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- This is Laura Dedo with the
Becker's Healthcare Podcast.

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I'm thrilled today to be
joined by Dr. Alan Weiss,

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vice President and Chief
Medical Information Officer at

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BayCare Health System,
Dr. Weiss, it's a pleasure

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to have you on the podcast today.

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- Thanks for having me.

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- Now, I know we have a lot to talk about.

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There's so much happening
and changing in healthcare,

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and certainly I'm excited
to learn more about

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what you're planning for
BayCare in the next year.

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But before we dive into those questions,

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can you tell me a little bit more

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about yourself and your background?

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- Sure. So I have a, sort

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of a different background than a lot

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of people in my position.

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I, I actually have a computer
science undergraduate degree.

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It's actually computer science

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and philosophy from, uh,
the University of Michigan.

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And went

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and did work in the
pharmaceutical, uh, industry,

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basically helping to create
databases for drug approvals

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and analyze those databases for the FDA

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and for medical journals.

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And after I worked there for
several years, I turned around

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and got an MBA with a focus
both in healthcare management

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and the management of information systems.

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And finally, um, got so
interested in medicine

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through working in the
pharmaceutical industry

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that I decided to, to take the plunge.

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I became a, went to
medical school, did my, uh,

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residency in internal medicine
at the Johns Hopkins Bayview

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Medical Center, and returned
to, um, Cleveland, Ohio,

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which is where I'm from, to
work at the Cleveland Clinic

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for about 10 years.

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I was a practicing physician there,

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but I also helped out with informatics.

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I had, uh, worked in business informatics.

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I had a, a number of different
positions in addition to

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seeing patients, I was also
teaching both medical students

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and residents and, uh, doing a, and,

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and I was the ward attending as well.

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So a lot of

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different things that I did
at the Cleveland Clinic.

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It was a lot of fun and, and
certainly a, a growth career.

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I, I ended up moving from,
uh, the Cleveland Clinic

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to Los Angeles where I was the,
uh, the physician in charge

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of their epic rollout
on the inpatient side.

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And I, that goes back a ways,

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but spent several years there
helping them develop their

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epic implementation before
moving on to Memorial Hermann at,

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uh, or in Houston, Texas,
which is where my wife is from.

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And we spent about five years there

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as their ambulatory Chief
Medical Information Officer

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working on a variety of different EHRs,

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including GE centricity,
uh, eClinical works,

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and, uh, also Cerner while I was there.

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And I had a very interesting time there.

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It was very interesting,
tried to figure out

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how we could encode, uh,
quality into the, the EHR and,

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and also help out with efficiency issues.

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Uh, I, five years ago, I, I
moved here to Tampa, Florida,

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which is, uh, you know, where
I'm, where I'm located now.

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I, I'm the, the Chief
Medical Information Officer

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for the BayCare Health System here.

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And, uh, BayCare is the largest

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healthcare provider in Tampa.

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And we, um, uh, we like to say
the qualities are true north,

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and, uh, that's essentially my background.

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- Well, that's fantastic to hear

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and what amazing experiences
you've had throughout your

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career, whether your early
career, um, you know,

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in computer science, in, in doing, um,

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several different aspects of healthcare

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and then jumping into, um,
you know, practicing medicine

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and being in so many different places.

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And, and then too, um, heading
up on the medical side,

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an EHR rollout.

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I can imagine you've just seen
so many things, um, coming

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through the system and now
looking ahead, you know,

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a completely different healthcare
system, um, is evolving.

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So I'm excited to hear about that.

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- Absolutely. It's, it's, it's been

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a really amazing experience.

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I, I've, and, uh, you know,

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sometimes I could say it
hasn't been as much fun

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as it sounds, but it,
it's been certainly a,

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a very interesting learning experience as,

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as I've gone from different
healthcare systems

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and had different
varieties of, uh, projects

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and experiences throughout
the course of my career.

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- Absolutely. Well, you
know, now looking ahead,

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what are some of the biggest
issues that you're following,

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taking you into the next 12 months?

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Um, what's kind of top of mind for you?

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- Well, what's always top of mind for me

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is the electronic health record

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and how we can try to make it better than

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what it currently is.

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I mean, it's, it's always an
optimization adventure for us.

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And, and for us, it comes down to how,

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how can we collect the data

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that's more clinically
appropriate, more, more clinically

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accurate, and serve it up
to the physicians in a way

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that allows them to make
better healthcare decisions.

