1 00:00:01,120 --> 00:00:03,279 The Becker's team is excited to announce the 2 00:00:03,279 --> 00:00:06,160 launch of our new CFO and Revenue Cycle 3 00:00:06,160 --> 00:00:06,660 podcast. 4 00:00:07,440 --> 00:00:10,240 Tune in for conversations with finance experts from 5 00:00:10,240 --> 00:00:13,119 the top hospitals and health systems. We'll discuss 6 00:00:13,119 --> 00:00:15,679 key trends and ideas to drive meaningful change 7 00:00:15,679 --> 00:00:18,855 in the industry. Look for Becker's CFO and 8 00:00:18,855 --> 00:00:21,995 revenue cycle podcast wherever you listen to episodes. 9 00:00:24,454 --> 00:00:26,775 This is Rosie Talago with the Becker's Healthcare 10 00:00:26,775 --> 00:00:27,275 Podcast. 11 00:00:27,734 --> 00:00:29,734 I'm thrilled today to be joined by Khalid 12 00:00:29,734 --> 00:00:32,229 Turc, chief health care information officer at the 13 00:00:32,229 --> 00:00:34,869 County of Santa Clara Health System. Khalid, it's 14 00:00:34,869 --> 00:00:36,469 a pleasure to have you on the podcast 15 00:00:36,469 --> 00:00:36,969 today. 16 00:00:37,350 --> 00:00:39,609 Thank you, Rosie. Thank you for having me. 17 00:00:39,670 --> 00:00:41,750 Of course. We have a great conversation in 18 00:00:41,750 --> 00:00:44,409 store diving into the key opportunities and challenges 19 00:00:44,469 --> 00:00:46,625 shaping health care. But before we get into 20 00:00:46,625 --> 00:00:47,984 it, I'd love for our listeners to get 21 00:00:47,984 --> 00:00:49,505 to know you a bit better. Can you 22 00:00:49,505 --> 00:00:51,104 start by sharing a little bit about your 23 00:00:51,104 --> 00:00:53,365 background and your journey to your current role? 24 00:00:54,225 --> 00:00:55,844 Yeah. My current role is 25 00:00:56,465 --> 00:00:58,965 chief health care information technology officer, 26 00:01:00,170 --> 00:01:01,630 serving the health system 27 00:01:02,090 --> 00:01:03,870 under the county of Santa Clara. 28 00:01:04,489 --> 00:01:06,349 I've been in health system for over 29 00:01:07,209 --> 00:01:10,250 twenty years, started way back when as a 30 00:01:10,250 --> 00:01:11,310 software engineer. 31 00:01:12,115 --> 00:01:12,855 I've been 32 00:01:13,234 --> 00:01:16,215 implementing EPYC systems for over fifteen years. 33 00:01:16,755 --> 00:01:20,355 My introduction into the EMR realm was an 34 00:01:20,435 --> 00:01:23,395 as an interface analyst, actually. I became the 35 00:01:23,395 --> 00:01:26,250 EPYC Bridges analyst way back in 02/2004, 36 00:01:26,789 --> 00:01:29,849 and then took different roles, project implementation, 37 00:01:30,469 --> 00:01:31,369 EPIC implementation, 38 00:01:31,750 --> 00:01:33,829 and whatnot. And, eventually, it led me to 39 00:01:33,829 --> 00:01:37,289 the current role where I am leading the 40 00:01:37,865 --> 00:01:40,424 health system technology for the Santa Clara Valley 41 00:01:40,424 --> 00:01:40,924 Healthcare, 42 00:01:41,545 --> 00:01:44,105 which is the second largest public health system 43 00:01:44,105 --> 00:01:44,924 in California. 