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This is Lauren D with the Becker health

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care podcast.

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I'm thrilled today to be joined by Doctor

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Matthew Meyer, associate professor of,

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and c chair of the Uv Health sustainability

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community committee at Uv Health as well as

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c cofounder of Peri Green. Doctor Meyers, is

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a pleasure to have on podcast today.

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Thank you for having me and. I'm really

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thrilled to be here. Now I know we've

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got a lot to talk about, and I'm

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really looking forward to learning more about some

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of the

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sustainability initiatives that you're doing at Uv health

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and how other their health systems can get

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involved and do some more things as well.

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But before we dive into my quest.

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You tell us is just just a little

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bit more about yourself and your background?

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Shit.

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So I am

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a full time clinical anesthesia interest at this

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point. I also work in the intensive care

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unit. So that is

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predominantly my day job.

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However, under the product that really drives most

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of my

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my passion at this point is I didn't

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do a lot of work this sustainable health

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care area, and I consider myself to be

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an advocate and a researcher. I've had

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really good fortune to ask some editorial that

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were published in instead news health affairs forefront

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scientific America,

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American

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in this area, which has given me the

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opportunity to really

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reach out and

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that people excited about sustainable health and see

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the potential of it.

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I am also,

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and this isn't... This is actually becoming almost

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has much a full time job I'm also,

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A founder, Ceo of Peri Cream, which is

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a fuck where we're using computer vision to

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identify and help. Health systems eliminate unnecessary waste

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in the operating room.

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Most fascinating to hear and, you know, really

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cool to have that abilities of of looking

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in and identifying and then being able to

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out upon for the unnecessary waste. Now, given

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your and enroll. What are some of the

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biggest issues that you're following in healthcare right

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now?

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K. So

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she my focus is on sort of 2

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sides of sort of the same coin. So

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I'm very interested in

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in health,

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then I'm very interested in sustainable healthcare care.

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And I I'm happy to give sort of

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the definitions. Because I think sometimes they get

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a little them mush together in the healthcare

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care system, but it took me a while

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of really doing this to realize that they're

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really 2 independent issues and really

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deserve

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independent attention.

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To what I'm talking about climate health, I'm

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talking about,

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I'm talking about the impact of climate changing

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and really, you before it gets bumped into

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it. Like all sort of pollution and waste

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is having on human health.

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And

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just to support this during the pandemic in

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2021.

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The there was an editorial that I was

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called simultaneously

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in 200

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different journals including New england Journal on the

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Bm, which are, you know, very important and,

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very important journals in Medicine.

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That said, the greatest threat to global public

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health continued failure world leaders to keep the

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global temperature rise below 1.5 degrees anyway. And

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so

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that concept is that

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we've you,

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collectively as humans contributed to,

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we've changed our environment.

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That we're changing our environment ways that we

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can't necessarily predict and that our be coming

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back to Harm us in the way of

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health.

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And

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the thing about that statement was it was

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saying keep it below 1.5 degrees centigrade. We're

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and arguably in the last 12 months,

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we're above 1.5 degrees centigrade grade, If you

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aggregate the weather in the temperature. From throughout

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the world. So we may have already crust

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that, and we haven't really organized

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ourselves in a way that's going to, you

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know, bring us back

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And as a consequence of all this, there

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going to be implications on Human Health and

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quite honestly, there already are implications on Human

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L.

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And based implications and

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they're broad. They go from some of the

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more obvious ones, which is like a longer

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allergies.

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Season

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to other respiratory concerns. We all have many

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of us had exposure to the wildfires in

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Canada

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that brought the air quality index really high,

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you know, far away from. I mean I'm

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in Virginia, we had days where we were

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we should really exert sides outside and camps

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camps with canceled that summer. So the the

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more obvious ones to less obvious ones which

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are that

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when there's large scale weather events,

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patients can't get their cancer treatments have health

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systems.

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And everywhere in between... There's essentially no organ

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system and that includes mental health that's not

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being affected

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by

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solution and

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the impact of us on our environment. So

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that's climate health.

