Write a 4-6 page policy proposal and practice guidelines for improving quality and performance associated with the benchmark metric underperformance you advocated for improving in Assessmen
- Write a 4-6 page policy proposal and practice guidelines for improving quality and performance associated with the benchmark metric underperformance you advocated for improving in Assessment 1.
Introduction
In advocating for institutional policy changes related to local, state, or federal health care laws or policies, health leaders must be able to develop and present clear and well-written policy and practice guideline proposals that will enable a team, a unit, or an organization as a whole to resolve relevant performance issues and bring about improvements in the quality and safety of health care. This assessment offers you an opportunity to take the lead in proposing such changes.
As a master's-level health care practitioner, you have a valuable viewpoint and voice on policy development, both inside and outside your care setting. Developing policy for internal purposes can be a valuable process toward quality and safety improvement, as well as ensuring compliance with various health care regulatory pressures. This assessment offers you an opportunity to take the lead in proposing such changes.
Instructions
Propose an organizational policy and practice guidelines that you believe will lead to an improvement in quality and performance associated with the benchmark underperformance you advocated for improving in Assessment 1. Be precise, professional, and persuasive in demonstrating the merit of your proposed actions.
Requirements
The policy proposal requirements outlined below correspond to the scoring guide criteria, so be sure to address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, be sure to note the requirements for document format and length and for supporting evidence. - Explain the need for creating a policy and practice guidelines to address a shortfall in meeting a benchmark metric prescribed by local, state, or federal health care policies or laws.
- What is the current benchmark for the organization and the numeric score for the underperformance?
- How is the benchmark underperformance potentially affecting the provision of quality care or the operations of the organization?
- What are the potential repercussions of not making any changes?
- What evidence supports your conclusions?
- Summarize your proposed organizational policy and practice guidelines.
- Identify applicable local, state, or federal health care policy or law that prescribes relevant performance benchmarks that your policy proposal addresses.
- Keep your audience in mind when creating this summary.
- Analyze the potential effects of environmental factors on your recommended practice guidelines.
- What regulatory considerations could affect your recommended guidelines?
- What resources could affect your recommended guidelines (staffing, financial, and logistical considerations, or support services)?
- Explain ethical, evidence-based practice guidelines to improve targeted benchmark performance and the impact the proposed changes will have on the targeted group.
- What does the evidence-based literature suggest are potential strategies to improve performance for your targeted benchmark?
- How would these strategies ensure performance improvement or compliance with applicable local, state, or federal health care policy or law?
- How can you ensure that these strategies are ethical and culturally inclusive in their application?
- What is the direct impact of these changes on the stakeholders’ work setting and job requirements?
- Explain why particular stakeholders and groups must be involved in further development and implementation of your proposed policy and practice guidelines.
- Why is it important to engage these stakeholders and groups?
- How can their participation produce a stronger policy and facilitate its implementation?
- Present strategies for collaborating with the stakeholder group to implement your proposed policy and practice guidelines.
- What role will the stakeholder group play in implementing your proposal?
- Why is the stakeholder group and their collaboration important for successful implementation?
- Organize content so ideas flow logically with smooth transitions.
- Proofread your proposal, before you submit it, to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your proposal.
- Use paraphrasing and summarization to represent ideas from external sources.
- Be sure to apply correct APA formatting to source citations and references.
- Policy Proposal Format and Length
It may be helpful to use a template or format for your proposal that is used in your current organization. The risk management or quality department could be a good resource for finding an appropriate template or format. If you are not currently in practice, or your organization does not have these resources, many appropriate templates are freely available on the Internet.
Your policy should be succinct (about one paragraph). Overall, your proposal should be 4–6 pages in length.
Supporting Evidence
Cite 3–5 references to relevant research, case studies, or best practices to support your analysis and recommendations.
Portfolio Prompt: You may choose to save your policy proposal to your ePortfolio.
Competencies Measured
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria: - Competency 1: Analyze relevant health care laws, policies, and regulations; their application; and their effects on organizations, interprofessional teams, and professional practice.
- Explain and interpret for stakeholders the need for creating a policy and practice guidelines to address a shortfall in meeting a benchmark metric prescribed by local, state, or federal health care policies or laws.
- Competency 2: Lead the development and implementation of ethical and culturally sensitive policies that improve health outcomes for individuals, organizations, and populations.
