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- Prepare to dive into the forefront

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of healthcare innovation at
our 14th annual meeting coming

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up on April 8th

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through 11th at the Hyatt Regency
in Chicago, with thousands

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of industry leaders converging
over four dynamic days

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of discussions on crucial
topics from health IT

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to executive leadership.

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It's where the future of
healthcare takes shape.

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We can't wait to connect
with you in person

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and engage in these
important conversations.

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- Welcome to the Becker's
Healthcare Podcast, made

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for the people who power US healthcare.

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I'm Molly Gamble with Becker's,

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and today I am sitting down
with Reid Stefan, vice President

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and Chief Information Officer with St.

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Luke's Health System to
learn more about his role

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and his top priorities as of late.

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Reid, welcome to the podcast. Thanks

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so much for being my guest.

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How are you today? And where
does the podcast find you?

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- Yeah, hi, Molly. Uh, well, it's,

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it's a Friday afternoon,
so I'm doing great.

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I typically work from home on Fridays,

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which I'm doing today, so I
find myself in the comfort

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of my own home office.

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- That's terrific. Well,
Reid, for for listeners

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who might be a little
less familiar with St.

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Luke's Health System, can you
share a few key facts about

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the organization just

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to help us better reacquaint ourselves?

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- Sure. Uh, St.

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Luke's Health System, we're
based in Boise, Idaho.

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Uh, we were founded in 1902.

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We serve as Idaho's only,
not-for-profit health System.

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What that means is we're comprised

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of eight medical centers,
a children's hospital.

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We have over 200 clinics staffed
by about 14,000 employees

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as part of our system.

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We also have a financially

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and clinical integrated
network that we call St.

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Luke's Health Partners. Uh,

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we have a health insurance
arm that we call St.

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Luke's Health Plan. And as a system,

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our focus is not just healthcare,

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but also the overall
wellbeing of, of our patients

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and the broader population in
the communities that we serve.

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Mm-Hmm. <affirmative>,

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- Thanks.

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Re and the only nonprofit
health system in the state.

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I mean, that's, that's a,
a distinction to point out.

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Um, you know, I, I remember
at the start of 2020,

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an interesting year, we
at Becker has reported

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that you were beginning
to lead the centralization

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of the IT team at St.

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Luke's. You, you all were moving
into one physical location

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after your members had been
spread across seven different

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buildings for a number of years.

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I wanted to check in, you
know, about four years later

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through the woods of the pandemic.

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How's your team today?
How many members are part

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of the IT team today?

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How are you working together today?

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Can you share the latest?

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- Yeah, you, you have a good memory.

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Uh, four years, it's,

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and it's been a while, four
years, so you're right.

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At the start of 2020, we were about ready

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to move into a centralized
corporate location for IT staff

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who were spread across multiple, uh,

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various locations across the valley

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and the areas where we serve,
and then the pandemic hit.

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And so that really caused some disruption

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and a reassessment of what
the approach is going to be.

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I would say, you know, as
we look back through kind

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of the forest as you described,

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we've learned a lot on our journey.

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Uh, I think early on we
intentionally really, uh,

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avoided extreme positions.

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Uh, we would hear some
extreme position of, Hey,

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remote work is fake work.

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Everyone needs to be in the
office. The other extreme would

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be, Hey, let's cancel all of
our leases, sell our buildings.

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Everyone can work remotely.
Uh, we just felt both

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of those were, were problematic,
kind of too wild of a,

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of a swing either direction.

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And so we were, we were
patient, we listened,

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we tried small tests of change.

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I think where we've
landed, we have about 550

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folks across our department.

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10% of those are dedicated remote.

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That means that their primary
work location is their home.

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They can still come in the office,

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but if they do, they
sit in a hoteling spot.

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And they're predominantly,
these folks, uh,

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work from home and stay at home.

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We have about 10% of our staff

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who are required to be on site.

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It's just the nature of their work.

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They, they can't do remotely.

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They have equipment

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or services they provide that require them

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to be there, uh, present.

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And then about 80% of our
department are hybrid.

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And so as a guide, we
ask our leaders of people

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to be in the office three days a week,

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and then we ask all other staff

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to be in the office at
least one day a week.

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And outside of that, we don't monitor

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or prescribe how our teams operate.

