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Would you like to exchange best practices and

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ideas to improve care, enhance operational efficiency, and

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address financial challenges with your peers? Becker's Healthcare

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is facilitating

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these conversations at their 8th annual Health IT

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Digital Health and RCM meeting. You can check

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your eligibility for complimentary attendance at the link

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in the description. We are excited to welcome

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you in October.

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This is Laura Doodo with the Becker's Healthcare

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podcast.

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I'm thrilled today to be joined by Omkar

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Kulkarni,

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chief digital officer and chief transformation officer at

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Children's Hospital Los Angeles. Omkar, it's a pleasure

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to have you on the podcast today.

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Thanks for having me.

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Now I'm really excited to talk with you.

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I know there's so much happening in the

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digital space, IT, technology, and then, you know,

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transformation that how hospitals and health systems are

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going through right now is really quite significant.

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But before we dive into my questions, can

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you tell me a little bit more about

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yourself and your background?

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Sure. So I have been at Children's Hospital

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Los Angeles for a little over 5 years,

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and I've led the innovation function, the digital

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strategy, and the office of transformation,

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in my time here. I also have the,

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the

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privilege of running our KidsX

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Accelerator program, which is a digital health innovation

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program,

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focused on pediatrics, and we collaborate with 32

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children's hospitals from across the country and actually

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a few from around the world,

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to collaborate to to drive digital innovation in

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pediatrics.

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Prior to my time at Children's, that that,

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time at other health systems in in New

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York and in Los Angeles,

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driving,

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you know, performance improvement, innovation,

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different kind of activities, all kind of focused

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around the same

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general theme, which is solving big complex problems

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in health systems and health care delivery. And

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so

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I love what I do, and it's it's

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a fun job. And it's,

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it'll be fun to talk a little bit

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more about,

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about the things we're working on now.

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Absolutely. Absolutely. Well, what a fascinating career journey.

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And, you know, when you look at where

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you're at today at Children's Hospital Los Angeles,

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what are some of the big opportunities that

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you have? What are you most excited about?

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And then, 2, the headwinds that you have

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your eye on right now.

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So I think the, you know, the,

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reality that we're all facing

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is that,

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you know, as we come out of the

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pandemic,

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our

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health systems

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you know, the way we operate in our

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basic,

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kinda cost structure

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is is under a bit of stress and

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is across all health systems.

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You know, our our revenues are generally,

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you know, fairly flat, you know, unless something

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dramatic has changed. And and even then, it's

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it's you know, there's there's there's always pressures

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to kind of,

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from a reimbursement perspective as it relates to

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as it relates to health system revenue.

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But as has been well documented, the the

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based on the market staffing shortages and and

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a lot of other factors coming out of

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the pandemic, you know, expenses for health systems

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have have gone up,

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largely

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due to labor.

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And, you know, that creates

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margin pressures.

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You know, many of us have thin margins

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to begin with. I think they continue to

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be thin

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as we, you know, exit the pandemic a

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bit.

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And the way the reason that's important is,

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you know, as you think about digital, as

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you think about transformation, as you think about

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innovation, it really it's really centered around a

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lot of that. Right? I mean, we're trying

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to

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we're trying to enable the health system to

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really thrive and achieve its big strategic goals.

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And its strategic goals and priorities right now

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are very much reflected on kind of the

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the the the challenges around staffing, the challenges

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around growing expenses

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and costs,

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and the reality that we're, you know, trying

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to,

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you know, grow

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as as health systems. But in the pediatric

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market specifically,

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for example, in California,

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you know, the the

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population of pediatric patients seeking kind of inpatient

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care continues to decline. There's there's,

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you know, lots of lots of data showing

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that kind of pediatric,

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you know, inpatient

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discharges and inpatient care

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nationally and even in our region,

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you know, it it's it's shifting away from

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that inpatient care. So we're we're all trying

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to figure out how to do it. I

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think the exciting part is that,

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is that,

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you know, digital and innovation

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are great

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strategies to help us achieve that.

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That's such a great point. And, certainly, you

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know, looking at where the trends are headed

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and and for hospitals and health systems to

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really be

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functioning in a way that's,

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serving their patient populations well.

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What do you think from your vantage point,

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is, you know, ways that you can,

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think about growth and adding value to the

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health system overall? How do you do that

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as a chief digital and transformation officer?

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What does that really look like?