- Summarize a proposed organizational policy or practice change guideline and analyze the potential effects of environmental factors on recommended practice guidelines.
- Competency 3: Evaluate relevant indicators of performance, such as benchmarks, research, and best practices, to inform health care laws and policies for patients, organizations, and populations.
- Explain how ethical, evidence-based practice guidelines to improve targeted benchmark performance will impact a stakeholder group needed for successful implementation of the policy or practice change.
- Competency 4: Develop strategies to work collaboratively with policy makers, stakeholders, and colleagues to address environmental (governmental and regulatory) forces.
- Explain why particular stakeholders and groups must be involved in further development and implementation of a proposed policy or practice change to improve quality and outcomes.
- Present strategies for collaborating with a stakeholder group to implement a proposed policy and practice guidelines.
- Competency 5: Produce clear, coherent, and professional written work, in accordance with Capella's writing standards.
- Organize content so ideas flow logically with smooth transitions.
- Support main points, assertions, arguments, conclusions, or recommendations with relevant and credible evidence.
1
Policy Proposal
Brittany Leese
Capella University
Health Care Law and Policy
June 2022
This study source was downloaded by 100000757798438 from CourseHero.com on 01-26-2023 01:04:15 GMT -06:00
https://www.coursehero.com/file/158370636/NHS-FPX-6004-LeeseBrittany-Assessment2-1docx/
2
Policy Proposal
Mercy Medical Centers is one of the region’s top choices for the highest quality health
care. While being ranked in the top, there is always room for improvement to better serve the
community. The diabetic patient population that chooses care at Mercy Medical Center are not
receiving the highest quality of care, based on national benchmarks. Throughout this paper there
will be discussion on the need for a change in policy and practice guidelines. The environmental
factors on implementation and the need for key stakeholders to be involved to have successful
implementation will also be reviewed.
Need for Policy and Practice Guidelines
Diabetes is the leading cause of morbidity and mortality in the United States and the use
of preventative screenings limits complications and can improve health outcomes (Marino et al.,
2020). There is a standard national benchmark set forth to determine what is appropriate for the
diabetic population to be receiving a foot examination on at least and annual basis, this goal is 84
percent (NHQDR Web Site – National Diabetes Benchmark Details, n.d). The screenings
completed at Mercy Medical Center were on average of 58 percent completion for the years
2019 and 2020, this is significantly below an acceptable level of care provided to the diabetic
population in which it serves. Mercy Medical Center claims to provide top quality care, but there
is an obvious disconnect in need of addressing to provide better care for their patients.
The diabetic population often suffers from peripheral neuropathy and peripheral artery
disease, both of which affect the sensations felt in the distal extremities (Buschkoetter, 2019).
This increases the risk of unknown injuries or wounds sustained to the foot and becomes the
starting point for long-term complications for the patient. Due to the poor blood flow, it often
This study source was downloaded by 100000757798438 from CourseHero.com on 01-26-2023 01:04:15 GMT -06:00
https://www.coursehero.com/file/158370636/NHS-FPX-6004-LeeseBrittany-Assessment2-1docx/
3
takes the wounds on a diabetic foot a significantly longer time to heal, or some that never heal
and remain a chronic worry for the patient. It is reported that one third of the financial burdens of
caring for diabetic patient is related to the cost of caring for foot wounds, ulcers, and amputations
(Kurkela et al., 2022). Not only is this significant from a financial standpoint, but the quality of
life of those affected by diabetic foot complications or amputation is affected. It has been
determined that the completion of a comprehensive foot exam to evaluate for wounds, as well as
sensation, has been deemed beneficial for reducing the occurrence of diabetic wounds and ulcers
and should be an adopted practice by healthcare providers (Buschkoetter, 2019).
Policy and Practice Guidelines for Diabetic Foot Examinations
Policy Statement
Diabetic foot examinations are imperative to the care of the diabetic patient population.
This policy is intended to guide healthcare providers in ensuring completion of a foot
examination, including physical appearance and sensation, is completed annually during routine
visits. The practice guidelines will provide recommendations on how to best complete routine
foot examinations, as well as how to provide education to patients to complete self-exams at
home.
