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- This is the Becker's
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Thanks for listening.
Now here's the episode.

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- This is Chris Oser with the
Becker's Healthcare Podcast.

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I'm Phil today to be joined
by Todd ak, president

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and CEO of Valley Children's
Healthcare in California.

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Todd, thank you so much
for joining us today.

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- It's my pleasure, Chris.
Thank you for having me.

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- Absolutely. Would you
please introduce yourself

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and tell our audience a little
bit about your background?

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- Sure, it's my pleasure. I'm Todd Pac.

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I serve as the president

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and CEO of Valley
Children's Healthcare, uh,

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which is a health system

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or a network that serves,
uh, close to 2 million kids

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in about a 45,000 square
mile service area.

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On our main campus, we
have a 358 bed quaternary

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pediatric, uh, acute care facilities, uh,

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and scattered, uh, throughout
that service area are a number

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of outpatient locations
ranging from primary care

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to pediatric subspecialty
care, so that no matter

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where any family is,
they, they're able to get

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to Valley Children's for
help within 30 minutes

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or 30 miles across that 45,000
square mile service area.

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And we also either own

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or operate, uh, with Partners Pediatrics

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and seven other acute care facilities

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in that same geography.

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- Thank you for that. Todd, uh,

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valley Children's recently
partnered with Wigmore Women's

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and Children's Hospital in
Armenia, capital of Yon.

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Could you explain how did
that relationship develop

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between your systems and
could please describe the

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connection between Valley Children's

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and the Armenian people?

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I know it's a mouthful, but <laugh> it's,

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we're absolutely looking
forward to hearing it.

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- It's really my pleasure, Chris.

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I think it was serendipitous in a way.

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Uh, a longtime mentor and
friend of mine, uh, Dr.

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V Rouge, Alta Barian,
who served many years

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as the physician in chief
here in the central part

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of California for Kaiser
Permanente, came to see me one day

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and asked me if we would help

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on a project that he had
been engaged on, which was,

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um, in Armenia.

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And, uh, that project
turned out to be a women's

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and children's facility,
uh, in Yvan Armenia,

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Wigmore Women's and Children's Hospital.

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And specifically, he wanted
to know if we could help

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with, uh, the education
of young physicians

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and clinicians here in the us, uh,

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at our main campus facility to begin with,

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and specifically if those
physicians could observe how we

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provided care in our er.

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And we of course, said yes.

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And I think it's important
to note, uh, for those

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that may not be familiar, um, during

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the unfortunate

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and tragic times, uh, of
the Armenian genocide,

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uh, the Armenian diaspora, uh,

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really found a second
home, if you will, many,

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many Armenians

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and people of Armenian descent
here in the central part

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of the state of California.

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And so for us, uh, the close relationship

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with those of Armenian
descent has been, um,

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fundamental part of our
over 70 year history now.

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And, uh, in fact, that same community,

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uh, is one of the most
generous in terms of, uh,

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philanthropic support to the
mission of Valley Children's

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and to helping kids of any of
the groups that we are blessed

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to be supported by.

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In fact, there's only one group if we, um,

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think about it in that way,

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that has surpassed the generosity in terms

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of financial support, uh,
of the Armenian community

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to Valley Children's,

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and that that group is the founding guilds

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of Valley Children's as an organization

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that have been functioning
for over 70 years.

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So you can see hopefully
that this, um, relationship

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between Valley Children's

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and the community of individuals

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of Armenian descent is one that is

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closely entwined

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and certainly has been part
of the formative progression

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and evolution of Valley Children's.

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And so to be able to give back
to the Children's Hospital,

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the new Children's Hospital
in the country of Armenia,

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has really been a no brainer for us.

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- And Todd, have you had a
chance to, uh, visit Armenia?

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Have any of your staff been had a chance

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to visit, uh, the hospital there?

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- Uh, I have not had the opportunity yet.

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I will be, uh, at the
invitation of the CEO, uh,

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of Wigmore and of my friend, uh, Dr.

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V Rouge, Alta Barian.

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I will be visiting, uh, Armenia, uh,

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in the next fall.

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I'm pretty excited about that.

