1 00:00:00,719 --> 00:00:04,000 Exciting things are happening at Becker's Healthcare. Stay 2 00:00:04,000 --> 00:00:06,240 ahead of industry trends with the new Becker's 3 00:00:06,240 --> 00:00:08,419 CFO plus Revenue Cycle podcast, 4 00:00:08,800 --> 00:00:11,119 your go to source for insights from top 5 00:00:11,119 --> 00:00:14,154 healthcare finance leaders. Tune in wherever you get 6 00:00:14,154 --> 00:00:15,054 your podcasts. 7 00:00:15,914 --> 00:00:18,475 And don't miss the tenth annual health IT 8 00:00:18,475 --> 00:00:22,154 plus digital health plus RCM conference, happening September 9 00:00:22,154 --> 00:00:24,474 30 to 10/03/2025 10 00:00:24,474 --> 00:00:25,214 in Chicago. 11 00:00:25,755 --> 00:00:26,879 Join thousands of 12 00:00:27,279 --> 00:00:30,079 executives, engage with industry leaders, and explore the 13 00:00:30,079 --> 00:00:31,619 future of health care innovation. 14 00:00:32,320 --> 00:00:36,719 Learn more about our upcoming events at beckershospitalreview.com. 15 00:00:36,719 --> 00:00:37,539 See you there. 16 00:00:38,159 --> 00:00:40,239 This is Laura Dirda with the Becker's Healthcare 17 00:00:40,239 --> 00:00:40,739 podcast. 18 00:00:41,164 --> 00:00:43,004 I'm thrilled today to be joined by doctor 19 00:00:43,004 --> 00:00:44,145 Cyrille Troipenier, 20 00:00:45,085 --> 00:00:47,664 who is the chief nursing officer for Providence. 21 00:00:47,884 --> 00:00:49,564 Doctor Troipenier, it's a pleasure to have you 22 00:00:49,564 --> 00:00:50,704 on the podcast today. 23 00:00:51,164 --> 00:00:52,864 Thank you so much for having me. 24 00:00:53,579 --> 00:00:55,259 Now I I'm really looking forward to our 25 00:00:55,259 --> 00:00:58,539 conversation because I know that Providence has so 26 00:00:58,539 --> 00:01:00,780 much going on. And truly, you you, are 27 00:01:00,780 --> 00:01:03,179 running such a a great organization and and 28 00:01:03,179 --> 00:01:05,680 overseeing the commissions there who have the patience 29 00:01:06,104 --> 00:01:08,744 always in mind. So I'm looking forward to 30 00:01:08,744 --> 00:01:11,465 diving in. But before we, get started, can 31 00:01:11,465 --> 00:01:12,744 you tell us a little bit more about 32 00:01:12,744 --> 00:01:14,284 Providence and what makes it unique? 33 00:01:15,305 --> 00:01:15,805 Absolutely. 34 00:01:16,424 --> 00:01:19,399 Providence is a faith based organization. It's based 35 00:01:19,399 --> 00:01:20,539 in Renton, Washington, 36 00:01:20,840 --> 00:01:21,579 and we 37 00:01:22,039 --> 00:01:24,379 serve communities in seven different states. 38 00:01:24,680 --> 00:01:27,979 We go from Texas, New Mexico to California, 39 00:01:29,159 --> 00:01:31,959 Oregon, Washington, Montana, and the great state of 40 00:01:31,959 --> 00:01:32,459 Alaska. 41 00:01:33,534 --> 00:01:36,575 Probably what makes it very unique is is 42 00:01:36,575 --> 00:01:37,055 our, 43 00:01:37,935 --> 00:01:40,674 is a component of our mission and mission. 44 00:01:40,814 --> 00:01:43,234 We we are a mission driven organization. 45 00:01:43,694 --> 00:01:46,575 We are dedicated to serve the poor, and 46 00:01:46,575 --> 00:01:47,394 and the vulnerable, 47 00:01:47,935 --> 00:01:50,120 but but it's the how we go about, 48 00:01:50,439 --> 00:01:51,180 doing that. 49 00:01:51,959 --> 00:01:53,100 I've been with the organization 50 00:01:53,480 --> 00:01:56,280 for, for eight years, and what I would, 51 00:01:56,439 --> 00:01:58,859 what I would say is that what's unique 52 00:01:59,400 --> 00:01:59,900 about 53 00:02:00,525 --> 00:02:01,905 Providence is how 54 00:02:02,365 --> 00:02:03,505 everyone chooses 55 00:02:04,125 --> 00:02:05,185 to show up, 56 00:02:05,885 --> 00:02:08,784 in a way that really brings our values 57 00:02:09,564 --> 00:02:10,944 to, to life. 58 00:02:11,965 --> 00:02:14,670 You get to practice and work side by 59 00:02:14,670 --> 00:02:17,409 side with colleagues that are showing up with, 60 00:02:18,030 --> 00:02:20,210 with with compassion, for instance. 