(Andrea) Good morning, and good afternoon, everyone,
and thank you for joining us for today's webinar,
Value Based Purchasing:
Five Key Ways The Joint Commission Positions Your Center for Success.
Joining me today is Sapna Patel, who is the Associate Director
of the Nursing Care Center Accreditation Program here at The Joint Commission.
Her main role is to advise nursing care leadership and organizations
when they're pursuing accreditation,
as well as how The Joint Commission
can deliver the significant value for those organizations.
I'm so glad that she's joining us today.
So, thank you, Sapna, for being here with us.
And I'm going to hand it over to you to talk about the agenda.
Thank you, Andrea, and good afternoon, everyone,
and thank you for taking your time and being with us here today.
For today's presentation, we will understand the concept
of value-based relationships.
We will review some challenges and keys to value-based success.
We will also tap into some of the value-based program examples,
such as Medicare, Medicaid insurance.
And, at the same time, throughout this presentation, we will discuss
how Joint Commission can help you build a foundation for value-based successes.
Next slide.
I'll just start with a high-level overview of value-based care.
As we know, insurance companies often use a private accreditation
as a way to validate quality.
Next slide.
Value-based health care is a healthcare delivery model
in which providers are paid based on patient health outcomes
and quality metrics.
Value-based health care differs from fee for services
in which providers are paid based on the amount of health care services
they deliver.
So, who is affected by this model?
Well, patients spend less money to achieve better health,
face fewer doctor visits, less medical tests and procedures.
At the same time, providers achieve a higher efficiency
and greater patient satisfaction.
While providers may need to spend some more time
on new prevention-based patient services,
but they will spend less time on chronic disease management.
This model also affects payers as they can control cost and reduce risk.
Suppliers are also affected, because they align prices
with patient outcomes.
Suppliers benefit from being able to align their products and services
with positive patient outcomes and reducing the cost.
So, why do we have this concept?
Society becomes healthier, while reducing overall healthcare spending;
less money is spent helping people manage chronic diseases
and costly hospitalizations and medical emergencies;
and the outcome to this is causing providers
to change the way they bill for care and the way they organize the care.
Instead of being paid by number of visits,
payments are now based on value-based care.
Next slide.
At this time, we would like to entertain you with any questions,
and I will hand it over to you, Andrea.
Thank you, Sapna.
We're going to launch this poll, and what we'd like to know
is what best describes the value-based plans
that you are currently participating in,
and you can select all that apply,
whether it be state-based, Medicare value-based quality incentives,
managed care scorecards, none, not sure.
Just to get an idea of currently the type of plans.
And I'm going to let this go for just a few more seconds.
We're getting some great, great input.
And we know there's so many out there, so it does help us to know.
Just to get a feel, okay.
Well, this is terrific.
So I'm going to go ahead and close this out and share,
just so you can see the results.
So, you can see that the majority are with the Medicare,
the value-based Quality Incentives.
But then, followed by Managed Care.
And then, "Not Sure."
So, I hope that this presentation is very helpful.
I'm going to bring it back to you, Sapna.
Yes, thank you, Andrea, and thank you, everyone, for answering the question.
And certainly, how Andrea mentioned, we do see a lot of you are,
in fact, taking the advantage of Medicare SNF, value-based plan.
In this presentation, you might also come across some of the other recognitions
that maybe you are not aware about,
and something that you might want to think about
once we go through this presentation.
So, next slide, Andrea.
So, five ways we position you for success and value-based care.
At The Joint Commission, we feel that at least there are five key ways
that we can help your organization with these value-based care models.
Next slide.
Expertise that The Joint Commission can deliver your organization with.
We have proven data that The Joint Commission accredited organizations
still, in fact, show better outcomes.
Our standards can help create efficiency and provide a safety culture
within your organization.
And, last, but not least, well recognized Gold Seal Award
can help you gain the distinction and recognition in your market.
Next slide.
So, first, let's talk about the expertise that The Joint Commission
has to offer to various healthcare organizations.
Next slide.
Going back to the roots of Joint Commission,
the company was founded in 1951,
and today, we accredit more than 22,000 healthcare organizations in the nation.
We have a full continuum of care services.
And our Gold Seal Award really shows the commitment of your organization
to providing excellent care and safer environment for patients and residents.
As you're aware, Joint Commission is a market leader in accreditation,
and we have been serving the nursing home industry for over 50 years now.
