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Hello, everyone. This is Jacob Emerson with the

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Becker's Digital Health and Health IT podcast. Thrilled

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today to be joined by doctor Mark Townsend,

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who is the chief clinical digital ventures officer

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at Bon Secours Mercy Health. Doctor Townshend, thank

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you so much for taking the time to

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sit down with me on the podcast today.

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Sure thing, Jacob. I think, thanks for having

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me. Yeah. Absolutely. And before we dive into

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everything we wanna talk with you about, can

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you tell us a little bit more about

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yourself, your background in health care, and what

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it is that you're doing today at Bon

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Secours?

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Yeah. Sure. So I'll break that into three,

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I guess. So beginning, with myself,

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serving

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as chief clinical digital ventures officer,

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is,

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the job of a lifetime. It's a super

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cool job, and I'll describe that in a

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little bit of detail.

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I I think it would make sense to

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begin with my background.

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And, so my background,

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began as a physician, obviously,

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intent on on practicing internal medicine pediatrics,

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which allowed me to go into adult congenital

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cardiology and pediatric cardiology. So,

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four boards later,

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I I had the honor and privilege of

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of being part of a specialty that was

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essentially up and coming adult congenital cardiology,

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which put me on the front end of

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program growth, and development and, actually, technology growth

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and development as well,

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which which really led to my current role.

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So,

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as you mentioned, I serve at Bon Secours

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Mercy Health, and, we are the fifth largest

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Catholic health care system in the country.

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50 facilities, 10 regional markets.

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And we have a company called Accrete, which

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is our digital ventures arm.

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And so,

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my job as an operator is representing essentially

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the the core of of BSMH and knowing

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the operators and the pain points

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of our boots on the ground people, if

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you will, in the health system.

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They then come forward,

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with technology,

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you know, requests specific to individual pain points

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or use cases.

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And then what we've been able to do

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through Recruit is put together acceleration funding. So

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an operator comes forward with a problem,

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and,

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and they will create, for example, an offset

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in their budget to support a pilot. What

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we then do

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is then provide majority

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funding in real time, if you will, so

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without having to wait for a budget cycle

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to go by.

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And then we can accelerate some of these

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these relationships and technologies, and we can scale

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them throughout our organization. So,

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again, I'm blessed to be in this role.

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Super cool space to be in, and,

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and and, definitely sets us up for for

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a good conversation today.

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Yeah. Absolutely. Well, I appreciate that overview, Mark.

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And the first thing we wanted to talk

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with you about is something that we're hearing

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about from health systems all over the country

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all the time, and it's how they're increasingly

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using

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real world data. So,

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my my first question for you is what

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are some of the main challenges and opportunities

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for health systems in terms of integrating unstructured

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data into their clinical workflows and and ultimately

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improving care

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delivery at scale?

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Yeah. Sure. Great question.

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And you point out there the difference between

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structured and unstructured data, which is which is

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a key part of the conversation as well.

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So

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challenges and opportunities, quite frankly, can be synonymous

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here.

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Data acquisition is changing rapidly,

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changing as we speak, and we'll we can

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talk a little bit about that.

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And and so, you know, specific to our

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approach to data,

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the opportunity for us, and I like to

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say I'm standing on the shoulder of giants

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here who actually built this, but we built

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a an intentional

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approach to data aggregation,

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a data mart. And, and and so that

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data repository

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essentially empowers us then, for example,

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to then, formalize relationships,

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and with technologies that can can help us.

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And so one of the technologies I'd like

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to highlight today is Omni.

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And so OmniHealth,

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is an ecosystem

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and, again, that they partner through a group

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for for BSMA for Bontecore Mercy Health. So

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OmniHealth,

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you know, itself,

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pulls in 1,000,000,000 patient encounters,

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three and a half billion unstructured clinical notes,

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and and really is helping us with our

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approach to unstructured

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documentation. So the difference, of course, being structured

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documentation

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turns clinicians into data entry technicians. Right? And

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we have to enter data into specific,

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specific fields or discrete fields,

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unstructured data. And and and this is kind

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of an interesting time to be having that

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conversation because ambient documentation is growing.

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And and I think anecdotally,

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we're seeing that the length of the the

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clinical documents

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increasing.

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We're capturing more problems,

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and, arguably, we're capturing more unstructured data. And,

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you know, it's been

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a a a a hot topic in in

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health care to to really implement these technologies

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with ambient dictation.

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So so back to then, you know, the

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the making sense, if you will, of all

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of this data.

