1 00:00:00,240 --> 00:00:02,480 This is Laura Dirda with the Becker's Healthcare 2 00:00:02,480 --> 00:00:02,980 Podcast. 3 00:00:03,439 --> 00:00:05,599 I'm thrilled today to be joined by Simon 4 00:00:05,599 --> 00:00:08,720 Nazarian, executive vice president and chief digital technology 5 00:00:08,720 --> 00:00:10,660 officer at City of Hope, Nassim 6 00:00:10,960 --> 00:00:11,460 Eftikari, 7 00:00:12,000 --> 00:00:14,240 who is the chief AI and analytics officer 8 00:00:14,240 --> 00:00:16,445 at City of Hope. Nasim, Simon, thank you 9 00:00:16,445 --> 00:00:17,804 so much for joining us on the podcast 10 00:00:17,804 --> 00:00:18,304 today. 11 00:00:18,844 --> 00:00:20,524 Happy to be here. Great. Thanks for having 12 00:00:20,524 --> 00:00:21,024 us. 13 00:00:21,324 --> 00:00:23,564 Fantastic. Well, I'm looking forward to learning more 14 00:00:23,564 --> 00:00:25,164 about everything you're doing at City of Hope. 15 00:00:25,164 --> 00:00:27,984 I know it's a fantastic organization, really innovative 16 00:00:28,045 --> 00:00:30,170 and on the cutting edge of what's happening 17 00:00:30,170 --> 00:00:32,489 in cancer care today and more. So I'm 18 00:00:32,489 --> 00:00:34,250 excited to dig in. But before we do, 19 00:00:34,250 --> 00:00:35,770 can you tell me a little bit more 20 00:00:35,770 --> 00:00:37,130 about yourself? Give us a a bit of 21 00:00:37,130 --> 00:00:39,289 your backgrounds and then, a little bit about 22 00:00:39,289 --> 00:00:40,350 City of Hope too. 23 00:00:41,335 --> 00:00:41,835 Fantastic. 24 00:00:42,615 --> 00:00:43,435 I can start. 25 00:00:43,815 --> 00:00:45,354 Hi. My name is Simon Nazarian, 26 00:00:45,655 --> 00:00:48,854 and, I'm the executive vice president and chief 27 00:00:48,854 --> 00:00:50,475 digital and technology officer 28 00:00:50,855 --> 00:00:52,795 for City of Hope. And, 29 00:00:53,327 --> 00:00:55,159 you know, it's a exciting role we're playing 30 00:00:55,159 --> 00:00:55,659 today, 31 00:00:56,039 --> 00:00:58,060 especially, since City of Hope, 32 00:00:58,679 --> 00:01:00,940 was founded in 1913. 33 00:01:01,800 --> 00:01:04,840 We've been focused on providing compassionate care to 34 00:01:04,840 --> 00:01:06,299 people in need. 35 00:01:07,114 --> 00:01:09,275 And, you know, we really focus on what's 36 00:01:09,275 --> 00:01:11,754 best for our patients, and that guides everything 37 00:01:11,754 --> 00:01:12,575 that we do. 38 00:01:12,954 --> 00:01:15,355 And in the past several years, City of 39 00:01:15,355 --> 00:01:18,015 Hope, has experienced tremendous growth. 40 00:01:18,829 --> 00:01:21,170 We're one of the largest and most advanced 41 00:01:21,230 --> 00:01:24,049 cancer research and treatment organizations in The US 42 00:01:24,590 --> 00:01:27,549 and, ranked among the nation's top cancer centers 43 00:01:27,549 --> 00:01:29,729 in The US. We're very proud of that. 44 00:01:30,909 --> 00:01:33,329 You know, City of Hope's, NCI designated 45 00:01:33,870 --> 00:01:34,370 comprehensive 46 00:01:34,885 --> 00:01:35,704 cancer center 47 00:01:36,084 --> 00:01:38,584 received the highest rating, from the NCI, 48 00:01:39,204 --> 00:01:41,525 and that puts us, City of Hope, in 49 00:01:41,525 --> 00:01:43,305 the top echelon of the nation's, 50 00:01:44,004 --> 00:01:45,125 you know, 57 51 00:01:45,125 --> 00:01:47,784 NCI designated comprehensive cancer centers. 52 00:01:48,549 --> 00:01:48,870 And, 53 00:01:49,350 --> 00:01:49,829 the 54 00:01:50,230 --> 00:01:52,070 and we are system wide, so we are 55 00:01:52,070 --> 00:01:53,450 in five major metropolitan 56 00:01:53,829 --> 00:01:54,329 areas, 57 00:01:55,270 --> 00:01:59,049 including LA, Orange County, Chicago, Atlanta, and Phoenix. 