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Imagine this. You're in the heart of Chicago

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mingling with the brightest minds in health IT.

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You've arrived at the 9th annual Health IT

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plus Digital Health plus RCM conference

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taking place October 1st through 4th at the

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luxurious Hyatt Regency Chicago.

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Picture the excitement as you collect countless business

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cards, forging invaluable connections with over 25 100

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executive level attendees.

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Feel the buzz of ideas flowing as you

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engage in meaningful conversations about the future of

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healthcare technology.

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Envision yourself attending sessions led by over 415

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elite speakers

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gaining insights that could transform your organization.

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From digital transformation and telehealth to clinician burnout

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and cybersecurity,

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each topic is designed to spark new ideas

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and provide actionable takeaways, but it doesn't stop

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there. Imagine sitting in a packed auditorium listening

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to motivating keynotes from some of the biggest

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names in sports.

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Four time Super Bowl champion Rob Gronkowski,

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WNBA champion and author Lisa Leslie, and NFL

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legend and ESPN analyst

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Eli Manning will be there sharing their stories

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and inspiring you to reach new heights.

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All around you, the future of Health IT

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unfolds, and you're not just a spectator,

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you're an active participant.

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Don't wait. You can find the event website

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and get registered by visiting beckershospitalreview.com

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and clicking on the events page. That's the

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beckershospitalreview.com

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events page.

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This is Laura Dierda with the Becker's Healthcare

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podcast.

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I'm thrilled today to be joined by Brian

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Carlson, vice president of patient experience at Vanderbilt

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University Medical Center. Brian, it's a pleasure to

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have you on the podcast today.

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Hello. Thank you for having me.

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I'm looking forward to our discussion and really

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digging a bit deeper into what you're doing

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at Vanderbilt in terms of the patient experience.

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But before we dive in, can you tell

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us a little bit more about yourself and

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your background?

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Absolutely. Thank you. Thanks again for having me

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today.

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So I am vice president of patient experience

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at Vanderbilt University Medical Center in Nashville, Tennessee.

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I've been in this role for the last

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10 years. Prior to that,

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I worked in the

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physician group practice realm, so leading physician groups.

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Started, my career at Northwestern, in OBGYN and

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did some multi specialty group practice work in

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New York and then came here to Nashville

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and Vanderbilt,

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in 2007

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to help lead the ophthalmology department.

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That's great to hear. And, you know,

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given your experience, what are some of the

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opportunities and headwinds that you have your eye

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on right now?

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Yeah. It's certainly an interesting time in healthcare,

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but I think,

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I bet if we went back in time

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and listened to podcasts from years ago, we'd

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probably say that every year. It seems to

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always be an interesting

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moment in time where we are. I think

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the opportunity and the headwinds is 1 and

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the same and that is the workforce.

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What we do, how we do it, everything

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is dependent upon humans caring for humans and

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it's the ability of those humans to deliver

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that care

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in a safe,

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quality fashion with good outcomes and good experiences.

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So I think the opportunity is the investment

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we have to continue to make in those

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who work in the healthcare space,

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but the headwind is also the challenges we

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face with us.

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We've got

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changing skill sets, we have changing demographics,

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we have

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demands that far outweigh supply,

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We

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have burnout and the need for resilience on

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the part of the workforce. So

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all of those things

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are certainly creating challenging headwinds,

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as well as as engagement, you know, feeling

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connected to the work that, that we do

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in healthcare.

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That really, you know, is interesting to hear,

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and I can imagine, as you said, so

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many different organizations

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are dealing with a lot of the same

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workforce challenges. When you think about, you know,

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that that investment that needs to be made

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today,

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what is most meaningful to to put that

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investment both in terms of time, manpower, and

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financial resources

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behind when you're looking at a workforce that,

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you know,

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to one side is,

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potentially experiencing some burnout or or needing extra

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support there. But, on the other hand, you

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know,

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really, a lot of organizations

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are finding it challenging to recruit and retain,

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team members at the same

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time. Yeah. Absolutely. I mean, I I think

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that,

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you know, health care is a calling. So

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we have a we have a distinct advantage

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compared to other industries in the sense that

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I think people come into the healthcare space

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wanting to serve. They want to serve others.

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They want to help others.

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And that can be both whether you're in

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direct patient care or

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you're behind the scenes in supporting those that

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are.

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So I think the investments

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is at a macro level.

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How can organizations

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support the workforce to do their jobs most

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effectively? I believe

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that if we give, if we give individuals

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the tools to do their job and the

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space and the time to do it, they

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will by and large succeed. They will deliver

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the good quality safe experience outcomes that we

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expect in the healthcare space. But sometimes we

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get in our own way and that own

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way is just by nature of the demands

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that we face.

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Like I mentioned earlier,

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the demands far outweigh the supply right now

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and we continue to try to serve everybody

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coming through the doors, which is the right

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thing to do.

