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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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hospitalreview.com and clicking on the events page. That's

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the beckershospitalreview.com events page.

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This is Laura Dierda

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with the Becker's

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Healthcare podcast. I'm thrilled today to be joined

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by Stephen Michaels,

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vice president and chief technology officer at Baylor

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Scott and White Health. Steven, it's a pleasure

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to have you on the podcast today.

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Yeah. It's a pleasure to be here.

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Well, thank you so much for joining us,

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and, you know, I'm really looking forward to

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learning more about how you're thinking about technology

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at Baylor Scott and White and certainly some

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of the cool things that you have on

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tap. But before we dive into that discussion,

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can you tell me a little bit more

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about yourself and your background?

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Yeah. Absolutely. I think the the best way

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to kinda describe who I am is,

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I I try to live a life of

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purpose.

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And so for me, that's that's kinda 3

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chief categories of of my faith and my

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family and my and my profession.

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And, you know, you know, balancing those,

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the best that I possibly can. You know,

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I I've started my career,

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off in the United States Air Force. So

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one of the best decisions I ever made

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because it really helped build a foundation that

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I've used

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throughout my career,

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you know, from just

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a a whole mindset of continuous

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improvement

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and, you know, being creative

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and and and, you know,

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structured and disciplined about,

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you know, what I do.

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And, you know, whenever

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I came into health care

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a little more than 15 years ago, I

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just fell in love with kind of this

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this serving,

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the health

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community, our patients, and patient families,

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and just love what I do. As much

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as I loved when I was serving in

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the air force, it was almost like I

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found a new way to serve

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when I when I joined health care, specifically

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whenever I got into hospital systems. It's just

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such a,

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an amazing environment to be in. And,

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you know, if you don't love what you

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do and you're in health care hospital systems,

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you're in the wrong place

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because, you know,

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every day when I go into work, you

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know, it's it's not unusual to hear a

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helicopter coming overhead and and people aren't riding

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those helicopters for joy rides. And it but

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it really helps,

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set your mindset as as having a real

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purpose about what you're doing.

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And I tell people that right now, as

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we're talking

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at Baylor Scott and White somewhere, and really

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any hospital system, someone is having

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either their best day or their worst day.

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They're either, you know, welcoming a new baby,

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which is amazing,

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or they are saying goodbye to a loved

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one. And so we have to keep that

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in mind every day, and and it really

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helps keep us grounded.

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But it's just something that I love. I

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love giving back.

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Oh, that's amazing to hear. And, certainly, you

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know, what a great perspective to have in

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knowing, you know, just the wide variety of

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experiences people are having in the hospital setting,

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you know, in being able to meet them

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where they are and understand how each particular

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journey can be just a great opportunity to

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support the community and support patients and and

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really serve and give back as you said.

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Now from your vantage point as chief technology

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officer, what are some of the opportunities you

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have your eye on right now as well

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as the headwinds that you have to keep

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front of mind?

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Yeah. Absolutely. I think everybody in my position

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and and probably generally across health care,

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I think of this as there there's really

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3 for me. 1, 1st and foremost, that

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that is really in across

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health care is the cybersecurity

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threats.

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And, you know, they're they're they're increasingly more

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and more sophisticated,

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you know, the ransomware

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data breaches,

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our supply chains, you know, being attacked and

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and that sort of stuff. A a lot

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of our 3rd party,

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partners are are being hit, and so it's

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it's it takes a lot of our,

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effort and,

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focus to to, you know, try to protect

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those patients like we were just talking about.

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Additionally, you know, across health care, there are

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talent shortages, and,

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you know, it's one of those things that,

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you know, is is really probably going to

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hit a lot of industries, especially for roles

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that, you know, require people to, you know,

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physically come into an environment, every day, like

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our nurses and physicians and things like that.

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And so, you know, a lot of,

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jobs now, even my own, has a tremendous

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amount of flexibility. You know, I could work

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from home. I can come into the office.

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I could do, different things. I I prefer

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to come into the office, but, but that's

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just because I like I like being around

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people.

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But, but, you know, challenges shortages are a

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real deal,

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specifically in nursing, and and it's even more

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so in rural areas. That that's a real

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health care challenge for us as a country,

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something that we'll have to focus on and

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and and deal with. And then, you know,

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there's the technical debt. And from from a

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hospital consolidation that has happened over, you know,

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the last 20 years or so, what's happened

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is, you know, some various technologies have been

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incorporated into a larger enterprise. And those, I

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think,

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constant

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focus on

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really rationalizing the technology,

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modernizing it, and, you know, trying to absorb

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and overcome some of that technology,

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debt.

