1 00:00:00,235 --> 00:00:02,205 - Prepare to dive into the forefront 2 00:00:02,225 --> 00:00:05,525 of healthcare innovation at our 14th annual meeting coming 3 00:00:05,545 --> 00:00:06,645 up on April 8th 4 00:00:06,645 --> 00:00:10,765 through 11th at the Hyatt Regency in Chicago, with thousands 5 00:00:10,765 --> 00:00:13,965 of industry leaders converging over four dynamic days 6 00:00:13,985 --> 00:00:16,805 of discussions on crucial topics from health IT 7 00:00:17,185 --> 00:00:18,685 to executive leadership. 8 00:00:18,995 --> 00:00:21,325 It's where the future of healthcare takes shape. 9 00:00:21,865 --> 00:00:24,085 We can't wait to connect with you in person 10 00:00:24,305 --> 00:00:26,725 and engage in these important conversations. 11 00:00:27,675 --> 00:00:30,085 - This is Laura Dedo with the Becker's Healthcare Podcast. 12 00:00:30,665 --> 00:00:32,405 I'm thrilled today to be joined by Dr. Bradley, 13 00:00:32,685 --> 00:00:34,645 karate Vice President and Chief Digital Officer 14 00:00:34,705 --> 00:00:35,805 of Froedtert Data Health. 15 00:00:36,645 --> 00:00:38,985 Dr. Ate, it's a pleasure to have you on the podcast today. 16 00:00:39,695 --> 00:00:41,125 - Thank you, Laura. Happy to be here. 17 00:00:41,825 --> 00:00:44,005 - Now, I'm looking forward to learning more about some 18 00:00:44,005 --> 00:00:46,365 of the successful projects that you've been doing recently 19 00:00:46,505 --> 00:00:47,925 and how you're thinking about the future. 20 00:00:48,105 --> 00:00:49,765 But before we dive into my questions, 21 00:00:50,065 --> 00:00:51,045 can you tell me a little bit more 22 00:00:51,045 --> 00:00:52,085 about yourself and your background? 23 00:00:52,955 --> 00:00:57,885 - Sure. I have been in healthcare, uh, for about 20, 24 00:00:58,985 --> 00:01:00,845 uh, plus, uh, years, 25 00:01:01,435 --> 00:01:05,205 more than half spent in the informatics, uh, space. 26 00:01:06,065 --> 00:01:09,565 My focus has always been on how we can use the technology 27 00:01:09,565 --> 00:01:13,365 that we have to really make our care processes much more 28 00:01:14,205 --> 00:01:17,565 efficient and, and frankly, work better for our patients 29 00:01:17,565 --> 00:01:20,685 that we're serving as well as our, as our clinical teams. 30 00:01:20,985 --> 00:01:23,965 Uh, you know, currently, uh, my role is 31 00:01:24,225 --> 00:01:27,645 as the Chief Digital Officer for, uh, freighter data care, 32 00:01:28,145 --> 00:01:31,605 uh, health, and also I serve as the interim president 33 00:01:31,745 --> 00:01:34,045 of our, uh, digital subsidiary 34 00:01:34,515 --> 00:01:36,445 that we call Inception, inception Health. 35 00:01:37,355 --> 00:01:39,875 I also, uh, continue to, uh, see patients 36 00:01:39,895 --> 00:01:41,275 as an internist as well. 37 00:01:42,815 --> 00:01:44,545 - Well, that's a lot to take on, 38 00:01:44,545 --> 00:01:46,465 and I can imagine you're pretty busy and, 39 00:01:46,465 --> 00:01:48,385 and you know, it's really cool to hear about, um, 40 00:01:48,855 --> 00:01:50,825 your innovation center as well, and, 41 00:01:50,825 --> 00:01:54,425 and just, uh, you know, excited, um, that you're able 42 00:01:54,425 --> 00:01:56,585 to do all of these things in the healthcare space. 43 00:01:56,805 --> 00:01:59,625 Now, given that, what are some of your top priorities 44 00:01:59,625 --> 00:02:00,625 for the next year or so? 45 00:02:01,735 --> 00:02:03,785 - Well, there's no shortage of things going on, 46 00:02:03,805 --> 00:02:08,145 but you know, very clearly, you know, number one priority is 47 00:02:08,145 --> 00:02:12,265 to continue to develop out our population health programs, 48 00:02:12,605 --> 00:02:13,825 uh, vis-a-vis digital. 