So, our goal is to improve healthcare delivered to patients by collaborating
with healthcare organizations like yours
in creating a safer environment for our healthcare community.
Next slide.
Our surveyors are master-prepared professionals
who have been in the nursing home industry for several years
and have served the nursing home patient population,
so they really understand the day-to-day challenges
that the organizations face.
Of course, before going out and performing the surveys,
they do receive a robust process improvement training
at The Joint Commission.
So, The Joint Commission Surveys for nursing home
is more of a collaborative approach where the surveyors are there
to make sure that together we are able to provide a safer environment
for your patients and residents.
They provide organizations with their expert opinions, making sure
that the organization has the best policies and procedures in place
in order to deliver excellent quality of care.
Next slide.
Just to discuss a little bit about the survey approach,
our Nursing Care Center Accreditation surveys
are typically two to three-day survey
and they involve one surveyor.
It really depends whether you're seeking certification,
along with the accreditation,
and also the length of the survey is also dependent on the size of the center.
But our surveyors use a unique Tracer Methodology,
and this concept incorporates the use of information
to follow the experience of care, treatments or services
for selected patients
throughout the organization's entire healthcare delivery process.
These system tracers really allow the surveyors
to quickly view their system-wide processes across several departments
or even across multiple sites for multi-site organizations.
Where these system-wide processes could really be improved,
or where can we come up with a standardized approach.
And, of course, along with the clinical evaluation of the treatment
and assessment of physical facility,
there's also conferences with leaderships and dialogs with managers
to address any specific issues that were noted
during the survey and along with the corrective action plans.
Next slide.
So, because the mission of Joint Commission
is to continuously improve health care for public,
we aim to provide a consistent consultative guidance
to those seeking accreditation through our expert staff, tools, and resources.
The Business Development Team is an excellent resource
for any organizations that are wanting to learn more
about the accreditation process
and gain the access to the application.
This team will ask you questions about your company,
the type of the services you provide,
the number of patients receiving the services at your centers,
and what is the goal and when are you looking to get accredited?
By doing so, this will help you create a reverse roadmap
to achieving the accreditation goal.
And once you submit the application and pay the deposit,
you will be working with a dedicated Account Executive who will then help you
in making sure you have all the necessary tools and resources
to help you prepare for the survey.
Then, we also have our Standards Interpretation Experts,
who are available for any questions
about interpreting or understanding specific nursing care standards.
Next slide.
Along with our dedicated team of employees,
we also provide additional resources
on your customized Joint Commission Connect portal or Extranet.
But Electronic Standards Manual, which is the E-dition,
the Survey Activity Guide,
and some of the periodic officials, such as Joint Commission Perspectives
and some of the input and information
to really help you stay up to date on the standards
that you can include in your policies and procedures.
Next slide.
Better outcomes.
After investing the valuable time and energy into the accreditation process,
it is valid for organizations to really look
for better outcomes and better results.
Next slide.
Here is the comparison
of Joint Commission accredited organizations
and the non-accredited organizations.
As you can see, the blue bar is showing the accredited organizations
along with optional Post-Acute Certification,
the yellow bar shows accredited organizations,
and the red bar depicts non-accredited organizations.
As you can see, the accredited organizations
perform better in all four quality metrics:
in health inspection, quality rating, and staff rating.
And these results are very important,
because these results play an important role
in many value-based payment models
introduced by both public and private payers.
Many look at this as a demonstration or an indicator of quality
to really qualify providers for additional incentive payments
or contract participation.
Next slide.
There was a study published in JAMDA, that showed
that Joint Commission accredited organizations do, in fact, perform better
on quality measures, scope, and severity ratings,
and also financial impacts, compared to non accredited organizations.
Next slide.
The study also measured long-stay and short-stay measures,
where Joint Commission accredited organizations scored statistically higher
compared to the non-accredited counterparts.
Same results were for all five short-stay measures
when the accredited orgs were compared to the non-accredited orgs.
Next slide.
Now, moving on to how Joint Commission can help your organization
with efficiency in the process,
and efficiency across your entire organization.
Next slide.
For nursing care centers to be successful in a value-based program,
they must strive to understand and look at the opportunities
to reduce operational costs or minimize waste
by streamlining operators, standardized processes, and prioritizing efforts.