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Um, we have had some of
our staff, um, our, uh,

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p the president of our
fundraising foundation.

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Uh, Robert Royan, uh,
is of Armenian descent.

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That's a pretty famous, uh,

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last name in the Armenian community.

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As you may know. Uh, he has
been to Armenia many times,

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and actually within the
last six months has visited

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Wigmore, uh, himself.

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And we've also previously,
uh, through, uh,

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different relationships,
uh, sponsored our physicians

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to go to Armenia

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and provide care in
Armenia for, uh, patients

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that have various
congenital health conditions

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that will only accelerate, uh,

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through our partnership with Wigmore,

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- Looking specifically
at that partnership.

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Todd, what are the main
goals that you have

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for this relationship?

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- I think the first

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and foremost, we want to, uh,

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share our knowledge

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with our colleagues in
Armenia, uh, so that

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the children of Armenia, which
is a developing country, so

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that the children in Armenia, um, have

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the opportunity to receive
the same quality of care

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that we would provide at Valley

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Children's here in the United States.

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I think that, uh, that
is the overriding desire

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to be a part of children's lives,

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not just here in the Valley,

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but also, uh, in the country of Armenia.

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As I've described, the
relationship between

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Valley Children's

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and the Armenian community
here is of critical importance

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to us is very, very close.

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And, uh, we really feel privileged

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and honored to be able to
now export our knowledge, uh,

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to Armenia and our care,
uh, with our partner,

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and also to welcome, uh,
the various clinicians

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and physicians here to
Valley Children's to see

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how we provide care,

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and in particular, how we
address quality improvement,

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uh, and ensure that the
standard of care, uh,

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for kids is at the highest level.

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And we've already done some great work

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together in that regard.

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Um, and,

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and I'm very excited about
what the future will hold,

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but this is really all
about patient care, Chris,

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and specifically how do we
improve the lives of kids

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no different from our focus in
here, uh, in California with

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how do we improve the, the
lives of kids that live here.

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So in that way, that is
the overriding objective

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of the relationship.

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- So when team members from Wigmore come

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to Valley Children's and they're
involved in your hospital

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and everything that goes on there,

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can you take us a little bit
through what they're seeing

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and how they are going to take

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that knowledge back to Armenia?

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- I, I'd be happy to. I think
it's a wide range of, uh,

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experiences that they are

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having when they are shadowing,
if you will, or observing.

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Uh, our clinicians, the
initial rotation was

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of the pediatric doctors from Armenia

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and Wigmore observing
in our er, which is one

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of the busiest ERs, uh, in the country.

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And it's not just for pediatrics,

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although all we do in
that ER is pediatrics.

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So it was a very intense
experience for them

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to see the amount of care that was

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provided, as well as the
variability of conditions

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that were coming in, which, uh,

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pediatric subspecialists
were working in consultation

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with the peds ER physicians.

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They also were able to
see a number of, uh,

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pediatric trauma activations
as we are a trauma center here,

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and they got to observe, uh,
those trauma cases firsthand

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and how we provided, uh, care.

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And importantly then

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how we critique the care that we provide.

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How do we learn from, um, both

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the team members that are involved?

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Do we need to change processes?

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How do we go about
having those discussions?

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And then how do we follow up?

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What systems might we change
and how do we do that?

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And I'll give you this one small example

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that every single member
of that team mentioned

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to me independently,
including the CEO of, um,

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Wigmore in all of our patient care

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environments, uh, in the
inpatient operations here

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in including the er,

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our quality scorecard is posted publicly

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and it says what we're doing well,

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and it says where we are not
hitting our own internally

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set goals, which are always in excess of

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what the regulatory goal would be.

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So it is very, very transparent,
uh, not just for our team,

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but for family members,
uh, of patients that come.

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Anybody can see this, it's public.

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That was something that
every one of our guests

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and colleagues from Wigmore pointed out as

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incredibly powerful, and
they were going to go home

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and immediately implement the
same at their organization.

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And the reason Chris, I
think that is so important is

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that goes to a culture of safety.

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It goes to a cultural mindset

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of continued process improvement.

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And I think more than
anything else, it recognizes

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that children are the future

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and our best has always, always

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needs to be improving.

