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

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I'm thrilled today to be
joined by Michael Archuleta,

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chief Information Officer at Mount St.

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Raphael Hospital. Michael, it's a pleasure

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to have you on the podcast today.

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- It's always an honor to be
part of the Becker's family,

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so thank you very much for the invite.

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- Absolutely. And you
know, we're always thrilled

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to have you as part of our network too,

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and, um, just really
being on the forefront

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of just the big ideas and,
and concepts and health it

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and digital transformation.

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So, you know, looking forward

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to our broader discussion
on some of the things

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that you're doing at the hospital

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and really how you're seeing technology

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evolving in the healthcare space.

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But before we dive further
into that discussion,

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can you tell us a little bit more

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about yourself and your background?

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- Yeah, absolutely. Well,
thank you very much.

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So again, my name is Michael Ra.

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I'm the Chief Information Officer

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with Mount San Rafael
Hospital and Clinics.

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Um, we are a healthcare
organization here in southern

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Colorado, and it's just
been a phenomenal time

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to really be in healthcare.

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It, I've, we've seen a massive amount

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of digital transformation
basically just happen in front

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of us, you know,

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and it's really been one of those items

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to see this industry
seeing the importance of

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what digitalization basically
brings into an organization

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and really seeing how
the overall evolution

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of the chief information officer,
the chief digital officer,

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has really evolved

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and has really been a key strategic asset

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to a healthcare organization itself.

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So really excited for this discussion.

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- Absolutely. And you know, first off,

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I was wondering if you could
tell me about your most

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successful project over
the last year or two.

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What did you do and how did
you measure the results?

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- Yeah, absolutely. So one

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of the most successful
projects in the past, uh, year

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has been re really
implementing a comprehensive

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cybersecurity framework
within our organization.

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You know, reorganizing the
growing threat landscape

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and critical importance of
safeguarding sensitive data.

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I really led a
cross-functional team to design

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and deploy a robust cybersecurity measure.

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This overall initiative really
involved conducting thorough

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risk assessments, implementing
multi-layered defense

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mechanisms, and really
providing extensive training

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to employees to enhance awareness

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and to really just improve our
complete security protocols.

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One critical element that
I've always stated is that

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when we look at the
healthcare industry itself,

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we went from the top 10 now

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to the top two most attacked
industries out there,

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and it's such a critical issue.

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We as an organization have
to continue to basically put

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cybersecurity as a core component

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to our overall organizational
strategy if we want

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to continue to basically be
successful at what we do.

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And you figure one critical element

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that we're basically looking
at here is we continue

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to really try to change
the overall aspects of

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what cybersecurity means,

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because cybersecurity always
has been one of those elements

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that, you know, everyone
says cybersecurity

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is about data security.

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Well, we have to think of
it a little bit differently.

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Cybersecurity, yes, is a data item,

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but cybersecurity can also be
a matter of life and death.

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I mean, when we look at the
medical, um, device industry

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that's basically mandated by the FDA 83%

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of those specific
organizations have admitted

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that they have a cybersecurity problem.

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And then when we look at the
pacemaker software alone,

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we see thousands of security
flaws associated with it.

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So then we ask ourselves,
can the heart be hacked?

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And the answer is yes.

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So that's why we have to say

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that cybersecurity isn't
just about data security,

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it's also a matter of life and death.

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And truly incorporating
cybersecurity as a core component

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to the overall organizational
strategy has been a successful

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outcome for myself.

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And one critical element too
is that I've really tried

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to refocus

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and rechange is that we can no longer

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look at information
technology as a cost center,

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but as a strategic revenue
contributor to the organization,

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that is such a critical element.

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We are a strategic
specific revenue generator

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for the organization.

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And again, if we are not
incorporating those security

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elements, then we really can
have some failing points.

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Because when I go to my
board of directors, one

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of the critical elements
that I've really kind

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of focused on has been FOR,
which stands for Financial,

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operational and Reputational.

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What would happen on a financial
level if a breach happened?

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What would happen on an operational level

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if a breach happened?

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And what would happen
on a reputational level

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if a breach happened?

