1 00:00:00,240 --> 00:00:03,060 Imagine this. You're at the Hyatt Regency Chicago 2 00:00:03,439 --> 00:00:06,000 immersed in insightful discussions with the health care 3 00:00:06,000 --> 00:00:07,459 industry's top leaders. 4 00:00:07,839 --> 00:00:10,580 Welcome to Becker's 12th annual CEO 5 00:00:10,880 --> 00:00:14,740 and CFO roundtable from November 11th to 14th, 6 00:00:15,039 --> 00:00:15,539 2024. 7 00:00:16,214 --> 00:00:19,355 Picture yourself networking with over a 1000 executive 8 00:00:19,414 --> 00:00:20,315 level attendees, 9 00:00:20,695 --> 00:00:23,835 collecting business cards and forging valuable connections. 10 00:00:24,295 --> 00:00:26,614 Feel the excitement as you engage in 4 11 00:00:26,614 --> 00:00:28,714 days of sessions featuring 400 12 00:00:29,095 --> 00:00:30,919 elite health system speakers. 13 00:00:31,460 --> 00:00:35,000 Envision yourself diving deep into critical topics like 14 00:00:35,059 --> 00:00:37,320 rural health care, digital transformation, 15 00:00:38,100 --> 00:00:40,439 health equity, and c suite diversity. 16 00:00:41,219 --> 00:00:44,759 Now imagine being inspired by our celebrity keynotes, 17 00:00:45,225 --> 00:00:48,265 pro football hall of famers Troy Aikman and 18 00:00:48,265 --> 00:00:52,104 Emmett Smith, 43rd president George w Bush, and 19 00:00:52,104 --> 00:00:55,385 author and journalist Jenna Bush Hager. Their stories 20 00:00:55,385 --> 00:00:57,645 will leave you motivated and energized. 21 00:00:58,289 --> 00:00:59,590 Don't miss this unparalleled 22 00:01:00,050 --> 00:01:03,270 opportunity. Get registered today. Visit beckershospitalreview.com 23 00:01:05,170 --> 00:01:07,010 and click on the events page to find 24 00:01:07,010 --> 00:01:09,510 the conference website. That's the beckershospitalreview.com 25 00:01:11,650 --> 00:01:13,834 events page. See you in Chicago. 26 00:01:15,174 --> 00:01:17,254 This is Laura Dirdle with the Becker's Healthcare 27 00:01:17,254 --> 00:01:19,334 podcast. I'm thrilled today to be joined by 28 00:01:19,334 --> 00:01:22,295 Nylene Flores, chief administrative officer of Lake Okani 29 00:01:22,295 --> 00:01:22,795 Orthopedics. 30 00:01:23,174 --> 00:01:24,534 Nylene, it's a pleasure to have you on 31 00:01:24,534 --> 00:01:25,515 the podcast today. 32 00:01:26,549 --> 00:01:28,650 Hi. Thank you, Laura. Appreciate the opportunity. 33 00:01:29,590 --> 00:01:31,670 Now I'm looking forward to our conversation because 34 00:01:31,670 --> 00:01:33,189 I know there's a lot happening in health 35 00:01:33,189 --> 00:01:34,409 care right now and certainly 36 00:01:34,790 --> 00:01:35,290 trends 37 00:01:35,670 --> 00:01:37,909 as well as things that, you know, many 38 00:01:37,909 --> 00:01:39,909 leaders are facing as challenges in in the 39 00:01:39,909 --> 00:01:42,125 upcoming months. But before we dive into our 40 00:01:42,125 --> 00:01:44,125 discussion, I was wondering, can you introduce yourself 41 00:01:44,125 --> 00:01:45,885 and tell us a little bit about, 42 00:01:46,364 --> 00:01:47,984 your current role in practice? 43 00:01:48,765 --> 00:01:51,004 Yes. Sure. So as you mentioned, I just 44 00:01:51,004 --> 00:01:53,665 recently moved to the Georgia area from Florida, 45 00:01:54,119 --> 00:01:56,759 and I am the chief administrative officer for 46 00:01:56,759 --> 00:01:57,899 Lake Oconee Orthopedics. 