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Welcome everyone to the Becker's Healthcare podcast series.

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I'm Mariah Muhammad, writer and moderator with Becker's

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Healthcare. And I'm thrilled to have with me

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today doctor Manu Chaudhry, president at Capital Dental

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Care. Doctor, welcome to the podcast. We're very

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excited to have you join us today. To

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get us started, would you mind please introducing

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yourself and telling us a bit about your

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background?

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Yes. Of course. Thank you again for the

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the honor and privilege to to be here

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and and take the time to have an

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open and open discussion about all the exciting

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things that are going on in our communities

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that we have. And, so my name is

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doctor Manu Chaudhary.

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I'm a human and a consumer,

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and I am what could be considered a

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dry finger dentist. Haven't practiced in a few

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years.

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And,

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my my background is is quite diverse. Currently,

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I I have the honor to serve as

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president of Capital Dental Care. We are,

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one of a very few organizations

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where we kind of hold a payer hat

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and we also hold an affiliated provider hat,

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within the same organization.

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What kind of sets us apart, kind of

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a unicorn, so you could say, is that

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the the payer component is chiefly focused on

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the care of more than 360,000

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Medicaid,

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members here in Oregon, which are known as

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Oregon Health Plan Members, which in of itself

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is a very unique model that is one

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of the only in the country that are

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really focused not only in providing the services

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that,

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addressing disease acuity,

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and in addition to that,

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building systems and processes

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to prevent that disease from continuing its recurrence.

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A little bit more of my background.

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I had served as

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a regional clinical director for,

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InterDent with the general dental offices in the

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San Francisco Bay Area in the state of

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Nevada for a few years. Before that, I

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was a dental director for a community health

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center. And my other

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background also includes starting and operating a free

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dental clinic, where I was in group canals

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and crowns at no charge to the underserved

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community in the Central Valley of California.

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And finally,

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before I decided to change my career

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to become a dentist, I was a,

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a process development engineer with a master's in

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biomechanical engineering. I'm very happy to be here,

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and and thank you for this opportunity again.

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Yeah. Yeah. Of course. Thank you so much

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for giving us that that insight into your

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background,

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and a little bit more about the organization.

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So with everything that you're doing, what are

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some of the biggest issues you're following into

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the new year?

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Thank you. This is a wonderful question.

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This is something that, in reality, the things

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that truly keep me up at night.

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And for me, specifically,

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I I continue to toggle

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between 2

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major,

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major issues. 1 of them

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is around AI, and AI is used

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very frequently among everyone and a lot of

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different health care leaders.

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And for me, when I think of this

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from a humanistic perspective, it's how do we

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truly bridge

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the AI human gap. I mean, it's really

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easy to double down and triple down and

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invest heavily in technology.

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But how do we then connect that back

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to,

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the humanistic component of health care delivery?

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And secondly,

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this is another topic that is like

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has been widely discussed

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and talked about probably for nearly 2 decades

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now, and that's this idea of value based

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care. And,

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dentistry has, for a long time, been really

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mired in this idea of

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surgical care and the number of procedures and

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types of procedures that are being performed in

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order to treat dental disease.

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But I believe the roots of value based

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care really

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call into

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shift that mindset

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from

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dentist thinking as surgeons to dentist thinking as

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healing,

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disease that occurs in the mouth and, of

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course, the rest of the body. So those

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are the two biggest issues

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that I've continued to struggle with probably for

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the last 6 months or so, and that

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are that's really just really top of mind

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as we enter into 2025.

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Yeah. Yeah. That definitely makes a lot of

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sense. Thank you for sharing that. Is there

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anything that you're currently doing or seeing in

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the media that you are most excited about

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or anything,

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else that's kinda making you nervous?

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I would say that

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some of the preliminary data that we have,

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across, you know, our Medicaid populations and our

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our non Medicaid populations

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is that in this post COVID era,

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we've seen an uptick of disease acuity,

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as much as 30 to 35%

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depending on the age group.

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And so

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likely through

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individuals and patients who,

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through COVID,

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had delayed

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seeking their dental care for whatever reason, whether

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it was a

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provider related concern or whether it was just

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general fear

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of transmission

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of these air aerosol generating particles or whatnot

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have you. I believe that

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what what makes me nervous is that

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we continue to see more and more kids,

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more and more older adults

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who,

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have greater

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levels of disease.

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And

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the reality is is that the workforce is

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just so strained

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from having operated and lived through a COVID

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and,

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reimbursement,

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amounts for providing that level of care

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kind of really

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creates

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a challenge path forward

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for preventing these never never ever events from

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occurring.

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And so I'm

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I'm chiefly nervous,

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probably with my dental hat, that that dental

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disease is occurring in greater degrees of the

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population.

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And we really we really need to come

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back to our roots

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of

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of what dental care can provide and what

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dental care can prevent.

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And, bringing

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our our people, our community,

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to feel comfortable again and and come back

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in for their routine,

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dental care.

