1 00:00:00,160 --> 00:00:03,680 Would you like to exchange best practices and ideas to improve care, 2 00:00:03,830 --> 00:00:05,600 enhance operational efficiency, 3 00:00:05,660 --> 00:00:08,000 and address financial challenges with your peers? 4 00:00:08,480 --> 00:00:12,320 Becker's Healthcare is facilitating these conversations at their eighth annual 5 00:00:12,620 --> 00:00:15,400 health, IT Digital health and RCM meeting. 6 00:00:15,820 --> 00:00:19,120 You can check your eligibility for complimentary attendance at the Lincoln, 7 00:00:19,480 --> 00:00:22,080 the description. We are excited to welcome you in October. 8 00:00:23,390 --> 00:00:25,720 This is Laura Ddo with the Becker's Healthcare Podcast. 9 00:00:26,340 --> 00:00:28,080 I'm thrilled today to be joined by Dr. Bradley, 10 00:00:28,080 --> 00:00:31,960 karate Vice President and Chief Digital Engagement Officer at Frayer Health. Dr. 11 00:00:31,960 --> 00:00:33,920 Karate, it's a pleasure to have you on the podcast today. 12 00:00:35,130 --> 00:00:36,330 Pleasure to be here. Thank you so much. 13 00:00:37,380 --> 00:00:39,000 Now I know we have a lot to talk about. 14 00:00:39,240 --> 00:00:42,040 There's so much happening in healthcare and really a lot in the digital 15 00:00:42,220 --> 00:00:46,120 transformation space as well. But before we dive into my questions, 16 00:00:46,220 --> 00:00:48,640 can you tell us a little bit more about yourself and your background? 17 00:00:50,160 --> 00:00:54,690 Yeah, ab, absolutely. Um, so first of all, I am a, uh, 18 00:00:54,820 --> 00:00:59,730 practicing, uh, primary care physician. I still continue to see, um, 19 00:00:59,850 --> 00:01:03,530 patients, and I think that's a very important part of, uh, 20 00:01:03,550 --> 00:01:05,930 the work that I do. Um, 21 00:01:05,990 --> 00:01:10,050 the second part is I am an informatician. So, um, 22 00:01:10,870 --> 00:01:15,450 uh, in clinical informatics relatively, uh, newer boarded, uh, 23 00:01:15,530 --> 00:01:18,490 subspecialty, uh, in the practice of medicine. 24 00:01:19,030 --> 00:01:23,530 And just a little bit about, um, my background. So I did, um, 25 00:01:24,230 --> 00:01:29,130 my, uh, medical training and then my, uh, fellowship training, 26 00:01:29,550 --> 00:01:34,210 uh, at the Beth Israel Deaconess Medical Center and had the pleasure of 27 00:01:34,830 --> 00:01:39,720 working with some amazing, uh, mentors that have been bringing in digital, 28 00:01:40,260 --> 00:01:44,440 um, since the 1960s into the clinical care environment. Uh, 29 00:01:44,530 --> 00:01:48,920 those include, um, Charlie Saffron and then, uh, his mentors, 30 00:01:49,460 --> 00:01:53,560 uh, Warner Slack and Howard Blight. So, Warner, um, 31 00:01:53,820 --> 00:01:57,120 had first been using the, uh, 32 00:01:57,480 --> 00:02:01,440 computers when they were the size of refrigerators, uh, in, uh, 33 00:02:01,440 --> 00:02:06,160 to interview a patient. Uh, he had one of the first, if not the first, um, 34 00:02:06,190 --> 00:02:10,320 article about computing in medicine in the New England Journal in 1967. 35 00:02:11,180 --> 00:02:15,760 Um, and so it was an amazing opportunity to really learn, um, you know, from, 36 00:02:16,390 --> 00:02:20,800 from these folks and to be able to carry, uh, their, their legacy forward of, 37 00:02:20,980 --> 00:02:25,840 of using, uh, computing and digital to really improve care, 38 00:02:26,580 --> 00:02:28,480 uh, and the, and the care experience. 