1 00:00:00,080 --> 00:00:02,980 Hey there, dental professionals and industry enthusiasts. 2 00:00:03,600 --> 00:00:06,000 Picture this, it's October and you're in the 3 00:00:06,000 --> 00:00:08,755 middle of one of the most transformative experiences 4 00:00:08,814 --> 00:00:11,134 of your career. You're at the Becker's Fall 5 00:00:11,134 --> 00:00:13,695 Future of Dentistry Roundtable in the vibrant city 6 00:00:13,695 --> 00:00:16,399 of Chicago, fresh off an incredible 3 days 7 00:00:16,399 --> 00:00:17,460 at the Hyatt Regency. 8 00:00:17,760 --> 00:00:21,619 Imagine yourself inspired and invigorated after attending captivating 9 00:00:21,839 --> 00:00:24,344 keynote sessions by none other than the legendary 10 00:00:24,344 --> 00:00:26,524 boxing world champion and CEO, 11 00:00:26,824 --> 00:00:28,765 Lila Elite, and the extraordinary 12 00:00:29,144 --> 00:00:32,750 professional basketball player, Caitlin Clark. See yourself engaged 13 00:00:32,750 --> 00:00:36,030 in lively discussions, exchanging ideas, and collecting a 14 00:00:36,030 --> 00:00:38,850 stack of business cards from fellow dental experts 15 00:00:38,884 --> 00:00:40,024 and potential partners. 16 00:00:40,484 --> 00:00:43,765 You've networked with over 350 attendees and learned 17 00:00:43,765 --> 00:00:45,604 from more than 80 speakers who are at 18 00:00:45,604 --> 00:00:47,520 the forefront of dental innovation. 19 00:00:48,380 --> 00:00:51,500 You sat in on educational sessions exploring topics 20 00:00:51,500 --> 00:00:53,980 that elevate dental care as a critical element 21 00:00:53,980 --> 00:00:57,125 of whole person health. You've witnessed firsthand how 22 00:00:57,125 --> 00:00:59,065 digital technology is revolutionizing 23 00:00:59,524 --> 00:01:00,425 patient outcomes 24 00:01:00,804 --> 00:01:04,185 and how both large DSOs and independent practices 25 00:01:04,405 --> 00:01:07,280 are flourishing. Get ready to transform your career 26 00:01:07,280 --> 00:01:09,780 and don't miss out on this incredible opportunity. 27 00:01:10,079 --> 00:01:12,799 The Becker's Fall Future of Dentistry Roundtable is 28 00:01:12,799 --> 00:01:16,004 from October 30th to November 1, 2024. 29 00:01:16,465 --> 00:01:18,645 Get registered by going to beckersdental.com 30 00:01:20,145 --> 00:01:21,924 and clicking on the events page. 31 00:01:22,459 --> 00:01:25,180 Welcome everyone to the Becker's Healthcare podcast series. 32 00:01:25,180 --> 00:01:27,739 I'm Mariah Muhammad, writer and moderator with Becker's 33 00:01:27,739 --> 00:01:29,500 Healthcare. And I'm thrilled to have with miss 34 00:01:29,500 --> 00:01:31,234 today Himanshu Tewadri, 35 00:01:31,534 --> 00:01:33,614 director of quality and risk management at Sun 36 00:01:33,614 --> 00:01:36,415 Life Health Medical and Dental. Himanshu, welcome to 37 00:01:36,415 --> 00:01:38,334 Beckers Health Care podcast. We're very excited to 38 00:01:38,334 --> 00:01:39,855 have you join us today. To get us 39 00:01:39,855 --> 00:01:41,760 started, would you mind please introducing yourself and 40 00:01:41,760 --> 00:01:43,140 telling us a bit about your background? 41 00:01:43,840 --> 00:01:44,340 Sure. 42 00:01:44,959 --> 00:01:47,140 So hi. I'm Himanshu Tewari. 43 00:01:47,840 --> 00:01:50,375 By, training and practice. I'm a physician. 