47 00:01:58,599 --> 00:01:59,659 However, I'm also 48 00:01:59,959 --> 00:02:02,920 consulting with surgery centers to help improve their 49 00:02:02,920 --> 00:02:03,899 overall operations 50 00:02:04,280 --> 00:02:05,259 and optimize 51 00:02:05,560 --> 00:02:06,619 the their efficiency. 52 00:02:07,025 --> 00:02:09,585 I have several, clients in Florida that I'm 53 00:02:09,585 --> 00:02:10,405 working with, 54 00:02:10,784 --> 00:02:11,604 in the area 55 00:02:11,985 --> 00:02:12,485 and 56 00:02:12,784 --> 00:02:13,284 to 57 00:02:13,585 --> 00:02:14,405 help them 58 00:02:14,944 --> 00:02:15,685 and improve 59 00:02:16,064 --> 00:02:16,564 processes 60 00:02:16,944 --> 00:02:17,504 to become 61 00:02:19,025 --> 00:02:21,990 to optimize all of their efficiencies throughout the 62 00:02:21,990 --> 00:02:24,550 facilities. So I'm having a lot of fun 63 00:02:24,550 --> 00:02:26,490 working with surgery centers in that capacity. 64 00:02:28,710 --> 00:02:30,310 Well, that's amazing here. And I know the 65 00:02:30,310 --> 00:02:32,650 surgery center business is certainly 66 00:02:33,044 --> 00:02:35,204 expanding and growing and experiencing somewhat of a 67 00:02:35,204 --> 00:02:37,444 renaissance right now as it becomes a more 68 00:02:37,444 --> 00:02:37,944 integral 69 00:02:38,405 --> 00:02:40,965 and important part of the larger and broader 70 00:02:40,965 --> 00:02:41,944 healthcare ecosystem. 71 00:02:42,245 --> 00:02:43,465 So many people now 72 00:02:43,844 --> 00:02:46,084 are really understanding and seeing and and seeking 73 00:02:46,084 --> 00:02:47,924 out care at surgery centers. So that's great 74 00:02:47,924 --> 00:02:49,500 to see. What What are some of the 75 00:02:49,500 --> 00:02:50,959 trends that you're watching currently? 76 00:02:51,900 --> 00:02:54,400 Well, as you mentioned, right, it's the migration 77 00:02:54,780 --> 00:02:56,639 the great migration to outpatient 78 00:02:56,939 --> 00:02:59,599 care. We've seen in the last couple years 79 00:03:00,060 --> 00:03:00,800 the move 80 00:03:01,099 --> 00:03:02,319 for total joints, 81 00:03:03,254 --> 00:03:05,894 starting with knees. Now last year, we saw 82 00:03:05,894 --> 00:03:07,194 the move to shoulders 83 00:03:07,655 --> 00:03:08,474 and ankles. 84 00:03:09,334 --> 00:03:11,754 So that great migration of bringing 85 00:03:12,294 --> 00:03:16,074 these higher acuity procedures to the outpatient setting 86 00:03:16,550 --> 00:03:17,209 is really 87 00:03:17,590 --> 00:03:18,650 close to watch, 88 00:03:19,269 --> 00:03:21,349 what we're doing and how the surgery centers 89 00:03:21,349 --> 00:03:22,090 are adapting 90 00:03:23,110 --> 00:03:24,569 and being able to 91 00:03:25,269 --> 00:03:26,569 perform these procedures 92 00:03:27,269 --> 00:03:30,090 safely and effectively in the outpatient space. 93 00:03:30,814 --> 00:03:34,114 Also, something very important to watch is, 94 00:03:34,414 --> 00:03:37,055 unfortunately, the reduction of health care providers in 95 00:03:37,055 --> 00:03:37,555 general. 