1 00:00:00,080 --> 00:00:02,720 Hello everyone. This is Erica Spicer Mason with 2 00:00:02,720 --> 00:00:05,040 Becker's Healthcare. Thank you so much for tuning 3 00:00:05,040 --> 00:00:07,859 into the Becker's Healthcare podcast series today. 4 00:00:08,320 --> 00:00:10,500 So today we're going to talk about unlocking 5 00:00:10,719 --> 00:00:11,219 CDI's 6 00:00:11,519 --> 00:00:14,179 future from SOAP notes to smart systems. 7 00:00:14,594 --> 00:00:16,835 And joining me for this conversation, we have 8 00:00:16,835 --> 00:00:19,554 with us two leaders from Coro Health. We 9 00:00:19,554 --> 00:00:22,695 have Doctor. Geralyn Morrissey, the chief medical officer 10 00:00:22,914 --> 00:00:26,454 and Kaltrina Barisha, vice president of product management. 11 00:00:27,079 --> 00:00:29,320 Doctor. Morrissey, Kaltrina, thank you so much again 12 00:00:29,320 --> 00:00:30,780 for making time for this today. 13 00:00:31,320 --> 00:00:32,759 Our pleasure. So happy to be here with 14 00:00:32,759 --> 00:00:34,539 you, Erica. Thanks for inviting us. 15 00:00:35,000 --> 00:00:36,760 Yeah. So thrilled to have you both with 16 00:00:36,760 --> 00:00:38,600 us. And I thought to get us started, 17 00:00:38,600 --> 00:00:39,579 it would be helpful 18 00:00:39,965 --> 00:00:41,644 for our listeners to hear just a little 19 00:00:41,644 --> 00:00:44,384 bit more about you, doctor Morrissey and Kaltrina. 20 00:00:44,604 --> 00:00:47,324 I know Coro Health, we we've had some 21 00:00:47,644 --> 00:00:50,045 this is not your first podcast episode by 22 00:00:50,045 --> 00:00:51,804 any means, but just thought it'd be helpful 23 00:00:51,804 --> 00:00:53,324 to give our listeners a sense of where 24 00:00:53,324 --> 00:00:55,085 you're coming from and your your background in 25 00:00:55,085 --> 00:00:55,824 health care. 26 00:00:56,149 --> 00:00:57,850 Doctor Morrissey, do you wanna get us started? 27 00:00:58,310 --> 00:01:00,469 Thanks. Sure. Happy to. So as you said, 28 00:01:00,469 --> 00:01:02,870 I'm doctor Geralyn Morrissey. I am currently the 29 00:01:02,870 --> 00:01:04,969 chief medical officer at CoroHealth. 30 00:01:05,590 --> 00:01:06,090 CoroHealth 31 00:01:06,870 --> 00:01:07,670 is a, 32 00:01:08,150 --> 00:01:10,329 has a suite of technology solutions 33 00:01:10,715 --> 00:01:13,115 in the revenue cycle to support both payers 34 00:01:13,115 --> 00:01:13,855 and providers, 35 00:01:14,635 --> 00:01:16,875 and we try to remove the friction in 36 00:01:16,875 --> 00:01:17,615 that relationship. 37 00:01:18,555 --> 00:01:20,415 And my background has been, 38 00:01:20,875 --> 00:01:24,094 diverse. I I started off practicing primary care 39 00:01:24,400 --> 00:01:25,299 and then transitioned 40 00:01:25,759 --> 00:01:28,239 into revenue cycle where I've worked for both 41 00:01:28,239 --> 00:01:30,739 the payer and the provider side of things. 42 00:01:31,280 --> 00:01:33,759 And most recently, I've been really focused on, 43 00:01:34,319 --> 00:01:37,859 regulatory expertise in the Medicare Medicare Advantage space. 44 00:01:38,640 --> 00:01:39,140 Kaltrina? 45 00:01:40,144 --> 00:01:41,664 Yeah. Well, thank you, 46 00:01:41,984 --> 00:01:44,305 for for this great podcast and, 47 00:01:44,625 --> 00:01:47,424 inviting us. And my name, as you mentioned, 48 00:01:47,424 --> 00:01:49,664 is Kaltrina Viresha, and I am the vice 49 00:01:49,664 --> 00:01:52,244 president of product management for Coral Health. 