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These are critical elements

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that have been basically
established in our organization

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to show the importance of
why we continue to invest

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and why we continue to
basically implement these

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comprehensive cybersecurity initiatives

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within our organizations.

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And to answer your additional
question, you know,

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to really measure the
effectiveness of the projects

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that we've initiated, especially

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with our cybersecurity
framework, we utilized a lot

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of various key performance
indicators, such

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as the reduction in security
incidents, the percentage

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of vulnerabilities mitigated,

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and the level of employee, uh, compliance

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with security policies.

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Additionally, we conducted regular audits

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and assessments to really
ensure ongoing hardness

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to the establishments

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of the cybersecurity framework initiatives

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that we've incorporated.

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And that is why it's extremely
important, as I stated,

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to really continue to
enhance that awareness

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because I was looking at
a, an overall nationally

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recognized survey that came out,

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and the survey basically stated that 43%

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of healthcare organizations
still don't provide basic

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cybersecurity awareness
training to their end users.

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And you figure, if you looked
at last year's numbers,

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91% of all ransomware attacks

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that were targeted towards the
healthcare, uh, industry came

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through a phishing email.

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And who are they phishing?

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They're phishing our people

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because at the end of the day,
the unfortunate thing is, is

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that your biggest risk are your employees.

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And if you're not basically
building that comprehensive

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security process within your organization

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or really trying to ize the org

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to really show the
importance of digitalization,

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cybersecurity, that can really
be a detrimental issue within

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your group itself.

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And we're seeing how the
healthcare industry is basically

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being hit on a security standpoint.

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I mean, look at what's happening
with change healthcare.

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I mean, there's been so many
disruptions in regards to that.

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So it is extremely critical to continue

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to incorporate those specific initiatives,

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and that has really been one
of those successful points

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that I have been able

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to really establish within
our organization itself.

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- Well, that's fantastic to hear,

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and certainly as you mentioned,
such an important area

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to zero in on and feel like
you've got the right resources

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behind the right training

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and, um, really a strong
infrastructure, as you mentioned,

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um, to do the best you can

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to prevent those kinds of attacks.

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I know, especially in the
cybersecurity space, things change

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so quickly and certainly, um,
you know, the tactics and,

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and um, capabilities of, of some

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of the bad actors within the cyber, uh,

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cybersecurity spaces, you
know, um, just seems like, um,

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can, can change at a rapid speed.

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And so, you know,

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I I really love your
perspective on bringing

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that into a strategic imperative
for the health system,

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not only, you know, on
the IT side, um, but,

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but really, um, that can make
a big difference overall.

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Um, you know, when you
look at the next 12 months

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or so, what are some
of your top priorities?

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What are you really,
uh, keeping, um, front

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and center for you and,

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and how do you see all of this evolving?

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- You know, looking ahead
to the next 12 months,

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my top priorities really
revolve around, you know,

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further enhancing the
organization's digital capabilities

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and resilience that is so
important moving forward.

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This really includes initiatives such

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as leveraging artificial intelligence

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and machine learning for,
for predictive analytics

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and really enhancing the
overall cloud infrastructure

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to support scalability and flexibility

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and really continuing to
foster a culture of innovation

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and continuous improvements
across the organization,

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which is so critical

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because that's why I even made
that statement that we have

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to look, you know, away from

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what technology has always been seen as,

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or you know, what, it
has always been seen as,

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it has always been seen as
what a ticket taker versus

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being a value maker.

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And I think really re culturalizing,

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re fostering, you know, fostering
a culture of innovation,

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of digitalization, of the
importance of security

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across the organization basically
builds strong initiatives

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on who we are as a group.

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Because at the end of the day,
I always state that hospitals

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and clinics are digital companies

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that deliver healthcare services.

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We are living in the
digital age healthcare,

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and we have to incorporate
those specific items within

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our organization itself.

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I mean, you've seen how even the evolution

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of the CIO has really kind

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of come into place in the
healthcare industry, you know,

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from crawling to upping up,
you know, to walking upright,

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to carrying the organization.

