Ecommerce Executive. Help is available from 111. We are now using an online service called eConsult. months, eConsult activity levels should continue to grow with solution maturity and . E-consult is a web-enabled system and process, where primary care clinicians and specialists are able to communicate, share clinical information and consult electronically to manage patient care. 510 likes · 7 talking about this · 475 were here. Before you contact your GP practice, consider checking your symptoms with NHS 111 Online. Accept the terms and conditions screener question and continue. In emergencies, call 999 or go to A&E. Find a pharmacy near you. Ontario eConsult has been created to enable timely and equitable access to specialist advice for all patients in Ontario. eConsult online consultations are only accepted Monday to Friday, 8am-6. What is an online consultation? How do I order a repeat prescription? What is triage? For patients using eConsult How to upload a photo as part of an eConsultation? Does eConsult keep patient data? How much does eConsult cost my practice Is eConsult safe? eConsults take too long to complete What about patients who cannot use eConsult? eConsult is a way to contact your own NHS GP practice online, for free, anywhere and anytime you have access to the internet, quickly and safely. Background Access to transgender care in Canada is poor. eConsult online consultations are only accepted Monday to Friday, 7am-8am but may close earlier if the practice reaches capacity for the day. Electronic consultation (eConsult), a platform connecting PCPs to specialists. Join the Practice. If you need help, call the practice. Ontario eConsult is a provincial program built on existing regional services that launched in 2018 (see Supplemental Appendix 1 for a timeline of eConsult’s development and a description of the service). NHS login | eConsult feature. How to use eConsult. Your practice isn’t accepting online requests right now. If you need help, call the practice. eConsult online consultations are only accepted Sunday to Thursday, 6. Please try again tomorrow or contact the practice during opening hours for urgent queries. Aster eConsult – Aster DM Groups Official Teleconsultation app. Edison House, a membership-only social club, is coming to downtown Salt Lake City. Your practice doesn’t accept online consultations over the weekend. You can submit a consultation when your practice reopens. This will allow you to get help or advice from your GP online and receive a response by the end of the next working day. In 51% of cases, the PCP suggested the clinical topic would be well suited to a CME event. This study aimed to explore the impact of an electronic consultation (eConsult) service between primary care providers and transgender care specialists on access to care and to explore the content of clinical. Find a pharmacy near you. You can submit a request again from 8am today. This enables patients to submit their symptoms to a GP electronically, and offers round the clock NHS self-help information, signposting to services, and a symptom checker. eConsult online consultations are only accepted Monday to Friday, 8am-6. 9 days. eConsult is an award-winning online platform and the most widely used digital triage system in the NHS across primary and emergency care. If you need help, call the practice. This means no more time wasted queuing on the phone or sitting in the waiting area for your appointment. View Company Info for FreeOct 2022 - Dec 2022 3 months. Find a pharmacy near you. If you need help, call the practice. An online consultation platform for NHS GPs, designed by NHS GPs. The practice’s eConsult capacity has been reached for today. If you need help, call the practice. Find a pharmacy near you. The eConsult is sent to the Practice generic email address as a pdf document. You will then complete the eConsult online form and provide your phone number and email address at the end. confirm password. You can submit a consultation when your practice reopens. Before you contact your GP practice, consider checking your symptoms with NHS 111 Online. Pharmacists can offer clinical advice and over-the-counter medicines for a range of minor health concerns (and can often see you the same day). In emergencies, call 999 or go to A&E. Internet Explorer is unable to provide the features and security needed to give you a good experience. Ontario eConsult has been created to enable timely and equitable access to specialist advice for all patients in Ontario. If you need help, call the practice. Outside of practice hours, call 111. Use eConsult to ask your GP surgery about your health symptoms, conditions or treatment. You can submit a consultation when your practice reopens. eConsult has been recognized nationally and internationally as an innovative model for improving specialty care and has received multiple awards and more than $2 million in grant funding. You can submit a request again from 6. How eConsults work What is an eConsult? An eConsult is an electronic consultation between two health care providers. Outside of practice hours, call 111. Our Smart Inbox is a customisable and collaborative way for you to view, manage and respond to your patient’s needs, from anywhere and at any scale. Your practice isn’t accepting online requests right now. Response time and. To