1 00:00:00,320 --> 00:00:02,339 Welcome to the Becker's Healthcare Podcast. 2 00:00:02,720 --> 00:00:06,019 I'm Elizabeth Gregersen, a reporter here at Becker's, 3 00:00:06,080 --> 00:00:09,279 and I'm thrilled today to interview doctor Hal 4 00:00:09,279 --> 00:00:09,779 Skopicki, 5 00:00:10,240 --> 00:00:11,219 chief of cardiology 6 00:00:11,519 --> 00:00:14,320 at Stony Brook Medicine and co director of 7 00:00:14,320 --> 00:00:17,755 the Stony Brook Heart Institute on podcast today. 8 00:00:18,295 --> 00:00:20,535 Doctor Skopicki, thank you so much for joining 9 00:00:20,535 --> 00:00:22,454 me. I'm grateful to share your insights with 10 00:00:22,454 --> 00:00:23,114 our audience. 11 00:00:23,655 --> 00:00:25,994 It's a real pleasure to be invited, especially 12 00:00:26,054 --> 00:00:26,954 on this platform. 13 00:00:27,574 --> 00:00:29,660 Absolutely. But before I dive into all my 14 00:00:29,660 --> 00:00:30,160 questions, 15 00:00:30,460 --> 00:00:32,960 could I ask you to introduce yourself and 16 00:00:33,020 --> 00:00:35,679 tell our audience a bit about your organization? 17 00:00:37,259 --> 00:00:37,579 So, 18 00:00:38,299 --> 00:00:40,780 I'm a, the chief of cardiology here at 19 00:00:40,780 --> 00:00:42,299 Stone and Brook and the co director of 20 00:00:42,299 --> 00:00:43,280 the Heart Institute. 21 00:00:44,215 --> 00:00:47,254 The Heart Institute also has expanded into include 22 00:00:47,254 --> 00:00:48,394 vascular surgery 23 00:00:48,774 --> 00:00:51,335 so that we're a full service line across 24 00:00:51,335 --> 00:00:51,994 the board. 25 00:00:53,174 --> 00:00:55,515 Stony Brook is a academic 26 00:00:55,975 --> 00:00:59,354 large medical center in Suffolk County, New York, 27 00:01:00,109 --> 00:01:03,549 and we deliver tertiary level care across multiple 28 00:01:03,549 --> 00:01:04,049 disciplines, 29 00:01:05,229 --> 00:01:07,069 in order to be able to serve our 30 00:01:07,069 --> 00:01:07,569 patients 31 00:01:08,030 --> 00:01:10,769 at the community level, and at an advanced 32 00:01:10,909 --> 00:01:11,969 tertiary level. 33 00:01:12,415 --> 00:01:15,155 In addition, we fulfill the full academic mission 34 00:01:15,534 --> 00:01:15,935 of, 35 00:01:16,734 --> 00:01:17,715 teaching residents, 36 00:01:18,174 --> 00:01:18,674 fellows, 37 00:01:19,055 --> 00:01:20,114 nursing students, 38 00:01:21,134 --> 00:01:21,614 and, 39 00:01:22,334 --> 00:01:22,834 also, 40 00:01:23,375 --> 00:01:24,674 the research mission 41 00:01:24,974 --> 00:01:27,474 of providing state of the art tools, 42 00:01:28,409 --> 00:01:28,909 medicines, 43 00:01:29,450 --> 00:01:30,349 and pathways 44 00:01:30,730 --> 00:01:32,430 to try and push the field ahead. 45 00:01:33,450 --> 00:01:34,909 Great. Thank you so much. 46 00:01:35,450 --> 00:01:38,590 So you mentioned that Stony Brook has positioned 47 00:01:38,650 --> 00:01:40,510 the Heart Institute as a coordinated 48 00:01:41,290 --> 00:01:41,790 multidisciplinary 49 00:01:42,329 --> 00:01:45,185 entity rather than, you know, a collection of 50 00:01:45,185 --> 00:01:46,405 cardiology services. 