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That's 1 only thing that I'm really paying

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attention to because I think that there are

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some institutions out there. There are some health

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systems that are really starting to pay attention

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to it. And in my opinion, that's a

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marker of

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basically quality. It shows that this institution is

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looking to the future. And you're able, they've

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manage they manage today's problems long enough that

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they're able to look into the future and

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try to figure out how to get themselves

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to be the right provider community health for

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the future. Which I think is just yeah.

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That's that's top

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top level strategy it from executive perspective.

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And the second bid is sustainable healthcare, which

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is honestly where the company that I started

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and where I tend to find myself a

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little more at hold. And this is really

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what I love.

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Sustainable health care is, how do we take

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the health system that we have the U.

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S. Keeping you in mind that that 17

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percent 18 percent of U. S Gdp

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or about 4 percent to 5 percent of

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global Gdp

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is the healthcare So this is a huge

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amount of resources when you think about the

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whole world that large. And how do we

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take that and I we used them better

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noise efficiently? How do we eliminate waste? How

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do we make our health system not

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contribute to pollution or climate changing mission

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and I find that to be fascinating anything,

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and that's that's where a lot of my

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thought goes today. So I'm

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very excited about both those concepts.

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Less fascinating here and certainly, you know, really

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interesting to go down that road and understand

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how different climate change issues are affecting not

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only people's health, but their ability to access

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health care and what that means for us

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in the future.

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Now when you look ahead, you know, what

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are you excited about and what makes you

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nervous?

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I mean, so

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no I'm gonna I'm gonna bring it back

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to those topics. So I am very excited

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about

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the sustainable health care movement. I... Think I

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think since I sort of got myself involved

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in it the past 5 or 10 years.

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I've seen it go from, you know, like,

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a bunch of people are really trying and

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saying and

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organizing to the best their ability, what I

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would consider to be a relatively

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strong,

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you know, wealth organized

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and growing

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mission. Until I'll play a couple things. So

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the first we can't talk about this in

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this world without mentioning 2 organizations, which is

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healthcare without harm and practice health. Those are

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related organizations and they've really

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didn't

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they've been ringing the bell for a while

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saying that there's problems in our environment that

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our Human health? And then how can we

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take health systems whose mission is that take

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care of community health and ensure that

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the systems the way in which healthcare care

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is delivered

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doesn't

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worsening

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the problems that cause humans to be sick

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and pollution pollution remission etcetera. So

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that organization practice free health

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represents or has members of 14 100 hospitals

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and health systems in the U. S and

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Canada. So I think that in and of

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itself

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demonstrates genuine

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buy in

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with organizations.

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There was also a petition that was signed

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by about a thousand

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possible. I think representing about 1000 hospitals by

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the department of health and human services

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that was

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to really engage with cc car hospital organization

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of the healthcare care system,

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and that was signed. Nationally it was a

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white house event. We're seeing the national adding

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medicine

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really focus in on how do we d

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card medicine. And then just recently,

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we've had this... The joint commission has created

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a sustainable health their certification. And this I

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think is really cool. This is

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the

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essentially the certification

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structures it so that you

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test yourself and organize your health system with

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the building blocks to really drive sustainability

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inside. It will accept leadership, it looks at

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data collection and it looks at action. But

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really I'm really impressed with the fact that

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we're

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that the joint commission has gotten into this

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field. And,

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I'm hoping that their involvement will only increase

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from there. They've got great leadership. Think there's

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a lot of potential for them

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to really

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help helps us become more efficient through sustainability

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and helps

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provide better value patient care through sustainability.

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And I I remiss I don't mention that

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someone I was hoping that you get health

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with death but someone has gotten to get

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the first certificate and it was hack secondary

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meridian and health. So just real recognition to

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them for b being, becoming real leaders in

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this field of sustainable healthcare care. And they

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were the first ones to achieve joint commission

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sustainable healthcare care certification for other their hospitals,

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Well, that's amazing to hear and definitely,

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what a great goal to work towards. And

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for you at Uv Health,

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how does that sustainability show up? And especially,

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I know quote the community committee,

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you know, it is 1 way that you

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could contribute in a big way, but

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what types of things are you doing or

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changes have you been able to make since

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getting involved with these types of initiatives?

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Sure. So

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as everyone listening to this healthcare has been

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for a lot the last couple of years.

