1 00:00:05,275 --> 00:00:07,325 - This is the Becker's Healthcare Podcast, created 2 00:00:07,325 --> 00:00:08,445 by the team of Becker's Healthcare, 3 00:00:08,605 --> 00:00:10,365 a multimedia company devoted to the people 4 00:00:10,385 --> 00:00:11,645 who power us healthcare. 5 00:00:11,955 --> 00:00:14,765 Four new 15 minute episodes are released daily containing 6 00:00:14,965 --> 00:00:16,725 industry news analysis and thought leadership. 7 00:00:16,725 --> 00:00:19,605 From powerful healthcare decision makers Support our show 8 00:00:19,745 --> 00:00:22,565 by leaving it a five star rating and review on Apple Podcast 9 00:00:22,785 --> 00:00:24,045 or other platforms you use. 10 00:00:24,195 --> 00:00:26,005 It's a chance to tell us what you like about the show 11 00:00:26,065 --> 00:00:27,285 and act on your feedback. 12 00:00:27,285 --> 00:00:29,245 Thanks for listening. Now here's the episode. 13 00:00:30,395 --> 00:00:31,565 - Welcome everyone, 14 00:00:31,565 --> 00:00:33,445 to the Becker's Healthcare podcast series. 15 00:00:33,585 --> 00:00:34,925 I'm Mariah Mohammed, writer 16 00:00:34,925 --> 00:00:36,605 and moderator with Becker's Healthcare, 17 00:00:36,905 --> 00:00:38,245 and I'm absolutely thrilled to have 18 00:00:38,405 --> 00:00:40,965 with me today Dr. Stanley Williams, director 19 00:00:40,965 --> 00:00:42,685 of Integrative Health at the Hair Center 20 00:00:42,785 --> 00:00:43,845 for Mental Health Houston. 21 00:00:44,385 --> 00:00:45,605 Dr. Williams, it's very nice 22 00:00:45,605 --> 00:00:46,925 to have you on the podcast today. 23 00:00:47,225 --> 00:00:49,285 To get us started, would you mind please introducing 24 00:00:49,445 --> 00:00:51,325 yourself and telling us a bit about your background? 25 00:00:52,635 --> 00:00:56,015 - Yes. Um, I'm very excited to be here, um, on, on this call 26 00:00:56,045 --> 00:00:58,095 with you, Mariah, Dr. Stanley Williams. 27 00:00:58,295 --> 00:01:01,535 I have a PhD in psychology, a master's in counseling, 28 00:01:01,695 --> 00:01:03,495 a bachelor's in healthcare management. 29 00:01:04,175 --> 00:01:07,215 I worked in, um, different places like Georgia. 30 00:01:07,575 --> 00:01:09,055 I worked with the Carter Center, 31 00:01:09,085 --> 00:01:11,695 with the Georgia Association Primary Health Centers. 32 00:01:12,535 --> 00:01:14,895 I was facilitating, uh, integrated health 33 00:01:15,005 --> 00:01:17,615 with the FKC partners with mental health centers. 34 00:01:18,355 --> 00:01:21,375 Um, I've worked in mental health, both private and public 35 00:01:21,595 --> 00:01:22,935 and also private practice. 36 00:01:23,045 --> 00:01:26,855 Also teach and, um, you know, see myself sort of 37 00:01:26,855 --> 00:01:29,015 as a thought leader in senior management 38 00:01:29,015 --> 00:01:30,775 and developing integrated systems of care. 39 00:01:34,255 --> 00:01:36,825 - Perfect. Thank you so much for giving us that background. 40 00:01:37,045 --> 00:01:39,665 So to jump right into our conversation today, 41 00:01:40,085 --> 00:01:43,705 you hear a lot about value-based care when it comes 42 00:01:43,705 --> 00:01:46,545 to hospitals, but can you provide an overview for us 43 00:01:46,685 --> 00:01:49,345 as it relates to community-based behavioral health? 44 00:01:50,665 --> 00:01:53,075 - Yeah, a that's, that's a really good question, Ryan. 45 00:01:53,215 --> 00:01:56,955 So when you think about, um, you know, uh, 46 00:01:56,955 --> 00:01:58,835 community mental health, uh, 47 00:01:58,835 --> 00:02:02,355 community behavioral health services, um, a lot of, a lot 48 00:02:02,355 --> 00:02:06,195 of those facilities operate, um, from a fee for service, uh, 49 00:02:06,265 --> 00:02:08,155 kind of a traditional payment model 50 00:02:08,155 --> 00:02:10,155 where the providers are reimbursed 51 00:02:10,155 --> 00:02:13,395 for each individual served, uh, they deliver, 52 00:02:13,735 --> 00:02:14,755 uh, to a patient. 