96 00:03:38,094 --> 00:03:39,474 That's a little scary, 97 00:03:39,775 --> 00:03:40,995 and to see 98 00:03:41,294 --> 00:03:41,794 the 99 00:03:42,414 --> 00:03:43,474 general population 100 00:03:44,014 --> 00:03:44,834 growing older 101 00:03:45,240 --> 00:03:47,099 and then newer doctors 102 00:03:48,200 --> 00:03:49,419 being a little less 103 00:03:49,960 --> 00:03:50,460 independent 104 00:03:51,159 --> 00:03:52,620 and being more of an employed. 105 00:03:53,000 --> 00:03:55,240 I think that's gonna also play into where 106 00:03:55,240 --> 00:03:57,099 we're going in in health care in general. 107 00:03:57,400 --> 00:03:59,319 And then also the growth and use of 108 00:03:59,319 --> 00:03:59,819 AI 109 00:04:00,705 --> 00:04:03,344 within the health care field, everywhere from billing, 110 00:04:03,344 --> 00:04:06,564 your RCM management, to credentialing, to intraoperatively. 111 00:04:07,264 --> 00:04:08,724 How we're using AI 112 00:04:09,185 --> 00:04:11,905 in the health care fields is going to 113 00:04:11,905 --> 00:04:14,144 be revolutionized, I think, in the next, you 114 00:04:14,144 --> 00:04:15,444 know, 5 to 10 years. 115 00:04:17,259 --> 00:04:19,660 That's fascinating to hear. And in particular, as 116 00:04:19,660 --> 00:04:20,959 you're talking about technology, 117 00:04:21,339 --> 00:04:23,040 AI, and that integration into 118 00:04:23,420 --> 00:04:25,439 the health care space, I I can imagine 119 00:04:25,740 --> 00:04:28,300 it's a challenge for large institutions, but for 120 00:04:28,300 --> 00:04:30,720 for smaller practices and organizations, certainly, 121 00:04:31,455 --> 00:04:32,975 being able to stay on the advance and 122 00:04:32,975 --> 00:04:34,754 cutting edge of technology and the possibilities, 123 00:04:35,855 --> 00:04:38,014 you know, take takes a really strong leader 124 00:04:38,014 --> 00:04:38,415 that, 125 00:04:38,975 --> 00:04:41,295 feels, you know, it's important to incorporate those 126 00:04:41,295 --> 00:04:43,634 kinds of things into the broader processes and, 127 00:04:44,479 --> 00:04:46,879 be able to continue to accelerate the business 128 00:04:46,879 --> 00:04:47,379 model. 129 00:04:49,039 --> 00:04:49,779 For sure. 130 00:04:50,399 --> 00:04:52,240 What are you most focused on and excited 131 00:04:52,240 --> 00:04:53,139 about right now? 132 00:04:54,000 --> 00:04:54,500 Well, 133 00:04:55,199 --> 00:04:57,139 actually, it ties into 134 00:04:58,240 --> 00:04:58,740 everything, 135 00:04:59,495 --> 00:05:02,555 that is moving. So with this great migration 136 00:05:03,175 --> 00:05:04,555 and this acceleration, 137 00:05:05,574 --> 00:05:07,274 it's created a 138 00:05:07,894 --> 00:05:10,615 little bit of a gap. And so my 139 00:05:10,615 --> 00:05:12,314 passion, my personal passion, 140 00:05:12,935 --> 00:05:13,834 is education, 141 00:05:14,589 --> 00:05:15,089 and 142 00:05:15,870 --> 00:05:18,050 I really come from a 143 00:05:18,669 --> 00:05:22,449 health care oversight and management background, which includes 144 00:05:22,990 --> 00:05:23,490 credentialing. 