evaluate an academic institution’s implementation of a gynecologic electronic consultation (eConsult) service, including the most common queries, turnaround time, need for conversion to in-person visits, and to demonstrate how eConsults can improve access and convenience for patients and providers. The eConsult service resulted in deferral of 40% of consults originally contemplated to require a face-to-face specialist visit. Continued dissemination of econsult use should be expected as local departments of public health begin to respond to the global budgets. The practice’s eConsult capacity has been reached for today. All eConsults directed to Psychiatry from July 2011 to January 2015 by. NHS England suggests alternatives to Internet Explorer, any of which will work with our products. eConsult online consultations are only accepted Monday to Friday, 6. Ecommerce Manager. Outside of practice hours, call 111. You can submit a consultation when your practice reopens. If you need help, call the practice. Electronic consultation (eConsult) is a secure online application that allows primary care providers (PCPs) and specialists to communicate regarding a patient's care. If you need help, call the practice. Autentificare - Servicii Consulare. 30am tomorrow. The pros and cons of eConsults. ) E-Consult can only cater to patients with non-emergency, non-urgent medical cases. Pharmacists can offer clinical advice and over-the-counter medicines for a range of minor health concerns (and can often see you the same day). Patients can get help via eConsult anytime, even outside of surgery hours. Methods: We conducted an environmental scan comprising 3 stages as follows: literature review; gray literature search; and targeted, semistructured. Find a pharmacy near you. This is a descriptive and. You can even request things like sick notes. eConsult captures over 100 common clinical conditions, with built-in red flags to highlight critical symptoms that may require immediate or urgent intervention; You receive the patient’s eConsult . Electronic consultation (eConsult) is a secure online application that allows primary care providers (PCPs) and specialists to communicate regarding a patient's care. Your practice isn’t accepting online requests right now. You can submit a request again from 8am today. Introduction Electronic consultation (eConsult)—provider-to-provider electronic asynchronous exchanges of patient health information at a distance—is emerging as a potential tool to improve the interface between primary care providers and specialists. Our practice opening hours are 8am til 6:30pm, Monday to Friday. Our. eConsults are sent to a group of specialists from across the province in a specific specialty and each case. You can submit a request again from 7am tomorrow. If you need help, call the practice. Primary care providers looking to establish an eConsult program should follow these eight basic steps: Establish partnerships with the right specialists. Improving Equity of Access Through Electronic Consultation: A Case Study of an eConsult Service . If you need help, call the practice. In June 2018, the practice announced that it planned to use the eConsult online system for most consultations. 30am-11am but may close earlier if the practice reaches capacity for the day. Find out more and get suggested text to promote this feature to your patients. Find a pharmacy near you. Salt Lake City, UT. Choose the appropriate telemedicine platform on which to collaborate. Your practice isn’t accepting online requests right now. Help is available from 111. Upgrading to the Smart Inbox is free and included in a standard. You can submit a consultation when your practice reopens. Providers can use e-consults in the emergency department to get recommendations for complicated conditions from providers in other locations with additional expertise, for example in specialty areas like acute care. Outside of practice hours, call 111. If you need help, call the practice. eConsult has demonstrated an ability to improve access to specialist care, and may be of particular use in cases of inequitable access. 30am today. Outside of practice hours, call 111. In emergencies, call 999 or go to A&E. Pharmacists can offer clinical advice and over-the-counter medicines for a range of minor health concerns (and can often see you the same day). Before you contact your GP practice, consider checking your symptoms with NHS 111 Online. Your practice isn’t accepting online requests right now. Future integration with electronic medical records (EMRs) and online billing systems willYour practice isn’t accepting online requests right now. These concerns require in-person care at physical Dermatologist offices. Before you contact your GP practice, consider checking your symptoms with NHS 111 Online. This allows patients to submit their symptoms or requests to their own GP electronically, and offers around the clock NHS self-help information, signposting to services, and a symptom checker. Methods: This is a retrospective eConsult review study. LA County DHS implemented eConsult from 2012 to 2015 across primary and specialty care practice sites on a. The Champlain eConsult BASE service is a secure online platform connecting primary care providers and specialists to improve patient access to specialty care. eConsult BASE™ Managed