1 00:00:00,438 --> 00:00:02,668 Hi, everyone, And welcome to the Becker healthcare 2 00:00:02,668 --> 00:00:03,407 care podcast. 3 00:00:03,942 --> 00:00:06,810 I'm Mackenzie Bean, a vp and managing editor 4 00:00:06,810 --> 00:00:08,743 of Becker hospital review 5 00:00:09,294 --> 00:00:10,889 Today I I'm so thrilled to be joined 6 00:00:10,889 --> 00:00:13,839 by doctor. Eb, Bar, who is the system 7 00:00:13,839 --> 00:00:16,869 chief and regional Chief Medical and quality officer 8 00:00:16,869 --> 00:00:18,199 of base state health 9 00:00:18,557 --> 00:00:20,467 Dr. Bar. Thank you so much for joining 10 00:00:20,467 --> 00:00:21,580 me today. How are you? 11 00:00:22,614 --> 00:00:25,001 Mckinsey, I'm fantastic. Thank you very much. 12 00:00:25,890 --> 00:00:28,931 For the podcast, the invitation and always great 13 00:00:29,781 --> 00:00:32,402 to be part of the bigger Becker family. 14 00:00:34,086 --> 00:00:36,712 Well, we are always so excited to feature 15 00:00:36,712 --> 00:00:38,463 your thoughts and some of the impressive work 16 00:00:38,463 --> 00:00:39,975 that you're doing at base state, and I 17 00:00:39,975 --> 00:00:42,223 know we're going to dive into a few 18 00:00:42,223 --> 00:00:44,081 areas of your core focuses 19 00:00:44,620 --> 00:00:47,097 shortly. But before we do that, I'd love 20 00:00:47,097 --> 00:00:49,469 to have you introduce yourself or folks who 21 00:00:49,828 --> 00:00:52,240 may not have listened to your past episodes 22 00:00:52,616 --> 00:00:53,731 and tell us a little bit more about 23 00:00:53,731 --> 00:00:54,369 your background. 24 00:00:56,121 --> 00:00:56,935 So Abraham, 25 00:00:57,815 --> 00:01:01,414 I am the system chief Hospital medicine and 26 00:01:01,414 --> 00:01:05,015 the regional Chief quality and medical Officer at 27 00:01:05,094 --> 00:01:05,814 Bay deep Health. 28 00:01:06,629 --> 00:01:07,689 My background, 29 00:01:08,069 --> 00:01:10,890 I'm a clinician with Capital C, and 30 00:01:11,269 --> 00:01:13,989 I have training and quality, public health and 31 00:01:13,989 --> 00:01:15,030 health care economics. 32 00:01:16,641 --> 00:01:18,969 Trying to bridge the world of 33 00:01:19,502 --> 00:01:21,989 physician clinicians and how we could do better 34 00:01:22,522 --> 00:01:24,747 serving our patients in the hospital. 35 00:01:25,239 --> 00:01:27,868 And work at Bay to help, Bay is 36 00:01:27,868 --> 00:01:32,248 a integrated academic network in In Massachusetts. We 37 00:01:32,248 --> 00:01:34,994 serve about 900000 38 00:01:35,053 --> 00:01:36,990 patients across our 5 hospitals. 39 00:01:37,847 --> 00:01:41,301 We aim to make sure our 40 00:01:41,838 --> 00:01:42,737 care is 41 00:01:43,849 --> 00:01:46,890 tailored to our patients across the spectrum of 42 00:01:46,890 --> 00:01:47,770 the care delivery. 43 00:01:48,810 --> 00:01:51,390 We have a great team. We 44 00:01:51,942 --> 00:01:52,760 13000 45 00:01:52,975 --> 00:01:53,475 employee 46 00:01:54,247 --> 00:01:56,711 serving our patients day in and day out. 47 00:01:57,109 --> 00:01:59,040 That second part is about 48 00:01:59,908 --> 00:02:01,821 how we can do that from a system 49 00:02:01,821 --> 00:02:02,778 level and, 50 00:02:03,416 --> 00:02:04,851 at the bedside. I e... 51 00:02:05,888 --> 00:02:07,642 Because as you know, I took I took 52 00:02:07,642 --> 