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Would you like to exchange best
practices and ideas to improve care,

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enhance operational efficiency,

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and address financial
challenges with your peers?

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Becker's Healthcare is facilitating these
conversations at their eighth annual

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health IT digital health and RCM meeting.

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You can check your eligibility for
complimentary attendance at the Lincoln,

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the description. We are excited
to welcome you in October.

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This is Laura Ddo with the
Becker's Healthcare Podcast.

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I'm thrilled today to
be joined by Mark Combs,

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chief Technology officer
of Vandellia Health. Mark,

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it's a pleasure to have
you on the podcast today.

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Thank you. It's great to be here.

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Now, I know we've got a lot to talk about.

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There's so much happening
in healthcare right now,

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but then for you in particular,

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as you're working through a
merger of two organizations,

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but before we dive into my questions,

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can you tell me a little bit more
about yourself and your background?

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Yeah, so, um, I've been,
been in it for over 25 years.

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Uh, this is my second health health
organization that I've been with,

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have worked just about in every
area of it you can think of. It's,

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uh, it's a fascinating field and it's
just constantly changing. So it's,

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it's very, keeps me very
interested, that's for sure.

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Absolutely. I I can imagine there's
never a dull moment, really, uh,

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from the healthcare perspective. And,
you know, I, I'd love to hear too,

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if you could talk a little bit more about
how vandellia Health it was formed and

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you know,

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where you're at right now in that process
of connecting the two organizations.

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Um, and,

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and then we can dive into the broader
technology and health IT questions.

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Yeah, I would, I would love
to. Um, in January of 2021,

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I joined Mon Health System
and we were headed down

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one road and, um, in September of 2022,

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we came together with Charleston Area
Medical Center, uh, out of Charleston,

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West Virginia. We're in
Morgantown, West Virginia,

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up in sort of the north
central region of our state,

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and we decided to come together
and inform Vandellia Health.

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The two organizations really have
a lot of great synergy, and we're,

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we're growing. Uh,

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we've recently added two hospitals
and we're looking at a lot of other

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acquisitions around the state. It's a
very exciting time to be a part of, uh,

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Vandellia Health,

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and I'm just really happy to be here and
to be serving the people of the great

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state of West Virginia.

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That's fantastic and definitely
exciting to hear about the growth and

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development of the broader system.
I, I know that's a huge undertaking.

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So w with that in mind,

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what are some of the opportunities
that you're seeing right now, uh,

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for the organization as well as the
headwinds that you have your eye on?

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Yeah, I think one area of growth that,

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that we've really finally started
to gain traction in is the area of

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telemedicine. You know,

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a lot of organizations around the country
have been very successful with this.

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It's something that we're really
starting to see a huge pickup in

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being able to reach out to the
rural areas of West Virginia.

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And almost every single area
of West Virginia is rural. Uh,

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we're a state of around
1.75 million people.

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Most of your listeners live in cities
larger than that, but that's us,

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that's West Virginia.
So population's scarce,

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it takes 30 minutes to get anywhere,
and good healthcare is hard to come by,

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especially some of the
specialty providers.

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So we're really reaching out in
areas like cardiology, endocrinology,

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other areas that, you know, people
really can't get access to in,

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in some of these smaller places.

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They just don't have enough population
to support the higher end physicians or

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salaries. There's just not
the population or support it.

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So in the population centers like
Charleston or Morgantown where we have

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access to universities and we have
access to more physicians and,

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and better infrastructure,
quite honestly, um,

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we're able to extend those physicians
reach out into the smaller communities

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throughout the state and really help
improve the lives and health of the people

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of West Virginia.

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That's a really great point, and
especially thinking through it,

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as you mentioned, the distance in,

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in a lot of the population living
in remote areas, uh, how do you, um,

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from the technology side make sure that,
um, the different executives and and,

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um, the,

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the people that you're working with have
an understanding of what it takes to

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connect to the communities
and, um, you know,

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maybe they might not have
great access to wireless or,

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or some of those other types of things.

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So how are you thinking through
some of those challenges and, um,

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making sure that you're still able
to connect as much as possible?

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Yeah, that's a great question. You know,

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it always starts with process and people,

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so a lot of times when, when we started
the telemedicine discussion, it was, oh,

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can we get this cart? Ooh, can we get
this access? Can we get this camera?

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Can we get this piece of technology?

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And I kind of kept trying to
push back saying, wait a minute,

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do we even know what
service we're gonna provide?

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Do we have the physicians
available to provide the service?