44 00:01:45,545 --> 00:01:48,505 We serve a diverse population of over 2,000,000 45 00:01:48,505 --> 00:01:49,645 residents a year. 46 00:01:50,150 --> 00:01:52,229 As a safety net provider for Santa Clara 47 00:01:52,229 --> 00:01:52,729 County, 48 00:01:53,189 --> 00:01:55,909 we operate three acute care hospitals and more 49 00:01:55,909 --> 00:01:58,489 than 20 specialty and primary care clinics, 50 00:01:59,349 --> 00:02:01,670 ensuring access to high quality health care for 51 00:02:01,670 --> 00:02:04,004 all. Better health for all is actually one 52 00:02:04,004 --> 00:02:04,905 of our slogans, 53 00:02:06,405 --> 00:02:07,784 and regardless of socioeconomic 54 00:02:08,324 --> 00:02:10,425 status. So many people that we serve 55 00:02:10,724 --> 00:02:12,564 would not be able to afford health care 56 00:02:12,564 --> 00:02:14,264 on their own. That's what 57 00:02:14,564 --> 00:02:17,539 makes us very special and my job very 58 00:02:17,539 --> 00:02:18,039 purposeful. 59 00:02:18,739 --> 00:02:20,819 What makes us unique here at the Santa 60 00:02:20,819 --> 00:02:21,959 Clara Valley Healthcare 61 00:02:22,500 --> 00:02:25,219 is our commitment to innovation in public health 62 00:02:25,219 --> 00:02:27,560 care. I already mentioned we are second largest. 63 00:02:28,245 --> 00:02:32,664 We have had stage seven certification since 02/2017, 64 00:02:33,044 --> 00:02:35,064 and we have renewed it, 65 00:02:36,084 --> 00:02:37,305 for three times. 66 00:02:37,925 --> 00:02:40,264 We are heavily focused on digital transformation, 67 00:02:40,724 --> 00:02:42,104 patient centered care, 68 00:02:42,610 --> 00:02:44,310 and most most importantly, 69 00:02:44,849 --> 00:02:45,990 equitable access. 70 00:02:46,770 --> 00:02:49,510 And our health system as a is is 71 00:02:49,650 --> 00:02:52,210 not just the acute care and ambulatory clinics, 72 00:02:52,210 --> 00:02:53,889 but we also have a public health and 73 00:02:53,889 --> 00:02:54,555 behavioral health. 74 00:02:55,114 --> 00:02:55,514 And, 75 00:02:56,155 --> 00:02:58,715 the way we have implemented technology here, all 76 00:02:58,715 --> 00:03:00,014 the systems are integrated. 77 00:03:01,034 --> 00:03:02,794 So it's a great place to be in 78 00:03:02,794 --> 00:03:04,334 and a extremely public, 79 00:03:05,594 --> 00:03:07,650 purpose driven job that I have. 80 00:03:08,449 --> 00:03:10,209 That's great. Thank you so much for that 81 00:03:10,209 --> 00:03:12,769 introduction and the background on what sets your 82 00:03:12,769 --> 00:03:13,989 organization apart. 83 00:03:14,449 --> 00:03:17,409 So looking at that commitment to innovation and, 84 00:03:17,409 --> 00:03:19,269 you know, you mentioned digital transformation, 85 00:03:19,650 --> 00:03:21,989 patient centered care, equitable access, 86 00:03:22,289 --> 00:03:23,349 looking more closely 87 00:03:23,784 --> 00:03:24,525 into these 88 00:03:24,824 --> 00:03:28,425 milestones or accomplishments that you've hit, let's discuss 89 00:03:28,425 --> 00:03:30,745 some of the specifics in the past year. 90 00:03:30,745 --> 00:03:33,305 So looking back at this past year, what 91 00:03:33,305 --> 00:03:36,025 is the one accomplishment that you're most proud 92 00:03:36,025 --> 00:03:36,525 of? 93 00:03:37,730 --> 00:03:40,550 Yeah. We do actually a lot of cool, 94 00:03:40,610 --> 00:03:42,930 quote unquote, cool work in a given year. 95 00:03:42,930 --> 00:03:44,930 It's it'll be really hard to pick one 96 00:03:44,930 --> 00:03:47,189 thing, but I'll mention a few things. 