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MEDLIB-L  May 2007, Week 4

MEDLIB-L May 2007, Week 4

Subject:

Summary: Ref Question: Compiling list of websites that offer quality ratings and indicators -- consumerism/transparency

From:

"Bishop, Christopher" <[log in to unmask]>

Reply-To:

Bishop, Christopher

Date:

Wed, 23 May 2007 14:49:57 -0400

Content-Type:

text/plain

Parts/Attachments:

Parts/Attachments

text/plain (599 lines)

I am attaching my summarized list of quality
ratings/indicators/transparency that I proposed to the list last week.

There is a nice list in the report *2003-Review of Hospital Quality 
Reports for Health Care Consumers*, *Purchasers and* *Providers*. /IPRO 
Rep./, IPRO, Lake Success. at:

http://company.ipro.org/dox/legFINAL10_14_03R.pdf

USA Today has an article in today's paper with a focus of state reported
transparency:

http://www.usatoday.com/news/health/2007-05-22-death-rates-side_N.htm

And my bibliography:

#1
Consumer Checkbook
www.checkbook.org 
Consumer Checkbook is a consumer publisher and Web site supported by the
Center for the Study of Services, a Washington, D.C., nonprofit
organization. Its guide includes "desirability" ratings for hospitals
based on surveys of physicians, risk-adjusted mortality figures, and
adverse outcome rates for several surgical procedures. The desirability
scores are just a matter of physician 

Hospital Compare
Hospital Compare - Hospital Compare was created by the Centers for
Medicare & Medicaid Services (CMS), an agency of the U.S. Department of
Health and Human Services (DHHS) along with the Hospital Quality
Alliance (HQA). The HQA was founded to the reporting of hospital quality
of care. The HQA counts among its member's organizations that represent
consumers, doctors, employers, hospitals, accrediting organizations and
Federal agencies.
Hospital Compare uses quality measures to determine how often hospitals
provide recommended care to obtain the best results for most patients.
Measures include treatment for a heart attack, heart failure, pneumonia,
or having surgery. Visit the Hospital Compare website at
www.hospitalcompare.hhs.gov.
opinion. The mortality and outcome information is based on 1996-99
Medicare data, so it's out of date. The Web version of the guide can be
hard to follow. The guide costs $19.95, either in print or through the
Web site.
#2
National Voluntary Hospital Reporting Initiative
www.medicare.gov/hospital/home.asp
This is Medicare's foray into hospital quality rating. So far, three
conditions are covered: heart attack, heart failure, and pneumonia.
Hospitals have been asked to provide information on certain aspects of
care for those conditions - for example, the percentage of heart attack
patients that receive an aspirin upon arrival. Each hospital's
performance is compared with results for the top 10% and 50% of
hospitals. For example, if 99% of heart attack patients at the top 10%
of hospitals get an aspirin upon arrival, but only 70% of the patients
at your hospital do, maybe heart attack care at your hospital isn't what
it should be. This is just a pilot project, so many hospitals aren't
listed. It would be helpful to have some explanation for why these
particular aspects of care are important.

#3
Select Quality Care
www.selectqualitycare.com 
Select Quality Care is a Web site developed by HealthShare Technology,
an Acton, Mass., company. Unlike the other sites on this list , it's not
accessible to the public - only to people enrolled in health plans that
HealthShare has contracts with. At least one other company is selling a
similar, members-only report card Web site to health plans. One nice
feature of the site is that the hospital rankings depend on how you
personally rate the importance of patient volume, mortality rates, and
several other factors. If you revise your preferences you can see how it
affects the rankings. The site also has graphics that make the averages
for your area clear, so you can easily tell whether a hospital falls
above or below the mean.

#4
NCQA
http://web.ncqa.org/

National Committee for Quality Assurance (NCQA), 
It is a private, independent nonprofit health care quality oversight
organization that measures and reports on health care quality and unites
diverse groups around a common goal: improving health care quality.
NCQA, has demonstrated several successful provider-level measurement
initiatives connected to P4P programs, notable among them Bridges to
Excellence programs in several markets, physician recognition programs,
the Integrated Healthcare Association's P4P initiative in California,
the National Forum on Performance Benchmarking of Physician Offices and
Organizations, and health plan accreditation

#5
National Quality Healthcare Award, presented by the National Quality
Forum. The award is conducted in partnership with Modern Healthcare and
underwritten by the Cardinal Health Foundation. Prior awards were
presented by the National Committee for Quality Health Care, which
merged with the NQF last year. The criteria were revamped, and this
year's award puts more emphasis on use of standardized quality measures
and public reporting of performance data.





#6
Solucient
Top 100 Hosptials
http://web.ebscohost.com/ehost/detail?vid=2&hid=17&sid=1eca7422-3581-471
4-bafc-4d77c5a323f4%40sessionmgr2


#7
HealthGrades - Information on Hospitals, Doctors and Nursing Homes
Information on: Hospital Quality Report. Quality Ratings; 32 Common
Procedures and Diagnoses; Award Recipients ... and much more! ...
Stock quote for HGRD
www.healthgrades.com/ - 83k - Cached - Similar pages

#8
J.D. Power Consumer Center
Check out the hospital's quality ratings provided by a number of
different organizations, including HealthGrades (www.healthgrades.com),
The Leapfrog Group ...
www.jdpower.com/cc/rd/cc/healthcare/content/health3.asp - 21k - Cached -
Similar pages



#9
Quality Check
http://www.qualitycheck.org/consumer/searchQCR.aspx


#10
WebMD Hospital Quality Ratings Guide
https://www.webmdhealth.com/apwu/benefits/hospitalcompare.aspx?startid=5
50

#11
Hospital Compare - Centers for Medicare & Medicaid Services
In response to concerns about the quality of care in US hospitals, the
Centers for Medicare & Medicaid Services began measuring hospital
performance and reporting this performance on their Web site, Hospital
Compare. It is unknown whether these process performance measures are
related to hospital-level outcomes.





