WEBVTT

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- The strategic agenda facing hospital and health system

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- leaders right now is not a short list.

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- Growth in a consolidating market, sustainable margins in

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- a reimbursement environment that rarely moves in your

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- favor,

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- a tech investment cycle that demands both urgency

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- and discipline,

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- and a workforce story that is still being

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- written.

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- Eker's fourteenth annual CEO CFO roundtable brings together

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- more than 1,500 executive level attendees and nearly

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- 400 speakers across four days of sessions that

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- are designed to help c suite leaders benchmark,

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- pressure test, and sharpen their priorities.

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- Not in the abstract, but against the real

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- decisions they'll face heading into the next year.

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- It's the kind of event you leave with

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- a clear sense of where you stand and

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- what comes next.

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- So join us November second through the fifth

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- at the Hyatt Regency in Chicago, and come

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- ready to do the hard thinking.

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- Register on our events page at beckershospitalreview.com

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- by clicking on the events tab in the

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- upper right.

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- This is Laura Dierdahl with the Becker's Healthcare

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- podcast. I'm thrilled today to be joined by

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- Timothy Lehman, president and chief administrative officer at

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- Saint Mary's Hospital, part of Hospital Sisters Health

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- System. Timothy, it's a pleasure to have you

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- on the podcast today.

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- Pleasure to be here. Thanks for having me.

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- Absolutely. Now I'm excited for our conversation. I

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- know we're gonna talk a lot about, some

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- of the great things you're doing at Saint

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- Mary's Hospital and,

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- dig into some of the things you're you're

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- looking forward to in the future as well.

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- But before we dive into that conversation, can

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- you tell us a little bit more about

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- yourself and your background?

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- Sure. So I've been a nurse now for

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- coming up on twenty years.

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- So, nursing is a second career for me.

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- I became a nurse and realized very quickly

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- that, there's a lot of work to do,

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- not only in nursing and it but in

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- health care as well. So I decided to

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- go back to school, a bunch of different

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- times and had the privilege of working for

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- several different types of hospital based systems,

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- for profit, not for profit, university based medicine,

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- and private health care.

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- I have the privilege of working,

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- my way through clinical positions and leadership roles,

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- and and, ultimately, I have landed where I

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- am right now,

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- working in a a an amazing role that

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- offers a glimpse into

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- what what the future of health care looks

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- like.

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- That's fantastic to hear. And, you know, really

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- cool to have that opportunity,

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- to to, you know, explore the field and,

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- like you said, have the nursing background as

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- well as the leadership and lots of health

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- care administration too. So that's great to hear.

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- And could you give us a quick state

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- of the union for,

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- Saint Mary's Hospital?

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- What has gone well this year and what

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- do you really focus on for the rest

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- of 2026?

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- Absolutely.

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- So 2026

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- has been

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- a transformational

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- year for HSHS Saint Mary's Hospital.

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- We're halfway through one of the most significant

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- modernization

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- projects in our history,

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- including the opening of our new center for

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- advanced surgery.

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- Our expanded procedural capacity and renovated patient, inpatient

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- units,

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- and upgraded infrastructure

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- really positions us

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- to serve the community,

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- for decades to come. So while the facility

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- aspect is exciting,

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- I'm most proud of what our teams have

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- accomplished operationally.

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- We have continued to improve quality outcomes,

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- the reduction of hospital acquired conditions,

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- strengthened patient experience,

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- and improved our emergency

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- department throughput. And those results are just a

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- reflection

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- of the incredible team that is committed to

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- our mission here at Saint Mary's.

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- I think as we move

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- through the remainder of 2026,

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- our focus though is gonna shift from the

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- building aspect as we continue there,

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- to maximizing

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- our potential.

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- And

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- and for us, that means growing surgical services,

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- strengthening

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- our physician partnerships,

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- expanding

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- access to care,

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- improving our workforce stability, and ensuring

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- every investment

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- translates

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- not only into better patient outcomes,

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- but a stronger financial performance

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- and position as well. So that goal is

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- to

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- guide and deliver exceptional care,

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- while building a sustainable organization for the future.

