1 00:00:01,679 --> 00:00:04,160 Every year, Becker's annual meeting brings health care 2 00:00:04,160 --> 00:00:06,719 leaders together to unpack the most pressing issues 3 00:00:06,719 --> 00:00:07,700 facing the industry. 4 00:00:08,080 --> 00:00:10,900 And every year, those conversations shift in profound 5 00:00:10,960 --> 00:00:15,039 and unexpected ways. This April, more than 3,500 6 00:00:15,039 --> 00:00:17,635 health care executives will return to Chicago for 7 00:00:17,635 --> 00:00:19,414 Becker's sixteenth annual meeting. 8 00:00:19,795 --> 00:00:21,154 795 9 00:00:21,154 --> 00:00:23,875 elite speakers will offer new lessons, new case 10 00:00:23,875 --> 00:00:27,074 studies, and predictions about what comes next. Join 11 00:00:27,074 --> 00:00:29,015 us April 13 through the sixteenth. 12 00:00:29,449 --> 00:00:33,850 For the agenda and event details, visit beckershospitalreview.com 13 00:00:33,850 --> 00:00:35,690 and click on the events tab in the 14 00:00:35,690 --> 00:00:36,510 upper right. 15 00:00:37,929 --> 00:00:40,270 Hi, everyone. You are listening to the Becker's 16 00:00:40,409 --> 00:00:43,789 Healthcare podcast. I'm Erica Carbajal with the Becker's 17 00:00:43,850 --> 00:00:47,015 Hospital review team. And today, I'm very excited 18 00:00:47,074 --> 00:00:48,854 to be joined by Kate Fitzpatrick, 19 00:00:49,634 --> 00:00:53,074 chief nurse executive at Jefferson Health. Kate, so 20 00:00:53,074 --> 00:00:54,674 happy to have you on today. Thanks for 21 00:00:54,674 --> 00:00:57,394 being here. Oh, Erica, it's my pleasure. Great 22 00:00:57,394 --> 00:00:59,254 to be with you. Yeah. Welcome. 23 00:00:59,950 --> 00:01:02,190 Well, Kate, can you start off by telling 24 00:01:02,190 --> 00:01:05,150 our listeners what your top priority as CNO 25 00:01:05,150 --> 00:01:07,870 of Jefferson Health is this year? What's something 26 00:01:07,870 --> 00:01:10,349 you're hoping to make some meaningful progress on 27 00:01:10,349 --> 00:01:11,329 by year's end? 28 00:01:12,005 --> 00:01:14,405 Yeah. I would say it's, it's always hard 29 00:01:14,405 --> 00:01:16,105 to pick one top priority. 30 00:01:16,805 --> 00:01:18,725 I would say it doesn't matter what year 31 00:01:18,725 --> 00:01:20,805 it is. The top priority is always gonna 32 00:01:20,805 --> 00:01:23,145 be safe quality personalized care. 33 00:01:23,605 --> 00:01:26,290 But I would say given where Jefferson Health 34 00:01:26,290 --> 00:01:29,729 is in their journey, we've recently expanded in 35 00:01:29,729 --> 00:01:31,510 the last year and a half, and, 36 00:01:32,209 --> 00:01:35,569 we grew from a 17 hospital health system 37 00:01:35,569 --> 00:01:37,189 to now 33 hospitals. 38 00:01:37,905 --> 00:01:40,484 And so one of the really important things 39 00:01:40,545 --> 00:01:43,105 on the, horizon for the coming year is 40 00:01:43,105 --> 00:01:45,765 to continue the horizontal integration work. 41 00:01:46,064 --> 00:01:48,805 So really trying to bring together structures 42 00:01:49,505 --> 00:01:52,140 across our 33 hospital systems so that we 43 00:01:52,140 --> 00:01:54,960 can be as effective effective and as efficient 44 00:01:55,020 --> 00:01:55,840 as we can. 45 00:01:56,219 --> 00:01:58,859 And that's, there's a lot that goes into 46 00:01:58,859 --> 00:02:00,400 that in terms of, 47 00:02:00,859 --> 00:02:03,359 bringing people together, bringing teams together. 