61 00:02:20,590 --> 00:02:21,490 And that translates 62 00:02:22,030 --> 00:02:23,010 into creating, 63 00:02:24,030 --> 00:02:24,849 very important, 64 00:02:25,389 --> 00:02:26,290 sacred encounters, 65 00:02:27,310 --> 00:02:27,810 whether, 66 00:02:28,270 --> 00:02:31,074 it's how we care for one another and, 67 00:02:31,215 --> 00:02:33,555 most importantly, how we care for our patients. 68 00:02:33,614 --> 00:02:35,055 And I think that that's what makes us 69 00:02:35,055 --> 00:02:35,555 unique. 70 00:02:36,735 --> 00:02:38,354 The other thing that I would say, 71 00:02:39,134 --> 00:02:41,935 is, just to give a perspective in addition 72 00:02:41,935 --> 00:02:42,594 to the 73 00:02:43,189 --> 00:02:45,129 the areas that we cover, 74 00:02:46,069 --> 00:02:46,569 it's, 75 00:02:47,430 --> 00:02:49,349 depending on on on any given day, it's 76 00:02:49,349 --> 00:02:51,430 somewhere around a 13, 77 00:02:51,430 --> 00:02:52,969 a 14,000 78 00:02:53,349 --> 00:02:54,650 caregivers across, 79 00:02:55,444 --> 00:02:58,085 across all of these, the territories that I 80 00:02:58,085 --> 00:02:58,824 just described. 81 00:02:59,365 --> 00:03:02,004 And amongst those, they are 38,000 82 00:03:02,004 --> 00:03:02,504 nurses. 83 00:03:02,965 --> 00:03:03,625 We serve 84 00:03:04,004 --> 00:03:05,284 roughly 20,000,000 85 00:03:05,284 --> 00:03:06,425 patient visit, 86 00:03:07,219 --> 00:03:08,340 across the 51 87 00:03:08,340 --> 00:03:10,979 acute care hospitals that we have and over 88 00:03:10,979 --> 00:03:12,120 a thousand clinics. 89 00:03:12,900 --> 00:03:15,539 Another thing that's important to note is we 90 00:03:15,539 --> 00:03:16,039 have, 91 00:03:16,659 --> 00:03:19,780 14 of our hospitals are magnet designated. Four 92 00:03:19,780 --> 00:03:21,514 of them are pathway to, 93 00:03:21,974 --> 00:03:23,675 pathway to excellence designation. 94 00:03:24,694 --> 00:03:25,194 And, 95 00:03:26,694 --> 00:03:28,474 more than half of our hospitals 96 00:03:28,854 --> 00:03:30,074 and soon, 97 00:03:30,775 --> 00:03:32,794 to be even more of them are, 98 00:03:33,489 --> 00:03:33,989 PTAP, 99 00:03:34,689 --> 00:03:37,030 accredited. And PTAP is the designation 100 00:03:37,330 --> 00:03:37,830 where 101 00:03:38,209 --> 00:03:39,590 our program of residency 102 00:03:39,889 --> 00:03:41,830 to transition to practice for nurses 103 00:03:42,209 --> 00:03:42,949 are accredited, 104 00:03:43,330 --> 00:03:44,709 by a national organization. 105 00:03:46,094 --> 00:03:48,334 That's amazing to hear and truly a testament 106 00:03:48,334 --> 00:03:49,854 to the great work that you're doing at 107 00:03:49,854 --> 00:03:51,694 Providence and the quality of care that you 108 00:03:51,694 --> 00:03:52,194 provide. 109 00:03:52,495 --> 00:03:54,334 I'm curious. Could you tell us about a 110 00:03:54,334 --> 00:03:56,254 project or initiative that you're most proud of 111 00:03:56,254 --> 00:03:57,854 from the last year? What did you do, 112 00:03:57,854 --> 00:03:59,394 and and what were the results? 