#12
 The Surgical Care Improvement Project (SCIP) is a national partnership
of organizations committed to improving the safety of surgical care
through the reduction of post-operative complications. Partners in the
SCIP believe that a meaningful reduction in complications requires that
surgeons, anesthesiologists, perioperative nurses, pharmacists,
infection control professionals and hospital executives work together to
intensify their commitment to making surgical care improvement a
priority.
In addition to continuing to reduce surgical site infections (SSIs), the
SCIP Partnership is broadening the scope of the new national project by
targeting additional adverse events to include cardiac, respiratory and
venous thromboembolic complications.

Quality Measures
Acute Myocardial Infarction (AMI): 
Aspirin at arrival
Aspirin prescribed at discharge
Beta Blocker at arrival
Beta Blocker prescribed at discharge
ACE inhibitor or ARB for left ventricular systolic dysfunction
Optional Measures: 
Smoking cessation advice/counseling
Thrombolytic agent received within 30 minutes of hospital arrival
PCI received within 120 minutes of hospital arrival 
Heart Failure (HF): 
Left ventricular function assessment
ACE inhibitor/ARB for left ventricular systolic dysfunction
Optional Measures: 
Discharge instructions
Smoking cessation advise/counseling 
Pneumonia (PNE): 
Initial antibiotic received within four hours of hospital arrival
Oxygenation assessment within 24 hours of hospital arrival
Pnuemococcal vaccination
Optional Measures: 
Blood culture performed prior to the initial antibiotic received in the
hospital
Initial antibiotic selection for community acquired pneumonia in
immunocompetent patients
Adult smoking cessation advice/counseling
Influenza vaccination

#13
IHI 5 Million Lives Campaign
 
The Institute for Healthcare Improvement (IHI) has launched the 5
Million Lives Campaign, an initiative to protect patients from five
million incidents of medical harm over the next two years (December 2006
- December 2008)
Proven Interventions
The 5 Million Lives Campaign challenges American hospitals to adopt 12
changes in care that save lives and reduce patient injuries: 
The six interventions from the 100,000 Lives Campaign
*	Deploy Rapid Response Teams...at the first sign of patient
decline
*	Deliver Reliable, Evidence-Based Care for Acute Myocardial
Infarction...to prevent deaths from heart attack  
*	Prevent Adverse Drug Events (ADEs)...by implementing medication
reconciliation
*	Prevent Central Line Infections...by implementing a series of
interdependent, scientifically grounded steps
*	Prevent Surgical Site Infections...by reliably delivering the
correct perioperative antibiotics at the proper time 
*	Prevent Ventilator-Associated Pneumonia...by implementing a
series of interdependent, scientifically grounded steps
 
New interventions targeted at harm
*	Prevent Harm from High-Alert Medications... starting with a
focus on anticoagulants, sedatives, narcotics, and insulin
*	Reduce Surgical Complications... by reliably implementing all of
the changes in care recommended by SCIP, the Surgical Care Improvement
Project (www.medqic.org/scip)
*	Prevent Pressure Ulcers... by reliably using science-based
guidelines for their prevention
*	Reduce Methicillin-Resistant Staphylococcus aureus (MRSA)
infection...by reliably implementing scientifically proven infection
control practices
*	Deliver Reliable, Evidence-Based Care for Congestive Heart
Failure... to avoid readmissions
*	Get Boards on Board ... by defining and spreading the best-known
leveraged processes for hospital Boards of Directors, so that they can
become far more effective in accelerating organizational progress toward
safe care
 

#14
 The Appropriate Care Measure Identified Participant Group
The Appropriate Care Measure (ACM) Identified Participant Group (IPG) is
a hospital initiative designed to bring transformational change to the
health care arena and raise the bar for performance to provide the right
care for every patient, every time.
Project Goals
 	Provide information and assistance to assess and improve
hospital systems in managing three clinical conditions -- Acute
Myocardial Infarction, Heart Failure and Pneumonia -- and ten publicly
reportable quality-of-care measures 
 	Expand public reporting of performance measures to include all
Hospital Quality Alliance (HQA) proposed indicators
ACM Scoring Methodology
The ACM is a composite measure based upon five AMI measures, two Heart
Failure measures, and three Pneumonia measures. All patients eligible
for at least one of the ten measures are counted in the denominator. To
be counted in the numerator, the patient must receive all of the care
specified by the measures that the patient is eligible for. There is no
weighting in this calculation.
For example: 
Mr. S is admitted with an AMI, and by chart abstraction, is eligible for
aspirin and Beta Blockers but is not eligible for ACEI or ARB upon
discharge. Mr. S is eligible for 
 	Aspirin upon arrival 
 	Aspirin at discharge 
 	Beta Blocker at arrival 
 	Beta Blocker prescribed at discharge
Chart abstraction results: 
 	Received aspirin upon arrival? Yes 
 	Received aspirin at discharge? Yes 
 	Received Beta Blocker at arrival? Yes 
 	Received Beta Blocker at discharge? No
Analysis: 
Mr. S fails the ACM because a single element of care for which he is
eligible was not provided, namely the Beta Blocker at discharge.
The move to a patient-centric measure rather than a process-centric
measure is in keeping with the CMS mantra of "The Right Care for Every
Person Every Time." Given this change, it is important to realize that
if you are doing well at every process but one, your score CANNOT exceed
your weakest score.

#15

 Home Health Quality Initiative Quality Measures for Public Reporting
OASIS Outcome Measure	Consumer Language
Improvement in upper body dressing	Patients who get better at
getting dressed
Improvement in bathing	Patients who get better at bathing
Stabilization in bathing	Patients who stay the same (don't get
worse) at bathing
Improvement in toileting	Patients who get better getting to and
from the toilet
Improvement in ambulation/locomotion	Patients who get better at
walking or moving around
Improvement in transferring	Patients who get better at getting in
and out of bed
Improvement in management of oral medications	Patients who get better
at taking their medicines correctly (by mouth)
Improvement in confusion frequency	Patients who are confused less
often
Improvement in pain interfering with activity	Patients who have less
pain when moving around
Acute care hospitalization	Patients who had to be admitted to the
hospital
Any emergent care provided	Patients who need urgent, unplanned
medical care


#16

The Leapfrog Group
http://www.leapfroggroup.org/home
https://leapfrog.medstat.com/Insights/v12Changes.htm
1.	What measures are included in Leapfrog Hospital Insights?
Leapfrog Hospital Insights measures quality, efficiency and overall
performance in five clinical areas.  The quality measures are a
combination of Joint Commission Accreditation of Healthcare
Organizations (JCAHO) core measures - processes of care that should be
standard for every applicable admission - and the Leapfrog Hospital
Quality and Safety Survey, which focuses on patient safety practices
known to reduce preventable medical mistakes.  The Leapfrog Hospital
Insights efficiency measure is the first nationally collectable and
comparable measure of hospital resource efficiency.  The five areas of
inpatient care measured by Leapfrog Hospital Insights are the following:

*	Acute myocardial infarction (AMI), commonly known as heart
attack;
*	Coronary artery bypass graft (CABG), commonly known as bypass
surgery;
*	Percutaneous coronary intervention (PCI), commonly known as
angioplasty;
*	Community-acquired pneumonia (CAP); and
*	Deliveries/newborn care.

