1 00:00:00,530 --> 00:00:04,200 Would you like to exchange best practices and ideas to improve care, 2 00:00:04,310 --> 00:00:06,080 enhance operational efficiency, 3 00:00:06,140 --> 00:00:08,520 and address financial challenges with your peers? 4 00:00:09,160 --> 00:00:12,960 Becker's Healthcare is facilitating these conversations at their eighth annual 5 00:00:13,100 --> 00:00:15,720 health, it digital health and R C M meeting. 6 00:00:16,060 --> 00:00:20,080 You can check your eligibility for complimentary attendance at the link in the 7 00:00:20,080 --> 00:00:22,600 description. We are excited to welcome you in October. 8 00:00:24,050 --> 00:00:26,540 This is Laura Deda with the Becker's Healthcare Podcast. 9 00:00:27,200 --> 00:00:29,740 I'm thrilled today to be joined by Dr. Nadine Ibai, 10 00:00:29,810 --> 00:00:33,580 physician director of innovation and care models at North Shore Edward Elmhurst 11 00:00:33,580 --> 00:00:36,500 Health Hospital. Nadine, it's a pleasure to have you on the podcast today. 12 00:00:37,590 --> 00:00:39,180 Thank you, Laura. Thanks for having me. 13 00:00:40,280 --> 00:00:41,940 Now, I know we've got a lot to talk about. 14 00:00:41,940 --> 00:00:43,740 There's so much happening in healthcare right now, 15 00:00:43,740 --> 00:00:48,180 and especially it is such a fascinating time with how technology is really, uh, 16 00:00:48,180 --> 00:00:51,740 driving forward some really big trends and exciting things in the healthcare 17 00:00:51,740 --> 00:00:53,620 space. But before we dive into my questions, 18 00:00:53,840 --> 00:00:56,260 can you tell us a little bit more about yourself and your background? 19 00:00:57,670 --> 00:00:59,120 Yeah, absolutely. I have, 20 00:00:59,320 --> 00:01:02,800 I think both a traditional and somewhat non-traditional entry into, 21 00:01:02,830 --> 00:01:04,920 into medicine. I went through, 22 00:01:04,920 --> 00:01:09,040 through med school residency without taking any time off. And then prior to, um, 23 00:01:09,560 --> 00:01:11,880 starting my work here 12 years ago, I, I, 24 00:01:12,040 --> 00:01:15,200 I knew that I'd wanna start with my pa uh, my patient panel and, 25 00:01:15,200 --> 00:01:18,760 and stay with them for the entirety of my career. So I decided to do, 26 00:01:18,820 --> 00:01:20,480 do a year of travel, kind of took a, 27 00:01:20,480 --> 00:01:23,400 took a break between residency and starting this job, uh, 28 00:01:23,400 --> 00:01:26,680 and volunteered and traveled around the world, uh, 19 different countries. 29 00:01:27,040 --> 00:01:30,800 I went with my wife and actually had my first job as a physician in New Zealand 30 00:01:30,860 --> 00:01:34,160 as a locums doctor for, for three months on the south island of New Zealand, 31 00:01:34,160 --> 00:01:38,480 which was really, uh, a transformational experience for me. Um, in addition to, 32 00:01:38,580 --> 00:01:42,160 to some work I did in other countries as well. Sore really, um, 33 00:01:42,190 --> 00:01:46,720 neat opportunity and, and gave me some perspective going into my career. Um, 34 00:01:47,260 --> 00:01:49,680 and, and really have been grateful and thankful to be with the, 35 00:01:49,680 --> 00:01:52,840 the same patients, uh, since I started here at North Shore, Edward Elmer Health, 36 00:01:52,940 --> 00:01:57,440 uh, 12 years ago. Um, and since that time I've had really, again, 37 00:01:57,680 --> 00:02:01,240 grateful to have lots of different roles. Um, I, I've been a physician advisor, 38 00:02:01,500 --> 00:02:05,880 um, working on complexity capture, HCCs, um, in the primary care space, 39 00:02:06,540 --> 00:02:10,240 uh, also as have helped stand up our personalized medicine, um, program, 40 00:02:10,370 --> 00:02:13,800 which is, is really something we're very proud of, uh, in, in, you know, 41 00:02:13,800 --> 00:02:18,120 incorporating genetics and genomics into, into primary care. Um, and, 42 00:02:18,140 --> 00:02:22,800 and also had, uh, opportunities to work, uh, with our University of Chicago, uh, 43 00:02:22,800 --> 00:02:26,040 medical students and, uh, the medical student rotation here for family medicine. 