00:02:10,836 on this journey as as a Chief Medical 53 00:02:10,916 --> 00:02:11,948 Officer to say, 54 00:02:12,663 --> 00:02:14,989 I could I could save lives 55 00:02:15,442 --> 00:02:17,268 practicing medicine every day. 56 00:02:18,079 --> 00:02:19,855 But if we all collectively 57 00:02:20,313 --> 00:02:23,185 fix the system, fix how we deliver Better 58 00:02:23,185 --> 00:02:25,201 care on the system level, we could 59 00:02:25,671 --> 00:02:28,871 save thousands of lives. And I stand 60 00:02:29,483 --> 00:02:32,421 behind a team delivering to care every day. 61 00:02:33,946 --> 00:02:35,697 Yeah. I'd love to dive into that a 62 00:02:35,697 --> 00:02:37,949 little bit more in terms of 63 00:02:38,404 --> 00:02:39,620 really looking system 64 00:02:40,314 --> 00:02:40,814 systematically 65 00:02:41,444 --> 00:02:42,800 how you can improve care, 66 00:02:43,518 --> 00:02:45,751 and, at the same time, the experience for 67 00:02:45,751 --> 00:02:46,570 your caregivers. 68 00:02:47,426 --> 00:02:49,739 I know clinical efficiency is something that comes 69 00:02:49,739 --> 00:02:52,468 up pretty regularly. When I speaking with chief 70 00:02:52,548 --> 00:02:53,447 Medical officers 71 00:02:53,906 --> 00:02:57,022 in light of increasing capacity issues that health 72 00:02:57,022 --> 00:02:58,460 systems, care demand, 73 00:02:59,271 --> 00:03:02,525 more stress and workload put on clinicians. I'm 74 00:03:02,525 --> 00:03:05,145 curious how are you thinking about clinical efficiency 75 00:03:05,145 --> 00:03:06,550 at base state and 76 00:03:07,144 --> 00:03:08,967 you know, really seeking to improve it. 77 00:03:10,314 --> 00:03:12,375 This is great to and quite timely. 78 00:03:12,930 --> 00:03:13,722 At these states, 79 00:03:14,374 --> 00:03:15,512 we're taking on 80 00:03:16,050 --> 00:03:16,550 newer 81 00:03:17,088 --> 00:03:18,626 approach of how we can 82 00:03:19,084 --> 00:03:21,878 deliver high quality efficient care. And I'm going 83 00:03:21,878 --> 00:03:23,416 to more maybe zoom in 84 00:03:24,047 --> 00:03:24,865 and shared 85 00:03:25,558 --> 00:03:26,377 with the audience, 86 00:03:27,627 --> 00:03:30,092 at least a big project that we're proud 87 00:03:30,092 --> 00:03:33,384 to take on and make sure we are 88 00:03:33,384 --> 00:03:36,344 caring from caring for every patient from the 89 00:03:36,344 --> 00:03:36,844 moment 90 00:03:37,305 --> 00:03:39,874 they come to our door any door in 91 00:03:39,874 --> 00:03:41,783 the system. They will have access to the 92 00:03:41,783 --> 00:03:42,283 same 93 00:03:42,658 --> 00:03:45,863 healthcare, which is that continuum between 94 00:03:46,333 --> 00:03:50,019 emergency department to the inpatient floors. We know 95 00:03:50,316 --> 00:03:53,103 we have much higher demands that we need 96 00:03:53,103 --> 00:03:53,603 to 97 00:03:55,269 --> 00:03:57,664 take care of our patients in terms of 98 00:03:57,664 --> 00:04:00,219 coming to the emergency room, coming to the 99 00:04:00,219 --> 00:04:03,093 emergency departments across the country. We're hearing about 100 00:04:03,093 --> 00:04:05,745 the crowding in the Eds and the delays 101 00:04:05,745 --> 00:04:08,625 in the care, which unfortunately affecting our patients. 102 00:04:09,185 --> 00:04:11,125 I'm working closely with the 103 00:04:11,425 --> 00:04:12,324 chair of 104 00:04:13,278 --> 00:04:15,672 emergency medicine unit based aid Doctor. Jimmy. 