Intermountain Trustee AN EMAIL BRIEFING FOR INTERMOUNTAIN HEALTHCARE TRUSTEES

May 2018

INTERMOUNTAIN ISSUES AND INITIATIVES

Gail Miller Chosen New Board Chair of Intermountain Healthcare Former Chair Scott Anderson will remain on the Board as Chair Emeritus

Intermountain Healthcare’s Board of Trustees has chosen business and civic leader Gail Miller as Chair of the Intermountain Board. She succeeds Scott Anderson, who remains on the Board as Chair Emeritus and who has stepped down at the completion of his six-year term.

Intermountain’s Board of Trustees is comprised of 20 individuals who volunteer their time without pay to direct the not-for-profit organization. Board members set policy, create goals, evaluate management’s performance, and ensure Intermountain operates in the best interests of the community. Board Chairs are elected by the Board.

Miller joined the Intermountain Healthcare Board of Trustees in 2013. She serves on several committees, including the Executive Committee and the Community Relations Committee.

Miller is the owner of the Larry H. Miller Group of Companies and Chair of its Board of Directors. She is actively engaged in the various operations of the company, including the administration of the Larry H. & Gail Miller Family Foundation. She is Trustee Emeritus of Salt Lake Community College, serves on the National Advisory Council for the , and holds an honorary alumni award from Brigham Young University.

Gail is passionate about the Utah community, and in addition to serving on Intermountain’s Board, she is involved with several initiatives, boards and organizations with an emphasis on healthcare, education, and homelessness.

Miller is also the recipient of three honorary degrees: a Doctor of Humanities from Weber State University and Doctor of Humane Letters from the University of Utah and Salt Lake Community College. In 2012, the Intermountain Healthcare Research and Medical Foundation honored Miller with the Legacy of Life Award. In 2015, she received the Salt Lake Chamber’s highest award, A Giant In Our City. “At Intermountain, we are very fortunate to have Gail as our new Board chair,” said Marc Harrison, MD, Intermountain’s President and CEO. “She has been a tremendously positive influence on our stewardship to our patients, members, and communities. She is a champion of our mission and our vision to be a model health system and a beacon of hope for the people we serve.”

Outgoing Chair Scott Anderson is the President and CEO of Zions First National Bank. He has served on Intermountain’s Board of Trustees since 2005. “We are grateful to Scott for his board service and for all he and this board have done to help set the bar high for Intermountain in serving patients and our community,” said Dr. Harrison.

New Annual Report Shows How Intermountain Enhances the Health Journeys of Individual Patients The report—‘Every Person Has a Health Journey’—is now available online

Intermountain’s new annual report to the community—titled Every Person Has a Health Journey—is now available online. The report includes short, sharable videos, as well as statistics and accomplishments from the past year that illustrate new ways we’re reaching patients, advancing medical science, and improving health in our communities. Check it out and share it with others who may be interested. A few highlights:

• Connecting with Intermountain Moms. Janna and Braden Coleman are two of 55,000+ parents who connect with Intermountain Moms and Nurse Dani for information and resources about pregnancy, childbirth, and care for their kids.

• Every Person has a Health Journey. See innovative ways we’re building tools and convenient access to reach people when and where they need us.

• Opioid Addiction Hits Home. Each month, 24 Utahns die from opioid overdose. One of those victims was Billy Howard. Watch his story, shared by his mom Kelly, and learn how Intermountain is working to save lives and help end the addiction crisis.

• From Victim to Teen Advocate. Shawnee Thompson went from being a bullied teen who was thinking of ending her life to becoming a happy, emotionally healthy advocate who helps other at-risk teens.

• Message from our Chair and CEO. Hear from our new board chair, Gail Miller, and CEO Marc Harrison, MD, about how we’re putting patients and communities first and being a model for the future. Healthy Dialogues to Welcome National Thought Leader Governor Mike Leavitt Free luncheon is scheduled for Thursday, June 28; register now

Governor Mike Leavitt, Former Secretary of the U.S. Department of Health and Human Services, will be the featured speaker at Intermountain’s Healthy Dialogues luncheon at noon on Thursday, June 28, 2018, at the Marriott City Center Hotel (220 South State Street, ).

Governor Leavitt is the founder and general partner of Leavitt Partners where he helps clients navigate the future as they transition to new and better models of care.