39 00:02:29,620 --> 00:02:32,530 Absolutely. I, I really love that. And definitely, you know, 40 00:02:32,720 --> 00:02:37,570 that gap between the technology and the patient care really, you know, 41 00:02:37,630 --> 00:02:38,850 is so important. And I, 42 00:02:38,930 --> 00:02:43,170 I know you can really do a lot and add to the experience as well as the overall 43 00:02:43,170 --> 00:02:45,890 care you delivered by leveraging technologies in the right way. 44 00:02:46,030 --> 00:02:50,770 So I can imagine that experience as both the clinician as well as the background 45 00:02:50,770 --> 00:02:55,210 of technology really puts you in a great spot to, um, a advance that and, 46 00:02:55,230 --> 00:02:59,240 and connect with both teams on a level they understand to really, you know, 47 00:02:59,240 --> 00:03:02,960 forward some of these initiatives in a, um, a more efficient way than, you know, 48 00:03:03,020 --> 00:03:06,520 if, if you didn't have one foot in both worlds, so to speak. 49 00:03:07,370 --> 00:03:11,940 Yeah, absolutely. The, the, you know, technology for technology's sake, 50 00:03:11,940 --> 00:03:15,180 there's nothing special about that, and it's not gonna move any needles. 51 00:03:15,180 --> 00:03:18,500 You really need to integrate it into the problem that you're trying to, 52 00:03:18,720 --> 00:03:19,940 to solve. You know, 53 00:03:19,960 --> 00:03:24,420 the thing about the history of computing and medicine that 54 00:03:24,670 --> 00:03:28,820 those that taught me would always point out is that the technology may change 55 00:03:29,300 --> 00:03:33,700 periodically, but the underlying process is often the same. Uh, 56 00:03:33,700 --> 00:03:37,260 we may be taking care of people now through video. 57 00:03:37,920 --> 00:03:41,740 It used to be taken care of people through telephone was a novelty. 58 00:03:41,960 --> 00:03:44,220 But it's essentially you're still trying to do the same function, 59 00:03:44,250 --> 00:03:47,740 diagnosis and treatment. The tools may differ, but the, 60 00:03:48,200 --> 00:03:49,940 the process is really the same. 61 00:03:50,240 --> 00:03:53,780 And we'll have new things that will come out in the future that we're not even 62 00:03:54,570 --> 00:03:58,540 contemplating, um, uh, right, right now. Um, 63 00:03:58,640 --> 00:04:02,020 but ultimately it's, it's you not about the, the technology. 64 00:04:02,050 --> 00:04:06,620 It's really about the, the care, uh, that we're trying to deliver, uh, to, 65 00:04:06,760 --> 00:04:10,580 to our patients and the, and help them lead the best lives they can. 66 00:04:11,290 --> 00:04:12,880 Absolutely. I love that. And, 67 00:04:12,880 --> 00:04:17,720 and just such an important philosophy and way to approach, um, you know, that, 68 00:04:17,750 --> 00:04:22,680 that, um, the technology side of healthcare now, when you look at, 69 00:04:22,780 --> 00:04:23,840 um, where you're at today, 70 00:04:24,030 --> 00:04:26,960 what are some of the opportunities that you see for freighter as well as the 71 00:04:26,960 --> 00:04:28,200 headwinds you have your eye on? 72 00:04:29,010 --> 00:04:31,790 Let me start with the headwinds, um, first, 73 00:04:31,850 --> 00:04:36,110 cuz it's really what everyone in our industry is, is talking about. 