50 00:01:53,379 --> 00:01:56,120 I lead our product life cycle and strategy, 51 00:01:56,980 --> 00:01:59,459 for the different solutions that doctor Morrisey just 52 00:01:59,459 --> 00:02:00,500 mentioned. And, 53 00:02:00,900 --> 00:02:03,140 my I've spent as a product leader my 54 00:02:03,140 --> 00:02:06,200 last fifteen years really working closely with clinicians 55 00:02:06,260 --> 00:02:07,159 and health systems 56 00:02:08,004 --> 00:02:10,025 to create solutions that bring together 57 00:02:10,485 --> 00:02:13,064 complex health care workflows and advanced technology. 58 00:02:13,764 --> 00:02:15,705 So solutions that support CDI, 59 00:02:16,165 --> 00:02:17,784 support better clinical decision, 60 00:02:18,245 --> 00:02:21,284 and really streamlining the revenue cycle process, and 61 00:02:21,284 --> 00:02:23,064 last but not least, ensuring compliance. 62 00:02:24,389 --> 00:02:26,389 Well, it's so great to learn more about 63 00:02:26,389 --> 00:02:28,709 you both. Thank you again for sharing a 64 00:02:28,709 --> 00:02:29,930 bit more about your backgrounds. 65 00:02:30,310 --> 00:02:32,489 And it was also great to see CoroHealth 66 00:02:32,789 --> 00:02:35,530 at Becker's Health IT event this fall. 67 00:02:35,944 --> 00:02:38,824 For listeners who may not know, CoroHealth actually 68 00:02:38,824 --> 00:02:40,365 hosted a summit at the event. 69 00:02:40,985 --> 00:02:43,645 It was a great conversation. And, doctor Morrissey, 70 00:02:43,705 --> 00:02:45,645 I I wanted to just have you elaborate 71 00:02:45,705 --> 00:02:46,985 a little bit more on something that you 72 00:02:46,985 --> 00:02:48,125 talked about at the summit. 73 00:02:48,800 --> 00:02:50,719 There you shared that there's there was this 74 00:02:50,719 --> 00:02:52,900 fascinating evolution of medical documentation 75 00:02:53,360 --> 00:02:54,020 that started 76 00:02:54,560 --> 00:02:57,200 essentially in ancient case reviews in Egypt, and 77 00:02:57,200 --> 00:03:00,319 it's evolved to the modern EHR. So we'd 78 00:03:00,319 --> 00:03:01,840 love to hear a little bit more about 79 00:03:01,840 --> 00:03:03,379 that from you and the lessons 80 00:03:03,805 --> 00:03:05,885 that you think are most relevant from that 81 00:03:05,885 --> 00:03:08,685 journey or evolution as we're entering this AI 82 00:03:08,685 --> 00:03:10,865 era of clinical documentation integrity. 83 00:03:11,645 --> 00:03:13,485 Well, I think the secret's out, Erica, that 84 00:03:13,485 --> 00:03:15,485 I'm a I'm a student of history. I'm 85 00:03:15,485 --> 00:03:18,509 a I'm a strong believer that if we 86 00:03:18,569 --> 00:03:21,210 understand the past, it'll it'll help improve where 87 00:03:21,210 --> 00:03:22,810 we're going, and we don't repeat the same 88 00:03:22,810 --> 00:03:24,030 mistakes. And 89 00:03:24,409 --> 00:03:27,210 I loved tying that all together during that 90 00:03:27,210 --> 00:03:28,669 summit for folks because 91 00:03:29,289 --> 00:03:31,849 what really stands out to me is that 92 00:03:31,849 --> 00:03:34,465 as we trace the history of physician documentation 93 00:03:34,685 --> 00:03:36,284 and like we talked about at the summit, 94 00:03:36,284 --> 00:03:38,364 it dates all the way back to 2,000 95 00:03:38,364 --> 