1 00:00:00,640 --> 00:00:03,199 Philips is a health tech leader focused on 2 00:00:03,199 --> 00:00:06,000 innovation that improves the health and well-being of 3 00:00:06,000 --> 00:00:09,460 people. Our health care technology and informatics solutions 4 00:00:09,679 --> 00:00:12,639 help care teams diagnose, treat, and manage more 5 00:00:12,639 --> 00:00:16,244 patients with greater precision, speed, and confidence across 6 00:00:16,244 --> 00:00:19,225 the care journey. With Philips, clinicians are empowered 7 00:00:19,285 --> 00:00:21,765 with streamlined insights in the moments that matter 8 00:00:21,765 --> 00:00:24,904 for every patient. Better care for more people. 9 00:00:25,204 --> 00:00:25,704 Philips. 10 00:00:28,640 --> 00:00:30,800 This is Gracelyn Keller with the Becker's Healthcare 11 00:00:30,800 --> 00:00:32,559 Podcast, and we are recording live at the 12 00:00:32,559 --> 00:00:35,439 tenth annual health IT, digital health, and RCM 13 00:00:35,439 --> 00:00:38,739 meeting. I'm currently joined by John w Gachago, 14 00:00:38,879 --> 00:00:41,140 who is the vice president of digital innovation 15 00:00:41,280 --> 00:00:42,420 at Parrish Healthcare. 16 00:00:42,815 --> 00:00:45,054 John, thanks for being here. Let's start off 17 00:00:45,054 --> 00:00:46,575 by having you share a little bit more 18 00:00:46,575 --> 00:00:48,274 about yourself and your work in healthcare. 19 00:00:48,895 --> 00:00:49,135 So, 20 00:00:50,174 --> 00:00:51,854 as as you mentioned, I am the VP 21 00:00:51,854 --> 00:00:52,835 of digital innovation 22 00:00:53,135 --> 00:00:54,755 at, Parrish Healthcare, 23 00:00:55,295 --> 00:00:58,034 and, really, my work focuses on really 24 00:00:58,740 --> 00:01:00,840 how we deliver care digitally. 25 00:01:01,460 --> 00:01:03,320 And and I wanna say first and foremost, 26 00:01:04,420 --> 00:01:06,599 primary to that is the patients. 27 00:01:07,459 --> 00:01:09,319 That is why we do what we do. 28 00:01:09,700 --> 00:01:10,840 So, essentially, 29 00:01:11,825 --> 00:01:14,465 in our area, we particularly have a large 30 00:01:14,465 --> 00:01:16,725 population of elderly patients, 31 00:01:17,584 --> 00:01:19,765 rural patients, underserved patients. 32 00:01:20,064 --> 00:01:22,305 So everything we do digitally is about serving 33 00:01:22,305 --> 00:01:22,805 them. 34 00:01:23,505 --> 00:01:25,505 I spent the last three years helping health 35 00:01:25,505 --> 00:01:26,165 care organizations 36 00:01:26,625 --> 00:01:27,125 basically 37 00:01:27,719 --> 00:01:30,060 rethink or redesign their digital transformation 38 00:01:30,359 --> 00:01:30,859 strategies. 39 00:01:31,399 --> 00:01:32,119 That includes, 40 00:01:32,519 --> 00:01:33,019 governments 41 00:01:33,319 --> 00:01:35,159 in various parts of the world and just 42 00:01:35,159 --> 00:01:37,500 really advise them on how to 43 00:01:37,879 --> 00:01:40,439 begin that process of digital transformation for their 44 00:01:40,439 --> 00:01:41,420 health care systems. 45 00:01:42,204 --> 00:01:44,064 And by that, I mean, we're talking about, 46 00:01:44,364 --> 00:01:47,344 things like from telehealth expansion to AI integration, 47 00:01:48,045 --> 00:01:50,864 all with always with a focus on basically 48 00:01:51,004 --> 00:01:51,504 equity, 49 00:01:51,805 --> 00:01:52,305 access, 50 00:01:52,765 --> 00:01:53,665 and sustainability. 51 00:01:55,170 --> 00:01:57,189 At the same time, I'm also the author 52 00:01:57,409 --> 00:01:59,890 of two books. One is Digital Health, the 53 00:01:59,890 --> 00:02:03,009 How to, and the other is the, the 54 00:02:03,009 --> 00:02:05,349 impact of AI on the maturity of hospitals. 55 00:02:05,729 --> 00:02:07,034 So I love to write, love to do 56 00:02:07,034 --> 00:02:09,675 research, as well as, certainly develop those digital 57 00:02:09,675 --> 00:02:10,814 transformation plans. 