53 00:02:15,055 --> 00:02:19,555 And so, uh, under that construct, um, the, uh, 54 00:02:19,875 --> 00:02:22,395 provider received payment based on the, uh, quantity 55 00:02:22,495 --> 00:02:26,115 of services rendered, um, not necessarily based on quality 56 00:02:26,175 --> 00:02:27,315 or outcomes achieved. 57 00:02:27,495 --> 00:02:31,315 And even though a lot of like, um, state organizations 58 00:02:31,455 --> 00:02:36,195 or semi-state organizations, um, uh, we, we have a contract 59 00:02:36,225 --> 00:02:37,955 with the, uh, state of Texas 60 00:02:38,415 --> 00:02:40,395 and, uh, we have some additional outcomes. 61 00:02:40,455 --> 00:02:44,195 But for the most part, traditional models really just, um, 62 00:02:44,815 --> 00:02:46,715 are based on that fee for service model. 63 00:02:46,975 --> 00:02:49,115 Um, associated quantity of services. 64 00:02:49,215 --> 00:02:52,555 Now, uh, compare that to value based, um, care. 65 00:02:52,815 --> 00:02:56,115 Uh, it's a payment model that focuses more on achieving, um, 66 00:02:56,115 --> 00:02:57,635 better outcomes for the patient. 67 00:02:58,415 --> 00:03:00,725 And so, you know, you're looking at different types 68 00:03:00,725 --> 00:03:03,605 of measures, uh, to try to get certain points. 69 00:03:03,885 --> 00:03:06,005 A lot of times the value-based care is connected 70 00:03:06,005 --> 00:03:08,725 with a managed care company in terms of a partner, 71 00:03:09,385 --> 00:03:13,325 and, um, you're really focused on, um, uh, quality of care. 72 00:03:15,935 --> 00:03:18,545 - Wonderful. Thank you so much for giving us that insight. 73 00:03:19,005 --> 00:03:22,905 Um, the discussion mentions the, the challenges in, uh, 74 00:03:22,905 --> 00:03:26,705 transitioning from a fee for service model to value, uh, 75 00:03:26,705 --> 00:03:27,705 value-based model. 76 00:03:28,165 --> 00:03:29,985 Can you elaborate on these challenges 77 00:03:30,165 --> 00:03:31,785 and how healthcare organizations 78 00:03:31,845 --> 00:03:32,945 can address them effectively? 79 00:03:35,025 --> 00:03:37,765 - Yes. Um, so when you, when you think about, um, 80 00:03:38,275 --> 00:03:40,925 transitioning to, um, from a fee for service 81 00:03:41,065 --> 00:03:45,885 to a value-based model, there's some real, um, you know, 82 00:03:46,435 --> 00:03:48,405 serious challenges I think, um, 83 00:03:48,505 --> 00:03:50,805 within traditional mental health centers. 84 00:03:50,915 --> 00:03:54,085 When you think about, um, do you have a, you know, 85 00:03:54,265 --> 00:03:56,205 change in management capacity? 86 00:03:56,345 --> 00:03:59,165 And that's a whole methodology of 87 00:03:59,185 --> 00:04:03,245 how do you move an organization, um, from doing one type 88 00:04:03,245 --> 00:04:06,605 of service and, um, transforming them to a different type 89 00:04:06,605 --> 00:04:09,405 of way of delivering services, as I explained earlier, 90 00:04:09,475 --> 00:04:13,285 from fees, uh, fee for service versus value-based care. 91 00:04:14,065 --> 00:04:16,725 And, um, and that creates some real challenges. 92 00:04:16,785 --> 00:04:20,125 Uh, for instance, like, um, you know, 93 00:04:20,945 --> 00:04:25,165 in traditional models, um, they may not look at claims data 94 00:04:25,305 --> 00:04:28,605 or population health, um, kind of management 95 00:04:28,605 --> 00:04:30,005 where you look at populations. 96 00:04:30,105 --> 00:04:32,685 And a lot of that has to do with another challenge 97 00:04:32,745 --> 00:04:35,285 of not having access to, uh, data. 98 00:04:35,945 --> 00:04:40,605 Um, oftentimes the data is really related to, um, you know, 99 00:04:40,605 --> 00:04:43,245 people served the diagnosis and so forth. 