1 00:00:02,000 --> 00:00:04,419 This is where health care leadership comes together. 2 00:00:04,559 --> 00:00:07,679 Becker's sixteenth annual meeting brings more than 3,500 3 00:00:07,679 --> 00:00:10,880 hospital and health system executives and nearly 800 4 00:00:10,880 --> 00:00:12,019 speakers to Chicago 5 00:00:12,320 --> 00:00:14,259 April. 6 00:00:14,615 --> 00:00:17,335 This year's event includes keynote conversations with Dallas 7 00:00:17,335 --> 00:00:20,214 Cowboys legend Troy Aikman and former president George 8 00:00:20,214 --> 00:00:22,934 w Bush. For the agenda and event details, 9 00:00:22,934 --> 00:00:25,175 visit beckershospitalreview.com 10 00:00:25,175 --> 00:00:26,855 and click on the events tab in the 11 00:00:26,855 --> 00:00:29,574 upper right. We're looking forward to hosting you 12 00:00:29,574 --> 00:00:30,314 in Chicago. 13 00:00:31,789 --> 00:00:34,109 This is Laura Dirdo with the Becker's Healthcare 14 00:00:34,109 --> 00:00:36,350 podcast. I'm thrilled today to be joined by 15 00:00:36,350 --> 00:00:39,070 doctor Luis Tavares, executive vice president and chief 16 00:00:39,070 --> 00:00:41,950 digital and information officer at Jefferson Health. Luis, 17 00:00:41,950 --> 00:00:43,070 it's a pleasure to have you on the 18 00:00:43,070 --> 00:00:43,969 podcast today. 19 00:00:44,335 --> 00:00:46,494 It's great to be back. Great talking to 20 00:00:46,494 --> 00:00:47,155 you today. 21 00:00:47,534 --> 00:00:50,254 Oh, absolutely. I always appreciate our conversations because 22 00:00:50,254 --> 00:00:52,174 I think you've got such a a great 23 00:00:52,174 --> 00:00:53,854 energy and passion for what you do and 24 00:00:53,854 --> 00:00:55,454 certainly are on the forefront of a lot 25 00:00:55,454 --> 00:00:56,975 of the things that are happening in health 26 00:00:56,975 --> 00:00:59,760 technology today. So I'm excited for our conversation. 27 00:00:59,820 --> 00:01:01,979 But before we dive in, for those who, 28 00:01:01,979 --> 00:01:03,579 you know, are just starting to listen to 29 00:01:03,579 --> 00:01:05,579 Becker's Healthcare podcast, could you tell a little 30 00:01:05,579 --> 00:01:07,359 bit more about yourself and your background? 31 00:01:08,219 --> 00:01:10,380 Yeah. So I've been in health care. I 32 00:01:10,380 --> 00:01:11,659 hate to go back and think of it 33 00:01:11,659 --> 00:01:12,939 since 1987. 34 00:01:12,939 --> 00:01:14,605 So I've seen lots and lots of changes 35 00:01:14,605 --> 00:01:17,325 in health care. I have been a CIO 36 00:01:17,325 --> 00:01:19,885 for the last twenty five years, almost twenty 37 00:01:19,885 --> 00:01:20,625 six now. 38 00:01:20,924 --> 00:01:23,005 And I've been in various systems throughout the 39 00:01:23,005 --> 00:01:23,505 Northeast. 40 00:01:23,965 --> 00:01:26,365 Jefferson certainly being the the largest one and 41 00:01:26,365 --> 00:01:28,545 the most comprehensive one that I've worked for. 42 00:01:29,020 --> 00:01:31,659 But I've seen lots of changes from and 43 00:01:31,659 --> 00:01:34,219 I've mentioned before on the podcast from the 44 00:01:34,219 --> 00:01:35,040 time that 45 00:01:35,420 --> 00:01:37,500 IT was in the basement next to the 46 00:01:37,500 --> 00:01:38,000 morgue 47 00:01:38,380 --> 00:01:40,635 to now to the point where as a 48 00:01:41,115 --> 00:01:42,954 chief data information officer, I sit at the 49 00:01:42,954 --> 00:01:44,954 top, on the Top Floor. Right? So it's 50 00:01:44,954 --> 00:01:47,674 been lots of great changes and many, many 51 00:01:47,674 --> 00:01:49,755 things happening throughout those many years that I've 52 00:01:49,755 --> 00:01:50,415 been involved. 