#17
Quality Tools
http://www.qualitytools.ahrq.gov/channels/question.aspx?field_id=1259&lo
okup_id=528&mode=4

#18
Quality Indicator Project (QI Project)
http://www.qiproject.org/

#19
National Quality Measures Clearinghouse:
http://www.qualitymeasures.ahrq.gov/about/about.aspx
#20
National Quality Forum (NQF) http://www.qualityforum.org/
Note: Norton Healthcare is a member of NQF.
*	hospital care 
*	cardiac surgery - also see - The Society for Thoracic Surgeons
(STS) 
*	nursing-sensitive care 
*	ambulatory (physician office) care 
*	safe practices 

#21
Norton HealthCare Quality Report
http://www.nortonhealthcare.com/about/qualityreport/index.aspx
  Quality Indicators Included:
	
Patient satisfaction
Nursing care

Antibiotic susceptibility
Patient safety

Infection control
Other indicators

Surgery
Childbirth

Pneumonia
Childbirth - other

Heart failure
Children

Heart attack
Safe practices

Cardiovascular procedures
Cancer survival rates

Physician office care
Data validity

#22
Joint Commission for Accreditation of Healthcare Organizations (JCAHO)
*	National Patient Safety Goals 
JCAHO and the Centers for Medicare and Medicaid Services (CMS)
*	Indicators (these are included in the NQF Hospital Care
indicators) 
The Agency for Healthcare Research and Quality (AHRQ)
*	Patient Safety Indicators (PSIs) and Inpatient Quality
Indicators (IQIs) 
Note: For consistency with other indicators in the Norton Healthcare
Quality Report, we show the AHRQ indicators as percentages rather than
as rates per 1,000.
Additional pediatric indicators come from
JCAHO's ORYX indicators, which we collect through:
#23
The BENCHmarking Effort for Networking Children's Hospitals (MMP)
*	Asthma readmissions and returns to the Emergency Department 

#24
The Vermont Oxford Network
http://www.vtoxford.org/home.aspx?p=about/index.htm
*	Neonatal mortality by birth weight 
#25
National Database of Nursing Quality Indicators
#26
American Nurses Association's National Database of Nursing Quality
Indicators (NDNQI)National Database of Nursing Quality Indicators
(NDNQI) .
#27
Improving America's Hospitals: A Report on Quality and Safety" released
by the Joint Commission






#28
Institute of Medicine

#29
National Patient Safety Foundation
http://www.npsf.org/html/about_npsf.html









#29
National Healthcare Quality Report (NHQR), sponsored by the US Agency
for Healthcare Quality and Research


#8
OECD Health Care Quality Indicators Project - multiple panels within?

#29
President's Advisory Commission on Consumer Protection and Quality in
the Health Care Industry

#30
National Committee for Quality Assurance
#31
National Quality Forum (NQF)





#32
Ambulatory Care Quality Alliance,
[3] a national consortium of key stakeholders that includes physicians,
employers, government agencies, health insurance plans, and accrediting
organizations all working together, announced consensus on a uniform
starter set of 26 ambulatory performance measures

#33
NHRQ


#34
National Forum on Performance Benchmarking of Physician Offices and
Organizations
See handout on physician performance



????Others did not have to research further - CRB ????
#35
US National Healthcare Quality Report.


#36
IHI Global Trigger Tool for Measuring Adverse Events. 
Griffin FA, Resar RK. IHI Innovation Series white paper. Cambridge, MA:
Institute for Healthcare Improvement; 2007. 


Patient Safety Indicators
Hospital Quality Alliance
CMS/ Doctors Office Quality
Physician Consortium for Performance Improvement/AMA


This link will take you to a 2003 report of Review of Hospital Quality
Reports 36 total 
http://company.ipro.org/dox/legFINAL10_14_03R.pdf


Chris Bishop 
Manager of Library Services 
317-355-3600 phone 
317-351-7816 fax 

[log in to unmask]

Community Health Network 
Library Network 
1500 North Ritter 
Indianapolis, IN 46219 

http://incomm/library


Any attachments to this email may be protected by copyright. 
The copyright law of the United States (title 17, United States Code)
governs the reproduction and distribution of copyrighted material.
Under certain conditions specified in the law, non-profit libraries are
authorized to reproduce and distribute one copy to a user for "private
study, scholarship, or research".  Any person who makes an unauthorized
copy, adaptation, or redistribution of copyrighted items, except as
permitted by title 17 of the United States Code, may be liable for
copyright infringement.  This library reserves the right to refuse to
fulfill a loan request if, in its judgment, fulfillment of the request
would lead to violation of copyright law.