49 00:02:14,005 --> 00:02:17,585 The way that we've been organizing digital 50 00:02:17,765 --> 00:02:19,825 and population health is to really 51 00:02:20,365 --> 00:02:22,705 fit very closely to together. 52 00:02:23,205 --> 00:02:25,425 And, uh, we're continuing to, you know, 53 00:02:25,425 --> 00:02:29,185 develop those programs around virtual nursing, uh, 54 00:02:29,285 --> 00:02:30,705 remote patient monitoring, 55 00:02:31,565 --> 00:02:34,985 and our digital therapeutics that we, that we have 56 00:02:35,045 --> 00:02:37,385 to support, uh, chronic care management. 57 00:02:37,445 --> 00:02:41,425 So, and that remains, you know, a, a number one priority. 58 00:02:41,845 --> 00:02:43,265 Second priority we have is 59 00:02:43,875 --> 00:02:47,265 we're still focusing on making healthcare easier for people. 60 00:02:47,405 --> 00:02:51,425 And one of the engineers on our team, you know, reminded me, 61 00:02:51,565 --> 00:02:56,425 uh, very astutely sometimes, uh, you can't make things, uh, 62 00:02:56,425 --> 00:02:57,665 simple that are complex 63 00:02:58,165 --> 00:03:01,975 and, um, we often will say, oh, we need to simplify X, 64 00:03:01,975 --> 00:03:03,015 we need to simplify Y. 65 00:03:03,075 --> 00:03:04,335 But, but frankly, there's a lot 66 00:03:04,335 --> 00:03:06,895 of complexity in, in healthcare. 67 00:03:07,235 --> 00:03:09,175 Um, but the engineer went on to say, 68 00:03:09,635 --> 00:03:10,735 but you can make it easy. 69 00:03:11,035 --> 00:03:12,975 And, and that's what we're focusing on as well. 70 00:03:12,975 --> 00:03:15,565 We have a, a large body of work right now 71 00:03:15,985 --> 00:03:17,765 around our patient engagement center. 72 00:03:18,145 --> 00:03:22,125 And then over top of that, we're overlaying a, 73 00:03:22,525 --> 00:03:26,165 a conversational AI program on top to make it really easy, 74 00:03:26,905 --> 00:03:29,005 uh, for our patients to be able 75 00:03:29,005 --> 00:03:32,685 to make transactions anytime, anywhere, uh, through the web, 76 00:03:32,685 --> 00:03:35,845 through voice, uh, uh, through chat. 77 00:03:36,345 --> 00:03:41,285 So getting that integrated, getting that developed, uh, 78 00:03:41,315 --> 00:03:45,585 getting that, uh, developed in close partnership with our, 79 00:03:45,645 --> 00:03:48,265 our operators is a big focus of ours. 80 00:03:48,285 --> 00:03:51,705 We have a, a, a fairly broad scope, uh, of that. 81 00:03:52,085 --> 00:03:56,955 Um, and then the, the third thing that we're looking at, 82 00:03:57,175 --> 00:04:00,585 you know, from a priority perspective is really looking at 83 00:04:00,585 --> 00:04:05,105 how we can reimagine some of our clinical care programs now 84 00:04:05,105 --> 00:04:09,145 that we have telehealth capabilities, now that we have, uh, 85 00:04:09,855 --> 00:04:12,945 such high, uh, connection with our patients through, uh, 86 00:04:13,405 --> 00:04:16,105 portal, uh, mobile applications, um, 87 00:04:16,445 --> 00:04:19,265 and the like, you know, how, how can we start to 88 00:04:20,465 --> 00:04:23,885 evolve the care model so it's less about what we're doing 89 00:04:24,545 --> 00:04:27,005 in the clinical, uh, office 90 00:04:27,665 --> 00:04:30,165 and more of what we can do together with the patients, uh, 91 00:04:30,185 --> 00:04:31,845 at home enabled by technology. 92 00:04:32,025 --> 00:04:35,605 So how we develop those programs, you know, coming out 93 00:04:35,605 --> 00:04:38,245 of the, the pandemic, we certainly did a lot of telehealth 94 00:04:38,265 --> 00:04:41,045 and telemedicine, but our focus right now is really 95 00:04:41,045 --> 00:04:42,845 how we can dig in 96 00:04:42,865 --> 00:04:46,885 and create sustainable, uh, programs that really provide, 97 00:04:46,985 --> 00:04:49,325 uh, high value, uh, for patients. 