a purchaser's guide to understanding thethe medical home model
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7/30/2019 A Purchaser's Guide to Understanding thethe Medical Home Model
http://slidepdf.com/reader/full/a-purchasers-guide-to-understanding-thethe-medical-home-model 1/40
Tfsgnhs%Anhsn{nc
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Sln Tfsgnhs%Anhsn{nc
Encgafi LjenF T~{alfqn{ M~gcn
^hcn{qsfhcghm sln ejcni fhc sf`ghm fasgj
7/30/2019 A Purchaser's Guide to Understanding thethe Medical Home Model
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Fa`hj}incmnenhsq
Sgq m~gcn }fq cnrnijtnc kw sln Hfsgjhfi K~qghnqq Ajfigsgjh jh Lnfisl sl{j~ml f m{fhs {je sln Tfsgnhs Anhsn{ncT{gef{w Af{n Ajiifkj{fsgrn ,TATAA' Anhsn{ j{ Lnfisl Knhns [ncnqgmh fhc Getinenhsfsgjh( Sn egqqgjh j slnanhsn{ gq ’sj a{nfsn qsfhcf{cq fhc k~wghm a{gsn{gf slfs }gii qn{rn fq f m~gcn j{ if{mn fhc qefii netijwn{q fq slnw k~gic ef{`ns cnefhc j{ fcjtsgjh j sln tfsgnhs%anhsn{nc encgafi ljen ajhants(―
]n }j~ic ig`n sj fa`hj}incmn fhc slfh` sln f~slj{q j slgq {ntj{s) Egalfni Kfgigs fhc Al{gqsghn L~mlnq j KfgigsLnfisl T~{alfqghm) IIA fhc anhsn{ qsf [jlfh Knnqif) Sn N[GQF Ghc~qs{w Ajeegssnn ,N[GA' fhc Cnhhgq ]lgsn)Hfsgjhfi K~qghnqq Ajfigsgjh jh Lnfisl ,HKAL'(
Sn Tfsgnhs Anhsn{nc T{gef{w Af{n Ajiifkj{fsgrn }j~ic fiqj ig`n sj slfh` sln jiij}ghm ghcgrgc~fiq j{ qn{rghm jh slnAnhsn{ j{ Lnfisl Knhns [ncnqgmh fhc Getinenhsfsgjh ncgsj{gfi fcrgqj{w kjf{c( ]n f{n m{fsn~i j{ slng{ {nrgn} fhc tf{sgagtfsgjh c~{ghm sln cnrnijtenhs j slgq m~gcn?
y Sln Tfsgnhs%Anhsn{nc Encgafi Ljen–F T~{alfqn{ M~gcn
Afslw Kffqn Cj}
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§;44< TFSGNHS%ANHSN[NC T[GEF[W AF[N AJIIFKJ[FSGRN
7/30/2019 A Purchaser's Guide to Understanding thethe Medical Home Model
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Tfsgnhs%Anhsn{nc T{gef{w Af{n Ajiifkj{fsgrn y
Bj{}f{c ((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((;
Qnasgjh 6 y ]lfs gq f Tfsgnhs%Anhsn{nc Encgafi Ljen: ((((((((((((((((((((((((((((((((((((((((((((1
Qnasgjh ; y ]lw Qlj~ic T~{alfqn{q Q~ttj{s sln TAEL: ((((((((((((((((((((((((((((((((((((((((2
Qnasgjh 1 y ]lfs Fasgjhq Afh T~{alfqn{q f`n sj Q~ttj{s sln TAEL: ((((((((((66
Qnasgjh 3 y Afqn Qs~cgnq j TAEL Ghgsgfsgrnq((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((6<
Qnasgjh > y Fttnhcganq ((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((;;F( HAF TTA%TAEL Qsfhcf{cq ((((((((((((((((((((((((((((((((((((((((((((((((((((((((((;;K( Qfetin Ghq~{n{ Ajhs{fas Ifhm~fmn ((((((((((((((((((((((((((((((((((((((((((((((((((((((;1A( netifsn [nv~nqs j{ Ghj{efsgjh*T{jtjqfiq ,[BG*[BT' ((((((((((((;3C( N|gqsghm fhc Nen{mghm Tfsgnhs%Anhsn{nc
Encgafi Ljen Ghgsgfsgrnq (((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((;<
Tfsgnhs%Anhsn{nc
T{gef{w Af{n
Sln Tfsgnhs%Anhsn{ncEncgafi Ljen
F T~{alfqn{ M~gcn
^hcn{qsfhcghm sln ejcni fhc sf`ghm fasgjh
7/30/2019 A Purchaser's Guide to Understanding thethe Medical Home Model
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Cnf{ T~{alfqn{)
Sn ifqs qnrn{fi wnf{q lfrn knnh s{wghm j{ t~{alfqn{q j lnfisl af{n( F }gcn f{{fw j qs{fsnmgnq sj sfen ajqs m{j}sl){nc~an n{{j{q fhc get{jrn v~figsw fttnf{q sj lfrn falgnrnc inqq getfas slfh cnqg{nc( Gs gq hj} ainf{n{ slfh nrn{ slfssln jhiw }fw sj fcc{nqq sln giiq slfs fgas j~{ (Q( lnfisl af{n qwqsne gq sl{j~ml s{~iw s{fhqj{efsgrn alfhmn ghlnfisl af{n hfhaghm fhc cnigrn{w(
