1 00:00:00,080 --> 00:00:02,240 Hi, everyone. This is Lucas Voss with Becker's 2 00:00:02,240 --> 00:00:03,919 Healthcare. Thanks so much for tuning in to 3 00:00:03,919 --> 00:00:06,960 the Becker's Healthcare podcast series. It's great to 4 00:00:06,960 --> 00:00:08,880 have you, and I'm excited to welcome you 5 00:00:08,880 --> 00:00:11,039 to part one of our series on the 6 00:00:11,039 --> 00:00:14,500 evolution of soldier surgery and the increasing shift 7 00:00:14,639 --> 00:00:15,380 to ASC 8 00:00:15,835 --> 00:00:18,255 Environments. And joining me for today's discussion, 9 00:00:18,875 --> 00:00:19,375 fantastic 10 00:00:19,755 --> 00:00:22,155 to have him, is doctor Aaron Chamberlaine. He's 11 00:00:22,155 --> 00:00:24,654 a board certified orthopedic surgeon with the Intermountain 12 00:00:24,795 --> 00:00:27,914 Orthopedic Specialty Group. His clinical interests include leading 13 00:00:27,914 --> 00:00:31,295 edge surgical management of shoulder and elbow problems, 14 00:00:31,539 --> 00:00:33,239 as well as innovative arthroscopic 15 00:00:33,539 --> 00:00:36,820 and open reconstructive surgical techniques. Doctor Chamberlain is 16 00:00:36,820 --> 00:00:39,379 passionate about advancing and innovating surgical care of 17 00:00:39,379 --> 00:00:41,780 the shoulder and elbow, which we'll hear about 18 00:00:41,780 --> 00:00:43,939 in a little bit. Doctor Chamberlain, it's great 19 00:00:43,939 --> 00:00:45,059 to have you. Thanks so much for being 20 00:00:45,059 --> 00:00:46,934 here today. Thank Thank you, Lucas. It's good 21 00:00:46,934 --> 00:00:48,314 to be with you. Absolutely. 22 00:00:48,695 --> 00:00:50,234 We need to start at the beginning. 23 00:00:50,774 --> 00:00:54,134 How does one get into shoulder and elbow 24 00:00:54,134 --> 00:00:54,634 orthotics? 25 00:00:55,015 --> 00:00:56,295 I'd love to hear a little bit more 26 00:00:56,295 --> 00:00:57,894 about how you got into the space and 27 00:00:57,894 --> 00:00:59,674 then what interests you in the space. 28 00:01:00,295 --> 00:01:02,350 Yeah. I think it's, you know, as with 29 00:01:02,350 --> 00:01:04,189 many things, it's it's a long road and 30 00:01:04,189 --> 00:01:06,909 a series of decisions. Right? So from medical 31 00:01:06,909 --> 00:01:08,590 school, we we kind of have an an 32 00:01:08,590 --> 00:01:09,969 idea of what type of, 33 00:01:10,430 --> 00:01:12,270 you know, physician we wanna do and, you 34 00:01:12,270 --> 00:01:14,370 know, and types of things we wanna practice. 35 00:01:14,615 --> 00:01:15,734 And so a lot of us make a 36 00:01:15,734 --> 00:01:18,215 decision. We wanna go surgical versus nonsurgical. And 37 00:01:18,215 --> 00:01:20,314 once we've made a decision to go surgical 38 00:01:20,375 --> 00:01:22,935 and orthopedics is a is a common area 39 00:01:22,935 --> 00:01:23,594 to consider, 40 00:01:23,975 --> 00:01:27,115 within orthopedic surgery residency, one of the subspecialties 41 00:01:27,415 --> 00:01:29,890 you can select is shoulder and elbow surgery. 