44 00:01:51,155 --> 00:01:54,435 I it's an I've been in, you know, 45 00:01:54,594 --> 00:01:57,655 world of quality and, risk management for last, 46 00:01:58,849 --> 00:02:01,170 15 plus years. I've been in, 47 00:02:01,650 --> 00:02:05,189 hospital settings, academic health setting health center settings, 48 00:02:06,575 --> 00:02:07,795 and and ambulatory 49 00:02:08,335 --> 00:02:09,955 settings as well. So, 50 00:02:10,974 --> 00:02:12,175 bugged in different, 51 00:02:12,574 --> 00:02:15,550 types of settings in health care, for a 52 00:02:15,550 --> 00:02:17,010 reasonable period of time. 53 00:02:17,710 --> 00:02:18,530 For last 54 00:02:18,909 --> 00:02:20,990 two and a half year or so, I've 55 00:02:20,990 --> 00:02:23,170 been with the Sun Life Health, 56 00:02:24,094 --> 00:02:26,275 which is large one of the large. 57 00:02:27,294 --> 00:02:30,735 Ambulatory healthcare settings and also federally qualified healthcare 58 00:02:30,735 --> 00:02:31,235 settings 59 00:02:31,840 --> 00:02:32,659 in Arizona. 60 00:02:33,359 --> 00:02:34,819 So I, I'm, 61 00:02:35,359 --> 00:02:36,259 serving them, 62 00:02:36,719 --> 00:02:38,659 as a director of quality and 63 00:02:39,120 --> 00:02:40,794 risk management. Before that, 64 00:02:41,354 --> 00:02:43,134 I was in Washington state, 65 00:02:43,594 --> 00:02:44,254 with another, 66 00:02:44,634 --> 00:02:46,974 federally qualified health care center at QHC, 67 00:02:47,514 --> 00:02:48,014 for, 68 00:02:48,474 --> 00:02:50,414 almost, like, 7 to 8 years. 69 00:02:50,819 --> 00:02:51,319 So 70 00:02:51,860 --> 00:02:52,680 this is, 71 00:02:53,219 --> 00:02:54,099 who I am, 72 00:02:54,659 --> 00:02:56,340 like I told you by training on my 73 00:02:56,340 --> 00:02:58,439 position. So I did my MD from India, 74 00:02:59,504 --> 00:03:00,004 But, 75 00:03:00,625 --> 00:03:02,705 most of the most of my career, I 76 00:03:02,705 --> 00:03:03,104 was, 77 00:03:03,504 --> 00:03:05,604 involved with quality and risk because, 78 00:03:05,985 --> 00:03:07,444 that's where my heart is. 79 00:03:08,469 --> 00:03:10,469 Wonderful. Wonderful. Thank you so much for giving 80 00:03:10,469 --> 00:03:11,450 us that background. 81 00:03:11,830 --> 00:03:13,750 So with all the experience that you've had, 82 00:03:13,750 --> 00:03:15,270 I'm sure you're kind of a expert in 83 00:03:15,270 --> 00:03:16,435 a little bit of everything. 84 00:03:16,814 --> 00:03:18,415 What are some of the biggest issues you're 85 00:03:18,415 --> 00:03:19,955 following in dental right now? 86 00:03:20,895 --> 00:03:21,375 So, 87 00:03:21,694 --> 00:03:24,675 as part of the ambulatory and, federally qualified 88 00:03:24,780 --> 00:03:27,819 health center, I I was lucky to get, 89 00:03:28,060 --> 00:03:28,639 you know, 90 00:03:29,340 --> 00:03:30,479 involved with dental, 91 00:03:30,860 --> 00:03:33,180 and behavioral health and medical, all aspects of 92 00:03:33,180 --> 00:03:33,680 health. 93 00:03:34,814 --> 00:03:35,474 With dental, 94 00:03:35,935 --> 00:03:37,314 what I have seen, 95 00:03:37,935 --> 00:03:40,034 you know, the biggest issues in last 96 00:03:41,110 --> 00:03:42,009 7, 8 years 97 00:03:44,310 --> 00:03:46,729 are one of those is the quality matrix. 98 00:03:46,789 --> 00:03:47,289 So, 99 00:03:48,069 --> 00:03:49,370 as you know, in medical, 100 00:03:49,784 --> 00:03:52,504 we have well defined quality matrix, which are 101 00:03:52,504 --> 00:03:53,724 kind of governed by, 102 00:03:54,104 --> 00:03:56,205 you know, some of the federal agencies. 103 00:03:57,145 --> 00:03:57,784 It could be, 104 00:03:58,504 --> 00:03:59,084 you know, 105 00:03:59,650 --> 00:04:00,629 it could be, 106 00:04:01,330 --> 00:04:01,830 CMS, 107 00:04:02,530 --> 00:04:03,330 it could be, 108 00:04:04,129 --> 00:04:05,110 any other agency. 