1 00:00:01,919 --> 00:00:04,799 Every year, Becker's annual meeting brings healthcare leaders 2 00:00:04,799 --> 00:00:07,279 together to unpack the most pressing issues facing 3 00:00:07,279 --> 00:00:07,940 the industry. 4 00:00:08,400 --> 00:00:11,139 And every year, those conversations shift in profound 5 00:00:11,199 --> 00:00:12,464 and unexpected ways. 6 00:00:12,945 --> 00:00:15,185 This April, more than 3,500 7 00:00:15,185 --> 00:00:17,905 health care executives will return to Chicago for 8 00:00:17,905 --> 00:00:19,684 Becker's sixteenth Annual Meeting. 9 00:00:19,984 --> 00:00:22,945 Seven ninety five elite speakers will offer new 10 00:00:22,945 --> 00:00:25,904 lessons, new case studies, and predictions about what 11 00:00:25,904 --> 00:00:28,779 comes next. Join us April 13 through the 12 00:00:28,779 --> 00:00:29,279 sixteenth. 13 00:00:29,660 --> 00:00:34,059 For the agenda and event details, visit beckershospitalreview.com 14 00:00:34,059 --> 00:00:35,979 and click on the events tab in the 15 00:00:35,979 --> 00:00:36,799 upper right. 16 00:00:38,059 --> 00:00:40,219 This is Laura Dierda with the Becker's Healthcare 17 00:00:40,219 --> 00:00:42,164 podcast. I'm thrilled today to be joined by 18 00:00:42,164 --> 00:00:44,884 Regina Foley, president of specialty hospitals and clinical 19 00:00:44,884 --> 00:00:46,965 services as well as chief nurse executive at 20 00:00:46,965 --> 00:00:49,204 Hackensack Meridian Health. Regina, it's a pleasure to 21 00:00:49,204 --> 00:00:51,125 have you on the podcast today. Good to 22 00:00:51,125 --> 00:00:52,645 talk to you too, Laura, and all your 23 00:00:52,645 --> 00:00:53,545 all your listeners. 24 00:00:54,149 --> 00:00:55,750 Awesome. Well, thank you so much for being 25 00:00:55,750 --> 00:00:57,829 here. I'm excited to have you because I 26 00:00:57,829 --> 00:01:00,229 know Hackensack Meridian Health is on the forefront 27 00:01:00,229 --> 00:01:02,329 of a lot of amazing things in the 28 00:01:02,390 --> 00:01:05,030 clinical care space, and especially thinking about nursing. 29 00:01:05,030 --> 00:01:07,609 You know? You're really, really interesting, 30 00:01:08,204 --> 00:01:10,685 ways that you've been adapting to the current 31 00:01:10,685 --> 00:01:13,405 environment and building on the ecosystem. But before 32 00:01:13,405 --> 00:01:14,924 we dig into that, can you tell us 33 00:01:14,924 --> 00:01:16,765 a little bit more about yourself and the 34 00:01:16,765 --> 00:01:17,265 organization? 35 00:01:19,004 --> 00:01:19,504 Sure. 36 00:01:20,045 --> 00:01:21,104 So I, 37 00:01:21,530 --> 00:01:23,869 Hackensack Meridian Health located in New Jersey. 38 00:01:24,569 --> 00:01:25,530 38,000 39 00:01:25,530 --> 00:01:26,509 team members strong, 40 00:01:26,890 --> 00:01:29,209 recover about eight counties in the state of 41 00:01:29,209 --> 00:01:32,269 New Jersey, 18 hospitals, about 500 locations. 42 00:01:33,129 --> 00:01:33,869 I'm a career 43 00:01:34,170 --> 00:01:36,909 HMH'er. I've been in our company for thirty 44 00:01:37,155 --> 00:01:38,995 nine years as we roll into twenty six 45 00:01:38,995 --> 00:01:40,215 years, thirty nine years. 46 00:01:40,674 --> 00:01:42,915 Different places, different roles. You know, it's been 47 00:01:42,915 --> 00:01:43,734 part of the 48 00:01:44,114 --> 00:01:46,194 the gift of being a nurse, whether it 49 00:01:46,194 --> 00:01:48,194 be, you know, nurse at the bedside, a 50 00:01:48,194 --> 00:01:48,935 chief nurse 51 00:01:49,314 --> 00:01:52,135 at, one of our hospitals or hospital president 52 00:01:52,194 --> 00:01:55,049 or leading transformation efforts, which is all the 53 00:01:55,049 --> 00:01:55,549 change, 54 00:01:56,250 --> 00:01:58,349 or even landing to the to the enrollment 55 00:01:58,409 --> 00:01:58,909 today. 56 00:01:59,609 --> 00:02:01,290 I, you know, have certainly have a lot 57 00:02:01,290 --> 00:02:01,950 of longevity 58 00:02:02,409 --> 00:02:05,295 within Hackensack Meridian Health. I would say I 59 00:02:05,295 --> 00:02:07,614 don't I'm not alone, though. We have many 60 00:02:07,614 --> 00:02:09,555 nurses that have been promoted from within 61 00:02:10,254 --> 00:02:11,955 and, or or say a career, 62 00:02:12,335 --> 00:02:13,395 within our company. 63 00:02:14,335 --> 00:02:15,314 Certainly proud 64 00:02:15,615 --> 00:02:16,115 of, 65 00:02:16,495 --> 00:02:17,395 of the organization. 66 00:02:18,495 --> 00:02:19,875 We had a recent restructuring 67 00:02:20,530 --> 00:02:21,909 in '26 where, 68 00:02:22,530 --> 00:02:25,969 we were divided in or or segregated kind 69 00:02:25,969 --> 00:02:28,370 of in a regional role within the within 70 00:02:28,370 --> 00:02:29,349 our our state. 