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Do we know how we're gonna check
patients in? Who's gonna bill for it?

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Who's gonna do this? Who's gonna do that?

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The organization has
caught up and we have a,

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a great director of telemedicine here and
what we lovingly call Vandellia North,

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and she's really been able to dive in and,

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and help with these operational issues.
Once we got those straightened out,

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the rest that kind of fell into place,

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we have a great telemedicine
partner in, in Teledoc,

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and we really have been able to
reach out across the state. Now,

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as you said, connectivity
sometimes is a concern,

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but usually, not always,

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but usually in these areas where we might
have a rural health clinic or we might

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have, you know, a community hospital or,
or a a, uh, critical access hospital,

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they do have some sort of
high speed connection already.

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So if we're working within the clinics
or working in and around that hospital

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area and we're able to set up a room
or, or set up something, you know,

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connected to that hospital's
network, we're typically okay, um,

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we're starting to strike out
with, um, some mobile solutions.

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Those aren't fully formed yet, but we're
definitely moving in that direction.

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Absolutely. That's a really great point,
and definitely great to hear that,

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you know, you, you're seeing
some traction with, uh,

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those types of services
now as we're moving forward
with growth and development.

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I know right now is, uh, important
to be using resources wi wisely.

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So what does that look like
for you? Um, obviously,

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especially as you've got two
organizations coming together,

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adding two more hospitals as well. Um,

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what does growth look like and how do you,

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are you adding value to
the overall organization?

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How are we adding value to
the overall organization?

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Isn't that the constant question
we should all be asking ourselves?

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We are trying to deliver our
projects on time, under budget.

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We're trying to be good stewards of
the resources they give us in not

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over purchasing things that, you know,
hey, here's the next new shiny object.

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We wanna make sure everything that we're
doing aligns with the organization's,

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um, strategic plan.

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I think a lot of times that's where IT
departments get lost in the shuffle.

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Um, sometimes all they
see us as is, you know,

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fix the computer or fix this or keep the
telephone system running or whatever,

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but we really are and should be a
strategic partner to the organization,

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understanding the organization's vision,

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sitting at the table with the
executives, helping define that vision,

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helping to drive it, but
also running alongside it.

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So we can't run ahead
of the, of the company.

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We have to understand what the
organization's goals are and then find the

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correct technology that will help
enable those goals and enable, um,

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what the business wants to accomplish.

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Absolutely. I think that makes
a lot of sense. You know,

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it is great to hear from your
perspective that you're able to, uh,

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really just align with the larger
and broader goals and objectives of,

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of the organization. Um, I,

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I think I'd love to hear when you look
at your technology teams and the people

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that you work most closely
with, how are they evolving?

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Is there anything different
that you're seeing, um, from,

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from the teams that you're working with
now as you're jumping into a high growth

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mode, I guess, for the
overall, uh, health system?

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Yeah, it's, it's interesting, you
know, the, the culture is evolving.

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We're working with the teams
to hopefully be more proactive,

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understand that their individual
scopes as individual contributors is

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growing, learning and understanding
that we can't work in silos anymore.

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Everyone's gotta be on board
and everyone's got a seat
on the bus and everyone's

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gotta move in that right direction,
and there's no magic switch.

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You know, we may have been working a
certain way for the last five years,

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10 years, whatever. We kind
of get used to that, and it's,

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it's my responsibility and,

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and my leadership team's responsibility
to help move people to a place where

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they can be more successful, help them
see themselves in a different light.

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They're really part of a
bigger picture, um, and,

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and kind of help them look up out
of kind of the day-to-day work,

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if that makes sense.

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Yeah, I I think that's great
insight and perspective,

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especially when you're at a time where,
as you mentioned, you need everybody,

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uh, to be moving the right
direction and, and, you know,

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there's high change happening.
Um, you know, I think that's very,

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very interesting to hear in a
great mindset to have. Now, um,

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you talked a little bit about some of
the different changes that are happening

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and how you really are, um,
moving forward with the best, uh,

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interest in, in the goals
of the organization in mind.

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What do you see as being one risk or
investment that's really worth making this

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year that will add leaps and
bounds overall to patient
care and what you're able

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to do in the future?

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Well, I, I, I think I would answer that
in, in probably two different ways. One,

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what would be right for our
organization, because, you know,

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generally when thinking
about that question,

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you have to think about where you
are, who you are as an organization,

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and what your goals are.