58 00:01:59,670 --> 00:02:01,109 And, 86,000,000 59 00:02:01,109 --> 00:02:02,250 people live in 60 00:02:02,864 --> 00:02:04,944 communities with close access to one of our 61 00:02:04,944 --> 00:02:05,444 facilities. 62 00:02:06,224 --> 00:02:06,724 K? 63 00:02:07,025 --> 00:02:09,525 And, you know, in my role, I, 64 00:02:10,384 --> 00:02:11,284 you know, oversee, 65 00:02:11,664 --> 00:02:14,004 digital technology enterprise platforms 66 00:02:14,625 --> 00:02:15,764 that really support, 67 00:02:16,145 --> 00:02:18,289 care at scale. So anything that has to 68 00:02:18,289 --> 00:02:20,389 do with technology rolls up to my organization. 69 00:02:21,169 --> 00:02:23,810 And, you know, in partnership with Nasim, really 70 00:02:23,810 --> 00:02:26,469 focused on how innovation actually moves from 71 00:02:27,009 --> 00:02:29,090 a idea to adoption, you know, in a 72 00:02:29,090 --> 00:02:30,710 very complex health system. 73 00:02:31,354 --> 00:02:33,435 Right? And we wanna make sure that, you 74 00:02:33,435 --> 00:02:36,094 know, we build a durable infrastructure 75 00:02:36,474 --> 00:02:38,555 and just, you know, not one off pilots 76 00:02:38,555 --> 00:02:39,614 that don't scale. 77 00:02:40,074 --> 00:02:42,474 Thank you, Simon, for that great introduction of 78 00:02:42,474 --> 00:02:44,014 City of Hope. I'm Nasim, 79 00:02:44,479 --> 00:02:46,419 chief AI and analytics officer. 80 00:02:46,959 --> 00:02:47,459 I 81 00:02:47,840 --> 00:02:48,319 lead, 82 00:02:48,639 --> 00:02:52,079 meaningful application of machine learning AI, under Simon's 83 00:02:52,079 --> 00:02:52,579 leadership 84 00:02:53,120 --> 00:02:55,299 in all areas of patient care, 85 00:02:55,840 --> 00:02:58,180 research, precision medicine, and operations. 86 00:02:58,715 --> 00:03:01,194 I've been with the company for nine years 87 00:03:01,194 --> 00:03:01,995 now, and, 88 00:03:03,275 --> 00:03:05,594 and my background is in computer science and 89 00:03:05,594 --> 00:03:06,495 machine learning. 90 00:03:07,514 --> 00:03:09,594 That's amazing to hear. And, you know, really 91 00:03:09,594 --> 00:03:11,594 great to have that experience at City of 92 00:03:11,594 --> 00:03:14,300 Hope and then be able to support its 93 00:03:14,300 --> 00:03:16,620 growth, which has been, you know, outstanding over 94 00:03:16,620 --> 00:03:17,680 the last several years. 95 00:03:18,060 --> 00:03:19,740 I'm curious. Could you tell me a little 96 00:03:19,740 --> 00:03:21,979 bit more about the most important initiative that 97 00:03:21,979 --> 00:03:23,740 you've led in the last year or so? 98 00:03:23,740 --> 00:03:24,939 What did you do, and what were the 99 00:03:24,939 --> 00:03:25,439 results? 100 00:03:26,425 --> 00:03:26,925 Well, 101 00:03:27,865 --> 00:03:29,544 I would say that, you know, we have 102 00:03:29,544 --> 00:03:32,425 a very strong focus on, governance and our 103 00:03:32,425 --> 00:03:34,205 operating model when it comes, 104 00:03:35,145 --> 00:03:37,944 to advance the an emerging technology. So, 105 00:03:38,584 --> 00:03:41,145 the most in important initiative wasn't just a 106 00:03:41,145 --> 00:03:42,125 single tool. 107 00:03:42,560 --> 00:03:45,219 It was really establishing the, you know, conditions 108 00:03:45,439 --> 00:03:47,219 for AI to scale responsibly, 109 00:03:48,080 --> 00:03:49,139 within our organizations. 110 00:03:50,000 --> 00:03:52,180 So, and and really focusing 111 00:03:52,480 --> 00:03:52,980 on, 112 00:03:54,080 --> 00:03:54,580 reframing 113 00:03:54,879 --> 00:03:55,540 our governance 114 00:03:56,215 --> 00:03:58,775 as an enabler, not a barrier. So, I 115 00:03:58,775 --> 00:04:00,614 would dare say as a partner, not a 116 00:04:00,614 --> 00:04:01,114 police. 