51 00:01:47,025 --> 00:01:48,644 If you could share with our audience 52 00:01:49,104 --> 00:01:51,045 from that leadership and operational 53 00:01:51,424 --> 00:01:51,924 standpoint, 54 00:01:52,545 --> 00:01:56,165 what makes that institute model work in practice? 55 00:01:57,810 --> 00:01:58,250 So, 56 00:01:58,689 --> 00:02:00,229 this is one of those revelations 57 00:02:00,609 --> 00:02:01,109 where, 58 00:02:01,569 --> 00:02:03,750 the siloed approach of the past 59 00:02:04,129 --> 00:02:07,349 has kinda given way to the concept that, 60 00:02:07,729 --> 00:02:09,569 we really have to be putting the patient 61 00:02:09,569 --> 00:02:11,835 first. And then on top of that, we 62 00:02:11,835 --> 00:02:13,194 have to be teaching and we have to 63 00:02:13,194 --> 00:02:13,935 be investigating. 64 00:02:14,634 --> 00:02:17,294 So one of the advantages that Stony Brook 65 00:02:17,435 --> 00:02:19,435 has is that we now have a single 66 00:02:19,435 --> 00:02:20,495 operating system. 67 00:02:21,194 --> 00:02:22,974 We operate as one heart institute, 68 00:02:23,435 --> 00:02:26,415 bringing together, as I mentioned, cardiology, CT surgery 69 00:02:26,719 --> 00:02:27,300 and cardiovascular 70 00:02:27,759 --> 00:02:28,259 surgery. 71 00:02:28,800 --> 00:02:30,500 So at the leadership level, 72 00:02:30,800 --> 00:02:32,419 we have a single scorecard 73 00:02:33,039 --> 00:02:35,439 rather than a slew of service lines that 74 00:02:35,439 --> 00:02:37,459 are kind of reporting to themselves. 75 00:02:38,479 --> 00:02:39,939 We're able to run quarterly, 76 00:02:40,479 --> 00:02:41,860 year over year performance 77 00:02:42,194 --> 00:02:42,694 reviews, 78 00:02:43,474 --> 00:02:45,875 and we can target those areas that we 79 00:02:45,875 --> 00:02:46,854 think are important. 80 00:02:48,435 --> 00:02:51,155 I can go through a variety of those 81 00:02:51,155 --> 00:02:52,275 examples of things, 82 00:02:52,835 --> 00:02:53,974 everything from, 83 00:02:54,400 --> 00:02:56,979 patient quality to patient volumes to, 84 00:02:57,840 --> 00:02:58,659 how we teach, 85 00:02:59,120 --> 00:03:00,659 on an individual level. 86 00:03:01,199 --> 00:03:03,539 The thing that we just completed most recently 87 00:03:04,000 --> 00:03:05,120 was really looking, 88 00:03:05,439 --> 00:03:08,020 at something that was troubling everybody, which is, 89 00:03:09,485 --> 00:03:10,865 being able to look at, 90 00:03:11,965 --> 00:03:13,185 the way that we 91 00:03:13,564 --> 00:03:16,625 have, seen new patients and the lab time 92 00:03:16,844 --> 00:03:17,344 involved. 93 00:03:17,884 --> 00:03:20,145 And by having a single dashboard, 94 00:03:20,925 --> 00:03:23,344 seven outpatient sites, 25 cardiologists, 95 00:03:24,000 --> 00:03:26,319 etcetera. We were able to get vital input 96 00:03:26,319 --> 00:03:28,979 from all aspects of the service line, 97 00:03:29,439 --> 00:03:32,180 to shorten that, lag time about 30%. 98 00:03:33,120 --> 00:03:35,939 Wow. That's that's a 30% 99 00:03:36,400 --> 00:03:38,534 statistic that I know our audience is always 100 00:03:38,534 --> 00:03:40,074 interested to hear. So 101 00:03:40,375 --> 00:03:42,215 you might have one of the Becker reporters 102 00:03:42,215 --> 00:03:43,034 following up 103 00:03:43,495 --> 00:03:45,354 to learn more about how you did that. 104 00:03:46,055 --> 00:03:48,775 The Heart Institute has been early to adopt 105 00:03:48,775 --> 00:03:51,034 and scale several advanced programs. 