97 00:03:48,210 --> 00:03:49,189 If I may, 98 00:03:49,914 --> 00:03:51,775 we continue to improve our EMR, 99 00:03:52,074 --> 00:03:54,794 our EPIC EMR, what we internally call Health 100 00:03:54,794 --> 00:03:57,675 Link. We implemented our EMR, or started implementing 101 00:03:57,675 --> 00:04:00,474 it, in June of twenty thirteen. So it's 102 00:04:00,474 --> 00:04:00,974 been 103 00:04:01,354 --> 00:04:04,314 over eleven years. And those eleven years, we 104 00:04:04,314 --> 00:04:05,129 started with 105 00:04:05,530 --> 00:04:07,849 a handful of modules, and now we have 106 00:04:07,849 --> 00:04:09,150 over 27. 107 00:04:09,530 --> 00:04:11,610 Pretty much every department in the acute care 108 00:04:11,610 --> 00:04:14,330 and ambulatory is covered by our EMR. So 109 00:04:14,330 --> 00:04:16,270 that's a continued commitment 110 00:04:16,649 --> 00:04:18,555 to the excellence that we work on. 111 00:04:19,514 --> 00:04:21,194 What we have done, as I was mentioning 112 00:04:21,194 --> 00:04:23,694 about HIMSS stage seven, it was due for 113 00:04:23,834 --> 00:04:26,014 renewal last year. We renewed it. 114 00:04:26,555 --> 00:04:30,634 We also established our disaster recovery system in 115 00:04:30,634 --> 00:04:33,354 the EPIC with the EPIC in their hosting 116 00:04:33,354 --> 00:04:33,854 service. 117 00:04:34,220 --> 00:04:36,000 That was something that was 118 00:04:36,540 --> 00:04:39,819 initially located locally here in our data centers, 119 00:04:39,819 --> 00:04:41,519 and it was one of my 120 00:04:41,819 --> 00:04:43,439 strategic initiatives to 121 00:04:44,300 --> 00:04:45,839 expand that Doctor capabilities 122 00:04:46,300 --> 00:04:46,800 and, 123 00:04:47,604 --> 00:04:48,664 store them somewhere 124 00:04:49,044 --> 00:04:50,644 where they will be, because we were in 125 00:04:50,644 --> 00:04:53,444 the same geographic location. And now knowing that 126 00:04:53,444 --> 00:04:56,185 we have a system that is available remotely 127 00:04:56,724 --> 00:04:58,724 and also in the hands of Epic, that 128 00:04:58,724 --> 00:05:01,529 is, huge comfort for not only myself as 129 00:05:01,529 --> 00:05:04,169 the chief health care information technology officer, but 130 00:05:04,169 --> 00:05:07,069 also for my customers, that if something happens, 131 00:05:07,129 --> 00:05:07,870 bad happens, 132 00:05:08,729 --> 00:05:11,209 be it from the security perspective or force 133 00:05:11,209 --> 00:05:11,709 majeure, 134 00:05:12,175 --> 00:05:15,074 we would still be able to provide services 135 00:05:15,134 --> 00:05:17,155 to our care providers and be able 136 00:05:18,014 --> 00:05:19,395 to take care of our patients. 137 00:05:19,855 --> 00:05:20,835 Besides that, 138 00:05:21,215 --> 00:05:23,694 we have multiple initiatives that we continue to 139 00:05:23,694 --> 00:05:26,355 work on, which include IT infrastructure improvement 140 00:05:27,579 --> 00:05:28,639 and introducing 141 00:05:28,939 --> 00:05:32,300 AI in our workflows. We automated some, 142 00:05:32,779 --> 00:05:35,579 messaging between the providers and the patients last 143 00:05:35,579 --> 00:05:36,079 year, 144 00:05:36,620 --> 00:05:39,495 and we did multiple optimization in the epic. 145 00:05:39,574 --> 00:05:41,654 So it's been quite a busy year. On 146 00:05:41,654 --> 00:05:44,154 any given calendar year, we do, 147 00:05:45,254 --> 00:05:46,074 over 50 148 00:05:46,375 --> 00:05:47,915 big and small projects. 