71 00:02:29,810 --> 00:02:30,209 And, 72 00:02:30,610 --> 00:02:31,909 our CEO and board, 73 00:02:32,689 --> 00:02:34,209 thought let's you know, we need to get 74 00:02:34,209 --> 00:02:36,334 a little bit more provocative thinking and forward 75 00:02:36,334 --> 00:02:36,914 thinking here. 76 00:02:37,775 --> 00:02:39,074 So we actually eliminated, 77 00:02:40,014 --> 00:02:41,155 a regional structure 78 00:02:41,775 --> 00:02:42,254 and, 79 00:02:42,574 --> 00:02:44,275 which was north, central, and south. 80 00:02:44,895 --> 00:02:45,534 And then, 81 00:02:45,935 --> 00:02:47,634 we eliminated those roles, 82 00:02:48,500 --> 00:02:50,259 in that kind of although care is very 83 00:02:50,259 --> 00:02:52,340 local. And, you know, we keep care as 84 00:02:52,340 --> 00:02:54,180 local to the patient as possible or or 85 00:02:54,180 --> 00:02:55,959 community as possible. Administratively, 86 00:02:56,419 --> 00:02:57,239 now we've 87 00:02:57,620 --> 00:03:00,180 organized that our acute care hospitals are kind 88 00:03:00,180 --> 00:03:02,674 of one side of the house, and then 89 00:03:02,814 --> 00:03:05,555 areas like specialty hospitals or clinical services, 90 00:03:05,854 --> 00:03:08,254 that's what I have the responsibility of. So 91 00:03:08,254 --> 00:03:10,974 it's really allowed for a lot of, further 92 00:03:10,974 --> 00:03:11,474 integration, 93 00:03:12,495 --> 00:03:13,394 further continuity, 94 00:03:14,830 --> 00:03:15,650 you know, transparency 95 00:03:16,030 --> 00:03:17,330 of information, timeliness, 96 00:03:18,110 --> 00:03:19,949 which certainly, at the end of it all, 97 00:03:19,949 --> 00:03:22,289 helps us with, caring for our patients. So 98 00:03:22,430 --> 00:03:25,150 this kind of recent reorganization we did, in 99 00:03:25,150 --> 00:03:27,389 the in the kinda latter half of '25 100 00:03:27,389 --> 00:03:29,310 certainly, I think, turned out to be beneficial 101 00:03:29,310 --> 00:03:29,925 for the company. 102 00:03:31,044 --> 00:03:33,145 That's great to hear. And, you know, certainly, 103 00:03:33,444 --> 00:03:35,284 always a lot goes into those kind of 104 00:03:35,284 --> 00:03:36,425 restructures and reorganization, 105 00:03:36,805 --> 00:03:38,645 but I love that goal of, you know, 106 00:03:38,645 --> 00:03:41,125 making sure care is local and, putting the 107 00:03:41,125 --> 00:03:42,985 right people in the right places to, 108 00:03:44,324 --> 00:03:45,705 transform that care experience. 109 00:03:46,139 --> 00:03:48,159 Now when you think about the last year, 110 00:03:48,299 --> 00:03:50,060 what was the most important initiative that you 111 00:03:50,060 --> 00:03:51,419 led? What did you do, and what were 112 00:03:51,419 --> 00:03:52,079 the results? 113 00:03:53,739 --> 00:03:55,819 I think the top one of the top 114 00:03:55,819 --> 00:03:56,639 three priorities, 115 00:03:57,579 --> 00:03:58,319 would be, 116 00:03:59,419 --> 00:03:59,919 strengthening 117 00:04:01,004 --> 00:04:01,745 and supporting 118 00:04:02,044 --> 00:04:03,905 the workforce, the nursing workforce. 119 00:04:04,444 --> 00:04:05,584 I would say stabilization 120 00:04:05,965 --> 00:04:06,784 of the workforce. 121 00:04:07,485 --> 00:04:08,305 You know, the 122 00:04:08,604 --> 00:04:11,245 the pandemic really took its toll on the 123 00:04:11,245 --> 00:04:12,784 work on the health care workforce, 124 00:04:13,164 --> 00:04:13,664 globally. 125 00:04:14,719 --> 00:04:16,639 We also were part of certainly a part 126 00:04:16,639 --> 00:04:17,300 of that. 127 00:04:17,680 --> 00:04:20,319 So recently, I would say the most important 128 00:04:20,319 --> 00:04:23,139 initiative that we tackled in '25 129 00:04:23,600 --> 00:04:26,399 was stabilization of the workforce, which has led 130 00:04:26,399 --> 00:04:28,160 to we have a very low vacancy rate 131 00:04:28,160 --> 00:04:28,660 today, 132 00:04:29,225 --> 00:04:31,225 just about 4%. Actually, we have two of 133 00:04:31,225 --> 00:04:33,324 our hospitals that have below the four vacancy 134 00:04:33,384 --> 00:04:36,045 rate. Retention is extremely strong. 135 00:04:36,745 --> 00:04:38,524 We also were able to reduce, 136 00:04:39,545 --> 00:04:41,645 contracted labor agency utilization, 137 00:04:42,949 --> 00:04:43,449 by, 138 00:04:43,990 --> 00:04:44,490 about, 139 00:04:44,870 --> 00:04:46,090 gosh, dollars 41,000,000 140 00:04:46,949 --> 00:04:48,730 last year, which is not insignificant. 