1 00:00:00,240 --> 00:00:03,060 Imagine this. You're at the Hyatt Regency Chicago 2 00:00:03,439 --> 00:00:06,000 immersed in insightful discussions with the health care 3 00:00:06,000 --> 00:00:07,459 industry's top leaders. 4 00:00:07,839 --> 00:00:10,580 Welcome to Becker's 12th annual CEO 5 00:00:10,880 --> 00:00:14,740 and CFO roundtable from November 11th to 14th 6 00:00:15,134 --> 00:00:15,634 2024. 7 00:00:16,175 --> 00:00:19,315 Picture yourself networking with over a 1000 executive 8 00:00:19,454 --> 00:00:20,275 level attendees, 9 00:00:20,734 --> 00:00:23,795 collecting business cards, and forging valuable connections. 10 00:00:24,255 --> 00:00:26,654 Feel the excitement as you engage in 4 11 00:00:26,654 --> 00:00:28,675 days of sessions featuring 400 12 00:00:29,135 --> 00:00:30,870 elite health system speakers. 13 00:00:31,429 --> 00:00:35,049 Envision yourself diving deep into critical topics like 14 00:00:35,109 --> 00:00:37,450 rural health care, digital transformation, 15 00:00:38,070 --> 00:00:40,409 health equity, and c suite diversity. 16 00:00:41,190 --> 00:00:44,729 Now imagine being inspired by our celebrity keynotes, 17 00:00:45,195 --> 00:00:48,234 pro football hall of famers Troy Aikman and 18 00:00:48,234 --> 00:00:52,075 Emmett Smith, 43rd president George w Bush, and 19 00:00:52,075 --> 00:00:55,435 author and journalist Jenna Bush Hager. Their stories 20 00:00:55,435 --> 00:00:56,495 will leave you motivated 21 00:00:56,875 --> 00:00:57,695 and energized. 22 00:00:58,234 --> 00:00:59,535 Don't miss this unparalleled 23 00:00:59,995 --> 00:01:00,495 opportunity. 24 00:01:00,990 --> 00:01:03,329 Get registered today. Visit beckershospitalreview.com 25 00:01:05,230 --> 00:01:06,989 and click on the events page to find 26 00:01:06,989 --> 00:01:08,129 the conference website. 27 00:01:08,510 --> 00:01:09,489 That's the beckershospitalreview.com 28 00:01:11,709 --> 00:01:13,729 events page. See you in Chicago. 29 00:01:14,534 --> 00:01:16,454 This is Chris Sosa with the Becker's Healthcare 30 00:01:16,454 --> 00:01:18,614 podcast. I'm thrilled to be joined by Dan 31 00:01:18,614 --> 00:01:21,015 Fields, senior vice president and chief strategy officer 32 00:01:21,015 --> 00:01:23,575 at Children's Hospital of Philadelphia. Dan, thank you 33 00:01:23,575 --> 00:01:26,055 for joining us today. Thanks, Chris, for having 34 00:01:26,055 --> 00:01:27,435 me. I really appreciate it. 35 00:01:28,040 --> 00:01:30,119 Dan, for our listeners who are not familiar 36 00:01:30,119 --> 00:01:31,400 with you and your work, could you please 37 00:01:31,400 --> 00:01:33,159 introduce yourself and give us a bit about 38 00:01:33,159 --> 00:01:33,819 your background? 39 00:01:34,840 --> 00:01:36,840 Sure. I'm happy to. So as you said, 40 00:01:36,840 --> 00:01:39,239 Dan Fields. I'm chief strategy officer at Children's 41 00:01:39,239 --> 00:01:40,299 Hospital of Philadelphia, 42 00:01:40,920 --> 00:01:42,780 which we often refer to as CHOP. 43 00:01:43,755 --> 00:01:45,855 My responsibilities and my team's responsibilities, 44 00:01:47,114 --> 00:01:48,814 focus on a couple of broad areas. 45 00:01:49,194 --> 00:01:51,114 The first is we focus on our enterprise 46 00:01:51,114 --> 00:01:52,334 strategy, which includes 47 00:01:52,795 --> 00:01:54,895 clinical strategy, operational strategies. 48 00:01:55,275 --> 00:01:57,280 We also partner with our colleagues to think 49 00:01:57,280 --> 00:01:59,140 about our research and innovation strategy. 50 00:02:00,240 --> 00:02:02,579 I joined CHOP about 7 years ago, 51 00:02:03,040 --> 00:02:04,719 having spent my career prior to this in 52 00:02:04,719 --> 00:02:06,659 health care consulting where I was at McKinsey. 53 00:02:07,200 --> 00:02:09,120 I'm actually a lawyer by training, though never 54 00:02:09,120 --> 00:02:10,639 by practice. So if you ask me if 55 00:02:10,639 --> 00:02:11,324 I ever thought 56 00:02:11,965 --> 00:02:14,364 I'd, have gone from law school to consulting 57 00:02:14,364 --> 00:02:16,844 to children's hospital, I probably wouldn't have said 58 00:02:16,844 --> 00:02:18,844 I would have, but, I'm really glad I'm 59 00:02:18,844 --> 00:02:19,344 here. 60 00:02:20,284 --> 00:02:21,264 Briefly about 61 00:02:21,564 --> 00:02:24,125 CHOP. So CHOP is the 1st hospital in 62 00:02:24,125 --> 00:02:26,860 the US dedicated exclusively to pediatrics. We're one 63 00:02:26,860 --> 00:02:29,099 of the largest and most well regarded hospitals 64 00:02:29,099 --> 00:02:29,920 in the country, 65 