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But my real hope is we're coming out

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stronger lessons learned from Covid and we're going

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we're ready to,

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walk and chew bubble them and like really

280
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move forward on this. So

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what we're doing. So,

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you tax sustainable sustainable health and all fronts.

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First is largely organization, You know, finding the

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people that are interested in. And I will

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tell you that the minute you start talking

286
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about this as you might gather, I talk

287
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about this a fair bit to to many

288
00:10:25,713 --> 00:10:27,944
get to hold listen. And and I find

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that the many you start talking about waste

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reduction efficiency getting it little solution.

291
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You have hands raised all over the place.

292
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This is stuff that is very

293
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connected to people and a mission driven world

294
00:10:41,252 --> 00:10:41,888
like health.

295
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So first of all, it's finding the people

296
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that are interested this and building your network

297
00:10:46,977 --> 00:10:47,773
building your lives,

298
00:10:48,901 --> 00:10:50,889
my next goal has been to do when

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I can to empower those people to motivate

300
00:10:53,592 --> 00:10:55,261
them To allow them to see that that

301
00:10:55,261 --> 00:10:57,726
their wishes are their desires, their goals their

302
00:10:57,726 --> 00:11:01,399
project mix to reduce plastic waste to recycle

303
00:11:01,399 --> 00:11:01,899
more

304
00:11:02,592 --> 00:11:03,569
coffers to

305
00:11:03,944 --> 00:11:06,409
whatever it is the not bone. And here's

306
00:11:06,409 --> 00:11:08,413
the network that we've developed to help you

307
00:11:08,413 --> 00:11:11,442
accelerate each projects. So we organize, we, you

308
00:11:11,442 --> 00:11:13,036
know, find those people and then we help

309
00:11:13,036 --> 00:11:14,152
them accelerate the projects.

310
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We have directly done something things. You know,

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my department was fairly early I'm not the

312
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early. But we got rid of pretty much

313
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all of our does flooring. That's the volatile

314
00:11:23,680 --> 00:11:27,214
aesthetics, bad has a real outs outside impact

315
00:11:27,214 --> 00:11:29,214
as a create greenhouse gas. It also happens

316
00:11:29,214 --> 00:11:30,654
being more costly, so it's 1 of those

317
00:11:30,654 --> 00:11:34,029
beautiful moments, which you find time time again,

318
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where sustainability alliance with cost effectiveness.

319
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So we got rid of that foreign. We're,

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teaching a and talking about reducing the flows

321
00:11:42,578 --> 00:11:45,753
of the operations in anesthesiologist. So that's that

322
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that's where I have real domain.

323
00:11:47,975 --> 00:11:50,463
And we are also working across the healthcare

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00:11:50,463 --> 00:11:53,096
care system. You, we're working we're working on

325
00:11:53,096 --> 00:11:57,574
talking about energy efficiency. There's actually great resources

326
00:11:57,574 --> 00:11:59,722
out there crew tremendous resources. And when I'm

327
00:11:59,722 --> 00:12:01,312
about resources, I'm not just talking about, like,

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00:12:01,551 --> 00:12:04,030
you know, a Pamphlet here Pdf there. I'm

329
00:12:04,030 --> 00:12:05,960
talking about, know, millions of dollars

330
00:12:06,413 --> 00:12:06,913
for

331
00:12:07,287 --> 00:12:08,582
energy efficiency projects

332
00:12:09,353 --> 00:12:09,853
and,

333
00:12:11,021 --> 00:12:14,467
my Grow grids to build into your healthcare

334
00:12:14,467 --> 00:12:17,340
system that's being funded through the inflation reduction

335
00:12:17,420 --> 00:12:18,718
Act. And

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00:12:19,176 --> 00:12:19,629
the

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health and human services through the office for

338
00:12:22,209 --> 00:12:24,035
climate change health equity has actually put out

339
00:12:24,035 --> 00:12:26,654
a cat program on utilizing the Irs. So

340
00:12:26,654 --> 00:12:29,130
it's basically a starter project for you to

341
00:12:29,130 --> 00:12:31,670
figure out how your health system hospital can

342
00:12:31,670 --> 00:12:32,170
access

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millions of dollars. I mean, in some looks

344
00:12:34,607 --> 00:12:36,591
like billions or tens of billions of dollars

345
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that are available for these projects.