Any investment and streamlining operations
and eliminating waste from the process of care delivery
goes directly back to the nursing care center.
Nursing care center must develop the sophistication
to understand the cost structure combined with a sound process of care
and review every potential category of waste,
waste that stems from work that is not standardized,
or even unnecessary prescriptions or test orders, patient harms,
or redundancy of unnecessary tasks.
There are, in fact, studies that indicate
that process and efficiency is one of the top preventable areas of waste,
followed by overuse or even preventable harm.
As much as 40% of healthcare dollars spent are in waste.
That is exactly where Joint Commission accreditation can help your organization
really standardize processes to increase efficiency throughout your organization.
Next slide.
We feel that the accreditation is measured as a tool,
and not a barrier to efficiency.
And that is why with The Joint Commission, accreditation is on your terms.
You decide when to apply and designate some of the avoid dates
for your on-site survey.
Our non-prescriptive standards allow you to meet our requirements
based on your resources and your capabilities.
We tell you the "what," and you tell us the "how."
For the Gold Seal, there is no progressive levels to achieve.
You can earn the award
right after completion of your first successful survey.
Next slide.
Because The Joint Commission serves the complete continuum of care,
there is efficiency across multiple programs and service lines.
We have programs for hospitals, ambulatory care, labs, home care,
nursing care centers, behavioral health cares.
So there is efficiency across multiple service lines,
when you have only one accreditor for all of your programs.
Next slide.
And talking about continuum of care, I would like to point out
that in the last 20 years, Joint Commission,
for the first time, is adding a new accreditation program:
that is Assisted Living Accreditation Program.
And we're very excited for this new program,
and we are hoping to stay on track to launch this program
as early as July 1st of 2021.
Next slide.
Talking about the standards,
the foundation for quality for The Joint Commission is our standards.
Along with clinical operations, we have standards
on management operations, environment of care,
leadership and staff knowledge, leadership and staff competencies.
We really feel that standardization creates operational efficiencies
throughout the organization,
and our standards create a holistic approach
towards excellent quality of care and patient safety.
Next slide.
We talked about standards providing efficiency,
but The Joint Commission Survey process
in itself is also an efficiency tool.
The Joint Commission has developed the survey analysis for evaluating risk,
which is called a SAFER Matrix.
And it is a transformative approach for really identifying
and communicating the levels of risk associated with deficiencies
that are cited during the survey.
Each requirement for improvement, or RFI, noted within your final report
during the survey, is plotted on this SAFER Matrix,
according to the likelihood of that RFI.
If it could cause harm to patients, staff, and/or visitors, or even the scope
at which the RFI was observed.
So the SAFER Matrix is included in all of our survey reports
and it also drives the level of post-survey follow up
that is required if there is any.
So, along with standards,
even our surveys are in itself creating an efficiency across the organization.
Next slide.
Along with SAFER Matrix, we have also developed the SAFER Dashboard.
The SAFER Dashboard really aggregates survey findings at the organization
or even multiple site organizations.
If you have several programs, the SAFER Dashboard also aggregates survey findings
across all of the program levels.
This dashboard includes national comparison data
and organization level comparison data.
The Survey Matrix are also included that shows the number of surveys,
total survey findings, and most frequently scored findings.
This tool is a great tool,
especially for multi-site or multi-program organizations,
where you can see all the metrics, along with the national data, on one screen.
And as of April 6th, this tool will be available
to all of our accrediting organizations and all programs.
Next slide.
So now, let's watch a short clip from our current customer
who shares her experience on what difference
did accreditation make for their facility.
♪ (music) ♪
(Liz Weingast) The best thing that Joint Commission Accreditation
helps us do for our patients is really prioritizing what safety is about.
Giving us that language is tremendously supportive and helpful.
And standardizing how to get there is actually very helpful
when you have more than one facility or group in your organization,
it really helps to spread the consistency.
Some of the measurable benefits we see from accreditation, absolutely--
referral sources recognize us.
Other measurable things that we can see from accreditation,
is, actually, quality outcomes.
We really see active changes when in areas that we know we need to focus on.
We are 110% ready for the CMS QAPI regulations,
because we've been following The Joint Commission Standards
for so many years, we really are raising the bar for the outcomes
for the patients we serve.
Alright.
As you noticed, the video really talked
about some of the aspects that we covered in this presentation.
