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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 Robert Rose,

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market Chief Nurse
Executive at Atrium Health.

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Robert, it's a pleasure to
have you on the podcast today.

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- Thank you. Happy to be here.

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- Now, I'm looking forward
to learning more about

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what you're doing at Atrium

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and how you're really tackling some

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of the big challenges in healthcare today.

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But before we dive into my questions,

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can you tell us a little bit more

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about yourself and your background?

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- Sure. Uh, I, as you
mentioned, I'm the chief nurse

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for our Atrium Health, what
we call our central market,

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which is the Charlotte
Downtown campuses, uh, made up

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of our flagship medical center,
Carolina's Medical Center,

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as well as our children's hospital

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and one of our community hospital.

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It's called Mercy Hospital.

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And our clinics and our,
um, oncology service line

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and have been in healthcare.

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I'm a nurse by background,
have been a nurse

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for a little over 30
years, so a long time.

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I've seen a lot of evolution in healthcare

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and have been in leadership
for probably 20 of those years.

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Uh, so great to be here

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and to chat with you about what
we're seeing at the national

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and the local level as well.

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- That's fantastic. Well,
thank you so much again,

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Robert, and let's dive right in.

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What are some of the biggest issues

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that you're focusing on
in healthcare right now?

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- Well, there is a lot
of issues, as you know,

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but I think I, I sort of
call it our, my three Ws,

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our workforce, our wellbeing
of our workforce, and,

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and then our, uh, workplace violence.

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I think those are sort

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of the three things that
bubble up to the top.

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Uh, there's many more,
and they're all important,

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but I think from my focus,

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those are the two things I'm most

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passionate about wellbeing.

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We've done a lot in that
space, both at Atrium Health

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and Advocate Health now.

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And, uh, excited to see
where we continue to go

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to support the wellbeing
of our clinicians.

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- Well, that's great
to hear. And, you know,

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could you tell me, or,

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or dig a little bit deeper into something

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that you do on the wellbeing
side that you know,

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might be interesting or unique, um, to

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what you're doing at Atrium or advocate,

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or anything that you've
tried new over the last year?

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I'd just love to hear
what that means to you

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and, um, how it really shows up, um,

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within the clinical teams.

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- Yeah, that's great. So in
2020, we actually were one

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of the first to, um,
produce research, uh, um,

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during the first wave of covid,
uh, uh, a study that we did.

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And we published this
study nationally about

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what our clinicians felt
during the COVID Pandemic.

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And one of the things that
certainly came up, obviously

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changing protocols, staffing, all

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of those other things did come up,

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but one of the things
that showed up is, um,

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psychological safety.

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And when we started looking
more into that, we certainly saw

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a drift of where our clinicians and,

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and in my, in my space nurses

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and primarily that, you know,

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they were really having trouble.

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I mean, if you think
about just all the things

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that were going on during the
pandemic, not only were they,

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you know, fearful at
work, they had their home

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to balance families to balance.

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Um, as we continued to get
more comfortable taking care

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of patients during, uh, COVID, it started

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to shift a little bit from more of a fear

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to really feeling like
burnt out, you know,

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and, um, our workforces started
to have a lot of challenges

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as we started losing nurses.

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And so really that sort
of, um, for me sparked,

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it ignited me to really
think more about wellbeing.

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Um, we've always done a lot in that space.

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We have a wonderful pastoral
care, um, department

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that did a lot with it,
like our code lavender

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and, um, support of that.

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And that was all done pre covid,

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but we knew we needed to
step it up a little bit more.

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We did some things that other
healthcare systems have done.

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We get, we, um, gave our nurse
managers, um, you know, we,

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we brought them to a four day
work week, um, uh, you know,

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during that time just to give them

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a little bit work life balance.

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Um, and, you know, we
did some other things

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to support our leaders wellbeing,

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but we really wanted to
get to the clinician level.

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So we brought in, um, a
wellbeing coaching program,

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and we're on our fourth cohort.

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And what's really excited about
that is when we survey the,

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um, cohorts, each cohort,
the, um, the questions, uh,

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related to wellbeing, re resilience

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and, uh, burnout, they all have
measurable differences from

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pre-intervention to post-intervention.

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And the exciting thing about
that is we're really looking to

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embed a wellbeing sort of champion on each

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of our nursing units.

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Um, somebody that could
really work with the team to,

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you know, wellbeing's a continuum.

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There's poor wellbeing and
there's good wellbeing.

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And we really wanted to
make sure that we, um,

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have resources for the clinicians

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and the nursing staff to be
able to really, um, balance that

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and have sort of a, a
positive outlook on things

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and have a resource,
uh, that they can go to.