117 00:04:01,814 --> 00:04:05,114 So, you know, help clarify the decision rights, 118 00:04:05,574 --> 00:04:07,354 you know, embedding the right guardrails, 119 00:04:07,974 --> 00:04:08,215 and, 120 00:04:09,040 --> 00:04:11,760 really moving governance closer to where the work 121 00:04:11,760 --> 00:04:12,900 is actually happening. 122 00:04:13,439 --> 00:04:15,599 So this is not a bolt on anymore 123 00:04:15,599 --> 00:04:17,600 for us. It's within the structure of our 124 00:04:17,600 --> 00:04:18,100 organization. 125 00:04:19,040 --> 00:04:19,540 And, 126 00:04:20,240 --> 00:04:22,240 you know, we wanna make sure that, we 127 00:04:22,240 --> 00:04:23,680 do the right things for, 128 00:04:24,814 --> 00:04:27,534 for our folks and really focus on scale 129 00:04:27,534 --> 00:04:28,274 and velocity 130 00:04:28,894 --> 00:04:31,154 and, really partner with our organization. 131 00:04:31,694 --> 00:04:33,314 Nassim, anything you wanna add? 132 00:04:34,014 --> 00:04:35,615 Sure. So I, 133 00:04:36,334 --> 00:04:37,074 I wanna, 134 00:04:37,560 --> 00:04:39,979 add a little bit to the governance piece. 135 00:04:40,519 --> 00:04:41,560 We we've been, 136 00:04:41,959 --> 00:04:44,220 we've been giving a lot of thought to 137 00:04:44,519 --> 00:04:46,620 how do we safely and responsibly 138 00:04:47,000 --> 00:04:49,719 apply these technologies, but also balance the speed 139 00:04:49,719 --> 00:04:50,379 of innovation. 140 00:04:50,854 --> 00:04:52,954 Like Simon said, we have safe and responsible 141 00:04:53,014 --> 00:04:53,915 use of AI. 142 00:04:54,454 --> 00:04:56,454 We have had a lot of, like, you 143 00:04:56,454 --> 00:04:57,194 know, very, 144 00:04:57,735 --> 00:05:00,535 tangible exciting initiatives that we've been leading over 145 00:05:00,535 --> 00:05:03,414 the past year, like using generative AI for 146 00:05:03,414 --> 00:05:04,314 patient onboarding, 147 00:05:04,935 --> 00:05:06,555 for clinical trial matching, 148 00:05:07,310 --> 00:05:09,569 and and many other things in digital pathology 149 00:05:09,629 --> 00:05:11,410 and precision medicine and others. 150 00:05:12,110 --> 00:05:14,509 But one of the most important things that 151 00:05:14,509 --> 00:05:16,750 I keep thinking about day in day out 152 00:05:16,750 --> 00:05:19,790 is and and it ties into governance a 153 00:05:19,790 --> 00:05:23,154 little bit and scale and velocity is how 154 00:05:23,154 --> 00:05:23,735 do we 155 00:05:24,194 --> 00:05:25,334 really orchestrate 156 00:05:25,714 --> 00:05:27,875 all of these different AI tools and these 157 00:05:27,875 --> 00:05:29,095 days, AI agents 158 00:05:29,555 --> 00:05:30,615 that every organization 159 00:05:30,915 --> 00:05:33,095 is adopting for point solutions. 160 00:05:33,714 --> 00:05:34,214 So 161 00:05:34,620 --> 00:05:36,860 we we wanna be, we wanna get ahead 162 00:05:36,860 --> 00:05:37,839 of it so that 163 00:05:38,139 --> 00:05:38,879 in, like, 164 00:05:39,500 --> 00:05:41,520 in a year or so, we don't have, 165 00:05:42,699 --> 00:05:45,660 tens, hundreds, thousands of agents running around the 166 00:05:45,660 --> 00:05:48,084 organization, each doing their own thing, and they 167 00:05:48,084 --> 00:05:49,524 cannot talk to each other. 