113 00:04:00,610 --> 00:04:03,430 You know, one project that I might, 114 00:04:04,049 --> 00:04:05,430 I might bring forward 115 00:04:05,729 --> 00:04:08,949 is is the ongoing work that we are 116 00:04:09,009 --> 00:04:10,289 doing in creating, 117 00:04:12,064 --> 00:04:14,465 creating new models of care to meet the 118 00:04:14,465 --> 00:04:16,225 needs of our patients and, 119 00:04:16,545 --> 00:04:19,985 affectionately called internally as our cocaring model, which 120 00:04:19,985 --> 00:04:22,964 is a model that we are building 121 00:04:23,345 --> 00:04:26,404 with nurses for nurses. And in this particular, 122 00:04:27,709 --> 00:04:28,610 with the intent 123 00:04:29,550 --> 00:04:31,389 of making sure that we meet the needs 124 00:04:31,389 --> 00:04:33,470 of our patients, obviously, but we also but 125 00:04:33,550 --> 00:04:34,769 and that we address 126 00:04:35,709 --> 00:04:36,529 the looming, 127 00:04:36,990 --> 00:04:38,850 and and well, the current 128 00:04:39,310 --> 00:04:40,769 pressures that we're finding 129 00:04:41,645 --> 00:04:42,085 and, 130 00:04:42,525 --> 00:04:45,805 with nurses and the our ability to recruit 131 00:04:45,805 --> 00:04:46,465 and retain 132 00:04:46,845 --> 00:04:48,365 and the fact that we are gonna have 133 00:04:48,365 --> 00:04:49,665 even more of a challenge, 134 00:04:50,045 --> 00:04:51,425 in, in the future. 135 00:04:52,125 --> 00:04:54,625 I so to that end, in collaboration 136 00:04:55,004 --> 00:04:56,939 with nurses developing this, 137 00:04:57,580 --> 00:04:59,839 this new way of approaching the work 138 00:05:00,459 --> 00:05:03,600 is is demonstrating that over time 139 00:05:04,459 --> 00:05:06,620 first, I'll I have to acknowledge that at 140 00:05:06,620 --> 00:05:08,860 the onset, it's really hard. It's it's hard 141 00:05:08,860 --> 00:05:09,314 work. 142 00:05:09,714 --> 00:05:10,214 We're 143 00:05:10,595 --> 00:05:13,574 we're you know, nurses are invited to to 144 00:05:13,875 --> 00:05:16,375 see their work very differently, so it's hard. 145 00:05:16,595 --> 00:05:18,194 And it takes a while to start to 146 00:05:18,194 --> 00:05:19,095 see the outcome. 147 00:05:19,555 --> 00:05:22,355 But what's happening over time is people as 148 00:05:22,355 --> 00:05:22,855 people 149 00:05:23,629 --> 00:05:25,870 feel more comfortable in a new way of 150 00:05:25,870 --> 00:05:26,370 practicing, 151 00:05:27,709 --> 00:05:29,729 we're seeing a safer environment 152 00:05:30,269 --> 00:05:30,769 for 153 00:05:31,149 --> 00:05:34,349 our patients to receive care, a safer environment 154 00:05:34,349 --> 00:05:36,129 for nurses to give care, 155 00:05:37,014 --> 00:05:38,875 so quality of care outcomes 156 00:05:39,254 --> 00:05:39,735 are, 157 00:05:40,134 --> 00:05:40,875 are better. 158 00:05:41,495 --> 00:05:41,995 And 159 00:05:42,615 --> 00:05:43,995 we're actually accomplishing 160 00:05:44,454 --> 00:05:47,354 the nurses themselves are accomplishing what we 161 00:05:47,654 --> 00:05:49,814 aim to do to begin with, which is 162 00:05:49,814 --> 00:05:50,555 to retain 163 00:05:51,389 --> 00:05:53,810 nurses in the environment. So to that end, 164 00:05:54,269 --> 00:05:56,930 what's happening in in places where we're 165 00:05:57,550 --> 00:05:58,930 practicing that way, 166 00:05:59,310 --> 00:06:01,949 we're recognizing that we are able to retain 167 00:06:01,949 --> 00:06:03,464 nurses way much more 168 00:06:03,944 --> 00:06:06,504 than any other units that are not practicing 169 00:06:06,504 --> 00:06:08,444 in this model and more specifically, 170 00:06:09,944 --> 00:06:12,745 the the first year turnover. What that tells 171 00:06:12,745 --> 00:06:14,764 us is that nurses who are 172 00:06:15,464 --> 00:06:17,689 invited to join us and who are practicing 173 00:06:17,910 --> 00:06:20,729 in this new environment and have chosen to 174 00:06:21,269 --> 00:06:23,050 chosen that environment as well 175 00:06:23,669 --> 00:06:26,569 are staying way much more longer significantly 176 00:06:26,949 --> 00:06:27,449 longer 177 00:06:27,750 --> 00:06:29,289 than on any other units. 