58 00:02:11,594 --> 00:02:13,914 Right now, like I said, I'm leading basically 59 00:02:13,914 --> 00:02:16,794 the effort to modernize Parish Healthcare through smarter 60 00:02:16,794 --> 00:02:17,294 infrastructure, 61 00:02:18,235 --> 00:02:21,594 better data use, and certainly more patient centered 62 00:02:21,594 --> 00:02:22,495 digital tools. 63 00:02:23,409 --> 00:02:25,889 Wonderful. Well, thank you for being here. Excited 64 00:02:25,889 --> 00:02:27,650 to talk to you today. Yeah. And let's 65 00:02:27,650 --> 00:02:30,289 start our conversation with AI. Nearly half of 66 00:02:30,289 --> 00:02:33,169 medical practices reported using AI in some capacity 67 00:02:33,169 --> 00:02:34,930 in the last year, and it remains a 68 00:02:34,930 --> 00:02:37,134 key topic for health IT leaders. So from 69 00:02:37,134 --> 00:02:39,055 your perspective, what are the use cases that 70 00:02:39,055 --> 00:02:40,655 are making a difference right now, and how 71 00:02:40,655 --> 00:02:42,514 are you leveraging them in your organization? 72 00:02:43,615 --> 00:02:45,775 So, first of all, I'll say one of 73 00:02:45,775 --> 00:02:46,914 the things we've done, 74 00:02:47,694 --> 00:02:50,655 with the excellent leadership of our CEO, George 75 00:02:50,655 --> 00:02:51,155 Mccatarian, 76 00:02:51,710 --> 00:02:53,950 is we looked at the entire organization, thought 77 00:02:53,950 --> 00:02:55,790 first thing we have to do is redesign 78 00:02:55,790 --> 00:02:57,569 our health care AI policy. 79 00:02:57,870 --> 00:02:58,370 Right? 80 00:02:58,990 --> 00:03:01,169 So that we can actually begin to 81 00:03:01,550 --> 00:03:03,710 use AI, but, certainly, use AI in a 82 00:03:03,710 --> 00:03:04,849 responsible fashion. 83 00:03:05,504 --> 00:03:08,145 Now what does that mean? That means making 84 00:03:08,145 --> 00:03:11,685 sure the AI we use certainly meets regulations, 85 00:03:11,824 --> 00:03:13,685 federal, you know, government regulations, 86 00:03:14,145 --> 00:03:16,944 making sure it's auditable, making sure it is 87 00:03:16,944 --> 00:03:17,444 explainable, 88 00:03:17,905 --> 00:03:20,245 and certainly making sure that 89 00:03:21,120 --> 00:03:23,379 it does not cause any harm. 90 00:03:24,000 --> 00:03:26,319 Right? So that's where we are starting right 91 00:03:26,319 --> 00:03:28,560 now. But where we are going in terms 92 00:03:28,560 --> 00:03:30,979 of leveraging leveraging the technology itself 93 00:03:31,280 --> 00:03:32,879 is we're going to be looking at so 94 00:03:32,879 --> 00:03:33,620 many tools. 95 00:03:35,495 --> 00:03:37,914 I'm talking about Ambient Clinical Solutions. K? 96 00:03:38,215 --> 00:03:40,155 Federated learning and privacy preserving 97 00:03:40,534 --> 00:03:41,034 AI, 98 00:03:41,655 --> 00:03:43,754 digital twins for precision medicine, 99 00:03:44,775 --> 00:03:45,594 edge computing, 100 00:03:46,134 --> 00:03:48,534 for remote monitor monitoring and acute care at 101 00:03:48,534 --> 00:03:51,239 home, and even health care specific LMs. 102 00:03:51,620 --> 00:03:53,379 For us, that is going to be the 103 00:03:53,379 --> 00:03:53,879 trajectory. 104 00:03:55,139 --> 00:03:55,639 Absolutely. 105 00:03:56,419 --> 00:03:58,739 And going off of that Yeah. As virtual 106 00:03:58,739 --> 00:04:01,459 care expands from AI enabled tools to remote 107 00:04:01,459 --> 00:04:03,639 monitoring to broader digital health platforms, 108 00:04:04,105 --> 00:04:05,564 Introducing these new technologies 109 00:04:05,865 --> 00:04:08,344 does bring challenges. So what advice do you 110 00:04:08,344 --> 00:04:10,745 have for leaders navigating everything from governance to 111 00:04:10,745 --> 00:04:12,985 patient engagement? And can you share an example 112 00:04:12,985 --> 00:04:15,625 of how your organization has balanced innovation with 113 00:04:15,625 --> 00:04:16,605 operational constraints? 