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I think that makes a lot of sense.

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You know, it is really a fascinating array

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of challenges and things you're keeping your eye

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on from, as you mentioned, cybersecurity, not only

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for,

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Baylor Scott and White, but for your vendors

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and third party partners as well. It's just

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so crucial to,

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make sure everything that's

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happening, you know, and that you can control,

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is controlled, but then to just being prepared

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for the moment when it happens as well.

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And then, you know, looking across the workforce

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and talent shortages,

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I can imagine on the clinical side and

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to some degree, you know, the technology,

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skills and and advancements in the technology just

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makes it hard to keep up sometimes. And

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so, you know, really a lot to think

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about.

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But in particular, when you're looking at the

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technical debt that you just mentioned,

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how do you try to stay on top

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of that at Baylor Scott and White? Is

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there processes that you put in place or

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or or a certain philosophy that you think

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about things so that you're putting yourself in

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the,

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best position to optimize that in the future?

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Yeah. Really, it it it has a lot

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to do with, you know, 1st and foremost

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aligning to the organization and what the organization's

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goals are.

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For someone in my position,

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you have to think of any dollar I

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spend as

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taking a dollar away from patient care potentially.

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Right? So

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so we have to be careful

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about, you know,

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misinvestments,

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you know, putting money towards a technology that

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maybe doesn't prove out to be what it

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what it, needs to be, but also, you

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know, being, conscious of, you know, that debt

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that is aging technology that is going to

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become increasingly, increasingly problematic either from a

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reliability perspective,

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and certainly from a cyber perspective because you'll

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end up with technology that is no longer

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supported, and that becomes

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a a real problem.

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And so then you're you're,

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you know, investing time and and tech and

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efforts around trying to protect it. So so

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that's that's a real challenge. You know, for

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for us, you know, we we kinda have,

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you know, a structure

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around,

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strategic partners. So, for example, we are an

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Epic shop.

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And when we rationalize technology, what we're trying

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to do is take advantage of some of

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those strategic partnerships because there's a lot of

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things that Epic can do that maybe we

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are,

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providing today with some other third party.

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And so it's it's it's really simplifying the

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environment and kinda bringing the technology into some

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of those larger investments. And so that kinda

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becomes a win win because it makes the

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environment a lot more streamlined and simple for

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the organization, but it also,

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allows us to deliver the technology in a

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more,

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economical,

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way for the organization.

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That makes a lot of sense, you know,

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and I truly appreciate you digging one bit

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deeper there. Now how are you thinking about

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growth and adding value to Baylor Scott and

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White over the next few years or so?

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How do you do that from the technology

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side, especially as you mentioned, you know, thinking

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critically about health care dollars, the investments that

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you're making, and and truly understanding the support

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for clinical care and caregivers?

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Sure. You know, it it's it's really critical,

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like I mentioned earlier, that I align to

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00:10:12,684 --> 00:10:13,095
the organizational,

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objectives,

273
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which,

274
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for for any technologist,

275
00:10:19,179 --> 00:10:22,240
means that you need to understand them. Unfortunately,

276
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sometimes in, IT,

277
00:10:25,980 --> 00:10:26,480
we

278
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kinda become really good at technology,

279
00:10:29,915 --> 00:10:31,215
and we become increasingly

280
00:10:31,674 --> 00:10:32,174
disconnected

281
00:10:32,475 --> 00:10:34,815
from the actual businesses that we support.

282
00:10:35,514 --> 00:10:37,754
And that's that's a problem because, you know,

283
00:10:37,754 --> 00:10:39,674
you kinda think about, like, you know, if

284
00:10:39,674 --> 00:10:41,595
if I want to expand, you know, kind

285
00:10:41,595 --> 00:10:42,654
of my horizons,

286
00:10:43,169 --> 00:10:45,409
you know, beyond of just maybe being good

287
00:10:45,409 --> 00:10:48,049
at technology and understanding that, in my world,

288
00:10:48,049 --> 00:10:49,830
I need to become a health care professional

289
00:10:49,889 --> 00:10:50,389
first.

290
00:10:51,009 --> 00:10:52,610
So, you know, if you think about, like,

291
00:10:52,610 --> 00:10:54,450
if if, you know, you and I worked

292
00:10:54,450 --> 00:10:56,715
for a car dealership, for example, and I

293
00:10:56,715 --> 00:10:58,554
could be amazing at technology. But if I

294
00:10:58,554 --> 00:11:00,794
don't know the first thing about how to

295
00:11:00,794 --> 00:11:02,014
buy and sell cars,

296
00:11:02,475 --> 00:11:05,355
then my technical abilities are gonna bring limited

297
00:11:05,355 --> 00:11:05,855
value.

