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Hi, everyone. This is Erica Carbajal with Becker's

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HealthCare. Thank you all for tuning in to

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this episode of the Becker's HealthCare podcast series.

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Today, we're gonna be discussing patient centric care

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and its impact on the future of health

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care organizations.

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Joining me for today's discussion is Faria Siddiqui,

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director of health care services at the Kaleidoscope

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Group. Faria, thank you so much for joining

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us today. Hi, Erica. Thanks for having me.

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Yeah. Before we delve into the topic, do

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you mind just sharing a bit about yourself

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and your work in health care?

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Yes. Of course. So as you said, I

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serve as the director of health care services

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at Kaleidoscope Group.

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We are a global change management consulting firm

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with over thirty years of experience in several

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business industries.

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I specifically work with our health care clients,

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so that's health care systems, global pharmaceutical companies,

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nonprofits,

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community organizations.

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And what we do together is we develop

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and execute both their internal and their external

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people strategies.

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So that means employee experience,

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organizational

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culture, patient experience,

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you know, different strategies on how to get

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involved in the community and so on.

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Yeah. Thanks, Priya. Some some wide ranging work

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there touching really all aspects when it comes

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to health care in terms of employees, organization,

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and patient

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experience.

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So patient centered care is at the forefront

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of health care strategies this year. It's a

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term that comes up a lot in conversations

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with health system leaders.

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So can you start there and share a

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bit about what are the essential elements of

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an effective

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patient centered care strategy and why?

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Yeah. You know, that's a great question.

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And I always say there's three high level

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points

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that I believe many organizations

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overlook when it comes to their patient experience

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strategies.

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And number one,

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prioritization.

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Prioritizing

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patient centered care. You know, we can have

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talks about this all day long,

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but we know that in reality, leaders of

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health care institutions are faced with so many

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competing priorities,

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especially now with all of these recent changes

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at a federal level,

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whether that's budget cuts, reimbursement

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changes,

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workforce and staffing issues,

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unionization,

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whatever it is. It is very easy to,

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you know, conduct a patient

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satisfaction survey,

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get the results, and let the results sit

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under a pile of other issues.

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If you let patient experience fall to the

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side, you will see the impact in all

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of your other priority areas because it is

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all connected.

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Number two,

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so important to include the entire patient journey.

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So a lot of times,

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people think that patient experience is just that

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interaction between the physician and the patient.

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It's actually all aspects of the patient journey

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through the health care system. So at Kaleidoscope

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Group, we have a seven step patient journey

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map, and that starts from, you know, health

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system promotion and prevention efforts. So how does

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a patient hear about the hospital system? Are

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they in community served, you know, through mobile

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clinics, workshops?

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What is the health care system doing to

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prevent disease at a community health level?

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And then it goes on, you know, to

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when the patient interacts with the front desk

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staff the first time they come in. Do

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they feel welcome? Do they feel like they

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belong? Is someone helping them figure out where

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to go?

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And it goes all the way, you know,

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to discharge and follow-up care.

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So all of these aspects need to be

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considered.

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And then number three, integration

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into workflows. So

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ensuring that patient centered care is baked into

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our workflows. That looks like, you know, as

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a clinician,

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are you conducting regular family rounds along with

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the rounds you do with your students and

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your residents?

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As a nurse, are you helping to educate

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the patient without, you know, medical jargon?

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As an admin, are you creating, you know,

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comfortable waiting areas, providing resources,

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helping patients understand their billing?

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These are things that need to be embedded

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into the day to day habits of each

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role, and that comes, you know, with the

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rules and the structures that we create for

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our daily workflows.

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Along with that, we also have to be

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ready for resistance to change. So anytime we

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ask people to change their behaviors,

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we will be met with, you know,

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I forgot or

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I don't want to or, you know, that

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doesn't make sense to me. All of these

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different ways that people resist change, and there

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needs to be a plan to address that.

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So, you know, the three things, three essential

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elements for an effective strategy and patient centered

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care,

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prioritization,

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the patient journey map, and integration into workflows.

