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c)2(a)1(re)1( )5(de)1(l)2(i)2(ve)2(r)-1(e)1(d b)6(y)-6( ho)6(s)-2(pi)2(t)2(a)1(l)2(s)-1(. T)1(he)2( i)1(nt)2(e)2(nt)2( i)2(s)-2( t)2(o he)1(l)2(p i)2(m)7(prove)1( )]TJ 0 -1.15104 TD [(hos)-2(pi)2(t)2(a)2(l)2(s)3<92>-5( qu)5(a)1(l)2(i)2(t)2(y)-5( of)-1( c)2(a)1(re)1( )5(by)-5( )5(di)2(s)-2(t)2(ri)2(but)2(i)2(ng obj)2(e)1(c)2(t)1(i)2(ve)2(, e)1(a)1(s)4(y)-5( t)2(o unde)6(rs)-2(t)2(a)1(nd da)2(t)2(a)1( o)5(n hos)-1(pi)2(t)1(a)2(l)2( )]TJ 0 -1.14583 TD [(pe)1(rfor)-1(m)7(a)2(nc)1(e)1(, qua)2(l)2(i)2(t)1(y)-5( i)2(nfor)5(m)7(a)1(t)-3(i)2(on fr)-1(om)7( )-5(t)2(he)2( c)1(ons)-2(um)7(e)2(r)-1( pe)2(r)-1(s)-1(pe)1(c)1(t)2(i)2(ve)7(s)-2(, a)1(nd )5(M)-1(e)1(di)2(c)1(a)2(r)-1(e)2( pa)1(y)-5(m)7(e)1(nt)2( )]TJ T* [(a)1(nd vol)2(um)7(e)2( i)-4(nform)7(a)1(t)2(i)2(on. T)2(hi)2(s)-2( w)-2(i)2(l)2(l)2( e)1(nc)2(our)-1(a)2(ge)1( c)1(ons)-1(u)5(m)7(e)1(rs)-2( a)2(nd t)1(he)2(i)2(r)-1( ph)6(y)-6(s)-1(i)2(c)1(i)2(a)1(ns)-1( )5(t)2(o di)2(s)-2(c)1(us)-1(s)-2( a)1(n)6(d )]TJ 0 -1.15104 TD [(m)7(a)1(ke)2( be)1(t)2(t)2(e)1(r i)-3(nf)-1(orm)7(e)1(d de)2(c)1(i)2(s)-2(i)2(ons)-1( on )5(how)3( t)2(o ge)1(t)2( t)2(he)2( be)1(s)-2(t)2( hos)-1(pi)2(t)2(a)1(l)2( c)1(a)1(re)1(, c)2(r)-1(e)2(a)1(t)2(e)1( i)2(nc)1(e)2(nt)2(i)2(ve)1(s)-2( for )]TJ 0 -1.14583 TD [(hos)-2(pi)2(t)2(a)2(l)2(s)-2( t)2(o i)2(m)7(prove)1( c)1(a)2(r)-1(e)1(, a)2(nd s)-2(upp)5(ort)2( )5(publ)2(i)2(c)1( a)2(c)1(c)1(ount)2(a)2(bi)1(l)2(i)2(t)2(y)-5(. )]TJ 0 -1.15104 TD ( )Tj 0 -1.14583 TD -0.002 Tc 0.002 Tw [(C)-2(M)-3(S)-4( is)-3( )5(w)-4(o)-2(r)3(k)3(in)-2(g)-2( in)-2( c)-1(o)-2(n)-2(ju)-2(n)3(ctio)-2(n)-2( w)-4(ith)-2( th)-2(e)-1( H)-4(o)-2(s)-4(p)-2(ita)-1(l Q)2(u)-2(a)-1(lity)-7( A)-4(llia)-1(n)3(c)-1(e \()-3(H)-4(Q)2(A)-4(,)-2( )]TJ T* 0 Tc 0 Tw [(w)-2(w)3(w)-2(.ho)6(s)-2(pi)2(t)2(a)1(l)2(qua)1(l)2(i)2(t)2(y)-5(a)1(l)2(l)2(i)2(a)2(nc)1(e)1(.org\))-1(, a)2( pu)5(bl)2(i)2(c)1(-pr)-1(i)2(va)2(t)2(e)1( c)1(ol)2(l)2(a)1(bora)1(t)2(i)2(on on hos)-1(pi)2(t)2(a)1(l)2( )5(m)7(e)2(a)1(s)-2(ure)-4(m)7(e)1(nt)-3( )]TJ 0 -1.15104 TD [(a)1(nd re)1(port)2(i)2(n)5(g. T)2(hi)2(s)-2( c)1(ol)2(l)2(a)1(bora)1(t)2(i)2(on i)2(nc)2(l)2(ude)1(s)-2( t)2(he)1( A)-1(m)7(e)1(ri)2(c)1(a)1(n H)-2(os)-1(pi)7(t)2(a)1(l)2( A)-2(s)-2(s)-1(oc)1(i)2(a)1(t)2(i)2(on, t)2(he)1( F)-1(e)1(de)2(r)5(a)1(t)2(i)2(on )]TJ 0 -1.14583 TD [(of A)-2(m)7(e)1(ri)2(c)1(a)1(n H)-2(os)-1(pi)2(t)2(a)1(l)2(s)-2(, a)2(n)5(d t)2(he)1( A)-2(s)4(s)-2(oc)1(i)2(a)2(t)2(i)2(on of)-1( A)-2(m)7(e)2(r)-1(i)2(c)2(a)1(n M)-2(e)2(di)2(c)1(a)1(l)2( Col)2(l)2(e)2(ge)1(s)-2(, a)2(nd i)2(s)-2( s)-2(up)5(port)7(e)2(d )]TJ 0 -1.15104 TD [(by)-5( )5(A)-2(ge)1(nc)7(y)-5( )5(f)5(or)-1( H)-2(e)2(a)1(l)2(t)2(hc)1(a)1(r)5(e)2( Re)1(s)-1(e)1(a)1(rc)1(h Q)3(ua)2(l)2(i)2(t)2(y)-6( \(A)3(H)-2(R)6(Q)-2(\), C)5(M)-1(S)-2( a)2(n)5(d ot)2(he)1(r or)-1(ga)2(n)5(i)2(z)1(a)1(t)2(i)2(ons)-1( s)-2(uc)1(h)6( a)1(s)-2( )]TJ ET endstream endobj 1 0 obj << /Parent 24 0 R /Type/Page /MediaBox[0 0 612 792] /Resources<>>> /Contents 5 0 R >> endobj 2 0 obj << /Subtype/TrueType /Type/Font /FirstChar 32 /FontDescriptor 3 0 R /Encoding 4 0 R /BaseFont/TimesNewRoman,Italic /Widths[250 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 667 0 0 0 0 722 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 500 0 0 0 444 0 0 0 278 0 0 278 722 0 500 500 0 389 389 278] /LastChar 116 /Name/F5 >> endobj 3 0 obj << /ItalicAngle 0 /Flags 34 /FontName/TimesNewRoman,Italic /Descent -216 /Ascent 891 /Type/FontDescriptor /FontBBox[-496 -305 1117 1023] /CapHeight 891 /StemV 0 >> endobj 4 0 obj << /BaseEncoding/MacRomanEncoding /Differences[32/space 67/C 72/H 97/a 101/e 105/i 108/l/m 111/o/p 114/r/s/t] /Type/Encoding >> endobj 5 0 obj << /Length 2367 >> stream BT /F1 1 Tf 12 0 0 12 90 38.76 Tm 0 0 0 rg [(H)2(os)-1(pi)-2(t)-2(a)-1(l)-2( Q)2(u)5(a)-1(l)-2(i)3(t)-2(y I)-2(ni)3(t)-2(i)-2(a)4(t)-2(i)3(ve)-1( O)2(ve)-1(r)-2(vi)-2(e)4(w)2( f)3(i)-2(na)-1(l)-2( 20J)-1(un08.doc)-1( 10-)-2(J)4(ul)-2(-)-2(08 )]TJ 11.52 0 0 11.52 90 709.38 Tm -0.002 Tc 0.002 Tw [(th)-2(e)-1( N)-4(ati)-1(o)-2(n)-2(al Q)-4(u)-2(a)-1(lity)-7( )5(F)-3(o)-2(r)-3(u)4(m)5(,)-2( T)-1(h)-2(e J)-4(o)-2(in)-2(t C)-2(o)-2(mm)5(is)-3(s)-4(io)-2(n)-2(,)-2( A)-4(m)5(er)-3(ic)-1(an)-2( M)-4(e)-1(d)-2(ica)-1(l A)-4(s)-4(s)-3(o)-2(c)4(ia)-1(tio)-2(n)-2(,)-2( )]TJ 0 -1.14584 TD 0 Tc 0 Tw [(Cons)-1(um)7(e)1(r-)-1(P)4(urc)1(ha)2(s)-2(e)1(r )5(D)-2(i)2(s)4(c)1(l)2(os)-2(ure)1( P)-1(roj)2(e)6(c)2(t)1(, A)-1(F)-2(L)2(-CI)5(O)3(, A)-2(A)3(R)1(P)-2( a)2(nd )5(t)2(he)1( U)-2(.S)-1(. C)5(ha)2(m)7(be)1(r of)-1( )]TJ 0 -1.15104 TD [(Com)2(m)7(e)2(r)-1(c)2(e)1(. )-5(T)1(hrough t)2(hi)2(s)4( i)2(ni)1(t)2(i)2(a)2(t)2(i)2(ve)1(, a)1( r)-5(obus)-2(t)2(, pri)2(or)-1(i)2(t)7(i)2(z)2(e)1(d a)1(nd s)-1(t)2(a)1(nda)1(rdi)2(z)1(e)1(d s)-1(e)1(t)2( )5(of hos)-2(pi)2(t)2(a)1(l)2( )]TJ 0 -1.14584 TD [(qua)1(l)2(i)2(t)2(y)-5( m)7(e)1(a)2(s)-2(ure)1(s)-2( ha)2(s)-2( )5(be)2(e)1(n re)1(f)-1(i)2(ne)2(d f)-1(or )5(us)-1(e)1( i)2(n vol)2(unt)7(a)1(ry)-5( )5(publ)2(i)2(c)1( re)6(port)2(i)2(ng. A)3(s)-1( t)2(he)1( f)-1(i)2(rs)-2(t)2( s)-1(t)2(e)1(p, )]TJ /F5 1 Tf 0 -1.15104 TD [(H)-2(os)-2(pi)2(t)2(al)2( C)1(o)5(m)-2(par)-2(e)]TJ /F1 1 Tf 7.41146 0 Td (,)Tj 0.5 0 Td (a)Tj 0.6875 0 Td [(ne)7(w)-2( w)-2(e)1(b)5(s)-2(i)2(t)2(e)2(/)2(w)3(e)1(bt)2(ool)2( de)1(ve)2(l)2(ope)1(d t)2(o publ)2(i)7(c)1(l)2(y)-5( re)1(po)5(rt)2( va)1(l)2(i)2(d, c)1(re)1(di)2(bl)2(e)1( a)2(nd )]TJ -8.59896 -1.14584 TD [(us)-2(e)2(r)-1(-fr)-1(i)2(e)2(ndl)7(y i)2(nf)-1(orm)7(a)1(t)2(i)2(on )-5(a)1(bout)2( t)2(he)2( qu)5(a)1(l)2(i)2(t)2(y)-5( of c)1(a)1(re)1( )5(de)2(l)2(i)1(ve)2(r)-1(e)2(d i)2(n t)2(he)1( na)1(t)2(i)2(on)5<92>-5(s)-2( h)5(os)-1(pi)2(t)2(a)1(l)2(s)-2(, de)2(b)5(ut)2(e)1(d )]TJ 0 -1.14583 TD [(i)2(n A)-2(pri)2(l)2( 200)5(5 a)1(t)2( w)-2(w)3(w)-2(.ho)6(s)-2(pi)2(t)2(a)1(l)2(c)1(om)8(pa)1(r)-6(e)2(.hhs)-2(.gov )]TJ ET 166.02 628.2599 145.74 0.54 re f BT /F1 1 Tf 11.52 0 0 11.52 311.76 630.06 Tm [(a)6(n)6(d w)-2(w)3(w)-2(.m)7(e)1(di)2(c)2(a)1(re)1(.gov)]TJ ET 331.14 628.2599 90.06 0.54 re f BT /F1 1 Tf 11.52 0 0 11.52 421.2 630.06 Tm (.)Tj ET endstream endobj 6 0 obj << /Parent 24 0 R /Type/Page /MediaBox[0 0 612 792] /Resources<>>> /Contents 7 0 R >> endobj 7 0 obj << /Length 13642 >> stream BT /F1 1 Tf 12 0 0 12 90 38.76 Tm 0 0 0 rg [(H)2(os)-1(pi)-2(t)-2(a)-1(l)-2( Q)2(u)5(a)-1(l)-2(i)3(t)-2(y I)-2(ni)3(t)-2(i)-2(a)4(t)-2(i)3(ve)-1( O)2(ve)-1(r)-2(vi)-2(e)4(w)2( f)3(i)-2(na)-1(l)-2( 20J)-1(un08.doc)-1( 10-)-2(J)4(ul)-2(-)-2(08 )]TJ /F3 1 Tf 11.52 0 0 11.52 90 709.26 Tm [(C)-2(r)1(i)2(ti)2(c)1(al)2( C)-2(o)5(mp)-1(on)-2(e)7(n)-1(t)-1(s)-1(:)5( )5(Br)1(oad)-1(l)2(y A)-2(c)1(c)7(e)1(p)-1(te)1(d)-1( H)2(os)3(p)-1(i)7(tal)2( Q)2(u)-2(al)2(i)2(ty )5(M)1(e)2(as)-2(u)-1(r)1(e)1(s)-1( )5(a)5(n)-1(d)-1( V)3(ol)2(u)-2(n)-1(t)5(ar)7(y )]TJ 0 -1.14583 TD [(R)-2(e)1(p)-1(or)1(ti)2(n)4(g )]TJ /F1 1 Tf 4.57813 0 Td ( )Tj -4.57813 -1.14063 TD -0.002 Tc 0.002 Tw [(Th)-2(e)-1( H)-4(o)-2(s)-4(p)-2(ital)5( Q)-4(u)-2(a)-1(lity)-7( I)3(n)-2(it)-1(iativ)-2(e)-1( is)-4( co)-2(m)5(p)-7(l)-1(ex)-2( a)-1(n)-2(d)-2( d)-2(if)-2(f)-3(e)5(r)-2(s)-4( in)-2( s)-4(ev)-2(e)-1(r)-3(al )5(w)-4(a)4(y)-7(s)-3( f)3(r)-3(o)-2(m)5( th)-2(e N)-4(u)-2(r)-3(s)-3(in)-2(g)3( )]TJ 0 -1.14584 TD [(H)-4(o)-2(m)5(e)-1( Q)-3(u)-2(a)-1(lity)-8( I)3(n)-2(itiat)-1(iv)-2(e a)-6(n)-2(d)-2( H)-4(o)-2(m)5(e)-1( H)-4(e)5(a)-1(lth)-2( Q)-4(u)-2(a)-1(lity)-7( I)3(n)-2(itia)-1(tiv)-2(e)-1(.)-2( I)-2(n)-2( t)-5(h)-2(e)-1( p)-2(r)-2(e)-1(v)-2(io)-2(u)-2(s)-4( i)5(n)-2(itiativ)-2(e)-1(s)-4(,)-2( C)-1(M)-4(S)-3( )]TJ 0 -1.15104 TD 0 Tc 0 Tw [(ha)1(d w)-2(e)2(l)2(l)2(-)-1(s)-1(t)2(u)5(di)2(e)1(d a)1(nd va)2(l)2(i)1(da)2(t)2(e)1(d c)1(l)2(i)2(ni)2(c)1(a)-3(l)2( da)1(t)2(a)1( s)-2(e)2(t)2(s)-2( a)1(nd s)-1(t)2(a)1(nda)1(rdi)2(z)1(e)7(d da)1(t)2(a)1( t)2(ra)1(ns)4(m)7(i)2(s)-2(s)-1(i)2(on )]TJ 0 -1.14584 TD [(i)2(nfr)-1(a)2(s)-2(t)2(ruc)1(t)2(ur)5(e)1( fr)-1(om)7( w)-1(hi)1(c)2(h t)2(o dr)-1(a)2(w)-2( a)1( nu)5(m)7(be)2(r)-1( of pe)1(rt)2(i)-3(ne)1(nt)2( qua)1(l)2(i)2(t)2(y)-5( )5(m)7(e)2(a)1(s)-2(ure)1(s)-1( f)-1(or)5( publ)2(i)2(c)1( )]TJ 0 -1.14583 TD -0.002 Tc 0.002 Tw [(r)-2(e)-1(p)-2(o)-2(r)-2(tin)-2(g)-2(.)-2( I)-3(n)-2( )5(co)-2(n)-2(tr)-3(as)-4(t w)-4(ith)3( th)-2(e)-1( ea)-1(r)-2(lie)-1(r)-3( in)-2(itiativ)-2(e)-1(s)-4(,)-2( th)-2(e)-1(r)-7(e)-1( w)-4(as)-4( n)-2(o)-2( c)4(o)4(m)5(p)-2(r)-3(eh)-2(e)-1(n)-2(s)-4(iv)-2(e d)-2(a)-1(ta)-1( s)-3(e)-1(t o)-2(n)-2( )]TJ 0 -1.15105 TD 0 Tc 0 Tw [(hos)-2(pi)2(t)2(a)2(l)2(s)-2( fr)-1(o)5(m)8( w)-2(hi)2(c)1(h t)2(o de)1(ve)1(l)2(op t)2(he)2( pe)1(rt)2(i)2(ne)1(nt)2( qua)1(l)2(i)2(t)-3(y)-5( m)7(e)1(a)1(s)-1(ur)-1(e)2(s)-2(, )5(nor a)1(re)1( hos)4(pi)2(t)2(a)1(l)2(s)-2( m)7(a)2(nda)1(t)2(e)-4(d t)2(o )]TJ 0 -1.14583 TD [(s)-2(ubm)8(i)1(t)2( c)2(l)2(i)2(ni)2(c)-4(a)1(l)2( pe)1(rfor)-1(m)7(a)2(nc)1(e)1( da)2(t)2(a)1( t)2(o CM)-1(S)-2(. )5(H)-2(o)6(w)-2(e)1(ve)7(r)-1(, s)-1(e)1(c)1(t)2(i)2(on 50)5(1(b) of)-1( t)2(he)2( )5(M)-2(e)1(di)2(c)2(a)1(re)1( )]TJ 0 -1.15105 TD [(P)-1(r)-1(e)2(s)-2(c)1(ri)2(pt)2(i)2(on )5(D)-2(rug, I)-1(m)8(pr)-1(o)5(ve)2(m)7(e)1(nt)2(, a)1(nd )-5(M)-1(ode)1(rni)2(z)1(a)1(t)2(i)2(on A)-2(c)1(t)2( of 2)5(0)5(03 provi)2(de)1(d )6(a)1( s)-2(t)2(rong i)2(nc)1(e)7(nt)2(i)2(ve)1( )]TJ 0 -1.14583 TD -0.002 Tc 0.002 Tw [(f)-2(o)-2(r)-3( elig)-2(i)-1(b)-2(le h)-2(o)-2(s)-4(p)-2(ita)-1(ls)-3( to)-2( s)-4(u)3(b)-2(m)5(it q)-2(u)-2(al)-6(ity)-7( d)-2(a)-1(ta f)-3(o)-2(r)-2( te)-1(n)-2( q)3(u)-2(ality)-8( m)5(ea)-1(s)-4(u)-2(r)-2(e)-1(s)-3( k)-2(n)-2(o)3(w)-4(n)-2( a)-1(s)2( th)-2(e)-1<2093>-6(s)-3(ta)-1(r)-2(te)-1(r)-3( )]TJ 0 -1.14584 TD [(s)-4(et\224)-1(.)-2( Th)-2(e)-1( la)-1(w)1( s)-3(tip)-2(u)-2(la)-1(te)-1(s)-4( th)-2(at a)-1( h)-2(o)-2(s)-4(p)-2(ital t)-1(h)-2(at d)-2(o)-2(e)-1(s)-4( n)-2(o)-2(t)6( s)-4(u)-2(b)-2(m)5(it p)-2(e)-1(r)-2(f)-2(o)-2(r)-3(m)5(an)-2(c)-1(e)-1( d)-2(ata)-1( )-5(f)-3(o)-2(r)-2( th)-2(e)-1( ten)-2( )]TJ 0 -1.15104 TD 0 Tc 0 Tw [(qua)1(l)2(i)2(t)2(y)-5( m)7(e)1(a)2(s)-2(ure)1(s)-2( w)-2(i)2(l)2(l)2( re)1(c)7(e)1(i)2(ve)1( a)2( 0.4 pe)6(rc)1(e)1(nt)2(a)2(ge)1( poi)2(nt)2(s)-2( re)1(duc)1(t)2(i)2(on)6( i)2(n i)1(t)2(s)-1( a)1(nnua)1(l)2( pa)2(y)-6(m)8(e)1(nt)2( up)5(da)1(t)2(e)2( )]TJ 0 -1.14584 TD [(fr)-1(om)7( C)1(M)-2(S)-1( f)5(or)-1( F)-1(Y)3( 2005, )6(2006 a)1(nd 20)5(07. )]TJ 0 -1.15104 TD ( )Tj 0 -1.14583 TD [(T)2(he)1( m)7(e)1(a)2(s)-2(ure)1(s)-2( c)2(ur)-1(re)1(nt)2(l)7(y)-5( re)6(port)2(e)1(d on H)4(o)5(s)-2(pi)2(t)2(a)1(l)2( C)1(om)7(pa)-4(re)1( i)2(nc)1(l)2(ude)1( t)2(he)2( t)2(e)1(n s)-2(t)2(a)1(rt)2(e)1(r m)7(e)1(a)2(s)-2(ure)1(s)-1( pl)1(us)-1( )]TJ T* [(a)1(ddi)2(t)2(i)2(ona)1(l)2( m)2(e)2(a)1(s)-2(ure)1(s)-1( t)2(ha)1(t)2( )5(m)7(a)2(ny)-6( hos)-1(pi)2(t)7(a)1(l)2(s)-2( a)2(l)2(s)-2(o vol)2(u)5(nt)2(a)1(ri)2(l)2(y)-5( re)1(por)-1(t)8(. 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-1.15104 TD [(of e)1(xt)2(e)1(ns)-1(i)2(ve)1( )5(t)2(e)1(s)-1(t)2(i)2(ng f)-1(or va)6(l)2(i)2(di)2(t)2(y)-5( a)1(nd re)1(l)7(i)2(a)2(bi)2(l)2(i)2(t)2(y)-6( by C)6(M)-2(S)-1( a)1(nd t)2(he)1( )6(Q)-2(I)-1(O)4(s)-2(, T)2(he)1( J)4(oi)1(nt)2( C)1(om)2(m)7(i)2(s)-7(s)-2(i)2(on, )]TJ 0 -1.14584 TD [(t)2(he)1( H)-2(Q)4(A)-2( a)1(nd)5( re)1(s)-2(e)2(a)1(rc)1(he)1(rs)-2(. )5(T)2(he)1( hos)-1(pi)2(t)2(a)1(l)2( qua)1(l)2(i)2(t)2(y)-5( m)7(e)1(a)2(s)-2(ure)1(s)-2( a)2(r)-1(e)2( a)1(l)2(s)-2(o )5(e)2(ndor)-1(s)-1(e)1(d b)5(y )5(t)2(he)2( N)-2(a)1(t)2(i)2(ona)1(l)2( )]TJ 0 -1.15104 TD [(Q)-2(ua)1(l)2(i)2(t)2(y)-5( )5(F)-1(oru)5(m)7(, a)1( na)2(t)1(i)2(ona)2(l)-4( s)-1(t)2(a)1(nda)1(rds)-2( )6(s)-2(e)7(t)1(t)2(i)2(ng e)2(nt)2(i)2(t)2(y)-6(. )]TJ 0 -1.14584 TD ( )Tj 12 0 0 12 266.4 364.68 Tm 0.002 Tc -0.002 Tw [(A)4(s)1(p)2(irin)2( a)6(t A)4(rriv)2(a)6(l )]TJ ET 84.36 