298
00:11:06,315 --> 00:11:08,154
And so if you think about the, you

299
00:11:08,154 --> 00:11:10,735
know, the challenges that the health care systems

300
00:11:10,794 --> 00:11:11,899
are facing today,

301
00:11:12,279 --> 00:11:14,680
you know, the ability to provide quality care

302
00:11:14,680 --> 00:11:17,320
and operate efficiently. You know, we've kinda talked

303
00:11:17,320 --> 00:11:18,779
about staffing shortages,

304
00:11:19,240 --> 00:11:22,059
but there's also financial pressures, you know, of,

305
00:11:22,680 --> 00:11:25,815
you know, you know, kinda declining reimbursement rates,

306
00:11:26,375 --> 00:11:27,914
from, you know, the payers,

307
00:11:28,215 --> 00:11:30,695
you know, our increased operational costs, like what's

308
00:11:30,695 --> 00:11:33,095
happening to everybody with, you know, the cost

309
00:11:33,095 --> 00:11:35,014
of goods, going up the way that it

310
00:11:35,014 --> 00:11:38,615
is. And that financial strain is is really,

311
00:11:39,014 --> 00:11:40,475
you know, putting a lot of pressure,

312
00:11:41,039 --> 00:11:43,279
in in health care. But and and, ultimately,

313
00:11:43,279 --> 00:11:44,879
I guess, the last one I would say

314
00:11:44,879 --> 00:11:47,600
is, you know, patient care and safety. Right?

315
00:11:47,600 --> 00:11:50,399
So so that's the paramount at at everything

316
00:11:50,399 --> 00:11:53,440
we do. That's that's the, the zero fail

317
00:11:53,440 --> 00:11:56,315
mission. Like, we we can't have patient safety,

318
00:11:56,615 --> 00:11:59,175
put at risk or whatever. And so, you

319
00:11:59,175 --> 00:12:01,575
know, so so for me to kinda get

320
00:12:01,575 --> 00:12:03,495
to your question about adding value, I have

321
00:12:03,495 --> 00:12:04,634
to truly understand,

322
00:12:05,894 --> 00:12:08,535
those impacts to the organization. And so whenever

323
00:12:08,535 --> 00:12:10,535
I'm making a decision about, like, okay. I

324
00:12:10,535 --> 00:12:13,309
wanna do a new contact center, for example,

325
00:12:13,309 --> 00:12:16,029
because maybe my existing contact center is end

326
00:12:16,029 --> 00:12:18,110
of life or whatever, I have to think

327
00:12:18,110 --> 00:12:21,250
about, like, well, we have challenges with staffing,

328
00:12:21,470 --> 00:12:23,470
and I need to make sure that, you

329
00:12:23,470 --> 00:12:25,915
know, from a cost perspective, I'm bringing the

330
00:12:25,915 --> 00:12:28,394
right model, the right model that makes sense,

331
00:12:28,394 --> 00:12:30,715
like, whether I'm gonna capitalize expense or I'm

332
00:12:30,715 --> 00:12:32,575
going to go with some sort of subscription

333
00:12:32,634 --> 00:12:35,115
model or whatever. And then, ultimately, at the

334
00:12:35,115 --> 00:12:36,475
end of the day, like, what is the

335
00:12:36,475 --> 00:12:38,715
impact to patients? And am I improving that

336
00:12:38,715 --> 00:12:39,215
impact,

337
00:12:40,090 --> 00:12:41,309
to to patients? And,

338
00:12:41,690 --> 00:12:44,090
you know, otherwise, I could just go and

339
00:12:44,090 --> 00:12:46,410
pick a solution and kinda be oblivious to

340
00:12:46,410 --> 00:12:49,850
what's happening to my, organization or the the

341
00:12:49,850 --> 00:12:50,669
health care

342
00:12:50,970 --> 00:12:52,190
population as a whole

343
00:12:52,570 --> 00:12:54,410
and and just really not be that effective,

344
00:12:54,410 --> 00:12:56,695
frankly. And and I think that's something that

345
00:12:56,695 --> 00:12:59,014
as, you know, technologists are kinda going through

346
00:12:59,014 --> 00:13:01,014
their career, you really need to think about

347
00:13:01,014 --> 00:13:02,774
that. You need to there there is a

348
00:13:02,774 --> 00:13:05,335
point at which, you know, you'll reach a

349
00:13:05,335 --> 00:13:08,375
level that it is more and more critical

350
00:13:08,375 --> 00:13:11,159
that you understand your business and, you know,

351
00:13:11,240 --> 00:13:13,559
not always just look through the lens of,

352
00:13:13,879 --> 00:13:14,860
you know, technology.