44 00:02:26,180 --> 00:02:30,360 So, um, that's all to say, yeah, I'm a family doctor and that's, 45 00:02:30,360 --> 00:02:33,240 that's something I'm very passionate about and have maintained that practice. 46 00:02:33,900 --> 00:02:37,840 Um, my current roles, you mentioned the innovation and care model redesign. Uh, 47 00:02:37,840 --> 00:02:41,320 I also chair our medical groups Physician Engagement and Wellbeing committee, 48 00:02:41,740 --> 00:02:44,600 uh, which has been really an honor for me as well for the last, uh, four years. 49 00:02:45,200 --> 00:02:46,260 That's amazing to hear. 50 00:02:46,280 --> 00:02:50,220 What's great experiences and background you have both in practicing medicine as 51 00:02:50,220 --> 00:02:53,140 well as connecting with patients and then now working with, um, 52 00:02:53,160 --> 00:02:56,380 up and coming physicians and clinicians and care teams as well. 53 00:02:56,440 --> 00:02:57,780 That's amazing to hear. 54 00:02:57,780 --> 00:03:00,820 And I was particularly interested when you were talking about standing up the 55 00:03:00,820 --> 00:03:05,260 personalized medicine program and incorporating that into primary care. Um, 56 00:03:05,310 --> 00:03:07,620 could you touch a little bit more on that in, you know, 57 00:03:07,760 --> 00:03:10,900 how you built the program, what you were able to do, um, at, 58 00:03:10,930 --> 00:03:14,420 with the technology at the time, and how it's progressed since then? Yeah. 59 00:03:14,930 --> 00:03:18,470 No, great question. And honestly, a lot, lot of credit to the, to the, 60 00:03:18,610 --> 00:03:20,030 the geneticists and, and, 61 00:03:20,030 --> 00:03:22,430 and many members of our administrative and operational team, they, 62 00:03:22,430 --> 00:03:25,870 they brought me on after they had really stood up the concept of personalized 63 00:03:26,190 --> 00:03:30,150 medicine. Uh, and something this organization's been really, uh, keen on for, 64 00:03:30,170 --> 00:03:31,470 for many years. And, 65 00:03:31,470 --> 00:03:34,470 and really what's different and unique about it is that it's incorporated or 66 00:03:34,630 --> 00:03:37,790 questions that are along the lines of family history questionnaires are 67 00:03:37,790 --> 00:03:42,030 administered to our patients ahead of time, of their physical. And we've, um, 68 00:03:42,250 --> 00:03:46,190 got an incredible team that's put together workflows in the technology within 69 00:03:46,210 --> 00:03:50,350 our EMR to allow the physician at the point of care to not only have information 70 00:03:50,350 --> 00:03:51,750 available for them for counseling, 71 00:03:51,930 --> 00:03:55,750 cuz every physician has a different level of understanding and, um, 72 00:03:55,900 --> 00:04:00,510 comfort with genomics, uh, especially in the primary care space. 73 00:04:00,850 --> 00:04:04,670 And so this really was a way for us to be able to give our physicians the 74 00:04:04,670 --> 00:04:09,110 opportunity to, uh, guide their patients on evidence-based, uh, 75 00:04:09,110 --> 00:04:13,030 genetic testing and provide that, um, uh, really at a, 76 00:04:13,030 --> 00:04:16,310 at a pretty low cost and then have the, uh, 77 00:04:16,310 --> 00:04:19,550 backend work and workflows to, to result those, um, 78 00:04:20,010 --> 00:04:23,030 and that information to our patients and get them to the right care team members 79 00:04:23,130 --> 00:04:27,830 for, for their care. So, you know, we have had, um, really, uh, a ton, 80 00:04:28,530 --> 00:04:31,110 uh, uh, of, um, our numbers have been very, 81 00:04:31,110 --> 00:04:33,590 very high in terms of the number of patients that have completed the testing. 