109 00:04:06,050 --> 00:04:06,949 For dental, 110 00:04:07,569 --> 00:04:10,835 we don't have a very robust and 111 00:04:11,215 --> 00:04:12,355 a lot of options, 112 00:04:12,895 --> 00:04:14,514 in terms of quality matrix. 113 00:04:15,135 --> 00:04:15,534 And, 114 00:04:16,014 --> 00:04:18,095 that makes me a little, you know, sad 115 00:04:18,095 --> 00:04:18,754 and wonder, 116 00:04:19,439 --> 00:04:22,019 like, why, why can't we have a whole 117 00:04:22,319 --> 00:04:24,579 longer list of metrics and hold, 118 00:04:25,519 --> 00:04:27,060 the organizations accountable? 119 00:04:27,439 --> 00:04:29,595 We do have some, like I said, told 120 00:04:29,595 --> 00:04:32,254 you for, like, UDS majors, unified, 121 00:04:32,555 --> 00:04:34,555 uniform data, system, 122 00:04:34,955 --> 00:04:35,855 from HRSA. 123 00:04:36,569 --> 00:04:37,069 But, 124 00:04:37,610 --> 00:04:38,649 those are not really, 125 00:04:39,290 --> 00:04:40,029 too robust. 126 00:04:40,490 --> 00:04:43,129 So, there was a feeling to, to us 127 00:04:43,129 --> 00:04:43,870 as a quality 128 00:04:44,410 --> 00:04:45,254 people that, 129 00:04:45,975 --> 00:04:47,675 do we really not wanna focus, 130 00:04:48,055 --> 00:04:49,514 on dental health, 131 00:04:49,895 --> 00:04:51,435 or quality of dental health? 132 00:04:51,735 --> 00:04:53,915 So that's one of the, you know, 133 00:04:54,545 --> 00:04:55,045 issues. 134 00:04:55,720 --> 00:04:59,160 Otherwise, like, pay for performance. So, again, we 135 00:04:59,160 --> 00:05:01,399 provide a lot of push on value based 136 00:05:01,399 --> 00:05:04,060 purchasing, pay for performance, and medical side. 137 00:05:04,485 --> 00:05:05,225 I think 138 00:05:05,525 --> 00:05:07,685 it is a time that we should be 139 00:05:07,685 --> 00:05:09,625 doing the same kind of push 140 00:05:10,404 --> 00:05:11,145 for dental 141 00:05:12,139 --> 00:05:14,560 to make sure that, the quality of services 142 00:05:14,620 --> 00:05:15,839 provided to the patients 143 00:05:16,540 --> 00:05:18,160 is, at that level. 144 00:05:18,620 --> 00:05:18,939 And, 145 00:05:19,935 --> 00:05:21,555 and we get paid because, 146 00:05:22,014 --> 00:05:23,474 we are meeting those goals, 147 00:05:24,175 --> 00:05:26,095 and then giving the best services to the, 148 00:05:26,254 --> 00:05:27,154 to the patient. 149 00:05:27,639 --> 00:05:29,259 Now, one more thing, 150 00:05:29,720 --> 00:05:32,120 which kind of ties with this is the 151 00:05:32,120 --> 00:05:33,419 integration. So 152 00:05:34,439 --> 00:05:35,100 I've been, 153 00:05:35,545 --> 00:05:36,205 you know, 154 00:05:36,585 --> 00:05:38,504 listening about this for a long period of 155 00:05:38,504 --> 00:05:39,805 time, dental, medical, 156 00:05:41,064 --> 00:05:43,085 perhaps behavioral health, and maybe, 157 00:05:44,069 --> 00:05:44,550 WIC, 158 00:05:45,029 --> 00:05:45,529 integration. 