42 00:01:29,890 --> 00:01:31,489 And and one of the things that drew 43 00:01:31,489 --> 00:01:33,649 me to shoulder and elbow surgery was the 44 00:01:33,649 --> 00:01:35,670 the the kind of vast, 45 00:01:36,289 --> 00:01:39,329 diversity of surgical techniques we use, you know, 46 00:01:39,329 --> 00:01:40,950 anything from an arthroscopic 47 00:01:41,329 --> 00:01:43,364 minimally invasive technique to more, 48 00:01:43,765 --> 00:01:44,665 large reconstructive 49 00:01:45,045 --> 00:01:48,325 open surgical techniques and being able to manage 50 00:01:48,325 --> 00:01:50,325 and and try to try to manage everything 51 00:01:50,325 --> 00:01:52,564 from all from simple to complex in the 52 00:01:52,564 --> 00:01:53,064 shoulder 53 00:01:53,685 --> 00:01:55,765 rather than just doing, you know, part of 54 00:01:55,765 --> 00:01:58,004 that spectrum of care that there's subspecialty of 55 00:01:58,004 --> 00:01:59,224 shoulder and elbow surgery. 56 00:01:59,579 --> 00:02:01,840 And that training lends itself well to 57 00:02:02,379 --> 00:02:03,819 that, kinda be the master of the joint, 58 00:02:03,819 --> 00:02:05,500 so to speak, and be the the subject 59 00:02:05,500 --> 00:02:06,319 matter expert. 60 00:02:07,099 --> 00:02:09,180 And then along with that interest, I I 61 00:02:09,180 --> 00:02:09,680 was, 62 00:02:10,459 --> 00:02:10,959 fortunate, 63 00:02:11,580 --> 00:02:14,060 to work alongside some fantastic mentors. So in 64 00:02:14,060 --> 00:02:14,719 my residency, 65 00:02:15,395 --> 00:02:17,875 doctor Rick Mattson, who's, considered one of the 66 00:02:17,875 --> 00:02:20,115 father figures in shoulder shoulder surgery in The 67 00:02:20,115 --> 00:02:22,375 United States and North in the world, really, 68 00:02:22,835 --> 00:02:25,235 working alongside him in residency along with doctor 69 00:02:25,235 --> 00:02:27,794 Winston Warm. And then doing a a shoulder 70 00:02:27,794 --> 00:02:29,794 and elbow fellowship was kind of that next 71 00:02:29,794 --> 00:02:33,009 decision where, you know, trying to follow follow 72 00:02:33,009 --> 00:02:34,469 doctor Mattson's lead, 73 00:02:35,009 --> 00:02:36,530 and and his guidance and went into the 74 00:02:36,530 --> 00:02:38,689 shoulder and elbow fellowship at Washington University in 75 00:02:38,689 --> 00:02:40,370 Saint Louis and was able to work with, 76 00:02:40,370 --> 00:02:43,109 again, some fantastic mentors in doctor Ken Yamaguchi, 77 00:02:43,329 --> 00:02:44,469 doctor Lisa Gallitz, 78 00:02:44,794 --> 00:02:45,854 doctor Jay Keener, 79 00:02:46,715 --> 00:02:48,634 at WashU in Saint Louis and had a 80 00:02:48,634 --> 00:02:51,594 great, experience there, learned a ton about shoulder 81 00:02:51,594 --> 00:02:53,114 and elbow surgery, and was able to stay 82 00:02:53,114 --> 00:02:54,175 on there as faculty, 83 00:02:54,794 --> 00:02:56,634 for a little over a decade, as part 84 00:02:56,634 --> 00:02:57,754 of the shoulder and elbow, 85 00:02:58,155 --> 00:02:58,655 faculty, 86 00:02:59,189 --> 00:03:00,949 before joining Intermountain Health, 87 00:03:01,270 --> 00:03:02,409 a few years ago. 88 00:03:03,030 --> 00:03:04,789 Feel like your title should just be a 89 00:03:04,789 --> 00:03:06,709 master of joints. I love that. That's a 90 00:03:06,709 --> 00:03:09,349 fantastic title to have. And, again, speaking of 91 00:03:09,349 --> 00:03:11,844 titles, you certainly have a a unique role 92 00:03:11,844 --> 00:03:13,764 within Intermountain Health. I was wondering if you 93 00:03:13,764 --> 00:03:15,125 can talk a little bit about what your 94 00:03:15,125 --> 00:03:16,584 day to day looks like there, 95 00:03:16,884 --> 00:03:19,305 and how you really see health care evolving 96 00:03:19,525 --> 00:03:21,625 in your space, but also certainly beyond. 