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

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I'm thrilled today to be
joined by Dr. Eric Summers,

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chief Medical Officer at Atrium Health,

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wake Forest Baptist,
part of Advocate Health.

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Dr. Summers, it's a pleasure

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to have you on the podcast today.

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- Yeah, thanks. Thanks for inviting me.

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- Now, I'm looking
forward to our discussion.

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I know there's so much happening
in healthcare right now,

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and in particular, it's a
fascinating time for clinical care

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to just see some of the
different trends and,

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and the way technology
has evolved as well.

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But before we dive into that discussion,

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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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- Yeah, sure. I, um, I'm
a hospitalist by training.

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I've been in, uh, medicine as
a physician for 24 years, uh,

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and um, through my, uh,
hospitalist experiences I got into,

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uh, administration and system change,

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and I've been CMO here for six years,

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and, um, it's been a great experience, so.

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- Well, that's excellent and,

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and definitely, um, you
know, really cool to see

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how you've taken your career
from a hospitalist now

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to leading, um, you know,
a team of physicians

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as a chief medical officer.

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Uh, I'm wondering, you
know, especially given, um,

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so much has, has been changing
over the past few years,

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could you talk about
one change in particular

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that you have made that has
yielded some great results?

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- Yeah, I, um, we've done
a lot of good things here,

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but I, uh, there's one
that is, um, the one

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that really has stood out for me.

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And it's, um, because I've seen
how it's impacted our staff,

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and that is, um, we've put
a lot of work into, uh,

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workplace violence and initiatives to,

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uh, mitigate that.

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And, uh, the reason that's
top of mind is, um, you know,

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we didn't pre covid.

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I mean, it was important,
but we didn't have, um,

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a structure like we do now.

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And, and so patients were,
we're about patients,

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patient care, needs of
the patient come first.

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That's always kind of
been my mantra, mantra,

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and it still is, but,

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but, uh, post covid, I realized
that our staff are just

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as important and keeping them safe,

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supporting them is critical.

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And so we have a process now
in place with behavioral alerts

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and, and more importantly,

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administrators like myself
when there is an issue

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at the bedside in a
patient who is, um, able

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to make their own decisions

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and making, uh, poor
decisions with regards

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to physical violence or, uh,
uh, mental violence, you know,

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myself or one of my colleagues
will go to the bedside and,

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and talk to that patient and,
and, um, set expectations.

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You know, we care about our patients, but,

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but we, we have to support our staff.

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And, um, and the the thing
that's really gratifying

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that I didn't realize
until doing this, uh, was

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how important that was for our staff.

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You know, the perception,
well that, um, you know, the,

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the leaders don't understand
or they don't care,

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but when you're at the
bedside, uh, and you're there

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and they, and they see that we're a team

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and we're gonna, we're
gonna support each other,

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that has just been very gratifying, uh,

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because, um, uh, this is a tough job.

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It's, medicine is very tough,

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but, um, you know, doing things
to, to help our staff is,

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um, uh, is just the right thing.

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And so I'm just really proud of that.

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I'm proud of what we've done and,

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and actually our work, our, our number

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of workplace violence events has dropped

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by 20% since we did this
initiative over the last,

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uh, two years.

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And we have, um, we have a
workplace violence leader.

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So yeah, that just is something
that I'm, uh, very proud of

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for, for my organization.

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- That's amazing to hear.
And as you mentioned,

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such an important, uh, aspect

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of leading the clinical teams
is making sure, you know,

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people feel safe in, in
their actual protocols

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and measures in place, um,
so they know what to do if,

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if violence does occur.

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Um, so, you know, that seems
like something I hear day in

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and day out from healthcare
executives is they're thinking

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through, you know, top
priorities is being able to, um,

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create those programs in
respond appropriately.

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Um, so thank you for
laying that out for us.

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- One quick thing I wanna throw in,

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if there's one thing I could recommend

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for every organization out
there is, is to emphasize,

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have your leaders be
present at the bedside.

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Have your CMO, your CO your
president come to the bedside

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for those, those cases that,

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that makes a world of difference.

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That was a game changer for us.

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- Yeah. Yeah, I can imagine.

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You know, it, it really, um,

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the team feels the support
from you, your presence and,

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and the leadership's presence there.

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And from your perspective, you know,

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when you're going into those
situations, what is it that,

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like for you, how do
you really, um, I guess,

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approach those situations
so you can diffuse them?

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Yeah,

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- So yes, it's not something
I learned in medical

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school, that's for sure.

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But, um, and the first few
times it was a little nerve

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wracking, but now since
I've, I've become a, um,

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experienced at it, what
I'd say is that, um,

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it's actually one of the
most enjoyable things I do.

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And it's not just for our staff,

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but when I walk in that room, usually I'm,

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people are saying, watch out.

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This is gonna be tough.
Do you want security?