00:03:41,425 BC in Egypt where the first medical records 96 00:03:41,564 --> 00:03:42,224 on papyrus 97 00:03:43,084 --> 00:03:43,584 documented 98 00:03:43,884 --> 00:03:45,264 some core elements 99 00:03:45,810 --> 00:03:46,710 like observation 100 00:03:47,010 --> 00:03:49,430 and exam findings and diagnoses 101 00:03:49,730 --> 00:03:51,110 and treatment plans 102 00:03:51,569 --> 00:03:54,710 that we can trace those exact elements 103 00:03:55,170 --> 00:03:56,710 all the way through history 104 00:03:57,090 --> 00:03:59,010 up until 2025, 105 00:03:59,010 --> 00:04:02,534 and there's still core elements to physician and 106 00:04:02,534 --> 00:04:03,594 provider documentation. 107 00:04:04,694 --> 00:04:06,855 And what that tells me is that, you 108 00:04:06,855 --> 00:04:09,415 know, in the practice of medicine, we knew 109 00:04:09,415 --> 00:04:11,995 from the beginning what needed to be documented 110 00:04:12,135 --> 00:04:12,955 and communicated, 111 00:04:13,735 --> 00:04:15,435 not only to care for our patients, 112 00:04:15,939 --> 00:04:18,500 but also to advance the field of medicine 113 00:04:18,500 --> 00:04:20,419 and the study of the science that is 114 00:04:20,419 --> 00:04:21,399 involved there. 115 00:04:21,779 --> 00:04:24,519 Now as time went on, that documentation 116 00:04:25,379 --> 00:04:27,860 met up with advances in technology, and those 117 00:04:27,860 --> 00:04:29,319 advances in technology 118 00:04:30,095 --> 00:04:32,115 were occurring in a parallel path. 119 00:04:32,654 --> 00:04:34,514 And we moved from papyrus, 120 00:04:35,615 --> 00:04:36,354 to paper, 121 00:04:37,134 --> 00:04:39,794 eventually to technology and electronic 122 00:04:40,095 --> 00:04:43,160 documentation. And with that, there were good things 123 00:04:43,160 --> 00:04:45,560 that came from it and and not so 124 00:04:45,560 --> 00:04:47,500 good things that came from it. 125 00:04:47,879 --> 00:04:49,879 And, of course, you know, the biggest transition 126 00:04:49,879 --> 00:04:52,520 that we've had historically has been the transition 127 00:04:52,520 --> 00:04:55,000 from paper to the electronic medical record or 128 00:04:55,000 --> 00:04:55,500 EMR. 129 00:04:56,254 --> 00:04:58,735 And with that transition, one of the things 130 00:04:58,735 --> 00:05:00,835 that I think we often lose track of 131 00:05:01,214 --> 00:05:03,235 is we took those core findings 132 00:05:03,615 --> 00:05:04,435 of observations, 133 00:05:05,214 --> 00:05:07,935 exam findings, diagnosis, and treatment, and we said, 134 00:05:07,935 --> 00:05:10,350 okay. Now we also want meticulous 135 00:05:10,670 --> 00:05:13,310 documentation that allows for advances that are going 136 00:05:13,310 --> 00:05:15,790 on in coding and billing and advances that 137 00:05:15,790 --> 00:05:18,110 are going on with regulatory and compliance. And 138 00:05:18,110 --> 00:05:20,110 we also wanna use it to prevent errors 139 00:05:20,110 --> 00:05:22,990 and ensure quality and use clinical pathways and 140 00:05:22,990 --> 00:05:24,209 optimize workflows 141 00:05:24,824 --> 00:05:25,884 and have interoperability 142 00:05:26,264 --> 00:05:27,004 and portability 143 00:05:27,544 --> 00:05:29,704 and any other ability that you can think 144 00:05:29,704 --> 00:05:31,324 of that I haven't just listed. 