There is no cost to attend the lunch event, but seating is limited. An RSVP is required by Friday, June 22nd. To reserve your seat, please call 801-442-2895 or go online to register.

Governor Leavitt’s professional life has been divided into the three distinct chapters. His early career included nearly 20 years building businesses in the risk management sector. This chapter was followed by 16 years in public service.

Governor Leavitt served as Governor of Utah for three terms (1993 to 2003) before occupying two roles in the Cabinet of President George W. Bush: Administrator of the United States Environmental Protection Agency (2003 to 2005) and Secretary of the United States Department of Health and Human Services (2005 to 2009). Currently, he is focused on the advancement of value-based health care through Leavitt Partners, a family of businesses that provides investment support, data and analytics, member-based alliances, and direct services to clients to support decision-making strategies in the value economy.

Presented by Intermountain Healthcare, the Healthy Dialogues lecture series brings national healthcare leaders to Utah to engage in conversations about health policy with local business, healthcare, and community leaders. Past speakers include Dr. Donald Berwick, Clayton Christensen, Dr. Atul Gawande, Shannon Brownlee, and Dr. Carolyn Clancy.

KSL’s Give-A-Thon Sets a New Record for Primary Children’s Hospital Companies and community raise more than $5 million to help fund care for kids

Companies and community members stepped up to help raise a record-breaking $5.1 million during the recent KSL Give-A-Thon, benefitting kids atPrimary Children’s Hospital. The contribution will support programs such as music and art therapy, integrative medicine, chaplaincy services, pediatric research, new technologies that improve health outcomes, and financial support for families in need.

A group of Intermountain trustees, KSL crew members, phone bank volunteers, and hospital and Foundation staff converged at the hospital to encourage participation. Dozens of volunteers manned a phone bank, responding to more than 1,100 calls from generous donors.

In addition to the individual gifts received, corporate partners upped the total with donations received from in-store fundraising. Top corporate partners included Costco, Panda Express, Walgreens, Walmart/Sam’s Club, IHOP, and Smith’s Food & Drug, which itself kicked in an impressive $1.2 million.

KSL’s broadcasts featured inspiring stories and live interviews with patients and Intermountain caregivers, including Intermountain President and CEO Marc Harrison, MD, a pediatrician who started his career at Primary Children’s.

“Our community is incredibly generous, and we’re so grateful for the enthusiasm shown in support of the patients of Primary Children’s Hospital and their families,” said Janet DeWolfe, Associate Chief Development Officer of Intermountain Foundation at Primary Children’s Hospital. “Thank you to KSL, which has been an incredible partner in hosting this event for more than 40 years, and to the extraordinary team of volunteers and caregivers who made it all possible.”

In the past, two separate events were held each year in partnership with KSL—one on TV and one on radio. This year, the events were combined into one, maximizing fundraising results.

Saudi Health Delegation Visits Intermountain Healthcare Visitors want to learn how continuous improvement can help them increase their country’s life expectancy

A delegation of six leading physicians from the Saudi Arabia Ministry of Health visited Intermountain Healthcare in April to learn ways to improve quality and health through the Intermountain Operating Model and our Accountable Care Organization system.

“The group was most interested in seeing our work in action instead of in a meeting room,” said Rob Allen, Intermountain’s Senior Vice President and Chief Operating Officer. “After broad introductions to our Intermountain Operating Model and culture of improvement, they spent a morning in department huddles at —including the Food and Nutrition Department and several nursing units. They were impressed with what they saw and hope to continue learning from us.”

Saudi Arabia has undertaken a large transformation program—called Vision 2030—that includes providing better and more efficient healthcare services in the Kingdom. Its proposed goals are to increase the length and quality of life of Saudi citizens—and increase life expectancy to 80 years by 2030.

Intermountain’s Continuous Improvement team, under the direction of Matt Pollard, MD, Executive Director of the Intermountain Operating Model, hosts many government, business, and industry leaders each year who come to learn more about how we improve our fundamentals of care across the system using our Intermountain Operating Model. Visitors have come from General Motors, Stanford University, Cleveland Clinic, and many other organizations. UPDATES AND FEATURES

New Utah Suicide Prevention Laws Show Intermountain’s Influence Intermountain pledges $50,000 to Governor’s suicide prevention fund

Intermountain Healthcare leaders joined Utah Governor Gary Herbert, Lt. Governor Spencer Cox, and other community leaders in April as the Governor signed several bills related to suicide prevention into law. Many of the bills grew out of recommendations from the governor’s Teen Suicide Prevention Task Force, which includes representatives from Intermountain.

