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- This is the Becker's
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who power us healthcare.

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Thanks for listening.
Now here's the episode.

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- Welcome everyone,

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to the Becker's Healthcare podcast series.

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I'm Maria Mohammed, writer

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and moderator with Becker's Healthcare.

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I'm absolutely thrilled
to have with me today Dr.

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Ravi Basal, director of outpatient hip

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and knee replacement surgery.

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Vice chairman of patient

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and provider experience
call medical director

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and head joint replacement consultants

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for NDA Retired Players Association

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at North Shore University System Doctors.

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Very nice to have you
on the podcast today.

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To get us started, would
you mind please introducing

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yourself and telling us a
bit about your background?

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- Yes, thanks, Mariah, for having me.

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Really appreciate it and all that you

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and the Becker's team do to,
uh, bring valuable information

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to the healthcare world.

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Um, as you mentioned,
my name is Ravi Bial.

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Um, my background is
in orthopedic surgery.

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I'm a hip and knee replacement surgeon.

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Um, uh, as you mentioned,

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I work at North Shore
University Health System,

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actually the formerly known

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North Shore University Health System.

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We had recently had a
system-wide name change, uh,

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to an Endeavor Health to
better capture, um, the, uh,

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multiple, uh, systems we are now, uh, uh,

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integrated into and with.

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So it's now known as Endeavor Health.

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Um, as you mentioned, um, in
addition to my clinical work

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as a hip and knee replacement
surgeon, administratively,

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I'm the director of our outpatient

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hip and knee replacement program.

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Uh, I serve as vice chair,
uh, within our department

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for patient and provider experience.

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And then I've also had the
privilege of having some, uh,

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administrative work with some
of our external relationships,

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including being the co-medical director

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and head joint replacement
consultant for the N-V-R-P-A,

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which is the, uh, national
Basketball Retired Players

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Association, as well as a board member

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and co-medical director
for our partnership

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with the Professional Football
Hall of Fame Health program.

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- Got it, got it. Thank
you so much for giving us

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that background information.

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So to jump right into our
conversation today, doctor, uh,

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can you tell me about your
most successful partnerships?

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What issues were you trying to solve

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and how did these impact North
Shore or Endeavor Health now?

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- Yeah, thanks. Um, you know,
I think that, uh, there's, um,

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some depth to this question.

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Um, uh, my direct work
is within orthopedics,

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but I think a lot of the
work that we've done within

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orthopedics has been
impactful to the system

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and in fact, required a
larger system and support.

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And what I'm getting at
is, you know, our, our most

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powerful partnerships obviously
are with our patients.

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Um, we want our patients
to have great outcomes,

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great experience, and to kind
of really be able to get all

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of the healthcare that they need

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and deserve, um, in a centralized,
uh, location for them.

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Um, some of these external partnerships

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that I've mentioned have
helped us, uh, uh, uh, kind

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of realize those goals and
helped us organize those goals.

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So, you know, in terms of
discrete partnerships that,

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that we are really proud of, I,

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I think our NBA Retired
Players Association, uh,

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partnership, that's
probably our most recent is

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one that we're the most proud of.

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Um, we've had longstanding association

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with the Chicago Bears,
where our, uh, couple

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of our sports physicians are the head

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team doctors for the Bears.

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We have an affiliation
with the Chicago Fire.

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We've done work with, uh,

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professional Football Hall
of Fame, as I mentioned.

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Um, but our recent partnership

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with the NBA Retired Players
Association has really helped

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us to realize the full potential
of centers of excellence.

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Um, and what I mean by that is this, um,

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in general within orthopedics,
uh, it's very easy

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to understand a link to a
professional sports team.

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Patients want to go where the pros go

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because those organizations,
physicians systems, uh,

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from from, from nuts to
bolt have been vetted, uh,

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professional, uh, sports
organizations would not associate

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with, uh, uh, an orthopedic system

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that couldn't provide them
quality, high level care.

