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- <silence> Elevate your healthcare

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- This is Laura Dedo with the
Becker's Healthcare Podcast.

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I'm thrilled today to
be joined by Koala Eson,

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vice President and
Chief Innovation Officer

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at Children's National Hospital.

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K is a pleasure to have
you on the podcast today.

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It's great to be with you.
Thank you so much, Laura.

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Now I'm really looking
forward to catching up

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with you on some of the interesting

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and exciting things you're
doing at Children's National.

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I know it's such a fascinating
time right now in healthcare

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and specifically when looking
at children's healthcare,

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you know, lots of opportunities

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to really make a big difference
for that patient population.

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But before we dive into that discussion,

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can you tell me a little bit more

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about yourself and your background?

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Uh, yes, absolutely.

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Um, so, um, as you
mentioned, I'm, uh, Ian.

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I'm the Vice President and
Chief Innovation Officer at

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Children's National Hospital
in Washington, DC And, um,

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a little bit about the hospital.

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Uh, I would, I would like
to mention that it's, uh,

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ranked number five in the nation

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by US News and World Report.

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And, uh, most importantly in the context

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of our conversation, uh, research

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and innovation is one of the three pillars

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of our strategic priorities.

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Uh, the other two being,
uh, clinical excellence

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and community health.

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And, uh, we receive more
than 70% of our research

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and innovation funding
from federal agencies.

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And the other 30% come
from industry foundations

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and, uh, internal resources.

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And in my capacity as
Chief Innovation Officer,

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I manage Children's Nationals
Innovation Ventures,

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which is the, um, innovation

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and commercialization arm
of Children's National.

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And I'm also the principal investigator

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of an FDA funded initiative
that Children's National has led

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for the past 10 years.

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And we were just renewed
in September, 2023

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to a $7.5 million grant, uh, to

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continue lead this initiative
for another five years.

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And, um, under a new branding
and all new partnerships.

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Uh, so this initiative is
now called the Alliance

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for Pediatric Device Innovation.

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And my background is in
mechanical engineering with, uh,

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follow on, uh, PhD and MBA degrees.

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Uh, my experience all phases

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of the total product
lifecycle development, uh,

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having worked at Intelsat and Accenture

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before joining academia

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and my own innovations, uh,

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as an inventor are still in the
market, having been licensed

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to companies that are
commercializing them.

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Uh, my focus in the past 10 years, uh,

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has been on building innovation
programs, uh, dedicated

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to FDA regulated pediatric
medical products.

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Well, that's a fascinating background

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and certainly, you know,
such an inspiring field

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considering all the good
that, you know, that type

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of medical innovation can do
for a pediatric population.

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And from your perspective

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and vantage point leading
innovation at Children's National,

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what are some of your
top priorities right now?

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What is really encompassing
most of your time?

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Yeah, thank you for that question.

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And I'd like to answer this
question in the context of, uh,

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what, uh, innovation means in
an academic pediatric health

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system and what it takes
to work in an underserved

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and under invested, uh,
small pediatric markets.

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So with this in mind, our mission
is to bring, uh, novelties

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and discoveries to the patients

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and families that we
serve in our own hospital

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system, uh, and everywhere.

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And so at Children's
National Innovation Ventures,

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we are laser focused on
FDA regulated pediatric

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medical products.

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So these are in the three
categories of, uh, drug biologics,

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uh, under the purview of FDA Center for

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Drug Evaluation and Research

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and Center for Biologics
evaluation and Research.

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Uh, the second is, uh,
the category of devices

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and diagnostics, uh, under
the purview of FDA Center

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for Devices and Radiological Health.

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And then the third bucket
is, um, digital therapeutics

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to the extent that these
products are regulated, uh, such

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as software as a medical device

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or, um, various, um, predictive analytics.

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Um, and again, you know,
under the oversight

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of the FDA Center for Devices

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and Radiological Health,
uh, so this is our focus

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because our resources are scarce,
we want to make sure that,

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you know, we tackle the
products that are in dire need

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for the patient population that we serve.

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And so we are focused on
regulated medical products.

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And the way that we source

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and scout innovation is
through three buckets of

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hospital-based innovation.

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This is when we work with
our clinicians, uh, to, um,

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understand the problem statements.

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But this is not necessarily,
you know, asking the clinicians

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to come up with a solution.

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But together we, um,
identify a problem statement

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that is looking for a
technological solution.

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Uh, the second bucket is a
research based innovation, uh,

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discoveries that come
out of our research labs.

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And then the third is open
and external innovation.

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This is when, uh, we source and scout

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and look for, uh, pediatric
innovation, no matter

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where they are within this context.

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Our innovation program
is largely, uh, sponsored

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through external sources.

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So, uh, to answer your
question now directly about

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priorities, you know, we wanna make sure

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that our priorities are
aligned with the priorities

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of our sponsored, uh,
and funded initiatives.

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Um, and the FDA grant is
a good example of that.

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Uh, so these programs are all
designed around the most dire

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and challenging needs of
the most vulnerable children

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of all backgrounds who
need novel medical, uh,

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technologies, uh,

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that were specifically studied
in the patient population,

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uh, as well as innovative
medical products such as point

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of care or at home devices
that help with preventive care

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to keep, to keep children
away from the hospital.

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Um, and you know, I, I will
repeat this again, that,

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you know, our laser focus
is on medical products

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that have been specifically studied

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for use in the pediatric population.

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Uh, you hear the phrase
children are not small adults.

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Uh, so we need solutions

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that are specifically
designed for children.

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Uh, i, I can bring, you
know, give you an example of,

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you know, how we actually do that.

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And that is, you know,
through identifying a need

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and doing needs assessment studies.