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I think the the other thing that kinda

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makes me a little bit nervous,

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particularly

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from

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a Medicaid space

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and also from a non Medicaid space, is

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that the there's such an increased amount of

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regulations,

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to to participate in these programs,

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or what what would otherwise be known as

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administrative burden. You know, taking care of the

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underserved and and really believing that to elevate

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humanity, we should provide provide preferential

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care

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to the underserved. You know, those feelings and

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that type of,

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gargantuan Samaritan effort that's been provided

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that by the providers

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really leads to a lot of fatigue in

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the system.

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And,

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we tend to see

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greater levels of of attrition

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and people leaving the workforce

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because of these,

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high degrees of administrative burden.

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So,

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these are the things that

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I guess, that also keep me up at

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night. I guess there's a lot of things

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that keep me up at night. Yeah. This

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is just another one that, that makes me

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a little bit nervous about

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about the future of our

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of the oral health of our community and

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how it's connected to the overall health.

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Yeah. Yeah. No. I completely

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agree and believe in everything you just said.

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I I talked to a lot of executives,

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and I feel like burnout is definitely something

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that is gaining more momentum in in the

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talks that are, going on right now in

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the dental space and just the overall provider

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space.

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Doctor, before I let you go, the last

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thing that I wanted to ask you is,

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in your opinion, what will the most effective

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health care leaders

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need in order to be successful in the

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next 2 to 3 years?

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Another great question.

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I would say that

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over the last few years, I had a

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very fixed mindset.

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I I believed that,

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you know, care can only be be delivered

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by my hand

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when the patient comes and sees me as

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a dentist.

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And

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through practicing through COVID myself personally

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and about a year or 2 before that,

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I started this

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journey of belief that

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that it takes a village

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to truly

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make someone whole or to heal someone.

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And at Capital Dental Care, in order to

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get here and through our general dental offices,

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which are the Internet affiliated,

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you know, practice supported practices that we have

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here. We heavily invested in

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this idea of midlevel dental providers where we

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have advanced dental hygienists. We have we employ

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dental therapists. We employ community health workers

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to connect and coordinate

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people who've been identified

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with needing

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treatment for dental disease

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and and their routine follow ups after that.

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And so this this notion of this village,

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not only in the teams that we work

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with,

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kind of at the management support system, but

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then also down at point of care, you

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know, kind of taking

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that it's that it's

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everyone all of the dental providers working together,

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much the same model as we know for

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medical.

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You know, there are medical doctors. There's,

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there's

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doctors of osteopathic medicine or DOs.

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There are nurse practitioners. There's physician associates.

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You know? And there's all the different layers

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that support that and surround that that really

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try try to drive this full person level

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of care. And I I believe that we've

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crossed that inflection point with dentistry. And, dentistry

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itself,

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you know, it truly does take a village

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to to shift that perspective and that notion

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of oral health care for that individual and

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that person and make them

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not make them. Make is such a bad

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word to say, but rather empower them

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to address their oral health needs

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and and have that integrated in their overall

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health.

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I think, you know, beyond

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this idea of this village, you know, if

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we go a little bit more upstream to

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that,

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it's really about this this

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perspective,

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and shifting our mindset

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that we're all here

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as people, and we all exist as people

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to elevate humanity.

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And,

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we are

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we're in such an awesome position

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to elevate humanity

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through the businesses that we're in.

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And one really cool thing that,

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I think it's cool,

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is that,

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by the end of October,

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all of our care delivery systems in the

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state of Oregon, you know, the 45 plus

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brick and mortar offices, the 160 collocations,

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the 5 mobile dental health vans, the preventive

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teledentistry that we we do,

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you know, beyond being all connected to 1

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cloud based dental practice management software system.

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But by the end of this month, it's

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gonna have a full integration

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of physical and behavioral health information and social

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health information for that patient

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through our partnership with Reliance Health Information Exchange.

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You know, by the end of the month,

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we'll have,

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real time access

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to

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the medications the patient's taking, the allergies that

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the patient is taking,

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and and so much other rich level of

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information. And so when we start thinking of

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how do we truly

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break down the these these

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clinical silos and technical silos that we exist,

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you know, this this idea of elevating humanity

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and breaking through these

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these barriers with paradigm shift that can really

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revolutionize

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how we take care of of people, of

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our people, of our neighbor, of our mom,

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of our dad, of ourselves

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as consumers.

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That ultimately is by being on the same

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infrastructure,

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as all health care providers.

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And

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so

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going back to the root of this question,

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you know,

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you know, how can, you know, what will

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you know, how can we gain and garner

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and empower health care leaders to be successful

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in the next 2, 3 years? It's all

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about shifting this mindset.

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You know, shifting the mindset that

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our our roles in our community and within

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the businesses that we each serve in is

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really truly to elevate humanity, and and it

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is possible to do.

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Yeah. Of course. Thank you so much for

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those final thoughts, doctor. This has definitely been

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an informative discussion. So, again, I wanna thank

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you so much for coming back on Becker's

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health care, and I look forward to connecting

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with you again soon. Thank you very much,

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and thank you for having me.