Latest / Becker’s Healthcare Podcast / Stephanie Hines, MBA, RN, CHCIO, CDH-E, Senior Vice President and Chief Information Officer at Valleywise Health

Transcript

Stephanie Hines, MBA, RN, CHCIO, CDH-E, Senior Vice President and Chief Information Officer at Valleywise Health · Becker’s Healthcare Podcast

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• 1:00
  - This is Laura Dierda with the Becker's Healthcare
• 1:02
  - podcast. I'm I'm thrilled today to be joined
• 1:04
  - by Stephanie Hynes, senior vice president and chief
• 1:06
  - information officer at ValueWise Health. Stephanie, it's a
• 1:09
  - pleasure to have you on the podcast today.
• 1:11
  - Thank you. It's great to be here. Yeah.
• 1:12
  - I'm excited for our conversation. I know we've
• 1:14
  - got a lot going on in health care
• 1:16
  - and truly transformational time in technology.
• 1:18
  - But before we dive in, can you tell
• 1:20
  - me a little bit more about yourself and
• 1:21
  - Valleywise?
• 1:22
  - Sure.
• 1:23
  - So, again, my name is Stephanie Hines. I'm
• 1:25
  - the chief information officer for Valleywise Health here
• 1:28
  - in Phoenix, Arizona.
• 1:29
  - We are the public teaching safety net health
• 1:32
  - system for Maricopa County.
• 1:34
  - We cover a variety of services. We have
• 1:37
  - acute care. We have ambulatory care,
• 1:40
  - 10 FQHCs,
• 1:42
  - a pretty large behavioral health,
• 1:44
  - offering and service line and,
• 1:47
  - level one trauma center. And we're home to
• 1:49
  - the nationally recognized Arizona Burn Center.
• 1:53
  - I've been in health care, gosh, almost thirty
• 1:56
  - years now. I I started off in technology
• 1:58
  - and became a nurse mid career. So I'm
• 2:00
  - one of the unusual ones that went the
• 2:02
  - other direction,
• 2:04
  - but,
• 2:05
  - have loved working in both clinical care as
• 2:07
  - well as on the IT side.
• 2:10
  - Prior to joining Valleywise about a year and
• 2:11
  - a half ago, I've spent the majority of
• 2:13
  - my healthcare career in large integrated delivery networks,
• 2:17
  - such as Atrium now advocate and also Intermountain
• 2:20
  - Healthcare.
• 2:23
  - That's amazing to hear, you know, all such
• 2:26
  - a cool journey that you've taken in order
• 2:27
  - to be in this position today. Now I'm
• 2:30
  - curious from your perspective, what are some of
• 2:31
  - the most powerful forces that are shaping digital
• 2:33
  - health and IT at ValleyWise, and how do
• 2:36
  - you anticipate they'll change in the next year
• 2:37
  - or so?
• 2:39
  - You know, there's there's a lot. Some of
• 2:41
  - these we share across the board and and
• 2:43
  - health care, and some are pretty significant
• 2:46
  - or specific to, to safety net care. So,
• 2:49
  - you know, key forces for us obviously are
• 2:51
  - workforce pressures. I think we're all experiencing that,
• 2:55
  - you know, just availability of staff
• 2:57
  - and making sure that we
• 2:59
  - have all of the clinical resources we need
• 3:01
  - to take care of our patients.
• 3:03
  - Also rising consumer expectations.
• 3:05
  - We're all facing cybersecurity
• 3:07
  - risks,
• 3:08
  - specifically for safety net.
• 3:10
  - We have
• 3:12
  - a lot of increased
• 3:13
  - financial stewardship
• 3:15
  - considerations,
• 3:16
  - particularly related to the Medicaid reductions that are
• 3:18
  - up and coming.
• 3:20
  - And then, I think, you know, the rapid
• 3:21
  - acceleration of AI and how we are managing
• 3:24
  - that,
• 3:25
  - with some of these other pressures,
• 3:27
  - certainly certainly has my attention and the attention
• 3:29
  - of our organization.
• 3:32
  - That makes a lot of sense. And, you
• 3:33
  - know, I can imagine it especially thinking through,
• 3:36
  - you know, the the resources
• 3:39
  - and time and effort energy it takes to,
• 3:41
  - bring a new technology and and thinking about,
• 3:44
  - as you mentioned, the workforce, the the financial
• 3:46
  - pressures and constraints. And so I can imagine
• 3:48
  - each decision that you make has additional weight,
• 3:51
  - because of that.
