1 00:00:02,159 --> 00:00:04,660 This is where health care leadership comes together. 2 00:00:04,799 --> 00:00:07,919 Becker's sixteenth annual meeting brings more than 3,500 3 00:00:07,919 --> 00:00:11,119 hospital and health system executives and nearly 800 4 00:00:11,119 --> 00:00:14,500 speakers to Chicago April. 5 00:00:14,804 --> 00:00:17,524 This year's event includes keynote conversations with Dallas 6 00:00:17,524 --> 00:00:20,405 Cowboys legend Troy Aikman and former president George 7 00:00:20,405 --> 00:00:23,125 w Bush. For the agenda and event details, 8 00:00:23,125 --> 00:00:25,445 visit beckershospitalreview.com 9 00:00:25,445 --> 00:00:27,045 and click on the events tab in the 10 00:00:27,045 --> 00:00:29,765 upper right. We're looking forward to hosting you 11 00:00:29,765 --> 00:00:30,505 in Chicago. 12 00:00:32,500 --> 00:00:35,219 Welcome to Becker's Healthcare podcast. I'm Chris Sosa, 13 00:00:35,219 --> 00:00:36,739 your host, and I'm thrilled to be joined 14 00:00:36,739 --> 00:00:39,460 today by doctor Nathaniel Beers. He's the CEO 15 00:00:39,460 --> 00:00:42,520 of Blytheale Children's Hospital in New York. Nathaniel, 16 00:00:42,579 --> 00:00:44,659 thank you for joining us today. My pleasure. 17 00:00:44,659 --> 00:00:45,799 Thanks for having me. 18 00:00:46,684 --> 00:00:48,625 Nathaniel, you just took over officially 19 00:00:49,164 --> 00:00:51,324 as CEO of Ideal Children's about four weeks 20 00:00:51,324 --> 00:00:51,824 ago. 21 00:00:52,204 --> 00:00:54,045 But for those in our audience who may 22 00:00:54,045 --> 00:00:56,284 not be too familiar with you and and 23 00:00:56,284 --> 00:00:58,125 your journey as a health care leader, can 24 00:00:58,125 --> 00:00:59,725 you please introduce yourself and tell us a 25 00:00:59,725 --> 00:01:00,864 little bit about your background? 26 00:01:01,750 --> 00:01:04,390 Sure. So by training, I'm a general and 27 00:01:04,390 --> 00:01:06,009 developmental behavioral pediatrician, 28 00:01:06,790 --> 00:01:07,590 and have been, 29 00:01:08,069 --> 00:01:10,869 providing pediatric care for close to thirty years 30 00:01:10,869 --> 00:01:11,369 now. 31 00:01:12,469 --> 00:01:15,450 And I have really focused my pediatric 32 00:01:15,750 --> 00:01:16,250 career 33 00:01:16,634 --> 00:01:19,914 on the interface between health and education services 34 00:01:19,914 --> 00:01:22,474 for kids with disabilities. And so unlike many 35 00:01:22,474 --> 00:01:25,034 pediatricians, I haven't had sort of a straight 36 00:01:25,034 --> 00:01:27,935 trajectory of, you know, just working in clinics. 37 00:01:28,554 --> 00:01:29,295 I actually, 38 00:01:30,189 --> 00:01:32,290 did my fellowship up at Boston Children's, 39 00:01:33,069 --> 00:01:36,109 in child advocacy after doing my residency at 40 00:01:36,109 --> 00:01:37,090 Children's National. 41 00:01:37,790 --> 00:01:39,329 When I came back to DC, 42 00:01:39,630 --> 00:01:40,030 I, 43 00:01:40,829 --> 00:01:41,969 was able to, 44 00:01:42,590 --> 00:01:44,689 join the faculty at Children's National, 45 00:01:45,284 --> 00:01:47,204 and I saw patients there for the last 46 00:01:47,204 --> 00:01:48,265 twenty four years. 