1 00:00:00,180 --> 00:00:03,580 Would you like to exchange best practices and ideas to improve care, 2 00:00:03,850 --> 00:00:05,580 enhance operational efficiency, 3 00:00:05,640 --> 00:00:07,980 and address financial challenges with your peers? 4 00:00:08,660 --> 00:00:12,380 Becker's Healthcare is facilitating these conversations at their eighth annual 5 00:00:12,560 --> 00:00:15,380 health it digital health and R C M meeting. 6 00:00:15,720 --> 00:00:19,620 You can check your eligibility for complimentary attendance at the link in the 7 00:00:19,620 --> 00:00:22,020 description. We are excited to welcome you in October. 8 00:00:23,150 --> 00:00:26,690 Hi everyone. Welcome to a Becker's podcast. 9 00:00:27,510 --> 00:00:29,490 On the line with us is Scott Ji. 10 00:00:30,150 --> 00:00:32,970 He is an amazing pharmacy expert. 11 00:00:33,070 --> 00:00:36,210 I'm really excited to get his thoughts on the expert space. Um, 12 00:00:36,580 --> 00:00:39,450 we're just gonna go ahead and start diving in. Scott, 13 00:00:39,460 --> 00:00:42,450 could you please introduce yourself and tell us a bit about your background? 14 00:00:43,280 --> 00:00:46,140 Uh, yeah. Hi, I'm glad to be here. My name is Scott Epci. 15 00:00:46,420 --> 00:00:51,180 I am the current director of Pharmacy Cancer care services at the Mayo Clinic in 16 00:00:51,180 --> 00:00:53,100 Rochester, Minnesota. Uh, 17 00:00:53,100 --> 00:00:56,900 which basically means I oversee the oncology service line at, 18 00:00:57,320 --> 00:01:00,620 at the Rochester campus in Mayo, at Mayo. Uh, 19 00:01:00,620 --> 00:01:04,860 and then I coordinate oncology pharmacy services across the enterprise where 20 00:01:04,860 --> 00:01:08,260 we're trying to get everything aligned and, and doing it about the, 21 00:01:08,280 --> 00:01:12,980 the same way wherever we can. Um, I'm a hospital pharmacist, uh, 22 00:01:13,040 --> 00:01:13,873 by training. 23 00:01:14,280 --> 00:01:18,260 I'm one of those pharmacists that got a bachelor of science back in the 24 00:01:18,500 --> 00:01:20,900 eighties. I worked a few years in hospitals, 25 00:01:20,930 --> 00:01:25,460 went back and got my doctor of pharmacy degree, did a residency fellowship, 26 00:01:26,200 --> 00:01:30,700 and I have had a breadth of experience, uh, academia, uh, 27 00:01:31,060 --> 00:01:35,740 clinical practice. I did a little bit of industry and then, uh, 28 00:01:36,030 --> 00:01:37,340 about 15 years ago, 29 00:01:37,370 --> 00:01:41,860 made a decision to go into pharmacy administration and really have been focusing 30 00:01:41,860 --> 00:01:46,180 on the administrative side of oncology care. And so that's where I am now. 31 00:01:46,180 --> 00:01:48,740 I've bounced around, worked at Yale New Haven for a while, 32 00:01:49,460 --> 00:01:52,100 director of Pharmacy in Austin, Texas for a while now. 33 00:01:52,280 --> 00:01:54,540 I'm here at Mayo and I'm loving it here. 34 00:01:55,510 --> 00:01:57,820 Great, great. I'm glad you're loving it at Mayo. 35 00:01:58,570 --> 00:02:02,980 What opportunities or headwinds, uh, do you kind of have your eye on right now? 36 00:02:03,650 --> 00:02:07,100 Yeah, I am, I'm really intrigued with ai, 37 00:02:07,100 --> 00:02:11,700 whether you call it in augmented intelligence or artificial intelligence 38 00:02:11,920 --> 00:02:15,620 or whatever. Uh, a lot of what pharmacists do, 39 00:02:15,620 --> 00:02:18,620 particularly on that operational side, 40 00:02:18,620 --> 00:02:22,620 that order verification side is pattern recognition. 