106 00:03:51,495 --> 00:03:53,114 I'd love to hear how 107 00:03:53,560 --> 00:03:56,459 you and your, co director decide 108 00:03:56,840 --> 00:03:59,419 which innovations to invest in early 109 00:03:59,879 --> 00:04:02,219 and kind of what mindset or strategical 110 00:04:02,759 --> 00:04:04,939 balance do you employ to 111 00:04:05,319 --> 00:04:06,620 be an early adopter 112 00:04:07,055 --> 00:04:08,514 while also managing 113 00:04:08,974 --> 00:04:11,875 financial, operational, and workforce realities? 114 00:04:12,895 --> 00:04:14,974 Yeah. So that's a great question. It's one 115 00:04:14,974 --> 00:04:15,474 that, 116 00:04:16,254 --> 00:04:18,574 being part of the State University of New 117 00:04:18,574 --> 00:04:20,550 York, at Stony Brook, 118 00:04:21,110 --> 00:04:23,370 it's not that we have unlimited resources 119 00:04:23,750 --> 00:04:24,970 to tap into, 120 00:04:25,589 --> 00:04:28,310 for every idea that we have. And so 121 00:04:28,310 --> 00:04:30,550 I guess I'd break it up into three 122 00:04:30,550 --> 00:04:31,529 separate parts. 123 00:04:32,389 --> 00:04:32,889 So 124 00:04:33,375 --> 00:04:35,775 the first is just not going for that 125 00:04:35,775 --> 00:04:37,634 shiny one off program, 126 00:04:38,574 --> 00:04:41,074 but to actually try and invest in scalable 127 00:04:41,214 --> 00:04:41,714 programs, 128 00:04:42,574 --> 00:04:43,795 programs and platforms, 129 00:04:44,735 --> 00:04:46,435 that can improve outcomes, 130 00:04:47,160 --> 00:04:49,819 quality and the reliability within the, 131 00:04:50,279 --> 00:04:51,740 within the process itself. 132 00:04:52,520 --> 00:04:53,819 We invest earliest, 133 00:04:54,840 --> 00:04:57,740 when the outcome, reliability and strategic 134 00:04:58,840 --> 00:04:59,340 differentiation 135 00:05:00,279 --> 00:05:02,355 all come together at the same time. 136 00:05:03,314 --> 00:05:05,314 An example of that is we built an 137 00:05:05,314 --> 00:05:07,014 advanced imaging capability, 138 00:05:07,875 --> 00:05:09,654 using reconstruction technology. 139 00:05:11,795 --> 00:05:13,475 The the benefit of it is it it 140 00:05:13,475 --> 00:05:13,975 reduced 141 00:05:14,275 --> 00:05:16,214 radiation up to 40% 142 00:05:16,509 --> 00:05:19,389 and it improved image quality, and it improved 143 00:05:19,389 --> 00:05:21,089 throughput, and it improved 144 00:05:21,470 --> 00:05:23,709 the detection of people who have coronary artery 145 00:05:23,709 --> 00:05:24,209 disease 146 00:05:24,509 --> 00:05:26,670 so that the downstream of it all kind 147 00:05:26,670 --> 00:05:28,290 of matched up with the upstream 148 00:05:28,670 --> 00:05:29,170 intentions. 149 00:05:30,175 --> 00:05:32,415 I think the second thing that we always 150 00:05:32,415 --> 00:05:34,754 look at is just being financially disciplined 151 00:05:35,215 --> 00:05:37,475 without being financially timid. 152 00:05:38,495 --> 00:05:39,314 We're selective. 