178 00:06:29,835 --> 00:06:32,714 And, and we're we're pretty excited about that 179 00:06:32,714 --> 00:06:34,654 and continuing that journey with everyone. 180 00:06:35,675 --> 00:06:37,194 And that's great to hear. You know? And 181 00:06:37,194 --> 00:06:38,495 what a unique opportunity 182 00:06:38,795 --> 00:06:39,694 to bring on, 183 00:06:40,235 --> 00:06:43,035 and strengthen your clinical teams and then help 184 00:06:43,035 --> 00:06:43,694 the nurses, 185 00:06:44,699 --> 00:06:46,300 be able to achieve what they want to 186 00:06:46,300 --> 00:06:48,460 achieve and and really add to the the 187 00:06:48,460 --> 00:06:50,800 broader nursing team. So that's great to hear. 188 00:06:50,939 --> 00:06:52,540 And, you know, I I wanted to know 189 00:06:52,540 --> 00:06:54,860 as well, in thinking about the future, what 190 00:06:54,860 --> 00:06:57,420 are some of the growth opportunities that you 191 00:06:57,420 --> 00:06:59,660 see for you and your teams over the 192 00:06:59,660 --> 00:07:02,024 next twelve months or so? You know, I'm 193 00:07:02,024 --> 00:07:03,704 gonna answer that question, and I just wanna 194 00:07:03,704 --> 00:07:06,185 add something about cocaring that I just thought 195 00:07:06,185 --> 00:07:08,985 about. The other the other beauty of this 196 00:07:08,985 --> 00:07:11,785 is that we're we a component of it 197 00:07:11,785 --> 00:07:14,139 is is is nurses who are able to 198 00:07:14,139 --> 00:07:15,120 practice virtually. 199 00:07:15,980 --> 00:07:17,759 We're now able to offer 200 00:07:18,379 --> 00:07:20,480 a different role and different opportunities 201 00:07:20,939 --> 00:07:22,399 for nurses who 202 00:07:23,259 --> 00:07:24,240 would have otherwise 203 00:07:24,620 --> 00:07:26,975 left the profession a little bit earlier than 204 00:07:26,975 --> 00:07:27,475 they, 205 00:07:27,935 --> 00:07:28,915 than they should, 206 00:07:29,455 --> 00:07:31,295 because it's a different way of working. It's 207 00:07:31,295 --> 00:07:32,995 not as challenging physically. 208 00:07:33,535 --> 00:07:35,855 And that is also something that we all 209 00:07:35,855 --> 00:07:37,535 need to be thinking about is how do 210 00:07:37,535 --> 00:07:39,795 we keep people engaged in the workforce 211 00:07:40,175 --> 00:07:42,470 longer because we're simply not going to have 212 00:07:42,470 --> 00:07:44,550 enough. I wanted to make sure that I 213 00:07:44,550 --> 00:07:46,410 that I that I call that out. 214 00:07:46,870 --> 00:07:49,189 And to your question about, you know, big 215 00:07:49,189 --> 00:07:51,430 growth opportunity that I see in the next 216 00:07:51,430 --> 00:07:52,170 twelve months, 217 00:07:52,949 --> 00:07:53,449 I'm, 218 00:07:54,389 --> 00:07:55,290 hearing this 219 00:07:55,845 --> 00:07:58,725 question I'm choosing to hear this question about 220 00:07:58,725 --> 00:07:59,225 how 221 00:07:59,605 --> 00:08:00,904 the biggest growth opportunity 222 00:08:01,205 --> 00:08:02,425 from a development 223 00:08:02,884 --> 00:08:04,504 perspective on what 224 00:08:04,805 --> 00:08:07,125 what do teams and leaders need to be 225 00:08:07,125 --> 00:08:08,105 thinking about, 226 00:08:08,725 --> 00:08:09,464 so that 227 00:08:10,579 --> 00:08:13,300 so that we're experienced as the best leader 228 00:08:13,300 --> 00:08:15,939 that we can be because, quite frankly, in 229 00:08:15,939 --> 00:08:16,920 today's environment, 230 00:08:17,620 --> 00:08:20,259 what people need the most is inspiration. What 231 00:08:20,259 --> 00:08:22,439 people need the most is hope. 