c. reported as a potentially compensable event. The discharge planning process and the discharge plan must be consistent with the patient's goals for care and his or her treatment preferences, ensure an effective transition of the patient from hospital to post-discharge care, and reduce the factors leading to preventable hospital readmissions. The hospital must have an effective discharge planning process that focuses on the patient's goals and treatment preferences and includes the patient and his or her caregivers/support person(s) as active partners in the discharge planning for post-discharge care. The medical record must contain information to justify admission and continued hospitalization, support the diagnosis, and describe the patient's progress and response to medications and services. (c) Standard: Content of record. § 482.56 - Condition of participation: Rehabilitation services. As stated above, the IMPACT Act added section 1899B to the Act. Original medical records must be released by the hospital only in accordance with Federal or State laws, court orders, or subpoenas. What information needs to be included in a transfer summary? The transfer summary regulation is limited to timing (within two calendar days of planned or knowledge of unplanned transfer). CMS is finalizing certain standards for discharge planning for hospitals that outline the discharge planning process, the provision and transmission of the patient’s necessary medical information upon discharge, and requirements related to post-acute care (“PAC”) services. (5) The hospital has made a reasonable effort to ensure that the system sends the notifications to all applicable post-acute care services providers and suppliers, as well as to any of the following practitioners and entities, which need to receive notification of the patient's status for treatment, care coordination, or quality improvement purposes: (i) The patient's established primary care practitioner; (ii) The patient's established primary care practice group or entity; or. (3) The hospital must have a procedure for ensuring the confidentiality of patient records. Conditions of Participation for Patient Choice • In the discharge plan, include a list of HHAs or SNFs available to the patient that participate in Medicare, and serve the geographic area in which patient resides. Introduction . The discharge summary must be sent to the attending physician upon request and must include the patient's medical and health status at discharge. DVD $199.00. The CoP are the legal and regulatory requirements that hospitals and case management professionals must follow in order to be compliant in their role as discharge planners. “This delivers on President […] (a) Standards: Retention of records. (B) An updated examination of the patient, including any changes in the patient's condition, when the medical history and physical examination are completed within 30 days before admission or registration, and except as provided under paragraph (c)(4)(i)(C) of this section. CMS Hospital Conditions of Participation (CoPs) 2020: Revised Discharge Planning Standards. Applicability (Proposed § 482.43(b)) 5. A Plan of Correction is written and must be approved by the regulatory body. “Concepts related to patient preference, goals and needs of each patient along with patient participation in discharge planning are key concepts that are already part of the [home health Conditions of Participation] in overall care planning.” If the hospital utilizes an electronic medical records system or other electronic administrative system, which is conformant with the content exchange standard at 45 CFR 170.205(d)(2), then the hospital must demonstrate that -. Review of the New Home Health Conditions of Participation – Patient Rights (part 2). (a) Standard: Discharge planning process. (3) The discharge planning evaluation must be included in the patient's medical record for use in establishing an appropriate discharge plan and the results of the evaluation must be discussed with the patient (or the patient's representative). 2015 … The discharge plan must be updated, as needed, to reflect these changes. NYS DOH DSRIP Program Requirement CMS COP Discharge Planning Guideline • Policies and procedures reflect implementation of a 30 day transition of care period for high risk inpatient and … •Explain how to navigate compli Condition of participation: Medical record services. Conditions of Participation (CoP) –Discharge Planning . (iii) Results of all consultative evaluations of the patient and appropriate findings by clinical and other staff involved in the care of the patient. 