And we hear this more often from our already accredited organizations
that Тhe Joint Commission Standards are obviously above the CMS guidelines,
so the organizations are ever ready for a CMS State Survey.
The accreditation has,
as you had seen in the video, we hear this from our other customers as well,
that the accreditation has helped them to get into the post-acute networks
with the hospital.
It really does drive quality in a different direction,
where it can obviously make your organization our market leader.
Let's talk about Safety Culture.
Andrea, next slide.
Okay. Along with expertise, efficiency and better outcomes,
the Joint Commission Accreditation offers unmatched learning opportunities
for ongoing quality improvement efforts
and really creating a safety culture for the entire organization.
Next slide.
Safety culture is a sum of what an organization does in pursuit of safety.
Fostering a safety culture is important to delivering value-based care.
And Joint Commission accreditation focuses on continuous quality improvement
and residence preferences, and honors staff contributions
with cross training, staff decision making, and teams.
And for optimal success, it is important
to address both cultural and organizational structures.
As we know, higher residents, staff, and family satisfaction levels
leads to lower staff turnover rates.
Next slide.
The Joint Commission places a heavy emphasis on not only safety culture,
but also process improvement,
along with building a safety culture together.
The standards are the basis of an objective evaluation
of organizations processes.
These evaluations can help healthcare organizations measure,
do a self assessment, and improve performance.
The standards really focus on the review of important patient, individual's
or resident care processes, as well as an organization functions
that are essential to providing safe and high quality of care.
Next slide.
Along with expertise, efficiency, better outcomes, and safety culture,
the Gold Seal provides distinction and recognition,
as we already heard in the video from our current customer.
Next slide.
Going through the accreditation process and achieving the Gold Seal of approval
really enhances your reputation and also helps your organization
to compete effectively in your market.
It creates recognition and distinction amongst your referral sources,
and it really helps you exceed in your market.
Next slide.
Along with our traditional accreditation,
we also have ad-on optional certifications for nursing care centers.
Such as the Post Acute-Care Certification, Memory Care Certification,
Disease-Specific Care, and also Integrated Care Certifications.
If you have a facility that is primarily focused on short-term
or post-acute care patients,
and you're really trying to get a niche in that market,
then you might want to think about adding the Post Acute-Care Certification,
along with the accreditation.
Same goes for Memory Care.
For disease-specific, we also have some nursing care centers
who have opted for Stroke Certifications or Cardiac Care Certifications,
along with the Nursing Care Center Accreditation.
Next slide.
So, we will now tap into some of the value-based programs.
As most of you have already selected the Medicare SNF value-based program,
you're already aware how this program works.
In 2018, CMS decided to withhold about 2%
of SNF's Part A Medicare payments to fund this program.
And this 2% is obviously referred as a withhold.
CMS then redistributes
between 50% to 70% of this withhold percentage
to SNFs as an incentive payment, based on the required quality metrics,
such as re-admission data, coordination of care, [ ] planning, etc.
And at the same time, there are some states in the nation
that have also recognized Joint Commission Accreditation
and have attached some incentives in the State Medicaid program.
There are insurance and payers who recognize the accreditation
and have made the accreditation as a requirement
for plan or network participations.
And, of course, there comes recognition amongst the hospitals
and ACO-preferred Provider Networks liability insurance.
And we'll walk through some of these in detail as we move in our presentation.
Next slide.
Again, this is just talking about specifically
how state and payer are widely recognizing
The Joint Commission Accreditation.
And we'll look at some of the examples.
Next slide.
There are several states in the nation,
such as some of these 14 states that are shown here.
And this is something new in 2021, where the Joint Commission Accreditation
can effectively boost reimbursement for plan participants
meeting various quality measures.
And you all will be provided a copy of this presentation,
and there are links throughout the presentation
where you can click in order to learn more.
And if you do recognize your state, and if you're not aware
about any recognitions after this presentation,
please, please feel free to reach out to me or my team
and we would love to help you.
Next slide.
Florida PPS system.
Joint Commission Accreditation is recognized as a quality credential
in the Florida Medicaid Prospective Payment System.
And we are seeing several other states going in the same direction,
where the state of Florida went a couple years ago.
We're really seeing more and more states
recognizing the benefits that Joint Commission Accreditation
has to offer to the nursing home industry.
Next slide.
Certain payers require accreditation for nursing homes
in order to be in network with those insurances.