153 00:05:39,855 --> 00:05:42,014 You know, we make a few, I guess, 154 00:05:42,014 --> 00:05:43,860 what you would call signature bets, 155 00:05:44,659 --> 00:05:47,159 where we can truly be excellent nationally, 156 00:05:48,819 --> 00:05:51,219 rather than spreading that kind of attention over 157 00:05:51,219 --> 00:05:51,719 dozens 158 00:05:52,019 --> 00:05:54,819 of pilots and maybe me too type of, 159 00:05:56,180 --> 00:05:56,680 investments. 160 00:05:57,615 --> 00:06:00,675 And, the last part of it is something 161 00:06:00,975 --> 00:06:03,134 that you just can't stress enough, and that's 162 00:06:03,134 --> 00:06:03,634 to 163 00:06:04,014 --> 00:06:04,995 value cooperation 164 00:06:05,935 --> 00:06:08,115 and to be able to look at, 165 00:06:08,495 --> 00:06:10,654 what you're trying to do as opposed to 166 00:06:10,654 --> 00:06:12,595 what you're trying to compete in. 167 00:06:13,480 --> 00:06:15,879 We believe that real better patient care and 168 00:06:15,879 --> 00:06:16,699 better access, 169 00:06:17,720 --> 00:06:20,040 staying away from the catchy phrase and, 170 00:06:20,680 --> 00:06:23,580 and I guess hiring wars that some, institutions 171 00:06:23,720 --> 00:06:24,540 have to face, 172 00:06:25,160 --> 00:06:26,459 because it only drains 173 00:06:26,759 --> 00:06:27,580 your resources. 174 00:06:29,485 --> 00:06:32,305 And by partnering with a lot of different 175 00:06:32,365 --> 00:06:32,865 institutions 176 00:06:33,324 --> 00:06:35,564 who do things really, really well, you're able 177 00:06:35,564 --> 00:06:37,104 to achieve best practices. 178 00:06:38,685 --> 00:06:40,285 Perfect. I love that. And I feel like 179 00:06:40,285 --> 00:06:42,204 that, you know, strategy and mindset is is 180 00:06:42,204 --> 00:06:44,939 so applicable to to health care at large, 181 00:06:44,939 --> 00:06:47,419 right, not just not just cardiology. So I 182 00:06:47,419 --> 00:06:48,800 appreciate you sharing that. 183 00:06:49,259 --> 00:06:50,139 I wanted to, 184 00:06:50,620 --> 00:06:53,339 highlight as well that the Heart Institute has 185 00:06:53,339 --> 00:06:55,439 achieved several standout milestones, 186 00:06:56,785 --> 00:06:58,625 such as reducing, you know, the door to 187 00:06:58,625 --> 00:07:00,324 balloon time to fifty three minutes 188 00:07:00,704 --> 00:07:03,345 and recently becoming the first center in the 189 00:07:03,345 --> 00:07:05,285 world to deliver a commercial 190 00:07:06,545 --> 00:07:07,045 plazasiran. 191 00:07:08,305 --> 00:07:10,245 Maybe I said it right. Maybe I didn't. 192 00:07:11,360 --> 00:07:12,819 The treatment for familial 193 00:07:13,279 --> 00:07:14,420 familial chlamycronemia 194 00:07:15,040 --> 00:07:15,540 syndrome. 195 00:07:15,920 --> 00:07:17,759 Without getting, you know, too much into the 196 00:07:17,759 --> 00:07:20,019 clinical weeds of what that means and, 197 00:07:20,959 --> 00:07:22,819 how that happened, I'd love to 198 00:07:23,199 --> 00:07:25,245 know kind of what systems, 199 00:07:26,104 --> 00:07:28,664 maybe cultural changes, priority shifts. I know you 200 00:07:28,664 --> 00:07:29,724 mentioned collaboration. 201 00:07:31,224 --> 00:07:32,845 What shifts have enabled 202 00:07:33,464 --> 00:07:35,944 the Heart Institute at Stony Brook to have 203 00:07:35,944 --> 00:07:37,404 that level of consistent 204 00:07:37,979 --> 00:07:41,360 execution across, you know, very different initiatives. 