100 00:04:43,705 --> 00:04:47,365 It may not get into, um, data such as claims data, 101 00:04:47,815 --> 00:04:50,525 which a lot of mental health centers may not have access to. 102 00:04:50,525 --> 00:04:53,205 And that's where managed care companies come in 103 00:04:53,285 --> 00:04:55,205 where they can help support that to be able 104 00:04:55,205 --> 00:04:58,165 to provide claims data and a partnership, um, 105 00:04:58,165 --> 00:04:59,725 because that's actionable data. 106 00:05:00,265 --> 00:05:04,605 So if a person, uh, was not, um, taking their medications, 107 00:05:04,665 --> 00:05:06,245 you'll know through the claims data 108 00:05:06,385 --> 00:05:07,565 if they didn't get a refill. 109 00:05:07,565 --> 00:05:08,765 That's a good example for that. 110 00:05:09,385 --> 00:05:12,605 And so there's some other challenges associated with it is 111 00:05:12,605 --> 00:05:16,485 where traditional mental health centers have maybe looked at 112 00:05:16,485 --> 00:05:17,845 just pathology or, 113 00:05:17,905 --> 00:05:21,565 or, um, diagnosis in terms of mental illness, 114 00:05:22,145 --> 00:05:25,685 and they may not look at a whole care approach, uh, to begin 115 00:05:25,685 --> 00:05:28,085 to look at, um, non-medical drivers 116 00:05:28,345 --> 00:05:32,085 or social determinants of health, um, that actually impact, 117 00:05:32,225 --> 00:05:33,245 uh, overall wellness. 118 00:05:35,195 --> 00:05:37,655 - Got it. Got it. Thank you so much for explaining that. 119 00:05:38,235 --> 00:05:41,215 Um, switching over a little bit, the partnership 120 00:05:41,215 --> 00:05:42,735 between the Harris Center 121 00:05:42,835 --> 00:05:46,255 and Optum is highlighted as a very successful example 122 00:05:46,275 --> 00:05:50,575 of collaboration revolutionizing behavioral healthcare, um, 123 00:05:50,575 --> 00:05:51,695 which is absolutely amazing. 124 00:05:52,285 --> 00:05:53,775 What specific strategies 125 00:05:53,775 --> 00:05:54,975 or tools have contributed 126 00:05:55,275 --> 00:05:56,895 to the success of this partnership? 127 00:05:57,985 --> 00:06:00,785 - I think a big part of that is understanding our why and, 128 00:06:00,805 --> 00:06:03,345 and we actually worked with, uh, 129 00:06:03,475 --> 00:06:05,065 Optum on understanding the why. 130 00:06:05,325 --> 00:06:08,745 And, uh, for example, the National Association 131 00:06:08,745 --> 00:06:12,265 of State Mental Health Program directors has some, some 132 00:06:13,105 --> 00:06:15,905 fascinating data out that talks about that people 133 00:06:15,905 --> 00:06:16,985 with s severe 134 00:06:17,125 --> 00:06:20,105 or serious mental illness died 25 years earlier than 135 00:06:20,105 --> 00:06:21,145 the general population. 136 00:06:21,725 --> 00:06:24,905 Um, and two thirds of that premature deaths are due 137 00:06:24,905 --> 00:06:27,625 to preventable, treatable medical conditions 138 00:06:27,695 --> 00:06:29,185 that are underserved 139 00:06:29,245 --> 00:06:33,225 or undertreated by this population, uh, related to, uh, 140 00:06:33,225 --> 00:06:36,025 cardiovascular or infectious diseases. 141 00:06:36,345 --> 00:06:37,665 Diseases. A number 142 00:06:37,665 --> 00:06:40,465 of this population have real challenges also 143 00:06:40,575 --> 00:06:43,585 with like high blood pressure, VMI and so forth. 144 00:06:44,285 --> 00:06:48,265 And so sitting down with, um, with Optum, we were able 145 00:06:48,265 --> 00:06:49,785 to kinda look at some of that data. 146 00:06:50,325 --> 00:06:54,705 Uh, for instance, folks with, um, like arthritis or asthma. 147 00:06:55,125 --> 00:06:59,065 Um, you know, when you look at their annual cost of care, 148 00:06:59,885 --> 00:07:03,225 um, if you add a mental health condition, it, um, 149 00:07:04,025 --> 00:07:05,945 multiplies, um, sometimes triples 150 00:07:05,945 --> 00:07:07,145 in terms of the cost of care. 151 00:07:07,765 --> 00:07:10,865 Um, sometimes the mental health centers may 152 00:07:10,865 --> 00:07:11,905 not even look at that. 153 00:07:12,005 --> 00:07:16,385 And so in our conversations with Optum, we also 154 00:07:16,905 --> 00:07:21,895 recognize that is is a, um, a patient experience challenge. 