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- This is the Becker's
Healthcare Podcast, created

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by the team of Becker's Healthcare,

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a multimedia company devoted to the people

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who power us healthcare.

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Four new 15 minute episodes
are released daily containing

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industry news analysis
and thought leadership.

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From powerful healthcare decision makers.

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Thanks for listening.
Now here's the episode.

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- This - Is Kate Cruz, recording
live at the eighth annual

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Becker's Health, it Digital health

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and RCM conference in Chicago.

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I'm sitting here with Michelle Stansberry.

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Michelle, can you please
introduce yourself

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and tell us a bit about your background?

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Sure. Well, one, I appreciate,
um, you having me on, um,

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have always appreciated the
podcast that you all put on.

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They're very, very good. But
this is Michelle Stansberry.

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I am the Vice President of Innovation

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and IT applications at
Houston Methodist, of course,

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that's in Houston, Texas.

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Um, very large, um,
health system that, um,

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provides services to the Houston

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and surrounding communities.

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Awesome. Thanks for sharing
and I'm excited to learn more.

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Can you share some about your growth

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strategy for the next couple years?

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Sure. It, you know, it, um, and,

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and I'll speak to it from
the innovation perspective

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'cause uh, you know, traditional
it, I also take care of

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with all the application suites,

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but very excited about
what we're looking at

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overall with an innovation.

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And there's kind of three populations

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that we are really focused in on.

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And one, it's our patients.

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Um, how can we make sure that
the journey they experience

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with Houston Methodist is one
the way that they want it?

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Because everyone's journey
is slightly different

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and that the ease of
gaining services from us is

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as easy as possible.

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So, and that could be many different ways.

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And so we're really focused
in on the problems of,

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of ensuring the ways that we're
doing that for our patients

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and our new consumers are the best.

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The other is our clinicians

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and the EMRs have been
really, really great.

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They're great for data <laugh>.

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I, yeah, I know, I, I
can, I can, you know,

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probably if a physician
was sitting right here next

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to me going, I don't think so,

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but you know, we, we've had
some, we had someone describe it

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as a pure disaster that
that was a <laugh>.

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I dunno that I would say
it's a pure disaster.

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What I would say is it provides
the opportunity to, um,

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work in an environment that is

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guiding you on best practices.

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Mm-Hmm. <affirmative>.
And it's also the data

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that is collected

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of what's putting in has been
a tremendous help overall

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for the healthcare community.

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Definitely. So I would say that, yes.

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Now <laugh>, is it a
burdensome to our clinicians

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because they're the ones
having to put in all the data.

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Um, and hence what I'm, what
one of our other pieces is

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how can we ease that journey

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and make it more efficient
for our clinicians

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and allow them to do what
they went to school for,

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which was to take care of patients.

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They didn't go to learn how to type

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and enter in data into a computer.

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Mm-hmm, <affirmative>, right. For the EMR.

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But if you can make that
process easier for them, either

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through voice, so they're
having a, a conversation

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with the overall patient

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and then the data's automatically
collected into the system

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form, wouldn't that be great?

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Mm-Hmm. <affirmative>. Um,
so those are the, the, one

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of the other things is how can
we increase the efficiencies,

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um, by automating things

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that make it easier for our clinicians.

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And then the other is,

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I would say we're really just looking at

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efficiencies as a whole.

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So everyone's heard about ai.

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Um, I think everyone's
exploring how can they use ai.

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Um, the interesting part is
AI's been around for a while.

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It's not like it's brand new.

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I think everyone's just now
exploring about chat GBT. Yes.

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And everything else that's out there.

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But the other pieces of
AI and machine learning

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and large language mo,
those have been around.

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And so a lot of vendors have
really captured ways in order

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for you to use that information.

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And we're doing that in order

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to increase overall the efficiencies

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by not having humans
have to do those things,

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but having the systems
be able to capture that

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and provide back data that allows them

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to make the right decisions.

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So there's probably three big areas

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that we're being focused on
overall in, in our innovation.

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And I really see that
expanding as we continue on on

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that journey from probably
the next couple of years.

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Yeah, that's really interesting.

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Thanks for kind of breaking that down.

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I have a question about kind of like

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that patient demographic
that you mentioned.

