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Imagine this. You're at the Hyatt Regency Chicago

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surrounded by the top minds in the ambulatory

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surgery center industry.

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Welcome to the Becker's 30th annual meeting, the

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business and operations of ASCs from October 30th

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to November second,

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2024. Picture the excitement as you collect business

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cards from over a 1000 executive level attendees

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forging priceless connections.

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Feel the buzz of conversations

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as you participate in more than 60 sessions

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led by over

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225 elite ASC speakers.

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Envision yourself gaining actionable insights on topics like

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private equity strategies,

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ASC business growth, and innovations in spine, orthopedics,

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GI, ophthalmology, and cardiology.

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Now imagine yourself listening to inspiring keynotes from

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Hall of Fame boxing world champion, Lila Ali,

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and professional basketball player, Caitlin Clark. Their stories

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will motivate you to take your business to

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new heights. You'll leave with a wealth of

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knowledge and a network of connections to help

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lead your ASC into the next year. Don't

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miss out. Get registered today. Visit beckershospitalreviewdot

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com and click on the events page to

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find the conference website. That's the beckershospitalreview.com

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events page. See you in Chicago.

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This is Scott Becker with Becker's CURE podcast.

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I'm thrilled today to be joined by a

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brilliant leader. We're joined today by Prashant

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Bhalla.

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Prashant is the chief of ambulatory surgical services

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and vice president of ASC operations at Shield

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Health. He'll tell us about himself, about Shield

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Health, and a lot more.

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Prashant, can you talk to us about tell

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us about yourself first, about you, your background,

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your history. Tell us a little bit about

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you.

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Perfect. No. Thanks, Scott. Thanks for the time

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this morning.

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And, it's an honor to be with you

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here today.

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I am fortunate, I guess, is probably the

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best way to describe,

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my my background. I'm blessed and fortunate.

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I get to do what I believe is

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my mission, which is trying to change the

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way health care is delivered.

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More specifically,

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the company I work for, Shields Health, we

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are in, New England,

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and my the majority of my work is

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based in Massachusetts.

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And so when when we're sort of surrounded

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and populated by exceptional,

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health care,

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in this market, exceptional hospital, academic health care,

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it's just an honor to be able to

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do what we do here,

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in trying to change the way healthcare is

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delivered.

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So I have, I'm going to say probably

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around 15, 20 years of healthcare experience,

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predominantly in the administrative

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side of it. Worked for the VA, started

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my career in the VA, and learned a

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lot from the great mission that they have

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there.

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Transitioned into consulting,

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where if you can believe it, about 10

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years ago, I was working on projects. We

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were reducing the length of stay for total

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joints from 5 days to 3 days, and

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now we're talking about within hours.

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And then fast forward to working in academic

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institution in the community settings.

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And now for a health care management company,

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that's predominantly focused on,

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2 major areas of health care.

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Shields Health focuses on imaging.

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So both the diagnostic imaging through MRI

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and PETCT.

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And then my line of work, which is

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overseeing the ambulatory surgery business,

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for the company here in Massachusetts and New

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England.

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Oh, fantastic. I'm gonna ask you about surgery

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centers in a in a moment.

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1st, I'd like to ask you another question

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about yourself.

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You've been a lifelong learner,

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college degree, then a master's degree,

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then a master's in health administration.

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Give us a sense of the importance of

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that commitment to lifelong learning for professionals,

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both keeping oneself motivated,

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learning. Talk a little bit about that commitment

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to lifelong learning because it's very incur very

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impressive.

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Well, no. I appreciate that. I think,

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you know, it's it's probably a combination of

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a couple things.

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One of which is just simply the the

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notion of,

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finding a mission,

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and finding mine perhaps a little bit,

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in the academic process of what I wanna

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do, what I wanna be when I grow

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up. And so that took me through an

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undergraduate

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in, political science and geography.