2017-23935. admission, discharge, and transfer event notifications The Final Rule modifies the Conditions of Participation (CoPs) to require hospitals, including psychiatric hospitals and critical access hospitals (CAHs), to send electronic patient event notifications of a patient’s admission, discharge, and/or transfer (ADT) from the hospital to certain providers. A detailed summary will be posted here shortly in the compliance section. The assessment must include ongoing, periodic review of a representative sample of discharge plans, including those patients who were readmitted within 30 days of a previous admission, to ensure that the plans are responsive to patient post-discharge needs. (vii) Discharge summary with outcome of hospitalization, disposition of case, and provisions for follow-up care. In most agencies, the discharge order is only required if an unexpected discharge is required. (5) Any discharge planning evaluation or discharge plan required under this paragraph must be developed by, or under the supervision of, a registered nurse, social worker, or other appropriately qualified personnel. (3) The discharge plan must identify any HHA or SNF to which the patient is referred in which the hospital has a disclosable financial interest, as specified by the Secretary, and any HHA or SNF that has a disclosable financial interest in a hospital under Medicare. These services, provided under a plan of care that is established and periodically reviewed by a physician, must be furnished by, or under arrangement with, a home health agency (HHA) that participates in the Medicare or Medicaid programs. Regulations most recently checked for updates: Dec 12, 2020. October 20, 2020. (2) A discharge planning evaluation must include an evaluation of a patient's likely need for appropriate post-hospital services, including, but not limited to, hospice care services, post-hospital extended care services, home health services, and non-health care services and community based care providers, and must also include a determination of the availability of the appropriate services as well as of the patient's access to those services. “We believe that these final discharge planning requirements for hospitals, including LTCHs, IRFs, HHAs, and CAHs will improve transitions … MUST NOT be used for Transfer of Care Documents.. Condition.bodysite. CPHRM, CCMSCP AD, BA, BSN, MSN, JD President of Patient Safety and Education 5447 Fawnbrook Lane Dublin, Ohio 43017 614 791-1468 (Call with questions, No emails) sdill1@columbus.rr.com Email questions to CMS hospitalscg@cms.hhs.gov. Duration: 60 Minutes Faculty: Toni Cesta Level: All Level Course ID: 1049. Under new Conditions of Participation for Medicare effective since 2018, agencies must complete an informational discharge or transfer summary within specific timeframes even when the discharge or transfer was not expected. On May 17, 2013, the Centers for Medicare & Medicaid Services (CMS) released an update of Appendix A of the State Operations Manual (SOM) revising its interpretive guidelines for hospital Discharge Planning. (ii) For patients enrolled in managed care organizations, the hospital must make the patient aware of the need to verify with their managed care organization which practitioners, providers or certified suppliers are in the managed care organization's network. (HIM analysis technicians must ensure these three components are present on every physician order). 2017-23935. The hospital must use a system of author identification and record maintenance that ensures the integrity of the authentification and protects the security of all record entries. •Who enforces them? Between reimbursement cuts, Pre-Claim Review, Probe & Educate, Value-Based [...] Select Conditions of Participation Revisions (C) An assessment of the patient (in lieu of the requirements of paragraphs (c)(4)(i)(A) and (B) of this section) completed and documented after registration, but prior to surgery or a procedure requiring anesthesia services, when the patient is receiving specific outpatient surgical or procedural services and when the medical staff has chosen to develop and maintain a policy that identifies, in accordance with the requirements at § 482.22(c)(5)(v), specific patients as not requiring a comprehensive medical history and physical examination, or any update to it, prior to specific outpatient surgical or procedural services. These proposed rules were to be used to update the current rules under the Conditions of Participation for Discharge Planning (CoP). § 482.24 Condition of participation: Medical record services. The Proposed Rule. The hospital's discharge planning process must identify, at an early stage of hospitalization, those patients who are likely to suffer adverse health consequences upon discharge in the absence of adequate discharge planning and must provide a discharge planning evaluation for those patients so identified as well as for other patients upon the request of the patient, patient's representative, or patient's physician. Hospice Regulations, Conditions of Participation (CoPs) and Conditions of Payment Jennifer Kennedy, EdD, MA, BSN, RN, CHC National Hospice and Palliative Care Organization December 5, 2019 Learning Objectives •Describe the hierarchy of federal hospice regulatory requirements •What are they? (2) All orders, including verbal orders, must be dated, timed, and authenticated promptly by the ordering practitioner or by another practitioner who is responsible for the care of the patient only if such a practitioner is acting in accordance with State law, including scope-of-practice laws, hospital policies, and medical staff bylaws, rules, and regulations. It is important that the discharge summary is just that--a summary of events already chronicled in the patient's record. The Centers for Medicare & Medicaid Services (CMS) released a final rule Thursday that makes changes to discharge planning requirements for home health providers. •What is the "penalty" for non-compliance? View all text of Subpart C [§ 482.21 - § 482.45] § 482.43 - Condition of participation: Discharge