1 00:00:00,240 --> 00:00:02,960 Hello. This is Francesca Matthews with the Becker's 2 00:00:02,960 --> 00:00:04,259 ASC review podcast. 3 00:00:04,639 --> 00:00:06,399 I'm thrilled to be joined today by Janet 4 00:00:06,399 --> 00:00:06,899 Carlson, 5 00:00:07,440 --> 00:00:07,940 MSN, 6 00:00:08,320 --> 00:00:08,820 BSN 7 00:00:09,119 --> 00:00:09,619 RN, 8 00:00:09,919 --> 00:00:13,199 vice president of ASC operations at Commonwealth Pain 9 00:00:13,199 --> 00:00:15,219 and Spine Advanced Surgical Institute. 10 00:00:15,525 --> 00:00:16,885 Janet, thank you so much for being here 11 00:00:16,885 --> 00:00:17,385 today. 12 00:00:17,925 --> 00:00:19,545 Thank you for having me, Franchesca. 13 00:00:20,644 --> 00:00:21,144 Absolutely. 14 00:00:21,524 --> 00:00:23,204 To start us off, could you please just 15 00:00:23,204 --> 00:00:24,884 introduce yourself and tell us a little bit 16 00:00:24,884 --> 00:00:25,785 about your background? 17 00:00:26,564 --> 00:00:28,504 Sure. So Janet Carlson. 18 00:00:28,964 --> 00:00:30,744 I am a registered nurse. 19 00:00:31,260 --> 00:00:34,159 I began working in the ambulatory space, 20 00:00:34,619 --> 00:00:36,780 at a multi specialty center in the early 21 00:00:36,780 --> 00:00:37,440 two thousands. 22 00:00:38,460 --> 00:00:41,100 And I've worked in every role in an 23 00:00:41,100 --> 00:00:45,100 ASC, and I've led some very successful surgery 24 00:00:45,100 --> 00:00:45,914 centers. And 25 00:00:46,395 --> 00:00:49,135 now I am in charge with creating, 26 00:00:49,515 --> 00:00:50,015 designing, 27 00:00:50,875 --> 00:00:51,375 operationalizing, 28 00:00:53,115 --> 00:00:54,975 and scaling our ambulatory 29 00:00:55,435 --> 00:00:57,935 operations for Commonwealth Pain and Spine. 30 00:00:58,429 --> 00:00:59,329 And our ASCs 31 00:01:00,030 --> 00:01:00,850 are under 32 00:01:01,229 --> 00:01:03,170 a new name and logo. 33 00:01:03,789 --> 00:01:05,729 It's called Advanced Surgical Institute. 34 00:01:06,349 --> 00:01:09,329 And so I'm currently working right now on 35 00:01:09,709 --> 00:01:11,170 building four ASCs 36 00:01:12,254 --> 00:01:13,474 across three states. 37 00:01:15,454 --> 00:01:17,614 Absolutely. Yeah. It sounds like you're kind of 38 00:01:17,614 --> 00:01:20,015 an ASC jack of all trades, so it'll 39 00:01:20,015 --> 00:01:22,194 be great to get further insights from you. 40 00:01:22,415 --> 00:01:22,915 Sure. 41 00:01:23,534 --> 00:01:25,260 Yeah. What are you what are the top 42 00:01:25,260 --> 00:01:27,180 three trends that you're following in health care 43 00:01:27,180 --> 00:01:28,400 and ASCs today? 44 00:01:29,500 --> 00:01:31,819 You know, I know everyone says AI, but 45 00:01:31,819 --> 00:01:34,240 I really think that's an important component, 46 00:01:35,420 --> 00:01:36,319 as an adjunct 47 00:01:36,700 --> 00:01:37,200 technology 48 00:01:38,284 --> 00:01:41,024 capability to help us better serve our patients. 49 00:01:41,804 --> 00:01:42,545 For example, 50 00:01:42,924 --> 00:01:46,125 you know, having an automated call system with 51 00:01:46,125 --> 00:01:48,144 an integrated AI feature, 52 00:01:48,924 --> 00:01:51,484 that will help be responsive to patient calls 53 00:01:51,484 --> 00:01:52,144 to clinics 54 00:01:52,700 --> 00:01:54,000 and to surgery centers, 55 00:01:55,100 --> 00:01:57,920 keep that communication going with patients because 56 00:01:58,540 --> 00:01:59,600 often they get 57 00:02:00,459 --> 00:02:00,959 frustrated. 