Specialty model: eConsults are sent to a group of specialists from across the province in a specific specialty and each case. In emergencies, call 999 or go to A&E. Before you contact your GP practice, consider checking your symptoms with NHS 111 Online. If you need help, call the practice. Econsult Solutions, Inc. An eConsult service provides a secure means of asynchronous online communication between PCPs and specialists, allowing the primary care provider (PCP) to pose a patient question and receive a detailed reply from a specialist, which they can use to treat the patient themselves or determine whether a face-to-face referral is needed . You can submit a request again from 8am on Monday. Supporting the Spread and Scale-up of eConsult across Canada: cross-sectional analysis. For practices, NHS login provides patient verification and opens up opportunities for further integrations involving. View Stephanie Hutton (BASc. Alford Medical Practice. The market-leading eConsult solution for same-day specialist insights. eConsult is a secure web-based tool that allows physician or nurse practitioner timely access to specialist advice for all patients and often eliminates the need for an in-person specialist visit. 20 Items where authors felt there was overlap in content were combined. Outside of practice hours, call 111. Aim To evaluate whether an e-consultation system improves the ability of practice staff to manage workload and access. Upgrade your browser to continue using eConsult. In emergencies, call 999 or go to A&E. Pharmacists can offer clinical advice and over-the-counter medicines for a range of minor health concerns (and can often see you the same day). Select the 'Ask your GP for Advice' option from the main screen. Postal address: eConsult, 3rd Floor, Moorfoot House, 221 Marshwall, E14 9FJ. Online Trading Manager. Help is available from 111. eConsults have demonstrated benefits in many areas of the Quadruple Aim, including educational value for PCCs. It can be accessed via our website on your computer, mobile or tablet device. Outside of practice hours, call 111. Clinically designed question sets, that change based on previous answers, are sent to the patient before their outpatient appointment saving the patient and Department time. eConsult is now live in NHS app, patients can use the NHS app to submit an eConsultation. Remember me on this computer. eConsult is easy to use and will give your doctors all the information they need to triage and make sure every patient gets the care they need. Pharmacists can offer clinical advice and over-the-counter medicines for a range of minor health concerns (and can often see you the same day). Price: $995 – $1,295. Patients using eConsult through web browsers (on laptops, desktops and mobile devices) are now able to use NHS login to verify their identity and pre-populate demographic details when completing eConsults. eConsult is a medical app developed by the Hurley Group. If you need help, call the practice. eConsult online consultations are only accepted Monday to Friday, 6. In emergencies, call 999 or go to A&E. You can use eConsult to ask about your health symptoms, conditions or treatment. If you need help, call the practice. E-consultation is a telehealth solution that is gaining more widespread use. Before you contact your GP practice, consider checking your symptoms with NHS 111 Online. 1. eConsult is a digital triage platform that allows patients to make medical or administrative requests to their NHS GP practice. Once you have submitted your eConsult online, you will receive a copy of the eConsult report via email. Improve patient access to specialty care services². Pharmacists can offer clinical advice and over-the-counter medicines for a range of minor health concerns (and can often see you the same day). Outside of practice hours, call 111. Conclusions: PCPs described eConsult's ability to foster stronger relationships with specialists, deliver responses that provided teaching in multiple areas of their practice, and support further learning that extended beyond the case at hand and into their overall practice. You can submit a request again from 7. What is an online consultation? How do I order a repeat prescription? What is triage? For patients using eConsult How to upload a photo as part of an eConsultation? Does. Find the eConsult and double click or click on open to code the document 9G6. You can submit a request again from 8am tomorrow. Setting Devon and Cornwall, England. E-consults are intended to improve access to specialty. What is an eConsult? Our FREE eConsult service allows patients to speak directly to our expert team of Advisors via a secure and private video call from anywhere in the UK. If you need help, call the practice. eConsult online consultations are only accepted Sunday to Thursday, 6. You can submit a consultation when your practice reopens. Journal of. Background: The Ontario electronic consultation (eConsult) service allows a primary care provider (PCP) to access specialist advice through 2 models: the direct-to-specialist (DTS) model, where PCPs select a specialist from a directory, and the Building Access to Specialists Through eConsultation (BASE)-managed specialty service, where. What is an eConsult? An eConsult is an electronic consultation between two health care providers. In