141 00:04:49,910 --> 00:04:53,509 So I would say making significant strides in, 142 00:04:54,310 --> 00:04:54,810 stabilization 143 00:04:55,625 --> 00:04:57,785 of the workforce and making sure that we 144 00:04:57,785 --> 00:04:59,245 have, very strong 145 00:04:59,625 --> 00:05:00,845 retention efforts, 146 00:05:01,384 --> 00:05:03,625 which is really is led from culture, you 147 00:05:03,625 --> 00:05:05,545 know, in the organization. So it's not just 148 00:05:05,545 --> 00:05:06,685 about recruiting 149 00:05:07,064 --> 00:05:09,705 net new. We want those nurses to stay 150 00:05:09,705 --> 00:05:12,069 in the organization, you know, just like me. 151 00:05:12,069 --> 00:05:13,430 You know, here he is a few years 152 00:05:13,430 --> 00:05:14,069 later. So, 153 00:05:15,350 --> 00:05:17,750 that I would say there's many priorities, but 154 00:05:17,750 --> 00:05:19,589 I can tell you that's one standout or 155 00:05:19,589 --> 00:05:21,370 important initiative for '25, 156 00:05:22,069 --> 00:05:22,550 was, 157 00:05:23,204 --> 00:05:24,264 the, you know, stabilization 158 00:05:24,644 --> 00:05:26,084 of the work environment. I gave you some 159 00:05:26,084 --> 00:05:27,464 stats. Vacancy, retention, 160 00:05:27,925 --> 00:05:29,144 agency utilization, 161 00:05:29,524 --> 00:05:30,004 and, 162 00:05:30,724 --> 00:05:32,164 you know, behind the scenes of all of 163 00:05:32,164 --> 00:05:35,064 that, there's different kind of unique programs 164 00:05:36,004 --> 00:05:38,104 to help on the retentions on the recruitment 165 00:05:38,164 --> 00:05:38,664 side 166 00:05:39,149 --> 00:05:41,470 because many you know, our care is local. 167 00:05:41,470 --> 00:05:44,050 Our team members are local. We're very community 168 00:05:44,110 --> 00:05:45,649 based. So our our 169 00:05:46,430 --> 00:05:47,009 our physicians, 170 00:05:47,389 --> 00:05:49,470 team members, and patients are living within the 171 00:05:49,470 --> 00:05:51,665 communities that they're practicing in. So we have 172 00:05:51,665 --> 00:05:53,985 different programs in place to ensure that if 173 00:05:53,985 --> 00:05:56,225 somebody wants to go to school as a 174 00:05:56,225 --> 00:05:58,064 second career choice, how do we support them 175 00:05:58,064 --> 00:05:59,904 to do that? They always wanted to be 176 00:05:59,904 --> 00:06:02,785 a nurse. We we kinda mentor and figure 177 00:06:02,785 --> 00:06:04,805 out different ways, whether it be tuition reimbursement, 178 00:06:04,944 --> 00:06:07,350 scholarships, or things that we're bonusing. 179 00:06:07,730 --> 00:06:09,649 So a lot of detail there. There's a 180 00:06:09,649 --> 00:06:10,550 lot to unpack. 181 00:06:11,330 --> 00:06:13,910 But I I can say that probably stabilization 182 00:06:13,970 --> 00:06:15,990 of the work environment was a key initiative 183 00:06:16,050 --> 00:06:18,709 that we had success with, last year. 184 00:06:19,574 --> 00:06:21,514 Sounds amazing to hear. And, you know, definitely 185 00:06:21,814 --> 00:06:24,375 something that a lot of hospitals and systems 186 00:06:24,375 --> 00:06:26,454 are are trying to achieve. And so when 187 00:06:26,454 --> 00:06:28,694 you think about, you know, reaching those goals 188 00:06:28,694 --> 00:06:29,194 being, 189 00:06:29,654 --> 00:06:32,420 such a low vacancy rate and truly, truly, 190 00:06:32,740 --> 00:06:34,580 having that kind of retention that you need 191 00:06:34,580 --> 00:06:36,660 and then the savings as well by reducing 192 00:06:36,660 --> 00:06:38,819 the contract labor. I know, you know, there's 193 00:06:38,819 --> 00:06:40,699 a lot of components that go into being 194 00:06:40,699 --> 00:06:42,439 a great place to work and, 195 00:06:43,139 --> 00:06:43,800 you know, 196 00:06:44,180 --> 00:06:46,100 setting that right type of culture that people 197 00:06:46,100 --> 00:06:47,745 wanna be at. So, you know, when you 198 00:06:47,745 --> 00:06:49,824 look at that differentiating factor, what did it 199 00:06:49,824 --> 00:06:50,564 take to, 200 00:06:51,504 --> 00:06:54,465 achieve these these results and really transform the 201 00:06:54,465 --> 00:06:56,085 way you were thinking about the workforce? 202 00:06:56,625 --> 00:06:58,004 Yeah. I I first think 203 00:06:58,384 --> 00:06:58,884 nurses 204 00:06:59,399 --> 00:07:01,240 and it's more just that it's not just 205 00:07:01,240 --> 00:07:02,839 nursing, but, you know, we're on that topic 206 00:07:02,839 --> 00:07:05,399 right now. But the workforce wants to feel 207 00:07:05,399 --> 00:07:08,300 respected, appreciated, and that their opinion counts. 208 00:07:08,759 --> 00:07:11,740 So our you know, myself, our CEO, 209 00:07:12,199 --> 00:07:13,019 our COO, 210 00:07:13,800 --> 00:07:14,459 are very 211 00:07:14,954 --> 00:07:15,454 grassroots 212 00:07:15,915 --> 00:07:17,675 oriented that we're at you know, as I 213 00:07:17,675 --> 00:07:18,954 talked to you today, I'm at one of 214 00:07:18,954 --> 00:07:19,615 our hospitals 215 00:07:19,995 --> 00:07:21,595 where we're very we have a lot of 216 00:07:21,595 --> 00:07:22,095 visibility. 