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<Silence> Hello everyone.
This is Erica Spicer Mason,

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writer and editor for Becker's Healthcare.

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Thank you so much for tuning into the
Becker's Healthcare podcast series.

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I'm pleased to be joined
today by Iil Samit,

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the general manager of Cardiology
solutions at GE Health Care,

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who will discuss the role of cardiology
tools in hospital and health system

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technology strategies. Ail,
welcome to the podcast,

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and thank you so much
for being here today.

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Thank you so much for having me, Erica.

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Uh, we're thrilled to have you.

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And I know I already shared
your name and your role,

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but I think it might help to
give our listeners some context.

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If you could just share a
little bit more about yourself,

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perhaps your background and maybe
a little bit about your role too.

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Absolutely. So again,
my name is IGEL Samit.

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I am the general manager for the
cardiology care area in GE Healthcare.

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Uh, I'm located in Oslo,
uh, Norway, and, um,

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coming from an engineering
background, but really, uh,

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somebody who has been working very
closely with, with clinical, uh,

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medicine throughout my whole career. Uh,

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I really started to become in love with
the whole cardiology field back in 96

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when I was at Stanford, working
on developing intravascular
ultrasound and, um,

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also have had quite a bit
of an academic career.

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I have a PhD in medical
imaging and also hold a,

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a faculty position at the University
of Oslo, where I supervis PhD students,

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mostly in artificial
intelligence in medicine,

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but I've been leading the cardiology
care pathway for GE Healthcare for the

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past, uh, three years, and, uh,

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and really excited about the whole
space of, uh, where cardiology is going,

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where all the innovations
that are are happening.

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So it's a super exciting
time to be in cardiology and,

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and see how we can contribute
to, uh, healthcare in the future.

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Fantastic. Well, thank you so much
for sharing that, for sharing that.

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It sounds like you're bringing
in so much experience, uh,

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a diverse background with engineering.

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I know you mentioned some
experience with AI in medicine too,

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and to your point about where cardiology
and innovation is going, I know you,

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you noted some excitement around that.

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So technology and innovation
really are healthcare leaders,

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at least some of their
top priorities right now.

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So what trends are you noticing in
regards to hospital and health systems

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adoption of new tools, especially
in the cardiology space?

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I think that's a super exciting
question, and, and to me,

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it really doesn't start with technology
or innovation, but it starts with the,

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the needs and,

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and the trends that we know are important
for both patients and for healthcare

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providers in, in this
space. So maybe if I,

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if I just were to talk about
quickly some of the top trends, uh,

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that we see in this space,

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and number one for me would be really
related to rapid diagnostics and therapy.

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Uh, you know, we see that a
lot of time is being spent, uh,

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to really find the right
diagnosis and treatment for,

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for patients where they may need to
wait for certain exams or there's

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complicated pathways that really leads
to, to the most optimal outcomes.

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But with the, the advent of a little
non-invasive testing, you know,

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we can talk, take Corona art disease,

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an example where we're moving from
invasive testing with invasive angio

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to noninvasive testing with coronary
CT angio or, or stress imaging.

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I think that's really an,

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an opportunity for providers
to really jump on a new set of

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technologies that can be
beneficial for patients,

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but really also for healthcare
systems, uh, in providing a,

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a TRIR for patients much faster. Uh,

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and I think maybe related to that is
it's the whole growth of new tools in,

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in decision support. And
we talked about AI here,

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that we can leverage data to help
optimize those pathways for, for patients,

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uh, to predict, uh,
the risk of having, uh,

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severe disease or the risk of
progressing to more severe disease,

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really by looking at, at data.

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So we see a lot of healthcare providers
spending more time and more energy into

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understanding data and maybe even
training machine learning models to,

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to predict that for, for patients. Uh,

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and just to add a couple of other trends
that I think are super important. One,

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one is the, the trend towards, uh,
chance catheter therapy in the, in,

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in the cardiology space. You know,

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in the past most procedures for patients
were done invasively or, or surgically,

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uh, but with all the, uh, all
the implantable devices now,

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particularly in the valve space,
we're seeing an enormous growth of,

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of procedures. Uh, and this
really needs to be supported by,

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by better technology as well.
And on top of all that, you know,

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the third thing I wanna mention
is just the transformation of our,

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how care is being delivered,

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where we're seeing a shift from
inpatient to outpatient to out hospital

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community, and even to the home.