00:02:30,540 --> 00:02:33,120 got more than 6 80 beds, 50 outpatient 66 00:02:33,180 --> 00:02:34,159 sites, 1,500,000 67 00:02:34,460 --> 00:02:37,099 outpatient visits per year, we train 100 of 68 00:02:37,099 --> 00:02:38,800 residents and fellows every year. 69 00:02:39,365 --> 00:02:41,284 It's a pretty amazing institution with a long 70 00:02:41,284 --> 00:02:43,764 standing commitment to innovation, which is what drew 71 00:02:43,764 --> 00:02:44,985 me to join SHOP. 72 00:02:46,564 --> 00:02:48,564 You mentioned that you're a lawyer by training, 73 00:02:48,564 --> 00:02:50,645 Dan. So could you let me know it 74 00:02:50,645 --> 00:02:52,965 does sound very interesting that you've gone from 75 00:02:52,965 --> 00:02:53,465 that 76 00:02:53,770 --> 00:02:55,449 training to health care. What led you in 77 00:02:55,449 --> 00:02:56,110 that direction? 78 00:02:57,530 --> 00:02:58,349 Yeah. I actually, 79 00:02:59,689 --> 00:03:01,210 I think for the early part of my 80 00:03:01,210 --> 00:03:02,889 career, I may have tried to tried to 81 00:03:02,889 --> 00:03:03,389 avoid 82 00:03:03,770 --> 00:03:05,870 working in health care. I'm from a family 83 00:03:06,090 --> 00:03:07,849 that focuses on health care. My dad's a 84 00:03:07,849 --> 00:03:10,014 doctor. My mom's a nurse. I'm married to 85 00:03:10,014 --> 00:03:11,715 a doctor. My sister's a doctor. 86 00:03:12,014 --> 00:03:13,555 Now I wanted to do other things. 87 00:03:14,014 --> 00:03:16,194 But in law school, I got really fascinated 88 00:03:16,254 --> 00:03:16,754 with 89 00:03:17,055 --> 00:03:18,594 the innovation that was happening 90 00:03:18,974 --> 00:03:21,694 in healthcare, and I decided I wanted to 91 00:03:21,694 --> 00:03:23,235 focus on that for my career. 92 00:03:23,870 --> 00:03:24,530 And so 93 00:03:25,150 --> 00:03:27,949 I rejoined McKinsey after law school and really 94 00:03:27,949 --> 00:03:29,409 made that a focus of my 95 00:03:29,870 --> 00:03:31,949 work and really enjoyed doing that. And so 96 00:03:31,949 --> 00:03:33,810 when I was leaving McKinsey and looking, 97 00:03:34,750 --> 00:03:35,810 for other opportunities, 98 00:03:36,509 --> 00:03:38,375 I wanted to find an institution that was 99 00:03:38,375 --> 00:03:40,615 really committed to innovation in health care, and 100 00:03:40,615 --> 00:03:43,495 CHOP is a good illustration and embodiment of 101 00:03:43,495 --> 00:03:43,995 that. 102 00:03:44,775 --> 00:03:47,094 And no doubt CHOP is very happy to 103 00:03:47,094 --> 00:03:48,775 have you, I'm sure. So you mentioned the 104 00:03:48,775 --> 00:03:49,275 innovation. 105 00:03:49,814 --> 00:03:52,019 On those along those lines, could you tell 106 00:03:52,019 --> 00:03:54,180 us what your top priorities are today, whether 107 00:03:54,180 --> 00:03:54,840 it's innovation 108 00:03:55,139 --> 00:03:57,079 or any other aspects of your job? 109 00:03:58,579 --> 00:03:59,400 Yeah. Absolutely. 110 00:03:59,939 --> 00:04:02,019 An interesting question, you know, because there's really 111 00:04:02,019 --> 00:04:03,799 so much going on in health care 112 00:04:04,284 --> 00:04:07,104 right now and certainly in pediatrics. And so, 113 00:04:08,685 --> 00:04:10,384 when I think about my 114 00:04:10,764 --> 00:04:13,085 broad priorities, they kinda fall into 2 general 115 00:04:13,085 --> 00:04:13,585 themes. 116 00:04:13,965 --> 00:04:15,264 So the first is about 117 00:04:15,564 --> 00:04:17,964 impact and how we maximize the impact we 118 00:04:17,964 --> 00:04:18,625 can have, 119 00:04:18,990 --> 00:04:20,610 and the second is around sustainability. 120 00:04:21,870 --> 00:04:22,990 And I'll tell you a little bit more 121 00:04:22,990 --> 00:04:23,490 about 122 00:04:24,110 --> 00:04:25,729 each. So from an impact perspective, 123 00:04:26,269 --> 00:04:29,389 for us, impact is often and frequently grounded 124 00:04:29,389 --> 00:04:31,970 in innovation. We're an organization with 125 00:04:32,785 --> 00:04:33,764 so much potential, 126 00:04:34,225 --> 00:04:36,785 a legacy of improving child health through innovation 127 00:04:36,785 --> 00:04:38,084 for a very long time. 128 00:04:38,545 --> 00:04:40,384 Now we're the 1st formal medical training in 129 00:04:40,384 --> 00:04:42,865 pediatrics. We were part of developing multiple of 130 00:04:42,865 --> 00:04:43,845 the first vaccines 131 00:04:45,199 --> 00:04:47,680 for cell therapy for cancer, for gene therapy 132 00:04:47,680 --> 00:04:49,840 for blindness. You know, we have expanded care 133 00:04:49,840 --> 00:04:51,300 across the whole care continuum, 134 00:04:52,480 --> 00:04:54,500 so we can provide extraordinary care 135 00:04:54,879 --> 00:04:56,639 in our community, around the country, around the 136 00:04:56,639 --> 00:04:57,139 world. 