41 00:02:23,200 --> 00:02:27,940 And I really think we're gonna get to a point where the pharmacist doesn't have 42 00:02:27,940 --> 00:02:32,060 to do as much work. If the thing is normal, everything looks good, 43 00:02:32,060 --> 00:02:36,020 there's no changes to the order, uh, it meets the criteria. 44 00:02:36,320 --> 00:02:37,820 It just flows all the way through. 45 00:02:38,560 --> 00:02:43,460 And then the AI flags us to be looking at those exceptions. And, you know, 46 00:02:43,530 --> 00:02:46,100 this, this is something you should take a look at, kind of thing. 47 00:02:47,080 --> 00:02:51,100 And what I'm excited about then is it begins to get us to that point where we 48 00:02:51,100 --> 00:02:55,900 wanted to be for several decades now of let's get you 49 00:02:55,920 --> 00:02:56,980 out in front of the patient, 50 00:02:57,110 --> 00:03:00,680 let's have the pharmacist face-to-face with patients, uh, shoulder, 51 00:03:00,960 --> 00:03:03,520 shoulder with providers in the clinics. Um, 52 00:03:03,730 --> 00:03:06,640 we're starting to do this here at Mayo where we're getting more and more people 53 00:03:06,710 --> 00:03:07,543 into the clinic. 54 00:03:07,980 --> 00:03:12,720 And I think it's really got opportunities and we're finding that pharmacists can 55 00:03:12,720 --> 00:03:16,840 really help things in the clinic to become more efficient. 56 00:03:17,620 --> 00:03:22,360 Uh, we find when the pharmacists actually are doing the chemo orders, 57 00:03:22,900 --> 00:03:26,360 the number of changes we have to make on the backside is less, uh, 58 00:03:26,470 --> 00:03:30,600 when the pharmacists are managing some of the toxicities and side effects, uh, 59 00:03:30,840 --> 00:03:31,673 patients do a little better. 60 00:03:32,060 --> 00:03:35,000 And those are the kind of things we're really excited about and want to get out 61 00:03:35,020 --> 00:03:39,880 and do. Uh, the other thing I'm real interested in is, uh, robotics. 62 00:03:40,490 --> 00:03:44,880 We've installed our first chemo compounding robot here at Mayo Clinic. 63 00:03:45,550 --> 00:03:50,280 It's doing roughly 20% of our mixes, uh, every day. Uh, 64 00:03:50,280 --> 00:03:51,280 and again, the question is, 65 00:03:51,280 --> 00:03:56,080 could we get to the point where we don't have to have a human hands 66 00:03:56,690 --> 00:04:01,040 touch these hazardous drugs? And I think that would be beneficial to everybody. 67 00:04:02,140 --> 00:04:05,000 And and I don't think it's gonna replace people. 68 00:04:05,470 --> 00:04:10,040 What I think it's gonna do is free people up to become more efficient, uh, 69 00:04:10,190 --> 00:04:13,320 work, uh, work smarter, not harder, those kind of things. 70 00:04:13,820 --> 00:04:17,320 And so I'm really excited about where we're gonna be over the next five or six 71 00:04:17,320 --> 00:04:19,520 years. I think some of the roadblocks, 72 00:04:19,520 --> 00:04:22,240 all of this is there's some cost involved. 73 00:04:22,590 --> 00:04:26,920 There's a lot of regulatory barriers we're gonna have to overcome. Uh, 74 00:04:26,920 --> 00:04:31,120 there's a lot of, of, that's the way we've done it kind of attitudes, 75 00:04:31,160 --> 00:04:33,840 particularly at the regulatory level. Uh, 76 00:04:34,020 --> 00:04:38,320 and we're gonna have to work through some of these to show that these things are 77 00:04:38,350 --> 00:04:41,240 safe, efficient in the way to go. So I, 78 00:04:41,320 --> 00:04:43,080 I think it's a fun time to be a pharmacist, 79 00:04:43,080 --> 00:04:46,000 fun time to be a pharmacy administrator as you're starting to put things 80 00:04:46,280 --> 00:04:46,880 together to say, 81 00:04:46,880 --> 00:04:50,800 what can we do to become more efficient and show more value to people. 