CONTACT INFORMATION REVIEWS & MORE DATA
PALOMAR HEALTH DOWNTOWN CAMPUS Ratings and Reviews
- Date Updated: July 31, 2024
- Address: 555 EAST VALLEY PARKWAY, ESCONDIDO, CA 92025
- Phone: (760) 739-3000
- Type: Acute Care Hospitals
- Ownership: Government - Hospital District or Authority
- Overall Rating:
- Perc. Patients Recommending: 68%
About PALOMAR HEALTH DOWNTOWN CAMPUS
PALOMAR HEALTH DOWNTOWN CAMPUS is a Acute Care Hospitals. It is in ESCONDIDO, CA. Its type of ownership is Government - Hospital District or Authority. The facility's Medicare ID is 50115. It does provide emergency services. There are 396 medical professionals and 120 doctor groups affiliated with the hospital. On average at PALOMAR HEALTH DOWNTOWN CAMPUS, emergency patients were charged $28,019. This is higher than the state average of $26,501. It is also higher than the national average of $25,828.
Patient Survey Results
Below is information compiled by CMS on the percentage of patients who respond to specific treatments and a comparison of the results for PALOMAR HEALTH DOWNTOWN CAMPUS to the national results for similar facilities.
Survey Question | Response |
---|---|
Patients who reported that their nurses "Always" communicated well | 74 % |
Patients who reported that their nurses "Sometimes" or "Never" communicated well | 6 % |
Patients who reported that their nurses "Usually" communicated well | 20 % |
Nurse communication - linear mean score | Not Applicable |
Nurse communication - star rating | Not Applicable |
Patients who reported that their nurses "Always" treated them with courtesy and respect | 82 % |
Patients who reported that their nurses "Sometimes" or "Never" treated them with courtesy and respect | 4 % |
Patients who reported that their nurses "Usually" treated them with courtesy and respect | 14 % |
Patients who reported that their nurses "Always" listened carefully to them | 71 % |
Patients who reported that their nurses "Sometimes" or "Never" listened carefully to them | 6 % |
Patients who reported that their nurses "Usually" listened carefully to them | 23 % |
Patients who reported that their nurses "Always" explained things in a way they could understand | 69 % |
Patients who reported that their nurses "Sometimes" or "Never" explained things in a way they could understand | 7 % |
Patients who reported that their nurses "Usually" explained things in a way they could understand | 24 % |
Patients who reported that their doctors "Always" communicated well | 74 % |
Patients who reported that their doctors "Sometimes" or "Never" communicated well | 7 % |
Patients who reported that their doctors "Usually" communicated well | 19 % |
Doctor communication - linear mean score | Not Applicable |
Doctor communication - star rating | Not Applicable |
Patients who reported that their doctors "Always" treated them with courtesy and respect | 81 % |
Patients who reported that their doctors "Sometimes" or "Never" treated them with courtesy and respect | 4 % |
Patients who reported that their doctors "Usually" treated them with courtesy and respect | 15 % |
Patients who reported that their doctors "Always" listened carefully to them | 72 % |
Patients who reported that their doctors "Sometimes" or "Never" listened carefully to them | 8 % |
Patients who reported that their doctors "Usually" listened carefully to them | 20 % |
Patients who reported that their doctors "Always" explained things in a way they could understand | 68 % |
Patients who reported that their doctors "Sometimes" or "Never" explained things in a way they could understand | 9 % |
Patients who reported that their doctors "Usually" explained things in a way they could understand | 23 % |
Patients who reported that they "Always" received help as soon as they wanted | 51 % |
Patients who reported that they "Sometimes" or "Never" received help as soon as they wanted | 15 % |
Patients who reported that they "Usually" received help as soon as they wanted | 34 % |
Staff responsiveness - linear mean score | Not Applicable |
Staff responsiveness - star rating | Not Applicable |
Patients who reported that they "Always" received help after using the call button as soon as they wanted | 46 % |
Patients who reported that they "Sometimes" or "Never" received help after using the call button as soon as they wanted | 17 % |
Patients who reported that they "Usually" received help after using the call button as soon as they wanted | 37 % |
Patients who reported that they "Always" received bathroom help as soon as they wanted | 56 % |
Patients who reported that they "Sometimes" or "Never" received bathroom help as soon as they wanted | 14 % |
Patients who reported that they "Usually" received bathroom help as soon as they wanted | 30 % |
Patients who reported that staff "Always" explained about medicines before giving it to them | 55 % |
Patients who reported that staff "Sometimes" or "Never" explained about medicines before giving it to them | 25 % |
Patients who reported that staff "Usually" explained about medicines before giving it to them | 20 % |
Communication about medicines - linear mean score | Not Applicable |