149 00:05:48,454 --> 00:05:49,995 So if I look at the, 150 00:05:50,935 --> 00:05:51,435 accomplishments 151 00:05:51,839 --> 00:05:53,759 or the deliveries that we have done over 152 00:05:53,759 --> 00:05:55,519 the past few years, they are really enormous. 153 00:05:55,519 --> 00:05:56,500 And for that, 154 00:05:56,879 --> 00:05:59,759 I'm exceptionally thankful to the wonderful team that 155 00:05:59,759 --> 00:06:00,660 I lead here. 156 00:06:01,360 --> 00:06:01,860 Absolutely. 157 00:06:02,560 --> 00:06:05,439 That's very impressive. I have over 50 projects, 158 00:06:05,439 --> 00:06:07,404 and it's really great to see your impact 159 00:06:07,404 --> 00:06:10,204 the team's making through that commitment to the 160 00:06:10,204 --> 00:06:12,925 EMR for over eleven years and then seeing 161 00:06:12,925 --> 00:06:15,104 that growth within every department. That's great. 162 00:06:16,044 --> 00:06:18,044 So while it is great to acknowledge these 163 00:06:18,044 --> 00:06:19,805 wins and, you know, feel so proud of 164 00:06:19,805 --> 00:06:20,305 them, 165 00:06:20,649 --> 00:06:23,289 Each organization is thinking about where they can 166 00:06:23,289 --> 00:06:25,069 grow and evolve and move forward. 167 00:06:25,370 --> 00:06:27,849 So that said, where do you see the 168 00:06:27,849 --> 00:06:29,930 biggest growth opportunities for your team in the 169 00:06:29,930 --> 00:06:31,069 next twelve months? 170 00:06:32,089 --> 00:06:34,509 Yeah. Interesting question and very, very relevant 171 00:06:34,810 --> 00:06:35,550 and timely. 172 00:06:36,564 --> 00:06:37,625 Our acute care 173 00:06:38,245 --> 00:06:41,444 health system comprises of three hospital, and we 174 00:06:41,444 --> 00:06:44,404 provide provide over 1,100 beds here in the 175 00:06:44,404 --> 00:06:45,865 Santa Clara Valley Healthcare. 176 00:06:46,725 --> 00:06:50,085 Recently, our county leadership decided to acquire one 177 00:06:50,085 --> 00:06:50,904 more hospital 178 00:06:51,689 --> 00:06:54,729 that is currently owned by SCA. It's, called 179 00:06:54,729 --> 00:06:56,189 Regional Medical Center. 180 00:06:56,970 --> 00:06:58,430 And since we are 181 00:06:59,050 --> 00:07:00,669 a public service organization 182 00:07:01,930 --> 00:07:03,824 and geared towards safety net, 183 00:07:04,305 --> 00:07:06,004 It's going to be, strategic 184 00:07:06,305 --> 00:07:08,805 strategically, it's gonna be a most important 185 00:07:09,585 --> 00:07:11,985 decision that the organization has made. And my 186 00:07:11,985 --> 00:07:14,404 job as the technology lead for this organization 187 00:07:14,625 --> 00:07:15,839 is to integrate that 188 00:07:16,480 --> 00:07:18,100 hospital into our system. 189 00:07:18,480 --> 00:07:20,879 This will be one of the most unique 190 00:07:20,879 --> 00:07:21,620 and challenging 191 00:07:22,079 --> 00:07:23,459 projects ever taken. 