48 00:02:03,835 --> 00:02:06,875 We have new geographies. So trying to make 49 00:02:06,875 --> 00:02:07,615 all that, 50 00:02:08,555 --> 00:02:10,794 come together in a meaningful way is, you 51 00:02:10,794 --> 00:02:12,974 know, a a top priority for me. 52 00:02:13,675 --> 00:02:15,435 Yeah. Sure. No small feat. A bit a 53 00:02:15,435 --> 00:02:16,495 big merger there. 54 00:02:16,919 --> 00:02:19,079 Okay. I know Jefferson has been doing a 55 00:02:19,079 --> 00:02:22,280 lot of work to strengthen partnerships with federally 56 00:02:22,280 --> 00:02:25,019 qualified health centers and other community organizations 57 00:02:25,959 --> 00:02:28,599 to to help keep vulnerable patients connected to 58 00:02:28,599 --> 00:02:30,219 care, especially with some 59 00:02:30,555 --> 00:02:33,115 policy changes on the horizon that could increase 60 00:02:33,115 --> 00:02:35,055 the number of uninsured patients. 61 00:02:35,435 --> 00:02:37,594 I know I've talked to doctor Yahia quite 62 00:02:37,594 --> 00:02:38,955 a bit about this, so I just wanted 63 00:02:38,955 --> 00:02:39,694 to follow-up. 64 00:02:40,155 --> 00:02:42,094 How are you thinking about that challenge, 65 00:02:42,750 --> 00:02:44,930 particularly from a nurse leadership perspective? 66 00:02:45,389 --> 00:02:47,150 And what role do nurses play in those 67 00:02:47,150 --> 00:02:50,430 community partnerships and in helping patients stay connected 68 00:02:50,430 --> 00:02:52,129 to the appropriate levels of care? 69 00:02:52,829 --> 00:02:53,629 Yeah. It's, 70 00:02:54,110 --> 00:02:56,574 it's such an important thing for us to 71 00:02:56,574 --> 00:02:58,254 be thinking about. And, you know, one of 72 00:02:58,254 --> 00:02:59,775 the things that we're really, 73 00:03:00,495 --> 00:03:02,514 I think fortunate is the great, 74 00:03:03,614 --> 00:03:06,495 partnerships and relationships we have in Philadelphia and 75 00:03:06,495 --> 00:03:07,394 across Jefferson 76 00:03:08,014 --> 00:03:08,914 with our federally 77 00:03:09,215 --> 00:03:10,514 qualified health centers. 78 00:03:11,180 --> 00:03:12,539 And one of the things I think about 79 00:03:12,539 --> 00:03:15,120 is, you know, the patients treated at federally 80 00:03:15,259 --> 00:03:16,560 qualified health centers, 81 00:03:17,099 --> 00:03:19,500 you know, they flow in many directions, so 82 00:03:19,500 --> 00:03:22,799 they cross multiple organizations within the Jefferson system. 83 00:03:23,259 --> 00:03:26,215 And so we are cross referring all the 84 00:03:26,215 --> 00:03:26,715 time. 85 00:03:27,254 --> 00:03:29,574 And I see nurses as pivotal in the 86 00:03:29,574 --> 00:03:30,875 journey of patients, 87 00:03:31,335 --> 00:03:33,814 you know, outside the hospital, especially as they're 88 00:03:33,814 --> 00:03:34,555 being treated, 89 00:03:35,014 --> 00:03:37,415 you know, in in federally health, qualified health 90 00:03:37,415 --> 00:03:37,915 centers, 91 00:03:38,534 --> 00:03:40,889 and in our EDs. So thinking about things 92 00:03:41,370 --> 00:03:43,870 like how nurses are critical in, 93 00:03:44,330 --> 00:03:46,110 the communication and translation, 94 00:03:47,050 --> 00:03:49,209 between settings to make sure that we have 95 00:03:49,209 --> 00:03:50,669 the right level of reconciliation 96 00:03:51,370 --> 00:03:53,310 and communication around care plans. 97 00:03:53,849 --> 00:03:55,870 Nurses are exquisite around the relationships. 98 00:03:56,715 --> 00:03:57,194 They, 99 00:03:57,754 --> 00:04:00,574 they will understand probably at a deep level, 100 00:04:01,354 --> 00:04:03,675 what patient's insurance status is and what that 101 00:04:03,675 --> 00:04:05,055 means and what that might, 102 00:04:06,235 --> 00:04:09,534 be restricting or enhancing about the things resources 103 00:04:09,675 --> 00:04:10,814 they can access. 