145 00:05:31,704 --> 00:05:34,425 And with that came just just eons and 146 00:05:34,425 --> 00:05:36,264 and gobs and gobs and gobs of data. 147 00:05:36,264 --> 00:05:37,884 And so now we could analyze 148 00:05:38,185 --> 00:05:38,879 all of that. 149 00:05:39,839 --> 00:05:42,660 So with the merge between documentation 150 00:05:43,040 --> 00:05:43,939 and technology, 151 00:05:44,720 --> 00:05:46,259 we created this battlefield, 152 00:05:47,520 --> 00:05:50,420 where financial, clinical, and payer priorities 153 00:05:50,800 --> 00:05:51,620 all collide, 154 00:05:52,160 --> 00:05:54,955 and they all want something from the documentation. 155 00:05:55,895 --> 00:05:57,194 And that tension 156 00:05:57,975 --> 00:06:01,194 that every provider, every organization out there feels 157 00:06:01,735 --> 00:06:04,615 is the reality of this intersection of all 158 00:06:04,615 --> 00:06:05,835 these competing priorities. 159 00:06:06,800 --> 00:06:09,379 And, unfortunately, again, studying history, 160 00:06:10,000 --> 00:06:12,399 as hospitals and health systems have tried to 161 00:06:12,399 --> 00:06:14,419 solve or alleviate that tension, 162 00:06:15,360 --> 00:06:18,899 the solutions have frequently been to add more, 163 00:06:19,464 --> 00:06:22,185 add more layers, add more reviews, add more 164 00:06:22,185 --> 00:06:22,685 queries. 165 00:06:23,305 --> 00:06:25,805 And now we've gotten to this unsustainable 166 00:06:26,504 --> 00:06:27,644 point in history 167 00:06:28,024 --> 00:06:29,004 where the administrative 168 00:06:29,944 --> 00:06:30,444 overload 169 00:06:30,824 --> 00:06:31,644 on documentation 170 00:06:32,430 --> 00:06:34,850 has resulted in clinician disengagement, 171 00:06:35,310 --> 00:06:37,649 and it's almost like what we've been striving 172 00:06:37,870 --> 00:06:39,970 for with all of this advanced technology 173 00:06:40,670 --> 00:06:42,529 is kinda starting to fall apart. 174 00:06:42,910 --> 00:06:44,750 And that's not the direction we needed to 175 00:06:44,750 --> 00:06:46,610 go, and that's not optimizing 176 00:06:48,014 --> 00:06:48,514 documentation 177 00:06:48,975 --> 00:06:51,235 integrity and the role that 178 00:06:51,774 --> 00:06:54,035 technology can play in documentation 179 00:06:54,894 --> 00:06:55,394 integrity. 180 00:06:55,935 --> 00:06:56,995 And that's where 181 00:06:57,295 --> 00:06:59,955 Kaltrina and I have really been focused on. 182 00:07:00,389 --> 00:07:01,769 We want our providers 183 00:07:02,069 --> 00:07:04,550 caring for our communities and health systems where 184 00:07:04,550 --> 00:07:06,470 they bring the biggest value, and that's at 185 00:07:06,470 --> 00:07:08,329 the bedside with the patient. 186 00:07:08,789 --> 00:07:11,110 We want them focusing their time and efforts 187 00:07:11,110 --> 00:07:12,569 there and on the treatments 188 00:07:12,894 --> 00:07:14,354 and and helping patients, 189 00:07:14,735 --> 00:07:16,894 not on learning the recent coding and billing 190 00:07:16,894 --> 00:07:19,214 rules so that they document with the utmost 191 00:07:19,214 --> 00:07:20,034 of specificity. 192 00:07:20,495 --> 00:07:22,414 And that's where we think technology can come 193 00:07:22,414 --> 00:07:24,414 in and really help to alleviate some of 194 00:07:24,414 --> 00:07:25,235 that administrative 195 00:07:25,615 --> 00:07:26,115 burden 196 00:07:26,490 --> 00:07:28,509 and and help resolve some of that clinician 197 00:07:28,649 --> 00:07:29,149 disengagement. 