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Well, I think, you know, at its core,

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what we're trying to do is find ways

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to leverage technology

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to

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solve really complicated

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problems for our health system. And, you know,

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as I as we were just talking about,

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as an example, one of them is around

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growth. Right? So how are we going to

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leverage technology to attract new patients, to retain

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patients,

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to ensure that patients who are coming to

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see us have a great experience, that they

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come back, that they, you know,

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talk about the the positive experience to others.

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At the end of the day, you know,

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we provide an important service to our community,

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and that service is one that we want,

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you know, as many people to access as

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possible.

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So, you know, digital is a great tool

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to increase access and and attract and retain

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patients. And so

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we're always thinking about how we can leverage

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the tools in our toolkit

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to to do that. You know, we use

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a product lens at Children's Hospital Los Angeles.

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When we think about transformation, we think about

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innovation.

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By that, I mean, you know, products

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are, at least in my head, bringing together

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people, process, and technology to solve a need

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for a customer or end user. So in

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our case, the customer is often the patient

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or the family, the parent,

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or sometimes the provider or the the staff

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member, depending on what the actual thing is

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we're working on. And so our goal is

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to really orient all of our work, all

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the things we're doing towards developing and, you

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know, putting out the best products that,

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really people who are using them love to

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use.

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The more they really engage in them and

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they really find them valuable to their individual

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lives, the more likely they are to use

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them to their fullest capacity, which means that

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we're gonna generate the most value out of

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these products we're bringing to our patients, families,

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and and staff.

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Absolutely. That that's a really great point, and

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I love that focus both internally and externally

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too on the patients and their families. Now

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when you're looking at both sides, how do

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you make sure you're getting feedback and constantly

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iterating on what you're doing in order to,

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you know, get the the best, I guess,

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product possible.

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What does that look like, and how do

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you move from the beginning of a project

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to all the way through to where it

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is today?

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I mean, it really starts with understanding who

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the right who the customers are for any

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given,

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any given product and really making sure we

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have a full

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breadth of the different types of customers that

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exist. So even, you know, amongst our population

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at Children's Hospital Los Angeles, the

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the the patients and families are very diverse

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and,

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have different, you know, perspective. They come from

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different parts of the city. They come, you

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know, with their own kind of set of,

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you know, personal experiences they're bringing with them,

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And we need to understand those. We need

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to really deeply understand those so that we

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can build design and develop a solution

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specifically that's going to cater towards our broader

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population. Because, you know, when you do that,

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you get better adoption, and adoption is really

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the value of of, you know, digital innovation.

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So

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so we we start with with deep kind

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of discovery of kind of who our customers

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are and and end users are, what their

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what their, you know, experience is today, what

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their journeys look like today given the existing

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part of what we're trying to build for.

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And then we learn throughout that process what

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they're doing, and and then we we we

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engage deeply with those customers

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through and those end users throughout the product

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development cycle

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to think about how we can,

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how we can solve specifically for that population.

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And I think sticking to that and building

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metrics around that and really orienting all of

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our work towards

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the the the end user as a central

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part of that,

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kind of product development journey is really crucial.

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And we we stick to that as as

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as closely as we can on all of

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our products.

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Absolutely. I love that. Thank you so much.

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Now I know as you mentioned a little

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bit earlier in the conversation, obviously, there are

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a lot of challenges right now for hospitals

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and health systems in general,

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whether it's staffing,

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shortages, or,

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some of the other challenges with inflation and

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the economy and whatnot. So when you look

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at where we're at today, resources, obviously, are

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are very valuable, especially in health care. So

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what do you see as one investment or

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risk that's still worth making this year even

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given, you know, the the way that, a

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lot of organizations are having to cut back

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just a bit?

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I mean, I think,

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you know, it it's

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instead of giving you, like, a technology answer,

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I'll give you kind of the the problem

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that I think we need to solve for.

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And I think the problem

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is a long term problem, and it's around

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staffing. So, like, our traditional health delivery models

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have involved, you know, a certain number of

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staff providing a certain amount of care to

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a certain number of patients, and a lot

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of it a lot of it is live,

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synchronous,

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you know, and it's pretty much unchanged for

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years, right, decades maybe, in terms of doctors,

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nurses, therapists,

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pharmacists kind of collaborating to deliver care.