232 00:08:23,545 --> 00:08:25,564 In the midst and in the middle 233 00:08:26,025 --> 00:08:26,525 of 234 00:08:27,064 --> 00:08:27,564 chaos, 235 00:08:28,425 --> 00:08:29,564 it's very challenging 236 00:08:29,944 --> 00:08:32,105 to be in health care, in health care 237 00:08:32,105 --> 00:08:34,665 today. So so that's what I'm that's what 238 00:08:34,665 --> 00:08:36,745 I'm choosing to to hear, and and what 239 00:08:36,745 --> 00:08:38,205 I what I'd like to offer 240 00:08:39,110 --> 00:08:41,670 is that the biggest opportunities that anyone may 241 00:08:41,670 --> 00:08:42,570 have in order 242 00:08:43,110 --> 00:08:45,350 to to thrive in their environment and for 243 00:08:45,350 --> 00:08:47,750 their people to thrive as well is our 244 00:08:47,750 --> 00:08:50,810 ability to to grow into that. And 245 00:08:52,095 --> 00:08:54,574 in the middle of the chaos that we 246 00:08:54,574 --> 00:08:56,735 find ourselves in, I I would say that 247 00:08:56,735 --> 00:08:58,095 it's important that we, 248 00:08:59,054 --> 00:09:01,154 I'm gonna call it sticking to our knitting, 249 00:09:01,214 --> 00:09:02,434 that we stay 250 00:09:03,375 --> 00:09:04,355 super focused. 251 00:09:05,070 --> 00:09:07,149 And to that end, staying true to the 252 00:09:07,149 --> 00:09:10,430 organization's vision and mission is very important. We 253 00:09:10,430 --> 00:09:11,570 have to stay focused 254 00:09:11,870 --> 00:09:14,370 on our strategic tactics or initiatives 255 00:09:15,470 --> 00:09:18,050 that are aimed at delivering on that overall, 256 00:09:18,430 --> 00:09:20,450 vision and mission, if you will. 257 00:09:21,334 --> 00:09:24,054 We have to continuously keep our goals in 258 00:09:24,054 --> 00:09:26,534 front of us so that we stay focused, 259 00:09:26,534 --> 00:09:28,074 so that we can execute. 260 00:09:29,334 --> 00:09:30,634 I I would say 261 00:09:31,254 --> 00:09:34,454 also the importance of surrounding ourselves with people 262 00:09:34,454 --> 00:09:36,960 who can fill our cup, not drain our 263 00:09:36,960 --> 00:09:37,460 cup. 264 00:09:39,040 --> 00:09:41,460 We oftentimes talk about the importance 265 00:09:41,840 --> 00:09:43,379 of self care, 266 00:09:44,080 --> 00:09:45,059 and it's oftentimes 267 00:09:45,759 --> 00:09:46,419 I find, 268 00:09:47,840 --> 00:09:48,340 underestimated. 269 00:09:49,440 --> 00:09:51,200 And I would say that in order to 270 00:09:51,200 --> 00:09:51,700 grow, 271 00:09:52,134 --> 00:09:53,914 we have to take this very seriously. 272 00:09:54,695 --> 00:09:56,954 We have to take this seriously for ourselves 273 00:09:57,014 --> 00:09:58,394 and for our teams. 274 00:09:59,575 --> 00:10:01,575 I would say it's very important to be 275 00:10:01,575 --> 00:10:02,875 kind and generous 276 00:10:03,815 --> 00:10:05,355 and to offer ourselves 277 00:10:05,940 --> 00:10:06,679 and others, 278 00:10:07,540 --> 00:10:08,040 grace. 279 00:10:09,540 --> 00:10:10,600 Nobody knows 280 00:10:11,299 --> 00:10:11,799 everything. 281 00:10:12,179 --> 00:10:13,639 Assume good intent. 282 00:10:15,620 --> 00:10:17,960 Give let's give each other some grace, 283 00:10:19,134 --> 00:10:21,634 and let's, let's seek new knowledge 284 00:10:22,254 --> 00:10:24,654 and embracing the unknown because we know we 285 00:10:24,654 --> 00:10:25,634 have so much 286 00:10:26,654 --> 00:10:29,375 unknown out there, and we need to be, 287 00:10:29,694 --> 00:10:30,914 we need to be building, 288 00:10:32,120 --> 00:10:33,100 a new future 289 00:10:33,639 --> 00:10:34,539 that's inspired 290 00:10:35,639 --> 00:10:37,419 by the learning of the past. 291 00:10:38,039 --> 00:10:39,659 And at the same time, 292 00:10:40,679 --> 00:10:41,899 that it's gonna look, 293 00:10:42,519 --> 00:10:44,779 it's it has to look very different. 