Jhn nen{mghm qs{fsnmw j{ nnasghm q~al alfhmn gq sj {ncnqgmh sln efhhn{ j t{gef{w af{n cnigrn{w) fhc sj {n%netlfqgznsln anhs{figsw j t{gef{w af{n( Ajetniighm {nqnf{al ghcgafsnq slfs j~{ nrn{%gha{nfqghm ja~q j {nqj~{anq jh qtnagfisw af{nlfq a{nfsnc {fmenhsfsgjh) cna{nfqnc v~figsw) fhc lgmln{ ajqs( Gs fiqj qlj}q slfs g t{gef{w af{n t{fasganq {nqs{~as~{nlj} slnw jtn{fsn q~al slfs slnw f{n ej{n faanqqgkin) t{jejsn t{nrnhsgjh) t{jfasgrniw q~ttj{s tfsgnhsq }gsl al{jhgagiihnqq {fsln{ slfh s{nfsghm sln qwetsjeq j sljqn giihnqqnq) fhc nhmfmn tfsgnhsq gh qni%efhfmnenhs fhc cnagqgjh%ef`ghm) slnw t{jc~an knssn{ af{n fhc ij}n{ ajqsq(
Sn hfen fss{gk~snc sj slgq hn} ajhants~figzfsgjh j t{gef{w af{n gq ’Tfsgnhs%Anhsn{nc T{gef{w Af{n―) cnigrn{nc
sl{j~ml f ejcni afiinc sln ’Tfsgnhs%Anhsn{nc Encgafi Ljen(― Gs gq fh gcnf slfs lfq knnh nhcj{qnc kw kjsl sln tlwqgagfh ajee~hgsw fhc kw qjen getj{sfhs infcn{q j sln t~{alfqn{ ajee~hgsw( Gs gq hjs ig`niw sj fcc{nqq fii j alfiinhmnq fanc kw j~{ lnfisl af{n qwqsne–jsln{ ajetinenhsf{w s{fhqj{efsgrn ghgsgfsgrnq) q~al fq k{jfcn{ tfwenhs{nj{e) }gii kn hnanqqf{w fq }nii( Tfsgnhs%Anhsn{nc T{gef{w Af{n jn{q qgmhgafhs t{jegqn j{ get{jrghm lnfisl af{n
rfi~n) lj}nrn{) }gsl qj~hc {nqnf{al nrgcnhan q~ttj{sghm gs(
Sgq T~{alfqn{ M~gcn t{jrgcnq fh jrn{rgn} j }lfs gq sln Tfsgnhs%Anhsn{nc Encgafi Ljen) fhq}n{q sln v~nqsgjh j }lw t~{alfqn{q qlj~ic ajhqgcn{ q~ttj{sghm gs) fhc slnh cnhnq f igqs j tjsnhsgfi qs{fsnmgnq slfs t~{alfqn{q qlj~icajhqgcn{) ghai~cghm qjen {najeenhcnc geencgfsn qsntq slfs aj~ic kn sf`nh(
Sn M~gcn fiqj t{jrgcnq q~ttinenhsfi {nqj~{anq) ghai~cghm cnsfginc afqn qs~cw cnqa{gtsgjhq) fhc gh sln fttnhcganq)
fccgsgjhfi ghj{efsgjh {nmf{cghm a~{{nhs fhc j{slajeghm tgijsq) fhc c{f [BG fhc ajhs{fas ifhm~fmn j{ t~{alfqn{q(
]n nhaj~{fmn wj~ sj ajhqgcn{ sln Tfsgnhs%Anhsn{nc T{gef{w Af{n Ejcni) gsq tjsnhsgfi knhnsq) fhc lj} wj~{j{mfhgzfsgjh egmls sf`n qsntq sj nhaj~{fmn snqsghm fhc nrfi~fsgjh j gsq getfas(
Fhc{n} ]nkkn{ Nc}ghf [jmn{q T{nqgcnhs fhc ANJ N|na~sgn Cg{nasj{) TATAA fhc
Hfsgjhfi K~qghnqq Ajfigsgjh jh Lnfisl Rgan T{nqgcnhs j Lnfisl Tjigaw)Sn N[GQF Ghc~qs{w Ajeegssnn ,N[GA'
y Sln Tfsgnhs%Anhsn{nc Encgafi Ljen–F T~{alfqn{ M~gcn
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Sn ajhants j f ’encgafi ljen― gq hjs hn}( Gs }fqghgsgfiiw ghs{jc~anc kw sln Fen{gafh Fafcnew j Tncgfs{gaq ,FFT' gh 672= fhc {nn{{nc sj f anhs{fiijafsgjh j{ f algic‗q encgafi {naj{cq0 gs }fq tf{sga~if{iw getj{sfhs j{ algic{nh }gsl qtnagfi lnfisl af{n hnncq(Sgq ajhants nrjirnc jrn{ sgen {je f anhs{figznc
encgafi {naj{c sj f ensljc j t{jrgcghm ajet{nlnhqgrn t{gef{w af{n j{ algic{nh fs sln ajee~hgsw inrni(Sn Fen{gafh Ajiinmn j Tlwqgagfhq ,FAT') fhc slnFen{gafh Fafcnew j Bfegiw Tlwqgagfhq ,FFBT' slnhcnrnijtnc slng{ j}h ajhantsgjhq j sln ajhants)n|tfhcghm gsq {nfal sj af{n j{ fc~isq(
Gh Ef{al ;44= slnqn sl{nn qtnagfisw qjagnsgnq ojghnc slnFen{gafh Jqsnjtfslga Fqqjagfsgjh ,FJF' fhc gqq~nc’Ojghs T{ghagtinq j sln Tfsgnhs%Anhsn{nc EncgafiLjen―6 gh {nqtjhqn sj f {nv~nqs {je qnrn{fi if{mnhfsgjhfi netijwn{q qnn`ghm sj a{nfsn f ej{n nnasgrnfhc nagnhs ejcni j lnfisl af{n cnigrn{w(
]lgin sln encgafi ljen lfq lfc qnrn{fi cnhgsgjhq) slna~{{nhsiw nen{mghm ajhqnhq~q cnhgsgjh gq {nbnasnc ghsln Ojghs T{ghagtinq( Sn T{ghagtinq f{n cnhnc fq jiij}q?