53 00:01:51,515 --> 00:01:53,034 Well, that that's great to hear. And, you 54 00:01:53,034 --> 00:01:55,034 know, I know Jefferson is a really unique 55 00:01:55,034 --> 00:01:55,534 organization, 56 00:01:56,075 --> 00:01:59,109 with just many facets and continues to grow. 57 00:01:59,489 --> 00:02:01,090 How many hospitals do you have now? What 58 00:02:01,090 --> 00:02:03,650 what it all comprises, what you're overseeing there 59 00:02:03,650 --> 00:02:04,790 on the digital front? 60 00:02:05,170 --> 00:02:07,349 So we're now at 34 hospitals, 61 00:02:08,129 --> 00:02:10,770 but Jefferson Enterprise is bigger than that, which 62 00:02:10,770 --> 00:02:12,985 is we have three lines of business, if 63 00:02:12,985 --> 00:02:14,284 you would, from that standpoint. 64 00:02:14,985 --> 00:02:15,965 It's the university, 65 00:02:16,905 --> 00:02:19,385 it's the health plan, and then there's the 66 00:02:19,385 --> 00:02:22,025 health delivery organization, which is the largest component 67 00:02:22,025 --> 00:02:23,865 of it. But those are three parts of 68 00:02:23,865 --> 00:02:24,525 the organization, 69 00:02:25,064 --> 00:02:27,724 and I oversee IT for all three parts. 70 00:02:28,629 --> 00:02:29,370 Oh, that's 71 00:02:29,669 --> 00:02:31,669 amazing. And, you know, I can imagine never 72 00:02:31,669 --> 00:02:32,469 a dull moment, 73 00:02:32,789 --> 00:02:33,530 for sure. 74 00:02:33,830 --> 00:02:35,189 So when you think of back of the 75 00:02:35,189 --> 00:02:36,549 last year or so, could you tell me 76 00:02:36,549 --> 00:02:38,629 about the most important initiative that you led? 77 00:02:38,629 --> 00:02:39,830 What did you do, and what were the 78 00:02:39,830 --> 00:02:40,330 results? 79 00:02:41,604 --> 00:02:44,405 So the the most important initiative really was 80 00:02:44,405 --> 00:02:45,625 continuing the integration 81 00:02:46,085 --> 00:02:49,064 of the Lehigh Valley Health Network and Jefferson, 82 00:02:50,245 --> 00:02:53,064 because we came together eighteen months ago now. 83 00:02:53,604 --> 00:02:55,224 We spent a lot of time 84 00:02:55,590 --> 00:02:58,090 making sure that we brought the teams together, 85 00:02:58,389 --> 00:03:00,950 that we merged the technologies, that we built 86 00:03:00,950 --> 00:03:02,330 the environment that was safe. 87 00:03:02,629 --> 00:03:04,010 Lots of focus on cybersecurity 88 00:03:04,389 --> 00:03:06,810 for both organizations and now the single organization. 89 00:03:07,430 --> 00:03:09,129 So, really, the biggest part 90 00:03:09,465 --> 00:03:10,844 was from that organization 91 00:03:11,224 --> 00:03:12,205 governance standpoint 92 00:03:12,665 --> 00:03:14,504 and implementing a lot of the process that 93 00:03:14,504 --> 00:03:15,405 we have today 94 00:03:15,705 --> 00:03:17,545 to make sure that we're making the right 95 00:03:17,545 --> 00:03:19,545 investments in the right solutions that are gonna 96 00:03:19,545 --> 00:03:21,165 bring the biggest value to the organization. 97 00:03:21,580 --> 00:03:23,419 And that's what we are. We're really focused 98 00:03:23,419 --> 00:03:25,039 on being a value organization. 99 00:03:25,659 --> 00:03:28,300 I mentioned before in other podcast that I 100 00:03:28,300 --> 00:03:29,199 don't think of 101 00:03:29,500 --> 00:03:31,199 IS and T, our organization, 102 00:03:31,580 --> 00:03:33,419 as a cost center like some people think 103 00:03:33,419 --> 00:03:35,424 about. We are a value center. 104 00:03:36,125 --> 00:03:38,844 The organization chooses to invest in the solutions 105 00:03:38,844 --> 00:03:40,924 that we provide, and we need to bring 106 00:03:40,924 --> 00:03:42,764 value back to the organization as a result 107 00:03:42,764 --> 00:03:43,584 of that investment. 