1 00:00:00,240 --> 00:00:03,060 Imagine this. You're at the Hyatt Regency Chicago 2 00:00:03,439 --> 00:00:06,000 immersed in insightful discussions with the health care 3 00:00:06,000 --> 00:00:07,459 industry's top leaders. 4 00:00:07,839 --> 00:00:10,580 Welcome to Becker's 12th annual CEO 5 00:00:10,880 --> 00:00:14,740 and CFO roundtable from November 11th to 14th 6 00:00:15,134 --> 00:00:15,634 2024. 7 00:00:16,175 --> 00:00:19,315 Picture yourself networking with over a 1000 executive 8 00:00:19,454 --> 00:00:20,275 level attendees, 9 00:00:20,734 --> 00:00:23,795 collecting business cards, and forging valuable connections. 10 00:00:24,255 --> 00:00:26,654 Feel the excitement as you engage in 4 11 00:00:26,654 --> 00:00:28,675 days of sessions featuring 400 12 00:00:29,135 --> 00:00:30,870 elite health system speakers. 13 00:00:31,429 --> 00:00:35,049 Envision yourself diving deep into critical topics like 14 00:00:35,109 --> 00:00:37,450 rural health care, digital transformation, 15 00:00:38,070 --> 00:00:40,409 health equity, and c suite diversity. 16 00:00:41,190 --> 00:00:44,729 Now imagine being inspired by our celebrity keynotes, 17 00:00:45,195 --> 00:00:48,234 pro football hall of famers Troy Aikman and 18 00:00:48,234 --> 00:00:52,075 Emmett Smith, 43rd president George w Bush, and 19 00:00:52,075 --> 00:00:55,435 author and journalist Jenna Bush Hager. Their stories 20 00:00:55,435 --> 00:00:56,495 will leave you motivated 21 00:00:56,875 --> 00:00:57,695 and energized. 22 00:00:58,234 --> 00:00:59,535 Don't miss this unparalleled 23 00:00:59,995 --> 00:01:00,495 opportunity. 24 00:01:00,990 --> 00:01:03,329 Get registered today. Visit beckershospitalreview.com 25 00:01:05,230 --> 00:01:06,989 and click on the events page to find 26 00:01:06,989 --> 00:01:08,129 the conference website. 27 00:01:08,510 --> 00:01:09,489 That's the beckershospitalreview.com 28 00:01:11,709 --> 00:01:13,729 events page. See you in Chicago. 29 00:01:14,775 --> 00:01:17,015 This is Laura Virdo with the Becker's Healthcare 30 00:01:17,015 --> 00:01:17,515 podcast. 31 00:01:17,814 --> 00:01:19,415 I'm thrilled today to be joined by Mark 32 00:01:19,415 --> 00:01:21,974 LePage, senior vice president of medical groups and 33 00:01:21,974 --> 00:01:24,215 inventory strategy at Trinity Health. Mark, it's a 34 00:01:24,215 --> 00:01:25,995 pleasure to have you on the podcast today. 35 00:01:26,739 --> 00:01:28,340 Laura, it's great to be with you and 36 00:01:28,340 --> 00:01:29,719 looking forward to our conversation. 37 00:01:30,500 --> 00:01:32,259 Absolutely. And, you know, this will be a 38 00:01:32,259 --> 00:01:34,099 great conversation. I know we'll be talking about 39 00:01:34,099 --> 00:01:35,719 some of the things you're doing at Trinity, 40 00:01:36,099 --> 00:01:38,579 the ambulatory side, the ways that you're continuing 41 00:01:38,579 --> 00:01:41,005 to expand and grow, within the broader system. 42 00:01:41,005 --> 00:01:42,844 And so that's a really exciting topic. I 43 00:01:42,844 --> 00:01:43,905 know it comes up, 44 00:01:44,444 --> 00:01:46,385 as something that a lot of different organizations 45 00:01:46,444 --> 00:01:48,365 are looking at and trying to figure out. 46 00:01:48,365 --> 00:01:50,125 And so it'd be great to learn more 47 00:01:50,125 --> 00:01:51,805 about what you're doing at Trinity. But before 48 00:01:51,805 --> 00:01:53,105 we dive into that discussion, 49 00:01:53,420 --> 00:01:54,700 can you tell us a little bit more 50 00:01:54,700 --> 00:01:56,719 about yourself and the health system overall? 51 00:01:58,060 --> 00:01:59,519 Yeah. I'd be glad to. 52 00:01:59,899 --> 00:02:00,219 So, 53 00:02:00,780 --> 00:02:03,099 currently, as you said, in my current role 54 00:02:03,099 --> 00:02:04,780 at Trinity Health, which I've been in for 55 00:02:04,780 --> 00:02:07,179 3 years, I oversee our medical groups and 56 00:02:07,179 --> 00:02:08,400 ambulatory strategy. 