• 3:54
  - Yeah. For sure. You know, I think, you
• 3:55
  - know, with with what we're facing, particularly financially,
• 3:58
  - we've got,
• 4:00
  - you know, the the pressure of doing more
• 4:02
  - with less. So how we make those decisions,
• 4:05
  - what we invest in, what we move forward,
• 4:07
  - you know, we have to to think about
• 4:08
  - that, you know, with the financial lens. So
• 4:11
  - for us, that's really translating to, you know,
• 4:13
  - focusing on areas where we can reduce, you
• 4:16
  - know, friction,
• 4:17
  - and things that are gonna have a strong
• 4:19
  - financial return, you know, whether it's automating things
• 4:22
  - that, you know, we previously had people doing,
• 4:25
  - you know, and,
• 4:27
  - and, you know, ensuring that we are delivering
• 4:29
  - on technology and functionality
• 4:31
  - that helps, you know, retain the staff that
• 4:33
  - we need to retain so that we're not
• 4:35
  - needing to backfill or continue recruitment in those
• 4:38
  - areas. Those are gonna be things that that
• 4:40
  - really rise to the top for us.
• 4:44
  - That's so so helpful to understand. Thank you
• 4:46
  - for,
• 4:47
  - you know, kind of sharing that strategy with
• 4:48
  - us because I know there's so many hospitals
• 4:50
  - and many of our listeners are in a
• 4:51
  - similar position. So understanding exactly how, you know,
• 4:54
  - you're navigating that is helpful. Now could you
• 4:57
  - tell us about a big swing that you
• 4:58
  - took in the last year that paid off?
• 5:00
  - What did you do, and what were the
• 5:01
  - results?
• 5:03
  - Yeah. You know,
• 5:05
  - it's a funny question. I think when those
• 5:06
  - questions come up, folks are are, you know,
• 5:09
  - expecting a big glamorous project or, you know,
• 5:12
  - something pretty pretty shiny and sexy. And, you
• 5:14
  - know, we have certainly
• 5:16
  - moved on a lot of initiatives here at
• 5:17
  - Valleywise over the last year. We've had a
• 5:19
  - lot of focus
• 5:20
  - in,
• 5:21
  - you know, our EPIC environment. We've done a
• 5:23
  - lot in the, you know, surgical process surgical
• 5:27
  - workflow,
• 5:28
  - optimization area. So we've got a lot of
• 5:30
  - things that have had measurable
• 5:32
  - results, but when you talk about the big
• 5:34
  - swing,
• 5:35
  - that's probably,
• 5:37
  - those are not the answers I would give.
• 5:39
  - And this may not be the glamorous,
• 5:42
  - you know, response you're looking for, but I
• 5:43
  - think it's really important to call out for
• 5:46
  - us.
• 5:47
  - You know, when I think about the biggest
• 5:49
  - swing or the most important effort over the
• 5:51
  - last year, that has really been
• 5:54
  - growing and skilling the team.
• 5:57
  - You know, anyone that knows me knows I'm
• 5:59
  - a huge basketball fan. And, I grew up
• 6:02
  - in Arkansas, so I'm a diehard Arkansas Razorback
• 6:05
  - fan. And back in the nineties when, you
• 6:07
  - know, we were winning national championships,
• 6:10
  - Nolan Richardson was the coach. And when he
• 6:13
  - coached the team, he had a,
• 6:16
  - a pretty,
• 6:18
  - unique philosophy around how he practiced,
• 6:21
  - and his game was referred to as the
• 6:23
  - forty minutes of hell. So when he would
• 6:25
  - bring his team into practice, what he relentlessly
• 6:29
  - focused on was, you know,
• 6:31
  - fundamentals,
• 6:32
  - conditioning,
• 6:34
  - simplicity over complexity,
• 6:37
  - really, you know, drilling things so that execution
• 6:41
  - was flawless. And it didn't make for a
• 6:43
  - very fun practice sometimes. You know, people wanted
• 6:46
  - to shoot and, you know, do the fun
• 6:47
  - things in basketball.
• 6:49
  - But his strategy and his philosophy won games.
