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This is Laura Dierda with the Becker's Healthcare

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podcast. I'm thrilled today to be joined by

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Omkar Kulkarni,

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vice president and chief transformation officer as well

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as chief innovation officer at Children's Hospital Los

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Angeles. Omkar, it's a pleasure to have you

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on the podcast today. Thank you for having

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me.

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Now I'm excited for our discussion. I know

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we'll be digging into some of the cool

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things you've done in the last year or

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so as well as your perspective on the

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future. But before we dive in, could you

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tell us a little bit more about Children's

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Hospital Los Angeles and what makes it unique?

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Absolutely.

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Children's Hospital Los Angeles is an amazing organization.

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We are, the largest,

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children's hospital,

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out here on the West,

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in California,

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and, we are top 10 children's hospital.

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We provide multidisciplinary

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care,

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in,

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in in various subspecialties

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across pediatrics.

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What's incredible to me about Children's Hospital Los

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Angeles is we are not only an exceptional

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organization for

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health

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care delivery. Our clinical care is some of

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the best in the country.

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And, also, we are a safety net hospital.

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So,

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we are unique in that sense in that

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we take care of the safety net in

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terms of the children of Los Angeles and

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broader Southern California,

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meaning we will,

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take care of patients

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regardless of of their insurance and their ability

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to pay.

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And that is incredibly important to me and

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and every one of the the thousands of

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people who work here.

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It is part of our mission. It is

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part of kinda who we are, and it

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makes it a fun place to work and

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and a rewarding place to work. I'll tell

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you that.

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Absolutely. That's amazing to hear. You know? And,

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certainly, what a great mission to serve children

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and promote health within the community.

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Now from your perspective and looking back on

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the last year or so, what are the

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accomplishments that you're most proud of?

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So we have really jumped

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two feet in into

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the world of artificial intelligence.

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We we've done many, many things,

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not just AI, but one of the things

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I'm really proud of is our approach towards,

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evaluating

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and then prioritizing

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and then,

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you know, implementing the piloting and implementing

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AI solutions here at the Children's Hospital.

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I say that because there's been in the

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industry and you know this, there's been so

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many,

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incredible new technologies that have been introduced in

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just the last, you know, year or two.

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And it can be hard for a hospital

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or a health system to,

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you know, make sense of all that,

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information and all that, you know, sometimes noise

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coming in as it relates to all these

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different amazing companies and their technologies.

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And we've done a great job,

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you know, starting with the problems

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that we're trying to solve, always problems first

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and

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using that as our guide to help us

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figure out how best we can solve the

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solution. So instead of being kind of about

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the technology, we are we've always been this

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way with from with regards to innovation,

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but especially with regards to AI. We've been

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incredibly disciplined about being problem first.

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And as a result,

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we've come up with some great,

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deployments

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of technologies

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that leverage AI and are making an impact.

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I love that. I I think it's, really

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cool to

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to know that you're looking at AI. I

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know that's something that so many different hospitals

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and health systems are trying to make sense

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of and and really figure out where the

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value is going to be. So, you know,

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when you look at, the biggest problems or

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challenges that AI is taking on, how do

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you measure its success? How are you really

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incorporating that into workflows and taking that from

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a pilot into more of a a scalable

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operation or initiative?

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They're really good really, really good question. Right?

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So every single one of our projects that

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we do in innovation,

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especially those that leverage artificial intelligence,

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we are carefully looking at,

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you know, pre and post data. Pre data

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meaning what is what is the metric that's

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going to evaluate the

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the efficacy of a specific process?

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You know, how effective is it before you

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introduce the technology

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and then carefully evaluating, you know, post

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AI deployment.

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How is that how is that process been

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improved?

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Often it is a productivity measure. Often it's

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a financial measure, clinical measure as we think

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about

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different ways in which the AI can be

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used, but being really concrete about what the

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baseline data is and what the improvement is.

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I know that sounds simple. It's basic kinda

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innovation one zero one, but it's been a

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really key part of

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of the process for us. We've also introduced

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in all of our AI projects this kind

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of phase zero

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in which we are

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validating

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and testing the models,

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using our own data before it actually goes

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live to patients or staff depending on the

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use case. So we are evaluating

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these technologies,

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leveraging retrospective data,

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you know, in a really

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in a really

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controlled manner to really make sure we're comfortable

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with the output of the product before we

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make it available to

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end users who will ultimately be using it.

