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At athenahealth,

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we know your ambulatory practice wants healthier, a

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healthier business, healthier care teams, and healthier patients.

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But the complexities of modern health care tech

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make it hard for you and your care

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teams to focus on what matters

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most? That's where athenahealth can help. Our AI

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native all in one solutions reduce administrative burdens,

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streamline billing and payments, and deliver critical insights

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when clinicians need it most. That means fewer

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clicks, more time for patients, and stronger bottom

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lines.

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Practicing medicine is complex, but running a practice

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can be that much simpler with athenahealth.

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See how simpler is healthier@athenahealth.com.

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Hello, everyone. This is Scott King with the

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Becker's Healthcare podcast.

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Thrilled today to be joined by doctor Marcus

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Speaker, associate chief medical information

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officer with the Carlinian Clinic. Doctor Speaker, how

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are you doing today?

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I'm doing great. Thanks, Scott.

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Thanks so much for joining us. You know,

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we have a lot of big topics,

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some trendy things to address here in health

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care. But before we get started, I was

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wondering if you could please tell us a

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little bit about your background.

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Sure. I've been in health care IT now

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for close to twenty years.

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Started started out here at at Carilion,

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and did a, a medical informatics fellowship back

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in the,

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in the mid two thousands.

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That was after,

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family medicine

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training.

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So,

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family medicine board certified and also then, along

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the way, picked up a certification

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in clinical informatics,

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helped with our with our EPIC implementation,

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and then have,

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continued to

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to stay on and and work to optimize,

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our EPIC solution and have worked in,

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clinical decision support,

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work through meaningful use,

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you

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know, and and kind of all the changes

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that have taken place over the past couple

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decades. And and now most recently,

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have been leading our Ambient Scribe

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rollout,

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across the organization. So lots of,

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lots of fun things over the over the

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past couple decades that we have seen.

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Absolutely. I appreciate you sharing all that background

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info. And I'm definitely gonna ask you about

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some of those areas in this conversation. But

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the first thing I want to ask you

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about, you know, our research tells us that

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nearly half of medical practices reported using AI

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in some capacity last year, and it remains

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a key topic,

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obviously, now for health IT leaders.

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From your perspective, what are the use cases

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that are making a difference right now, and

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how are you leveraging them in your organization?

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Yeah. It's a great it's a great question,

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and,

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certainly,

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I'll I'll attack it,

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from two different perspectives.

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So their

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the perspective of the physician or the or

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the frontline clinician

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and the the things that,

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that those clinicians are doing in in AI.

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And and probably three things bubble up.

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Certainly,

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the one that it that has everyone talking

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these days is

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the AmbientScribe

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technology,

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and, you know, the the ability to to

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walk in and and have a conversation with

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a patient to to set your phone down,

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press a button, record the entire conversation, have

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your notes written,

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that has been,

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the first

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major

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positive game changer, I I think, for our

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physicians in a long time. And so I

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have,

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I have

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physicians,

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APPs coming up to me,

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telling me about how,

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impactful

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the the AmbientScribe

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technology has been, on their practice, getting them

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home,

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getting home on time, getting their notes done

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on time, not having to work,

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as much,

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at night or on weekends.

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So

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incredible impact there. So I think that's probably

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the the biggest one. But

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we are also seeing inroads into

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some of the augmented responses

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around,

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in basket,

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when patients have questions,

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that,

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through the patient portal

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coming coming in, being able to take

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the the conversation,

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and

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create a draft response for the,

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for whomever is responding to the to the

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message.

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Again, it helps,

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helps with efficiency,

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and in some cases, helps with tone,

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helps make those

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those responses

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a little more a little more pleasant and

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and patient friendly.

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And so, that has been a a a

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large success.

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And then finally,

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a newer

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piece of technology that we have rolled out

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in the in the generative

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AI space around node summarization.

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So

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being able to,

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pull up a patient chart,

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for a patient that I'm seeing today and

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see a

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summary of everything that has taken place,

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you know, in the in the past six

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months or since the last time that patient

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was in to see me.

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Gives me the ability to,

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to kind of

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get all those those really important points. And

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and then if there's something in that,

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summary

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that I wanna drill into a little bit

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more, being able to,

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to click on some of the annotations and

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go back to the notes,

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where,

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where the generative AI

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found where it surfaced the information from

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so I can dig in deeper. And so

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we're seeing that,

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catch on.

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But but, really,

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kind of these game changers,

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for our clinicians.

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Now that's on the clinician side.

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Now the other,

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the other hat that I I wear is

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on the IT side, and so we are

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seeing,

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generative AI,

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through the business applications.

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So our application analysts,

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our solution architects,

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our project managers,

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all using

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generative AI to help,

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put together

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project plans, help craft,

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emails,

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help craft

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patient education.

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So being able to to take information,

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at whatever

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educational level you you wanna put together and

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then have the generative AI rewrite that at

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a at a sixth grade level,

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or at a fifth grade level or or

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to whatever target audience,

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you're looking for. So gaining efficiencies in in

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those spaces. Obviously, that's not,

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those are not the clinical applications, but,

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other other areas that we are are using

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generative AI across the system. So, just

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a a variety of

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of use cases.

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Yeah. It's definitely a variety. We, you know,

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we hear a lot about the note taking

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sounds

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like a simple use, but it really does

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free up clinicians and physician. It it it

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frees up so much time and makes things

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more efficient

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just to, you know, gather what's going on

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with the patient and really make the most

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of that time with the patient. And then

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hearing about how you're able to adjust it

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for, you know, different people at different levels,

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I I think that's just phenomenal and just

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just

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tends to lead to great patient care. So,

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yeah, wonderful use cases. And

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as we continue to see virtual care expand,

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from AI enabled tools and remote monitoring

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to broader digital health platforms,

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introducing new technology always, you know, brings challenges.