Scope
This policy applies to the healthcare providers, that includes and is not limited to:
medical doctor, doctor of osteopathic medicine, nurse practitioner, physician assistant and
nursing staff. All included are responsible and capable of completion of a foot examination on an
annual basis or more frequently for higher-risk patients, as well as providing patient education
for self-care at home.
This study source was downloaded by 100000757798438 from CourseHero.com on 01-26-2023 01:04:15 GMT -06:00
https://www.coursehero.com/file/158370636/NHS-FPX-6004-LeeseBrittany-Assessment2-1docx/
4
Practice Guidelines
It is at the guidance of the American Diabetes Association (ADA), there are some
guidelines already recommended for caring for the diabetic patient in regards to their foot exams.
The expectation is that each time a patient is evaluated in the office, regardless of the reason of
visit, the patients’ feet should be inspected for deformities or wounds, sensation, and vascular
blood flow (Syed, 2021). By completing this basic assessment, the healthcare provider will be
able to identify any existing foot wounds, or the risk of development of wounds. The diabetic
patients who have other comorbidities that make them high-risk, such as dialysis, smoking, or
previous history of a diabetic wound, will need to be monitored more closely and referral to a
foot specialist is recommended, as a multidisciplinary approach is best practice for this patient
population (Syed, 2021).
The recommendation by the ADA is that general preventative foot self-care education
should be provided to all diabetic patients during their visits (Syed, 2021). There were more
specific guidelines established by the International Working Group of the Diabetic Foot that will
be incorporated into the practice guidelines. It will be the duty of the healthcare provider
evaluating the diabetic patient to ensure to educate the patient on preventative care for their feet,
between visits. Topics to be discussed with the patients who are at risk for foot wounds are to
include: protect the feet by not going barefoot, inspect the inside of the shoe prior to application,
perform a daily evaluation of the foot surface and between the toes, washing the feet daily and
ensuring to dry thoroughly, cut toenails straight across-if unable to perform, seek professional
assistance with cutting nails, and encourage the patient to notify healthcare team if an
abnormality is found immediately to have it evaluated and treated (Bus et al., 2020). These items
can be discussed with the patient, family members, or caregivers that assist with activities of
This study source was downloaded by 100000757798438 from CourseHero.com on 01-26-2023 01:04:15 GMT -06:00
https://www.coursehero.com/file/158370636/NHS-FPX-6004-LeeseBrittany-Assessment2-1docx/
5
daily living during each visit and also could be provided to them in a handout form to reference
while at home, to continue self-care practices. It is not enough to review the self-care
examination with the patient, family member, or caregiver, it is also necessary to stress the
importance of completing it to prevent debilitating side effects from foot wound development
(Retinopathy, Neuropathy, and Foot Care: Standards of Medical Care in Diabetes—2022, 2021).
Effects of Environmental Factors
In the state of Minnesota, where Mercy Medical Center is, 390,00 patients were
diagnosed with diabetes, with an estimated 24,000 new cases each year (Diabetes in Minnesota –
Minnesota Department of Health, 2022). The sheer volume alone of those affected by diabetes is
concerning for a potential environmental fact that can hinder successful implementation of the
change in practice. To allow for enough time to for the healthcare provider to evaluate the
patient’s foot and also provide education to them about self-care, in a manner that they
comprehend, can consume a significant amount of time allotted for the visit. The other area of
concern is, are there physically enough healthcare providers available to manage that volume of
diabetic patients. There has been a shortage in the healthcare workforce since the COVID-19
pandemic due to burnout and retirement, and the recruitment to recover from the loss in
healthcare workers has become a concern as well (Health Worker Shortage Forces States to
Scramble, 2022). With the volume of patients increasing and the healthcare workers available to
care for them being at a mismatched level, it is worrisome that the ability to provide patients the
care they deserve will continue to suffer. In order to best manage the shortage of healthcare
workers, it is imperative that the education of self-care for foot examinations and preventative
care is necessary to prevent diabetic complications (Portela et al., 2022). The preventative visits
that are occurring will still need to have the comprehensive foot exam completed on an annual
This study source was downloaded by 100000757798438 from CourseHero.com on 01-26-2023 01:04:15 GMT -06:00
https://www.coursehero.com/file/158370636/NHS-FPX-6004-LeeseBrittany-Assessment2-1docx/
6
basis, but the patient’s taking responsibility for their own care will assist them in reducing
potential foot wounds.