Intermountain CEO Marc Harrison, MD, pledged on behalf of Intermountain $50,000 to the Governor’s suicide prevention fund. Intermountain has also allocated $300,000 to support initiatives prioritized by the Suicide Task Force.

Rep. Steve Eliason of Sandy, who sponsored or co-sponsored many of the bills signed by Gov. Herbert, said state lawmakers passed a record number bills on mental health and suicide prevention in 2018, “possibly more than all sessions since statehood combined.” The Utah Legislature also appropriated a record amount of new funding to related programs and services, he says.

The eight new laws will add counselors to Utah schools, bolster the work of mental health crisis workers, and expand the scope of youth suicide prevention programs in public schools, among other initiatives.

“Depression and suicide are taking a terrible toll in our communities and especially among our young people,” Dr. Harrison said. “Treating depression and preventing suicide are top priorities for us at Intermountain. Addressing suicide is part of our mission to help people live the healthiest lives possible. That’s why Intermountain is very proud to be part of the Governor’s Suicide Task Force. We’re encouraged to see the attention this issue is getting in our state, and we’re glad we’re able to help.”

Needle-free Blood Draw Device Earns a Prestigious National Award ‘Pivo’ allows clinicians to extract blood from patients without using a needle

The needle-free blood draw device known as Pivo that Intermountain Healthcare helped develop with San Francisco-based tech company Velano Vascular was named the 2018 Gold Edison Award winner for innovation in patient care at the 31annual Edison Awards Gala in New York City. Inspired by Thomas Edison, the awards recognize innovation, creativity, and ingenuity in the global economy since 1987. Pivo connects to an indwelling peripheral IV catheter, which allows clinicians to extract blood without using a needle. Intermountain helped pilot the device and was the first healthcare system to implement it across the organization. “Following 15,000 Pivo draws on adults and children with no adverse events, and overwhelmingly positive feedback from patients and caregivers alike, it’s clear we’re establishing a new standard of care,” said Todd Dunn, Director of Innovation in Intermountain’s Transformation Lab.

Precision Genomics Expands DNA-based Test to Personalize Medications New ‘RxMatch’ service is now available to all Intermountain providers

RxMatch, a service that uses genomic sequencing to customize medication prescriptions based on each patient’s DNA, is now available for use by all Intermountain providers. Originally launched in 2017 by Intermountain Precision Genomics to customize prescriptions for antidepressant medications, the new RxMatch comprehensive panel helps doctors better prescribe opioids, statins, immunosuppressants, anti-depressants, and many other medications.

“The objective of this project is to provide the most comprehensive and evidence-based information to the physician, thus decreasing the amount of time and money spent to deliver the correct medication,” said David Loughmiller, Lab Manager for Precision Genomics.

How does it work? Patients supply a DNA sample using a cheek swab collected in their physician’s office. “The DNA sample is assayed and analyzed in our clinical laboratory,” said Tom Neuwerth, a Clinical Technology Consultant in the Intermountain Precision Genomics Lab. “Next, the results are used to guide proper dosage based on a patient’s specific DNA genotype. Small genetic variations impact how a patient metabolizes and responds to drugs. Our test helps ordering providers prescribe the right medication, at the right dose, at the right time.”

Once the sample is received, a comprehensive report is available within about a week. One doctor who viewed an example of the report said, “We should have a report like this for all our patients.”

Learn more about Precision Genomics’ RxMatch service. RESEARCH

Intermountain Healthcare Hosts 15th Annual Research Summit Summit helps create a learning system that focuses on patient-centered research

Research is the key to providing high-quality care to our patients. That was one of the key messages at the Intermountain Annual Research Summit held at Intermountain Medical Center April 27.

More than 200 researchers and research enthusiasts met for the annual event. The summit was hosted by Raj Srivastava, MD, MPH, Assistant Vice President of Research for Intermountain. Presenters included Mark Briesacher, MD, Chief Physician Executive andPresident, Intermountain Medical Group, as well as top researchers from Intermountain.

