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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 taking place

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October 1st through 4th at the luxurious Hyatt

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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. Four time Super Bowl champion,

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Rob Gronkowski,

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WNBA

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champion, and author, Lisa Leslie,

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and NFL legend and ESPN

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analyst,

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Eli Manning, will be there sharing their stories

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and inspiring you to reach new heights. All

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around you, the future of health IT unfolds,

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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 peckershospital

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Becker's Healthcare podcast made for the people who

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power US Healthcare. I am Molly Gamble with

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Becker's, and today delighted to spend time with

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Tim Callahan.

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Tim is the chief technology officer for University

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of Michigan Medicine or Michigan Medicine.

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Tim, welcome to the podcast. How are you

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and where do we find you today?

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I'm doing absolutely great, and I'm working from

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my home office today.

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Terrific.

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Well, Tim, for listeners who might not be

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as familiar with Michigan Medicine as they otherwise

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could be, could you provide a brief overview

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just to help us get reacquainted with the

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organization?

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Yeah. So Michigan Medicine is really the the

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health care provider

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arm

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and,

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medical school to the University of Michigan. So

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most are very familiar with the University of

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Michigan, certainly with our national champion football team

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of last year,

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and we're looking forward to repeating that again

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this year.

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But, again, Michigan Medicine is really the health

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care providers of the hospital system associated

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with the health care system,

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as well as as well as the medical

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school.

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We also have affiliates

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on the western side of the state and

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also

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in the central western part of the state.

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So the reach expands quite a bit beyond

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Ann Arbor and is,

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continuing to expand

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statewide

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as we look out into our future.

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Right.

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And then over the past quarter, Tim, where

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have you been focusing most of your your

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time and energy

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within Michigan Medicine

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as chief technology officer? What's been really core?

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Yeah. So I'm about 2 years into the

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role, and I accepted the role because Michigan

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Medicine

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had a very strong desire to modernize their

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infrastructure. And really what that meant to them

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was they wanna move a lot of their

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workloads to the cloud. So we've been spending

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a lot of time issuing RFPs

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and getting ready for that cloud migration.

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We're moving Epic to the cloud. We're moving

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sector to the cloud. We're moving all of

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our general purpose workloads to the cloud. So,

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but because we're a public institution, because we're

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part of, the University of Michigan,

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we need to issue a whole bunch of

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RFPs, and we need to get ready for

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that migration.

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In the midst of all of that,

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there was also an acquisition with Sparrow Health.

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So we've also been deeply,

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engaged

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in integration

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and consolidation,

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collaboration with,

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with affiliates. So I mentioned that we have

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UMH West and and, Sparrow.

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So we are working with them to understand

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how our cloud strategy could impact them,

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as well as what can we do together.

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How do we share common best practices?

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How do we,

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look at the applications that we have within

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the broader ecosystem,

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and how do we achieve synergies between those

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3 different organizations?

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Mhmm.

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And that work of migrating workflows to the

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cloud,

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what's the most taxing

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aspect of that work for for you as

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the leader of those efforts? You mentioned a

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lot of RFPs.

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Michigan Medicine is a public institution like you

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said. Is there something that you didn't hint

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at, Tim, that has been especially demanding on

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your time or your team?

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Well, I think, with with all IT projects,

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probably

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the preparation,

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is super important

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in that journey. There's preparation work, there's foundational

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work,

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that needs to be done that's really behind

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the scenes,

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that doesn't get, seen a lot throughout the

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organization. So they're kinda wondering, hey. What are

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you doing?

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But those foundational pieces are really critically important.

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The other aspect that's really critically important in

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a health care

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migration to the cloud or a health organization

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moving to the cloud is this aspect of

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business disruption.

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So when you move a workload from an

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on prem

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environment

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to a cloud location, you wanna do that

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very, very seamlessly.

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You don't wanna impact the end user community.

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So I I mentioned, you know, we're gonna

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be moving Epic to the cloud. We wanna

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have users

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using the on prem system, you know, Sunday

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during the day, and then we wanna use,

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those same users to wake up on Monday

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and access the cloud based solution. They should

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not

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notice anything different other than the fact that

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everything's working better and faster than it was

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on Sunday.