145 00:05:24,029 --> 00:05:26,050 And I'm not talking about the monster 146 00:05:26,350 --> 00:05:28,529 of provider enrollment and contracting 147 00:05:29,149 --> 00:05:29,649 with 148 00:05:30,404 --> 00:05:33,305 insurance companies, which we know it's very political 149 00:05:34,004 --> 00:05:36,725 and very frustrating in general. I'm actually talking 150 00:05:36,725 --> 00:05:38,745 about the privileging and credentialing 151 00:05:40,245 --> 00:05:42,964 with the actual health care organization, with the 152 00:05:42,964 --> 00:05:43,464 ASC. 153 00:05:44,930 --> 00:05:46,709 And I have a mission 154 00:05:47,009 --> 00:05:50,069 to improve and continue educating 155 00:05:50,449 --> 00:05:50,949 facilities 156 00:05:51,410 --> 00:05:53,889 and to include this special focus in the 157 00:05:53,889 --> 00:05:54,949 surgery centers 158 00:05:55,329 --> 00:05:58,709 and improving their overall credentialing and privileging standards. 159 00:05:59,625 --> 00:06:02,425 This is because in a hospital setting, this 160 00:06:02,425 --> 00:06:04,824 has really been taken care of by a 161 00:06:04,824 --> 00:06:08,585 department. So, really, perioperative or intraoperative staff never 162 00:06:08,585 --> 00:06:11,305 has had to worry about credentialing, which is 163 00:06:11,305 --> 00:06:12,685 why there's such a gap. 164 00:06:13,250 --> 00:06:15,750 So with this higher acuity cases 165 00:06:16,210 --> 00:06:16,949 coming into 166 00:06:17,330 --> 00:06:18,550 the outpatient space, 167 00:06:19,090 --> 00:06:19,830 it creates 168 00:06:20,449 --> 00:06:22,069 the need to really 169 00:06:22,449 --> 00:06:25,029 focus and bring our attention 170 00:06:26,354 --> 00:06:28,055 to what we're doing 171 00:06:28,675 --> 00:06:31,095 to these patients and how are we monitoring 172 00:06:31,154 --> 00:06:32,694 this to optimize 173 00:06:33,394 --> 00:06:33,894 and 174 00:06:34,514 --> 00:06:37,634 really provide appropriate and safe care to our 175 00:06:37,634 --> 00:06:38,134 patients 176 00:06:38,834 --> 00:06:40,134 efficiently, safely, 177 00:06:40,435 --> 00:06:43,439 and appropriately in the out patient setting, which 178 00:06:43,439 --> 00:06:45,379 is really guided by, 179 00:06:45,839 --> 00:06:48,740 protected by, and focused by through the credentialing, 180 00:06:49,519 --> 00:06:52,879 peer review process within a surgery center. I 181 00:06:52,879 --> 00:06:55,125 do feel that there is a little bit 182 00:06:55,125 --> 00:06:56,644 of a gap, and I don't think that 183 00:06:56,644 --> 00:06:58,664 surgery centers have caught up 184 00:06:59,044 --> 00:07:01,444 to where the standards of a hospital are, 185 00:07:01,444 --> 00:07:03,524 but yet we are performing the same kind 186 00:07:03,524 --> 00:07:04,664 of procedures now. 187 00:07:04,964 --> 00:07:05,464 So 188 00:07:06,564 --> 00:07:09,384 we want to make sure that our administrators 189 00:07:10,620 --> 00:07:11,920 are allowing a place 190 00:07:12,300 --> 00:07:15,580 for credentialing and ongoing monitoring of these higher 191 00:07:15,580 --> 00:07:17,520 acuity cases that are being performed. 192 00:07:17,899 --> 00:07:20,620 We, as surgery sensors, are required to maintain 193 00:07:20,620 --> 00:07:23,259 our SSI logs to see if you know, 194 00:07:23,259 --> 00:07:23,819 to monitor, 195 00:07:24,139 --> 00:07:26,139 complications and to really do the same thing 196 00:07:26,139 --> 00:07:29,074 that hospitals are doing, but yet these this 197 00:07:29,074 --> 00:07:31,714 is still being considered just a, you know, 198 00:07:31,714 --> 00:07:34,035 paper function that, you know, maybe we just 199 00:07:34,035 --> 