108 00:03:45,004 --> 00:03:47,504 I love that. I think it's, so important 109 00:03:47,564 --> 00:03:49,730 to have the big picture in mind and 110 00:03:49,730 --> 00:03:51,409 thinking through, you know, what you need to 111 00:03:51,409 --> 00:03:53,969 do in order to continue to grow together. 112 00:03:53,969 --> 00:03:56,450 I know, having that systemness at Jefferson is 113 00:03:56,450 --> 00:03:58,150 very important and then becoming 114 00:03:58,610 --> 00:04:00,930 a value creator for the organization overall right 115 00:04:00,930 --> 00:04:03,705 now. When you think about especially putting together 116 00:04:03,705 --> 00:04:05,405 that governance structure and, 117 00:04:06,025 --> 00:04:08,025 making sure you're pulling through everything you need 118 00:04:08,025 --> 00:04:10,025 in order to become that value center, what 119 00:04:10,025 --> 00:04:11,465 did that look like for you? How are 120 00:04:11,465 --> 00:04:14,105 you able to, pull those things together then 121 00:04:14,105 --> 00:04:15,004 really make sure, 122 00:04:15,509 --> 00:04:17,990 all branches of the organization were able to 123 00:04:17,990 --> 00:04:18,810 follow them? 124 00:04:19,670 --> 00:04:22,490 So it really starts with creating that strategic 125 00:04:22,629 --> 00:04:24,949 plan, and that was the focus of the 126 00:04:24,949 --> 00:04:26,889 first three months together. 127 00:04:27,350 --> 00:04:29,529 And we put together a strategic plan that 128 00:04:29,944 --> 00:04:31,324 defines a a 129 00:04:31,704 --> 00:04:33,004 very clear journey 130 00:04:33,625 --> 00:04:35,785 from where we were at that point, which 131 00:04:35,785 --> 00:04:37,725 is really more of a reactive organization, 132 00:04:38,504 --> 00:04:39,004 to 133 00:04:39,545 --> 00:04:42,745 an operational excellence stage. And then our final 134 00:04:42,745 --> 00:04:45,600 journey is getting to being a high performance 135 00:04:45,740 --> 00:04:46,240 organization. 136 00:04:47,100 --> 00:04:49,180 Creating that vision over the next five to 137 00:04:49,180 --> 00:04:50,000 seven years, 138 00:04:50,379 --> 00:04:51,279 building the 139 00:04:51,660 --> 00:04:54,699 the the parts of the plan that says, 140 00:04:54,699 --> 00:04:56,379 here's how we're gonna get from here to 141 00:04:56,379 --> 00:04:58,620 there. And the critical part of that is 142 00:04:58,620 --> 00:04:59,839 the governance model. 143 00:05:00,514 --> 00:05:01,894 Making sure that everybody understands 144 00:05:02,435 --> 00:05:04,214 how we're gonna evaluate 145 00:05:04,675 --> 00:05:07,154 what comes our way, especially today with AI. 146 00:05:07,154 --> 00:05:09,334 Right? We're getting so many requests from everybody. 147 00:05:09,555 --> 00:05:12,035 What's the process for evaluating that this is 148 00:05:12,035 --> 00:05:14,035 the right solution that we should be invested 149 00:05:14,035 --> 00:05:15,894 in? That's very well defined. 150 00:05:16,639 --> 00:05:17,139 Engaging 151 00:05:17,839 --> 00:05:19,220 all parts of the organization 152 00:05:19,759 --> 00:05:21,839 in those decisions because the last thing that 153 00:05:21,839 --> 00:05:24,500 we want is for IT to be making 154 00:05:24,639 --> 00:05:25,459 those decisions. 155 00:05:26,079 --> 00:05:27,779 We're a services organization. 156 00:05:28,240 --> 00:05:30,259 We have to listen to what people want 157 00:05:30,399 --> 00:05:33,384 and satisfy those needs, but never forget that 158 00:05:33,384 --> 00:05:35,785 we're not an IT organization. We're a health 159 00:05:35,785 --> 00:05:36,524 care organization, 160 00:05:36,904 --> 00:05:38,425 and we're here to make sure that we 161 00:05:38,425 --> 00:05:40,365 provide the best health care to our patients 162 00:05:40,584 --> 00:05:42,345 and the best service to our members and 163 00:05:42,345 --> 00:05:44,745 students that we have. So we enable that 164 00:05:44,745 --> 00:05:45,404 to happen. 