192 00:07:23,839 --> 00:07:26,800 Generally, the mergers and acquisitions take about nine 193 00:07:26,800 --> 00:07:29,139 months to twelve months, which is a norm. 194 00:07:29,680 --> 00:07:31,379 We are doing that 195 00:07:32,444 --> 00:07:34,944 in less than four months. We actually 196 00:07:36,125 --> 00:07:38,604 closed the deal, quote, unquote, in January of 197 00:07:38,604 --> 00:07:40,764 this year, '2 thousand '20 '5, and our 198 00:07:40,764 --> 00:07:43,004 go live date is April 1, and that 199 00:07:43,004 --> 00:07:44,699 is no joke. In four months, 200 00:07:45,100 --> 00:07:46,699 we have to make sure that, less than 201 00:07:46,699 --> 00:07:48,720 four months, actually, that we 202 00:07:49,259 --> 00:07:50,639 migrate that organization. 203 00:07:51,259 --> 00:07:52,860 It's about 258 204 00:07:52,860 --> 00:07:54,720 beds hospital into our system. 205 00:07:55,259 --> 00:07:57,180 So that is going to be the main 206 00:07:57,180 --> 00:07:59,745 activity for us, and, obviously, there are different 207 00:07:59,745 --> 00:08:02,064 stages and phases for the first quarter. We 208 00:08:02,064 --> 00:08:04,145 are bringing that hospital live on our EPIC 209 00:08:04,145 --> 00:08:04,645 EMR 210 00:08:05,264 --> 00:08:07,125 and some other third party system, 211 00:08:07,504 --> 00:08:09,904 but systems, but we'll continue to improve on 212 00:08:09,904 --> 00:08:11,685 that and add more capabilities. 213 00:08:11,985 --> 00:08:13,685 So that is going to be the focus 214 00:08:14,680 --> 00:08:18,060 for us for this entire year of 02/2025. 215 00:08:19,079 --> 00:08:21,639 Absolutely. That is quite a challenge to take 216 00:08:21,639 --> 00:08:24,039 on the average being nine to twelve months, 217 00:08:24,039 --> 00:08:26,039 but to do that in less than four 218 00:08:26,039 --> 00:08:26,539 months. 219 00:08:27,000 --> 00:08:29,014 So looking at that anticipating 220 00:08:29,475 --> 00:08:30,935 challenge and being proactive, 221 00:08:31,394 --> 00:08:32,214 are you preparing 222 00:08:33,154 --> 00:08:34,674 to try to hit that goal date of 223 00:08:34,674 --> 00:08:35,575 April 1? 224 00:08:36,595 --> 00:08:38,914 Yeah. We have to make sure that we 225 00:08:38,914 --> 00:08:40,769 are rightly staffed, 226 00:08:41,250 --> 00:08:43,570 and we are looking at the professional services 227 00:08:43,570 --> 00:08:45,410 to augment our staff, at least for a 228 00:08:45,410 --> 00:08:47,809 short term, because most of our needs are 229 00:08:47,809 --> 00:08:49,809 on the short term basis. We have to 230 00:08:49,809 --> 00:08:52,690 make sure that our contracts are put in 231 00:08:52,690 --> 00:08:54,975 place well in time, so we can engage 232 00:08:54,975 --> 00:08:56,355 with the vendors, and, 233 00:08:57,214 --> 00:08:59,534 integrate all the systems that are coming over 234 00:08:59,534 --> 00:09:02,514 from this Regional Medical Center into our system. 235 00:09:03,214 --> 00:09:05,375 I lead a team of about two sixty 236 00:09:05,375 --> 00:09:06,595 people, exceptionally 237 00:09:06,975 --> 00:09:08,034 talented individuals, 238 00:09:09,360 --> 00:09:10,960 and though not all of them will be 239 00:09:10,960 --> 00:09:13,279 working on this acquisition, but majority of the 240 00:09:13,279 --> 00:09:15,680 resources are working on this. This is all 241 00:09:15,680 --> 00:09:17,920 hands on deck. As I was saying, that 242 00:09:17,920 --> 00:09:19,700 this will be one of the most challenging 243 00:09:20,160 --> 00:09:22,404 project that any of us have taken. We 244 00:09:22,404 --> 00:09:24,165 have done some remarkable work here at the 245 00:09:24,165 --> 00:09:25,465 County Of Santa Clara. 