353
00:13:16,279 --> 00:13:18,679
That's such a fascinating point. And especially, I

354
00:13:18,679 --> 00:13:21,240
can imagine for, as you said, people who

355
00:13:21,240 --> 00:13:23,319
are are raised with that technology background to

356
00:13:23,319 --> 00:13:25,815
really just think first and foremost on,

357
00:13:26,934 --> 00:13:28,394
the logic of of technical,

358
00:13:29,174 --> 00:13:32,294
capabilities. And from that perspective, thinking more globally

359
00:13:32,294 --> 00:13:35,095
and understanding the business impact is not always

360
00:13:35,095 --> 00:13:37,495
an easy transition to make, but certainly a

361
00:13:37,495 --> 00:13:39,654
crucial one, especially in health care as the

362
00:13:39,654 --> 00:13:40,154
business

363
00:13:40,460 --> 00:13:42,799
margins are are getting tighter and others are,

364
00:13:43,179 --> 00:13:45,200
you know, really needing to

365
00:13:45,820 --> 00:13:48,779
find support, with technology for the broader health

366
00:13:48,779 --> 00:13:51,200
system. So it's fascinating to hear.

367
00:13:51,899 --> 00:13:54,320
From your perspective, in in along those lines,

368
00:13:54,379 --> 00:13:56,565
what are is one risk or investment that's

369
00:13:56,565 --> 00:13:58,264
still worth making this year, especially

370
00:13:58,804 --> 00:14:00,345
given, you know, those challenges

371
00:14:00,804 --> 00:14:02,904
in the idea that, you know,

372
00:14:03,605 --> 00:14:05,384
budgets and spending isn't unlimited?

373
00:14:06,725 --> 00:14:07,704
Yeah. So,

374
00:14:08,149 --> 00:14:10,410
you know, there is one risk,

375
00:14:11,190 --> 00:14:12,009
or investment

376
00:14:12,549 --> 00:14:14,970
that in from my perspective

377
00:14:15,590 --> 00:14:18,330
is always worth it, and and that is

378
00:14:19,029 --> 00:14:21,129
the investment that we make in our people.

379
00:14:21,914 --> 00:14:23,035
You know, the,

380
00:14:23,835 --> 00:14:26,315
the solutions that we deliver and all of

381
00:14:26,315 --> 00:14:27,855
the opportunities and problems

382
00:14:28,315 --> 00:14:29,855
that we face,

383
00:14:30,394 --> 00:14:32,575
all the stuff we talked about today, right,

384
00:14:32,955 --> 00:14:34,495
every single one of those

385
00:14:35,210 --> 00:14:36,429
are solved by people.

386
00:14:37,049 --> 00:14:39,370
So, so in my world, when I say

387
00:14:39,370 --> 00:14:42,009
people, I I'm not just specifically talking about,

388
00:14:42,009 --> 00:14:43,929
you know, Baylor Scott and White employees. You

389
00:14:43,929 --> 00:14:46,570
know, people that get a paycheck from the

390
00:14:46,570 --> 00:14:49,855
hospital system. That expands into all of our

391
00:14:49,855 --> 00:14:52,735
various partners, you know, whether it is, you

392
00:14:52,735 --> 00:14:55,774
know, you know, managed services that we have

393
00:14:55,774 --> 00:14:58,434
or technology professional services

394
00:14:59,375 --> 00:15:02,115
and and and beyond, frankly. And so,

395
00:15:02,570 --> 00:15:04,250
you know, if I'm going to take a

396
00:15:04,250 --> 00:15:07,209
risk and, you know, give something a chance,

397
00:15:07,209 --> 00:15:09,769
it's I'm gonna lean towards, you know, people.

398
00:15:09,769 --> 00:15:12,889
And, you know, technologies are are changing so

399
00:15:12,889 --> 00:15:15,230
fast. I I heard a statistic that

400
00:15:15,674 --> 00:15:17,534
now, like, if you were a specialist

401
00:15:17,835 --> 00:15:20,875
in technology so for example, I'll update myself.

402
00:15:20,875 --> 00:15:22,875
One of the very first platforms that I

403
00:15:22,875 --> 00:15:25,375
supported in an enterprise was Lotus Notes.

404
00:15:25,835 --> 00:15:28,394
And so I got really good at Lotus

405
00:15:28,394 --> 00:15:31,080
Notes. I, like, understood how the databases work.