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So what advice do you have for leaders

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navigating everything from

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governance to patient engagement? And can you share

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an example of how your organization has balanced

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innovation

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with some operational constraints?

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Yeah. I think,

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at a at a high level,

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having

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having a good governance process,

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is

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is going to be absolutely

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key for organizations.

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And

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in that in that governance process,

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making sure that that that at least some

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of the people that are are engaged

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really have a

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more a deeper understanding in terms of how

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AI and generative

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AI work, some of the the issues that

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can be found,

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and, obviously, both both positive and negative.

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I also think,

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at that at that high level,

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making sure

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at least in the in the near term

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for most applications,

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that

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organizations

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are

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are looking for solutions to problems that they

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have.

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There are

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there are a large number of,

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generative and and other AI companies

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that have,

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some really

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interesting

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solutions

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to problems that we never knew that we

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had. And so,

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having conversations

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with,

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with these companies,

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trying to trying to figure out if they're

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a good fit for us,

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we have every day talking to to different

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leaders around around the company about something new

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and exciting that they that they saw that,

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you know, may maybe is not the the

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best fit in the in the short term

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because,

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it really is not addressing a a problem

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that we currently have. And so so really,

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trying to figure out what problems are you

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trying to solve and then having conversations with

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with those IT areas

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that

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that can help solve the problem rather than

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rather than putting in the the new and

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and bright shiny piece.

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No. I I think it's a great great

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question to to start from. And

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also want to ask, how are you seeing

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recent legislation, both state and federal,

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affect health care organizations and health care IT

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specifically?

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Have you

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had to adjust strategies in response?

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We we have. And and probably the the,

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the the biggest thing that that we're looking

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at right now,

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involves payment.

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And

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what,

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you know, looking out into the future and

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how is

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how is reimbursement

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going to change,

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trying to to figure out,

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what that looks like,

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over the next couple years,

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especially around,

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the the governmental programs, Medicare, Medicaid.

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We have

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a a large Medicare and Medicaid population,

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within

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with our clinic that makes us a little

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bit different than, you know, some of our

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some of the other health systems a little

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farther north and and east that are have

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a majority of a private payer system.

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So,

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trying to figure out,

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what that's going to look like. And,

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and so

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scrutinizing

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our IT spend.

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So making sure that

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that the systems that we have in place

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are truly needed.

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We have a a number of legacy systems,

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our older systems that we're looking at that

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we have,

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recently

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determined that we could,

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with our core systems, we can do

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maybe 80 to 90% of what the the

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specialty system or the third party system can

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do. And so we're looking at

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moving away from

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some of these third party systems that we

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have had for a number of years, moving

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back into our core system and really,

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beefing up

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in our epic implementation.

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And

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and so again, some of the, some of

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those other core systems,

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which,

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results in,

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savings

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and puts us in a better place as

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we look to to weather some of the

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the headwinds that are that are coming.

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Certainly, in the in the telehealth arena, looking

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very carefully at what's going to happen

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with telehealth, telehealth reimbursement

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and

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yeah. So trying to keep our our finger

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on that pulse so we can be reactive,

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because

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we,

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wanna wanna keep those margins at a at

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a safe place.

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So

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for my last question, doctor speaker, you you

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you've covered so much

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in terms of AI and

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and emerging technology and some great use cases.

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But if you had to kinda zero in

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on one top piece of advice for health

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care leaders

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as they prepare for further advancements

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in technology and and rising demands for care,

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what would that be?

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Yeah. Great great question. I and I think

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that goes back to what I said earlier.

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Make sure that you're focused on,

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your the the health system or the or

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the organization's

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strategy,

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understanding

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what your

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what your problems and your goals are, and

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then layering in the appropriate technology

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to

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to help maximize those goals.

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There's a lot

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of really

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fun,

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exciting,

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cool things that that people are are showcasing

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from a technology standpoint,

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but really making sure that,

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that the technology that you're putting in,

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is going to help solve those those core

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problems that,

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and and align with core strategy.

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I think that's a great piece of advice.

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And thank you so much for a great

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conversation, doctor Speaker. I look forward to working

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with you again soon.

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00:13:42,980 --> 00:13:45,559
Absolutely. Sounds sounds great. Thanks, Scott.

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At athena Health, we know your ambulatory practice

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00:13:50,980 --> 00:13:51,894
wants healthier,

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a healthier business, healthier care teams, and healthier

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patients.

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00:13:56,115 --> 00:13:58,595
But the complexities of modern healthcare tech make

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it hard for you and your care teams

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00:14:00,595 --> 00:14:03,075
to focus on what matters most. That's where

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00:14:03,075 --> 00:14:06,049
athenahealth can help. Our AI native all in

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00:14:06,049 --> 00:14:08,549
one solutions reduce administrative burdens,

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00:14:08,929 --> 00:14:11,809
streamline billing and payments, and deliver critical insights

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00:14:11,809 --> 00:14:13,429
when clinicians need it most.

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00:14:13,809 --> 00:14:16,389
That means fewer clicks, more time for patients,

404
00:14:16,449 --> 00:14:17,990
and stronger bottom lines.

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00:14:18,875 --> 00:14:21,914
Practicing medicine is complex, but running a practice

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00:14:21,914 --> 00:14:23,774
can be that much simpler with athenahealth.

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00:14:24,475 --> 00:14:28,174
See how simpler is healthier at athenahealth.com.