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You know, it it is important to have

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a data strategy as a health system. But

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then,

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the tools to essentially help us,

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parse that data, to read that data, to

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mine it, to look for a needle in

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a haystack essentially

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are,

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you know, really the the value propositions that

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empower relationships like the one we have with

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Omni.

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Certainly. And let's talk a little bit about

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your your most recent partnership with OmniHealth.

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You're you're partnered with them to unlock valuable

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insights from unstructured

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clinical notes. You just mentioned the rise of

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ambient listening all at health systems all over

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the country,

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Mark. So can you expand a little bit

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upon that in terms of what what you

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see as some of the biggest opportunities

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in leveraging this type of data for improving

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the care to your patients and then clinical

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decision making within the broader health system?

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Yeah. Sure.

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You know, we have talked for, I feel

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like, a decade or more about,

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you know, the growing interest in genomics and

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precision medicine, etcetera.

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And and,

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again, you know, with with that kind of

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needle in the haystack construct,

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you know, the the difficulty that we've all

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encountered, I think, as health systems is how

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do you wrap care around an individual,

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and and how do you customize care to

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an individual?

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It's difficult

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when, you know, an individual,

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data set specific to a a given patient

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is part of a very large ecosystem. Right?

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And so, you know, being able to parse

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down and find a specific patient,

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with a specific

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clinical presentation,

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or with a very specific,

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you know, component in their their problem,

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statement or their their past medical history, that's

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that's an example of that in a very

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granular sense. If you could then start there

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and say, okay. Well, what we're addressing then

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essentially are care gaps,

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then you start to, you know, think a

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little bit more broadly.

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And, in in addressing care gaps, for example,

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we are all,

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pulling in social and behavioral determinants of health,

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right, as part of our screening

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of of all of our our patients and

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our clinical populations.

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As we do that,

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for example,

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we are picking up on,

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gaps in care, not only just gaps in

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clinical care, but, for example, gaps in resources.

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And so we've really doubled down on addressing

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resource,

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constraints as well for our patients, again, wrapping

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care around them.

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So, you know, real world examples,

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housing insecurity,

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BSMH,

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as a Catholic health system, has a housing

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initiative. And, in some of our markets, we

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can actually help with that.

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Transportation limitations, for example, are very real world

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examples.

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And, capturing that in an

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unstructured

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format, you know, just in a conversation with

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a patient,

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allows us then to close those gaps. So

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we have partners,

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in that space as well that can really,

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service our patients and and close those those

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need gaps.

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And then taking all of,

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those individual

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resource constraints essentially

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and then pulling them into an after visit

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summary. You know, they're very real, use cases,

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and technologies that we're partnering with there as

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well.

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And so all of that now,

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you know, brings us full circle to the

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to the construct of, big data. Right? And

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so big data

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then allows us to look,

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at a population level for insights, and population

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based insights,

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you know, are really kind of exciting. And

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and,

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you know, whether or not we're talking about,

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you know, congestive heart failure

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as a KPI or, you know, whether or

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not, again,

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we're we're looking to match a specific patient,

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with a specific tumor

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with a clinical trial. Right? So all of

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those lend themselves to technology,

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again, empowered by data as an asset.

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Certainly. And just listening to you talk about

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this market, it seems like there's so much

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potential for this data. So I think the

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the natural follow-up question is, how do you

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foresee the role of health systems evolving in

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terms of using this type of data to

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drive innovation and to improve the outcomes for

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their patients?

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Yeah. Well, key term evolving.

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So it is evolving. It's evolving very quickly.

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And and I think

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you know, the expectations of our patients and

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the populations that we serve are evolving as

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well. Right? So, you know, I referenced essentially

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how they receive care,

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you know, how we match,

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you know, specific constraints in care delivery to

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to specific needs.

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The evolution,

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of of essentially using data to to drive

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innovation.

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Again,

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you know, it's it's worth doubling down on,

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for example,

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specific disease processes. So

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so the email I wrote right before jumping

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on this this call with you, was specific

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to a new structural cardiologist

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in our Kentucky market,

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which is awesome. And,

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as he as he joins, you know, his

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first question is, alright. So I want to

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essentially parse datasets

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specific to the application

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of clinical guidelines,

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and and I want to find patients who

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have care gaps.

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And and so I was able to write

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back. I was like, well, sure. We can

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do that. So beginning with aortic stenosis, for

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example, I mean, we can take,

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guidelines, and guidelines, for example, used to live,

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for example, in the brains of my partners,

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my cells, and, you know, the the,

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the resources that we use to to get

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our patient care, you can take those guidelines

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now as an algorithm essentially, and you can

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use them to curate a list of patients

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who have a care gap,

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around a very specific disease state. State. Again,

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my background in cardiology. So using this example,

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aortic stenosis, you know, thickening of the aortic

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valve, give me a list of patients who

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meet the clinical criteria for intervention

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but who have not received appropriate care. Right?