165 00:05:46,150 --> 00:05:48,790 We don't do IT and technology for technology 166 00:05:48,790 --> 00:05:50,470 and IT sakes. We do it because it 167 00:05:50,470 --> 00:05:51,850 means something to the business. 168 00:05:53,110 --> 00:05:54,470 I love that. I I think it makes 169 00:05:54,470 --> 00:05:55,750 a lot of sense. You know, it's really 170 00:05:55,750 --> 00:05:57,689 helpful to understand how you 171 00:05:58,175 --> 00:06:00,415 then dovetail in what you're doing on the, 172 00:06:00,814 --> 00:06:03,295 IT side into the strategic plan and everything 173 00:06:03,295 --> 00:06:06,175 that really makes Jefferson go. Now looking ahead, 174 00:06:06,175 --> 00:06:07,694 what are some of your big priorities and 175 00:06:07,694 --> 00:06:10,194 headwinds that you're focused on for 2026? 176 00:06:11,709 --> 00:06:14,189 I think the biggest one, and maybe a 177 00:06:14,189 --> 00:06:15,550 lot of people will be able to relate 178 00:06:15,550 --> 00:06:17,569 to this, is is just managing, 179 00:06:18,589 --> 00:06:19,089 AI 180 00:06:19,949 --> 00:06:22,110 and the impact that AI is going to 181 00:06:22,110 --> 00:06:25,375 have in everything that we do. But to 182 00:06:25,375 --> 00:06:26,914 do it in a way that 183 00:06:27,214 --> 00:06:30,334 we we always have a human involved in 184 00:06:30,334 --> 00:06:31,474 what AI does. 185 00:06:32,014 --> 00:06:34,654 AI is just another tool that our humans 186 00:06:34,654 --> 00:06:36,894 will do to make themselves better, to make 187 00:06:36,894 --> 00:06:39,379 the department better, and as a result, make 188 00:06:39,379 --> 00:06:42,060 the entire organization better. But we always have 189 00:06:42,060 --> 00:06:43,540 to have that human in the middle, especially 190 00:06:43,540 --> 00:06:45,080 when it comes to clinical solutions. 191 00:06:45,459 --> 00:06:47,720 We need to make sure that a clinician 192 00:06:48,100 --> 00:06:49,480 initiates the action, 193 00:06:49,860 --> 00:06:51,540 that AI is a tool that is used 194 00:06:51,540 --> 00:06:53,720 to accomplish what's what's planned to be accomplished, 195 00:06:54,045 --> 00:06:55,025 and that the clinician 196 00:06:55,884 --> 00:06:58,545 checks the results of that AI input 197 00:06:58,925 --> 00:07:01,165 before they act. So we always have a 198 00:07:01,165 --> 00:07:01,665 person 199 00:07:01,965 --> 00:07:03,884 in the middle of of the AI solution. 200 00:07:03,884 --> 00:07:05,884 But that that's the biggest thing, just managing 201 00:07:05,884 --> 00:07:07,904 that environment, continue the integration. 202 00:07:08,329 --> 00:07:09,769 But a lot of the integration work is 203 00:07:09,769 --> 00:07:11,769 revolving around how do we use AI, how 204 00:07:11,769 --> 00:07:13,629 do we manage AI across the organization. 205 00:07:15,129 --> 00:07:16,970 That's helpful to understand. And, you know, I 206 00:07:16,970 --> 00:07:19,850 think AI is so much on the tip 207 00:07:19,850 --> 00:07:21,850 of everyone's tongue today, especially in health care. 208 00:07:21,850 --> 00:07:23,850 And when you're looking at, you know, everything 209 00:07:23,850 --> 00:07:24,925 that it could do, 210 00:07:25,305 --> 00:07:26,904 what are some of the applications that you're 211 00:07:26,904 --> 00:07:28,985 most excited about? Where do you see being 212 00:07:28,985 --> 00:07:31,785 really spaces where AI can make a big 213 00:07:31,785 --> 00:07:33,705 difference, you know, even over the next couple 214 00:07:33,705 --> 00:07:34,285 of years? 