Presenters provided insight into Intermountain’s research organizational structure and a broad spectrum of research studies that showcased Intermountain’s passion for asking questions and finding answers to the many complexities in healthcare delivery.

Dr. Briesacher shared plans for research and academics across Intermountain’s care delivery system. “Research at Intermountain Healthcare is dedicated to bringing together physicians and scientists who are committed to advancing knowledge, providing best care for our patients, and innovating,” said Dr. Briesacher. “We have incredible researchers who support each other in accelerating healthcare delivery science and implementation and in growing professionally. Together we are making healthcare safer, better, and more affordable for our patients, families, and communities.”

Various researchers spoke about several clinical studies at Intermountain that have either been conducted or are still in motion. In addition, the summit works to support researchers with helpful advice and instruction.

Learn more about research underway at Intermountain.

Brief Exposure to Tiny Air Pollution Particles Triggers Childhood Lung Infections, Says New Study Study involved nearly 150,000 patients and is the largest ever on the subject

Even the briefest increase in airborne fine particulate matter PM2.5—which is made up of pollution-causing particles that are about 3 percent of the diameter of human hair—is associated with the development of acute lower respiratory infection in young children and leads to increased physician visits for affected children, according to newly published research by a team from Intermountain Healthcare, Brigham Young University, and the University of Utah. The groundbreaking study, titled “Short-Term Elevation of Fine Particulate Matter Air Pollution and Acute Lower Respiratory Infection,” involved almost 150,000 patients and is the largest study ever on the subject.

The research is published online in the American Journal of Respiratory and Critical Care Medicine, an American Thoracic Society journal—and has been reported in numerous professional and mass media outlets including The New York Times, The Guardian in the United Kingdom, Medscape, Science Daily, Infectious Disease News, and others.

“The most important finding of this study is that infectious processes of respiratory disease may be influenced by particulate matter pollution at various levels,” said lead author Benjamin Horne, PhD, Director of Cardiovascular and Genetic Epidemiology at the Intermountain Medical Center Heart Institute. “The exact biological implications of the study’s findings require further investigation.”

Dr. Horne and his colleagues studied 146,397 individuals who were treated for acute lower respiratory infection between 1999 and 2016 at Intermountain Healthcare facilities along Utah’s . Estimates of PM2.5 levels were based on data from air quality monitoring stations located in and around Salt Lake City, Ogden, and Provo/Orem and at secondary locations. Short- term periods of PM2.5 elevation were matched with the timing of increases in healthcare visits for acute lower respiratory infection.

AWARDS AND RECOGNITION

Intermountain CEO Named to List of 100 Great Leaders in Healthcare Becker’s Hospital Review cites exemplary healthcare leaders in 2018 list

For the second year in a row, Becker’s Healthcare has named Marc Harrison, MD, Intermountain’s President and CEO, to its Becker’s Hospital Review’s Great Leaders in Healthcare for 2018.

“Many individuals on this list serve at the helm of large health systems and nationwide organizations, taking the lead in transforming healthcare in the U.S.,” the article states. “Others have played small but important roles, leading during critical moments for the nation. By working to improve the quality of care and solve the toughest problems in healthcare today, the following leaders have clearly made their mark.”

Here’s the summary about Dr. Harrison published in Becker’s Hospital Review: “Dr. Harrison oversees Intermountain Healthcare, a nonprofit health system with 22 hospitals and 1,400 employed physicians at more than 185 Intermountain Medical Group clinics. Under his leadership, Intermountain is spearheading an initiative to create a new generic drug company that will place patient needs ahead of profits. Dr. Harrison is a pediatric critical care specialist who served as chief of international business development for Cleveland Clinic before joining Intermountain in 2016.” Intermountain’s Rob Allen Recognized Among Top 25 COOs in Nation Modern Healthcare released its list of Top 25 COOs in Healthcare May 7

Intermountain Healthcare’s Senior Vice President and Chief Operating Officer Rob Allen has been named to Modern Healthcare’s 2018 list of the nation’s “Top 25 COOs in Healthcare.” This is the second straight year the publication honored Allen as a Top 25 COO, and he’s the only Utah- based leader on the list.

The list is meant to recognize “a diverse group of accomplished COOs from a broad spectrum of healthcare organizations of all sizes and sectors,” according to the publication. Modern Healthcare included a photo and brief bio on each of the 25 COOs.

