The Ankota Healthcare Delivery Management Blog

Home Care Software Geek Uncovers Facebook's Plans in Health Care

Posted by Ken Accardi on Oct 28, 2014 4:00:00 PM

Posts by Home Care Software Geek in this blog don't talk about Home Care Nursing Software, Private Duty Telephony, DME Delivery Software, Care Transitions or the other topics we focus on regularly at Ankota. Instead, these posts are intended to keep our readers up to date with technology trends that might be useful to your agencies, such as social media technologies, mobile devices, and what's happening with bigger companies like MicrosoftGoogle and Apple.

We've recently blogged about Google's offerings and intentions in health care and we've shared health care innovations from Apple such as the iWatch.  So it was just a matter of time before Facebook jumped into the picture, and this article from Reuters hints that it might be time for Facebook to jump in.Facebook_logo

According to the article, Facebook is exploring the possibility of creating "support communities" that would connect patients suffering from certain ailments, and they are also considering "preventive care" Facebook apps.  The article cites unnamed sources, but Reuters is a reputable news outfit and the applications proposed sound like a good fit with Facebook's core competencies.  If I were Facebook, I'd build an app to help seniors assist other seniors in adhering to their care plans.  

Here's what I'd shoot for:

  • I would try to partner with at least one large and highly reputable Accountable Care Organization (ACO) like Kaiser Permanente, Mayo Clinic, or Geisinger.
  • The partner ACO would identify care plans for managing certain health conditions, starting with the chronic conditions affecting many seniors such as Congestive Heart Failure (CHF), Chronic Obstructive Pulmonary Disorder (COPD), or Diabetes.
  • The care plans would include interventions with the health system, like doctors appointments, or calls with nurses, therapists, and other health aides.  It would also include self management items like taking meds, exercising, and monitoring their condition.  For example, CHF patients checking their weight each day.
  • The app would find seniors who would volunteer to help keep patients on track with their care.
  • One issue that they would have to contend with is getting permission from the patients to share their personal information with the helpers.  This would have to be clearly documented.

App_storeIn my opinion, the above app could be a big winner because it could reduce hospitalizations and thus reduce the cost of care.  It would also help the other seniors to stay vibrant and engaged and could help their health and quality of life as well.

To stay current with regular informational posts like this one, please subscribe to the Ankota blog.  You can also download our free white paper, Increasing Profitability via Care Transitions

 

Increasing_Profitability_via_Care_Transitions

Ankota provides software to improve the delivery of care outside the hospital, focusing on efficiency and care coordination. Ankota's primary focus is on Care Transitions for Reeadmisison avoidance and on management of Private Duty non-medical home care.

To learn more, please visit www.ankota.com or contact Ankota.  

 

Topics: Private Duty Agency Software, home care software geek, Home Care, Home Care Scheduling Software, health care app, facebook

Home Care Software Geek Probes Google’s Healthcare Intentions

Posted by Ken Accardi on Oct 23, 2014 9:33:00 PM

Posts by Home Care Software Geek in this blog don't talk about Home Care Nursing Software, Private Duty Telephony, DME Delivery Software, Care Transitions or the other topics we focus on regularly at Ankota. Instead, these posts are intended to keep our readers up to date with technology trends that might be useful to your agencies, such as social media technologies, mobile devices, and what's happening with bigger companies like MicrosoftGoogle and Apple.

Google_Glass-1

In 2008, Google launched “Google Health” around the same time that Microsoft launched Microsoft Health Vault.  The idea on the part of both companies was that they would provide a place in the cloud for people to store their personal health record.  Both companies shut down their initiatives and learned that there wasn’t widespread adoption of people storing their information.  Most of us just don’t store our health information in an electronic way or otherwise.  People keep trying (as evidenced by the Fitbits under Christmas trees last year), but for the broad population, this idea is still ahead of its time.

