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Would you like to exchange best
practices and ideas to improve care,

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enhance operational efficiency,

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and address financial
challenges with your peers?

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Becker's Healthcare is facilitating these
conversations at their eighth annual

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health, it digital
health and R C M meeting.

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You can check your
eligibility for complimentary
attendance at the link in the

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description. We are excited
to welcome you in October.

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This is Laura Dedo with the
Becker's Healthcare Podcast.

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I'm thrilled today to
be joined by Eric Smith,

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senior Vice President and Chief Digital
Officer for Memorial Herman Health

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System. Eric, it's a pleasure to
have you on the podcast today.

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Laura. Thanks. We're thrilled to be here.

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Now, I know we have a lot to talk about.

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There's so many exciting things happening
in healthcare in that intersection

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between healthcare and
digital technology, too,

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is just accelerated so fast
over the past few years.

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But before we dive into
the broader questions,

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can you tell me a little bit more about
yourself and your background? Sure.

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Uh, so as you mentioned,

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I serve as the Chief Digital
Officer for Memorial Hermann. Uh,

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and in that role I've got responsibility
for our digital experiences across our

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system, data and analytics,

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as well as our contact center
experience and overall strategy. So, uh,

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in April, just celebrated my third year
in healthcare overall as well as, uh,

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with Memorial Herman. So, uh,

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before that I've spent probably
the majority of my career, uh,

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in financial services in,
uh, technical and, uh,

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kind of digitally oriented roles.
Uh, early on in my career there were,

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I was mostly technically focused and
then as, um, I became more interested,

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I guess,

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in how technology could
actually be leveraged to make
things easier for the end

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user and the consumer. So, and
having been around long enough,

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I was able to see the introduction
of the web, mobile voice,

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and other really interesting
capabilities. And as these things evolved,

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I shifted more of my focus on how to
leverage and maximize these channels to

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really empower and bring, bring unique
capabilities to the end users. So, uh,

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it's been fun to watch, uh, I guess the
evolution of these capabilities, uh,

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and being able to couple
that with good design and,

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and a focus on experience to really
enable the consumer and love being able to

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do that, uh, in healthcare today.

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So it's been a busy three
years at Memorial Hermann,

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but it's been incredibly rewarding.

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Absolutely. Wow. And what a time to
join healthcare too, especially, um,

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you know, right as the
pandemic was beginning, uh,

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and really getting to a space where
you're making an impactful change.

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How has the EHR platform you're
using evolved in the last few years,

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and where do you see
that evolution heading?

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So, interesting question, interesting
time, especially from Memorial Hermann.

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Uh, we've been on a journey over the past
couple of years to really look at our

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current state of our ehr,
what the challenges are,

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and determine what we want the future
state to be knowing we really need to

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improve the experience for
our providers and clinicians.

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So we've looked at how we can streamline
and really standardize the experience

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across our system as a whole and,
and not just in our hospitals.

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So like a lot of other systems, we've
got a lot of complexity within the ehr.

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While it's all well intentioned,
it provides a lot of
challenges, obviously for,

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for the end user, in this case, the
clinician and, and the provider.

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So we also have the complexity of having
multiple EHRs across our system. So,

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and in addition to that,

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we've got multiple systems
for registration and billing.

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So you can see that we just got
a lot we need to go solve for.

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And with that being kind of the core, uh,

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we knew that it was important
for us to go address this.

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So especially as we really think about
our system's vision to create healthier

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communities now or for
generations to come, uh,

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this is a journey even though it's
was gonna be, uh, a challenging one,

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one that we needed to embark on.

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So we're actually underway currently
to consolidate a single epic based EHR

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platform, uh,

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and in parallel really taking the
opportunity to look at our processes and

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workflows, clinical and
operational across our system,

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knowing that this is an opportunity for
us to really rethink and, and reboot,

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if you will.

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So EHR is clearly such a core
component in the healthcare ecosystem,

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and so gotta make it easier for
our providers to interact with, uh,

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really surface the most important patient
data that they can take action on,

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reduce their documentation burden and
really allow them to do what they do best.

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Uh,

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and at the same time leveraging that data
within it to really empower and enable

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the patient, uh, and, and do so
in a way that's digitally enabled,

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that gives them actionable steps,
uh, as part of their health journey.

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So we're well into the journey now, uh,
feeling good about our progress and,

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and really looking forward to achieving
the goal and delivering on our vision.

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That's amazing to hear, and I
love to hear talking about, um,

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the patient experience and
really how you can leverage the

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technology, uh, to improve that and,

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and give patients more control over their
healthcare journeys and, and then to,

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uh, make sure that they
have access to care and,

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and the care providers also,
um, have a better experience.

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So that's great to hear.
From your perspective,

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what capabilities are the most important
for Memorial Hermann's digital platform

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and what hasn't worked out well?

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So, um, I love the word platform
because I think from our perspective,

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really that platform is key. Uh,
a platform gives you, you know,

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by definition will give you
flexibility and extensibility.