104 00:04:11,479 --> 00:04:14,360 So I think they also educate patients, I 105 00:04:14,360 --> 00:04:17,419 think, quite a bit about, you know, understanding 106 00:04:17,639 --> 00:04:19,480 with, you know, some of the policy changes 107 00:04:19,480 --> 00:04:20,139 you mentioned, 108 00:04:20,439 --> 00:04:22,759 what might change at the patient level? What 109 00:04:22,759 --> 00:04:25,975 might be new requirements around paperwork and things 110 00:04:25,975 --> 00:04:28,855 that patients have to submit to access care? 111 00:04:28,855 --> 00:04:31,574 So nurses will be a center point, I 112 00:04:31,574 --> 00:04:34,154 think, in helping translate that to help patients 113 00:04:34,214 --> 00:04:37,029 navigate that, help patients be attentive to the 114 00:04:37,029 --> 00:04:39,029 things that are gonna be really important for 115 00:04:39,029 --> 00:04:40,550 them to make sure they get the care 116 00:04:40,550 --> 00:04:41,289 they need. 117 00:04:41,750 --> 00:04:42,629 So I think it's, 118 00:04:43,350 --> 00:04:45,110 you know, it's something that's top of mind 119 00:04:45,110 --> 00:04:46,949 for me and and it's gonna continue to 120 00:04:46,949 --> 00:04:48,629 evolve as as we, you know, as the 121 00:04:48,629 --> 00:04:49,610 landscape evolves. 122 00:04:50,834 --> 00:04:52,675 Yeah, Kate. I I think it's interesting too 123 00:04:52,675 --> 00:04:53,495 to hear about 124 00:04:53,875 --> 00:04:56,435 nurses' role in in the education piece, especially 125 00:04:56,435 --> 00:04:58,914 with all of the the changes happening around 126 00:04:58,914 --> 00:04:59,634 Medicaid and, 127 00:05:00,274 --> 00:05:02,115 you know, so much of that could potentially 128 00:05:02,115 --> 00:05:04,675 be logistical errors and and having nurses step 129 00:05:04,675 --> 00:05:05,495 up and helping 130 00:05:06,110 --> 00:05:08,670 patients navigate just the logistical side to to 131 00:05:08,670 --> 00:05:11,949 ensure they can stay connected to their insurance 132 00:05:11,949 --> 00:05:13,889 status, you know, if it is a logistical 133 00:05:14,589 --> 00:05:15,089 issue. 134 00:05:16,990 --> 00:05:18,675 Oh, you know, one thing, Sarah, I'll just 135 00:05:18,675 --> 00:05:21,254 add there is we're fortunate as an enterprise 136 00:05:21,394 --> 00:05:24,454 to have, you know, an integrated health system, 137 00:05:24,675 --> 00:05:25,814 a health plan, 138 00:05:26,194 --> 00:05:26,935 and a university 139 00:05:27,555 --> 00:05:29,634 having access to the experts in our health 140 00:05:29,634 --> 00:05:31,394 plan. One of the things we've talked about 141 00:05:31,394 --> 00:05:34,290 recently is how we can bolster the education 142 00:05:34,350 --> 00:05:36,669 we provide for nurses and nurse leaders about 143 00:05:36,669 --> 00:05:37,169 understanding 144 00:05:37,790 --> 00:05:39,169 insurance and understanding 145 00:05:39,790 --> 00:05:41,389 the impacts to patients and how we can 146 00:05:41,389 --> 00:05:43,949 better support patients given all the changes that 147 00:05:43,949 --> 00:05:45,250 are in front of us. 148 00:05:46,134 --> 00:05:48,074 Yeah. Certainly. It's important piece. 