After the Google Health failure, Google founders Sergey Brin and Larry Page commented that healthcare is a “painful business to be in.”  But that doesn’t mean that they’ve stopped trying.  Here's a recap:

  • Google Fit is a mobile phone application for Android.  On my new Samsung Galaxy phone, there’s a sensor for me to take my pulse and I’m pretty sure that the app trGoogle-Fit-logo3acks my activity passively.  As you can tell, I don’t use the app yet, but it’s coming, and if it’s compelling then maybe I will.
  • The Baseline Study is a Google initiative to study the molecular and genetic information of 175 people in order to construct a model of healthiness.  If nothing else, Google is a big data company, and can potentially play a future role in searching the “genetic internet” to diagnose and/or prevent disease.
  • Google Glass is a futuristic yet real product that turns your glasses into a useful computer.  It can help you find things, give you walking directions, and much more.  There are studies at Beth Israel Deaconess hospital in Boston considering Google Glass for healthcare.
  • The Calico Project was announced by Larry Page last year with a goal of accelerating learning about aging.

I have to admit that I’m a big Google fan.  I use Gmail, Google Maps, an android phone, their Chrome browser, and of course, the search engine...and I really appreciate having them.   I’m sure that someday they’ll have a great impact in healthcare.

To stay current with regular informational posts like this one, please subscribe to the Ankota blo.   Or you can download our free white paper, 7 Habits of Highly Effective Home Care Agencies

Increasing_Profitability_via_Care_Transitions

Ankota provides software to improve the delivery of care outside the hospital, focusing on efficiency and care coordination. Ankota's primary focus is on Care Transitions for Reeadmisison avoidance and on management of Private Duty non-medical home care.

To learn more, please visit www.ankota.com or contact Ankota.  

 

Topics: Private Duty Agency Software, home care software geek, Home Care, Home Health Therapy Software, Home Care Scheduling Software, google

9 Ways to Make Your Telephony Roll-Out a Success

Posted by Ken Accardi on Oct 21, 2014 2:26:00 PM

 

Telephony

If you’re like many of your peers, your home care agency started out with just a client and a dream, and today you sometimes can't believe how much your business has grown.  You’ve realized that in order to scale further, you need software to manage your scheduling, care plans, billing, payroll, and time tracking.  Hopefully, your software came from Ankota, but whether it did or not, we’d like to help you make your roll-out a success.  

 

With that in mind, here are some Best Practices we'd like to share for your telephony roll-out.

red-carpet9 Ways to Make Your Telephony Roll-Out a Success 
  1. Choose telephony that knows your care giver schedules and client care plans.  This way, your caregivers simply need to answer yes or no questions rather than memorizing complex codes.
  2. Have your office staff show enthusiasm:  If your back-office team is excited about the telephony and understand how much simpler it will be for the caregivers and office staff alike, their positive energy will rub off.
  3. Provide training – Bring caregivers in to get a quick introduction to the telephony and try it out.  This shouldn’t take more than 30 minutes or so.
  4. Set up test clients and test IDs, then have each caregiver do a practice "clock in and clock" out before they're out in the field.
  5. Consider starting with just time-keeping, and then add care plans later.  If your organization is embracing technology for the first time, it might be best to focus first on timekeeping, billing, and payroll and then add care plans a bit later (even just a couple of weeks).
  6. Print business cards with the telephony instructions:  With Ankota’s system all they need to remember is a phone number, a user ID (usually 3 digits), and a PIN number (also usually 3 digits).  Note that I highly recommend EliteFlyers.com for business cards.  You get 1,000 high quality cards for $35.
  7. Identify early adopters:  Roll out to a small number of enthusiastic caregivers first.  As explained above, a positive attitude within the company is important in all technology roll-outs.
  8. Train your back office staff so they can be coaches for the Aides.
  9. Think beyond telephony: Even if you’re just rolling out telephony for the first time, some vendors, like Ankota, offer a “smart phone version” of telephony and a fixed visit verification solution for clients who don’t have home phones.

For other home care best practices, please subscribe to the Ankota blog or download the free white paper, 7 Habits of Highly Effective Home Care Agencies

Increasing_Profitability_via_Care_Transitions

Ankota provides software to improve the delivery of care outside the hospital, focusing on efficiency and care coordination. Ankota's primary focus is on Care Transitions for Reeadmisison avoidance and on management of Private Duty non-medical home care.

To learn more, please visit www.ankota.com or contact Ankota.  

 

Topics: Home Care Best Practices, Home Care, Home Care Scheduling Software, home care pulse

4 Ways to Differentiate Your Home Care Business

Posted by Ken Accardi on Oct 16, 2014 3:12:00 PM

A recent article by Home Care Pulse, entitled, "What Top Home Care Providers Do Differently to Grow Their Business, outlines 3 Best Practices that they found top Home Care agencies implement.Home_Care_Pulse

Their annual home care survey, or Private Duty Benchmarking Study, offers a number of useful insights that folks in the Home Care industry are sure to be interested in.  

