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- This is Scott Becker with the Becker's Healthcare

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- Podcast.

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- We're thrilled today to be joined by a

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- brilliant leader. We're joined today by Jennifer Venator.

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- Jennifer Venator is a is a a nurse.

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- She's a master in in science in nursing.

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- She's got several different titles.

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- She's also the executive director of surgical services

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- at Providence Saint Jude Medical Center in Fullerton,

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- California.

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- We're gonna talk to her about

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- operations,

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- operating rooms, logistics,

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- access to surgical care, and a lot more.

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- Jennifer,

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- to kick us off, can you take a

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- moment to tell us about yourself and about

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- your career and work in health care?

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- Thank you, Scott. Thank you for having me

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- on today, first of all. And, gosh, that

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- sounds like a long list of things to

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- talk about. But, just a little bit about

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- me. I am an OR nurse by background,

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- so I I've spent the past twenty years

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- of my life serving in surgery

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- in some capacity.

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- I've taken care of patients at the bedside.

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- I've helped educate our teams,

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- and I've been a leader in multiple different

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- areas.

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- Currently, I am the executive director of surgical

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- services at Providence Saint Jude Medical Center in

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- Fullerton, California,

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- where my responsibility

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- is

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- honed around all surgical

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- and GI procedural areas.

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- And so my responsibility

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- is really to help our patients have access

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- to care.

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- And surgical excellence has been a passion of

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- mine for for a very, very long time.

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- I strive for to help create an environment

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- in which we can provide the highest quality,

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- safety,

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- latest technology for our patients,

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- and we wanna make sure that our surgeons

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- and care teams have the best environment to

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- do their best work.

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- But a big part of my job involves

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- data, and data just

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- drives a lot of the decisions

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- that we make as a team, as a

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- leadership team day to day.

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- Thank you. Let's talk about that. You spend

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- a lot of time

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- on working on patient access and supporting your

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- surgical care teams,

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- and and and trying to make sure you've

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- got the right throughput

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- and making sure everything works well in the

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- best for the clinical team and for the

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- patients.

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- Talk a little bit about how that data,

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- you know, be more reliable

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- post perioperative

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- data

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- has changed your ability to lead and how

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- you lead and how you make decisions day

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- to day?

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- So data as a whole is very important.

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- Right? And,

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- I like to work smarter, not harder.

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- And what has really been very helpful in

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- the past few years, you know, health care

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- is changing, and we have the advent of

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- of new technology

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- helping us with our data.

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- And it's it's really great when you have

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- easily accessible data at your fingertips.

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- It gives me a very clear picture of

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- our operations

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- without having to manually assemble a story.

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- So, you know, prior to, you know, having

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- access to this type of technology,

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- our teams were doing a lot of deep

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- diving

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- in, you know, pivoting spreadsheets and doing things

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- very very manual tasks to try and tell

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- the story

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- about what was happening in our department.

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- And so now when there's a clinical question

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- or a question about our efficiencies,

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- I can quickly look.

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- The team can quickly look and figure out,

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- you know, where's our capacity?

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- Where do we potentially see opportunities to improve?

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- Where are we very successful?

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- And so,

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- instead of relying on somebody's opinion

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- or, you know, a one report from one

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- dataset or another report from another dataset,

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- we really have one source of truth for

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- what's happening with our teams.

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- And since we implemented this, we have seen

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- multiple

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- changes and advantages

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- in our case volume,

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- our patients' access to our department,

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- improving measures, you know, as far as, you

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- know, our efficiencies,

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- how we're starting our rooms, how we're starting

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- our cases,

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- and how we're overall just allowing access to

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- our department. So very important, and,

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- it it has gotten easier over time.

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- And let me ask you this question. You've

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- been at Providence for literally twenty five years,

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- I think,

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- or more. And and we always talk about

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- people that have been at the same place

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- for twenty five years or that kind of

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- way at the time.

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- They both have to be very competent,

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- and they both have to be likable. Because

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- you you can't get somebody for twenty, thirty

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- years

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- and make too many enemies because sooner or

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- later somebody throws you out or you get

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- upset with somebody in service. You gotta be

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- both competent, very good at what you do,

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- and likable, which is remarkable.

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- I'll take you back to the subject at

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- hand. How has the use of data changed

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- over the last twenty five years in managing

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- surgical care, managing surgical throughput,

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- and and and how you manage your teams?

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- Yeah. You know, data hasn't always been reliable.