149 00:05:48,774 --> 00:05:51,014 Kate, I wanted to chat with you too 150 00:05:51,014 --> 00:05:53,495 about Jefferson's nursing seal team. I know it's 151 00:05:53,495 --> 00:05:55,415 gotten a lot of attention just as a 152 00:05:55,415 --> 00:05:58,454 way to reduce agency reliance while also supporting 153 00:05:58,454 --> 00:06:01,560 units with less experienced staff. Been a really, 154 00:06:02,500 --> 00:06:04,180 important effort over the past few years that's 155 00:06:04,180 --> 00:06:05,939 shown a lot of great results that we've 156 00:06:05,939 --> 00:06:08,660 covered. So as you scale that model now 157 00:06:08,660 --> 00:06:11,240 with the integration with Lee Valley Health Network 158 00:06:11,300 --> 00:06:13,319 across the 30 plus hospital system, 159 00:06:13,699 --> 00:06:15,399 what are some of the biggest lessons 160 00:06:15,884 --> 00:06:17,724 so far? And do you see this kind 161 00:06:17,724 --> 00:06:19,425 of flexible workforce model 162 00:06:19,805 --> 00:06:21,264 becoming a more permanent 163 00:06:21,805 --> 00:06:24,444 feature of how health systems actually structure their 164 00:06:24,444 --> 00:06:25,345 nursing teams? 165 00:06:26,284 --> 00:06:28,410 Yeah. I think the seal team has 166 00:06:28,889 --> 00:06:30,189 been just a remarkable 167 00:06:30,569 --> 00:06:34,009 part of our work workforce optimization strategy, for 168 00:06:34,009 --> 00:06:36,490 sure. And I think we've had many lessons 169 00:06:36,490 --> 00:06:38,889 that we've learned over the years since we've 170 00:06:38,889 --> 00:06:40,910 launched it. And and our relearning 171 00:06:41,705 --> 00:06:42,585 and trying to, 172 00:06:43,225 --> 00:06:45,305 leverage and remind ourselves as we grow into 173 00:06:45,305 --> 00:06:46,904 the Lehigh Valley. But I think a couple 174 00:06:46,904 --> 00:06:48,824 of things that I would say in terms 175 00:06:48,824 --> 00:06:51,004 of lessons, one is just reminding 176 00:06:51,384 --> 00:06:54,329 everyone about the clarity and purpose of the 177 00:06:54,329 --> 00:06:56,189 seal team and this flexible workforce. 178 00:06:56,810 --> 00:06:58,669 You know, they're really most effective, 179 00:06:59,129 --> 00:07:01,689 when they are positioned as short term, more 180 00:07:01,689 --> 00:07:02,189 stabilizing 181 00:07:02,810 --> 00:07:05,625 resource and not a replacement for core unit 182 00:07:05,625 --> 00:07:07,464 staffing. And I think that's been, you know, 183 00:07:07,464 --> 00:07:08,685 an education point. 184 00:07:09,384 --> 00:07:12,425 I think experience on that team matters as 185 00:07:12,425 --> 00:07:14,665 much as the flexibility. So as we've looked 186 00:07:14,665 --> 00:07:17,144 at our experience level across the system for 187 00:07:17,144 --> 00:07:18,285 our registered nurses, 188 00:07:19,009 --> 00:07:19,970 really, this, 189 00:07:20,370 --> 00:07:23,590 ability to pair highly experienced nurses with 190 00:07:24,129 --> 00:07:26,689 those units or those clinics or areas that 191 00:07:26,689 --> 00:07:28,949 have a higher proportion of newer staff 192 00:07:29,410 --> 00:07:29,889 is, 193 00:07:30,370 --> 00:07:32,834 I think, a real benefit for us. It's 194 00:07:32,834 --> 00:07:35,235 not just filling shifts. It's it's being able 195 00:07:35,235 --> 00:07:37,634 to provide real time mentoring and helping to 196 00:07:37,634 --> 00:07:41,014 model clinical judgment and reinforcing standards of care, 197 00:07:41,394 --> 00:07:44,675 especially when units are under strain. So that 198 00:07:44,754 --> 00:07:46,995 that's been a a real important lesson for 199 00:07:46,995 --> 00:07:48,959 us that it's it's not just the flexibility. 