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So being able to move these things without

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having any end user disruption is the real

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trick of the trade

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and something that we're,

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and the team are very good at implementing

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both on the epic side of the journey

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as well as sector and the general purpose

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workload. So we've developed a very comprehensive strategy

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in terms of how we're gonna move these

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really critically important workloads

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and how to do that in a nondisruptive

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manner, which is super important in a health

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care setting. Mhmm.

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And it's also I mean, that's a distinct

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need for a leader too because you mentioned

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this work, the prep for that migration behind

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the scenes.

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Also, the seamless transition

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where it's almost as though people don't even

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detect it. I mean, success being

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defined in part by being hard to distinguish

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or notice

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and fitting right in,

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that can sometimes be

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a unique challenge as a leader when when

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the goal isn't necessarily more visibility or attention

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to what's being being done. Right?

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Right. No doubt.

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When when success is that you've that nobody

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notices anything that you're doing, you know, it's

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hard to, you know,

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really highlight yourself as a leader, but that

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really is success in the cloud migration

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or a migration or a consolidation. We we

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wanna make sure that we're being nondisruptive,

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to the business, but yet delivering a lot

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of value,

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in in performing that move.

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So we have all the confidence in the

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world that once the move is created,

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we'll be able to deliver all sorts of

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tools and technologies to our energy community they

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simply didn't have in the on prem environment.

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We'll be able to deliver that in the

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cloud. So that's really the goal and the

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anticipation

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and really the excitement around some of these

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projects. Mhmm.

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Well, zooming out from Michigan Medicine, I I

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wanted to talk to you about something more

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broadly, and this really spans industry wide. But

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there was an interesting stat that came out

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this week from an IBM report. It caught

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my eye. And this report uncovered

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a paradox in which you've got a lot

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of CEOs

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saying how much they value collaboration between technology

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leaders and their CFOs.

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And then it turns out that only a

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small fraction of tech c level leaders are

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actually working closely with finance to

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align their tech metrics with the business goals.

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And this, again, not health care specific. This

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report spanned

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26

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industries. But, Tim, I I wanted to bring

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it to your attention and see what you

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think about this.

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As a CTO,

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what do you think contributes to that disconnect

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where CEOs are saying they really want the

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technology and finance leaders

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to work closely together and collaborate, and then

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it turns out it's not happening as much

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as one might think.

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Yeah. Those,

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those numbers

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somewhat surprised me.

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I I know that in at least the

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last decade of my career,

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I've worked

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for organizations,

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that have a lot of rigor and maturity

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around,

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you know, product development life cycles and business

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case use cases,

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to where really any of the types of

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things that I might want to do, whether

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it be, cloud migration, whether it be an

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integration,

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whether it be a consolidation,

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at any IT type of initiative,

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we need to develop some element of a

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business case to understand how much we're gonna

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spend,

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and

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what the budget's gonna be,

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both from a product perspective, from an infrastructure

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perspective, as well as from a a people

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perspective or even a consulting

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effort perspective. All of those elements need to

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be brought in so that we can clearly

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define to the organization

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what we anticipate,

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expending on that effort. So I've been maybe

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blessed,

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that to be a part of organizations that

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have that type of

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rigor. But what one of the interesting things

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about,

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this particular,

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topic is you specifically called out CFOs.

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And what I what I found interesting to

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that distinction

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is

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there's a lot of financial metrics that are

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important to businesses.

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But in a health care system, sometimes you

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do things

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not because it makes financial sense, but because

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it's gonna better patient care or better,

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or create a better patient experience. So you

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may do something that financially doesn't make sense,

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but you'd you're going to embark on that

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project or that initiative because it's gonna save

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lives or you're going to create a better

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customer experience,

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which will,

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which will better the community. So there there

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are these aspects

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of certainly within health care of

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broadening your discussion, not just for the CFOs,

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but broadening to the to the entire c

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suite to make sure that we're capturing all

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of the needs and wants of the organization

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and make sure everyone's

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voice is being reflective as we move forward.

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So

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so I was surprised by the metrics. I

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think it's super important. I think it's important

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to work with the CFO. I think it's

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important to work with a broader c suite.

