Latest / Becker’s Healthcare Podcast / Advancing AI, Physician Leadership and Patient-Centered Innovation with Dr. Edmund Pribitkin

Transcript

Advancing AI, Physician Leadership and Patient-Centered Innovation with Dr. Edmund Pribitkin · Becker’s Healthcare Podcast

• 0:02
  - The strategic agenda facing hospital and health system
• 0:04
  - leaders right now is not a short list.
• 0:07
  - Growth in a consolidating market, sustainable margins in
• 0:09
  - a reimbursement environment that rarely moves in your
• 0:12
  - favor,
• 0:12
  - a tech investment cycle that demands both urgency
• 0:15
  - and discipline,
• 0:16
  - and a workforce story that is still being
• 0:19
  - written.
• 0:20
  - Eker's fourteenth annual CEO CFO roundtable brings together
• 0:23
  - more than 1,500 executive level attendees and nearly
• 0:27
  - 400 speakers across four days of sessions that
• 0:30
  - are designed to help c suite leaders benchmark,
• 0:32
  - pressure test, and sharpen their priorities.
• 0:35
  - Not in the abstract, but against the real
• 0:37
  - decisions they'll face heading into the next year.
• 0:39
  - It's the kind of event you leave with
• 0:40
  - a clear sense of where you stand and
• 0:42
  - what comes next.
• 0:44
  - So join us November second through the fifth
• 0:46
  - at the Hyatt Regency in Chicago,
• 0:48
  - and come ready to do the hard thinking.
• 0:50
  - Register on our events page at beckershospitalreview.com
• 0:54
  - by clicking on the events tab in the
• 0:56
  - upper right.
• 0:58
  - This is Laura Dierdahl with the Becker's Healthcare
• 1:00
  - podcast. I'm thrilled today to be joined by
• 1:02
  - doctor Edmund Perbetkin,
• 1:03
  - president of the Jefferson Medical Group and executive
• 1:06
  - vice president and chief physician executive at Jefferson
• 1:08
  - Health. Doctor Perbetkin, it's a pleasure to have
• 1:10
  - you on the podcast today.
• 1:12
  - Thanks so much, Laura. I'm delighted to join
• 1:14
  - you today.
• 1:15
  - Absolutely.
• 1:16
  - I'm excited for our conversation. I know Jefferson
• 1:18
  - is such an innovative health system and certainly
• 1:20
  - a lot you've been able to accomplish over
• 1:22
  - the last year or so and a lot
• 1:24
  - to look forward to as well in the
• 1:25
  - future. But before we dive in, can you
• 1:27
  - just tell us a little bit more about
• 1:29
  - yourself and your background?
• 1:30
  - Sure. I'd be delighted to. I'm an otolaryngologist,
• 1:34
  - facial plastic surgeon by training.
• 1:37
  - I have been at Jefferson now for thirty
• 1:39
  - four years in many different roles ranging from
• 1:43
  - program director for otolaryngology
• 1:46
  - to academic vice chair to chief medical officer
• 1:49
  - for our flagship hospital, TJUH,
• 1:52
  - to leading the medical group and
• 1:55
  - now serving really as chief physician executive,
• 1:58
  - looking at a lot of different areas such
• 2:01
  - as service lines, such as the medical group,
• 2:04
  - such as the perioperative
• 2:06
  - optimization,
• 2:07
  - and really also leaning into the innovation
• 2:11
  - and looking at how we can really look
• 2:14
  - to pair clinical leadership with IT and other
• 2:18
  - leadership in order to move the organization
• 2:20
  - forward.
• 2:22
  - Absolutely fantastic. I think that's such a a
• 2:25
  - critical and fascinating,
• 2:26
  - point to sit at when you're looking at,
• 2:29
  - you know, the clinical, the IT, and the
• 2:31
  - strategy behind both how they can drive success
• 2:33
  - within the entire enterprise.
• 2:35
  - Is so fascinating. I know things are changing
• 2:37
  - very quickly right now as well, and so,
• 2:40
  - exciting to see a lot of those advancements.
• 2:42
  - Now could you give us a quick state
• 2:43
  - of the union of your work at Jefferson?
• 2:46
  - What's gone well this year, and what are
• 2:47
  - you are you focused on for the rest
• 2:49
  - of 2026?
• 2:50
  - Well, it's been a really,
• 2:53
  - really exciting year at Jefferson.
• 2:55
  - We've had,
• 2:57
  - continued integration,
• 2:58
  - execution.