• 6:53
  - You
• 6:54
  - know, he would say that games were, you
• 6:55
  - know, won in the last ten minutes, and
• 6:57
  - that conditioning was a strategic advantage for the
• 7:00
  - team. So, you know, when I take that
• 7:02
  - philosophy and that way of thinking
• 7:05
  - and I overlay it onto our team, you
• 7:07
  - know, we're similar in a lot of ways.
• 7:09
  - You know, coming into this organization, we had
• 7:11
  - tremendous talent,
• 7:13
  - tremendous opportunity
• 7:15
  - for the patients that we're taking care of.
• 7:17
  - We have amazing clinicians,
• 7:19
  - you know, we have wonderful teachers. So all
• 7:22
  - of the all of the right things, all
• 7:24
  - of the right, you know, elements in the
• 7:26
  - mix, what we weren't necessarily
• 7:28
  - moving on was the execution
• 7:31
  - of how we moved some of these initiatives
• 7:33
  - together. So with my team, you know, I
• 7:35
  - think the biggest swing has been really
• 7:38
  - focusing
• 7:39
  - on the core aspects
• 7:40
  - of,
• 7:41
  - you know, how do you work effectively with
• 7:43
  - the business
• 7:44
  - at at a foundational level. So it doesn't
• 7:46
  - really matter what the project is, it's skills
• 7:49
  - and it's attitudes and it's ways of working
• 7:51
  - that are gonna show up in any initiative
• 7:53
  - or any project that you're focusing on. Things
• 7:56
  - like,
• 7:57
  - you know, making sure that we've got the
• 7:59
  - right strategic orientation
• 8:00
  - for the work that we're taking on.
• 8:03
  - How we work with ensuring that, you know,
• 8:06
  - quality is at the forefront of everything that
• 8:08
  - we're we're executing, whether that is improving clinical
• 8:11
  - outcomes, reducing cost,
• 8:14
  - you know,
• 8:16
  - improving efficiency for our clinicians,
• 8:18
  - you know, being able to do these things
• 8:20
  - and do these these things well, and working
• 8:23
  - with the business effectively to be able to
• 8:25
  - get those outcomes.
• 8:27
  - That is a training, and sometimes it's not
• 8:30
  - sexy and it's not fun. Right? You know,
• 8:31
  - we we go back and we look at
• 8:33
  - how we're working. We look at our playbooks,
• 8:36
  - and, you know, we're constantly teaching to
• 8:39
  - to enhance and improve the outcomes that we're
• 8:41
  - getting. But that foundation,
• 8:43
  - that is what is going to and is,
• 8:46
  - you know, today helping us execute not just
• 8:49
  - one project or one swing, but getting the
• 8:52
  - team prepared
• 8:53
  - so that every single person is swinging on
• 8:56
  - every single thing that they are executing because
• 8:58
  - we don't have the luxury of just doing
• 9:00
  - one thing. We are having to fight battles
• 9:03
  - and look at challenges across a variety of
• 9:05
  - areas. So, you know, that foundational layer, that
• 9:09
  - focus,
• 9:10
  - that is going to be the thing that
• 9:12
  - pays off the most for us in this
• 9:14
  - upcoming year with the work that we have
• 9:15
  - to do, particularly in continuing with our epic
• 9:19
  - journey, you know, as an example or an
• 9:21
  - outcome of that work,
• 9:23
  - you know, coming into the organization, it was
• 9:25
  - the the idea of being an honor roll
• 9:27
  - organization as a safety net was was pretty
• 9:30
  - much dismissed. You know, it's too difficult for
• 9:32
  - safety nets because of financial constraints,
• 9:35
  - and other priorities to be effective there. You
• 9:37
  - know, we had our first honor roll designation
• 9:39
  - this last year. We've doubled our gold stars.
• 9:42
  - You know, we're finishing out with a configuration
• 9:45
  - of eight and a usage of five, and
• 9:46
  - we're still climbing.
• 9:48
  - So, you know, building that
• 9:50
  - fund building those fundamentals,
• 9:52
  - drilling execution,
• 9:54
  - we're starting to see that outcome in in
• 9:56
  - what we're doing across our platforms,
• 9:59
  - building and expanding our cyber program, hardening our,
• 10:03
  - you know, our environments,
• 10:06
  - really being prepared for
• 10:08
  - disasters and things that may come our way.