137 00:04:57,680 --> 00:04:59,439 We focus a lot on investing in our 138 00:04:59,439 --> 00:04:59,939 community, 139 00:05:00,814 --> 00:05:03,055 and, we have an extensive global health program. 140 00:05:03,055 --> 00:05:03,714 We've got 141 00:05:04,175 --> 00:05:04,675 1,000 142 00:05:04,975 --> 00:05:05,954 principal investigators 143 00:05:06,654 --> 00:05:07,154 that 144 00:05:08,014 --> 00:05:09,555 are supported by nearly $400,000,000 145 00:05:10,095 --> 00:05:12,354 in external funding to advance new ideas. 146 00:05:13,134 --> 00:05:15,610 And I tell you all that that's partially 147 00:05:15,610 --> 00:05:18,089 it's because it's interesting, but mostly because when 148 00:05:18,089 --> 00:05:20,009 you've got a foundation like that, you have 149 00:05:20,009 --> 00:05:20,910 just a tremendous 150 00:05:21,210 --> 00:05:21,710 ability 151 00:05:22,089 --> 00:05:24,189 to make a difference in improving child health. 152 00:05:25,050 --> 00:05:25,550 And 153 00:05:26,250 --> 00:05:28,250 pediatrics, as you know, is different. Right? We 154 00:05:28,250 --> 00:05:30,735 only represent 10% of health care expenditures, 155 00:05:31,275 --> 00:05:33,375 far fewer organizations that are focused 156 00:05:34,074 --> 00:05:36,014 on improving the state of health care for 157 00:05:36,154 --> 00:05:37,455 pediatrics for children. 158 00:05:37,835 --> 00:05:39,194 There are a lot of children who are 159 00:05:39,194 --> 00:05:40,495 depending on it. And so 160 00:05:40,955 --> 00:05:42,735 this big theme for me is 161 00:05:43,310 --> 00:05:45,150 really asking the question, you know, how can 162 00:05:45,150 --> 00:05:47,810 we maximize the impact we can have 163 00:05:48,990 --> 00:05:51,069 through innovation? How do we create an environment 164 00:05:51,069 --> 00:05:53,710 where new ideas and discoveries can flourish, can 165 00:05:53,710 --> 00:05:56,050 advance quickly and can do so at scale? 166 00:05:57,404 --> 00:05:59,404 This theme of quickly is something that really 167 00:05:59,404 --> 00:06:00,685 matters to me. I think there's just a 168 00:06:00,685 --> 00:06:01,185 lot 169 00:06:01,645 --> 00:06:04,125 of urgency for us to bring new ideas 170 00:06:04,125 --> 00:06:06,225 forward as quickly and safely as we 171 00:06:06,685 --> 00:06:07,185 can, 172 00:06:07,564 --> 00:06:10,045 because as much advancement that there's been in 173 00:06:10,045 --> 00:06:11,985 pediatrics and there has been a lot, 174 00:06:13,220 --> 00:06:15,319 If your child has a condition where 175 00:06:15,780 --> 00:06:17,620 we haven't made as much progress as an 176 00:06:17,620 --> 00:06:20,020 industry, and it doesn't matter how much other 177 00:06:20,020 --> 00:06:22,040 progress has been made. It only matters whether 178 00:06:22,420 --> 00:06:23,780 we have the idea that will make a 179 00:06:23,780 --> 00:06:26,294 difference for your child. And so this idea 180 00:06:26,294 --> 00:06:28,454 of advancing ideas in an environment that can 181 00:06:28,454 --> 00:06:29,274 advance ideas 182 00:06:29,735 --> 00:06:31,654 and bring them to scale quickly is really 183 00:06:31,654 --> 00:06:32,154 important. 184 00:06:32,854 --> 00:06:34,714 I'll maybe give you an example of 185 00:06:35,254 --> 00:06:36,615 how we think about this because one of 186 00:06:36,615 --> 00:06:38,294 the things we're really good at here is 187 00:06:38,294 --> 00:06:40,394 turning innovation into tangible results. 188 00:06:40,939 --> 00:06:42,219 And one of the ways we do that 189 00:06:42,219 --> 00:06:42,879 is through 190 00:06:43,740 --> 00:06:45,899 what we call some of our accelerator programs. 191 00:06:45,899 --> 00:06:48,060 So one of our marquee programs is called 192 00:06:48,060 --> 00:06:49,759 the Frontier programs. It's actually 193 00:06:50,060 --> 00:06:51,740 what brought me to CHOP in the first 194 00:06:51,740 --> 00:06:52,879 place. So Frontier 195 00:06:53,740 --> 00:06:54,240 takes 196 00:06:54,925 --> 00:06:57,264 programs that have extraordinary clinical programs 197 00:06:57,965 --> 00:07:00,785 and breakthrough research potential together, 198 00:07:01,245 --> 00:07:03,725 and we really invest and support these programs 199 00:07:03,725 --> 00:07:04,225 to 200 00:07:04,605 --> 00:07:06,764 develop their ideas as quickly as possible in 201 00:07:06,764 --> 00:07:09,004 both the clinical domain and the research domain 202 00:07:09,004 --> 00:07:11,209 and really foster that bench to bedside, 203 00:07:12,629 --> 00:07:14,949 translation that has so much promise in health 204 00:07:14,949 --> 00:07:15,449 care. 205 00:07:16,230 --> 00:07:17,689 When I got here, it was 206 00:07:18,310 --> 00:07:19,910 it was just a couple of programs that 207 00:07:19,910 --> 00:07:21,750 were making great progress. And now we've got 208 00:07:21,750 --> 00:07:23,050 27 of these programs. 