205 00:07:42,539 --> 00:07:44,160 Yeah. So, you are officially, 206 00:07:44,620 --> 00:07:47,039 invited to join our Lipid Center because 207 00:07:47,579 --> 00:07:49,120 that was an excellent, excellent, 208 00:07:49,660 --> 00:07:50,160 pronunciation. 209 00:07:50,939 --> 00:07:52,154 Perfect. Thank you. 210 00:07:53,115 --> 00:07:54,394 You know, you brought it up as an 211 00:07:54,394 --> 00:07:56,475 example. So I'll dive into the example and 212 00:07:56,475 --> 00:07:58,175 then kind of generalize from there. 213 00:07:59,035 --> 00:08:01,274 Yeah, we were the first lipid center in 214 00:08:01,274 --> 00:08:02,475 the entire world to, 215 00:08:03,035 --> 00:08:03,355 to, 216 00:08:04,154 --> 00:08:04,654 administer, 217 00:08:05,274 --> 00:08:07,855 the commercial dosing of, Plaza Syrian. 218 00:08:08,420 --> 00:08:09,879 And it reflected 219 00:08:10,420 --> 00:08:12,360 not only years of 220 00:08:12,740 --> 00:08:15,540 of developing a lipid center and, 221 00:08:16,020 --> 00:08:18,040 really kind of focusing on, 222 00:08:18,819 --> 00:08:19,319 practitioner 223 00:08:19,779 --> 00:08:22,259 insight into what is going to be next 224 00:08:22,259 --> 00:08:24,925 level, But you have to have operational readiness 225 00:08:25,305 --> 00:08:25,805 and, 226 00:08:26,345 --> 00:08:27,084 a longitudinal 227 00:08:28,105 --> 00:08:29,165 follow-up infrastructure. 228 00:08:29,785 --> 00:08:31,064 You know, you have to be able to 229 00:08:31,064 --> 00:08:33,465 go ahead and at each step along the 230 00:08:33,465 --> 00:08:35,884 way, not just say, oh, this is something 231 00:08:36,399 --> 00:08:38,480 interesting. Oh, I wish I had, but actually 232 00:08:38,480 --> 00:08:40,019 have the process in place. 233 00:08:41,120 --> 00:08:43,200 We run, I think, on, 234 00:08:44,240 --> 00:08:46,740 what the industry calls a high reliability 235 00:08:47,120 --> 00:08:47,620 playbook. 236 00:08:48,764 --> 00:08:51,245 We have standard work, clear roles, you know, 237 00:08:51,245 --> 00:08:54,284 that we define across domains. If somebody is 238 00:08:54,284 --> 00:08:56,445 doing really well in one domain, we ask 239 00:08:56,445 --> 00:08:57,504 them to teach, 240 00:08:58,365 --> 00:08:59,985 you know, into the other, 241 00:09:00,605 --> 00:09:01,424 other domains. 242 00:09:02,250 --> 00:09:04,190 And in that way, kind of best practices 243 00:09:04,330 --> 00:09:05,149 get shared. 244 00:09:06,009 --> 00:09:08,730 We talk about that at every level along, 245 00:09:09,370 --> 00:09:10,269 our continuum, 246 00:09:10,970 --> 00:09:12,269 that it's about teaching 247 00:09:12,730 --> 00:09:15,389 escalation to somebody who can help you learn. 