406
00:15:31,080 --> 00:15:33,179
I understood how the whole platform work.

407
00:15:33,559 --> 00:15:35,480
And who knows? Like, maybe I could still

408
00:15:35,480 --> 00:15:37,240
be doing a job out there as a

409
00:15:37,240 --> 00:15:39,100
Lotus Notes administrator somewhere.

410
00:15:39,559 --> 00:15:42,039
But, but it changed. And so I had

411
00:15:42,039 --> 00:15:44,544
to evolve into Microsoft Exchange, and then I

412
00:15:44,544 --> 00:15:45,904
had you know, and I basically kinda went

413
00:15:45,904 --> 00:15:47,105
on to do the other things in my

414
00:15:47,105 --> 00:15:47,605
career.

415
00:15:47,985 --> 00:15:50,004
But, what I've heard is that that window

416
00:15:50,144 --> 00:15:53,105
is now, like, 18 months. You know? Whereas,

417
00:15:53,105 --> 00:15:54,865
you know, maybe when I started my career,

418
00:15:54,865 --> 00:15:56,625
I probably could have been a Lotus Notes

419
00:15:56,625 --> 00:15:59,105
administrator for maybe a decade. Right? You know,

420
00:15:59,105 --> 00:16:00,970
I would have probably been totally fine and

421
00:16:00,970 --> 00:16:03,129
not had any pressures. And so you think

422
00:16:03,129 --> 00:16:05,629
about that window shrinking more and more,

423
00:16:06,169 --> 00:16:09,709
and these technologies are ever evolving. They're bleeding

424
00:16:09,769 --> 00:16:12,169
into each other. You know? So if you're

425
00:16:12,169 --> 00:16:14,044
gonna have, like, a Genesys,

426
00:16:14,904 --> 00:16:17,945
contact center and you have ServiceNow and you

427
00:16:17,945 --> 00:16:20,105
have a platform like Epic or whatever, there's

428
00:16:20,105 --> 00:16:22,125
a lot of things that those three platforms

429
00:16:22,345 --> 00:16:25,404
do that bleed over into each other.

430
00:16:25,865 --> 00:16:26,845
And so

431
00:16:27,290 --> 00:16:28,889
how do I how do I solve that

432
00:16:28,889 --> 00:16:30,830
as as a, as a CTO

433
00:16:31,529 --> 00:16:33,610
is it doesn't make sense that I would

434
00:16:33,610 --> 00:16:35,370
constantly just go out there and try to

435
00:16:35,370 --> 00:16:36,809
find, oh, let me go get a a

436
00:16:36,809 --> 00:16:38,730
Genesis talent. Right? Well, let me go get,

437
00:16:38,730 --> 00:16:40,809
like, whatever top or whatever is going on.

438
00:16:40,809 --> 00:16:42,570
It's really better for me to invest in

439
00:16:42,570 --> 00:16:43,065
my people

440
00:16:43,705 --> 00:16:46,205
and trust that they're gonna have the ability

441
00:16:46,264 --> 00:16:49,225
to kinda learn and evolve as we evolve

442
00:16:49,225 --> 00:16:50,044
as an organization.

443
00:16:50,745 --> 00:16:52,585
And, you know, it it doesn't always pay

444
00:16:52,585 --> 00:16:54,345
out like any other investment. You know, some

445
00:16:54,345 --> 00:16:56,345
some folks, you know, just really enjoy what

446
00:16:56,345 --> 00:16:57,750
they're doing, and they may decide to go

447
00:16:57,750 --> 00:16:59,350
elsewhere. They may not want to learn a

448
00:16:59,350 --> 00:17:00,170
new technology.

449
00:17:00,629 --> 00:17:02,550
But what I found is is that more

450
00:17:02,550 --> 00:17:04,549
times than not, people are excited about that,

451
00:17:04,549 --> 00:17:05,690
and it's a well,

452
00:17:06,549 --> 00:17:08,250
a well, worth investment.