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You know, starting as an advisor,

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starting then going into
more of a supportive role,

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more into an enabler, uh, enabler
role, then going into more

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of that driver's role, you
know, being that overall

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individual that understands
innovation, being the economist,

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being that risk manager, that
political visionary, you know,

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the project advisor

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to really drive these specific
initiatives moving forward,

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which I think is extremely important,

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but really looking at,
you know, just fostering

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a culture of innovation is so important

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to really drive your overall
process moving forward.

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Because at the end of the
day, the healthcare industry,

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it's getting more complex,
it's getting harder,

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and we have as an
organization have to continue

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to move forward and not backwards.

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And that is so critical
to our overall success.

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- That's so fascinating here.

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And you know, definitely I,
I, um, can so appreciate just

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that, um, urgency with which
moving into the digital space

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and making sure that you've
got that culture of innovation

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so you can pivot easily

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and do the best, um, you know,
provide the best care you can

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for patients within the system.

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And, you know, when you talk
about, um, the IT department

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or the IT functions as a turning into more

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of a value creator or value
maker for the health system,

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how does that, um, you really make

254
00:12:11,605 --> 00:12:14,805
that transition first at the
top level of the organization

255
00:12:14,955 --> 00:12:17,525
with the, your executive colleagues

256
00:12:17,665 --> 00:12:19,725
to help them understand
what that looks like?

257
00:12:19,745 --> 00:12:24,045
And then, you know, down into,
um, just the, the whole rest

258
00:12:24,045 --> 00:12:27,845
of the health system to
understand that, you know, the IT

259
00:12:28,555 --> 00:12:30,085
side, again, it goes beyond

260
00:12:30,085 --> 00:12:31,525
what you traditionally would think of

261
00:12:31,665 --> 00:12:35,165
to really make a huge difference
within the overall strategy

262
00:12:35,305 --> 00:12:38,565
and and buy into that kind
of mindset and mind frame.

263
00:12:40,855 --> 00:12:42,265
- Yeah, absolutely. You know,

264
00:12:42,365 --> 00:12:44,665
it definitely starts from the top down

265
00:12:44,805 --> 00:12:47,145
and that's really one of
those critical components.

266
00:12:48,005 --> 00:12:50,145
You know, the the problem is,

267
00:12:50,325 --> 00:12:54,305
is if you've looked at the
complete healthcare landscape, so

268
00:12:54,825 --> 00:12:57,025
I did a discussion with
Columbia University

269
00:12:57,085 --> 00:12:58,865
and we were talking about the brick

270
00:12:58,865 --> 00:13:03,065
and mortar theology of
healthcare on, um, you know, how

271
00:13:03,605 --> 00:13:06,145
the healthcare theology of that brick

272
00:13:06,145 --> 00:13:08,625
and mortar where we operate as a brick

273
00:13:08,625 --> 00:13:11,745
and mortar organization,
really needs to go away.

274
00:13:12,365 --> 00:13:14,465
And that's why I always
state in my statements

275
00:13:14,465 --> 00:13:17,025
that hospitals and clinics
are digital companies

276
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that deliver healthcare services.

277
00:13:19,285 --> 00:13:21,105
And then when I go to
my board of directors,

278
00:13:21,145 --> 00:13:22,825
I focus on three elements, financial,

279
00:13:22,825 --> 00:13:24,265
operational, reputational.

280
00:13:24,945 --> 00:13:26,265
I really try to develop

281
00:13:26,495 --> 00:13:29,425
that strong ROI on why we're continuing

282
00:13:29,425 --> 00:13:32,145
to invest in the overall
technology initiatives

283
00:13:32,405 --> 00:13:34,545
for the organization itself to continue

284
00:13:34,565 --> 00:13:36,385
to strive to basically.

285
00:13:36,385 --> 00:13:39,745
Because one critical element
that I've always stated too is

286
00:13:39,745 --> 00:13:41,105
that I don't care

287
00:13:41,175 --> 00:13:45,105
what position you have in
the healthcare organization

288
00:13:45,135 --> 00:13:48,305
that you work with, you have a new CEO

289
00:13:49,085 --> 00:13:51,825
and your new CEO is the patient.