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So I think those are some
of the main trends for me,

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sort of in the healthcare space that
all are very important to cardiology.

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And I, I think we as, uh,

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as technology providers need to just
meet with the best possible tools.

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Absolutely. Thanks il.

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And it really sounds like a lot of those
trends align with what we're seeing in

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the greater healthcare industry,
not just cardiology, but certain,

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certainly other specialty areas too.

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And when it comes to the decision support
that you mentioned, rapid diagnostics,

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the shift from inpatient
to outpatient, you know,

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it sounds like there's a lot of need
for efficiency and streamlining here,

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and uh, I bet technology
will have a huge role there.

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Absolutely. So if,

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if we were to double click a little bit
on that sort of the digital space, uh,

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and go a little bit deeper
into some of those challenges,

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I think that some of the things we're
seeing is that oftentimes care to these

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patients is given in a
quite of episodic way.

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And by that I mean that we're not always
thinking about the whole trajectory of

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how the disease for this patient
that might have been developing over,

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over months or, or
years. Uh, and, you know,

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with big care teams that are today
very multidisciplinary to oftentimes

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handoffs between different people,

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different specialties
can be quite ineffective.

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And I think there's a lack
of process standardization.

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Sometimes even choices are being
made in silos. And, uh, you know,

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I talked about the, the data here and
which is a huge opportunity, I think to,

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to leverage. But, uh,

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I wonder if there's sometimes a lack of
data stewardship in the sense that a lot

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of data has been collected in healthcare,

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but maybe not too much of it is really
being leveraged to, to create new,

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new insights. So one of the exciting
things that GE Healthcare is doing, uh,

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in this space, uh,

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and we just actually had a
personal list last week about this,

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is that we launched a new tool
that we call Cardio vio. And,

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and Cardio VIO is a fully
digital tool that is creating a

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longitudinal patient view,

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really looking at data across the
full PA pathway for the patient.

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So I talked about sort of maybe
two episodic care sometimes,

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but with cardio you can see as a care
team what happened to the patient

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in terms of trends and any biomarker
or imaging biomarker, medications,

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clinical data,

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everything sort of put together in a
single pane of glass to sort of give the

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whole care team that very simple
understanding about history,

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but also an understanding about
what needs to be done next.

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Because this tool is also looking at
using the, uh, the guidelines for, uh,

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and this, uh, initially for
atrial fibrillation patients, uh,

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to detect potential care gaps and really
just may help the care team to build

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the PO best possible care
plan for, for that patient.

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Uh, thank you so much for sharing that.
It sounds like an exciting new tool.

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I know that that holistic view of the
patient across the care teams must be so

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helpful, not just for the
care teams themselves,

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but also probably helps the patient
to avoid having to repeat so much

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information about themselves.

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A absolutely, because, you know, sometimes
we care for these patients in silos.

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You know, we might think about it as,
uh, when we do an Echo or an E cg, like,

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you know, an Echo patient or an M
R I patient, but you know, really,

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uh, what we need to look at is, is
holistically a patient-centric, uh,

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approach to this and, uh, and now
think about specific technologies,

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but really think about how can we improve
the outcomes there. So in this tool,

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there's really a common data layer that
goes across any modality or any data

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repository. And,

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and there's even potential here in the
future to use artificial intelligence to

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predict, uh, disease progression. Um,

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so I think that's kind of one super
exciting opportunity with, uh, you know,

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really breaking the silos within the
hospital and pull all those data data

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together. And on top of that, we also
have some other exciting news. We,

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we just launched, um,

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a new ultrasound product that
we call vCAN airl, which is, uh,

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is looking at doing a cardiac ultrasound,

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handheld wireless that can be
deployed in almost any care setting.

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So we talked about, uh, you know,
care being delivered in the hospital,

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but with this fitting in your pocket,
we can do ultrasound exams, uh,

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in the community, even in the
home, home and uh, and um,

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through address some of that change and
shift in where care is being delivered

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and just make it more
accessible, uh, to, to anybody.