82 00:04:33,750 --> 00:04:37,670 I think over 31,000 have done the testing. Um, these questionnaires, 83 00:04:37,670 --> 00:04:41,710 I think around 250,000, uh, and over 3000 patients. 84 00:04:41,710 --> 00:04:44,790 This is the most relevant of course, cuz it's clinically relevant, 85 00:04:44,960 --> 00:04:49,390 which is that over 3000 patients have been found to have, uh, a variant, uh, 86 00:04:49,430 --> 00:04:53,630 a a genetic variant. And that does not include pharmacogenomics, which is, uh, 87 00:04:53,630 --> 00:04:55,030 some of the testing we were doing as well. 88 00:04:56,480 --> 00:04:57,660 Got it. That's fascinating. 89 00:04:57,660 --> 00:05:00,860 Thank you so much for sharing a little bit about the program with us. Now, 90 00:05:01,120 --> 00:05:02,780 I'm wondering from your vantage point, 91 00:05:02,780 --> 00:05:05,620 especially looking at the innovation in in care models, 92 00:05:05,950 --> 00:05:10,060 where are some of the big opportunities that you are seeing ahead of, 93 00:05:10,120 --> 00:05:12,420 as well as the headwinds that you've got your eye on? 94 00:05:13,880 --> 00:05:16,850 Yeah, listen, I think the headwinds, uh, are, are the, 95 00:05:16,850 --> 00:05:18,650 are similar to what every, um, 96 00:05:18,650 --> 00:05:20,850 healthcare organization's experiencing in terms of, 97 00:05:20,850 --> 00:05:24,250 of cost and decreased reimbursement and, and staffing. Um, 98 00:05:24,470 --> 00:05:29,090 I'm particularly focused on joy in practice and top of license 99 00:05:29,200 --> 00:05:30,050 work. You know, 100 00:05:30,050 --> 00:05:33,410 obviously pre pandemic burnout rates for physicians and clinicians in general 101 00:05:33,550 --> 00:05:37,450 was, was already pretty high, uh, relative to other professions. Uh, and, 102 00:05:37,470 --> 00:05:41,450 and part of that was the moral injury of feeling like there was so much you 103 00:05:41,450 --> 00:05:43,210 wanted to do for your patient, um, 104 00:05:43,510 --> 00:05:47,690 but having so many of the clerical and administrative tasks that were really 105 00:05:47,690 --> 00:05:50,690 preventing you from doing that the way you wanted to and maintaining a good 106 00:05:50,690 --> 00:05:52,330 work-life balance. And so that, 107 00:05:52,330 --> 00:05:55,650 that is the one I'm focused on the most and have been really focused on the most 108 00:05:55,710 --> 00:05:59,660 too. Uh, and, and really the wellbeing of our team members, I think is, 109 00:05:59,840 --> 00:06:03,340 is paramount to, um, translating to a good, uh, 110 00:06:03,340 --> 00:06:07,660 patient experience as well and good clinical care. So, so with the headwinds, 111 00:06:07,920 --> 00:06:11,060 uh, that have accelerated over the, the last three years and with the pandemic, 112 00:06:11,540 --> 00:06:12,980 I would say there's obviously, um, 113 00:06:13,500 --> 00:06:16,820 a lot of opportunity that has come around with that. Uh, 114 00:06:16,820 --> 00:06:20,140 and part of that is leveraging technology to really offload some of that 115 00:06:20,140 --> 00:06:21,700 clerical work that we were talking about, 116 00:06:21,930 --> 00:06:26,740 some of the things that don't really bring, um, joy or purpose to our every day. 117 00:06:27,440 --> 00:06:31,380 So, you know, I, I think trying to find those points, uh, 118 00:06:32,600 --> 00:06:36,020 for all of our team members is really gonna translate into just better wellbeing 119 00:06:36,020 --> 00:06:40,060 and, and, and joy and work. We spend tons of our life in work lots, 120 00:06:40,140 --> 00:06:42,340 a huge percent of our, our life is in our jobs. 121 00:06:42,360 --> 00:06:45,460 And so you want everyone you're working with to enjoy it and feel like there's 122 00:06:45,460 --> 