf{al nrgcnhan q~ttj{sghm gs(

Sgq T~{alfqn{ M~gcn t{jrgcnq fh jrn{rgn} j }lfs gq sln Tfsgnhs%Anhsn{nc Encgafi Ljen) fhq}n{q sln v~nqsgjh j  }lw t~{alfqn{q qlj~ic ajhqgcn{ q~ttj{sghm gs) fhc slnh cnhnq f igqs j tjsnhsgfi qs{fsnmgnq slfs t~{alfqn{q qlj~icajhqgcn{) ghai~cghm qjen {najeenhcnc geencgfsn qsntq slfs aj~ic kn sf`nh(

Sn M~gcn fiqj t{jrgcnq q~ttinenhsfi {nqj~{anq) ghai~cghm cnsfginc afqn qs~cw cnqa{gtsgjhq) fhc gh sln fttnhcganq)

fccgsgjhfi ghj{efsgjh {nmf{cghm a~{{nhs fhc j{slajeghm tgijsq) fhc c{f [BG fhc ajhs{fas ifhm~fmn j{ t~{alfqn{q(

 ]n nhaj~{fmn wj~ sj ajhqgcn{ sln Tfsgnhs%Anhsn{nc T{gef{w Af{n Ejcni) gsq tjsnhsgfi knhnsq) fhc lj} wj~{j{mfhgzfsgjh egmls sf`n qsntq sj nhaj~{fmn snqsghm fhc nrfi~fsgjh j gsq getfas(

 Fhc{n} ]nkkn{ Nc}ghf [jmn{q T{nqgcnhs fhc ANJ N|na~sgn Cg{nasj{) TATAA fhc 

 Hfsgjhfi K~qghnqq Ajfigsgjh jh Lnfisl Rgan T{nqgcnhs j Lnfisl Tjigaw)Sn N[GQF Ghc~qs{w Ajeegssnn ,N[GA'

 y Sln Tfsgnhs%Anhsn{nc Encgafi Ljen–F T~{alfqn{ M~gcn

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Sn ajhants j f ’encgafi ljen― gq hjs hn}( Gs }fqghgsgfiiw ghs{jc~anc kw sln Fen{gafh Fafcnew j Tncgfs{gaq ,FFT' gh 672= fhc {nn{{nc sj f anhs{fiijafsgjh j{ f algic‗q encgafi {naj{cq0 gs }fq tf{sga~if{iw getj{sfhs j{ algic{nh }gsl qtnagfi lnfisl af{n hnncq(Sgq ajhants nrjirnc jrn{ sgen {je f anhs{figznc

encgafi {naj{c sj f ensljc j t{jrgcghm ajet{nlnhqgrn t{gef{w af{n j{ algic{nh fs sln ajee~hgsw inrni(Sn Fen{gafh Ajiinmn j Tlwqgagfhq ,FAT') fhc slnFen{gafh Fafcnew j Bfegiw Tlwqgagfhq ,FFBT' slnhcnrnijtnc slng{ j}h ajhantsgjhq j sln ajhants)n|tfhcghm gsq {nfal sj af{n j{ fc~isq(

Gh Ef{al ;44= slnqn sl{nn qtnagfisw qjagnsgnq ojghnc slnFen{gafh Jqsnjtfslga Fqqjagfsgjh ,FJF' fhc gqq~nc’Ojghs T{ghagtinq j sln Tfsgnhs%Anhsn{nc EncgafiLjen―6 gh {nqtjhqn sj f {nv~nqs {je qnrn{fi if{mnhfsgjhfi netijwn{q qnn`ghm sj a{nfsn f ej{n nnasgrnfhc nagnhs ejcni j lnfisl af{n cnigrn{w(

 ]lgin sln encgafi ljen lfq lfc qnrn{fi cnhgsgjhq) slna~{{nhsiw nen{mghm ajhqnhq~q cnhgsgjh gq {nbnasnc ghsln Ojghs T{ghagtinq( Sn T{ghagtinq f{n cnhnc fq jiij}q?