114 00:04:17,509 --> 00:04:18,009 So 115 00:04:18,389 --> 00:04:20,550 one thing we can say is innovation is 116 00:04:20,550 --> 00:04:23,189 very exciting. It's it's a great thing to 117 00:04:23,189 --> 00:04:25,430 be doing, and, certainly, that's one of the 118 00:04:25,430 --> 00:04:27,830 reasons I'm doing it. But at the same 119 00:04:27,830 --> 00:04:29,830 time, I think it has to be grounded 120 00:04:29,830 --> 00:04:30,490 in reality, 121 00:04:31,350 --> 00:04:34,425 which I think leaders, particularly in this field, 122 00:04:34,425 --> 00:04:36,185 need to be very conscious of at all 123 00:04:36,185 --> 00:04:36,685 times. 124 00:04:37,305 --> 00:04:40,345 My advice is start with governance and build 125 00:04:40,345 --> 00:04:40,845 trust, 126 00:04:41,704 --> 00:04:43,625 and build it early. Build that trust early 127 00:04:43,625 --> 00:04:45,464 because you will need it down the road. 128 00:04:45,464 --> 00:04:46,824 The earlier you can build a trust, the 129 00:04:46,824 --> 00:04:48,830 better off you are down the road. And 130 00:04:48,830 --> 00:04:51,569 that obviously means involving clinical leaders, 131 00:04:51,949 --> 00:04:53,009 involving IT, 132 00:04:53,550 --> 00:04:54,050 involving 133 00:04:54,990 --> 00:04:57,870 local leaders in the community, right, who you 134 00:04:57,870 --> 00:05:00,350 otherwise may not think of. But really just 135 00:05:00,350 --> 00:05:01,730 getting everybody involved 136 00:05:02,115 --> 00:05:04,754 involved in the design process so they have 137 00:05:04,754 --> 00:05:07,254 equity in it. Right? At the same time, 138 00:05:08,675 --> 00:05:10,774 when I think of the example of how 139 00:05:11,714 --> 00:05:14,754 we are rolling out things like remote patient 140 00:05:14,754 --> 00:05:15,254 monitoring, 141 00:05:15,589 --> 00:05:17,830 It's not just giving patients devices. Here you 142 00:05:17,830 --> 00:05:20,389 go. Monitor your weight. Here you go. Monitor 143 00:05:20,389 --> 00:05:21,129 your diabetes. 144 00:05:21,670 --> 00:05:24,150 Here you go. Monitor your asthma. No. There's 145 00:05:24,150 --> 00:05:24,650 trainings. 146 00:05:25,029 --> 00:05:28,170 There is engagement that takes place. It's about 147 00:05:28,310 --> 00:05:29,210 really helping 148 00:05:29,670 --> 00:05:30,330 the patient 149 00:05:30,974 --> 00:05:33,375 and the providers understand on both sides what's 150 00:05:33,375 --> 00:05:34,834 in it for all of them. 151 00:05:35,214 --> 00:05:36,115 A 100%. 152 00:05:36,574 --> 00:05:39,055 And and shifting gears slightly, how are you 153 00:05:39,055 --> 00:05:41,694 seeing recent legislation, both state and federal, affect 154 00:05:41,694 --> 00:05:44,274 health care organizations and health IT specifically? 155 00:05:44,759 --> 00:05:46,939 And have you adjusted strategies in response? 156 00:05:47,480 --> 00:05:48,520 So, certainly, 157 00:05:49,000 --> 00:05:49,500 legislation 158 00:05:49,800 --> 00:05:51,879 is shaping our road map in a big 159 00:05:51,879 --> 00:05:52,379 way. 160 00:05:52,839 --> 00:05:53,339 Local, 161 00:05:53,879 --> 00:05:55,720 funding is very important to us from the 162 00:05:55,720 --> 00:05:56,699 Florida legislation 163 00:05:57,144 --> 00:05:59,784 as well as certainly legislate funding that's coming 164 00:05:59,784 --> 00:06:02,024 from the big beautiful bill, so to speak. 165 00:06:02,024 --> 00:06:04,185 Yeah. There's a lot of funding there that 166 00:06:04,185 --> 00:06:04,925 we're looking 167 00:06:05,305 --> 00:06:07,704 to certainly be a recipient of so that 168 00:06:07,704 --> 00:06:09,224 we can do the things I just talked 169 00:06:09,224 --> 00:06:09,724 about. 