1
00:00:00,080 --> 00:00:02,799
Welcome everyone to the Becker's Healthcare podcast series.

2
00:00:02,799 --> 00:00:05,679
I'm Ryan Mohammed, writer and moderator with Becker's

3
00:00:05,679 --> 00:00:07,519
Healthcare. And I'm thrilled to have with me

4
00:00:07,519 --> 00:00:10,400
today Heather Trout, director of women and children

5
00:00:10,400 --> 00:00:12,259
services at North Bay Health.

6
00:00:12,764 --> 00:00:15,084
Heather, welcome to the podcast. We're very excited

7
00:00:15,084 --> 00:00:16,304
to have you join us today.

8
00:00:16,844 --> 00:00:18,765
To get us started, I want to discuss

9
00:00:18,765 --> 00:00:20,925
how North Bay Medical Center has earned the

10
00:00:20,925 --> 00:00:22,064
high performing rating,

11
00:00:22,605 --> 00:00:25,664
in US News and World Reports, best hospital

12
00:00:25,724 --> 00:00:28,649
for, maternity maternity care for the 4th consecutive

13
00:00:28,649 --> 00:00:30,269
year, which is absolutely amazing.

14
00:00:31,210 --> 00:00:33,289
What does this recognition mean for your team

15
00:00:33,289 --> 00:00:34,590
and the families you serve?

16
00:00:35,450 --> 00:00:38,890
Thank you, Mariah. Yes. This was another huge

17
00:00:38,890 --> 00:00:39,390
honor.

18
00:00:39,734 --> 00:00:41,975
Like you mentioned, it was the 4th year

19
00:00:41,975 --> 00:00:43,195
of receiving this,

20
00:00:43,574 --> 00:00:45,835
and it and it truly just validates

21
00:00:46,375 --> 00:00:48,934
that the quality is the core of everything

22
00:00:48,934 --> 00:00:50,875
that we do here at North Bay Health,

23
00:00:51,015 --> 00:00:54,060
not only just in maternity care services, but

24
00:00:54,460 --> 00:00:56,320
every department within our organization

25
00:00:57,179 --> 00:00:58,320
and also validates,

26
00:00:58,859 --> 00:01:01,500
our patient centered care model. So, you know,

27
00:01:01,500 --> 00:01:03,200
putting the patient in the center

28
00:01:03,579 --> 00:01:06,060
of everything we do. So it was,

29
00:01:06,700 --> 00:01:08,880
a great honor to receive that again.

30
00:01:09,875 --> 00:01:13,015
Yeah. Definitely. I can obviously see how quality,

31
00:01:14,194 --> 00:01:16,454
comes first with the patients,

32
00:01:16,994 --> 00:01:18,674
having won this for the 4th year in

33
00:01:18,674 --> 00:01:20,914
a row. Can you walk us through the

34
00:01:20,914 --> 00:01:21,814
key factors

35
00:01:22,114 --> 00:01:22,935
US News

36
00:01:23,859 --> 00:01:25,799
uses to evaluate the distinction,

37
00:01:26,420 --> 00:01:28,739
and how North Bay consistently meets these,

38
00:01:29,219 --> 00:01:30,359
these levels of criteria?

39
00:01:31,219 --> 00:01:33,939
Absolutely, Mariah. So US News,

40
00:01:34,260 --> 00:01:35,959
and World Report, they evaluate

41
00:01:36,935 --> 00:01:39,254
the hospitals in a variety of,

42
00:01:39,655 --> 00:01:42,454
different areas. And there's 8 8 specific items

43
00:01:42,454 --> 00:01:43,594
that they look at.