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Worked at a think tank, worked at a

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couple of different jobs, traveled a little bit

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in the world,

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came back, did a master's in applied economics,

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agricultural economics,

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and then, continued on to do my master's

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in health administration.

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I think it was through that process of

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education, just trying to figure out where I

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can leave my mark,

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where I can make a difference.

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I think there's always going to be where

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can I make money, but, and, you know,

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we have my financial security? But I think

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for the number of hours we put into

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our daily professional lives,

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for me, it was trying to find that

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thing that,

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that that career, that job, that task, whatever

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it might be that gave me,

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fulfillment.

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And I think going through the process of

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of different degrees, different experiences,

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brought me to where I am today. And,

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you know, just again sort of blast and

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honor to be able to do what I'm

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doing today, which I hope is making lasting

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impact on health care.

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Thank you very, very much. I I I

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love the whole response, and I love you

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not downplaying or at least articulating.

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Look. You gotta have a great career or

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and passion and what you love, but you

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also gotta make a living. The the the

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2 are important and not to make to

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making the living part the total priority or

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money the priority, but it's important to do

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both. You gotta make a living too at

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what you're doing. It it it it it

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it's so critical, and and I love that

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reality.

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Talk a little bit about surgery

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centers. As you work in the surgery center

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space, what are some of the trends you're

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watching in the surgery center area?

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Yeah. I think there's there are a few.

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Right? So there's the increasing reimbursement in some

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specialties

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and in some, procedures.

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And then there's the, sort of reducing,

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reimbursement in in some of the specialties and,

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procedures. And it's sort of trying to find

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the happy balance between,

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what is it that we need to do

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as a business and what is it that

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we need to do

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for our communities?

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And and we sort of play this really,

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you know, honorable role. I think what we

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do here in our community where we get

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to partner with some of the major academic

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institutions

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in Massachusetts

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to help them fulfill their mission.

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While we also do our own, which is

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again to to my, earlier statement, I think,

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trying to change the way healthcare is delivered

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from a surgery center perspective.

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It is about what can we give our

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patients that,

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that they don't need to go to the

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hospital for? How do we be the safety

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valve for the hospital so they can focus

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on the bigger, harder things, and we can

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focus on the things that are,

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more obviously outpatient and allow for our providers

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to have more,

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efficient days and more predictable days.

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And patients are not bumped and, they're they

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have predictable hours and they're able to get

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their case, their their procedures done when expected

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at a lower reimbursement,

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and, you know, at the high quality of

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access. And, oh, yeah, by the way, you

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know, if we're gonna look at the the

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way hospitals do with the quadruple aim, not

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only do we wanna do cost quality and

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access, but I also wanna create an environment

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where we're providing satisfaction,

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whether it's to our provider, whether it's to

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the patient, but also to the team of

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caregivers

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that we have employed that, they wanna retire

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from where we work. And so it's building

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that organization

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where we all succeed, and everybody wins at

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the end of the day.

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Thank you very, very much. And when you

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look at this coming year, what are you

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most excited about and focused on?

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I think there is one area,

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that seems

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to ebb and flow for me a lot.

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We're we're doing a lot. Let me let

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me back up and say we're doing a

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lot in the outpatient space. In Massachusetts, I

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think we're a leader now in outpatient total

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joints.

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From a surgery center perspective,

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we are also a leader in outpatient spine.

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I believe we're still the only

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ASC,

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network in Massachusetts that has an endoscopic spine

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program.

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We're the only ones doing vascular procedures in

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an ASC in Massachusetts.

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And, we're looking into cardiology and expanding into

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the, different areas of cardiology,

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once regulations,

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allow for that, here in Massachusetts. And so

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I think we do a lot. I think

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we look at sort of what's that next

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procedure, that next specialty.

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And that in and of itself is exciting

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for me. You know, I think there's a

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number of things where we continue to deliver

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the highest quality of care in orthopedics, especially,

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and then some of the other specialties that

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we we provide in our multi specialty centers.