346
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So

347
00:12:41,542 --> 00:12:43,773
we go every we go everywhere We're working

348
00:12:43,773 --> 00:12:45,765
on it. We're working on making sure recycling

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rolled out and not only rolled out the

350
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materials we collect get recycled.

351
00:12:49,370 --> 00:12:50,966
All the ways to trying to figure out

352
00:12:50,966 --> 00:12:53,441
how we can fund our renewable energy projects,

353
00:12:54,080 --> 00:12:56,155
energy storage and and the like to make

354
00:12:56,155 --> 00:12:58,484
our help systems more resilient, you know, in

355
00:12:58,484 --> 00:12:59,522
the face of the changing world.

356
00:13:01,277 --> 00:13:02,873
I love that. That is so helpful to

357
00:13:02,873 --> 00:13:04,884
know and understand just some of the... Little

358
00:13:04,884 --> 00:13:06,003
things that you can do that to make

359
00:13:06,003 --> 00:13:08,320
a big difference. Now before we wrap up

360
00:13:08,320 --> 00:13:10,398
here, I'm wondering, could you talk about what

361
00:13:10,638 --> 00:13:12,556
the most effective health leaders will need in

362
00:13:12,556 --> 00:13:14,248
order to be successful in the next 2

363
00:13:14,248 --> 00:13:15,123
to 3 years or so.

364
00:13:16,714 --> 00:13:17,930
Sure. So

365
00:13:18,305 --> 00:13:20,555
what I want is I want people to

366
00:13:20,771 --> 00:13:22,937
craft on to this concept of Sustainable healthcare

367
00:13:22,937 --> 00:13:24,929
care. And I want people to make it

368
00:13:24,929 --> 00:13:27,160
theirs. Like, I I'm am, you know, I

369
00:13:27,240 --> 00:13:29,643
I'm an advocate for this. And we've talked

370
00:13:29,643 --> 00:13:31,493
largely about what it means from an environmental

371
00:13:31,708 --> 00:13:34,330
perspective. But sustainable health care is really a

372
00:13:34,330 --> 00:13:37,210
beautiful beautiful concept here. Right? And I want

373
00:13:37,210 --> 00:13:38,964
people to make it theirs make it broadly.

374
00:13:39,203 --> 00:13:40,979
I want us to have a healthcare system

375
00:13:41,355 --> 00:13:44,226
that clinicians wanna work at. I want it

376
00:13:44,226 --> 00:13:46,639
to be place where patients feel good where

377
00:13:46,639 --> 00:13:49,199
we know that this hospital that's been a

378
00:13:49,199 --> 00:13:50,959
part of our community is going to be

379
00:13:50,959 --> 00:13:51,620
here for

380
00:13:52,000 --> 00:13:54,241
the next decade, the next generation of people.

381
00:13:55,273 --> 00:13:56,464
I want us to know that we're using

382
00:13:56,464 --> 00:13:57,361
our resources

383
00:13:58,369 --> 00:14:00,989
intentionally and for maximum impact. There should be

384
00:14:00,989 --> 00:14:02,828
no on that necessary ways. That's a passion

385
00:14:02,828 --> 00:14:04,652
of mine I created a company around, you

386
00:14:04,652 --> 00:14:07,664
know, the identification of this, like, unnecessary ways.

387
00:14:07,902 --> 00:14:09,304
We have so much of it in health

388
00:14:09,821 --> 00:14:10,616
in in healthcare care.

389
00:14:11,412 --> 00:14:12,945
We need to focus on health

390
00:14:13,558 --> 00:14:14,353
instead of medicine.

391
00:14:14,830 --> 00:14:15,149
And,

392
00:14:15,705 --> 00:14:17,947
honestly, like, My livelihood is from you know,

393
00:14:18,026 --> 00:14:18,981
being an anesthesiologist.

394
00:14:19,459 --> 00:14:20,732
But if I put myself out of a

395
00:14:20,732 --> 00:14:22,664
job, if I can get everybody so healthy

396
00:14:22,801 --> 00:14:24,472
so that they don't need my work, like,

397
00:14:25,123 --> 00:14:27,033
what more for a life's mission, but we

398
00:14:27,033 --> 00:14:28,465
need to really think about health.