58 00:02:01,260 --> 00:02:03,420 They have to, you know, get switched around 59 00:02:03,420 --> 00:02:05,835 to multiple people. They don't end up talking 60 00:02:05,835 --> 00:02:08,555 to somebody. So I think AI is something 61 00:02:08,555 --> 00:02:11,435 that we're just gonna see more increased use 62 00:02:11,435 --> 00:02:11,935 of 63 00:02:13,355 --> 00:02:15,534 in the space as well as, 64 00:02:16,875 --> 00:02:19,455 you know, enhancing our existing workflows. 65 00:02:21,010 --> 00:02:22,870 Another example would be 66 00:02:23,569 --> 00:02:24,629 using AI, 67 00:02:25,810 --> 00:02:28,310 for a template for your 68 00:02:29,010 --> 00:02:30,870 EHR charting in an ASC, 69 00:02:31,810 --> 00:02:33,990 and that would allow you just to populate 70 00:02:34,290 --> 00:02:37,224 specifics to the patient case at hand. But 71 00:02:37,224 --> 00:02:38,764 it would be very helpful 72 00:02:39,145 --> 00:02:41,805 in your your throughput times in an ASC, 73 00:02:43,544 --> 00:02:46,504 reducing some of the manual entry and charting 74 00:02:46,504 --> 00:02:48,444 requirements that you have today. 75 00:02:48,800 --> 00:02:50,479 So AI is one of the things I'm 76 00:02:50,479 --> 00:02:50,979 watching. 77 00:02:51,680 --> 00:02:52,979 Another thing I'm watching 78 00:02:53,599 --> 00:02:55,939 is the increased migration 79 00:02:57,120 --> 00:03:00,659 of higher acuity cases into the ASC space. 80 00:03:01,425 --> 00:03:04,145 Obviously, we know that Total Joints started doing 81 00:03:04,145 --> 00:03:04,645 this, 82 00:03:05,584 --> 00:03:08,784 gosh, twenty years ago, and then spine followed 83 00:03:08,784 --> 00:03:09,284 next. 84 00:03:09,664 --> 00:03:10,965 And now the hot 85 00:03:12,224 --> 00:03:15,879 thing in the newest space for ASC service 86 00:03:15,879 --> 00:03:17,259 lines is cardiovascular, 87 00:03:18,280 --> 00:03:20,780 peripheral vascular, and interventional radiology. 88 00:03:21,479 --> 00:03:23,819 So I'm following those trends as well. 89 00:03:24,680 --> 00:03:26,300 Surgery centers are also 90 00:03:26,599 --> 00:03:27,580 investing in 91 00:03:27,905 --> 00:03:29,025 equipment like, 92 00:03:29,425 --> 00:03:31,825 a DaVinci robot, so then they could offer 93 00:03:31,825 --> 00:03:35,025 some of the higher acuity, minimally invasive, very 94 00:03:35,025 --> 00:03:36,004 precise surgeries 95 00:03:36,625 --> 00:03:38,944 that are traditionally done in the hospital and 96 00:03:38,944 --> 00:03:39,444 now 97 00:03:39,840 --> 00:03:41,139 moving those to 98 00:03:41,599 --> 00:03:45,379 a very concierge setting, very boutique type experience, 99 00:03:45,760 --> 00:03:47,780 bespoke experience for the patient 100 00:03:48,080 --> 00:03:49,920 to the ASC space and get to go 101 00:03:49,920 --> 00:03:51,219 home on the same day. 102 00:03:52,425 --> 00:03:54,044 The other thing that I'm following 103 00:03:54,665 --> 00:03:56,044 are obviously payer 104 00:03:57,544 --> 00:03:58,844 trends, contract negotiations 105 00:04:00,264 --> 00:04:01,485 for compensation 106 00:04:01,784 --> 00:04:04,264 for care provided to our patients and our 107 00:04:04,264 --> 00:04:04,764 ASCs, 108 00:04:05,479 --> 00:04:08,280 and the revenue cycle management process that goes 109 00:04:08,439 --> 00:04:10,680 that follows with it. So making sure that 110 00:04:10,680 --> 00:04:13,259 we're billing and coding correctly upfront. 111 00:04:13,879 --> 00:04:16,039 Again, another plug for AI where you could 112 00:04:16,039 --> 00:04:18,439 start working the claim the minute that the 113 00:04:18,439 --> 00:04:21,259 case is booked on your your surgical schedule, 114 00:04:22,495 --> 00:04:25,134 and then be ready on the back end 115 00:04:25,134 --> 00:04:26,355 if you needed to, 116 00:04:27,295 --> 00:04:28,355 assist arbitration 117 00:04:29,055 --> 00:04:31,394 and looking for the payment for that claim. 