246 00:09:25,845 --> 00:09:26,585 We have 247 00:09:27,125 --> 00:09:28,745 built up a new hospital, 248 00:09:30,085 --> 00:09:33,144 and integrated our system from the technology perspective. 249 00:09:33,285 --> 00:09:34,345 In less than, 250 00:09:35,125 --> 00:09:38,240 eight months, we have acquired two hospital hospitals 251 00:09:38,460 --> 00:09:40,700 that we did literally in eight months, which 252 00:09:40,700 --> 00:09:43,660 was also a phenomenal task. And now doing 253 00:09:43,660 --> 00:09:46,059 this in less than four months. So we 254 00:09:46,059 --> 00:09:46,799 have some 255 00:09:47,899 --> 00:09:48,399 experience, 256 00:09:49,544 --> 00:09:52,424 supporting us, but the continuous focus is going 257 00:09:52,424 --> 00:09:54,664 to be that make sure the scope is 258 00:09:54,664 --> 00:09:57,144 very well defined. We have resources to carry 259 00:09:57,144 --> 00:10:00,024 out that scope, and we have a team 260 00:10:00,024 --> 00:10:02,345 that makes sure that vendors are engaged in 261 00:10:02,345 --> 00:10:06,059 contractors' contracts updated in in right time. 262 00:10:07,079 --> 00:10:09,819 Absolutely. I think that's a great perspective and 263 00:10:09,879 --> 00:10:12,199 plan for the road ahead. I particularly liked 264 00:10:12,199 --> 00:10:14,120 you saying all hands on deck, you know, 265 00:10:14,120 --> 00:10:16,860 recognizing that this could be the most challenging 266 00:10:17,480 --> 00:10:19,159 situation for anyone on your team, but to 267 00:10:19,159 --> 00:10:20,860 really just have everyone 268 00:10:21,535 --> 00:10:23,154 all hands on deck. It's great. 269 00:10:23,695 --> 00:10:26,355 So looking back at these accomplishments, 270 00:10:26,815 --> 00:10:28,754 opportunities, obstacles that we've discussed, 271 00:10:29,134 --> 00:10:31,455 it really does highlight the importance of staying 272 00:10:31,455 --> 00:10:31,955 proactive. 273 00:10:32,335 --> 00:10:33,794 So with that in mind, 274 00:10:34,095 --> 00:10:36,039 what's the number one thing that you're doing 275 00:10:36,039 --> 00:10:38,519 right now to set your organization up for 276 00:10:38,519 --> 00:10:40,600 long term success? I know we talk sometimes 277 00:10:40,600 --> 00:10:42,840 about the short term, but looking at the 278 00:10:42,840 --> 00:10:44,139 long term in this case. 279 00:10:45,080 --> 00:10:47,480 Yeah. Thank you for that question. I think 280 00:10:47,480 --> 00:10:51,455 that, healthcare industry generally and healthcare organizations, whether 281 00:10:51,455 --> 00:10:52,514 public or private, 282 00:10:53,295 --> 00:10:55,955 have been under the tremendous financial pressure. 283 00:10:57,134 --> 00:11:00,415 If you, like me, follow all the Baker's 284 00:11:00,415 --> 00:11:02,460 news that comes almost every day, 285 00:11:03,100 --> 00:11:05,100 literally, there's no week gone by where you 286 00:11:05,100 --> 00:11:07,259 see that certain hospital got closed or a 287 00:11:07,259 --> 00:11:07,759 healthcare 288 00:11:08,460 --> 00:11:11,580 organization either got acquired or closed, and mostly 289 00:11:11,580 --> 00:11:12,960 due to the financial reasons. 