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I think it's important to have good governance

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in really anything that you do from a

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technology perspective.

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So I would encourage

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those that are operating in a vacuum,

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you know, to to maybe broaden their,

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their scope and and broaden their,

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their communication,

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channels,

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aspects of the business.

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Mhmm.

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00:11:41,954 --> 00:11:44,034
Well, thanks, Tim. And for listeners, this was

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the report out of IBM August 2024 across

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26 industries. Those stats,

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66% of CEOs emphasizing the importance of collaboration,

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and then only 39% of technology leaders

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working with finance.

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So I think, Tim, your point is well

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received. CFOs, that's one role. There can be

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a lot of other ways, whether it's operationally,

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customer experience, patient care, that technology needs to

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be integrated into a health system like Michigan

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Medicine. Shifting gears just a little bit, you

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00:12:13,252 --> 00:12:15,979
know, speaking of C level executives and and

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00:12:15,979 --> 00:12:18,500
leaders, can you share, Tim, an important leadership

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lesson that you learned firsthand throughout your career?

329
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What is the lesson? And then I think

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more importantly, what's the story behind it? How

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did you arrive at it?

332
00:12:30,365 --> 00:12:32,545
Well, I've learned within IT

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that there are a a 1000000 and one

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00:12:35,485 --> 00:12:38,225
ways to accomplish a given objective.

335
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And the way that I would go about

336
00:12:40,764 --> 00:12:43,600
accomplishing a particular task may be different than

337
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someone else on my team.

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And it's important to reflect on that. I

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think as leaders,

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it's our job to set the vision. It's

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our job to,

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define

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where we're going and why we're going there.

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But to loosen the reins or give our

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00:13:02,695 --> 00:13:03,195
teams,

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00:13:04,455 --> 00:13:06,554
lots of rope and lots of latitude

347
00:13:06,934 --> 00:13:08,075
in order to develop

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the way that we would accomplish that vision

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or the way that we would accomplish those

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goals because there are very different ways,

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that we can do that. And for those

352
00:13:18,289 --> 00:13:20,549
of us who have been in IT

353
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for a long, long time,

354
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at some point in time, your teams

355
00:13:26,205 --> 00:13:28,925
take away your username and password or take

356
00:13:28,925 --> 00:13:31,105
away your access to certain systems

357
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because they don't want you meddling in routers

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or switches or or or databases or things

359
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of that nature. And the reason that they're

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doing that is because they're telling you, hey.

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There's better ways to do it, or we

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don't want you doing that stuff. We want

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you doing these other things.

364
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So it's a humbling experience when those things

365
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happen,

366
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as an IT leader that your team says,

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maybe you shouldn't have access to that, or

368
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maybe we don't want you doing those particular

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things.

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And I crossed that bridge many, many moons

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ago.

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But it is fun to reflect, and it

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is important to say, here's the vision. Here's

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what we're trying to do. Here's why we're

375
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trying to do that,

376
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and allow the teams to develop thoughts and

377
00:14:12,529 --> 00:14:15,190
strategies about how they're going to accomplish that.

378
00:14:15,570 --> 00:14:16,070
Mhmm.

379
00:14:16,529 --> 00:14:19,009
And where does the the skill and the

380
00:14:19,009 --> 00:14:19,509
leadership

381
00:14:19,889 --> 00:14:22,690
trait of asking good questions come in here?

382
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Because

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like you said, Tim, if you're trusting the

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00:14:26,065 --> 00:14:27,745
team to come up with the plan, you

385
00:14:27,745 --> 00:14:29,264
lay out the vision, but they're the ones

386
00:14:29,264 --> 00:14:30,965
really owning and developing the plan.

387
00:14:31,985 --> 00:14:34,705
How does your ability to ask questions? Maybe

388
00:14:34,705 --> 00:14:36,779
if you spot something that's a bit fuzzy

389
00:14:36,779 --> 00:14:38,639
or it could be a potential pitfall

390
00:14:39,179 --> 00:14:41,899
rather than rolling out your plan, Tim's version.

391
00:14:41,899 --> 00:14:43,899
Do you find yourself just trying to probe

392
00:14:43,899 --> 00:14:46,459
more and help them identify those things themselves?