118 00:04:32,415 --> 00:04:35,055 Providers should be paid for the work and 119 00:04:35,055 --> 00:04:37,270 the care that they take care of these 120 00:04:37,270 --> 00:04:39,750 patients. And so making sure that you're getting 121 00:04:39,750 --> 00:04:42,870 paid for the actual services that you've done, 122 00:04:43,189 --> 00:04:45,210 is key to your bottom line. 123 00:04:47,509 --> 00:04:49,530 Absolutely. And that definitely, 124 00:04:50,150 --> 00:04:52,090 you know, echoes some of the themes that 125 00:04:52,154 --> 00:04:54,555 we hear from from other ASC leaders here 126 00:04:54,555 --> 00:04:57,675 at Becker's. I'm curious what you're most excited 127 00:04:57,675 --> 00:04:58,654 about right now. 128 00:04:59,595 --> 00:05:02,735 I'm just excited about the growing awareness 129 00:05:03,115 --> 00:05:03,615 overall 130 00:05:03,915 --> 00:05:04,415 in 131 00:05:05,069 --> 00:05:05,729 our country 132 00:05:06,589 --> 00:05:08,209 for what is an ASC. 133 00:05:09,069 --> 00:05:11,310 I think one of the silver linings of 134 00:05:11,310 --> 00:05:11,810 COVID, 135 00:05:13,469 --> 00:05:14,930 was that many people 136 00:05:15,870 --> 00:05:18,610 learned overnight that there are 6,000 137 00:05:19,324 --> 00:05:20,625 smaller independent 138 00:05:21,485 --> 00:05:22,785 hospital like structures 139 00:05:23,645 --> 00:05:25,805 that are like an in little engine that 140 00:05:25,805 --> 00:05:28,785 could that were self self contained and that 141 00:05:28,845 --> 00:05:31,425 we were able to decompress the big 142 00:05:31,805 --> 00:05:33,504 hospitals during COVID. 143 00:05:34,110 --> 00:05:36,189 And I think that that has been a 144 00:05:36,189 --> 00:05:37,009 really great 145 00:05:37,550 --> 00:05:39,250 opportunity for people to recognize 146 00:05:40,029 --> 00:05:41,410 the increasing capacity, 147 00:05:42,509 --> 00:05:44,750 that we have in ASCs to take care 148 00:05:44,750 --> 00:05:47,009 of more complex higher acuity cases. 149 00:05:47,475 --> 00:05:50,055 So I'm excited about that continual migration 150 00:05:50,675 --> 00:05:51,895 away from the hospital, 151 00:05:52,435 --> 00:05:55,415 and that allows us to create space 152 00:05:56,035 --> 00:05:58,615 in the larger health system, 153 00:05:58,995 --> 00:06:00,774 OR hospital settings. 154 00:06:01,220 --> 00:06:04,020 We're creating capacity so that they can truly 155 00:06:04,020 --> 00:06:07,560 focus on the sicker patients, the ones with 156 00:06:07,860 --> 00:06:08,920 multiple comorbidities 157 00:06:09,379 --> 00:06:11,800 that would not be safe and would not 158 00:06:12,340 --> 00:06:15,960 meet our anesthesia selection criteria in our ASC, 159 00:06:16,694 --> 00:06:17,194 rather 160 00:06:17,574 --> 00:06:20,134 keep those people in the hospital and take 161 00:06:20,134 --> 00:06:22,235 the things that are safe and ambulatory 162 00:06:22,935 --> 00:06:24,074 out of that setting 163 00:06:24,375 --> 00:06:25,834 and creating that capacity. 164 00:06:28,214 --> 00:06:29,354 Mhmm. Absolutely. 165 00:06:29,654 --> 00:06:30,774 Definitely feels like, 166 00:06:31,920 --> 00:06:33,439 you know, there's a lot of potential for 167 00:06:33,439 --> 00:06:36,080 for major transformation as as the ASC industry 168 00:06:36,080 --> 00:06:38,879 continues to grow. Right. And it shouldn't it 169 00:06:38,879 --> 00:06:40,980 shouldn't be seen as a a comp competitive 170 00:06:41,360 --> 00:06:43,779 thing. It's really a win win for everybody. 