• 10:10
  - So, you know, while it's not one big
• 10:13
  - project, it is the way of working and
• 10:15
  - it is the foundation
• 10:17
  - that is going to position us to execute
• 10:19
  - on a really large program that we have
• 10:22
  - upcoming this next year with an ERP Workday
• 10:25
  - transformation
• 10:26
  - and a pretty significant investment in growth of
• 10:28
  - our consumer digital tools.
• 10:32
  - That's amazing to hear. And, you know, I
• 10:34
  - love that focus on the fundamentals, the foundation,
• 10:36
  - really getting into,
• 10:38
  - the things that are are most critical in
• 10:40
  - order for them, the organization, to grow and
• 10:42
  - develop and do all of the other things
• 10:44
  - that they need to do to provide excellent
• 10:45
  - care for the community. And, you know, the
• 10:47
  - results that you mentioned,
• 10:49
  - are are eye opening and and truly something
• 10:51
  - that I can imagine the whole organization is
• 10:53
  - proud of. But I'm curious, you know, to
• 10:56
  - your point, those aren't always the the fun
• 10:58
  - things or sometimes, you know, it can be,
• 11:00
  - for the team just
• 11:02
  - a a long hard battles to get through
• 11:04
  - and and and and really,
• 11:06
  - strengthen that foundation and the core and the
• 11:09
  - fundamentals. And so what's your messaging to the
• 11:11
  - team when it it it you know, times
• 11:13
  - when things are rough or, you know, you
• 11:15
  - kinda get the sense that people are, either
• 11:18
  - getting, you know, bored or frustrated or in
• 11:20
  - this point where,
• 11:23
  - you know,
• 11:24
  - there's just a lot of,
• 11:26
  - challenges ahead. How do you kind of keep
• 11:29
  - the energy going and the momentum going to
• 11:31
  - push through that and and see kind of
• 11:32
  - the great outcomes that you've been talking about?
• 11:35
  - Well, my my team probably wouldn't say they're
• 11:37
  - bored at this point, but, you know, certainly,
• 11:40
  - you know, we we encounter you know, frustrations
• 11:42
  - and and challenges.
• 11:45
  - You know, I go back to connection to
• 11:47
  - the patient. One of the best
• 11:49
  - assets I have with my team and and
• 11:51
  - within this organization
• 11:53
  - is, you know, our our mission and the
• 11:56
  - the patients that we take care of.
• 11:58
  - Every single person in this organization
• 12:00
  - has a connection to that purpose. And when
• 12:03
  - something is hard, always going back to your
• 12:06
  - why is a is a great place to
• 12:08
  - go.
• 12:09
  - You know, when we can connect the work
• 12:10
  - that we're doing and what we're trying to
• 12:12
  - accomplish for the patients that we're caring for,
• 12:14
  - it's pretty easy to get people back on
• 12:17
  - track or refocus or over whatever, you know,
• 12:20
  - challenge or hardship we might be facing. We
• 12:22
  - also do it as a team. There's nothing
• 12:24
  - that is happening that, you know, we don't
• 12:26
  - have a group of people around, so no
• 12:29
  - one is ever alone in that work.
• 12:31
  - You know, the other thing from an individual
• 12:33
  - perspective is reframing it.
• 12:36
  - Growth always presents challenges. You know, if you're
• 12:39
  - if everything is easy, you're you're probably not
• 12:42
  - moving things ahead. So being able to look
• 12:44
  - at, okay, you know, if I'm having a
• 12:46
  - frustration or I'm having a challenge with an
• 12:48
  - initiative or a project or maybe how I'm
• 12:50
  - working with a customer,
• 12:53
  - you know, what is behind that and what
• 12:55
  - is the opportunity for me and how can
• 12:57
  - I learn from this and then have that
• 12:58
  - skill to apply moving forward?
• 13:01
  - I'm a firm believer that, you know,
• 13:04
  - these things build us. They build our endurance.
• 13:06
  - They build our knowledge. They build our competency,
• 13:08
  - and, ultimately, they build our confidence.
• 13:11
  - Because once you
• 13:13
  - get to that point of working through challenges
• 13:15
  - and you realize, you know, I am creative,
• 13:18
  - I am dedicated, I'm smart, I have all
• 13:20
  - the skills and tools and resources I need
• 13:22
  - to get over the hurdle that is facing
• 13:24
  - me. There's tremendous empowerment in that.