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It's often very episodic

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and

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and our reimbursement structures and others kind of

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guide through that. But I think the challenge

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is that we know,

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you know,

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given staffing challenges, given kind of data and

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always coming out around kind of

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the challenges we have in that space, it's

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something that we need to think about. So

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how can technology could you answer your question

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around investment? How can we leverage and invest

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in technology that's going to make it

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possible for our clinical

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health system to provide care,

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great quality care,

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perhaps with limited staffing. Right? So is there

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ways to augment the staff leveraging technology like

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artificial intelligence, decision support, you know, various kind

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of algorithms that can support kind of co

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pilot, the the clinical care team?

302
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Is there ways to do asynchronous, you

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know, care

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delivery?

305
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Again, we we have to think about how,

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we can provide the same level of care

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for, you know, a growing need of health

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care,

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with less, you know, with less people than

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we probably had in the in the staffing

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side of the equation 10 years ago. Right?

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So I think technology is gonna that's gonna

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be the key investment that we make is

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how we can leverage technology to to plug

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in there.

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You know, a quick example, we've invested in

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our you know, we we put we we

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we we partnered with a company to to

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put have a robot, that, you know, that

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walk that roams around Children's Hospital Los Angeles

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and delivers medication from the pharmacy to the

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nursing unit.

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Well, a year ago, there was a person

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doing that, a few people doing that. And,

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you know, we we given our challenges, we

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can now have those people do other things

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and have this robot, you know, do this

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task just as well,

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you know, and and leverage technology that way.

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So what's one example of many that you

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could think about how technology can can be

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inserted

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to help not help manage the realities of

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our future staffing,

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challenges?

336
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Absolutely. Absolutely. That makes a lot of sense.

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You know, it's just,

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so fascinating to think about that robot going

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through the hospital and doing, you know, that

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job. Is how how do the staff like

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it? Is that something that the kids also

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see too, or or what's that like?

343
00:12:21,100 --> 00:12:23,019
Yeah. The kids they're definitely public facing. So

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kids see it. They love it. We've heard

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lots of stories about this story I had

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the other day about this this child

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and his dad who would follow the robot

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around even had even had nothing to do

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with like, the the he just he was

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so curious about the robot. He would just

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kinda follow the robot around, and,

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whenever the whenever they return, they would see

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the child kind of looking from a distance

354
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because he's so fascinated. So, yeah, I mean,

355
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there's there's been some great stories about how,

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in addition to everything else in terms of

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efficiency and

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and and all of that, that it's actually

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added a great kind of experience to the

360
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kids in the hospital. So,

361
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definitely happy about that. Yeah. Absolutely. I have

362
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a almost 7 year old son, and I

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can imagine if he were there, he would

364
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have a 1,000,001 questions about how the robot

365
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worked and he'd be very curious about it

366
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too. So that's fantastic to hear.

367
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Yeah.

368
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As we wrap up our our conversation, I'm

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just wondering, looking ahead into the future, you

370
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know, where do you see as some of

371
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the best opportunities for growth and development,

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for your department, the teams you work with,

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and the hospital overall?

374
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Well, so what I would say is, you

375
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know, there there continues to be this kinda

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gap in terms of

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funding we have towards pediatric innovation and pediatric

378
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digital innovation specifically.

379
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And so, you know, my hope is that

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as we continue to,

381
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you know, think about how we wanna invest

382
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as a nation, as a kind of as

383
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a community in our in our, you know,

384
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innovative innovative technologies and solutions,

385
00:13:51,839 --> 00:13:53,919
let's pay more attention to pediatrics. I mean,

386
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they've been well documented in the last year.

387
00:13:56,000 --> 00:13:58,399
There's a crisis going on in pediatric mental

388
00:13:58,399 --> 00:13:58,899
health.

389
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Adolescents and teenagers and young adults are experiencing

390
00:14:03,360 --> 00:14:04,820
really high levels of,

391
00:14:06,065 --> 00:14:07,365
you know, mental health,

392
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challenges.

393
00:14:09,264 --> 00:14:12,065
And we just don't have the infrastructure as

394
00:14:12,065 --> 00:14:15,524
nor as a country to really properly navigate

395
00:14:16,065 --> 00:14:17,825
and and and meet the needs of these

396
00:14:17,825 --> 00:14:18,325
kids.