F( Tnqjhfi tlwqgagfh–nfal tfsgnhs lfq fh jhmjghm {nifsgjhqlgt }gsl f tn{qjhfi tlwqgagfh s{fghnc sj t{jrgcn{qs ajhsfas) ajhsgh~j~q fhc ajet{nlnhqgrn af{n(

K( Tlwqgagfh cgnasnc encgafi tfasgan–

sln tn{qjhfi tlwqgagfh infcq f snfe j ghcgrgc~fiq fssln t{fasgan inrni }lj ajiinasgrniw sf`n {nqtjhqgkgigsw j{ sln jhmjghm af{n j tfsgnhsq(

A( ]ljin tnqjh jgnhsfsgjh–sln tn{qjhfi tlwqgagfh gq {nqtjhqgkin j{ t{jrgcghm j{ fii sln tfsgnhs‗qlnfisl af{n hnncq j{ sf`ghm {nqtjhqgkgigsw j{ ftt{jt{g%fsniw f{{fhmghm af{n }gsl jsln{ v~fignc t{jnqqgjhfiq(

Sgq ghai~cnq af{n j{ fii qsfmnq j ign0 fa~sn af{n0 al{jhgaaf{n0 t{nrnhsgrn qn{rganq0 fhc nhc j ign af{n(

C( Afn gq ajjcghfsnc fhc*j ghsnmfsnc fa{jqqfii ninenhsq j sln ajetin| lnfisl af{n qwqsne ,n(m()q~kqtnagfisw af{n) ljqtgsfiq) ljen lnfisl fmnhagnq) h~{qghm 

ljenq' fhc sln tfsgnhs‗q ajee~hgsw ,n(m() fegiw) t~kigafhc t{grfsn ajee~hgsw%kfqnc qn{rganq'( Af{n gq fagigsfsnckw {nmgqs{gnq) ghj{efsgjh snalhjijmw) lnfisl ghj{efsgjhn|alfhmn fhc jsln{ enfhq sj fqq~{n slfs tfsgnhsq mns slnghcgafsnc af{n }lnh fhc }ln{n slnw hnnc fhc }fhs gs ghf a~is~{fiiw fhc ighm~gqsgafiiw ftt{jt{gfsn efhhn{(

N( V~figsw fhc qfbnsw f{n lfiief{`q j slnencgafi ljen?

• T{fasganq fcrjafsn j{ slng{ tfsgnhsq sj q~ttj{s slnfssfghenhs j jtsgefi) tfsgnhs%anhsn{nc j~sajenq

slfs f{n cnhnc kw f af{n tifhhghm t{janqq c{grnhkw f ajetfqqgjhfsn) {jk~qs tf{shn{qlgt kns}nnh tlwqgagfhq) tfsgnhsq) fhc sln tfsgnhs‗q fegiw(• Nrgcnhan%kfqnc encgaghn fhc aighgafi cnagqgjh%q~ttj{s sjjiq m~gcn cnagqgjh ef`ghm(• Tlwqgagfhq gh sln t{fasgan faants faaj~hsfkgigsw j{ajhsgh~j~q v~figsw get{jrnenhs sl{j~ml rji~hsf{w nhmfmnenhs gh tn{j{efhan enfq~{nenhs fhcget{jrnenhs(• Tfsgnhsq fasgrniw tf{sgagtfsn gh cnagqgjh%ef`ghm fhcnnckfa` gq qj~mls sj nhq~{n tfsgnhsq‗ n|tnasfsgjhq

f{n knghm ens(• Ghj{efsgjh snalhjijmw gq ~sgigznc ftt{jt{gfsniw sj q~ttj{s jtsgefi tfsgnhs af{n) tn{j{efhanenfq~{nenhs) tfsgnhs nc~afsgjh) fhc nhlfhancajee~hgafsgjh(• T{fasganq mj sl{j~ml f rji~hsf{w {najmhgsgjh t{janqqkw fh ftt{jt{gfsn hjh%mjrn{henhsfi nhsgsw sjcnejhqs{fsn slfs slnw lfrn sln aftfkgigsgnq sj t{jrgcn

Qnasgjh 6

]lfs gq f Tfsgnhs%

Anhsn{nc EncgafiLjen:

 Tfsgnhs%Anhsn{nc T{gef{w Af{n Ajiifkj{fsgrn y 

 

6 }}}(encgafiljenghbj(j{m*Ojghs.;4Qsfsnenhs(tcb( Faanqqnc Efw 7) ;44<(

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 y Sln Tfsgnhs%Anhsn{nc Encgafi Ljen–F T~{alfqn{ M~gcn

 tfsgnhs anhsn{nc qn{rganq ajhqgqsnhs }gsl sln encgafiljen ejcni(• Tfsgnhsq fhc fegignq tf{sgagtfsn gh v~figsw get{jrnenhs fasgrgsgnq fs sln t{fasgan inrni(

B( Nhlfhanc faanqq sj af{n gq frfgifkin sl{j~mlqwqsneq q~al fq jtnh qalnc~ighm) n|tfhcnc lj~{q fhchn} jtsgjhq j{ ajee~hgafsgjh kns}nnh tfsgnhsq)slng{ tn{qjhfi tlwqgagfh) fhc t{fasgan qsf(

M( Tfwenhs ftt{jt{gfsniw {najmhgznq sln fccnc rfi~n t{jrgcnc sj tfsgnhsq }lj lfrn f Tfsgnhs%Anhsn{ncEncgafi Ljen( Sn tfwenhs qs{~as~{n qlj~ic kn kfqncjh sln jiij}ghm {fen}j{`?

• Gs qlj~ic {nbnas sln rfi~n j tlwqgagfh fhc hjh%

 tlwqgagfh qsf tfsgnhs%anhsn{nc af{n efhfmnenhs }j{` slfs fiiq j~sqgcn j sln fan%sj%fan rgqgs(• Gs qlj~ic tfw j{ qn{rganq fqqjagfsnc }gsl ajj{cghf%sgjh j af{n kjsl }gslgh f mgrnh t{fasgan fhc kns}nnhajhq~isfhsq) fhagiif{w t{jrgcn{q) fhc ajee~hgsw {nqj~{anq(• Gs qlj~ic q~ttj{s fcjtsgjh fhc ~qn j lnfislghj{efsgjh snalhjijmw j{ v~figsw get{jrnenhs(• Gs qlj~ic q~ttj{s t{jrgqgjh j nhlfhanc ajee~hg%afsgjh faanqq q~al fq qna~{n n%efgi fhc snintljhnajhq~isfsgjh(

• Gs qlj~ic {najmhgzn sln rfi~n j tlwqgagfh }j{` fqqjagfsnc }gsl {nejsn ejhgsj{ghm j aighgafi cfsf~qghm snalhjijmw(• Gs qlj~ic fiij} j{ qntf{fsn nn%j{%qn{rgan tfwenhsqj{ fan%sj%fan rgqgsq( ,Tfwenhsq j{ af{n efhfmnenhsqn{rganq slfs fii j~sqgcn j sln fan%sj%fan rgqgs) fqcnqa{gknc fkjrn) qlj~ic hjs {nq~is gh f {nc~asgjh ghsln tfwenhsq j{ fan%sj%fan rgqgsq'(• Gs qlj~ic {najmhgzn afqn eg| cgn{nhanq ghsln tfsgnhs tjt~ifsgjh knghm s{nfsnc }gslghsln t{fasgan(

• Gs qlj~ic fiij} tlwqgagfhq sj qlf{n gh qfrghmq {je{nc~anc ljqtgsfigzfsgjhq fqqjagfsnc }gsl tlwqgagfh%m~gcnc af{n efhfmnenhs gh sln jan qnssghm(

• Gs qlj~ic fiij} j{ fccgsgjhfi tfwenhsq j{ falgnr%ghm enfq~{fkin fhc ajhsgh~j~q v~figsw get{jrnenhsq

Sn Hfsgjhfi Ajeegssnn j{ V~figsw Fqq~{fhan‗q{najmhgsgjh qsfhcf{cq j{ t{gef{w af{n t{fasganq sgsinc’Tlwqgagfh%T{fasgan Ajhhnasgjhq¨–Tfsgnhs%Anhsn{ncEncgafi Ljen―) j{ ’TTA%TAEL― fssnets sj ~{sln{jtn{fsgjhfigzn slgq cnhgsgjh( F q~eef{w sfkin j slnqnqsfhcf{cq gq ajhsfghnc gh Fttnhcg| F(; 