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So I think that there are so many
opportunities days with ultrasound or,

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you know,

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even doing ECGs in the home and connect
that to the hospital with our alive

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core, uh, partnership that, um,

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that we are really looking at a,

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a shift in what's possible in terms
of, uh, consolidating data and,

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and creating insights for the care
team that they can actually act upon.

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Absolutely. And I'm glad
you mentioned accessibility.

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I think that's such an
important point as well.

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So considering all of
these tools, you know,

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the two new ones that you've
mentioned, and of course others,

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how can these digital cardiology tools
really be part of a hospital or health

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system's broader technology strategy?

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Wondering if you can share
your thoughts on that.

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No, I think that's a,

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it's a very important question because
when we talk about care pathways,

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we don't just talk about digital
tools. You know, there's,

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there's a little lab tests,
there's a little imaging tests,

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there's really a whole pathway for
diagnostics. And then the next step is to,

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is to plan procedures if there's any
intervention needed, and to actually, uh,

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support those procedure
with, with guidance.

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And I think that the important thing is
to really start with the end game and

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think about what outcomes
do we wanna create, uh,

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to sort of make that whole pathway
better. And, and through that,

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digital in many ways becomes the
thread or the fabric that makes, uh,

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makes it possible to optimize
those, those outcomes. So,

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so we've been working with
several healthcare systems
to help sort of design a

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better pathway for,
for patients. And when,

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one example is, uh, is capital
Cardiology associates that, uh,

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really wanted to create the one
day, like one stop shop for, um,

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for cardiac workup. And, uh, you know,

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by putting together these
different modalities,

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we talked about everything
in a single facility, um,

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they were able to reduce wait
times by more than more than 80%

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and, and really increase patient
volumes and sort of achieve the,

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the goal that so many are looking
for to be able to do more with the,

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with less or, or more, with the same
amount of people and time there.

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So I think there are, that's just
one example of how, um, you know,

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looking at the care pathway holistically,
uh, can, can help. And, uh, and also,

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you know, we put a lot of emphasis in
our digital tools in terms of automation,

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helping people spend more time with the
patients and less time doing tedious

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tasks and with things like reporting
or, you know, measurements. Uh,

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and I think that's just another example
of how digital and AI can actually help

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to significantly reduce, um,

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the time to do a report by maybe
something like 50%, uh, or,

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uh, and, and through that just, you know,
free up time for, for physicians to,

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to spend more time with
their patients and,

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and less time in front
of the computer for.

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Sure. And I know that as the
staff shortages across healthcare,

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they're really not expected
to go anywhere, anytime soon.

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So automation and kind of augmenting
the staff that are currently there,

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I know that, that, um, it sounds like
automation really plays into that,

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helping with that challenge for sure.

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Absolutely.

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Great. Well,

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I know you had started to touch on some
of the benefits that organizations are

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starting to see and implementing
technology in this area.

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I think you mentioned a
reduction in wait times by 80%.

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I just kind of wanted to zoom in there.

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Are there any other benefits or outcomes
that you're seeing organizations

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realize in innovating in the cardiology
space? Any examples that come to mind?

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You know, I,

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what I'm thinking is that we can
really differentiate here between three

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different types of outcomes. So one is
really related to financial outcomes for,

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for providers.

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And then I touched on the operational
outcomes related to either waiting times

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or, uh, or just time spent, uh, reporting,
for example. And lastly, of course,

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clinical outcomes is maybe the
most important thing, you know,

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how can we make sure
that patients are, um,

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are treated better and that
the outcomes are, are better?

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So it's another example, just
thinking a little bit about the,

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the financial element here. We,
we worked with Advocate, uh,

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or our health in really
streamlining their, um,

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their regular programs and,
uh, and looking at both, uh,

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increasing top line,

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meaning helping them to treat more
patients in the same amount of time,

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and also to take out cost by making the
whole thing more, more efficient. So,

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so we're, we're really seeing that there's
financial drivers around this type of

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efficiency, uh,
efficiency, um, tools. And,

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and by looking at ways to
take both, uh, time out and,

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and potentially increasing the volume
of patients, uh, in the cath lab,

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for example, by, by using AI and,
and digital, but also just using,

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uh, smarter ways to set
up, uh, the whole, uh,

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interventional program to, to
increase those financial outcomes.