198 00:07:31,370 --> 00:07:34,410 Doctor Morrissey, what storytelling? Thank you so much 199 00:07:34,410 --> 00:07:36,410 for sharing all of that with our listeners. 200 00:07:36,410 --> 00:07:38,329 I can't say on a another podcast episode 201 00:07:38,329 --> 00:07:41,074 I've ever talked about 2,000 BC in Egypt 202 00:07:41,214 --> 00:07:41,714 or. 203 00:07:42,415 --> 00:07:44,735 So this is a first and but truly, 204 00:07:44,735 --> 00:07:45,475 jokes aside, 205 00:07:46,014 --> 00:07:48,415 it's a really important, I think, evolution that 206 00:07:48,415 --> 00:07:50,735 you've noted and how we've gotten to a 207 00:07:50,735 --> 00:07:52,595 point where things are feeling unsustainable 208 00:07:52,975 --> 00:07:55,074 for clinicians, for back end teams. 209 00:07:55,420 --> 00:07:57,339 And now it's almost as if we need 210 00:07:57,339 --> 00:07:58,000 to take 211 00:07:58,540 --> 00:08:00,860 the wonderful technology advancements that we have in 212 00:08:00,860 --> 00:08:03,500 front of us, but have them simplify things 213 00:08:03,500 --> 00:08:04,240 back to 214 00:08:04,699 --> 00:08:07,180 make them feel simple as they were many, 215 00:08:07,180 --> 00:08:08,160 many years ago. 216 00:08:09,259 --> 00:08:10,925 So thank you so much again for sharing 217 00:08:10,925 --> 00:08:12,144 all of that. And, Kaltrina, 218 00:08:12,524 --> 00:08:14,285 I'd love to now kick it over to 219 00:08:14,285 --> 00:08:16,764 you to get some more insight on the 220 00:08:16,764 --> 00:08:19,485 product and operations side of things. So how 221 00:08:19,485 --> 00:08:21,644 do you see those technologies bridging the gap 222 00:08:21,644 --> 00:08:23,264 between clinical documentation, 223 00:08:24,389 --> 00:08:26,310 you know, not just as a compliance task, 224 00:08:26,310 --> 00:08:28,650 but also as a real tool for clinician 225 00:08:28,710 --> 00:08:30,250 understanding and decision support? 226 00:08:31,030 --> 00:08:33,670 Yeah. That's that's a great question. I think 227 00:08:33,670 --> 00:08:35,769 we're we're finally seeing technology 228 00:08:36,714 --> 00:08:40,315 close this long standing gap between documentation as 229 00:08:40,315 --> 00:08:43,034 a compliance task and a tool for true 230 00:08:43,034 --> 00:08:45,855 real clinical insight. Right? So for years, documentation 231 00:08:45,914 --> 00:08:47,934 was about billing and audits necessary, 232 00:08:48,740 --> 00:08:51,220 truly necessary, but it didn't always add value 233 00:08:51,220 --> 00:08:53,940 for clinicians. Right? And so as I mentioned 234 00:08:53,940 --> 00:08:55,240 at the at the summit, 235 00:08:55,620 --> 00:08:58,120 now with generative AI, which is 236 00:08:58,500 --> 00:08:59,879 more advanced technology 237 00:09:00,179 --> 00:09:03,240 and the emerging agentic AI, we're creating systems 238 00:09:03,299 --> 00:09:03,799 that 239 00:09:04,184 --> 00:09:04,924 actually understand 240 00:09:05,465 --> 00:09:08,184 clinical context so they don't just capture what's 241 00:09:08,184 --> 00:09:12,264 said. Right? They're interpreting intent. They're surfacing insights 242 00:09:12,264 --> 00:09:12,764 and 243 00:09:13,225 --> 00:09:14,524 even guiding clarifications 244 00:09:14,985 --> 00:09:15,965 in real time. 245 