215 00:07:35,064 --> 00:07:36,925 So on the operational side, 216 00:07:37,464 --> 00:07:40,270 definitely in revenue cycle, and the whole revenue 217 00:07:40,270 --> 00:07:41,090 cycle process. 218 00:07:41,790 --> 00:07:44,910 The other part is looking at enterprise share 219 00:07:44,910 --> 00:07:47,310 services and looking where we can streamline how 220 00:07:47,310 --> 00:07:49,410 we deliver those services to the organization. 221 00:07:50,110 --> 00:07:52,509 But the biggest bank is definitely gonna be 222 00:07:52,509 --> 00:07:53,810 on the clinical side. 223 00:07:54,224 --> 00:07:57,185 And the solution that is is making the 224 00:07:57,185 --> 00:07:59,764 biggest impact right now is Ambient. 225 00:08:00,464 --> 00:08:03,044 We started deploying Ambient in 2025. 226 00:08:03,185 --> 00:08:05,185 We started with the physicians, and we we 227 00:08:05,185 --> 00:08:07,284 have now moved on to, nursing. 228 00:08:07,680 --> 00:08:09,519 And I think the impact on nursing is 229 00:08:09,519 --> 00:08:12,419 gonna be equally as large and is, impactful 230 00:08:13,039 --> 00:08:14,579 as it was for the physicians. 231 00:08:15,279 --> 00:08:17,939 We're seeing the nurses be much more efficient 232 00:08:18,240 --> 00:08:19,459 in the way they document. 233 00:08:19,839 --> 00:08:23,060 We're seeing the nurses be much more conversant 234 00:08:23,735 --> 00:08:26,235 with their patients, which is absolutely critical. 235 00:08:26,855 --> 00:08:29,254 So it's it's gonna be many, many benefits 236 00:08:29,254 --> 00:08:30,314 associated with 237 00:08:30,694 --> 00:08:32,315 AI in the nursing space, 238 00:08:32,855 --> 00:08:34,955 same as we're seeing on the physician space. 239 00:08:36,149 --> 00:08:37,909 Got it. That makes a lot of sense. 240 00:08:37,909 --> 00:08:39,990 And, you know, I think when you're looking 241 00:08:39,990 --> 00:08:42,309 at AI and looking at, you know, everything 242 00:08:42,309 --> 00:08:43,750 that has the potential, I know there are 243 00:08:43,750 --> 00:08:45,129 risks too. Are there any, 244 00:08:45,589 --> 00:08:46,169 you know, 245 00:08:46,549 --> 00:08:48,149 I guess, challenges or things that make you 246 00:08:48,149 --> 00:08:50,964 nervous about bringing additional AI into the organization? 247 00:08:51,024 --> 00:08:52,225 How do you make sure, you know, the 248 00:08:52,225 --> 00:08:53,745 data is being used in the way it's 249 00:08:53,745 --> 00:08:56,004 supposed to be and and leveraged correctly? 250 00:08:57,105 --> 00:08:59,904 So the the area that we're very focused 251 00:08:59,904 --> 00:09:01,845 on because it is an area of concern 252 00:09:02,464 --> 00:09:04,084 is the development of agents. 253 00:09:04,690 --> 00:09:06,450 And how do we develop agents? How do 254 00:09:06,450 --> 00:09:09,509 we deploy agents? Especially in the clinical space, 255 00:09:09,889 --> 00:09:11,490 we have to make sure that there's no 256 00:09:11,490 --> 00:09:13,430 bias, that there's no harm to our patients, 257 00:09:13,810 --> 00:09:15,649 and that we're doing this exactly the way 258 00:09:15,649 --> 00:09:17,090 that we expect to do it and that 259 00:09:17,090 --> 00:09:18,450 the results that we're gonna get are the 260 00:09:18,450 --> 00:09:20,764 results that we're gonna that we expect. So, 261 00:09:21,345 --> 00:09:23,184 agents is something that we have to really 262 00:09:23,184 --> 00:09:23,684 manage. 