And the state of Illinois is one of them, where one of the insurances,
one of the payers require nursing homes to be accredited,
if they want to accept that particular insurance patient.
Next slide.
And same goes with the State of Massachusetts.
There is network participation requirement,
where Joint Commission Accreditation has been recognized.
Next slide.
Here comes the state of Ohio.
The Ohio Department of Aging recognizes
Joint Commission Accreditation for Nursing Care Centers
for its quality incentive that requires licensed nursing homes
to participate in a quality improvement project every two years.
As you might be aware, Joint Commission accreditation
is good for three years.
We come out and survey a facility every three years.
If you're in the state of Ohio, you might want to think
about this value based program,
because it will just put you up compared to your peers.
Next slide.
Talking about Tennessee QuILT.
In the state of Tennessee, nursing homes can earn extra 10 points
by achieving the Joint Commission Nursing Care Center Accreditation,
which places the facility into one of the three quality tiers
that results in escalating the reimbursement for those facilities.
Next slide.
Alright. So I believe we have another poll question for you guys.
So, Andrea, I will have you take over now.
(Andrea) Thank you, Sapna.
What we wanted to know was,
of those recognitions that Sapna just reviewed,
which ones, if any, are you currently participating in?
And, again, you can select all that would apply,
because we know that it's never, always black and white
when it comes to these topics.
So, is it: "Yes, with Joint Commission accreditation,"
"with other quality programs," you "didn't know they existed,"
you "don't qualify," or you're "not sure?"
And thank you, we're getting some great participation.
I think we'll just let that go for maybe one more second.
Let's see where everybody goes.
And I'm going to go ahead and first of all,
thank you for participating.
And I go ahead and launch those results.
So, you can see, it's a roughly half-half that are with Joint Commission
and using other quality programs.
I'm glad to see that everyone knows they existed.
And just a few that are not sure.
Okay.
So, Sapna, I'll send it back to you.
Alright, for the next step, the next slide
is talking... all right, so you can go to the next slide, Andrea.
Аfter we are learning more about the recognitions,
if there's any questions and if you wanted to learn more
about the process and the details
of this Joint Commission Accreditation Program,
even the Assisted Living program,
please feel free to contact our staff.
Monnette Geronimo is my co-worker, and there's me,
and then we also have Gina Zimmermann,
who is the Executive Director for this program.
And next, I believe, Andrea, is your demo.
(Andrea) Yes, we wanted to make sure
that you knew the website is also a wonderful resource
to find out some more information.
What I'm going to do is do a little demo,
so that you know where to access some information.
Sometimes it's nice to see someone drive through the site.
Before I do that, I did want to go ahead and prompt,
to think if you do have questions, we'll be taking those questions soon.
What I will do is take you to our Joint Commission website.
And as you can see, this is actually the landing page
for our Nursing Care Center page.
If you were to go to jointcommission.org,
under Accreditation and Certification, Health Care Settings,
you would select Nursing Care Center,
and that would take you to this landing page here.
And I errantly selected another link.
A little excited.
But what I wanted to point out was what we've tried to do
is organize our information for you,
based on your stage of accreditation, if you will,
and where you're at in the journey for accreditation.
So we've created these four buckets in the upper right-hand corner for Learn.
That's if you're wanting to learn more information about accreditation.
Prepare, that once you've decided to apply,
you're getting ready for your survey.
The Sustain is after you've completed your survey with Joint Commission,
and now you would like to access tools and resources to maintain the status.
And then the Excel, that's going to provide
information on different projects or, perhaps, certifications,
different means that you want to embark upon
to take your organization to the next level.
But for today's purpose, we're just going to focus on the Learn phase.
And the Learn phase, this is, we're going to find a lot of key information
that you would need to learn more about accreditation.
When we look at why Joint Commission,
that's going to obviously give you some key benefits to the process--
that state and payer recognition.
That is what Sapna was covering today.
It is where you're going to access this page when you want to learn
the different types of recognition
that the Joint Commission has for Accreditation of Nursing Care Centers.
That's where you can find that page.
We've talked about eligibility, process, and pricing.
We talked about our standards and how important they are for the framework.
If you looked under Standards here, this is actually where,
if you wanted to see what our actual requirements are,
you can go ahead and request a free 90-day trial here.
They'll send you an e-mail with some login information,
and for 90 days, you'll have free access to our Standards Manual.