The article itself highlights three key points drawn from the broader survey.  But wait, this blog post mentions four ways, right?  Well, we'd like to add one more to their list...

Consumer Marketing

Referral Marketing

Recruiting Caregivers

Providing a Differentiated Service

When a stressed out and time-crunched loved one is trying to find a care provider for her mom who fell and broke her hip last week, your home care business needs to figure out how to stand out from the pack.  If you're a compassionate owner or marketer with a caring touch and a beautiful tri-fold brochure about your agency...and a rate that falls in the high enough to pay the care giver and low enough to compete category, then you're not special! 

differentiate

Can you be the agency that brings fresh baked goods once a week?  Or that provides a safe transition home from the hospital by making sure that there's fresh food in the fridge for your clients?  Or maybe it's that you have a handyman on-the-ready to install grab bars.

Whatever your differentiation is make sure you have one or you're going to struggle to grow.

If you are interested in learning more about Best Practices in home care, you can download our 7 Habits of Highly Effective Home Care Agencies

Increasing_Profitability_via_Care_Transitions

Ankota provides software to improve the delivery of care outside the hospital, focusing on efficiency and care coordination. Ankota's primary focus is on Care Transitions for Reeadmisison avoidance and on management of Private Duty non-medical home care.

To learn more, please visit www.ankota.com or contact Ankota.  

 

Topics: Home Care Industry, Home Care Best Practices, Home Care, Home Care Scheduling Software, home care marketing, home care pulse

6 Fall Activities for the Elderly and Caretakers

Posted by Ken Accardi on Oct 14, 2014 11:43:00 AM

By Beth Kelly

Fall is the most nostalgic season, evocative of cool days spent picking apples, carving pumpkins, and walking through the woods. When older adults cannot do extensive amounts of physical activity due to health conditions, there are still a number of seasonal activities they can participate in.  Here are just a few ways to celebrate the season and bring the outdoors indoors for your senior.   

Senior_Citizens_Halloween
  1. Create costumes - Halloween gives everyone permission to pretend they’re something or someone new, which is fun regardless of your age. In 2010, French photographer Sacha Goldberger took a series of portraits of his grandmother in superhero costumes to cheer her up - it worked, and the photos went viral online. You’re never too old to laugh at yourself!

  2. Learn to Knit Together - Knot as hard as it looks, knitting is one activity that allows you to create festive and unique gifts for everyone in your family. Soon it will be time for warm sweaters, blankets and scarves, and it’s better to give than to receive. If your older loved one already knows how to knit, you can find hundreds of free patterns to try together online. 

  3. Pumpkin Carving - Make the house "Halloween ready" by carving pumpkins together. You can even decorate without carving, as there are plenty of creative ways to paint and otherwise decorate the festive gourd without knives.

  4. Classic MCool-Easy-Pumpkin-Carving-Ideas-_14onster Movies - Many campier than scary, classic monster movies are something most of us grew up with. If Disney and Marvel Studios can continue building a billion-dollar industry on the same superheroes, why can’t we revisit some of the monsters we love (Godzilla, The Creature of the Black Lagoon, The Wolf Man) around the holiday the celebrates them? With scary movies on television, streaming options on certain websites (click here for more information), and MGM’s recently released “double feature” DVD series, there are plenty of ways to bring classic scary films into your home.

  5. Fall Crosswords - Fun for all word lovers, crosswords test your knowledge of everything under the sun while challenging spelling skills. Making your own crosswords online is easy and gives the activity a more personal touch.

  6. Fall Crafts - With leaves of red, gold, and yellow brightening the skies, fall is truly magnificent. Collecting leaves will get shut-in seniors outside, enjoying the smell of fresh autumn air and earth. A companion or caregiver can aid in selecting pieces of nature to add to craft projects. Natural leaf wreaths, leaf-print t-shirts, and pressed leaves in scrapbooks make wonderful mementos or gifts for family members. Crafting sessions stir up creativity, promote engagement, and aid in the creation of new ideas and memories.