217 00:07:22,475 --> 00:07:24,154 I mean, you you're never as visible as 218 00:07:24,154 --> 00:07:25,435 the team members want, but, 219 00:07:26,074 --> 00:07:27,600 we definitely are at the site 220 00:07:27,920 --> 00:07:30,100 routinely to keeping things very real. 221 00:07:30,720 --> 00:07:33,699 And that that's that's I feel very symbolic 222 00:07:34,560 --> 00:07:36,259 on where culture begins. 223 00:07:36,720 --> 00:07:37,540 Our CEO 224 00:07:38,080 --> 00:07:41,360 was a hospital executive or CEO at one 225 00:07:41,360 --> 00:07:42,180 of our hospitals. 226 00:07:43,194 --> 00:07:46,394 Our leadership team, our executive leadership team for 227 00:07:46,394 --> 00:07:47,455 our company network, 228 00:07:47,834 --> 00:07:49,694 all have come from a hospital environment. 229 00:07:50,394 --> 00:07:53,115 And that really pays dividends because the team 230 00:07:53,115 --> 00:07:53,615 members, 231 00:07:54,074 --> 00:07:56,069 they I'll say they I feel like that 232 00:07:56,149 --> 00:07:57,830 they always know a faker. Right? Like, they 233 00:07:57,830 --> 00:07:59,350 can feel like, what are you talking about? 234 00:07:59,350 --> 00:08:00,790 You're saying this, but did you really live 235 00:08:00,790 --> 00:08:03,050 it? And in, you know, truth be told, 236 00:08:03,430 --> 00:08:05,750 myself, the COO, the CEO have done that. 237 00:08:05,750 --> 00:08:08,710 You know, clinicians by background have have literally 238 00:08:08,710 --> 00:08:12,064 rendered patient care and came from very humble 239 00:08:12,064 --> 00:08:14,625 beginnings. So I think culture begins there because 240 00:08:14,625 --> 00:08:16,865 we it is very family oriented. I I 241 00:08:16,865 --> 00:08:18,944 don't just say it to resonate like, oh, 242 00:08:18,944 --> 00:08:20,944 Virginia, you gotta be kidding me. You know, 243 00:08:20,944 --> 00:08:22,944 again, I'm in our company for thirty nine 244 00:08:22,944 --> 00:08:23,444 years. 245 00:08:24,144 --> 00:08:26,779 It is an extension of my house. I 246 00:08:26,779 --> 00:08:28,699 I, you know, have three kids. They're adult 247 00:08:28,699 --> 00:08:30,959 children now, but they they know 248 00:08:31,339 --> 00:08:33,820 where where I practice and what what I 249 00:08:33,820 --> 00:08:35,820 do for a living is extremely important even 250 00:08:35,820 --> 00:08:36,639 to our family. 251 00:08:37,259 --> 00:08:40,080 And so, therefore, that is that translates 252 00:08:40,460 --> 00:08:41,279 because of, 253 00:08:41,784 --> 00:08:44,365 I would say, style and type of communication 254 00:08:44,664 --> 00:08:45,404 being authentic. 255 00:08:45,945 --> 00:08:48,024 Team members know that they're cared for. They 256 00:08:48,024 --> 00:08:49,164 know that they're respected. 257 00:08:49,544 --> 00:08:51,304 We want nurses to work at full scope 258 00:08:51,304 --> 00:08:52,845 of practice and full license. 259 00:08:53,465 --> 00:08:55,784 We partner with our medical community to ensure 260 00:08:55,784 --> 00:08:58,779 that that happens for potentially advanced practice providers. 261 00:08:59,559 --> 00:09:02,200 So, again, culture, it's not I mean, it 262 00:09:02,200 --> 00:09:04,379 could probably be a whole other podcast is 263 00:09:04,919 --> 00:09:07,659 culture really sets the tone of 264 00:09:08,039 --> 00:09:10,600 how you're able to really move the needle 265 00:09:10,600 --> 00:09:11,980 in your in your organization, 266 00:09:12,684 --> 00:09:14,945 whether it be workforce, whether it be financial 267 00:09:15,004 --> 00:09:15,504 results, 268 00:09:15,965 --> 00:09:17,825 god forbid, a situational issue. 269 00:09:18,285 --> 00:09:19,904 You're able to see very, 270 00:09:20,285 --> 00:09:22,545 very clearly in a quick period of time 271 00:09:23,085 --> 00:09:24,779 when everybody's on the same sheet sheet of 272 00:09:24,779 --> 00:09:26,539 music and moving in the same direction, how 273 00:09:26,539 --> 00:09:28,379 you can really make things happen in a 274 00:09:28,379 --> 00:09:29,419 very short short, 275 00:09:30,059 --> 00:09:32,059 and very timely. And I I would say 276 00:09:32,059 --> 00:09:34,059 the definition of that is having a healthy 277 00:09:34,059 --> 00:09:35,919 culture. So I I 278 00:09:36,299 --> 00:09:38,480 appreciate you bringing it up because very often, 279 00:09:39,044 --> 00:09:41,284 when health care executives are asked, you know, 280 00:09:41,284 --> 00:09:43,304 it's about margin and volume, 281 00:09:43,924 --> 00:09:46,004 and we don't necessarily think that way. I 282 00:09:46,004 --> 00:09:47,625 mean, yes, it's those are important, 283 00:09:48,004 --> 00:09:50,164 but at the at the beginning of it, 284 00:09:50,164 --> 00:09:51,865 you know, quality is at the bedside. 