HAF {ntj{sq slfs sln ghgsgfi HAF TTA qsfhcf{cq }n{n cnrnijtnc kfqnc ~tjh sln Ejcni j{ NnasgrnAl{jhga Giihnqq Af{n cnrnijtnc fs LnfislTf{shn{q ghEghhnqjsf fhc fs M{j~t Lnfisl Ajjtn{fsgrn j T~mnsQj~hc1( Sn Al{jhga Af{n Ejcni ,AAE'3) fq getin%

enhsnc fs M{j~t Lnfisl Ajjtn{fsgrn j T~mns Qj~hc)gcnhsgnq sln nqqnhsgfi ninenhsq j f lnfisl af{n qwqsneslfs nhaj~{fmn lgml%v~figsw al{jhga cgqnfqn af{n( Ig`nsln Tfsgnhs%Anhsn{nc Encgafi Ljen) gs k{ghmq ja~q sjlj} sln t{gef{w af{n t{fasgan qlj~ic {nqs{~as~{n fhc{nj{gnhs gsqni gh j{cn{ sj t{jrgcn get{jrnc aighgafi af{nsj gsq tfsgnhsq(

HAF qsf slnh ejcgnc sln qsfhcf{cq fn{ slnw  }j{ nc aijqniw }gsl infcn{q j sln j~{ qtnagfisw qjagnsgnq,FAT) FFBT) FFT) FJF' fhc jsln{ ghsn{nqsnc

qsf`nljicn{q sj cnrnijt sln TTA%TAEL qsfhcf{cq(

Sn{n f{n qjen }lj knignrn slfs sln cnhgsgjh j slnTfsgnhs%Anhsn{nc Encgafi Ljen fq cnhnc kw sln OjghsT{ghagtinq) fhc fq ~{sln{ cnhnc kw sln HAFTTA%TAEL qsfhcf{cq) gq gh hnnc j ~{sln{ {nhn%enhs( Bj{ n|fetin) qjen knignrn slfs slnqn cja~enhsqcj hjs fcnv~fsniw fcc{nqq knlfrgj{fi fhc tqwaljqjagfigqq~nq) af{n ajj{cghfsgjh*afqn efhfmnenhs) sln {n%j{gnhsfsgjh j sln t{gef{w af{n t{fasgan ghsj f e~isg%cgqagtighf{w snfe) sln hnnc j{ t{fasganq sj cja~enhs

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Sn{n gq qgmhgafhs nnasgrnhnqq {nqnf{al slfs q~mmnqsqslfs gha{nfqnc fcjtsgjh j sln Tfsgnhs%Anhsn{ncEncgafi Ljen) fhc gha{nfqnc ~qn j gs kw tfsgnhsq)qlj~ic wgnic qgmhgafhs enfq~{fkin knhnsq( Sgq{nqnf{al q~ttj{sghm sln Tfsgnhs%Anhsn{nc EncgafiLjen ajenq {je?

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 tjt~ifsgjh sln {nmgjhq j sln aj~hs{w }gsl sln lgmlnqsn|tnhcgs~{nq lfrn m{nfsn{ ~qn j qtnagfigqsq fhc tjj{n{v~figsw slfh sljqn }gsl c{fefsgafiiw ij}n{ n|tnhcgs~{nq(

 GR( Sl Qsfs~q V~j gq Hjs sl Fhq}{

 ]lgin sln{n f{n qjen fcln{nhsq j sln Tfsgnhs%Anhsn{ncEncgafi Ljen }lj ljic f lgml inrni j ajhrgasgjh slfssln ejcni }gii cnigrn{ q~tn{gj{ tn{j{efhan) efhw j sljqn q~ttj{sghm fttigafsgjh j sln ajhants cj qj{nfigzghm slfs sln{n gq f {gq` slfs slgq egmls hjs kn sln afqnSnqn t~{alfqn{q fhc tfwn{q) lj}nrn{) hc sln en{gsq j sln ajhants sj kn q~agnhsiw ajetniighm sj }f{{fhs fhghrnqsenhs gh tgijsq j{ tlfqnc getinenhsfsgjhq slfs