209 00:07:24,134 --> 00:07:25,654 And then somewhere around a third of them 210 00:07:25,654 --> 00:07:27,675 are actually working on curative therapies. 211 00:07:28,055 --> 00:07:29,514 So when I think about impact, 212 00:07:29,975 --> 00:07:31,415 that's the type of impact I hope we 213 00:07:31,415 --> 00:07:33,254 can have. You know, we can bring ideas 214 00:07:33,254 --> 00:07:35,754 forward faster, we can bring ideas forward 215 00:07:36,180 --> 00:07:38,819 in a way that translates into care that 216 00:07:38,819 --> 00:07:40,839 makes a meaningful difference for kids. 217 00:07:41,459 --> 00:07:42,519 So that's a big 218 00:07:43,459 --> 00:07:46,180 area of focus, is impact through innovation and 219 00:07:46,180 --> 00:07:47,800 doing it quickly and at scale. 220 00:07:49,144 --> 00:07:50,345 But the other side of the coin here 221 00:07:50,345 --> 00:07:52,824 is the sustainability one and it's a really 222 00:07:52,824 --> 00:07:54,824 important question. You know, even as I said, 223 00:07:54,824 --> 00:07:57,485 even though pediatrics is different in many regards, 224 00:07:58,264 --> 00:08:00,365 and one regard that we're not is, 225 00:08:00,904 --> 00:08:02,759 being affected by the trends that are affecting 226 00:08:02,759 --> 00:08:04,139 the healthcare sector generally. 227 00:08:05,079 --> 00:08:08,459 Financial pressure, operational pressure, workforce pressure, disruption, 228 00:08:09,160 --> 00:08:11,979 these are all affecting pediatrics generally and, 229 00:08:12,519 --> 00:08:13,579 something we're really 230 00:08:13,959 --> 00:08:16,220 focused on as we think about sustainability. 231 00:08:17,435 --> 00:08:19,115 You know, at CHOP, we're kind of turning 232 00:08:19,115 --> 00:08:21,194 the page, we're coming up on 170 years 233 00:08:21,194 --> 00:08:22,014 into our 234 00:08:22,395 --> 00:08:23,995 journey and we're fortunate to be able to 235 00:08:23,995 --> 00:08:26,074 take the long view. But if you're taking 236 00:08:26,074 --> 00:08:27,355 the long view and you're on that kind 237 00:08:27,355 --> 00:08:28,955 of a journey and you face this kind 238 00:08:28,955 --> 00:08:30,335 of pressure and disruption, 239 00:08:30,955 --> 00:08:32,654 inability is really essential. 240 00:08:33,649 --> 00:08:35,490 And there's really exciting things that are happening 241 00:08:35,490 --> 00:08:37,029 from a sustainability perspective, 242 00:08:37,649 --> 00:08:39,110 innovation and care delivery, 243 00:08:39,570 --> 00:08:41,730 digital innovation, so there's a lot of really 244 00:08:41,730 --> 00:08:42,230 good 245 00:08:42,769 --> 00:08:44,370 work, and I think in order to have 246 00:08:44,370 --> 00:08:46,694 the impact we wanna have, we have to 247 00:08:46,694 --> 00:08:48,694 make sure we've got the sustainable foundation to 248 00:08:48,694 --> 00:08:49,595 do it. So 249 00:08:50,214 --> 00:08:51,654 those are 2 of the big themes that 250 00:08:51,654 --> 00:08:53,975 are occupying a lot of my time right 251 00:08:53,975 --> 00:08:54,475 now. 252 00:08:55,815 --> 00:08:58,134 Dan, clearly, health care is anything but stagnant, 253 00:08:58,134 --> 00:08:59,735 and you touched on a great deal of 254 00:08:59,735 --> 00:09:02,279 the pressures and challenges that are facing health 255 00:09:02,279 --> 00:09:04,600 care right now. You also mentioned Longview. But 256 00:09:04,600 --> 00:09:06,839 for a second here, let's look at a 257 00:09:06,839 --> 00:09:08,600 bit of a short term view. So over 258 00:09:08,600 --> 00:09:09,820 the next 18 months, 259 00:09:10,279 --> 00:09:12,620 what sort of things do you think will 260 00:09:13,034 --> 00:09:15,115 evolve in the health care industry as far 261 00:09:15,115 --> 00:09:16,254 as CHOP is concerned? 