285 00:09:52,509 --> 00:09:54,589 How do we make sure that the quality 286 00:09:54,589 --> 00:09:55,569 that we're rendering 287 00:09:56,029 --> 00:09:57,309 you know, how do we make sure the 288 00:09:57,309 --> 00:09:58,929 individuals rendering that care 289 00:09:59,309 --> 00:10:01,230 know you know, are we listening to them? 290 00:10:01,230 --> 00:10:03,389 And that's, again, where it begins with culture. 291 00:10:03,389 --> 00:10:06,110 So probably a long way of answering it, 292 00:10:06,110 --> 00:10:07,845 but that I mean, that's just from, you 293 00:10:07,845 --> 00:10:09,625 know, my heart sharing that with you. 294 00:10:10,085 --> 00:10:12,504 I really appreciate it. And then and such 295 00:10:12,565 --> 00:10:14,804 an important thing to to to share, and 296 00:10:14,804 --> 00:10:16,644 I can tell your passion for what you're 297 00:10:16,644 --> 00:10:18,825 doing and everything that goes into, 298 00:10:19,205 --> 00:10:20,665 the organization there in HMH, 299 00:10:21,044 --> 00:10:22,559 is really shining through. So, 300 00:10:23,039 --> 00:10:25,360 that's amazing. I think when you look ahead 301 00:10:25,360 --> 00:10:27,759 to 2026, are there any other priorities you're 302 00:10:27,759 --> 00:10:29,759 looking at or headwinds that you're focused on, 303 00:10:30,000 --> 00:10:30,740 right now? 304 00:10:31,279 --> 00:10:32,580 Easy answer is yes. 305 00:10:33,440 --> 00:10:34,259 One is, 306 00:10:35,054 --> 00:10:36,995 how and where we can leverage technology. 307 00:10:37,695 --> 00:10:39,955 We we did launch virtual nursing 308 00:10:40,415 --> 00:10:41,774 in the last two years, and we have 309 00:10:41,774 --> 00:10:42,894 a 147 310 00:10:42,894 --> 00:10:43,375 beds, 311 00:10:43,774 --> 00:10:45,934 activated with virtual nursing. So it's a nursing 312 00:10:45,934 --> 00:10:48,495 partner. It's somebody else taking care of the 313 00:10:48,495 --> 00:10:49,794 administrative burden 314 00:10:50,459 --> 00:10:52,379 of caring for the patient. And we are 315 00:10:52,620 --> 00:10:54,220 you know, we'll monitor it for a solid 316 00:10:54,220 --> 00:10:56,139 year to make sure to just to say 317 00:10:56,139 --> 00:10:57,980 it's it's for those 147 318 00:10:57,980 --> 00:10:59,819 beds in four different hospitals, a unit in 319 00:10:59,819 --> 00:11:01,120 all in four different hospitals. 320 00:11:01,579 --> 00:11:03,679 And we're in the process now of evaluating 321 00:11:03,980 --> 00:11:05,339 to see if that's something that should be 322 00:11:05,339 --> 00:11:05,839 expanded 323 00:11:06,294 --> 00:11:06,955 or not. 324 00:11:07,654 --> 00:11:09,115 So I I think leveraging 325 00:11:09,415 --> 00:11:09,915 technology 326 00:11:10,774 --> 00:11:12,154 to lighten the load 327 00:11:12,695 --> 00:11:13,195 for 328 00:11:13,575 --> 00:11:15,595 individuals that are patient facing. 329 00:11:15,975 --> 00:11:17,654 It could be a doctor, could be a 330 00:11:17,654 --> 00:11:20,075 nurse, it could be a PCT. Right? And, 331 00:11:20,100 --> 00:11:22,279 you know, a partner, right, a partner 332 00:11:22,659 --> 00:11:23,319 in care. 333 00:11:23,940 --> 00:11:24,440 So 334 00:11:24,899 --> 00:11:26,819 I would say our one of the biggest 335 00:11:26,819 --> 00:11:27,879 priority or headwind 336 00:11:28,339 --> 00:11:28,980 would be, 337 00:11:30,179 --> 00:11:31,319 leveraging technology 338 00:11:31,940 --> 00:11:34,839 and advancing technology we have in place 339 00:11:35,375 --> 00:11:37,454 as we're monitoring it and, you know, we're 340 00:11:37,454 --> 00:11:39,454 measuring it, what are the benefits, and is 341 00:11:39,454 --> 00:11:40,995 it something that could be expanded? 342 00:11:41,454 --> 00:11:43,375 You know, we can't underestimate the power of 343 00:11:43,375 --> 00:11:43,875 AI. 344 00:11:44,735 --> 00:11:47,134 We we are at Hackstack Meridian, we do 345 00:11:47,134 --> 00:11:49,075 utilize and leverage the EPIC platform, 346 00:11:49,589 --> 00:11:51,209 And we have some generative, 347 00:11:51,750 --> 00:11:52,889 AI that are helping, 348 00:11:53,429 --> 00:11:54,409 nurses with, 349 00:11:55,029 --> 00:11:57,029 notes, you know, end of shift notes to 350 00:11:57,029 --> 00:11:57,529 help, 351 00:11:57,909 --> 00:11:58,309 that, 352 00:11:59,029 --> 00:11:59,929 change a shift, 353 00:12:00,309 --> 00:12:02,684 time to you know, could we 354 00:12:03,464 --> 00:12:05,144 reduce that in any way and can we 355 00:12:05,144 --> 00:12:05,804 be more, 356 00:12:06,345 --> 00:12:06,845 comprehensive? 