168 00:05:49,845 --> 00:05:52,564 So I think, in terms of governance and 169 00:05:52,564 --> 00:05:53,464 also technology, 170 00:05:54,725 --> 00:05:56,644 a big top of mind for me is 171 00:05:56,644 --> 00:05:58,665 now how do we manage, 172 00:05:59,204 --> 00:06:01,285 all these AI agents and tools, not just 173 00:06:01,285 --> 00:06:04,250 agents, but AI tools and agents. How do 174 00:06:04,310 --> 00:06:07,029 we orchestrate them to work effectively with one 175 00:06:07,029 --> 00:06:07,529 another 176 00:06:08,069 --> 00:06:10,870 and, and optimize the whole system rather than 177 00:06:10,870 --> 00:06:12,970 just one part of, like, a 178 00:06:13,910 --> 00:06:16,790 a local optimization of we solve this problem, 179 00:06:16,790 --> 00:06:19,404 but then we shift the bottleneck somewhere else, 180 00:06:19,404 --> 00:06:20,925 and then we have to solve that other 181 00:06:20,925 --> 00:06:21,425 problem. 182 00:06:22,685 --> 00:06:24,125 That makes a lot of sense. You know, 183 00:06:24,125 --> 00:06:25,964 it's truly fascinating to see all of the 184 00:06:25,964 --> 00:06:28,125 different possibilities that are out there with AI, 185 00:06:28,125 --> 00:06:29,805 but you're right. Being able to have the 186 00:06:29,805 --> 00:06:33,790 governance process and having visibility into everything that's 187 00:06:33,790 --> 00:06:35,889 going on, the different agents, and 188 00:06:36,750 --> 00:06:38,990 sharing that with the entire organization so you 189 00:06:38,990 --> 00:06:40,610 can smartly and effectively, 190 00:06:41,310 --> 00:06:41,810 incorporate 191 00:06:42,110 --> 00:06:44,685 AI without too much risk coming back to 192 00:06:44,685 --> 00:06:46,925 you. So, I think that's critical and so 193 00:06:46,925 --> 00:06:49,004 helpful to understand that process that you've taken 194 00:06:49,004 --> 00:06:50,225 and really built into, 195 00:06:50,685 --> 00:06:52,605 what you're doing at City of Hope. Now 196 00:06:52,605 --> 00:06:54,365 looking ahead for the next year or so, 197 00:06:54,365 --> 00:06:55,884 where are some of your big priorities and 198 00:06:55,884 --> 00:06:58,125 headwinds that you're focused on? What's really top 199 00:06:58,125 --> 00:06:59,185 of mind for you? 200 00:06:59,939 --> 00:07:00,680 Oh, man. 201 00:07:01,060 --> 00:07:02,360 A fantastic question. 202 00:07:03,779 --> 00:07:07,139 I think Nasim really hit it. A major 203 00:07:07,139 --> 00:07:11,220 priority is, scaling agency across the organization, but 204 00:07:11,220 --> 00:07:11,720 responsibly. 205 00:07:12,900 --> 00:07:13,400 It's 206 00:07:14,095 --> 00:07:17,394 really important for us to, empower our researchers, 207 00:07:17,615 --> 00:07:18,355 our clinicians, 208 00:07:19,294 --> 00:07:20,194 and our teams, 209 00:07:21,055 --> 00:07:23,134 to be able to create and run their 210 00:07:23,134 --> 00:07:25,134 own agents. Right? You know, they for them 211 00:07:25,134 --> 00:07:25,634 to 212 00:07:26,199 --> 00:07:27,540 be trained and, 213 00:07:27,879 --> 00:07:29,580 skilled to act with confidence, 214 00:07:30,040 --> 00:07:30,279 to, 215 00:07:31,080 --> 00:07:33,240 you know, use all of our intelligent tools 216 00:07:33,240 --> 00:07:33,740 responsibly, 217 00:07:34,920 --> 00:07:37,879 and make decisions closer, to the work. And, 218 00:07:38,435 --> 00:07:40,115 you know, one of my mantras at the 219 00:07:40,115 --> 00:07:42,615 office here is that, innovation is federated, 220 00:07:43,875 --> 00:07:45,495 and, we believe that, 221 00:07:46,675 --> 00:07:49,475 this really will help us, make that come 222 00:07:49,475 --> 00:07:50,375 true because 223 00:07:50,759 --> 00:07:52,939 we have to rethink the decision rights 224 00:07:53,319 --> 00:07:55,639 when we scale this agency and not just 225 00:07:55,639 --> 00:07:57,899 deploying a basic technology. Right? 226 00:07:58,279 --> 00:08:00,839 And the headwind here is, you know, most 227 00:08:00,839 --> 00:08:01,339 organizations 228 00:08:01,720 --> 00:08:04,060 are built for a centralized permission. 