Communication about medicines - star rating | Not Applicable |
Patients who reported that when receiving new medication the staff "Always" communicated what the medication was for | 68 % |
Patients who reported that when receiving new medication the staff "Sometimes" or "Never" communicated what the medication was for | 13 % |
Patients who reported that when receiving new medication the staff "Usually" communicated what the medication was for. | 19 % |
Patients who reported that when receiving new medication the staff "Always" discussed possible side effects | 41 % |
Patients who reported that when receiving new medication the staff "Sometimes" or "Never" discussed possible side effects | 36 % |
Patients who reported that when receiving new medication the staff "Usually" discussed possible side effects | 23 % |
Patients who reported that NO, they were not given information about what to do during their recovery at home | 14 % |
Patients who reported that YES, they were given information about what to do during their recovery at home | 86 % |
Discharge information - linear mean score | Not Applicable |
Discharge information - star rating | Not Applicable |
Patients who reported that NO, they did not discuss whether they would need help after discharge | 16 % |
Patients who reported that YES, they did discuss whether they would need help after discharge | 84 % |
Patients who reported that NO, they did not receive written information about possible symptoms to look out for after discharge | 13 % |
Patients who reported that YES, they did receive written information about possible symptoms to look out for after discharge | 87 % |
Patients who "Agree" they understood their care when they left the hospital | 46 % |
Patients who "Disagree" or "Strongly Disagree" they understood their care when they left the hospital | 7 % |
Patients who "Strongly Agree" they understood their care when they left the hospital | 47 % |
Care transition - linear mean score | Not Applicable |
Care transition - star rating | Not Applicable |
Patients who "Agree" that the staff took my preferences into account when determining my health care needs | 51 % |
Patients who "Disagree" or "Strongly Disagree" that the staff took my preferences into account when determining my health care needs | 9 % |
Patients who "Strongly Agree" that the staff took my preferences into account when determining my health care needs | 40 % |
Patients who "Agree" that they understood their responsiblities in managing their health | 47 % |
Patients who "Disagree" or "Strongly Disagree" that they understood their responsiblities in managing their health | 6 % |
Patients who "Strongly Agree" that they understood their responsiblities in managing their health | 47 % |
Patients who "Agree" that they understood the purposes of their medications when leaving the hospital | 39 % |
Patients who "Disagree" or "Strongly Disagree" that they understood the purposes of their medications when leaving the hospital | 7 % |
Patients who "Strongly Agree" that they understood the purposes of their medications when leaving the hospital | 54 % |
Patients who reported that their room and bathroom were "Always" clean | 62 % |
Patients who reported that their room and bathroom were "Sometimes" or "Never" clean | 16 % |
Patients who reported that their room and bathroom were "Usually" clean | 22 % |
Cleanliness - linear mean score | Not Applicable |
Cleanliness - star rating | Not Applicable |
Patients who reported that the area around their room was "Always" quiet at night | 49 % |
Patients who reported that the area around their room was "Sometimes" or "Never" quiet at night | 14 % |
Patients who reported that the area around their room was "Usually" quiet at night | 37 % |
Quietness - linear mean score | Not Applicable |
Quietness - star rating | Not Applicable |
Patients who gave their hospital a rating of 6 or lower on a scale from 0 (lowest) to 10 (highest) | 10 % |
Patients who gave their hospital a rating of 7 or 8 on a scale from 0 (lowest) to 10 (highest) | 23 % |
Patients who gave their hospital a rating of 9 or 10 on a scale from 0 (lowest) to 10 (highest) | 67 % |
Overall hospital rating - linear mean score | Not Applicable |
Overall hospital rating - star rating | Not Applicable |
Patients who reported NO, they would probably not or definitely not recommend the hospital | 7 % |
Patients who reported YES, they would definitely recommend the hospital | 68 % |
Patients who reported YES, they would probably recommend the hospital | 25 % |
Recommend hospital - linear mean score | Not Applicable |
Recommend hospital - star rating | Not Applicable |
Summary star rating | Not Applicable |
Cost of PALOMAR HEALTH DOWNTOWN CAMPUS, Compare to National and State Averages
Understanding how much a hospital is going to cost is extremely difficult. Hospitals themselves actively obscure what they charge and have negotiated different rates with different insurers. Then you have the problem of the wide variety of treatments which the PALOMAR HEALTH DOWNTOWN CAMPUS provides.
