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- <silence> Welcome to Becker's
Healthcare Podcast, made

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for the people who power US healthcare.

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I am Molly Gamble with Becker's,

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and today I am so happy to be
sitting down with Jody Rosen.

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Jody is the Vice President of Innovation

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and Digital Strategy with C of Hope.

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Jody, welcome to the podcast.

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Thank you so much for being
my guest. How are you today?

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And, and where does the podcast find you?

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- Thanks so much, Molly.
It's terrific to be with you,

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um, and our listeners.

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Um, I'm doing really well.

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I'm very excited to be, uh,
having this conversation

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with you, especially in the
context of Women's History Month

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as we, uh, get to the end
of, uh, end of the month

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and really thinking about
sort of some women, um,

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who have inspired me in in my career

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and in so many other people's careers.

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And, uh, you're at that list as well.

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And I'm gonna try to weave in
some important women who, um,

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have done great things in healthcare

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or brought equity to
healthcare, um, in some

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of our conversation For sure.

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- Oh, so thoughtful of you.

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And this, this march as we're connecting,

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like you said, we are winding down.

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It's been a particularly fast one,

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it seems like for for many of us.

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I'm sure for you too, Jody.

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Um, so, so to get us started
today, you know, for listeners

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who are not as acquainted with
c of of Hope as they'd like

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to be, can, can you share an
overview of the organization

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and then your role within
it just to kick us off?

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- Absolutely. Absolutely.

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Um, city of Hope is over a
hundred year organization,

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um, and our mission of
making hope a reality

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for all touched by cancer

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and diabetes is, is a
very powerful mission

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and one that that resonates, um,

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with many people, um, in their life.

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And, you know, I would
share a little bit, uh,

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about the Roots and the
history of our organization

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as well is, um, really founded in, um,

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Southern California as a non-sectarian

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sanitorium back in, uh,
1913, really looking

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to help treat, um,
individuals who were afflicted

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by tuberculosis

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and providing care for all, regardless

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of their ability to pay.

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Is is just truly in the
roots of, of who we are

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as an organization.

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And as tuberculosis was
eradicated City of Hope,

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um, which at initially it was established

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as the Jewish Consumptive
Belief Association, um,

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began to, um,

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and it was consistent of
these two campus cottages.

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And ultimately that did launch
a over a century long journey

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that would become City of Hope, um,

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and leader at the forefront
of our nation's medical

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and research institutions.

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And we've begun to take on
mounting a fight against

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diabetes rare diseases, um,
hiv aids, and then oncology.

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And really in the spirit
of, um, one of our,

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our early leaders, um, Samuel
Galcher coined a phrase

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that there is no profit
in during the body.

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If in the process we destroy the soul.

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And these words have really
become city of hope's, uh, credo

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and are resonate in our mission, vision,

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and values, um,

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as we are a national
comprehensive cancer center, um,

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with now a national footprint,

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not just in Southern California,
but also with hospitals

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and outpatient locations
in Phoenix, Arizona,

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in the Chicagoland area,

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and also, um, in, uh, Atlanta, Georgia.

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So becoming a national research

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and clinical care provider
focused on oncology care

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and diabetes, um, goes back

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to our early roots well
over a hundred years ago.

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And that piece of, um, uh, philanthropy

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and, um, care for all

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and equity is very central to our mission

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and how we provide care daily. Mm-Hmm,

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- <affirmative>, you
know, I, I was going to

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touch on this toward the
end of our conversation,

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but I, I think we should stick
with it, that the history

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that you just shared, I
mean, really remarkable.

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And it's rare to find an organization

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that initially was
established to specialize or,

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or really set out to treat
one disease like tuberculosis,

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so successfully in its scale.

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And then there's advancements
with the antibiotics,

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and they then the organization then pivots

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to specialize in another pressing
disease, uh, in this case,

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HIV aids, oncology, diabetes,
you know, Jodi, what,

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what lessons can we draw from
this unique origin story?

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- So, great, and, and I, I
really do feel as an employee

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of the organization and in
speaking, you know, with any

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of my colleagues, um, I, I think
this would come across that

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the visionary work we began
well over a hundred years ago,

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continues today, um, in a
very mission-focused way

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as we look forward to continuing
to be a leader in the fight

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to eradicate cancer.