229 00:08:04,865 --> 00:08:08,084 Right? And, this work, you know, AI specifically 230 00:08:08,305 --> 00:08:10,245 requires distributed responsibility. 231 00:08:11,264 --> 00:08:12,404 So how do we 232 00:08:12,865 --> 00:08:15,664 shepherd the organization and work together in order 233 00:08:15,664 --> 00:08:17,024 to go through that kind of a change 234 00:08:17,024 --> 00:08:17,524 management? 235 00:08:18,540 --> 00:08:20,939 If it's if it's Simon's priority, then it's 236 00:08:20,939 --> 00:08:23,439 my priority. So on on my end, 237 00:08:23,819 --> 00:08:26,540 to enable this, one of the biggest thing, 238 00:08:26,860 --> 00:08:27,580 this year, 239 00:08:27,980 --> 00:08:31,279 is AI, literacy, fluency, education. 240 00:08:32,384 --> 00:08:32,965 How do 241 00:08:33,904 --> 00:08:36,245 we educate our workforce to 242 00:08:36,625 --> 00:08:39,024 work off of a shared knowledge base so 243 00:08:39,024 --> 00:08:42,144 that they can have this agency that, Simon 244 00:08:42,144 --> 00:08:44,404 is aspiring to? When we started, 245 00:08:45,139 --> 00:08:47,080 after the, AI boom, 246 00:08:47,539 --> 00:08:50,039 suddenly AI got democratized and everyone 247 00:08:50,580 --> 00:08:51,799 with very, like, 248 00:08:52,179 --> 00:08:54,500 in a very user friendly fashion could interact 249 00:08:54,500 --> 00:08:56,340 with AI, and that was amazing. That raised 250 00:08:56,340 --> 00:08:58,120 a lot of awareness about possibilities, 251 00:08:58,845 --> 00:09:00,865 but also, I think, exposes 252 00:09:01,245 --> 00:09:03,565 us and any other health care organization to 253 00:09:03,565 --> 00:09:05,804 a lot of risks. So we had to, 254 00:09:06,125 --> 00:09:08,225 hug AI close for some time 255 00:09:08,605 --> 00:09:12,284 and started educating, educating, educating so that people 256 00:09:12,284 --> 00:09:14,600 know if you're using this AI tool, it's 257 00:09:14,600 --> 00:09:16,600 great. It can make you more productive. But 258 00:09:16,600 --> 00:09:18,120 when you put something in it, it goes 259 00:09:18,120 --> 00:09:19,960 on the cloud. The data is now publicly 260 00:09:19,960 --> 00:09:20,460 available. 261 00:09:20,920 --> 00:09:23,180 So you don't put PHI into these publicly 262 00:09:23,240 --> 00:09:26,139 available tools. You should be using our enterprise 263 00:09:26,200 --> 00:09:27,345 instances of 264 00:09:27,745 --> 00:09:30,564 of, these AI assistants. So we started, 265 00:09:30,944 --> 00:09:33,264 using every tool that we have available to 266 00:09:33,264 --> 00:09:35,664 us from from emails that Simon and I 267 00:09:35,664 --> 00:09:37,524 send out to formal trainings 268 00:09:37,904 --> 00:09:40,544 and certifications, and we're still doing that. So 269 00:09:40,544 --> 00:09:42,004 I think that for me, 270 00:09:42,870 --> 00:09:43,930 I want to, 271 00:09:44,309 --> 00:09:46,889 I want all of our workforce to have 272 00:09:47,269 --> 00:09:50,629 that level of, fluency in AIs that we 273 00:09:50,629 --> 00:09:51,450 can really 274 00:09:51,910 --> 00:09:54,389 give agency to everyone to then build their 275 00:09:54,389 --> 00:09:56,889 own agents and don't cause, or or 276 00:09:57,264 --> 00:10:00,225 be less prone to causing an unintended harm. 277 00:10:00,544 --> 00:10:03,024 So that's AI education top of mind for 278 00:10:03,024 --> 00:10:03,524 me. 279 00:10:04,144 --> 00:10:05,904 That makes a lot of sense and, you 280 00:10:05,904 --> 00:10:08,384 know, it's so critical for the organization. I 281 00:10:08,384 --> 00:10:10,304 think for some, it might be an easy 282 00:10:10,304 --> 00:10:12,144 leap, and for others, it takes a lot 283 00:10:12,144 --> 00:10:14,450 more to really help them understand what the 284 00:10:14,450 --> 00:10:16,549 AI is capable of doing and then understand 285 00:10:17,809 --> 00:10:19,730 the risks and and being able to act 286 00:10:19,730 --> 00:10:21,269 appropriately because of it. 287 00:10:21,649 --> 00:10:23,509 And and so I think that's really critical 288 00:10:23,570 --> 00:10:25,649 and cool to understand, you know, how you're 289 00:10:25,649 --> 00:10:28,225 developing those programs and then spreading it across 290 00:10:28,225 --> 00:10:28,804 the organization. 