To provide some standard metric to compare hospital costs, CMS publishes the MSPB (or "Medicare Spending Per Beneficiary"). Even though you may not be on Medicare, this metric may still be useful. The MSPB is expressed as a percentage compared to the national average for costs that Medicare incurs. A percentage higher than 100% means the hospital charges more than the national average while a percentage less than 100% means the hospital charges less than the national average.
MSPB for PALOMAR HEALTH DOWNTOWN CAMPUS: Not Available
Detailed table for spending and period for patients at PALOMAR HEALTH DOWNTOWN CAMPUS:
Type | Amount |
---|---|
Home Health Agency (1 to 3 days Prior to Index Hospital Admission) | $24 |
Hospice (1 to 3 days Prior to Index Hospital Admission) | $1 |
Inpatient (1 to 3 days Prior to Index Hospital Admission) | $32 |
Outpatient (1 to 3 days Prior to Index Hospital Admission) | $58 |
Skilled Nursing Facility (1 to 3 days Prior to Index Hospital Admission) | $30 |
Durable Medical Equipment (1 to 3 days Prior to Index Hospital Admission) | $8 |
Carrier (1 to 3 days Prior to Index Hospital Admission) | $848 |
Home Health Agency (During Index Hospital Admission) | $0 |
Hospice (During Index Hospital Admission) | $0 |
Inpatient (During Index Hospital Admission) | $12,126 |
Outpatient (During Index Hospital Admission) | $0 |
Skilled Nursing Facility (During Index Hospital Admission) | $0 |
Durable Medical Equipment (During Index Hospital Admission) | $15 |
Carrier (During Index Hospital Admission) | $1,431 |
Home Health Agency (1 through 30 days After Discharge from Index Hospital Admission) | $892 |
Hospice (1 through 30 days After Discharge from Index Hospital Admission) | $322 |
Inpatient (1 through 30 days After Discharge from Index Hospital Admission) | $4,268 |
Outpatient (1 through 30 days After Discharge from Index Hospital Admission) | $687 |
Skilled Nursing Facility (1 through 30 days After Discharge from Index Hospital Admission) | $5,442 |
Durable Medical Equipment (1 through 30 days After Discharge from Index Hospital Admission) | $97 |
Carrier (1 through 30 days After Discharge from Index Hospital Admission) | $1,740 |
Total (Complete Episode) | $28,019 |
Infection Rates at PALOMAR HEALTH DOWNTOWN CAMPUS
These measures show how often patients at PALOMAR HEALTH DOWNTOWN CAMPUS contract certain infections during the course of their medical treatment, when compared to other hospitals nationally.