82 00:04:52,410 --> 00:04:55,730 I understand the, I'm really interested in the, uh, 83 00:04:56,260 --> 00:04:59,570 robot than you mentioned. Of the 20% of mixes every day, 84 00:04:59,570 --> 00:05:00,810 you said it's the first chemo. 85 00:05:01,890 --> 00:05:06,790 It it's the first chemotherapy compounding robot in the state of Minnesota. Now, 86 00:05:06,790 --> 00:05:09,910 there, there are others across the country. We're not the first in the country, 87 00:05:10,090 --> 00:05:13,470 but uh, we're the first in the state of Minnesota. Um, 88 00:05:13,890 --> 00:05:18,870 and so it's set up that it will actually compound the chemotherapy for us. 89 00:05:19,450 --> 00:05:23,110 Uh, so the technician loads the robot with the appropriate supplies, 90 00:05:23,730 --> 00:05:28,510 and then the robot uses barcode technology, optical scanning, 91 00:05:29,170 --> 00:05:33,350 uh, graver metric weighing and actually prepares the chemotherapy, 92 00:05:34,010 --> 00:05:38,630 uh, and is very, very accurate. Uh, the, the number of rejections is very, 93 00:05:38,630 --> 00:05:40,910 very tiny. Uh, and so it's, 94 00:05:40,910 --> 00:05:45,070 it's one of those things we really think are safe and effective and it frees our 95 00:05:45,070 --> 00:05:45,630 technician. 96 00:05:45,630 --> 00:05:48,950 They can load the robot and then they can go off and do something else while the 97 00:05:48,950 --> 00:05:50,470 robot's compounding. You know, 98 00:05:50,470 --> 00:05:53,590 those are the kind of things that we really like to see more and more of as we 99 00:05:53,590 --> 00:05:57,920 go. The question is how do we make the robots more efficient also, um, you know, 100 00:05:58,020 --> 00:06:01,680 it it, can we get to the point where we're doing 50% or something like that. 101 00:06:02,100 --> 00:06:03,720 That's where we'd like to be over time. 102 00:06:05,770 --> 00:06:09,990 And how far or close in the future do you think that, you know, 103 00:06:10,170 --> 00:06:12,230 20% to 50% changes? 104 00:06:14,670 --> 00:06:18,890 Uh, I don't think it's as far off as we think it is. Uh, we've seen some, 105 00:06:19,280 --> 00:06:21,090 some demos at some of the, 106 00:06:21,150 --> 00:06:24,890 the national meetings of robots that are doubling the volume, 107 00:06:25,190 --> 00:06:27,730 the capacities that we do now. Um, 108 00:06:28,390 --> 00:06:30,810 and I think it's just getting those robots to market, 109 00:06:30,810 --> 00:06:34,290 getting 'em in and set up and ready to go. Uh, and then I, 110 00:06:34,450 --> 00:06:38,930 I suspect there's another wave coming behind that. And so there, 111 00:06:38,930 --> 00:06:40,450 there's gonna be a diminishing return, 112 00:06:40,450 --> 00:06:44,050 there's gonna be a point where it can't mix any faster that physically. Uh, 113 00:06:44,150 --> 00:06:45,010 but I think, uh, 114 00:06:45,550 --> 00:06:49,130 how do you build these robots where you've got multiple arms doing multiple 115 00:06:49,130 --> 00:06:54,050 things at the same time and it makes it an efficient process to 116 00:06:54,080 --> 00:06:57,890 move the drugs through the system. Um, again, 117 00:06:57,950 --> 00:07:02,170 the faster we compound things, the faster we get drugs out the door, 118 00:07:02,670 --> 00:07:07,570 the faster we can treat patients and maybe we can move that patient 119 00:07:07,570 --> 00:07:09,930 through the system just a little bit quicker. 