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So that that approach of kind of incorporating

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this kind of pre pilot phase zero, whatever

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you wanna call it, is really helpful to

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help us really understand,

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and and make sure these the tools are

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are really delivering on what what the promise

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is before we introduce them to to real

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workflows.

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That's really helpful context to understand. Thank you

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so much for digging a little bit deeper

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in there for us. Now when you look

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into the future, where are you thinking about

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the biggest opportunities for growth and development,

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for your team?

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So there's a few areas that are interesting.

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Right? So I think,

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within

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within the space of

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one of the most exciting things about artificial

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intelligence, let's start there. And I can answer

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broadly about things that are, you know, technology

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in general. But with regards to AI, one

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of the things that appeals to me the

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most

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is there are many ways that you know,

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organizations

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and hospitals

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specifically like ours

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could build our own AI solutions

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in a safe and and, you know, efficacious

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way

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without expanding a ton of resources. Right? That

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may not have been possible a decade ago

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as we thought about other technologies that you've

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been the hospital wanna build. But with AI,

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there's a lot of opportunities for us to

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build

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small, simple

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tools. You know, nothing that's gonna commercialize and

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be massive, but something that solves a real

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problem for us here, either clinically or administratively

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or in our research enterprise or our teaching

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enterprise,

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something that solves a problem that we can

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build in house and perhaps

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even get to a place in the next

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few years where, you know, people who aren't

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kind of computer scientists could even

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stand up simple solutions that could either work

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for their own workflows or for their team

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or department. So this whole world of,

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you know,

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build within AI

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is really interesting for us as we think

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about solutions that we can build in house,

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in partnership with some of our key stakeholders.

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But then the broader piece, I think,

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for me is

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I think we're getting to a place where

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where a lot of this technology, a lot

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of which is enabled by AI,

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is enabling us to

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optimize the the output of our,

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of our workforce,

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which is so crucial. Right? So by that,

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it could be that we're improving productivity as

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some of our administrative team members.

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We could be making we could be helping

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our clinicians,

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make better, you know, even even better

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decisions based on intelligence and and data.

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We we could be enabling for care to

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be delivered faster

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or or improving access so that more people

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can access the the clinical care they require.

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So I'm just really excited about that element

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of where we're headed.

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It's not all gonna be AI. Some of

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it it can be in it can involve

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a variety of different technology modalities, but I

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think we're getting to a place. We've been

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on this road for a while, but we're

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getting to a place where, you know, the

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demands of our kind of primary service areas

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individually are our population essentially.

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The health care demands of our populations

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just continue to exceed what our workforce can

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deliver, which is relating to all these access

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issues, but it's also relating to workforce issues

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relates to burnout and it relates to experience.

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And I'm really hopeful that we can design

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and prioritize solutions

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with technology and AI specifically in the next,

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you know, few years, if not sooner, they

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can really they can really make an impact

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on both those things. Let's increase patient access.

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Let's give patients answers,

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good high quality answers to what they're looking

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for, you know, sooner,

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and let's enable our clinicians

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to, you know,

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have assistance and help so they can really

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focus on what they got into medicine for,

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which is to to help save lives and

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to help treat people.

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And, you know, and and at the same

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token, let's help our health systems,

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you know, do the administrative work required to,

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you know, keep our doors open. So I

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I think there's this trifecta that's that's

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really close, and we're we're getting close to

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kind of figuring it out.

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That is amazing to hear. And what

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a cool future that you have painted for

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us in terms of being able to utilize

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and leverage AI better in a more specific

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basis and and having the teams and expertise

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available, as well as the technology

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to really improve health care and the outcomes

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of of patients and populations across the country.

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I'm curious when you look at that and

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and knowing that the technology is coming, how

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do you, really build your teams or educate

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your current, workforce to make sure that they're

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ready for that, for that future and for

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a time when, you know, AI can be

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used in such a a more sophisticated way?

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So really, it's a it's a really important

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part of the innovation process, which is kind

294
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of tilling the earth in a sense. Right?

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Getting the the soil ready for the future.

