1
00:00:01,010 --> 00:00:01,843
CEOs,

2
00:00:01,970 --> 00:00:06,340
CFOs and executives from top hospitals
and health systems are gathering at this

3
00:00:06,410 --> 00:00:08,180
exclusive world-class event.

4
00:00:08,200 --> 00:00:12,700
To address the most pressing issues in
healthcare today, Becker's 11th annual,

5
00:00:13,100 --> 00:00:17,700
c e o and c f o Roundtable is taking
place in Chicago this November and will

6
00:00:17,700 --> 00:00:22,540
feature more than 400 elite provider
speakers and over a thousand hospital

7
00:00:22,560 --> 00:00:23,393
and health systems,

8
00:00:23,570 --> 00:00:28,540
C-suite and VP attendees and good news
healthcare providers have a chance

9
00:00:28,540 --> 00:00:32,620
of receiving complimentary registration
as a reviewer. If you're interested,

10
00:00:32,760 --> 00:00:34,620
you can apply at the
website in the description.

11
00:00:36,200 --> 00:00:38,770
This is Laura Duda with the
Becker's Healthcare Podcast.

12
00:00:39,350 --> 00:00:41,330
I'm thrilled today to
be joined by Bob Sarkar,

13
00:00:41,330 --> 00:00:43,970
president and c e o of
Arkansas Health Network. Bob,

14
00:00:43,970 --> 00:00:45,690
it's a pleasure to have
you on the podcast today.

15
00:00:46,390 --> 00:00:49,300
Thank you, Laura. Same here.
It is a pleasure is all mine.

16
00:00:49,440 --> 00:00:52,860
And thank you so much for hosting
me and, and for this podcast.

17
00:00:53,090 --> 00:00:54,780
Look for looking forward to it. Laura.

18
00:00:55,830 --> 00:00:59,010
I'm excited to speak with you today
because I know Arkansas Health Network

19
00:00:59,490 --> 00:01:03,530
recently received its URAC accreditation,
which is a huge accomplishment.

20
00:01:03,710 --> 00:01:04,690
Congratulations,

21
00:01:04,710 --> 00:01:08,570
and I'd love to know more about what the
accreditation entailed and how you are

22
00:01:08,570 --> 00:01:11,290
celebrating with your team. But
before we dive into the discussion,

23
00:01:11,290 --> 00:01:13,370
can you tell me a little bit more
about yourself and your background?

24
00:01:14,100 --> 00:01:18,490
We'll be happy to. Laura. Um,
Bob Sarkar. I am the president,

25
00:01:18,650 --> 00:01:21,410
c e o of Arkansas Health Network, um,

26
00:01:21,410 --> 00:01:24,810
which is a clinically integrated
network based in Arkansas.

27
00:01:24,870 --> 00:01:28,250
And I have been in the
industry for over 30 years now.

28
00:01:28,790 --> 00:01:33,610
Had the pleasure and been blessed
to have worked with several high

29
00:01:33,610 --> 00:01:37,610
performing organizations,
um, like Kaiser Permanente,

30
00:01:38,090 --> 00:01:39,490
advocate Health, um,

31
00:01:40,040 --> 00:01:44,730
Provina Premier or Premier
Health Presence Health Aetna,

32
00:01:45,270 --> 00:01:49,610
and to name a few. And I've been
in this role for the last eight,

33
00:01:50,230 --> 00:01:54,210
around eight years or so.
So enjoying every moment,

34
00:01:54,380 --> 00:01:56,690
every minute of it. We
have a great team here.

35
00:01:58,100 --> 00:01:58,440
Bob,

36
00:01:58,440 --> 00:02:01,360
I know that you're such an amazing leader
and I really appreciate all the work

37
00:02:01,360 --> 00:02:02,193
you're doing.

38
00:02:02,220 --> 00:02:05,360
Can you share with us the process
for achieving the Iraq accreditation?

39
00:02:05,670 --> 00:02:07,320
What was that like and
how did you prepare?

40
00:02:08,310 --> 00:02:10,330
I'd be happy to. And
before I get into Iraq,

41
00:02:10,490 --> 00:02:13,770
I just wanted to share a little bit
more about Arkansas Health Network.