105 00:04:16,230 --> 00:04:17,848 And our chief nursing 106 00:04:18,465 --> 00:04:20,220 executive, Doctor. Joanne Miller, 107 00:04:20,714 --> 00:04:22,787 to build that continuum of 108 00:04:23,186 --> 00:04:25,680 care where we can work on the efficiency 109 00:04:25,818 --> 00:04:26,318 by 110 00:04:26,695 --> 00:04:29,109 improving discharges from the 111 00:04:29,486 --> 00:04:29,885 inpatient unit, 112 00:04:30,536 --> 00:04:33,635 to allow more access on the inpatient to 113 00:04:33,635 --> 00:04:36,099 bring the patient faster in the exam room 114 00:04:36,099 --> 00:04:38,903 for the for the emergency visit and then 115 00:04:39,691 --> 00:04:41,145 expedite that journey 116 00:04:41,838 --> 00:04:44,884 from the emergency room all the way to 117 00:04:44,941 --> 00:04:47,665 the right bed to deliver the right care 118 00:04:47,665 --> 00:04:49,499 in the right time on the right service. 119 00:04:49,978 --> 00:04:54,205 Our patients mckinsey, they deserve the highest quality 120 00:04:54,205 --> 00:04:55,901 care and we're able to 121 00:04:56,693 --> 00:05:00,363 advance the mission, our Bmc, our base State 122 00:05:00,522 --> 00:05:01,639 Medical Center, President, 123 00:05:02,118 --> 00:05:03,076 Mr. Sam Sc, 124 00:05:03,807 --> 00:05:07,461 supportive of this executive vision to be able 125 00:05:07,461 --> 00:05:07,961 to 126 00:05:08,414 --> 00:05:11,377 reduce the, length to stay in our hospital 127 00:05:12,783 --> 00:05:13,283 hospitalizations 128 00:05:13,914 --> 00:05:16,091 improve the time to treatment in the emergency 129 00:05:16,150 --> 00:05:16,310 room, 130 00:05:17,748 --> 00:05:20,360 rebuild our team for the care delivery through 131 00:05:20,479 --> 00:05:20,979 ex 132 00:05:21,754 --> 00:05:24,166 more of the discharges and 133 00:05:24,542 --> 00:05:28,388 standardize how we clinicians physicians be able to 134 00:05:28,765 --> 00:05:29,902 get the patient 135 00:05:30,214 --> 00:05:33,743 back home or to their discharge destination 136 00:05:34,360 --> 00:05:36,193 faster and safer. 137 00:05:36,751 --> 00:05:39,474 We're able to reduce link this day, which 138 00:05:39,474 --> 00:05:42,173 we will share with our medical community. I 139 00:05:42,173 --> 00:05:43,760 hope very soon in print. 140 00:05:44,474 --> 00:05:46,244 We're also built more 141 00:05:46,554 --> 00:05:49,761 safety and quality measures around how we deliver 142 00:05:50,376 --> 00:05:52,208 the care here at they state health. 143 00:05:53,561 --> 00:05:56,598 More to come, I think our experience at 144 00:05:56,598 --> 00:05:58,765 these stage is 1 of the many experiences 145 00:05:58,900 --> 00:06:01,758 across the Us and in any integrated network. 146 00:06:02,631 --> 00:06:05,291 We want to learn, we want to show 147 00:06:05,826 --> 00:06:08,475 what we achieved and build on that collective 148 00:06:08,532 --> 00:06:08,850 experience. 149 00:06:10,601 --> 00:06:11,897 Yes. I think that 150 00:06:12,367 --> 00:06:12,867 learning 151 00:06:13,559 --> 00:06:15,547 is such an important part of this right 152 00:06:15,547 --> 00:06:17,694 sharing best practices what peers out as well. 153 00:06:17,853 --> 00:06:20,000 We're all really on the same mission, So 154 00:06:20,000 --> 00:06:21,374 we look forward to hearing 155 00:06:22,164 --> 00:06:23,922 and seeing that publication come out with more 156 00:06:23,922 --> 00:06:24,641 of your results. 