F( Tnqjhfi tlwqgagfh–nfal tfsgnhs lfq fh jhmjghm {nifsgjhqlgt }gsl f tn{qjhfi tlwqgagfh s{fghnc sj t{jrgcn{qs ajhsfas) ajhsgh~j~q fhc ajet{nlnhqgrn af{n(
K( Tlwqgagfh cgnasnc encgafi tfasgan–
sln tn{qjhfi tlwqgagfh infcq f snfe j ghcgrgc~fiq fssln t{fasgan inrni }lj ajiinasgrniw sf`n {nqtjhqgkgigsw j{ sln jhmjghm af{n j tfsgnhsq(
A( ]ljin tnqjh jgnhsfsgjh–sln tn{qjhfi tlwqgagfh gq {nqtjhqgkin j{ t{jrgcghm j{ fii sln tfsgnhs‗qlnfisl af{n hnncq j{ sf`ghm {nqtjhqgkgigsw j{ ftt{jt{g%fsniw f{{fhmghm af{n }gsl jsln{ v~fignc t{jnqqgjhfiq(
Sgq ghai~cnq af{n j{ fii qsfmnq j ign0 fa~sn af{n0 al{jhgaaf{n0 t{nrnhsgrn qn{rganq0 fhc nhc j ign af{n(
C( Afn gq ajjcghfsnc fhc*j ghsnmfsnc fa{jqqfii ninenhsq j sln ajetin| lnfisl af{n qwqsne ,n(m()q~kqtnagfisw af{n) ljqtgsfiq) ljen lnfisl fmnhagnq) h~{qghm
ljenq' fhc sln tfsgnhs‗q ajee~hgsw ,n(m() fegiw) t~kigafhc t{grfsn ajee~hgsw%kfqnc qn{rganq'( Af{n gq fagigsfsnckw {nmgqs{gnq) ghj{efsgjh snalhjijmw) lnfisl ghj{efsgjhn|alfhmn fhc jsln{ enfhq sj fqq~{n slfs tfsgnhsq mns slnghcgafsnc af{n }lnh fhc }ln{n slnw hnnc fhc }fhs gs ghf a~is~{fiiw fhc ighm~gqsgafiiw ftt{jt{gfsn efhhn{(
N( V~figsw fhc qfbnsw f{n lfiief{`q j slnencgafi ljen?
• T{fasganq fcrjafsn j{ slng{ tfsgnhsq sj q~ttj{s slnfssfghenhs j jtsgefi) tfsgnhs%anhsn{nc j~sajenq
slfs f{n cnhnc kw f af{n tifhhghm t{janqq c{grnhkw f ajetfqqgjhfsn) {jk~qs tf{shn{qlgt kns}nnh tlwqgagfhq) tfsgnhsq) fhc sln tfsgnhs‗q fegiw(• Nrgcnhan%kfqnc encgaghn fhc aighgafi cnagqgjh%q~ttj{s sjjiq m~gcn cnagqgjh ef`ghm(• Tlwqgagfhq gh sln t{fasgan faants faaj~hsfkgigsw j{ajhsgh~j~q v~figsw get{jrnenhs sl{j~ml rji~hsf{w nhmfmnenhs gh tn{j{efhan enfq~{nenhs fhcget{jrnenhs(• Tfsgnhsq fasgrniw tf{sgagtfsn gh cnagqgjh%ef`ghm fhcnnckfa` gq qj~mls sj nhq~{n tfsgnhsq‗ n|tnasfsgjhq
f{n knghm ens(• Ghj{efsgjh snalhjijmw gq ~sgigznc ftt{jt{gfsniw sj q~ttj{s jtsgefi tfsgnhs af{n) tn{j{efhanenfq~{nenhs) tfsgnhs nc~afsgjh) fhc nhlfhancajee~hgafsgjh(• T{fasganq mj sl{j~ml f rji~hsf{w {najmhgsgjh t{janqqkw fh ftt{jt{gfsn hjh%mjrn{henhsfi nhsgsw sjcnejhqs{fsn slfs slnw lfrn sln aftfkgigsgnq sj t{jrgcn
Qnasgjh 6
]lfs gq f Tfsgnhs%
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Tfsgnhs%Anhsn{nc T{gef{w Af{n Ajiifkj{fsgrn y
6 }}}(encgafiljenghbj(j{m*Ojghs.;4Qsfsnenhs(tcb( Faanqqnc Efw 7) ;44<(
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y Sln Tfsgnhs%Anhsn{nc Encgafi Ljen–F T~{alfqn{ M~gcn
tfsgnhs anhsn{nc qn{rganq ajhqgqsnhs }gsl sln encgafiljen ejcni(• Tfsgnhsq fhc fegignq tf{sgagtfsn gh v~figsw get{jrnenhs fasgrgsgnq fs sln t{fasgan inrni(
B( Nhlfhanc faanqq sj af{n gq frfgifkin sl{j~mlqwqsneq q~al fq jtnh qalnc~ighm) n|tfhcnc lj~{q fhchn} jtsgjhq j{ ajee~hgafsgjh kns}nnh tfsgnhsq)slng{ tn{qjhfi tlwqgagfh) fhc t{fasgan qsf(
M( Tfwenhs ftt{jt{gfsniw {najmhgznq sln fccnc rfi~n t{jrgcnc sj tfsgnhsq }lj lfrn f Tfsgnhs%Anhsn{ncEncgafi Ljen( Sn tfwenhs qs{~as~{n qlj~ic kn kfqncjh sln jiij}ghm {fen}j{`?