This is some other information that's really going to be helpful
for you when it comes to learning about the process.
Some other things I did want to point out,
one of the key questions we do receive
is what organizations are accredited by The Joint Commission.
I just want to point out quickly this website.
This is called Quality Check.
If you go under our Websites section, and you click on the Quality Check,
this is where you can find organizations
currently accredited by The Joint Commission.
You can see, it allows you to select
by organization, service, state, city, or zip.
But if you're not aware, you don't really know,
what you could do is hit the Locate button,
and it's going to prop up all of these filters that you can go ahead, select.
If you're not sure of this specific organization,
you'd rather select the type of service,
the program that it offers,
or these are different services, specific services,
or, perhaps, any certifications,
if they have deemed programs.
This is how you can go ahead and find those organizations that are accredited
by The Joint Commission.
Hopefully, that's going to give you some nice information that you can use.
And I wanted to end with, as we talk about why Joint Commission,
just because this is a nice way of reiterating some of the content
that is in this presentation,
you can see we do have links to that study that Sapna referred to
about better outcomes.
Again, talking about the recognitions, as well as what our customers say.
And some more stories from our customers,
and how Joint Commission has really benefited them and their organization.
Sapna, was there anything else that you wanted me to review at this time?
(Sapna) No, I think we're good.
If there are any questions, please feel free to use this time.
(Andrea) Great. That is a perfect segue, Sapna,
offering people to submit their questions.
Once again, if you do have questions right now,
please go to the Questions section of your control panel,
and just submit those questions.
They will be anonymous.
And we're happy to address any that you have coming in right now.
Sapna, I do have a question here, and it does ask what an organization
should do to find out if their organization
does have recognitions with The Joint Commission.
(Sapna) Sure. It is how we talked about--
there are state and payer recognitions.
You can reach out to us,
and depending on if it's one site or if it's a multi-site organization,
depending on what state your centers are, or even what payers,
patients that you admit in your facility,
we can look at the recognitions, and we can share all the details
with you, based on how Joint Commission
recognizes in your particular state or even the payers.
(Andrea) Thank you, and Sapna, I'm going to add on to that.
On that page that we reviewed for the recognitions, we do have a link,
as Sapna just referred to, where it does take you to that state recognition page.
And we also have a link to our payer recognitions.
These are actual resources and staff that are dedicated
to trying to gain additional recognitions
for ones that we currently don't have today.
We're very proud of those resources, and we do encourage you,
if you have questions, you can engage with our staff here,
we'd be happy to broker that relationship in order to see if we can secure
additional recognitions for providers.
So I wanted to make sure to point that out.
Sapna, another question is: are there any future recognitions in the near future
that we see coming on board that we can allude to today?
(Sapna) Yes, absolutely.
Like I had mentioned, especially the state of Florida
recognizing The Joint Commission Award,
similarly, there are a couple other states that are talking to The Joint Commission,
and one of the examples, I would say, is also the State of Georgia.
They are planning to move in the direction,
where state of Florida went in,
where the nursing homes will be provided with some incentives
in the Medicaid reimbursement, if the nursing care centers are, in fact,
accredited by The Joint Commission.
And we have a state and peer relations team at The Joint Commission,
which is continuously trying to expand
our collaborative relationships
with several states and payers across the nation.
That's across all programs of The Joint Commission.
So, yes, we are absolutely working right now, so stay tuned.
There are lot of good things in the works with a lot of other states
in the Nursing Home and as well as Assisted Living Programs.
(Andrea) Thank you, Sapna.
At this time, I do not see any additional questions.
I wanted to make sure that I just made you aware
of some other quick resources that we have for you.
When we do conclude today, we are going to ask you
to complete a very short survey.
I believe it's four questions, just so you could let us know
how this presentation worked for you today.
We will be sending you, again, a copy of today's slides and recording.
And if you want to see additional webinars that we've recorded in the past,
we have a link to our webinar replay page.
And, again, we just want to, please, make sure that you know to reach out to us
with any questions or concerns you may have.
Here's our contact information,
as well as some links to our social media sites.
With that, I'd like to thank you all or taking time out of your day
to join us for this presentation,
and thank you, Sapna, for presenting today's content.
(Sapna) Thank you, everyone. Thanks, Andrea.
(Andre) Thank you! We hope you have a wonderful rest of the day,
and we look forward to speaking with you soon.
Take care, everyone.