200 00:07:48,959 --> 00:07:51,300 It's the level of experience and prioritizing 201 00:07:51,919 --> 00:07:53,839 how we deploy the team, I would say, 202 00:07:53,839 --> 00:07:54,740 is really important. 203 00:07:55,120 --> 00:07:57,039 And then we we've really tried to be 204 00:07:57,039 --> 00:07:57,939 very responsive 205 00:07:58,319 --> 00:08:01,120 to our regional chief nurses and our local 206 00:08:01,120 --> 00:08:02,180 teams around 207 00:08:02,685 --> 00:08:05,165 what they wanna see as we grow the 208 00:08:05,165 --> 00:08:08,064 seal team or modify the the seal team. 209 00:08:08,125 --> 00:08:09,645 And one of the things we've heard is 210 00:08:09,645 --> 00:08:10,145 just 211 00:08:10,925 --> 00:08:11,425 re 212 00:08:11,805 --> 00:08:12,305 adjusting 213 00:08:12,685 --> 00:08:15,564 the compliment of nurses that work off shifts 214 00:08:15,564 --> 00:08:16,225 and weekends 215 00:08:16,810 --> 00:08:20,009 and, bolstering some of the team in terms 216 00:08:20,009 --> 00:08:23,290 of specialty backgrounds like critical care. So we've 217 00:08:23,290 --> 00:08:25,050 certainly spent a lot of time to make 218 00:08:25,050 --> 00:08:26,730 sure that as we think of the compliment 219 00:08:26,730 --> 00:08:28,509 of that team, that we're 220 00:08:28,814 --> 00:08:31,215 being responsive and addressing the things that are, 221 00:08:31,775 --> 00:08:33,375 you know, the people that we're serving really 222 00:08:33,375 --> 00:08:35,695 need or or see as their their top 223 00:08:35,695 --> 00:08:36,195 priorities. 224 00:08:37,615 --> 00:08:40,894 Yeah, Caitlin. I imagine that just, you know, 225 00:08:40,894 --> 00:08:43,879 being so intentional with the experience level of 226 00:08:43,879 --> 00:08:46,360 nurses who are on that seal team goes 227 00:08:46,360 --> 00:08:47,959 such a long way and and also helping 228 00:08:47,959 --> 00:08:49,500 improve engagement among 229 00:08:49,879 --> 00:08:52,200 newer nurses and and confidence and being able 230 00:08:52,200 --> 00:08:54,440 to have that at the bedside, especially in 231 00:08:54,440 --> 00:08:57,000 units where a good portion of staff are 232 00:08:57,000 --> 00:08:57,980 novice nurses. 233 00:08:59,214 --> 00:09:02,194 Absolutely. I I right now across our system, 234 00:09:02,814 --> 00:09:05,934 roughly fifty five percent of our nurses are 235 00:09:05,934 --> 00:09:08,495 less than five years experience, so that's really 236 00:09:08,495 --> 00:09:10,950 significant. And so we're really intentional as we 237 00:09:10,950 --> 00:09:11,690 think about 238 00:09:12,149 --> 00:09:14,870 system wide strategies like the seal team to 239 00:09:14,870 --> 00:09:17,370 consider that and how do we support retention, 240 00:09:17,750 --> 00:09:19,850 how do we help those nurses to thrive. 241 00:09:20,070 --> 00:09:21,990 You know, and and ultimately, it's about supporting, 242 00:09:21,990 --> 00:09:24,309 you know, safe patient care. So it it's 243 00:09:24,309 --> 00:09:26,250 been a tremendous resource for us. 244 00:09:27,084 --> 00:09:27,584 Yeah. 245 00:09:28,845 --> 00:09:31,424 Kate, one of the things too that recently 246 00:09:31,725 --> 00:09:33,245 in the last few months, I feel like 247 00:09:33,245 --> 00:09:36,044 has increasingly come up in conversations, especially with 248 00:09:36,044 --> 00:09:38,865 clinical leaders, chief nursing officers, and medical officers, 249 00:09:39,379 --> 00:09:42,840 are just breakdowns in the transition from hospital 250 00:09:42,899 --> 00:09:44,820 to the next point of care as a 251 00:09:44,820 --> 00:09:47,879 growing challenge. So whether it's related to timely 252 00:09:47,940 --> 00:09:49,960 follow-up or medication access, 253 00:09:50,580 --> 00:09:51,320 those communication 254 00:09:51,700 --> 00:09:52,200 breakdowns 255 00:09:52,735 --> 00:09:54,514 seem to be a growing challenge. 