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You said, and you know,
100% accurate how, you know,

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patients have different preferences for

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how they receive care, how
they schedule, how they,

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you know, interact with the healthcare

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system and its technology.

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I mean, there's a million
different ways that

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that can transpire, right?

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How is, is there, you
know, specific technology

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that has helped kind of
sift through some of that?

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How are you figuring out
a person's preferences?

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Are you just asking them,

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is there technology that helps with that?

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Well, um, I will say we do
have focus group sessions

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where it is that we learn from some

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of the things from our patients,
some of the items we pilot,

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um, new technologies that we bring in.

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One, I will give you just an example.

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Now it's a little bit older.
We've used it for a while.

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Um, and I know one of my
colleagues was here this yesterday

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talking to she, so she
might've brought this up.

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But we've become a society

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who likes instant
gratification on whatever it is

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and using our cell phones
to be able to do that.

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No one likes to have

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to be on a computer if they don't have to.

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Most of us are really busy.

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So we've gotten very used to texting.

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Well it used to be a while
back you would get your

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reminders by telephone.

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Um, and no one really liked those either.

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It was like, oh, as soon as you'd

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hear it, you just delete it.

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I don't need to. Well, guess what?

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A lot of times what happened
then you would forget about

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your appointment and we'd
have a lot of no-shows.

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So we found a solution
that could do texting,

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text reminders, and you tell
if, if that's your preference.

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If you want text, you want email

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or you still want phone,

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most people do prefer the text reminders.

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We quickly put that in.

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It really helped with our no show rate.

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But the thing that we transitioned
very quickly was we made

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it bidirectional texting.

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Okay. So not only did
you get the reminder,

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but it didn't work.

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We will now allow you
to, you could cancel it,

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you could reschedule it,
you could do all of that.

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And now here recently we're working on

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how can you just schedule
an appointment by texting?

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Yeah. The other piece that we um,

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are working on is text base.

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We're really, we're, we're starting

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to delve into what does it look like?

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Is text-based care? Mm-Hmm <affirmative>.

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Now there's other kind of individuals

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or organizations who
are out there doing it.

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Um, but we wanna make it seamless.

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You start off in text-based care,

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maybe they can solve your problem.

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If not, do you need to go to
one of our same-day clinics

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or do you need to go to an
urgent care center or whatever.

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That whole process. Then
if you didn't need to go,

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well let's go ahead and
schedule for that appointment so

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that you can get in right
away for our same day clinic.

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So that's what I'm talking about.

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Everyone's wanting that convenience

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and that instant, how can
I get the care that I need

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and the way that I want it.

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And I think you're always gonna
find, there's certain people

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that want the phone call.

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Of course I'm just comfortable
with the phone calls.

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So we just wanna make sure

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that we're providing all aspects of that.

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Yeah. And that's really
important to remember just

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because like you said, there
are still people who want

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that phone call and maybe there's someone

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first an email <laugh>.

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So I mean, and if that's the case,

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then you wanna reach them there.

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So, and I'm like you. I'm like,

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no, no, no, just send me the text.

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Yeah, that's all I need. I
mean, to each their own <laugh>,

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can you tell us about the most exciting

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and impact initiative

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or project you're working on right now?

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I, I would probably say it has
to do with our care redesign.

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Um, and most organizations, right

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after COVID had really
suffered from staffing, right?

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And keeping nurses and
having enough nurses.

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And that's kind of how it generated.

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We'd already been working
on looking at a couple

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of different solutions, um,

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that would provide some functionality.

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But it really kind of have, has taken off.

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And I would say it's in
really kind of three parts.

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One is, um, providing virtual services

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to our patients.

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While in-house, and I
wanna caveat this, a lot

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of these solutions, most people
are starting off with doing

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hospital at home or
providing home care services.

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We knew we had to provide

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nursing services or type services
that nursing would handle.

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So we said, why not try these solutions in

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house, learn from them.

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If we get the process down
very easily, we'd be very,

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we'd set up to be able to do
this other process at home.

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So when we started off
with the virtual nursing

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and it was basically, we
already have a virtual command

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center set up in our
hospital that manages, um,

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our virtual ICU program.