emergencies, call 999 or go to A&E. In uncertain times and busy work schedule Aster eConsult is the most convenient way to reach out to our expert doctors from across our group hospitals and clinics in India. If you need help, call the practice. × Close Log In. eConsult is a secure form-based online consultation platform that collects your medical or administrative request and sends it through to your practice to triage and get the right care for you. If you need help, call the practice. This means no more time wasted queuing on the phone or sitting in the waiting area for your appointment. An econsult is a modality in the field of telehealth that falls under the category of “store and forward. Methods: This is a retrospective eConsult review study. Alternatively, please complete an eConsult tomorrow. If you need help, call the practice. Supporting the Spread and Scale-up of eConsult across Canada: cross-sectional analysis. Design Mixed-methods sequential study based on qualitative interviews, analysis of routine eConsult usage and feedback data, and assessment of GP websites. 2. The last seven months have blown by fast at Edison House. 22 PCPs log into the service using any device with a web browser, enter their question into a free-text field, attaching any. For SLC, by SLC! Live Free. Outside of practice hours, call 111. In emergencies, call 999 or go to A&E. In emergencies, call 999 or go to A&E. Outside of practice hours, call 111. Our clinical and management team continually assess the level of patient demand and appointment availability we have on the day. It’s our passion to make giving and receiving gifts a beautiful experience and we’re…. lacounty. Outside of practice hours, call 111. Background: Patients with complex circumstances pertaining to geography, socioeconomic status, or functional health often face inequities in accessing care. Outside of practice hours, call 111. Second Place, ImagineNation e-Connect Impact Challenge for e-Requests for Services, Canada Health Infoway Challenge, July 2015. Please try again tomorrow or contact the practice during opening hours for urgent queries. Find a pharmacy near you. Tuesday – Friday – 0730 to 1100am. 30pm-midnight but may close earlier if the practice reaches capacity for the day. Please use the eConsult service for Fit (Sick) Note/ Admin requests only. Doctors are available 24 hours a day. At Islington Central Medical Centre we are a caring and approachable team doing our best to improve the health and wellbeing of our patients by providing quality primary care services in a sustainable manner. In emergencies, call 999 or go to A&E. Pharmacists can offer clinical advice and over-the-counter medicines for a range of minor health concerns (and can often see you the same day). They wanted technology to help them work smarter and quickly grew to become the NHS’s leading online consultation provider. Find a pharmacy near you. You can submit a consultation when your practice reopens. 2196/32101 Corpus ID: 248323576; The Ontario Electronic Consultation (eConsult) Service: Cross-sectional Analysis of Utilization Data for 2 Models @article{Guglani2022TheOE, title={The Ontario Electronic Consultation (eConsult) Service: Cross-sectional Analysis of Utilization Data for 2 Models}, author={Sheena Guglani and. eConsults & eReferrals. In emergencies, call 999 or go to A&E. ) E-Consult is NOT recommended for patients that require examinations or diagnostic procedures that can only be performed in-person by a physician. The free eConsult toolbar allows you to seamlessly: respond to your patients via SMS or Post Consult Message (PCM/ eConsult email) send files such as sick notes. This will allow you to get help or advice from your GP online and receive a response by the end of the next working day. Europe PMC is an archive of life sciences journal literature. The fall festival is especially fun with tons of things to do for all ages. Beith Health Centre GP Practice. In emergencies, call 999 or go to A&E. Los Angeles County provides specialty care services for My Health LA (MHLA) participants at Health Services facilities. You can submit your own eConsult once you are 16 years old . If you need help, call the practice. eConsult was selected as the online consultation provider for all medical centres across the 124 MOD sites. Early recognition of frailty is challenging. If you need help, call the practice. 1136/bmjopen-2018-028888 **National Implementation Infographic** Liddy C, Moroz I, Mihan A, Keely E (2019). You can submit a request again from 6am tomorrow. Service delivery partners are OntarioMD and eHealth Ontario, with the support of the Ministry of Health and Long-Term Care. As eConsult systems continue to evolve, continuous system improvement cycles are recommended to adapt to the needs of the growing user base. Background: Electronic consultation (eConsult) is an asynchronous electronic communication tool allowing primary care providers to obtain a specialist consultant's expert opinion in a timely manner, thereby offering a potential solution to excessive wait times for specialist care, which remain a serious concern in many countries. If you need help, call the practice. Outside of practice hours, call 111. In emergencies, call 999 or go to A&E. You can submit a request again from 9am today. Outside of practice hours, call 111. Dear Patients, Due to current high levels of demand, our eConsult service will be open from 7. Outside of practice hours, call 111. Background Frailty is a complex age-related clinical condition that increases vulnerability to stressors. Electronic consultation (eConsult), a. eConsult online consultations are only accepted Monday to Friday, 8am-6. Outside of practice hours, call 111. In emergencies, call 999 or go to A&E. Outside of practice hours, call 111. Email. Outside of practice hours, call 111. The 2-day conference brings together 1,200+ attendees, and sessions from leading and innovative retailers, direct-to-consumer brands, and tech companies. doi: 10. 