294 00:10:45,625 --> 00:10:47,485 So it's all about how 295 00:10:48,024 --> 00:10:48,684 the best 296 00:10:49,065 --> 00:10:52,125 way I find and the best growth opportunity 297 00:10:52,345 --> 00:10:53,725 I find for teams 298 00:10:54,504 --> 00:10:57,144 is in the leader themselves to continue to 299 00:10:57,144 --> 00:10:57,644 grow 300 00:10:58,470 --> 00:11:01,190 because everyone deserves to experience us at our 301 00:11:01,190 --> 00:11:01,690 best 302 00:11:02,070 --> 00:11:03,129 starting with us. 303 00:11:04,230 --> 00:11:06,389 I love that. What an inspiring message to 304 00:11:06,389 --> 00:11:09,429 send to your teams in truly embracing some 305 00:11:09,429 --> 00:11:09,909 of the, 306 00:11:10,549 --> 00:11:12,774 the unknowns and then knowing how to support 307 00:11:12,774 --> 00:11:15,174 each other through it and and really grow 308 00:11:15,174 --> 00:11:17,835 as teammates, as professionals, and as caregivers. 309 00:11:18,455 --> 00:11:21,095 And you alluded to it a little bit 310 00:11:21,095 --> 00:11:22,695 in your last response, but I know there's 311 00:11:22,695 --> 00:11:23,595 a lot of challenges 312 00:11:23,894 --> 00:11:25,975 right now within the health care space, with 313 00:11:25,975 --> 00:11:28,809 some of that uncertainty, with different dynamics. I 314 00:11:28,809 --> 00:11:32,269 know many organizations are experiencing workforce shortages and, 315 00:11:32,809 --> 00:11:34,889 you know, trying to figure out how to 316 00:11:34,889 --> 00:11:37,870 expand their capacity and ability to care for, 317 00:11:38,490 --> 00:11:40,029 all patients in their communities. 318 00:11:40,804 --> 00:11:43,684 What challenges do you really anticipate continuing over 319 00:11:43,684 --> 00:11:45,764 the next, year or two, and and how 320 00:11:45,764 --> 00:11:47,764 are you working today to make sure you're 321 00:11:47,764 --> 00:11:49,625 able to meet those challenges of the future? 322 00:11:50,644 --> 00:11:54,360 Definitely, the the economics of health care are, 323 00:11:54,679 --> 00:11:56,620 have been challenging, and, 324 00:11:57,320 --> 00:12:00,459 they are likely to get even more, challenging 325 00:12:00,600 --> 00:12:01,339 for us. 326 00:12:01,639 --> 00:12:03,399 And and a component of that, as you 327 00:12:03,399 --> 00:12:05,659 just described, is is the workforce, 328 00:12:06,039 --> 00:12:07,579 the supply and demand. 329 00:12:08,794 --> 00:12:09,294 Because 330 00:12:09,834 --> 00:12:10,654 of the economics, 331 00:12:11,355 --> 00:12:14,014 we need to be thinking and reconsidering 332 00:12:14,875 --> 00:12:17,355 how we approach the work. And we also 333 00:12:17,355 --> 00:12:19,674 have to approach the work differently anyway because 334 00:12:19,674 --> 00:12:21,934 we're never going to have enough. I have 335 00:12:22,490 --> 00:12:24,569 I have such clarity around the fact that 336 00:12:24,569 --> 00:12:27,449 it doesn't matter how good we are at 337 00:12:27,449 --> 00:12:29,389 hiring and recruiting nurses. 338 00:12:29,929 --> 00:12:31,929 We're simply never going to have enough if 339 00:12:31,929 --> 00:12:33,769 we keep on working the way we work 340 00:12:33,769 --> 00:12:34,429 right now. 341 00:12:35,205 --> 00:12:37,845 One of the reason why we are with 342 00:12:37,845 --> 00:12:39,705 nurses and for nurses developing 343 00:12:40,085 --> 00:12:42,085 a new model of care because we're simply 344 00:12:42,085 --> 00:12:43,384 never going to have enough. 