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It also offers, um,
teles sitting services.

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So we said if we were to take some

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of the nurses from the floor

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and they did a time study to
see what caused that nurse

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so much, you know, things that
they were having to do well,

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they found out that admits

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and discharges to coming
in your admin, I'm having

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to ask you all these questions to find out

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and discharges, let's go

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through all your
instructions and everything.

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It's normally taken about 45 minutes.

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And it was only because they were

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being interrupted all the time.

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Nurse call, they've
gotta go to another room.

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So they said, let's take that off

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and let's provide it virtually

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while the patient's in the room.

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You log in, we go through
your admits and discharges.

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They're now able to get
through it within 10

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to 12 minutes and it's dedicated.

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Um, nurses love it and our
patients absolutely love it.

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So that's one, creating
efficiencies now that most

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of in those tasks is what I remember.

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I talked about it being taken off.

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The nurses can do what they like.

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The other piece is, is
we're really looking now,

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how can we expand it since we have it.

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The other is, um, biomed, biomed devices.

251
00:10:02,285 --> 00:10:04,065
So we're working with an organization.

252
00:10:04,375 --> 00:10:05,785
They've got a device

253
00:10:05,785 --> 00:10:07,825
that's about the size
of a half, half dollar.

254
00:10:07,855 --> 00:10:09,705
It's a patch puts onto you

255
00:10:09,805 --> 00:10:11,585
and it collects vital signs information.

256
00:10:12,465 --> 00:10:17,205
And so it, instead of we're
looking at Q4 vitals, who wants

257
00:10:17,205 --> 00:10:18,805
to be woken up in the middle
of the night when they

258
00:10:18,805 --> 00:10:19,845
have to take your vital signs?

259
00:10:20,515 --> 00:10:22,005
This is taking your vitals.

260
00:10:22,265 --> 00:10:23,965
We get it every hour on the hour.

261
00:10:24,425 --> 00:10:28,525
It has an alert watch that
basically if you go out

262
00:10:28,525 --> 00:10:30,405
of parameters based on those vitals,

263
00:10:30,785 --> 00:10:32,685
our virtual command center is watching it.

264
00:10:33,185 --> 00:10:35,485
Um, so if something happens,
they're able to quickly

265
00:10:35,585 --> 00:10:37,565
to respond to see what's
going on with the patient.

266
00:10:38,265 --> 00:10:41,255
So it's another way taking,
trying to take some of

267
00:10:41,255 --> 00:10:43,135
that burden off but
still collecting the data

268
00:10:43,155 --> 00:10:44,935
and understanding the
patients that we need to.

269
00:10:45,355 --> 00:10:48,255
And the very last, as I
would say it tell is this AI

270
00:10:48,255 --> 00:10:51,015
component and we're
utilizing it in our ORs.

271
00:10:51,875 --> 00:10:54,735
And so we're trying to create
the efficiencies in our ORs.

272
00:10:54,735 --> 00:10:56,495
And what it is, it's camera technology.

273
00:10:57,085 --> 00:10:58,175
It's constantly watching

274
00:10:58,755 --> 00:11:02,575
and it's seeing how long has
it taken you to set up the,

275
00:11:02,675 --> 00:11:05,375
or get all the equipment,
everything else set up,

276
00:11:05,715 --> 00:11:08,135
the case rolls in, you finish it, then

277
00:11:08,135 --> 00:11:09,775
how long is it taking them for ev them

278
00:11:09,775 --> 00:11:11,455
to get everything cleaned
up and turn around.

279
00:11:11,955 --> 00:11:13,295
So it provides data.

280
00:11:13,515 --> 00:11:14,655
One, it has to learn the,

281
00:11:14,835 --> 00:11:17,095
or learn all the equipment in the or.

282
00:11:17,095 --> 00:11:20,135
But then it begins to tell you,
here's opportunities for you

283
00:11:20,135 --> 00:11:23,255
to gain efficiencies so that
then you could turn that or,

284
00:11:23,315 --> 00:11:24,735
and be able to do more cases.

285
00:11:25,385 --> 00:11:28,135
Those are like three
promising technologies for us

286
00:11:28,135 --> 00:11:29,695
that we are absolutely looking at.