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n|tnasghm f cgn{nhs {nq~is

12

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4 y Sln Tfsgnhs%Anhsn{nc Encgafi Ljen–F T~{alfqn{ M~gcn

 

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Qnasgjh 1

]lfs Fasgjhq AfhT~{alfqn{q Sf`n sj

Fcrfhan sln TAEL:

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QS[FSnmw ? K~gic ajfigsgjhq gh q~ttj{sj TAEL0

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Ljenq fa{jqq sln ^(Q( Slnw agsn f h~ekn{ jb{nfqjhq }lw slgq gq sln afqn?

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 y Sln Tfsgnhs%Anhsn{nc Encgafi Ljen–F T~{alfqn{ M~gcn

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a(

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F igqsghm j n|gqsghm fhc nen{mghm e~isg%tfwn{ TAEL tgijsq gq t{jrgcnc gh Fttnhcg| C( Gh fccgsgjh) t~{alfqn{q afh inf{h fkj~s e~isg%tfwn{ tgijsq ~hcn{}fw sl{j~ml sln TATAA‗q Anhsn{ Bj{ E~isg%Qsf`nljicn{Cnejhqs{fsgjhq(

;( Nhaj~{fmn wj~{ t~{alfqn{ ajfigsgjh sj fcjtsf j{efi tjqgsgjh q~ttj{sghm TAEL( Ajfigsgjhq)knaf~qn slnw {nt{nqnhs sln rjgan j efhw 

 t~{alfqn{q) afh kn fh nnasgrn }fw sj ajee~hgafsnsj kjsl ghq~{n{q fhc sj t{jrgcn{ fqqjagfsgjhq fhc

 t{fasgan m{j~tq fhc jnh k{ghm m{nfsn{ ef{ ns t{nqq~{n sj knf{ slfh egmls kn tjqqgkin sl{j~ml~hgifsn{fi fasgjh(

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O^ETQSF{SV~ga` {najeenhcnc qsntq sj mns qsf{snc

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geencgfsn qsntq slfs f t~{alfqn{ afh sf`n {gmls f}fw( 

6( ]{gsn ajhs{fasnc ghq~{n{q fhc fq` slne sj tf{sgagtfsn gh jhn j{ ej{n e~isg%tfwn{Tfsgnhs%Anhsn{nc T{gef{w Af{n tgijsq slfs?

f( qtnagw jkigmfsgjhq j t{gef{w af{n t{fasganq0k( ghaj{tj{fsn af{n ajj{cghfsgjh ,afqn efhfmn%enhs' {nqj~{anq ghsj sln tgijs gh qjen fqlgjh0a( ~qn f tfwenhs ensljcjijmw slfs }gii nhlfhan

 tfwenhs sj t{gef{w af{n t{fasganq) fhcc( tn{j{e f {gmj{j~q ghcntnhcnhs nrfi~fsgjhj sln tgijs }gsl f ajhs{ji m{j~t(

;( Nc~afsn netijwnnq fhc cntnhcnhsq fkj~s slnknhnsq j figfsghm }gsl f t{gef{w af{n t{jrgcn{)fhc ~qghm sln t{jrgcn{ sj lnit faanqq hnncncfcrgan fhc af{n(

1( Ajhqgcn{ knhns ejcgafsgjhq slfs t{jrgcnghanhsgrnq j{ ~qn j sln Encgafi Ljen(

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 Tfsgnhs%Anhsn{nc T{gef{w Af{n Ajiifkj{fsgrn y 

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qwqsneq slfh j~sajenq) fhc lfrn sln{nj{n fcrjafsncj{ sln ghaj{tj{fsgjh j j~sajenq ghsj sln nhlfhanc tfwenhs ensljcjijmw) fhc ghsj sln t{jsjaji j{ fhghcntnhcnhs nrfi~fsgjh(

n|alfhmn ,LGN' fhc k' tn{j{efhan jh 64 LNCGQaighgafi t{janqq fhc j~sajen enfq~{nq(