Infection Type | Score / Compare to National Average |
---|---|
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit | 0.35 / Same |
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit | 1.82 / Same |
Central Line Associated Bloodstream Infection: Number of Device Days | 6,926.00 / Same |
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases | 6.87 / Same |
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases | 6.00 / Same |
Central Line Associated Bloodstream Infection (ICU + select Wards) | 0.87 / Same |
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit | 0.27 / Same |
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit | 1.24 / Same |
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days | 9,779.00 / Same |
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases | 11.18 / Same |
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases | 7.00 / Same |
Catheter Associated Urinary Tract Infections (ICU + select Wards) | 0.63 / Same |
SSI - Colon Surgery: Lower Confidence Limit | 0.06 / Same |
SSI - Colon Surgery: Upper Confidence Limit | 1.27 / Same |
SSI - Colon Surgery: Number of Procedures | 178.00 / Same |
SSI - Colon Surgery: Predicted Cases | 5.21 / Same |
SSI - Colon Surgery: Observed Cases | 2.00 / Same |
SSI - Colon Surgery | 0.38 / Same |
SSI - Abdominal Hysterectomy: Lower Confidence Limit | Not Available / Not Available |
SSI - Abdominal Hysterectomy: Upper Confidence Limit | Not Available / Not Available |
SSI - Abdominal Hysterectomy: Number of Procedures | 44.00 / Not Available |
SSI - Abdominal Hysterectomy: Predicted Cases | 0.42 / Not Available |
SSI - Abdominal Hysterectomy: Observed Cases | 2.00 / Not Available |
SSI - Abdominal Hysterectomy | Not Available / Not Available |
MRSA Bacteremia: Lower Confidence Limit | 0.01 / Same |
MRSA Bacteremia: Upper Confidence Limit | 1.01 / Same |
MRSA Bacteremia: Patient Days | 99,696.00 / Same |
MRSA Bacteremia: Predicted Cases | 4.90 / Same |
MRSA Bacteremia: Observed Cases | 1.00 / Same |
MRSA Bacteremia | 0.20 / Same |
Clostridium Difficile (C.Diff): Lower Confidence Limit | 0.36 / Better |
Clostridium Difficile (C.Diff): Upper Confidence Limit | 0.83 / Better |
Clostridium Difficile (C.Diff): Patient Days | 91,137.00 / Better |
Clostridium Difficile (C.Diff): Predicted Cases | 39.62 / Better |
Clostridium Difficile (C.Diff): Observed Cases | 22.00 / Better |
Clostridium Difficile (C.Diff) | 0.56 / Better |
How PALOMAR HEALTH DOWNTOWN CAMPUS Compares to Other Similar Facilities
This is how PALOMAR HEALTH DOWNTOWN CAMPUS compares to other similar hospitals nationally based on data provided to CMS.
Top Hospitals in ESCONDIDO, CA
Worst Hospitals in ESCONDIDO, CA
Percentages of Complications and Deaths at PALOMAR HEALTH DOWNTOWN CAMPUS
Measure | Score | Compared to National Rates |
---|---|---|
Rate of complications for hip/knee replacement patients | 3.4% | SAME |
Death rate for heart attack patients | 15.7% | SAME |
Death rate for CABG surgery patients | 3.3% | SAME |
Death rate for COPD patients | 11.3% | SAME |
Death rate for heart failure patients | 11.8% | SAME |
Death rate for pneumonia patients | 16.5% | SAME |
Death rate for stroke patients | 12.8% | SAME |
Pressure ulcer rate | 0.12% | SAME |
Death rate among surgical inpatients with serious treatable complications | 186.79% | SAME |
Iatrogenic pneumothorax rate | 0.22% | SAME |
In-hospital fall with hip fracture rate | 0.08% | SAME |
Postoperative hemorrhage or hematoma rate | 2.42% | SAME |
Postoperative acute kidney injury requiring dialysis rate | 1.75% | SAME |
Postoperative respiratory failure rate | 6.87% | SAME |
Perioperative pulmonary embolism or deep vein thrombosis rate | 3.19% | SAME |
Postoperative sepsis rate | 6.34% | SAME |
Postoperative wound dehiscence rate | 1.77% | SAME |
Abdominopelvic accidental puncture or laceration rate | 1.07% | SAME |
CMS Medicare PSI 90: Patient safety and adverse events composite | 0.84% | SAME |
Skilled Nursing Facilities Near PALOMAR HEALTH DOWNTOWN CAMPUS
Many hospital patients are not ready to return home after a hospital visit. If recovery is going to be protracted, doctors will often advise that the patients recuperate at a skilled nursing facility. Below is a list of the skilled nursing homes near PALOMAR HEALTH DOWNTOWN CAMPUS ranked by their CMS 5-Star Overall Rating.
Medical Groups Affiliated with PALOMAR HEALTH DOWNTOWN CAMPUS
There are 396 doctors and 120 medical groups that are affiliated with PALOMAR HEALTH DOWNTOWN CAMPUS.