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It also involves figuring out
how we can help our, our, uh,

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entire team write documents in
an easier way, organize them

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so you can find them easier.

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And, and the, the same with orders.

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Um, you know, how, how do you
make it easier for, for people

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to find the orders that are needed

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and then display the
orders in a concise, um,

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consistent manner so that
people can carry them out in,

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in a way that makes sense.

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Part of those optimization
efforts also involve ways

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of trying to embed
evidence-based medicine,

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into the work that people are doing.

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And, uh, also to help us.

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And as like, like other
healthcare systems, we're trying

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to do a care transformation project where

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we both reduced the cost of healthcare

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and improved the efficiency.

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So a lot of different projects
out there, A lot of, uh,

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interesting projects on the
EHR front in, in addition to

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that, I, I tell you, we
certainly are working very

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diligently on, uh, a
number of AI initiatives,

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and I can give more
details on that later on.

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Um, trying to, to figure out how we, we,

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like many other healthcare
systems, uh, are, are trying to,

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to, uh, uh, you know,
address what is now a,

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a very transformative type
of technology in healthcare.

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Um, I would finally say
that that certainly part

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of our efficiency issues, part

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of our EHR issues involve our nurses.

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We are very deeply involved
with trying to figure out

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how we make nurses more efficient,

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and, uh, once again, it's,
it's all about trying

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to figure out how to display information

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for our nurses in a better
way, cut down on the tasks

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that they have and improve
the work that they do.

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I mean, so it's a lot of, a
lot of effort all throughout.

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- That's amazing to hear,
and certainly so important,

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as you said, in looking at
the current environment,

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making sure that, you know,

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you're leveraging technology in the EHR

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to optimize everything you can, um,

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to support the workforce in,

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in operational efficiency
while also cutting costs

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where it makes sense
and being more efficient

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and effective in that way.

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And, and I appreciate you
sharing all these examples

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because I think it's
certainly, um, you know,

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so many different projects
can come across your desk,

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and yet they all kind of seem

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to dovetail into having
the same mission or,

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or driving forward the, a similar strategy

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and mission throughout the health system.

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- Exactly, exactly.

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- So, um, given everything
we just talked about,

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what are some of the things
you're most excited about right

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now and what makes you nervous?

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- True. Um, I, I'm, I'm very excited, um,

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about the promise of ai.

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I, I, I think there's just so
much that you could be doing

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with AI right now.

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I, I, I, I'm, I'm very excited by, uh,

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by its potential and possibility.

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Um, we are in the process of doing some

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of the ambient listening,
uh, pilots right now and,

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and trying to figure out how
we're gonna approach this.

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Uh, we're having lots of discussions about

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how you use generative AI in medicine.

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Those are just a couple of of
things that, that excite me

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and make me very interested.

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I mean, I, it's fascinating to me.

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Um, I get, uh, very excited
just by the efficiency of

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what we can do with the EHR.

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One of the things that we're doing is,

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another example is we're
automating tasks using the EHR.

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So we are literally
taking millions of things

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that physicians and their
staff would be doing,

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and we are instead, um,
pushing that into the EHR

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and letting it be done automatically.

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That's improving reimbursement,

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it's improving quality,
it's improving safety.

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So we're very excited
about that kind of work.

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It's really, it's, it's fantastic.

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Um, so I'm, I'm very, very
excited by all of these things.

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The things that that scare me.

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Um, I get a little scared by AI

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and I, I'm probably not the only one.

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There's, there's all kinds of
biases that AI has been known

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to have, and,

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and I I would tell you
that, that one of the things

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that we are finding is
that, uh, some of the AI

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companies out there that
say that they're doing AI

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are probably not doing AI as
much as they're doing, um,

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some advanced logic, you know,
AI by itself of a, a system

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that learns on its own
is, uh, well, we're,

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we're just finding that a
lot of, uh, the companies

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that are saying they're
doing AI really aren't,

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and we're not having universal
success in the ai We're

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finding that there's a lot
of, of times when the, um,

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the, the AI isn't quite performing as

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to the metrics that we've created.

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So I, I'm, I'm worried
about those, those kinds of,

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of efforts that, that are out there.

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I, I think they're
certainly worth pursuing,

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but they're worth pursuing
with the same kind of diligence

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that we should have or any
kind of healthcare system

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or any kind of application.