42
00:02:14,210 --> 00:02:17,450
Arkansas Health Network
is, as I mentioned, uh,

43
00:02:17,470 --> 00:02:19,730
is a clinically integrated network. Um,

44
00:02:19,910 --> 00:02:24,730
it is the largest clinically integrated
network or c i n we call them, um,

45
00:02:25,470 --> 00:02:26,850
in, in the state of Arkansas.

46
00:02:27,510 --> 00:02:32,050
It is also one of the
national best practices in
value-based care, or value hub,

47
00:02:32,050 --> 00:02:34,610
as we call it in our
commoner health lingo.

48
00:02:34,670 --> 00:02:39,250
It is fully owned subsidiary of C HS
and Vincent slash Commoner Health,

49
00:02:39,500 --> 00:02:43,690
which as you may know, is the largest
non-profit health system in the country,

50
00:02:43,800 --> 00:02:47,050
parochial health system in
the country. And so it, uh,

51
00:02:47,450 --> 00:02:51,050
Arkansas Health Network happens
to be a national best practice in,

52
00:02:51,190 --> 00:02:54,290
in value-based care, value hub, and, um,

53
00:02:54,630 --> 00:02:59,230
and also from a clinical and financial
standpoint happens to be, uh,

54
00:02:59,290 --> 00:03:03,430
one of the most successful ones in
the industry as well as in Arkansas.

55
00:03:04,050 --> 00:03:06,630
And so I have been in my
role now, as I said, um,

56
00:03:06,740 --> 00:03:10,350
just around 80 or so. So our,

57
00:03:11,010 --> 00:03:15,590
our major goal, our, our mission, if I
may call it of Arkansas Health Network,

58
00:03:16,010 --> 00:03:17,470
is to drive meaningful,

59
00:03:17,640 --> 00:03:22,590
measurable improvement in quality
health and financial sustainability for

60
00:03:22,610 --> 00:03:27,030
our patients in Arkansas and provider
community in Arkansas through

61
00:03:27,160 --> 00:03:31,950
excellence in value-based care.
So what we have started doing is,

62
00:03:32,000 --> 00:03:36,550
since Arkansas Health Network was
formed about, around 10 years ago,

63
00:03:37,090 --> 00:03:41,750
um, and have we have been taking
risk, financial and clinical risk,

64
00:03:42,130 --> 00:03:45,710
um, we have been taking upside
downside risk now, um, and,

65
00:03:45,890 --> 00:03:50,710
and with appropriate, uh, guardrails
with appropriate clients and partners,

66
00:03:50,970 --> 00:03:55,910
we are positioning ourselves to take,
uh, even capitated risk and beyond.

67
00:03:56,450 --> 00:03:59,230
And so with that in mind, with
the work that we have been doing,

68
00:03:59,230 --> 00:04:03,910
consistently seeing successes year
over year, both in quality processes,

69
00:04:04,450 --> 00:04:08,030
um, technology as well as
in financials, we basically,

70
00:04:08,030 --> 00:04:12,830
basically thought the best
approach at this point for us is to

71
00:04:12,830 --> 00:04:15,350
ensure that we work with a,

72
00:04:15,670 --> 00:04:19,550
a third party like URAC or N C Q A, um,

73
00:04:20,210 --> 00:04:23,390
who would assess us to independently, um,

74
00:04:23,690 --> 00:04:28,430
to see how we are doing and
how our standards are of d
different processes that

75
00:04:28,430 --> 00:04:29,263
we follow.

76
00:04:29,290 --> 00:04:33,710
So we worked with URAC for
the last year and a half plus,

77
00:04:34,290 --> 00:04:35,350
um, and, um,

78
00:04:35,530 --> 00:04:39,370
and went through the
entire traditional process.