290
00:13:52,925 --> 00:13:55,025
And that's basically the bottom line.

291
00:13:55,445 --> 00:13:56,705
And as an organization,

292
00:13:57,125 --> 00:14:00,025
if we are not building asynchronous tools

293
00:14:00,415 --> 00:14:02,785
that benefit our patients both inside

294
00:14:02,805 --> 00:14:04,625
and outside of our organizations,

295
00:14:05,245 --> 00:14:07,425
we are not gonna be
successful moving forward.

296
00:14:07,965 --> 00:14:11,025
And then we're seeing just
the mass incorporation

297
00:14:11,605 --> 00:14:14,145
of individuals taking
more care of themselves,

298
00:14:14,145 --> 00:14:16,905
taking more actions of their
overall healthcare needs.

299
00:14:17,445 --> 00:14:18,945
And you have the new millennial,

300
00:14:18,945 --> 00:14:21,745
you have the millennial
population, you have the, uh,

301
00:14:21,805 --> 00:14:23,025
gen Z population,

302
00:14:23,025 --> 00:14:26,025
which is completely focused
on digital applications.

303
00:14:26,725 --> 00:14:28,785
So the thing is is hospitals

304
00:14:28,785 --> 00:14:30,545
and clinics are digital companies

305
00:14:30,545 --> 00:14:31,985
that deliver healthcare services.

306
00:14:32,605 --> 00:14:35,545
We have to realize those
specific important elements.

307
00:14:35,925 --> 00:14:40,635
And I also think though too
is, you know, it has been one

308
00:14:40,835 --> 00:14:43,635
of those specific siloed departments.

309
00:14:44,135 --> 00:14:48,155
We have to come out of the
siloed areas to really show value

310
00:14:48,255 --> 00:14:52,125
of who we are, promote
the specific initiatives

311
00:14:52,125 --> 00:14:55,165
that we're basically doing,
show the amazing items

312
00:14:55,235 --> 00:14:57,965
that are being accomplished
with the digital initiatives

313
00:14:57,965 --> 00:15:00,085
that we're incorporating into our overall

314
00:15:00,085 --> 00:15:01,605
organizational practice.

315
00:15:02,265 --> 00:15:03,805
You know, showing the importance of

316
00:15:03,835 --> 00:15:05,605
what the technology strategies

317
00:15:05,605 --> 00:15:08,405
that we throughout there have
really improved better patient

318
00:15:08,435 --> 00:15:10,765
care, like artificial intelligence

319
00:15:10,795 --> 00:15:13,805
that we've incorporated
into our radiology practices

320
00:15:14,345 --> 00:15:18,005
to really enhance better ways
of viewing specific images

321
00:15:18,265 --> 00:15:20,605
and detecting specific abnormalities

322
00:15:21,055 --> 00:15:24,165
where a radiologist human
eye can't basically capture.

323
00:15:24,895 --> 00:15:27,205
Using those technology tool sets

324
00:15:27,305 --> 00:15:31,885
to really create successful
outcomes is extremely important.

325
00:15:32,505 --> 00:15:36,125
And that is why I always
say that we have to, we have

326
00:15:36,125 --> 00:15:40,125
to incorporate it as a core component

327
00:15:40,305 --> 00:15:42,365
to any organizational strategy

328
00:15:42,675 --> 00:15:44,965
because honestly, at the end of the day,

329
00:15:45,355 --> 00:15:47,285
this isn't a business makeover,

330
00:15:47,465 --> 00:15:51,005
but an actual true revolution
to continue to digitalize

331
00:15:51,585 --> 00:15:52,805
our overall focus

332
00:15:53,345 --> 00:15:56,605
and create better successful
outcomes moving forward.

333
00:15:56,915 --> 00:15:59,685
Because we have to
realize the importance of

334
00:15:59,685 --> 00:16:00,925
what technology brings.

335
00:16:01,505 --> 00:16:05,805
And then we've seen the, the
huge, you know, improvements

336
00:16:05,945 --> 00:16:07,685
of better patient care outcomes.