-----Original Message-----
From: Medical Libraries Discussion List [mailto:[log in to unmask]]
On Behalf Of Charles B Wessel
Sent: Monday, May 21, 2007 7:44 AM
To: [log in to unmask]
Subject: Re: Ref: Question: Compiling list of websites that offer
quality ratings and indicators -- consumerism/transparency

Chris,

There is a nice list in the report *2003-Review of Hospital Quality 
Reports for Health Care Consumers*, *Purchasers and* *Providers*. /IPRO 
Rep./, IPRO, Lake Success. at:

http://company.ipro.org/dox/legFINAL10_14_03R.pdf

Charlie Wessel

Bishop, Christopher wrote:

> I am trying to come up with a complete list as possible of the 
> available list of sites that offer quality ratings and indicators 
> mainly focused or formatted for consumers.
>
>  
>
> Examples are HealthGrades, QualityCheck, LeapFrog, AHRQ, Consumer 
> Checkbook, Select Quality Care, National Quality Forum, Hospital 
> Compare etc...
>
>  
>
> I have not found a great list just piecing it together and I would 
> welcome any further ideas or suggestions, if you know of or think of 
> these types of sites that offer consumerism/transparency, quality 
> ratings or indicators.
>
>  
>
> I would be glad to summarize for the list.
>
>  
>
> *Chris Bishop*
> *Manager of Library Services*
> *317-355-3600 phone*
> *317-351-7816 fax*
>
> [log in to unmask] <mailto:[log in to unmask]>_
>
> Community Health Network
> Library Network
> 1500 North Ritter
> Indianapolis, IN 46219
>
> http://incomm/library
>
>
> Any attachments to this email may be protected by copyright.
> The copyright law of the United States (title 17, United States Code) 
> governs the reproduction and distribution of copyrighted material.  
> Under certain conditions specified in the law, non-profit libraries 
> are authorized to reproduce and distribute one copy to a user for 
> "private study, scholarship, or research".  Any person who makes an 
> unauthorized copy, adaptation, or redistribution of copyrighted items,

> except as permitted by title 17 of the United States Code, may be 
> liable for copyright infringement.  This library reserves the right to

> refuse to fulfill a loan request if, in its judgment, fulfillment of 
> the request would lead to violation of copyright law.
>
>  
>