159 00:05:46,150 --> 00:05:48,470 And I have seen that, in some of 160 00:05:48,470 --> 00:05:50,569 the organizations doing it very nicely, 161 00:05:51,654 --> 00:05:52,394 but some, 162 00:05:52,774 --> 00:05:55,495 still though, a lot, with that kind of 163 00:05:55,495 --> 00:05:55,995 integration, 164 00:05:56,615 --> 00:05:57,115 which 165 00:05:57,574 --> 00:05:59,915 the concept of medical, dental, 166 00:06:00,519 --> 00:06:02,279 integration makes a lot of sense to me 167 00:06:02,279 --> 00:06:02,779 because, 168 00:06:03,399 --> 00:06:05,879 when the patient is actually at your clinic 169 00:06:05,879 --> 00:06:08,759 and if you have both services available by, 170 00:06:09,000 --> 00:06:10,314 by your facility, 171 00:06:11,574 --> 00:06:13,915 that's an opportunity for you to, 172 00:06:14,295 --> 00:06:16,615 provide that additional services to that patient. And 173 00:06:16,615 --> 00:06:19,300 from the patient standpoint, that's really good that 174 00:06:19,300 --> 00:06:21,779 they are, getting all those services under one 175 00:06:21,779 --> 00:06:22,279 roof. 176 00:06:22,660 --> 00:06:23,160 And, 177 00:06:24,099 --> 00:06:26,259 with the with the familiar stuff and with 178 00:06:26,259 --> 00:06:26,759 the, 179 00:06:27,154 --> 00:06:28,915 you know, at at one, it's kind of 180 00:06:28,915 --> 00:06:30,694 a one stop, shopping, 181 00:06:31,235 --> 00:06:31,895 for them. 182 00:06:32,435 --> 00:06:32,835 And, 183 00:06:33,475 --> 00:06:34,775 it's good for the 184 00:06:35,500 --> 00:06:37,120 medical staff as well as dental 185 00:06:37,500 --> 00:06:38,000 from, 186 00:06:38,699 --> 00:06:41,100 managing the patient standpoint. Because if you have 187 00:06:41,100 --> 00:06:43,865 an EMR, which is, like, integrated as well, 188 00:06:44,425 --> 00:06:45,564 and you have, 189 00:06:47,544 --> 00:06:49,944 the patient as a medical patient under you, 190 00:06:49,944 --> 00:06:50,664 and then, 191 00:06:51,064 --> 00:06:51,564 you, 192 00:06:52,024 --> 00:06:52,524 your 193 00:06:53,649 --> 00:06:55,990 dentist can access their medical, 194 00:06:56,449 --> 00:06:57,829 challenges or records 195 00:06:58,769 --> 00:06:59,750 or their medication, 196 00:07:00,769 --> 00:07:01,669 their allergies, 197 00:07:02,444 --> 00:07:03,345 all those things, 198 00:07:03,805 --> 00:07:04,305 as 199 00:07:04,685 --> 00:07:07,485 good and as equal as the medical, you 200 00:07:07,485 --> 00:07:09,404 know, doctor can and and the it's vice 201 00:07:09,404 --> 00:07:12,350 versa. Like, the the medical doctor can access 202 00:07:20,854 --> 00:07:23,194 quality matrix, there are so many out there, 203 00:07:23,654 --> 00:07:25,115 like a one c, like, 204 00:07:25,574 --> 00:07:26,314 blood pressure, 205 00:07:27,495 --> 00:07:29,959 where on the medical side, you get paid 206 00:07:29,959 --> 00:07:32,620 because if you, if you meet the goals. 207 00:07:32,680 --> 00:07:34,600 And patient is a patient, whether it's a 208 00:07:34,600 --> 00:07:36,600 patient in a dental. So the patient comes 209 00:07:36,600 --> 00:07:38,585 to dental and you take, their their blood 210 00:07:38,585 --> 00:07:41,464 pressure and then that blood pressure is, you 211 00:07:41,464 --> 00:07:44,585 know, kind of documented correctly and if there 212 00:07:44,585 --> 00:07:46,985 is an opportunity to address that blood pressure 213 00:07:46,985 --> 00:07:47,884 for this patient 214 00:07:48,529 --> 00:07:49,189 right away, 215 00:07:49,970 --> 00:07:50,610 you can, 216 00:07:51,170 --> 00:07:52,629 do some sort of, you know, 217 00:07:53,009 --> 00:07:55,170 warm hand off to the to the med 218 00:07:55,329 --> 00:07:56,064 medical doctor 219 00:07:58,305 --> 00:08:00,705 the medical doctor is also their PCP in 220 00:08:00,705 --> 00:08:01,605 the same facility 221 00:08:01,985 --> 00:08:04,004 or give an option to the patient 222 00:08:04,759 --> 00:08:05,160 to, 223 00:08:05,720 --> 00:08:06,220 how 224 00:08:06,839 --> 00:08:09,160 seen by the medical doctor in the same, 225 00:08:09,479 --> 00:08:10,860 facility, and and 226 00:08:11,319 --> 00:08:13,479 it's a win win situation for for the 227 00:08:13,479 --> 00:08:15,444 patient as well as for the, 228 00:08:15,824 --> 00:08:18,704 for the military care setting or any setting 229 00:08:18,704 --> 00:08:19,925 which has those patients. 