• 2:59
  - Our momentum is greater than it's ever been.
• 3:02
  - If you look
• 3:03
  - at the
• 3:04
  - work in the community in particular,
• 3:07
  - you know, this past year, we had a
• 3:09
  - record 2,700,000,000
• 3:12
  - in community
• 3:13
  - benefit.
• 3:14
  - That's by far the largest of any regional
• 3:17
  - health system in our area. And so we're
• 3:20
  - very proud of being able to give back
• 3:22
  - even as we pursue the the betterment of
• 3:26
  - education and health care within
• 3:28
  - the region.
• 3:30
  - And we've also expanded across other regions as
• 3:33
  - well. So we have two
• 3:36
  - new medical school campuses that are launching, one
• 3:39
  - in Lehigh Valley Of Pennsylvania
• 3:41
  - and one
• 3:42
  - in Delaware where we'll have Delaware's first actual
• 3:46
  - medical school.
• 3:48
  - We continue to focus on quality. We continue
• 3:51
  - to focus on access,
• 3:53
  - and that focus is really along with the
• 3:56
  - work we do on, operational
• 3:58
  - discipline
• 3:59
  - yielding results. You know, we've we've beaten budget
• 4:03
  - for this year. We're looking to
• 4:06
  - aggregate the resources that we need to further
• 4:09
  - invest
• 4:10
  - within our communities
• 4:11
  - and across our systems. So
• 4:14
  - really very, very excited.
• 4:17
  - One of the
• 4:18
  - actually, really cool things that I've been part
• 4:21
  - of is the goal to return ten million
• 4:24
  - hours to clinicians through
• 4:27
  - AI and through other means. This really
• 4:30
  - launched about a year ago when we
• 4:35
  - we introduced ambient listening in all of our
• 4:38
  - different sites.
• 4:39
  - That in of itself has resulted in a
• 4:43
  - lot of compliments being sent my way, which
• 4:46
  - is wonderful when your chief physician executive to
• 4:48
  - hear other physicians thank you for bringing in
• 4:51
  - Ambient Listening for how that's improved their lives,
• 4:54
  - decreased their
• 4:55
  - burdensome
• 4:57
  - work effort in terms of documentation.
• 4:59
  - And and we've been able to do that
• 5:02
  - across the
• 5:03
  - entirety of the system partnering with Abridged. And
• 5:06
  - we continue to have more AI partnerships really
• 5:09
  - that I think are going to continue
• 5:12
  - to give us time back for clinicians across
• 5:15
  - the entirety of the system.
• 5:18
  - I love that. I I think it's so
• 5:20
  - critical to have that type of,
• 5:22
  - relationship with your clinical team and and especially
• 5:24
  - when, as you mentioned, you're bringing ambient technology
• 5:27
  - and that makes your lives a lot easier,
• 5:28
  - streamlines things, and, you know, can really, help
• 5:31
  - you,
• 5:32
  - deliver
• 5:33
  - access to care better and connect with patients
• 5:36
  - more broadly during those visits, I think is
• 5:38
  - so helpful and critical. And as you're going
• 5:40
  - through that process, was there anything that you
• 5:43
  - learned or,
• 5:44
  - things that you refined in order to make
• 5:46
  - sure as you continue to
• 5:48
  - evolve with the Ambient technology, you're able to
• 5:51
  - seamlessly adapt and integrate things, within the clinical
• 5:54
  - teams?
• 5:56
  - Well, I think that the Ambient technology
• 5:58
  - learns
• 5:59
  - as it gets to know you better.
• 6:01
  - I think that's something that was really
• 6:04
  - satisfying to see happen.
• 6:06
  - One of the things that's really important in
• 6:08
  - the medical group, what we've always done is
• 6:10
  - our leadership within the medical group continues to
• 6:14
  - practice medicine. So
• 6:16
  - I see patients. I operate. I experience the
• 6:19
  - same kind of challenges that our frontline physicians
• 6:22
  - do, and, therefore,
• 6:23
  - I
• 6:24
  - also experience
• 6:26
  - the benefits
• 6:27
  - and can take better
• 6:29
  - understanding of the opportunities
• 6:31
  - to the clinician workforce.
• 6:34
  - The
• 6:35
  - what's been really amazing with Ambient is
• 6:38
  - I happen to have good fortune of speaking
• 6:40
  - a number of different languages, Russian, Spanish, Portuguese,
• 6:43
  - and I can have an entire conversation with
• 6:46
  - one of my
• 6:48
  - Russian or Spanish patients, and
• 6:51
  - that can be listened to by Abrig.