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- You'll have a a system or a report

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- that's built by one person,

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- in in the past, you know, years and

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- years ago where where,

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- actually, we couldn't really rely on what we

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- were seeing.

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- And, you know,

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- working in health care, there's a lot of

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- relationship building. Right? And you surround yourself with

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- the people that that do a really, really

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- great job

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- and everybody who trusts each other and collaborates

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- well together. And as we as we work

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- together over time, we've seen, you know, people

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- trust us. They trust our knowledge. And so

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- we wanna make sure

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- that what we're leaning on is correct.

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- And so,

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- you know, with data specifically,

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- we used to not be able to trust

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- it. And and now,

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- with the advent of, you know, all of

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- these new computerized systems and and patient access

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- systems, we're able

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- to to look into, like, the real time

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- documentation

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- in in our patients' charts,

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- and, it will pull data for us that

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- we know is what actually happened clinically

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- because we can track it, and we can

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- go back to the source of that data.

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- So, it that's been very that's been very,

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- very helpful. And,

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- when we have that data, when we particularly

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- trust that data, and then when others trust

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- us,

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- then we can have really clean conversations

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- about how to improve everything for our patients.

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- And and and thinking back in that subject

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- of the trust in the data and how

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- you work with the data,

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- your team now brings together

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- operations, finance, business development

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- around a very shared view of performance based

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- on that data

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- rather than working in silos.

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- How has that changed the conversation having that

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- all in one place

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- in reliable and trustable data?

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- Change the conversation across your hospital, and what

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- have you learned?

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- And then how does it help you to

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- implement best practices

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- having that shared view of the data and

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- performance?

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- Yeah. So, you know, going back to, you

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- know, trust and collaboration

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- and working with others. Right?

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- Oftentimes

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- and and I've seen this happen before where

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- where they're you know, these areas, people in,

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- you know, the operational area,

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- the business development area, and the finance area,

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- you know, our jobs are interconnected

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- because

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- the operational

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- leader, you know, it's my job to make

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- sure that our patients can come into our

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- doors, and and we welcome everybody, you know,

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- for whatever need they have. Right? Our business

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- development team, you know, they really are important

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- because they recognize, you know, what gaps we

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- might have and services that we may or

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- may not be providing to our community

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- and

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- help us drive decisions

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- based on, you know,

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- how we can better serve our community.

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- And our finance team helps us keep the

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- doors open and the lights on so that

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- we can continue to do that work. And

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- so working together in collaboration is very, very

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- important.

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- And data in itself,

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- when data is simple

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- and everybody understands

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- what they're looking at,

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- it actually can help us work together to

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- collaboratively,

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- make decisions on, you know, what tactics we

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- need to better serve our community.

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- And then that, you know, that kind of

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- translates across the bigger groups. So,

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- once as far as, like, a health system

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- goes, you know, health care's changed. We have

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- we have

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- multiple large health systems now, and we are

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- part of a big health system that provides

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- care in multiple different states. Right?

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- And when we as collectively,

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- as a group of people and as a

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- team,

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- through Providence have have decided on the source

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- of truth for our data,

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- that becomes the reliable source that everybody can

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- lean on. And then in our local areas,

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- what we do

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- is we're able to share best practices with

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- each other, you know, and what works at

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- one place may not work at another place.

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- No. Because our community is different. The populations

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- that we serve are different.

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- But

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- when we when we have kind of a

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- one dataset

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- that helps all of us, that can help

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- drive, you know, what the next thing is

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- that we're going to work on and how

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- we work together collaboratively

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- to, you know, create more room for our

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- patients.

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- So,

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- as a whole, you know, I think I

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- think collaboration

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- and, working together is the most important part

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- of how we do this and how we

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- drive our decision making.

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- Thank you. In increasingly

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- using the data

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- in one on one conversation

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- with physicians,

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- surgeons, gastroenterologists,

271
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- How does that look? And talk to us

272
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- about that and how important is the data

273
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- being right to have those conversations go well.

274
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- Yes. If that is a 100%,

275
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- it the data has to be right. Right?

276
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- And once you know it's right and you

277
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- know that it's easy to access

278
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- and you know that you can pull it

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- up at a moment's notice,

280
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- when something comes up, you know, and you

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- need to have a conversation with somebody,

282
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- you can do it on their terms. You

283
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- know, I can I can sit with with

284
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- somebody, you know, whenever they need to sit

285
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- with me, and I don't need to do

286
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- some complicated meeting or complicated,

287
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- you know,

288
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- data pull? I can sit with them, you

289
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- know, in real time on their terms, and

290
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- we can talk about what the data says.