47 00:01:49,924 --> 00:01:51,224 But I left Children's, 48 00:01:51,605 --> 00:01:53,224 from a work perspective, 49 00:01:53,844 --> 00:01:54,344 and, 50 00:01:54,805 --> 00:01:56,724 went and worked for the DC government for 51 00:01:56,724 --> 00:01:58,104 a number of years, including, 52 00:01:58,829 --> 00:02:01,229 as the Deputy Director for Policy and Programs 53 00:02:01,229 --> 00:02:03,390 for the Community Health Administration for the DC 54 00:02:03,390 --> 00:02:04,369 Department of Health. 55 00:02:05,310 --> 00:02:08,269 And then from there went on, to work 56 00:02:08,269 --> 00:02:09,650 for DC Public Schools, 57 00:02:10,349 --> 00:02:12,590 where I was hired to overhaul their early 58 00:02:12,590 --> 00:02:13,090 childhood 59 00:02:14,114 --> 00:02:15,254 evaluation process 60 00:02:15,634 --> 00:02:17,954 and think about how could we identify more 61 00:02:17,954 --> 00:02:18,454 kids, 62 00:02:18,914 --> 00:02:21,235 with special education needs since we were under 63 00:02:21,235 --> 00:02:22,534 identifying children. 64 00:02:23,394 --> 00:02:25,074 And then was promoted to be the head 65 00:02:25,074 --> 00:02:27,235 of special education for DC public schools and 66 00:02:27,235 --> 00:02:29,939 ran special education for DC public schools, helped 67 00:02:29,939 --> 00:02:32,680 DC get out of three class action lawsuits, 68 00:02:33,539 --> 00:02:34,099 and then, 69 00:02:34,819 --> 00:02:36,180 decided it was time to go back to 70 00:02:36,180 --> 00:02:36,680 healthcare. 71 00:02:37,219 --> 00:02:37,860 And so I, 72 00:02:38,500 --> 00:02:40,979 took another year being the chief operating officer 73 00:02:40,979 --> 00:02:42,280 at DC public schools, 74 00:02:42,784 --> 00:02:44,965 which is again, another strange twist, 75 00:02:45,584 --> 00:02:47,584 where I learned about construction and all kinds 76 00:02:47,584 --> 00:02:49,344 of things that help me now in this 77 00:02:49,344 --> 00:02:51,584 type of job, to be more informed in 78 00:02:51,584 --> 00:02:52,245 the conversations. 79 00:02:53,824 --> 00:02:55,584 And then went back to healthcare and worked 80 00:02:55,584 --> 00:02:55,905 for the, 81 00:02:56,840 --> 00:02:57,580 health services, 82 00:02:58,280 --> 00:02:59,099 or HSC 83 00:02:59,560 --> 00:03:00,539 health care system, 84 00:03:01,799 --> 00:03:04,199 which is, again, similar to Blythe Dale in 85 00:03:04,199 --> 00:03:06,120 that it's focused on kids with disabilities in 86 00:03:06,120 --> 00:03:06,620 DC. 87 00:03:07,479 --> 00:03:08,699 And in 2019, 88 00:03:08,919 --> 00:03:11,659 HSC health care system and Children's National merged. 89 00:03:12,344 --> 00:03:13,944 And so I was back in the Children's 90 00:03:13,944 --> 00:03:15,805 National family where I spent the last, 91 00:03:16,264 --> 00:03:17,004 six years, 92 00:03:17,544 --> 00:03:18,044 serving, 93 00:03:18,424 --> 00:03:20,745 as the executive vice president of community and 94 00:03:20,745 --> 00:03:21,724 population health, 95 00:03:22,424 --> 00:03:24,504 and working together with the team there prior 96 00:03:24,504 --> 00:03:26,125 to joining the team here at Blythedale. 97 00:03:27,080 --> 00:03:28,520 As I said, it's anything but a straight 98 00:03:28,520 --> 00:03:30,800 line that got you from Very circuitous. 99 00:03:31,240 --> 00:03:33,419 Over the last thirty years or so. 100 00:03:34,199 --> 00:03:36,300 What led you to Blythe Dale in particular? 