290 00:11:13,500 --> 00:11:16,045 As bad as it was with the changing 291 00:11:16,045 --> 00:11:19,425 political situation, it's getting even more challenging. 292 00:11:20,045 --> 00:11:21,825 So for an IT leader, 293 00:11:22,285 --> 00:11:24,764 the continued focus would be to balance the 294 00:11:24,764 --> 00:11:28,529 budget constraints while continuing to invest in innovation. 295 00:11:28,990 --> 00:11:30,910 I believe we cannot operate just to keep 296 00:11:30,910 --> 00:11:33,230 the lights on KTLO, as we call them. 297 00:11:33,230 --> 00:11:34,850 We have to continue to innovate. 298 00:11:35,309 --> 00:11:37,009 On one side, we have to 299 00:11:37,629 --> 00:11:39,090 manage the budget constraints. 300 00:11:39,710 --> 00:11:40,610 That would mean 301 00:11:40,934 --> 00:11:42,875 doing more with the less resources 302 00:11:43,894 --> 00:11:46,294 and continue to innovate. But when you talk 303 00:11:46,294 --> 00:11:49,095 about doing more with the less resources that 304 00:11:49,095 --> 00:11:51,274 many of our organizations have been doing 305 00:11:51,815 --> 00:11:54,315 for years, especially post pandemic, 306 00:11:54,929 --> 00:11:57,269 there is a danger of burnout, and 307 00:11:58,850 --> 00:12:01,110 the retention also has some challenges. 308 00:12:01,730 --> 00:12:04,210 So the human side of the healthcare IT 309 00:12:04,210 --> 00:12:05,190 is going to be 310 00:12:05,570 --> 00:12:08,370 an area where we have to pay close 311 00:12:08,370 --> 00:12:08,870 attention. 312 00:12:09,475 --> 00:12:10,855 So balance the budget 313 00:12:11,475 --> 00:12:13,095 or meet the budget constraints, 314 00:12:13,875 --> 00:12:16,355 continue to innovate, and make sure that we 315 00:12:16,355 --> 00:12:18,134 continue to take care of the people, 316 00:12:18,595 --> 00:12:20,995 whether they are in the front lines taking 317 00:12:20,995 --> 00:12:21,894 care of patients 318 00:12:22,490 --> 00:12:24,809 or in the back line back end, like 319 00:12:24,809 --> 00:12:25,309 myself, 320 00:12:26,009 --> 00:12:26,990 managing the technology, 321 00:12:27,529 --> 00:12:30,329 because people are the ones that actually make 322 00:12:30,329 --> 00:12:31,789 every strategy successful. 323 00:12:33,289 --> 00:12:36,044 Absolutely. And I definitely think that being proactive 324 00:12:36,524 --> 00:12:37,024 Absolutely. 325 00:12:37,725 --> 00:12:38,820 And I definitely think that being proactive like 326 00:12:38,820 --> 00:12:40,044 we talked about and noticing and anticipating these 327 00:12:40,044 --> 00:12:43,245 financial challenges will help get through them. So 328 00:12:43,245 --> 00:12:46,365 thank you so much today for joining us. 329 00:12:46,365 --> 00:12:48,524 It's been great hearing your insights on the 330 00:12:48,524 --> 00:12:50,875 technological innovation and implementation at 331 00:12:52,179 --> 00:12:54,019 Santa Clara House System and where you guys 332 00:12:54,019 --> 00:12:56,179 are headed. So thanks again, and we look 333 00:12:56,179 --> 00:12:58,440 forward to collaborating with you again soon. 334 00:12:59,460 --> 00:13:01,860 Thank you. Thank you, Rosie. I appreciate your 335 00:13:01,860 --> 00:13:02,360 time.