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The soil and as you describe it in

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this analogy would basically be our workforce and

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and included in that is not just our

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workforce, but our patients and families. Right? How

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do we enable people to to get comfortable

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with this? So a lot of it is

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exposure. So exposing them, exposing our our our

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staff, our clinicians to what's happening in the

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industry. Like, what are other examples of children's

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00:11:30,384 --> 00:11:31,764
hospitals who have proven

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value using certain new innovative technologies, whether it's

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AI or digital health or virtual care? What

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are examples? What are papers? What are studies

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that have been done?

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Building that evidence base is really crucial. That's

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how medicine is you know, that's

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how medicine is really

313
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medicine in general has advanced over, you know,

314
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hundreds of years, which is someone discovers something

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new, they generate evidence around it, and they

316
00:11:54,019 --> 00:11:56,355
disseminate that to their peers, and that then

317
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builds and moves everybody forward. It's not it's

318
00:11:58,915 --> 00:12:00,835
not all that different as we think about,

319
00:12:00,835 --> 00:12:03,075
you know, technology adoption. If we that's what

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I do. Right? We we try to find

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and surface,

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including through your own organization and all the

323
00:12:07,955 --> 00:12:09,715
great work that you you surface. Right? There's

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a great,

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you know, Becker's article about this that someone

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else is doing, sending it to different people

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who I imagine are gonna be part of

328
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that, you know, team that's gonna help us

329
00:12:19,340 --> 00:12:20,960
do it in the future at our hospital

330
00:12:21,259 --> 00:12:24,044
that those little elements of exposure are key.

331
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The other is really picking the right problems.

332
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Right? So we wanna make sure that we're

333
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picking the problems that are gonna be most

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impactful.

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And as we do so, making sure that

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the people who we are going to include

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in the process or people like you described

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who are ready for that change.

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And so, you know, that is helpful. We've

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got an amazing, our chief data officer,

341
00:12:44,960 --> 00:12:47,279
has chief enterprise data officer has has a,

342
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you know, an analytics program

343
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that he has, got people across the organization

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kind of doing. So there's some actual hard

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skills that we've got,

346
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people learning as it relates to intelligence, data,

347
00:12:58,605 --> 00:12:59,745
analytics, AI.

348
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So there there's there's both, you know, didactic

349
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learning, exposure,

350
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and then just change management that are, I

351
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think, all key to getting that workforce and

352
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community ready for the changes that are ahead.

353
00:13:13,110 --> 00:13:15,350
Got it. That's, amazing to hear. And, you

354
00:13:15,350 --> 00:13:17,029
know, I I really love that analogy as

355
00:13:17,029 --> 00:13:19,029
you talked about, you know, building the soil

356
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and getting it ready for the future. And,

357
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certainly, it takes a lot of time, effort,

358
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energy on the technology as well as the

359
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people side, but truly, truly,

360
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with great outcomes,

361
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as the potential rewards. So that's awesome to

362
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hear. I know we've talked a lot about

363
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some of the opportunities and the cool things

364
00:13:34,705 --> 00:13:35,605
that could come,

365
00:13:36,065 --> 00:13:38,304
from the technology side of health care, especially

366
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AI, but I'm curious from your perspective,

367
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what are some of the challenges you have

368
00:13:41,889 --> 00:13:43,170
your eye on as well? What do you

369
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see as being, potential headwinds or things you'll

370
00:13:46,450 --> 00:13:48,050
have to overcome in the future to to

371
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reach this ideal state?

372
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So I think

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what's exciting is the technology is being developed

374
00:13:54,690 --> 00:13:56,995
so quickly. The challenge is that

375
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unless you have really

376
00:14:00,894 --> 00:14:01,795
high performing,

377
00:14:02,254 --> 00:14:02,754
consistent

378
00:14:03,055 --> 00:14:05,154
and somewhat sometimes standardized processes,

379
00:14:06,575 --> 00:14:07,634
across your organizations,

380
00:14:08,254 --> 00:14:09,955
if you don't have those in place,

381
00:14:11,429 --> 00:14:11,929
putting

382
00:14:12,269 --> 00:14:12,769
a

383
00:14:13,110 --> 00:14:16,409
a nice, exciting new technology on top of

384
00:14:16,789 --> 00:14:18,710
the current state is just not going to

385
00:14:18,710 --> 00:14:19,909
it's not going to be great. It's not

386
00:14:19,909 --> 00:14:21,750
going to work well. It's really complicated to

387
00:14:21,750 --> 00:14:23,750
do. And especially as we think about the

388
00:14:23,750 --> 00:14:26,475
new technologies coming out now, they really rely

389
00:14:26,535 --> 00:14:27,355
on having

390
00:14:28,134 --> 00:14:30,394
strong core operational processes.