120 00:07:10,510 --> 00:07:12,730 And if we do that for all of the patients that come in today, 121 00:07:12,980 --> 00:07:17,290 maybe we treat more patients and we have better access, that kind of stuff. 122 00:07:17,390 --> 00:07:20,770 That's the long-term goal when we're trying to make the clinic more efficient. 123 00:07:22,380 --> 00:07:26,760 You also mentioned kind of regulatory, uh, barriers and, 124 00:07:27,140 --> 00:07:30,120 you know, an attitude of, well, that's the way we've always done it. 125 00:07:30,140 --> 00:07:32,120 Can you kind of delve more into, you know, 126 00:07:32,120 --> 00:07:35,840 what might kind of halt or pause these advancements? 127 00:07:37,200 --> 00:07:41,670 There are regulatory boards like the Board of Pharmacy, 128 00:07:41,670 --> 00:07:46,270 those kind of things that are reluctant to make 129 00:07:46,300 --> 00:07:50,190 radical jumps because they're concerned with safety, 130 00:07:50,440 --> 00:07:53,310 population safety, et cetera. Um, 131 00:07:54,130 --> 00:07:58,510 and so what you have to do whenever you're making these technological jumps 132 00:07:59,130 --> 00:08:01,710 is show to the regulatory agencies, 133 00:08:03,150 --> 00:08:07,080 this process is safe. We can do this process as well, 134 00:08:07,140 --> 00:08:11,960 if not better than if a human does it and prove to them that 135 00:08:11,960 --> 00:08:15,800 these systems work. It takes time to do that. 136 00:08:16,540 --> 00:08:21,080 And so when you're sitting there talking to someone who's never seen a robot 137 00:08:21,080 --> 00:08:24,040 before, try to do the work, you're, you're having to, 138 00:08:24,140 --> 00:08:28,320 you're having to explain to them, this is effective, this is safe, 139 00:08:28,590 --> 00:08:31,320 this is not something we have to worry about. 140 00:08:32,140 --> 00:08:36,600 And then sometimes you even have to go to the legislators to get the laws 141 00:08:36,600 --> 00:08:39,520 changed because there's a law that may prevent you from doing that. 142 00:08:40,100 --> 00:08:42,360 All of that process takes time. Um, 143 00:08:42,460 --> 00:08:44,080 and it's just one of those things that we have to, 144 00:08:44,080 --> 00:08:48,600 we we're constantly having to deal with and healthcare as 145 00:08:48,600 --> 00:08:50,840 technology evolves, I think one of the, 146 00:08:50,900 --> 00:08:55,800 one of the issues we're facing right now is technology is evolving faster than 147 00:08:56,220 --> 00:08:58,920 the regulatory and policy agencies can keep up with. 148 00:08:59,580 --> 00:09:03,160 And so we're just gonna have to work through those processes over time. 149 00:09:03,730 --> 00:09:05,040 Eventually they'll come around, 150 00:09:05,090 --> 00:09:09,720 eventually the law will change or the re regulatory policy will change. 151 00:09:10,390 --> 00:09:12,000 It's just gonna be able to show, 152 00:09:12,590 --> 00:09:16,840 it's gonna require us to show that this is the appropriate change to make and 153 00:09:16,840 --> 00:09:18,280 this is the appropriate time to do it. 154 00:09:20,280 --> 00:09:23,740 And I'm sure many other hospital pharmacy leaders, um, 155 00:09:23,870 --> 00:09:28,700 would like to see regular regulatory changes made soon. Um, you know, 156 00:09:28,720 --> 00:09:32,540 if it is bringing up ISTs and pharmacy technicians times, 157 00:09:33,560 --> 00:09:36,980 um, so they can work smarter, not harder, like you said, um, 158 00:09:37,350 --> 00:09:40,900 could help kind of alleviate some of the workforce shortages, I'm sure. 159 00:09:41,810 --> 00:09:43,140 Yeah, and unfortunately, 160 00:09:44,410 --> 00:09:48,930 most pharmacies are regulated at the state level. So, you know, 161 00:09:48,930 --> 00:09:51,850 across the country we almost literally have to do this 50 times. 