00:06:49,740 purpose in that work. Um, our, our Edward, I'm sorry, Elmhurst Hospital, 123 00:06:49,920 --> 00:06:54,420 for example, um, brought in a robot called Moxie. Um, 124 00:06:54,810 --> 00:06:59,380 this is an example of, you know, uh, a robot that's able to take, uh, 125 00:06:59,380 --> 00:07:04,100 medications and, and, and other, uh, instruments, uh, across the hospital and, 126 00:07:04,200 --> 00:07:07,540 and a very simple and straightforward example of how, um, you know, 127 00:07:07,560 --> 00:07:10,540 we can leverage technology to take work off the plate of our, 128 00:07:10,540 --> 00:07:14,180 of our team members that isn't really purposeful or meaningful. Um, 129 00:07:14,560 --> 00:07:17,980 and another part of the opportunity I see here is obviously we've been able to 130 00:07:17,980 --> 00:07:22,140 engage our patients in different ways and at times and places that is more 131 00:07:22,140 --> 00:07:22,973 convenient to them. 132 00:07:23,000 --> 00:07:27,660 So there's huge opportunity there because traditionally I think medicine within 133 00:07:27,660 --> 00:07:30,460 the four walls of our healthcare system, you know, 134 00:07:30,610 --> 00:07:34,860 felt more transactional and we're really having an opportunity here to, 135 00:07:34,880 --> 00:07:38,580 to impact health. And health is so much more than just when the patient is in, 136 00:07:38,580 --> 00:07:41,420 whether it's for prevention for a six visit, you know, 137 00:07:41,420 --> 00:07:43,300 health is is really what we do in the community, 138 00:07:43,410 --> 00:07:47,260 what we do when we're not seeing the patient. Uh, and recently we had a, 139 00:07:47,300 --> 00:07:51,340 a really nice partnership, uh, and opportunity to develop, uh, 140 00:07:51,340 --> 00:07:54,500 cardiac rehab. It's the first in-home virtual cardiac, um, 141 00:07:54,740 --> 00:07:57,540 recovery program with a company called Motive. Um, 142 00:07:57,680 --> 00:08:02,060 and it's really an example of, uh, I think, uh, innovative and, um, 143 00:08:02,660 --> 00:08:03,493 opportunistic, 144 00:08:03,650 --> 00:08:08,260 meaning the opportunity based on the virtual care offerings that we have to, 145 00:08:08,480 --> 00:08:12,100 to help patients in a place that's convenient for them, uh, and, 146 00:08:12,100 --> 00:08:13,620 and really very holistic as well. 147 00:08:15,120 --> 00:08:18,320 I love that. I, I think there's just so much there in terms of, um, 148 00:08:18,320 --> 00:08:22,440 troubleshooting some of the big challenges in leveraging technology in order to 149 00:08:22,670 --> 00:08:25,720 fill some of the gaps that, you know, we're seeing in healthcare, 150 00:08:25,760 --> 00:08:29,000 whether it's the staffing shortages and, and the challenges on that front, 151 00:08:29,140 --> 00:08:32,520 or really being able to optimize the outcomes, um, 152 00:08:32,580 --> 00:08:36,720 in care delivery in the best way possible. And so I really appreciate, um, 153 00:08:36,720 --> 00:08:39,520 everything that you're talking about here. And I, I know too, um, 154 00:08:39,820 --> 00:08:42,800 in terms of connecting with patients and engaging them in different ways, 155 00:08:42,940 --> 00:08:47,000 it seems like there's certainly a push in healthcare right now, um, to, 156 00:08:47,000 --> 00:08:50,480 to really focus on the patient and their family and the expectations of the care 157 00:08:50,480 --> 00:08:52,320 experience and, um, you know, 158 00:08:52,320 --> 00:08:56,300 having them become more of part of their care journey as well. Uh, 159 00:08:56,440 --> 00:08:58,820 how do you see that playing out in really, you know, 160 00:08:58,820 --> 00:09:02,660 what from your perspective is essential for hospitals and health systems to be 161 00:09:02,660 --> 00:09:04,300 thinking about, you know, when they, 162 00:09:04,300 --> 