The recognition from Modern Healthcare includes operations leaders from some of the nation’s leading health systems and hospitals, including Boston Children’s, Geisinger, Sentara, Banner, HealthPartners, and others. According to Modern Healthcare, COOs “are responsible for delivering top results in quality, safety and efficiency, all with an eye on mission and margin.”

Read more about Modern Healthcare’s profile on Allen.

INTERMOUNTAIN IN THE NEWS

What the World Is Saying About Us Recent news stories about Intermountain in the national and international media

Forbes, April 16: Regulators Can’t Seem to Tamp Down Telemedicine, and That’s a Big Sign Of Change. “…Intermountain Healthcare just announced a new virtual hospital model built on telehealth technologies, with 500 caregivers offering basic medical care as well as advanced services such as stroke evaluation, mental health counseling, intensive, and newborn critical care.”

Fierce Healthcare, April 18: Intermountain Healthcare Gets Providers and Patients Involved in Fighting Opioid Abuse. “Utah-based Intermountain Healthcare set a bold goal last year in its efforts to curb opioid abuse: Reduce prescriptions for the pain relievers by 40% by the end of 2018. Now, eight months into the project they started in August, the system has already cut prescription rates 20% by working to get both physicians and patients behind the effort.”

Health IT Analytics, April 19: Intermountain Launches Prospective Precision Medicine Study. “Intermountain Healthcare is launching a new precision medicine project that will allow researchers to take a prospective view on the potential of genomic data.”

Becker’s Health IT & CIO Review, April 20: Intermountain Healthcare Company Navican Launches Precision Cancer Care Service. “Navican, a genomics research and testing company affiliated with Salt Lake City-based Intermountain Healthcare, will roll out a precision cancer care service dubbed TheraMap.”

Modern Healthcare, April 21: Intermountain’s Behavioral Health Center Decreases ED Use, Unnecessary Admissions. “…McKay-Dee [Hospital] opened a center specifically for those experiencing a mental health crisis ... The center has decreased the number of patients with behavioral concerns seen in McKay-Dee’s ED.”

NBC Today Show, April 24: Here’s How to Pick the Best Air Purifier. “For clean air, eliminate sources of pollution, like cigarette smoke, air fresheners, wood burning fireplaces, and harsh cleaning chemicals, noted Dr. Denitza Blagev, a pulmonologist at Intermountain Medical Center in Salt Lake City, Utah.”

ASCO Connection, April 24: ASCO Hosts Inaugural State of Cancer Care in America Event to Examine Issues in Precision Medicine. “Panelist Lincoln D. Nadauld, MD, PhD, of Intermountain Healthcare, a state-wide health system with cancer practices across Utah, built a fully operational genomics and precision medicine service that is embedded throughout the health system. The program brings cutting-edge care to patients that was once considered available only through major academic cancer centers.”

InfoWorld, April 24: Why Artificial Intelligence in Healthcare is Harder than You Would Think. “There have been several deployed applications in the healthcare industry such as using chatbots for triage (Babylon Health), personalized care in treatment of spinal problems (Medicrea), and identifying elderly patients who are risk of falling (El Camino Hospital and Intermountain Healthcare).

The Advisory Board, April 25: How Geisinger, Mount Sinai, Intermountain, and More are Building the ‘Hospitals of the Future.’ “Intermountain Healthcare, for instance, uses telehealth services to connect patients at smaller rural hospitals with crisis-care workers and remote outpatient psychiatry consultations; provide access to neonatlists; and link EDs across the healthcare system to Intermountain’s telestroke program, which has so far treated more than 1,000 patients.”

Health Management Technology, April 25: C-Suite Innovators Discuss Advances in Technology, Cybersecurity, Interoperability, Analytics, and More. “Health Management Technology asked our readers for nominations on who in the C-Suite is actively using technology in new and creative ways to solve healthcare’s most pressing issues. Marc Harrison, MD, president and CEO of Intermountain Healthcare, was one of four individuals chosen.”

Modern Healthcare, April 30: Providence St. Joseph Launches National Telemedicine Network. “Other large integrated health systems like the 22-hospital Intermountain Healthcare have rolled out similar asset-light, scalable telehealth networks. It’s a game-changer economically, Intermountain CEO Marc Harrison told Modern Healthcare during a recent interview. We can keep patients at home or in their local hospital, which improves outcomes and allows rural hospitals to focus on their key functions.”