44
00:01:44,134 --> 00:01:44,935
One being,

45
00:01:45,254 --> 00:01:46,715
our c section rates,

46
00:01:47,494 --> 00:01:48,634
newborn complication

47
00:01:48,935 --> 00:01:51,334
rates because those kinda go hand in hand

48
00:01:51,334 --> 00:01:53,189
with your if you have a really low

49
00:01:53,189 --> 00:01:54,329
c section rate,

50
00:01:54,790 --> 00:01:56,149
you need to look at what are your

51
00:01:56,149 --> 00:01:59,109
newborn complication rates. So those go side by

52
00:01:59,109 --> 00:02:01,670
side. They also look at our breast milk

53
00:02:01,670 --> 00:02:02,569
feeding rates,

54
00:02:03,430 --> 00:02:04,489
early elective

55
00:02:04,965 --> 00:02:07,384
delivery rates. So are we inducing patients,

56
00:02:07,844 --> 00:02:10,985
without medical reasons before 39 weeks?

57
00:02:12,245 --> 00:02:15,764
Routine vaginal births after c sections also referred

58
00:02:15,764 --> 00:02:17,784
to as VBACS or TOLACS.

59
00:02:18,330 --> 00:02:19,789
So this refers to,

60
00:02:20,489 --> 00:02:23,289
if patients have had a a c section

61
00:02:23,289 --> 00:02:23,789
before

62
00:02:24,250 --> 00:02:26,009
and then would like to do a trial

63
00:02:26,009 --> 00:02:28,409
of labor to have a vaginal birth, what

64
00:02:28,409 --> 00:02:30,250
is our rate on that? Do we even

65
00:02:30,250 --> 00:02:31,925
offer that? Because a lot of hospitals,

66
00:02:32,784 --> 00:02:34,165
do not even offer that.

67
00:02:34,545 --> 00:02:36,165
They also look at our episiotomy

68
00:02:36,545 --> 00:02:37,045
rates,

69
00:02:37,585 --> 00:02:41,205
in adherence to our birthing friendly criteria.

70
00:02:41,905 --> 00:02:45,240
And, also, the, most important, I believe, is

71
00:02:45,240 --> 00:02:47,020
tracking and reporting of outcomes

72
00:02:47,479 --> 00:02:50,760
across different racial and ethnic groups, making sure

73
00:02:50,760 --> 00:02:51,260
that

74
00:02:51,639 --> 00:02:52,139
equity

75
00:02:52,439 --> 00:02:52,840
is,

76
00:02:53,479 --> 00:02:56,280
is delivered in in all different races and

77
00:02:56,280 --> 00:02:56,780
nationalities.

78
00:02:57,335 --> 00:02:59,495
So those are the 8 different items that

79
00:02:59,495 --> 00:03:00,314
they evaluate.

80
00:03:00,935 --> 00:03:03,335
You you asked about how how are we

81
00:03:03,335 --> 00:03:06,555
doing compared to other hospitals. Well, pretty fantastic.

82
00:03:07,415 --> 00:03:07,895
If,

83
00:03:08,534 --> 00:03:09,594
I I can say,

84
00:03:09,895 --> 00:03:12,139
since this is our 4th, recognition,

85
00:03:12,840 --> 00:03:15,099
our c section rates are 22%

86
00:03:15,560 --> 00:03:16,060
lower

87
00:03:16,680 --> 00:03:19,659
than, hospitals that do not meet this criteria.

88
00:03:20,280 --> 00:03:22,859
Our newborn complication rate is 44%

89
00:03:23,479 --> 00:03:25,099
lower than other hospitals.

90
00:03:25,835 --> 00:03:27,694
Breastfeeding rate is 12%

91
00:03:27,995 --> 00:03:28,495
higher

92
00:03:28,955 --> 00:03:30,414
than comparable hospitals.

93
00:03:31,435 --> 00:03:32,175
Our vaginal,

94
00:03:33,435 --> 00:03:35,775
routine vaginal birth after c section,

95
00:03:36,155 --> 00:03:38,069
like I mentioned, we have been offering this

96
00:03:38,069 --> 00:03:38,569
service,

97
00:03:39,030 --> 00:03:41,909
for a very long time, and many patients

98
00:03:41,909 --> 00:03:44,389
are seeking out hospitals that do offer this.