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And so patients really understand

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and resonate that with that.

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One of the interesting
things that's gone on

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with our partnership, um,
with the N-B-R-P-A, um,

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has been we've been able to
expand beyond just orthopedics.

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Um, and there's been a lot
of help both on our end, uh,

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in terms of, on the
Endeavor, health health side.

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Um, our chairman, Jason Co,
um, our administrative leaders,

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Alexis Barber, Dave Raia,
um, have all really helped us

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to coordinate this along, along
with my co-medical director,

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Ashish Betty, and I'm the N-V-R-P-A side.

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Joe Rogowski and Scott
Rochelle have been, uh,

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extremely integral to this
sort of, uh, coming together.

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Having a center of excellence means

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that a patient is gonna be able

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to get top-notch care in a
centralized geographic location.

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And, and that makes a lot of sense.

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And as I said, our mind goes
straight to orthopedics,

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but in our experiences with the N-B-R-P-A

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patients have needs beyond orthopedics,

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especially retired former athletes.

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And so we've had the
opportunity to really lean on

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and leverage the expertise

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that we have across the
broad spectrum of care.

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And frankly, the broad
center of excellence is that

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nor Northshore Now Endeavor offers.

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And, and by that I mean this,
um, if, if you want to go

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to a single center of
excellence for orthopedics,

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that's great, but then where are

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you gonna go for your heart care?

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Where are you gonna go
for your, uh, you know,

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concussion care, your neurosurgical care?

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And one of the unique things
about having such a large

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and broad system is that
we're able to have actually

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multiple centers of
excellence under one umbrella.

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So we have our cardiovascular institute

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that's being built out, our
neurological institute that's,

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uh, that, that exists as well
as our orthopedic institute.

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So we've had patients that
have needed cardiac care, uh,

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concussive care, uh, neurosurgical
care and orthopedic care.

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And instead of having to send
them to four different centers

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of excellence, um, the
organization, the RPA is able

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to send them to one center
North Shore or Endeavor Health

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and really able to
achieve high level center

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of excellence care under one
umbrella, both geographically

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and sort of metaphorically.

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- Thank you so much for
giving us that insight, uh,

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into those partnerships.

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Um, as you know,

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the clinical workforce
has changed a lot in the

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last, uh, few years.

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Um, what challenges are you still facing

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and how do you see the
clinical workforce evolving?

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How do excellent, uh, excellence models

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mitigate these challenges
in a healthcare system?

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- Yeah, and I think you
used a great word there,

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which is mitigate, um,
there's, I I don't think

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that there's a clear,
uh, all win solution.

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Um, we continue to, uh,

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be in a challenging contracting
healthcare environment where

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reimbursements are going down, uh,

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demand for care is going up.

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Uh, you know, if we
look long term, uh, uh,

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and Scott, Scott Becker's
talked about this a lot.

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The, there's a need for physicians.

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The number of physicians is decreasing.

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So there's a lot of
challenges that we're facing.

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Ultimately, we want to
provide value, okay?

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And, and, uh, that's a complicated term.

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The the general, uh, sort
of dogma is that, you know,

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value is quality over cost.

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Now, in healthcare, uh, quality
can mean a lot of things.

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It means outcomes, uh, it means,
uh, uh, patient experience.

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It means, uh, the entire flow
of the episode of care, uh,

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in fact from University of
Utah, I believe has quoted, uh,

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healthcare value

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as equaling quality times patient

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experience divided by cost.

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So it's a complicated equation,

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but this is again, where the
center of excellence model, um,

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helps when you're able to
centralize a large group

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of experts in a single
physical geographic location,

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you're able to realize efficiencies

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that don't exist if they're
in multiple different centers.

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Right? And then if you think
about that growing outwardly,

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having a system that's large enough

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to support multiple centers of
excellence, then only sort of

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grows or, or, or catalyzes that ability

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to have high quality care,

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but reduce costs by being
able to realize efficiency

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and centralization of those services.