• 13:27
  - And, you know, when you get into that
• 13:29
  - zone,
• 13:30
  - you know, it's it's like being in a
• 13:32
  - basketball game, you know, you you get momentum
• 13:34
  - and and that's really important. So I think,
• 13:37
  - you know, we've got the right people and
• 13:39
  - and the right mindset here. So, you know,
• 13:41
  - having those challenges and opportunities
• 13:44
  - is really again building the capability of our
• 13:47
  - team, and we welcome that.
• 13:50
  - I love it. I I think that's such
• 13:52
  - a great example, and I, you know, so
• 13:54
  - much of what you just talked about resonated
• 13:56
  - with me strongly.
• 13:57
  - And and, you know, thinking about all the,
• 14:00
  - most storied basketball teams, you know, seeing some
• 14:04
  - of this play out,
• 14:05
  - it really makes a big difference. Now I'm
• 14:08
  - curious. What are some of the most important
• 14:09
  - problems that you're trying to solve with technology
• 14:12
  - and AI right now? Do you think that'll
• 14:13
  - be the same over the next couple years,
• 14:15
  - or have you see, everything evolving?
• 14:19
  - You know, I whether it's AI or any
• 14:22
  - technology, I go back to, you know, we're
• 14:24
  - in a people business. Whether it's the patients
• 14:26
  - we're taking care of or it is the
• 14:28
  - physicians and the nurses and the support staff
• 14:31
  - that are caring for these patients. We are
• 14:33
  - in a people business.
• 14:34
  - So, you know, the things that we're looking
• 14:36
  - to solve center very squarely on on people.
• 14:40
  - You know, we have a pretty prevailing need
• 14:42
  - to reduce unnecessary burden on clinicians. And, you
• 14:46
  - know, for us in a safety net organization,
• 14:49
  - as you know, Medicaid coverage changes and people
• 14:52
  - potentially lose that coverage,
• 14:54
  - you know, and become uninsured,
• 14:56
  - that's going to mean more people
• 14:58
  - gracing our doors. So we're going to see
• 15:00
  - some growth in some of those areas and,
• 15:04
  - you know, looking to reduce and alleviate some
• 15:08
  - of the administrative burdens and challenges that our
• 15:11
  - clinicians have is is going to
• 15:14
  - be a priority for us.
• 15:16
  - Removing some of that opens capacity
• 15:18
  - and reduces the cognitive load that we struggle
• 15:22
  - with in this work. So that's gonna be
• 15:24
  - an area of opportunity
• 15:26
  - and and doing it, you know, all while
• 15:28
  - improving quality, safety and ensuring that we have
• 15:31
  - consistency of care.
• 15:33
  - You know, our teammates and their time is
• 15:35
  - one of our most precious resources. So, you
• 15:37
  - know, for us, that's gonna be a big
• 15:40
  - opportunity. I would say the second is with
• 15:42
  - patients and consumer digital tool sets.
• 15:46
  - You know, we have a lot of unique
• 15:48
  - challenges with with this population,
• 15:51
  - language barriers, access issues.
• 15:54
  - You know, as we look to deploy those
• 15:56
  - types of tools,
• 15:57
  - you know, the problem that we're looking to
• 15:59
  - solve is, you know, how can we affect
• 16:01
  - that access? How can we improve health equity?
• 16:05
  - How can we make sure that when we
• 16:06
  - deploy technology, we are closing gaps and we're
• 16:09
  - not widening them for this particular population?
• 16:14
  - That makes a lot of sense. You know,
• 16:16
  - it is,
• 16:17
  - helpful to have the technology there, but I
• 16:19
  - know, you know, a a lot to to
• 16:20
  - think about when you look at closing some
• 16:22
  - of those gaps in in care and, really
• 16:25
  - trying to make sure that you're available and
• 16:27
  - and have the accessibility,
• 16:29
  - that makes sense for the community.
• 16:31
  - Is there anything,
• 16:32
  - any strategies that you're taking out or things
• 16:34
  - you're considering trying new or or differently when
• 16:37
  - you look at,
• 16:38
  - improving access to care?
• 16:41
  - You know, I think that we're all looking
• 16:44
  - at that. Right? I mean, improving access to
• 16:46
  - care is a,
• 16:49
  - multifactorial
• 16:50
  - problem to solve. There's, there's lots of different
• 16:53
  - causes and inputs there, whether it is availability
• 16:56
  - of our clinicians,
• 16:57
  - whether it is connecting with patients
• 17:00
  - and getting them in and getting them navigated
• 17:02
  - to the right places. It's a complex problem
• 17:04
  - to solve and looks a little different,
• 17:07
  - you know, in every organization that I've been
• 17:08
  - in.