157 00:06:25,840 --> 00:06:27,059 For listeners 158 00:06:27,678 --> 00:06:27,998 today, 159 00:06:28,557 --> 00:06:30,875 I'm curious what advice would you share from 160 00:06:30,875 --> 00:06:31,329 them 161 00:06:31,766 --> 00:06:33,591 in terms of, you know, rolling out a 162 00:06:33,591 --> 00:06:35,178 similar initiative or perhaps, 163 00:06:36,448 --> 00:06:37,956 what is a key piece of advice or 164 00:06:37,956 --> 00:06:39,805 lesson that you learned in this journey 165 00:06:40,194 --> 00:06:42,509 towards a higher clinical efficiency. 166 00:06:43,866 --> 00:06:46,341 So this is excellent. And again, I'm gonna 167 00:06:46,341 --> 00:06:48,896 always default to the clinician side of me. 168 00:06:49,709 --> 00:06:50,582 At the bedside. 169 00:06:53,121 --> 00:06:55,685 When we think about modifying processes 170 00:06:56,137 --> 00:06:59,897 to reach the outcomes that we desire, the 171 00:06:59,897 --> 00:07:02,052 the the best outcomes for the patient. 172 00:07:03,887 --> 00:07:04,706 I hear 173 00:07:05,099 --> 00:07:07,996 our senior vice President to Doctor. Du salvador 174 00:07:08,055 --> 00:07:10,132 probably giving me some guidance there. 175 00:07:11,091 --> 00:07:13,604 It's all about harmon standardization and 176 00:07:13,904 --> 00:07:15,904 standardization. We know there's variation in the care. 177 00:07:16,865 --> 00:07:17,925 Our goal 178 00:07:18,384 --> 00:07:21,104 as a community to deliver better care is 179 00:07:21,104 --> 00:07:22,478 to put that, 180 00:07:23,755 --> 00:07:26,788 harmon digitization in a complex system across many 181 00:07:26,788 --> 00:07:27,288 services 182 00:07:27,746 --> 00:07:30,561 and standardize the processes that we 183 00:07:31,034 --> 00:07:33,346 use the tools that we have to make 184 00:07:33,346 --> 00:07:35,499 sure we're delivering the high quality care. 185 00:07:36,296 --> 00:07:39,779 I think my philosophy there is more about 186 00:07:39,979 --> 00:07:40,479 tangible 187 00:07:41,016 --> 00:07:41,516 side 188 00:07:42,291 --> 00:07:45,322 care delivery and and less slides in Excel 189 00:07:45,322 --> 00:07:48,431 sheets and and be able to take on 190 00:07:48,431 --> 00:07:50,376 as as a physician 191 00:07:50,986 --> 00:07:53,204 of how we could do that. And by 192 00:07:53,204 --> 00:07:56,240 all means, I'm I'm the 1 that I 193 00:07:56,707 --> 00:07:59,412 help to take care of our physicians, so 194 00:07:59,412 --> 00:08:01,184 they could do better job 195 00:08:01,559 --> 00:08:03,904 every day better than my probably 196 00:08:04,361 --> 00:08:06,992 throughout throughput. But the goal is to make 197 00:08:06,992 --> 00:08:08,905 sure we we march as a team. 198 00:08:09,703 --> 00:08:11,457 I would like maybe to share with the 199 00:08:11,457 --> 00:08:11,957 audience 200 00:08:12,269 --> 00:08:14,503 the the big learning, I would say, 201 00:08:15,141 --> 00:08:15,460 theme, 202 00:08:16,338 --> 00:08:17,854 it will come down to value, 203 00:08:18,572 --> 00:08:21,379 access and quality. Value is we need to 204 00:08:21,379 --> 00:08:23,713 deliver better care, better outcomes 205 00:08:24,170 --> 00:08:26,882 and with controlling the cost of spending in 206 00:08:26,882 --> 00:08:29,490 healthcare care. Access is what our patients 207 00:08:30,088 --> 00:08:33,039 we'll be asking for is the come into 208 00:08:33,039 --> 00:08:36,070 the clinic coming into the emergency 0 come 209 00:08:36,070 --> 00:08:38,462 into the inpatient and always be able to 210 00:08:38,462 --> 00:08:39,340 serve our patients. 