1 00:00:00,160 --> 00:00:02,240 Hello, everyone. This is Jacob Emerson with the 2 00:00:02,240 --> 00:00:04,960 Becker's Payer Issues podcast. Thrilled today to be 3 00:00:04,960 --> 00:00:08,160 joined by a special guest. Doctor Yolanda Lawson 4 00:00:08,160 --> 00:00:11,039 is the executive medical director for maternal and 5 00:00:11,039 --> 00:00:13,460 infant health at Healthcare Service Corporation. 6 00:00:13,894 --> 00:00:15,734 Doctor Lawson, thanks so much for taking the 7 00:00:15,734 --> 00:00:17,254 time to be with me on the podcast 8 00:00:17,254 --> 00:00:17,754 today. 9 00:00:18,054 --> 00:00:19,675 Thank you for having me here. 10 00:00:20,375 --> 00:00:22,294 So, Yolanda, before we dive into everything we 11 00:00:22,294 --> 00:00:23,654 wanna talk with you about, can you tell 12 00:00:23,654 --> 00:00:25,574 us a little bit more about yourself in 13 00:00:25,574 --> 00:00:27,675 terms of your health care career background 14 00:00:28,059 --> 00:00:29,579 and what it is that you do today 15 00:00:29,579 --> 00:00:30,399 at HCSC? 16 00:00:31,820 --> 00:00:33,439 Certainly. I am an OBGYN 17 00:00:33,820 --> 00:00:34,960 by by specialty. 18 00:00:35,979 --> 00:00:38,479 I've practiced almost 22 years, 19 00:00:39,179 --> 00:00:41,259 in the Texas air in the Dallas, Texas 20 00:00:41,259 --> 00:00:41,759 area. 21 00:00:42,454 --> 00:00:43,814 I even owned a, 22 00:00:44,215 --> 00:00:46,715 birth center at a physician owned birth center, 23 00:00:47,414 --> 00:00:48,234 in the state. 24 00:00:49,015 --> 00:00:51,655 I've been with HCSC now for a little 25 00:00:51,655 --> 00:00:53,114 bit. It just made 1 year, 26 00:00:53,815 --> 00:00:56,454 as the executive medical director for maternal infant 27 00:00:56,454 --> 00:01:00,390 health. And so I do many things, maternal 28 00:01:00,390 --> 00:01:02,409 and infant health, women's health, 29 00:01:03,269 --> 00:01:05,290 really working towards improving, 30 00:01:06,310 --> 00:01:08,790 outcomes for our members in the communities where 31 00:01:08,790 --> 00:01:09,450 they live. 32 00:01:10,444 --> 00:01:10,944 Fantastic. 33 00:01:11,645 --> 00:01:13,245 So, Yolanda, the first thing I wanted to 34 00:01:13,245 --> 00:01:16,305 ask you about is, as you know, HCSC 35 00:01:16,685 --> 00:01:19,405 is the umbrella company for 5 Blue Cross 36 00:01:19,405 --> 00:01:19,905 plans. 37 00:01:20,605 --> 00:01:21,885 So so what would you say are some 38 00:01:21,885 --> 00:01:24,545 of the most significant challenges that you've identified 39 00:01:24,605 --> 00:01:28,040 in improving maternal and infant health across those 40 00:01:28,040 --> 00:01:29,500 5 states that you oversee? 41 00:01:29,959 --> 00:01:32,620 And and how is HCSC addressing those 42 00:01:33,000 --> 00:01:35,099 issues through its different initiatives? 43 00:01:36,280 --> 00:01:36,780 So 44 00:01:37,795 --> 00:01:40,435 from the challenges that I see, I'll just 45 00:01:40,435 --> 00:01:41,575 start there first, 46 00:01:42,515 --> 00:01:43,015 quality. 47 00:01:43,394 --> 00:01:47,254 So quality of care and just making sure 48 00:01:47,394 --> 00:01:49,715 that folks can access quality. So when you 49 00:01:49,715 --> 00:01:50,454 think about, 50 00:01:51,379 --> 00:01:53,239 maternal morbidity or mortality, 51 00:01:54,019 --> 00:01:57,400 those rates are higher when individuals are 52 00:01:57,780 --> 00:02:00,280 delivering at facilities of lower quality 53 00:02:00,819 --> 00:02:02,979 and so access to care. And so I 54 00:02:02,979 --> 00:02:06,114 mean that whether you're talking about cost, whether 55 00:02:06,114 --> 00:02:08,775 you're talking about place, a place where folks 56 00:02:08,914 --> 00:02:12,435 have accessible to them to obtain care. And 57 00:02:12,435 --> 00:02:14,835 one of those real areas that we are 58 00:02:14,835 --> 00:02:17,955 extremely concerned about is around behavioral health care 59 00:02:17,955 --> 00:02:18,455 providers, 60 00:02:19,439 --> 00:02:19,939 insights. 