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And we have got to ensure

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that we think about every
child that is coming to us

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for care, uh, as being a
bright spot in our future

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and protecting that future.

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So it, it reinforces the
commitment to always doing better,

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always improving,

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and every member of the team
knowing where we're excelling

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and where we're fa falling short.

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And, and that

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underlying message
becomes very motivational

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and as I said, becomes
a part of the culture.

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So, um, I have not seen their, um,

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they're gonna send me, um, um, photos

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of their own posters that they put up.

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Uh, I have not seen those yet,

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but I'm really looking forward to it.

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So those are, those are the things

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that they are experiencing
when they join us is

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the direct patient care experiences

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and everything that that entails,

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but then also they're seeing
how we do process improvement,

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how we communicate to each
other, how we are committed

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to always being better, that
we've got to do better, uh,

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because this is a future
that we are entrusted with.

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And I think those things
really, uh, resonated

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with our colleagues at at wigs more.

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And, and so they see all things

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great and small when they're here.

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00:14:13,155 --> 00:14:15,345
- Thank you for that, Todd.
That all seems like a very

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heartwarming and worthwhile

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00:14:17,665 --> 00:14:18,785
endeavor that you guys have going.

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00:14:19,025 --> 00:14:21,745
I mean, if you don't mind
projecting just a little bit,

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00:14:22,705 --> 00:14:25,225
I know this relationship has
been going on for a while,

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00:14:25,725 --> 00:14:28,305
but as you see it moving
forward, you know, five,

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00:14:28,405 --> 00:14:30,065
10 years from now, what do you hope

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00:14:30,065 --> 00:14:32,185
that this partnership will be and bring?

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00:14:33,555 --> 00:14:34,895
- That's a great question, Chris.

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00:14:35,115 --> 00:14:38,815
And I think that there is so
much that has already occurred

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for Valley Children's from,
uh, this relationship.

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00:14:43,675 --> 00:14:48,585
Uh, notably, uh, our team
is absolutely thrilled

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00:14:49,825 --> 00:14:53,245
to be in a position to
share with colleagues

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how we do things here.

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00:14:55,745 --> 00:15:00,005
Uh, I can tell you that I
saw a lot of smiling faces,

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uh, between colleagues
as our guests were here.

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00:15:06,075 --> 00:15:08,845
They are very ex our team
is very, very excited

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00:15:08,845 --> 00:15:12,605
to have the opportunity
to travel to Armenia

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00:15:12,905 --> 00:15:17,125
and do direct patient care
with our colleagues in Armenia

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for certain conditions.

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00:15:19,585 --> 00:15:22,445
And we are, uh, working now at

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determining which patient
populations should we work on, uh,

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00:15:28,085 --> 00:15:32,765
together, uh, when we send
that medical mission, uh,

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to Armenia, if you will.

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00:15:34,455 --> 00:15:36,165
Maybe that's the wrong terminology,

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00:15:36,305 --> 00:15:40,445
but when we send, um, members
of our team to Armenia

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00:15:40,445 --> 00:15:43,725
to work, uh, shoulder to
shoulder, side by side

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00:15:43,725 --> 00:15:48,005
with our colleagues at Wigs
more, I think that there's a,

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a great sense of pride, uh,

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00:15:50,525 --> 00:15:54,745
within the Valley
Children's team, uh, to know

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00:15:54,745 --> 00:15:59,115
that they're helping
colleagues a half a world away,

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uh, that may not, uh,
have had the opportunity

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00:16:05,805 --> 00:16:08,025
to receive the training that our team has,

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00:16:08,375 --> 00:16:11,345
whether it's at Valley
Children's or academically.

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00:16:12,345 --> 00:16:15,145
I think it's also, uh, for our team,

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00:16:16,255 --> 00:16:20,385
very illuminating that not
every organization may have

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00:16:21,045 --> 00:16:22,545
the same tools that we have,

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00:16:23,665 --> 00:16:27,705
although I have seen some
of the, uh, investments

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00:16:27,705 --> 00:16:29,145
that have been made at Wigmore

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00:16:29,885 --> 00:16:32,025
and they have the same gear that we do.