162 00:09:52,750 --> 00:09:55,850 You have to convince each state that this is the right thing to do. 163 00:09:55,950 --> 00:09:59,530 Now there'll be a momentum, there'll be a wave as more and more people, 164 00:09:59,550 --> 00:10:03,410 and then more and more states adopt it. It gets easier for the, the, the, 165 00:10:03,430 --> 00:10:06,890 the later states to adopt it. But if you're sort of in that front waiver, 166 00:10:07,030 --> 00:10:11,170 so sometimes it takes you a while to get things changed, to get things adopted, 167 00:10:11,630 --> 00:10:13,450 get things ready to where you want them to be. 168 00:10:15,390 --> 00:10:16,740 Right, right. Um, 169 00:10:17,550 --> 00:10:21,440 just to kind of move it out of the robot AI topic for a bit, 170 00:10:21,580 --> 00:10:24,280 you said it's a fun time to be a pharmacy administrator right now. 171 00:10:24,300 --> 00:10:28,000 Are there any other, um, kind of trends that excite you right now? 172 00:10:29,340 --> 00:10:31,080 Um, I, I really, there, 173 00:10:31,320 --> 00:10:35,050 there's a shortage of oncologists in the country right now. Um, 174 00:10:35,050 --> 00:10:36,810 there's a shortage of oncology nurses. 175 00:10:36,880 --> 00:10:40,370 There's a shortage of advanced practice providers. 176 00:10:41,270 --> 00:10:42,850 So for me, 177 00:10:43,070 --> 00:10:47,730 I'm sitting there thinking about what can a pharmacist do in clinic to provide 178 00:10:47,820 --> 00:10:52,580 their clinical expertise on drug therapy to help 179 00:10:54,200 --> 00:10:58,820 our pharma, our, our, our provider colleagues to reduce burnout, 180 00:10:59,120 --> 00:11:02,500 to help them get patients through, to see more patients, 181 00:11:02,720 --> 00:11:07,380 to do those things we need to do to meet the demands of a growing cancer 182 00:11:07,470 --> 00:11:11,200 population. Um, cancer is a disease of old age, 183 00:11:11,580 --> 00:11:14,160 and so as the population increases, as it gets older, 184 00:11:14,730 --> 00:11:17,360 we're gonna see more and more cancer patients. So we've, 185 00:11:17,360 --> 00:11:22,120 we've got this perfect situation set up where pharmacists can step in 186 00:11:22,780 --> 00:11:24,800 and be almost providers, 187 00:11:24,800 --> 00:11:29,680 primary providers or providers to help make sure the therapy is being 188 00:11:29,680 --> 00:11:32,720 done, uh, appropriately. It's being done effectively. 189 00:11:33,380 --> 00:11:38,040 And it really excites me to see what we can do from a pharmacy perspective as 190 00:11:38,130 --> 00:11:42,880 we're put in these, uh, clinic positions. Um, I think it's gonna be very, 191 00:11:42,880 --> 00:11:47,800 very interesting. Uh, we're also in that we're, 192 00:11:47,800 --> 00:11:52,280 you know, we're starting that transition of moving from quantity to quality 193 00:11:53,100 --> 00:11:57,160 and how does reimbursement follow that process? And that's a tricky, 194 00:11:57,220 --> 00:12:02,000 that's a tricky situation as we start looking at changing reimbursement 195 00:12:02,000 --> 00:12:06,320 models, evolution of, of the economics of cancer. 196 00:12:06,940 --> 00:12:07,180 Uh, 197 00:12:07,180 --> 00:12:12,040 and then you combine that with cancer drugs that are just skyrocketing in price. 