Becker’s Clinical Leadership & Infection Control, April 30: How Intermountain Researchers are Helping Smaller Hospitals Cut Antibiotic Use. “Researchers at Salt Lake City-based Intermountain Healthcare and University of Utah Health completed a study establishing how community hospitals with fewer than 200 beds can create antibiotic stewardship programs that aim to prevent antibiotic-resistant bacteria growth, according to a study published in Clinical Infectious Diseases.”

Becker’s Hospital Review, May 2: 100 Great Hospitals in America 2018. “Intermountain Medical Center (Murray, Utah). Equipped with 504 beds, Intermountain Medical Center is the largest hospital in Utah. The hospital opened in 2007 and serves as the flagship facility of Intermountain Healthcare. The medical center also holds six intensive care units, a transplant program and a mechanical/artificial heart program. The hospital gives back to the community through its involvement in Intermountain Healthcare’s Project Extension for Community Healthcare Outcomes, which connects its multidisciplinary team with community healthcare workers. U.S. News & World Report ranked the hospital second in Utah and ranked the hospital nationally for pulmonology for 2017-18.”

Advisory Board, May 4: How Intermountain Shifted 50% of Behavioral Health Patients Out of an ED—and Cut Unnecessary Admissions. “Last year, Intermountain Healthcare’s McKay- Dee Hospital in Utah opened a behavioral health center in hopes of reducing the number of patients who presented at the hospital’s ED with a behavioral health crisis—and officials say the investment is paying off, Maria Castellucci writes for Modern Healthcare.”

The Washington Post, May 6: Virtual Doctor Visits are Getting More Popular, But Questions Remain About Who Pays. “Other medical centers with virtual health programs include ... Intermountain Healthcare in Utah.”

Modern Healthcare Magazine, May 7: Top 25 COOs in Healthcare 2018. “Allen has been senior vice president and COO of Intermountain Healthcare, an integrated, not-for-profit health system, since 2017, but has been with the system for more than 22 years. Allen has accountability for care delivery and operations across 22 hospitals, clinical programs and services, as well as Intermountain’s Institute for Healthcare Leadership. In his first year as COO, Allen helped launch and lead a daily huddle process that allows concerns and issues to rise from the front lines to management in a few short hours. Staff members huddle for 15 minutes at 7 a.m. to talk about concerns—everything from safety incidents to supply problems. Within three hours, huddles are held at the local, regional and system levels and concerns move up the chain of command accordingly. Before being promoted to COO, Allen was vice president of clinical and outreach services at Intermountain and CEO of its Park City (Utah) Hospital. He also has held other leadership roles at the system, focusing on hospital development, telehealth, home care, and other services.”

Becker’s Hospital Review, May 8: How Empathetic Consumerism Gives Patients More Control. “For instance, Intermountain Medical Center has launched patient-centered rooms focused on different needs, such as moms and their newborns rooming together.”

Modern Healthcare Magazine, May 8: Intermountain Partners with Lifesprk to Improve Senior Care. “Intermountain Healthcare recently announced a joint venture with home healthcare company Lifesprk to provide seniors with nonclinical support services.” Fierce Healthcare, May 9: How Some Major Health Systems are Overcoming the Barriers to Launching Precision Medicine Programs. “Intermountain’s program is the farthest along, and the researchers were able to analyze both their protocols and how effective they’ve been to date.”

Becker’s Hospital Review, May 10: Intermountain Board Names Gail Miller as Chair. “Salt Lake City-based Intermountain Healthcare’s board of trustees elected it’s first-ever female chairwoman, local entrepreneur Gail Miller.”

Modern Healthcare, May 12: Health Systems are Giving Patient Experience Executive Privilege. “Her title may be chief patient experience officer, but Dr. Shannon Connor Phillips oversees much more at Intermountain Healthcare.”

The Advisory Board, May 14: The 4 Key Policy Proposals in Trump’s Rx Drug Speech, Explained in Charts. “The problems are so severe that Intermountain Healthcare, SSM Health, Trinity Health, and Ascension joined together earlier this year to create their own nonprofit generic drug company.”

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