Stakeholder Involvement in Implementation
The successful implementation of this change in practice will fall into the hands of the
key stakeholders. Those stakeholders are the medical doctors, doctors of osteopathic medicine,
physician assistants, nurse practitioners, and the nursing staff. They are the responsible parties
for completing the comprehensive annual foot examinations. The healthcare providers mentioned
above are also educators for the patients, to teach patients the knowledge of caring for
themselves at home by performing self-examinations daily (Bus et al., 2020). This information
should also be provided to the patients in a simple handout format so the patients can refer to it at
home, when completing their daily foot exam, until it becomes a learned habit. Should there be
difficulties with completion of the examinations by the healthcare providers, or patients that are
more high-risk cases, they should be referring the patient to a foot specialist to ensure the patient
is receiving the proper examination (Syed, 2021). The ultimate goal is to be providing the
diabetic patients the basic preventative care they deserve, while also encouraging them to be self-
empowered to care for themselves with their chronic condition.
Conclusion
In order to ensure that quality care is being provided to diabetic patients, national
benchmarks have been established to set the standards of care. The patients at Mercy Medical
Center have not been receiving the care they are deserving of and to better serve them, there is a
change in practice being implemented. The healthcare providers will be performing annual foot
examinations on every diabetic patient that they see and they will be providing the patient with
This study source was downloaded by 100000757798438 from CourseHero.com on 01-26-2023 01:04:15 GMT -06:00
https://www.coursehero.com/file/158370636/NHS-FPX-6004-LeeseBrittany-Assessment2-1docx/
7
the necessary education to perform a self-examination at home, between visits. It is recognized
that the healthcare work force is in shortage, but it is not justification to not provide the
necessary care to the diabetic population, but rather all the more reason to encourage self-
examinations performed by the patients. It is with high hopes that by changing the practice
guidelines there will be increased quality of care and decreased foot wounds in the patients cared
for by Mercy Medical Center.
This study source was downloaded by 100000757798438 from CourseHero.com on 01-26-2023 01:04:15 GMT -06:00
https://www.coursehero.com/file/158370636/NHS-FPX-6004-LeeseBrittany-Assessment2-1docx/
8
References
Bus, S. A., Lavery, L. A., Monteiro‐Soares, M., Rasmussen, A., Raspovic, A., Sacco, I. C., &
Netten, J. J. (2020). Guidelines on the prevention of foot ulcers in persons with diabetes
(IWGDF 2019 update). Diabetes/Metabolism Research and Reviews, 36(S1).
https://doi.org/10.1002/dmrr.3269
Buschkoetter, K. L. M. (2019). Implementation of a comprehensive diabetic foot exam protocol
in rural primary care. Online Journal of Rural Nursing and Health Care, 19(1), 43–63.
https://doi.org/10.14574/ojrnhc.v19i1.560
Diabetes in minnesota – minnesota department of health. (2022, February). Minnesota
Department of Health. Retrieved June 1, 2022, from
https://www.health.state.mn.us/diseases/diabetes/data/diabetesfacts.html
Health worker shortage forces states to scramble. (2022, March 25). The Pew Charitable Trusts.
Retrieved June 1, 2022, from https://www.pewtrusts.org/en/research-and-
analysis/blogs/stateline/2022/03/25/health-worker-shortage-forces-states-to-scramble
Kurkela, O., Nevalainen, J., Arffman, M., Lahtela, J., & Forma, L. (2022). Foot-related diabetes
complications: Care pathways, patient profiles and costs. BMC Health Services Research,
22(1). https://doi.org/10.1186/s12913-022-07853-2
Marino, M., Angier, H., Springer, R., Valenzuela, S., Hoopes, M., O’Malley, J., Suchocki, A.,
Heintzman, J., DeVoe, J., & Huguet, N. (2020). The affordable care act: Effects of
insurance on diabetes biomarkers. Diabetes Care, 43(9), 2074–2081.