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Uh, making sure that we
understand the implications

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of the system before we get into 'em, and,

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and that we make sure
that we we're, we're, uh,

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approaching them with the,
the, the right due diligence

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by our is, uh, colleagues.

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So I, I, what scares
me is, is in some ways

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what also excites me.

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- Yeah, that's such a great point.

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And certainly looking at
artificial intelligence,

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it's such in early stages right now,

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especially within the
healthcare spaces and,

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and applications that could
really make a big difference

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both clinically and operationally
from your perspective.

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I, I know you talked a
little bit about, um, some

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of the challenges, whether it's the biases

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and then, you know, jumping into, um,

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the AI not exactly doing,
um, what was anticipated

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or having the results
that were anticipated.

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How do you, uh, really work
with your team on that, um,

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you know, who maybe don't
necessarily understand the

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technology, but are skeptical

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and are seeing some of these
challenges as validating that

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and, and thinking that, you
know, potentially, um, having,

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creating more questions than
answers amongst team members.

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Um, is that something you're seeing

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or have people been pretty
quick to embrace the change

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and understanding of the
process on, you know,

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incorporating new technology
into the healthcare space?

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- Yeah, the, the, the problem is,

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and I think this, this is a

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a a probably a fundamental
aspect of the excitement

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that we get about new
technology is that the,

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the new technology is so fascinating.

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It's so interesting. And
you, you read the examples of

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what AI can do and let's face it chat.

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GPT is, it's, it's cool.

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There's a lot of just
really interesting things

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that generative AI can do, and it,

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and it, it certainly has
captured our imaginations.

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And, you know,

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when we start thinking about
the administrative overhead

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that is so, uh, problemsome for people

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inside of medicine, the, the
opportunities to have an AI

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to help address the
issues is just amazing.

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So I, I, I think there's,
there's lots of great excitement.

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The the problem is that there's
also a lack of understanding

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and that lack of understanding
and knowledge is one

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of the things we face on regular basis.

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For instance, I mean, I, I tell
you, when you start to look

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at, at ai, you know, we,
we have, we have, um, execs

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and we have users who come up to me

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and say, well, we need AI to
solve, you know, to help us.

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And I, I guess the, the
issue that always comes up is

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what we, we need to do is, is
to understand what the nature

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of the problem is around whatever
issue there is that they,

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they they want AI for,
and then decide whether

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or not AI is the right approach
to help address the issue.

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I mean, AI is a tool like
many other tools that we have.

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I tell you that most of the AI

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that we've looked at is
a very expensive tool,

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and that expense, you know,
can, can help inhibit the notion

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of it being adopted or,
um, by our organization.

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I think we have to be very careful.

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Um, when I start to talk to
users about all of the issues

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that are out there, there's,
um, there's almost a hesitancy

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for me to actually make
those kinds of statements.

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You know, there's so many
people that just want

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to plow ahead without thinking
about the, uh, the dangers

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and the issues that are out there.

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I think we, we have to
approach AI with caution,

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with some notion that we
have to, you know, make sure

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that it's proven and we have to make sure

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that there are very
defined metrics for its use

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before we, uh, before
and, and as we adopt.

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00:12:53,405 --> 00:12:54,465
- That's such a great point.

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00:12:54,465 --> 00:12:56,865
Thank you so much for sharing
just your thought process

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there, and especially
how other clinicians are,

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00:12:59,505 --> 00:13:02,425
are viewing AI and, and
technology integration in general.

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00:13:03,125 --> 00:13:05,225
Now, I know we've talked about a lot

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of different changes
within the healthcare space

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and how it's evolving so rapidly.

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What do you think is going

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to be the most effective
thing healthcares will need

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00:13:13,285 --> 00:13:15,465
to be successful over the
next two to three years?

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What should leaders do and understand,

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00:13:17,605 --> 00:13:19,945
and what will they need
to do, um, to make sure

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that their organizations are successful?

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- So, I, I would tell you
that, that when I start to talk

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to my colleagues, uh, around the, the, uh,

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the country, a lot

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00:13:34,985 --> 00:13:37,545
of them are facing the same kind
of things that we're facing.

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There's, um, uh, revenue challenges,

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and I, I think a lot of
healthcare organizations

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have since, uh, since
Covid, they, they've,

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they've really had to, um, rethink of

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how they can reduce
costs, improve quality,

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and do so in a way that, uh,
can, can somehow promise all

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of this at a lower cost.