230 00:08:20,305 --> 00:08:21,024 Another is, 231 00:08:21,990 --> 00:08:23,750 and the patients come let let's say for 232 00:08:23,750 --> 00:08:24,250 OBGYN, 233 00:08:24,709 --> 00:08:25,529 when they come, 234 00:08:26,230 --> 00:08:28,709 and they come for their frequent visits for, 235 00:08:29,334 --> 00:08:30,235 during the pregnancy, 236 00:08:31,095 --> 00:08:33,575 that's an opportunity to connect them with the 237 00:08:33,575 --> 00:08:34,075 dental, 238 00:08:34,774 --> 00:08:35,434 you know, 239 00:08:37,174 --> 00:08:39,720 dental services as well if you have those, 240 00:08:39,959 --> 00:08:41,100 under your umbrella, 241 00:08:41,959 --> 00:08:44,120 and give the best care to those patients 242 00:08:44,120 --> 00:08:45,820 during pregnancy. And, 243 00:08:46,444 --> 00:08:46,944 potentially, 244 00:08:47,565 --> 00:08:49,024 once they have the baby, 245 00:08:49,565 --> 00:08:52,225 maybe the baby needs, you know, those, similar 246 00:08:52,284 --> 00:08:53,504 services with your, 247 00:08:54,549 --> 00:08:57,990 with their dental care, and, you can actually 248 00:08:57,990 --> 00:08:58,490 have, 249 00:08:58,950 --> 00:09:01,934 you know, that patient also potential patient for 250 00:09:01,934 --> 00:09:04,254 your clinic and, take care of that patient 251 00:09:04,254 --> 00:09:06,514 as well. So, integration, 252 00:09:07,054 --> 00:09:07,714 in my, 253 00:09:09,049 --> 00:09:10,990 opinion, is is huge. 254 00:09:12,009 --> 00:09:14,750 The issue with that is, are we 100% 255 00:09:14,970 --> 00:09:15,470 integrated? 256 00:09:15,774 --> 00:09:16,674 Are all the organizations 257 00:09:17,535 --> 00:09:18,514 100% integrated? 258 00:09:19,695 --> 00:09:21,235 It's like a hit and miss. 259 00:09:21,695 --> 00:09:25,320 It's scattered all over the, map. So those 260 00:09:25,320 --> 00:09:27,480 who are doing it really effectively, those who 261 00:09:27,480 --> 00:09:28,620 are doing it properly, 262 00:09:29,240 --> 00:09:30,539 they are actually, 263 00:09:31,159 --> 00:09:34,365 very successful. They are making, you know, most 264 00:09:34,365 --> 00:09:35,264 out of it. 265 00:09:35,644 --> 00:09:37,985 And those who are not or struggling, 266 00:09:38,365 --> 00:09:39,985 it's an opportunity for them. 267 00:09:40,980 --> 00:09:43,059 Yeah. Yeah. Absolutely. I think you brought up 268 00:09:43,059 --> 00:09:45,299 a lot of great points, that I think 269 00:09:45,299 --> 00:09:47,000 we'll hit on a bit later also. 270 00:09:48,054 --> 00:09:49,975 I see that that, you know, integration can 271 00:09:49,975 --> 00:09:52,634 kinda mix people nervous and, you know, excited. 272 00:09:53,095 --> 00:09:55,014 Is there anything else that's making you nervous 273 00:09:55,014 --> 00:09:56,855 or excited, either something that you're seeing in 274 00:09:56,855 --> 00:09:58,740 the news or something that you're doing within 275 00:09:58,740 --> 00:09:59,480 the organization? 