74 00:04:36,290 --> 00:04:41,030 We know that, uh, the costs of, um, 75 00:04:41,130 --> 00:04:45,510 really, uh, skilled labor clinicians, uh, nurses, 76 00:04:45,820 --> 00:04:49,790 including nurses and therapists, um, the costs are, 77 00:04:50,090 --> 00:04:55,030 are rising. And, um, also supplies are, 78 00:04:55,250 --> 00:04:56,990 uh, the cost of supplies are rising too. 79 00:04:56,990 --> 00:05:00,390 So you have these on this whole one front of, of rising costs, 80 00:05:00,530 --> 00:05:05,230 and then your reimbursements, if anything, um, if they're moving, 81 00:05:05,370 --> 00:05:09,670 are generally moving, uh, in a lower direction for the most part. 82 00:05:10,450 --> 00:05:14,830 And so it really challenges the business models, uh, 83 00:05:14,830 --> 00:05:16,710 that healthcare systems have right now. So, 84 00:05:16,730 --> 00:05:20,580 so that's the headwind I think everyone in our industry is, is talking about, 85 00:05:20,720 --> 00:05:21,040 uh, 86 00:05:21,040 --> 00:05:25,810 I'm gonna flip it to that being an opportunity and really 87 00:05:25,830 --> 00:05:26,210 say, well, 88 00:05:26,210 --> 00:05:31,170 how can we really work to have the right 89 00:05:31,170 --> 00:05:35,130 same end goal, which is taking care of people, um, having them have the, 90 00:05:35,230 --> 00:05:37,530 the best, uh, health outcomes they can, 91 00:05:38,190 --> 00:05:42,530 but do it in a way that is possibly radically, 92 00:05:43,150 --> 00:05:47,530 uh, different. And we're doing it because we're, we're forced to, 93 00:05:47,670 --> 00:05:48,930 to change. Um, 94 00:05:49,310 --> 00:05:54,130 so opportunities that I think we need to look at are how we can use technology 95 00:05:54,550 --> 00:05:56,240 to, uh, 96 00:05:56,440 --> 00:06:00,050 continue to automate as many functions as we as we can because we, you know, 97 00:06:00,050 --> 00:06:04,650 frankly have a hard time, um, getting, getting staffed to help. So what, uh, uh, 98 00:06:05,000 --> 00:06:06,610 what can we automate? Um, 99 00:06:07,120 --> 00:06:11,810 another is what can the patient and family members do within certain 100 00:06:11,980 --> 00:06:13,490 guardrails, um, 101 00:06:13,630 --> 00:06:18,250 on their own without needing to run everything through a, 102 00:06:18,590 --> 00:06:22,610 uh, a professional. Um, so my mentors that I mentioned, 103 00:06:23,510 --> 00:06:28,130 Warner Slack would always, uh, often equipped that the patient or, uh, 104 00:06:28,230 --> 00:06:32,090 family members, often the least u utilized resource, uh, in the healthcare team. 105 00:06:32,910 --> 00:06:37,730 Um, and he had a, uh, a family member who had diabetes, 106 00:06:37,870 --> 00:06:41,730 and he said, well, he had to take insulin and if, if insulin, um, 107 00:06:41,870 --> 00:06:44,250 if he didn't have to do it multiple times a day, 108 00:06:44,430 --> 00:06:47,730 we would bring people into the hospital to, to give this medication. 109 00:06:47,790 --> 00:06:50,770 But that's not practical. So we're gonna have to rely on the patient, 110 00:06:50,770 --> 00:06:55,650 their family members to learn and, and, and manage it. And, um, 111 00:06:55,710 --> 00:06:58,130 of course, uh, people manage their, uh, 112 00:06:58,410 --> 00:07:03,090 diabetes all the time with their appropriate, uh, education and, and tools. 113 00:07:03,270 --> 00:07:08,050 So how do we move more into that, uh, into that direction? I, 114 00:07:08,170 --> 00:07:12,850 I think digital, um, is gonna play a really important role in both the, 115 00:07:13,030 --> 00:07:16,410 the education and the support as well as the, uh, 116 00:07:16,460 --> 00:07:20,690 guardrails so that we can intervene if someone is, is falling off track. 