00:09:16,589 --> 00:09:19,709 So that's that's especially powerful if if we're 246 00:09:19,709 --> 00:09:21,569 talking about pre prebuilt CDI 247 00:09:22,029 --> 00:09:22,529 where 248 00:09:22,990 --> 00:09:26,269 identifying gaps or or indicators really means stronger 249 00:09:26,269 --> 00:09:29,970 accuracy, right, and integrity without really slowing 250 00:09:30,509 --> 00:09:33,304 our clinicians. And as doc Morrissey mentioned, the 251 00:09:33,304 --> 00:09:34,504 goal is to make sure that, you know, 252 00:09:34,504 --> 00:09:36,424 our clinicians are truly focused in helping our 253 00:09:36,424 --> 00:09:38,424 community and our patients out there and let 254 00:09:38,424 --> 00:09:39,245 us do the 255 00:09:39,704 --> 00:09:42,105 the the back end and and really integrate 256 00:09:42,105 --> 00:09:44,504 an AI as a true assistant to their 257 00:09:44,504 --> 00:09:45,324 day to day. 258 00:09:45,625 --> 00:09:48,860 From an operations lens, that drives huge efficiency 259 00:09:48,860 --> 00:09:52,160 rate, faster chart reviews, faster fewer denials, 260 00:09:52,700 --> 00:09:55,519 and really an overall cleaner revenue cycle process. 261 00:09:55,980 --> 00:09:56,480 So 262 00:09:56,860 --> 00:09:59,600 I think more importantly, though, it makes documentation 263 00:09:59,899 --> 00:10:00,960 meaningful again. 264 00:10:01,294 --> 00:10:03,694 It becomes a a live in intelligent part 265 00:10:03,694 --> 00:10:05,875 of care, not just a compliance checkbox. 266 00:10:07,134 --> 00:10:10,334 Making documentation meaningful again. I I really appreciate 267 00:10:10,334 --> 00:10:11,315 that phrase, Kaltryna. 268 00:10:11,694 --> 00:10:13,875 Thanks so much for for sharing your insights. 269 00:10:14,709 --> 00:10:17,350 And I think it's important also to kind 270 00:10:17,350 --> 00:10:19,669 of walk our walk our listeners through what 271 00:10:19,669 --> 00:10:21,769 what you both see is ahead. 272 00:10:22,470 --> 00:10:24,730 Doctor Morrissey, maybe you can take this one. 273 00:10:25,110 --> 00:10:27,175 What's one actionable step that you would recommend 274 00:10:27,175 --> 00:10:30,634 to leaders to really strengthen their CDI programs 275 00:10:31,335 --> 00:10:33,735 and maybe even more importantly, really position their 276 00:10:33,735 --> 00:10:37,434 organizations to adapt to change that's inevitably ahead? 277 00:10:38,055 --> 00:10:39,975 Well, Erica, I hope you'll indulge me. I'm 278 00:10:39,975 --> 00:10:42,679 gonna go with two instead of just one. 279 00:10:42,899 --> 00:10:43,399 Sure. 280 00:10:45,059 --> 00:10:47,699 You know, so I think anybody listening who's 281 00:10:47,699 --> 00:10:49,620 involved in healthcare is gonna agree with this 282 00:10:49,620 --> 00:10:51,240 statement that, you know, unsustainable 283 00:10:51,860 --> 00:10:52,360 economics 284 00:10:53,315 --> 00:10:56,595 are converging with powerful advances in technology and 285 00:10:56,595 --> 00:10:59,894 science right now, and innovations are accelerating. 