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- That makes a ton of sense. You know?

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- And it's really important. I I love the

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- focus not only on the,

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- quality and outcomes

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- as well as the efficiency of moving patients

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- to the hospital, but then too just being

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- able to have modern facilities and, pour into

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- the workforce as well. And so when you

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- think of all of those things that are

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- top of mind for for you,

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- what really

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- sticks out as being the the area where

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- the the investment really is gonna make the

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- biggest difference for those patient outcomes? How do

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- you see,

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- being able to navigate, I guess, so many

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- different factors and changes happening at once?

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- Yes. So that navigation,

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- being nimble

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- and being someone that is routinely flexible in

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- areas of uncertainty is

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- absolutely

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- necessary.

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- I think that the health care workforce is

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- singularly the largest focus

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- for health care organizations

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- and being able to sustain and create an

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- environment

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- where there is a focus on the human

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- aspect and human potential

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- around

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- building the employee from an organizational standpoint and

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- caring for patients,

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- from that altruistic standpoint

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- are extremely important.

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- Got it. That that makes a lot of

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- sense, you know, and it truly truly is

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- part of, such an important mission for health

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- care today. So I I know a lot

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- happening, but I am curious too. What are

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- some of the big headwinds that you have

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- your eye on and that you've been preparing

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- for?

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- What are you doing right now and what's

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- top of mind in in that space?

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- So I think the biggest headwind,

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- is the health care workforce.

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- That is our single greatest challenge

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- for facing hospitals nationwide.

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- So while staffing has stabilized

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- across the country,

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- compared to several years ago, there was major

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- disruption.

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- We're entering a period where

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- demographic trends and an aging workforce

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- and fewer graduates

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- are are creating

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- pressure,

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- for organizations across the country. At the same

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- time, reimbursement

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- continues

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- to tighten,

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- while the expectations placed on hospitals continues to

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- grow.

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- So health systems are being asked to do

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- more with fewer resources,

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- making operational excellence,

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- not only more important, but a central focus

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- for most executives.

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- The organizations that will thrive are those that

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- are able to embrace innovation and disruption,

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- not by simply reducing costs, but redesigning the

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- way that we deliver care. So things like

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- artificial intelligence, automation,

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- predictive analytics, virtual care, all of those things

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- are extremely important, and they're gonna play an

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- important role in the future.

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- And although technology itself won't replace caregivers ever,

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- it can absolutely help remove or at least

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- limit administrative burden so that clinicians

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- spend more time doing what they do best

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- and that is at the bedside

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- caring for patients in a compassionate way.

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- Absolutely. I I love that. And, you know,

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- to to have some of those challenges that

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- you mentioned, I think, are are very,

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- you know, a lot of a lot of

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- hospital leaders across the country are experiencing those

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- same same things with reimbursement in the workforce

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- and more. So I I love your thoughts

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- on being innovative, being able to stay nimble,

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- and,

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- incorporating technology into the organization.

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- Is there

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- something that you've done, to,

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- I guess, promote that type of innovation within

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- Saint Mary's or an example you can share

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- with us of,

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- innovation that's truly been able to shine?

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- So I think it comes back to people

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- closest to the work

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- know best what they need and querying and

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- talking with,

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- not only our leaders, but talking with our

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- staff who are closest to patient care,

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- is probably

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- the the singular best focus you can have

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- for designing or redesigning

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- a health system around

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- how people visualize the future to be. When

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- asking staff, hey. How could we do this

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- better? You would be surprised how many innovative

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- ideas and thoughts come to mind.

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- As a hospital system, HSHS,

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- just underwent,

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- a year of stewardship where our top champions

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- were asked to provide ideas to the hospital

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- system in ways to be excellent stewards

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- of,

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- of our craft. And a a lot of

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- amazing ideas came from that, ideas where, there

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- were sharing resources, where,

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- resources were able to be

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- duplicated in other areas. So, certainly,

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- in the area of focus was getting information

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- from the staff members in a way that

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- makes sense and that we can translate that

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- into something that works best. Oftentimes,

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- that innovative thought process comes from those closest

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- to the work.