262 00:09:18,315 --> 00:09:20,154 Yeah. And the the short view is really 263 00:09:20,154 --> 00:09:22,154 important, but like you said like you said, 264 00:09:22,154 --> 00:09:24,315 you know, such a dynamic time in health 265 00:09:24,315 --> 00:09:24,815 care. 266 00:09:26,320 --> 00:09:28,240 I think that some of the changes have 267 00:09:28,240 --> 00:09:29,839 have already been happening, but I do think 268 00:09:29,839 --> 00:09:32,000 there's a few that will continue and perhaps 269 00:09:32,000 --> 00:09:33,220 accelerate. So, 270 00:09:33,839 --> 00:09:35,539 one of them relates to the 271 00:09:36,159 --> 00:09:39,360 the care continuum, you know. Children's hospitals have 272 00:09:39,360 --> 00:09:40,820 this extraordinary responsibility, 273 00:09:41,815 --> 00:09:44,935 especially children's hospitals like CHOP where we're involved 274 00:09:44,935 --> 00:09:47,035 so deeply in our community and and across 275 00:09:47,335 --> 00:09:49,514 the care continuum. So we focus on prevention, 276 00:09:49,575 --> 00:09:50,075 education, 277 00:09:50,535 --> 00:09:52,475 work with schools in our community, 278 00:09:53,175 --> 00:09:55,095 primary care, all the way through the most 279 00:09:55,095 --> 00:09:56,154 complex subspecialty, 280 00:09:57,679 --> 00:09:59,539 outpatient and inpatient and diagnostic 281 00:10:00,000 --> 00:10:00,500 care. 282 00:10:00,960 --> 00:10:03,519 And when you're covering that much ground and 283 00:10:03,519 --> 00:10:05,360 caring for kids that have needs across care 284 00:10:05,360 --> 00:10:06,740 continuum, it's really important 285 00:10:07,200 --> 00:10:08,639 to make sure that each part of the 286 00:10:08,639 --> 00:10:09,379 care continuum 287 00:10:10,225 --> 00:10:12,625 is robust and the children who need it 288 00:10:12,625 --> 00:10:14,625 have access to the care that they need 289 00:10:14,625 --> 00:10:16,705 across it. And so this has been part 290 00:10:16,705 --> 00:10:18,945 of our focus for a long time, but 291 00:10:18,945 --> 00:10:19,845 I think as 292 00:10:20,465 --> 00:10:22,725 the world gets more complex and 293 00:10:23,559 --> 00:10:27,000 clinical advances continue to move forward at an 294 00:10:27,000 --> 00:10:28,059 astounding pace, 295 00:10:28,440 --> 00:10:30,279 making sure that all parts of the care 296 00:10:30,279 --> 00:10:30,779 continuum 297 00:10:31,480 --> 00:10:34,120 are robust and well developed is something that 298 00:10:34,120 --> 00:10:35,319 I think we're going to be spending a 299 00:10:35,319 --> 00:10:37,799 much time thinking of or thinking about, excuse 300 00:10:37,799 --> 00:10:38,299 me. 301 00:10:40,095 --> 00:10:42,495 That's 1. The second, I touched on a 302 00:10:42,495 --> 00:10:43,235 little bit, 303 00:10:44,014 --> 00:10:44,735 but it's, 304 00:10:45,134 --> 00:10:46,915 it's really the scheme about scale. 305 00:10:48,335 --> 00:10:50,495 So, you know, health care, as you know 306 00:10:50,495 --> 00:10:51,315 well, Chris, 307 00:10:52,370 --> 00:10:55,250 loves to pilot an experiment and that has 308 00:10:55,250 --> 00:10:58,230 a really important role in advancing new ideas 309 00:10:58,370 --> 00:10:59,829 across the health care sector. 310 00:11:01,570 --> 00:11:03,250 For us, I think one of the things 311 00:11:03,250 --> 00:11:04,690 that we think a lot about is how 312 00:11:04,690 --> 00:11:07,355 we bring these good ideas to scale at 313 00:11:07,355 --> 00:11:08,954 a at a greater pace as I mentioned 314 00:11:08,954 --> 00:11:12,074 earlier. And so I think thinking about scale 315 00:11:12,074 --> 00:11:14,394 more deliberately, more systematically is going to be 316 00:11:14,394 --> 00:11:15,134 really important. 317 00:11:16,714 --> 00:11:18,954 And the last the last area is about 318 00:11:18,954 --> 00:11:19,454 collaboration. 319 00:11:20,299 --> 00:11:22,779 So we're we partner with many organizations today 320 00:11:22,779 --> 00:11:23,519 in our region 321 00:11:24,299 --> 00:11:25,360 in many different aspects of, 322 00:11:26,939 --> 00:11:29,439 things like shared care, education, and others. 323 00:11:30,220 --> 00:11:33,100 I expect partnership and collaboration to continue to 324 00:11:33,100 --> 00:11:34,879 probably expand and diversify 325 00:11:35,179 --> 00:11:37,394 the nature and types of partners and areas 326 00:11:37,394 --> 00:11:37,975 that we 327 00:11:38,434 --> 00:11:40,215 essentially collaborate with them. 328 00:11:40,835 --> 00:11:42,674 So I think that's exciting to think about 329 00:11:42,674 --> 00:11:44,535 it, there's a lot of promise there because 330 00:11:45,075 --> 00:11:46,855 as much as we've done as an organization 331 00:11:46,914 --> 00:11:47,414 individually, 332 00:11:48,529 --> 00:11:51,110 opportunities that are available to us and 333 00:11:51,490 --> 00:11:51,990 present 334 00:11:52,769 --> 00:11:55,090 are presented to us with the innovation that 335 00:11:55,090 --> 00:11:57,490 is coming require us as an industry to 336 00:11:57,490 --> 00:11:58,690 be way more than the sum of our 337 00:11:58,690 --> 00:12:00,450 parts, so collaboration is going to be pretty 338 00:12:00,450 --> 00:12:00,950 essential. 