256 00:09:54,975 --> 00:09:57,294 Where do you see the biggest gap today 257 00:09:57,294 --> 00:10:00,514 between discharge and the next touch point in 258 00:10:00,654 --> 00:10:02,254 in in care in a in a patient's 259 00:10:02,254 --> 00:10:04,575 care, and how can nursing maybe help close 260 00:10:04,575 --> 00:10:05,075 it? 261 00:10:05,429 --> 00:10:07,909 Yeah. It's such a great question. And I 262 00:10:07,909 --> 00:10:08,809 also have 263 00:10:09,269 --> 00:10:11,830 care management as part of my portfolio for 264 00:10:11,830 --> 00:10:13,589 this system. So I I spend a lot 265 00:10:13,589 --> 00:10:16,570 of time thinking about this exact question. 266 00:10:17,029 --> 00:10:18,710 I think there's a number of things where 267 00:10:18,710 --> 00:10:21,815 I see see big gaps. One is education. 268 00:10:22,035 --> 00:10:23,174 One is communication. 269 00:10:24,035 --> 00:10:26,195 I would say follow through. And the last 270 00:10:26,195 --> 00:10:26,835 is really, 271 00:10:27,394 --> 00:10:30,215 our ability to meet patients where they are. 272 00:10:30,674 --> 00:10:32,774 And as I think about those things, 273 00:10:33,475 --> 00:10:37,169 I think nurses play a tremendous role in 274 00:10:37,169 --> 00:10:39,509 helping us close those gaps. 275 00:10:40,129 --> 00:10:42,850 So thinking about unique roles for nurses, for 276 00:10:42,850 --> 00:10:43,350 example, 277 00:10:43,970 --> 00:10:47,169 transitional care nurses, nurse navigators who can help 278 00:10:47,169 --> 00:10:48,389 with appointments, 279 00:10:48,884 --> 00:10:49,384 follow-up, 280 00:10:49,845 --> 00:10:50,345 tracking, 281 00:10:51,205 --> 00:10:53,684 plans after discharge and making sure patients are 282 00:10:53,684 --> 00:10:56,804 adhering to those, keeping the connection between primary 283 00:10:56,804 --> 00:10:59,705 care specialists and helping coordinate that for patients, 284 00:11:00,245 --> 00:11:02,004 tracking, you know, patients that are at higher 285 00:11:02,004 --> 00:11:03,144 risk after discharge. 286 00:11:04,320 --> 00:11:06,879 And then, you know, just more operationally and 287 00:11:06,879 --> 00:11:09,860 concrete building into the the whole discharge process, 288 00:11:10,000 --> 00:11:11,139 making sure that 289 00:11:11,519 --> 00:11:12,259 we have 290 00:11:13,040 --> 00:11:16,100 people, particularly nurses, play an important role here 291 00:11:16,320 --> 00:11:18,945 leading post discharge charge follow-up call, 292 00:11:19,745 --> 00:11:22,065 calls to make sure that we're clarifying discharge 293 00:11:22,065 --> 00:11:25,424 instructions. People understand the medications they're on. They 294 00:11:25,424 --> 00:11:28,225 know the the signs to look for for 295 00:11:28,225 --> 00:11:29,044 any complications 296 00:11:29,345 --> 00:11:31,970 that might come up. And how they can, 297 00:11:32,449 --> 00:11:32,949 avoid, 298 00:11:33,569 --> 00:11:34,069 unnecessary 299 00:11:34,689 --> 00:11:36,949 or avoidable emergency department visits. 300 00:11:37,250 --> 00:11:38,529 So those are all things that I think 301 00:11:38,529 --> 00:11:40,929 nurses play a critical role in. And then 302 00:11:40,929 --> 00:11:42,449 I think, you know, one of the things 303 00:11:42,449 --> 00:11:45,075 in particular that we've seen that's a challenge 304 00:11:45,075 --> 00:11:47,575 is really in the whole realm of medication 305 00:11:47,794 --> 00:11:48,294 reconciliation. 