248 00:09:15,955 --> 00:09:18,134 And then, you get to be empowered, 249 00:09:18,995 --> 00:09:20,274 to do the things that you want to 250 00:09:20,274 --> 00:09:22,674 do. We want our local leaders to be 251 00:09:22,674 --> 00:09:24,214 saying, You know what? I don't know, 252 00:09:24,514 --> 00:09:27,575 and then access the information or the resources, 253 00:09:28,589 --> 00:09:29,970 or be able to be, 254 00:09:30,350 --> 00:09:32,610 you know, reflective and say, you know what? 255 00:09:32,909 --> 00:09:34,669 We should have done that better and then 256 00:09:34,669 --> 00:09:36,589 set up a goal for the next time 257 00:09:36,589 --> 00:09:37,570 that we do it. 258 00:09:38,909 --> 00:09:41,470 I guess, it may sound trite, but if 259 00:09:41,470 --> 00:09:43,490 you kind of take away the hierarchy, 260 00:09:44,804 --> 00:09:47,125 and you allow people to see you at 261 00:09:47,125 --> 00:09:49,865 the same level of continual learning, 262 00:09:51,125 --> 00:09:53,285 it's amazing what people are going to say 263 00:09:53,285 --> 00:09:56,725 to you and do with you, that's positive 264 00:09:56,725 --> 00:09:57,545 for the organization. 265 00:09:58,539 --> 00:10:00,639 A simple example is that, you know, 266 00:10:01,340 --> 00:10:02,059 no matter, 267 00:10:02,460 --> 00:10:04,080 who they are, within, 268 00:10:04,539 --> 00:10:05,360 our organization, 269 00:10:06,460 --> 00:10:09,200 administrative staff, the nurses, the APPs, 270 00:10:09,660 --> 00:10:11,580 the site leaders, you know, we make sure 271 00:10:11,580 --> 00:10:13,660 that everybody's calling each other by their first 272 00:10:13,660 --> 00:10:14,160 name. 273 00:10:14,954 --> 00:10:16,654 And in that way, I think, you know, 274 00:10:16,875 --> 00:10:18,014 unless you're a student, 275 00:10:19,034 --> 00:10:21,195 or a resident or a fellow that needs 276 00:10:21,195 --> 00:10:22,894 the hierarchy of learning, 277 00:10:23,995 --> 00:10:25,774 the the rest of the crew 278 00:10:26,075 --> 00:10:28,330 really needs to see you at the level 279 00:10:28,330 --> 00:10:30,889 where they could be asking you honest and 280 00:10:30,889 --> 00:10:32,190 sincere questions, 281 00:10:32,889 --> 00:10:34,570 and not expect to be judged by it. 282 00:10:34,570 --> 00:10:36,490 And I think being on a first name 283 00:10:36,490 --> 00:10:37,950 basis with those people 284 00:10:38,330 --> 00:10:40,904 really lends itself to doing that. I guess 285 00:10:40,904 --> 00:10:43,084 the only other thing I'd add about that 286 00:10:43,464 --> 00:10:45,625 is that, you know, if you're going to 287 00:10:45,625 --> 00:10:46,365 do something, 288 00:10:46,825 --> 00:10:48,904 you have to be able to articulate the 289 00:10:48,904 --> 00:10:50,904 goals of what you're trying to do, whether 290 00:10:50,904 --> 00:10:53,404 it be for a disease state, 291 00:10:53,784 --> 00:10:55,004 a service line, 292 00:10:56,289 --> 00:10:58,529 a process that you're trying to do, and 293 00:10:58,529 --> 00:11:00,950 then be able to take that quality data 294 00:11:01,089 --> 00:11:02,850 and talk about it in terms of your 295 00:11:02,850 --> 00:11:03,350 goals. 296 00:11:04,129 --> 00:11:05,570 And if you set it up in real 297 00:11:05,570 --> 00:11:07,585 time, so the data comes out, you're able 298 00:11:07,585 --> 00:11:09,184 to look at it, and then to take 299 00:11:09,184 --> 00:11:10,404 it to the next level 300 00:11:10,784 --> 00:11:14,784 of, brainstorming ideas, looking for best practices around 301 00:11:14,784 --> 00:11:17,745 the country that might be be applicable to 302 00:11:17,745 --> 00:11:18,245 your, 303 00:11:18,705 --> 00:11:19,205 institution, 304 00:11:19,985 --> 00:11:21,585 then you're way, way ahead of the game, 305 00:11:21,585 --> 00:11:24,509 and you're not wasting time spinning your wheels. 