57 00:02:09,094 --> 00:02:11,574 In that role, I oversee our 15 medical 58 00:02:11,574 --> 00:02:13,915 groups, which are really positioned across the country. 59 00:02:14,694 --> 00:02:17,335 Within the medical group portion of Trinity Health, 60 00:02:17,335 --> 00:02:18,715 we have about 2,800,000 61 00:02:19,335 --> 00:02:22,135 members that call our primary care providers their 62 00:02:22,135 --> 00:02:22,635 home. 63 00:02:23,370 --> 00:02:25,069 And we employ 7,000, 64 00:02:26,009 --> 00:02:29,049 physicians and advanced practice practitioners as part of 65 00:02:29,049 --> 00:02:30,110 our medical groups. 66 00:02:30,489 --> 00:02:33,289 As I said, we're organized into 15 regional 67 00:02:33,289 --> 00:02:35,870 medical groups that really span across the country 68 00:02:37,664 --> 00:02:38,324 from Fresno 69 00:02:38,705 --> 00:02:40,944 all the way to Albany and down to 70 00:02:40,944 --> 00:02:41,764 Fort Lauderdale, 71 00:02:42,784 --> 00:02:44,485 and a number of sites in between. 72 00:02:45,504 --> 00:02:46,644 And as you highlighted, 73 00:02:47,104 --> 00:02:48,245 during your introduction, 74 00:02:48,864 --> 00:02:50,544 a lot of our focus right now is 75 00:02:50,544 --> 00:02:53,659 how do we continue to evolve our approach 76 00:02:53,879 --> 00:02:54,379 into, 77 00:02:55,319 --> 00:02:57,560 ambulatory care and the medical groups that we 78 00:02:57,560 --> 00:03:00,120 oversee are a big portion of that. Prior 79 00:03:00,120 --> 00:03:01,719 to my current role, I did have the 80 00:03:01,719 --> 00:03:04,439 opportunity to lead our large medical group in 81 00:03:04,439 --> 00:03:06,920 Southeast Michigan, IHA. I did that for 4 82 00:03:06,920 --> 00:03:09,155 years with Trinity Health before my current role. 83 00:03:10,414 --> 00:03:12,735 Well, that's fascinating to hear. And what trends 84 00:03:12,735 --> 00:03:13,875 are you watching currently? 85 00:03:15,534 --> 00:03:17,055 You know, there's a a number of things. 86 00:03:17,055 --> 00:03:18,735 I think first and foremost, you know, as 87 00:03:18,735 --> 00:03:21,775 we're looking at at, the demographic trends in 88 00:03:21,775 --> 00:03:22,435 the country, 89 00:03:23,989 --> 00:03:26,469 The country is aging and it's aging fairly 90 00:03:26,469 --> 00:03:29,430 rapidly. And so in most markets, most parts 91 00:03:29,430 --> 00:03:31,669 of the United States, the fastest growing segment 92 00:03:31,669 --> 00:03:33,049 of the population is 93 00:03:34,150 --> 00:03:36,949 the age segment that's traditionally retired, so over 94 00:03:36,949 --> 00:03:37,449 65. 95 00:03:38,235 --> 00:03:39,675 And we think this is gonna have some 96 00:03:39,675 --> 00:03:40,655 unique challenges 97 00:03:41,194 --> 00:03:42,794 for us in health care as we think 98 00:03:42,794 --> 00:03:43,455 about that. 99 00:03:44,555 --> 00:03:46,814 In particular, we know that those folks 100 00:03:48,075 --> 00:03:49,215 that are aging 101 00:03:49,594 --> 00:03:51,594 are gonna require more care. So we're gonna 102 00:03:51,594 --> 00:03:53,729 have to figure out how to deliver more 103 00:03:54,209 --> 00:03:56,849 care with a workforce that's roughly the same 104 00:03:56,849 --> 00:03:59,569 size, as it is today because we don't 105 00:03:59,569 --> 00:04:01,009 see a lot of growth in most of 106 00:04:01,009 --> 00:04:03,509 our markets in the traditional working age population. 107 00:04:03,650 --> 00:04:06,449 So that's certainly something that we're focused on. 108 00:04:06,689 --> 00:04:08,949 We realize we're gonna have to deliver care, 109 00:04:09,995 --> 00:04:11,915 in different ways than we have before in 110 00:04:11,915 --> 00:04:13,134 order to meet the 111 00:04:13,915 --> 00:04:16,014 demands of the population that we serve. 