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March 2014, Week 4
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March 2014, Week 2
March 2014, Week 1
February 2014, Week 4
February 2014, Week 3
February 2014, Week 2
February 2014, Week 1
January 2014, Week 5
January 2014, Week 4
January 2014, Week 3
January 2014, Week 2
January 2014, Week 1
December 2013, Week 5
December 2013, Week 4
December 2013, Week 3
December 2013, Week 2
December 2013, Week 1
November 2013, Week 5
November 2013, Week 4
November 2013, Week 3
November 2013, Week 2
November 2013, Week 1
October 2013, Week 5
October 2013, Week 4
October 2013, Week 3
October 2013, Week 2
October 2013, Week 1
September 2013, Week 5
September 2013, Week 4
September 2013, Week 3
September 2013, Week 2
September 2013, Week 1
August 2013, Week 5
August 2013, Week 4
August 2013, Week 3
August 2013, Week 2
August 2013, Week 1
July 2013, Week 5
July 2013, Week 4
July 2013, Week 3
July 2013, Week 2
July 2013, Week 1
June 2013, Week 5
June 2013, Week 4
June 2013, Week 3
June 2013, Week 2
June 2013, Week 1
May 2013, Week 5
May 2013, Week 4
May 2013, Week 3
May 2013, Week 2
May 2013, Week 1
April 2013, Week 5
April 2013, Week 4
April 2013, Week 3
April 2013, Week 2
April 2013, Week 1
March 2013, Week 5
March 2013, Week 4
March 2013, Week 3
March 2013, Week 2
March 2013, Week 1
February 2013, Week 4
February 2013, Week 3
February 2013, Week 2
February 2013, Week 1
January 2013, Week 5
January 2013, Week 4
January 2013, Week 3
January 2013, Week 2
January 2013, Week 1
December 2012, Week 5
December 2012, Week 4
December 2012, Week 3
December 2012, Week 2
December 2012, Week 1
November 2012, Week 5
November 2012, Week 4
November 2012, Week 3
November 2012, Week 2
November 2012, Week 1
October 2012, Week 5
October 2012, Week 4
October 2012, Week 3
October 2012, Week 2
October 2012, Week 1
September 2012, Week 5
September 2012, Week 4
September 2012, Week 3
September 2012, Week 2
September 2012, Week 1
August 2012, Week 5
August 2012, Week 4
August 2012, Week 3
August 2012, Week 2
August 2012, Week 1
July 2012, Week 5
July 2012, Week 4
July 2012, Week 3
July 2012, Week 2
July 2012, Week 1
June 2012, Week 5
June 2012, Week 4
June 2012, Week 3
June 2012, Week 2
June 2012, Week 1
May 2012, Week 5
May 2012, Week 4
May 2012, Week 3
May 2012, Week 2
May 2012, Week 1
April 2012, Week 5
April 2012, Week 4
April 2012, Week 3
April 2012, Week 2
April 2012, Week 1
March 2012, Week 5
March 2012, Week 4
March 2012, Week 3
March 2012, Week 2
March 2012, Week 1
February 2012, Week 5
February 2012, Week 4
February 2012, Week 3
February 2012, Week 2
February 2012, Week 1
January 2012, Week 5
January 2012, Week 4
January 2012, Week 3
January 2012, Week 2
January 2012, Week 1
December 2011, Week 5
December 2011, Week 4
December 2011, Week 3
December 2011, Week 2
December 2011, Week 1
November 2011, Week 5
November 2011, Week 4
November 2011, Week 3
November 2011, Week 2
November 2011, Week 1
October 2011, Week 5
October 2011, Week 4
October 2011, Week 3
October 2011, Week 2
October 2011, Week 1
September 2011, Week 5
September 2011, Week 4
September 2011, Week 3
September 2011, Week 2
September 2011, Week 1
August 2011, Week 5
August 2011, Week 4
August 2011, Week 3
August 2011, Week 2
August 2011, Week 1
July 2011, Week 5
July 2011, Week 4
July 2011, Week 3
July 2011, Week 2
July 2011, Week 1
June 2011, Week 5
June 2011, Week 4
June 2011, Week 3
June 2011, Week 2
June 2011, Week 1
May 2011, Week 5
May 2011, Week 4
May 2011, Week 3
May 2011, Week 2
May 2011, Week 1
April 2011, Week 5
April 2011, Week 4
April 2011, Week 3
April 2011, Week 2
April 2011, Week 1
March 2011, Week 5
March 2011, Week 4
March 2011, Week 3
March 2011, Week 2
March 2011, Week 1
February 2011, Week 4
February 2011, Week 3
February 2011, Week 2
February 2011, Week 1
January 2011, Week 5
January 2011, Week 4
January 2011, Week 3
January 2011, Week 2
January 2011, Week 1
December 2010, Week 5
December 2010, Week 4
December 2010, Week 3
December 2010, Week 2
December 2010, Week 1
November 2010, Week 5
November 2010, Week 4
November 2010, Week 3
November 2010, Week 2
November 2010, Week 1
October 2010, Week 5
October 2010, Week 4
October 2010, Week 3
October 2010, Week 2
October 2010, Week 1
September 2010, Week 5
September 2010, Week 4
September 2010, Week 3
September 2010, Week 2
September 2010, Week 1
August 2010, Week 5
August 2010, Week 4
August 2010, Week 3
August 2010, Week 2
August 2010, Week 1
July 2010, Week 5
July 2010, Week 4
July 2010, Week 3
July 2010, Week 2
July 2010, Week 1
June 2010, Week 5
June 2010, Week 4
June 2010, Week 3
June 2010, Week 2
June 2010, Week 1
May 2010, Week 5
May 2010, Week 4
May 2010, Week 3
May 2010, Week 2
May 2010, Week 1
April 2010, Week 5
April 2010, Week 4
April 2010, Week 3
April 2010, Week 2
April 2010, Week 1
March 2010, Week 5
March 2010, Week 4
March 2010, Week 3
March 2010, Week 2
March 2010, Week 1
February 2010, Week 4
February 2010, Week 3
February 2010, Week 2
February 2010, Week 1
January 2010, Week 5
January 2010, Week 4
January 2010, Week 3
January 2010, Week 2
January 2010, Week 1
December 2009, Week 5
December 2009, Week 4
December 2009, Week 3
December 2009, Week 2
December 2009, Week 1
November 2009, Week 5
November 2009, Week 4
November 2009, Week 3
November 2009, Week 2
November 2009, Week 1
October 2009, Week 5
October 2009, Week 4
October 2009, Week 3
October 2009, Week 2
October 2009, Week 1
September 2009, Week 5
September 2009, Week 4
September 2009, Week 3
September 2009, Week 2
September 2009, Week 1
August 2009, Week 5
August 2009, Week 4
August 2009, Week 3
August 2009, Week 2
August 2009, Week 1
July 2009, Week 5
July 2009, Week 4
July 2009, Week 3
July 2009, Week 2
July 2009, Week 1
June 2009, Week 5
June 2009, Week 4
June 2009, Week 3
June 2009, Week 2
June 2009, Week 1
May 2009, Week 5
May 2009, Week 4
May 2009, Week 3
May 2009, Week 2
May 2009, Week 1