• 6:54
  - And by the time I walk back to
• 6:56
  - the computer,
• 6:58
  - the note has been written in English.
• 7:01
  - That's pretty amazing that it can understand a
• 7:03
  - conversation in Russian, which
• 7:05
  - varies from personal to medical topics and then
• 7:09
  - deliver a note in English.
• 7:12
  - Pretty cool.
• 7:14
  - That's the kind of thing that
• 7:16
  - not only helps
• 7:18
  - the physician, but also helps the patient.
• 7:22
  - We're able to
• 7:24
  - really engage with patients,
• 7:27
  - in the languages that they're more comfortable with.
• 7:29
  - We're able
• 7:31
  - to increase access in that way. So pretty
• 7:34
  - exciting things that happen just from that Ambient
• 7:38
  - initiative itself.
• 7:40
  - That's so helpful to understand and hear and,
• 7:43
  - you know, really cool how that technology works
• 7:45
  - as it can learn and and,
• 7:47
  - become even more useful alongside you. It's just
• 7:50
  - incredible to hear. Thank you so much for
• 7:52
  - sharing with us. Now I know as you
• 7:54
  - look into the year ahead,
• 7:56
  - there's a lot that is happening, and I'm
• 7:58
  - sure a lot to think about. So what
• 7:59
  - are some of the biggest headwinds that you're
• 8:02
  - keeping your eye on and preparing for?
• 8:04
  - Well, I think, you know, everybody in health
• 8:07
  - care is facing significant financial and operational
• 8:11
  - pressures. You know, there are challenges in
• 8:14
  - reimbursement.
• 8:15
  - There are rising costs. There are workforce
• 8:19
  - shortages.
• 8:20
  - There's regulatory uncertainty.
• 8:23
  - We need to be able to remain agile
• 8:26
  - to face those challenges and change those challenges
• 8:30
  - into opportunity.
• 8:32
  - We also
• 8:34
  - can benefit
• 8:35
  - when we
• 8:36
  - are approaching those kinds of challenges. One of
• 8:38
  - the things we do at Jefferson is we
• 8:40
  - say, well, who are the most vulnerable
• 8:43
  - among us? Who are the most vulnerable
• 8:46
  - patients,
• 8:48
  - their families? And how do we help them
• 8:51
  - overcome some of those challenges? Because, you know,
• 8:54
  - those are the individuals that
• 8:57
  - are less likely to seek medical care. And
• 9:00
  - if we don't become more accessible to them,
• 9:03
  - if we don't work through some of these
• 9:05
  - challenges and turn them into
• 9:08
  - opportunities,
• 9:09
  - then, you know, we fail in our job
• 9:12
  - as clinician leaders, as health care providers.
• 9:15
  - So an example of that is our Honikman
• 9:18
  - Center
• 9:19
  - where we started to consider
• 9:23
  - who are the individuals that are having the
• 9:25
  - most trouble checking out.
• 9:27
  - You know, the Honickman Center is a $760,000,000
• 9:31
  - building that is state of the art,
• 9:34
  - but, you know, there's still the problem of
• 9:36
  - seeing the doctor and then having to check
• 9:38
  - out and schedule appointments and do everything else.
• 9:41
  - Well,
• 9:42
  - if you're an individual who has difficulty getting
• 9:45
  - around, if you're an individual who has difficulty
• 9:47
  - hearing or communicating
• 9:49
  - or those of our patients and families who
• 9:53
  - are on the spectrum.
• 9:54
  - You know, how do we make their life
• 9:56
  - easier?
• 9:57
  - So what we did was we said, well,
• 9:59
  - what
• 10:00
  - if we actually check out those patients in
• 10:03
  - the room?
• 10:05
  - And at first, you're like, oh, how is
• 10:07
  - that going to mess up the schedule if
• 10:08
  - they need to check out in the room?
• 10:10
  - And that's a real challenge. Well, we created
• 10:13
  - virtual checkout
• 10:15
  - so that when the clinician is done seeing
• 10:18
  - the patient,
• 10:19
  - they hit a button and someone comes on
• 10:21
  - the screen,
• 10:22
  - and they check out and do all the
• 10:25
  - appointment scheduling, the plans for the preauthorization,
• 10:28
  - the surgeries, etcetera,
• 10:30
  - while the patient is in the room. And
• 10:32
  - then the patient leaves and goes home. They
• 10:34
  - don't have to queue at the front desk.