97 00:03:22,324 --> 00:03:24,644 Yeah. So my title within and my role 98 00:03:24,644 --> 00:03:26,889 within Intermountain Health is so I'm the senior 99 00:03:26,889 --> 00:03:28,509 medical director for the Musculoskeletal 100 00:03:28,969 --> 00:03:32,409 Clinical Program. So orthopedics essentially for our for 101 00:03:32,409 --> 00:03:34,729 our system. It's one of the larger health 102 00:03:34,729 --> 00:03:36,729 systems, in the country, and so we have 103 00:03:36,729 --> 00:03:38,729 a large large geography. But my role is 104 00:03:38,729 --> 00:03:42,134 to oversee and and guide, clinical best practice, 105 00:03:42,675 --> 00:03:43,414 and innovation 106 00:03:43,875 --> 00:03:46,754 care delivery of for orthopedics for our health 107 00:03:46,754 --> 00:03:47,254 system. 108 00:03:47,715 --> 00:03:49,235 On a day to day basis, my my 109 00:03:49,235 --> 00:03:51,314 time is roughly split half and half between 110 00:03:51,314 --> 00:03:53,849 my administrative role as well as my clinical 111 00:03:53,849 --> 00:03:55,689 practice that I that I continue to work 112 00:03:55,689 --> 00:03:58,250 with. But my what really intrigued me about 113 00:03:58,250 --> 00:04:00,750 this role and this job with Intermountain is 114 00:04:00,889 --> 00:04:01,629 the opportunity 115 00:04:02,009 --> 00:04:03,610 to kinda work in an area that I'm 116 00:04:03,610 --> 00:04:05,769 passionate about, which is how do we innovate 117 00:04:05,769 --> 00:04:07,849 and solve the bigger picture problems we see 118 00:04:07,849 --> 00:04:08,895 within health care. 119 00:04:09,294 --> 00:04:11,055 How do we solve and work toward more 120 00:04:11,055 --> 00:04:13,875 affordable health care, better clinical outcomes, more efficiency? 121 00:04:14,254 --> 00:04:15,694 How do we innovate in a way that 122 00:04:15,694 --> 00:04:17,074 takes advantage of the, 123 00:04:17,535 --> 00:04:19,615 the technologies that we see evolving, and how 124 00:04:19,615 --> 00:04:21,055 can they best help us in health care 125 00:04:21,055 --> 00:04:22,939 and specifically within musculoskeletal 126 00:04:23,319 --> 00:04:25,960 care. So that's that's my my role and 127 00:04:25,960 --> 00:04:28,520 my area of focus, within my senior medical 128 00:04:28,520 --> 00:04:29,020 director 129 00:04:29,400 --> 00:04:31,720 role within Intermountain in addition to my clinical 130 00:04:31,720 --> 00:04:32,220 practice. 131 00:04:32,920 --> 00:04:34,714 And you spoke a little bit about how 132 00:04:34,714 --> 00:04:36,314 how health care is evolving and, obviously, some 133 00:04:36,314 --> 00:04:37,914 of the challenges that we're seeing that that 134 00:04:37,914 --> 00:04:39,294 are evolving with 135 00:04:39,595 --> 00:04:41,294 health care certainly here this year, 136 00:04:41,675 --> 00:04:42,735 into next year. 137 00:04:43,194 --> 00:04:45,935 And we've seen a lot of this impact, 138 00:04:45,995 --> 00:04:49,290 especially practices like yours in terms of shoulder 139 00:04:49,290 --> 00:04:52,829 cases really migrating rapidly to ASC settings primarily. 140 00:04:53,689 --> 00:04:56,589 What do you think has driven that specific 141 00:04:56,810 --> 00:04:59,870 shift, and what impact has it had on 142 00:05:00,089 --> 00:05:02,430 both patients, but then also certainly on providers? 