61 00:02:20,719 --> 00:02:23,360 And then lastly, those social drivers. We know 62 00:02:23,360 --> 00:02:26,639 that 70 to 80% of one's health is 63 00:02:26,639 --> 00:02:27,139 attributed 64 00:02:27,680 --> 00:02:29,540 to those their social circumstances 65 00:02:29,840 --> 00:02:30,659 in the environment 66 00:02:31,120 --> 00:02:33,685 and not necessarily their health care. And so 67 00:02:33,685 --> 00:02:34,905 we're addressing that 68 00:02:35,365 --> 00:02:38,665 with our special beginnings maternal infant health initiative. 69 00:02:39,444 --> 00:02:41,385 This initiative began in Texas, 70 00:02:41,844 --> 00:02:44,665 and really it was because Texas ranked last 71 00:02:45,044 --> 00:02:46,879 for access in high quality 72 00:02:47,259 --> 00:02:49,580 prenatal and maternal care. So it started in 73 00:02:49,580 --> 00:02:51,280 Texas last year in 2023. 74 00:02:51,819 --> 00:02:53,259 I'm proud to say we were able to 75 00:02:53,259 --> 00:02:55,680 implement this program in Illinois, New Mexico 76 00:02:56,060 --> 00:02:57,680 in October of 2024. 77 00:02:58,465 --> 00:03:00,224 And so much of that is, again, when 78 00:03:00,224 --> 00:03:02,224 we talk about those social drivers, that could 79 00:03:02,224 --> 00:03:03,444 be transportation. 80 00:03:03,824 --> 00:03:05,924 It could be nutritious foods. 81 00:03:06,784 --> 00:03:08,884 It could be all of these things again 82 00:03:09,344 --> 00:03:10,724 that are drivers, 83 00:03:11,519 --> 00:03:14,560 on these gaps in care that moms and 84 00:03:14,560 --> 00:03:15,539 babies experience. 85 00:03:16,239 --> 00:03:17,919 And Yolanda, tell us a little bit more 86 00:03:17,919 --> 00:03:20,879 about this special beginnings maternal and infant health 87 00:03:20,879 --> 00:03:23,120 initiative. You just mentioned it's it's expanded into 88 00:03:23,120 --> 00:03:24,259 Illinois recently. 89 00:03:25,275 --> 00:03:27,354 What does this expansion mean? And and ultimately, 90 00:03:27,354 --> 00:03:28,875 what does this mean for members on the 91 00:03:28,875 --> 00:03:29,375 ground? 92 00:03:30,155 --> 00:03:33,134 Absolutely. So what this expansion means is 93 00:03:33,754 --> 00:03:36,174 this is more than just expanding programming. 94 00:03:36,954 --> 00:03:38,495 This is around community 95 00:03:38,794 --> 00:03:39,294 investment 96 00:03:39,780 --> 00:03:40,439 and quality. 97 00:03:41,060 --> 00:03:42,919 This is one of the first times 98 00:03:43,539 --> 00:03:44,359 we've invested 99 00:03:44,659 --> 00:03:45,799 into quality 100 00:03:46,259 --> 00:03:46,759 agnostic 101 00:03:47,459 --> 00:03:49,780 of you being a member of Blue Cross 102 00:03:49,780 --> 00:03:52,280 and Blue Shield of Illinois, for instance. 103 00:03:52,675 --> 00:03:56,215 And so we've invested into multiple clinical community 104 00:03:56,354 --> 00:03:56,854 partners, 105 00:03:57,155 --> 00:03:58,694 community based organizations. 106 00:03:59,794 --> 00:04:02,294 We have a partnership with the Illinois Perinatal 107 00:04:02,514 --> 00:04:03,495 Quality Collaborative. 108 00:04:03,955 --> 00:04:06,775 There are fatherhood initiatives, family services, 109 00:04:07,310 --> 00:04:08,530 and social supports. 