211 00:08:40,315 --> 00:08:43,274 When I hear numbers about left without being 212 00:08:43,274 --> 00:08:44,954 seen or missed appointments, 213 00:08:46,315 --> 00:08:48,559 I take that personal we need to make 214 00:08:48,559 --> 00:08:50,939 sure we're there for our patients When they 215 00:08:50,939 --> 00:08:52,050 knock on our doors, 216 00:08:53,161 --> 00:08:53,661 we 217 00:08:54,192 --> 00:08:57,302 come and help them to solve these medical 218 00:08:57,302 --> 00:08:57,620 problems. 219 00:08:58,255 --> 00:08:59,128 That's our job. 220 00:09:00,319 --> 00:09:02,485 I would like to elevate also the quality 221 00:09:02,541 --> 00:09:04,659 where we know in health care 222 00:09:05,256 --> 00:09:06,131 we still have 223 00:09:06,688 --> 00:09:08,756 long way to to do what we do 224 00:09:08,756 --> 00:09:11,563 better every day. It will come down to 225 00:09:11,954 --> 00:09:12,454 eliminating 226 00:09:12,990 --> 00:09:15,383 medical errors or to errors and diagnostic and 227 00:09:15,383 --> 00:09:15,862 treatments, 228 00:09:16,819 --> 00:09:19,552 how we can do that efficient care with 229 00:09:19,611 --> 00:09:22,980 the understanding constraints of times and resources, 230 00:09:23,620 --> 00:09:26,259 but making sure that the quality of care 231 00:09:26,259 --> 00:09:28,740 that you and I will be asking for 232 00:09:28,740 --> 00:09:31,240 is what we deliver consistently see 233 00:09:31,634 --> 00:09:32,134 and 234 00:09:32,671 --> 00:09:33,171 uniformly 235 00:09:33,548 --> 00:09:35,223 across our patient population, 236 00:09:36,180 --> 00:09:37,239 harmon standardization 237 00:09:37,696 --> 00:09:37,935 standardization, 238 00:09:38,653 --> 00:09:40,987 value, access and quality and 239 00:09:41,539 --> 00:09:42,833 team building in health, 240 00:09:43,683 --> 00:09:45,613 at least in my experience 241 00:09:46,066 --> 00:09:47,201 helped me to 242 00:09:47,892 --> 00:09:48,392 position 243 00:09:48,766 --> 00:09:50,616 my team to be more successful 244 00:09:51,244 --> 00:09:54,040 and they are successful and we can take 245 00:09:54,040 --> 00:09:56,117 care of the patient in that patient centric 246 00:09:56,117 --> 00:09:56,517 models. 247 00:09:58,528 --> 00:09:59,885 Yeah. I know you have quite 248 00:10:00,603 --> 00:10:03,178 bit of experience on the quality and safety 249 00:10:03,556 --> 00:10:05,731 side of things looking at your career 250 00:10:06,284 --> 00:10:08,120 I'm curious within that realm, 251 00:10:08,839 --> 00:10:10,994 what other big project or initiatives are you 252 00:10:10,994 --> 00:10:13,251 focusing on and say, the next year, 253 00:10:14,028 --> 00:10:15,545 to really improve some of those metrics? 