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- I love that. What a great philosophy and

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- especially important,

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- for those clinicians and leaders who are on

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- the front lines, how to be able to

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- make a difference and and and see changes

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- and then be able to do that. And

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- to that point, you know, where do you

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- see some of the best opportunities to grow

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- in the next two to three years?

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- So I think the greatest opportunity,

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- is to become, for us, a destination

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- hospital

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- for advanced specialty care

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- regionally.

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- So we've invested heavily in the infrastructure,

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- which many health systems aren't investing in now.

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- We've already done that. So now it's about

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- growing the programs that matter most to the

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- community,

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- expanding our surgical service line, strengthening our cardiovascular

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- care, enhancing,

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- neuroscience and orthopedic services, and continuing to recruit

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- amazing outstanding physicians

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- and advanced practice providers.

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- So I'm equally excited about leveraging technology to

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- improving that access, whether it's through telehealth,

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- a a AI enabled clinical support, or even

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- more personalized patient engagement.

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- We've got a unique opportunity

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- to make health care more convenient while improving

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- quality outcomes.

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- The growth for us isn't simply just about

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- adding volume. It's about creating a health system

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- that delivers a high value,

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- better clinical outcome, exceptional patient experience

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- every single time and that we can do

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- it with long term financial sustainability.

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- That's the type of growth that benefits everyone.

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- Absolutely. I I love it. And, you know,

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- investing more in that clinical team, makes a

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- lot of sense and extremely

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- exciting that you're bringing on more physicians, more

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- specialists, and members of the of the clinical

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- team to serve the patients. I know,

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- a lot happening within that space. So being

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- able to be in a position where you're

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- bringing in more physicians,

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- I I can imagine is is a great

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- place to be.

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- Very exciting.

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- Absolutely. Now before we wrap up, I'm curious,

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- who do you admire as a leader from

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- really any industry and why?

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- That was a tough question. I I think

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- one leader I admire is Sucha Nadella,

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- the CEO of Microsoft.

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- When he became CEO,

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- Microsoft was already a successful company.

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- But he fundamentally

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- changed

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- its culture. He shifted

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- the organization

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- from one that is centered on competition

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- and knowing all the answers to one that

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- is focused on learning,

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- collaboration,

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- the innovation arm,

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- and empathy.

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- So under his leadership alone, Microsoft

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- has experienced remarkable growth while maintaining

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- a strong commitment to its purpose

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- and its people.

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- There's several lessons health care leaders, I think,

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- can take from that approach, and it's that

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- culture is a strategic advantage.

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- Innovation only succeeds when people feel empowered to

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- contribute.

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- And humility

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- and the willingness to learn, listen, and continuously

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- improve

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- is one of the most important leadership qualities

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- that somebody can have. So in health care,

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- our mission is slightly different, but the principles

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- remain the same. The best leaders create environments

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- where people feel valued, where innovation is

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- encouraged, and where decisions begin with the question,

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- how does this improve

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- the lives of the people we serve? And

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- so I think he

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- he really

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- he shows that,

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- in his very humanistic approach and his very

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- leader profile, which is what makes him incredibly

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- successful.

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- I love it. Timothy, thank you so much

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- for joining us on the podcast today. This

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- has been such a fun conversation.

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- Really learned a lot about Saint Mary's and,

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- you know, excellent to to have your perspective

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- on how to move forward. And,

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- you know, it was very, very exciting and

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- disruptive times in health care. So I appreciate

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- your perspective, and we look forward to seeing

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- you at our CEO CFO roundtable. I know

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- you'll be here in Chicago in November, speaking

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- on one of our panels. And so we'll

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- dig deeper into many of these themes, and

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- it'll just be great to see you in

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- person.

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- Alright. Look forward to meeting you as well,

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- and thanks for having me.