79
00:04:39,950 --> 00:04:43,690
And U rac, as you may
or may not know, um, we,

80
00:04:43,950 --> 00:04:47,090
we know about URAC because they
work quite a bit with payers,

81
00:04:47,090 --> 00:04:48,930
but they're also getting, uh,

82
00:04:48,930 --> 00:04:52,970
expanding their portfolio to work with
provider and provider organizations like

83
00:04:53,030 --> 00:04:56,970
the CIS and providers
practices and health systems.

84
00:04:57,870 --> 00:05:00,450
And IFAC was founded in 1990,

85
00:05:01,940 --> 00:05:06,280
an independent non-profit
accrediting agency, um,

86
00:05:06,380 --> 00:05:07,213
or entity.

87
00:05:08,140 --> 00:05:12,760
And it uses evidence-based measures
actually for quality improvement in

88
00:05:12,760 --> 00:05:14,760
healthcare. And, um,

89
00:05:14,780 --> 00:05:17,800
so UAC symbol <laugh>
of accreditation is a,

90
00:05:17,940 --> 00:05:22,120
is a symbol of excellence for
organizations to showcase their

91
00:05:22,630 --> 00:05:26,640
validated commitment,
quality, and accountability.

92
00:05:27,490 --> 00:05:32,030
So we went, um, and partnered with urac,
as I said, about a year and a half ago,

93
00:05:32,530 --> 00:05:36,430
um, plus ago. And then we went
for two types of accreditation.

94
00:05:36,530 --> 00:05:41,030
One is clinical integration, 1.0,
which is basically population health,

95
00:05:41,530 --> 00:05:44,070
uh, which is our core competency
of Arkansas Health Network.

96
00:05:44,850 --> 00:05:49,590
And that comprises of 35
broad standards and several

97
00:05:50,070 --> 00:05:53,590
granular standards underneath
it and underneath them.

98
00:05:53,890 --> 00:05:56,630
And then we also went for
another accreditation,

99
00:05:57,080 --> 00:06:01,640
accreditation on employer
based population health, um,

100
00:06:01,780 --> 00:06:05,640
and which is 1.0 and has 20 standards,

101
00:06:06,600 --> 00:06:11,130
several granular level standards
underneath them. And, um,

102
00:06:12,550 --> 00:06:16,230
employer based population health
is one of the LA latest, um,

103
00:06:16,670 --> 00:06:20,350
accreditation that URAC came up with.
And Arkansas Health Network Network,

104
00:06:20,650 --> 00:06:25,630
we became the first c i n in the
industry to be dually accredit

105
00:06:26,060 --> 00:06:30,670
with both integration 1.0 and
employer based population health 1.0.

106
00:06:31,050 --> 00:06:35,950
So this is almost like a trailblazing
effort that we made and a unique,

107
00:06:36,170 --> 00:06:36,930
um,

108
00:06:36,930 --> 00:06:41,630
effort that we made in the industry as
a provider organization to be dually

109
00:06:41,830 --> 00:06:45,550
accredit with those two accreditations,
which generally are, um,

110
00:06:45,560 --> 00:06:49,710
associated with payers. So
this, this is, we are proud of,

111
00:06:49,740 --> 00:06:54,230
this is a lot of work with everybody's
hands on deck from the provider

112
00:06:54,420 --> 00:06:57,390
perspective, from our
management team perspective,

113
00:06:57,490 --> 00:07:01,550
our team's perspective and, and
resources from our common spirit,

114
00:07:01,550 --> 00:07:05,750
health divisional national, as
well as the market perspective. Um,

115
00:07:05,950 --> 00:07:10,150
a lot of efforts as you, as I may or
may not have already shared with you,

116
00:07:10,930 --> 00:07:14,550
um, Arkansas Health Network
is the largest net c I n.

117
00:07:14,570 --> 00:07:19,510
It now comprises of
3,600 plus providers and

118
00:07:19,510 --> 00:07:22,550
around 20 hospitals, inpatient facilities,

119
00:07:23,250 --> 00:07:27,030
and about 25 skilled nursing facilities
in our network. At this point.

120
00:07:27,330 --> 00:07:31,430
We are managing around 140, uh,

121
00:07:31,830 --> 00:07:33,550
thousand lives, uh, in,

122
00:07:34,170 --> 00:07:37,550
at this point in value-based care
lives in Arkansas at this point.