110 00:04:08,830 --> 00:04:11,150 And this is across a multitude of diverse 111 00:04:11,150 --> 00:04:11,650 communities 112 00:04:12,030 --> 00:04:13,250 throughout the state, 113 00:04:13,870 --> 00:04:16,129 of Illinois. And lastly, I would add 114 00:04:16,430 --> 00:04:16,930 workforce 115 00:04:17,470 --> 00:04:20,050 identifying and, I'm certain many, 116 00:04:20,829 --> 00:04:22,589 listeners may understand that, 117 00:04:23,444 --> 00:04:26,185 when you look at maternal health care deserts 118 00:04:26,324 --> 00:04:28,404 in the US, of course, they exist in 119 00:04:28,404 --> 00:04:31,925 Illinois also. And so workforce, maternal health care 120 00:04:31,925 --> 00:04:34,024 workforce expansion was another 121 00:04:34,404 --> 00:04:37,689 component of this program. So, again, really pulling 122 00:04:37,689 --> 00:04:38,189 together 123 00:04:38,649 --> 00:04:39,870 really a comprehensive, 124 00:04:41,449 --> 00:04:41,949 multifaceted 125 00:04:42,329 --> 00:04:42,829 program 126 00:04:43,290 --> 00:04:45,850 to address all of the needs because no 127 00:04:45,850 --> 00:04:46,589 one person 128 00:04:46,970 --> 00:04:48,750 just has one issue normally 129 00:04:49,185 --> 00:04:50,245 that is attributing, 130 00:04:51,264 --> 00:04:53,185 to the gaps in care they may be 131 00:04:53,185 --> 00:04:53,685 experiencing. 132 00:04:54,865 --> 00:04:57,024 Absolutely. So it sounds like you're really helping 133 00:04:57,024 --> 00:04:59,285 to boost care quality for, 134 00:05:00,064 --> 00:05:02,865 this population beyond just your membership. It's really 135 00:05:02,865 --> 00:05:04,740 amazing to hear. Yolanda, how are how are 136 00:05:04,740 --> 00:05:07,639 you leveraging data right now and and analytics 137 00:05:07,699 --> 00:05:08,439 to identify 138 00:05:08,980 --> 00:05:09,480 disparities 139 00:05:09,939 --> 00:05:12,419 and to track outcomes within the maternal and 140 00:05:12,419 --> 00:05:14,819 infant health space? And can you give us 141 00:05:14,819 --> 00:05:16,740 an example of an of a successful innovation 142 00:05:16,740 --> 00:05:17,240 intervention 143 00:05:17,985 --> 00:05:20,064 that's been informed by some of the data 144 00:05:20,064 --> 00:05:20,964 that you're seeing? 145 00:05:21,664 --> 00:05:22,164 Certainly. 146 00:05:22,464 --> 00:05:23,764 So I personally, 147 00:05:25,104 --> 00:05:27,664 be so I am the immediate past president 148 00:05:27,664 --> 00:05:30,870 of the National Medical Association. So I traveled 149 00:05:30,870 --> 00:05:32,569 the country over the last year 150 00:05:32,949 --> 00:05:33,770 talking about 151 00:05:34,389 --> 00:05:35,689 disparities in health. 152 00:05:35,990 --> 00:05:37,670 And the one thing that I do know 153 00:05:37,670 --> 00:05:39,050 and the one thing I realize, 154 00:05:39,430 --> 00:05:41,689 you need data when you're having conversations 155 00:05:42,389 --> 00:05:43,930 with leaders of organizations 156 00:05:44,550 --> 00:05:46,685 and and and such. And so 157 00:05:47,464 --> 00:05:49,165 for us, we have, 158 00:05:49,785 --> 00:05:52,665 an initiative that was developed internally. And so 159 00:05:52,665 --> 00:05:54,685 when we approach this, I look at this, 160 00:05:54,824 --> 00:05:57,225 the things we can do internally, right, as 161 00:05:57,225 --> 00:05:57,964 an organization. 162 00:05:58,680 --> 00:06:00,680 And then what can we do externally, like 163 00:06:00,680 --> 00:06:03,180 some of the investment in community and such. 164 00:06:03,319 --> 00:06:04,379 And so internally, 165 00:06:04,920 --> 00:06:07,740 we developed a maternal data and risk reporting 166 00:06:07,800 --> 00:06:08,300 project. 