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And I guess the way I typically,

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the analogy I use is it gives you a set
of building blocks that you can assemble

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based off of the need that you
need to go solve. So, you know,

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when I look across the ecosystem
of what's out there today,

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there's a lot of well-intentioned point
solutions that solve for very specific

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need. But as we look at
it internally, you know,

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the challenges the consumer provider,

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they don't have just a single need to
need to go solve the healthcare is really,

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it's a continuum and the needs evolve
and there's specific needs even down to a

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patient level. And so that platform
concept really needs to, to, uh,

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to be real in order for us to be able
to solve for those things. So again,

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giving,

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giving us the flexibility to meet evolving
needs and really a higher level of

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integration and inter interoperability.

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So we also look for platforms that
really provide consistency and tone and

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experience. I think we've
all experienced, uh,

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what appears to be very disjointed
experiences within digital journeys,

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even in different industries.

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And so it's really important if you want
to create that high level of engagement

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to, to create a level of consistency
in experience and again, in tone.

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So we also know our platforms. We want to,

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we want to use them to
en enhance our, you know,

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clinical decision support
capabilities, managing our,

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our population and our population health
strategy using analytics and actions to

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really engage patients. And
clearly they need to be secure.

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These platforms need to be secure and,

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and aligned with our privacy polys
and p privacy policies and, uh,

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the regulations that exist out there.
And we're also very keen to make sure,

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especially on the patient side, we take
very much a mobile first mentality. Um,

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we see patients wanting to engage on
mobile across other industries and,

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and other, um, capabilities
they engage with.

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And so we have to take a mobile first
approach as much as possible. So,

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so to the question of what's
worked well, um, you know,

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we've got multiple examples of where
we've been able to bring kind of these

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characteristics that I mentioned
together to, to, uh, enable this.

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So as an example, we've
developed a, a, uh,

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open consolidated messaging platform that
gives us the opportunity to address a

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wide variety of use cases from
appointment reminders, wellness visits,

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informational text location data,

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and really the ability to
point patients to resources.

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So the great thing about that is that
platform's also given us the ability to

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reach a broader community. So not
just the folks with the latest device,

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but actually someone that has
something as simple as a feature phone.

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So at our at-risk communities,
um, we're able to, uh,

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provide the same level
of resource to them.

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So really helping us break
down that digital divide.

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So we've also created a platform that
engages patients digitally in their care

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journey. So really giving
them details in bite size,

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really easy to understand
chunks of, of, uh, content.

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And we're able to enrich that
with things like video and audio,

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so that way it's engaging to them.

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And on the backside it allows our care
navigators to really track their progress

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and prioritize who they might need to
reach out to based off what they're seeing

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and their, the interaction that they're
having with the, with that platform. So,

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uh, it's been great.

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We've seen about a 70% engagement rate
on that platform and plan to take that

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and expand that, uh, into
other journeys. So, uh,

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to your question about
what's not worked, um,

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one of the things that I
think we've found is, um,

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our ability to actually pull detailed
data and detailed metrics in the way

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consumers are interacting with some
of these platforms, uh, out, uh,

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because we want to take
that and understand that
at a very granular level so

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that way we can really understand the
consumer's behavior at the end of the day.

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And what we see is we see a lot of
solutions out there that will give you a

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dashboard to go take a look at
that gives you high level data,

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or they'll send you a pdf.
But, uh, we've really been, uh,

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pushing hard to make sure that we have
the ability to bring that data together

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in our platform,

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combine that with other information and
other touch points that we know the,

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the patient, the consumer has with us.

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And that way we're able to bring that
all together and really have a full

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understanding of the journey of, of
the patient. So digital vendors are,

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they're evolving in this space, but,
uh, we're still seeing some gaps.

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Got it. That makes a lot
of sense. And you know,

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it was really helpful to
know and think through.

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I can imagine over the next few years,

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the technology will just continue
to evolve and, um, you know,

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really become more useful in the
clinical space. From your perspective,

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what trends in healthcare are informing
the way that you're using data in

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analytics, both clinically
and operationally?

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Yeah, I think one of the,

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and we hear about this a lot if you
go to different conferences, is it's,

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it's this concept of personalization.

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And it's personalization not just
from the perspective of the way, uh,

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the experience shows
up, say, on my device,

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but really even getting down
to personalized medicine.

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And so really understanding me as an
individual and not necessarily me as a

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cohort. So, you know, really
leveraging data, leveraging,

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leveraging analytics to inform me,

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give me specific actions I need to
take and when I need to take them,

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and really guiding me at the end of
the day. So don't tell me what to do,

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but actually guide me through that
process at the end of the day.

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So we have to leverage the data
we have about them, their history,

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and that I think that gives us the ability
to really kind of build out a plan to

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help them optimize their health.

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And so I think there's great opportunities
to do this from the patient's

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perspective,

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but I think there's also great
opportunities to help scale our providers,

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which are overworked and
overburdened right now,

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and give them the tools to actually
do that, to where they can set those,

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those protocols and pathways, if you will,

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and then leverage the digital channels
to go actually, uh, execute those.

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So, um,

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I think operationally predictive insights
and analytics is an area that we're

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focusing a lot of work on.

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So historically we've done a
really great job of reporting data,

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but that's always retrospective.