291 00:10:29,504 --> 00:10:31,985 And and within that, kind of mindset, what 292 00:10:31,985 --> 00:10:33,664 do you think the hardest thing about all 293 00:10:33,664 --> 00:10:35,024 of this, that you'll have to do in 294 00:10:35,024 --> 00:10:36,324 the coming year will be? 295 00:10:37,264 --> 00:10:38,404 The hardest thing, 296 00:10:39,670 --> 00:10:42,090 Simon, I'm going to steal your thunder here. 297 00:10:42,309 --> 00:10:45,190 The hardest thing has always been and will 298 00:10:45,269 --> 00:10:47,429 I I think for the foreseeable future, it 299 00:10:47,429 --> 00:10:50,250 will always be change management, adoption, 300 00:10:50,790 --> 00:10:52,649 changing the culture so that 301 00:10:53,429 --> 00:10:54,649 so that these tools 302 00:10:55,144 --> 00:10:58,504 make the intended impact that we're hoping they 303 00:10:58,504 --> 00:10:59,165 would make. 304 00:11:00,345 --> 00:11:00,845 Bringing, 305 00:11:01,384 --> 00:11:03,165 onboarding AI, tools, 306 00:11:03,785 --> 00:11:06,665 always requires a lot of changes to people's 307 00:11:06,665 --> 00:11:08,585 day to days and workflows, and we're talking 308 00:11:08,585 --> 00:11:09,965 about people who are already 309 00:11:10,519 --> 00:11:11,980 extremely busy and, 310 00:11:12,600 --> 00:11:14,360 and a lot of time set in their 311 00:11:14,360 --> 00:11:15,019 own ways. 312 00:11:15,480 --> 00:11:18,919 So, I think that's, something that in our, 313 00:11:19,320 --> 00:11:21,980 executive leadership team, and enterprise, 314 00:11:22,759 --> 00:11:26,035 technology group, we're always thinking about change management 315 00:11:26,035 --> 00:11:28,195 and how do we change the mindset and 316 00:11:28,195 --> 00:11:31,235 that make that culture shift that AI can 317 00:11:31,235 --> 00:11:33,634 be successful. Because I think the technology is 318 00:11:33,634 --> 00:11:35,555 there for the most part for a lot 319 00:11:35,555 --> 00:11:37,955 of things that we wanna accomplish, but, does 320 00:11:37,955 --> 00:11:40,035 it really get adopted and used and make 321 00:11:40,035 --> 00:11:42,049 the impact? That's the big question. 322 00:11:42,910 --> 00:11:45,250 And, and you've done a great job, Nassim, 323 00:11:45,470 --> 00:11:48,210 in in really facilitating the organization because, 324 00:11:48,590 --> 00:11:50,830 you know, we really wanna you know, our 325 00:11:50,830 --> 00:11:54,610 focus is on ensuring quality, trust, and usability, 326 00:11:56,085 --> 00:11:58,825 that key pace as these systems are growing. 327 00:11:59,284 --> 00:12:01,845 So and technology is really helping, you know, 328 00:12:01,845 --> 00:12:04,424 reduce the cognitive and administrative burden 329 00:12:05,044 --> 00:12:07,764 or, for our teams rather than adding to 330 00:12:07,764 --> 00:12:08,070 it. 331 00:12:08,629 --> 00:12:10,889 Right? And, when you move from a 332 00:12:11,750 --> 00:12:13,450 a tech enabled mindset 333 00:12:14,470 --> 00:12:16,090 to a tech forward organization, 334 00:12:17,029 --> 00:12:19,190 that requires new ways of working, you know, 335 00:12:19,190 --> 00:12:21,350 new decision making norms, and a lot of 336 00:12:21,350 --> 00:12:22,789 cultural adoptions. And, 337 00:12:23,764 --> 00:12:26,325 you know, and and, frankly, success depends on 338 00:12:26,325 --> 00:12:26,825 trust, 339 00:12:27,445 --> 00:12:29,465 you know, clarity and champion, 340 00:12:29,924 --> 00:12:31,865 and the champions across the organization. 