Make the most of these crisp, sunny days for as long as possible before the snow starts to fall. Like anything worth savoring, the fair weather won’t last long.

If you're interested in our free "7 Habits of Highly Effective Private Duty Home Care Agencies," click here or the picture below.

7 Habits of Highly Effective Home Care Agencies

Ankota provides software to improve the delivery of care outside the hospital, focusing on efficiency and care coordination. Ankota's primary focus is on Care Transitions for Reeadmisison avoidance and on management of Private Duty non-medical home care.

To learn more, please visit www.ankota.com or contact Ankota.  

 

Topics: Aging, Elderly Care, Private Duty Agency Software, fall activities

Care Transitions Program Delivers $3.30 for every $1 spent

Posted by Ken Accardi on Oct 11, 2014 11:40:00 AM

Geisinger Health System, located smack dab in the middle of Pennsylvania, has been a leader in the new paradigm of "managed care."  In this model, the health plan is both the care provider and the payer, and rather than getting paid per service, they manage to a fixed budget.  This encourages them to find ways to provide better care at lower cost.  This is the intention of healthcare reform, and institutions like Geisinger, Kaiser and Mayo have been ahead of the curve in this regard. Geisinger_Health_System-1

I came across an interesting article in Mobile Health News that talks about the results of a care transitions program that Geisinger instituted.  Over a 4 year period and a population of 541 patients, their Congestive Heart Failure (CHF) program reduced readmissions by 44% and saved $3.30 for every dollar spent.

Why Does a Hospital Cost Reduction Program Matter to a Home Care Agency?

Stethoscope+on+Dollars_360_256

As the health system transitions to the managed care model, there will be more and more motivation to provide better care at lower cost, and the most expensive cost in the health care system is hospitalization.  So hospitals will want to spend money to avoid hospitalizations, and in order to do so, they'll need to target their most expensive patients and take efforts to keep them at home.  Who's the best at delivering low-cost-care to keep people at home?  Of course, it's home care.

 

A Recipe for Adding a Hospitalization Avoidance Component to you Home Care Agency

Here are some recommended steps:

  1. Learn about the readmission penalties imposed on hospitals and the OIG ruling that empowers home care agencies to help by watching this video
  2. Learn more about providing a compliant care transitions program by downloading the free white paper at this link.
  3. Take action...  You'll need some planning, some training, some marketing and some software.  When it comes to the software, be sure to Contact Ankota

For another story about Geisinger (and to learn whey I like them so much even though they're in central Pennsylvania and I'm in Boston) read this previous blog article

Increasing_Profitability_via_Care_Transitions

Ankota provides software to improve the delivery of care outside the hospital, focusing on efficiency and care coordination. Ankota's primary focus is on Care Transitions for Reeadmisison avoidance and on management of Private Duty non-medical home care.

To learn more, please visit www.ankota.com or contact Ankota.  

 

Topics: Health Care Reform, Home Care, Care Transitions, Avoidable Readmissions, hospital cost reduction

7 Reasons Why Smartphones are the new Telephony

Posted by Ken Accardi on Oct 8, 2014 4:33:00 PM

You've probably heard of the TV show "Orange is the New Black" or heard the expression "30 is the new 20."  I'm not sure if you agree with either of those assertions, but here's one to try out for size...  

Smartphones

Smartphones are the new Telephony

For those of you not familiar with "telephony" (pronounced teh-lef-uh-knee), this is the most common way that home health aides and providers of companion care do their timekeeping and tracking of care plan items.  In general, caregivers are asked to call in from the client's home phone and systems use caller id to verify that the call came from the house (and not a cell phone).  Using touch tone keys, the caregiver (based on configuration) can report mileage, travel time, completion of care items, vital signs and more.  Generally the telephony provider charges a fee based on how long the phone calls are. 

Here are 7 reasons why smart phones can be the new telephony:

  1. As of January 2014, two-thirds of the cell phones in America are smart phones, and this number is growing rapidly (see this article)
  2. For those aides that don't have a smartphone, you're still covered.  For example, Ankota allows you to use telephony and smart phones interchangeably.  You can even clock in with telephony and clock out with your smart phone.
  3. With smartphones, you can validate location using GPS (rather than Caller ID) so you still have a way to verify that the caregiver was with the client.
  4. According the same article connected above, 91% of the smart phones are either iPhone or Android, so there's not really an issue with too many choices
  5. On a smartphone you can do other cool things.  For example, Ankota has a feature in beta where you can report on your smart phone that you are "in route" to your visit, and the phone will track your mileage and time.
  6. In Ankota's case, we charge less for smartphone than for telephony
  7. Lastly, the features are proven...  We've had them live for over a year

It's important to keep your private duty software on the leading edge.  If you're looking to automate or upgrade to a better software vendor, we hope you'll contact Ankota.