345 00:12:43,925 --> 00:12:45,545 I would also suggest 346 00:12:46,404 --> 00:12:47,865 that the biggest risk 347 00:12:48,639 --> 00:12:50,720 that we have in health care that any 348 00:12:50,720 --> 00:12:51,940 organization has, 349 00:12:53,120 --> 00:12:54,419 is the status quo. 350 00:12:55,440 --> 00:12:56,179 This notion 351 00:12:56,799 --> 00:12:58,480 that if we keep on doing things the 352 00:12:58,480 --> 00:13:00,399 way we do them, we're just going to 353 00:13:00,399 --> 00:13:03,379 be fine. This is just yet one more 354 00:13:03,754 --> 00:13:04,735 fill in the blank, 355 00:13:05,595 --> 00:13:07,455 is a very, very dangerous 356 00:13:08,154 --> 00:13:08,654 proposition 357 00:13:09,115 --> 00:13:10,254 in in my mind. 358 00:13:10,794 --> 00:13:13,294 So that requires for us to 359 00:13:13,754 --> 00:13:14,815 be questioning 360 00:13:15,674 --> 00:13:16,495 and challenging, 361 00:13:17,674 --> 00:13:19,134 and it's and that's good. 362 00:13:19,860 --> 00:13:21,700 Everything that we do and why we do 363 00:13:21,700 --> 00:13:23,240 it and how we do it, 364 00:13:23,860 --> 00:13:24,759 that is 365 00:13:25,139 --> 00:13:27,460 how I believe we are going to be 366 00:13:27,460 --> 00:13:28,419 able to meet, 367 00:13:29,139 --> 00:13:30,519 those two big challenges. 368 00:13:31,794 --> 00:13:33,475 That makes a lot of sense. And just 369 00:13:33,475 --> 00:13:36,035 really paying attention to the patients as you 370 00:13:36,035 --> 00:13:37,174 mentioned in in, 371 00:13:37,475 --> 00:13:40,274 you know, being ready to face whatever happens 372 00:13:40,274 --> 00:13:40,774 ahead. 373 00:13:41,475 --> 00:13:43,075 Before we wrap up here, I have one 374 00:13:43,075 --> 00:13:43,815 more question. 375 00:13:44,120 --> 00:13:45,639 What is the number one thing that you're 376 00:13:45,639 --> 00:13:47,639 doing right now to set Providence up for 377 00:13:47,639 --> 00:13:48,699 success in the future? 378 00:13:49,720 --> 00:13:51,639 The number one thing that we're doing is 379 00:13:51,639 --> 00:13:54,459 to ensure that we can recruit and retain, 380 00:13:55,320 --> 00:13:58,355 nurses, and we are revisiting how we approach 381 00:13:58,355 --> 00:14:01,174 the work. I would, go back 382 00:14:01,794 --> 00:14:04,754 to what I highlighted earlier on, you know, 383 00:14:04,754 --> 00:14:07,975 the cocaring model that we are developing within, 384 00:14:08,595 --> 00:14:09,574 within Providence 385 00:14:09,875 --> 00:14:12,115 with nurses and for nurses is part of 386 00:14:12,115 --> 00:14:12,855 the solution. 387 00:14:13,394 --> 00:14:16,079 And we're spending a fair amount of time 388 00:14:16,539 --> 00:14:18,159 with nurses on that today. 389 00:14:18,620 --> 00:14:19,519 We're also 390 00:14:20,139 --> 00:14:22,399 and in this in the spirit of 391 00:14:23,100 --> 00:14:25,519 creating a place where people want to 392 00:14:25,820 --> 00:14:28,220 receive care and give care and that it's, 393 00:14:28,220 --> 00:14:30,664 you know, at in a safe way, we 394 00:14:31,284 --> 00:14:32,424 also have to, 395 00:14:33,924 --> 00:14:35,605 as we think about how they approach the 396 00:14:35,605 --> 00:14:37,605 work and we approach the work, what are 397 00:14:37,605 --> 00:14:40,184 the tools that we have and the processes 398 00:14:40,404 --> 00:14:42,004 that we have in place that we need 399 00:14:42,004 --> 00:14:43,144 to reconsider, 400 00:14:44,029 --> 00:14:46,769 in some cases, remove, in some cases, completely 401 00:14:46,910 --> 00:14:47,410 redesign 402 00:14:48,190 --> 00:14:51,090 that are just not they're no they're not 403 00:14:51,309 --> 00:14:52,210 value added. 