393
00:14:46,459 --> 00:14:47,679
What does that look like?

394
00:14:48,475 --> 00:14:50,414
You know, I I think developing

395
00:14:50,875 --> 00:14:51,375
or,

396
00:14:52,394 --> 00:14:55,695
getting really good at the Socratic method of

397
00:14:56,154 --> 00:14:57,534
painting that picture

398
00:14:58,235 --> 00:15:00,075
is really important. And what I mean by

399
00:15:00,075 --> 00:15:02,254
the Socratic method is Socrates,

400
00:15:02,715 --> 00:15:03,855
asked a lot of questions,

401
00:15:04,269 --> 00:15:04,929
in his,

402
00:15:05,389 --> 00:15:05,889
teachings.

403
00:15:06,909 --> 00:15:09,490
And in asking those questions, he helps provide

404
00:15:09,549 --> 00:15:12,429
illustrations and help help the teams, you know,

405
00:15:12,429 --> 00:15:12,929
see,

406
00:15:13,389 --> 00:15:14,769
the goal at the end of,

407
00:15:15,230 --> 00:15:17,950
you know, his objective or what his vision

408
00:15:17,950 --> 00:15:20,174
was. And I think that's really important in

409
00:15:20,174 --> 00:15:21,554
IT. A lot of times,

410
00:15:22,174 --> 00:15:23,855
when you've been in IT as long as

411
00:15:23,855 --> 00:15:25,774
I have, you've seen what works and you've

412
00:15:25,774 --> 00:15:27,315
seen what hasn't worked.

413
00:15:27,695 --> 00:15:28,835
But you don't necessarily

414
00:15:29,214 --> 00:15:31,534
want to impress or tell the teams this

415
00:15:31,534 --> 00:15:33,054
is the way that we're gonna do it,

416
00:15:33,054 --> 00:15:34,759
as I said in the past.

417
00:15:35,220 --> 00:15:37,139
What you wanna do is you wanna kinda

418
00:15:37,139 --> 00:15:38,820
show them these are the different ways that

419
00:15:38,820 --> 00:15:41,300
you can do it. And then while you're

420
00:15:41,300 --> 00:15:43,220
showing them the different ways that they can

421
00:15:43,220 --> 00:15:44,440
achieve those objective,

422
00:15:45,139 --> 00:15:46,120
ask questions.

423
00:15:46,975 --> 00:15:50,095
And and asking of those questions, you should

424
00:15:50,095 --> 00:15:52,034
be showing your teams

425
00:15:52,815 --> 00:15:55,375
the pitfalls or the advantages of one way

426
00:15:55,375 --> 00:15:57,695
over another way. And I do a lot

427
00:15:57,695 --> 00:16:00,575
of that when I'm when I'm scheduling meetings

428
00:16:00,575 --> 00:16:01,394
with vendors,

429
00:16:01,799 --> 00:16:04,120
when I'm trying to educate the teams on

430
00:16:04,120 --> 00:16:06,519
what works and what doesn't work, I ask

431
00:16:06,519 --> 00:16:07,580
a lot of questions

432
00:16:09,000 --> 00:16:11,080
not because I don't know the answer, but

433
00:16:11,080 --> 00:16:13,320
because I want the teams to understand what

434
00:16:13,320 --> 00:16:15,884
the answer to those questions are and why

435
00:16:15,884 --> 00:16:17,985
it's important to the overall vision,

436
00:16:18,605 --> 00:16:20,065
that we're trying to achieve.

437
00:16:20,365 --> 00:16:20,865
So

438
00:16:21,325 --> 00:16:24,365
asking questions is super, super important even if

439
00:16:24,365 --> 00:16:26,524
you know the answer to it. As a

440
00:16:26,524 --> 00:16:28,305
leader, asking those questions

441
00:16:28,845 --> 00:16:29,904
to really highlight

442
00:16:30,679 --> 00:16:31,980
significance and importance,

443
00:16:32,759 --> 00:16:35,740
to your teams is really important and understanding

444
00:16:36,039 --> 00:16:38,200
why you would go down one path as

445
00:16:38,200 --> 00:16:39,259
opposed to another.