291
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- And when, like I said, when it's something

292
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- that's accepted widely,

293
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- the the surgeons, you know, our physicians, they

294
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- also trust that data.

295
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- So, you know, one of the things as

296
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- an example, one of the things we've worked

297
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- on, you know, really hard is is creating

298
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- our,

299
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- access to our surgery department, specifically with efficiency,

300
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- and

301
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- data has really driven that. So

302
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- starting on time is really important. If you

303
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- start your day on time, you get your

304
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- day off on the right foot. Everybody depends

305
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- on it. It increases patient satisfaction,

306
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- staff satisfaction, physician satisfaction.

307
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- And,

308
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- in order to do that, we really need

309
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- to understand,

310
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- you know, what the best interventions are

311
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- to to making that successful. Right? And so

312
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- one thing that we did with starting our

313
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- day on time, first case on time start

314
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- was

315
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- created an an automatic report in which

316
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- that report is sent to me, and I

317
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- can send that report off to our physicians

318
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- and the leaders of our physicians. So that

319
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- way, we all can be on the same

320
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- page as far as, you know, the accountability

321
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- piece of it as well. So everybody starts

322
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- on time means, you know, we can accurately

323
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- predict our day so that our patients have

324
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- reliable care. And so, that's been very it's

325
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- been very important to have something that everybody

326
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- trusts.

327
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- No. That's that's so important too. I mean,

328
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- it seems so

329
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- fundamental,

330
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- but getting the search to start the first

331
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- case on time

332
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- makes it much easier to set the day

333
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- up for success.

334
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- And if you have a track record where

335
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- somebody's regularly late and they've just gotten to

336
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- that sort of notion,

337
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- what sometimes they don't realize statistically is where

338
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- they're at,

339
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- and then they have to actually care that

340
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- they're impacting everybody else too. But that's part

341
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- of those discussions. And much easier of those

342
00:12:40.445 --> 00:12:42.524
- discussions, if you have good data, not just

343
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- anecdotally, you know, doctor x, you're always late

344
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- compared to other people. You're causing some trouble,

345
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- and we'd like you on time or as

346
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- close to the time more often. And having

347
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- great data is probably really helpful for those

348
00:12:53.702 --> 00:12:56.023
- difficult conversations. Right. And, you know, the the

349
00:12:56.313 --> 00:12:58.633
- that particular data point is multifactorial. Right? It

350
00:12:58.633 --> 00:13:00.954
- it doesn't always just depend on the surgeon.

351
00:13:00.954 --> 00:13:02.115
- It depends on everybody.

352
00:13:02.995 --> 00:13:05.554
- It depends on the patient being ready. You

353
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- know, how are we gonna make sure that

354
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- our patient is ready? And we're all on

355
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- one team working together for that goal.

356
00:13:12.834 --> 00:13:15.475
- And so it it's and, you know, we

357
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- all contribute to it as well. So when

358
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- we find an outlier or see an outlier,

359
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- we we kind of help with that, you

360
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- know, bringing that awareness, you know, sharing that,

361
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- you know, oh, we're all watching, but we're

362
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- all here for you. We're all here to

363
00:13:28.070 --> 00:13:29.690
- support you as well, and,

364
00:13:30.235 --> 00:13:32.315
- this is what it looks like. So it's

365
00:13:32.315 --> 00:13:33.535
- it's been very helpful.

366
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- Love that. And talk about what is sort

367
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- of next

368
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- in terms of

369
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- data and what you're doing. What what are

370
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- the next things in the agenda for perioperative

371
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- data and and systems and and and sort

372
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- of how you

373
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- can improve optimization

374
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- and any new capabilities that you're particularly excited

375
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- about?

376
00:13:56.024 --> 00:13:58.264
- Yes. Oh, I'm so excited about some some

377
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- great stuff coming up. I like I said

378
00:14:00.584 --> 00:14:02.524
- before, you know, we like to work smarter,

379
00:14:02.664 --> 00:14:03.884
- not harder. Right?