276 00:10:00,660 --> 00:10:02,120 Yeah. You're right. I mean, 277 00:10:02,980 --> 00:10:05,139 you know, the one thing which may makes 278 00:10:05,139 --> 00:10:07,795 me nervous even if I, understand this whole 279 00:10:07,795 --> 00:10:08,934 concept of integration 280 00:10:09,315 --> 00:10:10,835 and it is the right thing to do 281 00:10:10,835 --> 00:10:12,134 for you and your patient, 282 00:10:12,915 --> 00:10:15,075 in in the world of health care, we 283 00:10:15,075 --> 00:10:15,975 we always, 284 00:10:17,700 --> 00:10:19,220 I don't know if it's the nature of 285 00:10:19,220 --> 00:10:21,960 health care that, we always think in silos. 286 00:10:22,019 --> 00:10:24,419 We always think, like, this is medical, this 287 00:10:24,419 --> 00:10:26,595 is dental, this is behavioral health. And, 288 00:10:28,814 --> 00:10:32,574 breaking those those silos is is a huge 289 00:10:32,574 --> 00:10:33,375 deal, which, 290 00:10:34,014 --> 00:10:35,179 definitely makes me, 291 00:10:35,820 --> 00:10:38,299 you know, nervous. But at the same time, 292 00:10:38,299 --> 00:10:41,279 it is, it makes me, you know, excited 293 00:10:41,340 --> 00:10:44,144 as well because I see the opportunity there. 294 00:10:45,105 --> 00:10:48,944 But, it's it's not easy, yeah, to to 295 00:10:48,944 --> 00:10:51,264 break the silos and bring all those together. 296 00:10:51,264 --> 00:10:53,350 There are so many things which are, you 297 00:10:53,350 --> 00:10:55,529 know, deep rooted and and the culture, 298 00:10:56,309 --> 00:10:56,970 of practices, 299 00:10:58,389 --> 00:11:00,215 we are doctors, we doctors. We have medical 300 00:11:00,215 --> 00:11:00,715 doctors. 301 00:11:01,095 --> 00:11:02,154 That's dentists. 302 00:11:02,695 --> 00:11:04,715 Who's gonna, you know, drive the whole 303 00:11:05,174 --> 00:11:05,674 workflow? 304 00:11:06,215 --> 00:11:07,035 How is this 305 00:11:07,519 --> 00:11:08,019 possible? 306 00:11:08,960 --> 00:11:10,659 Am I gonna give the control, 307 00:11:11,279 --> 00:11:11,779 away, 308 00:11:12,159 --> 00:11:14,100 of my of my patient to 309 00:11:14,399 --> 00:11:15,299 someone else? 310 00:11:16,164 --> 00:11:18,725 Who's who's gonna be responsible for this part 311 00:11:18,725 --> 00:11:21,044 and that part. So there are some really 312 00:11:21,044 --> 00:11:22,245 good models out there, 313 00:11:22,725 --> 00:11:23,625 if we can, 314 00:11:24,325 --> 00:11:26,740 you know, pick and choose and and follow 315 00:11:26,740 --> 00:11:28,679 those models in in terms of, 316 00:11:29,139 --> 00:11:29,879 the integration, 317 00:11:31,139 --> 00:11:32,039 and and 318 00:11:32,774 --> 00:11:34,875 maybe as per the need of the clinic, 319 00:11:34,934 --> 00:11:37,894 creep and make changes, to those models or 320 00:11:37,894 --> 00:11:38,394 workflows, 321 00:11:40,110 --> 00:11:41,570 that that's gonna work. 322 00:11:42,029 --> 00:11:44,190 I have seen some clinics doing very, very, 323 00:11:44,429 --> 00:11:44,929 effectively. 324 00:11:45,950 --> 00:11:48,429 We are actually at Sun Life Health. We 325 00:11:48,429 --> 00:11:48,929 are, 326 00:11:49,684 --> 00:11:52,404 in in a very initial stage of, 327 00:11:52,725 --> 00:11:54,504 introducing that kind of integration. 