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But

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sometimes there's only so much you can push

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through the pipeline. So

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how can we continue to make investments to

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diversify,

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to use technology to support, to make processes

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easier,

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to engage patients in their own care and

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personalize their care where they take control and

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maybe have some opportunities

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to care for themselves,

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to burden some to lessen some of that

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burden. I mean, those are all opportunities. And

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unfortunately,

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the solution is not one, it's multiple. There

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is not a this is not an easy

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solution, but it's a it's a multiple,

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pronged approach that probably needs to be taken.

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That makes a lot of sense. You know?

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It's really,

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it it seems like a great way to

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look at this big challenge,

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and how you can overcome it. Now, you

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know, when you are are thinking about the

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future, how do you think about growth and

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adding value to Vanderbilt overall?

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Yeah. I mean, I think about it in

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2 ways.

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First is from a personalization standpoint.

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Patients who come

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to see us, patients who come to see

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receive care at other institutions, they want to

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be acknowledged. They want to be cared for.

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They want to feel like we've them in

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whatever it is they're going for. And sometimes

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in order to do that, we need to

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we need to create a connection. We need

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to get to know them and and what

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are what are their needs, desires, what do

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they want to walk out with. And I

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think that the opportunity lies in that we're

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gonna have to figure out

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better, more effective tools

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to learn what it means and personalize that

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care for each individual. And in this case,

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what I'm talking about from an experience standpoint

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is a further adoption of CRM tools.

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CRM has been around for many years in

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many industries and it's been in healthcare for

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many years, but really not in the embedded

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clinical space. I see a lot of opportunity

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for CRM

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tools to really make an impact

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on helping us navigate and understand each individual's

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needs, wants,

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their interactions with us and how we can

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make it more efficient and effective

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for them.

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And then I think on the clinical side,

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what we've understood from our patients is that

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patients are expecting us to use their data

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in a way that helps them predict and,

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avoid

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unnecessary harm down the line. So how can

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we use their data to predict

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compared to others, big data now, what's going

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on? And I think that,

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the AI space is exploding. There's a ton

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of opportunity there. We have to be cautious.

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We have to be safe. But certainly there's

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a lot of development opportunities there and it's

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how can we use an individual's patient data

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to maybe help them understand what lies ahead

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of them

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and put them on paths where they could

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avoid unnecessary

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suffering

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because of

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of of their their makeup and their and

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their, DNA.

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That's really an exciting potential in the future.

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And, you know, when you think about patients,

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you mentioned,

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that's really they're

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wanting to have this data

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out and available and and understand how it

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impacts them.

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I just think, you know, it seems like

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a fascinating

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ability, to do that. And,

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from the patient's perspective,

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are you seeing excitement around, you know, that

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type of

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depth and granularity within their health care space?

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Are there any nerves about how their data

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is being used? Or, you know,

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I guess, any skepticism

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around what that could mean for them long

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term?

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Yeah. I mean, I I see all of

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those in play,

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but what I,

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an indicator for me is in in the,

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kind of commercial care space. So

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digital apps, you know, websites,

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people are

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searching for the data that they're looking for

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for whatever's going on for them, and they're

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willing to share their data, you know, if

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it can help them and benefit them.

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So just by nature of

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that whole industry

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and the digital health space, people are willing

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to engage, people are willing to share.

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Obviously they want to be

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want to have assurances that it's safe,

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that it's secure and they're working with a

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reputable

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institution like a Vanderbilt, like others in the

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academic space and non academic space as well.

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But they want to be sure that it's

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their data is secure and safe, but being

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used in a productive fashion that can help

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not only them, but potentially others down the

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line.

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That's great to hear.

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Now I'm wondering what is one risk or

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investment that you feel like is still worth

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making this year? I know, you know, for

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many organizations, it's still finances

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are tight and,

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certainly

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have to be mindful about how you use

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your resources. So when you think about, you

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know, where you're putting those resources towards, what

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comes top of mind for you?

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Well, I'm gonna I'm gonna take a a

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maybe a a non finance approach to this

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and say I think the investment is

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in the workforce,

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but it's in our each individual as themselves.

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So,

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and then

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a investment in the teams that they work

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within.

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Healthcare

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is is not an individual sport. It's an

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ultimate team sport, and it requires team working

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with other teams who don't maybe interact every

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single day. They don't know each other. And

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I think that we are so busy that

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we need to continue to make investments in

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creating opportunities

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for teams across teams to work together to

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create connection, to create understanding,

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so that communication channels can be enhanced

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and thus when communications hits obviously the risk

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things are getting dropped, errors being made, people

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being willingness to speak up

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are enhanced.

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So I think first it starts with an

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investment in ourselves and each individual.

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And then it's a connection to us each

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individual connecting with those we work with and

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around. And maybe not even in our direct

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environment, but those teams we we intersperse with

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every now and then,

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to get the work done that we need

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to get done to help the patients ultimately.

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I hope that made sense.

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Yeah. Yeah. I think that it definitely makes

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sense in, you know, having that ability to,

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put in the time, the effort, and then

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the energy investment into the people,

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within the organization, I can imagine it just

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creates a ripple effect of a stronger culture

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and stronger sense of belonging from them as

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well.