453
00:17:09,585 --> 00:17:11,585
That's really cool to hear. And definitely, you

454
00:17:11,585 --> 00:17:13,044
know, I I appreciate you

455
00:17:13,424 --> 00:17:15,505
digging a little bit deeper and and thinking

456
00:17:15,505 --> 00:17:17,904
about, the the people side because I think

457
00:17:17,904 --> 00:17:19,424
so much, you know, we hear that as

458
00:17:19,424 --> 00:17:21,585
a mission or a strategy is being able

459
00:17:21,585 --> 00:17:22,085
to,

460
00:17:22,779 --> 00:17:25,579
invest in, you know, the workforce and the

461
00:17:25,579 --> 00:17:27,500
talent and upskilling and all those kinds of

462
00:17:27,500 --> 00:17:29,660
things. But what that really looks like or

463
00:17:29,660 --> 00:17:31,200
the impact that it could make,

464
00:17:31,579 --> 00:17:33,500
you know, sometimes is a little bit more

465
00:17:33,500 --> 00:17:36,045
nebulous. So it's cool to think about it

466
00:17:36,045 --> 00:17:38,704
and hear you talk from the technology perspective,

467
00:17:38,765 --> 00:17:40,144
the different ways you can,

468
00:17:40,605 --> 00:17:43,244
really make a difference along those lines and

469
00:17:43,244 --> 00:17:43,644
and,

470
00:17:44,045 --> 00:17:46,684
moving forward. So, that's cool to hear. Now

471
00:17:46,684 --> 00:17:48,525
before we wrap up our conversation, I was

472
00:17:48,525 --> 00:17:50,045
wondering if you could talk about,

473
00:17:50,500 --> 00:17:52,259
some of the best opportunities for growth and

474
00:17:52,259 --> 00:17:54,419
development in the future. Where do you see

475
00:17:54,419 --> 00:17:56,419
some of the ways that, growth is gonna

476
00:17:56,419 --> 00:17:57,940
be happening for you as well as Baylor

477
00:17:57,940 --> 00:17:58,759
Scott and White?

478
00:18:00,019 --> 00:18:02,339
Absolutely. So I I would say, you know,

479
00:18:02,339 --> 00:18:04,039
health care as a whole,

480
00:18:04,375 --> 00:18:04,875
any

481
00:18:05,255 --> 00:18:07,734
any any well, any business, frankly, but but

482
00:18:07,734 --> 00:18:10,054
I'll just speak specifically to health care. It,

483
00:18:10,454 --> 00:18:12,634
any business that evolves will grow,

484
00:18:13,255 --> 00:18:14,714
and we are,

485
00:18:15,335 --> 00:18:16,954
going through a significant

486
00:18:17,255 --> 00:18:17,755
evolution,

487
00:18:18,214 --> 00:18:19,275
in health care,

488
00:18:20,289 --> 00:18:21,890
much like a lot of industries that are

489
00:18:21,890 --> 00:18:24,529
being disrupted and and so forth. But, you

490
00:18:24,529 --> 00:18:26,450
know, we kind of went through a period

491
00:18:26,450 --> 00:18:28,369
of consolidation, and some of that is still

492
00:18:28,369 --> 00:18:30,869
happening where hospital systems are going through acquisitions

493
00:18:30,930 --> 00:18:32,769
and things like that, and they're kinda kinda

494
00:18:32,769 --> 00:18:34,390
growing that way. But

495
00:18:34,690 --> 00:18:37,464
but, really, it's it's now shifting, and we're

496
00:18:37,464 --> 00:18:40,904
shifting more towards things like the experience and

497
00:18:40,904 --> 00:18:42,605
kind of empowering people,

498
00:18:43,545 --> 00:18:44,045
to,

499
00:18:45,305 --> 00:18:47,640
you know, control their own health care outcomes.

500
00:18:48,039 --> 00:18:49,720
And that's a big thing for us at

501
00:18:49,720 --> 00:18:51,559
Baylor Scott and White is to focus on

502
00:18:51,559 --> 00:18:54,039
the patient, the patient experience, but but, more

503
00:18:54,039 --> 00:18:56,059
importantly, kind of empowering the patient,

504
00:18:57,079 --> 00:18:58,299
to be a part of,

505
00:18:59,000 --> 00:19:01,079
their their own outcomes and stuff like that,

506
00:19:01,320 --> 00:19:02,924
in partnership with us. Yeah.

507
00:19:03,644 --> 00:19:05,805
You know? The the point of care is

508
00:19:05,805 --> 00:19:08,045
changing at a rapid pace. You know? It's

509
00:19:08,045 --> 00:19:11,005
it's, no longer kind of exclusively to brick

510
00:19:11,005 --> 00:19:13,485
and mortar facilities. You know? My my grandparents,

511
00:19:13,485 --> 00:19:15,005
when they went to the doctor, they went

512
00:19:15,005 --> 00:19:17,230
to the doctor's office, which was a building,

513
00:19:17,230 --> 00:19:19,150
and that's what they did. They would have

514
00:19:19,150 --> 00:19:20,130
never even imagined,

515
00:19:20,990 --> 00:19:22,829
a virtual care. Like, they might have talked

516
00:19:22,829 --> 00:19:24,269
to a doctor over the phone or something

517
00:19:24,269 --> 00:19:26,990
like that, but but virtual visits, as they

518
00:19:26,990 --> 00:19:29,089
are, are kind of no longer an experiment.