101 00:03:37,479 --> 00:03:39,000 Yeah. I mean, I think the unique thing 102 00:03:39,000 --> 00:03:40,634 about Blythe Delta is the only, 103 00:03:41,014 --> 00:03:43,254 children's hospital in the country and probably in 104 00:03:43,254 --> 00:03:46,055 the world where, there is also a co 105 00:03:46,055 --> 00:03:48,314 located special education school district, 106 00:03:48,854 --> 00:03:50,775 on the same campus. And so for my 107 00:03:50,775 --> 00:03:52,634 interest in working with kids with disabilities 108 00:03:53,390 --> 00:03:55,629 and kids who've been discharged from the, you 109 00:03:55,629 --> 00:03:58,290 know, neonatal or pediatric intensive care units, 110 00:03:59,310 --> 00:04:01,629 and being able to partner together with the 111 00:04:01,629 --> 00:04:02,450 school system, 112 00:04:02,909 --> 00:04:04,990 to think about how are we supporting kids 113 00:04:04,990 --> 00:04:06,014 when they go home, 114 00:04:06,735 --> 00:04:09,134 is really a unique opportunity that doesn't exist 115 00:04:09,134 --> 00:04:11,215 anywhere else in the world. And so, I 116 00:04:11,215 --> 00:04:13,215 really couldn't pass up the opportunity to think 117 00:04:13,215 --> 00:04:15,134 about this as an opportunity. I'm thrilled that 118 00:04:15,134 --> 00:04:16,514 I'm here to lead the team. 119 00:04:17,935 --> 00:04:19,154 They are glad you mentioned 120 00:04:19,535 --> 00:04:21,314 what makes Blaiddell unique. 121 00:04:21,990 --> 00:04:24,550 I'm curious what else excites you about taking 122 00:04:24,550 --> 00:04:25,610 over this job. 123 00:04:26,470 --> 00:04:28,230 Yeah. I mean, I think it is again 124 00:04:28,230 --> 00:04:30,389 a a really unique opportunity in health care 125 00:04:30,389 --> 00:04:32,710 right now. That is a hospital that, 126 00:04:33,270 --> 00:04:33,509 is, 127 00:04:35,524 --> 00:04:36,824 doing well financially, 128 00:04:37,764 --> 00:04:40,485 and is really positioned to think about how 129 00:04:40,485 --> 00:04:41,464 can it be, 130 00:04:41,925 --> 00:04:44,185 at the forefront of the field. And so 131 00:04:44,564 --> 00:04:47,524 because of, where it is financially, we're able 132 00:04:47,524 --> 00:04:48,574 to think about what is, 133 00:04:49,949 --> 00:04:51,729 where's the innovation to happen? 134 00:04:52,029 --> 00:04:53,949 How do we make sure that we can 135 00:04:53,949 --> 00:04:56,529 impact the lives of more patients and families? 136 00:04:57,069 --> 00:04:58,910 And think about what the future of health 137 00:04:58,910 --> 00:05:00,430 care is gonna look like and how can 138 00:05:00,430 --> 00:05:01,250 we be prepared, 139 00:05:01,870 --> 00:05:03,410 to be a leader in that space. 140 00:05:04,485 --> 00:05:06,725 Gotcha. Well, that dovetails nicely into my next 141 00:05:06,725 --> 00:05:08,185 question, which simply is, 142 00:05:08,485 --> 00:05:10,725 what do you consider Blythe Dale Children's best 143 00:05:10,725 --> 00:05:12,725 strengths, and how can it best go about 144 00:05:12,725 --> 00:05:15,524 using them? Yeah. I mean, like many children's 145 00:05:15,524 --> 00:05:17,524 hospitals, I will say its people are its 146 00:05:17,524 --> 00:05:20,409 best strength. Right? We have lucky to have 147 00:05:20,409 --> 00:05:22,349 an, a workforce that is 148 00:05:22,810 --> 00:05:24,889 truly committed to the mission that we have 149 00:05:24,889 --> 00:05:25,709 around serving, 150 00:05:26,169 --> 00:05:28,750 patients and families of children with medical complexity. 