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And every day we advance
new breakthroughs in cancer

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research and cancer
treatment in different ways

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to support patients

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and their loved ones on the
oncology journey, um, so

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that we can give more
patients everywhere, more hope

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and new hope because of those, um,

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groundbreaking advancements
that are happening, um,

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at the bench side that can
quickly move to the bedside

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and then be on to the larger,
um, healthcare community,

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um, of those who,

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who are joining us in
the fight against cancer.

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Um, and I think the other piece

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that I would say about just
kind of our, you know, early,

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early roots and,

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and some of the things that are
thematic daily, um, is that,

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you know, we were founded by donors

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and volunteers determined
to make sure that

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no one was left out of care.

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And that vision for health
equity does drive us, um,

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and it drives our supporters
from a philanthropy

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perspective, um, daily
in our organization.

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Very powerful. Mm-Hmm,

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- <affirmative>.

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Well, I, I, I am really happy
to sit down with you, Jody,

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for a number of reasons, but one is

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because I, I was sharing with you

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before we began a podcast, how much

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audience interest we've seen
in the past several months

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around issues related to cancer.

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Um, this is gonna be,

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or it's set to be a, a pretty taxing year

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for the US Cancer care system
with new diagnoses projected

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to hit a, a new high in the US

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exceeding 2 million for the first time.

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Uh, that's about 5,500
cancer diagnoses a day.

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The mortality piece, that
that is a rosier outlook.

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There's some improvements
there from the American Cancer

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Society projections, but

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nonetheless, this is a lot,
this is a, a large volume

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of diagnoses we're looking at.

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How, how does this projection f tie into

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or factor into your
work today on innovation

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and digital strategy at City of Hope?

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- Great question. Um, you
know, at at the root of,

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of the growing rates of,
of cancer, early detection,

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prevention awareness
screening is so important.

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Um, and that really rings
true for me personally with,

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with my public health background.

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Um, and, and I'll say that I
am very pleased to share that

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City of Hope has recently
launched, um, a mobile clinic

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offering, uh, clients and
our patients, um, and,

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and those individuals who'd
never known the city of Hope,

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but by having a mobile van
that can, uh, reach out

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to neighborhoods out into
the community that, um,

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clients receive state-of-the-art
screening services from

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multiple different types of cancers

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and, um, genetic disorders that may, um,

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and sexually transmitted infections

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that might actually increase cancer risks,

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um, and other conditions.

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And so our mobile clinic
clients, um, have access to city

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of hope's, world renowned
clinical trials are

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research programs and, um, technologies

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and innovations, breakthrough
treatments that are, um,

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being used around the world.

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And so those mobile
clinics is, is one type

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of the commitment that we
have to, again, the equity,

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the outreach, the prevention,
um, early diagnosis,

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and they're staffed, um,
by nurse practitioners, um,

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technicians, mammogram technicians,
support team nurses, um,

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they have changing rooms,
private exam rooms.

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And it, we're currently
scheduling screenings

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and events across our Southern
California community, um,

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with other community-based organizations

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'cause partnership on screening,
especially to address,

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again, back to our roots, um, those

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who may not always have access
to care is so important.

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So I would say one piece of that is,

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is definitely the work on early diagnosis.

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The other is more

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and more oncology care
is moving to outpatient

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or ambulatory settings.

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And I'm excited to share that.

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Um, we will be opening in February

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of 2025 at our Duarte campus,

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a new state-of-the-art Hope
Plaza facility, which has, um,

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housed within it over 352,000 square feet

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of outpatient care being

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provided at, uh, for our patients

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across nine different levels.

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Initially, we'll have
84 new exam rooms, um,

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eight procedure rooms,
uh, 59 infusion spaces,

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a, um, dedicated outpatient, um, imaging,

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um, and women imaging modalities.

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We are very excited to be
having new digital experiences

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within that building that
can reach patients, um,

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and address what their
oncology journey needs are,

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and begin to move healthcare
delivery from sort

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of a one size fits all to
more of a personalized,

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experienced orientation,
which is so much of

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where the market is going to,

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and that ability to think
about meeting patients

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where they are on their
oncology journey, whether it is

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that early diagnosis, whether
it is they were screened

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and treated somewhere else,

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and are now looking for, um, other options

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and more advanced options
with clinical trials.