306 00:11:49,075 --> 00:11:50,274 You know, we have patients that are on 307 00:11:50,274 --> 00:11:52,695 lots of medications, some complex medications. 308 00:11:53,315 --> 00:11:55,634 So really making sure that we support patients 309 00:11:55,634 --> 00:11:58,059 to to understand their medication regimen. 310 00:11:59,320 --> 00:12:01,500 They have the right access to the medications 311 00:12:01,639 --> 00:12:03,580 they need and helping them connect the resources 312 00:12:03,799 --> 00:12:04,620 if they don't. 313 00:12:05,399 --> 00:12:07,080 So there's a lot of things. And I 314 00:12:07,080 --> 00:12:09,480 would say the last thing is in the 315 00:12:09,480 --> 00:12:12,164 comment I made about meeting patients where they 316 00:12:12,164 --> 00:12:12,664 are, 317 00:12:13,125 --> 00:12:14,004 I do think, 318 00:12:14,485 --> 00:12:16,825 we will continue to leverage technology, 319 00:12:17,284 --> 00:12:18,985 things like remote patient monitoring, 320 00:12:19,365 --> 00:12:22,345 helping patients use patient the patient portal, 321 00:12:23,284 --> 00:12:24,585 coordination of telehealth, 322 00:12:25,445 --> 00:12:25,945 connections, 323 00:12:26,389 --> 00:12:28,309 And nurses can play and do play a 324 00:12:28,309 --> 00:12:30,950 critical role in helping patients navigate that, but 325 00:12:30,950 --> 00:12:33,190 it also helps us meet patients where they 326 00:12:33,190 --> 00:12:35,029 are. So so those are the some of 327 00:12:35,029 --> 00:12:36,490 the things I've thought about around 328 00:12:36,870 --> 00:12:38,950 care management, some of the gaps we're continuing 329 00:12:38,950 --> 00:12:39,610 to close. 330 00:12:40,534 --> 00:12:44,315 Yeah. Definitely a multi pronged approach there. Yeah. 331 00:12:44,934 --> 00:12:47,495 Kate, to close us out, what's one policy 332 00:12:47,495 --> 00:12:50,134 shift or workforce trends you believe could have 333 00:12:50,134 --> 00:12:52,694 the biggest effect on the nation's nursing workforce 334 00:12:52,694 --> 00:12:55,240 in the next three to five years? Maybe 335 00:12:55,240 --> 00:12:57,559 something leaders should be paying closer attention to 336 00:12:57,559 --> 00:12:58,220 right now. 337 00:12:59,399 --> 00:13:01,559 You know, I again, this is it's hard 338 00:13:01,559 --> 00:13:03,559 to think of just one, but I would 339 00:13:03,559 --> 00:13:06,440 say that one of the things that we've 340 00:13:06,440 --> 00:13:08,625 kept a close eye on is is, you 341 00:13:08,625 --> 00:13:11,825 know, the workforce. Obviously, we've made tremendous strides 342 00:13:11,825 --> 00:13:13,125 at Jefferson around 343 00:13:13,504 --> 00:13:14,165 our workforce, 344 00:13:14,785 --> 00:13:17,665 but we have to stay vigilant about the 345 00:13:17,665 --> 00:13:21,024 workforce moving forward. And it really, it's sustaining 346 00:13:21,024 --> 00:13:23,500 the workforce gains that we've made, but we've 347 00:13:23,500 --> 00:13:26,139 gotta continue to redesign the model. So what's 348 00:13:26,139 --> 00:13:28,399 the care delivery team around the patient, 349 00:13:28,779 --> 00:13:31,419 given the projections we know in terms of 350 00:13:31,419 --> 00:13:33,120 of longer term pipeline 351 00:13:33,500 --> 00:13:36,480 for nurses, for patient care techs, for certified 352 00:13:36,539 --> 00:13:39,065 nursing assistants? So looking at at the teams 353 00:13:39,065 --> 00:13:40,745 around the patients and saying we're gonna have 354 00:13:40,745 --> 00:13:43,164 to continue to redesign what that looks like. 355 00:13:43,544 --> 00:13:45,464 And I think, you know, the the strategic 356 00:13:45,464 --> 00:13:47,625 question is no longer how many nurses are 357 00:13:47,625 --> 00:13:49,725 needed, but, really, it's more about how nursing 358 00:13:49,784 --> 00:13:52,684 work is gonna be optimally designed and deployed. 