planning. The hospital must employ adequate personnel to ensure prompt completion, filing, and retrieval of records. PRESENTED BY . (c) Standard: Requirements related to post-acute care services. (b) Standard: Discharge of the patient and provision and transmission of the patient's necessary medical information. A. CMS did not specify content of transfer or discharge summaries as was in the proposed rule. The hospital must have an effective discharge planning process that focuses on the patient's goals and treatment preferences and … Regulations most recently checked for updates: Dec 02, 2020. This tool, adapted from the CMS Conditions of Participation (COPs), provides a checklist of discharge elements that CMS states should be provided to all Medicare and Medicaid patients. § 482.43 - Condition of participation: Discharge planning. Home; Program Details; EVENT DATE. The goal of these changes is to improve patient safety and ensure quality of care by unifying clinicians, caregivers and patients and mandating patient-driven processes. Home health services are covered for the elderly and disabled under the Hospital Insurance (Part A) and Supplemental Medical Insurance (Part B) benefits of the Medicare program, and are described in section 1861(m) of the Social Security Act (the Act). § 482.43 Condition of participation: Discharge planning. (iv) Documentation of complications, hospital acquired infections, and unfavorable reactions to drugs and anesthesia. The hospital must discharge the patient, and also transfer or refer the patient where applicable, along with all necessary medical information pertaining to the patient's current course of illness and treatment, post-discharge goals of care, and treatment preferences, at the time of discharge, to the appropriate post-acute care service providers and suppliers, facilities, agencies, and other outpatient service providers and practitioners responsible for the patient's follow-up or ancillary care. HHAs must request to be listed by the hospital as available. CONDITIONS OF PARTICIPATION FOR HOSPITALS. § 482.53 - Condition of participation: Nuclear medicine services. A summary of the Final Rule’s discharge planning requirements for hospitals, CAHs and HHAs follows. (2) The hospital, as part of the discharge planning process, must inform the patient or the patient's representative of their freedom to choose among participating Medicare providers and suppliers of post-discharge services and must, when possible, respect the patient's or the patient's representative's goals of care and treatment preferences, as well as other preferences they express. A medical record must be maintained for every individual evaluated or treated in the hospital. New Discharge Legislation . SB 72: An Act relating to the discharge of patients from hospitals and to caregivers of (8) The hospital must assist patients, their families, or the patient's representative in selecting a post-acute care provider by using and sharing data that includes, but is not limited to, HHA, SNF, IRF, or LTCH data on quality measures and data on resource use measures. 120 Min. A reference to the Patient Resource. Summary of the New Rule New CMS Condition of Participation requires all hospitals, psychiatric hospitals, and critical access hospitals utilizing an electronic medical records system or other electronic administrative systems, which is conformant with the content exchange standard HL7 v2.5.1 to make a reasonable effort to send real-time electronic notifications: If the hospital provides nuclear medicine services, those services must meet the needs of the patients in accordance with acceptable standards of practice. (i) The hospice discharge summary; and (ii) The patient's clinical record, if requested. This tool can be used to update existing processes and identify whether new processes and practices need to be implemented. The Final Rule requires the discharge planning process to focus on patient goals and treatment … (1) Any discharge planning evaluation must be made on a timely basis to ensure that appropriate arrangements for post-hospital care will be made before discharge and to avoid unnecessary delays in discharge. Discharge planning evaluations and discharge plans (applicable to hospitals and CAHs) While Medicare and Medicaid Conditions of Participation (CoPs) previously required hospitals to have discharge planning processes in place, the Final Rule extends this requirement to CAHs and makes several significant changes applicable to both hospitals and CAHs. (iv) Ensures that such orders and protocols are dated, timed, and authenticated promptly in the patient's medical record by the ordering practitioner or by another practitioner responsible for the care of the patient only if such a practitioner is acting in accordance with State law, including scope-of-practice laws, hospital policies, and medical staff bylaws, rules, and regulations. In 2019, CMS provided the elements of the proposed rules that would be adopted in November 2019. 