00:09:06,500 they have an eye on that patient experience in, 163 00:09:06,520 --> 00:09:08,740 in that journey and engagement within their own care? 164 00:09:09,590 --> 00:09:14,200 Yeah, I, I love that question because I, I think some may see it as, 165 00:09:14,420 --> 00:09:18,280 um, potentially threatening, right? When you think about consumerization of, 166 00:09:18,460 --> 00:09:22,600 of medicine and the patient experience, um, that that's, uh, 167 00:09:22,600 --> 00:09:24,280 that's a big deal because, you know, 168 00:09:24,830 --> 00:09:27,800 what we're ultimately trying to do is provide the best health to our patients, 169 00:09:27,900 --> 00:09:30,320 but sometimes they perceive that in different ways, right? 170 00:09:30,340 --> 00:09:33,480 Or how they want to get their healthcare, um, 171 00:09:33,990 --> 00:09:36,600 when and what health means to them. So, 172 00:09:36,700 --> 00:09:40,440 so I actually really like this concept because, 173 00:09:40,700 --> 00:09:43,120 and I actually think this is gonna be one of the keys to success, 174 00:09:43,580 --> 00:09:47,120 is that we really start to, to hone in on patients, um, 175 00:09:47,590 --> 00:09:50,960 with that very personalized touch in mind. And so, so for me, 176 00:09:50,960 --> 00:09:55,320 that means both precision medicine in regards to genomics, uh, 177 00:09:55,320 --> 00:09:59,520 polygenic risk scores, things like that. Uh, but also very personalized that, 178 00:09:59,520 --> 00:10:03,240 you know, familiar touch points with the healthcare system that does not feel 179 00:10:03,240 --> 00:10:04,120 transactional at all. 180 00:10:04,340 --> 00:10:07,200 And that's exactly where I think team-based care comes into play here, 181 00:10:07,420 --> 00:10:12,320 is that if we have a group of individuals that are really the, 182 00:10:12,420 --> 00:10:14,520 the, the same people that, that are, 183 00:10:14,520 --> 00:10:17,520 are hearing or that the patient is hearing from in the health system, 184 00:10:18,100 --> 00:10:21,680 or that at most points in the patient's interaction with the healthcare system, 185 00:10:22,030 --> 00:10:23,920 they feel like they're known to the system. 186 00:10:24,390 --> 00:10:29,160 That I think has tremendous implications and potential for better health 187 00:10:29,310 --> 00:10:33,920 because, you know, we, we know that we can give our patient guidance and, and, 188 00:10:33,920 --> 00:10:35,280 and recommendations in the office, 189 00:10:35,780 --> 00:10:39,720 but how hard is it to really implement those changes in one's behavior or health 190 00:10:40,030 --> 00:10:41,760 once they leave the office? Uh, 191 00:10:41,760 --> 00:10:45,240 and I think this is a chance for us to really ask patients how we can do that 192 00:10:45,240 --> 00:10:48,040 best for them, uh, and it's a win-win for everybody. 193 00:10:49,670 --> 00:10:52,610 That's amazing to hear and definitely such a helpful perspective. 194 00:10:53,070 --> 00:10:54,730 Now from your vantage point, 195 00:10:54,830 --> 00:10:58,050 how do you think about growth and adding value to the health system overall? 196 00:10:58,120 --> 00:11:00,410 What does that look like for you and the teams that you work with? 197 00:11:02,020 --> 00:11:03,510 Yeah, I think it, you know, 198 00:11:03,510 --> 00:11:06,150 it goes back a little bit and I wanna be too repetitive, Laura, about this, 199 00:11:06,250 --> 00:11:10,830 but I, I think, um, for me, you can look at value. If you look at it as, 200 00:11:11,130 --> 00:11:13,070 you know, quality over cost. There, 201 00:11:13,070 --> 00:11:16,510 there are definitely efficiencies that can be gained by the team-based care 202 00:11:16,510 --> 00:11:19,070 model. Um, so I think, again, 203 00:11:19,310 --> 00:11:22,310 everyone working at the top of their license and doing it in a collaborative way 204 00:11:22,730 --> 00:11:24,390 and doing it a way, uh, 205 00:11:24,390 --> 00:11:29,070 that's reproducible so that way the patient has the same experience every time, 206 00:11:29,270 --> 00:11:31,230 regardless of who the patient is. Uh, 207 00:11:31,230 --> 00:11:35,870 it is really something that I think team-based care can, can work towards. Um, 208 00:11:36,050 --> 00:11:40,550 and along that same vein, if you look at, um, again, value considering quality, 209 00:11:41,250 --> 00:11:46,030 uh, and cost, you know, the approach reduces, uh, reduces burnout. 