00:07:35,875 have to monitor licenses when it really is 200 00:07:35,875 --> 00:07:36,935 so much more. 201 00:07:37,235 --> 00:07:38,995 So while we continue to grow in the 202 00:07:38,995 --> 00:07:41,720 outpatient space, I think that there is a 203 00:07:41,720 --> 00:07:42,779 need to focus 204 00:07:43,399 --> 00:07:44,220 and educate, 205 00:07:45,639 --> 00:07:46,139 leaders 206 00:07:46,439 --> 00:07:49,240 to the importance of really what credentialing is 207 00:07:49,240 --> 00:07:50,539 in a surgery center, 208 00:07:50,919 --> 00:07:52,519 where it's going, what it needs to be, 209 00:07:52,519 --> 00:07:54,120 what it needs to incorporate to be able 210 00:07:54,120 --> 00:07:54,939 to continue 211 00:07:56,294 --> 00:07:57,675 to accommodate safely 212 00:07:58,055 --> 00:08:00,394 these types of procedures in the outpatient space. 213 00:08:00,774 --> 00:08:03,414 The other thing I am so excited that 214 00:08:03,414 --> 00:08:06,954 I hope continues to move into this direction 215 00:08:07,589 --> 00:08:08,810 is electronic 216 00:08:09,110 --> 00:08:12,250 charting. We really need to streamline all processes 217 00:08:12,790 --> 00:08:14,649 and allow for appropriate reporting, 218 00:08:14,949 --> 00:08:17,350 and still hasn't been mandated for surgery centers 219 00:08:17,350 --> 00:08:19,509 to go electronic. But I feel that if 220 00:08:19,509 --> 00:08:22,870 surgery centers begin adopting this paperless model, we 221 00:08:22,870 --> 00:08:23,324 can 222 00:08:24,285 --> 00:08:24,785 stop 223 00:08:25,324 --> 00:08:26,225 killing trees 224 00:08:26,685 --> 00:08:29,185 with all this paper and, reduce, 225 00:08:30,525 --> 00:08:32,384 reduce paper and start 226 00:08:33,085 --> 00:08:33,904 to promote, 227 00:08:35,085 --> 00:08:35,585 digital 228 00:08:35,965 --> 00:08:36,465 transformation 229 00:08:36,924 --> 00:08:39,409 into the surgery center world just to become 230 00:08:39,409 --> 00:08:42,149 more efficient and have a lot more accurate 231 00:08:42,209 --> 00:08:43,829 reporting than counting papers. 232 00:08:45,889 --> 00:08:47,329 I love that. I think, you know, it's 233 00:08:47,329 --> 00:08:50,230 so critical, as you said, to really monitor, 234 00:08:51,245 --> 00:08:53,404 and make sure that you're doing everything possible 235 00:08:53,404 --> 00:08:56,225 to have efficient and effective operations and keeping 236 00:08:56,284 --> 00:08:58,845 patients safe as well. I appreciate all of 237 00:08:58,845 --> 00:08:59,404 the different, 238 00:08:59,884 --> 00:09:02,365 challenges bringing some of those higher acuity cases 239 00:09:02,365 --> 00:09:05,589 into the ASC present in achieving those goals, 240 00:09:05,589 --> 00:09:07,449 but certainly it's exciting to see, 241 00:09:07,909 --> 00:09:09,909 some of those, you know, opportunities to bring 242 00:09:09,909 --> 00:09:11,750 them into the outpatient setting and then just 243 00:09:11,750 --> 00:09:13,990 knowing and having that credentialing process in place 244 00:09:13,990 --> 00:09:15,129 is so, so important. 245 00:09:15,669 --> 00:09:17,995 And then boosted by the electronic charting and 246 00:09:17,995 --> 00:09:19,514 those kinds of things can be a a 247 00:09:19,514 --> 00:09:20,574 real game changer. 