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Where can we meet the
needs of patients now,

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not just in Southern California,
but across the country, um,

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and with some of our enhanced
digital capabilities, um,

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we're very much equipped

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and ready to take on that challenge.

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- Mm-Hmm. <affirmative>. And
the other distinction too is

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that there's rising diagnoses

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among younger people too, right?

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The, the number of diagnoses

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among people under 50 are
on the rise and cancer.

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It's, it's not always been
equated as a, a young person's

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or a middle aged person's disease.

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What does the shift also signal
or, or mean for your work?

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- Absolutely. I, you know,
there's been such an interest in

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different, uh, age cohorts.

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Um, especially right now as we're,

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and we may talk about this a little bit

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of the 2030 problem we're,
we're looking at with, uh,

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an an aging baby boomer population.

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But as you think about,
um, millennials, gen X,

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and other populations as it relates

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to seeing cancer diagnoses, rates rising,

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but also other types of, um,

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diseases affecting younger
populations, I, I think one

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of the things we have
to think about, um, as

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provider based organizations
is how to meet those needs

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of the younger generation.

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And really omnichannel comes to mind,

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I think meeting the patient
slash consumer expectations

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and making provider side care welcoming,

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making it simple.

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Um, and often that means transparent

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and mobile first, making it
convenient, um, with on demand

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or 24 7 access, um, even to
some amount of mobile tools

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and highly personalized

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and contextually relevant to

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that patient consumer population
with customized products

248
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services offering and
opening up self-service tools

249
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that a younger generation is so accustomed

250
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to using in every other
part of their lives.

251
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I think those are the types
of, um, experiences that, um,

252
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we are definitely investing in.

253
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And I know the broader
healthcare provider ecosystem is

254
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investing in, because patients
don't wanna be treated

255
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differently when they walk into healthcare

256
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than when they're interacting
with so many other verticals.

257
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Whether that is in
travel, leisure banking,

258
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lifestyle reservations,
what they can do for health

259
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and wellness in a, in their,
you know, workout environments,

260
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um, with educational institutions
that they interact with.

261
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They're looking for some of
those same pieces. Mm-Hmm.

262
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<affirmative> and being able to make sure

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that we have simple, transparent,
convenient, frictionless,

264
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and personalized services
are so important.

265
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I think the other piece that
we're seeing around, um, uh,

266
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our, our younger generation is really how

267
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to have partnerships with
primary care providers.

268
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We know that that stickiness
of orientation, um, uh, around

269
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providers, um, patients

270
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and who are millennials,
um, not having as strong

271
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of relationships as maybe a
baby boomer population does

272
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with their primary care
doctor, how do we reach out

273
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and partner with a whole host
of primary care providers

274
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to be able to better
educate them on screening

275
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referral management into NCI
comprehensive cancer centers

276
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like City of Hope when there
is a concern that a patient,

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um, may be faced with cancer.

278
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- Mm-Hmm. <affirmative>. No,
I appreciate those comments

279
00:14:33,795 --> 00:14:34,895
so much, Jody, because I think you,

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you said on this earlier,
but so often, I mean the,

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the language has said
that we have an aging

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and graying population,

283
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and that was correlated
to health outcomes.

284
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But I think what that can
miss is, like you said,

285
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the millennials, the
Gen y, the, the people

286
00:14:50,775 --> 00:14:54,285
who are in their early
forties right now, um, yeah.

287
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That they aren't necessarily gray,

288
00:14:56,585 --> 00:14:59,005
but they are struggling with
different health challenges,

289
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like you said, and then they kind

290
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of are operating the system
where so much of it is built

291
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around Medicare recipients and, and,

292
00:15:05,625 --> 00:15:08,925
and retirees that have
very different access

293
00:15:08,945 --> 00:15:11,845
and availability for a care
team compared to someone

294
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who might still be working
or with a young family.

295
00:15:14,985 --> 00:15:16,965
So I, I really appreciate that point.

296
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'cause I think in some ways, um,

297
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this group can be overlooked in some

298
00:15:21,405 --> 00:15:24,085
of the traditional ways
about thinking about agreeing

299
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population or an aging population.