Qg| ghq~{n{q f{n t{jrgcghm ~hcghm–Fnshf) AftgsfiCgqs{gas Tlwqgagfhq Lnfisl Tifh) Netg{n Ki~n A{jqq Ki~nQlgnic) L~cqjh Lnfisl Tifh ,f Encgafgc tifh') ERTLnfisl Af{n) fhc Netg{n Tifh ,^hgsncLnfislaf{n'( Fqsfsn Cntf{senhs j Lnfisl m{fhs gq t{jrgcghm efsalghm ~hcghm sj sln ghq~{n{ tfwenhsq( Ef|ge~e tjsnhsgfi

ghq~{n{*qsfsn ~hcghm j{ sln t{jonas) qlj~ic fii t{fasganqn|ani) gq #1E( Bghfiiw) f{nf netijwn{q GKE fhcLfhhfj{c K{jsln{q }gii nfal tfw fh fccgsgjhfi#6TETE sj v~figwghm t{fasganq j{ slng{ netijwnnqfhc cntnhcnhsq( Ghgsgfi tfwenhsq }gii jaa~{ gh ;447(

Sn t{jonas gq cnqgmhnc fq f rn%wnf{ tgijs }gsl f ajhs{jim{j~t) fhc gq sj kn nrfi~fsnc kw Aj{hnii ^hgrn{qgsw {nqnf{aln{q(

 

>;Kfqnc jh ghj{efsgjh {nangrnc {je O~ign Qalgiz j sln Ajij{fcj Aighgafi M~gcnighnq Ajiifkj{fsgrn ,tn{qjhfiajee~hgafsgjhq) Ef{al 6<) Ft{gi 14) fhc Efw 6>) ;44<' fhc cja~enhs sgsinc ’Ajij{fcj E~isg%Qsf`nljicn{*E~isg%Qsfsn TAEL Tgijs? AAMA Ajhrnhn{ J{mfhgzfsgjh fhc AAMA nalhgafi Fqqgqsfhan Jrn{rgn} Cja~enhs?[jin Cnhgsgjh fhc K~cmns Ajhqgcn{fsgjh) Ft{gi ;) ;44<) C[FB(  >1Qnn }}}(k{gcmnqsjn|aniinhan(j{m*Ajhsnhs*AjhsnhsCgqtifw(fqt|:AjhsnhsGC56;3 j{ ghj{efsgjh fkj~sslgq t{jm{fe( Faanqqnc Efw 6>) ;44<(

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 y Sln Tfsgnhs%Anhsn{nc Encgafi Ljen–F T~{alfqn{ M~gcn

 Fttnhcg| F

HAVF TTA%TAEL

Qsfhcf{cq 

Qsfhcf{c ? Faaqq fhc Ajee~hgafsgjh

 

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3

• ^qnq cfsf sj qlj} gs ennsq gsq qsfhcf{cq j{ tfsgnhs faanqq fhc ajee~hgafsgjh//

>

Qsfhcf{c ? Tfsghs S{fagh fhc [gqs{B~hasgjhq

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• ^qnq cfsf qwqsne j{ kfqga tfsgnhsghj{efsgjh ,ejqsiw hjh%aighgafi cfsf'

;

• Lfq aighgafi cfsf qwqsne }gsl aighgafi cfsf ghqnf{alfkin cfsf nicq

1

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2

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3

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1

Qsfhcf{c ? Af{ Efhfehs Tjghsq

• Fcjtsq fhc getinenhsq nrgcnhan%kfqncm~gcnighnq j{ sl{nn ajhcgsgjhq //

1

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3

• ^qnq hjh%tlwqgagfh qsf sj efhfmn tfsgnhsaf{n

1

• Ajhc~asq af{n efhfmnenhs) ghai~cghm af{ntifhq) fqqnqqghm t{jm{nqq) fcc{nqqghm kf{{gn{q

>

• Ajj{cghfsnq af{n**jiij}%~t j{ tfsgnhsq }lj{nangrn af{n gh ghtfsgnhs fhc j~stfsgnhsfagigsgnq