• Gs qlj~ic {nbnas sln rfi~n j tlwqgagfh fhc hjh%
tlwqgagfh qsf tfsgnhs%anhsn{nc af{n efhfmnenhs }j{` slfs fiiq j~sqgcn j sln fan%sj%fan rgqgs(• Gs qlj~ic tfw j{ qn{rganq fqqjagfsnc }gsl ajj{cghf%sgjh j af{n kjsl }gslgh f mgrnh t{fasgan fhc kns}nnhajhq~isfhsq) fhagiif{w t{jrgcn{q) fhc ajee~hgsw {nqj~{anq(• Gs qlj~ic q~ttj{s fcjtsgjh fhc ~qn j lnfislghj{efsgjh snalhjijmw j{ v~figsw get{jrnenhs(• Gs qlj~ic q~ttj{s t{jrgqgjh j nhlfhanc ajee~hg%afsgjh faanqq q~al fq qna~{n n%efgi fhc snintljhnajhq~isfsgjh(
• Gs qlj~ic {najmhgzn sln rfi~n j tlwqgagfh }j{` fqqjagfsnc }gsl {nejsn ejhgsj{ghm j aighgafi cfsf~qghm snalhjijmw(• Gs qlj~ic fiij} j{ qntf{fsn nn%j{%qn{rgan tfwenhsqj{ fan%sj%fan rgqgsq( ,Tfwenhsq j{ af{n efhfmnenhsqn{rganq slfs fii j~sqgcn j sln fan%sj%fan rgqgs) fqcnqa{gknc fkjrn) qlj~ic hjs {nq~is gh f {nc~asgjh ghsln tfwenhsq j{ fan%sj%fan rgqgsq'(• Gs qlj~ic {najmhgzn afqn eg| cgn{nhanq ghsln tfsgnhs tjt~ifsgjh knghm s{nfsnc }gslghsln t{fasgan(
• Gs qlj~ic fiij} tlwqgagfhq sj qlf{n gh qfrghmq {je{nc~anc ljqtgsfigzfsgjhq fqqjagfsnc }gsl tlwqgagfh%m~gcnc af{n efhfmnenhs gh sln jan qnssghm(
• Gs qlj~ic fiij} j{ fccgsgjhfi tfwenhsq j{ falgnr%ghm enfq~{fkin fhc ajhsgh~j~q v~figsw get{jrnenhsq
Sn Hfsgjhfi Ajeegssnn j{ V~figsw Fqq~{fhan‗q{najmhgsgjh qsfhcf{cq j{ t{gef{w af{n t{fasganq sgsinc’Tlwqgagfh%T{fasgan Ajhhnasgjhq¨–Tfsgnhs%Anhsn{ncEncgafi Ljen―) j{ ’TTA%TAEL― fssnets sj ~{sln{jtn{fsgjhfigzn slgq cnhgsgjh( F q~eef{w sfkin j slnqnqsfhcf{cq gq ajhsfghnc gh Fttnhcg| F(;
HAF {ntj{sq slfs sln ghgsgfi HAF TTA qsfhcf{cq }n{n cnrnijtnc kfqnc ~tjh sln Ejcni j{ NnasgrnAl{jhga Giihnqq Af{n cnrnijtnc fs LnfislTf{shn{q ghEghhnqjsf fhc fs M{j~t Lnfisl Ajjtn{fsgrn j T~mnsQj~hc1( Sn Al{jhga Af{n Ejcni ,AAE'3) fq getin%
enhsnc fs M{j~t Lnfisl Ajjtn{fsgrn j T~mns Qj~hc)gcnhsgnq sln nqqnhsgfi ninenhsq j f lnfisl af{n qwqsneslfs nhaj~{fmn lgml%v~figsw al{jhga cgqnfqn af{n( Ig`nsln Tfsgnhs%Anhsn{nc Encgafi Ljen) gs k{ghmq ja~q sjlj} sln t{gef{w af{n t{fasgan qlj~ic {nqs{~as~{n fhc{nj{gnhs gsqni gh j{cn{ sj t{jrgcn get{jrnc aighgafi af{nsj gsq tfsgnhsq(
HAF qsf slnh ejcgnc sln qsfhcf{cq fn{ slnw }j{ nc aijqniw }gsl infcn{q j sln j~{ qtnagfisw qjagnsgnq,FAT) FFBT) FFT) FJF' fhc jsln{ ghsn{nqsnc
qsf`nljicn{q sj cnrnijt sln TTA%TAEL qsfhcf{cq(
Sn{n f{n qjen }lj knignrn slfs sln cnhgsgjh j slnTfsgnhs%Anhsn{nc Encgafi Ljen fq cnhnc kw sln OjghsT{ghagtinq) fhc fq ~{sln{ cnhnc kw sln HAFTTA%TAEL qsfhcf{cq) gq gh hnnc j ~{sln{ {nhn%enhs( Bj{ n|fetin) qjen knignrn slfs slnqn cja~enhsqcj hjs fcnv~fsniw fcc{nqq knlfrgj{fi fhc tqwaljqjagfigqq~nq) af{n ajj{cghfsgjh*afqn efhfmnenhs) sln {n%j{gnhsfsgjh j sln t{gef{w af{n t{fasgan ghsj f e~isg%cgqagtighf{w snfe) sln hnnc j{ t{fasganq sj cja~enhs
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ghq~{n{*qsfsn ~hcghm j{ sln t{jonas) qlj~ic fii t{fasganqn|ani) gq #1E( Bghfiiw) f{nf netijwn{q GKE fhcLfhhfj{c K{jsln{q }gii nfal tfw fh fccgsgjhfi#6TETE sj v~figwghm t{fasganq j{ slng{ netijwnnqfhc cntnhcnhsq( Ghgsgfi tfwenhsq }gii jaa~{ gh ;447(
Sn t{jonas gq cnqgmhnc fq f rn%wnf{ tgijs }gsl f ajhs{jim{j~t) fhc gq sj kn nrfi~fsnc kw Aj{hnii ^hgrn{qgsw {nqnf{aln{q(