391
00:14:30,774 --> 00:14:32,295
And so as we think about it, I

392
00:14:32,295 --> 00:14:34,394
mean, we all we all in our organizations

393
00:14:34,535 --> 00:14:35,514
have varying,

394
00:14:36,215 --> 00:14:37,595
you know, levels of

395
00:14:38,070 --> 00:14:38,570
process,

396
00:14:39,110 --> 00:14:41,750
you know, cleanup to do. But that's a

397
00:14:41,750 --> 00:14:43,830
key part of, I think, the success is

398
00:14:43,830 --> 00:14:44,730
making sure

399
00:14:45,269 --> 00:14:47,290
that that the the processes

400
00:14:48,070 --> 00:14:51,049
that that, you know, they're underneath all these

401
00:14:51,375 --> 00:14:52,595
exciting new technologies

402
00:14:53,294 --> 00:14:54,115
that they're

403
00:14:54,415 --> 00:14:55,634
as highly

404
00:14:56,095 --> 00:14:58,335
functional as they can be. So that when

405
00:14:58,335 --> 00:14:59,634
you layer on the technology,

406
00:15:00,495 --> 00:15:02,575
you are you're doing so in a way

407
00:15:02,575 --> 00:15:05,075
that is optimizing the value of that technology.

408
00:15:05,970 --> 00:15:07,669
So that's one. The other

409
00:15:08,049 --> 00:15:10,230
is and it goes to your previous question.

410
00:15:10,690 --> 00:15:12,230
I still think there is

411
00:15:12,690 --> 00:15:13,589
a sizable

412
00:15:14,610 --> 00:15:16,929
change management element that we need to navigate.

413
00:15:16,929 --> 00:15:19,169
And it's not just around do we trust

414
00:15:19,169 --> 00:15:22,504
AI? But I think people generally any technology

415
00:15:23,125 --> 00:15:25,365
it changing from their current workflow to a

416
00:15:25,365 --> 00:15:26,105
new workflow,

417
00:15:26,644 --> 00:15:31,144
unless it's really not, you know, noticeable change.

418
00:15:31,684 --> 00:15:34,240
Change for people, especially in our industry, is

419
00:15:34,240 --> 00:15:36,960
not easy. And and we need to really

420
00:15:36,960 --> 00:15:38,740
think about, you know, some of the core

421
00:15:39,120 --> 00:15:41,600
core basics of change management as we think

422
00:15:41,600 --> 00:15:42,100
about,

423
00:15:42,559 --> 00:15:44,259
how we're going to, you know,

424
00:15:44,639 --> 00:15:46,980
get the maximum value out of these innovations.

425
00:15:50,325 --> 00:15:53,524
That is absolutely crucial and definitely being able

426
00:15:53,524 --> 00:15:55,205
to double click and and zero in on

427
00:15:55,205 --> 00:15:57,225
those spaces where there could be

428
00:15:57,524 --> 00:16:00,565
additional challenges or or ways that, success could

429
00:16:00,565 --> 00:16:02,245
be hindered. It makes a lot of sense

430
00:16:02,245 --> 00:16:04,930
and then truly moving forward in an optimized

431
00:16:04,930 --> 00:16:07,330
fashion. Before we wrap up here, I'm curious.

432
00:16:07,330 --> 00:16:08,850
What is the number one thing that you're

433
00:16:08,850 --> 00:16:11,170
doing right now to set up Children's Hospital

434
00:16:11,170 --> 00:16:13,110
Los Angeles for long term success?

435
00:16:15,824 --> 00:16:18,704
I think one thing, and and it can't

436
00:16:18,784 --> 00:16:20,464
it's not a me. It's a we. Right?

437
00:16:20,464 --> 00:16:22,245
This is not there's no

438
00:16:22,625 --> 00:16:24,464
there's no unique thing that I do. I

439
00:16:24,464 --> 00:16:26,784
I I help lead, but there's a team

440
00:16:26,784 --> 00:16:27,684
that does this.