99
00:03:44,389 --> 00:03:45,610
So this is a huge

100
00:03:46,229 --> 00:03:48,650
drive for patients to come to our facility.

101
00:03:49,110 --> 00:03:49,610
Episiotomy

102
00:03:49,989 --> 00:03:50,969
rates are 33%

103
00:03:51,509 --> 00:03:53,129
lower than, comparative

104
00:03:53,724 --> 00:03:55,745
hospitals. We are baby friendly.

105
00:03:56,525 --> 00:03:59,245
One of not everybody is baby friendly. We're

106
00:03:59,245 --> 00:04:01,104
the only ones in Solano County.

107
00:04:01,485 --> 00:04:02,784
And then we're 13%

108
00:04:03,085 --> 00:04:05,824
more likely to report our outcomes on

109
00:04:06,330 --> 00:04:09,129
different racial and ethnic groups, looking at all

110
00:04:09,129 --> 00:04:10,590
those different categories

111
00:04:11,129 --> 00:04:13,610
and dividing it up into the different racial

112
00:04:13,610 --> 00:04:14,509
groups. So

113
00:04:14,810 --> 00:04:15,310
yes.

114
00:04:16,089 --> 00:04:18,189
Wow. Yeah. That is a lot of criteria

115
00:04:18,329 --> 00:04:19,870
for good reason, of course.

116
00:04:20,324 --> 00:04:21,764
And and like you said, I think that

117
00:04:21,764 --> 00:04:24,164
makes it even more impressive with getting this

118
00:04:24,164 --> 00:04:25,464
high rating for sure.

119
00:04:26,245 --> 00:04:29,524
Going, into the family's decision for just a

120
00:04:29,524 --> 00:04:31,524
sec, why do you think it's important for

121
00:04:31,524 --> 00:04:34,245
families to look for a hospital with a,

122
00:04:34,485 --> 00:04:35,444
US News high,

123
00:04:36,589 --> 00:04:37,649
performing rating

124
00:04:37,949 --> 00:04:39,329
when planning for childbirth?

125
00:04:40,589 --> 00:04:42,529
Yeah. Thank you, Mara. You know, our families

126
00:04:42,589 --> 00:04:43,089
are,

127
00:04:43,870 --> 00:04:44,370
very,

128
00:04:44,750 --> 00:04:45,250
proactive

129
00:04:45,629 --> 00:04:48,764
and really redoing their research and homework. And

130
00:04:48,925 --> 00:04:51,665
this distinction in maternity care for uncomplicated

131
00:04:52,125 --> 00:04:52,625
pregnancies

132
00:04:53,165 --> 00:04:53,884
really helps,

133
00:04:54,285 --> 00:04:57,185
our expectant families make those informed decisions

134
00:04:57,645 --> 00:05:00,285
about where to seek care, and it reflects

135
00:05:00,285 --> 00:05:01,264
on our commitment,

136
00:05:01,725 --> 00:05:03,824
like we've mentioned to provide a safe,

137
00:05:04,289 --> 00:05:07,750
compassionate, and quality experience throughout the birth process.

138
00:05:08,370 --> 00:05:10,069
I often get phone calls

139
00:05:10,689 --> 00:05:11,669
during to

140
00:05:11,970 --> 00:05:14,069
arrange a tour or to ask questions

141
00:05:14,529 --> 00:05:17,589
and really, you know, asking those informed decisions

142
00:05:17,810 --> 00:05:19,845
about, you know, what are our rates and

143
00:05:19,845 --> 00:05:21,605
all that kind of stuff. And it's it's

144
00:05:21,605 --> 00:05:22,105
available

145
00:05:22,805 --> 00:05:25,285
on the Internet for everybody. So to be

146
00:05:25,285 --> 00:05:26,025
able to,

147
00:05:26,884 --> 00:05:29,205
speak so highly of those, it's it's really

148
00:05:29,205 --> 00:05:31,365
important that our patients are able to make

149
00:05:31,365 --> 00:05:32,504
that informed decision.