254 00:10:17,000 --> 00:10:19,580 So this is excellent. I'm maybe 255 00:10:20,519 --> 00:10:22,360 advance a little bit of the work we're 256 00:10:22,360 --> 00:10:23,399 doing here at base date. 257 00:10:24,200 --> 00:10:25,580 We were able to 258 00:10:26,453 --> 00:10:28,551 centralize the care and and 259 00:10:29,090 --> 00:10:30,549 identify when the gaps 260 00:10:30,928 --> 00:10:33,026 that we all know as a clinicians 261 00:10:33,820 --> 00:10:36,000 do exist. We always look at the system 262 00:10:36,059 --> 00:10:36,379 as 263 00:10:37,019 --> 00:10:38,399 as a rate or 264 00:10:39,019 --> 00:10:40,299 a a number. 265 00:10:41,512 --> 00:10:43,972 I think, to be more efficient, we need 266 00:10:43,972 --> 00:10:46,352 to start from the patient side, 267 00:10:47,383 --> 00:10:49,129 and then build up to the unit and 268 00:10:49,129 --> 00:10:51,365 build up to the healthcare care or the 269 00:10:51,365 --> 00:10:53,928 hospital the healthcare care. So what we've done 270 00:10:54,063 --> 00:10:55,356 and I'm proud to 271 00:10:55,729 --> 00:10:58,603 report this that we're able to build quality 272 00:10:58,603 --> 00:11:00,858 and safety dashboards to measure 273 00:11:01,394 --> 00:11:04,505 all the items that we know, it's it's 274 00:11:04,505 --> 00:11:07,716 the right thing to do while the patient 275 00:11:08,187 --> 00:11:08,687 is 276 00:11:09,378 --> 00:11:11,680 she or here or they with us. We 277 00:11:11,680 --> 00:11:13,744 need to do the better care for them. 278 00:11:14,617 --> 00:11:15,594 We know that 279 00:11:15,985 --> 00:11:19,585 1 cod, 1 cl, 1 fall is not 280 00:11:19,585 --> 00:11:22,465 acceptable. Is 1 too many. And we want 281 00:11:22,465 --> 00:11:25,035 to put the hat off instead of counting 282 00:11:25,035 --> 00:11:25,854 these errors 283 00:11:26,230 --> 00:11:26,730 or 284 00:11:27,107 --> 00:11:29,578 adverse events, we want to be more proactive. 285 00:11:29,738 --> 00:11:31,832 And have a predictive models 286 00:11:32,702 --> 00:11:34,614 to look at how we can remove the 287 00:11:34,614 --> 00:11:37,243 foley before the c to remove the line 288 00:11:37,243 --> 00:11:40,191 before the k, when the patient is not 289 00:11:40,191 --> 00:11:42,753 doing well because healthcare care is complex and 290 00:11:42,753 --> 00:11:44,816 they're becoming deli lea. 291 00:11:45,610 --> 00:11:47,380 We want to make sure we're 292 00:11:47,832 --> 00:11:49,285 applying better here 293 00:11:49,832 --> 00:11:52,795 before that fall happens or provide the environment 294 00:11:52,852 --> 00:11:55,894 so they will not fall within any hospital. 295 00:11:56,427 --> 00:11:56,879 The 296 00:11:57,478 --> 00:11:59,255 intersection between digital health 297 00:11:59,633 --> 00:12:00,133 analytics 298 00:12:00,591 --> 00:12:03,624 and the predictive part of health care, which 299 00:12:03,624 --> 00:12:06,033 we're all learning about with the with now 300 00:12:06,033 --> 00:12:07,729 the introduction more of 301 00:12:08,105 --> 00:12:09,323 Ai in healthcare 302 00:12:10,019 --> 00:12:13,207 is the future. And I would urge all 303 00:12:13,207 --> 00:12:13,867 the audience 304 00:12:14,258 --> 00:12:17,195 not to wait for the event. Let's be 305 00:12:17,195 --> 00:12:19,361 proactive. Let's make sure we're 306 00:12:20,052 --> 00:12:22,612 applying the best care up front and be 307 00:12:22,612 --> 00:12:24,789 able to standardize that and 308 00:12:25,406 --> 00:12:29,398 raise that accountability and transparency. We want to 309 00:12:29,398 --> 00:12:32,149 even tell the team our last 310 00:12:32,687 --> 00:12:35,963 adverse event was 6 months ago. Let me 311 00:12:35,963 --> 00:12:39,249 share with you my experience and have you 312 00:12:39,249 --> 00:12:40,759 also be part of it when you take 313 00:12:40,759 --> 00:12:42,268 it to your unit to your health care 314 00:12:42,268 --> 00:12:44,254 to your hospital to apply the same method. 