286 00:11:01,075 --> 00:11:03,315 And so anybody listening to this could probably 287 00:11:03,315 --> 00:11:05,815 pop into their email box and see, 288 00:11:06,460 --> 00:11:09,039 a million emails out there with organizations 289 00:11:09,580 --> 00:11:13,039 promising automation and generative AI and, 290 00:11:13,740 --> 00:11:17,039 natural language processing and machine learning models. And 291 00:11:17,820 --> 00:11:18,879 my first recommendation 292 00:11:19,419 --> 00:11:21,279 for an actionable step is 293 00:11:21,665 --> 00:11:24,465 if you haven't done it already, really get 294 00:11:24,465 --> 00:11:27,205 an understanding about what all those terms mean. 295 00:11:27,504 --> 00:11:29,985 What is automation? What is analytics? What is 296 00:11:29,985 --> 00:11:32,245 natural language processing? What is generative 297 00:11:32,545 --> 00:11:34,485 AI? What is agentic AI? 298 00:11:35,019 --> 00:11:38,059 I see those phrases thrown around so much, 299 00:11:38,059 --> 00:11:39,839 and they're often used interchangeably 300 00:11:40,139 --> 00:11:42,940 or like they're synonyms, and they're absolutely not 301 00:11:42,940 --> 00:11:43,440 synonyms. 302 00:11:44,220 --> 00:11:46,379 They all do different things. And so if 303 00:11:46,379 --> 00:11:49,259 you get the wrong product that doesn't solve 304 00:11:49,259 --> 00:11:52,044 your problem because the term was used in 305 00:11:52,044 --> 00:11:54,544 a, what I'll call, a loosey goosey manner, 306 00:11:54,764 --> 00:11:57,164 you're gonna end up disappointed. So that that 307 00:11:57,164 --> 00:11:58,605 would be the first thing that I would 308 00:11:58,605 --> 00:12:01,345 say and recommend is is the first actionable 309 00:12:01,404 --> 00:12:01,904 step. 310 00:12:02,284 --> 00:12:06,409 The second actionable step, which is to be 311 00:12:06,409 --> 00:12:08,649 bold. We have to be bold as we 312 00:12:08,649 --> 00:12:10,970 move forward, and that means that we have 313 00:12:10,970 --> 00:12:13,470 to be what I'd call constructively 314 00:12:14,009 --> 00:12:14,509 destructive. 315 00:12:15,289 --> 00:12:17,149 So we need to look at, 316 00:12:17,894 --> 00:12:18,394 workflows 317 00:12:18,934 --> 00:12:19,834 and procedures 318 00:12:20,375 --> 00:12:22,534 that we have followed for years and years 319 00:12:22,534 --> 00:12:25,195 that were designed to support manual processes. 320 00:12:26,134 --> 00:12:28,475 You can't just take those workflows and procedures 321 00:12:28,534 --> 00:12:31,115 and processes and put them into a technological 322 00:12:31,495 --> 00:12:34,549 world and expect the improvement that you need. 323 00:12:34,929 --> 00:12:36,769 We have to be willing to look at 324 00:12:36,769 --> 00:12:39,409 those and say, does that workflow still make 325 00:12:39,409 --> 00:12:40,710 sense with a technology 326 00:12:41,169 --> 00:12:43,830 added in? And then I think with those 327 00:12:43,889 --> 00:12:45,350 two things combined 328 00:12:45,730 --> 00:12:48,144 as your first steps as you're entering into 329 00:12:48,144 --> 00:12:48,805 these things, 330 00:12:49,585 --> 00:12:50,565 you're really gonna 331 00:12:50,865 --> 00:12:53,524 find that you're going to get success faster. 332 00:12:54,305 --> 00:12:56,725 Don't be afraid to fail, but be agile 333 00:12:56,865 --> 00:12:58,865 when you fail and and use that as 334 00:12:58,865 --> 00:12:59,820 your guiding light. 