339 00:12:02,225 --> 00:12:04,565 There's so many exciting things happening right now 340 00:12:04,625 --> 00:12:06,784 in health care. Dan, you just mentioned a 341 00:12:06,784 --> 00:12:08,704 lot of them. But to switch gears a 342 00:12:08,704 --> 00:12:09,985 little bit here, I do wanna get back 343 00:12:09,985 --> 00:12:11,985 to what's exciting for you. But what's sort 344 00:12:11,985 --> 00:12:13,745 of making you nervous on the horizon, whether 345 00:12:13,745 --> 00:12:15,824 it be over the next year, 2 years, 346 00:12:15,824 --> 00:12:16,884 even 5 years? 347 00:12:18,649 --> 00:12:19,149 Yeah. 348 00:12:19,769 --> 00:12:21,690 I appreciate the question, Chris. You know, I 349 00:12:21,690 --> 00:12:22,250 think that, 350 00:12:23,769 --> 00:12:25,209 you know, one of the things that gives 351 00:12:25,209 --> 00:12:27,049 me pause that I think a lot about 352 00:12:27,049 --> 00:12:27,549 is 353 00:12:28,329 --> 00:12:29,070 the extent 354 00:12:29,450 --> 00:12:32,429 of the sort of unmet need in pediatrics. 355 00:12:33,894 --> 00:12:36,134 Now as much progress has been made, there's 356 00:12:36,134 --> 00:12:38,134 still a lot more that needs to be 357 00:12:38,134 --> 00:12:40,375 made and many of the indicators of child 358 00:12:40,375 --> 00:12:42,714 health aren't moving in the right direction. 359 00:12:43,894 --> 00:12:45,975 Perfect example of this is the child and 360 00:12:45,975 --> 00:12:47,914 adolescent mental health crisis that 361 00:12:48,370 --> 00:12:50,210 has been an area of focus for the 362 00:12:50,210 --> 00:12:52,610 industry now, in particular for the last couple 363 00:12:52,610 --> 00:12:53,190 of years. 364 00:12:53,730 --> 00:12:56,129 It's definitely an example of an area where 365 00:12:56,129 --> 00:12:57,970 the state of health for children is far 366 00:12:57,970 --> 00:12:58,710 from where 367 00:12:59,330 --> 00:13:00,309 it should be. 368 00:13:00,975 --> 00:13:03,154 I'm proud as an organization that, 369 00:13:03,774 --> 00:13:06,595 CHOP has invested quite significantly in this area 370 00:13:06,654 --> 00:13:09,235 in building out our own capabilities and advocacy. 371 00:13:10,334 --> 00:13:12,334 But when I think about that as a 372 00:13:12,334 --> 00:13:15,534 microcosm of multiple areas where the indicators of 373 00:13:15,534 --> 00:13:18,080 child health are far from where we'd want 374 00:13:18,080 --> 00:13:18,899 them to be, 375 00:13:19,600 --> 00:13:21,200 you know, that gives me pause. There's there's 376 00:13:21,200 --> 00:13:22,340 a lot of work to do. 377 00:13:23,920 --> 00:13:25,700 On the other side of that coin, Dan, 378 00:13:25,920 --> 00:13:28,320 clearly, CHOP is doing a great many things 379 00:13:28,320 --> 00:13:30,504 that I'm sure you find exciting. Can you 380 00:13:30,504 --> 00:13:32,204 share some of those with us right now? 381 00:13:33,625 --> 00:13:35,565 Yeah, absolutely. You know, I think that, 382 00:13:36,345 --> 00:13:38,584 this is an amazing time, because we've got 383 00:13:38,584 --> 00:13:39,884 this confluence of 384 00:13:40,264 --> 00:13:41,324 scientific innovation, 385 00:13:41,704 --> 00:13:42,684 clinical innovation, 386 00:13:43,720 --> 00:13:44,539 digital innovation 387 00:13:45,080 --> 00:13:45,980 with AI 388 00:13:46,600 --> 00:13:47,659 and other modalities, 389 00:13:48,039 --> 00:13:50,039 innovation and care delivery models, and so seeing 390 00:13:50,039 --> 00:13:51,019 them come together 391 00:13:51,960 --> 00:13:53,179 is really, really exciting. 392 00:13:54,279 --> 00:13:56,120 One of the areas I'm particularly excited about 393 00:13:56,120 --> 00:13:57,799 is the work that we have ongoing in 394 00:13:57,799 --> 00:13:58,940 cell and gene therapy. 395 00:13:59,320 --> 00:14:01,054 You know, when I got here in 2017, 396 00:14:01,054 --> 00:14:03,294 it was late 2017 when I arrived at 397 00:14:03,294 --> 00:14:05,534 CHOP and it was right around the time 398 00:14:05,534 --> 00:14:07,375 that we had back to back approval of 399 00:14:07,375 --> 00:14:09,134 that first gene therapy I talked to you 400 00:14:09,134 --> 00:14:11,714 about and the first cell therapy, close succession, 401 00:14:12,014 --> 00:14:12,834 it was remarkable. 