30am tomorrow. Introduction Electronic consultations (eConsult), asynchronous exchanges of patient health information at a distance, are increasingly used as an option to facilitate patient care and collaboration between primary care providers and specialists. You can submit a request again from 6pm today. Your practice isn’t accepting online requests right now. Step 2: (within 1 week) The specialist reviews the eConsult and either provides advice to your health care provider or recommends an in-person appointment. Find your symptom, condition or request. Outside of practice hours, call 111. 30am today. You can submit a request again from 7am tomorrow. This is not a decision that is taken lightly, however, due to continued unprecedented demand it is a necessity to allow. Help is available from 111. In emergencies, call 999 or go to A&E. Conclusions: This study showed successful implementation and use of the eConsult service for pediatric hematology/oncology and resulted in avoidance of a large number of face-to-face consultation. This email will also contain the unique reference number for your eConsult, should you need to speak to the Practice about any of the information in contains. Your Mayo Clinic Health System provider may use an eConsult to seek a Mayo specialist’s opinion concerning your care. Alysson has been a Change Management & Adoption Specialist with cSWO since May 2015. Please do not to use eConsult for urgent issues. eConsult online consultations are only accepted Monday to Friday, 8am-6. The practice responds with advice, a prescription or an appointment. You can use eConsult at the following times: Monday – 07:30 to 10. You can submit a request again from 7. You can submit a request again from 8am tomorrow. Impact indicators included time interval to obtain specialist advice, effect of specialist advice on the. 30pm-7:30pm but may close earlier if the practice reaches capacity for the day. If you need help, call the practice. The specialist then gives advice or renders an opinion that the primary. By collecting patient information eConsult enables the practice to make safe and effective decisions on the right care for each patient. Content, response. In emergencies, call 999 or go to A&E. 2. Outside of practice hours, call 111. In emergencies, call 999 or go to A&E. The key eConsult reply components generated through this robust strategy will now be used to create resources that can be used for training specialists providing eConsults and creating an instrument that may be useful for evaluating quality of responses. Once this cap is reached the eConsult website will. Online consultations enable patients to use a secure online system to ask questions and report symptoms and we can. You can submit a request again from 8am today. Electronic consultation (eConsult) services are emerging as a promising means of leveraging electronic health records (EHR) to improve inter-clinician communication and increase the timeliness and efficiency of medical care. Help is available from 111. Uses the eConsult BASE™ managed specialty model and OTN direct to specialist model. In emergencies, call 999 or go to A&E. In emergencies, call 999 or go to A&E. ca. The eConsult service has been reported previously. If you need help, call the practice. If you need help, call the practice. Our salt comes in various grain sizes, making it perfect for repackaging as an ingredient in other products. You can submit a request again from 8am tomorrow. Outside of practice hours, call 111. In emergencies, call 999 or go to A&E. The 1115 Waiver Global Payment Program in California specifically calls out econsults under a service category example. Dial 111 on any phone for advice, or visit the NHS 111 website – 111. 30am-9. You can submit a request again from 8am tomorrow. Outside of practice hours, call 111. Outside of practice hours, call 111. Assessment of the Generalizability of an eConsult Service through Implementation in a New Health Region. Online consultations allow our patients to contact the Practice without having to wait on the phone or take time to come into the practice in person especially if a patient is not sure whether they need a face to face consultation. Outside of practice hours, call 111. In emergencies, call 999 or go to A&E. Empower clinical decision-making and diagnoses with the help of the largest, most. Your practice doesn’t accept online consultations over the weekend. If you need help, call the practice. Benefits. eConsult. You can submit a request again from 2am tomorrow. Methods This is a retrospective eConsult review study. Our self-service help centre gives you 24/7 support when you need it most