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And so what we need is the ability
to see forward and anticipate needs.

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So what kind of staffing do we need?
What level of skills do we need, uh,

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bed and resource utilization and when
and where we're likely to need specialty

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support and things along that
line. So we're also looking and,

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and leveraging data analytics to
really affect and enhance the patient

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experience. So understanding when and,
and how we need to engage our patients.

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So we're leveraging that
data and combining that
with our digital experiences

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and seeing some, some really
positive results. So for example,

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we're pulling and understanding the
patient population that we have that's due

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for an annual wellness visit and
plugging that into our digital outreach

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platform to where we're able to see,
uh, without hardly any human effort,

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a 15% engagement rate and a scheduling
rate for something as simple as an annual

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wellness visit.

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And we're also seeing reductions in notion
rates of up to 20% for appointments,

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uh, leveraging pace reminders,
all driven by engagement data,

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so we know when we need to
reach out to a patient to,

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to make sure that they'll actually show
up for that appointment that they've

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scheduled. So I think one
other trend that we're seeing,

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and we're a very active participant in
is this, this idea of being able to,

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to assemble, uh,

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all the data that we have and combine
that with other health systems, uh,

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to form really large scale, uh,

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data sets that can be leveraged for
research and, and other needs. So, uh,

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it's a really, it can be a
really valuable platform,

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especially when you have the ability to
layer tools on top of that to do some

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deep analysis and really find that
ultimate needle in the haystack from a

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healthcare perspective. So, um,
we're proud to be a founding, uh,

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health system partner in Reta, uh,

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which is very laser focused on really
how to leverage large sets of data like

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that to save lives, uh, really, uh, and,

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and what's great about it is it's all
under the guidance and, uh, management of,

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of member health systems.

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That's great to hear, and definitely
just fascinating to see how Veta has, uh,

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evolved over time.

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I know very forward thinking and
forward looking organization,

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and certainly I'm exciting to see,
hear, experience, good results there.

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Before we wrap up our
conversation, I'm wondering, Eric,

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if you could talk a little bit about
what you're most excited about for the

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future. I think we've gone through a lot
today, um, that, you know, is really,

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uh, helpful and interesting to hear
about and a lot to be excited about,

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but where are you really seeing it as
being great opportunities going forward?

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Well, I I definitely,

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completing our EHR transition is something
I'm very excited about for the future

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without a doubt. That's
something that, and I,

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I say that laughingly a little bit,

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but also that's really important because
that, that for us will, will one,

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remove a lot of complexity that is that
we have to account for behind the scenes

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and allow us to really focus on
on, uh, clinical outcomes, uh,

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patient experience and those sorts of
things. So I, as far as the future,

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I'm definitely,

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I continue to be very excited about this
focus on the consumer at the end of the

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day, and that's, it feels
like that's the buzz today,

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but I really think the opportunity is
there for us to really deliver on that.

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We've clearly seen it, uh,
in other industries and,

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and I know in healthcare we definitely
want to improve the lives of people

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through good health.

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And I really think this focus on the
consumer will make them a very active

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participant and, and create a level of
engagement to be part of that. And again,

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I think we've seen multiple
examples of that, uh, in,

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in other industries and how, and what
the results have been and how, uh,

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consumers have taken more
of an active role, uh,

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in really managing things like their
finances and, and other things. So,

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uh, I think it's hard to have any kind
of conversation about the future without

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talking about AI a little bit.
Uh, and I don't mean that from a,

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a buzz standpoint, but I, I think also
just broadly what AI can bring, uh,

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even beyond what we're seeing
today. So, you know, I think I've,

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I've had this vision,

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I've talked to our team about the idea
of a virtual health companion that can be

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your coach, if you will,

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and it's with you all the time and
really guide you in your health journey.

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So there's a lot we still need to, to
work through in that space. Um, you know,

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from making sure that the data's secure,
making sure that, um, we don't, uh,

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bring biases into the experience.

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But I think the core is
there to really do that.

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I'm excited about that opportunity to,

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to have somebody that understands to
have a virtual thing, if you will, that,

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uh, understands me and really
coaches me and guides me, uh,

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regardless of what my, uh, my
health journey might be. So,

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and I think along with that,

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the ability to leverage that
data that's in the E M R and the,

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the instrumentation and the informed
element that comes from the provider to

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make sure that your providers very
active in that, uh, in that engagement,

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I think one creates scale
for them, uh, but also, um,

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enables the patient to do what they
need to do and when they need to do it.

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So again, I don't think we're that far
away from it, but I think it'll be, uh,

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make an incredible difference, uh,
in improving healthcare at scale.

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That's amazing to hear.

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I love that turn and focus on the
consumer and the patient experience.

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And then too, as you mentioned,
artificial intelligence just has, um,

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such amazing opportunities as it
evolves in the healthcare space. Eric,

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thank you so much for joining
us on the podcast today.

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This has such fun and interesting
discussion and look forward to again soon.

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00:16:02,300 --> 00:16:04,000
Sounds good. Thanks Laura. Appreciate it.

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00:16:08,380 --> 00:16:11,640
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