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And then I think also financial also
for patients, it's very important,

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like I talked about, moving from
invasive to noninvasive diagnostics.

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If you can avoid an invasive
angiogram, um, that, you know,

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many cases would be negative and would
not lead to a, uh, a stent, for example,

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I think that's huge for patients as
well, that, uh, that they can get a,

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a cardiac CT and, uh, and see that
they can get reassured that there's,

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there's no risk, uh, or no immediate
risk at least for, uh, for any, uh,

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adverse events and not having to go
through an interventional procedure unless

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that's necessary.

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Hmm, absolutely. That last point you
made just really resonates with me.

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My mother just went through, um, a pretty
intense cardiac procedure. And so, uh,

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to your point,

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she really appreciated any moment that
the doctor could identify a procedure or

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an area where they didn't have to
be, uh, fully invasive. So, um,

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it's great to thank you again
for sharing that. And before we,

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we close our discussion today,

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I also wanted to make sure that we were
able to touch on a recent study that I

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know GE Healthcare published.
So I understand it was a
large study of patients,

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clinicians, and healthcare staff,

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and it was really intended to uncover
their needs or their hopes and also

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expectations for the industry.

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So I wanted to ask you if there were any
findings from that study that support

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what we've talked about today,

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and also if there was anything in
those results that surprised you?

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Yeah, I mean, that, uh, study was
actually super exciting to me. We,

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in GE Healthcare, as you mentioned,
we interacted with more than 2000,

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uh, clinicians and more
than 5,500 patients and, uh,

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and their caregivers to try to
understand, uh, better, you know,

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some of the challenges in, uh, in, in,
in medicine overall. And, you know,

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so many of these things obviously
relate specifically to cardiology today.

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And what we found was that
sort of one common goal, um,

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was to create the healthcare experience
that is more human and more flexible,

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and that is focused on the needs
of both clinicians and patients.

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And I think this, this focus on,

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on patients and having a common goal
there is critically important in,

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in the cardiology space,

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and really having the patient and the
care team to work in the partnership.

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So for example, I mentioned cardiovascular
here earlier as a digital tool,

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which I think potentially can help,
um, the care team to do exactly that,

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to sort of visualize together
with the patient, um,

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what is the pathway and what are
the treatment options, for example.

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So to take that look at that together
and create a better partnership between

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patient care team, I
think that's one of the,

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the trends we found in that
study that I think, again,

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is really important in the,
in the cardiology space.

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And also another trend that came outta
the study was, um, the need for, um,

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smart and connected technology.
So we talked about this earlier,

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about being good data stewards and,

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and leveraging the data in a
smart way and in a connected way.

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And I think that's really
gonna open the door for, uh,

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what I'll mention as for this,
the third key finding here,

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the potential for predictive,
preventative and, and precision medicine.

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So I'd say say that none of
these things really surprised me,

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but I think in many ways it
underlines, um, our mission and, uh,

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and our vision. You know, we want to,

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we really wanna create a world
where healthcare has no limits.

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And I think it starts with imagining
that world and then just think about how

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can we create it in the world around
us. And, and that's, that's our purpose.

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And, and that's my personal purpose, uh,

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as well to help be one of those
innovators that can imagine a world where

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healthcare has no limit
and we can go about to,

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to create that world together with
providers and with our partners, uh,

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so that we can make the best
possible outcomes for for patients.

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Absolutely. Iil, thank you
for sharing all of that.

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It's really exciting to hear about all
the exciting developments going on at GE

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Healthcare and then the findings in the
large study that the company conducted.

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Sounds like you're going in
the right direction, and, um,

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I'm looking forward to seeing what's
to come in the next few years with

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technology in this space. So
thank you again for your insights.

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And thank you so much for, for
great questions. It was, uh,

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great to talk to you.

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Likewise.

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And we'd also like to thank GE Healthcare
today for sponsoring this episode.

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You can tune into more podcasts
from Becker's Healthcare
by visiting our podcast

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page at becker's hospital review.com.