123
00:07:38,850 --> 00:07:42,190
That's really impressive and huge amount
of responsibility you have for your

124
00:07:42,390 --> 00:07:43,270
patients and community members.

125
00:07:43,840 --> 00:07:46,990
Thank you for talking us through that
process and giving us a step-by-step view

126
00:07:46,990 --> 00:07:50,150
of the accreditation and potential
outcomes. From your perspective,

127
00:07:50,450 --> 00:07:53,550
why is it so meaningful for you
to undergo the Iraq accreditation?

128
00:07:54,050 --> 00:07:56,950
How are you able to rally your
team and achieve great results?

129
00:07:58,470 --> 00:08:02,530
You know, as I said, Arkansas Health
Network is a statewide network. Now,

130
00:08:02,630 --> 00:08:06,850
we started from Central Arkansas focused,
but now we are statewide network.

131
00:08:07,470 --> 00:08:11,210
We have strategic partnership with
Arkansas Children's Care Network,

132
00:08:11,500 --> 00:08:14,410
which already had a URAC
accreditation. It's a,

133
00:08:14,680 --> 00:08:19,250
it's a pediatric c i n state
only pediatric c i n that had a

134
00:08:19,400 --> 00:08:21,010
URAC accreditation in
clinical integration.

135
00:08:21,270 --> 00:08:25,770
And we also have strategic partnership
with, with, um, N Health, uh,

136
00:08:25,850 --> 00:08:27,490
c I N in northwest Arkansas.

137
00:08:27,990 --> 00:08:32,650
So we have several strategic partnership
apart from a large portfolio of

138
00:08:32,930 --> 00:08:35,050
presence across the state. Um,

139
00:08:35,110 --> 00:08:40,090
the reason why we wanted to ensure
that we go through this rigorous,

140
00:08:40,150 --> 00:08:41,330
if I may call that way,

141
00:08:41,710 --> 00:08:45,290
but methodical journey
with urac were three.

142
00:08:45,870 --> 00:08:47,450
One is clinical, uh,

143
00:08:47,450 --> 00:08:50,410
which basically the reason why we
wanted to go through this is to,

144
00:08:50,410 --> 00:08:54,730
because it helps validate our
excellence in utilization of

145
00:08:55,120 --> 00:08:59,520
evidence-based solutions. Basically,
URAC validates our excellent,

146
00:08:59,980 --> 00:09:02,880
our, our, our excellence
in utilization of,

147
00:09:03,020 --> 00:09:06,520
of those resources and solutions
that we have in our portfolio.

148
00:09:07,020 --> 00:09:11,920
The second one is, uh, is quality
demonstrates a commitment,

149
00:09:12,340 --> 00:09:17,000
uh, our commitment to continuously
improve quality and process.

150
00:09:17,980 --> 00:09:22,400
And so it has a, a quality
improvement perspective as well. Um,

151
00:09:22,500 --> 00:09:27,080
and then the third one is very
much, was very much strategic.

152
00:09:27,380 --> 00:09:30,440
It, uh, generally, as I
shared with you, this is, uh,

153
00:09:30,440 --> 00:09:35,160
tradition that are generally
done by, by payers, uh, by doing,

154
00:09:36,020 --> 00:09:40,120
uh, taking up, uh, this acquisition
by being accredited. Uh,

155
00:09:40,260 --> 00:09:45,120
we think that it provides a competitive
edge to us from the payers perspective.

156
00:09:45,660 --> 00:09:48,720
We now, uh, speak the
language. We know, I,

157
00:09:48,720 --> 00:09:51,360
we understand the language
that the payers set up to do,

158
00:09:51,820 --> 00:09:55,640
and the board of directors
of UAC are generally, um,

159
00:09:56,220 --> 00:09:58,760
the blue crosses of the
world, anthems of the world,

160
00:09:58,900 --> 00:10:01,720
the u the United of the world,
and the signal of the world.

161
00:10:01,950 --> 00:10:06,120
They have created those, those standards
and now those languages rather,

162
00:10:06,220 --> 00:10:09,400
if I may call them that way. And
now we have learned the language.