151 00:05:29,610 --> 00:05:32,504 And so, that passion that people bring to 152 00:05:32,504 --> 00:05:33,404 work every day 153 00:05:33,705 --> 00:05:34,925 makes it a lot easier, 154 00:05:35,705 --> 00:05:38,264 to do the work, and, and to work 155 00:05:38,264 --> 00:05:38,764 together. 156 00:05:39,464 --> 00:05:40,125 In addition, 157 00:05:40,665 --> 00:05:43,144 Blytheville has been fortunate to have been led 158 00:05:43,144 --> 00:05:45,305 by a leader, for the last twenty six 159 00:05:45,305 --> 00:05:47,970 years who really was an incredible advocate for 160 00:05:47,970 --> 00:05:48,470 children, 161 00:05:48,770 --> 00:05:50,930 and an incredible advocate for those children who 162 00:05:50,930 --> 00:05:53,490 had medical complexity. And so he's been able 163 00:05:53,490 --> 00:05:56,210 to pass a local legislation to make sure 164 00:05:56,210 --> 00:05:58,790 that children with disabilities are being better supported 165 00:05:58,930 --> 00:06:00,069 and that there's appropriate, 166 00:06:01,235 --> 00:06:03,975 financial resourcing for the services that they need. 167 00:06:04,675 --> 00:06:05,475 But also, 168 00:06:05,795 --> 00:06:09,175 has led a team that is, really leaders, 169 00:06:09,634 --> 00:06:11,895 in the space of making sure 170 00:06:12,435 --> 00:06:14,295 that we are sort of stepping forward, 171 00:06:14,769 --> 00:06:17,089 and not just continuing to do things the 172 00:06:17,089 --> 00:06:18,689 same way we've done them for the last 173 00:06:18,689 --> 00:06:21,110 twenty years. And so the culture of innovation, 174 00:06:21,169 --> 00:06:24,229 the culture of a willingness to embrace change, 175 00:06:24,290 --> 00:06:25,189 all of those, 176 00:06:25,649 --> 00:06:26,870 I'm stepping into, 177 00:06:27,535 --> 00:06:29,775 as opposed to having to build those pieces 178 00:06:29,775 --> 00:06:32,495 out, so that the organization can can be 179 00:06:32,495 --> 00:06:33,935 ready for the changes that are gonna come 180 00:06:33,935 --> 00:06:36,975 to all health care organizations, particularly with legislative 181 00:06:36,975 --> 00:06:39,214 and Medicaid changes that are coming, in the 182 00:06:39,214 --> 00:06:40,035 coming years. 183 00:06:40,959 --> 00:06:42,579 Nathaniel, to say that there's 184 00:06:44,800 --> 00:06:47,139 a plethora of changes coming would 185 00:06:48,079 --> 00:06:51,439 be maybe the biggest understatement ever. So without 186 00:06:51,600 --> 00:06:52,500 no need to 187 00:06:53,375 --> 00:06:54,194 elaborate on 188 00:06:54,814 --> 00:06:56,735 the avalanche or changes. I mean, I think 189 00:06:56,735 --> 00:06:58,334 it they're they're fairly well documented in the 190 00:06:58,334 --> 00:06:59,235 health care community. 191 00:06:59,615 --> 00:07:00,675 But I am curious, 192 00:07:01,055 --> 00:07:03,875 given that change and the innovation and the 193 00:07:04,095 --> 00:07:06,595 mindset that you mentioned that Blytheville has, 194 00:07:07,230 --> 00:07:08,750 what exactly do you think you and your 195 00:07:08,750 --> 00:07:10,430 team will be focused on over the next 196 00:07:10,430 --> 00:07:13,329 eighteen months, two years, whatever timeline you think, 197 00:07:13,709 --> 00:07:15,709 best fits from for for you at this 198 00:07:15,709 --> 00:07:16,209 moment? 