375.72 0.48 0.48 re f 84.36 375.72 0.48 0.48 re f 84.84 375.72 175.92 0.48 re f 260.76 375.72 0.48 0.48 re f 261.24 375.72 265.92 0.48 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260.76 290.4 0.48 0.48 re f 261.24 290.4 265.92 0.48 re f 527.16 290.4 0.48 0.48 re f 84.36 276.6 0.48 13.8 re f 260.76 276.6 0.48 13.8 re f 527.16 276.6 0.48 13.8 re f BT /F1 1 Tf 12 0 0 12 266.4 265.08 Tm 0 Tc 0 Tw [(F)1(i)-2(br)-2(i)-2(nol)-2(y)5(t)-2(i)3(c)-1( )5(T)1(he)-1(r)-2(a)-1(py R)2(e)4(c)-1(e)-1(i)-2(ve)-1(d w)2(i)3(t)-2(hi)3(n 30 M)-1(i)-2(nut)-2(e)4(s)-1( of)3( )]TJ 0 -1.15 TD 0.002 Tc -0.002 Tw [(H)4(o)2(s)1(p)2(ita)1(l A)4(r)5(r)5(iv)2(a)1(l )]TJ ET 84.36 276.12 0.48 0.48 re f 260.76 276.12 0.48 0.48 re f 261.24 276.12 265.92 0.48 re f 527.16 276.12 0.48 0.48 re f 84.36 248.46 0.48 27.66 re f 260.76 248.46 0.48 27.66 re f 527.16 248.46 0.48 27.66 re f BT /F1 1 Tf 12 0 0 12 266.4 236.94 Tm [(P)3(rim)10(a)1(ry)2( P)3(e)1(rc)1(u)2(ta)1(n)2(e)1(o)2(u)2(s)1( C)9(o)2(ro)2(n)2(a)1(ry)2( In)7(te)6(rv)2(e)1(n)2(t)5(io)2(n)2( \(P)8(C)4(I\) )]TJ 0 -1.145 TD [(w)4(ith)2(in)2( 9)2(0)2( M)6(in)2(u)2(te)1(s)1( o)2(f)5( H)4(o)2(s)1(p)2(ita)6(l A)4(rr)5(iv)2(a)6(l )]TJ ET 84.36 247.98 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Tm -0.002 Tc 0.002 Tw [(U)-4(s)-4(e o)-2(f)-3( )6(r)-3(el)-1(iev)-2(e)-1(r)-2(s)-4( f)-2(o)-2(r)-3( in)-2(p)-2(ati)5(e)-1(n)-2(t a)-1(s)-3(th)-2(m)5(a)-1( )]TJ ET 84.36 300.78 0.48 0.48 re f 84.84 300.78 175.92 0.48 re f 260.76 300.78 0.48 0.48 re f 261.24 300.78 265.92 0.48 re f 527.16 300.78 0.48 0.48 re f 84.36 287.58 0.48 13.2 re f 260.76 287.58 0.48 13.2 re f 527.16 287.58 0.48 13.2 re f BT /F1 1 Tf 12 0 0 12 90 289.74 Tm 0.002 Tc -0.007 Tw [(C)4(h)2(ild)2(re)1(n)7<9273>1( A)4(s)1(th)2(m)10(a)1( )-10(C)4(a)1(re)1( )]TJ 11.52 0 0 11.52 266.4 276.48 Tm -0.002 Tc 0.002 Tw [(U)-4(s)-4(e o)-2(f)-3( )6(s)1(y)-7(s)-4(te)5(m)5(ic)-1( c)-1(o)-2(r)-2(t)-5(ic)-1(o)-2(s)-3(t)-1(er)-3(o)-2(id)-2(s)-3( f)-3(o)-2(r)-2( in)3(p)-2(atie)-1(n)-2(t a)-1(s)-4(th)-2(m)6(a)-1( )]TJ ET 84.36 287.1 0.48 0.48 re f 260.76 287.1 0.48 0.48 re f 261.24 287.1 265.92 0.48 re f 527.16 287.1 0.48 0.48 re f 84.36 273.84 0.48 13.26 re f 84.36 273.36 0.48 0.48 re f 84.36 273.36 0.48 0.48 re f 84.84 273.36 175.92 0.48 re f 260.76 273.84 0.48 13.26 re f 260.76 273.36 0.48 0.48 re f 261.24 273.36 265.92 0.48 re f 527.16 273.84 0.48 13.26 re f 527.16 273.36 0.48 0.48 re f 527.16 273.36 0.48 0.48 re f BT /F1 1 Tf 11.52 0 0 11.52 90 248.94 Tm 0 Tc 0 Tw [(T)2(he)1(s)-2(e)2( m)7(e)1(a)1(s)-1(ur)-1(e)2(s)-2( w)-2(e)1(re)1( c)2(h)5(o)5(s)-2(e)2(n be)1(c)1(a)2(us)-2(e)1( t)7(he)2(y)-6( a)2(r)-1(e)2( )5(re)1(l)2(a)1(t)2(e)1(d t)2(o t)2(hre)1(e)2( s)-2(e)6(ri)2(ous)-2( m)8(e)1(di)2(c)1(a)-4(l)2( c)1(ondi)2(t)2(i)2(ons)-1( a)1(nd )]TJ 0 -1.15104 TD [(s)-2(urgi)2(c)1(a)2(l)2( c)1(a)1(re)1( i)2(m)7(prove)-4(m)7(e)1(nt)-3( a)1(nd i)2(t)2( i)2(s)-1( pos)3(s)-1(i)2(bl)2(e)1( for)-1( hos)4(pi)2(t)2(a)1(l)2(s)-2( t)2(o s)-1(ub)5(m)7(i)-3(t)2( i)2(nf)-1(orm)7(a)1(t)-3(i)-3(on for)-1( pu)6(bl)1(i)2(c)2( )]TJ 0 -1.14583 TD [(re)1(port)2(i)2(ng t)1(od)6(a)1(y)-5(. B)5(ot)2(h T)2(he)6( J)-1(oi)2(nt)2( Com)7(m)2(i)2(s)-1(s)-2(i)2(on a)1(nd C)6(M)-2(S)-1( pr)5(ovi)2(de)1( t)2(he)1(i)2(r ow)-2(n pr)5(o)5(c)1(e)1(s)-1(s)-2(e)2(s)-2( t)2(o )5(s)-2(ub)6(m)7(i)-3(t)1( )]TJ 0 -1.15104 TD [(da)1(t)2(a)2( a)1(nd us)-2(e)1( )6(da)1(t)2(a)1( e)2(di)2(t)1( proc)1(e)2(dur)-1(e)2(s)-2( t)2(o c)1(h)6(e)1(c)1(k da)1(t)2(a)2( f)-1(or )5(c)1(om)8(pl)2(e)1(t)2(e)1(ne)1(s)-6(s)-2( a)1(nd a)2(c)1(c)1(ura)6(c)2(y)-6(. I)5(n a)2(ddi)2(t)1(i)2(on, )]TJ 0 -1.14583 TD [(t)2(he)1( qua)2(l)1(i)2(t)2(y)-5( m)7(e)2(a)1(s)-2(ure)1(s)-1( a)1(re)1( )5(w)-2(e)1(l)2(l)2( unde)2(r)-1(s)-1(t)7(ood b)5(y)-5( pr)5(ovi)2(de)1(rs)-2( a)1(nd )6(s)-2(t)2(a)1(ke)1(hol)2(de)2(r)-1(s)-1( a)1(nd )5(c)2(a)1(n be)1( va)1(l)2(i)2(da)2(t)2(e)1(d )]TJ T* [(by)-5( )5(CM)4(S)-1( w)-2(i)2(t)7(h e)1(xi)2(s)-2(t)2(i)2(ng re)1(s)4(ourc)1(e)1(s)-2( t)2(hrou)5(gh i)2(t)2(s)-1( Q)-2(I)5(O)-2( pr)4(ogra)1(m)8(. T)1(he)1( ul)2(t)2(i)-3(m)7(a)2(t)2(e)1( goa)1(l)-3( of CM)3(S)-1( a)1(nd)6( i)2(t)2(s)-2( )]TJ 0 -1.15104 TD [(c)1(ol)2(l)2(a)1(bora)1(t)2(ors)-2( i)2(n t)2(he)2( H)-2(Q)3(A)-2( )5(i)2(s)-1( f)-1(or t)2(hi)2(s)-2( s)-1(e)1(t)7( of m)7(e)1(a)1(s)-1(ur)-1(e)2(s)-2( t)2(o be)1( re)1(port)2(e)6(d b)6(y)-6( a)2(l)2(l)2( hos)-2(p)5(i)2(t)2(a)1(l)2(s)-1(, a)1(nd )]TJ 0 -1.14583 TD [(a)1(c)2(c)1(e)1(pt)2(e)1(d by)-5( )5(a)2(l)2(l)2( pur)-1(c)2(ha)1(s)-2(e)2(r)4(s)-1(, ove)1(rs)-2(i)2(g)5(ht)2( a)2(nd a)1(c)1(c)1(re)1(di)2(t)2(i)2(ng e)2(nt)1(i)2(t)2(i)2(e)2(s)-2(, pa)1(y)-5(e)1(r)5(s)-1( a)1(nd pr)5(o)5(vi)2(de)1(rs)-2( In t)2(he)1( )]TJ 0 -1.15104 TD [(fut)2(ur)-1(e)2(, a)1(ddi)2(t)2(i)2(ona)1(l)2( qua)1(l)2(i)2(t)2(y)-5( )5(m)7(e)2(a)1(s)-2(ure)1(s)-1( w)-2(i)2(l)2(l)2( be)1( a)1(dde)1(d t)2(o H)-2(os)-1(pi)2(t)2(a)1(l)2( Co)5(m)8(pa)1(re)1(. )]TJ 12 0 0 12 90 129.48 Tm ( )Tj 0 -1.15 TD [(T)1(he)-1( H)2(os)-1(pi)-2(t)-2(a)4(l)-2( O)2(ut)-2(c)-1(om)8(e)-1( o)-5(f)3( C)2(a)-1(r)-2(e)-1( M)-1(e)-1(a)-1(s)4(ur)-2(e)-1(s)-1( i)-2(nc)4(l)-2(ude)-1( )5(t)-2(he)-1( 30-)-2(da)-1(y )5(R)2(i)-2(s)-1(k-)-2(A)2(dj)-2(us)-1(t)3(e)-1(d D)2(e)-1(a)-1(t)-2(h )]TJ T* 0.001 Tc -0.001 Tw [(\()-1(Mo)1(r)-1(t)4(al)4(i)-1(t)-1(y)1(\))-1( )5(r)4(at)-1(es an)1(d)1( )5(ar)-1(e )5(p)1(r)-1(o)1(d)1(u)1(ced)1( f)4(r)4(o)-4(m)9( Med)1(i)-1(car)4(e cl)-1(a)5(i)-1(m)9(s an)1(d)-4( en)1(r)-1(o)1(l)4(l)-1(m)9(en)1(t)-1( d)1(at)-1(a u)1(s)5(i)-1(n)1(g)1( a )]TJ T* 0 Tc 0 Tw [(c)-1(om)8(pl)-2(e)-1(x s)-1(t)-2(a)-1(t)3(i)-2(s)-1(t)-2(i)3(c)-1(a)-1(l)-2( m)8(ode)-1(l)-2(. T)1(he)-1( m)8(ode)-1(l)-2( pr)-2(e)-1(di)-2(c)4(t)-2(s)-1( pa)4(t)3(i)-2(e)-1(nt)-2( de)4(a)-1(t)-2(hs)-1( f)8(or)-2( a)-1(ny c)-1(a)-1(us)4(e)4( w)2(i)-2(t)-2(hi)-2(n 30 d)5(a)-1(ys)-1( )]TJ ET endstream endobj 10 0 obj << /Parent 24 0 R /Type/Page /MediaBox[0 0 612 792] /Resources<>>> /Contents 11 0 R >> endobj 11 0 obj << /Length 10576 >> stream BT /F1 1 Tf 12 0 0 12 90 38.76 Tm 0 0 0 rg [(H)2(os)-1(pi)-2(t)-2(a)-1(l)-2( Q)2(u)5(a)-1(l)-2(i)3(t)-2(y I)-2(ni)3(t)-2(i)-2(a)4(t)-2(i)3(ve)-1( O)2(ve)-1(r)-2(vi)-2(e)4(w)2( f)3(i)-2(na)-1(l)-2( 20J)-1(un08.doc)-1( 10-)-2(J)4(ul)-2(-)-2(08 )]TJ 0 55.85 TD [(of)3( hos)-1(pi)-2(t)-2(a)-1(l)-2( a)4(d)-5(m)8(i)-2(s)-1(s)-1(i)-2(on f)3(or)-2( he)-1(a)-1(r)-2(t)-2( )5(a)-1(t)-2(t)3(a)-1(c)-1(k)5(, he)-1(a)-1(r)-2(t)-2( f)3(a)-1(i)3(l)-2(ur)3(e)-1( a)-1(nd pne)-1(um)3(oni)-2(a)-1(, w)2(he)-1(t)-2(he)4(r)-2( t)-2(he)-1( pa)4(t)-2(i)-2(e)-1(n)5(t)3(s)-1( )]TJ 0 -1.15 TD 0.002 Tc -0.002 Tw [(d)2(ie)1( w)4(h)2(ile)1( )5(s)1(ti)5(ll in)2( )5(th)2(e)1( h)2(o)2(s)6(p)2(ita)6(l o)2(r a)1(f)5(te)6(r)5( d)2(is)1(c)1(h)2(a)1(rg)7(e)1(.)2( )5(T)3(h)2(irty)7(-d)2(a)1(y)2( )5(m)5(o)2(rta)1(li)5(ty)2( is)1( )5(u)2(s)1(e)1(d)2( b)2(e)1(c)1(a)1(u)2(s)6(e)1( th)2(is)1( )]TJ T* 0.001 Tc -0.001 Tw [(i)-1(s t)-1(h)1(e )5(t)-1(i)-1(m)9(e p)1(er)-1(i)-1(o)1(d)1( w)3(h)1(en)1( )5(d)1(eat)-1(h)1(s a)5(r)-1(e m)4(o)1(st)-1( l)-1(i)-1(k)6(el)-1(y)1( )5(t)-1(o)1( )5(b)1(e r)-1(el)4(at)-1(ed)1( )5(t)-1(o)6( t)-1(h)1(e ca)5(r)-1(e p)1(at)4(i)-1(en)1(t)-1(s )5(r)-1(ece)5(i)-1(v)1(e)5(d)1( )]TJ T* 0 Tc 0 Tw [(i)-2(n t)-2(he)-1( hos)-1(p)5(i)-2(t)3(a)-1(l)-2(. D)2(e)-1(a)-1(t)-2(hs)-1( )5(t)-2(h)5(a)-1(t)-2( oc)-1(c)-1(u)5(r)-2( out)-2(s)4(i)-2(de)-1( t)-2(he)-1( ho)5(s)-1(pi)3(t)-2(a)-1(l)-2( w)2(i)3(t)-2(hi)-2(n 30)5( da)-1(ys)-1( a)-1(r)-2(e)-1( )5(i)-2(nc)4(l)-2(ude)-1(d a)-1(l)-2(ong )]TJ T* 0.001 Tc -0.001 Tw [(w)3(i)-1(t)-1(h)1( d)1(eat)-1(h)6(s t)4(h)1(at)-1( o)1(ccu)6(r)-1( i)-1(n)1( )5(t)-1(h)1(e h)1(o)1(sp)1(i)4(t)-1(al)-1(,)6( b)1(ecau)1(se so)6(m)9(e h)1(o)1(sp)1(i)-1(t)-1(al)-1(s)5( d)1(i)-1(sch)1(ar)-1(g)6(e p)6(at)-1(i)-1(en)6(t)-1(s so)1(o)1(n)6(er)-1( )]TJ T* 0.002 Tc -0.002 Tw [(th)2(a)1(n)2( o)2(th)2(e)6(rs)1(.)2( )5(B)4(y)2( "ris)1(k)2(-)5(a)1(d)2(j)5(u)2(s)1(te)1(d)2(" w)4(e)1( m)5(e)1(a)1(n)2( th)2(a)6(t th)2(e)1( )5(m)5(o)2(d)2(e)1(l c)1(a)1(lc)1(u)7(la)1(te)6(s)1( a)1( d)2(e)1(a)6(th)7( \(m)10(o)2(rta)1(lity)7(\) )5(ra)1(te)1( )]TJ T* 0 Tc 0 Tw [(t)-2(ha)-1(t)-2( a)-1(d)5(j)-2(us)-1(t)3(s)-1( f)3(or)-2( t)-2(he)-1( k)5(i)-2(nds)-1( )5(of)3( pa)-1(t)-2(i)-2(e)-1(nt)-2( w)7(ho go t)-2(o t)-2(ha)4(t)3( hos)-1(pi)-2(t)-2(a)4(l)-2( s)-1(o t)3(ha)-1(t)-2( hos)-1(pi)3(t)-2(a)-1(l)3(s)4( t)-2(ha)-1(t)-2( )5(t)-2(a)-1(ke)-1( c)-1(a)4(r)-2(e)-1( )]TJ T* 0.001 Tc -0.001 Tw [(o)1(f)4( si)-1(ck)1(er)-1( p)1(a)5(t)4(i)-1(en)1(t)-1(s w)3(o)1(n)1<92>4(t)-1( )5(h)1(av)1(e a w)3(o)1(r)-1(s)5(e r)-1(at)4(e j)-1(u)1(s)5(t)-1( b)1(e)5(cau)1(se t)-1(h)6(ei)-1(r)-1( p)6(at)-1(i)-1(en)6(t)-1(s w)3(er)-1(e )5(si)-1(ck)1(er)-1( b)6(ef)4(o)1(r)4(e )]TJ T* 0 Tc 0 Tw [(t)-2(he)-1(y a)-1(r)3(r)-2(i)-2(ve)-1(d )5(a)-1(t)-2( t)-2(he)-1( ho)5(s)-1(pi)-2(t)3(a)-1(l)-2(. )]TJ ( )' 11.52 0 0 11.52 90 571.38 Tm [(CM)-1(S)-2(, a)2(l)2(on)5(g )5(w)-2(i)2(t)2(h i)2(t)2(s)-2( s)-1(i)2(s)-2(t)2(e)1(r)5( a)1(ge)2(nc)1(y)-5( )5(A)3(H)4(RQ)-2(, ha)1(s)4( de)1(v)5(e)2(l)2(ope)1(d a)1( s)-2(t)2(a)2(nda)1(rdi)2(z)1(e)1(d s)-1(ur)4(ve)2(y)-5( )5(of)-1( pa)2(t)2(i)2(e)1(nt)2( )]TJ 0 -1.14584 TD [(pe)1(rs)-2(pe)2(c)1(t)2(i)2(ve)1(s)-2( )6(of)-1( t)2(he)2(i)2(r)-1( hos)-1(pi)7(t)2(a)1(l)2( c)1(a)2(r)-1(e)2(, know)-2(n a)1(s)-2( )5(H)-1(os)3(pi)2(t)2(a)1(l)2( C)1(A)-2(H)3(P)-1(S)-2( \()5(H)-2(C)1(A)3(H)-2(P)4(S)-2(\). I)5(nfor)-1(m)8(a)1(t)2(i)2(on f)-1(rom)7( )]TJ 0 -1.15104 TD [(t)2(hi)2(s)-2( s)-1(ur)-1(ve)7(y)-5( )5(w)3(a)1(s)-1( f)-1(i)2(rs)-2(t)2( publ)2(i)7(c)2(l)2(y)-5( r)-1(e)2(po)5(r)-1(t)2(e)2(d )5(on H)-2(o)5(s)-2(pi)2(t)2(a)2(l)2( Com)7(pa)1(re)1( i)2(n M)-1(a)1(rc)1(h 200)5(8.)5( T)2(he)1( s)-1(ur)-1(ve)7(y)-5( )5(ha)1(s)-1( )]TJ 0 -1.14584 TD [(be)1(e)2(n t)2(e)1(s)-2(t)2(e)1(d by)-5( h)5(os)-1(pi)2(t)2(a)1(l)2(s)-2( i)2(n)6( A)-2(r)-1(i)2(z)2(ona)1(, )5(M)-2(a)2(r)-1(y)-5(l)2(a)1(nd a)7(nd N)3(e)1(w)-2( Y)-2(o)6(r)-1(k a)2(s)-2( p)5(a)2(r)-1(t)2( of a)1( CM)4(S)4( pi)2(l)2(ot)2( proj)1(e)2(c)1(t)2(. )]TJ 0 -1.14583 TD [(A)-2(ddi)2(t)2(i)2(ona)1(l)2( t)2(e)1(s)-1(t)2(i)2(ng oc)1(c)1(urre)6(d i)2(n Conne)2(c)1(t)7(i)2(c)1(ut)2( a)2(nd s)-2(e)1(l)2(e)2(c)1(t)2( s)-2(i)2(t)2(e)1(s)-1( a)1(roun)5(d t)2(he)1( c)1(ount)2(r)5(y. P)-1(ubl)2(i)2(c)1( )]TJ 0 -1.15104 TD [(re)1(port)2(i)2(ng of)-1( )5(s)-1(t)2(a)1(nda)1(rdi)2(z)1(e)2(d )5(m)7(e)1(a)1(s)-1(ure)1(s)-2( on pa)1(t)2(i)2(e)2(nt)2(s)3<92>-11( pe)2(r)5(s)-2(pe)1(c)2(t)2(i)2(ve)1(s)-2( of t)7(he)1( qua)2(l)2(i)2(t)1(y)-5( of )5(hos)-1(pi)1(t)2(a)2(l)2( c)1(a)1(re)1( )]TJ 0 -1.14583 TD [(w)-2(i)2(l)2(l)2( e)1(nc)1(oura)1(ge)2( c)1(ons)-2(um)8(e)1(rs)-2( a)1(nd t)2(he)1(i)2(r p)5(hys)-1(i)2(c)1(i)2(a)1(ns)-1( t)1(o )6(di)2(s)-2(c)1(us)-1(s)-2( a)1(n)6(d )5(m)7(a)1(ke)2( )-6(m)7(ore)1( i)-3(nform)7(e)1(d de)1(c)2(i)2(s)-2(i)2(ons)-2( )]TJ 0 -1.15104 TD [(on how)-2( t)2(o )5(ge)7(t)2( t)2(he)1( be)1(s)-1(t)2( hos)3(pi)2(t)2(a)1(l)2( c)2(a)1(re)1(, a)1(s)-2( w)-1(e)1(l)2(l)2( a)1(s)-2( i)2(nc)2(r)-1(e)7(a)1(s)-2(e)2( t)2(he)1( publ)2(i)2(c)1( a)2(c)1(c)1(ount)2(a)1(bi)2(l)2(i)2(t)2(y)-5( of h)5(os)-2(pi)2(t)2(a)7(l)2(s)-2(. )]TJ 12 0 0 12 90 465.18 Tm ( )Tj 0 -1.15 TD [(H)2(os)-1(pi)-2(t)-2(a)-1(l)-2( C)2(o)5(m)3(pa)-1(r)-2(e)-1( a)-1(s)-1( of)3( M)-1(a)-1(r)-2(c)-1(h 2008 )5(i)-2(nc)-1(l)-2(ude)4(s)-1( i)-2(np)5(a)-1(t)-2(i)-2(e)-1(n)5(t)-2( hos)-1(pi)3(t)3(a)-1(l)-2( pa)-1(ym)8(e)-1(nt)-2( i)-2(nf)3(or)-7(m)8(a)-1(t)-2(i)-2(on a)-1(nd )]TJ T* 0.001 Tc -0.001 Tw [(t)-1(h)1(e n)1(u)1(m)9(b)1(er)-1( o)1(f)4( Med)1(i)-1(car)-1(e )5(p)1(at)-1(i)-1(en)6(t)-1(s t)4(r)-1(ea)5(t)-1(ed)1( \()-1(v)1(o)6(l)-1(u)1(m)9(e)-5(\))-1( f)4(o)1(r)-1( cer)4(t)-1(ai)-1(n)1( )5(i)-1(l)-1(l)-1(n)6(esses.)1( D)3(i)4(ag)1(n)1(o)1(si)-1(s R)3(el)4(a)5(t)-1(ed)1( )]TJ T* 0.002 Tc -0.002 Tw [(G)4(ro)2(u)2(p)2(s)1( \(D)4(R)4(G)4(s)1(\) a)1(re)1( p)2(a)1(y)7(m)10(e)1(n)2(t g)2(ro)2(u)2(p)2(s)1(.)2( P)3(a)1(tie)1(n)7(ts)1( th)7(a)1(t h)2(a)1(v)2(e)1( s)6(im)10(ila)1(r c)1(l)5(in)2(ic)6(a)1(l c)6(h)2(a)1(ra)1(c)6(te)1(r)5(is)1(t)5(ic)6(s)1( a)1(n)2(d)2( )]TJ T* 0.001 Tc -0.001 Tw [(si)-1(m)9(i)-1(l)-1(ar)-1( co)1(st)4(s)5( ar)-1(e ass)5(i)-1(g)1(n)1(e)5(d)1( t)-1(o)1( a D)3(R)3(G)3(.)1( )-5(T)2(h)1(e D)3(R)3(G)3( )-5(w)-2(i)-1(l)-1(l)-1( b)6(e asso)1(c)5(i)4(at)-1(ed)1( w)3(i)-1(t)-1(h)1( )5(a f)4(i)-1(x)1(ed)1( p)1(ay)1(m)9(en)1(t)-1( )]TJ T* 0 Tc 0 Tw [(a)-1(m)8(ount)-2( ba)-1(s)-1(e)-1(d on t)-2(he)-1( a)-1(ve)4(r)-2(a)-1(ge)-1( c)-1(os)4(t)-2( of)3( pa)-1(t)-2(i)-2(e)-1(n)5(t)-2(s)-1( i)-2(n )5(t)3(he)-1( gr)-2(oup. P)1(a)4(t)-2(i)-2(e)-1(n)5(t)-2(s)-1( a)-1(r)3(e)-1( a)-1(s)-1(s)4(i)-2(gne)-1(d t)-2(o a)-1( D)7(R)2(G)2( )]TJ T* [(ba)-1(s)-1(e)-1(d on di)-2(a)4(gnos)-1(i)-2(s)-1(, s)-1(ur)-2(g)5(i)3(c)-1(a)-1(l)-2( pr)-2(o)5(c)-1(e)-1(dur)3(e)-1(s)-1(, a)-1(ge)-1( a)-1(nd )5(ot)-2(he)-1(r)-2( )5(i)-2(nf)3(or)-2(m)3(a)-1(t)-2(i)-2(on. M)4(e)-1(di)-2(c)4(a)-1(r)-2(e)-1( us)-1(e)-1(s)-1( )5(t)-2(hi)-2(s)4( )]TJ T* [(i)-2(nf)3(or)-2(m)8(a)-1(t)-2(i)-2(on t)-2(ha)-1(t)-2( )5(i)-2(s)-1( pr)-2(ov)5(i)3(de)-1(d by hos)-1(pi)3(t)-2(a)-1(l)-2(s)-1( on )5(t)-2(he)-1(i)3(r)-2( )5(bi)-2(l)-2(l)-2( )5(t)-2(o de)-1(c)4(i)-2(d)5(e)-1( how)2( )-5(m)8(uc)-1(h)-5( t)-2(he)-1(y s)-1(houl)-2(d)5( be)-1( )]TJ T* [(pa)-1(i)-2(d. H)2(os)-1(pi)-2(t)3(a)-1(l)-2( C)2(om)8(pa)-1(r)-2(e)-1( s)-1(how)2(s)-1( i)-2(nf)3(or)-2(m)8(a)-1(t)-2(i)-2(on f)3(or)-2( e)-1(a)-1(c)-1(h hos)-1(pi)3(t)-2(a)-1(l)-2( )5(on s)-1(e)-1(l)-2(e)-1(c)4(t)-2(e)-1(d )5(D)2(R)2(G)2(s)-1( )-5(f)3(r)-2(o)-5(m)8( )]TJ T* [(O)2(c)-1(t)-2(obe)-1(r)-2( 200)5(5 t)-2(hr)-2(ough S)1(e)4(pt)-2(e)-1(m)8(be)-1(r)-2( 2006. I)-2(f)3( a)-1( D)2(R)2(G)2( )-5(ha)-1(s)-1( ")-2(C)2(om)8(pl)-2(i)-2(c)-1(a)-1(t)-2(i)-2(on)5(s)-1( or)-2( P)1(r)3(e)-1(-)-2(E)1(xi)-2(s)4(t)-2(i)-2(ng )]TJ T* [(C)2(ondi)-2(t)-2(i)-2(on")-2( )5(i)3(n i)-2(t)-2(s)-1( t)3(i)-2(t)3(l)-2(e)-1(, i)3(t)-2( )5(m)8(e)-1(a)-1(ns)-1( t)-2(he)-1( hos)-1(pi)-2(t)-2(a)4(l)-2( m)8(a)-1(y )-5(ha)-1(ve)-1( t)-2(r)3(e)-1(a)-1(t)-2(e)-1(d )5(m)3(or)-2(e)-1( c)-1(om)8(pl)-2(i)-2(c)-1(a)-1(t)-2(e)-1(d pa)4(t)-2(i)-2(e)-1(n)5(t)3(s)-1(. )]TJ T* 0.002 Tc -0.002 Tw [(P)3(a)1(tie)1(n)7(ts)1( th)2(a)6(t)5( a)1(re)1( m)10(o)2(re)1( c)1(o)2(m)5(p)2(lic)1(a)1(te)1(d)2( )5(\(i.)7(e)1(.)2( h)2(a)1(v)2(e)1( h)2(ig)2(h)7(e)1(r s)1(e)1(v)2(e)6(ri)5(ty)2( o)7(f)5( illn)2(e)1(s)1(s)6(\) w)4(il)5(l b)2(e)1( p)2(a)1(id)2( m)10(o)2(re)1( )]TJ T* 0 Tc 0 Tw [(t)-2(ha)-1(n pa)-1(t)3(i)-2(e)-1(nt)3(s)4( t)-2(ha)-1(t)-2( a)4(r)-2(e)-1( unc)4(o)-5(m)8(pl)-2(i)-2(c)-1(a)-1(t)-2(e)-1(d. )5( T)1(he)-1( pa)-1(ym)8(e)-6(nt)-2( a)-1(nd vol)-2(u)5(m)8(e)-1( i)-2(nf)3(or)-7(m)8(a)-1(t)-7(i)-2(on i)-2(s)-1( f)3(or)-2( a)-1(c)4(ut)-2(e)-1( )]TJ T* 0.001 Tc -0.001 Tw [(car)-1(e h)1(o)1(sp)6(i)-1(t)-1(a)5(l)4(s .)1( ")-1(C)3(r)-1(i)-1(t)4(i)-1(ca)5(l)-1( )5(access h)1(o)1(sp)6(i)4(t)-1(al)-1(s )5(\()-1(C)3(A)3(H)3(\))-1(")-1( ar)-1(e n)1(o)1(t)-1( )5(i)-1(n)1(cl)-1(u)6(d)1(ed)1( b)1(ecau)1(se )5(t)-1(h)1(ey)1( ar)4(e p)1(ai)4(d)1( )]TJ T* 0 Tc 0 Tw [(us)-1(i)-2(ng a)-1(not)-2(h)5(e)4(r)-2( m)8(e)-1(t)-2(hod. )]TJ /F3 1 Tf 0 -1.16 TD ( )Tj 11.52 0 0 11.52 90 244.68 Tm [(Th)-1(e)1( Q)2(u)-1(al)2(i)2(ty)5( S)-2(tr)1(ate)1(gy )]TJ /F1 1 Tf 9.23958 0 Td ( )Tj -9.23959 -1.13542 TD [(T)2(he)1( Q)-2(ua)1(l)2(i)2(t)2(y)-5( )5(Ini)2(t)2(i)2(a)1(t)2(i)2(ve)1( e)-4(m)2(pl)2(oys)-1( a)1( m)7(ul)2(t)2(i)-3(-)-1(pronge)1(d a)2(pp)5(r)-1(oa)2(c)1(h t)2(o s)-2(up)6(por)-1(t)2(, provi)2(de)6( i)2(nc)2(e)1(nt)2(i)2(ve)1(s)-2( a)2(nd )]TJ 0 -1.14583 TD [(dri)2(ve)1( s)3(y)-5(s)-1(t)2(e)1(m)7(s)-2( a)2(nd f)-1(a)2(c)1(i)2(l)2(i)2(t)2(i)2(e)1(s)-2( \226 i)2(nc)2(l)2(udi)2(n)5(g t)2(he)1( c)1(l)2(i)2(ni)2(c)2(i)1(a)-3(ns)-2( a)1(nd pr)5(ofe)1(s)4(s)-2(i)2(ona)1(l)2(s)-1( w)-2(o)5(rk)5(i)2(ng i)2(n t)2(hos)-2(e)1( )]TJ 0 -1.15104 TD [(s)-2(e)2(t)2(t)2(i)2(ngs)-2( \226 t)2(o)5(w)-2(a)1(rd s)4(upe)1(ri)2(o)5(r)-1( c)2(a)1(re)1( t)2(hroug)5(h:)2( )]TJ 0 -1.14583 TD ( )Tj 0 -1.15104 TD <7F>Tj 0.59375 0 Td [(O)-2(ngoi)2(ng re)1(gul)2(a)1(t)2(i)2(on a)1(nd e)2(nf)-1(orc)1(e)2(m)7(e)1(nt)2( )-5(c)1(onduc)1(t)2(e)2(d b)5(y)-5( )5(S)-1(t)2(a)1(t)2(e)1( s)-2(urve)7(y)-6( a)2(ge)1(nc)1(i)2(e)2(s)3( a)7(nd CM)4(S)-2( )]TJ -0.59375 -1.14583 TD ( )Tj <7F>' 0.59375 0 Td [(N)-2(e)1(w)-2( c)2(ons)-2(u)5(m)7(e)2(r)-1( hos)-1(pi)2(t)2(a)1(l)2( )-5(qua)1(l)2(i)2(t)2(y)-5( i)2(nf)-1(or)5(m)7(a)2(t)-4(i)2(on on ou)6(r)-1( w)-2(e)2(bs)-2(i)2(t)2(e)1(s)-2(, )6(w)3(w)-2(w)-2(.h)5(os)-1(pi)2(t)2(a)1(l)2(c)1(om)7(pa)2(r)-1(e)1(.hhs)-1(.gov )]TJ ET 378.3 150.48 142.8 0.54 re f BT /F1 1 Tf 11.52 0 0 11.52 108 139.02 Tm [(a)1(nd w)4(w)-2(w)-2(.m)7(e)1(di)2(c)1(a)2(r)-1(e)2(.gov, a)6(nd a)1(t)2( 1-800-)5(M)-2(E)2(D)-2(IC)5(A)-2(R)1(E)6( )]TJ -1.5625 -1.14583 TD ( )Tj ET endstream endobj 12 0 obj << /Parent 24 0 R /Type/Page /MediaBox[0 0 612 792] /Resources<>>> /Contents 16 0 R >> endobj 13 0 obj << /Subtype/TrueType /Type/Font /FirstChar 32 /FontDescriptor 14 0 R /Encoding 15 0 R /BaseFont/Arial /Widths[278] /LastChar 32 /Name/F7 >> endobj 14 0 obj << /ItalicAngle 0 /Flags 34 /FontName/Arial /Descent -211 /Ascent 905 /Type/FontDescriptor /FontBBox[-664 -324 2000 1004] /CapHeight 905 /StemV 0 >> endobj 15 0 obj << /BaseEncoding/MacRomanEncoding /Differences[32/space] /Type/Encoding >> endobj 16 0 obj << /Length 11003 >> stream BT /F1 1 Tf 12 0 0 12 90 38.76 Tm 0 0 0 rg [(H)2(os)-1(pi)-2(t)-2(a)-1(l)-2( Q)2(u)5(a)-1(l)-2(i)3(t)-2(y I)-2(ni)3(t)-2(i)-2(a)4(t)-2(i)3(ve)-1( O)2(ve)-1(r)-2(vi)-2(e)4(w)2( f)3(i)-2(na)-1(l)-2( 20J)-1(un08.doc)-1( 10-)-2(J)4(ul)-2(-)-2(08 )]TJ 11.52 0 0 11.52 90 709.38 Tm ( )Tj 0 -1.14583 TD <7F>Tj 0.59375 0 Td [(T)2(he)1( t)2(e)1(s)-1(t)1(i)2(ng )-5(of