150
00:05:33,490 --> 00:05:34,230
Yeah. Absolutely.

151
00:05:35,490 --> 00:05:36,310
For clarification,

152
00:05:37,169 --> 00:05:39,990
what does the baby friendly designation signify,

153
00:05:40,449 --> 00:05:41,970
and what does it say about the care

154
00:05:41,970 --> 00:05:44,069
you provide to mothers and the babies?

155
00:05:44,930 --> 00:05:48,314
Absolutely. So North Bay Health, we were originally

156
00:05:48,375 --> 00:05:48,875
designated

157
00:05:49,495 --> 00:05:50,154
in 2014,

158
00:05:51,095 --> 00:05:51,915
by the

159
00:05:52,454 --> 00:05:53,834
baby friendly USA

160
00:05:54,454 --> 00:05:56,954
for our, baby friendly status.

161
00:05:57,654 --> 00:05:58,714
They evaluate

162
00:05:59,175 --> 00:06:02,279
81 different items when they come out for

163
00:06:02,279 --> 00:06:03,099
an evaluation.

164
00:06:03,560 --> 00:06:04,060
And

165
00:06:04,519 --> 00:06:05,899
this this honor,

166
00:06:06,519 --> 00:06:09,240
affirms that North Face Health adherence to the

167
00:06:09,240 --> 00:06:12,039
highest standards of care for breastfeeding moms and

168
00:06:12,039 --> 00:06:14,279
their babies, and it's based on the 10

169
00:06:14,279 --> 00:06:16,444
steps to successful breastfeeding,

170
00:06:16,985 --> 00:06:20,345
which is an evidence based practice recommended by

171
00:06:20,345 --> 00:06:21,725
the World Health Organization

172
00:06:22,264 --> 00:06:25,004
and the United Nations Children's Fund, UNICEF.

173
00:06:25,625 --> 00:06:28,745
So it's many different criterias. It's not just

174
00:06:28,745 --> 00:06:29,245
about

175
00:06:29,639 --> 00:06:30,139
breastfeeding,

176
00:06:30,439 --> 00:06:31,979
but really just

177
00:06:32,439 --> 00:06:35,019
giving our patients the the best care,

178
00:06:35,879 --> 00:06:39,000
helping them with whatever feeding method they want,

179
00:06:39,000 --> 00:06:41,180
but just meeting the rigorous criteria.

180
00:06:42,104 --> 00:06:42,845
So redesignation

181
00:06:43,224 --> 00:06:45,564
is every 5 years. So we were redesignated

182
00:06:45,865 --> 00:06:46,604
in 2019,

183
00:06:46,985 --> 00:06:48,845
and we just completed our redesignation,

184
00:06:50,185 --> 00:06:50,925
in September

185
00:06:51,464 --> 00:06:52,044
of 2024.

186
00:06:52,664 --> 00:06:53,164
So

187
00:06:53,944 --> 00:06:56,824
very excited and very proud to continue this,

188
00:06:57,550 --> 00:06:58,370
quality practice.

189
00:06:59,389 --> 00:07:01,870
Oh, yeah. Absolutely. I'm sure. And, you know,

190
00:07:01,870 --> 00:07:03,810
81 points is outstanding.

191
00:07:05,310 --> 00:07:08,610
As the only baby friendly hospital in, Solano

192
00:07:08,750 --> 00:07:10,845
County, I hope I'm pronouncing that right.

193
00:07:11,564 --> 00:07:14,285
What unique advantages does North Bay offer to

194
00:07:14,285 --> 00:07:15,904
breastfeeding mothers and their newborns?