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00:16:32,365 --> 00:16:36,225
So that is, uh, a fantastic thing to see.

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00:16:36,485 --> 00:16:40,825
And our team is really,
really, I think, uplifted

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00:16:40,845 --> 00:16:44,745
by the notion that, uh,
we are going to be able to

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00:16:45,295 --> 00:16:49,305
help the only children's
hospital for an entire country,

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00:16:50,305 --> 00:16:53,125
uh, take care of kids
the way that we would,

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00:16:53,465 --> 00:16:55,485
but maybe even better, right?

298
00:16:55,515 --> 00:16:58,405
Because we, we of course
learn from our colleagues

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00:16:59,065 --> 00:17:00,925
in our Armenia at wigs more as well.

300
00:17:01,585 --> 00:17:03,445
To your, the part of your question about

301
00:17:03,445 --> 00:17:07,325
where do I see this going in,
in four to five years, uh,

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00:17:07,705 --> 00:17:10,365
we believe that we will be in a position

303
00:17:10,505 --> 00:17:14,405
to offer an international
rotation in our, uh,

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00:17:14,405 --> 00:17:17,805
pediatric residency
program, uh, with Wigmore.

305
00:17:17,865 --> 00:17:21,205
We have already had initial
conversations about that.

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00:17:21,865 --> 00:17:23,805
Uh, this is something
that's very attractive

307
00:17:24,585 --> 00:17:28,165
to young people thinking
about, uh, advancing

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00:17:28,735 --> 00:17:30,085
their career in medicine

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00:17:30,625 --> 00:17:34,165
and having an international
experience is important

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00:17:34,265 --> 00:17:36,965
to a number of those, uh,

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00:17:37,175 --> 00:17:40,605
young people advancing
their medical careers,

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00:17:40,605 --> 00:17:41,965
especially in pediatrics.

313
00:17:42,425 --> 00:17:45,725
So that is, uh, something
that we are very excited about

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00:17:46,425 --> 00:17:49,485
and think will be bring
tremendous value both

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00:17:49,485 --> 00:17:53,725
to Valley Children's as well
as to the team at, uh, Wigmore.

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00:17:54,605 --> 00:17:57,805
I think ultimately we foresee a future

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00:17:57,975 --> 00:18:01,725
where Valley Children's
and Wigmore Women's

318
00:18:01,725 --> 00:18:03,645
and Children's Hospital
are sister hospitals,

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00:18:04,045 --> 00:18:08,685
a half a world away with a lot
of, uh, integration between,

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00:18:09,145 --> 00:18:13,365
uh, clinical education,
um, technology utilization,

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00:18:13,365 --> 00:18:17,285
pharmaceutical utilization,
uh, residency training.

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00:18:17,845 --> 00:18:20,365
I think training the future physicians

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00:18:21,035 --> 00:18:24,525
that may practice here
in the United States, uh,

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00:18:24,525 --> 00:18:27,245
in the central part of California, equally

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00:18:27,355 --> 00:18:30,765
with ERA Van Armenia is
really, really important.

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00:18:31,745 --> 00:18:34,885
And, uh, that is something
that will enhance the future

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00:18:34,905 --> 00:18:39,045
of both organizations, uh, in
a way that's really difficult

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00:18:39,145 --> 00:18:40,205
to quantify,

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00:18:41,025 --> 00:18:44,685
but one that both organizations
are very excited about.

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00:18:46,405 --> 00:18:48,055
- Todd, thank you so much today

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00:18:48,155 --> 00:18:50,615
for sharing this inspiring
story of this partnership.

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00:18:50,755 --> 00:18:52,815
We obviously wish a continued success,

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00:18:52,955 --> 00:18:54,575
and thank you again for joining us today.

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00:18:55,195 --> 00:18:57,695
- My pleasure. Chris, always
thank you for having me.

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00:18:59,125 --> 00:19:01,535
- It's so important for leaders
at the top of organizations

336
00:19:01,535 --> 00:19:04,335
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sharp, grow their networks

337
00:19:04,635 --> 00:19:07,175
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do this in a more simplified,

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00:19:07,175 --> 00:19:08,855
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00:19:09,415 --> 00:19:11,895
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