397
00:14:18,705 --> 00:14:20,200
You You know, these kids turn into adults

398
00:14:20,200 --> 00:14:21,800
and the adults turn into seniors. So this

399
00:14:21,800 --> 00:14:22,680
is this could be a problem for a

400
00:14:22,680 --> 00:14:23,879
long time if we don't address it. And

401
00:14:23,879 --> 00:14:25,800
I think the the way to one of

402
00:14:25,800 --> 00:14:27,080
the ways to address it is going to

403
00:14:27,080 --> 00:14:29,160
be to be innovative around how we, you

404
00:14:29,160 --> 00:14:32,220
know, do everything from screen to to diagnose

405
00:14:32,279 --> 00:14:32,940
to treat,

406
00:14:34,044 --> 00:14:37,084
these these children who have anything. But in

407
00:14:37,084 --> 00:14:37,824
this example,

408
00:14:38,204 --> 00:14:40,065
you know, mental behavioral health

409
00:14:40,445 --> 00:14:42,544
challenges they're they're facing. So

410
00:14:42,924 --> 00:14:44,445
that's my hope, and I'm hoping that we

411
00:14:44,445 --> 00:14:46,445
can, you know, collectively invest more and more

412
00:14:46,445 --> 00:14:49,509
in pediatrics and and children, and see the

413
00:14:49,509 --> 00:14:51,129
dividends pay off in the long run.

414
00:14:53,269 --> 00:14:55,110
Absolutely. And that's such an important issue that

415
00:14:55,110 --> 00:14:56,470
I know you just brought up in terms

416
00:14:56,470 --> 00:14:58,389
of the pediatric mental health. It's something I

417
00:14:58,389 --> 00:14:59,990
feel like every day we have new studies

418
00:14:59,990 --> 00:15:01,909
on just the challenges and the breadth and

419
00:15:01,909 --> 00:15:03,990
the depth of the problem and trying to

420
00:15:03,990 --> 00:15:06,695
reach the these kids who have been so

421
00:15:06,914 --> 00:15:09,154
impacted by the pandemic and everything else that's

422
00:15:09,154 --> 00:15:11,394
happening in the world. So, I love that

423
00:15:11,394 --> 00:15:13,955
there's efforts and investments in doing more with

424
00:15:13,955 --> 00:15:15,014
that and really,

425
00:15:15,394 --> 00:15:17,554
making that a a top priority. It just

426
00:15:17,554 --> 00:15:20,035
seems like, it'll be so important for us

427
00:15:20,035 --> 00:15:20,899
down the line.

428
00:15:22,480 --> 00:15:22,980
Absolutely.

429
00:15:23,759 --> 00:15:25,360
Well, Omkar, thank you so much for joining

430
00:15:25,360 --> 00:15:27,200
us on the podcast today. This has been

431
00:15:27,200 --> 00:15:29,360
such a fun and interesting conversation, and I'm

432
00:15:29,360 --> 00:15:31,440
excited to have you as well. Speaking at

433
00:15:31,440 --> 00:15:33,924
our health IT digital health and revenue cycle

434
00:15:33,924 --> 00:15:35,524
event in October, I think, you know, a

435
00:15:35,524 --> 00:15:37,625
lot of these themes we'll talk about and

436
00:15:37,764 --> 00:15:40,184
especially looking at some of the digital innovations

437
00:15:40,245 --> 00:15:42,485
and and leveraging technology for better patient care.

438
00:15:42,485 --> 00:15:44,164
So I'm excited to hear more from you

439
00:15:44,164 --> 00:15:45,059
at that point.

440
00:15:46,899 --> 00:15:48,500
I'm looking forward to being there and and

441
00:15:48,500 --> 00:15:50,500
sharing more of my perspective. Thank you for

442
00:15:50,500 --> 00:15:51,240
having me.

443
00:15:55,620 --> 00:15:57,379
It's so important for leaders at the top

444
00:15:57,379 --> 00:16:00,100
of organizations to keep learning, stay sharp, grow

445
00:16:00,100 --> 00:16:00,759
their networks,

446
00:16:01,154 --> 00:16:02,834
Help our audience better do this in a

447
00:16:02,834 --> 00:16:06,595
more simplified, personalized, and meaningful way. Becker's Healthcare

448
00:16:06,595 --> 00:16:07,735
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449
00:16:08,754 --> 00:16:11,235
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451
00:16:14,789 --> 00:16:17,289
Join the community free of charge at www.my.beggarshospitalreview.com,

452
00:16:20,709 --> 00:16:21,929
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