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Yeah. Faria, and I think you raise an

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interesting point just around

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the fact that patient centered care and and

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strategizing around this really begins

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before the clinical care actually happens, as you

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mentioned. It's much much broader than that. And

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on that note, can you share a bit

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about where organizational

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culture fits in here, and how can health

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care systems support providers

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to ensure that they're actually able to deliver

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thoughtful, compassionate care?

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Yeah. So like I said, providers are not

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solely responsible for patient experience.

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However, they tend to shoulder the most responsibility.

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We can't expect our, you know, physicians,

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our PAs, our nurse staff who are face

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to face with patients playing so many different

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roles already. Right?

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They're taking the history. They're doing the physical

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exam.

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They're diagnosing.

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They're also thinking of billing issues. They're scribing.

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Sometimes they're also teachers. Right? If they have

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students or residents in the room.

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And all of this while encounters are limited

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to maybe ten, fifteen minutes.

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At the same time, we're also asking them

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to ensure that the patient has an amazing

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experience, answer their questions, talk to their families,

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etcetera, etcetera.

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To do this effectively,

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we need

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to

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have a team

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to help support this objective. It can't all

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fall onto the shoulders of the health care

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worker.

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At the same time, we also need to

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realize that health care workers are human.

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Right? And they're dealing with an organizational culture

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in medicine and in health care that is

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not very forgiving.

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We are seeing this trend of unionization

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post COVID,

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and demands that these health care workers are

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making are actually very simple. Right? Give us

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a salary that we can survive on. Give

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us a holiday once in a while. Protect

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us from the growing levels of patient violence.

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If we want to ask health care workers

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to have empathy for their patients,

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we as health care leaders need to also

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have that empathy for our health care workers

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and create an organizational culture which helps them

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do that.

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Yeah, absolutely. I think a lot of this

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bolts back

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to what we hear from, again, a lot

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of health system leaders just around

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placing more intentional focus and energy around

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alleviating

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physicians and clinicians from administrative burdens and really

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being able to focus on what they enjoy

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doing most and what they are trained to

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do, which is, you know, patient care. And

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so all of this is so interrelated.

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Fria, on the technology side, obviously,

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a major area in focus when it comes

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to patient engagement.

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How can organizations

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ensure that their technology on the technology side

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of things, that they're meeting the needs of

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diverse populations?

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Yeah. You know, currently, we are living in

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times where DE and I work is being

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censored.

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And, you know, that's fine,

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if you don't wanna use the words,

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whatever your politics are. But nobody can deny

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the fact that we are all different,

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whether that's, you know, diversity and race,

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physical ability,

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geographic location, education level, income level,

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every person is different.

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And as a business leader, if you ignore

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this fact, you will see the impact in

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your bottom line. And how does that show

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up? So as a health tech founder, if

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you are not including diverse perspectives when it

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comes to user experience,

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you will find it difficult in the implementation

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phase. So if a patient can't, you know,

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read the font on your screen, if there's

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no option for different languages, if there's no

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option to connect to a human in the

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virtual help desk, you know, versus AI,

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whatever it is, if it becomes difficult, patients

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will simply not use your app.

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And similarly, as a health care system leader,

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if you are choosing to invest in applications

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that are ultimately ineffective,

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that's money that's going down the drain.

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There are people, you know, whose role it

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is to consider which apps or AI apps

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are worth the investment of the hospital system.

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And really, it's the ones that people use.

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So, you know, how can tech meet the

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needs of diverse patients? The most important way

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to do this,

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and the most simple way to do this

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is to include diverse perspectives throughout the building

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stages of your app.

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Sometimes in the tech world, we can be

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very caught up, you know, in features and

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functions,

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making investors happy, all of the things that

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it takes to build an app. And we

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forget the basics.

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How are people using this app? Does it

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work for them? What are their complaints?

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What issues have they asked for while troubleshooting?

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Make sure that you have diverse groups of

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people test your app out and listen to

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their feedback. It's really as simple as that.

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Briha, looking ahead, how can patient centered care

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support the long term sustainability

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of health care organizations?