404 00:14:53,070 --> 00:14:55,090 We, we are very good, 405 00:14:55,549 --> 00:14:57,250 in our practice in 406 00:14:57,629 --> 00:15:00,634 in adding components to our work, but we're 407 00:15:00,634 --> 00:15:02,335 really, really bad about removing, 408 00:15:03,195 --> 00:15:03,995 things that, 409 00:15:04,475 --> 00:15:06,795 we've just been doing it just because we've 410 00:15:06,795 --> 00:15:08,555 been doing it for all these years. And 411 00:15:08,555 --> 00:15:09,274 I think it's, 412 00:15:09,835 --> 00:15:11,535 it's important for us to 413 00:15:11,840 --> 00:15:12,660 to reconsider that 414 00:15:13,440 --> 00:15:14,899 and to be asking ourselves, 415 00:15:16,639 --> 00:15:17,460 what technology 416 00:15:17,840 --> 00:15:19,779 exists today that could supplement, 417 00:15:20,240 --> 00:15:22,500 my work? What are the things that I, 418 00:15:23,519 --> 00:15:24,980 I don't need to do anymore? 419 00:15:25,455 --> 00:15:27,774 And to that end, I might, have a 420 00:15:27,774 --> 00:15:29,695 bit of a call to action as I'm 421 00:15:29,695 --> 00:15:32,495 answering this question for you. And what are 422 00:15:32,495 --> 00:15:33,315 those things? 423 00:15:33,695 --> 00:15:36,174 I'm gonna stick to the nursing profession for, 424 00:15:36,415 --> 00:15:38,654 for a minute here. And what are those 425 00:15:38,654 --> 00:15:40,174 things that whether you 426 00:15:40,940 --> 00:15:43,259 you're asking yourself to do as a practicing 427 00:15:43,259 --> 00:15:45,019 nurse or that you are a leader and 428 00:15:45,019 --> 00:15:47,919 you're expecting your nurses to do that really 429 00:15:48,459 --> 00:15:48,959 honestly 430 00:15:49,899 --> 00:15:52,459 requires a nurse to do? We can't be 431 00:15:52,459 --> 00:15:55,195 in this space where we're saying nurses need 432 00:15:55,195 --> 00:15:57,054 to practice at the top of their license 433 00:15:57,115 --> 00:15:59,215 and in another breath, tell ourselves 434 00:15:59,595 --> 00:16:01,514 or tell nurses, and you need to be 435 00:16:01,514 --> 00:16:03,914 all things to all people. That just doesn't 436 00:16:03,914 --> 00:16:04,414 work. 437 00:16:05,250 --> 00:16:07,330 Number one, the math don't work. We're never 438 00:16:07,330 --> 00:16:09,110 going to have enough. Number two, 439 00:16:09,490 --> 00:16:11,669 you can't practice the top of your license 440 00:16:11,970 --> 00:16:12,950 if you are 441 00:16:13,730 --> 00:16:15,590 holding on to tasks, 442 00:16:16,610 --> 00:16:18,950 that can be done by unlicensed individual. 443 00:16:19,695 --> 00:16:22,175 So it's an it's an amazing opportunity for 444 00:16:22,175 --> 00:16:24,995 us right now to be thinking about 445 00:16:25,455 --> 00:16:26,434 how can we 446 00:16:27,295 --> 00:16:30,175 show up as a team and leverage the 447 00:16:30,175 --> 00:16:32,915 entire health care team and let go 448 00:16:33,610 --> 00:16:36,330 of things that others can do so that 449 00:16:36,330 --> 00:16:38,110 we can better serve, 450 00:16:38,649 --> 00:16:40,350 better serve our patients, and 451 00:16:40,889 --> 00:16:43,929 we can find joy back in the practice 452 00:16:43,929 --> 00:16:45,690 of doing whatever it is that you're doing 453 00:16:45,690 --> 00:16:46,590 in health care. 454 00:16:47,245 --> 00:16:48,845 That makes so much sense, and I really 455 00:16:48,845 --> 00:16:49,745 love the sentiment. 456 00:16:50,125 --> 00:16:52,045 Doctor Treponier, thank you so much for joining 457 00:16:52,045 --> 00:16:53,725 us on the podcast today. This has been 458 00:16:53,725 --> 00:16:55,804 such a fun and inspiring conversation, and I 459 00:16:55,804 --> 00:16:57,745 look forward to connecting with you again soon. 460 00:16:57,884 --> 00:16:59,024 Thanks for the opportunity.