357 00:12:08,024 --> 00:12:09,464 So, you know, if you would have said 358 00:12:09,464 --> 00:12:11,404 five years ago, we were gonna be leveraging 359 00:12:11,464 --> 00:12:13,144 AI at the bedside, I'd say, I don't 360 00:12:13,144 --> 00:12:14,764 know. I'm not quite there. Now 361 00:12:15,220 --> 00:12:18,100 early adopter, and the answer is yes because 362 00:12:18,100 --> 00:12:19,799 AI can really be another partner 363 00:12:20,340 --> 00:12:22,820 in helping that nurse or clinician care for 364 00:12:22,820 --> 00:12:25,220 the patient. So those are two, I would 365 00:12:25,220 --> 00:12:27,075 say, big priorities for us this year. 366 00:12:28,035 --> 00:12:29,235 Got it. I love that. 367 00:12:29,715 --> 00:12:32,355 Fantastic. Thank you so much for for sharing. 368 00:12:32,355 --> 00:12:33,794 Now what do you think the hardest thing 369 00:12:33,794 --> 00:12:34,915 you're gonna have to do will be in 370 00:12:34,915 --> 00:12:35,735 the next year? 371 00:12:37,154 --> 00:12:39,634 I would say continuing to innovate, you know, 372 00:12:39,634 --> 00:12:42,330 because our our our teams are not, 373 00:12:42,889 --> 00:12:45,610 they're not complacent and just same old, same 374 00:12:45,610 --> 00:12:47,850 old. They're always looking to challenge. There's you 375 00:12:47,850 --> 00:12:50,330 know, with the all the smart scientists and 376 00:12:50,330 --> 00:12:52,590 things that are happening on the technology side, 377 00:12:52,649 --> 00:12:54,809 how can we how can we afford to 378 00:12:54,809 --> 00:12:55,790 be early adopters 379 00:12:56,205 --> 00:12:58,125 when we see benefits of patient? You know, 380 00:12:58,125 --> 00:13:00,045 robotic surgery comes to mind. You know, if 381 00:13:00,045 --> 00:13:02,445 if I mean, you can't argue with the 382 00:13:02,445 --> 00:13:04,065 technology in robotic surgery. 383 00:13:04,605 --> 00:13:07,004 Patients are you know, they're back to work 384 00:13:07,004 --> 00:13:09,565 quicker. They're back to their regular activities of 385 00:13:09,565 --> 00:13:11,665 daily living. They're able to travel quicker. 386 00:13:12,360 --> 00:13:14,940 They have less complications. They have less time, 387 00:13:15,080 --> 00:13:16,759 you know, in the Operating Room. They have 388 00:13:16,759 --> 00:13:18,600 less time in the hospital, meaning more time 389 00:13:18,600 --> 00:13:19,419 with their families. 390 00:13:19,720 --> 00:13:22,220 So, again, that's where technology has really advanced. 391 00:13:23,080 --> 00:13:24,759 So I would just say that one of 392 00:13:24,759 --> 00:13:27,340 the hardest thing is can continuing to innovate 393 00:13:28,754 --> 00:13:31,095 and be early adopters of the technology 394 00:13:31,475 --> 00:13:34,595 as it, you know, as it evolves. Certainly, 395 00:13:34,595 --> 00:13:36,375 I shared on the AI front 396 00:13:36,754 --> 00:13:39,075 or virtual. We have those 147 397 00:13:39,075 --> 00:13:40,455 beds that we have activated. 398 00:13:40,950 --> 00:13:42,870 Well, how do we how do we quantify 399 00:13:42,870 --> 00:13:45,669 the benefits of that? Hard savings. It can't 400 00:13:45,669 --> 00:13:47,750 just be soft. I can't just say to 401 00:13:47,750 --> 00:13:49,929 CEO, oh, so we're retaining nurses longer, 402 00:13:50,710 --> 00:13:51,210 or 403 00:13:51,590 --> 00:13:52,809 we have less incidental 404 00:13:53,445 --> 00:13:55,925 overtime because the the change of shift time 405 00:13:55,925 --> 00:13:58,404 is is quicker. I I need to quantify 406 00:13:58,404 --> 00:13:59,384 with hard savings. 407 00:13:59,925 --> 00:14:01,365 So that's what we're in the process to 408 00:14:01,365 --> 00:14:02,725 do now, and that's hard. Because there's a 409 00:14:02,725 --> 00:14:04,985 lot of soft savings associated with, 410 00:14:05,764 --> 00:14:06,745 virtual nursing. 411 00:14:07,089 --> 00:14:08,769 But, you know, our CEO and board are 412 00:14:08,769 --> 00:14:10,610 gonna look for some hard savings. So those 413 00:14:10,610 --> 00:14:11,009 are, 414 00:14:11,649 --> 00:14:13,649 tough because it's a delicate balance of to 415 00:14:13,649 --> 00:14:14,389 be innovative, 416 00:14:14,850 --> 00:14:17,009 to bring technology to the bedside. But now 417 00:14:17,009 --> 00:14:18,370 that we have it, how do we expand 418 00:14:18,370 --> 00:14:20,210 it? And I'm gonna have to quantify that 419 00:14:20,210 --> 00:14:22,149 with, hard savings. So that's certainly 420 00:14:22,704 --> 00:14:24,065 a that's a it's a big nut to 421 00:14:24,065 --> 00:14:25,204 crack for this year. 422 00:14:26,065 --> 00:14:26,565 Absolutely. 423 00:14:27,024 --> 00:14:29,584 That that sounds like a huge, huge challenge. 