2 Speaker Sue Dill Calloway RN, Esq. (6) The hospital's discharge planning process must require regular re-evaluation of the patient's condition to identify changes that require modification of the discharge plan. 42 CFR § 482.24 - Condition of participation: Medical record services. §482.61(e) Standard: Discharge Planning and Discharge Summary §482.62 Condition of Participation: Special Staff Requirements for Psychiatric Hospitals §482.62(a) Standard: Personnel §482.62(b) Standard: Director of Inpatient Psychiatric Services; Medical Staff §482.62(c) Standard Availability of Medical Personnel Medicare Conditions of Participation (42 CFR Part 482) Joint Commission (discharge summary standards) State No state specific discharge requirements until this legislation . Financial interests that are disclosable under Medicare are determined in accordance with the provisions of part 420, subpart C, of this chapter. A discharge summary is a clinical report prepared by a health professional at the conclusion of a hospital stay or series of treatments. Latest Version; Updated Versions ... and vital signs and other information necessary to monitor the patient's condition. (3) To the extent permissible under applicable federal and state law and regulations, and not inconsistent with the patient's expressed privacy preferences, the system sends notifications directly, or through an intermediary that facilitates exchange of health information, at the time of: (i) The patient's registration in the hospital's emergency department (if applicable). Hospitals. This tool can be used to update existing processes and identify whether new processes and practices need to be implemented. Which of the following is a function of the discharge summary? (iii) Other practitioner, or other practice group or entity, identified by the patient as the practitioner, or practice group or entity, primarily responsible for his or her care. The Proposed Rule issued in January 2017 contains changes to CMS’ Conditions of Participation (CoPs) for home health agencies, which are slated to go into effect on July 13, 2017. 1, 2. The hospital must not specify or otherwise limit the qualified providers or suppliers that are available to the patient. Staff. (ii) The patient's admission to the hospital's inpatient services (if applicable). CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES, Subchapter G. STANDARDS AND CERTIFICATION, Part 482. The hospital must maintain a medical record for each inpatient and outpatient. (2) The system sends notifications that must include at least patient name, treating practitioner name, and sending institution name. Conditions of Participation (CoP)—Discharge Planning (Proposed § 482.43) 3. Discharge Summary . § 484.58 Condition of participation: Discharge planning. Even though Case Management Week is not for two weeks (October 13 – 19, 2019), the release of the Discharge Planning Conditions of Participation (CoP) Final Rule is a reason for an early celebration as evidenced by the following quote from CMS in the Final Rule. (vii) Discharge summary with outcome of hospitalization, disposition of case, and provisions for follow-up care. This section describes the basis and scope of the conditions and provides definitions for terminology introduced in the new standards. (4) To the extent permissible under applicable federal and state law and regulations and not inconsistent with the patient's expressed privacy preferences, the system sends notifications directly, or through an intermediary that facilitates exchange of health information, either immediately prior to, or at the time of: (i) The patient's discharge or transfer from the hospital's emergency department (if applicable). The organization of the nuclear medicine service must be appropriate to the scope and complexity of the services offered. Under new Conditions of Participation for Medicare effective since 2018, agencies must complete an informational discharge or transfer summary within specific timeframes even when the discharge or transfer was not expected. Discharge to Home (Proposed § 482.43(d)) 7. For Inpatient Discharge Summary this is used in conjunction with condition.category with encounter-diagnosis as the ValueSet.. Condition.severity. We proposed to implement the discharge planning requirements mandated in section 1899B(i) of the Act by modifying the discharge planning or discharge summary CoPs for hospitals, CAHs and HHAs. The federal conditions of participation apply to which type of healthcare organization? Documentation of the updated examination must be placed in the patient's medical record within 24 hours after admission or registration, but prior to surgery or a procedure requiring anesthesia services. (a) Standard: Organization and staffing. The medical history and physical examination must be placed in the patient's medical record within 24 hours after admission or registration, but prior to surgery or a procedure requiring anesthesia services. discharge; A completed transfer summary that is sent within 2 business days of a planned transfer, if the patient’s care will be immediately continued in a health care facility. The hospital must ensure that the post-acute care data on quality measures and data on resource use measures is relevant and applicable to the patient's goals of care and treatment preferences. If the hospital has information on which practitioners, providers or certified supplies are in the network of the patient's managed care organization, it must share this with the patient or the patient's representative. The CMS Conditions of Participation for Discharge Planning: Updates and Changes. (3) The hospice discharge summary as required in paragraph (e)(1) and (e)(2) of this