171 00:06:43,840 --> 00:06:45,120 And it's just, 172 00:06:46,134 --> 00:06:47,834 you know, you hear the word site neutrality 173 00:06:47,894 --> 00:06:49,814 all the time, and that talks about the 174 00:06:49,814 --> 00:06:50,314 payment, 175 00:06:50,854 --> 00:06:53,354 for the care provided in the ASC. But, 176 00:06:53,894 --> 00:06:57,094 you know, understanding that we're not there to 177 00:06:57,094 --> 00:06:57,594 cannibalize 178 00:06:57,974 --> 00:07:00,699 all the cases that, happen in the hospital, 179 00:07:00,699 --> 00:07:02,300 that there's so many things that need to 180 00:07:02,300 --> 00:07:04,699 be done and safely done for the patient 181 00:07:04,699 --> 00:07:07,100 in the hospital. But there are so many 182 00:07:07,100 --> 00:07:09,660 things, and that list is expanding every day 183 00:07:09,660 --> 00:07:11,180 over who we can take care of in 184 00:07:11,180 --> 00:07:13,980 the ASC, and that's really what I'm excited 185 00:07:13,980 --> 00:07:14,480 about. 186 00:07:15,345 --> 00:07:17,745 Mhmm. Absolutely. And it also just seems like, 187 00:07:17,745 --> 00:07:18,485 you know, as 188 00:07:18,944 --> 00:07:20,724 The US population becomes 189 00:07:21,024 --> 00:07:23,664 sort of older and and Mhmm. Sicker, it's 190 00:07:23,745 --> 00:07:24,245 there's 191 00:07:24,944 --> 00:07:26,865 plenty of room for for everyone in the 192 00:07:26,865 --> 00:07:28,625 market there, and it seems like there's, yeah, 193 00:07:28,625 --> 00:07:30,064 just, like, a lot of potential for, 194 00:07:30,839 --> 00:07:32,699 you know, more and more, 195 00:07:33,240 --> 00:07:34,379 efficiently operationalized, 196 00:07:35,959 --> 00:07:37,660 patient care flows and whatnot. 197 00:07:38,199 --> 00:07:38,699 Right. 198 00:07:39,160 --> 00:07:41,240 You and you mentioned that you're kind of 199 00:07:41,240 --> 00:07:41,740 spearheading, 200 00:07:42,439 --> 00:07:45,479 the ASC project at Commonwealth right now. I'm 201 00:07:45,479 --> 00:07:47,745 curious how how you're thinking about growth over 202 00:07:47,745 --> 00:07:48,884 the next twelve months. 203 00:07:50,144 --> 00:07:52,865 Well, we're very strategic about our thinking, and 204 00:07:52,865 --> 00:07:54,964 we're looking at the demographics, 205 00:07:55,904 --> 00:07:58,305 for each market where we have clinics. And 206 00:07:58,305 --> 00:07:58,964 the goal 207 00:07:59,550 --> 00:08:02,290 is to provide services often in 208 00:08:02,669 --> 00:08:04,930 underserved rural areas where, 209 00:08:05,709 --> 00:08:06,449 these people, 210 00:08:07,230 --> 00:08:09,870 patients have to drive multiple hours to get 211 00:08:09,870 --> 00:08:11,250 to a larger metropolitan 212 00:08:11,709 --> 00:08:13,649 area where there's health care. And so 213 00:08:14,294 --> 00:08:15,975 as a as a company and as a 214 00:08:15,975 --> 00:08:17,675 team, we're going into these, 215 00:08:19,095 --> 00:08:21,654 hard to reach places and providing services in 216 00:08:21,654 --> 00:08:23,035 the in their community. 217 00:08:23,574 --> 00:08:26,314 And when we do that and we establish 218 00:08:26,375 --> 00:08:29,254 ourselves there and the referral patterns with other 219 00:08:29,254 --> 00:08:29,754 providers 220 00:08:31,629 --> 00:08:32,610 in that area, 221 00:08:33,230 --> 00:08:34,769 we're then able to 222 00:08:35,309 --> 00:08:35,809 drive 223 00:08:36,269 --> 00:08:36,769 synergies 224 00:08:37,629 --> 00:08:40,049 and build an ASC strategically, 225 00:08:41,230 --> 00:08:43,549 in a market where we've got multiple clinics 226 00:08:43,549 --> 00:08:44,850 that can support it. 227 00:08:45,154 --> 00:08:45,815 And so 228 00:08:46,595 --> 00:08:48,054 we are expanding, 229 00:08:48,514 --> 00:08:51,575 and we are going to those markets where 230 00:08:51,634 --> 00:08:54,274 we can whether it's a CON state or 231 00:08:54,274 --> 00:08:57,235 not, because, like I said, I'm working across 232 00:08:57,235 --> 00:08:58,615 three states right now. 233 00:08:58,940 --> 00:09:00,459 Two of the states do not have a 234 00:09:00,459 --> 00:09:01,659 c o n law, and one of the 235 00:09:01,659 --> 00:09:02,559 states does. 236 00:09:02,940 --> 00:09:05,019 And so that changes a little bit about 237 00:09:05,019 --> 00:09:07,740 how we execute and plan for that space. 238 00:09:07,740 --> 00:09:08,240 But 239 00:09:09,100 --> 00:09:11,600 one of the things that I think is 240 00:09:12,125 --> 00:09:14,605 exciting in the next twelve months are some 241 00:09:14,605 --> 00:09:15,264 of the 242 00:09:16,365 --> 00:09:16,865 statewide, 243 00:09:17,485 --> 00:09:20,284 or state specific c o n law changes 244 00:09:20,284 --> 00:09:21,985 or amendments that are coming. 245 00:09:22,445 --> 00:09:23,825 This is going to relax, 246 00:09:24,605 --> 00:09:25,664 a lot of the 247 00:09:26,279 --> 00:09:29,559 existing restrictions around developing or adding a new 248 00:09:29,559 --> 00:09:31,820 service line to an existing ASC. 249 00:09:32,519 --> 00:09:35,720 This is going to allow ASCs to be 250 00:09:35,720 --> 00:09:36,699 truly multi 251 00:09:37,159 --> 00:09:37,659 specialty 252 00:09:38,274 --> 00:09:40,674 and meet the needs of the community and 253 00:09:40,674 --> 00:09:42,855 offer these independent surgeons 254 00:09:43,315 --> 00:09:45,095 a place to do cases. 255 00:09:46,115 --> 00:09:47,975 Oftentimes, independent surgeons 256 00:09:48,674 --> 00:09:49,575 don't have 257 00:09:49,955 --> 00:09:52,850 guaranteed block time in a health system if 258 00:09:52,850 --> 00:09:55,169 they're not employed with the health system. And 259 00:09:55,169 --> 00:09:57,110 so ASCs are the perfect 260 00:09:57,490 --> 00:10:00,850 solution for those surgeons who are looking for 261 00:10:00,850 --> 00:10:04,070 a home and looking for guaranteed block time. 262 00:10:05,705 --> 00:10:06,205 Absolutely. 263 00:10:06,585 --> 00:10:08,904 Yeah. For sure. And I'm curious. Is there 264 00:10:08,904 --> 00:10:11,384 anything else I haven't asked about today that, 265 00:10:11,625 --> 00:10:13,325 you think is important in this conversation? 266 00:10:15,225 --> 00:10:17,865 I think that we've covered most of the 267 00:10:17,865 --> 00:10:20,024 topics. I could talk for a very long 268 00:10:20,024 --> 00:10:20,524 time 269 00:10:21,259 --> 00:10:24,059 about ASCs. There's so much going on. It's 270 00:10:24,059 --> 00:10:25,440 such a dynamic space. 271 00:10:25,899 --> 00:10:28,399 I think another topic that is worth exploring, 272 00:10:29,500 --> 00:10:31,679 possibly another conversation, is 273 00:10:32,220 --> 00:10:33,934 the partnership with with anesthesia 274 00:10:34,235 --> 00:10:36,415 and how to optimize a patient preoperatively. 275 00:10:37,595 --> 00:10:39,054 And so that way, 276 00:10:39,434 --> 00:10:40,254 we can 277 00:10:40,875 --> 00:10:43,514 with an elective procedure, we could plan to 278 00:10:43,514 --> 00:10:44,415 have a patient 279 00:10:46,009 --> 00:10:48,569 taken care of. And since it's elective, there's 280 00:10:48,569 --> 00:10:50,970 no rush, but we can optimize the patient 281 00:10:50,970 --> 00:10:53,850 for a really great experience on the day 282 00:10:53,850 --> 00:10:56,029 of surgery, but also very importantly, 283 00:10:56,730 --> 00:10:57,230 postoperatively 284 00:10:57,610 --> 00:10:59,149 in their recovery journey. 