263 00:09:24,304 --> 00:09:26,225 We definitely see a lot of value in 264 00:09:26,225 --> 00:09:28,705 the creation of various agents. We've seen the 265 00:09:28,705 --> 00:09:30,485 benefits of those agents already, 266 00:09:30,865 --> 00:09:33,759 but it needs to be carefully managed. Not 267 00:09:33,759 --> 00:09:36,160 everybody should be able to develop agents that 268 00:09:36,160 --> 00:09:36,980 are unchecked. 269 00:09:37,440 --> 00:09:38,639 So we have to make sure we have 270 00:09:38,639 --> 00:09:41,779 a process for validating that the agents are 271 00:09:41,919 --> 00:09:44,000 doing what they're supposed to be doing and 272 00:09:44,000 --> 00:09:46,019 that they're they'll cause no harm or 273 00:09:46,424 --> 00:09:47,404 create any cybersecurity 274 00:09:47,705 --> 00:09:48,845 concerns for us. 275 00:09:49,945 --> 00:09:52,105 That's so helpful to understand. And, you know, 276 00:09:52,105 --> 00:09:52,764 it's definitely, 277 00:09:53,544 --> 00:09:56,264 the the challenge there, being able to leverage 278 00:09:56,264 --> 00:09:58,584 AI correctly while also, you know, especially in 279 00:09:58,584 --> 00:10:01,049 the clinical setting, make sure there's not any 280 00:10:01,049 --> 00:10:02,730 of the biases or or the things that 281 00:10:02,730 --> 00:10:05,129 could cause harm. Now what do you think 282 00:10:05,129 --> 00:10:06,490 the hardest thing you'll have to do in 283 00:10:06,490 --> 00:10:07,870 the coming year will be? 284 00:10:08,649 --> 00:10:10,029 In in this year, 285 00:10:11,129 --> 00:10:12,910 the biggest thing is gonna be 286 00:10:14,325 --> 00:10:17,225 really continuing the the integration, but also 287 00:10:18,245 --> 00:10:20,904 begin to harmonize the processes that we have 288 00:10:21,605 --> 00:10:22,825 and rationalizing 289 00:10:23,205 --> 00:10:25,625 the environment. When we bring two organizations 290 00:10:25,925 --> 00:10:27,845 as large as Jefferson and we have our 291 00:10:27,845 --> 00:10:28,904 network together, 292 00:10:29,309 --> 00:10:31,230 we have a lot of duplications in terms 293 00:10:31,230 --> 00:10:32,049 of applications, 294 00:10:32,590 --> 00:10:33,730 in terms of infrastructure. 295 00:10:34,190 --> 00:10:36,509 And we've done really well with that, but 296 00:10:36,509 --> 00:10:37,870 we still have a a long way to 297 00:10:37,870 --> 00:10:39,870 go in terms of making sure that we 298 00:10:39,870 --> 00:10:40,370 streamline 299 00:10:40,909 --> 00:10:43,774 the process that we have, streamline the technologies 300 00:10:43,835 --> 00:10:45,434 that we have, and that we have the 301 00:10:45,434 --> 00:10:48,235 right number of applications in place, not like 302 00:10:48,235 --> 00:10:50,154 we started with, you know, lots and lots 303 00:10:50,154 --> 00:10:51,214 and lots of applications. 304 00:10:51,914 --> 00:10:53,674 So that's gonna be a big process that 305 00:10:53,674 --> 00:10:56,254 we have to continue, that rationalization process. 306 00:10:57,350 --> 00:10:58,950 Got it. That makes a lot of sense. 307 00:10:59,190 --> 00:11:01,430 And, you know, I I think it seems 308 00:11:01,430 --> 00:11:03,610 like there'd be a lot of benefits to, 309 00:11:03,670 --> 00:11:04,170 obviously, 310 00:11:05,269 --> 00:11:07,930 eliminating those duplications and and getting the rationalization 311 00:11:08,310 --> 00:11:09,670 right. But what does it take in order 312 00:11:09,670 --> 00:11:11,190 to do that? What type of resources from 313 00:11:11,190 --> 00:11:13,684 your team as well as the organization overall 314 00:11:14,225 --> 00:11:15,745 when you're looking at, you know, such an 315 00:11:15,745 --> 00:11:17,605 important thing that you need to do? 316 00:11:18,225 --> 00:11:20,324 So, really, our team is 317 00:11:20,784 --> 00:11:23,904 guiding and assisting in those, but we really 318 00:11:23,904 --> 00:11:26,225 have to stay focused on the departments and 319 00:11:26,225 --> 00:11:28,570 the folks that are gonna be the end 320 00:11:28,570 --> 00:11:31,610 user, the end result of those, rationalization process. 