117 00:07:21,760 --> 00:07:23,210 That makes a lot of sense, you know, 118 00:07:23,210 --> 00:07:26,170 and really seems like a very promising way to, uh, 119 00:07:26,840 --> 00:07:29,450 utilize and leverage technology to, um, 120 00:07:29,680 --> 00:07:33,570 keep people healthy as much as possible and do things that you were never able 121 00:07:33,570 --> 00:07:37,730 to do, you know, without that digital lens. From your perspective, 122 00:07:38,030 --> 00:07:41,210 how are you thinking about growth and development and adding to the health 123 00:07:41,210 --> 00:07:44,490 system overall, especially in a time where, as you mentioned, you know, 124 00:07:44,490 --> 00:07:46,810 there's some, um, across the board, 125 00:07:46,810 --> 00:07:50,650 financial challenges as well as it can be challenging to have the staffing 126 00:07:50,890 --> 00:07:54,890 resources that you need to even do some of the basics at times. Um, you know, 127 00:07:55,230 --> 00:07:58,250 how do you add value to an organization during times like these? 128 00:07:59,700 --> 00:08:04,220 I think it, it's going back to that, how can we do things? Um, 129 00:08:04,720 --> 00:08:08,460 how can we do things differently? Um, I, if you'll, 130 00:08:08,560 --> 00:08:12,980 if you'll allow me a quick analogy, um, I've lived in the Milwaukee, 131 00:08:12,980 --> 00:08:17,540 Wisconsin area for the last, um, six or seven years. 132 00:08:17,570 --> 00:08:18,660 It's on a beautiful lake, 133 00:08:18,660 --> 00:08:23,310 and I've been trying to go out and enjoy that lake periodically and learn how 134 00:08:23,310 --> 00:08:27,750 to, to sail. Um, you need wind to be able to move. And the modern, 135 00:08:28,330 --> 00:08:33,190 uh, sales and the sale, if you think about sales as a technology, um, 136 00:08:33,360 --> 00:08:38,230 helps you, helps you move, um, if you have, uh, 137 00:08:38,580 --> 00:08:42,710 wind, uh, coming at just the right angle, even if it is coming, uh, 138 00:08:42,710 --> 00:08:47,030 from the front, uh, you can harness it and move to a different position. 139 00:08:47,050 --> 00:08:51,630 You might have to take a few zigzags or tax as they call it, but, uh, 140 00:08:51,970 --> 00:08:56,860 but you really need that, that, uh, that headwind, um, 141 00:08:57,400 --> 00:08:59,420 to, uh, be able to move. 142 00:08:59,420 --> 00:09:02,980 And what I'm thinking right now with the risk of being a little bit too 143 00:09:02,980 --> 00:09:04,860 pollyannish is that, you know, 144 00:09:04,860 --> 00:09:09,620 this is an important forcing function for us to learn how to do things, um, 145 00:09:09,620 --> 00:09:11,820 differently. So how can we use that technology? 146 00:09:12,350 --> 00:09:16,620 Maybe we're not able to go straight at the target like we want, but, um, 147 00:09:16,880 --> 00:09:20,300 but with a little bit of navigation and using the wins in our technology, we, 148 00:09:20,400 --> 00:09:24,740 we, we can get there. But, you know, ultimately it comes down to being able to, 149 00:09:25,280 --> 00:09:28,820 to offer services and to do things differently that don't have the same cost 150 00:09:28,980 --> 00:09:30,500 structures. So, um, 151 00:09:30,600 --> 00:09:35,500 how can we digitally engage people as much as possible to, uh, 152 00:09:35,500 --> 00:09:39,300 fulfill, um, care gaps, uh, without having to go through, 153 00:09:40,760 --> 00:09:44,900 uh, nurses and care coordinators or have everything done at a, 154 00:09:44,960 --> 00:09:49,020 at a clinical visit. Um, how can we grow, uh, 155 00:09:49,160 --> 00:09:53,300 new lives and, and essentially taking care of more people, um, 156 00:09:53,760 --> 00:09:57,220 and how can we do it through digital means, uh, through telemedicine, 157 00:09:57,320 --> 00:10:01,580 but also through digital therapeutics and other ways of reaching people and 158 00:10:01,580 --> 00:10:06,380 delivering the, the content and care, uh, that people can, um, 159 00:10:06,680 --> 00:10:07,513 can use to, 160 00:10:07,920 --> 00:10:11,860 to further their health And how can we think about the right partnerships