98 00:04:49,985 --> 00:04:52,405 So those are, those are three of our, 99 00:04:52,625 --> 00:04:54,085 our top priorities here. 100 00:04:55,265 --> 00:04:56,685 - That's so interesting to hear about, 101 00:04:56,705 --> 00:04:59,645 and especially, you know, that last point you mentioned, um, 102 00:04:59,645 --> 00:05:01,605 about reimagining clinical care 103 00:05:02,025 --> 00:05:03,965 and bringing the virtual aspect into it 104 00:05:03,965 --> 00:05:06,485 and how that becomes part of the whole, uh, 105 00:05:06,835 --> 00:05:08,645 care offerings within the health system. 106 00:05:09,145 --> 00:05:10,885 You know, when you look at clinical care 107 00:05:11,025 --> 00:05:12,925 and with your background as a physician 108 00:05:12,925 --> 00:05:14,765 and continuing to practice physician as well. 109 00:05:15,385 --> 00:05:19,405 Um, what do you, I guess, see as being, um, 110 00:05:19,545 --> 00:05:22,805 the evolution over the next 3, 4, 5 years or so? 111 00:05:23,265 --> 00:05:24,525 How do you really, um, 112 00:05:24,825 --> 00:05:27,765 see organizations leaning into change in this kind 113 00:05:27,765 --> 00:05:29,405 of reimagined workforce as well 114 00:05:29,645 --> 00:05:31,525 as access points within the healthcare space? 115 00:05:33,845 --> 00:05:37,125 - I think we've been talking about team-based care for 116 00:05:37,805 --> 00:05:42,545 a while, and I think it's now really time that we 117 00:05:43,385 --> 00:05:45,595 embrace the best of, of that, 118 00:05:45,895 --> 00:05:50,755 and we're working through that internally with our 119 00:05:51,395 --> 00:05:55,195 advanced practice providers, with our nurses, uh, with our, 120 00:05:55,855 --> 00:06:00,725 uh, m DDoS, you know, what does that care team look like? 121 00:06:00,865 --> 00:06:05,645 And then the other aspect is how can we augment 122 00:06:05,705 --> 00:06:06,845 and enable the, uh, 123 00:06:07,185 --> 00:06:10,085 and support the care team, uh, from a distance? 124 00:06:10,385 --> 00:06:13,485 And, you know, I think we're seeing a culture, what I've, 125 00:06:13,485 --> 00:06:15,925 what I've witnessed in my own clinical practices, 126 00:06:15,975 --> 00:06:20,205 we've had a, a culture from very hyper localized care, 127 00:06:20,465 --> 00:06:22,205 you know, really being about the very local, 128 00:06:22,345 --> 00:06:26,285 on the ground care team, uh, to really, uh, more 129 00:06:26,285 --> 00:06:28,885 of a system systems of care, uh, approach. 130 00:06:29,025 --> 00:06:31,685 So, you know, how can we layer in population health 131 00:06:31,685 --> 00:06:33,125 programs, uh, for example, 132 00:06:33,225 --> 00:06:35,565 how can we layer in centralized resources? 133 00:06:35,705 --> 00:06:37,005 And we've been doing this certainly 134 00:06:37,005 --> 00:06:39,685 with our own population health efforts as well as our, 135 00:06:40,185 --> 00:06:41,445 our digital outreaches. 136 00:06:41,465 --> 00:06:42,805 But the, the culture's evolved, 137 00:06:43,185 --> 00:06:45,485 and I think a lot of it has to do with just, there's 138 00:06:45,485 --> 00:06:47,885 so much on the plate of our clinical care teams right now 139 00:06:47,885 --> 00:06:51,885 that it's, uh, not just hard to keep up, it's impossible 140 00:06:51,985 --> 00:06:53,845 to, uh, to keep up. 141 00:06:53,865 --> 00:06:56,205 And, and I think we have an obligation to, you know, 142 00:06:56,205 --> 00:06:59,725 make it easier for our, our care teams to deliver what, on 143 00:06:59,725 --> 00:07:02,125 what they do best and to take things off 144 00:07:02,125 --> 00:07:03,525 of their plate in, in other ways. 145 00:07:03,665 --> 00:07:07,405 So, you know, the conversation around how we 146 00:07:08,095 --> 00:07:09,205 share work, uh, 147 00:07:09,425 --> 00:07:11,765 are definitely becoming more fruitful and changing. 