335 00:13:01,179 --> 00:13:03,820 Love that. So it sounds like getting that 336 00:13:03,820 --> 00:13:04,960 foundational understanding 337 00:13:05,980 --> 00:13:09,360 of the differences between AI, natural language processing 338 00:13:10,220 --> 00:13:10,720 automation, 339 00:13:11,100 --> 00:13:12,399 understanding they're not synonymous, 340 00:13:12,725 --> 00:13:14,825 step one. Step two, be bold, 341 00:13:15,205 --> 00:13:18,004 constructively destructive, like you said, doctor Morrissey. I 342 00:13:18,004 --> 00:13:20,725 think these are fantastic and actionable tips that 343 00:13:20,725 --> 00:13:22,024 listeners can take away. 344 00:13:22,804 --> 00:13:23,304 Kaltrina, 345 00:13:23,764 --> 00:13:25,285 what comes up for you here? Is there 346 00:13:25,285 --> 00:13:27,285 anything we didn't touch on or or any 347 00:13:27,285 --> 00:13:28,800 final thoughts that you wanted to leave us 348 00:13:28,800 --> 00:13:29,300 with? 349 00:13:30,320 --> 00:13:32,399 I would just say that we're an exciting 350 00:13:32,399 --> 00:13:33,940 point in the health care technology, 351 00:13:34,320 --> 00:13:37,940 you know, with generative AI and agentic AI 352 00:13:38,160 --> 00:13:38,660 interoperability 353 00:13:39,120 --> 00:13:40,259 and the FHIR frameworks. 354 00:13:41,245 --> 00:13:41,904 Have really 355 00:13:42,764 --> 00:13:45,964 been helping physicians finally and CDI teams and 356 00:13:45,964 --> 00:13:47,804 health system to work together more, 357 00:13:48,365 --> 00:13:51,105 efficiently. Right? And so I think 358 00:13:51,644 --> 00:13:54,480 technology and regulations will continue to evolve. So 359 00:13:54,480 --> 00:13:58,000 organizations that pair smart tools with ongoing feedback 360 00:13:58,000 --> 00:14:02,019 loops and training and collaboration between clinicians, CDIs, 361 00:14:02,879 --> 00:14:05,519 and, really, operational leaders as well will be 362 00:14:05,519 --> 00:14:07,220 best positioned to stay ahead. 363 00:14:07,575 --> 00:14:08,075 So, 364 00:14:08,535 --> 00:14:11,434 you know, my recommendation is that when we, 365 00:14:11,495 --> 00:14:14,475 as clinicians and AI collaborate in the workflow, 366 00:14:14,695 --> 00:14:17,495 we're we're not just improving efficiency, we're improving 367 00:14:17,495 --> 00:14:19,894 outcomes. And we're really improving trust as well 368 00:14:19,894 --> 00:14:21,894 and the overall patient story, right, which is 369 00:14:21,894 --> 00:14:22,769 the most important 370 00:14:23,170 --> 00:14:24,550 aspect of all of this. 371 00:14:25,250 --> 00:14:25,750 Yeah. 372 00:14:26,290 --> 00:14:28,370 Appreciate that note ending on the importance of 373 00:14:28,370 --> 00:14:30,470 the patient story. I know that's what ties 374 00:14:30,929 --> 00:14:32,450 you both back to your work and so 375 00:14:32,450 --> 00:14:34,290 many other listeners back to what they do 376 00:14:34,290 --> 00:14:36,804 every day in health care. So doctor Morrissey, 377 00:14:36,804 --> 00:14:38,964 Kaltrina, thank you again for for this great 378 00:14:38,964 --> 00:14:41,205 discussion today and for making time for Becker's. 379 00:14:41,205 --> 00:14:43,924 I really appreciate it. Thanks, Eric. It's always 380 00:14:43,924 --> 00:14:44,664 our pleasure. 381 00:14:45,205 --> 00:14:46,985 And we'd also like to thank our podcast 382 00:14:47,044 --> 00:14:48,664 sponsor for today, CoroHealth. 383 00:14:49,486 --> 00:14:51,326 Listeners, please be sure to tune into more 384 00:14:51,326 --> 00:14:54,126 episodes from Becker's by visiting our podcast page 385 00:14:54,126 --> 00:14:56,626 at beckershospitalreview.com.