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So we can do that, and then we

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can essentially then,

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turn that over to a navigator or a

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new structural cardiologist in Paducah, Kentucky and say,

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here you go. These are patients that would,

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very, very much appreciate a call from you

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all. And and so that that is it's

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it's, evolving very quickly, but it's exciting.

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And

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and quite frankly,

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you know, sometimes a little bit overwhelming. Right?

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You know, the the technology is coming at

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us pretty quickly. So,

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you know, I'd like to say that that

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we're keeping pace,

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as a health system, and,

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I don't think we're, like, bleeding edge, but

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but but we we aspire to absolutely be

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leading edge. Right? I mean, the early adopters.

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Absolutely. And that's a great example that you

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shared with us, so I really appreciate that,

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Mark. And to follow-up on on your last

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point there, exciting, but but certainly can be

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overwhelming. So, you know, what's your advice for

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the other health system leaders listening in right

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now in terms of how they can better

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build a data driven culture like Bon Secours

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within their organizations, particularly as they also work

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to integrate diverse data sources from from EHRs,

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from clinical notes,

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and from patient reported outcomes?

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Yeah. Great question and a challenging one as

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well. I think the challenge

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for us as,

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operators, health care administrators,

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physician leaders

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is is to be able to challenge our

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health systems to really view data as an

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asset. Right? And so,

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I've I've had a hand throughout my career

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in data aggregation and and fortunately, was, you

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know, known as a data geek. And, hence,

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the people would come and as they were

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building, you know, our our first enterprise data

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warehouse, for example, in a prior health system,

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they would come to me and say, so

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give us examples of use cases. That's where

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there's a disconnect.

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And, again, you can pull together

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brilliant data teams, you know, who can aggregate

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data. There's infrastructure

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out there readily accessible,

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and and that has absolutely accelerated. But but

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it does need to be championed,

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you know, by by someone who who can

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actually understand the use cases. Right?

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So so finding out whether or not you

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have a data strategy, for example, whether or

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not you're aggregating your data, whether or not

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you've created a data mart, I think, you

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know, would be a good place to start

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and, you know, particularly

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smaller health systems, large health systems, of course,

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I think, you know, have invested in this

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strategy.

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But but then,

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coming forward with use cases

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and connecting with the clinicians who,

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again,

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you know, absolutely can tell you what they

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are seeing in terms of the technology.

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Younger physicians,

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older physicians are keeping pace. They they are

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constantly approached

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by our vendors in in the digital world,

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and, they can often point to, you know,

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very specific use cases.

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So I think then back to VSMH and

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our strategy, we recognized that we needed to

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be able to engage in real time

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And building that infrastructure that, you know, again,

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wasn't going to take a a a great

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idea and turn it into an eighteen month

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process

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was was really the challenge that we needed

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to address. And so being able to

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use a great acceleration,

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for example, and, you know, build a infrastructure

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that allows us to

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to, you know, to to finance and fund

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some of these programs in real time, that

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has been key for us. And, it really

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does engage your teams as well. So

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all lessons that we have learned are learning.

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We've got a lot to learn. We certainly

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haven't got it all figured out. I don't

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think anybody has. But,

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but it, again, takes, teams, and we're fortunate

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to to have teams that that really support

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this work.

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Fantastic. Well, Mark, what else are we missing?

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Any final thoughts you wanna offer our listeners

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today?

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You know, I often use this as the

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rallying cry, which is we're at the point

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where

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clinicians have reached the tipping point. Right? Cognitive

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assistance is required. The amount of information and

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data coming at us in health care

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is really beyond the human capacity, I think,

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to keep up. And so

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so,

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we we are thankfully

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living in an era where, you know, we

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we can empower,

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our teams,

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not only with data, but then with the

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tools, in many cases, AI driven tools that

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that allow us to to effectively overcome the

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the cognitive limitations. So this is my rallying

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cry. We've got to work smarter, not harder.

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And, I'll leave you with that, Jacob.

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Wonderful. Well, doctor Townsend, thank you so much

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for taking the time to sit down with

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us and for sharing your insights with our

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audience. We really appreciate it.

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00:15:56,720 --> 00:15:59,440
My pleasure. Thanks for having me. Yeah. And

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if you'd like to listen to more podcasts

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00:16:01,360 --> 00:16:05,299
from Becker's HealthCare, you can visit beckershospitalreview.com.