• 10:37
  - They don't have to wait in line. They
• 10:38
  - don't have to communicate with a different
• 10:40
  - individual
• 10:41
  - at the front desk.
• 10:43
  - All of that is eliminated,
• 10:45
  - and
• 10:46
  - that helps so many more people, honestly, than
• 10:48
  - just the most vulnerable.
• 10:50
  - But I think that's a mindset
• 10:53
  - at Jefferson.
• 10:54
  - We try to put people first, and I
• 10:57
  - think when we put
• 10:59
  - the most vulnerable among us first,
• 11:02
  - we see opportunities
• 11:03
  - where others see
• 11:06
  - impossible challenges.
• 11:08
  - So that's that's sort of what I say.
• 11:10
  - I think we're gonna approach all these other
• 11:12
  - headwinds
• 11:13
  - the same way.
• 11:15
  - Absolutely. I love that being able to put
• 11:17
  - the individual first, and then seeing how that
• 11:21
  - really, really cascades down into
• 11:24
  - solving some of the big challenges, the hard
• 11:25
  - things that almost seem insurmountable in many other,
• 11:28
  - you know, views of it of it. Having
• 11:30
  - that patient at the center is so, so
• 11:32
  - critical, and I love that view and mindset
• 11:34
  - as you're heading into the next year when
• 11:36
  - I know there's going to be a good
• 11:38
  - amount of challenges. But at the same time,
• 11:40
  - I know with challenges comes a lot of
• 11:42
  - opportunity to innovate and actually improve in many
• 11:44
  - ways. And so I I I love that
• 11:46
  - mindset and,
• 11:47
  - how you're thinking about things and looking at
• 11:49
  - it. And to that point, you know, when
• 11:51
  - you're looking at growth in the next couple
• 11:52
  - of years, what are some of the best
• 11:54
  - opportunities that you see for Jefferson?
• 11:56
  - Well, I think our greatest opportunity is to
• 12:00
  - leverage the scale and capabilities
• 12:02
  - of Jefferson as really the region's only academic
• 12:06
  - integrated delivery and and financing system.
• 12:10
  - What I mean by that is that
• 12:13
  - our balance sheets are all commingled.
• 12:16
  - The medical group, the university,
• 12:19
  - the hospitals, we're all together.
• 12:21
  - It's a system
• 12:23
  - that is really working to advance health care,
• 12:26
  - to advance community benefit across the entirety of
• 12:31
  - the region.
• 12:32
  - I think that is our greatest strength
• 12:35
  - that we don't consider
• 12:37
  - academics to be a different pillar. We don't
• 12:40
  - consider delivery of health care to be a
• 12:43
  - different pillar. The doctors are a separate silo.
• 12:46
  - It's really commingled so that we have
• 12:49
  - common interests
• 12:50
  - and common
• 12:51
  - goals.
• 12:52
  - I think that's really come under the leadership
• 12:55
  - of, you know, Joe Kachshon that he's
• 12:58
  - enabled us
• 13:00
  - to look beyond some of the verticals and
• 13:02
  - silos that characterize organizations
• 13:05
  - as as they aggregate
• 13:07
  - other organizations
• 13:09
  - within themselves, and he's been able to
• 13:12
  - build a vision for the future.
• 13:15
  - I think that vision for the future
• 13:17
  - also
• 13:19
  - really involves
• 13:20
  - artificial intelligence and the way that it works
• 13:23
  - to the benefit of patients. You know, there
• 13:26
  - was a Wall Street Journal article today that
• 13:28
  - says that,
• 13:29
  - you know, there are literally
• 13:32
  - millions of people
• 13:34
  - that every week
• 13:36
  - engage with their
• 13:38
  - Internet providers and AI to get medical advice.
• 13:42
  - We have to understand that and help to
• 13:45
  - inform that across the entirety of our health
• 13:48
  - care community.
• 13:49
  - We know that people are seeking information that
• 13:52
  - they're desperate for knowledge, and they look in
• 13:56
  - all kinds of places. The Internet
• 13:59
  - is one of the biggest places they look.
• 14:01
  - They look to, quote, unquote, doctor Google.