143 00:05:03,564 --> 00:05:05,725 Yeah. The shift to ASCs has been one 144 00:05:05,725 --> 00:05:06,464 of the biggest, 145 00:05:06,845 --> 00:05:08,305 changes we've seen in musculoskeletal 146 00:05:08,685 --> 00:05:10,524 care over the last several years. 147 00:05:11,245 --> 00:05:13,805 I I think, in my opinion, we were 148 00:05:13,805 --> 00:05:15,805 shifted and pushed in that direction a little 149 00:05:15,805 --> 00:05:18,170 bit with COVID where being in the hospital 150 00:05:18,170 --> 00:05:20,649 became a problem and and bigger challenge for 151 00:05:20,649 --> 00:05:23,209 us. And so we collectively, in our profession, 152 00:05:23,209 --> 00:05:24,110 I think, learned 153 00:05:24,569 --> 00:05:26,889 how we can help patients get out of 154 00:05:26,889 --> 00:05:29,129 the hospital or have have the surgery done 155 00:05:29,129 --> 00:05:32,074 in a non inpatient way. So whereas many, 156 00:05:32,074 --> 00:05:34,154 many years ago, patients would stay multiple nights 157 00:05:34,154 --> 00:05:36,634 in a hospital, we quickly we had been 158 00:05:36,634 --> 00:05:38,634 moving in that direction, and I think COVID 159 00:05:38,634 --> 00:05:40,955 accelerated that learning process of how do we 160 00:05:40,955 --> 00:05:42,014 safely and effectively 161 00:05:42,395 --> 00:05:44,875 help patients get through a surgical episode and 162 00:05:44,875 --> 00:05:46,555 then and be out of the hospital. And 163 00:05:46,555 --> 00:05:47,279 with that, 164 00:05:47,839 --> 00:05:50,100 alongside that, I should say, there was the 165 00:05:50,319 --> 00:05:52,720 the the ASC strategy that came came to 166 00:05:52,720 --> 00:05:54,560 bear and became a little more accelerated around 167 00:05:54,560 --> 00:05:56,800 that same time point where it became clear 168 00:05:56,800 --> 00:05:58,560 that, you know, with, with some of the 169 00:05:58,560 --> 00:06:00,720 early experience, we could provide a better patient 170 00:06:00,720 --> 00:06:01,220 experience, 171 00:06:01,745 --> 00:06:03,764 better outcomes in in most cases, 172 00:06:04,224 --> 00:06:07,024 and have it, cost less to the patient 173 00:06:07,024 --> 00:06:09,185 and cost less to the system to have 174 00:06:09,185 --> 00:06:11,264 it done in AAC. And so with the 175 00:06:11,264 --> 00:06:13,904 clinical learnings we have shifting from an inpatient 176 00:06:13,904 --> 00:06:16,564 to more outpatient total joint replacement surgery, 177 00:06:16,919 --> 00:06:19,419 Along with that, the economics of the ASC, 178 00:06:19,959 --> 00:06:20,759 I think those 179 00:06:21,319 --> 00:06:23,419 there's been two pretty powerful drivers 180 00:06:23,800 --> 00:06:25,740 to get more cases to the ASCs. 181 00:06:26,279 --> 00:06:28,519 And now we see that that, you know, 182 00:06:28,519 --> 00:06:29,339 health plans, 183 00:06:29,915 --> 00:06:32,314 are are also kind of accelerating that. They've 184 00:06:32,314 --> 00:06:33,935 they've we've seen a lot of partnerships 185 00:06:34,395 --> 00:06:36,235 with health plans where they're trying to provide 186 00:06:36,235 --> 00:06:39,115 incentives to providers to drive cases toward ASC 187 00:06:39,115 --> 00:06:42,235 where the claims expense savings is substantial on 188 00:06:42,235 --> 00:06:44,639 the health plan side. We also see patients, 189 00:06:44,939 --> 00:06:46,860 now more and more requesting for their cases 190 00:06:46,860 --> 00:06:49,180 to be done to ASC. They experience everything 191 00:06:49,180 --> 00:06:51,500 from something as simple as just finding parking 192 00:06:51,500 --> 00:06:53,899 and getting into the building, you know, having 193 00:06:53,899 --> 00:06:56,300 efficient, you know, an an efficient time efficient 194 00:06:56,300 --> 00:06:59,074 experience in the in the for their surgery 195 00:06:59,134 --> 00:06:59,634 day, 196 00:07:00,095 --> 00:07:02,274 and then having a more kind of a 197 00:07:02,455 --> 00:07:05,214 a a personal touch, to their to their 198 00:07:05,214 --> 00:07:07,634 surgical experience we can provide at the ASC. 199 00:07:07,935 --> 00:07:09,774 So I think, you know, moving forward, we're 200 00:07:09,774 --> 00:07:11,634 gonna continue to see that drive, 201 00:07:12,250 --> 00:07:13,550 from the patient standpoint, 202 00:07:14,569 --> 00:07:16,649 in their experience as well as the health 203 00:07:16,649 --> 00:07:19,449 health plan or health insurance standpoint as well. 204 00:07:19,449 --> 00:07:20,990 And then I should say for the providers, 205 00:07:21,209 --> 00:07:22,730 it's my favorite place to work is in 206 00:07:22,730 --> 00:07:24,730 a is in our surgical center. I mean, 207 00:07:24,730 --> 00:07:26,970 we have great efficiencies. We got a great 208 00:07:26,970 --> 00:07:29,615 team. People care, you know, put the patient 209 00:07:29,615 --> 00:07:31,654 first, and we're able to make decisions in 210 00:07:31,654 --> 00:07:33,375 a more nimble way around how do we 211 00:07:33,375 --> 00:07:35,854 think this is gonna positively affect the the 212 00:07:35,854 --> 00:07:37,375 care of patients we see, and we can 213 00:07:37,375 --> 00:07:39,235 we can enact those changes quickly. 214 00:07:39,694 --> 00:07:40,949 I I was going to say or or 215 00:07:40,949 --> 00:07:41,689 ask rather, 216 00:07:42,149 --> 00:07:44,069 what's for you? What's the you've mentioned a 217 00:07:44,069 --> 00:07:45,509 couple of them, but what's sort of the 218 00:07:45,509 --> 00:07:47,129 number one biggest advantage 219 00:07:47,750 --> 00:07:51,029 of performing these cases in that ambulatory setting 220 00:07:51,029 --> 00:07:53,110 for you as a surgeon versus actually being 221 00:07:53,110 --> 00:07:53,850 in a hospital? 222 00:07:54,694 --> 00:07:56,214 Yeah. So for me as a surgeon where 223 00:07:56,214 --> 00:07:58,294 my primary concern is how is my patient 224 00:07:58,454 --> 00:08:00,694 my the patient gonna feel and and what's 225 00:08:00,694 --> 00:08:02,615 their experience gonna be like. I feel most 226 00:08:02,615 --> 00:08:05,115 confident as a provider that I can create 227 00:08:05,175 --> 00:08:07,414 and and provide that experience for my patient, 228 00:08:07,414 --> 00:08:10,269 number one. Number two, you know, I can 229 00:08:10,269 --> 00:08:12,830 I can be I I'm passionate? I think 230 00:08:12,830 --> 00:08:14,269 a lot of my colleagues are passionate around 231 00:08:14,269 --> 00:08:15,709 how do we help health care be more 232 00:08:15,709 --> 00:08:16,209 affordable. 