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But the higher acuity or the more complex

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care

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that routinely, at least in New England and

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Massachusetts,

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was predominantly hospital only until recently,

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is sort of the area that excites me

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the most. And and sort of your other

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question of trends, looking at

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trends. Spine is probably one of those where

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the trends seem to go up one day

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and then 2 steps back the next day.

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And so it really keeps me excited to

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say, well, what's next? How do we keep

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moving this? How do we grow it? How

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do we continue to offer outpatient

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opportunity to to our patients and to our

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communities and and continue to grow with our

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providers that are looking to to navigate the

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outpatient setting for for what used to be,

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at least in New England, predominantly

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hospital or inpatient only care. So helping to

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keep continue to change change that trend in

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and of itself. That's pretty exciting to me.

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Thank you very, very much. It's a it's

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a lot going on, and and Massachusetts has

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been a unique place

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with the the certificate of need laws, single

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specialty laws, the challenges of multi specialty. The

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hospitals have a control over a lot of

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stuff there and so forth. How much is

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your work with hospitals and health systems versus

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independent surgery centers?

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No. Great question. And so,

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I think our DNA of shields health is,

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steeped in partnership with hospitals and health systems.

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We yeah. Back to our larger story of

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MRI and PETCT, given a lot of what

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PET does in, the healthcare continuum of care,

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it's natural for us to have a long

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and storied history of working with hospitals for

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not only PET, but then also MRI. And

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that dovetails into quickly,

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sort of shields MRI identifies the problem, shields

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ASC then helps remove it or helps fix

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it. And so, we do a lot of

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work, with our hospital partners. 3 of our

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4 centers,

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are directly affiliated with hospitals and and health

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systems.

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And then one of them is,

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with an ACO,

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a private practice ACO along with private practice

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physicians. And so we have a good mix.

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Our 4 centers, I call them all, snowflakes

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in the sense that no 2 are the

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same.

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They all have different sort of ownership models,

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different composition of specialties,

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different age ranges in terms of the types

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of patients we take care of, that dovetails

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into the specialties we care for.

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But,

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given where we are, the landscape, the geography,

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the the close knit health care community that

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exists in Massachusetts,

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it's imperative that,

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we work with hospitals. And I and I

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think we're fortunate that we've got some great

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hospital partners, and we'll continue to work with

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them in the in the future.

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Thank you very, very

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much. It's fantastic to speak with you, Prashant.

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Talk about what advice you would give to

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emerging leaders in healthcare, people trying to have

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impactful careers in healthcare.

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That's a great question. I think, emerging leaders,

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I think one of the things I would

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offer them

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is to just be a lifelong student. I

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think earlier in this conversation I mentioned sort

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of my educational past, but not a day

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goes by

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where I'm not learning something new. And Scott,

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I guess I have you to thank for

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some of that, with just regards to the

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publications you have and and sort of all

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the news clips and and,

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different stories that are coming out in healthcare.

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So be a lifelong student. I think one

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of the biggest things that I've seen in

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my career

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is an apprehension of asking questions.

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Surgery, a lot of type a personalities, but

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never stops me from asking world renowned surgeons

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that I get to work with or or,

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you know, 20, 30 year old long career

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nurses that have been around and seen everything.

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Love to be able to ask them questions

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as sort of a leader on my side,

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on the administrative side, the business side. Teach

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me everything I can know about the clinical

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so that we can partner together

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to create an environment, to create

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a place where people love to come work,

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people love to come receive care. And I

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think, in in doing that or trying to

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create that, it's it's just because I'm continuing

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to try to learn.

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And so, put the ego aside,

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learn as much as you can, ask the

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questions,

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and never hesitate to to to find find

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a mentor and to seek assistance where you

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can.

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Thank you very much. Prashant Pal, what a

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pleasure to visit with you today on the

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Becker's Health Care podcast. What a great career.

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Thank you for joining us and shedding more

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light on what's going on in the surgeries

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in our world. Thank you very much for

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joining us.

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Thank you, Scott.