112 00:04:16,475 --> 00:04:17,535 Along with that, 113 00:04:17,915 --> 00:04:18,894 a lot of our 114 00:04:19,595 --> 00:04:21,675 payer mix is going to be shifting toward 115 00:04:21,675 --> 00:04:22,175 Medicare 116 00:04:22,555 --> 00:04:24,254 as that population age 117 00:04:25,310 --> 00:04:27,550 shift occurs over the next 20 to 25 118 00:04:27,550 --> 00:04:29,949 years. And so really it just is gonna 119 00:04:29,949 --> 00:04:31,410 require us to be very 120 00:04:31,710 --> 00:04:32,850 operationally efficient. 121 00:04:33,310 --> 00:04:35,069 And it also is gonna require us as 122 00:04:35,069 --> 00:04:35,810 we transition 123 00:04:36,784 --> 00:04:39,104 away from the acute care settings more toward 124 00:04:39,104 --> 00:04:41,985 the ambulatory care settings to think about how 125 00:04:41,985 --> 00:04:43,685 we best position those ambulatory, 126 00:04:44,384 --> 00:04:46,704 sites of care for our patients, in this 127 00:04:46,704 --> 00:04:47,104 aging, 128 00:04:47,584 --> 00:04:48,084 demographic. 129 00:04:49,759 --> 00:04:50,959 I think that makes a lot of sense 130 00:04:50,959 --> 00:04:52,800 and, you know, it's really fascinating to think 131 00:04:52,800 --> 00:04:55,360 about those demographic trends. Now what else are 132 00:04:55,360 --> 00:04:56,019 you seeing? 133 00:04:57,920 --> 00:05:01,279 Well, certainly, you know, within the, the overall 134 00:05:01,279 --> 00:05:04,745 provider community including both physicians and APPs, 135 00:05:06,165 --> 00:05:08,644 we've talked a bit about burnout for a 136 00:05:08,644 --> 00:05:10,725 while now in healthcare and we certainly see 137 00:05:10,725 --> 00:05:13,144 that as administrative burdens within healthcare 138 00:05:13,845 --> 00:05:15,845 have increased. And so we're trying to think 139 00:05:15,845 --> 00:05:16,345 about 140 00:05:17,149 --> 00:05:19,409 how do we make our practice locations 141 00:05:19,709 --> 00:05:22,189 and our practice environments as optimal for the 142 00:05:22,189 --> 00:05:22,689 caregivers, 143 00:05:23,389 --> 00:05:25,229 as we possibly can. And and a big 144 00:05:25,229 --> 00:05:27,069 part of that is really thinking about how 145 00:05:27,069 --> 00:05:27,629 do we, 146 00:05:28,430 --> 00:05:30,750 lessen some of that administrative burden on our 147 00:05:30,750 --> 00:05:31,250 caregivers 148 00:05:31,724 --> 00:05:33,324 so that they can do what only they 149 00:05:33,324 --> 00:05:35,344 can do, which is really to provide care, 150 00:05:36,284 --> 00:05:38,384 at the frontline level to our patients. 151 00:05:39,324 --> 00:05:41,324 We're thinking one of the things we're thinking 152 00:05:41,324 --> 00:05:42,925 about is how do we leverage some of 153 00:05:42,925 --> 00:05:45,644 the artificial intelligence tools to help offload some 154 00:05:45,644 --> 00:05:47,430 of that work off of our caregivers 155 00:05:47,889 --> 00:05:50,050 so that really they can spend more quality 156 00:05:50,050 --> 00:05:52,129 time and more intense time with our patients, 157 00:05:52,129 --> 00:05:53,490 which is really what we want them to 158 00:05:53,490 --> 00:05:55,110 be able to do in the first place. 159 00:05:56,610 --> 00:05:59,169 I definitely appreciate that too. I I know 160 00:05:59,169 --> 00:06:01,889 in so many places across the country, having 161 00:06:01,889 --> 00:06:04,254 that ability to focus more on the patient 162 00:06:04,254 --> 00:06:06,254 and clinical care side is really a a 163 00:06:06,254 --> 00:06:08,435 lot more fulfilling for health care providers. 