• 14:05
  - Well,
• 14:05
  - we need to be able to inform that
• 14:07
  - with wisdom. We need to be the trusted
• 14:10
  - partner
• 14:11
  - for all of those individuals that are seeking
• 14:15
  - help with AI,
• 14:16
  - and we need to make it easier for
• 14:18
  - them to trust
• 14:20
  - some of the decision making that happens through
• 14:23
  - AI.
• 14:24
  - That's a that's really
• 14:26
  - a place where we are ideally positioned
• 14:30
  - to be that trusted partner. Because
• 14:33
  - as an academic medical center with a broad
• 14:37
  - community reach into rural areas, inner city areas,
• 14:41
  - across states,
• 14:43
  - we're able to do
• 14:45
  - be that trusted partner
• 14:48
  - for all of our patients,
• 14:51
  - their families,
• 14:52
  - and the communities we serve. And that's what
• 14:54
  - we intend to
• 14:56
  - do in the coming years to be that
• 14:59
  - that partner
• 15:00
  - that is going to enable
• 15:02
  - the trust
• 15:04
  - in AI,
• 15:06
  - in the work that we're doing to make
• 15:09
  - Jefferson
• 15:10
  - an AI forward, but what I would call
• 15:12
  - a trust forward
• 15:14
  - organization.
• 15:17
  - Oh, that's incredible to think about. And, you
• 15:19
  - know, having,
• 15:21
  - that
• 15:22
  - as you mentioned, first and foremost, being able
• 15:24
  - to have that unity across the medical group,
• 15:26
  - university, and hospitals,
• 15:29
  - seems to then
• 15:30
  - push forward the the work that you're doing
• 15:33
  - with AI, with technology, and demonstrating that trust
• 15:36
  - for the teams internally as well as with
• 15:39
  - the patients at large. And I I think
• 15:41
  - trust and value when you're thinking about AI
• 15:44
  - is so critical right now. And I'm curious,
• 15:46
  - you know, from your perspective as both the
• 15:48
  - clinician as well as somebody who knows the
• 15:51
  - technology,
• 15:52
  - very strongly,
• 15:54
  - How do you think about value? How do
• 15:55
  - you, think about really what's gonna be sustainable
• 15:58
  - and meaningful while knowing too that, you know,
• 16:01
  - technology and AI especially is, to some degree,
• 16:04
  - iterative and will continue to grow and develop?
• 16:08
  - And so how do you make sure you've
• 16:09
  - got the right,
• 16:11
  - guidance in place and and then truly teams
• 16:15
  - that are working and understanding the technology so
• 16:17
  - that you can build that trust and and
• 16:20
  - keep it with your patients as well as
• 16:22
  - your teams?
• 16:23
  - I think it's really important
• 16:25
  - to focus on the quality of the care
• 16:27
  - delivered,
• 16:28
  - and
• 16:30
  - AI has the ability
• 16:32
  - to save time and generate value,
• 16:36
  - but only when there is strong oversight.
• 16:39
  - So, you know, areas where we're looking at
• 16:42
  - AI is how can we
• 16:44
  - enable AI to help us to
• 16:48
  - look at imaging results, for example, so that
• 16:51
  - we can
• 16:52
  - look and and screen many, many more
• 16:56
  - radiographs
• 16:56
  - than we do in a shorter period of
• 16:59
  - time, and at the same time, identify those
• 17:03
  - radiographs, those chest X rays, etcetera,
• 17:06
  - that require
• 17:07
  - more
• 17:08
  - intense scrutiny
• 17:09
  - by our radiologists.
• 17:12
  - There's an opportunity there. Right? There's an opportunity
• 17:15
  - to more quickly bring
• 17:17
  - care to individuals who are having the imaging,
• 17:21
  - and there's also the opportunity to ensure
• 17:24
  - that the quality is going to be,
• 17:27
  - better than ever.
• 17:29
  - That requires a partnership
• 17:30
  - between industry
• 17:33
  - and academia
• 17:34
  - in order to make sure that that quality
• 17:37
  - is going to be
• 17:38
  - observed, that it's going to be improved over
• 17:41
  - time. As you said, it's iterative
• 17:43
  - and making sure that things don't fall through
• 17:46
  - the cracks. I mean,
• 17:48
  - part of this is to install
• 17:51
  - systems that are going to
• 17:54
  - provide surveillance
• 17:55
  - for
• 17:56
  - what we call
• 17:58
  - signal events,
• 17:59
  - a mistake that needs to be corrected on
• 18:02
  - a system level. And then you benefit everybody
• 18:05
  - rather than just the person that
• 18:08
  - it has had that challenge.