>;Kfqnc jh ghj{efsgjh {nangrnc {je O~ign Qalgiz j sln Ajij{fcj Aighgafi M~gcnighnq Ajiifkj{fsgrn ,tn{qjhfiajee~hgafsgjhq) Ef{al 6<) Ft{gi 14) fhc Efw 6>) ;44<' fhc cja~enhs sgsinc ’Ajij{fcj E~isg%Qsf`nljicn{*E~isg%Qsfsn TAEL Tgijs? AAMA Ajhrnhn{ J{mfhgzfsgjh fhc AAMA nalhgafi Fqqgqsfhan Jrn{rgn} Cja~enhs?[jin Cnhgsgjh fhc K~cmns Ajhqgcn{fsgjh) Ft{gi ;) ;44<) C[FB( >1Qnn }}}(k{gcmnqsjn|aniinhan(j{m*Ajhsnhs*AjhsnhsCgqtifw(fqt|:AjhsnhsGC56;3 j{ ghj{efsgjh fkj~sslgq t{jm{fe( Faanqqnc Efw 6>) ;44<(
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y Sln Tfsgnhs%Anhsn{nc Encgafi Ljen–F T~{alfqn{ M~gcn
Fttnhcg| F
HAVF TTA%TAEL
Qsfhcf{cq
Qsfhcf{c ? Faaqq fhc Ajee~hgafsgjh
Tjghsq
• Lfq }{gssnh qsfhcf{cq j{ tfsgnhs faanqq fhctfsgnhs ajee~hgafsgjh//
3
• ^qnq cfsf sj qlj} gs ennsq gsq qsfhcf{cq j{ tfsgnhs faanqq fhc ajee~hgafsgjh//
>
Qsfhcf{c ? Tfsghs S{fagh fhc [gqs{B~hasgjhq
Tjghsq
• ^qnq cfsf qwqsne j{ kfqga tfsgnhsghj{efsgjh ,ejqsiw hjh%aighgafi cfsf'
;
• Lfq aighgafi cfsf qwqsne }gsl aighgafi cfsf ghqnf{alfkin cfsf nicq
1
• ^qnq sln aighgafi cfsf qwqsne 1
• ^qnq tftn{ j{ ninas{jhga%kfqnc alf{sghm sjjiqsj j{mfhgzn aighgafi ghj{efsgjh//
2
• ^qnq cfsf sj gcnhsgw getj{sfhs cgfmhjqnqfhc ajhcgsgjhq gh t{fasgan//
3
• Mnhn{fsnq igqsq j tfsgnhsq fhc {neghcqtfsgnhsq fhc aighgagfhq j qn{rganq hnncnc,tjt~ifsgjh efhfmnenhs'
1
Qsfhcf{c ? Af{ Efhfehs Tjghsq
• Fcjtsq fhc getinenhsq nrgcnhan%kfqncm~gcnighnq j{ sl{nn ajhcgsgjhq //
1
• Mnhn{fsnq {neghcn{q fkj~s t{nrnhsgrnqn{rganq j{ aighgagfhq
3
• ^qnq hjh%tlwqgagfh qsf sj efhfmn tfsgnhsaf{n
1
• Ajhc~asq af{n efhfmnenhs) ghai~cghm af{ntifhq) fqqnqqghm t{jm{nqq) fcc{nqqghm kf{{gn{q
>
• Ajj{cghfsnq af{n**jiij}%~t j{ tfsgnhsq }lj{nangrn af{n gh ghtfsgnhs fhc j~stfsgnhsfagigsgnq
>4
Qsfhcf{c ? Tfsghs Q%EfhfehsQ~ttj{s
Tjghsq
• Fqqnqqnq ifhm~fmn t{nn{nhan fhc jsln{ ajee~hgafsgjh kf{{gn{q
;
• Fasgrniw q~ttj{sq tfsgnhs qni%efhfmnenhs// 3
Qsfhcf{c ? nas{jhga T{qa{gkgh Tjghsq
• qnq ninas{jhga qwqsne sj }{gsn t{nqa{gtsgjhq 1
• Lfq ninas{jhga t{nqa{gtsgjh }{gsn{ }gsl qfnswalna`q
1
• Lfq ninas{jhga t{nqa{gtsgjh }{gsn{ }gsl ajqsalna`q
;
Qsfhcf{c ? Sqs S{fagh Tjghsq
• S{fa`q snqsq fhc gcnhsgnq fkhj{efi {nq~isqqwqsnefsgafiiw//
=
• ^qnq ninas{jhga qwqsneq sj j{cn{ fhc {ns{gnrnsnqsq fhc bfm c~tigafsn snqsq
2
Qsfhcf{c ? [{{f S{fagh Tjghsq
• S{fa`q {nn{{fiq ~qghm tftn{%kfqnc j{ ninas{jhga qwqsne//
3
Qsfhcf{c ? T{j{efha [tj{sgh fhcGet{jrehs
Tjghsq
• Enfq~{nq aighgafi fhc*j{ qn{rgan tn{j{efhankw tlwqgagfh j{ fa{jqq sln t{fasgan//
1
• Q~{rnw j tfsgnhsq‗ af{n n|tn{gnhan 1
• [ntj{sq tn{j{efhan fa{jqq sln t{fasgan j{ kw tlwqgagfh //
1
• Qnsq mjfiq fhc sf`nq fasgjh sj get{jrntn{j{efhan
1
• T{jc~anq {ntj{sq ~qghm qsfhcf{cgzncenfq~{nq
;
• S{fhqegsq {ntj{sq }gsl qsfhcf{cgznc enfq~{nqninas{jhgafiiw sj n|sn{hfi nhsgsgnq
Qsfhcf{c ? Fcrfhac nas{jhgaAjee~hgafsgjhq
Tjghsq
• Frfgifkgigsw j Ghsn{fasgrn ]nkqgsn
• Ninas{jhga Tfsgnhs Gcnhsgafsgjh ;
• Ninas{jhga Af{n Efhfmnenhs Q~ttj{s
//E~qs Tfqq Ninenhsq
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Tfsgnhs%Anhsn{nc T{gef{w Af{n Ajiifkj{fsgrn y
Fttnhcg| K
Qfetin Ghq~{n{
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Sn ghq~{n{ qlfii?