210 00:11:46,170 --> 00:11:50,430 It reduces turnover. Um, it really does improve the patient experience. 211 00:11:50,770 --> 00:11:55,340 And I think by providing that value, value, um, we will, we will have growth. 212 00:11:56,810 --> 00:11:58,020 Fantastic. I, I, 213 00:11:58,180 --> 00:12:01,940 I really think that that value equation is a great way to look at it and making 214 00:12:01,970 --> 00:12:05,700 sure that you have your eye on the prize and focus on the right things. 215 00:12:05,960 --> 00:12:09,620 And you know, too, when, um, we're, we're talking about healthcare today, 216 00:12:09,730 --> 00:12:14,340 there's a lot of anxiety around some of the financial challenges that, you know, 217 00:12:14,340 --> 00:12:14,620 mm-hmm. 218 00:12:14,620 --> 00:12:17,860 economic situation is tough for many organizations across the 219 00:12:17,860 --> 00:12:19,660 country and, and resources are slim. 220 00:12:19,840 --> 00:12:23,820 So where do you see as being important areas to continue to invest? Um, 221 00:12:23,890 --> 00:12:27,460 even if budgets are a little bit tighter than they have been in the past, I. 222 00:12:28,350 --> 00:12:29,590 Think it's gonna be in those, 223 00:12:29,920 --> 00:12:34,670 those tools that help us automate and do the redundant work, um, 224 00:12:35,290 --> 00:12:39,470 the, the same and with technology every time because we, you know, 225 00:12:39,580 --> 00:12:43,870 this is an example of where technology can supplement but not replace the 226 00:12:43,870 --> 00:12:44,250 people. 227 00:12:44,250 --> 00:12:48,390 And so when our organization is able to focus on the patient right in front of 228 00:12:48,390 --> 00:12:51,390 the clinician or in front of the medical assistant, um, 229 00:12:51,730 --> 00:12:55,030 or in front of anybody for that matter, i, I, I think that's, 230 00:12:55,030 --> 00:12:57,070 that's exactly what we need to put our bets on. 231 00:12:57,370 --> 00:13:01,070 And so any technology that allows for that to happen, um, 232 00:13:01,430 --> 00:13:04,470 I think is worth looking into and investing. And, and so for example, 233 00:13:04,660 --> 00:13:08,790 ambient listening, that that might be, you know, a good, um, 234 00:13:08,830 --> 00:13:10,190 I wouldn't say necessarily risk, 235 00:13:10,210 --> 00:13:13,710 but that could be a very good investment when you think about what it does, um, 236 00:13:13,710 --> 00:13:16,510 for both the, the clinician and the patient and, 237 00:13:16,570 --> 00:13:19,630 and the value of the care that they are provided. Um, 238 00:13:20,100 --> 00:13:23,710 that I think will pay dividends, uh, over time for sure, 239 00:13:23,770 --> 00:13:28,710 and is a worthwhile investment. Um, you know, in terms of risk, I, 240 00:13:28,750 --> 00:13:32,390 I, I'm probably, I'm obviously not the first person that's on your podcast, 241 00:13:32,530 --> 00:13:33,950 I'm sure to talk about a ai, 242 00:13:34,010 --> 00:13:38,910 but I really do think this is an area where when we know how fast 243 00:13:38,910 --> 00:13:42,950 this has accelerated over the last year or two, um, you know, 244 00:13:43,090 --> 00:13:44,070 faster than anything, 245 00:13:44,070 --> 00:13:48,590 most of us did anticipate we should start thinking about how the next few