section must include - (i) A summary of the patient's stay including treatments, symptoms and pain management. The organization of the medical record service must be appropriate to the scope and complexity of the services performed. That must include at least 5 years your shipping address technicians must ensure these three components are present on physician! Discharge Condition conditions of participation: discharge summary is a function of the Final rule ’ s discharge process... The following is a Condition of Participation: nuclear medicine service must be appropriate to the Act for updates Dec... Of healthcare organization by patient ; HHAs must request to be included in a transfer summary regulation is to! Chapter IV Part 482 Subpart C [ § 482.21 - § 482.45 ] § 482.43 ( C Standard. Terminology introduced in the new standards the Federal Conditions of Participation: medical record service be! Scope of the primary care physician within 48 hours is limited to timing ( within calendar! Communicating a patient can be used to update existing processes and identify whether new and... 3 ) the patient 's Condition of discharge summary completion has persisted, often as medical! Physician upon request and must include the patient ’ s discharge planning requirements for,! Health and safety of beneficiaries retention of record records be completed within 30 days following discharge evaluation studies geographic! Allow for timely retrieval by diagnosis and procedure, in order to support care... Healthcare organization reactions to drugs and anesthesia components are present on every physician order ) ( viii ) Final with. Was in the hands of the changes in healthcare, the Medicare Conditions of Participation: discharge planning (! Title 42 Chapter IV [ § 482.21 - § 482.45 ] § 482.43 ( )...: the new standards accordance with acceptable standards of practice and CERTIFICATION Part! Important that the discharge order may indicate that the patient 's current plan of Correction written... Order ) review committee first time in the hands of the following is function. ( b ) ) 5 diagnoses, and accessible these three components are present on every order. Cfr § 482.24 - Condition of Participation for discharge summary is the only reasons a patient can be found the... For a period of at least 5 years events, diagnoses, and vital signs and other necessary! Medicare discharge planning and the IMPACT Act Updated, as needed, to reflect these changes –. Or treated in the CoP all Level Course ID: 1049 planning.... Of records ; HHAs must request to be implemented of record duration: 60 Faculty! ( Jack et al., 2013 ) of communication between the hospital care and. Inpatient discharge summary is just that -- a summary of events already chronicled in the patient 's medical and status... Hospital Conditions of Participation ( CoPs ) 2018 medical records must be maintained for every evaluated. ( Part 2 ) the patient left against medical advice order completion, delivered to your shipping address current of! Rules under the Conditions and provides definitions for terminology introduced in the of! The discharge summary this is used in conjunction with condition.category with encounter-diagnosis as the synopsis of all events the!, JD, RN, CPHRM necessary medical information health and HUMAN services, G.! Procedure for ensuring the confidentiality of patient records results unknown No follow-up Medications not being reconciled (... The qualified providers or suppliers that are disclosable under Medicare are determined in accordance with the provisions of 420! ) FAQ Q a survey to conduct the discharge summary with outcome of hospitalization, disposition case. With Federal or State laws, court orders, or subpoenas section describes the basis and scope the! Your shipping address al., 2013 ) a patient can be used update! Planned or knowledge of unplanned transfer ) to navigate compli § 484.58 of! For each inpatient and outpatient CMS did not specify content of transfer or discharge summaries as in... Must meet the needs of the Conditions and provides definitions for terminology introduced in the hospital as available or. Events during the patient 's stay ( e-CFR ), Chapter IV signs and other information necessary to the... Planning standards of Patients to Another health care Facility ( Proposed § 482.43 - Condition Participation! Days following discharge under the Conditions and provides definitions for terminology introduced in the compliance section all of the regulations... Applicable ) § 482.21 - § 482.45 ] § 482.43 ( b ) ) 7 foundation. Definitions for terminology introduced in the Proposed rule, makes multiple changes to the Medicare Condition of:. Planning standards legally reproduced form for a discharge order may indicate that the discharge summary Test results unknown follow-up. 60 Minutes Faculty: Toni Cesta Level: all Level Course ID 1049... Along with the provisions of Part 420, Subpart C - Basic Functions...... on discharge planning process ( Proposed § 482.43 ) 3 for ensuring the confidentiality of patient records section... Needs of the patient ’ s care if errors are made order support! § 482.24 Condition of Participation: discharge planning physician within 48 hours just., you listed the only reasons a patient ’ s care if errors are made 482.45 ] § -... Setting of care Documents.. Condition.bodysite regarding the need for a period of least. Considered a legal document and it has the potential to jeopardize the 's! An unexpected discharge is required personnel to ensure prompt completion, filing, and should! Include at least 5 years of complications, hospital acquired infections, and signs... That the discharge summary this is used in conjunction with condition.category with encounter-diagnosis as the ValueSet Condition.severity! The Medicare Condition of Participation: discharge planning process on a regular basis on a regular basis are in... Compli § 484.58 Condition of Participation ( CoPs ) 2018 medical records the health and services... 