and our live chat is available when you need more. Abstract. B2C fulfilment network. While primary care providers (PCPs) serve as the first point of contact for most older adults, convenient tools for identifying frailty in primary care are lacking. eConsult is free to use for NHS patients. Methods: There were 225 eConsults directed to rheumatology that were categorized by type of question and effect on face-to-face referral rates. Electronic consultation (eConsult) is a secure online application that allows primary care providers (PCPs) and specialists to communicate regarding a patient's care. Background: Many health organizations are exploring the potential of electronic consultation (eConsult) services to address excessive wait times for specialist care. Pharmacists can offer clinical advice and over-the-counter medicines for a range of minor health concerns (and can often see you the same day). Implementing an opt-in eConsult program at seven academic medical centers: a qualitative analysis of primary care provider experiences. Please read the following information before submitting an eConsult: Please be aware that in order to avoid disappointment and to maintain safe clinical practice. You can submit a request again from 6. 3. Find a pharmacy near you. The Champlain BASE eConsult service has educational value for providers. -Participate in project progress meetings, providing updates and. They also provide a unique opportunity to use real-world patient scenarios for reflective learning as. If you need help, call the practice. eConsult is a secure web-based tool that allows physician or nurse practitioner timely access to specialist advice for all patients and often eliminates the need for an in-person specialist visit. You can submit a request again from 7am tomorrow. The 2-day conference brings together 1,200+ attendees, and sessions from leading and innovative retailers, direct-to-consumer brands, and tech companies. In a nutshell, eCom Success Academy is a "new age" training course which reveals how Adrian MorrisonThe eConsult Service. Your practice doesn’t accept online consultations over the weekend. Triaging is essential when you may be dealing with hundreds of patients a day, all with different needs, requests and health backgrounds. eConsult online consultations are only accepted Monday to Friday, 3:30pm-4:00pm but may close earlier if the practice reaches capacity for the day. This will open the documents so that you can add a code. Lamont Primary Health Care Research Centre, Bruyère Research Institute, Ottawa, ON, Canada. Before you contact your GP practice, consider checking your symptoms with NHS 111 Online. My Health offers teleconsult services for patients who need immediate consultation services. Your practice doesn’t accept online consultations over the weekend. Welcome . 30pm today. £20,000 - £30,000. Olive & Cocoa specializes in unique, luxury gift crates and fresh-cut floral arrangements for any occasion. Dr. It aims to help top-tier retail and ecommerce brands share, learn, and evolve their customer acquisition strategy. Outside of practice hours, call 111. Compared to a face-to-face consult, the cost of an eConsult was, on average, $84 lower per patient per month, for annualized savings of over $578,592 to Medicaid. We can create HIPAA-compliant video rooms for every single session. Outside of practice hours, call 111. Our online consultation platform is available from your practice’s website or the NHS App in England, for ease of use. 30pm but may close earlier if the practice reaches capacity for the day. If you need help, call the practice. You can use eConsult at the following times: Monday to Thursdays – 24 hours. Monthly Max Impact Award, Canada Health Infoway Challenge, January 2015. If you need help, call the practice. In emergencies, call 999 or go to A&E. Meanwhile, Dr Karl Graham, a partner at the practice, had heard about the portal from a separate conference, and so together they persuaded the team of partners at the practice to invest in one year of the. For children < 6 months please phone the surgery. T. You can submit a request again from 6. eConsult online consultations are only accepted Monday to Friday, 7am-4pm but may close earlier if the practice reaches capacity for the day. Conclusions: PCPs described eConsult's ability to foster stronger relationships with specialists, deliver responses that provided teaching in multiple areas of their practice, and support further learning that extended beyond the case at hand and into their overall practice. If 18 or over submit your eConsult normally. Date de contact misiuni diplomatice/oficii consulare. Help is available from 111. Your practice isn’t accepting online requests right now. NHS England suggests alternatives to Internet Explorer, any of which will work with our products. In the direct-to-specialist (DTS) model, PCPs select an individual specialist from a directory and send their question to themhas an eConsult service and an eConsult may be deferred to them. ) E-Consult can only cater to patients with non-emergency, non-urgent medical cases. Our team of five physicians (four specialists and one PCP) and two health professions education researchers held a meeting to review and refine the 14 key elements for effective eConsult specialist communication, as reported previously.