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Do you want, you know, and
and I almost always say no.

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And, and what I've learned from
these crucial conversations

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are that, um, patients
are, when they're angry,

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when they're doing things
like that, we, you know,

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physical violence, a a
large proportion of the,

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of the issue is, uh, a patient
doesn't know what's going on

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and ha and, and wants to know,
uh, the issues why they're,

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why they're there, their treatment plan.

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And the other is they want
to be heard, they want

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to be acknowledged, their viewpoint.

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And so I often, the first
thing I've gotta do,

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I've gotta connect as a human.

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I, I need them, I need
patients to see my eyes and,

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and know that I care about them

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because I do even, even
in those situations.

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And so I care and we
connect and then I listen,

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and then I give the perspective
of the hospital and,

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and then have maybe some
difficult conversations that

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this can't continue.

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But, um, we want to support, you know,

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we wanna support the patients
as much as our staff.

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And I will tell you 95% of
the time that works, that

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that's, uh, that's the secret recipe.

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I'm not gonna lie, 5% of
<laugh>, there's, there's nothing

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that I can that that works.

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Uh, but people wanna be heard,
they wanna be respected,

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they want you to listen to 'em,

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and they, they want you to care

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and they want you to communicate.

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And that's what I try to do. And, and, and

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because it's successful

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because of staff appreciates
that, it's actually one

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of the more enjoyable things I do now.

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- That's really amazing to hear.

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And, and certainly, you know, um, I,

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I appreciate you giving those pointers.

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'cause like you said, it's not something

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that always comes naturally

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or that, you know, has really
been taught in the traditional

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medical schools, but having
that ability to take, um,

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real steps that are meaningful

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and connect to patient's,
person to person, um, and,

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and deescalate those situations,

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I can imagine those wonders.

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And also, uh, like you said,
supports the staff as well.

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So that, that's really cool to hear.

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Now, what are some of the other top trends

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that you're following
healthcare right now?

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What's really top of mind for you,

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- For you?

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Well, boy, there's a, there's
a lot of things, um, you know,

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uh, from the acute aspects.

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I mean, you know, uh, workforce
sur shortages in healthcare

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and, and how we, we keep our
staff together, certainly

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what I talked about
with workplace violence,

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that's a component of, um,
you know, improving staff,

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staff satisfaction.

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But, um, you know,
reducing that, that, um,

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that labor that is, um,
um, you know, locums,

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um, we, we need to keep our,
we need to have staff here

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that is, is connected and
engaged and, and with our mission

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and, and, you know, for
not just our culture,

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but for, you know, cost containment.

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And so that, that's something
we've been working on and,

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and we've been making strides on.

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But, um, you know, other
things, you know, kind

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of the latest artificial
intelligence, you know,

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we're certainly are looking at that and,

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and how, how can ai, you
know, change medicine,

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how can it transform our
operations, make us more efficient,

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make us make the patient
experience better?

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And, uh, we're noticing
some small successes, but,

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but, you know, taking
it to that next level

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and that, that may not be something we,

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we see in the next year, but,

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but that's, there's a lot
of optimism there that, um,

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that can, you know, transform,
um, what we're doing now,

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get the, get the doctor

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or the, the healthcare
professional away from the computer

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and, and more time with the patient.

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You know, how can we use our
analytics to generate revenue?

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I mean, you know, as we all know,

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the bottom lines are a little bit

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tighter than they used to be.

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And, and what can we do to

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generate value from our data in this

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challenging cost environment?

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Um, how can we get a, how
can we maximize our access?

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We're doing some great
things with access continuing

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to improve, but the environment
in medicine has changed

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over the last few years.

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Consumers have more options,
you know, these private equity

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entities and, you know, we need to listen

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to our consumers even more patient

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centered, give 'em what they want.

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Um, and, and, you know, without
that, without that access,

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without that, that
improvement, that's, um,

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that's gonna impact our ability
to, uh, fulfill our mission.

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And so, um, you know, we're looking at,

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at key service lines to grow.

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And, um, but yeah, I mean, it's really,

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all these things are about
improving the patient experience,

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the employee experience,

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and, um, uh, maximizing our,
our margin and bottom line.

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- That makes a lot of sense. And I know

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that it can sometimes be a balance,

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as you were talking about
in terms of figuring out how

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to deliver the great outcomes
while understanding the

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financial realities and,

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and knowing, you know, what
can be helpful, um, from the

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clinical perspective, um, in that regard.

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And then too, thinking about
the patient experience,

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I know there's so much that
happened, has happened,

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it seems like even in the
last two years as, um,

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focus zeros in on, you know,
what patients are looking

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for within their, um, their
healthcare journey and,

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and when they're approaching
and needing care.

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Um, you know, really there's a
lot that can be done, um, to,

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to make it a better experience
and achieve better outcomes.