Affiliated Doctor Groups
- SENIOR MEDICAL ASSOCIATES INC
- ARCH HEALTH PARTNERS INC
- PALOMAR HOSPITALIST MEDICAL GROUP INC
- SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
- EMERGENCY AND ACUTE CARE MEDICAL CORPORATION
- EL CENTRO REGIONAL MEDICAL CENTER
- KAYAL MEDICAL GROUP INC
- REGENTS OF THE UNIVERSITY OF CALIFORNIA
- EAST CAMPUS HOSPITALIST MEDICAL GROUP INC
- BALBOA NEPHROLOGY MEDICAL GROUP INC
- PALOMAR EMERGENCY PHYSICIANS, INC
- SCRIPPS HEALTH INPATIENT PROVIDERS MEDICAL GROUP INC
- YUMA REGIONAL MEDICAL CENTER
- SCRIPPS HEALTH
- ANESTHESIA CONSULTANTS OF CALIFORNIA MEDICAL GROUP INC
- PALOMAR INTENSIVIST MEDICAL GROUP, INC
- ALVARADO EMERGENCY MEDICAL ASSOCIATES, INC.
- CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC
- SOUTHERN CALIFORNIA LIVER CENTERS INC
- GALEN INPATIENT PHYSICIANS PC
- NORTH COUNTY ENDOCRINE MEDICAL GROUP
- BRADLEY B. BAILEY,MD AND ROGER B. SCHECHTER, MD, INC.
- NORTH COUNTY NEUROLOGY ASSOCIATES MEDICAL GROUP
- UNITED MEDICAL DOCTORS
- RAWI MEDICAL, PC
- PACIFIC COAST REHABILITATION
- MISSION INFECTIOUS DISEASE AND INFUSION CONSULTANTS INC
- NORTH COUNTY TRAUMA ASSOCIATES INC, A MEDICAL GROUP
- LA COSTA UROLOGY INC
- ELION BRACE MD INC
- JEAN RIZKALLAH, M.D., INC
- EM ALLIANCE CALIFORNIA APC
- IHS RADIOLOGY MEDICAL GROUP INC
- FAMILY HEALTH CENTERS OF SAN DIEGO, INC
- PACIFIC REDWOOD MEDICAL GROUP INC
- CORONA REGIONAL EMERGENCY MEDICAL ASSOCIATES INC
- SASHA SALLOUM MD INC A PROFESSIONAL MEDICAL CORPORATION
- SAN DIEGO DIGESTIVE DISEASE CONSULTANTS INC A MEDICAL GROUP
- SHARP REES-STEALY MEDICAL GROUP INC
- SAN DIEGO DIAGNOSTIC RADIOLOGY MEDICAL GROUP INC
- BEVERLY RADIOLOGY MEDICAL GROUP III
- SAN DIEGO IMAGING-CHULA VISTA LLC
- DESERT ADVANCED IMAGING MEDICAL CENTER
- VALLEY PATHOLOGY MEDICAL ASSOCIATES INC
- GASTROENTEROLOGY AND LIVER INSTITUTE PC
- VITUITY HOSPITALISTS PC
- 24 ON PHYSICIANS OF CALIFORNIA PC
- SCRIPPS CARDIOLOGY MEDICAL GROUP, INC.
- PACIFIC EMERGENCY PROVIDERS A PROF CORP
- CALIFORNIA CANCER ASSOCIATES FOR RESEARCH AND EXCELLENCE INC
- MONICA PERLMAN MD INC
- TEMECULA VALLEY HOSPITALIST MEDICAL GROUP INC
- SAN DIEGO HOSPITALIST ASSOCIATES INC
- PHYSICIAN ASSISTANT SPECIALISTS-CALIFORNIA INC
- EMERGENCY SERVICES MEDICAL CORPORATION CORONADO
- AFSHIN A NAHAVANDI MD INC
- SOUTHERN MONO HEALTH CARE DISTRICT
- NORTH COUNTY RADIOLOGY ASSOCIATES INC
- RADIANT IMAGING, INC.