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We do have a very strong EAP, um,

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but we do know that nationally, uh,

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EAP services are only sort
of, um, used about 35%, uh,

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of the time nationally,
and you have to go to them.

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And so what we really
wanted to design is a model

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where there is somebody
at the unit level appear,

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a colleague that the nurses can
go to, to learn really about

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how to balance, how to have
a, a better outlook, how

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to improve their wellbeing.

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And so we've really been
trying to spread this model

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and it's been really,
really exciting work for us.

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We also have a peer-to-peer support, uh,

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that started in our children's hospital.

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And we, um, are also spreading this work

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where we're able to train people.

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It's a six hour course.

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Um, and again, it's another way for people

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to have a resource in their
units, um, to go to, to be able

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to have some support from a psycho,

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from a psychological
wellbeing perspective.

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So those are just a couple of
the things that we're doing.

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There's many, many more.

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Uh, but, uh, those are the things

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that I'm really most passionate about

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and excited about to really be

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able to support our workforce.

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- I love it. I, I think it's
so important, as you mentioned,

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to have that kind of support

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and really that the whole
team knows, you know,

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you, um, have their back.

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And that psychological safety too, um,

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makes a really big difference in terms

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of your experience in the
workplace, as well as ability

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to have the flexibility to innovate

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and really do some cool
things for patients.

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So that's really great to hear.

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Thank you for sharing with us.

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- Yeah, and then we, we try to
keep ourselves whole, meaning

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that we really want to make
sure that we continue to,

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to have a flavor of the month

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and that we're, that we're
sustaining the results.

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So we do have a very, uh,
committed wellbeing committee, uh,

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made up of, uh, uh, staff, nurses

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and others throughout the area that, um,

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we get together monthly and
we go over our programs,

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we go over our results, uh,

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we make sure we have
people in the right places.

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So we really try to take a
strategic, um, viewpoint, uh, uh,

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approach to this so that we're able

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to really sustain the program.

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'cause as, you know, things happen

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and some things go by the wayside,

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so we really wanna make sure that we,

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that this is important.

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- Absolutely. That makes
a ton of sense and,

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and really is helpful to elevate

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and keep in that elevated position.

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Now, when you look ahead,

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what are you most excited about
and what makes you nervous?

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So

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- I think from, you
know, one of the things

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that I'm excited about is
really transforming healthcare.

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You know, if, if we learned anything, uh,

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we were just talking about this

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before we got on, if we
learned anything during,

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during the pandemic, is that,
you know, there is a lot

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of things that we, um, do virtually,

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which when you think
about it saves us time

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and saves us energy,
um, it's more efficient.

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Um, you know, but at the same
time, we know that we have

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to transform healthcare in a big way.

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And so while I think that's
exciting, it's also nervous

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because we're going into
uncharted territories,

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and we do, I do know that, you know,

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technology is gonna
continue to be with us.

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And so for somebody

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that's been in the healthcare a long time

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and probably spent most of
their bedside nursing practice

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with paper and pencil, um, we
certainly, for me anyway, uh,

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the comfort level on using

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technology and getting used to it.

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But this is something
that we do know that, uh,

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the new gener, you know,

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the generation in the workforce is

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something that they're comfortable with.

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So we really need to do that.

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If you think about acute
care hospitals, we sort

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of do the same thing
we've been doing for the,

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since I was at the bedside, you know,

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not a whole lot has changed.

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And so we really need to use that now.

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We brought, we've brought
in a lot of technology.

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Our electronic medical
record is, is superior.

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We do a lot of things with that,

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but we know we need to do things with, um,

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artificial intelligence and
other things to really start

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to transform the, the work environment.

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So it's exciting, but I think
it's a little scary too,

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- That that makes a lot of sense.

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And certainly the
technology component of it

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and throwing artificial
intelligence in there, you know,

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it's almost like the wild, wild
west in some ways of trying

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to figure out how really
to harness the, the power

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of these types of technologies

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and innovations, um, will
also be extremely mindful of,

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you know, the real world
consequences that they can have,

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um, if something isn't done correctly.

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So it's just, it's been
fascinating to watch.

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- Exactly.
- Now, you know, in looking at

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how much healthcare has changed,

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and I know you've had some
really great experiences both on

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the clinical side as
well as in leadership.

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I'm wondering, you know, what
do you think will be the most

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effective way that healthcare
leaders will need to grow

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and evolve in order to
be successful in the next

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two to three years or so?

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- Yeah, great question.

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You know, I think, I think we've always,

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I think strong leaders

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and leaders that sort of
stand out, you know, sort

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of stand out are ones that are adaptable.