306 00:11:25,690 --> 00:11:27,149 Amazing. Thank you. 307 00:11:27,769 --> 00:11:30,009 I think, you know, all the advice you 308 00:11:30,009 --> 00:11:33,129 just gave blends perfectly into my last and 309 00:11:33,129 --> 00:11:34,429 final question here. 310 00:11:35,014 --> 00:11:37,575 If you were advising other health system leaders 311 00:11:37,575 --> 00:11:39,815 who want to build an institute, you know, 312 00:11:39,815 --> 00:11:40,315 specifically 313 00:11:40,934 --> 00:11:41,914 a a heart institute 314 00:11:42,215 --> 00:11:43,914 with real clinical integration 315 00:11:44,455 --> 00:11:45,835 and national relevance, 316 00:11:46,294 --> 00:11:48,534 what are one or two lessons from Stony 317 00:11:48,534 --> 00:11:50,634 Brook that you would share with them? 318 00:11:51,870 --> 00:11:53,709 Well, I I think the first thing that 319 00:11:53,709 --> 00:11:55,889 comes to mind is the fact that 320 00:11:56,269 --> 00:11:58,029 you have to understand that it really does 321 00:11:58,029 --> 00:12:00,909 come down to people. Mhmm. And that, if 322 00:12:00,909 --> 00:12:02,829 you start off with the concept of the 323 00:12:02,829 --> 00:12:04,449 people as opposed to the structure, 324 00:12:05,069 --> 00:12:06,529 the structure then becomes 325 00:12:06,965 --> 00:12:09,465 so much more valuable to an institution. 326 00:12:10,644 --> 00:12:12,424 And when you have those people, 327 00:12:12,804 --> 00:12:15,684 either at the leadership level or, you know, 328 00:12:15,684 --> 00:12:17,065 at more local levels, 329 00:12:17,605 --> 00:12:19,384 you then have to empower them. 330 00:12:20,004 --> 00:12:21,625 Give them an operating system 331 00:12:22,340 --> 00:12:24,899 and then build programs on top of it. 332 00:12:24,899 --> 00:12:27,399 Look around the country for best practices, 333 00:12:28,259 --> 00:12:29,960 and then go ahead and, 334 00:12:30,500 --> 00:12:31,639 and try and, 335 00:12:32,259 --> 00:12:32,759 individualize 336 00:12:33,060 --> 00:12:34,279 it for your location. 337 00:12:36,524 --> 00:12:39,504 It's the entire hospital that cares for people. 338 00:12:39,644 --> 00:12:42,365 It's not your logo or brand that cares 339 00:12:42,365 --> 00:12:43,105 for people. 340 00:12:43,644 --> 00:12:45,324 I think the second thing, 341 00:12:45,884 --> 00:12:47,745 is that invest in the partnerships. 342 00:12:48,779 --> 00:12:51,440 Whether it's the education of your, 343 00:12:52,139 --> 00:12:53,600 APPs and nurses, 344 00:12:55,100 --> 00:12:55,580 or, 345 00:12:56,779 --> 00:12:58,159 the the fact that your physicians 346 00:12:58,539 --> 00:13:00,539 getting out and being able to talk to 347 00:13:00,539 --> 00:13:01,039 other 348 00:13:01,535 --> 00:13:04,175 institutions, either at national meetings or just going 349 00:13:04,175 --> 00:13:05,075 to those institutions, 350 00:13:06,175 --> 00:13:07,475 allows you to elevate, 351 00:13:08,014 --> 00:13:09,315 the practice of everybody 352 00:13:09,695 --> 00:13:12,274 as they bring that information back to you. 353 00:13:13,730 --> 00:13:15,730 And then I guess the final thing that 354 00:13:15,730 --> 00:13:16,870 I would say is, 355 00:13:17,250 --> 00:13:19,590 you're in charge of the full patient journey. 