199 00:07:16,670 --> 00:07:19,149 Yeah. I mean, I think, again, like many 200 00:07:19,149 --> 00:07:20,769 children's hospitals, but even 201 00:07:21,115 --> 00:07:22,814 even more so here, right, 202 00:07:23,595 --> 00:07:25,675 about eighty percent of our patients are Medicaid 203 00:07:25,675 --> 00:07:27,675 patients because of the long term care needs 204 00:07:27,675 --> 00:07:29,914 that they have. Right? So even families who 205 00:07:29,914 --> 00:07:32,074 may not qualify on their own income are 206 00:07:32,074 --> 00:07:34,314 patients qualified just given the long length of 207 00:07:34,314 --> 00:07:36,660 stays that they have and incredible medical expenses 208 00:07:36,660 --> 00:07:37,479 that they have. 209 00:07:38,019 --> 00:07:40,339 So we are highly dependent on medical, on 210 00:07:40,339 --> 00:07:43,479 Medicaid as an adequate payer. And so, certainly, 211 00:07:44,019 --> 00:07:45,860 as we think about sort of our payer 212 00:07:45,860 --> 00:07:48,824 mix and thinking about those components, continuing to 213 00:07:49,044 --> 00:07:50,504 make sure that we are 214 00:07:50,964 --> 00:07:53,224 partnering with our state and local, 215 00:07:54,084 --> 00:07:54,584 legislators 216 00:07:54,964 --> 00:07:57,125 and making sure that we're thinking about how 217 00:07:57,125 --> 00:07:57,865 we are 218 00:07:58,245 --> 00:08:00,724 navigating the changes of Medicaid is going to 219 00:08:00,724 --> 00:08:01,980 be a big piece of this. 220 00:08:02,620 --> 00:08:04,220 But I also think that it is an 221 00:08:04,220 --> 00:08:05,980 opportunity for us to make sure that we're 222 00:08:05,980 --> 00:08:08,300 thinking about where is healthcare going as well. 223 00:08:08,300 --> 00:08:10,639 Right? And as we think about pediatric healthcare, 224 00:08:10,939 --> 00:08:12,460 we've seen a lot of progress in the 225 00:08:12,460 --> 00:08:14,960 adult healthcare market around micro hospitals 226 00:08:15,339 --> 00:08:17,040 or hospital at home programs, 227 00:08:17,745 --> 00:08:19,584 about making sure that people can be in 228 00:08:19,584 --> 00:08:21,985 the community they're in and thinking about those 229 00:08:21,985 --> 00:08:22,485 components, 230 00:08:23,345 --> 00:08:25,665 about how we improve the quality of life 231 00:08:25,665 --> 00:08:26,245 of patients 232 00:08:26,545 --> 00:08:28,324 as they're navigating through the systems. 233 00:08:28,865 --> 00:08:31,024 I think we have an opportunity here at 234 00:08:31,024 --> 00:08:33,419 Blythedale that we have an incredible knowledge base 235 00:08:33,579 --> 00:08:35,100 about how to take care of kids and 236 00:08:35,100 --> 00:08:36,860 make sure they can go home. Over eighty 237 00:08:36,860 --> 00:08:39,200 five percent of our kids actually go home, 238 00:08:39,500 --> 00:08:42,139 not to another facility. And so, for those 239 00:08:42,139 --> 00:08:44,620 kids with medical complexity, that's not always the 240 00:08:44,620 --> 00:08:47,205 case. And so how do we take that 241 00:08:47,205 --> 00:08:49,625 knowledge and think about where we fit into 242 00:08:50,165 --> 00:08:52,004 a care that's being provided at home, in 243 00:08:52,004 --> 00:08:54,485 the community? How do we think about, the 244 00:08:54,485 --> 00:08:56,985 possibility of smaller satellite spaces? 