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00:14:01,435 --> 00:14:04,955
I think that those, those
issues are paramount to a lot

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of the organizations and,

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00:14:06,155 --> 00:14:08,665
and a lot of people, uh, I,

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I do think there's gonna be
a continual, uh, focus on

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00:14:13,565 --> 00:14:17,265
how do we improve the quality
of the work that we provide.

315
00:14:17,725 --> 00:14:19,465
Uh, I'm just seeing that more

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00:14:19,465 --> 00:14:21,265
and more often as, as I talk to people,

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00:14:21,715 --> 00:14:24,465
those quality initiatives
are becoming, well,

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00:14:25,015 --> 00:14:28,825
it's not like they weren't,
you know, prevalent beforehand,

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00:14:29,045 --> 00:14:31,385
but they're, they're
becoming even more important

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00:14:31,565 --> 00:14:33,425
and the use of the EHR

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and other clinical tools
to help in the process

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00:14:36,405 --> 00:14:38,225
of delivering care, it's becoming more

323
00:14:38,225 --> 00:14:40,705
and more, um, you know, more

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00:14:40,705 --> 00:14:42,505
and more of a project,
more of a learning issue.

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00:14:42,605 --> 00:14:44,865
So I, I think that's something
that, that you'll see more

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00:14:44,865 --> 00:14:45,945
of as time goes on.

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Um, I would also say,

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and when I, I, I start to,
to think about the, um,

329
00:14:53,755 --> 00:14:57,495
the issues and projects that
people start to, to work on, I,

330
00:14:57,775 --> 00:15:00,215
I do think that we are going to see more

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and more integration across
the healthcare system

332
00:15:03,135 --> 00:15:05,415
and the healthcare environment
that, that integration,

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00:15:05,805 --> 00:15:10,335
what I mean by that is, is
more ways of integrating data

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00:15:11,155 --> 00:15:14,055
and operations, uh, about patients

335
00:15:14,315 --> 00:15:15,735
and making it into a more

336
00:15:15,735 --> 00:15:17,895
wholesome approach to patient care.

337
00:15:18,295 --> 00:15:20,895
I think we're gonna find that
the data that patients have

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00:15:20,915 --> 00:15:23,615
and collect on their everyday
lives are gonna start

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00:15:23,615 --> 00:15:25,975
to impact the way that we treat patients.

340
00:15:26,275 --> 00:15:28,695
Uh, I think you're gonna see
more wearables in the system.

341
00:15:29,255 --> 00:15:31,415
I think you're gonna see
patients have reported outcomes

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00:15:32,045 --> 00:15:35,735
will start to drive the, the
way we, we, uh, handle care.

343
00:15:36,195 --> 00:15:37,775
So I, I think that's all there.

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00:15:38,155 --> 00:15:41,775
Um, I, I would also tell you
that digital transformation

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00:15:42,295 --> 00:15:44,455
continues to be an issue
that we start to work on so

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00:15:44,455 --> 00:15:46,655
that a lot of different facilities

347
00:15:46,655 --> 00:15:48,775
that we have within the healthcare system,

348
00:15:49,215 --> 00:15:51,615
I think are gonna be, be produced

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00:15:51,795 --> 00:15:55,615
or will be evaluated in such
a way that, uh, they'll,

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they'll move to digital tools.

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00:15:59,035 --> 00:16:00,215
- That's fascinating to hear.

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00:16:00,315 --> 00:16:01,335
Dr. Weiss, thank you so much

353
00:16:01,335 --> 00:16:02,615
for joining us on the podcast today.

354
00:16:02,645 --> 00:16:04,975
This has been such a fun and
fascinating conversation,

355
00:16:04,995 --> 00:16:06,975
and I look forward to
connecting with you again soon.

356
00:16:07,515 --> 00:16:08,895
- Sounds good. Thank you very much.

357
00:16:12,085 --> 00:16:14,695
- It's so important for leaders
at the top of organizations

358
00:16:14,695 --> 00:16:17,175
to keep learning, stay
sharp, grow their networks,

359
00:16:17,605 --> 00:16:19,975
help our audience better do
this in a more simplified,

360
00:16:19,975 --> 00:16:21,495
personalized, and meaningful way.

361
00:16:22,095 --> 00:16:24,775
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362
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364
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365
00:16:31,245 --> 00:16:32,295
Join the community free

366
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367
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