356 00:13:20,690 --> 00:13:22,450 And when you go ahead and you take 357 00:13:22,450 --> 00:13:24,450 a look at what the future has to 358 00:13:24,450 --> 00:13:24,950 offer, 359 00:13:25,570 --> 00:13:26,470 it's spectacular. 360 00:13:27,514 --> 00:13:30,315 When you think about what AI, what machine 361 00:13:30,315 --> 00:13:30,815 learning, 362 00:13:31,754 --> 00:13:32,254 robotics, 363 00:13:33,434 --> 00:13:35,295 cell therapy, gene therapy, 364 00:13:36,154 --> 00:13:38,475 is going to do to our ability to 365 00:13:38,475 --> 00:13:38,975 diagnose, 366 00:13:39,600 --> 00:13:42,500 treat, extend the life, cure diseases, 367 00:13:44,240 --> 00:13:47,459 this is it's a true joy looking forward. 368 00:13:47,839 --> 00:13:50,639 And to be along for that ride, to 369 00:13:50,639 --> 00:13:51,139 be, 370 00:13:51,759 --> 00:13:53,700 the person or the institution 371 00:13:54,159 --> 00:13:54,659 or, 372 00:13:55,195 --> 00:13:55,774 the group 373 00:13:56,075 --> 00:13:57,855 that the patients look to, 374 00:13:58,394 --> 00:14:00,235 to be able to kind of extend the 375 00:14:00,235 --> 00:14:01,995 quality of their life and the length of 376 00:14:01,995 --> 00:14:02,654 their life. 377 00:14:03,914 --> 00:14:05,615 It's a wonderful future ahead. 378 00:14:05,995 --> 00:14:08,095 And, as part of an academic 379 00:14:09,259 --> 00:14:11,120 it couldn't be more fun than this. 380 00:14:12,059 --> 00:14:12,559 Wonderful. 381 00:14:13,019 --> 00:14:15,660 I just can't appreciate or express how much 382 00:14:15,660 --> 00:14:17,740 I appreciate you joining me on the podcast 383 00:14:17,740 --> 00:14:20,480 today. It's been a truly informative conversation. 384 00:14:20,940 --> 00:14:22,620 You know, I think the common themes of 385 00:14:22,620 --> 00:14:23,440 just collaboration, 386 00:14:24,215 --> 00:14:26,774 centering the person, you know, calling people by 387 00:14:26,774 --> 00:14:29,355 their first name are are all such great 388 00:14:29,415 --> 00:14:31,355 valuable insights for not just 389 00:14:31,894 --> 00:14:34,615 our cardiology audience, but for the health care 390 00:14:34,615 --> 00:14:36,075 audience in general. So, 391 00:14:36,615 --> 00:14:38,455 again, I can't thank you enough for joining 392 00:14:38,455 --> 00:14:38,955 me. 393 00:14:39,600 --> 00:14:41,279 Truly a pleasure, and thank you for the 394 00:14:41,279 --> 00:14:43,120 opportunity and look forward to listening to a 395 00:14:43,120 --> 00:14:44,899 lot more podcasts in my future. 396 00:14:45,279 --> 00:14:45,779 Absolutely. 397 00:14:46,159 --> 00:14:49,039 And to our other podcast listeners, you can 398 00:14:49,039 --> 00:14:52,047 find more podcasts from Becker's Healthcare by visiting 399 00:14:52,287 --> 00:14:56,527 our podcast page at beckershospitalreview.com. 400 00:14:56,527 --> 00:14:57,967 Thank you again. I hope you all have 401 00:14:57,967 --> 00:14:59,587 a wonderful rest of your day.