321 00:11:31,610 --> 00:11:34,970 For example, in the credentialing space, we're working 322 00:11:34,970 --> 00:11:37,629 very, very closely with the the medical leadership 323 00:11:37,690 --> 00:11:39,309 to make sure that we have a credentialing 324 00:11:39,450 --> 00:11:42,235 process that is the same throughout and that 325 00:11:42,235 --> 00:11:44,715 we're using the same solution to manage those 326 00:11:44,715 --> 00:11:45,215 processes. 327 00:11:45,675 --> 00:11:49,115 Right? So it's it's it's us working very 328 00:11:49,115 --> 00:11:51,595 closely with everybody out there to make sure 329 00:11:51,595 --> 00:11:53,595 that we are doing the right thing and 330 00:11:53,595 --> 00:11:54,975 rationalizing the environment, 331 00:11:55,370 --> 00:11:57,129 and then us providing the support to make 332 00:11:57,129 --> 00:11:58,750 sure the solutions that we provide 333 00:11:59,129 --> 00:12:01,769 for the final process, the final, ways that 334 00:12:01,769 --> 00:12:02,990 we're gonna do things, 335 00:12:03,529 --> 00:12:06,269 is exactly what the, the organization wants. 336 00:12:07,544 --> 00:12:09,225 Absolutely. I think that makes a lot of 337 00:12:09,225 --> 00:12:11,464 sense and is helpful to understand. Now before 338 00:12:11,464 --> 00:12:13,164 we wrap up here, I wanted to just 339 00:12:13,225 --> 00:12:14,664 touch on growth. Where do you see some 340 00:12:14,664 --> 00:12:17,225 of the best opportunities for organizational growth going 341 00:12:17,225 --> 00:12:17,725 forward? 342 00:12:18,904 --> 00:12:20,904 Oh, in terms of growth, obviously, we have 343 00:12:20,904 --> 00:12:23,639 a a great growth strategy. We've grown quite 344 00:12:23,639 --> 00:12:25,019 a bit in the last ten years, 345 00:12:25,959 --> 00:12:28,279 and we're still looking for ways to continue 346 00:12:28,279 --> 00:12:30,440 to grow. But, really, the focus is much 347 00:12:30,440 --> 00:12:33,159 more on making sure that what we have 348 00:12:33,159 --> 00:12:34,940 to get together to today, 349 00:12:35,274 --> 00:12:38,254 the 34 hospitals, the university, the health plan, 350 00:12:38,475 --> 00:12:40,815 that we fully, fully integrate those, 351 00:12:41,434 --> 00:12:44,014 vertically optimize those, but horizontally 352 00:12:44,394 --> 00:12:46,334 look across and see how we can leverage 353 00:12:46,634 --> 00:12:48,894 every part of the organization to make Jefferson 354 00:12:48,955 --> 00:12:49,455 better. 355 00:12:50,459 --> 00:12:52,299 I love that. Luis, thank you so much 356 00:12:52,299 --> 00:12:53,980 for joining us on the podcast today. This 357 00:12:53,980 --> 00:12:55,820 has been such a fun conversation. You know, 358 00:12:55,820 --> 00:12:57,659 it's always so informative to speak with you, 359 00:12:57,659 --> 00:12:59,100 and I look forward to seeing you as 360 00:12:59,100 --> 00:13:00,539 well at our annual meeting. I know you'll 361 00:13:00,539 --> 00:13:02,714 be speaking on a panel and, really bringing 362 00:13:02,714 --> 00:13:05,195 some of your expertise around technology, AI, and 363 00:13:05,195 --> 00:13:08,394 and strategic growth, to that. So excited about, 364 00:13:08,394 --> 00:13:10,154 you know, seeing you then, and and it'll 365 00:13:10,154 --> 00:13:11,214 be great to connect. 366 00:13:11,595 --> 00:13:13,934 Thanks, Laura. We'll see you. Thanks so much.