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And I think that's
probably has not changed.

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But I think that
adaptability also now comes

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with a strong sense of innovation.

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For instance, at Advocate
Health, we are, um,

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putting our nurse managers
through an innovation academy.

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So we know that our nurse
manager, the frontline to a lot

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of our nursing teams, right?

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They're the ones that do the hiring.

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They're the ones that see that the,

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that the nurse nursing
teams see every day.

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We want to be able to
give them flexibility

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and also excitement in their role.

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So I think when you think
about innovation, we're trying

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to change them, um,

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and give them the tools to be able

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to be innovative at the front line,

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because innovation sort of is a big word.

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And when you think about
innovation, you sort

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of think big things, but
there are small things

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that I think our nurse
managers are certainly capable

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of doing that's in their hands.

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So that's one of the
things that we're doing.

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So I think from a
leadership perspective, it's

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that adaptability with the
innovation, you know, being able

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to drive improvements in patient care,

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operational efficiency and
healthcare delivery models.

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But, you know, using technology,
technological approaches

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to be able to do that,
which I think is something

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different than in the past.

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Um, the other thing is we
certainly want to use data, um,

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and make decisions based on data.

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And now with our electronic
health records in,

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in healthcare anyway, there's a lot

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of more data at our fingertips.

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For example, we, uh, we
implemented a protocol, uh, uh,

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technology with our, uh, false program.

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We're able to get really
discreet data that we're able

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to see, um, a lot more about what happens

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to our patients when they
fall, meaning not what happens

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to them physically,

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but like the time of day, what
would the staffing look like?

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So really discrete data so that we're able

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to make those improvements.

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So I think that is another
sort of comes together.

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And then lastly, I would say
that isn't necessarily new,

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but I think it's certainly something

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that we have paid a lot more
attention with at Atrium Health

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as our diversity, equity, inclusion,

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and really making sure that we have, uh,

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that we have leaders

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and teammates that look
like our communities,

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and that we make sure

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that we have accessible
healthcare for all.

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Um, you know, I love, uh,
atrium Health's Mission,

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health Hope and Healing for all

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because, uh, our doors
are open for everyone,

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but we do know that there's
health disparities depending on

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where you live, what zip
code you live in, and,

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and you know that, you see
the national data on that.

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And we really gotta be able
to, to, uh, um, you know,

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do something with that and be able to, um,

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meet the patients where they are.

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And I think that's something
that I'm really excited about

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that at Advocate, that we really
do, we do innovative things

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to really reach out to our communities

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and be able to, um,

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give them accessible
healthcare when they need it.

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- That's amazing to hear.
Robert, thank you so much

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for joining us on the podcast today.

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This has been a fascinating conversation.

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I, I've learned a lot from talking to you

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and really seems like you've got, uh,

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fun things going on there, um, atrium and,

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and certainly I love the idea

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of having all the new nurse managers going

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through innovation training

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and really making that
part of their role, part

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of their mindset, and
part of what it means

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to be a nurse manager, um, you know,

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in going throughout the organization.

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So that's just fascinating

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and I love the idea of
bringing all of that into, um,

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building a better, um, and,

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and more sustainable health system

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in the future. Thank you.

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00:12:55,655 --> 00:12:57,585
- Well, you're very
welcome. And I'm, I'm glad

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00:12:57,585 --> 00:12:59,785
that we're able to connect
and thanks for your questions.

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Really excited about
where healthcare is going,

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00:13:02,025 --> 00:13:03,265
but we do have a lot of hard work,

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00:13:03,285 --> 00:13:06,465
and I appreciate that Becker's
is always there to inform us

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00:13:06,645 --> 00:13:08,745
and to help, uh, promote a lot

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00:13:08,745 --> 00:13:10,025
of the things that we're working on.

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00:13:11,545 --> 00:13:12,785
- Absolutely. Well, thank
you so much, Robert.

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Look forward to having you back on the

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podcast sometime again soon.

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00:13:16,525 --> 00:13:17,935
- Look forward to it. Thank you so much.

333
00:13:21,005 --> 00:13:23,535
- It's so important for leaders
at the top of organizations

334
00:13:23,535 --> 00:13:25,935
to keep learning, stay
sharp, grow their networks,

335
00:13:26,365 --> 00:13:29,015
help our audience better do
this in a more simplified,

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00:13:29,015 --> 00:13:30,655
personalized, and meaningful way.

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00:13:31,215 --> 00:13:33,695
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338
00:13:34,165 --> 00:13:36,175
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00:13:38,435 --> 00:13:39,455
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00:13:46,115 --> 00:13:47,015
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