re)1(w)-2(a)1(rd)5(s)-2( fo)5(r s)-2(upe)2(r)-1(i)2(or pe)6(rfor)-1(m)8(a)1(nc)1(e)2( on c)1(e)1(rt)2(a)1(i)2(n m)7(e)-4(a)2(s)-2(ure)1(s)-2( of)5( qua)7(l)2(i)2(t)1(y)-5( )]TJ -0.59375 -1.15104 TD ( )Tj 0 -1.14583 TD <7F>Tj 0.59375 0 Td [(Cont)2(i)2(nua)2(l)1(, )-5(c)2(om)2(m)7(uni)2(t)2(y)-6(-ba)1(s)-1(e)1(d qua)1(l)2(i)2(t)2(y i)2(m)7(prove)-4(m)7(e)2(n)-6(t)2( re)1(s)-1(our)-1(c)2(e)1(s)-2( t)2(h)5(rough t)2(he)1( Q)4(I)4(O)-2(s)-1( )]TJ -0.59375 -1.15104 TD ( )Tj 0 -1.14583 TD <7F>Tj 0.59375 0 Td [(Col)2(l)2(a)2(bor)-1(a)1(t)2(i)-3(on a)1(nd pa)2(r)-1(t)2(n)6(e)1(rs)-2(hi)2(p t)2(o l)2(e)1(v)5(e)2(r)-1(a)2(ge)1( know)-2(l)7(e)1(dge)2( a)1(nd re)1(s)4(our)-1(c)1(e)2(s)-2( )]TJ -0.59375 -1.14583 TD ( )Tj 0 -1.15104 TD [(Re)2(gul)2(a)1(t)2(i)2(on a)1(nd E)2(nf)-1(orc)1(e)2(m)7(e)1(nt)2( )]TJ ET 90 615 132.18 0.54 re f BT /F1 1 Tf 11.52 0 0 11.52 90 603.6 Tm [(CM)-1(S)-2( )6(w)-2(i)2(l)2(l)2( c)1(ont)2(i)2(nue)1( t)2(o c)1(onduc)2(t)2( r)-1(e)2(gul)1(a)2(t)2(i)2(on a)1(nd e)1(nfor)5(c)1(e)1(m)8(e)1(nt)2( a)1(c)-4(t)2(i)2(v)-5(i)2(t)2(i)2(e)1(s)-2( t)2(o e)2(ns)-2(ur)5(e)1( t)2(ha)1(t)2( M)-1(e)1(di)2(c)1(a)2(r)-1(e)2( )]TJ 0 -1.15105 TD [(hos)-2(pi)2(t)2(a)2(l)2(s)-2( c)1(o)5(m)8(pl)2(y)-6( w)-2(i)2(t)2(h fe)6(de)2(r)-1(a)2(l)2( s)-2(t)2(a)1(nda)2(r)4(ds)-1( for)-1( pa)1(t)2(i)2(e)2(nt)7( he)1(a)1(l)2(t)2(h a)2(nd s)3(a)1(fe)1(t)2(y)-5( a)1(nd )6(qu)5(a)1(l)2(i)2(t)2(y)-5( of c)1(a)1(re)1(. )5(T)2(he)1( )]TJ 0 -1.14583 TD [(s)-2(urve)7(y)-6( a)2(nd c)6(e)1(rt)2(i)2(fi)2(c)1(a)1(t)2(i)2(on progr)-1(a)2(m)7( i)2(s)-2( a)2( j)2(oi)1(nt)2( e)2(f)-1(fort)2( of)5( t)1(he)2( f)-1(e)2(de)1(ra)1(l)2( a)1(nd s)-1(t)2(a)1(t)2(e)1( gove)7(r)-1(nm)7(e)2(nt)2(s)-2( t)2(o )]TJ 0 -1.14584 TD -0.002 Tc 0.002 Tw [(e)-1(n)-2(s)-3(u)-2(r)-3(e s)-4(a)-1(f)-2(e)-1(t)5(y)-2( an)-2(d)-2( im)5(p)-2(r)-3(o)-2(v)-2(e th)-2(e)-1( q)-2(u)-2(a)-1(lity)-7( o)3(f)-2( c)-1(a)-1(r)-2(e)-1( in)-2( h)-2(ea)-1(lth)-2( c)-1(a)-1(r)-2(e)-1( f)-2(a)-1(cilit)-6(ies)-4(.)-2( Th)-2(e)-1(s)-4(e)-1( ac)4(tiv)-2(itie)-1(s)-3( p)-2(r)-3(o)-2(v)-2(id)-2(e )]TJ 0 -1.15104 TD 0 Tc 0 Tw [(a)1(n i)2(m)7(port)2(a)1(nt)2( )-5(vi)2(e)1(w)-2( of t)2(he)1( q)5(ua)2(l)2(i)2(t)2(y)-6( of c)1(a)2(r)-1(e)7( i)2(n hos)-2(pi)2(t)2(a)1(l)2(s)-1(. )5( )]TJ 0 -1.14584 TD ( )Tj 0 -1.15104 TD [(Cons)-1(um)7(e)1(r I)-1(n)6(f)-1(orm)7(a)1(t)2(i)2(on on Q)-2(ua)2(l)2(i)2(t)2(y)-6( o)6(f)-1( C)6(a)1(re)1( )]TJ ET 90 522.42 193.8 0.54 re f BT /F1 1 Tf 11.52 0 0 11.52 90 511.02 Tm [(CM)-1(S)-2( a)2(n)5(d t)2(he)1( H)-2(Q)3(A)-2( )6(w)-2(i)2(l)2(l)2( c)1(onduc)1(t)2( a)1(n i)2(nt)2(e)2(gr)-1(a)2(t)2(e)1(d c)1(om)2(m)7(uni)2(c)2(a)1(t)-3(i)2(ons)-2( c)1(a)1(m)8(pa)1(i)2(gn t)2(o )-5(e)1(nc)1(oura)1(ge)1( )]TJ 0 -1.14583 TD [(c)1(ons)-1(um)7(e)1(rs)-2( a)1(nd t)2(he)2(i)2(r)-1( ph)6(y)-6(s)4(i)2(c)1(i)2(a)1(ns)-1( t)2(o di)2(s)-2(c)1(us)-1(s)-2( a)1(nd m)8(a)1(ke)1( i)2(nfor)-1(m)8(e)1(d de)1(c)2(i)1(s)-1(i)2(ons)-2( on h)5(ow)-2( t)2(o ge)2(t)2( t)2(he)6( )]TJ 0 -1.15104 TD [(be)1(s)-1(t)2( hos)-2(pi)2(t)2(a)1(l)2( )5(c)2(a)1(re)1(. T)2(he)1(y)-5( )5(w)3(i)2(l)2(l)2( e)1(nc)2(our)-1(a)2(ge)1( pa)1(t)2(i)2(e)1(nt)2(s)-1( t)2(o a)1(c)1(c)1(e)2(s)-2(s)-2( hos)4(pi)2(t)2(a)1(l)2( qua)2(l)1(i)2(t)2(y)-5( i)2(nfo)5(rm)7(a)1(t)2(i)2(on on )]TJ 0 -1.14583 TD [(w)-2(w)3(w)-2(.ho)6(s)-2(pi)2(t)2(a)1(l)2(c)1(om)8(pa)1(r)-1(e)2(.hh)-5(s)-2(.gov )]TJ ET 90 469.56 145.74 0.54 re f BT /F1 1 Tf 11.52 0 0 11.52 235.74 471.36 Tm -0.005 Tw [(a)1(nd w)4(w)-2(w)-2(.m)7(e)1(di)2(c)2(a)1(r)-1(e)2(.gov )]TJ ET 255.18 469.56 92.94 0.54 re f BT /F1 1 Tf 11.52 0 0 11.52 348.12 471.36 Tm 0 Tw [(or b)5(y)-5( c)6(a)1(l)2(l)2(i)2(ng 1-800-)5(M)-2(E)2(D)-2(IC)5(A)-2(RE)7(. )]TJ -22.40625 -1.15104 TD [(CM)-1(S)-2( )6(w)-2(i)2(l)2(l)2( a)1(l)2(s)-2(o di)2(re)1(c)1(t)2( t)2(he)2( Q)-2(I)-1(O)4(s)-2( t)2(o pro)5(m)7(ot)2(e)1( a)1(w)-1(a)1(r)-1(e)2(ne)1(s)-2(s)-1(, unde)6(rs)-2(t)2(a)7(ndi)2(ng a)1(nd us)4(e)1( of qua)1(l)2(i)2(t)2(y)-5( )]TJ 0 -1.14583 TD [(m)7(e)1(a)2(s)-2(ure)1(s)-2( by)-5( )5(w)-2(orki)2(ng )5(w)-2(i)2(t)2(h c)2(l)2(i)1(ni)2(c)2(i)2(a)1(ns)-2( a)2(nd i)2(nt)2(e)1(rm)7(e)1(di)-3(a)1(ri)2(e)1(s)-2( i)2(nc)2(l)2(udi)1(ng pri)2(m)7(a)2(r)-1(y)-5( c)7(a)1(r)-1(e)2( ph)5(y)-5(s)-2(i)2(c)1(i)2(a)2(n)5(s)-2(, )]TJ 0 -1.14584 TD [(c)1(om)2(m)7(uni)2(t)2(y)-5( orga)1(ni)2(z)1(a)2(t)2(i)2(ons)-2(, a)1(nd t)2(he)1( m)8(e)1(d)-5(i)2(a)1(. )]TJ 12 0 0 12 90 418.02 Tm ( )Tj 0 -1.15 TD [(R)2(e)-1(w)2(a)-1(r)-2(di)-2(ng S)1(upe)-1(r)-2(i)-2(or)-2( P)1(e)4(r)3(f)3(or)-7(m)8(a)-1(nc)-1(e)-1( )]TJ ET 90 402.3 161.28 0.6 re f BT /F1 1 Tf 12 0 0 12 90 390.42 Tm [(A)2(s)-1( pa)-1(r)-2(t)-2( of)3( t)-2(h)5(e)-1( H)2(os)-1(pi)-2(t)-2(a)4(l)-2( Q)2(ua)-1(l)-2(i)3(t)-2(y I)-2(ni)3(t)-2(i)-2(a)4(t)3(i)-2(ve)-1(, C)2(M)-1(S)1( i)-2(s)-1( )5(e)-1(xpl)-2(or)3(i)-2(ng pa)4(y-)-2(f)3(or)-2(-)-2(pe)-1(r)-2(f)3(or)3(m)8(a)-1(nc)-1(e)-1( vi)-2(a)-1( t)-2(he)-1( )]TJ 0 -1.15 TD 0.002 Tc -0.002 Tw [(P)3(re)1(m)10(ie)1(r H)4(o)2(s)1(p)2(ita)6(l Q)4(u)2(a)1(li)5(ty)7( In)2(c)1(e)1(n)2(t)5(iv)2(e)1( D)9(e)1(m)10(o)2(n)2(s)1(tra)1(tio)7(n)2(.)2( U)4(n)2(d)2(e)1(r th)2(e)6( d)2(e)1(m)10(o)2(n)2(s)1(tra)1(ti)5(o)2(n)2(,)2( h)2(o)2(s)1(p)2(ita)6(ls)6( )]TJ T* 0.001 Tc -0.001 Tw [(w)3(i)-1(l)-1(l)-1( r)4(ecei)-1(v)6(e )5(b)1(o)1(n)1(u)1(ses b)1(as)5(ed)1( o)1(n)1( t)-1(h)1(ei)4(r)-1( p)6(er)-1(f)4(o)1(r)-1(m)9(an)1(ce o)1(n)1( q)1(u)1(al)-1(i)4(t)-1(y)1( m)4(easu)1(r)-1(es )5(sel)4(e)5(ct)-1(ed)1( f)4(o)1(r)-1( )]TJ T* 0.002 Tc -0.002 Tw [(in)2(p)2(a)1(t)5(ie)1(n)2(ts)1( w)9(ith)2( s)1(p)2(e)6(c)1(if)5(ic)1( c)6(lin)2(i)5(c)1(a)1(l c)1(o)2(n)2(d)7(i)5(tio)2(n)2(s)1(: h)7(e)1(a)1(r)5(t )5(a)1(tta)6(c)1(k)2(,)2( h)2(e)1(a)1(r)5(t)5( f)5(a)1(ilu)2(re)1(,)2( p)2(n)2(e)6(u)-3(m)10(o)2(n)2(ia)1(,)2( )]TJ T* 0 Tc 0 Tw [(c)-1(or)-2(ona)-1(r)-2(y )5(a)-1(r)-2(t)3(e)-1(r)-2(y bypa)-1(s)-1(s)-1( g)5(r)-2(a)-1(f)3(t)-2(, a)-1(nd hi)-2(p )5(a)-1(nd kne)-1(e)-1( r)-2(e)-1(p)5(l)-2(a)-1(c)-1(e)-1(m)8(e)-1(nt)-2(s)-1(. H)2(os)-1(pi)-2(t)-2(a)-1(l)-2(s)-1( w)2(i)3(l)-2(l)-2( be)-1( s)4(c)-1(or)-2(e)-1(d )5(on )]TJ T* 0.001 Tc -0.001 Tw [(t)-1(h)1(e q)1(u)1(al)4(i)-1(t)-1(y)1( )5(m)9(easu)1(r)-1(es r)-1(el)4(at)-1(ed)1( t)-1(o)1( )5(each)1( )5(co)1(n)1(d)1(i)-1(t)4(i)-1(o)1(n)1( m)4(easu)1(r)-1(ed)1(.)1( C)3(o)6(m)4(p)1(o)1(si)-1(t)-1(e sco)6(r)4(es w)3(i)-1(l)-1(l)-1( b)6(e )]TJ T* [(cal)-1(cu)6(l)-1(at)-1(ed)1( )5(a)5(n)1(n)1(u)1(al)-1(l)-1(y)1( f)4(o)1(r)-1( e)5(ach)1( d)1(em)9(o)1(n)1(st)-1(r)-1(at)4(i)-1(o)1(n)1( h)1(o)1(sp)1(i)4(t)4(al)-1(.)1( S)2(ep)1(ar)4(at)-1(e )5(sco)1(r)-1(es w)3(i)4(l)-1(l)-1( b)6(e cal)-1(cu)6(l)-1(at)4(ed)1( )]TJ T* 0 Tc 0 Tw [(f)3(or)-2( e)-1(a)-1(c)-1(h c)-1(l)3(i)-2(n)5(i)-2(c)-1(a)-1(l)-2( )5(c)-1(ondi)-2(t)3(i)-2(o)5(n by \223)-1(r)-2(ol)3(l)-2(i)-2(ng)5( up\224)-1( i)-2(ndi)-2(v)5(i)-2(d)5(ua)-1(l)-2( m)8(e)-1(a)-1(s)-1(ur)-2(e)-1(s)-1( i)-2(nt)-2(o a)-1(n ov)5(e)4(r)-2(a)-1(l)3(l)-2( s)-1(c)-1(or)3(e)-1(. )]TJ T* 0.002 Tc -0.002 Tw [(C)4(M)1(S)3( w)4(ill c)1(a)6(te)1(g)2(o)2(r)5(iz)1(e)1( th)7(e)1( )5(d)2(is)1(tr)5(ib)2(u)2(t)5(io)2(n)2( )5(o)2(f)5( h)2(o)2(s)1(p)2(ita)1(l s)6(c)1(o)2(re)1(s)1( in)7(to)2( d)2(e)6(c)1(ile)6(s)1( to)2( id)7(e)1(n)2(t)5(if)5(y)2( to)2(p)2( )]TJ T* 0 Tc 0 Tw [(pe)-1(r)-2(f)3(or)-2(m)8(e)-1(r)-2(s)-1( f)-2(or)-2( e)-1(a)-1(c)-1(h c)-1(ond)5(i)-2(t)-2(i)-2(on. F)1(or)-2( )5(e)-1(a)4(c)-1(h c)-1(ondi)-2(t)3(i)-2(on)5(, a)-1(l)-2(l)-2( of)3( t)-2(he)-1( h)5(os)-1(pi)-2(t)-2(a)4(l)-2(s)-1( i)-2(n )5(t)-2(h)5(e)-1( t)-2(op 50%)-2( w)7(i)-2(l)-2(l)-2( )]TJ T* [(be)-1( r)-2(e)-1(por)3(t)-2(e)-1(d )5(a)-1(s)-1( t)-2(op pe)-1(r)-2(f)3(or)3(m)8(e)-1(r)-2(s)-1(. T)1(hos)-1(e)-6( hos)-1(pi)-2(t)-2(a)4(l)-2(s)-1( i)-2(n )5(t)-2(he)-1( t)-2(op 20)5(%)-2( )5(w)2(i)-2(l)-2(l)-2( be)-1( )5(r)-2(e)-1(c)-1(o)5(gni)-2(z)-1(e)-1(d a)-1(nd )]TJ T* [(gi)-2(ve)-1(n a)-1( f)3(i)-2(na)4(nc)-1(i)-2(a)-1(l)-2( bonu)5(s)-1(. )5(B)2(y t)-2(he)-1( e)-1(nd o)5(f)3( t)-2(he)-1( de)-1(m)8(on)-5(s)-1(t)-2(r)-2(a)4(t)-2(i)-2(on, )5(i)-2(t)-2( i)3(s)4( a)-1(nt)-2(i)-2(c)4(i)-2(pa)-1(t)3(e)-1(d )5(t)-2(ha)-1(t)-2( )]TJ 0 -1.145 TD [(pa)-1(r)-2(t)3(i)-2(c)-1(i)-2(pa)4(t)-2(i)-2(ng)5( hos)-1(pi)-2(t)-2(a)4(l)-2(s)-1( w)2(i)3(l)-2(l)-2( s)-1(how)2( i)-2(m)8(pr)-2(ove)-1(m)8(e)-1(nt)-2( f)3(r)-2(o)-5(m)3( pe)-1(r)-2(f)3(or)-7(m)8(a)-1(nc)-1(e)-1( i)-2(n ye)-1(a)4(r)-2( )5(one)-1(. I)-2(n ye)-1(a)4(r)-2( )]TJ 0 -1.15 TD 0.001 Tc -0.001 Tw [(t)-1(h)1(r)-1(ee,)1( h)1(o)1(sp)6(i)-1(t)4(al)-1(s w)3(i)-1(l)4(l)-1( r)-1(e)5(cei)4(v)1(e l)-1(o)1(w)3(er)-1( p)1(a)5(y)-4(m)9(en)1(t)-1(s i)-1(f)4( t)-1(h)6(ey)1( sco)1(r)-1(e b)6(el)4(o)1(w)3( cl)-1(i)-1(n)1(i)-1(c)5(al)-1( )5(b)1(asel)4(i)-1(n)1(es se)5(t)4( i)-1(n)1( )]TJ T* 0 Tc 0 Tw [(t)-2(he)-1( f)3(i)-2(r)-2(s)4(t)-2( ye)-1(a)-1(r)3( f)3(or)-2( t)-2(he)-1( bot)-2(t)3(o)-5(m)8( 20%)-2( of)3( )-5(hos)-1(pi)-2(t)-2(a)4(l)-2(s)-1(. )]TJ /F7 1 Tf 10.02 0 0 10.02 90 185.28 Tm 0 0 0.5 rg ( )Tj /F1 1 Tf 12 0 0 12 90 171.96 Tm 0 0 0 rg [(C)2(M)-1(S)1( a)-1(ppr)-2(ove)-1(d t)-2(he)-1( e)-1(x)5(t)-2(e)4(ns)-1(i)-2(on of)3( t)-2(he)-1( )5(H)2(Q)2(I)-2(D)2( f)3(r)-2(o)-5(m)3( )-5(f)3(i)-2(s)-1(c)-1(a)-1(l)-2( ye)-1(a)4(r)-2( 2)5(007 t)-2(hr)-2(ough )5(f)3(i)-2(s)-1(c)-1(a)-1(l)-2( ye)-1(a)4(r)-2( )]TJ 0 -1.15 TD [(2009. O)2(nl)-2(y hos)-1(pi)-2(t)-2(a)4(l)-2(s)-1( t)-2(h)5(a)4(t)-2( c)-1(om)8(pl)-2(e)-1(t)-2(e)-1(d ye)-1(a)-1(r)-2( 3 of)3( t)-2(he)4( c)-1(ur)-2(r)-2(e)-1(n)5(t)-2( de)-1(m)3(ons)-1(t)-2(r)-2(a)4(t)-2(i)-2(on a)4(r)3(e)-1( e)-1(l)-2(i)-2(g)5(i)-2(bl)-2(e)-1( )5(t)-2(o )]TJ T* [(pa)-1(r)-2(t)3(i)-2(c)-1(i)-2(pa)4(t)-2(e)-1(. )5(T)1(he)-1( e)-1(xt)-2(e)-1(ns)4(i)3(on be)-1(gi)-2(ns)-1( w)2(i)3(t)-2(h O)2(c)-1(t)-2(obe)-1(r)-2( 1)5(, 2006 di)-2(s)-1(c)-1(h)5(a)-1(r)-2(ge)-1(s)-1(. T)1(he)-1( e)4(xt)-2(e)-1(ns)-1(i)-2(on )]TJ T* [(i)-2(nc)-1(l)-2(ude)4(s)-1( t)-2(he)-1( )5(ba)-1(s)-1(i)-2(c)-1( )5(t)-2(e)-1(r)-2(m)8(s)-1( of)3( t)-2(he)-1( c)-1(ur)-2(r)-2(e)-1(n)5(t)-2( de)-1(m)8(ons)-1(t)-2(r)-2(a)-1(t)3(i)-2(on pr)-2(oj)3(e)-1(c)-1(t)-2(. )5(T)1(he)-1( m)8(os)-1(t)-2( no)-5(t)-2(a)-1(bl)-2(e)-1( )5(c)-1(ha)-1(nge)4(s)-1( )]TJ T* [(a)-1(r)-2(e)-1( i)-2(n )5(t)-2(he)-1( pa)4(y)-5(m)8(e)-1(nt)-2( m)8(e)-1(t)-2(h)-5(odol)-2(ogy. T)1(he)-1( obj)-2(e)-1(c)4(t)-2(i)-2(ve)-1( )5(w)2(i)-2(l)-2(l)-2( be)-1( )5(t)-2(o t)-2(e)4(s)-1(t)-2( ne)-1(w)2( pa)-1(ym)3(e)-1(nt)-2( m)8(ode)-1(l)-2(s)-1(, )]TJ T* [(w)2(a)-1(ys)-1( t)-2(o m)8(e)-1(a)-6(s)-1(ur)-2(e)-1( qua)-1(l)3(i)-2(t)-2(y,)5( a)-1(nd m)8(e)-1(t)-2(hod)-5(s)-1( t)-2(o pr)-2(ovi)-2(d)5(e)-1( )5(i)-2(nf)3(or)-2(m)8(a)-1(t)-2(i)-2(on t)-2(o s)-1(uppor)-2(t)-2( d)5(e)-1(s)-1(i)-2(gni)-2(ng v)5(a)-1(l)3(ue)-1(-)]TJ T* [(ba)-1(s)-1(e)-1(d pur)-2(c)-1(h)5(a)-1(s)-1(i)-2(ng m)8(ode)-1(l)-2(s)-1(. )]TJ 11.52 0 0 11.52 90 75.78 Tm ( )Tj ET endstream endobj 17 0 obj << /Parent 23 0 R /Type/Page /MediaBox[0 0 612 792] /Resources<>>> /Contents 18 0 R >> endobj 18 0 obj << /Length 5446 >> stream BT /F1 1 Tf 12 0 0 12 90 38.76 Tm 0 0 0 rg [(H)2(os)-1(pi)-2(t)-2(a)-1(l)-2( Q)2(u)5(a)-1(l)-2(i)3(t)-2(y I)-2(ni)3(t)-2(i)-2(a)4(t)-2(i)3(ve)-1( O)2(ve)-1(r)-2(vi)-2(e)4(w)2( f)3(i)-2(na)-1(l)-2( 20J)-1(un08.doc)-1( 10-)-2(J)4(ul)-2(-)-2(08 )]TJ 11.52 0 0 11.52 90 709.38 Tm [(Com)2(m)7(uni)2(t)2(y)-5(-ba)1(s)-2(e)2(d Q)-2(ua)1(l)2(i)2(t)7(y)-5( Im)7(pr)-1(ove)2(m)7(e)1(nt)2( )]TJ ET 90 707.58 187.14 0.54 re f BT /F1 1 Tf 11.52 0 0 11.52 90 696.1801 Tm [(T)2(he)1( Q)-2(IO)3(s)-2( )5(w)-2(i)2(l)2(l)2( c)2(ont)2(i)2(nue)1( t)2(o w)-2(ork )5(w)-2(i)2(t)2(h h)5(os)-2(pi)2(t)2(a)1(l)2(s)-1( t)2(o i)2(m)7(prove)1( pe)1(rf)-1(orm)7(a)2(nc)1(e)1( on t)-3(he)1( hos)-1(pi)2(t)2(a)1(l)2(-)]TJ 0 -1.15104 TD [(re)1(port)2(e)1(d m)7(e)1(a)-4(s)-1(ur)-1(e)2(s)-2( a)1(nd)6( t)2(o )5(de)1(ve)1(l)2(op a)2(nd )5(i)2(m)7(pl)2(e)-4(m)2(e)1(nt)2( c)-4(ont)2(i)2(nuous)-1( qu)5(a)1(l)2(i)2(t)2(y)-5( i)2(m)7(prove)1(m)7(e)1(nt)2( progra)1(m)7(s)-2(. )]TJ 0 -1.14584 TD [(T)2(he)1( Q)-2(IO)3(s)-2( ha)7(ve)1( w)-2(orke)1(d )5(w)3(i)2(t)2(h phys)-1(i)2(c)1(i)2(a)1(ns)-1(, hos)3(pi)2(t)2(a)1(l)2(s)-1(, a)1(nd ot)2(he)1(r pro)5(vi)2(de)1(rs)-2( on i)2(m)7(prove)1(m)7(e)2(nt)2( )]TJ 0 -1.15104 TD -0.002 Tc 0.002 Tw [(a)-1(cti)-1(v)-2(ities)-4( f)-2(o)-2(r)-3( )]TJ 5.26563 0 Td 0 0 0.5 rg -0.001 Tc 0.001 Tw [(s)-3(e)1(v)-1(er)-1(al)1( d)-1(eca)1(d)-1(es)]TJ 6.23958 0 Td 0 0 0 rg 0 Tc 0 Tw [( a)1(nd ha)2(ve)6( s)-2(e)2(e)1(n provi)2(de)6(rs)-2( a)1(c)2(hi)2(e)1(ve)1( )]TJ 13.41667 0 Td 0 0 0.5 rg (a)Tj 0.6875 0 Td -0.002 Tc [(s)-4(u)-2(b)-2(s)-3(ta)-1(n)-2(tia)-1(l )]TJ 4.52083 0 Td 0 0 0 rg 0 Tc 0.005 Tw [(i)2(m)7(prove)-4(m)7(e)1(nt)2( i)2(n )]TJ -30.13021 -1.14584 TD 0 Tw [(pe)1(rfor)-1(m)7(a)2(nc)1(e)1(. Q)-2(IO)3(s)-1( ha)1(ve)1( b)5(e)2(e)1(n w)-2(orki)2(ng )5(w)-2(i)2(t)2(h hos)-2(pi)2(t)2(a)1(l)2(s)-1( t)2(o i)2(m)7(prove)1( pe)1(rf)-1(orm)7(a)2(nc)1(e)1( )]TJ 31.52084 0 Td 0 0 0.5 rg [(on m)7(a)1(ny)-5( of )]TJ -31.52084 -1.14583 TD -0.002 Tc [(th)-2(e)-1( )]TJ 1.46875 0 Td 0 0 0 rg 0 Tc [(hos)-2(pi)2(t)2(a)2(l)2( qua)1(l)2(i)2(t)2(y)-5( m)7(e)1(a)1(s)-1(ur)-1(e)2(s)-2(. D)3(uri)2(ng )5(t)2(hi)2(s)-2( pe)2(r)-1(i)2(od, p)5(e)2(r)-1(form)7(a)1(nc)1(e)2( on t)2(he)1(s)-2(e)2( m)7(e)1(a)1(s)-1(ure)1(s)-2( ha)1(s)-1( )]TJ -1.46875 -1.15105 TD [(i)2(m)7(prove)1(d a)1(c)2(r)-1(os)-1(s)-2( t)2(he)1( c)2(ount)7(r)-1(y)-5(.)5( A)4(s)-2( pa)1(rt)2( of)5( t)2(hi)2(s)-2( i)2(ni)2(t)2(i)2(a)1(t)2(i)2(v)-5(e)1(, t)2(he)2( Q)-2(I)-1(O)3(s)-1( a)6(re)1( a)2(l)2(s)-2(o w)-2(or)5(ki)2(ng w)-2(i)2(t)2(h )]TJ 0 -1.14583 TD [(c)1(om)2(m)7(uni)2(t)2(y)-5(, he)1(a)2(l)2(t)2(h c)1(a)1(re)1( a)1(nd bus)-1(i)2(ne)1(s)4(s)-2( )5(orga)1(ni)2(z)1(a)2(t)2(i)2(ons)-2(, a)1(nd )6(w)-2(i)2(t)1(h t)2(he)2( l)2(oc)1(a)1(l)2( m)7(e)2(d)-6(i)2(a)2( t)2(o pr)-1(ovi)2(de)2( )]TJ 0 -1.15105 TD [(qua)1(l)2(i)2(t)2(y)-5( i)2(nfor)4(m)8(a)1(t)-3(i)2(on t)2(o t)2(he)1( publ)2(i)2(c)1( a)1(nd e)2(nc)1(oura)1(ge)1( hos)4(pi)2(t)2(a)1(l)2(s)-2( t)2(o us)-1(e)1( t)2(he)1( i)2(nfor)-1(m)8(a)1(t)2(i)-3(on t)2(o i)2(m)7(pr)-1(ove)2( )]TJ 0 -1.14583 TD -0.002 Tc 0.002 Tw [(c)-1(ar)-3(e.)-2( )]TJ 0 -1.14584 TD 0 Tc 0 Tw ( )Tj 0 -1.15104 TD [(Col)2(l)2(a)2(bor)-1(a)1(t)2(i)2(on a)2(nd P)-2(a)2(r)-1(t)2(ne)2(r)5(s)-2(hi)2(p )]TJ ET 90 548.8799 138 0.54 re f BT /F1 1 Tf 11.52 0 0 11.52 90 537.48 Tm -0.002 Tc 0.002 Tw [(To)-2( b)-2(e)-1( e)-1(f)-2(f)-2(e)-1(c)-1(tiv)-2(e)-1(,)-2( th)-2(e H)-4(o)-2(s)1(p)-2(ita)-1(l Q)-4(u)-2(ality)-8( I)-2(n)3(itia)-1(tiv)-2(e )-6(m)6(u)-2(s)-4(t )-5(tr)-3(u)-2(ly)-7( b)-2(e)-1( a c)-1(o)-2(l)5(la)-1(b)-2(o)-2(r)-2(a)-1(tiv)-2(e e)-1(f)-3(f)-2(o)-2(r)-2(t w)-4(ith)-2( )]TJ 0 -1.15104 TD 0 Tc 0 Tw [(hos)-2(pi)2(t)2(a)2(l)2(s)-2( a)1(nd)5( t)2(he)2(i)2(r)-1( a)2(s)-2(s)-2(oc)2(i)2(a)1(t)2(i)2(ons)-2(, ph)5(y)-5(s)-1(i)1(c)2(i)7(a)1(ns)-1(, ot)2(he)1(r c)1(l)2(i)2(ni)2(c)1(i)2(a)1(ns)-1(, f)-1(e)2(de)6(ra)1(l)2( a)1(nd s)-1(t)2(a)1(t)2(e)1( a)1(ge)2(nc)1(i)2(e)1(s)-1(, Q)-2(I)5(O)-2(s)-2(, )]TJ 0 -1.14584 TD [(i)2(nde)1(pe)2(nde)1(nt)2( he)1(a)1(l)2(t)2(h c)2(a)1(re)1( qua)1(l)2(i)2(t)2(y)-5( or)-1(ga)2(ni)7(z)1(a)1(t)2(i)2(ons)-1(, pr)-1(i)2(v)6(a)1(t)2(e)1( purc)1(ha)1(s)-1(e)1(r)5(s)-2(, a)2(c)1(c)1(re)1(di)2(t)2(i)2(ng orga)1(ni)2(z)1(a)2(t)2(i)1(ons)-1(, )]TJ 0 -1.14583 TD [(a)1(nd c)2(ons)-2(um)7(e)1(r a)1(dvoc)2(a)1(t)2(e)1(s)-1(. )5(T)1(he)2( i)2(ni)2(t)2(i)2(a)1(t)2(i)2(v)-5(e)1( i)2(s)-2( de)1(s)-1(i)2(gne)1(d)5( t)2(o i)2(m)7(prove)1( c)-4(om)2(m)8(uni)1(c)2(a)1(t)-3(i)2(on a)1(m)7(ong a)2(l)1(l)2( )]TJ 0 -1.15104 TD [(pa)1(rt)2(i)2(e)1(s)-1( t)1(o pos)4(i)2(t)2(i)2(ve)1(l)2(y)-5( i)2(m)7(pa)1(c)-4(t)2( qua)2(l)2(i)2(t)2(y)-6( of c)7(a)1(re)1(. B)5(y)-5( c)1(ol)2(l)2(a)2(bor)-1(a)2(t)2(i)2(ng t)1(o e)2(xpa)1(nd kno)5(w)-2(l)7(e)2(dge)1( a)1(nd )]TJ 0 -1.14583 TD [(re)1(s)-2(ourc)1(e)2(s)-2(, a)1(l)2(l)7( pa)2(r)-1(t)2(ne)2(r)-1(s)-1( c)1(a)1(n)5( a)2(c)1(hi)2(e)1(ve)2( gr)-1(e)2(a)1(t)2(e)1(r a)1(nd i)2(m)2(m)7(e)-4(di)2(a)1(t)2(e)2( i)-4(m)8(pr)-1(ove)2(m)7(e)1(nt)2(s)-2( i)2(n t)2(he)-4( qua)2(l)2(i)2(t)1(y)-5( of )]TJ 0 -1.15104 TD [(hos)-2(pi)2(t)2(a)2(l)2( c)1(a)1(re)1(. T)2(he)1( H)-2(Q)3(A)-2(, )6(m)7(e)1(nt)2(i)2(one)1(d e)-4(a)2(r)-1(l)2(i)2(e)1(r, i)2(s)-2( a)2( pr)-1(i)2(m)8(e)1( e)1(xa)-4(m)7(pl)2(e)2( )-6(of a)1( c)2(oope)1(ra)1(t)7(i)2(ve)1( e)2(f)-1(fort)2( i)2(n t)2(he)1( )]TJ 0 -1.14583 TD -0.002 Tc 0.002 Tw [(H)-4(o)-2(s)-4(p)-2(ital Q)-4(u)-2(a)4(lity)-7( I)-3(n)-2(itiativ)-2(e)]TJ 12 0 0 12 210.72 444.9 Tm 0 Tc 0 Tw ( )Tj ET endstream endobj 19 0 obj << /Dest[28 0 R/FitB] /Title(Hospital Quality Initiative ) /Parent 20 0 R >> endobj 20 0 obj << /Last 19 0 R /First 19 0 R /Count 1 >> endobj 21 0 obj << /Creator(PScript5.dll Version 5.2.2) /Author(Neil S. Gittings) /Subject() /Producer(Jaws PDF Library 3.40.1914) /Title(Hospital Quality Initiative) /CreationDate(D:20090630105353+05'00') /Keywords() >> endobj 22 0 obj << /Nums[0<>] >> endobj 23 0 obj << /Kids[17 0 R] /Type/Pages /Count 1 /Parent 25 0 R >> endobj 24 0 obj << /Kids[28 0 R 1 0 R 6 0 R 8 0 R 10 0 R 12 0 R] /Type/Pages /Count 6 /Parent 25 0 R >> endobj 25 0 obj << /Type/Pages /Kids[24 0 R 23 0 R] /Count 7 >> endobj xref 0 26 0000000000 65535 f 0000014082 00000 n 0000014230 00000 n 0000014591 00000 n 0000014770 00000 n 0000014913 00000 n 0000017332 00000 n 0000017481 00000 n 0000031176 00000 n 0000031315 00000 n 0000045584 00000 n 0000045735 00000 n 0000056365 00000 n 0000056516 00000 n 0000056672 00000 n 0000056837 00000 n 0000056928 00000 n 0000067985 00000 n 0000068126 00000 n 0000073625 00000 n 0000073719 00000 n 0000073777 00000 n 0000073998 00000 n 0000074037 00000 n 0000074109 00000 n 0000074213 00000 n trailer << /Size 26 /ID[] >> startxref 173 %%EOF