341 00:12:32,404 --> 00:12:34,325 You know, this is not something you mandate. 342 00:12:34,325 --> 00:12:36,644 You gotta work together and then ownership move 343 00:12:36,644 --> 00:12:38,105 it forward. And 344 00:12:39,500 --> 00:12:41,980 it's been a a really interesting journey for 345 00:12:41,980 --> 00:12:44,220 Nassim and I as we, shepherd this through 346 00:12:44,220 --> 00:12:44,879 the organization. 347 00:12:46,059 --> 00:12:48,059 And that's amazing to hear. And, you know, 348 00:12:48,059 --> 00:12:49,259 truly, it sounds like, 349 00:12:50,059 --> 00:12:52,860 that move from the tech enabled mindset to 350 00:12:52,860 --> 00:12:53,759 the tech forward 351 00:12:54,184 --> 00:12:56,504 organization is something that so many health systems 352 00:12:56,504 --> 00:12:59,065 and hospitals and health care organizations across the 353 00:12:59,065 --> 00:13:01,464 country are are looking to do. And so 354 00:13:01,464 --> 00:13:03,784 your framework here in in some of the 355 00:13:03,784 --> 00:13:05,144 ways that you're looking at it from the 356 00:13:05,144 --> 00:13:06,125 leadership perspective, 357 00:13:06,584 --> 00:13:08,605 really is so helpful to understand. 358 00:13:08,960 --> 00:13:11,039 I'm curious. Before we wrap up, I wanna 359 00:13:11,039 --> 00:13:12,960 talk about growth too. Where do you see 360 00:13:12,960 --> 00:13:15,539 some of the best opportunities for organizational growth, 361 00:13:15,600 --> 00:13:17,840 especially as you're bringing in more of this 362 00:13:17,840 --> 00:13:19,700 education, more of these opportunities, 363 00:13:20,160 --> 00:13:20,820 and more, 364 00:13:21,360 --> 00:13:22,019 of that 365 00:13:22,595 --> 00:13:24,054 tech forward mindset, 366 00:13:24,434 --> 00:13:25,414 across the board? 367 00:13:26,355 --> 00:13:27,014 You know, 368 00:13:28,274 --> 00:13:29,014 for me, 369 00:13:29,554 --> 00:13:32,434 it's really focusing on, you know, what I 370 00:13:32,434 --> 00:13:33,894 call blended intelligence 371 00:13:34,434 --> 00:13:36,600 when we talk about organizational growth, 372 00:13:37,079 --> 00:13:38,379 especially in health care, 373 00:13:38,839 --> 00:13:41,259 right, to bring the best knowledge 374 00:13:42,199 --> 00:13:44,759 to the point of decisioning and letting, you 375 00:13:44,759 --> 00:13:47,419 know, human wisdom apply the context values 376 00:13:47,799 --> 00:13:48,620 and the judgment 377 00:13:49,355 --> 00:13:50,014 at that 378 00:13:50,394 --> 00:13:52,634 point. So and, you know, this is where 379 00:13:52,634 --> 00:13:53,134 AI, 380 00:13:53,834 --> 00:13:54,894 really has the, 381 00:13:55,754 --> 00:13:56,254 capability 382 00:13:56,554 --> 00:13:57,774 to amplify human, 383 00:13:58,475 --> 00:13:58,975 wisdom, 384 00:13:59,355 --> 00:14:01,054 right, not to replace it. 385 00:14:01,360 --> 00:14:03,040 And that's where we want to be and 386 00:14:03,040 --> 00:14:04,660 make sure that we're very responsible, 387 00:14:05,519 --> 00:14:06,259 about it. 388 00:14:06,639 --> 00:14:08,879 K? And the one last thing is, I'll 389 00:14:08,879 --> 00:14:10,480 add, and I'll turn it over to Nassim, 390 00:14:10,480 --> 00:14:12,820 is that this is also the opportunity where, 391 00:14:12,960 --> 00:14:14,340 as we discussed before, 392 00:14:15,898 --> 00:14:17,384 for, innovation to be invisible. 