167 00:06:08,680 --> 00:06:10,939 And this is using a predictive model 168 00:06:11,365 --> 00:06:13,144 whereby we can identify 169 00:06:13,444 --> 00:06:13,944 pregnancies 170 00:06:14,644 --> 00:06:17,625 sooner and earlier. And if by doing that, 171 00:06:17,764 --> 00:06:20,725 we then can intervene and provide outreach and 172 00:06:20,725 --> 00:06:21,225 provide 173 00:06:21,685 --> 00:06:25,305 resources and connection, right, to things that those 174 00:06:25,509 --> 00:06:28,470 those individuals may need. The second piece of 175 00:06:28,470 --> 00:06:31,129 that, once that predictive tool, 176 00:06:31,910 --> 00:06:33,370 then feeds into 177 00:06:33,750 --> 00:06:36,629 a risk reporting model. And there we can 178 00:06:36,629 --> 00:06:37,129 also, 179 00:06:37,925 --> 00:06:40,805 aggregate the data that we have available to 180 00:06:40,805 --> 00:06:44,564 us to ascertain one's risk, your maternal risk, 181 00:06:44,564 --> 00:06:46,884 if if you if you will. And so 182 00:06:46,884 --> 00:06:49,544 with that, we also, again, can, 183 00:06:50,164 --> 00:06:51,560 set up care coordination 184 00:06:52,339 --> 00:06:55,159 and, again, provide outreach and support 185 00:06:55,699 --> 00:06:56,919 to those members 186 00:06:57,379 --> 00:07:00,419 that may need particular things to address whatever 187 00:07:00,419 --> 00:07:03,139 their needs may be. So really excited about 188 00:07:03,139 --> 00:07:05,399 this. This just launched a few months ago, 189 00:07:06,115 --> 00:07:09,154 but we're using these predictive tools to help 190 00:07:09,154 --> 00:07:09,654 us 191 00:07:10,034 --> 00:07:11,095 help our members. 192 00:07:12,115 --> 00:07:14,995 That's amazing. Really, really cool to hear about 193 00:07:14,995 --> 00:07:17,654 the the preventative and and the risk analysis, 194 00:07:18,274 --> 00:07:20,375 that you're doing for your members, Yolanda. 195 00:07:20,960 --> 00:07:21,840 And as you're, 196 00:07:22,560 --> 00:07:24,740 traveling the country and having these conversations 197 00:07:25,120 --> 00:07:27,199 with with leaders in this space and and 198 00:07:27,199 --> 00:07:29,220 collecting the data that you were talking about, 199 00:07:29,600 --> 00:07:31,680 what are some of the innovative strategies or 200 00:07:31,680 --> 00:07:32,180 technologies 201 00:07:32,560 --> 00:07:33,540 that you've seen, 202 00:07:34,000 --> 00:07:36,254 that from your perspective are game changers 203 00:07:36,735 --> 00:07:39,134 for maternal and infant health, let's say, over 204 00:07:39,134 --> 00:07:41,375 the next 5 years. And then my my 205 00:07:41,375 --> 00:07:43,055 next follow-up question to that would be, how 206 00:07:43,055 --> 00:07:44,995 is Blue Cross preparing to integrate 207 00:07:45,455 --> 00:07:47,235 those insights into its products? 208 00:07:47,935 --> 00:07:50,250 Absolutely. So I really I really like that 209 00:07:50,250 --> 00:07:52,810 question that you asked. And so I will 210 00:07:52,810 --> 00:07:54,750 just start with perhaps the initiative, 211 00:07:55,529 --> 00:07:58,170 that just launched in Illinois and that occurred 212 00:07:58,170 --> 00:08:00,589 in Texas also. So we did, 213 00:08:01,210 --> 00:08:01,710 encompass, 214 00:08:02,810 --> 00:08:03,310 technology, 215 00:08:03,904 --> 00:08:07,125 Right? And digital vendors. These are application tools. 216 00:08:07,425 --> 00:08:09,664 And one of the things that's been so 217 00:08:09,664 --> 00:08:10,164 amazing 218 00:08:11,504 --> 00:08:14,384 around this work is looking at those outcomes 219 00:08:14,384 --> 00:08:16,144 that I'm seeing some of the outcomes come 220 00:08:16,144 --> 00:08:17,569 out from Texas. 