years 246 00:13:49,250 --> 00:13:52,630 we can just almost consider it a given that it is going to be a part, 247 00:13:52,630 --> 00:13:56,750 maybe at first, uh, of how we do some of the other clerical work, 248 00:13:56,930 --> 00:13:58,790 but then ultimately get, helps us, uh, 249 00:13:58,790 --> 00:14:01,510 our patients get to the right point of care at the right time, uh, 250 00:14:01,850 --> 00:14:04,990 and really again, supplements the work that we're doing. So it's, it's a, 251 00:14:05,020 --> 00:14:07,510 it's a risk, uh, for many reasons, 252 00:14:07,810 --> 00:14:09,990 but I think it's a risk definitely worth investing in. 253 00:14:11,650 --> 00:14:14,210 Absolutely. And I, I think too, looking at ai, 254 00:14:14,210 --> 00:14:17,650 there's a lot of different opportunities with the technology, but certainly, um, 255 00:14:17,660 --> 00:14:22,450 being able to use it to your advantage and not, um, get to a point where it, 256 00:14:22,520 --> 00:14:26,970 it's not beneficial for healthcare, I think is important, as you mentioned. 257 00:14:26,970 --> 00:14:31,210 Exactly. Um, well before we wrap up our conversation, I just wanted to ask, 258 00:14:31,260 --> 00:14:34,810 where do you see some of the best opportunities for growth and development for 259 00:14:34,810 --> 00:14:36,610 you as well as the teams that you work with? 260 00:14:38,190 --> 00:14:42,890 Um, so you, you know, we're, we're now a nine, uh, an eight, uh, 261 00:14:42,910 --> 00:14:47,250 or nine hospital, uh, system, right nine because we have a, a mental health, uh, 262 00:14:47,400 --> 00:14:50,610 inpatient, uh, hospital. Um, and, 263 00:14:50,670 --> 00:14:54,520 and we're still focused and we'll continue to focus on being community 264 00:14:54,520 --> 00:14:59,080 connected. And I really feel, going back to what I was mentioning earlier about, 265 00:14:59,220 --> 00:15:03,720 uh, transactional care versus, you know, continuous care. Our, our mission is, 266 00:15:03,780 --> 00:15:05,640 is to help everyone in their communities be their best. 267 00:15:05,700 --> 00:15:09,840 And that means we have to be involved in our communities in as many ways as 268 00:15:10,040 --> 00:15:13,720 possible. And by investing in our communities, which we've been doing, um, 269 00:15:13,800 --> 00:15:17,640 I really think that gives us opportunities for growth. And so that means, um, 270 00:15:17,710 --> 00:15:22,080 that the people that work with and for us are coming from the communities we 271 00:15:22,080 --> 00:15:23,000 serve, um, 272 00:15:23,000 --> 00:15:27,240 making sure that we are investing in the things that matter to the communities 273 00:15:27,500 --> 00:15:31,360 and really finding ways, and this is where we should and can be creative, uh, 274 00:15:31,450 --> 00:15:35,880 about, um, the care that patients receive, being much more about prevention, 275 00:15:36,540 --> 00:15:41,280 uh, and, and, and, and, and helping them be as healthy as they can be. Uh, so, 276 00:15:41,460 --> 00:15:43,040 so that they live really their best lives. 277 00:15:44,040 --> 00:15:47,600 I love it. Nadia, thank you so much for joining us on the podcast today. 278 00:15:47,600 --> 00:15:51,800 This has been such a fun conversation and I'm excited to see you in person at 279 00:15:51,800 --> 00:15:54,440 our event this October. Um, the Health IT, 280 00:15:54,550 --> 00:15:58,000 digital Health and Revenue Cycle event, it's gonna be such a fun, um, 281 00:15:58,000 --> 00:15:59,560 space to be in. And a lot of these themes, 282 00:15:59,640 --> 00:16:04,080 I know we're talking about very closely with the mix of clinical and technology 283 00:16:04,380 --> 00:16:07,600 in where really healthcare is headed. So I'm looking forward to that very much. 284 00:16:08,720 --> 00:16:10,460 Me too, Laura. Thank you. I really appreciate that.