248 00:09:20,875 --> 00:09:22,954 Now I'm wondering, Nylene, could you talk a 249 00:09:22,954 --> 00:09:25,194 little bit about, some of the things that 250 00:09:25,194 --> 00:09:26,794 you're most proud of from the last 6 251 00:09:26,794 --> 00:09:28,174 to 18 months or so? 252 00:09:29,674 --> 00:09:31,054 I am proud 253 00:09:31,514 --> 00:09:32,014 to 254 00:09:33,600 --> 00:09:35,860 be able to speak nationally 255 00:09:36,240 --> 00:09:37,779 on the importance of 256 00:09:38,879 --> 00:09:41,039 credentialing and privileging, which is so hard dear 257 00:09:41,200 --> 00:09:42,419 near and dear to my heart. 258 00:09:42,959 --> 00:09:45,839 I'm proud that we've been able to begin 259 00:09:45,839 --> 00:09:49,274 this process of cross educating and promoting this 260 00:09:49,274 --> 00:09:51,615 teaching in the ASC space, 261 00:09:53,115 --> 00:09:54,815 working with ASCA and 262 00:09:55,115 --> 00:09:57,935 organizations like ASCA and NAMS to collaborate 263 00:09:58,610 --> 00:10:01,809 and teach this little nuance to ultimately protect 264 00:10:01,809 --> 00:10:02,470 our patients. 265 00:10:02,850 --> 00:10:04,870 So I've I'm privileged to, 266 00:10:05,649 --> 00:10:07,990 be here in in this communication. 267 00:10:08,690 --> 00:10:09,669 And I'm also, 268 00:10:10,049 --> 00:10:12,345 very proud to see the growth and, 269 00:10:13,065 --> 00:10:13,565 implementing 270 00:10:13,945 --> 00:10:16,504 EHR in my clients right now that I 271 00:10:16,504 --> 00:10:18,985 have. We've been doing a great job, and 272 00:10:18,985 --> 00:10:21,304 to have the support of those softwares to 273 00:10:21,304 --> 00:10:24,845 assist us in this move towards improving 274 00:10:25,589 --> 00:10:28,470 these processes in a surgery center is really 275 00:10:28,470 --> 00:10:31,370 exciting. And, obviously, opening a brand new orthopedic 276 00:10:31,669 --> 00:10:32,169 practice 277 00:10:32,789 --> 00:10:33,289 myself 278 00:10:33,829 --> 00:10:34,329 is 279 00:10:34,870 --> 00:10:37,289 great, and it has been very successful 280 00:10:37,829 --> 00:10:40,250 with the support of, obviously, my physician leadership. 281 00:10:41,644 --> 00:10:43,725 So lots, lots of growth in the last 282 00:10:43,725 --> 00:10:44,225 year. 283 00:10:45,565 --> 00:10:47,804 That's amazing to hear. Congratulations on the growth 284 00:10:47,804 --> 00:10:49,504 and really just expanding, 285 00:10:49,884 --> 00:10:52,205 your professional development. Now before we wrap up 286 00:10:52,205 --> 00:10:53,965 here, I'm wondering what advice would you give 287 00:10:53,965 --> 00:10:56,044 to evolving leaders, especially in the health care 288 00:10:56,044 --> 00:10:56,865 space today? 289 00:10:58,230 --> 00:11:01,029 Is grab the future with your hands, with 290 00:11:01,029 --> 00:11:03,050 your mind. So educate yourself. 291 00:11:03,590 --> 00:11:04,330 Be inquisitive. 292 00:11:05,110 --> 00:11:07,050 Build your personal profile. 293 00:11:07,670 --> 00:11:09,690 Understand that the health care industry 294 00:11:10,309 --> 00:11:11,610 in general involves 295 00:11:11,990 --> 00:11:12,490 everyone. 296 00:11:13,565 --> 00:11:15,725 So just because you're just doing scheduling in 297 00:11:15,725 --> 00:11:17,825 a surgery center, you're not just doing scheduling. 