221 00:08:18,029 --> 00:08:20,610 And so those those technology companies 222 00:08:20,990 --> 00:08:22,930 were able to use their digital applications 223 00:08:23,790 --> 00:08:25,649 to support members. For instance, 224 00:08:26,110 --> 00:08:28,270 I'm looking at the numbers of folks who 225 00:08:28,270 --> 00:08:29,250 are able to, 226 00:08:29,790 --> 00:08:33,085 obtain transportation and rides to the hospital or 227 00:08:33,085 --> 00:08:33,904 to the doctor 228 00:08:34,284 --> 00:08:35,085 through those, 229 00:08:35,565 --> 00:08:36,065 applications. 230 00:08:36,684 --> 00:08:39,725 They're able to access doula care through those 231 00:08:39,725 --> 00:08:40,225 applications, 232 00:08:40,764 --> 00:08:42,464 behavioral health care services, 233 00:08:42,924 --> 00:08:46,100 nutritionists, especially for those who may have gestational 234 00:08:46,320 --> 00:08:48,960 diabetes, right, the form of diabetes that occurs 235 00:08:48,960 --> 00:08:49,700 in pregnancy, 236 00:08:50,720 --> 00:08:53,539 food delivery, even helping them get their medicines 237 00:08:53,759 --> 00:08:56,259 from the pharmacy. So, again, there's this component 238 00:08:56,720 --> 00:08:57,940 of just this direct 239 00:08:58,480 --> 00:08:58,980 access 240 00:08:59,360 --> 00:09:01,059 to help close those gaps 241 00:09:01,414 --> 00:09:02,875 that folks may experience. 242 00:09:03,334 --> 00:09:04,235 And then secondly, 243 00:09:04,615 --> 00:09:04,934 internal 244 00:09:05,894 --> 00:09:08,615 I'll just expand a little bit more around 245 00:09:08,615 --> 00:09:11,654 the data and risk reporting project. Again, we're 246 00:09:11,654 --> 00:09:13,194 using predictive modeling. 247 00:09:13,495 --> 00:09:14,554 You know, previously, 248 00:09:15,429 --> 00:09:17,830 one could be in their 2nd trimester before 249 00:09:17,830 --> 00:09:20,550 we even recognize you were pregnant. Right? And 250 00:09:20,550 --> 00:09:22,809 so so many things could and a trajectory 251 00:09:23,029 --> 00:09:25,370 could start. And so now with this predictive 252 00:09:25,429 --> 00:09:26,570 modeling were used, 253 00:09:27,190 --> 00:09:30,230 our earliest validation, we're picking up pregnancies almost 254 00:09:30,230 --> 00:09:31,095 a month earlier. 255 00:09:31,574 --> 00:09:34,554 That allows us to provide supports and resources 256 00:09:34,934 --> 00:09:37,274 earlier to hopefully impact, 257 00:09:38,294 --> 00:09:38,794 outcomes. 258 00:09:39,414 --> 00:09:41,834 I think that as we look at this, 259 00:09:42,054 --> 00:09:44,330 AI, I think, you know, every 260 00:09:45,029 --> 00:09:47,769 industry is figuring out ways to use AI. 261 00:09:48,149 --> 00:09:50,410 I hope that we can continue to use 262 00:09:50,629 --> 00:09:54,649 these tools again to connect individuals to services, 263 00:09:55,590 --> 00:09:58,550 and care and resources that they they so 264 00:09:58,550 --> 00:10:01,465 need because we wanna see the end goal 265 00:10:01,465 --> 00:10:04,105 here is an an improvement of outcomes. In 266 00:10:04,105 --> 00:10:05,325 Texas, we've probably, 267 00:10:06,264 --> 00:10:07,565 seen over 70,000 268 00:10:08,105 --> 00:10:09,325 folks in our cohort, 269 00:10:10,184 --> 00:10:12,125 providing all kinds of services, 270 00:10:13,079 --> 00:10:13,980 health screens, 271 00:10:14,759 --> 00:10:15,259 immunizations, 272 00:10:16,360 --> 00:10:17,259 lab testing, 273 00:10:17,639 --> 00:10:18,860 prenatal care, 274 00:10:19,480 --> 00:10:22,139 referrals to mental health care providers, 275 00:10:22,440 --> 00:10:24,120 all of these things that we know are 276 00:10:24,120 --> 00:10:26,605 so important. And then lastly, I would mention 277 00:10:26,745 --> 00:10:29,465 closing those gaps around postpartum care. We know 278 00:10:29,465 --> 00:10:31,164 that about 40% of individuals 279 00:10:31,625 --> 00:10:33,884 don't get a postpartum care visit. 