148 00:07:11,825 --> 00:07:13,685 And I, I think that's not just at our organization. 149 00:07:13,805 --> 00:07:15,325 I think that's, that's really across 150 00:07:15,465 --> 00:07:17,435 the, across the industry. 151 00:07:17,855 --> 00:07:19,875 And that means that we do have teams that evolve, teams 152 00:07:19,875 --> 00:07:22,515 that change, um, roles that, that change. 153 00:07:22,735 --> 00:07:27,635 And we learn how to work in a more, uh, distributed model. 154 00:07:28,775 --> 00:07:32,675 We have evolution of, uh, you know, certain roles, 155 00:07:32,775 --> 00:07:34,995 and let's take telehealth, you know, for example, 156 00:07:35,295 --> 00:07:36,635 and portal messages. 157 00:07:36,895 --> 00:07:41,725 Um, you know, people wanna get in touch with their clinician 158 00:07:41,905 --> 00:07:43,485 for, uh, advice. 159 00:07:43,865 --> 00:07:46,885 And we're seeing, we've been doing this since the, 160 00:07:47,545 --> 00:07:52,405 around 1999, 2000 where we've, uh, had, uh, portals 161 00:07:52,405 --> 00:07:55,405 that have been available for patients to send in and message 162 00:07:55,545 --> 00:07:59,125 and, and now with the penetration of, um, 163 00:07:59,745 --> 00:08:03,085 portal access, uh, internet access, uh, 164 00:08:03,785 --> 00:08:07,525 on the go smartphone use, uh, this is really the way 165 00:08:07,525 --> 00:08:09,845 that patients first want to interact with us. 166 00:08:10,425 --> 00:08:14,045 Uh, do I have a problem, uh, if I do, can you see me today? 167 00:08:14,265 --> 00:08:15,885 Uh, or can you work me in? 168 00:08:16,705 --> 00:08:20,405 And, uh, we don't have a system of care for that. 169 00:08:20,545 --> 00:08:23,205 And so right now we're seeing clinicians 170 00:08:24,165 --> 00:08:27,205 managing portal messages on lunch breaks, uh, 171 00:08:27,495 --> 00:08:29,165 after they put their kids to bed 172 00:08:29,665 --> 00:08:31,965 before they start clinic in the, in the day. 173 00:08:32,105 --> 00:08:35,685 And this's just not a way to run a service, um, 174 00:08:37,185 --> 00:08:41,005 if anything, and it does lead to the contribution of, uh, 175 00:08:41,115 --> 00:08:43,165 just the fatigue and burnout that we're seeing across. 176 00:08:43,465 --> 00:08:47,285 And, and patients, um, appreciate the, the messages, 177 00:08:47,285 --> 00:08:49,725 but also they, they understand 178 00:08:49,725 --> 00:08:52,685 that clinicians are doing this sort of outside of, uh, 179 00:08:52,685 --> 00:08:55,965 visits and at least our research has shown 180 00:08:55,965 --> 00:08:59,285 that they do self-censor and, um, are are respectful. 181 00:08:59,665 --> 00:09:03,045 Um, but even with that, there's still a lot of messages 182 00:09:03,045 --> 00:09:04,965 that are, are coming forward. 183 00:09:05,625 --> 00:09:07,055 Uh, you know, a lot 184 00:09:07,055 --> 00:09:09,975 of the conversation in the industry has been about adding a, 185 00:09:10,215 --> 00:09:13,975 a fee to, to those messages as a way to either 186 00:09:14,525 --> 00:09:17,135 make it more fair to acknowledge the work being done 187 00:09:17,315 --> 00:09:19,215 or to, you know, 188 00:09:19,215 --> 00:09:23,095 potentially gatekeeper throttle messages coming in, which I, 189 00:09:23,255 --> 00:09:24,415 I can understand the fairness. 190 00:09:24,655 --> 00:09:27,695 I have a, a challenge with putting up more barriers to 191 00:09:28,555 --> 00:09:30,695 access and communication with patients. 