195
00:07:17,004 --> 00:07:18,764
Yes. Thank you, Mariah. So,

196
00:07:19,245 --> 00:07:21,004
you know, it means many things. Like I

197
00:07:21,004 --> 00:07:21,504
mentioned,

198
00:07:22,444 --> 00:07:24,845
providing mothers and babies in our community with

199
00:07:24,845 --> 00:07:24,898
access to exceptional breastfeeding support while they're in

200
00:07:24,898 --> 00:07:26,449
the hospital. And when they go exceptional

201
00:07:27,230 --> 00:07:28,770
breastfeeding support while they're in the

202
00:07:29,470 --> 00:07:30,610
hospital and when they go home.

203
00:07:30,990 --> 00:07:33,470
And like I mentioned earlier, it's not just

204
00:07:33,470 --> 00:07:34,210
all about,

205
00:07:34,750 --> 00:07:35,250
breastfeeding.

206
00:07:35,870 --> 00:07:38,144
Having your child at North Bay means that

207
00:07:38,305 --> 00:07:40,805
you can stay with your healthy baby 24

208
00:07:40,865 --> 00:07:43,745
hours a day. We encourage skin to skin

209
00:07:43,745 --> 00:07:46,704
contact immediately after birth. Whether you've had a

210
00:07:46,704 --> 00:07:50,084
vaginal delivery or a delivery a c section,

211
00:07:50,625 --> 00:07:53,024
we provide that same level of care with

212
00:07:53,024 --> 00:07:53,845
that baby

213
00:07:54,600 --> 00:07:57,079
immediately going skin to skin to help create

214
00:07:57,079 --> 00:08:00,379
that bonding. We also have 5 certified lactation

215
00:08:00,519 --> 00:08:01,019
consultants

216
00:08:01,399 --> 00:08:04,620
available to provide personalized 1 on 1 sessions.

217
00:08:04,919 --> 00:08:07,819
We have outpatient support groups and consultations

218
00:08:08,360 --> 00:08:08,860
available

219
00:08:09,334 --> 00:08:12,455
once mothers and their babies leave. So carrying

220
00:08:12,455 --> 00:08:14,055
on that, you know, it's one thing to

221
00:08:14,055 --> 00:08:16,555
get started in the hospital and really establish,

222
00:08:16,694 --> 00:08:18,295
but when you go home, that's a that's

223
00:08:18,295 --> 00:08:21,654
a different story and having that available support.

224
00:08:21,654 --> 00:08:23,194
And our lactation consultants

225
00:08:23,895 --> 00:08:25,115
receive phone calls

226
00:08:25,790 --> 00:08:26,290
daily

227
00:08:26,750 --> 00:08:27,650
from patients

228
00:08:28,110 --> 00:08:29,170
and other organizations

229
00:08:29,629 --> 00:08:32,509
because there's there's like I said, they they

230
00:08:32,509 --> 00:08:34,750
don't have all the same support that North

231
00:08:34,750 --> 00:08:37,730
Bay does. So it's it's a very well,

232
00:08:38,350 --> 00:08:39,710
deserved and needed,

233
00:08:40,110 --> 00:08:40,610
service.

234
00:08:41,845 --> 00:08:42,745
Yeah. It definitely,

235
00:08:43,125 --> 00:08:45,445
definitely sounds like it, and I'm glad to

236
00:08:45,445 --> 00:08:47,045
hear all the care that is shown to

237
00:08:47,045 --> 00:08:47,705
the mother,

238
00:08:48,325 --> 00:08:50,264
and, obviously, the child, of course.

239
00:08:50,965 --> 00:08:53,925
Going back to quality, which, we touched on

240
00:08:53,925 --> 00:08:56,665
a bit earlier, how does North Bay's commitment

241
00:08:56,789 --> 00:08:58,949
to high standards and maternity care reflect in

242
00:08:58,949 --> 00:09:01,769
its broader mission of providing accessible,

243
00:09:02,070 --> 00:09:02,809
high quality,

244
00:09:03,829 --> 00:09:06,629
and compassionate care to patients throughout the North

245
00:09:06,629 --> 00:09:07,370
Bay region?