155 00:07:22,155 --> 00:07:25,015 You know, when you think about having to go to the hospital, 156 00:07:25,675 --> 00:07:28,615 um, where you don't have to go to the hospital, if you sort 157 00:07:28,615 --> 00:07:30,855 of do these kind of upstream models 158 00:07:31,035 --> 00:07:32,815 and looking at social determinants. 159 00:07:33,635 --> 00:07:37,175 So talking with, um, Optum, 160 00:07:38,005 --> 00:07:39,855 they kinda shared with us this model 161 00:07:39,925 --> 00:07:42,455 that actually came from the Affordable Care Act. 162 00:07:42,635 --> 00:07:45,215 Um, it talks about, uh, behavioral health homes. 163 00:07:45,315 --> 00:07:48,055 And so that's kind of the model that we developed with them 164 00:07:48,555 --> 00:07:51,135 of a behavioral health model, um, 165 00:07:51,485 --> 00:07:53,135 through a kind of a health home. 166 00:07:53,715 --> 00:07:55,495 And within the health home we look at 167 00:07:55,495 --> 00:07:56,655 these different measures. 168 00:07:57,045 --> 00:07:59,135 Some of those measures include what we call, 169 00:07:59,355 --> 00:08:00,375 um, HEDIS measures. 170 00:08:00,375 --> 00:08:03,215 Those are healthcare effectiveness data, uh, 171 00:08:03,235 --> 00:08:04,335 and information sets. 172 00:08:04,395 --> 00:08:07,095 And so you look at things like seven day 173 00:08:07,095 --> 00:08:09,775 and 30 day follow up at the hospital, um, 174 00:08:10,035 --> 00:08:11,535 all cause readmissions. 175 00:08:11,715 --> 00:08:15,295 Uh, it means that you do a up upstream kind 176 00:08:15,295 --> 00:08:18,495 of diabetes screening, uh, on people with schizophrenia 177 00:08:18,915 --> 00:08:20,895 and all those kind of things helps us 178 00:08:21,035 --> 00:08:23,935 to improve the overall wellness with the individual. 179 00:08:24,795 --> 00:08:28,775 And, um, so that's been very important for us to, to be able 180 00:08:28,775 --> 00:08:32,415 to have access to data through, uh, through Optum's, uh, 181 00:08:32,475 --> 00:08:35,135 portal that gives us that claims data to see 182 00:08:35,135 --> 00:08:37,895 where people are at in their overall care. 183 00:08:38,435 --> 00:08:41,975 And then we dispatch our care navigators, which we had 184 00:08:41,975 --> 00:08:43,935 to train differently, uh, to be able 185 00:08:43,935 --> 00:08:46,415 to have some actionable data, um, 186 00:08:46,595 --> 00:08:49,215 and actually look at care Pathways 187 00:08:49,315 --> 00:08:50,775 to actually improve that data. 188 00:08:53,335 --> 00:08:55,805 - Got it. Got it. Thank you so much for explaining that. 189 00:08:56,025 --> 00:08:58,045 And you know, you emphasized the importance 190 00:08:58,045 --> 00:09:01,565 of addressing social, um, determinants 191 00:09:01,565 --> 00:09:03,005 of health and value-based care. 192 00:09:03,545 --> 00:09:04,685 Can you share examples of 193 00:09:04,685 --> 00:09:07,085 how this approach has positively impacted 194 00:09:07,085 --> 00:09:08,565 patient outcomes and behavioral health? 195 00:09:09,605 --> 00:09:11,295 - Yeah, so social determinants of health 196 00:09:11,435 --> 00:09:14,015 and in Texas we call 'em non-medical drivers. 197 00:09:14,795 --> 00:09:17,695 Um, there was some research that came out that said that, 198 00:09:17,875 --> 00:09:22,495 um, these factors actually, um, you know, 199 00:09:22,875 --> 00:09:24,375 impact overall wellness 200 00:09:24,915 --> 00:09:27,575 and is one of the main reasons for, uh, 201 00:09:27,605 --> 00:09:29,095 poor health status for folks. 