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We fully embrace the
benefits of flexibility,

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but I would also say that

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because we operate within a
defined geographic area, uh,

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it's beneficial to have
in-person interaction.

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And so we try and maintain a culture

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and events that pull
people into the office

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so we can maintain that
in-person connection.

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That's really key to creating a culture

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that I think is our secret sauce. Mm-Hmm.

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- <affirmative>, it sounds
like you not only avoided those

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extreme positions, like you
said, of either, you know,

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like you said, cancel all the leases,

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we're selling the buildings
or everyone in every,

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you know, five days a week.

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But you've also embraced
the, the hybrid situation

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and then even customized even
more by having those bookends

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with the 10% fully remote, 10% in person.

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Um, and then from there,
80% in the middle somewhere.

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Um, how, how has that been
at for you as a leader?

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You know, that's, that's a lot

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of different employees making
sure you're being thoughtful

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in your communication,
reaching people where they are.

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A any adjustments you need to
made as a top of this team?

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- Well, I think you have to
be more intentional about

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ensuring equity of, of
connection and access.

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And so I'm mindful of wanting to avoid,

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um, presence bias.

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So just because I happen to,

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I'm in the office
usually four days a week,

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and for those colleagues that are

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in the office at a high
percentage as well,

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and I have maybe more face
time with I, I wanna make sure

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that myself and other leaders avoid any

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unintentional waiting a a
preference of assignment

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or opportunity just based on
that, uh, higher frequency

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of in-person interaction.

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And so I'll do, you know,
every other week I host, uh,

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what I call a CIO small group
meeting where it's virtual

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and just try and bring
together a small number

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of folks on the team, usually
15 to 20, just to check in

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and have those connections.

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Uh, like I mentioned, we try

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and do things, whether
it's a, an office event

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or, uh, just doubling up on a work item

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that might have brought people
in anyway to the office,

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but to make sure when
we have those moments

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that we really intentionally,
uh, try and round

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and make sure that we
create those connections

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as effectively as possible.

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Mm-Hmm, <affirmative>, but it
is something that you have to,

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you have to be intentional
about that kind of, um,

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mindful connection won't
just happen organically.

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There has to be some thought

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and some level of, of structure around it.

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- Mm-Hmm. <affirmative> and those meetings

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of CIO small groups means
like, it's about 10%

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of your team, 15 to 20 people.

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Are those a week are
weekly, like you said?

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- I do about two a month,

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and I find when I do
it that way, I can work

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through the department in about a year.

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Oh, wow. And that, that's
a pretty good pace.

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We started it four years ago,

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and it was initially really a reaction

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and a response to Covid when the majority

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of our staff were full-time
remote, as we kind of learned

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how to navigate that, that
event or that experience.

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But we found that beyond
the, you know, uh,

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immediate need of doing that
to stay connected during covid,

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there was a lot of utility

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and benefit to maintain that long term.

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And the feedback from the staff
has been positive as well.

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It gives them a, a smaller
intimate kind of gathering to,

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to ask questions that maybe
they would be hesitant

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to ask in an all hands meeting.

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Uh, it lets them connect

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and get to know other, uh,
members of the department

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that maybe they don't work
with on a regular basis basis.

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So there's been some unintended
benefit from that, uh,

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that format that,

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that really has been powerful,
I think. Mm-Hmm, <affirmative>.

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- Well, thanks so much Ree for the,

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the check-in on your team.

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Now. I, I would love to
know a little bit more about

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your work as of late.

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Any initiatives

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or areas of your work that
are commanding the most

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of your attention or energy lately?

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- Yeah, I would say, you know,
we're, we're fully embracing,

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of course, the opportunities

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that generative AI are presenting.

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I think we've found our path
by aligning with our partners

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and leveraging their roadmaps.

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So for example, we're
piloting Epics AI in baskets.

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We're using Microsoft Co-pilot,

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we're deploying an ambient

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listening solution for clinicians.

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A lot of things that are, I think,

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talked about at a pretty
high level of, of frequency

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and recurrence in the community.

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And, but I would say
though that for me, uh,

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a more seemingly mundane
area has really captured my

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attention over the last several months.

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And I found myself increasingly
trying to advocate for

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how do we highlight and celebrate those

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who are just being
brilliant in the basics.