https://doi.org/10.2337/dc19-1571
This study source was downloaded by 100000757798438 from CourseHero.com on 01-26-2023 01:04:15 GMT -06:00
https://www.coursehero.com/file/158370636/NHS-FPX-6004-LeeseBrittany-Assessment2-1docx/
9
Portela, R. D. A., Silva, J. R. S., Nunes, F. B. B. D. F., Lopes, M. L. H., Batista, R. F. L., & Silva,
A. C. O. (2022). Diabetes mellitus type 2: factors related to adherence to self-care.
Revista Brasileira de Enfermagem, 75(4). https://doi.org/10.1590/0034-7167-2021-0260
Retinopathy, neuropathy, and foot care: Standards of medical care in diabetes—2022. (2021,
December 16). American Diabetes Association. Retrieved June 1, 2022, from
https://diabetesjournals.org/care/article/45/Supplement_1/S185/138917/12-Retinopathy-
Neuropathy-and-Foot-Care-Standards?searchresult=1
Syed, S. J., MD. (2021, October 16). Bullous disease of diabetes (bullosis diabeticorum)
guidelines: Guidelines summary. Medscape. Retrieved June 1, 2022, from
https://emedicine.medscape.com/article/1062235-guidelines#g1
This study source was downloaded by 100000757798438 from CourseHero.com on 01-26-2023 01:04:15 GMT -06:00
https://www.coursehero.com/file/158370636/NHS-FPX-6004-LeeseBrittany-Assessment2-1docx/ Powered by TCPDF (www.tcpdf.org)
,
Running head: DASHBOARD METRICS EVALUATION 1
Dashboard Metrics Evaluation
Name
Institutional Affiliation
This study source was downloaded by 100000757798438 from CourseHero.com on 01-25-2023 16:29:08 GMT -06:00
https://www.coursehero.com/file/176508388/Dashboard-Metrics-Evaluationdocx/
DASHBOARD METRICS EVALUATION 2
Dashboard Metrics Evaluation
The healthcare sector is dependent on precise and timely data that helps in safeguarding
patients' safety and adhering to various rules and regulations in facilitating continuous
improvements. Many healthcare facilities, surgical centers, and emergency service providers
have diverse needs and complex organizational structures and processes, which requires
healthcare professionals to have an adequate understanding of several sets of data. The quality
and effectiveness of medical services translate to the level of patient experience and satisfaction.
As such, healthcare facilities need to understand metrics on patient experience to measure how
they are performing and establishing effective strategies for continuous improvement (Stadler et
al., 2016). For the past few years, I have been working at Tift Regional Medical Centre in
Georgia in the ambulatory surgical suite. Patient experience has been core to the facility's
success, but assessing the patient experience data would help establish how the unit is
performing.
The following is the data accessed from Tift Regional Medical Center with approval from
the facility's manager for educational purposes. The data follow HIPPA regulations to safeguard
patients' privacy and confidentiality. No instance will the data provide personal information or
reveal the patient's identities.
Measure Type
Measure Time Frame
Current Period
Target Variance Previous Quarter
Variance
Patient Experienc e
Cleanliness and quietness of the facility
2020-02 88.5% 92.0% -3.5% 86.0% 2.5%
Patient Experienc e
Communicatio n about medicines
2020-02 93.4% 95.0% -1.6% 90.0% 3.4%
Patient Experienc e
Communicatio n with Doctors
2020-02 90.0% 93.0% -3.0% 92.0% -2.0%
Patient Communicatio 2020-02 92.6% 90% 2.4% 89.0% 3.6%
This study source was downloaded by 100000757798438 from CourseHero.com on 01-25-2023 16:29:08 GMT -06:00
https://www.coursehero.com/file/176508388/Dashboard-Metrics-Evaluationdocx/
DASHBOARD METRICS EVALUATION 3
Experienc e
n with Nurses
Patient Experienc e
Discharge Information
2020-02 92.0% 93.0% -1.0% 90.0% 2.0%
Patient Experienc e
Pain Management
2020-02 89.0% 92.0% -3.0% 90.0% -1.0%
Patient Experienc e
Responsiveness of hospital’s staff
2020-02 87.6% 90.0% -2.4% 88.0% -1.0%
Evaluation of the Dashboard Metrics
From the data obtained from the healthcare facility, it is clear that they are
underperformances in critical measures, which have been predominant since the last quarter. For
instance, communication with doctors, pain management, and the hospital’s responsiveness
necessitates the implementation of evidence-based practices for safeguarding patient safety,
especially in the ambulatory surgical suite. As indicated by the Agency for Healthcare Quality
and Research (AHRQ), improving patient experience is essential in enhancing clinical processes
and outcomes (Kuluski et al., 2017). In most cases, the adoption of effective practices at practice
and individual provider level correlates with caring processes for prevention and disease
management.