that 161 00:10:11,860 --> 00:10:14,300 enable us to, um, to do that. 162 00:10:14,520 --> 00:10:19,300 So those are some of the ways that we've been thinking about, um, growth and, 163 00:10:19,480 --> 00:10:22,180 and value, uh, at, at this time. 164 00:10:23,470 --> 00:10:24,190 I love that. I, 165 00:10:24,190 --> 00:10:28,110 I think that makes so much sense and definitely is helpful to understand, um, 166 00:10:28,130 --> 00:10:32,760 you know, what you're still able to do within, um, you know, 167 00:10:32,760 --> 00:10:33,680 the context of, 168 00:10:33,680 --> 00:10:38,480 of today's environment and thinking through some of that as well, um, in, 169 00:10:38,480 --> 00:10:42,280 in how you can improve the patient experience and, and really, um, 170 00:10:42,280 --> 00:10:44,160 be more targeted with patients. You know, 171 00:10:44,310 --> 00:10:48,720 what is one investment that's still worth making this year towards that goal? 172 00:10:48,980 --> 00:10:52,840 Um, in, in, in making sure that you've got the best care possible. 173 00:10:55,120 --> 00:10:59,460 So the investments that we cannot afford to, to not make and, 174 00:10:59,640 --> 00:11:01,990 and to not make, um, 175 00:11:02,530 --> 00:11:06,830 to not solidly make are investments in data and investments in the 176 00:11:07,250 --> 00:11:12,070 infrastructure, uh, to deliver, uh, patient engagement. Um, 177 00:11:13,460 --> 00:11:17,790 both of them are at this point, non-negotiable, uh, uh, 178 00:11:17,960 --> 00:11:22,110 areas that are needed to, uh, get where we want to be. Um, 179 00:11:23,050 --> 00:11:27,750 and the conversation that I think we need to have is 180 00:11:27,970 --> 00:11:30,950 how do we look at these areas as assets? 181 00:11:31,050 --> 00:11:34,710 We generally will look at, um, buildings as, 182 00:11:34,930 --> 00:11:37,870 as assets and, and real estate, et cetera, 183 00:11:38,010 --> 00:11:41,390 but how do we look at the investments and data and how do we look at the 184 00:11:41,390 --> 00:11:45,700 investments in the infrastructure for digital engagement as, 185 00:11:46,640 --> 00:11:49,580 as, uh, strategic assets? Um, 186 00:11:49,760 --> 00:11:53,400 so I think we need to keep the foot on the gas pedal in, 187 00:11:53,580 --> 00:11:58,200 in both of these areas, um, for, uh, data, 188 00:11:58,310 --> 00:11:59,320 it's clinical data, 189 00:11:59,340 --> 00:12:04,000 but it's also being able to marry that and bring that together with context of, 190 00:12:04,260 --> 00:12:09,120 uh, where a patient is, um, in their, in their life and in their neighborhood, 191 00:12:09,460 --> 00:12:13,960 uh, in their communities, uh, to also bring it in with other sources of data, 192 00:12:13,980 --> 00:12:16,080 claims data, uh, et cetera, to put, 193 00:12:16,080 --> 00:12:20,640 really get that a whole picture of who a person is together and, 194 00:12:20,980 --> 00:12:25,600 um, not just use it for risk stratification, but really u to bring it into, um, 195 00:12:25,920 --> 00:12:27,880 clinical care to make it available for, um, 196 00:12:27,910 --> 00:12:32,160 care teams to make it available for our, our, uh, 197 00:12:32,160 --> 00:12:37,120 systems of care, uh, to make sure that they have the, um, right interventions, 198 00:12:37,740 --> 00:12:41,880 uh, targeted, uh, to the right, to the right people. Um, 199 00:12:42,500 --> 00:12:46,600 and then in, in terms of the digital, uh, engagement, um, 200 00:12:46,780 --> 00:12:47,680 for us, 201 00:12:47,950 --> 00:12:52,080 it's been to continuing to invest in our digital engagement platform that we are 202 00:12:52,340 --> 00:12:53,920 are building. Um, 203 00:12:53,930 --> 00:12:57,800 while we do use our electronic health record and the digital engagement 204 00:12:57,800 --> 00:13:02,410 capabilities within that, uh, we've also needed to bring together, 205 00:13:02,710 --> 00:13:07,250 uh, experiences from our other digital therapeutics tools, uh, 206 00:13:07,490 --> 00:13:08,810 from our, um, 207 00:13:09,630 --> 00:13:13,610 our video visits and telemedicine infrastructure to really make the best 208 00:13:13,610 --> 00:13:15,850 experience, um, possible. 