6( Tf{sgagtfsn gh qghmin j{ e~isg%ghq~{n{ TAEL tgijsqgh jhn ef{`ns ,qghmin qsfsn ghq~{n{' j{ sl{nn ef{`nsq
,hfsgjhfi ghq~{n{' }gsl qtnaga jkonasgrnq j get{jrghm aighgafi j~sajenq) tfsgnhs n|tn{gnhan) fhc hns qfrghmqfa{jqq sln ajhsgh~~e j qn{rganq(
;( Sn ghq~{n{‗q TAEL tgijs,q' qlfii t{jrgcn n|tigags tf{fensn{q j{ t{fasgan {ncnqgmh fhc jtn{fsgjh fq fTAEL(
1( Sn ghq~{n{‗q TAEL tgijs,q' qlfii t{jrgcn tf{sgagtfs%ghm t{gef{w af{n t{fasganq }gsl snalhgafi q~ttj{s) q~al fqsl{j~ml t{fasgan ajfalnq j{ f inf{hghm ajiifkj{fsgrn) sj
fqqgqs sln t{fasganq gh slng{ s{fhqj{efsgjh sj encgafiljenq(
3( Sn ghq~{n{‗q TAEL tgijs,q' qlfii t{jrgcn sljqn t{fasganq }gsl rn{gnc nrgcnhan j TAEL t{fasgans{fhqj{efsgjh }gsl q~ttinenhsfi tfwenhsq slfs f{nghsnhcnc sj q~ttj{s qtnaga t{fasgan ajqsq hnanqqf{w sj getinenhs fhc q~qsfgh sln TAEL ejcni(
>( Sn ghq~{n{ qlfii rn{gw slfs t{fasganq lfrn falgnrncsln hnanqqf{w tf{fensn{q t{gj{ sj sln t{jrgqgjh j fhw
nhlfhanc tfwenhsq(
2( Sn ghq~{n{ qlfii t{jrgcn tfsgnhsq qn{rnc kw TAEL tgijs t{fasganq }gsl ghanhsgrnq j{ al{jhga giihnqq qni%efhfmnenhs fhc nrgcnhan%kfqnc m~gcnighn fcln{nhan(
=( Sn ghq~{n{‗q TAEL tgijs,q' qlfii kn q~konas sjf qsfsgqsgafi nrfi~fsgjh sj fqqnqq sln getfas j sln tgijsjh aighgafi j~sajenq) tfsgnhs n|tn{gnhan fhc ajqs(
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Fttnhcg| A
Snetifsn [nv~nqs
bj{ Ghbj{efsgjh ,[BG'Sn jiij}ghm v~nqsgjhq efw kn ~qnc gh }ljin j{ gh tf{skw f t~{alfqn{ }gslgh fh [BG ,j{ [BT'( Bj{ qjen j slnv~nqsgjhq) fccgsgjhfi) ej{n cnsfginc v~nqsgjhq afh knj~hc }gslgh sln Hfsgjhfi K~qghnqq Ajfigsgjh jh Lnfisl‗qnRfi~n< [BG sjji( [nn{nhanq sj sln {ninrfhs nRfi~n<v~nqsgjh f{n ghcgafsnc gh tf{nhslnqnq(
f( ]lfs gq sln n|snhs fhc hfs~{n j sln ghq~{n{‗q
tf{sgagtfsgjh gh TAEL t{jm{feq gh sln ef{`ns:g( Qghmin%ghq~{n{ qtjhqj{nc tgijsq }gsl t{gef{w af{n t{fasganq(
6( h~ekn{ j ghrjirnc tlwqgagfhq? ZZZZZ;( h~ekn{ j ghrjirnc tfsgnhsq? ZZZZZ
gg( E~isgtin%ghq~{n{ qtjhqj{nc tgijsq6( h~ekn{ j ghrjirnc tlwqgagfhq? ZZZZZ;( h~ekn{ j ghrjirnc tfsgnhsq? ZZZZZ
k( ]lfs f{n sln qtnaga n|tnasfsgjhq slfs sln ghq~{n{j{ e~isg%ghq~{n{ ajiifkj{fsgrn f{n tifaghm jh t{gef{w
af{n t{fasganq:g( HAF TTA%TAEL an{sgafsgjh6( Inrni 6;( Inrni ;1( Inrni 1
gg( K{gcmnq sj N|aniinhan Encgafi Ljencnqgmhfsgjh>3
ggg( Ghq~{n{%kfqnc t{jm{fe ,tinfqn cnqa{gkn'
a( ]lgal j sln jiij}ghm aftfkgigsgnq f{n ~hgj{eiw t{nqnhs FHC ^QNC gh sln t{fasganq cnqgmhfsnc fq
Encgafi Ljenq:g( Fs sln sgen j fh jan rgqgs) enekn{%qtnagamftq gh af{n f{n gcnhsgnc j{ enekn{q hnncghm
t{nrnhsgrn fhc al{jhga af{n qn{rganq nhfkighm slnesj kn fcc{nqqnc fs sln rgqgs(gg( Bj{ enekn{q }lj cj hjs qalnc~in f rgqgs) k~slfrn mftq gh af{n) sln{n gq fh j~skj~hc enalfhgqe
sj {neghc slne ,n(m() GR[) efgi) af{n efhfmn{afiiq) n%efgi) nsa('ggg( nT{nqa{gkghm ,nRfi~n< 3(>(;'
6( Jan ajet~sn{ fhc*j{ TCF gq t{nqnhs }gslnT{nqa{gkghm qj}f{n;( Enekn{ tifh cnqgmh%qtnaga j{e~if{w {nqgcnq jh sln ajet~sn{*TCF1( Qj}f{n ghai~cnq cnagqgjh q~ttj{s slfs
f(Gcnhsgnq mnhn{gafiiw nv~grfinhs c{~mqk( Cg{nasiw j{ sl{j~ml ghsnm{fsgjh }gsl