280 00:10:34,264 --> 00:10:34,764 But 281 00:10:35,465 --> 00:10:36,924 half of deaths, 282 00:10:37,320 --> 00:10:40,519 maternal deaths, occur in the postpartum period. So 283 00:10:40,519 --> 00:10:43,080 looking at ways that we're also we're very 284 00:10:43,080 --> 00:10:44,220 strategic and intentional 285 00:10:44,600 --> 00:10:46,620 about addressing that aspect. 286 00:10:47,559 --> 00:10:50,835 Absolutely. Well, clearly, so much important and impactful 287 00:10:50,894 --> 00:10:53,054 work going on across the enterprise under your 288 00:10:53,054 --> 00:10:54,274 leadership, Yolanda. 289 00:10:54,735 --> 00:10:56,575 But before we go, what else are we 290 00:10:56,575 --> 00:10:59,695 missing? Any other final thoughts or final bits 291 00:10:59,695 --> 00:11:01,934 of advice you wanna offer all the other 292 00:11:01,934 --> 00:11:03,875 health care leaders listening in? 293 00:11:04,949 --> 00:11:06,389 So I would just, 294 00:11:06,789 --> 00:11:07,690 as I think 295 00:11:08,470 --> 00:11:11,209 maternal health, we've all seen the headlines. 296 00:11:11,669 --> 00:11:12,730 I think recently, 297 00:11:13,429 --> 00:11:16,309 I was just reading that in Northwestern in 298 00:11:16,309 --> 00:11:18,570 Illinois, there was an increase in severe 299 00:11:18,975 --> 00:11:22,414 maternal morbidity over these last 6 years. And 300 00:11:22,414 --> 00:11:24,034 so I think that 301 00:11:24,495 --> 00:11:26,834 I just ask everyone start somewhere, 302 00:11:27,134 --> 00:11:27,634 right? 303 00:11:28,495 --> 00:11:31,375 Knowing that for me, this is fundamental to 304 00:11:31,375 --> 00:11:32,595 women's health broadly. 305 00:11:32,990 --> 00:11:35,470 And so start somewhere. I think this is 306 00:11:35,470 --> 00:11:36,610 something that everyone 307 00:11:36,990 --> 00:11:37,809 has a responsibility 308 00:11:38,429 --> 00:11:41,149 to, whether you realize that or not. But 309 00:11:41,149 --> 00:11:42,769 everyone does has a responsibility 310 00:11:43,549 --> 00:11:46,209 in making moms and all babies safe, 311 00:11:46,725 --> 00:11:49,524 in in our country. So I'm so happy 312 00:11:49,524 --> 00:11:51,764 that you had me here today to just 313 00:11:51,764 --> 00:11:53,524 share a little bit about what we are 314 00:11:53,524 --> 00:11:55,384 doing, but, also, hopefully, 315 00:11:55,845 --> 00:11:56,245 this, 316 00:11:56,644 --> 00:11:59,365 inspires others, right, to connect to the work 317 00:11:59,365 --> 00:12:01,720 in their communities. There are so many ways 318 00:12:01,720 --> 00:12:04,039 to do that. So many organizations that are 319 00:12:04,039 --> 00:12:06,199 doing this work. Just as we connected with 320 00:12:06,199 --> 00:12:08,699 community, I'm asking others to do the same. 321 00:12:09,399 --> 00:12:11,720 Well, it's a great parting message. So, doctor 322 00:12:11,720 --> 00:12:13,875 Lawson, thank you so much for taking the 323 00:12:13,875 --> 00:12:15,795 time to sit down with me and for 324 00:12:15,795 --> 00:12:18,035 sharing your insights with our listeners. We truly 325 00:12:18,035 --> 00:12:18,855 appreciate it. 326 00:12:19,235 --> 00:12:20,535 Excellent. Thank you. 327 00:12:20,915 --> 00:12:22,754 If you'd like to listen to more podcasts 328 00:12:22,754 --> 00:12:24,935 from Becker's Healthcare, you can visit beckershospitalreview.com.