393 00:14:18,085 --> 00:14:20,085 Right? So if we are doing the right 394 00:14:20,085 --> 00:14:21,865 things for our patients and our providers 395 00:14:22,485 --> 00:14:23,284 in a way that, 396 00:14:23,764 --> 00:14:26,164 we're allowing them to practice their medicine at 397 00:14:26,164 --> 00:14:28,105 the top of their license and our patients 398 00:14:28,325 --> 00:14:29,625 to have the best experience, 399 00:14:30,379 --> 00:14:30,879 and, 400 00:14:31,500 --> 00:14:34,059 we'll take advantage of it. Thanks, Simon. So 401 00:14:34,059 --> 00:14:34,559 Simon, 402 00:14:36,059 --> 00:14:38,460 hit on the one of the most important 403 00:14:38,460 --> 00:14:41,179 aspects of growth, which is enabling people to 404 00:14:41,179 --> 00:14:41,580 be, 405 00:14:42,584 --> 00:14:45,304 not only more productive, but also enjoy what 406 00:14:45,304 --> 00:14:47,625 they do day to day and keep, take 407 00:14:47,625 --> 00:14:48,605 away the mundane, 408 00:14:49,144 --> 00:14:51,544 repetitive parts of their workflow so that they 409 00:14:51,544 --> 00:14:53,544 can operate at the top of their lessons. 410 00:14:53,544 --> 00:14:55,245 So that's one aspect of growth. 411 00:14:55,769 --> 00:14:57,850 Another aspect of growth, at least for City 412 00:14:57,850 --> 00:14:59,389 of Hope, is patient access. 413 00:14:59,769 --> 00:15:02,250 We want to we want more patients to 414 00:15:02,250 --> 00:15:03,470 have access to, 415 00:15:04,009 --> 00:15:06,490 the world class care and research that we 416 00:15:06,490 --> 00:15:08,804 provide, and we are using a lot of 417 00:15:09,445 --> 00:15:11,464 technologies, including AI technologies, 418 00:15:12,085 --> 00:15:14,085 to make that possible so that in every 419 00:15:14,085 --> 00:15:15,144 community center, 420 00:15:15,524 --> 00:15:17,605 even outside of City of Hope, people can 421 00:15:17,605 --> 00:15:19,384 have access through our technology 422 00:15:20,085 --> 00:15:22,245 to the world class care and research that 423 00:15:22,245 --> 00:15:22,985 we provide. 424 00:15:23,579 --> 00:15:25,500 That's been something that has been top of 425 00:15:25,500 --> 00:15:25,980 mind, 426 00:15:26,539 --> 00:15:28,620 always for me over the past nine years 427 00:15:28,620 --> 00:15:31,759 and and so and finally, technology is there 428 00:15:31,980 --> 00:15:33,899 to be able to enable it in a 429 00:15:33,899 --> 00:15:34,879 very reliable 430 00:15:35,339 --> 00:15:37,419 fashion. So that's also something that we are 431 00:15:37,419 --> 00:15:38,399 focusing on. 432 00:15:39,134 --> 00:15:40,894 I love it. Thank you so much, Nasim 433 00:15:40,894 --> 00:15:42,654 and Simon, for joining us on the podcast 434 00:15:42,654 --> 00:15:44,174 today, and I'm looking forward to seeing you 435 00:15:44,174 --> 00:15:45,774 both as well at our annual meeting. I 436 00:15:45,774 --> 00:15:47,074 know you'll be 437 00:15:47,454 --> 00:15:49,394 doing a session, a fireside chat, 438 00:15:49,855 --> 00:15:51,934 with one of our editorial leaders just about 439 00:15:51,934 --> 00:15:54,419 everything we talked about here today and digging 440 00:15:54,419 --> 00:15:56,980 deeper into some of these areas that are 441 00:15:56,980 --> 00:15:59,480 so important when you think about technology and 442 00:15:59,620 --> 00:16:01,940 AI in health care and clinical care as 443 00:16:01,940 --> 00:16:04,259 well. It's just, incredible to see the opportunities 444 00:16:04,259 --> 00:16:06,295 and how you've been able to really maneuver 445 00:16:06,295 --> 00:16:07,575 around it at City of Hope. So I'm 446 00:16:07,575 --> 00:16:09,254 looking forward to learning more and seeing you 447 00:16:09,254 --> 00:16:10,154 in a couple weeks. 448 00:16:10,535 --> 00:16:12,455 Thank you. Looking forward to it. Same here. 449 00:16:12,455 --> 00:16:13,595 Thank you so much.