192 00:09:30,875 --> 00:09:33,495 But all that being said, what if we took an opportunity 193 00:09:33,555 --> 00:09:37,255 to reimagine, you know, that how patients interact with the, 194 00:09:38,235 --> 00:09:40,615 the, uh, healthcare system and with the clinics? 195 00:09:40,875 --> 00:09:44,095 And what if we built a system of care, uh, 196 00:09:44,325 --> 00:09:45,935 that started digital first 197 00:09:46,035 --> 00:09:48,255 and then brought someone into in-person 198 00:09:48,515 --> 00:09:50,735 or got to the specific clinician, 199 00:09:50,735 --> 00:09:52,535 if only they could, they could answer. 200 00:09:52,595 --> 00:09:55,575 But there's, there's a lot that we could do in this space, 201 00:09:55,675 --> 00:09:57,895 and this is what I'm really excited that we're, 202 00:09:57,905 --> 00:09:59,295 we're starting to lean in and, 203 00:09:59,355 --> 00:10:03,375 and really reimagine how patients can interact, uh, with us. 204 00:10:03,615 --> 00:10:06,175 I mean, in, in a way we've been talking about digital front 205 00:10:06,205 --> 00:10:08,415 door, you know, for years, uh, 206 00:10:08,415 --> 00:10:10,175 particularly in the digital health space, 207 00:10:10,815 --> 00:10:13,375 a digital front door is more than building an app, uh, 208 00:10:13,435 --> 00:10:14,655 or having a new website. 209 00:10:14,765 --> 00:10:18,015 It's really re-imagining how people walk through that door 210 00:10:18,315 --> 00:10:19,895 and, and how they interact. 211 00:10:19,955 --> 00:10:21,295 And I think we're finally getting there. 212 00:10:22,935 --> 00:10:24,555 - That's truly fascinating to think about. 213 00:10:24,695 --> 00:10:27,035 And, you know, exciting as you mentioned, that we're getting 214 00:10:27,055 --> 00:10:30,435 to a space where, um, that type of mindset and, 215 00:10:30,455 --> 00:10:32,275 and, um, ability to connect 216 00:10:32,275 --> 00:10:34,475 with patients on the digital front, um, you know, 217 00:10:34,535 --> 00:10:36,395 and really thinking through how that integrates 218 00:10:36,395 --> 00:10:37,675 with the entire clinical team 219 00:10:37,735 --> 00:10:40,435 and experience, um, is, is really great to hear. 220 00:10:40,455 --> 00:10:41,675 And digital first too. 221 00:10:41,975 --> 00:10:42,995 Um, you know, I can imagine 222 00:10:42,995 --> 00:10:44,595 that's much easier said than done in terms 223 00:10:44,595 --> 00:10:47,555 of applying the technologies of workflows and whatnot. 224 00:10:47,655 --> 00:10:50,035 But, um, I, I really think an exciting way 225 00:10:50,035 --> 00:10:51,275 to look at the future. 226 00:10:51,815 --> 00:10:55,595 Um, and, and with that in mind, you know, I, I think you, 227 00:10:55,615 --> 00:10:57,235 um, mentioned so much there. 228 00:10:57,395 --> 00:10:59,755 I, I was wondering if you could talk about your most 229 00:10:59,805 --> 00:11:01,715 successful project from the last year or two. 230 00:11:01,785 --> 00:11:03,995 What did you do and how did you measure the results? 231 00:11:06,695 --> 00:11:09,975 - Absolutely. Well, none of the work that, you know, 232 00:11:09,975 --> 00:11:13,735 we have, uh, that we're working through is, is de novo. 233 00:11:13,735 --> 00:11:17,255 We're really, you know, taking several incremental steps. 234 00:11:17,485 --> 00:11:19,935 I'll just take, you know, our virtual, uh, 235 00:11:19,935 --> 00:11:21,375 nursing, you know, for example. 236 00:11:21,715 --> 00:11:26,405 Um, you know, this is really an evolution of work 237 00:11:26,405 --> 00:11:30,165 that we've had with, uh, an an EICU 238 00:11:30,515 --> 00:11:32,045 that we've been able 239 00:11:32,185 --> 00:11:35,765 to successfully develop a very talented, uh, nursing team 240 00:11:35,875 --> 00:11:39,285 that really fills a lot of gaps and, 241 00:11:39,665 --> 00:11:41,525 and really delivers value. 