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What can leaders be doing now to ensure

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that this concept is meaningfully put into practice

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and at scale?

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Yeah. As we, you know, continue to see

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budget cuts in Medicare, Medicaid, changes in

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language and research funding and all of the

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other impacts of the,

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new administration's executive orders,

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it will be very easy to let patient

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centered care fall to the side.

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But I will say, you know, whoever chooses

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to ignore the patient,

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they will see the impact of that in

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their quality scores,

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in their health outcomes, in their reimbursement rates,

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honestly, in your lawsuits and in your health

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care system reputations. Right? So I can tell

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you a simple story. In my neighborhood where

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I grew up, all of my friends who

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are moms, they know, you know, which hospital

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to avoid for their OB GYN care and

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their labor and delivery,

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and they know which hospital is best for

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that type of care. And they all go

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to that one instead.

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So reputation amongst your community really says everything

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about how they are experiencing your hospital system

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and which system your consumers are actually gonna

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use for their care.

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So,

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making sure that this patient centered care is

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sustainable at your organization is very important.

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And how can you ensure that it's sustainable?

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At Kaleidoscope Group,

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we have the three c's to sustainable change

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management. In

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true consulting fashion, we have an acronym to

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make everything easier for everybody.

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The three c's are commitment, course, and competence.

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And commitment comes at two different levels. The

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first is executive commitment.

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Commitment from the c suite looks like appropriate

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resources and budgeting,

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guidance for committees and groups led with the

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charge for change,

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speaking up publicly and advocating.

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Without commitment from the c suite, you are

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not gonna have a sustainable level of infrastructure.

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And it's gonna

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infrastructure.

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And it's going to be interesting to see,

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you know, as we continue to see the

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impact of federal level changes where commitment is

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at the C suite.

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And then commitment can also

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come from a change agent level at each

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department. So that's nurse staff of patient experience,

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medical billing staff of patient experience, someone who

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is committed to bettering the patient experience within

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their sphere of influence

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and is ready to manage the issues that

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come up with implementation.

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Number two, course, we've talked about this a

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bit already.

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Development of a clear strategic plan where patient

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experience is

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not just, you know, a couple of folks

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in a department,

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but it is integrated into the daily workflow

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of each person in the health care patient

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journey.

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And number three, competence, ensuring your employees are

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educated and competent in implementing these changes. So

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that's like,

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how are these

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how are how are they being educated on

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these changes? How are they being supported when

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they have questions? Is there someone they can

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go

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to, for help?

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So those are the three c's, commitment, course,

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and competence.

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Bria, is there anything else before we close

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out? We didn't cover on the topic that

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you wanted to mention.

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Yeah. You know, we are in interesting times

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right now with the new administration changes. We

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are still seeing the downstream impacts of how

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our industry functions.

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We are seeing changes to women's health, LGBTQ

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health,

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removal of equity based programming and research funding,

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potential changes to how Medicare and Medicaid reimburses.

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Regardless of your politics, these are huge changes

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that we are gonna continue to grapple with

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and, continue to see how they impact our

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functioning within a health care system on a

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day to day basis

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and what outcomes we're gonna face for those

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functioning decisions. So throughout all of this change,

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I wanna urge our health care leaders who

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are listening.

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Number one,

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go back to your values. You know, you

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will have to face decisions on how to

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manage this change.

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Don't let your patients become deprioritized.

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Number two, stay agile, stay growth minded, stay

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innovative through the change.

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And number three, we always encourage honest and

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empathetic communication to your staff and to your

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public

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because when it comes to leading change rather

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than letting change lead you, the number one

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thing is maintaining trust.

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Maria, thank you so much for being on

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today. We appreciate your insights.

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Thank you for having me, Erica. It was

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it was a pleasure.

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Yeah. Absolutely.

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And we also wanna thank our podcast sponsor,

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the Kaleidoscope Group. And listeners, you can tune

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into additional podcast episodes by visiting the podcast

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page on our website at beckershospitalreview.com.

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Thanks, everyone.