163
00:10:09,400 --> 00:10:11,400
Hopefully this brings much more alignment,

164
00:10:11,790 --> 00:10:16,000
alignment between which is much needed
in the healthcare delivery system.

165
00:10:16,000 --> 00:10:18,160
And the, and payment model system of the,

166
00:10:18,380 --> 00:10:22,920
of the country of our healthcare landscape
brings much more closer alignment

167
00:10:22,920 --> 00:10:23,390
between,

168
00:10:23,390 --> 00:10:27,840
between payers and providers because what
we are generally doing is in our value

169
00:10:27,840 --> 00:10:32,720
based care, which is the, the equation
of value is quality of work cost.

170
00:10:33,060 --> 00:10:37,960
We have high quality and low cost.
Hopefully that res resonates into,

171
00:10:37,960 --> 00:10:41,800
translates also into high
experience patient experience,

172
00:10:42,310 --> 00:10:46,840
high provider experience, which is
our quadruple aim, improving quality,

173
00:10:47,200 --> 00:10:51,160
bringing cost down, improving experience
for providers as well as patients.

174
00:10:51,540 --> 00:10:56,080
And so it it aligned with
our strategic initiative of

175
00:10:56,480 --> 00:10:57,960
improved clinical outcomes,

176
00:10:58,480 --> 00:11:02,560
improved quality and meaningful
relevant strategic initiative.

177
00:11:05,030 --> 00:11:08,360
Certainly in particular
today's healthcare landscape,

178
00:11:08,660 --> 00:11:12,400
as more and more organizations are trying
to figure out value-based care and the

179
00:11:12,400 --> 00:11:16,320
alignment and partnership strategies
they need with insurers as well as other

180
00:11:16,320 --> 00:11:20,000
organizations is so meaningful to see
how you've been able to move the needle.

181
00:11:20,660 --> 00:11:23,920
Now, how will your team continue to
build on this success in the future?

182
00:11:25,920 --> 00:11:28,490
Yeah, absolutely. Uh, so as you may know,

183
00:11:28,490 --> 00:11:33,490
this was a journey and we executed
our urac, um, accreditation jour,

184
00:11:33,590 --> 00:11:38,570
uh, agreement in, uh, if I recall
the exact date. It was, um,

185
00:11:39,930 --> 00:11:43,730
30th, June, 2021. And
then we also involved, uh,

186
00:11:43,970 --> 00:11:48,570
a consultant called Integral Health
Solutions to help us learn the ropes, um,

187
00:11:48,710 --> 00:11:51,930
you know, the tricks of the trades,
so to speak, in this, in this journey.

188
00:11:52,310 --> 00:11:57,040
And then we hired a desktop
review by URAC on, on,

189
00:11:57,090 --> 00:12:01,040
let's say, recall the exact
date. It was, um, August, um,

190
00:12:01,640 --> 00:12:06,520
30th of 2022. And then we had
an onsite, uh, review by urac,

191
00:12:06,580 --> 00:12:09,360
by URAC Surveyors who came on site on,

192
00:12:09,780 --> 00:12:11,720
on January 31st of this year.

193
00:12:12,380 --> 00:12:15,880
And in both this desktop
as well as onsite review,

194
00:12:15,900 --> 00:12:19,240
we got a hundred percent
of, of this possible scores.

195
00:12:19,860 --> 00:12:23,760
And then what we have in this
journey that we have learned, uh,

196
00:12:23,900 --> 00:12:27,720
are several standards, as I said,
about 55 standards in total. Um,

197
00:12:28,300 --> 00:12:32,680
and that we are, are we doing
well or not? Now that we are, uh,

198
00:12:32,680 --> 00:12:34,400
we know where we stand, uh,

199
00:12:34,400 --> 00:12:38,280
from a third party who has given almost
like a gold seat of approval, uh,

200
00:12:38,380 --> 00:12:39,800
on our, through our accreditation.