424 00:14:29,584 --> 00:14:31,985 And, you know, I appreciate all the dynamics 425 00:14:31,985 --> 00:14:33,605 that go into trying to, 426 00:14:34,144 --> 00:14:35,284 be that innovative 427 00:14:35,745 --> 00:14:37,639 and tech forward organization while at the same 428 00:14:37,639 --> 00:14:39,720 time making sure that you've got, 429 00:14:40,279 --> 00:14:42,600 quality, safety, everything else there, and it can 430 00:14:42,600 --> 00:14:43,419 really prove, 431 00:14:43,879 --> 00:14:46,940 the results coming from those different initiatives. So, 432 00:14:47,559 --> 00:14:49,160 I I love that, you know, kind of 433 00:14:49,160 --> 00:14:51,320 talking about those soft savings, especially in virtual 434 00:14:51,320 --> 00:14:53,514 nursing, and then trying to continue to to 435 00:14:53,514 --> 00:14:56,315 transfer that into the hard savings as well. 436 00:14:56,554 --> 00:14:58,794 Before we wrap up here, I'm curious. How 437 00:14:58,794 --> 00:15:00,634 do you see growth and development over the 438 00:15:00,634 --> 00:15:01,995 next year? Where do you see the best 439 00:15:01,995 --> 00:15:03,534 opportunities to continue growing? 440 00:15:04,875 --> 00:15:07,375 Well, I guess two two things. 441 00:15:07,995 --> 00:15:08,495 We've 442 00:15:08,829 --> 00:15:11,789 had a pretty significant appetite the last couple 443 00:15:11,789 --> 00:15:14,589 of years to expand our ambulatory footprint. You 444 00:15:14,589 --> 00:15:16,829 know, patients that are in hospitals are so 445 00:15:16,829 --> 00:15:19,389 acute. Right? They're really acute. They're the acuity 446 00:15:19,389 --> 00:15:20,049 is high. 447 00:15:20,589 --> 00:15:23,195 They're very sick. Patients are very sick. We 448 00:15:23,195 --> 00:15:24,875 wanna keep people certainly, if they need to 449 00:15:24,875 --> 00:15:26,235 come to us, we we're the we're the 450 00:15:26,235 --> 00:15:27,274 guy to take care of them. I have 451 00:15:27,274 --> 00:15:29,754 no problem with that. We wanna keep people 452 00:15:29,754 --> 00:15:33,375 healthy and happy in their local community environment. 453 00:15:33,914 --> 00:15:35,294 So we've placed ambulatory 454 00:15:35,674 --> 00:15:36,174 locations 455 00:15:36,819 --> 00:15:38,500 peppered throughout the state. As I mentioned in 456 00:15:38,500 --> 00:15:40,360 the outset, we have about 500 locations. 457 00:15:40,899 --> 00:15:41,399 But, 458 00:15:41,940 --> 00:15:44,339 even today, I think there's about 14 or 459 00:15:44,339 --> 00:15:46,819 15 shovels on the ground, different different areas 460 00:15:46,819 --> 00:15:48,759 in New Jersey, building an ambulatory 461 00:15:49,059 --> 00:15:49,559 environment 462 00:15:49,875 --> 00:15:52,034 so that patients can go to to see 463 00:15:52,034 --> 00:15:54,375 their primary care doc, go to a pharmacy, 464 00:15:54,754 --> 00:15:56,995 get a CAT scan, or or an image 465 00:15:56,995 --> 00:15:59,315 done for something. So that's one. The other 466 00:15:59,315 --> 00:16:01,495 is, you know, as we roll into '26, 467 00:16:01,875 --> 00:16:03,720 we really can't talk about health care in 468 00:16:03,720 --> 00:16:06,120 New Jersey with Hackensack Meridian Health without talking 469 00:16:06,120 --> 00:16:07,740 about the FIFA World Cup. 470 00:16:08,279 --> 00:16:09,740 We this global 471 00:16:10,279 --> 00:16:12,679 this global you know, these games are gonna 472 00:16:12,679 --> 00:16:14,759 be played here in New Jersey at MetLife 473 00:16:14,759 --> 00:16:17,504 Stadium beginning this summer July June into July. 474 00:16:17,985 --> 00:16:19,684 And our quaternary facility, 475 00:16:20,225 --> 00:16:22,325 Hackensack University Medical Center, 476 00:16:23,024 --> 00:16:24,544 will be on the world stage. I know 477 00:16:24,544 --> 00:16:27,345 that is this that that our hospital will 478 00:16:27,345 --> 00:16:28,725 be the hometown hospital, 479 00:16:29,904 --> 00:16:32,929 for New Jersey, New York hosting this global, 480 00:16:33,709 --> 00:16:34,370 this global, 481 00:16:34,829 --> 00:16:37,230 game, so to speak. So that on top 482 00:16:37,230 --> 00:16:38,990 of the two hundred fiftieth anniversary of our 483 00:16:38,990 --> 00:16:41,709 country, obviously, we're booked down between New York 484 00:16:41,709 --> 00:16:42,769 and, Philadelphia. 485 00:16:43,325 --> 00:16:45,264 A lot of activity happening in the Philadelphia 486 00:16:45,325 --> 00:16:47,325 market, certainly in the New York market, but 487 00:16:47,325 --> 00:16:49,105 right across the river here in New Jersey, 488 00:16:49,485 --> 00:16:52,205 we'll be hosting the, the FIFA World Cup. 489 00:16:52,205 --> 00:16:52,705 So 490 00:16:53,245 --> 00:16:55,404 that certainly is something it certainly it's a 491 00:16:55,404 --> 00:16:57,809 tremendous opportunity for us, but then it's on 492 00:16:57,929 --> 00:17:00,809 you're on the global world stage of, rendering 493 00:17:00,809 --> 00:17:01,309 care. 494 00:17:01,850 --> 00:17:04,089 God forbid, you know, somebody gets hurt. But 495 00:17:04,089 --> 00:17:05,769 in the world we live in on, 496 00:17:06,089 --> 00:17:08,109 you know, mitigating risk and 497 00:17:08,490 --> 00:17:09,470 protecting those, 498 00:17:09,769 --> 00:17:11,934 making sure that when they go to an 499 00:17:11,934 --> 00:17:14,494 event, it's as safe, right, as safe as 500 00:17:14,494 --> 00:17:16,654 possible, and that they're going to have a 501 00:17:16,654 --> 00:17:19,055 good time. So we'll we're gonna be part 502 00:17:19,134 --> 00:17:19,634 we're, 503 00:17:19,934 --> 00:17:22,575 you know, very much early adoption in the 504 00:17:22,654 --> 00:17:24,174 you know, this plans have been going on 505 00:17:24,174 --> 00:17:25,920 for more over more than a year. 506 00:17:26,480 --> 00:17:28,559 But, certainly, as we get into this year 507 00:17:28,559 --> 00:17:29,299 and opportunities 508 00:17:29,759 --> 00:17:30,820 on the growth side, 509 00:17:31,440 --> 00:17:33,279 you know, we're we're gonna be hosting or 510 00:17:33,279 --> 00:17:36,320 we're we're sponsoring the FIFA, World Cup. I 511 00:17:36,320 --> 00:17:39,085 believe that, you know, New Jersey, it's very 512 00:17:39,085 --> 00:17:39,565 highly diverse, 513 00:17:40,924 --> 00:17:41,825 diverse state. 514 00:17:42,365 --> 00:17:45,085 The post of it as as this the 515 00:17:45,085 --> 00:17:45,585 attention 516 00:17:46,204 --> 00:17:47,825 is on New Jersey for this, 517 00:17:48,365 --> 00:17:50,204 to be, you know, to be shown for 518 00:17:50,204 --> 00:17:52,259 a month, you know, June into July. We're 519 00:17:52,259 --> 00:17:55,140 also gonna build, these, I think, what they're 520 00:17:55,140 --> 00:17:58,019 called, like, legacy fields. So in communities that 521 00:17:58,019 --> 00:18:00,660 need additional fields where kids need, you know, 522 00:18:00,660 --> 00:18:02,680 get away from technology, get outside, 523 00:18:03,380 --> 00:18:04,599 you know, team sport, 524 00:18:05,044 --> 00:18:06,884 be with your friends. Right? Get out in, 525 00:18:07,125 --> 00:18:08,424 get out in the environment. 526 00:18:09,044 --> 00:18:11,304 We're gonna build three three, fields, 527 00:18:11,765 --> 00:18:13,845 in our state so that kids could, you 528 00:18:13,845 --> 00:18:16,085 know, get excited about it as much as 529 00:18:16,085 --> 00:18:17,605 we are, but keeping them more, you know, 530 00:18:17,605 --> 00:18:18,960 in their community. So, 531 00:18:19,599 --> 00:18:20,980 certainly a global platform, 532 00:18:21,839 --> 00:18:23,279 that we'll be able to share, well, things 533 00:18:23,279 --> 00:18:25,359 that are important to us, tackle kids' cancer. 534 00:18:25,359 --> 00:18:27,140 You know, we do have two children's hospitals, 535 00:18:27,519 --> 00:18:29,279 and they're doing a lot of cancer care 536 00:18:29,279 --> 00:18:30,019 with children. 537 00:18:30,880 --> 00:18:32,640 And we have you know, we we wanna 538 00:18:32,640 --> 00:18:34,319 fundraise as much as we can for that 539 00:18:34,319 --> 00:18:37,465 because, I mean, nobody should be nobody should 540 00:18:37,465 --> 00:18:39,384 feel sick or or feel badly. But let 541 00:18:39,384 --> 00:18:40,845 me tell you, when a kid has cancer, 542 00:18:41,224 --> 00:18:44,424 it is, really it's a very pivotal thing 543 00:18:44,424 --> 00:18:45,785 for the those that are caring for the 544 00:18:45,785 --> 00:18:47,529 child as well as the family. So we 545 00:18:47,529 --> 00:18:49,210 have a lot of initiatives behind the scenes 546 00:18:49,210 --> 00:18:51,049 on that. So those are another areas of 547 00:18:51,049 --> 00:18:52,910 growth for us on the philanthropy side. 548 00:18:53,690 --> 00:18:56,089 That's amazing to hear. Wow. A lot of 549 00:18:56,089 --> 00:18:58,329 great opportunities coming up this year. Regina, thank 550 00:18:58,329 --> 00:18:59,609 you so much for joining us on the 551 00:18:59,609 --> 00:19:02,025 podcast today. I really appreciate your time, and 552 00:19:02,105 --> 00:19:03,945 has been a great conversation. I look forward 553 00:19:03,945 --> 00:19:05,464 to seeing you at our annual meeting as 554 00:19:05,464 --> 00:19:06,904 well coming up here. I know you'll be 555 00:19:06,904 --> 00:19:09,144 speaking on a panel, and we'll continue to 556 00:19:09,144 --> 00:19:09,884 to deepen, 557 00:19:10,184 --> 00:19:11,625 some of the themes we talked about here. 558 00:19:11,625 --> 00:19:13,065 And this will be a great opportunity to 559 00:19:13,065 --> 00:19:15,144 connect with all those, from across the country 560 00:19:15,144 --> 00:19:17,759 leading very similar health care challenges as well 561 00:19:17,759 --> 00:19:19,139 as initiatives moving forward. 562 00:19:19,599 --> 00:19:21,599 Sounds good, Laura. You know, flattered to be 563 00:19:21,599 --> 00:19:23,940 asked and, happy to partner with any of 564 00:19:24,079 --> 00:19:26,019 my friends and colleagues throughout our country.