209 00:13:16,190 --> 00:13:20,760 And we think that's just like having a, a, 210 00:13:21,330 --> 00:13:25,310 you know, a building or a, a center that a lot of people come through every day. 211 00:13:25,330 --> 00:13:28,750 It needs to be well functioning, it needs to be inviting, 212 00:13:28,770 --> 00:13:33,510 it needs to be welcoming, uh, and it needs to, uh, work really well. So, 213 00:13:33,810 --> 00:13:38,790 um, we're gonna continue to move forward with, um, with those investments. 214 00:13:40,060 --> 00:13:43,260 I love that. I think that's so important. And, you know, your focus on it, 215 00:13:43,260 --> 00:13:48,100 being able to have a systems in place that really allow the care teams to target 216 00:13:48,120 --> 00:13:52,260 the right people for the right treatments in, in the right, uh, um, 217 00:13:52,410 --> 00:13:55,740 type of care. And then the patient engagement as well, it seems like, 218 00:13:55,740 --> 00:13:59,220 is very forward thinking in terms of, um, how patients are, 219 00:13:59,240 --> 00:14:03,060 are really able to interact with the healthcare system overall. And, and so, 220 00:14:03,060 --> 00:14:03,580 you know, 221 00:14:03,580 --> 00:14:06,420 when you look at some of these changes that are happening and that you're 222 00:14:06,420 --> 00:14:09,500 making, has the care team been pretty receptive to that? 223 00:14:09,640 --> 00:14:14,060 Or have there been some, uh, challenges and questions in terms of, um, you know, 224 00:14:14,060 --> 00:14:17,260 whether this is really moving forward in the right direction for patients? 225 00:14:19,340 --> 00:14:21,880 So one of the things I think we have to think about, 226 00:14:21,880 --> 00:14:26,040 and I I bring this up with our care teams, um, when I talk, you know, 227 00:14:26,040 --> 00:14:29,840 either one-on-one with clinicians or, or in group, is, um, 228 00:14:29,860 --> 00:14:34,840 what's that right balance between care team autonomy and work, and then, uh, 229 00:14:34,890 --> 00:14:38,920 systemness and, and systems of care. And I think we're, 230 00:14:38,920 --> 00:14:41,080 we've reached an inflection point, uh, 231 00:14:41,080 --> 00:14:45,680 or a tipping point where the clinicians have so 232 00:14:46,070 --> 00:14:50,400 much on their plates that they're asking for help. Um, and, 233 00:14:50,900 --> 00:14:52,920 and this is an opportunity where we can bring in, 234 00:14:53,580 --> 00:14:57,680 in digital in the right way to really provide that, that help. 235 00:14:57,900 --> 00:15:01,200 Now the flip side of that is it can't be a digital that, uh, 236 00:15:01,200 --> 00:15:06,120 a digital intervention that results in another inbox message or puts everything 237 00:15:06,150 --> 00:15:10,280 back on the, on the clinician, that's really not going to work out. 238 00:15:10,460 --> 00:15:15,400 But if we, if we're able to do it right, we're able to provide that, 239 00:15:15,630 --> 00:15:19,640 that help, uh, for the, for the clinicians, uh, you know, 240 00:15:19,640 --> 00:15:24,580 an example that we're looking, um, hard at is, you know, the, 241 00:15:24,640 --> 00:15:29,540 the issue of, um, patient portal messages and their, their growth. So, um, 242 00:15:29,850 --> 00:15:32,380 this is an important value add for patients. It's, 243 00:15:32,380 --> 00:15:37,020 it's often where patients are starting the care journey, um, with a question of, 244 00:15:37,200 --> 00:15:40,900 should I come in or, or should I be seen? Or what, what would you do for this? 245 00:15:41,200 --> 00:15:44,900 Um, but it's, it's, it's a reflection of where the care model needs to, 246 00:15:44,960 --> 00:15:49,500 to change. Um, but if we're still in a locked in a fee for service, 247 00:15:49,920 --> 00:15:53,380 uh, world, uh, we're not able to to accomplish that. 248 00:15:53,400 --> 00:15:57,980 So how may we solve the problem of the, uh, of, of helping patients? 249 00:15:58,240 --> 00:16:03,220 Um, and, and part of that may be not putting those on the, 250 00:16:03,400 --> 00:16:06,900 on the, the clinicians to respond to those messages. 251 00:16:06,920 --> 00:16:11,220 That's looking at systems of care to be able to take the intent of that message 252 00:16:11,320 --> 00:16:14,980 and really help a patient, uh, solve their problem as quickly as possible. 253 00:16:15,400 --> 00:16:19,060 And it may not go through the, um, care team. So we're, 254 00:16:19,060 --> 00:16:23,380 we're gonna have this balance of, of autonomy and, and control versus, 255 00:16:24,120 --> 00:16:27,300 um, teamwork and, and, um, 256 00:16:27,480 --> 00:16:31,140 and we'll see where that goes, but I think we're in a point now where the, 257 00:16:31,800 --> 00:16:34,980 the balance is really stru, uh, going towards, um, 258 00:16:35,230 --> 00:16:37,340 let's help the care teams as much as possible. 259 00:16:38,840 --> 00:16:42,520 I love it. Thank you so much for going through that with us and, and really, um, 260 00:16:42,580 --> 00:16:45,560 you know, highlighting how the care teams are working through that. 261 00:16:45,700 --> 00:16:49,040 Before we wrap up our conversation, I wanted to take an eye and, 262 00:16:49,040 --> 00:16:52,400 and look at the future. What do you see as some of the best places in, 263 00:16:52,400 --> 00:16:53,720 in ways to grow and develop, 264 00:16:53,720 --> 00:16:57,280 especially as healthcare and technology in particular is evolving? 265 00:16:59,190 --> 00:17:02,400 Yeah, one of the things I think we all have to ask ourselves is what, 266 00:17:02,780 --> 00:17:06,560 as a healthcare system, what, what is it that we are, um, 267 00:17:07,220 --> 00:17:10,880 are going to, to do and, and be known for, um, 268 00:17:10,880 --> 00:17:14,200 particularly academic systems, uh, 269 00:17:14,390 --> 00:17:18,320 like us are going to take pride in, 270 00:17:18,580 --> 00:17:23,400 in being able to solve complex, uh, problems and to be able to bring the latest, 271 00:17:23,940 --> 00:17:27,800 uh, and best technology to patients and, and frankly, the, 272 00:17:28,470 --> 00:17:32,680 some of the, uh, technology, um, whether it's, uh, 273 00:17:32,780 --> 00:17:36,840 CAR T therapy that we've, um, been working on and, 274 00:17:37,300 --> 00:17:42,040 and have a lab here for, or it's, um, any of the, uh, newer can, 275 00:17:42,530 --> 00:17:47,200 newer other cancer treatments, antibody, uh, based treatments, et cetera. It, 276 00:17:47,230 --> 00:17:50,840 it's nothing short of, uh, miraculous. Um, 277 00:17:51,900 --> 00:17:53,720 but is that all that we're going to do? 278 00:17:54,140 --> 00:17:58,240 And what about the broader health of the, of the communities? 