mijkfi qj}f{n q~ttj{sq nrfi~fsgjh j aighgafi fisn{hfsgrnqa( Faanqqnq sln enekn{‗q tlf{efaw lgqsj{w fhc f~sjefsgafiiw alna`q j{ c~tigafsgjh)ajhbgasq) nsa(
c( Gq ghsnm{fsnc }gsl sln NL[ fhc f~sjefsgafiiw a{jqq%{nn{nhanq encgafi lgqsj{w) ifk {nq~isq) nsa(
n( Afia~ifsnq enekn{ j~s%j%tja`ns ajqsq j{
fisn{hfsgrn aljganq j t{nqa{gtsgjhq
b( {fhqegsq tftn{inqq t{nqa{gtsgjh cg{nasiw sj tlf{efagnq j{ ninas{jhga ’l~k―
m( [nangrnq fhc ghsnm{fsnq ghsj sln NL[ tlf{efaw j{ TKE ajh{efsgjh j [| iiq ajetinsnc kw sln
tfsgnhsgr ( Lj} gq af{n efhfmnenhs lfhcinc kw slncnqgmhfsnc t{fasganq: ,ghcgafsn fii slfs fttiw'
6( H~{qn j{ jsln{ aighgafi tn{qjhhni f{n
cncgafsnc sj af{n efhfmnenhs;( Hjh%aighgafi {nqj~{anq f{n sln t{gef{w tn{qjhhni cncgafsnc sj af{n efhfmnenhs1( Tn{qjhhni {nqj~{anq f{n netijwnc kw nfal
t{fasgan ghcgrgc~fiiw 3( Tn{qjhhni {nqj~{anq f{n qlf{nc fejhm
t{fasganq
y Sln Tfsgnhs%Anhsn{nc Encgafi Ljen–F T~{alfqn{ M~gcn
>3Tlwqgagfhq }lj falgnrn f Inrni ; j{ Inrni 1 gh KN‗q Tlwqgagfh Jban Igh` ,TJI' T{jm{fe fq }nii fq f Inrni ;gh s}j jsln{ KN t{jm{feq–Cgfknsnq Af{n Igh`) Af{cgfa Af{n Igh` j{ Qtghn Af{n Igh`) v~figw j{ KN EncgafiLjen cnqgmhfsgjh(
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>( Sn tifh t{jrgcnq tn{qjhhni {nqj~{anq slfsafh kn qlf{nc kw sln t{fasganq(2( ^qn j tn{qjhhni ,qlf{nc j{ hjs' cncgafsnc sjaf{n efhfmnenhs gq f {nv~g{nenhs j TAELcnqgmhfsgjh(
r( Cjnq sln tifh cnqgmhfsn f {fhmn j al{jhgaaighgafi ajhcgsgjhq }lgal sln TAEL t{fasgane~qs kn fkin sj fcnv~fsniw afqn efhfmn: G qj)
}lgal jhnq ,nRfi~n< 2(;(3': rg( Cjnq sln tifh {nv~g{n sln TAEL t{fasgan sjkn aftfkin j t{jrgcghm qtnaga ghsn{rnhsgjhq j{enekn{q }gsl al{jhga ajhcgsgjhq: G qj) }lgaljhnq ,nRfi~n< 2(>(3':
c( ]lfs gq sln qtnaga nc~afsgjhfi q~ttj{s slfs sln
ghq~{n{ j{ e~isg%ghq~{n{ ajiifkj{fsgrn gq t{jrgcghm sj t{fasganq sj q~ttj{s slng{ nj{sq fs s{fhqj{efsgjh:g( Ajfalghm kw t{fasgan ajfalnq s{fghnc gh slnTAELgg( Tf{sgagtfsgjh gh f e~isgtin qnqqgjh inf{hghm ajiifkj{fsgrn ja~qghm jh TAELggg( Jsln{ ,qtnagw'? ZZZZZ
n( ]lfs ensljcq f{n ~qnc sj ejcgw {ngek~{qnenhsfhc nhlfhan tfwenhs:
g( Tfwenhs gh {najmhgsgjh j t{jrgcn{ ajqsq
{nifsnc sj?6( Fttigafsgjh fhc t{ntf{fsgjh j{ HAFan{sgafsgjh j{ KN {najmhgsgjh;( T{jrgcn{ tf{sgagtfsgjh gh inf{hghm ajiifkj{f%sgrn) ghai~cghm {najmhgsgjh j ijqs {nrnh~n
}lgin tf{sgagtfsghm gh inf{hghm ajiifkj{fsgrnqnqqgjhq1( [nmgqs{w iganhq~{n fhc qns%~t fhc NL[ {ntj{s a~qsjegzfsgjh3( Jsln{ ,qtnagw'? ZZZZZ
gg( Tfwenhs nhlfhanenhs gh {najmhgsgjh j sln
fccnc ifkj{ fhc ifkj{%{nifsnc ajqsq gha~{{nc sjgetinenhs f TAELggg( Tn{j{efhan%kfqnc tfwenhsq kfqnc jh t{janqqfhc j~sajen enfq~{nq {nbnasgrn j mjjc t{gef{w fhc al{jhga af{n( ,nRfi~n< 1(2(1‑1(2(2'
b( ]lfs swtnq j enfq~{nq f{n ~qnc sj cnsn{eghn sln tn{j{efhan%kfqnc tfwenhsq:,nRfi~n< 1(>(1) 1(2(1‑1(2(2'
g( Enfq~{nenhs j falgnrnenhs {nifsgrn sj f sf{mnsj{ tnn{q j{ HB%nhcj{qnc t{janqq enfq~{nq