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I I certainly understand the appeal

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of showcasing the innovative
approaches people are taking

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and the new and emerging areas,

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but I always, in the back
of my mind, I have this

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nagging worry that it creates a mindset

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where the basics can then be
overlooked or even devalued.

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Mm-Hmm. <affirmative>. Uh, so I've, I,

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I fully embrace this mantra

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that excellence in the
essentials is the unsung hero

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of healthcare transformation.

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So right now, my team, we're on a journey

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of assessing the basics
to really understand

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where are we brilliant or where
do we think we're brilliant,

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but maybe we're not, and
where are we just okay,

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or maybe where are we not?

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Okay? And so on the
surface, that kind of work,

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it's doesn't seem very exciting.

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It's certainly not going
to, you know, be a headline

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of a LinkedIn post or a podcast
episode that grips people,

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but I'm convinced that
it's, it's critical.

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And in our quest for transformation

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or innovation, the strongest
launchpad is going to be

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that solid foundation.

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And my, my premise is that
if we lose sight of that,

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we end up building on
a, a sandy foundation

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that just can't withstand
the natural tides

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of our dynamic world.

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So we're, we're just really
focused on doubling down on,

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again, how do we assess

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and make sure that we're really brilliant

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and efficient at the basics.

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- Mm-Hmm. <affirmative>. Well, Reid,

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I think you might have
gotten the wrong podcast host

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because I, I love that topic, <laugh>.

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Um, I would like to do podcasts
and LinkedIn posts on it.

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Uh, are you a basketball fan by chance?

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- I am.
- Okay.

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Uh, the last dance,

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that Bowles documentary
that came out Yeah.

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In the high, I remember watching that

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and it kind of, the way
the team was about the

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fundamentals of the game.

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Um, yeah. I, I found it so
inspiring and interesting,

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and it reminds me a lot of
what you're saying, where

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you can have the shiny ball syndrome,

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but if you let the fundamentals
lag or you lose steam there

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and focus, it's tough to
do much of anything really,

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really well if you know even
much less exceptionally well.

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So I, I completely
understand why you find this

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so compelling and interesting.

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- Yeah. Are you a football fan?

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If we stick with a sports analogy?

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- I, I, I'm, I like football.

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Not as much as basketball though,

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but yes, please, please continue.

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- Well, I just think of,
um, uh, Vince Lombardi,

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the legendary Packers coach.

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Mm-Hmm. <affirmative>. And
they were so successful,

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and every season, even after
they won the championship

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or their first of their,
their Super bowls early on

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at the start of the year,
he would gather the team

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and say, gentlemen, this is a football,

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and you'd hold for football, gentlemen,

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this is the end zone, gentlemen.

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This is the field go post.

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Like, just breaking it down to the basics.

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And that was the key to their
success, is they never got

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so carried away with, well,
we've got that figured out.

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Let's work on something really advanced

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and like cutting edge.

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And I, I think that same mindset

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maps beautifully to what we do.

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And I, I'm not, I'm not dismissing

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or saying we shouldn't be looking
at what's new and emerging

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and how can we leverage it,

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but all within the context
of it only works if, again,

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we are brilliant to the basics

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and we really understand what
we're building on. Mm-Hmm.

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- <affirmative>. Mm-Hmm.
<affirmative>. Well, Reid,

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I wanna wish you continued
success in that effort.

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I think it's, it's really important and I,

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I find it quite interesting to discuss.

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So, um, keep us posted at
Becker's with how that's going.

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I also think there's a lot
of different leadership

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techniques that are really
imperative to that kind of work.

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'cause like you said, it
can, it can seem mundane,

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but if you lead it the right way, uh, it,

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it can be really effective.

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00:13:03,985 --> 00:13:05,315
- Well, I just love what you do then,

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and I love that as kindred
spirits that does grip you,

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because I think, and I have colleagues

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who are brilliant at the
basics, and as we highlight

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and showcase that it creates
a rising tide, right?

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Where people then don't feel,

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and not that they do, these are my words,

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but no one should ever feel ashamed

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or like, well, I'm just doing that.

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Right. I'm not doing some new
cutting edge robotic surgery

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and there's a place for all of it

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and we can celebrate it all.

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00:13:31,535 --> 00:13:32,595
- Mm-Hmm. <affirmative>.
Mm-Hmm. <affirmative>.