287
00:11:29,715 --> 00:11:32,735
And how can we expand it
and use it for other things.

288
00:11:33,145 --> 00:11:35,255
Those are just three
that we know it's today.

289
00:11:35,315 --> 00:11:37,855
But once you have it, you
can begin to really look at

290
00:11:37,855 --> 00:11:40,015
how you can, um, expand it
across your organization.

291
00:11:40,245 --> 00:11:43,095
Well, and something that really
stuck out to me, you know,

292
00:11:43,095 --> 00:11:45,695
in each of those examples is the

293
00:11:46,695 --> 00:11:48,055
strategic implementation of it.

294
00:11:48,055 --> 00:11:49,695
Especially with your virtual nursing.

295
00:11:50,115 --> 00:11:52,615
You know, you mentioned starting
that at the bedside first

296
00:11:52,715 --> 00:11:53,725
or like in-house

297
00:11:54,265 --> 00:11:57,125
and you know, I feel like a
lot of people are trying to,

298
00:11:57,185 --> 00:11:58,965
you know, reach people in
their homes right away.

299
00:11:59,025 --> 00:12:01,845
But obviously that, you know,
creates issues that Mm-Hmm.

300
00:12:01,885 --> 00:12:04,125
<affirmative>, there's not
someone there in person to solve.

301
00:12:04,225 --> 00:12:05,485
And so kudos to you

302
00:12:05,485 --> 00:12:07,485
and your team for being smart about that.

303
00:12:07,505 --> 00:12:09,245
And it sounds like it's
really been paying off.

304
00:12:10,005 --> 00:12:11,805
Michelle, I've loved
our time speaking today.

305
00:12:11,805 --> 00:12:12,805
Before I let you go,

306
00:12:12,955 --> 00:12:15,605
what is the most important
thing healthcare executives

307
00:12:15,605 --> 00:12:16,725
should do now to make sure

308
00:12:16,725 --> 00:12:19,205
that their organizations are
successful down the road?

309
00:12:20,485 --> 00:12:22,605
I would say stay focused
on solving the problems

310
00:12:22,605 --> 00:12:23,965
that you're having in your organization.

311
00:12:24,245 --> 00:12:26,085
I know sometimes people can, um,

312
00:12:26,865 --> 00:12:29,045
get excited about new
technology that's out there

313
00:12:29,205 --> 00:12:30,605
'cause it looks very promising.

314
00:12:30,985 --> 00:12:32,365
But if it's not solving a problem

315
00:12:32,365 --> 00:12:34,365
that you currently have
in your organization

316
00:12:34,455 --> 00:12:36,335
today, put it on a shelf.

317
00:12:36,625 --> 00:12:38,375
Don't discard it because it's actually,

318
00:12:38,375 --> 00:12:39,855
if it looks promising technology,

319
00:12:40,315 --> 00:12:43,765
but put it on a shelf in
case you look at it, you look

320
00:12:43,765 --> 00:12:45,205
and you need it, um, afterwards.

321
00:12:45,305 --> 00:12:49,775
But I I, I find that, you know,

322
00:12:50,565 --> 00:12:52,145
if you're not really focused on

323
00:12:52,535 --> 00:12:55,465
what the problems in
your organization, then

324
00:12:57,255 --> 00:12:58,265
what, what are you doing?

325
00:12:58,265 --> 00:12:59,265
What is innovation about?

326
00:12:59,405 --> 00:13:00,945
How are you trying to transform your,

327
00:13:01,335 --> 00:13:02,865
your overall health system?

328
00:13:02,925 --> 00:13:05,425
And I would say, um, I
keep telling everyone

329
00:13:05,425 --> 00:13:07,945
that's the biggest driver
for us in our organization.

330
00:13:08,265 --> 00:13:11,105
'cause look, healthcare has
got lots of problems. It does.

331
00:13:11,205 --> 00:13:12,985
Mm-Hmm. <affirmative>. And,
um, I think if we could all

332
00:13:12,985 --> 00:13:13,985
collectively work together

333
00:13:14,085 --> 00:13:15,625
and one of the things that we've done is

334
00:13:15,625 --> 00:13:17,585
that we hold periodically
these open houses

335
00:13:17,725 --> 00:13:19,225
and have people come in and learn from us.