446
00:16:39,879 --> 00:16:40,379
Mhmm.

447
00:16:40,839 --> 00:16:42,839
Mhmm. Great. And and, Tim, as we wind

448
00:16:42,839 --> 00:16:44,600
down here, is there anything else you'd like

449
00:16:44,600 --> 00:16:46,425
to share with our listeners? We kinda danced

450
00:16:46,425 --> 00:16:48,745
around a few different topics today. Anything we

451
00:16:48,745 --> 00:16:50,184
didn't get to that they should know or

452
00:16:50,184 --> 00:16:51,004
keep in mind?

453
00:16:52,904 --> 00:16:53,965
Yeah. No. I,

454
00:16:54,825 --> 00:16:57,545
you know, first off, you know, thanks for

455
00:16:57,545 --> 00:16:59,305
having me, and and thanks for,

456
00:17:00,105 --> 00:17:01,165
thanks for the time today.

457
00:17:01,519 --> 00:17:02,740
But as as we conclude,

458
00:17:03,279 --> 00:17:04,960
you know, IT is a lot of fun.

459
00:17:05,359 --> 00:17:05,859
And

460
00:17:06,319 --> 00:17:08,960
and I got into IT because I really

461
00:17:08,960 --> 00:17:11,440
thought of it as a big giant, you

462
00:17:11,440 --> 00:17:12,099
know, puzzle.

463
00:17:12,559 --> 00:17:14,319
And it was fun to put those different

464
00:17:14,319 --> 00:17:15,380
pieces together.

465
00:17:16,065 --> 00:17:17,444
And at the end of the day,

466
00:17:18,065 --> 00:17:20,065
as I said, there's lots of different ways

467
00:17:20,065 --> 00:17:22,085
to achieve a different IT objective.

468
00:17:22,384 --> 00:17:25,024
It's also super important to have fun along

469
00:17:25,024 --> 00:17:26,865
the way, and I think that you can

470
00:17:26,865 --> 00:17:27,524
do that.

471
00:17:28,559 --> 00:17:31,119
You can do really complicated things. You can

472
00:17:31,119 --> 00:17:33,599
do very innovative things. And I think at

473
00:17:33,599 --> 00:17:35,200
the end of the day, when those things

474
00:17:35,200 --> 00:17:35,940
are accomplished,

475
00:17:36,399 --> 00:17:37,139
when those,

476
00:17:38,319 --> 00:17:41,039
objectives are met, that it's fun to reflect

477
00:17:41,039 --> 00:17:43,139
back on it. And, hopefully, it's fun.

478
00:17:43,644 --> 00:17:45,884
It was it was fun to accomplish it,

479
00:17:46,285 --> 00:17:47,744
along the road. So

480
00:17:48,045 --> 00:17:50,684
have fun while you're going about doing your

481
00:17:50,684 --> 00:17:52,304
your IT goals and objectives.

482
00:17:53,164 --> 00:17:55,164
And if we're gonna wrap up, you know,

483
00:17:55,164 --> 00:17:57,244
it is important to have fun during these

484
00:17:57,244 --> 00:17:58,065
IT projects.

485
00:17:58,589 --> 00:17:59,089
Absolutely.

486
00:17:59,630 --> 00:18:02,509
Well, Tim Callahan, chief technology officer with Michigan

487
00:18:02,509 --> 00:18:04,669
Medicine, thank you again for being our guest

488
00:18:04,669 --> 00:18:06,429
today. Just a real pleasure to catch up

489
00:18:06,429 --> 00:18:07,329
with you and

490
00:18:07,789 --> 00:18:09,390
hear your take on a number of different

491
00:18:09,390 --> 00:18:11,654
topics, Tim. So I hope it's a a

492
00:18:11,654 --> 00:18:13,994
great fall for you and your team and

493
00:18:14,215 --> 00:18:15,275
Michigan football.

494
00:18:16,295 --> 00:18:16,795
Absolutely.

495
00:18:17,414 --> 00:18:19,174
Thank you so much again for having me,

496
00:18:19,174 --> 00:18:20,455
and and you have a great rest of

497
00:18:20,455 --> 00:18:22,475
the day. You too. Thanks, Tim.