402 00:14:13,690 --> 00:14:15,070 I you know, I'm not even 403 00:14:15,449 --> 00:14:17,209 remotely part of the history of it, but 404 00:14:17,209 --> 00:14:18,490 I think when you talk to folks they 405 00:14:18,490 --> 00:14:21,610 tell you that was years years years of 406 00:14:21,610 --> 00:14:23,070 work coming to fruition 407 00:14:23,610 --> 00:14:24,350 in that 408 00:14:24,889 --> 00:14:26,029 couple of month period 409 00:14:26,649 --> 00:14:27,149 there. 410 00:14:27,764 --> 00:14:29,884 And so here we are now, six and 411 00:14:29,884 --> 00:14:32,024 a half years later from that, 412 00:14:32,965 --> 00:14:36,184 there are 38 FDA approved cell engine therapies 413 00:14:36,644 --> 00:14:37,465 on the market. 414 00:14:39,045 --> 00:14:41,384 A third of those are for pediatric indications 415 00:14:42,210 --> 00:14:44,450 And the best I understand, there's something like 416 00:14:44,450 --> 00:14:44,950 18 417 00:14:46,450 --> 00:14:48,610 approvals that are anticipated to the end of 418 00:14:48,610 --> 00:14:49,830 calendar year 2025, 419 00:14:50,450 --> 00:14:52,610 the majority of which would be approved for 420 00:14:52,610 --> 00:14:53,750 pediatric indications. 421 00:14:54,725 --> 00:14:55,304 And so 422 00:14:56,245 --> 00:14:58,245 what's exciting for me and what's exciting to 423 00:14:58,245 --> 00:15:00,105 to watch unfold at CHOP is, 424 00:15:00,965 --> 00:15:04,325 the progress for these disciplines, these fields to 425 00:15:04,325 --> 00:15:04,825 really 426 00:15:05,684 --> 00:15:07,879 breakthrough and flourish and thrive, 427 00:15:08,420 --> 00:15:11,540 after years of investment that our faculty and 428 00:15:11,540 --> 00:15:14,019 researchers have made in trying to advance this 429 00:15:14,019 --> 00:15:15,160 technology. And so 430 00:15:15,779 --> 00:15:17,860 watching that that sort of parallel of what's 431 00:15:17,860 --> 00:15:20,279 happening in the industry unfold at CHOP, now 432 00:15:20,660 --> 00:15:21,139 we have something like 80 principal investigators working 433 00:15:21,139 --> 00:15:21,970 in cell and gene therapy, just at CHOP. 434 00:15:22,894 --> 00:15:23,394 Type 435 00:15:24,335 --> 00:15:26,163 of impact that can unfold in the years 436 00:15:26,163 --> 00:15:28,284 ahead with that kind of momentum. Certainly, there's 437 00:15:36,990 --> 00:15:38,990 work to do, and there's gonna be probably 438 00:15:38,990 --> 00:15:40,750 a lot of evolution in the technology, but 439 00:15:40,750 --> 00:15:42,190 it's just an illustration of the type of 440 00:15:42,190 --> 00:15:44,690 thing that I find really exciting here. 441 00:15:45,790 --> 00:15:47,629 No doubt. It's very gratifying to see all 442 00:15:47,629 --> 00:15:50,190 that investment paying off. Lastly, Dan, I just 443 00:15:50,190 --> 00:15:51,790 wanna ask you, you mentioned a little bit 444 00:15:51,790 --> 00:15:54,575 about the mental health aspect and how it's 445 00:15:54,575 --> 00:15:56,995 maybe not moving forward as quite as 446 00:15:57,295 --> 00:15:57,795 quickly 447 00:15:58,254 --> 00:15:59,315 as some would hope, 448 00:15:59,615 --> 00:16:00,835 but is there any other 449 00:16:01,695 --> 00:16:04,495 aspect of health care, especially pediatrics, you think 450 00:16:04,495 --> 00:16:05,875 deserves a brighter spotlight? 451 00:16:07,500 --> 00:16:09,519 Well, Chris, I appreciate the question. 452 00:16:11,019 --> 00:16:12,779 I think there are a number, but one 453 00:16:12,779 --> 00:16:15,259 theme that I'll highlight relates to the theme 454 00:16:15,259 --> 00:16:17,899 of equitable access to care. And this is 455 00:16:17,899 --> 00:16:20,159 a theme that's really important across the entire 456 00:16:20,884 --> 00:16:23,445 care continuum, really, from prevention all the way 457 00:16:23,445 --> 00:16:24,985 to access to the most 458 00:16:25,445 --> 00:16:25,945 innovative 459 00:16:26,884 --> 00:16:28,024 treatments and therapies. 