399
00:14:29,420 --> 00:14:32,204
Want I want this concept of sustainability way

400
00:14:32,204 --> 00:14:33,102
to be elevated.

401
00:14:34,209 --> 00:14:35,642
And when I say El, I mean put

402
00:14:35,642 --> 00:14:37,313
it in the C suite, like, we need

403
00:14:37,313 --> 00:14:39,304
people who are making the decisions to be

404
00:14:39,304 --> 00:14:41,533
having this as part of the conversation at

405
00:14:41,533 --> 00:14:43,384
the table. It doesn't need to be the

406
00:14:43,384 --> 00:14:45,304
only part, but it needs to be a

407
00:14:45,304 --> 00:14:47,324
part and we need to think about how

408
00:14:47,464 --> 00:14:50,125
the concept of sustainability will help address

409
00:14:50,504 --> 00:14:52,600
and will help a lot. Address a number

410
00:14:52,600 --> 00:14:54,440
of the pressing crises that we're all dealing

411
00:14:54,440 --> 00:14:56,200
with. And again, let me... Just give a

412
00:14:56,200 --> 00:14:58,360
shortlist list. We're talking about, you know, staff

413
00:14:58,360 --> 00:14:59,320
shortages in burnout out.

414
00:15:00,294 --> 00:15:02,152
People are inspired to work

415
00:15:02,611 --> 00:15:05,567
when hospitals align with their epics.

416
00:15:06,365 --> 00:15:09,727
Low value cost healthcare against sustainability efficiency moving

417
00:15:09,727 --> 00:15:11,876
waste. Like this is stuff that that brings

418
00:15:11,876 --> 00:15:12,036
up,

419
00:15:12,991 --> 00:15:13,969
improves our productivity,

420
00:15:15,220 --> 00:15:17,614
the it gets to managing social determines of

421
00:15:17,614 --> 00:15:21,102
health. There's the the impact of the environment

422
00:15:21,102 --> 00:15:22,553
on people's health. On

423
00:15:23,340 --> 00:15:23,840
barely

424
00:15:24,620 --> 00:15:26,700
impacts those people who have the few resources.

425
00:15:26,940 --> 00:15:28,379
And that's something that we see time and

426
00:15:28,379 --> 00:15:30,460
time again whether it's in our country and

427
00:15:30,460 --> 00:15:32,712
other countries and locally and you know, in

428
00:15:32,712 --> 00:15:33,430
other places like,

429
00:15:34,546 --> 00:15:36,301
we need we need to, you know, think

430
00:15:36,301 --> 00:15:39,013
about how the people who are being impacted

431
00:15:39,013 --> 00:15:40,768
the most, you know, how we can help

432
00:15:40,768 --> 00:15:41,326
them out.

433
00:15:41,979 --> 00:15:43,170
And then we also get the plans for

434
00:15:43,170 --> 00:15:44,067
the future

435
00:15:44,679 --> 00:15:45,179
and

436
00:15:45,711 --> 00:15:48,594
really think about community health problems that are

437
00:15:48,650 --> 00:15:49,865
forthcoming. And

438
00:15:50,333 --> 00:15:52,182
planning around them, we can hope to am

439
00:15:52,317 --> 00:15:54,301
that into something degree. And so I'm talking

440
00:15:54,301 --> 00:15:55,729
about bringing this into the C suite. And

441
00:15:55,729 --> 00:15:57,816
there's a couple of health systems out there

442
00:15:57,872 --> 00:16:00,035
that have have some sort of a Chief

443
00:16:00,035 --> 00:16:02,426
sustainability officer, and I'll tell you that these

444
00:16:02,426 --> 00:16:04,816
people are doing amazing things under that. But

445
00:16:04,816 --> 00:16:06,625
they haven't been they have been granted that's

446
00:16:06,744 --> 00:16:09,157
soul title. We have, it's usually a blended

447
00:16:09,215 --> 00:16:12,723
title of sustainability plus some other aspect.