198 00:12:13,100 --> 00:12:14,720 Uh, we have to sit back and say, 199 00:12:14,720 --> 00:12:18,400 what are we gonna do to show value to make sure this whole process works? 200 00:12:18,980 --> 00:12:19,560 And to me, 201 00:12:19,560 --> 00:12:23,880 I think pharmacy can shine with that because we can show value by making sure 202 00:12:23,880 --> 00:12:26,400 we're using the right drug, right time, right patient, 203 00:12:27,020 --> 00:12:29,680 and doing it in the right way so that we get the best outcome. 204 00:12:30,260 --> 00:12:33,120 You put that all together, you're optimizing quality, 205 00:12:33,740 --> 00:12:37,040 and when you optimize quality, then you improve the value to patients. 206 00:12:37,040 --> 00:12:38,240 And that's something that we're really, 207 00:12:38,490 --> 00:12:41,280 we're really looking at to try to optimize at this point in time. 208 00:12:42,480 --> 00:12:47,430 Right, right. Something else that I wanted to kind of poke your brain about is 209 00:12:48,310 --> 00:12:53,270 because of the, you know, pharmacy oncology angle, and there are a lot of, uh, 210 00:12:53,270 --> 00:12:57,830 cancer drugs that I know are in pretty severe shortages right now. Um, 211 00:12:58,420 --> 00:13:00,190 what, what are your thoughts on that? 212 00:13:01,610 --> 00:13:06,470 Drug shortages have been a significant problem for the last decade, 213 00:13:06,530 --> 00:13:08,760 decade and a half. Uh, 214 00:13:08,760 --> 00:13:12,960 and they continue to be shortages just about the time you think you've reached 215 00:13:13,020 --> 00:13:14,960 the point where you're not gonna have to worry about a shortage, 216 00:13:14,960 --> 00:13:16,000 another one pops up. 217 00:13:16,740 --> 00:13:21,720 And so we have constantly had to deal with drug shortages again over the last 218 00:13:21,740 --> 00:13:26,640 10 to 15 years. And we're not, I would, I would say we're getting better at it, 219 00:13:27,260 --> 00:13:29,200 but it is still a constant headache. 220 00:13:30,130 --> 00:13:34,540 It's one of those things when you start talking about burnout in, 221 00:13:34,600 --> 00:13:38,100 in healthcare providers, when you're constantly having to juggle, 222 00:13:38,600 --> 00:13:41,340 can I treat this patient the way they needed to need to be treated? 223 00:13:41,720 --> 00:13:44,700 Or am I gonna have to find an alternative because we can't get the drug, 224 00:13:45,960 --> 00:13:48,690 that creates a significant, uh, significant pressure. 225 00:13:49,110 --> 00:13:50,570 And that pressure leads to burnout. 226 00:13:51,390 --> 00:13:55,970 And then particularly when you run into one of those severe shortages where 227 00:13:56,030 --> 00:13:59,090 you're having to say, I can treat this patient but not that one. 228 00:13:59,470 --> 00:14:03,290 And you're starting to have to decide, this patient's curable, this one's not, 229 00:14:03,750 --> 00:14:07,330 I'm gonna give the patient this drug because that's the best use of the drug. 230 00:14:07,910 --> 00:14:12,730 That's a tough situation to be in. It's a tough situation to put anybody in. 231 00:14:13,350 --> 00:14:14,730 And, um, you know, at, 232 00:14:14,830 --> 00:14:18,930 at Mayo we have a great team that stays on top of this. 233 00:14:19,430 --> 00:14:20,170 And so we're, 234 00:14:20,170 --> 00:14:24,210 we're trying to prevent getting into that situation to the best of our 235 00:14:24,210 --> 00:14:28,050 abilities. Uh, but we're always worried about it. We're