359 00:13:53,389 --> 00:13:53,889 And 360 00:13:54,350 --> 00:13:56,669 so I think that's something we're all gonna 361 00:13:56,669 --> 00:13:58,509 have to continue to pay attention to. And 362 00:13:58,509 --> 00:13:59,649 there's so much, 363 00:14:00,190 --> 00:14:01,250 I think, exciting, 364 00:14:02,269 --> 00:14:04,610 things that are on the horizon around workforce 365 00:14:05,404 --> 00:14:08,785 in terms of, how we're already using hybrid 366 00:14:08,845 --> 00:14:09,825 virtual roles, 367 00:14:10,205 --> 00:14:13,425 how we've done some really creative work on 368 00:14:13,725 --> 00:14:14,225 redesigning, 369 00:14:15,245 --> 00:14:16,065 and upskilling 370 00:14:16,445 --> 00:14:19,245 patient, people who are patient facing on our 371 00:14:19,245 --> 00:14:21,909 teams right now. So I think that that's 372 00:14:21,909 --> 00:14:22,889 all gonna continue. 373 00:14:23,750 --> 00:14:25,850 I think we're gonna see more around, 374 00:14:26,629 --> 00:14:29,209 exciting enhancements, tech enabled care, 375 00:14:29,669 --> 00:14:32,389 things like ambient listening that's gonna help our 376 00:14:32,389 --> 00:14:32,889 clinicians, 377 00:14:33,894 --> 00:14:35,975 be more efficient and effective and take away 378 00:14:35,975 --> 00:14:38,054 some of their task burden. So I think 379 00:14:38,054 --> 00:14:40,134 for me, it's really gonna be about the 380 00:14:40,134 --> 00:14:44,134 workforce gain, sustaining those, and continuing to redesign 381 00:14:44,134 --> 00:14:45,595 the model as we move forward. 382 00:14:46,569 --> 00:14:48,409 Yeah, Kate. I I think so spot on. 383 00:14:48,409 --> 00:14:50,409 I know we just, one of my colleagues 384 00:14:50,409 --> 00:14:52,569 just covered a story sort of similar just 385 00:14:52,569 --> 00:14:55,769 looking at workforce strategy and touched on a 386 00:14:55,769 --> 00:14:58,269 lot of this just in terms of redesigning 387 00:14:58,409 --> 00:15:00,809 the care delivery model. Like, the workforce strategy 388 00:15:00,809 --> 00:15:02,350 has really shifted away from 389 00:15:02,674 --> 00:15:03,174 hiring 390 00:15:03,714 --> 00:15:05,095 and kind of competitive 391 00:15:06,115 --> 00:15:08,534 competitive hiring and more so how do we 392 00:15:08,914 --> 00:15:10,834 ensure that the folks we have are practicing 393 00:15:10,834 --> 00:15:12,534 at the top of their license. We're utilizing 394 00:15:12,674 --> 00:15:14,674 technology to the best of our ability and 395 00:15:14,674 --> 00:15:17,014 and reducing that reliance on contract 396 00:15:17,529 --> 00:15:20,190 work as well. So really interesting points there. 397 00:15:20,490 --> 00:15:22,490 Well, Kate, thank you so much for joining 398 00:15:22,490 --> 00:15:24,970 me on the podcast today. Really appreciated your 399 00:15:24,970 --> 00:15:26,889 time, and I know our audience will appreciate 400 00:15:26,889 --> 00:15:27,629 your insights. 401 00:15:28,250 --> 00:15:29,769 Oh, it was great. Thank you so much, 402 00:15:29,769 --> 00:15:30,269 Erica.