337
00:16:08,425 --> 00:16:10,125
How are we taking care of our patients?

338
00:16:10,125 --> 00:16:13,045
That's why I always stated
patient care is number one,

339
00:16:13,185 --> 00:16:15,405
my new CEO is the patient.

340
00:16:15,625 --> 00:16:17,325
That's basically the bottom line.

341
00:16:17,785 --> 00:16:19,085
We have to have that mindset.

342
00:16:19,675 --> 00:16:22,645
What are we doing to really
enhance better patient

343
00:16:22,715 --> 00:16:23,725
care outcomes?

344
00:16:24,505 --> 00:16:27,125
Patient-centric technology strategies

345
00:16:27,435 --> 00:16:30,765
that create successful
outcomes from your organization

346
00:16:31,345 --> 00:16:34,485
is such a critical
element to move forward.

347
00:16:36,645 --> 00:16:37,685
- Absolutely. I, I love that.

348
00:16:37,725 --> 00:16:40,165
I love the passion that you
have obviously for this topic.

349
00:16:40,185 --> 00:16:42,925
And certainly as you've mentioned,
it makes a big difference

350
00:16:42,925 --> 00:16:44,085
for the health system overall.

351
00:16:44,785 --> 00:16:47,565
Now, before we wrap up here,
I was wondering, you know,

352
00:16:47,615 --> 00:16:50,645
could you talk about how
you anticipate your role

353
00:16:50,645 --> 00:16:52,565
and teams will change in the near future?

354
00:16:53,665 --> 00:16:55,315
- Yeah, absolutely. You know, in terms

355
00:16:55,335 --> 00:16:58,035
of really anticipating
change in my role in teams,

356
00:16:58,555 --> 00:17:01,275
I really foresee a continued shift towards

357
00:17:01,915 --> 00:17:04,835
strategic leadership and
collaboration across departments,

358
00:17:04,835 --> 00:17:05,875
which is so important.

359
00:17:06,615 --> 00:17:09,515
You know, and as technology
continues to evolve rapidly,

360
00:17:09,945 --> 00:17:13,235
it's essential for CIOs to
really stay ahead of the curve

361
00:17:13,695 --> 00:17:16,835
and adapt to emerging
trends and challenges.

362
00:17:17,345 --> 00:17:20,155
This may involve expanding
the scope of responsibilities

363
00:17:20,415 --> 00:17:23,315
to really include areas such
as digital transformation,

364
00:17:23,385 --> 00:17:25,555
data governance, and
regulatory compliance.

365
00:17:26,135 --> 00:17:29,595
You know, additionally I
really anticipating, you know,

366
00:17:29,745 --> 00:17:31,555
fostering a more agile

367
00:17:31,695 --> 00:17:34,075
and cross-functional
approach within my teams,

368
00:17:34,415 --> 00:17:36,555
really encouraging collaboration

369
00:17:37,135 --> 00:17:40,955
and knowledge sharing to
really drive collective success

370
00:17:41,295 --> 00:17:42,915
as an organization itself.

371
00:17:43,535 --> 00:17:46,155
So it is, I mean, there
is a lot of specific

372
00:17:46,675 --> 00:17:50,245
phenomenal items that I
basically see within the

373
00:17:50,245 --> 00:17:53,445
organization and a lot of
different, specific shifts

374
00:17:53,445 --> 00:17:55,765
that are happening, which is so important.

375
00:17:56,305 --> 00:17:58,045
And again, though too, you know,

376
00:17:58,045 --> 00:18:00,685
when I was talking about
the overall evolution

377
00:18:01,225 --> 00:18:05,605
of the healthcare CIO
advisor, supportive, enabler,

378
00:18:05,665 --> 00:18:10,405
and driver, continuing to
see the driving success

379
00:18:10,425 --> 00:18:11,605
of your organization,

380
00:18:12,105 --> 00:18:15,365
and it has been just, just
a phenomenal time again,

381
00:18:15,705 --> 00:18:17,085
to really be in healthcare.