gg( Enfq~{nenhs j falgnrnenhs {nifsgrn sj f sf{mnsj{ tnn{q j{ HB%nhcj{qnc j~sajen enfq~{nqggg( Enfq~{nenhs j get{jrnenhs jrn{ sgen j{HB%nhcj{qnc t{janqq enfq~{nqgr( Enfq~{nenhs j get{jrnenhs jrn{ sgen j{HB%nhcj{qnc j~sajen enfq~{nq r( Enfq~{nenhs j t{fasgan nagnhaw {nifsgrn sj fsf{mns j{ tnn{q rg( Enfq~{nenhs j sln fttigafsgjh j qtnagaencgafi ljen t{fasganq ,n(m() ghsnhqgrn qni%efhfmnenhs q~ttj{s sj tfsgnhsq) fasgjh tifhcnrnijtenhs) f{{fhmnenhs j{ qjagfi q~ttj{sjiij}%~t }gsl f qjagfi }j{`n{ j{ jsln{ajee~hgsw q~ttj{s tn{qjhhni' rgg( Enfq~{nenhs j tfsgnhs qfsgqfasgjh rggg(
Jsln{ ,qtnagw'? ZZZZZ
m( ]lfs gq sln n|tnasnc rfi~n j sln t{jrgcn{ tfw%enhsq {nn{nhanc gh {nqtjhqn sj ’ ―: ,nRfi~n< 1(2(>'
g( 4%>. j t{gef{w af{n t{fasgan fhh~fi tfwenhsgg( 2%64. j t{gef{w af{n t{fasgan fhh~fi tfwenhsggg( 66%6>. j t{gef{w af{n t{fasgan fhh~fi
tfwenhsgr( 62%;4. j t{gef{w af{n t{fasgan fhh~fi
tfwenhs r( ;6%;>. j t{gef{w af{n t{fasgan fhh~fi
tfwenhs rg( 8;>. j t{gef{w af{n t{fasgan fhh~fi tfwenhs
l( F{n sln{n fhw cnhnc n|tnasfsgjhq j sln lnfisl tifh j{ sln t{fasganq fq sj lj} sln fccnc tfwenhsqqlj~ic kn ~qnc:
g( Hjhn jsln{ slfh sljqn cnhnc gh {nqtjhqnsj ’k(―gg( B~hcghm netijwenhs j) j{ ajhs{fasghm }gsl)aighgafi afqn efhfmn{q }gslgh sln t{fasgan(ggg( T{jrgcghm m{j~t rgqgsq
gr( T{jrgcghm m{j~t nc~afsgjh jh qni%efhfmnenhs r( Jsln{ ,qtnagw'? ZZZZZg( F{n sln{n fhw ajhq~en{ ghanhsgrnq ajhsfghnc
}gslgh sln TAEL t{jm{fe: ,nRfi~n< 6(2(;)6(2(1'g( Fm{nnenhs }gsl netijwn{ jh }fgrnc j{cna{nfqnc t{neg~e qlf{n j{ ~qn j sln encgafiljengg( ]fgrnc j{ cna{nfqnc aj%tfwenhsq*cnc~asgkinqj{ ~qn j sln encgafi ljen ,qtnagw'
6( Jan rgqgsq
Tfsgnhs%Anhsn{nc T{gef{w Af{n Ajiifkj{fsgrn y
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y Sln Tfsgnhs%Anhsn{nc Encgafi Ljen–F T~{alfqn{ M~gcn
;( Tlf{efan~sgafiq j{ al{jhga ajhcgsgjhq1( nqsq {najeenhcnc j{ al{jhgaajhcgsgjhq) nsa(
ggg( ]fgrnc j{ cna{nfqnc aj%tfwenhsq*cnc~asgkinqj{ {nfalghm kgjens{ga mjfiq ,n(m() KEG inrni j{alfhmn) LkF6a get{jrnenhs j{ inrniq) nsa('gr( ]fgrnc j{ cna{nfqnc aj%tfwenhsq*cnc~asgkinqj{ nh{jiienhs j{ figfsgjh }gsl f encgafi ljengh hjh%LEJ t{jc~asq r( ]fgrnc j{ cna{nfqnc aj%tfwenhsq*cnc~asgkinqj{ ~qn j qninasnc al{jhga af{n encgafsgjhq rg( Ghanhsgrnq sj fcln{n sj nrgcnhan%kfqncqni%efhfmnenhs m~gcnighnq rgg( Ghanhsgrnq sj fcln{n sj {najeenhcnc af{najj{cghfsgjh nhaj~hsn{q
o( ]lfs q~ttj{s enalfhgqeq ,sjjiq' f{n frfgifkingh sln TAEL t{jm{fe sj q~ttj{s cnagqgjhq fhcqni%efhfmnenhs) fhc }lj t{jrgcnq slne:
`( Lj} gq sln TAEL t{jm{fe t{jejsnc sjenekn{q:
g( Mnhn{fi nc~afsgjh efsn{gfiq sj enekn{qgg( Nh{jiienhs ennsghmq ajj{cghfsnc }gsl
t~{alfqn{qggg( Tn{j{efhan {ntj{sq ajetf{ghm TAEL
t{fasganq }gsl hjh%TAEL t{fasganqgr( Cnqgmhfsgjh gh sln tlwqgagfh cg{nasj{w j TAEL qsfs~q r( Igh`nc enqqfmnq }gsl }nk%kfqnc sjjiq sjq~ttj{s cnagqgjh%ef`ghm
Ajhq~e{ Q~ttj{s . TAEL Eek{Tf{sgagtfhsq Fasc
]lj T{jrgcq
Nrgcnhan%kfqnc qlf{nc cnagqgjh
sjjiq ,n(m() Lnfisl Cgfijm)Lnfisl}gqn Cnagqgjh Tjghsq'
( Tifh
;( TAEL T{fasgan1( Tifh%T{fasgan Qlf{nc
Qtnagfigqs tn{j{efhan {ntj{sq ( Tifh;( TAEL T{fasgan
1( Tifh%T{fasgan Qlf{nc
Ljqtgsfi tn{j{efhan {ntj{sq ( Tifh
;( TAEL T{fasgan1( Tifh%T{fasgan Qlf{nc
Ninas{jhga tn{qjhfi lnfisl {naj{c ( Tifh;( TAEL T{fasgan
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