242 00:11:41,525 --> 00:11:42,605 They've delivered value. 243 00:11:42,985 --> 00:11:45,285 And, um, our covid remote monitoring, 244 00:11:45,285 --> 00:11:49,605 they've delivered value in helping patients, uh, stay safe 245 00:11:49,665 --> 00:11:51,885 as they transition out of the intensive care units, 246 00:11:51,885 --> 00:11:54,685 particularly when our intensive care unit census this are, 247 00:11:54,785 --> 00:11:58,365 are high and providing extra support to the, to the units. 248 00:11:58,825 --> 00:12:00,965 You know, I was looking over our, our numbers 249 00:12:01,185 --> 00:12:02,965 and, you know, last year, uh, 250 00:12:03,105 --> 00:12:05,205 we had 10,000 tele hospitalist 251 00:12:05,445 --> 00:12:06,805 interventions, you know, by this team. 252 00:12:06,905 --> 00:12:11,285 So I think we're really learning how to work, 253 00:12:11,975 --> 00:12:15,125 again with a centralized, uh, virtual resource in a way 254 00:12:15,125 --> 00:12:18,965 that, um, really respects the, um, 255 00:12:19,545 --> 00:12:22,045 the care on the grounds, but really supports 256 00:12:22,225 --> 00:12:25,725 and augments provides a additional layer of, of safety. 257 00:12:26,105 --> 00:12:29,645 And, uh, and we're really excited to build on that, 258 00:12:30,625 --> 00:12:34,205 you know, our building on top of, you know, newer clinical 259 00:12:34,725 --> 00:12:37,125 programs and services we're seeing across the industry. 260 00:12:37,125 --> 00:12:39,285 Several, uh, try to address that, that problem 261 00:12:39,355 --> 00:12:42,885 that I was mentioning earlier around, uh, digital access 262 00:12:42,905 --> 00:12:45,285 and portal messages and, and really looking for guidance 263 00:12:45,285 --> 00:12:47,885 and advice on, on where to turn. 264 00:12:48,105 --> 00:12:51,005 Uh, some organizations have had success, uh, 265 00:12:51,005 --> 00:12:52,925 putting bots in front. 266 00:12:53,145 --> 00:12:56,685 Uh, we have developed a, a fairly robust, uh, 267 00:12:56,765 --> 00:12:58,885 asynchronous care, uh, program, 268 00:12:59,185 --> 00:13:02,165 and we continue to see volume, uh, increasing through that. 269 00:13:02,785 --> 00:13:04,875 But what I was gonna say is, you know, 270 00:13:04,875 --> 00:13:07,475 our investment in our, our digital front door, 271 00:13:07,555 --> 00:13:11,285 we wanna make it as easy as possible for people to get 272 00:13:11,285 --> 00:13:13,685 where they need to go within the healthcare system safely, 273 00:13:13,755 --> 00:13:17,805 effectively, and then to develop that, that relationship. 274 00:13:17,905 --> 00:13:21,045 And one of the measures that we've been using, uh, for 275 00:13:21,045 --> 00:13:23,645 that in addition to monthly active users 276 00:13:24,225 --> 00:13:26,965 and other such utilization metrics is are, 277 00:13:27,025 --> 00:13:28,725 are we also bringing in, uh, 278 00:13:28,745 --> 00:13:30,685 new unique patients in the healthcare system? 279 00:13:31,025 --> 00:13:33,765 And, uh, we're finding that, you know, as we, 280 00:13:34,105 --> 00:13:37,685 as we do develop systems that make it easy for people to 281 00:13:38,405 --> 00:13:40,805 interact, that we can start to lay that, you know, lay 282 00:13:40,805 --> 00:13:43,365 that path for people to, uh, become, um, 283 00:13:44,685 --> 00:13:46,415 more connected, uh, with us. 284 00:13:47,165 --> 00:13:51,865 Another thing that we've been working on, uh, is, you know, 285 00:13:51,865 --> 00:13:55,665 this foundational data layer, uh, in order to be able to, 286 00:13:56,405 --> 00:14:00,225 uh, deliver on our population health promises. 