If you are interested in learning about Best Practices in home care, you can download our 7 Habits of Highly Effective Home Care Agencies.

Increasing_Profitability_via_Care_Transitions

Ankota provides software to improve the delivery of care outside the hospital, focusing on efficiency and care coordination. Ankota's primary focus is on Care Transitions for Reeadmisison avoidance and on management of Private Duty non-medical home care.

To learn more, please visit www.ankota.com or contact Ankota.  

 

10 Steps to Starting a Non-Medical Home Care Agency

Posted by Ken Accardi on Oct 2, 2014 1:00:08 PM

Stephen Tweed's Private Duty Today wrote a fantastic article entitled Starting a Non-Medical Home Care Company in 10 Steps. It is a comprehensive and insightful look at what to consider, and some Best Practices to implement when starting up a private home care business.Stephen_Tweed-2015

The full article provides a number of useful links and resources that you can use to determine if this type of business is for you, what pittfalls to look out for, and detailed informational content to help you along each of the 10 steps.  

We encourage you to read the full article, but we have listed the 10 steps here for you:

Determine the Structure of Your Business

Create a Business Entity and Meet Licensing Requirements

Develop Your Policies and Procedures

Set Up Your Financial Systems

Recruit and Hire Office Staff

Develop a Recruitment and Retention Plan for Caregivers

Scheduling, Billing, and Time Keeping Systems

Set Up Your Office

Develop Your Sales and Marketing Plan

Measuring the Success of Your Business

If you're interested in a demo of Ankota's non-medical home care scheduling, billing, and coordinating software, just click here to schedule a demo.

If you are interested in learning about Best Practices in home care, you can download our 7 Habits of Highly Effective Home Care Agencies.

You can also check out an informative video and download our free white paper, Increasing Profitability via Care Transitions by clicking the link or the picture below.

Increasing_Profitability_via_Care_Transitions

Ankota provides software to improve the delivery of care outside the hospital, focusing on efficiency and care coordination. Ankota's primary focus is on Care Transitions for Reeadmisison avoidance and on management of Private Duty non-medical home care.

To learn more, please visit www.ankota.com or contact Ankota.  

 

3 Ways Working in Home Care has Affected My Life

Posted by Ken Accardi on Sep 29, 2014 4:06:16 PM

I read an article recently in the New York Times entitled "Fighting to Honor a Father's Last Wish: To Die at Home."  It made me realize that I knew nothing about Home Care prior to Ankota.  At age 51, I'm not clear on all of the choices that are going to be best for my wife and I later in life, but I've learned a few things.

"I knew nothing about Home Care prior to Ankota"

New_York_Times

Now that I have been part of the home care industry, it has impacted my own life in the following ways:

  1. I bought long term care insurance for myself and my wife:  I'm now aware what home care or long term care can cost and I don't want my children to ever worry about making sure we can have good care.
  2. I'd like to live at home with my wife as long as possible, but I'm not sure where:
    • We now live in a house in a nice suburb of Boston with great schools
    • In a couple of years my youngest will go to college, and my wife and I want to move into Boston, where we can walk to concerts at the Hatch Shell, baseball games at Fenway Park and coffee shops and restaurants.
    • We think we want to stay in Boston, as opposed to moving to a "retirement place" but now we're 50 and not sure how we'll feel about this when we're 80.  
    • Numerous people from our church live in independent apartments in a community called North Hill where they eat in a dining room and have assisted living and skilled nursing on campus.
    • Similarly, a lot of my mom's relatives live in a community in Florida called "The Villages" that sounds like it has a lot of the same ammenities as North Hill but in a warm climate with golf and swimming
    • My Aunt has had some health challenges and has chosen to stay in her own home with the assistance of home health aides.  She lives in the neighborhood and surroundings that she enjoyed for the majority of her adult life.  She's also younger than the average assisted living resident and I think that motivates her to want to stay in her home.
    • Bottom line is that I don't know yet what will be right for me and my wife, but at least I'm aware of some good possibilities
  3. I'm committed to discussing these topics openly with my wife and kids.  And I'm hopeful that if I get to the point where my mental facilities are fading, that I'll have come to agreements with them on my wishes and that I'll empower them to carry them out.