298 00:11:18,125 --> 00:11:20,225 Understand everything you've learned 299 00:11:20,684 --> 00:11:23,105 and had to know to book that case 300 00:11:23,245 --> 00:11:25,725 and optimize that. If it's something that you 301 00:11:25,725 --> 00:11:28,339 truly love, go for it. Get certified. 302 00:11:28,879 --> 00:11:31,059 Look for where you can grow professionally, 303 00:11:31,919 --> 00:11:33,519 if that's where you wanna go. Some people 304 00:11:33,519 --> 00:11:35,459 don't don't want to, and and that's okay. 305 00:11:35,679 --> 00:11:36,179 But 306 00:11:36,639 --> 00:11:38,179 promoting yourself, understanding, 307 00:11:38,559 --> 00:11:41,940 and respecting each other's roles, respect the nurses, 308 00:11:43,324 --> 00:11:45,345 that do this day in and day out 309 00:11:45,485 --> 00:11:48,044 and, you know, have to be there frontline 310 00:11:48,044 --> 00:11:49,485 with the patients and have to have a 311 00:11:49,485 --> 00:11:51,904 smile on their face. But then the nurses 312 00:11:51,964 --> 00:11:54,044 respect the business office staff. That has to 313 00:11:54,044 --> 00:11:56,250 be the first ones to greet those patients. 314 00:11:56,250 --> 00:11:58,250 That has to call the patient with their 315 00:11:58,250 --> 00:12:00,649 balance. You know? Yeah. The nurse has to 316 00:12:00,649 --> 00:12:02,490 be on call, but guess what? We gotta 317 00:12:02,649 --> 00:12:04,889 the business office has to deal calling those 318 00:12:04,889 --> 00:12:07,389 patients out there. So respect each other, understand 319 00:12:08,324 --> 00:12:09,845 understand how in the health care field, we 320 00:12:09,845 --> 00:12:11,924 all depend on each other. One role is 321 00:12:11,924 --> 00:12:14,324 not more important than the other, and that 322 00:12:14,324 --> 00:12:16,884 goes from the physicians all the way down 323 00:12:16,884 --> 00:12:18,264 to your front desk registration 324 00:12:18,884 --> 00:12:21,304 because a physician cannot perform surgery 325 00:12:21,750 --> 00:12:24,549 without having the support of the staff, and 326 00:12:24,549 --> 00:12:26,309 the staff cannot have a job without the 327 00:12:26,309 --> 00:12:29,370 surgeon. So we all just need to, understand, 328 00:12:29,509 --> 00:12:31,529 work with each other, promote each other, 329 00:12:32,070 --> 00:12:34,389 help each other out. Knowledge is power, and 330 00:12:34,389 --> 00:12:36,710 the more we share knowledge, the better growth 331 00:12:36,710 --> 00:12:39,184 we're gonna have, Not only as an industry, 332 00:12:39,245 --> 00:12:42,204 as a person, but just in general, we 333 00:12:42,204 --> 00:12:42,865 should all 334 00:12:43,404 --> 00:12:44,384 move towards, 335 00:12:45,245 --> 00:12:47,804 building up each other so that we can 336 00:12:47,804 --> 00:12:49,184 improve health care overall. 337 00:12:51,850 --> 00:12:54,490 Fantastic. I love that. What great advice and 338 00:12:54,490 --> 00:12:56,889 so important from the heart. Thank you so 339 00:12:56,889 --> 00:12:58,730 much, Nyleen, for joining us on the podcast 340 00:12:58,730 --> 00:13:00,990 today. This has been a really fun conversation. 341 00:13:01,049 --> 00:13:02,649 I look forward to connecting with you again 342 00:13:02,649 --> 00:13:04,909 soon. Great. Thank you so much, Laura.