233 00:08:16,670 --> 00:08:18,509 I I know, and I I as part 234 00:08:18,509 --> 00:08:20,189 of my job, I can see the the 235 00:08:20,189 --> 00:08:22,425 the expense the the difference in expense to 236 00:08:22,425 --> 00:08:24,064 the health plan and the patient in many 237 00:08:24,064 --> 00:08:24,564 cases 238 00:08:25,024 --> 00:08:27,105 around doing the surgery at the ASC versus 239 00:08:27,105 --> 00:08:29,524 in a hospital setting. So we're clinically appropriate. 240 00:08:29,824 --> 00:08:32,065 I feel feel pretty strong that I'm able 241 00:08:32,065 --> 00:08:33,585 to save the patient money in their pocket, 242 00:08:33,585 --> 00:08:34,784 and that's one of the things that I 243 00:08:34,784 --> 00:08:36,945 feel strongly about in general is how do 244 00:08:36,945 --> 00:08:38,899 we help our patients feel like health care 245 00:08:38,899 --> 00:08:39,720 is more affordable, 246 00:08:40,580 --> 00:08:42,500 and, you know, and accessible in that way. 247 00:08:42,500 --> 00:08:45,299 And so for me and then thirdly, it's 248 00:08:45,299 --> 00:08:47,220 obviously more efficient for me. I I have 249 00:08:47,220 --> 00:08:48,820 the same team that I work with every 250 00:08:48,820 --> 00:08:50,995 every time I operate. I can, you know, 251 00:08:50,995 --> 00:08:53,075 affect change, and we can make decisions that 252 00:08:53,075 --> 00:08:53,554 are, 253 00:08:53,955 --> 00:08:56,434 that help the process be more safe, more 254 00:08:56,434 --> 00:08:57,975 higher quality, and more efficient. 255 00:08:58,595 --> 00:09:00,514 So for a provider that that having that 256 00:09:00,514 --> 00:09:02,834 ability to affect change like that like that, 257 00:09:02,834 --> 00:09:04,440 I think, is is a big deal. 258 00:09:05,080 --> 00:09:05,580 Speaking 259 00:09:06,279 --> 00:09:08,440 of efficiencies, I think we'd be remiss if 260 00:09:08,440 --> 00:09:10,200 we didn't talk about technology and a little 261 00:09:10,200 --> 00:09:12,120 bit about the innovation that's been happening in 262 00:09:12,120 --> 00:09:14,039 this space. Again, not just this year, but 263 00:09:14,039 --> 00:09:16,279 probably over the last five years and certainly 264 00:09:16,279 --> 00:09:17,720 heading into 2026. 265 00:09:17,720 --> 00:09:21,105 And, certainly, patient expectations are are changing as 266 00:09:21,105 --> 00:09:23,285 well. They they continue to shape the outpatient 267 00:09:23,345 --> 00:09:24,485 orthopedic space. 268 00:09:25,105 --> 00:09:27,205 How do you see this technology, 269 00:09:27,585 --> 00:09:30,144 this innovation that's happening so rapidly on a 270 00:09:30,144 --> 00:09:33,200 regular basis impacting the space? And, certainly, if 271 00:09:33,200 --> 00:09:34,960 you could talk about the patient expectations too 272 00:09:34,960 --> 00:09:36,660 that are rising on a consistent basis, 273 00:09:37,120 --> 00:09:37,779 as well. 274 00:09:38,240 --> 00:09:40,399 Yeah. So our again, starting with the patient, 275 00:09:40,399 --> 00:09:43,139 our patients are expecting, and I think rightly 276 00:09:43,200 --> 00:09:43,700 so, 277 00:09:44,080 --> 00:09:46,000 high precision, you know, experience when it comes 278 00:09:46,000 --> 00:09:48,259 to a surgical intervention, they're expecting precision. 279 00:09:48,695 --> 00:09:50,134 They want to know that we are doing 280 00:09:50,134 --> 00:09:51,434 everything we can to minimize 281 00:09:52,294 --> 00:09:55,254 complications while maximizing their opportunity for a good 282 00:09:55,254 --> 00:09:55,754 outcome. 