279 00:17:58,260 --> 00:18:02,570 And I think that's an opportunity for us to, um, 280 00:18:02,790 --> 00:18:07,090 to continue to grow that if, if we abdicated or delegated. 281 00:18:07,790 --> 00:18:12,690 Um, I think we're missing opportunities to really, uh, one, 282 00:18:12,800 --> 00:18:17,370 provide the best care available to patients in a integrated and non 283 00:18:17,650 --> 00:18:21,810 fragmented, uh, way. Um, and then, uh, two, 284 00:18:21,810 --> 00:18:26,120 develop a lifelong relationship with patients. So, you know, 285 00:18:26,120 --> 00:18:29,280 I think there's, there's often talk about, well, 286 00:18:29,280 --> 00:18:34,120 what do we give up and is wellness and, um, and kind of that, 287 00:18:34,860 --> 00:18:39,630 that low acuity something that we want to delegate, um, or, 288 00:18:39,730 --> 00:18:44,270 or partner with. And I think we have to look hard at, at that and, and say, 289 00:18:45,720 --> 00:18:48,300 you know, is, is that part of the full spectrum of care? 290 00:18:48,480 --> 00:18:50,980 And if we're not gonna do it, do we have the right, um, 291 00:18:50,980 --> 00:18:55,460 partners and infrastructure to be able to have those relationships, uh, 292 00:18:55,530 --> 00:18:59,940 with people that, that span ages and, and span time? And, 293 00:19:00,040 --> 00:19:03,660 and so I think that's one of the things that I think all health systems, um, 294 00:19:04,170 --> 00:19:07,500 need to look hard at. And, and I think if we do it right, 295 00:19:07,500 --> 00:19:11,860 it also does unlock opportunities for us to, um, 296 00:19:12,330 --> 00:19:16,900 grow, uh, in, in both our, uh, value to patients, 297 00:19:17,200 --> 00:19:21,700 uh, that we serve as, as well as to be able to grow our, um, our, uh, 298 00:19:21,700 --> 00:19:23,660 footprint in, in our communities. 299 00:19:25,590 --> 00:19:29,170 That's fantastic to hear and in what a fascinating and thoughtful way that 300 00:19:29,170 --> 00:19:32,530 you're approaching, um, that those initiatives in, 301 00:19:32,550 --> 00:19:35,410 in bringing technology into the fold. Dr. Karate, 302 00:19:35,420 --> 00:19:37,930 thank you so much for being here today and for your time. 303 00:19:38,120 --> 00:19:42,130 I've really enjoyed our conversation and so glad that you'll be able to join us 304 00:19:42,130 --> 00:19:47,010 in October as well for our health IT Digital Health and Revenue Cycle event. 305 00:19:47,170 --> 00:19:50,650 I, I know there'll be a lot of discussion around many of the themes here from, 306 00:19:50,990 --> 00:19:55,890 um, technology automation and digital patient experience into AI and, and more. 307 00:19:56,070 --> 00:19:57,970 So I'm looking forward to that and, 308 00:19:57,990 --> 00:20:01,650 and so grateful that you'll be able to lend your expertise to us there as well. 309 00:20:02,370 --> 00:20:04,900 There's a lot coming. Thank you for the conversation, Lauren, 310 00:20:04,920 --> 00:20:06,540 and look forward to continuing it. 311 00:20:10,960 --> 00:20:14,170 It's so important for leaders at the top of organizations to keep learning, 312 00:20:14,360 --> 00:20:16,010 stay sharp, grow their networks, 313 00:20:16,360 --> 00:20:19,610 help our audience better do this in a more simplified, personalized, 314 00:20:19,670 --> 00:20:23,610 and meaningful way. Becker's Healthcare has launched my B h c, 315 00:20:24,120 --> 00:20:27,130 it's your trusted Becker's healthcare experience and more with content, 316 00:20:27,200 --> 00:20:29,410 connections, events and learning opportunities. 317 00:20:30,120 --> 00:20:34,930 Join the community free of charge@www.my dot becker's hospital 318 00:20:34,930 --> 00:20:37,010 review.com and we'll see you there.