164 00:06:08,975 --> 00:06:11,134 Now looking at, as you mentioned, some of 165 00:06:11,134 --> 00:06:14,194 the demographic changes as well as, provider wellness, 166 00:06:14,574 --> 00:06:16,335 what are you most focused on right now 167 00:06:16,335 --> 00:06:17,634 and excited about? 168 00:06:20,060 --> 00:06:20,779 Really about, 169 00:06:21,659 --> 00:06:23,339 well, a couple of things that like I 170 00:06:23,339 --> 00:06:25,740 said, the, we've got a a tool that 171 00:06:25,740 --> 00:06:28,240 we're using right now, Nuance DAX, 172 00:06:28,939 --> 00:06:30,720 that is helping with documentation, 173 00:06:31,419 --> 00:06:33,500 for our providers. So we're very excited about 174 00:06:33,500 --> 00:06:35,524 that. We're also excited about the other 175 00:06:35,904 --> 00:06:38,884 artificial intelligence tools that are, coming along, 176 00:06:39,584 --> 00:06:41,425 to help us alleviate some of that care 177 00:06:41,425 --> 00:06:42,644 burden for our caregivers. 178 00:06:43,665 --> 00:06:46,004 That those are things that we're excited about. 179 00:06:46,639 --> 00:06:48,819 In addition to that, we're thinking about, 180 00:06:49,919 --> 00:06:52,000 how do we as you mentioned, we and 181 00:06:52,000 --> 00:06:54,719 I as you mentioned, we're thinking of our 182 00:06:54,719 --> 00:06:58,019 transition from, acute care to ambulatory care. 183 00:06:58,634 --> 00:06:59,834 And one of those is, 184 00:07:00,314 --> 00:07:02,555 what Mike Hlebowski has spoken about our our 185 00:07:02,555 --> 00:07:03,055 CEO, 186 00:07:03,675 --> 00:07:06,954 which is our community division and really thinking 187 00:07:06,954 --> 00:07:08,654 about how do we set up an appropriate 188 00:07:08,794 --> 00:07:10,814 governance and operating model 189 00:07:11,170 --> 00:07:14,050 for our community division, which, includes our medical 190 00:07:14,050 --> 00:07:16,230 groups as well as our efforts around ambulatory 191 00:07:16,370 --> 00:07:18,949 surgery centers and ambulatory imaging sites. 192 00:07:20,210 --> 00:07:21,810 I could imagine that takes a lot of 193 00:07:21,810 --> 00:07:23,970 work and time and effort and planning as 194 00:07:23,970 --> 00:07:26,625 well as resources, but, truly, it seems like 195 00:07:26,625 --> 00:07:28,404 it'll make a big difference for the community, 196 00:07:28,544 --> 00:07:29,365 you know, once, 197 00:07:30,464 --> 00:07:32,865 everything is fully in place, you know, and 198 00:07:32,865 --> 00:07:34,865 and you're able to live out that strategy, 199 00:07:34,865 --> 00:07:36,704 that vision of what it looks like to 200 00:07:36,704 --> 00:07:38,784 have that type of community support in in 201 00:07:38,784 --> 00:07:40,290 full ambulatory network. 202 00:07:41,250 --> 00:07:43,970 Well, looking back over the last 6 months 203 00:07:43,970 --> 00:07:45,750 or so, what are you most proud of? 204 00:07:47,250 --> 00:07:48,930 Well, there's a number of things I'm really 205 00:07:48,930 --> 00:07:51,330 proud of. I I guess I'd highlight 3, 206 00:07:51,730 --> 00:07:52,470 three things. 207 00:07:53,625 --> 00:07:56,264 First, the medical groups across Trinity have been 208 00:07:56,264 --> 00:07:59,644 doing incredible work on hypertension management. 209 00:08:00,425 --> 00:08:03,865 We've partnered with the, American Medical Association, American 210 00:08:03,865 --> 00:08:04,685 Heart Association's 211 00:08:05,064 --> 00:08:05,564 MAPBP 212 00:08:05,944 --> 00:08:06,444 program, 213 00:08:07,439 --> 00:08:09,920 to really leverage some of their best learnings 214 00:08:09,920 --> 00:08:11,459 around hypertension management. 215 00:08:12,000 --> 00:08:15,620 And we've seen incredible results and across across 216 00:08:15,680 --> 00:08:17,839 our medical groups, our rate of blood pressure 217 00:08:17,839 --> 00:08:18,899 control is getting, 218 00:08:19,759 --> 00:08:22,814 up toward 80%, which is really quite remarkable 219 00:08:22,814 --> 00:08:24,735 when you consider that the average across the 220 00:08:24,735 --> 00:08:27,474 country is probably closer to 45 to 50%. 