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Really, especially as we talked about earlier, you

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know, with with providers having such a,

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you know, still feeling a lot of stress

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within their jobs, in many cases. So having

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that kind of ability to feel connected, I

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can imagine, is really strong.

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Yeah. I mean, we are we're, as humans,

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we're wired for connection. We want a sense

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of community, we want a sense of of

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being part of something bigger than ourselves, and

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I think

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the health care space certainly offers So

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how

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can

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we continue

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So how can we continue to reconnect

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to the mission, to the calling

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and to the sense of we're helping individuals

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improve their lives, get well, get better and

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get back on a path to live the

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life they want to lead. And that's very

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satisfying

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when you feel that is just sometimes with

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the burdens of the everyday,

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we have to take a step back, reconnect

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to that, reconnect those around us and feel

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that sense of pride and awe that we

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can have in the healthcare space by the

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by nature of the work that we do.

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That's amazing to hear. Now before we wrap

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up, I'm wondering,

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where do you see some of the best

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opportunities for growth in the future for yourself

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and the work that you're doing, around patient

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experience?

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Yeah. I mean, I

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I, I think that,

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you know, we are on, as an industry,

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experience work

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is vital

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to to the end. You know, earlier this

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year, a group of us put out a

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paper on the value case of

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of of experience work. And that experience work

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is not just patient experience, it's also workforce

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experience because it's all intertwined. Our experiences are

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all intertwined.

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So I think the opportunity is is that

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we continue to lean into

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the many, many, many hundreds of thousands of

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voices that we have

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and that we understand

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what they're telling us, where the pain points

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are and that could be at an individual

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level or that can be at a systemic

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level, a process issue and then how can

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we continue to work to make the system

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better for them and the them in this

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case is both the workforce

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and the patient.

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Just a little sidebar something that we've done

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here at Vanderbilt that I'm very proud

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and that's in the recognition space. And I

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believe we do far more right. I don't

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the mistakes that happen and by nature we

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try to focus on those and not make

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those happen again, which is the right thing

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to do. But sometimes that can cause us

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to lose sight

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of all the great things that are going

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on, every single day.

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So, you know, in the experience space, patients

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are usually very generous about sharing with

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us the good experience that they've had and

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they'll even go to the extent of sharing

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by name, you know, this person,

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00:15:02,264 --> 00:15:04,125
Laura was a was a great nurse.

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Historically,

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if if that comment was left by a

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patient, it would require someone to go in

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to read it. They would have to to

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identify, oh, that's Laura. I know who that

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00:15:13,500 --> 00:15:15,740
is, you know, then paste, copy, put it

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00:15:15,740 --> 00:15:17,519
in an email or another document,

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write it out in a handwritten note, whatever

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the the case may be, and and send

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it. That that takes time, and that takes

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a lot of effort. And middle management health

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care is probably the hardest job. They don't

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have a lot of space and time really

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invest in that as much as they would

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like to. So we developed an algorithm here

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at Vanderbilt that looks at matching

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names and comments to whose access the patient's

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record,

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from a security standpoint. And then we have

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a matching algorithm and we send those

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positive

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comments, positive only

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to the team members directly,

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00:15:50,019 --> 00:15:51,860
sharing with them this patient left this comment

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about you. Keep up the great work. We

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00:15:54,154 --> 00:15:55,355
just wanted to share and let you know

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00:15:55,355 --> 00:15:57,615
that you were being recognized by a patient.

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And

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even in the smallest details that can fill

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00:16:01,514 --> 00:16:04,440
someone's cup. We've gotten feedback from from from

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00:16:04,440 --> 00:16:06,360
colleagues saying, you know, I was having the

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00:16:06,360 --> 00:16:08,379
most challenging day ever. I was really questioning

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00:16:08,600 --> 00:16:10,600
how can I continue doing this? And then

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00:16:10,600 --> 00:16:13,144
I read this very heartfelt, you know, comment

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from a patient, and it really reconnected me

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00:16:15,225 --> 00:16:17,144
and reminded me of of why I do

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00:16:17,144 --> 00:16:19,304
what I do and and how important it

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00:16:19,304 --> 00:16:19,804
is.

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00:16:20,919 --> 00:16:22,679
Well, that's amazing to hear it, you know,

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00:16:22,679 --> 00:16:23,419
and certainly,

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00:16:23,879 --> 00:16:25,399
just a really cool thing you're able to

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00:16:25,399 --> 00:16:26,539
do for the clinicians

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00:16:26,975 --> 00:16:28,355
working within the health system.

447
00:16:28,815 --> 00:16:30,254
And thank you so much, Brian, for joining

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00:16:30,254 --> 00:16:31,774
us on our podcast today. This has been

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00:16:31,774 --> 00:16:33,615
such a fun conversation, and we look forward

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00:16:33,615 --> 00:16:35,235
to connecting with you again soon.

451
00:16:35,559 --> 00:16:36,059
My

452
00:16:36,910 --> 00:16:37,410
pleasure.

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00:16:38,259 --> 00:16:38,759
Thank

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00:16:39,610 --> 00:16:40,110
you.