I'm thankful for the home care and long term care industries. Thanks for all your hard work!  I'm glad to be a part of the home care and long term care industries and I'm happy that we're able to help some of you!

7_habits_effective_home_care-4

Ankota provides software to improve the delivery of care outside the hospital, focusing on efficiency and care coordination. Ankota's primary focus is on Care Transitions for Reeadmisison avoidance and on management of Private Duty non-medical home care.

To learn more, please visit www.ankota.com or contact Ankota. 

 

Home Care Software Geek Explains Software Releases

Posted by Ken Accardi on Sep 25, 2014 12:37:22 PM

Posts by Home Care Software Geek in this blog don't talk about Home Care Nursing Software, Private Duty Telephony, DME Delivery Software, Care Transitions or the other topics we focus on regularly at Ankota. Instead, these posts are intended to keep our readers up to date with technology trends that might be useful to your agencies, such as social media technologies, mobile devices, and what's happening with bigger companies like MicrosoftGoogle andApple.

I love watching movies and TV shows that take me inside someone else's job.  Of course, this only works when the industry being profiled is exciting to begin with.  We're all intrigued by Emergency Rooms, Police Work and even restaurant kitchens.  As for software, perhaps not so much.  Other than the movie "The Social Network" and the recent film "The Internship," there aren't a lot of insider views into the software industry, and definitely not about how the software gets released. social_network-650x337

At Ankota, we're often asked why we're able to make improvements to our home care software so quickly and some software companies are so slow (like once a year).  Candidly, the speed with which software companies are able to evolve has a lot to do with how recently they started.  Here's the inside scoop:

Software in the Cloud is easier to Evolve: Ankota's software is in a "Private Cloud," which means that we have dedicated hardware in a secure data center that is connected to the Internet.  The advantage with respect to deployments is that we can update the software for all of our customers in one place.  The upgrade process takes us less than an hour.  Another related advantage is that we can upgrade the underlying technologies like the latest operating system. database, and security.

Agile Development puts changes in Bite-Sized Pieces: The "old way" of software development was called the waterfall, in which a bunch of changes would be designed (for months) then coded (for months), then tested (for months), then integrated (for months), then released.  In the new way, agile, we release every two weeks.  Within a two week "sprint" we decide on a number of changes, write the "story" of what it needs to do, then the test case, then the code (and we test as we go).  Since the software changes every two weeks, customers hardly notice (unless one or more of the new features is something they asked for).

The-internship-poster

Configurability: No two of our customers are alike, so we've made our software highly configurable.  Almost everything we develop can be "turned on or turned off" on a customer-by-customer basis.  This is important because it allow us to deploy the software once for all customers and let the configurations deal with the uniquness.  

The "slow" software companies often have to deploy a separate copy of the software for each customer.  This makes upgrades slow and infrequent, and the customers are concerned about dealing with so many changes at once so they defer and make it worse.

Learn More!

To learn how things work inside of a modern software company, you might enjoy this video from the online music service Spotify: Spotify Engineering Culture - part 1 from Spotify Training & Development on Vimeo.

 If you are interested in learning about Best Practices in home care, you can download our 7 Habits of Highly Effective Home Care Agencies.

You can also check out an informative video and download our free white paper, Increasing Profitability via Care Transitions by clicking the link or the picture below.

Increasing_Profitability_via_Care_Transitions

Ankota provides software to improve the delivery of care outside the hospital, focusing on efficiency and care coordination. Ankota's primary focus is on Care Transitions for Reeadmisison avoidance and on management of Private Duty non-medical home care.

To learn more, please visit www.ankota.com or contact Ankota.  

 

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About Ankota

Ankota provides software to improve the delivery of care outside the hospital, focusing on efficiency and care coordination. Ankota's primary focus is on Care Transitions for Reeadmisison avoidance and on management of Private Duty non-medical home care. To learn more, please visit www.ankota.com or contact Ankota.

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