245 00:08:57,445 --> 00:08:59,365 All of those pieces are things that over 246 00:08:59,365 --> 00:09:01,169 the next five to ten years, we can 247 00:09:01,250 --> 00:09:03,089 expect to start to happen more regularly in 248 00:09:03,089 --> 00:09:03,589 pediatrics 249 00:09:04,289 --> 00:09:05,269 as we get there. 250 00:09:05,570 --> 00:09:07,329 And then the last piece is really about 251 00:09:07,329 --> 00:09:09,909 being a good partner for our referring providers. 252 00:09:09,970 --> 00:09:11,990 Right? So our referring hospitals 253 00:09:12,450 --> 00:09:14,230 are gonna get a ton more pressure 254 00:09:14,845 --> 00:09:17,024 to make sure that they're discharging kids sooner. 255 00:09:17,245 --> 00:09:18,845 And to be able to safely do that, 256 00:09:18,845 --> 00:09:20,945 they have to have an organization like ours 257 00:09:21,085 --> 00:09:23,085 that can take kids who are getting discharged 258 00:09:23,085 --> 00:09:25,745 from the neonatal or pediatric intensive care units 259 00:09:25,884 --> 00:09:27,504 and are ready to be supported 260 00:09:27,929 --> 00:09:30,169 in a lower level of acuity, but are 261 00:09:30,169 --> 00:09:32,490 not ready to go home. And so all 262 00:09:32,490 --> 00:09:34,250 of those are pieces that we will have 263 00:09:34,250 --> 00:09:36,009 to think about. How do we raise the 264 00:09:36,009 --> 00:09:38,250 bar on what we can take and how 265 00:09:38,250 --> 00:09:39,690 we can be a good partner in that 266 00:09:39,690 --> 00:09:41,524 space? And how do we also think about 267 00:09:41,524 --> 00:09:43,445 how we're building those supports in the community 268 00:09:43,445 --> 00:09:45,125 so the patients can continue to go home 269 00:09:45,125 --> 00:09:45,625 safely. 270 00:09:47,044 --> 00:09:48,745 Got it. I mean, those are all worthwhile 271 00:09:48,804 --> 00:09:50,644 goals, and they're gonna take a lot more 272 00:09:50,644 --> 00:09:52,820 than just eighteen months. I'm sure. 273 00:09:53,440 --> 00:09:55,279 But, you know, that that's you work out 274 00:09:55,279 --> 00:09:56,820 a little bit at a time, of course. 275 00:09:57,679 --> 00:10:00,100 Lastly, Nathaniel, I my question is, 276 00:10:00,480 --> 00:10:03,279 what aspect of children's health care deserves a 277 00:10:03,279 --> 00:10:05,379 sprite a brighter spotlight in your mind? 278 00:10:06,804 --> 00:10:08,245 Yeah. I mean, I think that it is 279 00:10:08,245 --> 00:10:10,644 the care that we provide at Blytheville and 280 00:10:10,644 --> 00:10:12,884 other hospitals like ours around the country. Right? 281 00:10:12,884 --> 00:10:15,125 They are the piece that people forget about 282 00:10:15,125 --> 00:10:16,585 as a really critical linchpin, 283 00:10:17,285 --> 00:10:19,625 to the success for kids with medical complexity. 