382
00:18:17,265 --> 00:18:19,285
It, there's a lot of challenges.

383
00:18:19,905 --> 00:18:22,765
We continue to incorporate
some advanced technology

384
00:18:22,765 --> 00:18:26,205
initiatives and strategies
within our organization itself.

385
00:18:27,025 --> 00:18:29,765
We understand that cybersecurity continues

386
00:18:29,765 --> 00:18:33,045
to be a major concern
for any organization,

387
00:18:33,045 --> 00:18:34,765
especially in the healthcare industry.

388
00:18:35,505 --> 00:18:37,925
And we continue to really understand the

389
00:18:37,925 --> 00:18:39,525
importance of why we're here.

390
00:18:39,825 --> 00:18:41,645
And that's really to prove

391
00:18:42,345 --> 00:18:43,645
and to just have

392
00:18:43,645 --> 00:18:46,405
that better patient care
outcome moving forward,

393
00:18:46,615 --> 00:18:47,725
which is so critical.

394
00:18:47,905 --> 00:18:50,405
And that's why I'm so
passionate about this is

395
00:18:50,405 --> 00:18:52,525
because we do the most
important thing out there.

396
00:18:52,865 --> 00:18:55,485
And that's basically
dealing with humans, dealing

397
00:18:55,485 --> 00:18:58,965
with human lives, improving
human lives, creating better,

398
00:18:59,145 --> 00:19:02,885
uh, outcomes for individuals
to have a better quality

399
00:19:03,145 --> 00:19:04,405
of life moving forward.

400
00:19:04,785 --> 00:19:07,005
So it's really been a
good successful outcome.

401
00:19:07,335 --> 00:19:09,765
We've done some amazing
things from building our new

402
00:19:10,045 --> 00:19:12,925
facility to incorporating cybersecurity

403
00:19:13,065 --> 00:19:15,645
and technology as that core component.

404
00:19:16,095 --> 00:19:17,405
We've seen the importance of

405
00:19:17,555 --> 00:19:20,765
what digitalization basically
brings into the organization,

406
00:19:21,305 --> 00:19:23,485
and we're gonna continue to move forward.

407
00:19:23,945 --> 00:19:26,125
You know, there's a Spanish
word that I like to use

408
00:19:26,665 --> 00:19:29,045
and it's LAN that means forward.

409
00:19:29,135 --> 00:19:30,845
We're gonna move LAN

410
00:19:31,105 --> 00:19:33,245
and we're gonna have
some good collaborative

411
00:19:34,045 --> 00:19:36,405
culturing fostering initiatives

412
00:19:36,405 --> 00:19:38,565
with different organizations,
different people

413
00:19:39,185 --> 00:19:41,725
to really kind of continue to build

414
00:19:41,755 --> 00:19:44,325
that strong initiative to move forward.

415
00:19:45,105 --> 00:19:50,085
And again, it's, it's always
a pleasure to be on this,

416
00:19:50,305 --> 00:19:51,645
on Becker's podcast.

417
00:19:52,345 --> 00:19:54,125
You guys do a phenomenal job

418
00:19:54,345 --> 00:19:56,285
and it's always an honor to be part

419
00:19:56,285 --> 00:19:58,045
of this overall group as well too.

420
00:19:59,995 --> 00:20:01,465
- Thank you so much, Michael.

421
00:20:01,575 --> 00:20:02,945
It's always a pleasure to speak with you

422
00:20:03,005 --> 00:20:06,465
and certainly, um, I learn a
lot from hearing, you know,

423
00:20:06,495 --> 00:20:08,425
just your perspective and everything

424
00:20:08,425 --> 00:20:10,465
that's going on, um, at the hospital.

425
00:20:10,605 --> 00:20:12,225
So thank you so much for your time today.

426
00:20:12,225 --> 00:20:14,305
It is truly an honor to
have you on the podcast

427
00:20:14,565 --> 00:20:15,945
and you know, I look forward

428
00:20:15,945 --> 00:20:17,185
to connecting with you again soon.

429
00:20:18,975 --> 00:20:21,315
- Hey, thank you much. I appreciate that.