441
00:16:28,544 --> 00:16:31,649
We we've we've established, I think, a really

442
00:16:31,649 --> 00:16:33,990
great process around technology

443
00:16:34,450 --> 00:16:34,950
evaluation.

444
00:16:35,570 --> 00:16:37,730
And it's not just looking at kind of

445
00:16:37,730 --> 00:16:39,649
vendors and solutions that are out there, but

446
00:16:39,649 --> 00:16:40,549
what we do

447
00:16:40,929 --> 00:16:43,429
is we kind of understand the current process,

448
00:16:43,730 --> 00:16:44,230
determine,

449
00:16:44,795 --> 00:16:46,394
you know, is that process in a place

450
00:16:46,394 --> 00:16:48,955
where we feel like it's ready for for

451
00:16:48,955 --> 00:16:49,455
innovation?

452
00:16:50,075 --> 00:16:51,055
And if it is,

453
00:16:51,514 --> 00:16:53,595
you know, what are the core problems that

454
00:16:53,595 --> 00:16:55,434
we're trying to solve? And then we, you

455
00:16:55,434 --> 00:16:56,095
know, we

456
00:16:56,809 --> 00:16:59,049
work with stakeholders to figure out what are

457
00:16:59,049 --> 00:17:01,049
within those problems, what are the most important

458
00:17:01,049 --> 00:17:02,409
problems and what are the ones that are

459
00:17:02,409 --> 00:17:04,809
gonna result in an ROI. And then we

460
00:17:04,809 --> 00:17:07,789
go find innovative technologies that solve those problems

461
00:17:07,929 --> 00:17:09,309
and building that robust,

462
00:17:10,345 --> 00:17:11,245
you know, toolkit

463
00:17:11,785 --> 00:17:12,845
pathway around,

464
00:17:13,384 --> 00:17:16,265
you know, identifying innovation solutions, I think is

465
00:17:16,265 --> 00:17:17,325
a really key

466
00:17:18,025 --> 00:17:20,025
important discipline, especially as I said at the

467
00:17:20,025 --> 00:17:21,485
very beginning of this conversation.

468
00:17:22,184 --> 00:17:24,585
There's so many amazing solutions out there that

469
00:17:24,585 --> 00:17:26,820
it can be really easy to get distracted

470
00:17:27,119 --> 00:17:29,440
by, you know, the the next kind of

471
00:17:29,440 --> 00:17:30,900
great thing that you get pitched.

472
00:17:31,200 --> 00:17:33,920
And so having the discipline around looking at

473
00:17:33,920 --> 00:17:37,059
the process, looking at readiness, looking at problem,

474
00:17:37,200 --> 00:17:38,099
you know, prioritization,

475
00:17:38,960 --> 00:17:41,779
it's really key as we think about the

476
00:17:42,075 --> 00:17:43,694
the ultimate goal, which is

477
00:17:44,075 --> 00:17:46,474
picking a handful of projects that we think

478
00:17:46,474 --> 00:17:48,875
are gonna deliver the maximum value across our

479
00:17:48,875 --> 00:17:51,134
organization with the maximum amount of adoption.

480
00:17:51,514 --> 00:17:53,514
So I think we've been able to put

481
00:17:53,514 --> 00:17:55,034
that process out there, and I think that

482
00:17:55,034 --> 00:17:55,534
process

483
00:17:55,900 --> 00:17:57,339
is really gonna help us.

484
00:17:57,660 --> 00:17:59,179
It is it is already helping us, but

485
00:17:59,179 --> 00:18:00,299
I think it will help us in the

486
00:18:00,299 --> 00:18:02,779
future continue to make disciplined decisions as it

487
00:18:02,779 --> 00:18:03,679
relates to innovation.

488
00:18:04,940 --> 00:18:06,380
I love that. Omkar, thank you so much

489
00:18:06,380 --> 00:18:07,980
for joining us in the podcast today. This

490
00:18:07,980 --> 00:18:09,980
has been a really fantastic discussion, and I

491
00:18:09,980 --> 00:18:11,714
look forward to connecting with you again soon.

492
00:18:13,075 --> 00:18:14,454
Thank you for having me.