>4

Qsfhcf{c ? Tfsghs Q%EfhfehsQ~ttj{s

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• Fqqnqqnq ifhm~fmn t{nn{nhan fhc jsln{ ajee~hgafsgjh kf{{gn{q

;

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Qsfhcf{c ? nas{jhga T{qa{gkgh Tjghsq

• qnq ninas{jhga qwqsne sj }{gsn t{nqa{gtsgjhq 1

• Lfq ninas{jhga t{nqa{gtsgjh }{gsn{ }gsl qfnswalna`q

1

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;

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=

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2

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• S{fa`q {nn{{fiq ~qghm tftn{%kfqnc j{ ninas{jhga qwqsne//

3

Qsfhcf{c ? T{j{efha [tj{sgh fhcGet{jrehs

Tjghsq

• Enfq~{nq aighgafi fhc*j{ qn{rgan tn{j{efhankw tlwqgagfh j{ fa{jqq sln t{fasgan//

1

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• [ntj{sq tn{j{efhan fa{jqq sln t{fasgan j{ kw tlwqgagfh //

1

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1

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;

• S{fhqegsq {ntj{sq }gsl qsfhcf{cgznc enfq~{nqninas{jhgafiiw sj n|sn{hfi nhsgsgnq

Qsfhcf{c ? Fcrfhac nas{jhgaAjee~hgafsgjhq

Tjghsq

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• Ninas{jhga Af{n Efhfmnenhs Q~ttj{s

//E~qs Tfqq Ninenhsq 

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 Tfsgnhs%Anhsn{nc T{gef{w Af{n Ajiifkj{fsgrn y 

 Fttnhcg| K

Qfetin Ghq~{n{ 

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Sn ghq~{n{ qlfii?

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;( Sn ghq~{n{‗q TAEL tgijs,q' qlfii t{jrgcn n|tigags tf{fensn{q j{ t{fasgan {ncnqgmh fhc jtn{fsgjh fq fTAEL(

1( Sn ghq~{n{‗q TAEL tgijs,q' qlfii t{jrgcn tf{sgagtfs%ghm t{gef{w af{n t{fasganq }gsl snalhgafi q~ttj{s) q~al fqsl{j~ml t{fasgan ajfalnq j{ f inf{hghm ajiifkj{fsgrn) sj

fqqgqs sln t{fasganq gh slng{ s{fhqj{efsgjh sj encgafiljenq(

3( Sn ghq~{n{‗q TAEL tgijs,q' qlfii t{jrgcn sljqn t{fasganq }gsl rn{gnc nrgcnhan j TAEL t{fasgans{fhqj{efsgjh }gsl q~ttinenhsfi tfwenhsq slfs f{nghsnhcnc sj q~ttj{s qtnaga t{fasgan ajqsq hnanqqf{w sj getinenhs fhc q~qsfgh sln TAEL ejcni(

>( Sn ghq~{n{ qlfii rn{gw slfs t{fasganq lfrn falgnrncsln hnanqqf{w tf{fensn{q t{gj{ sj sln t{jrgqgjh j fhw 

nhlfhanc tfwenhsq(

2( Sn ghq~{n{ qlfii t{jrgcn tfsgnhsq qn{rnc kw TAEL tgijs t{fasganq }gsl ghanhsgrnq j{ al{jhga giihnqq qni%efhfmnenhs fhc nrgcnhan%kfqnc m~gcnighn fcln{nhan(

=( Sn ghq~{n{‗q TAEL tgijs,q' qlfii kn q~konas sjf qsfsgqsgafi nrfi~fsgjh sj fqqnqq sln getfas j sln tgijsjh aighgafi j~sajenq) tfsgnhs n|tn{gnhan fhc ajqs(

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 Fttnhcg| A 

Snetifsn [nv~nqs

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6( h~ekn{ j ghrjirnc tlwqgagfhq? ZZZZZ;( h~ekn{ j ghrjirnc tfsgnhsq? ZZZZZ

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k( ]lfs f{n sln qtnaga n|tnasfsgjhq slfs sln ghq~{n{j{ e~isg%ghq~{n{ ajiifkj{fsgrn f{n tifaghm jh t{gef{w 