300
00:15:28,005 --> 00:15:29,485
- Absolutely. Absolutely. And, and,

301
00:15:29,585 --> 00:15:31,965
and I will say you have
both, you have younger

302
00:15:32,525 --> 00:15:37,475
diagnoses happening with a,
uh, population of individuals

303
00:15:37,475 --> 00:15:41,675
who have different types of
consumer, um, expectations

304
00:15:41,935 --> 00:15:44,915
around care delivery and service delivery.

305
00:15:45,695 --> 00:15:47,355
And at the same time,

306
00:15:47,975 --> 00:15:51,075
you do have this 2030
problem people discuss of

307
00:15:51,175 --> 00:15:53,595
as it relates to insufficient resources

308
00:15:54,295 --> 00:15:56,075
and an ineffective, um,

309
00:15:56,435 --> 00:15:58,555
delivery system supporting the doubling

310
00:15:58,555 --> 00:16:02,955
of baby boomer generation, um, from 2002

311
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to 2030.

312
00:16:04,255 --> 00:16:08,755
And what that means for us
as it relates to a workforce

313
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that will be retiring at the
same time you have baby boomers

314
00:16:13,775 --> 00:16:17,475
who may be resulting in
needing additional care.

315
00:16:18,135 --> 00:16:20,195
And so that begins to put a lot

316
00:16:20,195 --> 00:16:23,915
of compression on a nationwide
shortage of care providers.

317
00:16:24,135 --> 00:16:27,075
Mm-Hmm. <affirmative>,
um, and, um, you know,

318
00:16:27,075 --> 00:16:28,475
where are those opportunities

319
00:16:28,615 --> 00:16:30,115
to continue to take care of people.

320
00:16:30,335 --> 00:16:33,115
And so, you know, I do
think some of those shifts

321
00:16:33,115 --> 00:16:35,595
and patterns and of trends
are really interesting.

322
00:16:35,835 --> 00:16:37,835
'cause I do think those
are real opportunities

323
00:16:38,505 --> 00:16:42,835
that we can be looking
to leverage, um, more,

324
00:16:43,615 --> 00:16:46,155
uh, you know, the places
that deep learning, um,

325
00:16:46,375 --> 00:16:49,675
how artificial intelligence
can help us lead

326
00:16:49,695 --> 00:16:53,195
to improved health outcomes,
improve early detection,

327
00:16:53,305 --> 00:16:57,315
improve access, uh, decrease
burnout, really foster top

328
00:16:57,315 --> 00:17:02,075
of licensed care for clinicians
who, who are working daily

329
00:17:02,175 --> 00:17:03,675
and taking care of patients daily.

330
00:17:04,095 --> 00:17:05,355
But some of the noise of

331
00:17:05,355 --> 00:17:07,075
practicing medicine gets in the way.

332
00:17:07,135 --> 00:17:10,715
And I think, um, you know, ultimately with

333
00:17:11,245 --> 00:17:14,915
leveraging the right
generative AI strategy

334
00:17:15,845 --> 00:17:18,795
algorithms, you really can affect both

335
00:17:19,455 --> 00:17:22,195
the entire care journey
experience for our patients,

336
00:17:22,535 --> 00:17:26,355
but also so importantly for
our clinical providers, um,

337
00:17:26,615 --> 00:17:28,515
to really, you know, bring the joy

338
00:17:28,515 --> 00:17:32,275
of practicing medicine
back, um, as well as, um,

339
00:17:32,635 --> 00:17:34,435
allowing patients to feel more human again

340
00:17:34,495 --> 00:17:36,235
and not as robotic in a system.

341
00:17:36,485 --> 00:17:40,715
Right. If you can automate the,
the stuff that doesn't, um,

342
00:17:41,335 --> 00:17:45,475
is not additive to the human
part of care delivery, um,

343
00:17:45,495 --> 00:17:49,285
but is so vital and give
people more time to interact

344
00:17:49,475 --> 00:17:52,885
with their provider on a oncology journey.

345
00:17:53,045 --> 00:17:55,845
I think those are some
tremendous opportunities we have

346
00:17:56,025 --> 00:17:57,405
as it relates to trends and,

347
00:17:57,425 --> 00:17:59,645
and things that we are looking forward

348
00:18:00,105 --> 00:18:01,405
to continuing to explore.