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And so I think it, it is
really interesting to hear,

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you know, from your
perspective, the work that you

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and your teams are
doing, um, in that space.

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Is there anything that you're,
you're looking at right now

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and are, are excited about
when you think about growth

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and development over the
next 12 to 24 months or so?

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- Well, I mean, we just need
to grow, uh, and <laugh>

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and we need to grow in key areas.

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I, I guess one thing that
excites me personally,

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and it's, it's, um, you
know, I, I went into this

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for patients, uh, you know, like most,

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like most in healthcare.

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I mean, uh, we love patients and,

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and we want to, we want to help.

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And so, um, there's not
only improvement of access

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and growth and all those
things that, that, um, uh,

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you know, we're trying to do.

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But, but the other one that
I'm really proud that our,

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our enterprise has,
has emphasized this is,

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is closing the gaps in health equity

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and, you know, the, um, the, uh, groups,

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lower socioeconomic status, uh, et cetera.

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I mean, getting them the
healthcare, the same healthcare

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that everyone else is getting.

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We all, we all, they all
deserve the same, we want

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that, we want that equity.

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And it's, you know, certainly
something, I've been

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involved in different initiatives

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and different health
systems over the years, but,

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but I'm really excited with
some of the things, uh,

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advocate Health's doing
to, to improve those gaps.

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And, you know, engaging
with the community and, and,

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and drilling down certain
patient groups, um,

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that's just important and why we do this.

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And, and, you know, and
then on a personal level,

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I'll share, I'm happy to share this.

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I, I, um, grew up myself in a very, uh,

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poor environment, uh, low
socioeconomic status, struggled

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to, uh, not just see a physician, but,

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but groceries, get groceries and,

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and you know, I remember that,
I remember those times and,

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and, um, I don't want anyone

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to have to go through that, you know?

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I mean, that's, uh, yeah,
just, just really proud

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that we are, are, are working hard

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and emphasizing that part of medicine.

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- Absolutely. I, I think
it's so meaningful and,

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and definitely a, as you
mentioned from experience, know

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how important it is when you
have somebody looking out

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for you and, and making
sure that, um, you know,

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when you might not have

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otherwise had access, um,
naturally to healthcare in,

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in some of the, the different services

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and resources, um, as others.

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And so, you know, I, I think
it's really powerful to bring

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that perspective into the role
that you have as a physician

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and, and then to, um, your
work as chief medical officer

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and thinking about health equity.

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So, um, thank you so much
for sharing that with us.

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Are there any of the, um, projects

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or initiatives that, um,
you know, kind of, um, um,

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have been really impactful
already on the community or,

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or anything that, um, you
wanna share that, you know,

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you've, um, thought, you know,

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really made a difference so far?

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- You know, I think we have a,

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a good group working on social
determinants of health and,

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and, and those areas.

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Um, you know, I would just
say I, off the top of my head,

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I can't think of a specific project,

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but I, I would say broadly, you know,

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and this, this goes back to my
own personal experiences, um,

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you can build all sorts of processes,

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but at the, at the core,
you have to have trust.

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And, um, you know, I
remember back in those,

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those days being scared, my
family being scared to see

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a healthcare provider because
of, um, you know, cost

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and, you know, and, and
we didn't have much money.

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And, and that never should
have been a barrier.

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If people aren't coming to see you, then

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you, you can't design,
in my opinion, a process

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that's gonna work you,
that's the first step.

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And so, you know, I think
broadly, our, our teams are,

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are really trying to bridge that trust gap

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through our churches,
through the community.

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And, and, um, yeah, I
think, I think that's the,

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you know, these things are very complex.

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There's many things you
have to work through,

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but I think that's a key step.

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Uh, and I, I know that we
have initiatives that are,

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00:14:51,105 --> 00:14:54,005
are improving that, and, you
know, so that's an example of

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00:14:54,585 --> 00:14:58,685
my own bias from my own life
versus, um, you know, uh,

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and translating that to,
to some of our initiatives.

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00:15:03,045 --> 00:15:04,645
- Absolutely. Well, Dr.
Summers, thank you so much

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00:15:04,645 --> 00:15:05,925
for joining us on the podcast today.

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00:15:05,925 --> 00:15:08,005
This has been such a
fantastic conversation.

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00:15:08,105 --> 00:15:09,205
We covered a lot of ground

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00:15:09,305 --> 00:15:12,285
and, you know, really helpful
to see from your perspective,

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00:15:12,785 --> 00:15:15,005
um, some of the, the great
work that you're doing.

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So, uh, thank you for
being here with us today.

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I appreciate our conversation

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00:15:18,765 --> 00:15:20,685
and I look forward to
connecting with you again soon.

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00:15:22,335 --> 00:15:23,315
- All right. Thank you for your time.

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00:15:23,395 --> 00:15:24,435
I appreciate you talking with me.

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Take care.