283 00:09:56,134 --> 00:09:58,455 And so we need, as a profession, to 284 00:09:58,455 --> 00:10:01,274 continue to identify and then leverage any technology 285 00:10:01,335 --> 00:10:01,995 that helps 286 00:10:02,360 --> 00:10:04,679 meet those expectations in the patient. And so 287 00:10:04,679 --> 00:10:06,600 to do that, you know, as far as 288 00:10:06,600 --> 00:10:08,459 identifying how do we, you know, minimize 289 00:10:08,839 --> 00:10:11,820 complications, I think any technology that helps us, 290 00:10:12,199 --> 00:10:15,079 be more precise to avoid outliers as far 291 00:10:15,079 --> 00:10:18,394 as surgical technique or implant positioning, things like 292 00:10:18,394 --> 00:10:21,434 that that may affect, patient outcomes. I think 293 00:10:21,434 --> 00:10:23,914 it's our job and our responsibility to to 294 00:10:23,914 --> 00:10:26,554 find those opportunities to minimize those kind of 295 00:10:26,554 --> 00:10:27,054 complications. 296 00:10:28,039 --> 00:10:29,500 We wanna utilize everything 297 00:10:29,879 --> 00:10:32,120 anything that helps us technically to perform the 298 00:10:32,120 --> 00:10:34,860 procedure better in a more precise way to 299 00:10:35,079 --> 00:10:37,259 understanding data. You know, how do we identify 300 00:10:37,320 --> 00:10:39,079 what are we doing that's helping patients? You 301 00:10:39,079 --> 00:10:39,495 know? 302 00:10:39,975 --> 00:10:42,774 Data is is gold nowadays with with health 303 00:10:42,774 --> 00:10:45,894 care among other industries. But within health care, 304 00:10:45,894 --> 00:10:47,335 we need to do a better job and 305 00:10:47,335 --> 00:10:49,894 and leverage the technology we have available to 306 00:10:49,894 --> 00:10:50,394 understand 307 00:10:51,174 --> 00:10:53,514 outcomes. When we make decisions as providers, 308 00:10:53,929 --> 00:10:56,009 are we measuring and how are we measuring 309 00:10:56,009 --> 00:10:57,850 to understand the effect that it has on 310 00:10:57,850 --> 00:10:59,929 the patient outcome? Does it make a difference? 311 00:10:59,929 --> 00:11:02,089 Yes or no? To what extent is it 312 00:11:02,089 --> 00:11:04,250 making a difference? How much should we be 313 00:11:04,250 --> 00:11:06,169 paying for such a technology because of the 314 00:11:06,169 --> 00:11:08,845 difference it's making? So that's where utilizing that 315 00:11:08,845 --> 00:11:09,904 data and understanding 316 00:11:10,445 --> 00:11:12,644 the effects of our decisions, I think, goes 317 00:11:12,644 --> 00:11:13,825 a long way as well. 318 00:11:14,365 --> 00:11:15,105 Doctor Chamberlain, 319 00:11:15,644 --> 00:11:18,704 the master of joints. I'm establishing this happening. 320 00:11:18,764 --> 00:11:20,365 Thank you so much for your time and 321 00:11:20,365 --> 00:11:22,464 insights today. It's fantastic to have you. 322 00:11:22,789 --> 00:11:24,709 Thank you. Thanks for letting me join you. 323 00:11:24,709 --> 00:11:27,029 Absolutely. We also want to thank our podcast 324 00:11:27,029 --> 00:11:29,110 sponsor, the Pew's and Theys. Make sure to 325 00:11:29,110 --> 00:11:31,209 come back for part two of our series 326 00:11:31,350 --> 00:11:33,750 tomorrow and tune in to more podcasts from 327 00:11:33,750 --> 00:11:36,234 Becker's Healthcare Care by visiting our podcast page 328 00:11:36,234 --> 00:11:39,054 at beckershospitalreview.com.