202 00:09:29,195 --> 00:09:32,735 And, and when you think about these drivers of poor health, 203 00:09:32,825 --> 00:09:33,895 these are kind 204 00:09:33,895 --> 00:09:37,015 of everyday kinda lived experiences that we have. 205 00:09:37,125 --> 00:09:39,935 Like for instance, do we have transportation 206 00:09:40,155 --> 00:09:41,735 to go from point A to point B? 207 00:09:41,805 --> 00:09:46,655 Well, you know, folks, um, with poor, um, access 208 00:09:46,675 --> 00:09:49,975 to care, uh, means that they don't meet with their provider, 209 00:09:50,235 --> 00:09:52,615 uh, either primary care or behavioral health. 210 00:09:53,235 --> 00:09:56,095 Um, that means they don't get their medication refills. 211 00:09:56,095 --> 00:09:58,655 That means that their conditions get poor. 212 00:09:59,195 --> 00:10:02,855 Um, also a big area when you look at, um, these determinants 213 00:10:03,765 --> 00:10:05,465 has to do like with food insecurity. 214 00:10:05,765 --> 00:10:10,105 So we found out a lot of our clients, um, don't have access 215 00:10:10,405 --> 00:10:14,225 to, um, high quality food, you know, um, 216 00:10:14,785 --> 00:10:15,905 vegetables and so forth. 217 00:10:16,205 --> 00:10:19,625 And some actually live in food deserts, you know, 218 00:10:19,625 --> 00:10:22,585 where there's only convenience stores that have, um, 219 00:10:23,365 --> 00:10:25,665 you know, food that would has high as sodium 220 00:10:25,665 --> 00:10:27,185 or sugar content in it. 221 00:10:27,285 --> 00:10:29,665 And folks will gain weight, uh, from that. 222 00:10:30,095 --> 00:10:33,225 Well, when you think about taking a psychiatric medication, 223 00:10:33,965 --> 00:10:36,625 um, sometimes those psychotropic medications 224 00:10:37,025 --> 00:10:38,105 actually increase your weight. 225 00:10:38,685 --> 00:10:40,705 Um, you add on top of that sodium 226 00:10:40,765 --> 00:10:44,745 and you know, foods with high sugar content, um, 227 00:10:45,005 --> 00:10:48,825 and then you're gonna actually gain either more weight, um, 228 00:10:49,045 --> 00:10:51,265 or it's gonna affect things like your blood pressure 229 00:10:51,925 --> 00:10:54,065 and, uh, your overall BMI. 230 00:10:54,245 --> 00:10:58,195 And so these types of things that actually have impacted, 231 00:10:58,455 --> 00:11:01,675 um, you know, folks with mental health conditions, it's one 232 00:11:01,675 --> 00:11:04,515 of the reasons why they die earlier than a than 233 00:11:04,515 --> 00:11:05,635 a general population. 234 00:11:06,135 --> 00:11:07,915 And so for us, we wanna be able 235 00:11:07,915 --> 00:11:09,075 to look at a whole care approach, 236 00:11:09,695 --> 00:11:11,275 not just a specialty care approach 237 00:11:11,295 --> 00:11:13,115 of just looking at the diagnosis 238 00:11:13,255 --> 00:11:15,715 or deal with the pathology of mental illness. 239 00:11:18,135 --> 00:11:20,205 - Thank you so much for giving us that insight. 240 00:11:20,225 --> 00:11:22,845 And Doctor, before I let you go, the last thing I wanted 241 00:11:22,845 --> 00:11:25,085 to ask you is looking ahead, 242 00:11:25,755 --> 00:11:27,565 what do you believe are the key steps 243 00:11:27,625 --> 00:11:29,765 and considerations for healthcare providers 244 00:11:29,785 --> 00:11:31,925 and organizations really looking 245 00:11:31,945 --> 00:11:34,285 to fully embrace an integrated health approach 246 00:11:34,465 --> 00:11:37,965 to value-based care, um, in the behavioral health sector? 247 00:11:39,515 --> 00:11:40,575 - Yes, Mariah, 248 00:11:40,575 --> 00:11:42,615 that's a a really good question about looking ahead. 