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So, um, you know, as we move
forward, we're gonna continue

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to have to chase that, but I
think systems like ours are

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very well set up because we
do have the depth and breadth

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and, and just the, the physical presence

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and width to be able to really

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combine these into focus
centers of excellence

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that are all under one roof,
and then realize the, and,

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and leverage the strength of
our numbers in order to be able

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to help with efficiencies and costs.

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- Yeah, that all completely makes sense.

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Thank you so much for sharing.

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And Doctor, before I let you
go, the last thing I wanted

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to ask you is, what is your best advice

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for aspiring leaders today?

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- You know, I, I think there's, uh,

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there's a couple thoughts behind that.

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Number one is to listen.

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Um, you know, uh, I've,

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I I've often heard you're
given two years in one mouth.

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So you, so you listen
twice as much as you speak.

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And I, and I think there's
some truth to that.

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Um, if leaders want to be
able to bring about change

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that's meaningful to the
folks that they are leading,

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they really need to
understand what the challenges

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that those folks are facing.

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And I often think that when you
start to work in leadership,

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you have your own ideas of

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what you think the challenges might be,

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and they're very well intentioned.

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You, you really are trying to understand

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and grasp the problems

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and issues that, that those
that you are leading are facing.

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But if you take some time to
listen, you will often find

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that, uh, there are additional challenges

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that you either didn't know
about or didn't understand

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or didn't understand how
important those were, um,

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for the folks that you
are, that you are working

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with and, and helping to lead.

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So, so really listening

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and understanding what the
challenges your workforce is

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facing, um, I think is the
first most important step.

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And then, and then second and,

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and kind of tied into
this is, is to continue

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to evolve and be plastic.

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Um, you have to have a vision.

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You have to have a, a drive and a goal.

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When you're a leader,
you, you can't just sort

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of be blowing with the winds of change.

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Um, so you have to have a goal and vision,

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but you have to be not so
dogmatic that you're not open

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to evolution and change,
um, when you're presented

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or faced with information

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that might challenge your
initial vision or goal.

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So you have to have the drive

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and vision for what you wanna achieve,

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but you have to be able to
navigate around the realities,

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um, of situations that may arise

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as you're striving towards that goal.

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- Thank you so much for
those final thoughts, doctor.

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This has definitely been an amazing

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and informative discussion.

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So again, I wanna thank you so much

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for coming on Becker's Healthcare.

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We really do appreciate it.

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I look forward to connecting
with you again soon.

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- Mariah, thank you so much for having me.

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And I really would like to thank, uh,

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Scott who's had me on the podcast before

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and has been a great friend and,

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and Ally, um, to, to all
providers in healthcare

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and really would be remiss
if I didn't thank my team at

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North Shore, including Alexis
Barber, Dave <inaudible>,

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Jason Co, and Ashish Betty, as
well as our partners, um, uh,

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on the external side, Joe Rogowski, Scott,

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Rochelle on the N-B-R-P-A, as
well as Mike Lamb, Amy Kramer,

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and Jeremy Hoag on the, uh,

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professional Football Hall
of Fame health project.

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So, really would be remiss if
I didn't thank those folks.

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A lot of the answers that I've
given you today are really

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because of the mentorship and guidance

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that I've received from
those people as well.

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So just wanted to say
thanks to those people.

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Thank you to you and happy New Year to you

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and the entire Becker's team.

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- Yes, thank you so much.

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- It's so important for leaders
at the top of organizations

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to keep learning, stay
sharp, grow their networks

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to help our audience better
do this in a more simplified,

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personalized, and meaningful way.

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Becker's Healthcare has launched my bhc,

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it's your trusted Becker's
healthcare experience

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and more with content, connections, events

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and learning opportunities.

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Join the community free

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of charge@www.my.hospital review.com

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and we'll see you there.