April 2009, Week 5
April 2009, Week 4
April 2009, Week 3
April 2009, Week 2
April 2009, Week 1
March 2009, Week 5
March 2009, Week 4
March 2009, Week 3
March 2009, Week 2
March 2009, Week 1
February 2009, Week 4
February 2009, Week 3
February 2009, Week 2
February 2009, Week 1
January 2009, Week 5
January 2009, Week 4
January 2009, Week 3
January 2009, Week 2
January 2009, Week 1
December 2008, Week 5
December 2008, Week 4
December 2008, Week 3
December 2008, Week 2
December 2008, Week 1
November 2008, Week 5
November 2008, Week 4
November 2008, Week 3
November 2008, Week 2
November 2008, Week 1
October 2008, Week 5
October 2008, Week 4
October 2008, Week 3
October 2008, Week 2
October 2008, Week 1
September 2008, Week 5
September 2008, Week 4
September 2008, Week 3
September 2008, Week 2
September 2008, Week 1
August 2008, Week 5
August 2008, Week 4
August 2008, Week 3
August 2008, Week 2
August 2008, Week 1
July 2008, Week 5
July 2008, Week 4
July 2008, Week 3
July 2008, Week 2
July 2008, Week 1
June 2008, Week 5
June 2008, Week 4
June 2008, Week 3
June 2008, Week 2
June 2008, Week 1
May 2008, Week 5
May 2008, Week 4
May 2008, Week 3
May 2008, Week 2
May 2008, Week 1
April 2008, Week 5
April 2008, Week 4
April 2008, Week 3
April 2008, Week 2
April 2008, Week 1
March 2008, Week 5
March 2008, Week 4
March 2008, Week 3
March 2008, Week 2
March 2008, Week 1
February 2008, Week 5
February 2008, Week 4
February 2008, Week 3
February 2008, Week 2
February 2008, Week 1
January 2008, Week 5
January 2008, Week 4
January 2008, Week 3
January 2008, Week 2
January 2008, Week 1
December 2007, Week 5
December 2007, Week 4
December 2007, Week 3
December 2007, Week 2
December 2007, Week 1
November 2007, Week 5
November 2007, Week 4
November 2007, Week 3
November 2007, Week 2
November 2007, Week 1
October 2007, Week 5
October 2007, Week 4
October 2007, Week 3
October 2007, Week 2
October 2007, Week 1
September 2007, Week 5
September 2007, Week 4
September 2007, Week 3
September 2007, Week 2
September 2007, Week 1
August 2007, Week 5
August 2007, Week 4
August 2007, Week 3
August 2007, Week 2
August 2007, Week 1
July 2007, Week 5
July 2007, Week 4
July 2007, Week 3
July 2007, Week 2
July 2007, Week 1
June 2007, Week 5
June 2007, Week 4
June 2007, Week 3
June 2007, Week 2
June 2007, Week 1
May 2007, Week 5
May 2007, Week 4
May 2007, Week 3
May 2007, Week 2
May 2007, Week 1
April 2007, Week 4
April 2007, Week 3
April 2007, Week 2
April 2007, Week 1
March 2007, Week 5
March 2007, Week 4
March 2007, Week 3
March 2007, Week 2
March 2007, Week 1
February 2007, Week 4
February 2007, Week 3
February 2007, Week 2
February 2007, Week 1
January 2007, Week 5
January 2007, Week 4
January 2007, Week 3
January 2007, Week 2
January 2007, Week 1
December 2006, Week 5
December 2006, Week 4
December 2006, Week 3
December 2006, Week 2
December 2006, Week 1
November 2006, Week 5
November 2006, Week 4
November 2006, Week 3
November 2006, Week 2
November 2006, Week 1
October 2006, Week 5
October 2006, Week 4
October 2006, Week 3
October 2006, Week 2
October 2006, Week 1
September 2006, Week 5
September 2006, Week 4
September 2006, Week 3
September 2006, Week 2
September 2006, Week 1
August 2006, Week 5
August 2006, Week 4
August 2006, Week 3
August 2006, Week 2
August 2006, Week 1
July 2006, Week 5
July 2006, Week 4
July 2006, Week 3
July 2006, Week 2
July 2006, Week 1
June 2006, Week 5
June 2006, Week 4
June 2006, Week 3
June 2006, Week 2
June 2006, Week 1
May 2006, Week 5
May 2006, Week 4
May 2006, Week 3
May 2006, Week 2
May 2006, Week 1
April 2006, Week 4
April 2006, Week 3
April 2006, Week 2
April 2006, Week 1
March 2006, Week 5
March 2006, Week 4
March 2006, Week 3
March 2006, Week 2
March 2006, Week 1
February 2006, Week 4
February 2006, Week 3
February 2006, Week 2
February 2006, Week 1
January 2006, Week 5
January 2006, Week 4
January 2006, Week 3
January 2006, Week 2
January 2006, Week 1
December 2005, Week 5
December 2005, Week 4
December 2005, Week 3
December 2005, Week 2
December 2005, Week 1
November 2005, Week 5
November 2005, Week 4
November 2005, Week 3
November 2005, Week 2
November 2005, Week 1
October 2005, Week 5
October 2005, Week 4
October 2005, Week 3
October 2005, Week 2
October 2005, Week 1
September 2005, Week 5
September 2005, Week 4
September 2005, Week 3
September 2005, Week 2
September 2005, Week 1
August 2005, Week 5
August 2005, Week 4
August 2005, Week 3
August 2005, Week 2
August 2005, Week 1
July 2005, Week 5
July 2005, Week 4
July 2005, Week 3
July 2005, Week 2
July 2005, Week 1
June 2005, Week 5
June 2005, Week 4
June 2005, Week 3
June 2005, Week 2
June 2005, Week 1
May 2005, Week 5
May 2005, Week 4
May 2005, Week 3
May 2005, Week 2
May 2005, Week 1
April 2005, Week 5
April 2005, Week 4
April 2005, Week 3
April 2005, Week 2
April 2005, Week 1
March 2005, Week 5
March 2005, Week 4
March 2005, Week 3
March 2005, Week 2
March 2005, Week 1
February 2005, Week 4
February 2005, Week 3
February 2005, Week 2
February 2005, Week 1
January 2005, Week 5
January 2005, Week 4
January 2005, Week 3
January 2005, Week 2
January 2005, Week 1
December 2004, Week 5
December 2004, Week 4
December 2004, Week 3
December 2004, Week 2
December 2004, Week 1
November 2004, Week 5
November 2004, Week 4
November 2004, Week 3
November 2004, Week 2
November 2004, Week 1
October 2004, Week 5
October 2004, Week 4
October 2004, Week 3
October 2004, Week 2
October 2004, Week 1
September 2004, Week 5
September 2004, Week 4
September 2004, Week 3
September 2004, Week 2
September 2004, Week 1
August 2004, Week 5
August 2004, Week 4
August 2004, Week 3
August 2004, Week 2
August 2004, Week 1
July 2004, Week 5
July 2004, Week 4
July 2004, Week 3
July 2004, Week 2
July 2004, Week 1
June 2004, Week 5
June 2004, Week 4
June 2004, Week 3
June 2004, Week 2
June 2004, Week 1
May 2004, Week 4
May 2004, Week 3
May 2004, Week 2
May 2004, Week 1
April 2004, Week 5
April 2004, Week 4