201
00:12:40,110 --> 00:12:45,080
What we plan to do is we know since
proactive care management is our core

202
00:12:45,080 --> 00:12:48,960
competencies backed up
by next generational, uh,

203
00:12:49,100 --> 00:12:53,840
pop health management platforms, IT and
information system platform and other,

204
00:12:54,020 --> 00:12:56,840
uh, and other areas of care delivery, um,

205
00:12:57,420 --> 00:13:02,160
we know that there are areas
of opportunities not just uh,

206
00:13:02,160 --> 00:13:06,000
in our immediate, uh, vicinity,
but throughout Arkansas.

207
00:13:06,500 --> 00:13:11,240
And there are opportunities as
it relates to behavioral health,

208
00:13:11,780 --> 00:13:14,640
uh, areas especially after pandemic. Um,

209
00:13:14,660 --> 00:13:19,200
so we will be focusing using
those methodologies with
those modalities that we

210
00:13:19,200 --> 00:13:22,960
have learned and standards that we have
and discipline that we have learned from

211
00:13:23,270 --> 00:13:26,640
URAC journey. We will be focusing
on behavioral health, patient care,

212
00:13:26,640 --> 00:13:31,280
patient proactively as much as we
can and possible. And then we are,

213
00:13:31,740 --> 00:13:36,640
we be going to be focusing
on social determinants of
health and which is a major

214
00:13:37,070 --> 00:13:40,360
area of our going to be our
focus, especially post pandemic.

215
00:13:40,820 --> 00:13:44,200
And then we are also going
to be ensuring that, um,

216
00:13:44,900 --> 00:13:47,560
as next steps that we
are not just keeping the,

217
00:13:47,650 --> 00:13:51,960
these competencies or
capabilities that we have, uh,

218
00:13:51,990 --> 00:13:55,960
shortened and within our own team,
we are going to be sharing this, uh,

219
00:13:55,960 --> 00:13:59,400
through a ready to use
playbook within our,

220
00:14:00,100 --> 00:14:03,640
our own family of Kim Commons Health. Uh,

221
00:14:03,660 --> 00:14:06,840
so we are creating a this point, um,

222
00:14:07,440 --> 00:14:11,720
a turnkey playbook for our
own common health, um, uh,

223
00:14:12,060 --> 00:14:15,480
family across, we are across
21 states as you may know.

224
00:14:15,900 --> 00:14:20,440
And then we are also going to be
creating some resources for the entire in

225
00:14:20,440 --> 00:14:25,240
healthcare industry, um, through
webinars possible, uh, learning tools.

226
00:14:25,660 --> 00:14:28,680
Um, so, so that everybody in the industry,

227
00:14:28,700 --> 00:14:32,640
in the country learns from what we have
learned while we continue to ourself

228
00:14:32,640 --> 00:14:36,680
learn and make the base
best use of, uh, of,

229
00:14:37,100 --> 00:14:39,400
of these resources and competencies.

230
00:14:40,910 --> 00:14:42,160
That makes a lot of sense.

231
00:14:42,300 --> 00:14:45,120
It really sounds like a great plan to
make sure that you're able to serve

232
00:14:45,360 --> 00:14:48,280
patients in a meaningful way.
Before we wrap up our conversation,

233
00:14:48,520 --> 00:14:49,353
I wanted to ask,

234
00:14:50,050 --> 00:14:53,120
where are you seeing some of the best
opportunities to provide better patient

235
00:14:53,120 --> 00:14:56,200
care in the next two to three years?
What does that look like for you?

236
00:14:56,340 --> 00:14:58,840
You've got such a unique
vantage point with your,

237
00:14:58,840 --> 00:15:02,320
the patients you serve in Arkansas as
well as being the head of an A C o,

238
00:15:02,320 --> 00:15:04,200
which is very progressive
in its own right.

239
00:15:05,520 --> 00:15:07,580
Yes. Yeah. Thank you for your kind words.