336
00:13:19,825 --> 00:13:21,345
'cause we all should be sharing too. Yes.

337
00:13:21,565 --> 00:13:22,905
And seeing how we could help Yep.

338
00:13:22,905 --> 00:13:25,385
Instead of just holding
it internally. Yeah.

339
00:13:25,405 --> 00:13:27,705
And that's been one of the
amazing things about this

340
00:13:27,705 --> 00:13:30,585
conference that's been going
on is all the knowledge being

341
00:13:30,585 --> 00:13:32,785
shared and you know,
I feel like, you know,

342
00:13:32,785 --> 00:13:35,145
in the conversations
I've had, it's incredible

343
00:13:35,205 --> 00:13:36,505
to hear all the perspectives.

344
00:13:36,575 --> 00:13:38,505
That is the one good thing
about I think conferences

345
00:13:38,505 --> 00:13:39,665
going back into person now.

346
00:13:39,665 --> 00:13:41,465
Yes. That we've all missed. Yes.

347
00:13:41,745 --> 00:13:45,945
I mean, is being able to hear
the sessions, you know, talk

348
00:13:45,945 --> 00:13:47,265
with colleagues afterwards.

349
00:13:47,495 --> 00:13:49,065
Yeah. Um, and get to know each other.

350
00:13:49,305 --> 00:13:51,985
I mean, I, you know, so I have
no background in healthcare

351
00:13:51,995 --> 00:13:54,105
other than like a college data entry job.

352
00:13:54,105 --> 00:13:56,625
Mm-Hmm. <affirmative>. And I
hear, you know, I'm walking by

353
00:13:56,645 --> 00:13:59,185
and I'm not eavesdropping,
but I hear a clinician,

354
00:13:59,445 --> 00:14:00,785
or I don't know if they're clinicians,

355
00:14:00,805 --> 00:14:03,065
but you know, an attendee
here talking to someone else.

356
00:14:03,445 --> 00:14:05,465
And you know, I hear
them like talking about

357
00:14:05,525 --> 00:14:08,905
how they're just one-on-one,
like technology has

358
00:14:10,315 --> 00:14:11,965
come about different
things that they've used.

359
00:14:12,265 --> 00:14:16,245
And I'm like, that wouldn't
happen. It's the sharing. Yeah.

360
00:14:16,275 --> 00:14:17,525
It's the sharing of the stories

361
00:14:17,625 --> 00:14:20,285
and then sharing information
and then going back.

362
00:14:20,425 --> 00:14:22,725
Yep. So you've shortcutted that process

363
00:14:22,905 --> 00:14:24,565
of maybe potentially find a solution

364
00:14:24,565 --> 00:14:26,125
for your own organization Yeah.

365
00:14:26,185 --> 00:14:28,325
Or a problem you're trying
to solve. Yeah. I, I am.

366
00:14:28,605 --> 00:14:30,325
I think it's great that
we've all been able

367
00:14:30,325 --> 00:14:34,005
to come back in person and
I'm hoping Covid doesn't come

368
00:14:34,005 --> 00:14:36,285
back significantly again or we
learned how to deal with it.

369
00:14:36,545 --> 00:14:39,565
Yes, we have, we have <laugh> again,

370
00:14:39,625 --> 00:14:40,765
no background in healthcare.

371
00:14:41,885 --> 00:14:43,885
<laugh>. Well, Michelle, thank you

372
00:14:43,885 --> 00:14:44,925
so much for your time today.

373
00:14:44,925 --> 00:14:46,605
It's been a pleasure.
Pleasure speaking with you.

374
00:14:46,675 --> 00:14:48,765
Well, thank you for having
me. Really appreciate it.

375
00:14:51,305 --> 00:14:53,885
- It is so important for leaders
at the top of organizations

376
00:14:53,905 --> 00:14:56,405
to keep learning, stay
sharp, grow their networks

377
00:14:56,745 --> 00:14:59,285
to help our audience better
do this in a more simplified,

378
00:14:59,285 --> 00:15:00,965
personalized, and meaningful way.

379
00:15:01,525 --> 00:15:03,965
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380
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382
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383
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384
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385
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