328 00:11:55,845 --> 00:11:58,825 We we did the pilot, project with 329 00:11:59,190 --> 00:11:59,929 blood pressure 330 00:12:00,309 --> 00:12:00,809 hypertension, 331 00:12:01,350 --> 00:12:04,070 which was very successful. And, now we are 332 00:12:04,070 --> 00:12:07,129 rolling it out, into hemoglobin a one c 333 00:12:07,190 --> 00:12:09,024 and blood, you know, blood glucose 334 00:12:09,485 --> 00:12:09,985 monitoring 335 00:12:10,605 --> 00:12:13,345 and eventually maybe in other areas as well. 336 00:12:14,044 --> 00:12:15,745 So it takes a lot of effort, 337 00:12:16,589 --> 00:12:18,929 a lot of leadership, you know, involvement, 338 00:12:19,470 --> 00:12:20,529 their buy in. 339 00:12:21,309 --> 00:12:23,250 So that's that's where, 340 00:12:23,629 --> 00:12:26,205 my nervousness and excitement both are, 341 00:12:27,245 --> 00:12:29,345 to bring the leadership together to, 342 00:12:29,884 --> 00:12:30,384 to, 343 00:12:31,325 --> 00:12:33,745 make providers understand that it is 344 00:12:34,139 --> 00:12:36,860 not gonna interfere with your daily routine, but 345 00:12:36,860 --> 00:12:39,019 at the same time, it's gonna help you 346 00:12:39,019 --> 00:12:41,440 improve your numbers, your reimbursement. 347 00:12:42,539 --> 00:12:44,684 That that's that's where my thoughts are. 348 00:12:45,705 --> 00:12:47,465 Yeah. Thank you so much for sharing that. 349 00:12:47,465 --> 00:12:49,625 And and very quickly, the last thing I 350 00:12:49,625 --> 00:12:51,165 really wanted to ask you is, 351 00:12:51,559 --> 00:12:53,639 in your opinion, what will the most effective 352 00:12:53,639 --> 00:12:55,480 health care leaders need in order to be 353 00:12:55,480 --> 00:12:57,480 successful in the next 2 to 3 years, 354 00:12:57,480 --> 00:12:58,389 do you think? 355 00:12:58,975 --> 00:12:59,955 Yeah. I mean, 356 00:13:00,735 --> 00:13:02,174 there are a couple of things that, 357 00:13:02,654 --> 00:13:03,534 that I feel, 358 00:13:03,934 --> 00:13:05,695 as a health care leaders, we need to 359 00:13:05,695 --> 00:13:07,634 focus on, managing the 360 00:13:07,980 --> 00:13:09,019 continuity of care. 361 00:13:09,740 --> 00:13:11,980 When the patient come to your, your health 362 00:13:11,980 --> 00:13:12,720 care setting, 363 00:13:13,580 --> 00:13:16,394 they go to hospitals or they're, you know, 364 00:13:16,554 --> 00:13:17,934 at the ER or something. 365 00:13:18,394 --> 00:13:19,295 How effectively 366 00:13:19,675 --> 00:13:20,495 can we 367 00:13:20,875 --> 00:13:21,615 have that 368 00:13:21,915 --> 00:13:23,740 communication going back and forth, 369 00:13:24,299 --> 00:13:24,799 interoperability 370 00:13:25,580 --> 00:13:27,360 of your, medical records, 371 00:13:28,459 --> 00:13:29,360 your information? 372 00:13:29,740 --> 00:13:31,980 I think that's the huge challenge. We we 373 00:13:31,980 --> 00:13:34,464 hear all the time with our with our 374 00:13:34,524 --> 00:13:36,384 hospital systems or health care systems. 375 00:13:37,404 --> 00:13:39,584 Oh, we we lost this patient, 376 00:13:40,125 --> 00:13:43,019 and follow-up. Or, oh, this patient went to 377 00:13:43,019 --> 00:13:45,659 ER and and the primary care provider had 378 00:13:45,659 --> 00:13:48,220 no idea or dentist had no idea the 379 00:13:48,220 --> 00:13:50,345 patient was actually in ER because of this 380 00:13:50,345 --> 00:13:50,924 this this 381 00:13:51,304 --> 00:13:52,764 issue. So that kind of disconnect, 382 00:13:53,945 --> 00:13:56,585 affects both the good quality of care for 383 00:13:56,585 --> 00:13:58,639 the patient, and it's also not good for, 384 00:13:58,879 --> 00:14:00,080 the reputation of, 385 00:14:00,879 --> 00:14:02,960 this the, you know, health care system and 386 00:14:02,960 --> 00:14:03,860 health care as 387 00:14:04,320 --> 00:14:04,980 in general. 