221 00:08:28,254 --> 00:08:30,894 So really incredible work, and we're continuing to 222 00:08:30,894 --> 00:08:33,695 improve those overall rates of blood pressure control. 223 00:08:33,695 --> 00:08:36,160 So very, very, proud of all of the 224 00:08:36,160 --> 00:08:38,240 work that's gone into that on the part 225 00:08:38,240 --> 00:08:39,379 of our medical groups. 226 00:08:40,559 --> 00:08:42,960 In addition to that, you know, thinking about 227 00:08:42,960 --> 00:08:45,779 our work on access because we know that 228 00:08:45,919 --> 00:08:48,639 the experience that our patients and members have 229 00:08:48,639 --> 00:08:51,144 is really tied to their ability to get 230 00:08:51,144 --> 00:08:52,524 into our practice sites 231 00:08:52,985 --> 00:08:55,004 when they want and need care. 232 00:08:55,545 --> 00:08:58,825 And so really, as an organization doubling down 233 00:08:58,825 --> 00:09:00,504 to make sure that our patients can get 234 00:09:00,504 --> 00:09:02,250 in and be seen when they wanna be 235 00:09:03,049 --> 00:09:05,210 seen for care. And so that's been a 236 00:09:05,210 --> 00:09:06,750 big effort, and we've made, 237 00:09:07,129 --> 00:09:09,149 really incredible progress on that 238 00:09:09,610 --> 00:09:10,590 as we've 239 00:09:11,370 --> 00:09:13,929 increased our our rate of fulfillment in a 240 00:09:13,929 --> 00:09:16,245 way that we measure that access by about 241 00:09:16,245 --> 00:09:16,745 8.5 242 00:09:17,125 --> 00:09:19,545 percentage points over the past year. 243 00:09:20,004 --> 00:09:22,504 And then finally, I'd mentioned the fact that 244 00:09:22,884 --> 00:09:25,205 from a stewardship perspective as all of us 245 00:09:25,205 --> 00:09:27,384 in healthcare have really faced this 246 00:09:28,429 --> 00:09:30,210 inflationary environment that 247 00:09:30,589 --> 00:09:31,970 we're continuing to face, 248 00:09:32,909 --> 00:09:33,409 really 249 00:09:34,269 --> 00:09:36,289 dramatic improvement in our overall 250 00:09:37,549 --> 00:09:39,730 operating performance with a 251 00:09:40,194 --> 00:09:42,914 significant improvement in our operating margin across all 252 00:09:42,914 --> 00:09:44,534 of Trinity Health Medical Groups, 253 00:09:44,914 --> 00:09:48,214 to the tune of 8 percentage point improvement. 254 00:09:48,834 --> 00:09:50,434 So really a lot of things to be 255 00:09:50,434 --> 00:09:52,434 proud of and and and the medical groups 256 00:09:52,434 --> 00:09:55,414 are doing tremendous work across Trinity Health. 257 00:09:56,549 --> 00:09:58,809 That's amazing to hear and and really impressive 258 00:09:59,029 --> 00:10:00,549 on all fronts when you think about, as 259 00:10:00,549 --> 00:10:02,549 you mentioned, some of the quality improvements and 260 00:10:02,549 --> 00:10:04,970 things you've been doing around that hypertension management. 261 00:10:05,029 --> 00:10:07,350 And then 2, and not to forget the 262 00:10:07,350 --> 00:10:09,995 financial aspect of it, in in having that 263 00:10:09,995 --> 00:10:12,794 improvement within the operating margin, I think so 264 00:10:12,794 --> 00:10:14,254 much, you know, 265 00:10:14,954 --> 00:10:17,054 sometimes it can get lost in terms of, 266 00:10:17,834 --> 00:10:20,235 having that ability to have the strong financial 267 00:10:20,235 --> 00:10:22,070 back bone in order to do everything else 268 00:10:22,070 --> 00:10:23,589 you wanna do to be innovative on the 269 00:10:23,589 --> 00:10:25,750 clinical side, it seems like it would make 270 00:10:25,750 --> 00:10:26,809 a really big difference. 