284 00:10:20,250 --> 00:10:22,490 Right? The reality is if you're a patient 285 00:10:22,490 --> 00:10:23,230 who spends, 286 00:10:23,610 --> 00:10:26,490 you know, three months in the neonatal intensive 287 00:10:26,490 --> 00:10:29,210 care unit and is going home with, you 288 00:10:29,210 --> 00:10:31,790 know, tubing and alarms and maybe a gastrointestinal 289 00:10:32,009 --> 00:10:33,230 tube and maybe a tracheostomy 290 00:10:33,529 --> 00:10:35,309 and maybe other equipment needs, 291 00:10:35,834 --> 00:10:38,394 going straight from the neonatal intensive care unit 292 00:10:38,394 --> 00:10:41,115 to home sets you up for failure. And 293 00:10:41,115 --> 00:10:42,794 really it is about sort of making sure 294 00:10:42,794 --> 00:10:44,894 that we can continue to stabilize kids, 295 00:10:45,595 --> 00:10:47,674 think about how they can be ready to 296 00:10:47,674 --> 00:10:48,414 go home, 297 00:10:48,740 --> 00:10:51,079 how patients and families can have the time 298 00:10:51,379 --> 00:10:53,139 to learn what they need to learn to 299 00:10:53,139 --> 00:10:55,139 be able to safely monitor their children at 300 00:10:55,139 --> 00:10:55,639 home. 301 00:10:55,940 --> 00:10:58,339 Our home healthcare system in The United States 302 00:10:58,339 --> 00:10:59,319 is so broken, 303 00:11:00,019 --> 00:11:02,039 and has so many gaps in services 304 00:11:02,495 --> 00:11:04,334 that for many families who are going home 305 00:11:04,334 --> 00:11:07,214 with a child, they can experience around 25% 306 00:11:07,214 --> 00:11:08,174 of the, 307 00:11:08,654 --> 00:11:09,154 prescribed 308 00:11:09,534 --> 00:11:11,475 home care hours is being uncovered. 309 00:11:12,254 --> 00:11:14,414 And so that means someone in that household 310 00:11:14,414 --> 00:11:16,334 has to be ready to care for that 311 00:11:16,334 --> 00:11:18,659 child if there's not a nurse coming into 312 00:11:18,659 --> 00:11:20,980 that space. And so our job is to 313 00:11:20,980 --> 00:11:23,139 really prepare the family for all of those 314 00:11:23,139 --> 00:11:23,639 realities 315 00:11:24,100 --> 00:11:25,779 and make sure that they can be ready 316 00:11:25,779 --> 00:11:28,259 to go home, and that that child can 317 00:11:28,259 --> 00:11:29,879 experience life. And so, 318 00:11:31,024 --> 00:11:33,184 in a way that like allows them to 319 00:11:33,184 --> 00:11:34,245 really be a child, 320 00:11:34,784 --> 00:11:36,625 and so the family to sort of embrace 321 00:11:36,625 --> 00:11:37,684 them in that space. 322 00:11:38,144 --> 00:11:39,985 And everyone knows where to go to the 323 00:11:39,985 --> 00:11:42,544 emergency room, where to go if you need 324 00:11:42,544 --> 00:11:44,565 sort of that high, you know, intense, 325 00:11:44,980 --> 00:11:47,860 you know, cancer treatment or surgery, you know, 326 00:11:47,860 --> 00:11:50,100 you're going to, you know, the big children's 327 00:11:50,100 --> 00:11:51,480 hospitals around the country. 328 00:11:52,100 --> 00:11:54,980 But the hospitals like Blytheville Children's are really 329 00:11:54,980 --> 00:11:57,000 about making sure you can go home afterwards. 330 00:11:57,644 --> 00:11:59,245 And so need to be part of how 331 00:11:59,245 --> 00:12:01,085 people are thinking about how they think about 332 00:12:01,085 --> 00:12:01,745 their care. 333 00:12:03,245 --> 00:12:05,485 Daniel, thank you so much for sharing your 334 00:12:05,485 --> 00:12:07,884 time, your insights, everything that's going on at 335 00:12:07,884 --> 00:12:09,165 Lydaysdale. We love to hear it, and we 336 00:12:09,165 --> 00:12:10,705 can't wait to share it with our audience. 337 00:12:10,845 --> 00:12:12,605 And we I hope our paths cross sooner 338 00:12:12,605 --> 00:12:14,899 rather than later. Me too. Thanks for having 339 00:12:14,899 --> 00:12:15,399 me.