246
00:09:08,149 --> 00:09:10,949
Yeah. You're absolutely right, Mariah. So North Bay

247
00:09:10,949 --> 00:09:13,554
Health's vision is to be the trusted health

248
00:09:13,554 --> 00:09:16,195
care partner of choice for the communities we

249
00:09:16,195 --> 00:09:16,695
serve.

250
00:09:17,154 --> 00:09:17,654
So

251
00:09:18,115 --> 00:09:20,294
showing and having these recognitions,

252
00:09:20,674 --> 00:09:23,315
there like I said mentioned earlier, it's just

253
00:09:23,315 --> 00:09:23,815
complete

254
00:09:24,355 --> 00:09:24,855
validation

255
00:09:25,394 --> 00:09:25,875
that,

256
00:09:26,274 --> 00:09:27,975
we are addressing the critical

257
00:09:28,299 --> 00:09:29,360
maternity care needs,

258
00:09:29,899 --> 00:09:30,399
identifying,

259
00:09:31,980 --> 00:09:34,559
you know, where where we need the quality,

260
00:09:34,620 --> 00:09:37,100
which is in everything we do. I also

261
00:09:37,100 --> 00:09:39,259
wanted to mention that we are the only

262
00:09:39,259 --> 00:09:40,559
level 3 NICU

263
00:09:41,084 --> 00:09:43,485
in Solano County as well. So if you

264
00:09:43,485 --> 00:09:46,865
have a baby that, you know, maybe preterm

265
00:09:47,084 --> 00:09:49,164
or just may need some help in the

266
00:09:49,164 --> 00:09:49,664
NICU

267
00:09:50,284 --> 00:09:52,845
and your facility that you're delivering at doesn't

268
00:09:52,845 --> 00:09:55,570
offer that, mom and baby could be separated.

269
00:09:55,629 --> 00:09:58,289
And that's not anything that any,

270
00:09:59,070 --> 00:10:03,309
parents anticipate. So those are very, crucial things

271
00:10:03,309 --> 00:10:05,709
to think about as well, when making a

272
00:10:05,709 --> 00:10:06,209
decision.

273
00:10:06,509 --> 00:10:08,924
Even though you don't don't anticipate that, we

274
00:10:08,924 --> 00:10:11,105
want a healthy baby and a healthy mom,

275
00:10:11,325 --> 00:10:14,065
sometimes we need that extra service. So that,

276
00:10:14,365 --> 00:10:17,084
again, provides so our patients don't have to

277
00:10:17,084 --> 00:10:20,159
travel to Sacramento or San Francisco.

278
00:10:20,460 --> 00:10:22,539
They can be right here in Solano County

279
00:10:22,539 --> 00:10:25,039
getting the highest level of care for themselves

280
00:10:25,259 --> 00:10:26,080
and their baby.

281
00:10:26,779 --> 00:10:29,580
In fact, our we have a woman's hope,

282
00:10:29,899 --> 00:10:31,039
philanthropy group

283
00:10:31,340 --> 00:10:32,139
that just,

284
00:10:32,539 --> 00:10:33,039
donated

285
00:10:34,274 --> 00:10:34,774
fetal

286
00:10:35,315 --> 00:10:35,815
monitors

287
00:10:36,194 --> 00:10:39,074
to our new clinics, our clinics that we're

288
00:10:39,074 --> 00:10:40,294
opening up in Vacaville

289
00:10:40,834 --> 00:10:43,495
so that we can really just keep those

290
00:10:43,714 --> 00:10:46,214
patients as close to home as possible.

291
00:10:46,679 --> 00:10:50,039
So really living out that, mission and vision

292
00:10:50,039 --> 00:10:51,340
of North Bay Health.

293
00:10:52,120 --> 00:10:53,879
Yeah. Thank you so much for giving us

294
00:10:53,879 --> 00:10:54,620
that insight.