• 17:10
  - You know, I think, you know, in terms
• 17:12
  - of strategies to deploy,
• 17:14
  - you know, listening and really spending time and
• 17:17
  - understanding what those drivers are is critical.
• 17:20
  - Otherwise, you might just be a solution looking
• 17:23
  - for a problem or you may be, you
• 17:24
  - know, putting technology or putting things in that
• 17:27
  - don't actually get to the heart of of
• 17:29
  - what is causing, you know, access issues within
• 17:31
  - your organization.
• 17:33
  - You know,
• 17:34
  - for for us,
• 17:37
  - you know, there there are multiple areas, obviously,
• 17:40
  - you know, what we've got going on with,
• 17:43
  - availability of appointments and given specialties or given
• 17:47
  - areas, those are, you know, ways we're looking
• 17:49
  - at, you know, how do we continue to
• 17:51
  - to open up that access for patients.
• 17:54
  - In the case of,
• 17:56
  - you know, our patients in particular, how are
• 17:58
  - we putting tools in their hands so that
• 18:00
  - they can self schedule, so that they can
• 18:02
  - understand where an appointment is available? If they're
• 18:05
  - on a wait list, how can, you know,
• 18:07
  - we use Epic to fast track them if
• 18:09
  - that appointment opens up? So, you know, I
• 18:12
  - wouldn't say there's any one strategy.
• 18:14
  - It is,
• 18:16
  - you know, it is a constant refinement
• 18:18
  - and measurement process to ensure that we are
• 18:21
  - getting, you know, patients and to see their
• 18:24
  - physician and addressing their needs in the most
• 18:26
  - timely way.
• 18:29
  - Absolutely. That's helpful to understand it and really
• 18:31
  - getting into the nuts and bolts of how
• 18:33
  - you're thinking about tackling, you know, some of
• 18:35
  - those big problems like you mentioned so many
• 18:37
  - organizations have and, you know, likely will continue
• 18:40
  - to get worse in the next year or
• 18:41
  - so.
• 18:42
  - I'm curious. Before we wrap up here, what
• 18:44
  - are you most curious about for the future?
• 18:48
  - I'm curious about a lot of things, but
• 18:50
  - I think, you know,
• 18:52
  - I I am an optimist, and I have
• 18:54
  - a lot of faith in the the folks
• 18:57
  - that we have in the health care industry
• 18:58
  - and, you know, with AI coming on board,
• 19:02
  - and, you know, really looking at how we
• 19:04
  - deploy it. I'm I'm super interested in
• 19:08
  - how we are going to not evolve what
• 19:10
  - we've done, but really revolutionize,
• 19:12
  - you know, how we are delivering care.
• 19:14
  - You know, in the past with some tools,
• 19:17
  - it's it's been kind of a layering on
• 19:18
  - of new technology on the old process.
• 19:21
  - You know, we we've gotten stale in a
• 19:23
  - couple of areas, I think. But, you know,
• 19:25
  - with the capabilities of AI, it is a
• 19:27
  - completely new
• 19:28
  - new frontier. You know, we're able to do
• 19:30
  - some things that we've not been able to
• 19:31
  - do before. And I'm really curious how,
• 19:36
  - you know, we're going to get creative in
• 19:38
  - solving those problems and then also how the
• 19:40
  - industry is going to follow, whether it is,
• 19:42
  - you know, with how we are paying for
• 19:44
  - care,
• 19:45
  - coverage, you know, some of the legal considerations
• 19:49
  - and
• 19:50
  - and laws and legislation that may be involved
• 19:52
  - in how we redefine that care process. But
• 19:54
  - I think it's gonna be an exciting time.
• 19:58
  - I love that, Stephanie. Thank you so much
• 20:00
  - for joining us on the podcast today. This
• 20:02
  - has been such a fun conversation, you know,
• 20:03
  - really inspiring to hear everything that you're working
• 20:06
  - on in in in leadership and more.
• 20:08
  - And I'm excited to dig deeper as well.
• 20:10
  - I know you'll be speaking at our health
• 20:11
  - IT and revenue cycle conference coming up in
• 20:13
  - September. So it'll be fun to connect in
• 20:16
  - person and and dig deeper.
• 20:18
  - Yeah. Awesome. Can't wait.