287 00:14:00,485 --> 00:14:03,625 And we've been working both with 288 00:14:04,405 --> 00:14:05,495 Epic as a partner. 289 00:14:05,585 --> 00:14:09,375 We're an early adopter of the campaigns, uh, tools 290 00:14:09,435 --> 00:14:12,695 to be able to do care gap closure, uh, as well 291 00:14:12,695 --> 00:14:15,415 as investing in our own, uh, data lake and, 292 00:14:15,475 --> 00:14:19,935 and cloud that we also are using to close, uh, care gaps. 293 00:14:20,115 --> 00:14:24,005 And I think, we'll, we'll be continuing to, you know, 294 00:14:24,145 --> 00:14:27,125 see development, uh, in these, in these spaces. 295 00:14:27,385 --> 00:14:30,805 But we're, we're looking at, you know, efficiency. 296 00:14:30,805 --> 00:14:34,885 We're looking at things move from, um, telephone calls 297 00:14:35,025 --> 00:14:36,925 to more digital contacts, um, 298 00:14:37,665 --> 00:14:42,405 and, uh, looking at how many, for example, care gaps 299 00:14:42,435 --> 00:14:46,805 that we can, uh, address, uh, while, um, 300 00:14:46,935 --> 00:14:50,245 respecting our patient's time of not keeping them on hold 301 00:14:50,505 --> 00:14:55,085 and our staff time of, of, uh, of being able to automate, 302 00:14:55,265 --> 00:14:56,965 uh, tasks where we can. 303 00:14:57,635 --> 00:15:00,485 Then lastly, I would, you know, point out 304 00:15:00,485 --> 00:15:03,485 that our digital therapeutics program, uh, as it relates 305 00:15:03,485 --> 00:15:05,765 to population health, is still continuing to make, uh, 306 00:15:06,065 --> 00:15:09,085 really important differences are when we see patients 307 00:15:09,205 --> 00:15:13,045 that are engaged in our digital diabetes program, 308 00:15:13,275 --> 00:15:16,365 they have a sustaining, uh, A1C drop of, uh, 309 00:15:16,425 --> 00:15:18,125 of about, uh, 2%. 310 00:15:18,665 --> 00:15:21,925 Um, and they have better sustainment when they're digitally 311 00:15:21,925 --> 00:15:23,645 engaged, uh, when, when not. 312 00:15:24,145 --> 00:15:27,805 Um, we have a, uh, a very lightweight program now 313 00:15:27,805 --> 00:15:30,005 that we're doing for hypertension control 314 00:15:30,005 --> 00:15:33,485 and management, um, over, uh, SMS 315 00:15:33,585 --> 00:15:37,085 and we're seeing patients that, um, consent 316 00:15:37,085 --> 00:15:40,205 and enroll in that program with our care coordinators, um, 317 00:15:40,555 --> 00:15:45,245 have an 80% higher, uh, likelihood of being under, uh, 318 00:15:45,245 --> 00:15:46,365 their gold blood pressure. 319 00:15:46,585 --> 00:15:49,485 So we're starting to see, you know, several of these, um, 320 00:15:50,085 --> 00:15:54,205 structural investments now turn into, um, real outcomes. 321 00:15:54,385 --> 00:15:58,925 And I think as we further develop our, our, uh, care models, 322 00:15:59,345 --> 00:16:02,045 um, we can double down and, and get greater gains here. 323 00:16:03,065 --> 00:16:04,165 - That's amazing to hear. 324 00:16:04,185 --> 00:16:06,005 And, and definitely, you know, a lot of time, 325 00:16:06,025 --> 00:16:08,205 effort spent into, um, you know, 326 00:16:08,565 --> 00:16:09,765 invested into these types of programs. 327 00:16:09,765 --> 00:16:11,925 And so it was awesome to know that, you know, 328 00:16:11,925 --> 00:16:13,165 you're starting to see those results. 329 00:16:13,545 --> 00:16:14,685 Dr. Karate, thank you so much 330 00:16:14,685 --> 00:16:16,205 for joining me on the podcast today. 331 00:16:16,205 --> 00:16:18,005 This has been such a fascinating conversation, 332 00:16:18,025 --> 00:16:19,645 and I look forward to connecting with you again soon. 333 00:16:20,365 --> 00:16:22,115 - Thank you so much, Laura. Pleasure to be here.