- SPARTANBURG MEDICAL CENTER
- FACULTY PHYSICIANS AND SURGEONS OF LLUSM
- PIH HEALTH PHYSICIANS
- CEP AMERICA - ANESTHESIA PC
- SUNSHINE PHYSICIAN SERVICES PC
- TALAMI HEALTH AND WELLNESS LLC
- LA MAESTRA FAMILY CLINIC, INC.
- SONORAN RADIOLOGY LTD
- LA JOLLA SPINE INSTITUTE MEDICAL GROUP, INC.
- PAUL E KIM MD INC
- NORTH COUNTY INTERNISTS MEDICAL CORPORATION
- CAROLINA PHYSICAL THERAPY ASSOCIATES LLC
- NEIGHBORHOOD HEALTHCARE
- PENRAD IMAGING LLC
- STANFORD HEALTH CARE
- COLORADO SPRINGS RADIOLOGISTS PC
- TEMECULA VALLEY EMERGENCY PHYSICIANS INC
- ASHISH K. WADHA MD A MEDICAL CORPORATION
- UNIVERSAL PHYSICIANS PA
- PACIFIC PARADISE EMERGENCY PHYSICIANS MEDICAL GROUP INC
- DARIUS A SCHNEIDER MD APC
- CEP AMERICA - NEUROLOGY PC
- SOUTHERN CALIFORNIA NEUROLOGY MEDICAL GROUP, INC.
- HEALTH ALLIES CLINIC INC
- JASON MORRIS DPM PODIATRY CORPORATION
- CALIFORNIA EMERGENCY PHYSICIANS MEDICAL GROUP A PROFESSIONAL CORP
- RANCHO SANTA FE MEDICAL GROUP, INC.
- INDIAN HEALTH COUNCIL INC
- POUYA AFSHAR MD INC
- CEP AMERICA - CALIFORNIA
- ADVENTIST HEALTH PHYSICIANS NETWORK
- SUTTER VALLEY MEDICAL FOUNDATION
- RHEUMATOLOGY CENTER OF SAN DIEGO PC
- ESCONDIDO INTERNAL MEDICINE INC
- ELIZABETH SALADA MD A MEDICAL CORPORATION
- MAJID SHAHBAZ MD INC
- TRI CITY PRIMARY CARE MEDICAL GROUP INC
- CHULA VISTA EMERGENCY ROOM PHYSICIANS A MEDICAL CORPORATION
- EMANUEL COUNTY HOSPITAL AUTHORITY
- ST. ANTHONY SHAWNEE HOSPITAL, INC.
- PRESBYTERIAN HEALTHCARE SERVICES
- FAIRVIEW HEALTH SERVICES
- BLADEN HEALTHCARE LLC
- BURBANK EMERGENCY MEDICAL GROUP INC
- VHS OUTPATIENT CLINICS INC
- TEXAS PULMONARY AND CRITICAL CARE CONSULTANTS PA
- NORTH COAST IMAGING RADIOLOGY MEDICAL GROUP INC
- UNIVERSAL RADIOLOGY PARTNERS OF CALIFORNIA PC
- COUNTY OF SANTA CLARA
- GENESIS HEALTHCARE PARTNERS
- ON CALL SPECIALISTS MEDICAL GROUP OF SAN DIEGO INC
- NORTHERN ARIZONA HEALTHCARE CORPORATION
- BEAVER MEDICAL GROUP PC
- INPATIENT SPECIALISTS OF CALIFORNIA PC
- RANCHO FAMILY MEDICAL GROUP INC
- PERMANENTE MEDICAL GROUP INC
- PINE PARK HEALTH, INC
- SOUND PHYSICIANS ANESTHESIOLOGY OF CALIFORNIA PC
- PROGRESSIVE ANESTHESIA CONSULTANTS OF CALIFORNIA
- SULLIVAN EMERGENCY SERVICES PC
- HOSPITALIST MEDICINE PHYSICIANS OF CALIFORNIA INC
The list of medical professionals associated with PALOMAR HEALTH DOWNTOWN CAMPUS is very long, so we have added another pages. See a list of medical professionals associated with PALOMAR HEALTH DOWNTOWN CAMPUS.
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