519
00:19:29,174 --> 00:19:31,335
You know? You just, you know, pre COVID,

520
00:19:31,335 --> 00:19:33,255
they were kind of this experiment that people

521
00:19:33,255 --> 00:19:34,934
were trying to, you know, figure out whether

522
00:19:34,934 --> 00:19:36,615
they work or not. They're they're here to

523
00:19:36,615 --> 00:19:38,955
stay. And so that is an opportunity

524
00:19:39,335 --> 00:19:41,115
of of of growth for sure.

525
00:19:42,009 --> 00:19:43,690
I think we're gonna see more and more

526
00:19:43,690 --> 00:19:45,470
care to be given at the home.

527
00:19:45,849 --> 00:19:48,170
And from a technology perspective, we really need

528
00:19:48,170 --> 00:19:50,190
to think about how we're going to support

529
00:19:50,329 --> 00:19:52,970
that model, you know, you know, patients in

530
00:19:52,970 --> 00:19:55,529
the home, hospital at home initiatives, and things

531
00:19:55,529 --> 00:19:57,575
like that, and making sure that,

532
00:19:58,035 --> 00:19:59,954
we're able to meet the standards of care,

533
00:19:59,954 --> 00:20:02,115
which puts a lot more pressure on the

534
00:20:02,115 --> 00:20:03,974
technology, frankly. Right? Because,

535
00:20:04,275 --> 00:20:06,454
if a patient is in the hospital,

536
00:20:07,394 --> 00:20:08,694
the, caregivers

537
00:20:08,994 --> 00:20:11,549
have downtime procedures and stuff like that, and

538
00:20:11,630 --> 00:20:12,529
so, you know, technologies

539
00:20:13,390 --> 00:20:15,390
have issues, they're able to kinda make up

540
00:20:15,390 --> 00:20:18,029
the difference. If we have a technology issue

541
00:20:18,029 --> 00:20:19,890
with a patient at home,

542
00:20:20,590 --> 00:20:24,289
then we've now completely isolated that patient, and

543
00:20:24,350 --> 00:20:26,350
and that is that is, kind of an

544
00:20:26,350 --> 00:20:26,850
unacceptable,

545
00:20:27,924 --> 00:20:29,525
outcome for us, and so we really have

546
00:20:29,525 --> 00:20:31,525
to to think about that. I also think

547
00:20:31,525 --> 00:20:33,045
that you're gonna see a lot of growth

548
00:20:33,045 --> 00:20:34,585
in medical devices

549
00:20:34,964 --> 00:20:36,744
merging with consumer devices.

550
00:20:37,365 --> 00:20:39,285
You know, it's kinda funny. I think the

551
00:20:39,285 --> 00:20:41,525
Apple Watch is only the tip of the

552
00:20:41,525 --> 00:20:44,119
iceberg, but it's kind of amazing what is

553
00:20:44,119 --> 00:20:45,980
happening with, you know, wearables

554
00:20:46,599 --> 00:20:48,859
and, how that is really benefiting,

555
00:20:49,480 --> 00:20:53,160
the benefiting society, frankly, but but, benefiting, you

556
00:20:53,160 --> 00:20:55,825
know, outcomes with a a lot of solid

557
00:20:55,825 --> 00:20:58,065
data. You know, if you think about your

558
00:20:58,065 --> 00:21:00,965
interaction with family members that have wearables,

559
00:21:01,745 --> 00:21:04,705
you like, common phrases today are, like, oh,

560
00:21:04,705 --> 00:21:06,384
I, you know, I I I got my

561
00:21:06,384 --> 00:21:08,705
steps in, or, you know, gosh. You know,

562
00:21:08,705 --> 00:21:10,065
my you know, I I guess my heart

563
00:21:10,065 --> 00:21:11,579
rate's up up or whatever. So you kinda

564
00:21:11,579 --> 00:21:13,819
hear these things that are that are happening

565
00:21:13,819 --> 00:21:15,420
and are normal in society, so I think

566
00:21:15,420 --> 00:21:17,440
that that's gonna continue to be,

567
00:21:18,700 --> 00:21:20,779
to to be a growth opportunity. But I

568
00:21:20,779 --> 00:21:23,440
think what it ultimately comes down to is

569
00:21:23,660 --> 00:21:25,764
in health care, we need to think about

570
00:21:25,904 --> 00:21:28,244
how other industries have been disrupted.