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I feel like one of the investments
that the organization is starting to,

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to make is to, um, look at
digital front door patient intake,

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trying to better connect with
patients on a, a one-to-one basis.

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We haven't really got there yet. It's a
lot of, a lot of discussion. Our, our,

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uh, VANDELLIA south area is, uh,

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probably ahead of that than the Vandellia
North area, and I call them that,

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that that's how we designate them
between the two organizations.

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We're early on in our merger
process, so we still, you know,

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we're still kind of running somewhat
separate, somewhat together,

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we're moving more together and we're
moving more strategically together. And I,

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and I, I think the,

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the senior executive team is really
doing a good job with guiding us, um,

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that way. But it takes time.

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But I do believe that as an organization
we can do a much better job connecting

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with our folks, our
patients, our consumers. Um,

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I was recently at an
educational conference and
they made an interesting point.

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We spend so much time focused on the
providers of healthcare and not on the

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consumers of healthcare.

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And I think that's a mindset change that
all of us in industry could probably do

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with. I think the second way
I would answer that question
is just looking at the

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growth and explosion of this thing
called artificial intelligence.

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And it's such a buzzword,
it's gotten so, so big,

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but we recently saw out of hymns
that Epic and eClinical Works works,

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and I think even Salesforce are starting
to integrate chat G P T into their

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products. If we as, as technologists
in the healthcare arena,

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don't lift our heads up and kind of
understand what this is and what it means,

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it's quickly going to run over us.

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So just a couple of thoughts on areas
I think we we need to keep our eyes on.

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Absolutely. I think that's fascinating
to hear. And certainly, um,

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as you mentioned, uh, having
that chatt t generative ai,

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it is something that's front of mind.
We've seen the, through the news,

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like you said,

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having Epic and Microsoft work together
on it and others is just really, um,

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really fascinating to look at where the
potential opportunities and then also

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two challenges could be for
some of that technology.

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When you look at your own organization,
um, how do you think about AI and is,

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is that something that comes
up in the boardroom or,

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or something that's still
primarily, you know, um,

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something that you're thinking through
from a technology perspective and

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potentially, uh, you
know, a as time goes on,

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could be ready to bring it into
the organization as it makes sense?

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You know, I, I think it's
interesting because it's,

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it's not on a lot of
people's mind right now.

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We're trying to raise the consciousness
of it and raise the awareness of it.

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But like a lot of things,

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we're all running so fast and we're
trying to do all these great things that

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it's sort of outside of our
peripheral vision at the moment.

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It is an area of potential risk that I
think our risk and legal teams need to

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take a look at. Definitely our technology
teams need to understand and, uh,

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our operational leadership needs
to think through it as well.

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It's not something we're
going to be able to avoid.

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It's here and it's just going to grow
and continue to become more and more a

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part of our daily lives.

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Absolutely. Great perspective. Now,
before we wrap up our conversation,

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I just have one more question
and looking into the future,

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how do you see your role evolving in,

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in growth for you and the
technology teams at Valia Health? I.

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Think it goes back to that comment
around aligning with the organization.

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You know, I think gone are the days,

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and maybe they should never have
been the days when we just deal with

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the, the plumbing of it.

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I think we have to continually work
and think like business leaders and not

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necessarily strictly technology leaders.

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We have to make better
purchases for the organization.

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We have to do a better job at
aligning and using our resources.

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We have to be more efficient
in how we're using what the

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organization provides us. All
of the, a lot of the funds,

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I think about it this way,
when I spend the funds,

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it's from somebody's grandmother
coming in to get a lab done. You know,

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am I gonna take that money that they
provided us and blow that on some piece of

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technology that's just gonna sit on
a shelf for the next three years?

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And then one's gonna think
about, or some piece of software,

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we're only gonna get 10% usage out of.

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I think we have to be smarter and
wiser about our technology purchases,

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our decisions, find ways to
simplify our technology stack,

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find ways to better leverage the
cloud and just look at ways to,

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to simplify what we're doing so we can
be more efficient and more effective.

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Fantastic. Well, mark, thank you so
much for joining the podcast today.

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This has been really a fun conversation
and we're excited to have you join us as

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well in October for the Health IT
Digital Health and Revenue Cycle event.

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I know there'll be a lot of discussions
around many of the themes we've talked

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about here, and so it'll be great
to catch up, uh, later this year.

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Yeah, I'm, I'm really
looking forward to it.

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Last year was a really fun conference
and, uh, I think Becker's just does a,

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a great job and, and I appreciate
the opportunity to participate.