In the case of doctors’ communication, healthcare professionals must allow the exchange
of information, which is a prerequisite for high-quality care. In the healthcare sector, nurses and
doctors collaborate in hospital settings, performing distinct tasks for the effective delivery of
healthcare services. As indicated by Wang et al. (2018), effective nurse-doctor communication
has a significant impact on patient outcomes, which is reflected by patient satisfaction, reduced
length of stay, and reduced rate of adverse events. On the other hand, ineffective communication
is detrimental to patient and healthcare facilities, compromising patient safety, and increasing
This study source was downloaded by 100000757798438 from CourseHero.com on 01-25-2023 16:29:08 GMT -06:00
https://www.coursehero.com/file/176508388/Dashboard-Metrics-Evaluationdocx/
DASHBOARD METRICS EVALUATION 4
healthcare expenditure. More importantly, the Joint Commission reports that communication
failure, especially in surgical units, causes approximately 75% of sentinel events in healthcare.
Pain management after surgery is essential for supporting the patient’s recovery process.
At Tift Regional Medical Center, pain management is a priority goal that needed to be achieved
in the current quarter to prevent increasing complications such as pneumonia and blood clots.
Some of the pain reported by most patients include muscle pain and movement pain after the
surgery. As indicated by the American Society of Anesthesiologists, poor pain management in the
perioperative environment leads to unprecedented complications and prolonged rehabilitation
(Chou et al., 2016). For instance, the patients who reported pain after surgery in the previous
quarter were 80%, with 70% of them measuring it as moderate, severe, or even extreme.
Therefore, establishing effective pain management strategies would help reduce anxiety and
emotional distress that undermines overall well-being and restrict the recovery process.
Analysis of Challenges in Achieving Acceptable Performance
Achieving the appropriate rate of doctors’ communication is an essential component that
promotes the effectiveness of interprofessional teams. Currently, the value of interprofessional
collaboration is highly achieved through effective communication, which allows the adequate
performance of roles and responsibilities, work cooperatively, and make informative decisions
for improving patient safety (Harman & Verghese, 2019). Reflecting on the data provided, there
are two main reasons for communication failure among the doctors. The first one is that the
doctors were recently recruited, and they had inadequate experience working in a high-tension
environment. As such, the new professionals lacked confidence in consulting other professionals
on critical processes.
This study source was downloaded by 100000757798438 from CourseHero.com on 01-25-2023 16:29:08 GMT -06:00
https://www.coursehero.com/file/176508388/Dashboard-Metrics-Evaluationdocx/
DASHBOARD METRICS EVALUATION 5
Secondly, there was enough evidence indicating that the doctors had an inadequate
understanding of patient medical records. This resulted in a breakdown of communication
between doctors and patients, leading to low satisfaction. When it comes to pain management,
healthcare professionals had inadequate skills in managing patients’ pain, especially when
deciding the best medication to issue to patients (Kumah, 2017). Moreover, the healthcare
facility has no clear protocols to be followed, especially when patients exhibit extreme pain after
surgery. Given the caliber of Tift Regional Medical Center, patients should receive the best pain
management care to achieve the desired outcomes.
Benchmark Underperformance that has the Potential for Greatly Improving the Overall
Quality
The dynamism of the healthcare environment requires healthcare professionals to adopt
effective strategies for enhancing communication. In most cases, the interprofessional
collaboration between physicians and other healthcare professional
Collepals.com Plagiarism Free Papers
Are you looking for custom essay writing service or even dissertation writing services? Just request for our write my paper service, and we'll match you with the best essay writer in your subject! With an exceptional team of professional academic experts in a wide range of subjects, we can guarantee you an unrivaled quality of custom-written papers.
Get ZERO PLAGIARISM, HUMAN WRITTEN ESSAYS
Why Hire Collepals.com writers to do your paper?
Quality- We are experienced and have access to ample research materials.
We write plagiarism Free Content
Confidential- We never share or sell your personal information to third parties.
Support-Chat with us today! We are always waiting to answer all your questions.