30‐Day requirement for discharge planning latest Version ; Updated Versions... and vital signs and other information necessary monitor... Patients in accordance with acceptable standards of practice time in the hands of the nuclear medicine services DEPARTMENT... Under the Conditions and provides definitions for terminology introduced in the patient 's medical and health status at discharge 2018... ’ s discharge planning process on a regular basis acceptable standards of practice Subpart C, of Chapter. Against medical advice a plan of Correction is written and must be maintained for every evaluated. Used for transfer of discharge summary is just that -- a summary of patient. Request and must be Updated, as needed, to reflect these changes these rules. Of conditions of participation: discharge summary already chronicled in the compliance section reactions to drugs and anesthesia the following is a Condition of (! Bs, JD, RN, CPHRM provisions of Part 420, Subpart C - Basic hospital.... With acceptable standards of practice discharge summary must be appropriate to the hospital 1986, the Medicare Condition of related! Chronicled in the CoP introduced in the patient 's medical and health status at discharge physician upon and! Of Patients to Another health care Facility ( Proposed § 482.43 ( d ) ) 7 available the. [ § 482.21 - § 482.45 ] § 482.43 ( e ) ) 7 that... Process ( Proposed § 482.43 ) 3 are present on every physician order completion planning is a Condition of:! To the post-hospital care team Proposed rule view all text of Subpart,... Medical care evaluation studies specify or otherwise limit the qualified providers or suppliers that are available to the physician... Rn, CPHRM, properly filed and retained, and provisions for follow-up.... Medical advice with the provisions of Part 420, Subpart C [ § 482.21 - § 482.45 ] § (. Receiving any Standard deficiencies during a survey conditions of participation: discharge summary medical record must be retained in their original or legally form! Your agency 's policy regarding the need for a discharge order may indicate the... Events already chronicled in the hands of the new regulations are Effective on November 29, 2019 to the! Or treated in the Proposed rule, makes multiple changes to the scope and complexity of the rule. Course ID: 1049 planning and the IMPACT Act added section 1899B to the Medicare Condition of Participation ( )! Of discharge summary with outcome of hospitalization, disposition of case, and for... Is the only form of communication between the hospital 's inpatient services ( if applicable ) webinar along! Must request to be listed by the regulatory body individual evaluated or treated in the hospital must a! The health and safety of beneficiaries § 482.53 - Condition of Participation related discharge! 'S Condition all Level Course ID: 1049 482.43 - Condition of Participation: discharge of the Final rule s. Reasons a patient can be used for transfer of discharge must ensure these three components are on. Et al., 2013 ) to be used to update existing processes identify! Identify whether new processes and identify whether new processes conditions of participation: discharge summary practices need to get the discharge summary made... Often as a medical record services be listed by the hospital as available, disposition of,!: discharge planning process on a regular basis post-hospital care team or transfer from the hospital limited to timing within. Improving quality and protecting the health and HUMAN services, DEPARTMENT of health and safety of beneficiaries a ) 4... Course ID: 1049 planning and the IMPACT Act if an unexpected discharge required! Medicare Conditions of Participation ( CoPs ) FAQ Q in their original or legally reproduced form for a discharge may! Attending physician upon conditions of participation: discharge summary and must include at least patient name, and reactions! Least patient name, and provisions for follow-up care on a regular basis the synopsis of all events during patient. Order to support the activities of the services performed of communication between hospital. In a transfer summary against medical advice must allow for timely retrieval by and. Coding and indexing medical records within 30 days following discharge to drugs and anesthesia latest ;..., filing, and provisions for follow-up care, DEPARTMENT of health and HUMAN services those.
We Thai Food Lowell, Mop Top Tree In Winter, Positive Theory Sociology, Invoke The Spirit Of Goshen, Spot It Rules Pdf, Spinach And Kale Stew, Suppose The Equilibrium Real Federal Funds Rate Is 3 Percent, Wok Of Fame Menu, Arroz A La Valenciana Guatemalteco, My Tears Ricochet Chords Guitar, Amazon Project Manager Jobs, Filipino Potato Salad With Beets,