April 2004, Week 3
April 2004, Week 2
April 2004, Week 1
March 2004, Week 5
March 2004, Week 4
March 2004, Week 3
March 2004, Week 2
March 2004, Week 1
February 2004, Week 5
February 2004, Week 4
February 2004, Week 3
February 2004, Week 2
February 2004, Week 1
January 2004, Week 5
January 2004, Week 4
January 2004, Week 3
January 2004, Week 2
January 2004, Week 1
December 2003, Week 5
December 2003, Week 4
December 2003, Week 3
December 2003, Week 2
December 2003, Week 1
November 2003, Week 5
November 2003, Week 4
November 2003, Week 3
November 2003, Week 2
November 2003, Week 1
October 2003, Week 5
October 2003, Week 4
October 2003, Week 3
October 2003, Week 2
October 2003, Week 1
September 2003, Week 5
September 2003, Week 4
September 2003, Week 3
September 2003, Week 2
September 2003, Week 1
August 2003, Week 5
August 2003, Week 4
August 2003, Week 3
August 2003, Week 2
August 2003, Week 1
July 2003, Week 5
July 2003, Week 4
July 2003, Week 3
July 2003, Week 2
July 2003, Week 1
June 2003, Week 5
June 2003, Week 4
June 2003, Week 3
June 2003, Week 2
June 2003, Week 1
May 2003, Week 5
May 2003, Week 4
May 2003, Week 3
May 2003, Week 2
May 2003, Week 1
April 2003, Week 5
April 2003, Week 4
April 2003, Week 3
April 2003, Week 2
April 2003, Week 1
March 2003, Week 5
March 2003, Week 4
March 2003, Week 3
March 2003, Week 2
March 2003, Week 1
February 2003, Week 4
February 2003, Week 3
February 2003, Week 2
February 2003, Week 1
January 2003, Week 5
January 2003, Week 4
January 2003, Week 3
January 2003, Week 2
January 2003, Week 1
December 2002, Week 5
December 2002, Week 4
December 2002, Week 3
December 2002, Week 2
December 2002, Week 1
November 2002, Week 5
November 2002, Week 4
November 2002, Week 3
November 2002, Week 2
November 2002, Week 1
October 2002, Week 5
October 2002, Week 4
October 2002, Week 3
October 2002, Week 2
October 2002, Week 1
September 2002, Week 5
September 2002, Week 4
September 2002, Week 3
September 2002, Week 2
September 2002, Week 1
August 2002, Week 5
August 2002, Week 4
August 2002, Week 3
August 2002, Week 2
August 2002, Week 1
July 2002, Week 5
July 2002, Week 4
July 2002, Week 3
July 2002, Week 2
July 2002, Week 1
June 2002, Week 5
June 2002, Week 4
June 2002, Week 3
June 2002, Week 2
June 2002, Week 1
May 2002, Week 5
May 2002, Week 4
May 2002, Week 3
May 2002, Week 2
May 2002, Week 1
April 2002, Week 5
April 2002, Week 4
April 2002, Week 3
April 2002, Week 2
April 2002, Week 1
March 2002, Week 5
March 2002, Week 4
March 2002, Week 3
March 2002, Week 2
March 2002, Week 1
February 2002, Week 4
February 2002, Week 3
February 2002, Week 2
February 2002, Week 1
January 2002, Week 5
January 2002, Week 4
January 2002, Week 3
January 2002, Week 2
January 2002, Week 1
December 2001, Week 5
December 2001, Week 4
December 2001, Week 3
December 2001, Week 2
December 2001, Week 1
November 2001, Week 5
November 2001, Week 4
November 2001, Week 3
November 2001, Week 2
November 2001, Week 1
October 2001, Week 5
October 2001, Week 4
October 2001, Week 3
October 2001, Week 2
October 2001, Week 1
September 2001, Week 5
September 2001, Week 4
September 2001, Week 3
September 2001, Week 2
September 2001, Week 1
August 2001, Week 5
August 2001, Week 4
August 2001, Week 3
August 2001, Week 2
August 2001, Week 1
July 2001, Week 5
July 2001, Week 4
July 2001, Week 3
July 2001, Week 2
July 2001, Week 1
June 2001, Week 5
June 2001, Week 4
June 2001, Week 3
June 2001, Week 2
June 2001, Week 1
May 2001, Week 5
May 2001, Week 4
May 2001, Week 3
May 2001, Week 2
May 2001, Week 1
April 2001, Week 5
April 2001, Week 4
April 2001, Week 3
April 2001, Week 2
April 2001, Week 1
March 2001, Week 5
March 2001, Week 4
March 2001, Week 3
March 2001, Week 2
March 2001, Week 1
February 2001, Week 4
February 2001, Week 3
February 2001, Week 2
February 2001, Week 1
January 2001, Week 5
January 2001, Week 4
January 2001, Week 3
January 2001, Week 2
January 2001, Week 1
December 2000, Week 5
December 2000, Week 4
December 2000, Week 3
December 2000, Week 2
December 2000, Week 1
November 2000, Week 5
November 2000, Week 4
November 2000, Week 3
November 2000, Week 2
November 2000, Week 1
October 2000, Week 5
October 2000, Week 4
October 2000, Week 3
October 2000, Week 2
October 2000, Week 1
September 2000, Week 5
September 2000, Week 4
September 2000, Week 3
September 2000, Week 2
September 2000, Week 1
August 2000, Week 5
August 2000, Week 4
August 2000, Week 3
August 2000, Week 2
August 2000, Week 1
July 2000, Week 5
July 2000, Week 4
July 2000, Week 3
July 2000, Week 2
July 2000, Week 1
June 2000, Week 5
June 2000, Week 4
June 2000, Week 3
June 2000, Week 2
June 2000, Week 1
May 2000, Week 5
May 2000, Week 4
May 2000, Week 3
May 2000, Week 2
May 2000, Week 1
April 2000, Week 5
April 2000, Week 4
April 2000, Week 3
April 2000, Week 2
April 2000, Week 1
March 2000, Week 5
March 2000, Week 4
March 2000, Week 3
March 2000, Week 2
March 2000, Week 1
February 2000, Week 5
February 2000, Week 4
February 2000, Week 3
February 2000, Week 2
February 2000, Week 1
January 2000, Week 5
January 2000, Week 4
January 2000, Week 3
January 2000, Week 2
January 2000, Week 1
December 1999, Week 5
December 1999, Week 4
December 1999, Week 3
December 1999, Week 2
December 1999, Week 1
November 1999, Week 5
November 1999, Week 4
November 1999, Week 3
November 1999, Week 2
November 1999, Week 1
October 1999, Week 5
October 1999, Week 4
October 1999, Week 3
October 1999, Week 2
October 1999, Week 1
September 1999, Week 5
September 1999, Week 4
September 1999, Week 3
September 1999, Week 2
September 1999, Week 1
August 1999, Week 5
August 1999, Week 4
August 1999, Week 3
August 1999, Week 2
August 1999, Week 1
July 1999, Week 5
July 1999, Week 4
July 1999, Week 3
July 1999, Week 2
July 1999, Week 1
June 1999, Week 5
June 1999, Week 4
June 1999, Week 3
June 1999, Week 2
June 1999, Week 1
May 1999, Week 5
May 1999, Week 4
May 1999, Week 3
May 1999, Week 2