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00:13:32,595 --> 00:13:34,515
That's a great spirit. Reid.

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Stefan, vice president and CIO
of St. Luke's Health System.

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Any closing thoughts for our listeners

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00:13:39,575 --> 00:13:41,355
or a message you'd like to end on Reid?

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00:13:43,085 --> 00:13:45,655
- Yeah, I would, you
know, if you, let me kind

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00:13:45,655 --> 00:13:47,455
of wax philosophical for a moment.

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00:13:47,855 --> 00:13:51,615
I would say as a healthcare CIO community,

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we best serve our organizations and our,

325
00:13:55,055 --> 00:13:58,215
and our sector by focusing
on the primary questions

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00:13:58,515 --> 00:14:00,095
and not the secondary questions.

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00:14:00,095 --> 00:14:02,215
Mm-Hmm. <affirmative>. And
what I mean by that, so for me,

328
00:14:02,295 --> 00:14:04,295
a secondary question is something like,

329
00:14:04,965 --> 00:14:06,055
what should my title be?

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00:14:06,075 --> 00:14:07,855
Should it be Chief Information Officer?

331
00:14:08,355 --> 00:14:10,735
Should it be Chief Digital
and Information Officer?

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00:14:11,555 --> 00:14:14,135
Uh, who should I report
to? Should it be the CEO?

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00:14:14,795 --> 00:14:16,775
Um, do I need to be a member
of President's cabinet?

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00:14:17,065 --> 00:14:18,535
Those are all secondary questions.

335
00:14:19,125 --> 00:14:24,095
Primary questions are things
like, do I really know what all

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00:14:24,095 --> 00:14:25,815
of my mission critical applications are?

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00:14:26,555 --> 00:14:28,895
And do I really understand
their interdependencies?

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00:14:29,515 --> 00:14:33,095
Or do I really know who all
of the third parties are

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00:14:33,275 --> 00:14:35,135
who have access to our assistance and data

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00:14:35,475 --> 00:14:37,295
and what their relative level of risk is?

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00:14:38,035 --> 00:14:41,495
And so the further I get in
my career, the more I kind

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00:14:41,495 --> 00:14:43,415
of double down on this position that

343
00:14:43,995 --> 00:14:46,455
if you focus on answering
their primary questions,

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00:14:47,355 --> 00:14:49,535
the secondary questions
take care of themselves.

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00:14:49,755 --> 00:14:51,895
Mm-Hmm. <affirmative> usually
in the form of realizing

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00:14:52,325 --> 00:14:54,535
that they don't really matter
in the grand scheme of things.

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00:14:56,315 --> 00:14:58,875
- I love that. That's to keep
those priorities in check.

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00:14:59,055 --> 00:15:00,155
And it's not to say,

349
00:15:00,375 --> 00:15:01,995
and I'm, I'm gleaning
this from your remarks re,

350
00:15:01,995 --> 00:15:04,355
but it's not to say that
people are gonna be hell, Ben,

351
00:15:04,375 --> 00:15:05,635
on secondary versus primary,

352
00:15:05,775 --> 00:15:08,315
but I think sometimes whether
it's just you having one

353
00:15:08,315 --> 00:15:11,355
of those weeks or you're
kind of looking more toward,

354
00:15:11,355 --> 00:15:14,075
like you said, the structure,
the councils, the titles,

355
00:15:14,615 --> 00:15:16,715
it can happen and it
takes strong leadership

356
00:15:16,715 --> 00:15:18,555
to help make sure that people
are really keeping their eye

357
00:15:18,555 --> 00:15:19,755
on the ball and focusing on those

358
00:15:19,755 --> 00:15:20,995
primary questions, like you said.

359
00:15:21,665 --> 00:15:23,155
- Yeah, exactly.
- Yeah.

360
00:15:24,195 --> 00:15:25,795
Reed, it has been a pleasure
catching up with you.

361
00:15:25,795 --> 00:15:28,395
Thank you so much for your
time, for wrapping up your week

362
00:15:28,395 --> 00:15:29,475
with me and visiting.

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00:15:29,635 --> 00:15:30,955
I hope we can do so again soon.

364
00:15:31,375 --> 00:15:32,075
- Thanks, Molly.