271 00:10:28,309 --> 00:10:30,149 It really does. And and and I think 272 00:10:30,149 --> 00:10:31,990 all of us in health care are facing 273 00:10:31,990 --> 00:10:33,690 a lot of headwinds. And so, 274 00:10:34,389 --> 00:10:36,089 you know, declining reimbursements 275 00:10:36,504 --> 00:10:37,245 and frankly 276 00:10:38,424 --> 00:10:41,304 declining rates of Medicare reimbursement. And so it 277 00:10:41,304 --> 00:10:43,144 really is imperative for us to be able 278 00:10:43,144 --> 00:10:44,824 to continue to live out our mission that 279 00:10:44,824 --> 00:10:46,684 we steward our resources 280 00:10:47,225 --> 00:10:49,144 as well as we possibly can. And that 281 00:10:49,144 --> 00:10:50,204 really just demands 282 00:10:50,730 --> 00:10:52,269 a heightened level of operational 283 00:10:52,730 --> 00:10:55,529 performance and rigor across all of our medical 284 00:10:55,529 --> 00:10:56,029 groups. 285 00:10:57,450 --> 00:11:00,009 Fantastic. Well, before we wrap up here, I'm 286 00:11:00,009 --> 00:11:02,730 wondering what advice would you give evolving leaders 287 00:11:02,730 --> 00:11:05,014 today? What is really important for them to 288 00:11:05,014 --> 00:11:07,014 know and understand as they grow into the 289 00:11:07,014 --> 00:11:07,914 health care space? 290 00:11:09,575 --> 00:11:11,335 I think a couple of things. You know, 291 00:11:11,335 --> 00:11:14,875 I think for for leaders evolving leaders who 292 00:11:15,789 --> 00:11:18,509 have who come from a clinical background, I 293 00:11:18,509 --> 00:11:20,610 think it's really important to make sure 294 00:11:21,070 --> 00:11:24,029 that you bridge into the sort of business 295 00:11:24,029 --> 00:11:26,690 and financial sides of overall health care delivery, 296 00:11:27,389 --> 00:11:28,929 because I think that will really, 297 00:11:29,470 --> 00:11:32,184 amplify the voice of our clinician 298 00:11:32,804 --> 00:11:34,504 leaders, across health care. 299 00:11:35,284 --> 00:11:37,764 I think for folks that aren't that, you 300 00:11:37,764 --> 00:11:40,565 know, are leaders, evolving leaders, but haven't been 301 00:11:40,565 --> 00:11:41,065 historically 302 00:11:41,684 --> 00:11:44,404 involved in care delivery, getting close to care 303 00:11:44,404 --> 00:11:46,404 delivery, you know, at the front line to 304 00:11:46,404 --> 00:11:48,610 better understand it, I think will help facilitate 305 00:11:49,230 --> 00:11:50,850 their understanding of, 306 00:11:51,709 --> 00:11:54,110 exactly the the different challenges that are being 307 00:11:54,110 --> 00:11:55,970 faced across health care right now. 308 00:11:56,350 --> 00:11:58,610 And then I think more generally just saying, 309 00:11:58,909 --> 00:11:59,570 you know, 310 00:11:59,904 --> 00:12:02,784 be brave. Right? Step into the discomfort and 311 00:12:02,784 --> 00:12:04,964 find those troublesome problems 312 00:12:05,424 --> 00:12:08,464 or opportunities for improvement and step into those. 313 00:12:08,464 --> 00:12:11,424 Those they're the the the most challenging things 314 00:12:11,424 --> 00:12:13,345 to solve, but they're also the most rewarding 315 00:12:13,345 --> 00:12:14,804 things to solve. So I encourage 316 00:12:15,480 --> 00:12:16,139 I'd encourage, 317 00:12:17,000 --> 00:12:19,899 bravery in in stepping into those problem areas, 318 00:12:20,519 --> 00:12:23,320 within health care or within the health care 319 00:12:23,320 --> 00:12:23,820 system. 320 00:12:25,240 --> 00:12:26,840 I love that. Mark, thank you so much 321 00:12:26,840 --> 00:12:28,519 for joining us on the podcast today. This 322 00:12:28,519 --> 00:12:30,794 has been such a fascinating conversation, and I 323 00:12:30,794 --> 00:12:32,735 look forward to connecting with you again soon. 324 00:12:33,514 --> 00:12:35,274 Thank you so much, Laura. I really appreciate 325 00:12:35,274 --> 00:12:35,774 it.