May 1999, Week 1
April 1999, Week 5
April 1999, Week 4
April 1999, Week 3
April 1999, Week 2
April 1999, Week 1
March 1999, Week 5
March 1999, Week 4
March 1999, Week 3
March 1999, Week 2
March 1999, Week 1
February 1999, Week 4
February 1999, Week 3
February 1999, Week 2
February 1999, Week 1
January 1999, Week 5
January 1999, Week 4
January 1999, Week 3
January 1999, Week 2
January 1999, Week 1
December 1998, Week 5
December 1998, Week 4
December 1998, Week 3
December 1998, Week 2
December 1998, Week 1
November 1998, Week 5
November 1998, Week 4
November 1998, Week 3
November 1998, Week 2
November 1998, Week 1
October 1998, Week 5
October 1998, Week 4
October 1998, Week 3
October 1998, Week 2
October 1998, Week 1
September 1998, Week 5
September 1998, Week 4
September 1998, Week 3
September 1998, Week 2
September 1998, Week 1
August 1998, Week 5
August 1998, Week 4
August 1998, Week 3
August 1998, Week 2
August 1998, Week 1
July 1998, Week 5
July 1998, Week 4
July 1998, Week 3
July 1998, Week 2
July 1998, Week 1
June 1998, Week 5
June 1998, Week 4
June 1998, Week 3
June 1998, Week 2
June 1998, Week 1
May 1998, Week 5
May 1998, Week 4
May 1998, Week 3
May 1998, Week 2
May 1998, Week 1
April 1998, Week 5
April 1998, Week 4
April 1998, Week 3
April 1998, Week 2
April 1998, Week 1
March 1998, Week 5
March 1998, Week 4
March 1998, Week 3
March 1998, Week 2
March 1998, Week 1
February 1998, Week 4
February 1998, Week 3
February 1998, Week 2
February 1998, Week 1
January 1998, Week 5
January 1998, Week 4
January 1998, Week 3
January 1998, Week 2
January 1998, Week 1
December 1997, Week 5
December 1997, Week 4
December 1997, Week 3
December 1997, Week 2
December 1997, Week 1
November 1997, Week 5
November 1997, Week 4
November 1997, Week 3
November 1997, Week 2
November 1997, Week 1
October 1997, Week 5
October 1997, Week 4
October 1997, Week 3
October 1997, Week 2
October 1997, Week 1
September 1997, Week 5
September 1997, Week 4
September 1997, Week 3
September 1997, Week 2
September 1997, Week 1
August 1997, Week 5
August 1997, Week 4
August 1997, Week 3
August 1997, Week 2
August 1997, Week 1
July 1997, Week 5
July 1997, Week 4
July 1997, Week 3
July 1997, Week 2
July 1997, Week 1
June 1997, Week 5
June 1997, Week 4
June 1997, Week 3
June 1997, Week 2
June 1997, Week 1
May 1997, Week 5
May 1997, Week 4
May 1997, Week 3
May 1997, Week 2
May 1997, Week 1
April 1997, Week 5
April 1997, Week 4
April 1997, Week 3
April 1997, Week 2
April 1997, Week 1
March 1997, Week 5
March 1997, Week 4
March 1997, Week 3
March 1997, Week 2
March 1997, Week 1
February 1997, Week 4
February 1997, Week 3
February 1997, Week 2
February 1997, Week 1
January 1997, Week 5
January 1997, Week 4
January 1997, Week 3
January 1997, Week 2
January 1997, Week 1
December 1996, Week 5
December 1996, Week 4
December 1996, Week 3
December 1996, Week 2
December 1996, Week 1
November 1996, Week 5
November 1996, Week 4
November 1996, Week 3
November 1996, Week 2
November 1996, Week 1
October 1996, Week 5
October 1996, Week 4
October 1996, Week 3
October 1996, Week 2
October 1996, Week 1
September 1996, Week 5
September 1996, Week 4
September 1996, Week 3
September 1996, Week 2
September 1996, Week 1
August 1996, Week 5
August 1996, Week 4
August 1996, Week 3
August 1996, Week 2
August 1996, Week 1
July 1996, Week 5
July 1996, Week 4
July 1996, Week 3
July 1996, Week 2
July 1996, Week 1
June 1996, Week 5
June 1996, Week 4
June 1996, Week 3
June 1996, Week 2
June 1996, Week 1
May 1996, Week 5
May 1996, Week 4
May 1996, Week 3
May 1996, Week 2
May 1996, Week 1
April 1996, Week 5
April 1996, Week 4
April 1996, Week 3
April 1996, Week 2
April 1996, Week 1
March 1996, Week 5
March 1996, Week 4
March 1996, Week 3
March 1996, Week 2
March 1996, Week 1
February 1996, Week 5
February 1996, Week 4
February 1996, Week 3
February 1996, Week 2
February 1996, Week 1
January 1996, Week 5
January 1996, Week 4
January 1996, Week 3
January 1996, Week 2
January 1996, Week 1
December 1995, Week 5
December 1995, Week 4
December 1995, Week 3
December 1995, Week 2
December 1995, Week 1
November 1995, Week 5
November 1995, Week 4
November 1995, Week 3
November 1995, Week 2
November 1995, Week 1
October 1995, Week 5
October 1995, Week 4
October 1995, Week 3
October 1995, Week 2
October 1995, Week 1
September 1995, Week 5
September 1995, Week 4
September 1995, Week 3
September 1995, Week 2
September 1995, Week 1
August 1995, Week 5
August 1995, Week 4
August 1995, Week 3
August 1995, Week 2
August 1995, Week 1
July 1995, Week 5
July 1995, Week 4
July 1995, Week 3
July 1995, Week 2
July 1995, Week 1
June 1995, Week 5
June 1995, Week 4
June 1995, Week 3
June 1995, Week 2
June 1995, Week 1
May 1995, Week 5
May 1995, Week 4
May 1995, Week 3
May 1995, Week 2
May 1995, Week 1
April 1995, Week 5
April 1995, Week 4
April 1995, Week 3
April 1995, Week 2
April 1995, Week 1
March 1995, Week 5
March 1995, Week 4
March 1995, Week 3
March 1995, Week 2
March 1995, Week 1
February 1995, Week 5
February 1995, Week 4
February 1995, Week 3
February 1995, Week 2
February 1995, Week 1
January 1995, Week 5
January 1995, Week 4
January 1995, Week 3
January 1995, Week 2
January 1995, Week 1
December 1994, Week 5
December 1994, Week 4
December 1994, Week 3
December 1994, Week 2
December 1994, Week 1
November 1994, Week 5
November 1994, Week 4
November 1994, Week 3
November 1994, Week 2
November 1994, Week 1
October 1994, Week 5
October 1994, Week 4
October 1994, Week 3
October 1994, Week 2
October 1994, Week 1
September 1994, Week 5
September 1994, Week 4
September 1994, Week 3
September 1994, Week 2
September 1994, Week 1
August 1994, Week 5
August 1994, Week 4
August 1994, Week 3
August 1994, Week 2
August 1994, Week 1
July 1994, Week 5
July 1994, Week 4
July 1994, Week 3
July 1994, Week 2
July 1994, Week 1
June 1994, Week 5
June 1994, Week 4
June 1994, Week 3
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