249 00:11:42,775 --> 00:11:46,135 I I believe that, um, yes, to know your why, I, 250 00:11:46,255 --> 00:11:49,575 I think you have to take a step back and as an organization 251 00:11:49,995 --> 00:11:53,765 and look at, do we want to do just specialty care, uh, 252 00:11:53,765 --> 00:11:57,085 knowing that, uh, our population with severe, uh, 253 00:11:57,085 --> 00:11:59,325 mental illness died 25 years, um, 254 00:11:59,555 --> 00:12:01,365 earlier than the general population 255 00:12:01,365 --> 00:12:03,445 because of untreated health conditions, 256 00:12:03,865 --> 00:12:05,845 or you wanna do kind of this whole care approach. 257 00:12:06,025 --> 00:12:07,525 And so that's your why. 258 00:12:07,545 --> 00:12:08,845 And then looking at some of the data 259 00:12:08,845 --> 00:12:12,485 that I had mentioned earlier, um, what it means also is 260 00:12:12,485 --> 00:12:14,765 that you have the capacity for change management. 261 00:12:14,825 --> 00:12:18,325 Are you able to work with your team and identify champions 262 00:12:18,425 --> 00:12:22,125 and create care pathways, um, that are associated with those 263 00:12:22,675 --> 00:12:26,885 ADIs measures and being able to look at, um, the client 264 00:12:27,445 --> 00:12:30,685 satisfaction in terms of are they improving their condition? 265 00:12:31,145 --> 00:12:34,045 Um, do they feel like it's a better situation for them? 266 00:12:34,705 --> 00:12:38,165 Um, in addition to retaining, um, retraining the, um, 267 00:12:38,425 --> 00:12:42,125 the care coordinators, um, you have to have kind of the, 268 00:12:42,155 --> 00:12:44,045 that methodology of looking at data 269 00:12:44,545 --> 00:12:47,165 and being able to make, um, decisions, 270 00:12:47,725 --> 00:12:52,565 clinical decisions based on data, um, associated with, 271 00:12:52,865 --> 00:12:54,525 um, what you're able to get through a, 272 00:12:54,725 --> 00:12:58,165 a portal like we were able to get from, uh, from Optum 273 00:12:58,185 --> 00:13:00,725 to be able to look at are they actually improving? 274 00:13:01,265 --> 00:13:03,725 And then when you identify some of those risks, uh, 275 00:13:03,785 --> 00:13:07,405 are you able to dispatch your team, uh, to begin 276 00:13:07,405 --> 00:13:10,605 to look at things related to health coaching, begin 277 00:13:10,605 --> 00:13:13,485 to address those gaps in social determinants 278 00:13:13,585 --> 00:13:16,805 and lowering those non-medical drivers. 279 00:13:17,585 --> 00:13:18,965 Um, are you able to do kind of 280 00:13:18,965 --> 00:13:21,925 that integrated care management approach, um, 281 00:13:22,145 --> 00:13:25,765 and incorporating a whole care approach to individuals. 282 00:13:28,085 --> 00:13:30,835 - Thank you so much, doctor, for your final thoughts 283 00:13:30,835 --> 00:13:32,035 and for your time today. 284 00:13:32,145 --> 00:13:34,035 This has definitely been an amazing 285 00:13:34,135 --> 00:13:36,235 and informative, informative discussion. 286 00:13:36,235 --> 00:13:37,595 So again, I wanna thank you so much 287 00:13:37,895 --> 00:13:39,195 for coming on Beckers Healthcare 288 00:13:39,495 --> 00:13:41,155 and I look forward to connecting with you again soon. 289 00:13:42,105 --> 00:13:43,815 - Thank you so much. Thank you for having me. 290 00:13:44,795 --> 00:13:47,695 - Yes, absolutely. - It's so important 291 00:13:47,695 --> 00:13:50,255 for leaders at the top of organizations to keep learning, 292 00:13:50,405 --> 00:13:52,095 stay sharp, grow their networks 293 00:13:52,435 --> 00:13:54,975 to help our audience better do this in a more simplified, 294 00:13:54,975 --> 00:13:56,615 personalized, and meaningful way. 295 00:13:57,215 --> 00:13:59,655 Becker's Healthcare has launched my BHC, 296 00:14:00,045 --> 00:14:01,935 it's your trusted Becker's healthcare experience 297 00:14:01,935 --> 00:14:04,295 and more with content, connections, events 298 00:14:04,315 --> 00:14:05,415 and learning opportunities. 299 00:14:06,125 --> 00:14:07,975 Join the community free of charge at 300 00:14:08,715 --> 00:14:12,975 www.my.beckerhospitalreview.com and we'll see you there.