295
00:10:55,559 --> 00:10:57,480
Heather, before I let you go, last thing

296
00:10:57,480 --> 00:10:59,179
I wanted to touch on with you.

297
00:10:59,544 --> 00:11:02,205
Across the industry, many hospitals are closing

298
00:11:02,745 --> 00:11:05,865
or cutting back on their maternity services, which

299
00:11:05,865 --> 00:11:07,085
is obviously heartbreaking,

300
00:11:07,785 --> 00:11:09,465
for me, and I'm sure many other women

301
00:11:09,465 --> 00:11:10,125
to see.

302
00:11:11,144 --> 00:11:13,644
How is North Bay continuing to invest

303
00:11:14,149 --> 00:11:17,370
in maternity care and provide services and support

304
00:11:17,750 --> 00:11:19,450
to the babies and their families?

305
00:11:20,789 --> 00:11:21,289
Absolutely.

306
00:11:21,669 --> 00:11:24,570
So all of these recognitions that we've received,

307
00:11:25,190 --> 00:11:26,490
over the past years

308
00:11:27,735 --> 00:11:30,315
is because we are supported by the leadership

309
00:11:30,375 --> 00:11:32,134
here at North Bay Health.

310
00:11:32,934 --> 00:11:33,995
They recognize

311
00:11:34,455 --> 00:11:37,274
that it is crucial that our services

312
00:11:37,654 --> 00:11:39,414
are here. We have,

313
00:11:39,975 --> 00:11:42,394
5 partnerships with 5 clinics,

314
00:11:43,399 --> 00:11:45,879
that are that do their that we support,

315
00:11:45,879 --> 00:11:48,120
and then they also have we do their

316
00:11:48,120 --> 00:11:51,420
deliveries here at North Bay. So really creating

317
00:11:51,879 --> 00:11:52,360
that,

318
00:11:53,000 --> 00:11:53,500
accessibility

319
00:11:54,279 --> 00:11:56,139
for our patients. Many of our patients

320
00:11:56,764 --> 00:11:57,664
come by bus,

321
00:11:58,524 --> 00:11:59,345
walk here.

322
00:11:59,725 --> 00:12:01,884
We are in a central location so that

323
00:12:01,884 --> 00:12:03,424
we can really serve,

324
00:12:03,884 --> 00:12:07,085
our patients. There is no question that we

325
00:12:07,085 --> 00:12:09,904
are only going to expand and get bigger.

326
00:12:10,360 --> 00:12:12,779
Never one thought or discussion about

327
00:12:13,320 --> 00:12:15,500
do we need these services because it's

328
00:12:15,800 --> 00:12:16,300
absolutely

329
00:12:17,000 --> 00:12:19,500
very clear to, senior leadership,

330
00:12:19,960 --> 00:12:22,700
to our CEO Mark Bail, that

331
00:12:23,115 --> 00:12:25,274
we need to do this. This is important,

332
00:12:25,274 --> 00:12:26,875
and we're here to stay as well as

333
00:12:26,875 --> 00:12:27,615
our NICU.

334
00:12:28,235 --> 00:12:29,615
I'm very proud of that.

335
00:12:30,475 --> 00:12:32,554
Yeah. Definitely. As you should be. Thank you

336
00:12:32,554 --> 00:12:34,315
so much for those final thoughts, Heather. This

337
00:12:34,315 --> 00:12:35,294
has definitely been

338
00:12:35,740 --> 00:12:37,980
a very, very informative discussion. So, again, I

339
00:12:37,980 --> 00:12:39,340
wanna thank you so much for coming on

340
00:12:39,340 --> 00:12:40,399
Backus Health Care,

341
00:12:40,860 --> 00:12:42,379
and I look forward to connecting with you

342
00:12:42,379 --> 00:12:43,120
again soon.

343
00:12:43,580 --> 00:12:45,500
That's awesome. Thank you so much. Have a

344
00:12:45,500 --> 00:12:47,040
great day. You too.