170 00:06:10,169 --> 00:06:12,970 At the state, level funding opportunities like the 171 00:06:12,970 --> 00:06:16,729 Florida House Appropriations Project are driving our decisions 172 00:06:16,729 --> 00:06:18,029 in certainly big ways, 173 00:06:18,649 --> 00:06:20,089 and they will help us invest in the 174 00:06:20,089 --> 00:06:22,029 rural infrastructure we need to develop. 175 00:06:22,555 --> 00:06:25,375 Certainly, federal changes around interoperability 176 00:06:26,074 --> 00:06:27,535 and reimbursement models 177 00:06:28,074 --> 00:06:29,995 impact everything we do on a day to 178 00:06:29,995 --> 00:06:31,915 day basis. I mean, how would we do 179 00:06:31,915 --> 00:06:33,274 what we want to do if we don't 180 00:06:33,274 --> 00:06:35,810 get paid for it? Right? So it's certainly 181 00:06:35,810 --> 00:06:38,209 pushing us to be more agile, and we've 182 00:06:38,209 --> 00:06:39,910 certainly adjusted prioritizing 183 00:06:41,889 --> 00:06:42,629 our digital 184 00:06:43,089 --> 00:06:44,389 transformation strategy 185 00:06:45,009 --> 00:06:47,669 around that funding, which is very critical 186 00:06:47,970 --> 00:06:50,389 to, certainly, the goals we expect to attain. 187 00:06:50,904 --> 00:06:51,404 Now 188 00:06:51,785 --> 00:06:53,645 on the other hand, I will also say 189 00:06:54,185 --> 00:06:56,904 it's a balancing act. Funding is always a 190 00:06:56,904 --> 00:06:58,584 balancing act any which way you look at 191 00:06:58,584 --> 00:07:01,464 it, but it's also an opportunity to align 192 00:07:01,464 --> 00:07:02,605 innovation with policy. 193 00:07:03,509 --> 00:07:05,990 And as we wrap up our conversation, I'd 194 00:07:05,990 --> 00:07:07,350 love to know what your top piece of 195 00:07:07,350 --> 00:07:09,350 advice for health care leaders is as they 196 00:07:09,350 --> 00:07:11,990 prepare for further advancements in technology and rising 197 00:07:11,990 --> 00:07:14,170 demands for care. Yes. Well, 198 00:07:14,964 --> 00:07:17,365 I think probably the most important thing I 199 00:07:17,365 --> 00:07:18,504 I can say is 200 00:07:19,365 --> 00:07:21,305 stay focused on value and people. 201 00:07:21,685 --> 00:07:23,285 That's what I would say. Stay focused on 202 00:07:23,285 --> 00:07:25,285 value and people. We we we all have 203 00:07:25,285 --> 00:07:27,544 to keep in mind that technology is 204 00:07:28,449 --> 00:07:29,029 a tools. 205 00:07:29,569 --> 00:07:31,409 It is actually a tool. It's not the 206 00:07:31,409 --> 00:07:31,909 goal. 207 00:07:32,289 --> 00:07:33,970 So that's very important for us to keep 208 00:07:33,970 --> 00:07:36,129 in mind. And so my advice is to 209 00:07:36,129 --> 00:07:37,589 invest in digital literacy 210 00:07:38,209 --> 00:07:40,389 across your health service organization, 211 00:07:41,649 --> 00:07:43,750 build flexible teams that can evolve, 212 00:07:44,185 --> 00:07:46,824 and always keep the patient experience front and 213 00:07:46,824 --> 00:07:47,324 center. 214 00:07:47,785 --> 00:07:50,024 I think the future of health care is 215 00:07:50,024 --> 00:07:51,084 not just high-tech. 216 00:07:51,625 --> 00:07:53,404 It's definitely gonna be high touch. 217 00:07:54,024 --> 00:07:56,745 So we need leaders that can balance both 218 00:07:56,745 --> 00:07:57,245 high-tech 219 00:07:57,704 --> 00:07:58,764 and high touch 220 00:07:59,300 --> 00:08:02,020 to actually deliver the quality care that we 221 00:08:02,020 --> 00:08:03,000 expect to deliver. 222 00:08:03,620 --> 00:08:06,020 Absolutely. Well, thank you so much for joining 223 00:08:06,020 --> 00:08:08,520 me today, John, on the Becker's Healthcare podcast 224 00:08:08,660 --> 00:08:10,740 and sharing these insights and thoughts. Again, we 225 00:08:10,740 --> 00:08:13,230 are recording live at the tenth annual Health 226 00:08:13,230 --> 00:08:15,950 IT Digital Health and RCM meeting. Thanks so 227 00:08:15,950 --> 00:08:17,250 much. Thank you.