285 00:10:59,605 --> 00:11:02,004 So that's that is something that, 286 00:11:02,404 --> 00:11:05,465 I'm following closely is is how to best 287 00:11:05,684 --> 00:11:07,924 provide care to these patients and make sure 288 00:11:07,924 --> 00:11:08,585 they have 289 00:11:08,965 --> 00:11:09,945 excellent outcomes, 290 00:11:11,205 --> 00:11:13,144 because we're now required to 291 00:11:13,870 --> 00:11:15,889 collect patient satisfaction scores, 292 00:11:16,509 --> 00:11:18,670 and we'd like to make sure that the 293 00:11:18,670 --> 00:11:22,129 patients are having a wonderful experience. They're satisfied. 294 00:11:22,429 --> 00:11:24,190 Is there anything we could do to improve 295 00:11:24,190 --> 00:11:26,750 their experience or anything we could have done 296 00:11:26,750 --> 00:11:27,250 better? 297 00:11:27,894 --> 00:11:30,695 That feedback is very valuable, but that's a 298 00:11:30,695 --> 00:11:33,174 new, requirement for 2025 299 00:11:33,174 --> 00:11:36,455 for ASCs is the requirement to collect and 300 00:11:36,455 --> 00:11:38,315 report your patient satisfactions. 301 00:11:38,934 --> 00:11:39,434 So 302 00:11:39,860 --> 00:11:40,360 ASCs 303 00:11:40,740 --> 00:11:44,039 routinely have very, very high patient satisfaction scores, 304 00:11:44,419 --> 00:11:46,179 and I think this is an opportunity for 305 00:11:46,179 --> 00:11:48,279 the ASC community to show off 306 00:11:48,899 --> 00:11:52,199 those numbers and the experience that we provide. 307 00:11:53,764 --> 00:11:55,144 Absolutely. And I know, 308 00:11:55,684 --> 00:11:56,825 just in my anesthesia 309 00:11:57,205 --> 00:11:59,285 element, there's I've heard the term kind of 310 00:11:59,285 --> 00:12:00,024 the perioperative 311 00:12:00,485 --> 00:12:02,825 home a lot in recent months. And just 312 00:12:02,965 --> 00:12:03,865 as technology, 313 00:12:04,245 --> 00:12:06,245 you know, advances, as more cases come to 314 00:12:06,245 --> 00:12:08,320 the ASC, kind of a lot of anesthesia 315 00:12:08,379 --> 00:12:10,700 professionals thinking of themselves more as, you know, 316 00:12:10,700 --> 00:12:12,940 somebody who's guiding the patient through those, you 317 00:12:12,940 --> 00:12:15,259 know, before and after stages, not just showing 318 00:12:15,259 --> 00:12:16,940 up for the procedure. So that's definitely That's 319 00:12:16,940 --> 00:12:18,159 right. Something that's developing. 320 00:12:18,700 --> 00:12:20,539 Yeah. They're they're an integral part of the 321 00:12:20,539 --> 00:12:21,039 whole, 322 00:12:21,794 --> 00:12:22,774 patient experience 323 00:12:23,154 --> 00:12:23,654 and, 324 00:12:24,674 --> 00:12:27,735 really contribute to the patient optimization preoperatively 325 00:12:28,595 --> 00:12:29,735 as well as 326 00:12:30,195 --> 00:12:30,934 to the 327 00:12:31,315 --> 00:12:32,534 outcomes postoperatively, 328 00:12:33,235 --> 00:12:36,375 which we are obviously very interested in. 329 00:12:38,190 --> 00:12:38,690 Absolutely. 330 00:12:39,309 --> 00:12:40,909 Well, that is actually all I have for 331 00:12:40,909 --> 00:12:42,829 you today, Jen. Thank you so much for 332 00:12:42,829 --> 00:12:43,649 joining us. 333 00:12:44,509 --> 00:12:46,350 It has been an absolute pleasure speaking with 334 00:12:46,350 --> 00:12:47,949 you, and I look forward to connecting with 335 00:12:47,949 --> 00:12:49,089 you again in the future. 336 00:12:49,470 --> 00:12:52,029 Absolutely. Thank you again, Franchesca, for hosting me. 337 00:12:52,029 --> 00:12:53,009 Appreciate it. 338 00:12:53,350 --> 00:12:55,110 Of course. Thank you. Have a good one. 339 00:12:55,110 --> 00:12:57,050 You too. Bye bye. Bye.