240
00:15:08,080 --> 00:15:12,700
So one area that we are noticing that
we need to ensure that we speak with one

241
00:15:12,700 --> 00:15:17,460
voice are the disconnects with certain
states, especially on Arkansas here,

242
00:15:17,920 --> 00:15:22,540
our reimbursement rates, uh,
are quite, quite low. And I, it,

243
00:15:22,700 --> 00:15:24,340
I won't be surprised if I say this way,

244
00:15:24,640 --> 00:15:29,300
and you won't be surprised if I say
Arkansas has probably the lowest, um,

245
00:15:29,560 --> 00:15:31,940
all in has the lowest reimbursement rate.

246
00:15:32,000 --> 00:15:34,660
So we are ensuring that
we are aligning with the,

247
00:15:35,010 --> 00:15:38,860
with the payer community aligning,
um, to show that we have,

248
00:15:38,930 --> 00:15:43,460
that we continuously bring value, uh,
to the payers as well as to their,

249
00:15:43,640 --> 00:15:47,020
to our common combined
patients across the state.

250
00:15:47,480 --> 00:15:51,700
So the, the goals in the next generation,

251
00:15:51,770 --> 00:15:56,420
next few years and beyond are
going to be ensuring that there is

252
00:15:56,420 --> 00:16:00,100
appropriate level of reimbursement,
uh, for the care, uh,

253
00:16:00,100 --> 00:16:04,620
whether through direct fee for
service and or through fee for value.

254
00:16:05,160 --> 00:16:08,500
And because, um, as we know, um, uh,

255
00:16:08,800 --> 00:16:12,180
unless there is alignment between
payers and and providers, um,

256
00:16:12,350 --> 00:16:17,260
there won't be any synergy coming
down to the patients as well as to the

257
00:16:17,420 --> 00:16:21,460
providers. And, um, while
we are moving towards that,

258
00:16:21,960 --> 00:16:26,580
we are also ensuring that these
best practices, if I may call them,

259
00:16:26,720 --> 00:16:30,420
and the, and the competencies
that we have gained, uh,

260
00:16:30,420 --> 00:16:34,500
will also address some of the
areas of, of excellence, um,

261
00:16:34,640 --> 00:16:37,580
in our care delivery and reimbursement.

262
00:16:38,110 --> 00:16:42,620
While there continues to be shortage
of, of clinical staff across the state,

263
00:16:43,120 --> 00:16:46,500
um, this will create these competencies.

264
00:16:46,500 --> 00:16:50,100
We will create the place
to be, to work, uh,

265
00:16:50,400 --> 00:16:55,380
as we continues to shine ourselves
and hopefully with our partners

266
00:16:55,440 --> 00:16:58,180
across the state and in the region, um,

267
00:16:58,180 --> 00:17:01,500
that it is a place to get best care,

268
00:17:02,130 --> 00:17:05,700
best place to practice medicine
and best place to work.

269
00:17:06,280 --> 00:17:09,620
So there are multiple
multifaceted approaches,

270
00:17:09,860 --> 00:17:13,740
multifaceted areas that
we are focusing on with,

271
00:17:13,850 --> 00:17:16,820
with our <inaudible> journey and
competencies and accreditations.

272
00:17:18,110 --> 00:17:21,780
Thank you so much Bob and I look forward
to interacting with you at the November

273
00:17:21,940 --> 00:17:25,460
c e o plus c f o Roundtable in Chicago.
I'm really looking forward to that.

274
00:17:25,490 --> 00:17:28,340
It's always great to see you and I hope
you have a, a great rest of your day.

275
00:17:33,440 --> 00:17:36,490
It's so important for leaders at the
top of organizations to keep learning,

276
00:17:36,760 --> 00:17:38,490
stay sharp, grow their networks,

277
00:17:38,880 --> 00:17:42,170
help our audience better do this
in a more simplified, personalized,

278
00:17:42,190 --> 00:17:46,130
and meaningful way. Becker's
Healthcare has launched my B h c,

279
00:17:46,640 --> 00:17:49,700
it's your trusted Becker's healthcare
experience and more, more with content,

280
00:17:49,710 --> 00:17:51,880
connections, events and
learning opportunities.

281
00:17:52,590 --> 00:17:57,520
Join the community free of
charge@www.my dot becker's hospital

282
00:17:57,520 --> 00:17:59,440
review.com and we'll see you there.