388 00:14:05,440 --> 00:14:06,105 So that's, 389 00:14:07,304 --> 00:14:09,384 one of my, you know, one of the 390 00:14:09,384 --> 00:14:09,884 challenges, 391 00:14:10,504 --> 00:14:11,964 of further health care leaders, 392 00:14:13,225 --> 00:14:15,164 or effective health care leader I see. 393 00:14:15,850 --> 00:14:16,509 Cost effectiveness 394 00:14:16,809 --> 00:14:17,709 is another one. 395 00:14:18,730 --> 00:14:21,069 As we see more and more, you know, 396 00:14:21,370 --> 00:14:24,569 regulations come around quality measures and and the 397 00:14:24,569 --> 00:14:25,069 services 398 00:14:26,065 --> 00:14:29,605 with CMS or with, other federal organizations, 399 00:14:30,065 --> 00:14:31,745 the cost effectiveness becomes 400 00:14:32,144 --> 00:14:33,365 or is, becoming 401 00:14:33,679 --> 00:14:35,699 more of a challenge for health care leaders, 402 00:14:36,000 --> 00:14:38,399 to keep their hospitals, to keep their, you 403 00:14:38,399 --> 00:14:40,579 know, health care facility open 404 00:14:40,959 --> 00:14:43,495 with providing good level of service, not getting 405 00:14:43,495 --> 00:14:44,554 enough reimbursements, 406 00:14:44,855 --> 00:14:47,575 and still your overheads and your cost is, 407 00:14:47,815 --> 00:14:48,554 very high. 408 00:14:49,014 --> 00:14:51,894 So that that is another challenge. If you 409 00:14:51,894 --> 00:14:53,779 can manage that effectively, 410 00:14:54,559 --> 00:14:55,440 that's the key. 411 00:14:55,840 --> 00:14:58,019 And then third thing I would say is, 412 00:14:58,480 --> 00:15:00,934 which kind of, you know, feeds into the 413 00:15:00,934 --> 00:15:03,675 same, managing your financial challenges. So, 414 00:15:04,615 --> 00:15:05,835 patient satisfaction, 415 00:15:06,535 --> 00:15:08,154 and quality is huge. 416 00:15:08,809 --> 00:15:11,210 And, you we all need to understand and 417 00:15:11,210 --> 00:15:12,009 remember that, 418 00:15:12,889 --> 00:15:14,190 the patient is 419 00:15:14,570 --> 00:15:15,790 our best partner, 420 00:15:16,330 --> 00:15:18,955 in in all this, you know, all this 421 00:15:18,955 --> 00:15:22,414 struggle. So understanding your patient and making sure, 422 00:15:23,195 --> 00:15:25,214 we have well informed patient 423 00:15:26,009 --> 00:15:26,509 who, 424 00:15:27,370 --> 00:15:29,610 who understands what kind of services are we 425 00:15:29,610 --> 00:15:31,529 providing and what is the quality we are 426 00:15:31,529 --> 00:15:32,429 giving to them, 427 00:15:32,889 --> 00:15:34,670 reaching out back to them, follow-up. 428 00:15:35,274 --> 00:15:38,154 And and from the leadership standpoint, pushing for 429 00:15:38,154 --> 00:15:38,654 that, 430 00:15:39,434 --> 00:15:41,694 and creating that culture in the organization 431 00:15:42,554 --> 00:15:44,174 so that the patients feel 432 00:15:45,080 --> 00:15:46,620 comfortable as well as, 433 00:15:47,480 --> 00:15:48,779 well taken care of. 434 00:15:49,240 --> 00:15:51,500 I think those are the big three challenges 435 00:15:51,639 --> 00:15:54,075 I can think of, from health care standpoint 436 00:15:54,295 --> 00:15:54,795 coming 437 00:15:55,654 --> 00:15:58,455 at 2 or 3 years. Yeah. Yeah. Absolutely. 438 00:15:58,455 --> 00:16:00,159 Thank you so much for those final thoughts. 439 00:16:00,159 --> 00:16:01,139 It's definitely been 440 00:16:01,519 --> 00:16:04,240 a a very, very informative discussion. So, again, 441 00:16:04,240 --> 00:16:05,759 I really wanna thank you all for coming 442 00:16:05,759 --> 00:16:07,600 on Becker Healthcare, and I look forward to 443 00:16:07,600 --> 00:16:09,379 connecting, with you again soon. 444 00:16:10,225 --> 00:16:12,325 Thank you so much. I appreciate that.