571
00:21:28,625 --> 00:21:29,764
So think about

572
00:21:30,144 --> 00:21:33,365
the music industry and how they were disrupted

573
00:21:33,424 --> 00:21:34,644
by digital downloads.

574
00:21:34,944 --> 00:21:36,384
They used to make a lot of money,

575
00:21:36,384 --> 00:21:39,904
you know, making in, CDs and albums and

576
00:21:39,904 --> 00:21:42,299
things like that, and their whole world got

577
00:21:42,299 --> 00:21:44,319
shifted to digital. Think about

578
00:21:44,779 --> 00:21:46,640
the the taxi driver

579
00:21:47,339 --> 00:21:48,240
pre Uber

580
00:21:48,619 --> 00:21:51,420
versus now. And and and then, of course,

581
00:21:51,420 --> 00:21:54,299
the biggest one, is Amazon and what it

582
00:21:54,299 --> 00:21:55,039
has done,

583
00:21:55,575 --> 00:21:58,934
to retail. It really has changed how we

584
00:21:58,934 --> 00:22:00,394
as a world consume

585
00:22:01,174 --> 00:22:01,674
products.

586
00:22:01,974 --> 00:22:02,474
And,

587
00:22:02,775 --> 00:22:03,835
you know, so

588
00:22:04,294 --> 00:22:06,454
think about those examples and what do they

589
00:22:06,454 --> 00:22:08,454
all have in common. Well, what they did

590
00:22:08,454 --> 00:22:10,615
was is they met their consumer where they

591
00:22:10,615 --> 00:22:11,069
were,

592
00:22:11,549 --> 00:22:13,950
every one of them. And so they kinda

593
00:22:13,950 --> 00:22:14,450
removed,

594
00:22:15,710 --> 00:22:17,549
the either, hey. I have to go to

595
00:22:17,549 --> 00:22:19,789
the music store at the mall, or I

596
00:22:19,789 --> 00:22:21,889
have to go to the mall to

597
00:22:22,269 --> 00:22:23,009
buy something,

598
00:22:23,470 --> 00:22:24,210
you know,

599
00:22:24,964 --> 00:22:26,724
tennis shoes that I can now order on

600
00:22:26,724 --> 00:22:27,464
on Amazon,

601
00:22:28,085 --> 00:22:30,805
or, like, I gotta, you know, wait or

602
00:22:30,805 --> 00:22:33,945
go find a taxi versus that taxi coming

603
00:22:34,005 --> 00:22:35,625
directly to me where I am.

604
00:22:36,164 --> 00:22:38,005
So each one of these disruptors are meeting

605
00:22:38,005 --> 00:22:40,309
consumers where they were, and we have to

606
00:22:40,309 --> 00:22:42,869
think about the fact that patients don't live

607
00:22:42,869 --> 00:22:45,529
in our brick and mortar clinics. They don't.

608
00:22:45,750 --> 00:22:47,589
And so I think the disruption is gonna

609
00:22:47,589 --> 00:22:49,509
happen with us having to move care to

610
00:22:49,509 --> 00:22:50,730
where the patients are.

611
00:22:51,715 --> 00:22:54,195
Fascinating. And and, you know, really just interesting

612
00:22:54,195 --> 00:22:56,434
to think about all those different industries that

613
00:22:56,434 --> 00:22:58,035
have been disrupted over the years, and then

614
00:22:58,035 --> 00:22:59,394
to see it happening right now in health

615
00:22:59,394 --> 00:22:59,894
care,

616
00:23:00,595 --> 00:23:03,555
is just really a lesson in, adapting and

617
00:23:03,555 --> 00:23:06,170
adjusting. And then, like you said, figuring out

618
00:23:06,170 --> 00:23:07,930
what patients want and need and and being

619
00:23:07,930 --> 00:23:10,009
able to deliver it. This is a really

620
00:23:10,009 --> 00:23:12,190
exciting time, to be in health care.

621
00:23:12,890 --> 00:23:14,570
Absolutely. Well, thank you so much for joining

622
00:23:14,570 --> 00:23:16,730
us today. It's been, a pleasure speaking with

623
00:23:16,730 --> 00:23:17,869
you. I've really appreciated

624
00:23:18,339 --> 00:23:20,019
hearing your perspective, and I look forward to

625
00:23:20,019 --> 00:23:21,399
connecting with you again soon.

626
00:23:22,179 --> 00:23:24,359
Absolutely. We'll see you in Chicago soon.