always looking at it, 236 00:14:28,060 --> 00:14:32,770 we're always trying to figure out how do we stay ahead of the shortages. Uh, 237 00:14:32,770 --> 00:14:35,650 and I think that's something that everybody across the country's having to deal 238 00:14:35,650 --> 00:14:38,290 with. I wish there was a way to fix it, 239 00:14:38,350 --> 00:14:41,490 and I don't know the way to fix it other than 240 00:14:42,760 --> 00:14:47,050 incentivizing, uh, generic companies to make some of these cheaper drugs, 241 00:14:47,790 --> 00:14:52,160 uh, and incentivize them by, maybe we have to pay more for them, uh, 242 00:14:52,160 --> 00:14:55,120 which means then the reimbursement has to go up and all these other things. 243 00:14:55,500 --> 00:14:58,680 But that may be the only way we can figure out how to make this process work. 244 00:15:00,030 --> 00:15:01,940 While I still have you for a few more minutes, 245 00:15:02,040 --> 00:15:03,460 is there anything else you'd like to add? 246 00:15:04,790 --> 00:15:09,670 I, I just think that as oncology continues to grow, you know, 247 00:15:09,670 --> 00:15:12,750 we're getting, we're getting better drugs, we're getting more treatments, 248 00:15:12,750 --> 00:15:15,110 we're getting interesting drugs. Uh, 249 00:15:15,640 --> 00:15:18,670 we're on the wave of cellular therapy and gene therapy. 250 00:15:19,430 --> 00:15:23,670 I think it's a great time to be an oncology pharmacist because, uh, we get to, 251 00:15:23,670 --> 00:15:27,190 we get to work with the cutting edge technologies, uh, 252 00:15:27,220 --> 00:15:31,670 both on the drug side and now even on the technological side. Uh, 253 00:15:32,050 --> 00:15:34,790 and we can be right there frontline to help patients. 254 00:15:34,790 --> 00:15:38,230 And so it's one of those things that I'm excited to be an oncology pharmacist at 255 00:15:38,230 --> 00:15:42,830 this point in time, and I think that's something that we can really, 256 00:15:42,830 --> 00:15:47,830 really take a step forward in helping the overall value 257 00:15:48,090 --> 00:15:51,430 to patients, the overall value to the institutions, 258 00:15:51,890 --> 00:15:55,590 and ultimately the over overall value to society as we improve healthcare 259 00:15:56,390 --> 00:15:58,390 globally across, you know, our country. 260 00:15:58,530 --> 00:16:01,950 And I think that's one of the things that's really fun to think about as a 261 00:16:02,110 --> 00:16:04,790 pharmacy administrator. And I think that's why it's fun to be, uh, 262 00:16:04,810 --> 00:16:05,910 at this point in time. 263 00:16:07,650 --> 00:16:10,200 Great. Well, thank you again so much for your time, Scott. 264 00:16:10,200 --> 00:16:14,960 That's all we have for today. Um, yeah. Thank, thank you. Thank you. Thank you. 265 00:16:15,100 --> 00:16:15,933 Really. 266 00:16:20,570 --> 00:16:23,660 It's so important for leaders at the top of organizations to keep learning, 267 00:16:23,850 --> 00:16:25,580 stay sharp, grow their networks, 268 00:16:26,010 --> 00:16:29,300 help our audience better do this in a more simplified, personalized, 269 00:16:29,320 --> 00:16:33,300 and meaningful way. Becker's Healthcare has launched my B h c, 270 00:16:33,770 --> 00:16:36,780 it's your trusted Becker's healthcare experience and more with content, 271 00:16:36,850 --> 00:16:39,020 connections, events and learning opportunities. 272 00:16:39,650 --> 00:16:44,140 Join the community free of charge@www.my dot becker's 273 00:16:44,540 --> 00:16:46,580 hospital review.com and we'll see you there.