448
00:16:13,759 --> 00:16:17,035
When sustainability is the so focus the the

449
00:16:17,035 --> 00:16:18,702
leader in the institution tends to be more

450
00:16:18,702 --> 00:16:20,528
at the Vp level. And I will tell

451
00:16:20,528 --> 00:16:22,116
you that I I know so of the

452
00:16:22,116 --> 00:16:23,307
people that are sitting in the Vp level

453
00:16:23,307 --> 00:16:24,101
at in of is hospitals.

454
00:16:24,593 --> 00:16:25,093
And

455
00:16:27,140 --> 00:16:28,891
the health system that they can elevate them

456
00:16:28,891 --> 00:16:31,199
into the Cc will will be wow by

457
00:16:31,199 --> 00:16:33,847
their ability to just, you know, like the

458
00:16:33,847 --> 00:16:35,925
world, that's probably of about how good the

459
00:16:35,925 --> 00:16:37,523
world fire was definitely the wrong analogy for

460
00:16:37,523 --> 00:16:39,841
my conversation right now. But just to really,

461
00:16:40,080 --> 00:16:40,160
like,

462
00:16:40,975 --> 00:16:41,475
just

463
00:16:42,095 --> 00:16:43,695
they're just going to do so well. They're

464
00:16:43,695 --> 00:16:44,014
primed.

465
00:16:44,654 --> 00:16:46,815
Largely these people are already doing that role.

466
00:16:47,295 --> 00:16:48,195
They've just been

467
00:16:48,735 --> 00:16:51,304
in off. That are are sort of independent,

468
00:16:51,464 --> 00:16:53,618
not terribly well resources and yet these people

469
00:16:53,618 --> 00:16:55,932
are succeeding. And so what I encourage people

470
00:16:55,932 --> 00:16:58,103
to do is, you know, think about what

471
00:16:58,103 --> 00:17:00,579
sustainability means to you for your healthcare system.

472
00:17:00,899 --> 00:17:02,417
Make sure that you improve the impact on

473
00:17:02,417 --> 00:17:03,935
the world because that's a large part of

474
00:17:03,935 --> 00:17:06,909
it. Do not get healthy people from unhealthy

475
00:17:06,909 --> 00:17:07,230
environments.

476
00:17:07,710 --> 00:17:09,889
But think about what a achieves sustainability officer

477
00:17:10,029 --> 00:17:10,529
is

478
00:17:10,990 --> 00:17:13,241
find that person in your organization fix that

479
00:17:13,241 --> 00:17:15,149
and put them into a position power motivate

480
00:17:15,149 --> 00:17:17,375
them and to see what happens. I expect

481
00:17:17,375 --> 00:17:17,851
great things,

482
00:17:18,885 --> 00:17:21,367
and that's that's that I think is gonna

483
00:17:21,367 --> 00:17:23,044
happen the next couple of years or at

484
00:17:23,044 --> 00:17:25,039
least what I'm really looking for to see

485
00:17:25,039 --> 00:17:25,278
happen.

486
00:17:26,955 --> 00:17:28,950
That's amazing to hear and and definitely

487
00:17:29,364 --> 00:17:31,913
I so appreciate that focus and drive and

488
00:17:31,913 --> 00:17:33,904
energy around the sustainability of bringing that into

489
00:17:33,904 --> 00:17:34,781
the C suite to.

490
00:17:35,577 --> 00:17:37,826
Is so important. For the future. Doctor Meyer,

491
00:17:37,986 --> 00:17:39,103
thank you so much for joining us on

492
00:17:39,103 --> 00:17:40,858
the podcast today. This has been such a

493
00:17:40,858 --> 00:17:42,934
fascinating discussion, and I look forward to connecting

494
00:17:42,934 --> 00:17:43,811
with you again soon.

495
00:17:44,610 --> 00:17:46,221
For Well, thank you so much for having

496
00:17:46,221 --> 00:17:48,297
me. I really appreciate your audience for listening.

497
00:17:48,456 --> 00:17:51,809
And I'm at Uv health available if anyone

498
00:17:51,809 --> 00:17:53,406
has any questions or we'll reach out to

499
00:17:53,406 --> 00:17:56,045
talk. Always happy to help more. Thank you.