460 00:16:29,524 --> 00:16:30,024 Addressing 461 00:16:30,804 --> 00:16:33,464 this theme really requires us to bring together 462 00:16:34,529 --> 00:16:38,370 research innovation, clinical innovation, partnership with organizations across 463 00:16:38,370 --> 00:16:39,829 the community, advocacy, 464 00:16:40,209 --> 00:16:41,589 new capability development, 465 00:16:42,449 --> 00:16:44,529 and more. You know, at CHOP, we've taken 466 00:16:44,529 --> 00:16:45,589 a number of steps 467 00:16:47,095 --> 00:16:48,075 to work on, 468 00:16:48,615 --> 00:16:51,674 addressing and improving in this area, including establishing 469 00:16:52,375 --> 00:16:54,134 new centers so we can really try to 470 00:16:54,134 --> 00:16:55,434 make some progress here. 471 00:16:55,894 --> 00:16:57,495 And maybe let me give you an example 472 00:16:57,495 --> 00:16:59,495 of, what I mean in a little more 473 00:16:59,495 --> 00:17:02,154 depth. So earlier in our discussion, we talked 474 00:17:03,129 --> 00:17:04,809 about a lot of the exciting work related 475 00:17:04,809 --> 00:17:05,950 to cell and gene therapy. 476 00:17:06,970 --> 00:17:08,490 One area where there's been a lot of 477 00:17:08,490 --> 00:17:10,670 progress and there's potentially curative therapies 478 00:17:11,690 --> 00:17:13,450 coming to the market is in the area 479 00:17:13,450 --> 00:17:14,589 of sickle cell disease. 480 00:17:15,755 --> 00:17:16,414 And and 481 00:17:16,955 --> 00:17:19,835 as the therapies progress, this theme of equitable 482 00:17:19,835 --> 00:17:21,455 access to care is really important. 483 00:17:22,154 --> 00:17:24,715 These therapies have the potential to benefit large 484 00:17:24,715 --> 00:17:27,535 number of patients in a very transformative way. 485 00:17:28,359 --> 00:17:30,119 But to really if we're gonna really meet 486 00:17:30,119 --> 00:17:32,299 the needs of patients and families, 487 00:17:33,079 --> 00:17:34,839 it's not enough just to contribute to the 488 00:17:34,839 --> 00:17:35,899 scientific discovery, 489 00:17:36,440 --> 00:17:38,039 not enough just to have one of the 490 00:17:38,039 --> 00:17:40,059 largest clinical programs in the country. 491 00:17:40,625 --> 00:17:42,225 So, you know, a place like CHOP, we're 492 00:17:42,225 --> 00:17:43,825 really proud of both of those things, and 493 00:17:43,825 --> 00:17:45,205 they're and they are really important. 494 00:17:45,984 --> 00:17:48,144 But to really advance here, we have to 495 00:17:48,144 --> 00:17:50,644 make sure that these resources are available quickly 496 00:17:50,865 --> 00:17:53,640 and efficiently, and that requires us thinking about 497 00:17:54,119 --> 00:17:57,900 overcoming barriers related to insurance coverage, travel, 498 00:17:58,200 --> 00:17:58,700 housing, 499 00:17:59,640 --> 00:18:01,799 and others. And we're trying to work to 500 00:18:01,799 --> 00:18:03,640 remove as many of those barriers as possible, 501 00:18:03,640 --> 00:18:06,359 but it's really critical that we, as an 502 00:18:06,359 --> 00:18:08,380 organization, but really that the system 503 00:18:09,194 --> 00:18:09,694 generally 504 00:18:10,154 --> 00:18:12,075 gets as good as we can at doing 505 00:18:12,075 --> 00:18:12,575 that. 506 00:18:13,034 --> 00:18:14,654 And that will really let 507 00:18:15,835 --> 00:18:18,234 the scientific innovation and clinical innovation that's coming 508 00:18:18,234 --> 00:18:18,894 to bear 509 00:18:19,274 --> 00:18:21,755 really be able to have a transformative effect 510 00:18:21,755 --> 00:18:23,294 for as many kids as possible. 511 00:18:24,430 --> 00:18:26,450 So it's an, you know, it's an example 512 00:18:26,509 --> 00:18:28,269 really where some of the opportunities we've been 513 00:18:28,269 --> 00:18:29,950 talking about and some of the challenges we've 514 00:18:29,950 --> 00:18:31,490 been talking about actually come together. 515 00:18:31,869 --> 00:18:33,170 And I think our shared 516 00:18:34,109 --> 00:18:36,990 potential and opportunity and challenge for the time 517 00:18:36,990 --> 00:18:38,849 ahead is we ought to simultaneously 518 00:18:40,765 --> 00:18:43,325 lean into and capture the full promise of 519 00:18:43,325 --> 00:18:44,144 the opportunities 520 00:18:44,525 --> 00:18:45,345 and the innovation 521 00:18:45,964 --> 00:18:46,704 while simultaneously 522 00:18:47,404 --> 00:18:50,125 tackling these important challenges. And so that's some 523 00:18:50,125 --> 00:18:52,224 of the important and hard work ahead. 524 00:18:53,440 --> 00:18:55,200 Dan, thank you so much for sharing all 525 00:18:55,200 --> 00:18:57,200 of your insights today. We absolutely cannot wait 526 00:18:57,200 --> 00:18:58,720 to share them with our audience. And, of 527 00:18:58,720 --> 00:19:00,240 course, we look forward to connecting with you 528 00:19:00,240 --> 00:19:00,980 again soon. 529 00:19:01,519 --> 00:19:03,279 Sounds great, Chris. Thanks so much for having 530 00:19:03,279 --> 00:19:04,740 me. I really appreciated it.