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So on April 26th, we are
hosting a symposium on the topic

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of, uh, pediatric medical devices

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for optimizing the heart brain continuum.

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So, um, if you talk to any
pediatric cardiac surgeon

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or neurosurgeon, they will tell you

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that non-invasive continuous
monitoring systems is

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what they need, and yet there
is no solution in the market.

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Uh, so on the 26th of April,

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we are bringing together the
WHO is who in this, uh, domain,

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uh, from the government industry

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and academia to get
the discussion started.

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Uh, we'll then use the
proceedings from the symposium

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to craft an RSP to solicit
proposals for pediatric, uh,

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medical devices for the
perioperative care of patients

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with congenital heart disease

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and neurodevelopmental disorders.

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The RFP will go out about two
weeks after the symposium,

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and, uh, we select finalists

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to present live at our, uh,
your medical device pitch,

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uh, competition, make your
medical device, uh, pitch

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for kids competition on
October 14th, uh, in Toronto.

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And that will be part

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of our 12th annual symposium
on pediatric device innovation,

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which is co-located with the, um,

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large med tech conference powered by Ed.

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Well, that's fascinating to hear,

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and certainly a huge
accomplishment in terms of thinking

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through, you know, all
those connected points

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and how you can really innovate
in the children's MedTech

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space, um, to really make a big difference

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for those patients that you're serving

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on a consistent basis.

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And you know, I, I can
see that you've got a lot

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of different, um, people
that you're working with

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and partnerships in the
industry and the community, um,

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and through the system at large.

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When you think about innovation
from your perspective and,

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and just really, um, you know,
how have you seen it grow

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and evolve over the last year or two,

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and then what are you
expecting, um, over the next 12

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to 24 months or so?

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Uh, or what are you, I guess,

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most excited about when you
think about this, these types

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of innovations and what's possible?

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Yeah, uh, as you mentioned, you know,

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partnership is really important to us.

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Um, you know, uh, uh, we have a small team

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of innovation at Children's National,

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and we could not have done

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what we have accomplished without, uh,

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the power of partnerships.

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Um, so in the next, um,
you know, 12 months,

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we are really focused on, um, working

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with the small business

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and startup communities
even more, uh, closely on,

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um, conducting a couple
of, um, economic, um,

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comparative effectiveness
studies, uh, to help demonstrate

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the value of innovation in
a pediatric health system.

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And that is, you know,
to demonstrate, you know,

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what innovation means, right?

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Uh, to, um, create value
through reduce, for example,

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reducing the total cost of
care for the hospitals, uh,

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and make technologies
available where patients are.

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So that's why, you know, the point of care

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and at home, um, technologies
are so important, uh,

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to keep children, um, being cared for

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by their caregivers and,
uh, families at home, um,

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and reduce the necessity
to come to it, um,

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to the hospital and rather, you know, go

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to their retail pharmacy, for example,

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or, um, uh, use some at home
devices for certain, um,

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uh, monitoring and data
collection, um, needs.

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So that's, you know, that
that's something that, you know,

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we are actively working on.

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And, uh, uh, you'll
see, you know, some, uh,

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success stories hopefully coming out in

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the next 12, 18 months.

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I'll definitely keep an eye out for that.

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Thank you so much, Malala,
for mentioning it and,

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and really, you know, referencing

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what I can imagine will
be a, a great initiative

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to see the results and
then scale from there.

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Before we wrap up our conversation,

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could you talk about one change that you

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and your team has made recently
that yielded great results?

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Oh, I, I think that, you
know, uh, something that, uh,

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we keep in mind continuously
is, uh, to stay laser focused

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and not get distracted by shiny objects.

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And so that laser focus for us
is really, um, uh, you know,

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use the power of, uh, science

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and technology, uh, to focus on

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regulated medical products.

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And so that is the focus
of innovation, you know,

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within our team.

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Um, it's not a huge change,

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but it's a, a constant
reminder of, uh, you know,

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if we don't stay focused, we are lost.

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So, you know, as an example,
you know, I can, uh, tell you

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that, you know, by staying focused,

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unregulated medical
products, uh, you know,

248
00:12:52,665 --> 00:12:54,685
in the past 10 plus years working

249
00:12:54,685 --> 00:12:57,765
with the FDA on the
pediatric device consortia

250
00:12:58,335 --> 00:13:03,085
grant program, we assisted
over 400 unique medical device

251
00:13:03,125 --> 00:13:06,245
projects, over 40 startup companies.

252
00:13:06,625 --> 00:13:11,205
And of them, uh, there are
over 20, um, medical products

253
00:13:11,205 --> 00:13:15,085
that were cleared or
approved, uh, by the FDA, um,

254
00:13:15,425 --> 00:13:17,645
or received C mark, uh, in Europe.

255
00:13:18,705 --> 00:13:21,485
And of the companies
that we assisted, eight

256
00:13:21,485 --> 00:13:25,245
of them landed successful
exits via acquisition.

257
00:13:25,865 --> 00:13:28,365
Uh, so the key is, again, to stay focused

258
00:13:28,425 --> 00:13:31,365
and be true to our mission,
which is to serve children

259
00:13:31,545 --> 00:13:33,685
and families, and these are the results.

260
00:13:35,715 --> 00:13:37,355
I love it. Goa, thank you so much

261
00:13:37,355 --> 00:13:38,795
for joining us on the podcast today.

262
00:13:38,795 --> 00:13:41,075
This has been such a fun and
interesting conversation,

263
00:13:41,095 --> 00:13:42,755
and I look forward to
connecting with you again soon.

264
00:13:43,895 --> 00:13:44,895
Thank you, Laura.

265
00:13:46,915 --> 00:13:50,005
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