315 00:12:44,889 --> 00:12:47,369 This is how we can march together the 316 00:12:47,369 --> 00:12:50,645 second part, which I always keep keep an 317 00:12:50,645 --> 00:12:53,442 eye on is when we build the system 318 00:12:53,442 --> 00:12:55,495 that likely in the next 319 00:12:56,254 --> 00:12:59,370 years decade, it will be more tech savvy, 320 00:12:59,530 --> 00:13:03,925 more Ai likely driven more builds and whistles 321 00:13:03,925 --> 00:13:06,654 that We always think about the patient. The 322 00:13:06,654 --> 00:13:09,129 quality of the care is when the patient 323 00:13:09,129 --> 00:13:10,645 says we did the good job, 324 00:13:11,284 --> 00:13:12,880 the surveys that they 325 00:13:13,853 --> 00:13:16,327 report back to us. The the thank you 326 00:13:16,327 --> 00:13:18,880 letter. I... This morning, I was reading a 327 00:13:18,880 --> 00:13:20,737 thank you letter from patient and 328 00:13:21,449 --> 00:13:24,876 it brings satisfaction it bring joy. But importantly, 329 00:13:25,195 --> 00:13:26,014 that the 330 00:13:26,550 --> 00:13:29,260 the quality. The patient experience is also telling 331 00:13:29,260 --> 00:13:31,193 us we've done a good job, and we 332 00:13:31,193 --> 00:13:32,172 need to do it 333 00:13:33,031 --> 00:13:35,668 millions of times because that's how many admissions 334 00:13:35,668 --> 00:13:38,225 we do in the Us every year. 1 335 00:13:38,225 --> 00:13:39,025 admission at the time, 336 00:13:39,758 --> 00:13:42,629 high quality at the time. Let's use that 337 00:13:42,629 --> 00:13:45,819 digital aspect of the care. And let's build 338 00:13:45,819 --> 00:13:46,319 on 339 00:13:46,935 --> 00:13:49,902 each other's experience and share across our community. 340 00:13:52,297 --> 00:13:54,533 Absolutely. I think that's such an important message 341 00:13:54,533 --> 00:13:55,033 for 342 00:13:55,730 --> 00:13:58,580 all all health leaders to be reminded of 343 00:13:59,179 --> 00:14:01,340 Doctor Rec, I thank you so much for 344 00:14:01,340 --> 00:14:04,139 your time and thoughtful insights on the podcast 345 00:14:04,139 --> 00:14:05,899 today, been wonderful speaking with you. 346 00:14:07,353 --> 00:14:09,588 As always thank you and I'm grateful. 347 00:14:10,306 --> 00:14:12,301 And let's share what we have on the 348 00:14:12,461 --> 00:14:14,296 Becker platform. Thank you very much. 349 00:14:15,350 --> 00:14:17,669 Yeah. Thank you as well. And listeners you 350 00:14:17,669 --> 00:14:19,590 can catch more of doctor Var barracuda at 351 00:14:19,590 --> 00:14:22,470 our upcoming clinical leadership forum at the Becker 352 00:14:22,549 --> 00:14:25,841 Ceo of Cfo Round table. Held November 11 353 00:14:25,841 --> 00:14:27,199 support teeth in Chicago. 354 00:14:27,678 --> 00:14:29,913 We still have some limited space available for 355 00:14:29,913 --> 00:14:30,972 attendees and sponsors. 356 00:14:31,749 --> 00:14:34,200 Contact us at agenda team at Becker Health 357 00:14:34,478 --> 00:14:35,910 dot com to learn more.