380
00:14:04.184 --> 00:14:06.664
- And the more minutiae you can pull out

381
00:14:06.664 --> 00:14:09.569
- of somebody's day, the better. It can use

382
00:14:09.569 --> 00:14:12.209
- their brain to focus on the important tasks

383
00:14:12.209 --> 00:14:15.089
- at hand, which is specifically, you know, caring

384
00:14:15.089 --> 00:14:17.809
- for our patients in real time instead of

385
00:14:17.809 --> 00:14:20.149
- making phone calls or sending text messages,

386
00:14:20.769 --> 00:14:23.475
- working, you know, hard to to make sure

387
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- that our staffing looks good for the next

388
00:14:25.475 --> 00:14:29.235
- day. There are some great technological advances that

389
00:14:29.235 --> 00:14:31.554
- are going to help us with those kind

390
00:14:31.554 --> 00:14:32.454
- of administrative

391
00:14:32.914 --> 00:14:35.315
- tasks and that administrative burden that our team

392
00:14:35.315 --> 00:14:36.774
- has. And so

393
00:14:37.180 --> 00:14:38.879
- looking, you know, to implement

394
00:14:39.180 --> 00:14:42.000
- across we've already actually already done this across

395
00:14:42.139 --> 00:14:44.700
- all of our procedural areas. So, you know,

396
00:14:44.700 --> 00:14:47.500
- Cath Lab has the same access to data

397
00:14:47.500 --> 00:14:49.980
- as as a surgery department does, and and

398
00:14:49.980 --> 00:14:51.945
- our GI lab does as well. And and

399
00:14:51.945 --> 00:14:54.585
- so that's that's opening up more conversations for

400
00:14:54.585 --> 00:14:56.205
- efficiencies in those areas.

401
00:14:56.745 --> 00:14:59.325
- Understanding what things look like in real time,

402
00:14:59.465 --> 00:15:02.184
- you know, having real time communication in in

403
00:15:02.184 --> 00:15:05.750
- an automated system in which a physician or

404
00:15:05.750 --> 00:15:07.049
- a technical representative

405
00:15:07.509 --> 00:15:10.470
- or the team itself can can receive text

406
00:15:10.470 --> 00:15:12.470
- messages that says, you know, your room is

407
00:15:12.470 --> 00:15:14.629
- running on time, your room is running behind.

408
00:15:14.629 --> 00:15:17.829
- Surgery can be unpredictable. So we're not always

409
00:15:17.829 --> 00:15:19.449
- perfectly on time. Right?

410
00:15:19.845 --> 00:15:22.324
- So that that has that could actually be,

411
00:15:22.644 --> 00:15:25.284
- very, very helpful so that our clinicians can

412
00:15:25.284 --> 00:15:28.164
- focus on what they need to focus on,

413
00:15:28.164 --> 00:15:29.225
- which is our patients.

414
00:15:29.924 --> 00:15:31.524
- And then making sure that we have, you

415
00:15:31.524 --> 00:15:32.985
- know, we have AI tools

416
00:15:33.445 --> 00:15:35.225
- that will help us determine,

417
00:15:36.139 --> 00:15:37.580
- you know, who is the best person to

418
00:15:37.580 --> 00:15:39.500
- help the surgeon with the with the specific

419
00:15:39.500 --> 00:15:41.259
- case. You know, how can we how can

420
00:15:41.259 --> 00:15:43.259
- we put the right surgical tech in the

421
00:15:43.259 --> 00:15:45.840
- room, you know, for this specific very complex

422
00:15:45.980 --> 00:15:48.620
- case? Or, you know, who needs more training,

423
00:15:48.620 --> 00:15:51.120
- and how can we completely develop our team?

424
00:15:51.254 --> 00:15:53.654
- And, I am really excited to see how

425
00:15:53.654 --> 00:15:55.195
- that's gonna pan out for everybody.

426
00:15:56.054 --> 00:15:59.174
- It it it really is, Jennifer Venator. A

427
00:15:59.174 --> 00:16:01.414
- a tremendous pleasure to visit with you. It's

428
00:16:01.414 --> 00:16:02.875
- an incredible sort of

429
00:16:03.830 --> 00:16:05.050
- ability and thoughtfulness

430
00:16:05.429 --> 00:16:07.129
- you take to management and leadership,

431
00:16:07.750 --> 00:16:09.750
- and it and it shows so clearly, and

432
00:16:09.750 --> 00:16:11.029
- it and it's so nice to talk to

433
00:16:11.029 --> 00:16:13.670
- you about it. Congratulations on the mission that

434
00:16:13.670 --> 00:16:15.830
- you're on and quite frankly how well it's

435
00:16:15.830 --> 00:16:16.330
- going.

436
00:16:16.675 --> 00:16:18.195
- Thank you so much for joining us today

437
00:16:18.195 --> 00:16:20.435
- on the Becker's Healthcare podcast. What a pleasure.

438
00:16:20.435 --> 00:16:22.215
- Thank you very, very much. For having me.