349
00:18:01,665 --> 00:18:04,165
And that the, the entire, uh,

350
00:18:04,525 --> 00:18:07,205
academic medical community
on the healthcare side is

351
00:18:07,405 --> 00:18:08,445
continuing to explore,

352
00:18:08,445 --> 00:18:10,085
which is very exciting.
Mm-Hmm. <affirmative>.

353
00:18:10,835 --> 00:18:13,365
- Well, Jody, are there any
other trends, any other shifts

354
00:18:13,365 --> 00:18:16,725
or patterns that you wanted
to note related to cancer care

355
00:18:16,825 --> 00:18:18,765
or other care offered at City of Hope?

356
00:18:19,185 --> 00:18:21,725
Um, or any other closing
thought for our listeners

357
00:18:21,725 --> 00:18:22,725
as we wind down today?

358
00:18:24,045 --> 00:18:27,095
- Sure. Sure. I, I really
just think that the piece

359
00:18:27,095 --> 00:18:29,335
that we are beginning to focus on, um,

360
00:18:29,795 --> 00:18:32,135
for all patients is really this

361
00:18:33,045 --> 00:18:35,065
hyper-personalized care orchestration

362
00:18:35,285 --> 00:18:38,505
and really thinking
about omnichannel care.

363
00:18:38,965 --> 00:18:41,545
And so that ability to call, click

364
00:18:41,545 --> 00:18:44,985
or come is so important for us, especially

365
00:18:45,445 --> 00:18:47,585
as we have become a national

366
00:18:48,385 --> 00:18:52,425
NCI comprehensive Cancer center
across the United States,

367
00:18:52,765 --> 00:18:54,465
is really beginning

368
00:18:54,605 --> 00:18:58,185
to think about those
interconnecting pieces that

369
00:18:59,505 --> 00:19:01,985
patients are really desiring
in their experience,

370
00:19:02,375 --> 00:19:07,345
whether it is know how to
connect with me, um, know, me,

371
00:19:07,345 --> 00:19:10,625
know, know my preferences,
help me orchestrate my care.

372
00:19:10,845 --> 00:19:14,825
And that is all of that
ability to think about how

373
00:19:14,825 --> 00:19:17,345
to reach patients both inside our,

374
00:19:17,345 --> 00:19:19,305
our four walls as well as outside.

375
00:19:20,045 --> 00:19:22,345
And, and the same in the
flip side could be true

376
00:19:22,405 --> 00:19:23,585
for our workforce, right?

377
00:19:23,725 --> 00:19:26,745
And so, so much of, uh, the workforce, um,

378
00:19:26,795 --> 00:19:29,025
since the global pandemic pieces of

379
00:19:29,025 --> 00:19:31,745
that workforce are
remote, so how to continue

380
00:19:31,845 --> 00:19:34,945
to create team-based care, um,

381
00:19:35,325 --> 00:19:38,625
to best support our patients
on their, on their journey.

382
00:19:39,075 --> 00:19:41,225
These are very important projects

383
00:19:41,405 --> 00:19:42,945
and, and work we're leading.

384
00:19:43,325 --> 00:19:45,385
And, um, hopefully you'll have me back

385
00:19:45,405 --> 00:19:47,105
and we can share some updates on

386
00:19:47,105 --> 00:19:48,265
those things. Uh, next time

387
00:19:48,765 --> 00:19:49,765
- You can plan on that.

388
00:19:49,845 --> 00:19:52,785
Uh, listeners, this has been
Jody Rosen, vice President

389
00:19:52,785 --> 00:19:54,625
of Innovation Digital
Strategy at City of Hope.

390
00:19:55,055 --> 00:19:57,105
Jody, thank you so much for your time

391
00:19:57,325 --> 00:20:00,265
and for connecting these trends

392
00:20:00,285 --> 00:20:02,265
and projections around cancer rates

393
00:20:02,285 --> 00:20:04,345
and cancer care in the year ahead, back

394
00:20:04,345 --> 00:20:06,585
to the work you do in
innovation, digital strategy.

395
00:20:06,755 --> 00:20:08,625
Truly so helpful to
see the bigger picture.

396
00:20:09,045 --> 00:20:10,665
We really appreciate you
being our guest today.

397
00:20:11,355 --> 00:20:13,745
- Thank you so much, Molly. A pleasure. I.