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c( Gq ghsnm{fsnc }gsl sln NL[ fhc f~sjefsgafiiw a{jqq%{nn{nhanq encgafi lgqsj{w) ifk {nq~isq) nsa(

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6( H~{qn j{ jsln{ aighgafi tn{qjhhni f{n

cncgafsnc sj af{n efhfmnenhs;( Hjh%aighgafi {nqj~{anq f{n sln t{gef{w  tn{qjhhni cncgafsnc sj af{n efhfmnenhs1( Tn{qjhhni {nqj~{anq f{n netijwnc kw nfal

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 t{fasganq

 y Sln Tfsgnhs%Anhsn{nc Encgafi Ljen–F T~{alfqn{ M~gcn

 

>3Tlwqgagfhq }lj falgnrn f Inrni ; j{ Inrni 1 gh KN‗q Tlwqgagfh Jban Igh` ,TJI' T{jm{fe fq }nii fq f Inrni ;gh s}j jsln{ KN t{jm{feq–Cgfknsnq Af{n Igh`) Af{cgfa Af{n Igh` j{ Qtghn Af{n Igh`) v~figw j{ KN EncgafiLjen cnqgmhfsgjh( 

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>( Sn tifh t{jrgcnq tn{qjhhni {nqj~{anq slfsafh kn qlf{nc kw sln t{fasganq(2( ^qn j tn{qjhhni ,qlf{nc j{ hjs' cncgafsnc sjaf{n efhfmnenhs gq f {nv~g{nenhs j TAELcnqgmhfsgjh(

 r( Cjnq sln tifh cnqgmhfsn f {fhmn j al{jhgaaighgafi ajhcgsgjhq }lgal sln TAEL t{fasgane~qs kn fkin sj fcnv~fsniw afqn efhfmn: G qj)

 }lgal jhnq ,nRfi~n< 2(;(3': rg( Cjnq sln tifh {nv~g{n sln TAEL t{fasgan sjkn aftfkin j t{jrgcghm qtnaga ghsn{rnhsgjhq j{enekn{q }gsl al{jhga ajhcgsgjhq: G qj) }lgaljhnq ,nRfi~n< 2(>(3':

c( ]lfs gq sln qtnaga nc~afsgjhfi q~ttj{s slfs sln

ghq~{n{ j{ e~isg%ghq~{n{ ajiifkj{fsgrn gq t{jrgcghm sj t{fasganq sj q~ttj{s slng{ nj{sq fs s{fhqj{efsgjh:g( Ajfalghm kw t{fasgan ajfalnq s{fghnc gh slnTAELgg( Tf{sgagtfsgjh gh f e~isgtin qnqqgjh inf{hghm ajiifkj{fsgrn ja~qghm jh TAELggg( Jsln{ ,qtnagw'? ZZZZZ

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g( Tfwenhs gh {najmhgsgjh j t{jrgcn{ ajqsq

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gg( Tfwenhs nhlfhanenhs gh {najmhgsgjh j sln

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b( ]lfs swtnq j enfq~{nq f{n ~qnc sj cnsn{eghn sln tn{j{efhan%kfqnc tfwenhsq:,nRfi~n< 1(>(1) 1(2(1‑1(2(2'

g( Enfq~{nenhs j falgnrnenhs {nifsgrn sj f sf{mnsj{ tnn{q j{ HB%nhcj{qnc t{janqq enfq~{nq

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Jsln{ ,qtnagw'? ZZZZZ

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 tfwenhsgr( 62%;4. j t{gef{w af{n t{fasgan fhh~fi

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l( F{n sln{n fhw cnhnc n|tnasfsgjhq j sln lnfisl tifh j{ sln t{fasganq fq sj lj} sln fccnc tfwenhsqqlj~ic kn ~qnc:

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6( Jan rgqgsq

 Tfsgnhs%Anhsn{nc T{gef{w Af{n Ajiifkj{fsgrn y 

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 y Sln Tfsgnhs%Anhsn{nc Encgafi Ljen–F T~{alfqn{ M~gcn

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