• 18:10
  - I think there are going to be ways
• 18:12
  - where we're going to bring that to the
• 18:14
  - bedside.
• 18:16
  - We're gonna be bringing that across the entirety
• 18:18
  - of the organization.
• 18:20
  - There is now
• 18:22
  - less and less of a knowledge gap
• 18:25
  - between the consumer, the patient, the family,
• 18:29
  - and the physician. That's a good thing. We
• 18:31
  - wanna empower
• 18:33
  - the patients as much as possible,
• 18:36
  - but we also wanna make sure that the
• 18:38
  - information that they're consuming
• 18:40
  - is information that makes sense for them.
• 18:43
  - And and that that is part of the
• 18:46
  - obligation
• 18:47
  - that we set out to fulfill
• 18:50
  - as clinicians
• 18:51
  - in at Jefferson.
• 18:54
  - I love that. That makes a ton of
• 18:55
  - sense and seems like it'll be a really
• 18:58
  - efficient and effective way to move forward. And,
• 19:01
  - again, to your point earlier, putting the patient
• 19:04
  - first and at the center of everything that
• 19:05
  - you're doing and you're thinking about. Before we
• 19:08
  - wrap up here, I wanted to ask you,
• 19:10
  - who is a leader that you admire really
• 19:11
  - from any industry and why?
• 19:14
  - Well,
• 19:15
  - so much of our industry actually
• 19:18
  - relies upon the generosity
• 19:20
  - of others.
• 19:22
  - You know, it's a generosity in sharing knowledge,
• 19:26
  - but it's also
• 19:27
  - a generosity in sharing
• 19:29
  - time and sharing
• 19:31
  - resources,
• 19:33
  - philanthropy.
• 19:35
  - I really admire
• 19:37
  - Harold and Lynn Honickman,
• 19:39
  - and Jeffrey Honickman.
• 19:41
  - You know, when we were putting together
• 19:43
  - the Honickman Building, when we were looking to
• 19:46
  - bring all of our
• 19:48
  - specialties together under one roof and try to
• 19:51
  - really serve our community better through this beautiful
• 19:56
  - medical office building,
• 19:58
  - couldn't
• 19:59
  - do it without the generosity of individuals
• 20:02
  - like
• 20:03
  - Harold, like Lynn, like Jeffrey Hahnikman.
• 20:07
  - They
• 20:08
  - understand the vision. They understand what a building
• 20:11
  - like this can mean to,
• 20:13
  - health care,
• 20:15
  - for
• 20:16
  - our center city.
• 20:18
  - And I salute them because
• 20:20
  - without
• 20:21
  - their
• 20:22
  - involvement,
• 20:24
  - the Honikman Center doesn't exist.
• 20:26
  - All of those innovations
• 20:29
  - that we have that have come about as
• 20:31
  - a result of planning and building
• 20:33
  - that center
• 20:35
  - would never exist.
• 20:36
  - And so we need that. We desperately need
• 20:40
  - that partnership
• 20:41
  - with
• 20:42
  - individuals like,
• 20:44
  - Harold, Lynn, and Jeffrey to be able to
• 20:47
  - enable us to do what we need to
• 20:49
  - do within health care.
• 20:52
  - That makes a ton of sense, and I
• 20:53
  - I love that visionary and innovative
• 20:56
  - thought for the future and knowing exactly what's
• 20:58
  - gonna be most helpful,
• 21:00
  - to forward health care delivery. Doctor Bibitkin, thank
• 21:03
  - you so much for joining us on the
• 21:04
  - podcast today. This has been such a a
• 21:06
  - fun conversation.
• 21:08
  - We really truly dug into a lot of
• 21:10
  - areas and inspiring what
• 21:12
  - you're doing at Jefferson too. So I look
• 21:13
  - forward to seeing you as well at our
• 21:14
  - CEO CFO roundtable. I know you'll be speaking
• 21:17
  - on a panel, and it'll be just a
• 21:19
  - great opportunity to catch up and dig deeper
• 21:20
  - into a lot of these things we've talked
• 21:22
  - about today.
• 21:24
  - Laura,
• 21:24
  - wanna thank you and Becker's for bringing us
• 21:27
  - together today and also bringing us together in
• 21:30
  - those kinds of symposia.
• 21:31
  - It's through that
• 21:33
  - generosity and the exchange of ideas
• 21:36
  - that we're able to
• 21:38
  - really move our health care industry forward. So
• 21:42
  - thank you as well.