Latest / Becker’s Healthcare Podcast / Gary Janchenko, D.Sc., Chief Information Officer at Central Ohio Primary Care

Transcript

Gary Janchenko, D.Sc., Chief Information Officer at Central Ohio Primary Care · Becker’s Healthcare Podcast

• 0:02
  - Every health system executive right now is being
• 0:04
  - asked to do something that has no useful
• 0:06
  - precedent,
• 0:07
  - make durable technology decisions in an environment that
• 0:10
  - looks meaningfully different every six months.
• 0:13
  - The pace isn't slowing,
• 0:14
  - the vendor landscape isn't getting simpler, and the
• 0:17
  - cost of missteps
• 0:18
  - keeps rising.
• 0:19
  - Becker's eleventh annual IT and Revenue Cycle Conference,
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  - The Future of AI and Digital Health, exists
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  - for exactly this challenge.
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  - Here, you'll find more than 2,500 executive level
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  - attendees,
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  - 600 plus speakers, and four days of sessions
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  - built around the questions leaders are actually wrestling
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  - with.
• 0:37
  - How to scale AI responsibly,
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  - how to protect increasingly complex systems,
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  - how to bring more performance out of the
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  - revenue cycle, and how to make tech investments
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  - that hold up over time.
• 0:48
  - Join us September fourteenth through the seventeenth at
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  - the Hilton Chicago.
• 0:53
  - You can register on our events page at
• 0:55
  - beckershospitalreview.com
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  - by clicking on the events tab in the
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  - upper right.
• 1:01
  - This is Laura Dierdahl with the Becker's Healthcare
• 1:04
  - podcast. I'm thrilled today to be joined by
• 1:06
  - Gary Janchenko,
• 1:07
  - chief information officer at Central Ohio Primary Care.
• 1:10
  - Gary, it's a pleasure to have you on
• 1:12
  - the podcast today.
• 1:13
  - Happy to be here. Thank you so much.
• 1:15
  - Absolutely. Now I'm excited for our conversation. I
• 1:17
  - know we're gonna be talking about some of
• 1:19
  - the cool things that you're doing as well
• 1:21
  - as your perspective on the future. But before
• 1:22
  - we dive in, can you just tell us
• 1:24
  - a little bit more about yourself and Central
• 1:26
  - Ohio Primary Care?
• 1:28
  - Absolutely. So, again, my I'm Gary Janchenko from
• 1:31
  - Central Ohio Primary Care. I am originally from
• 1:33
  - Pittsburgh
• 1:34
  - and moved to,
• 1:36
  - Columbus
• 1:37
  - about six years ago to take on the
• 1:39
  - role at COPC as we call ourselves.
• 1:42
  - And, boy, the change in the health care
• 1:45
  - and technology
• 1:46
  - and just in the world since then has
• 1:48
  - just been such a whirlwind. It's hard to
• 1:50
  - believe it's only been six years that I've
• 1:52
  - been here.
• 1:53
  - COPC
• 1:54
  - formed in 1996
• 1:56
  - with a couple of provider groups in the
• 1:58
  - area coming together
• 2:00
  - to figure out how they could take care
• 2:01
  - of patients better.
• 2:03
  - Today, COPC is one of the largest private
• 2:06
  - physician owned organizations
• 2:07
  - in The United States.
• 2:09
  - We are totally private,
• 2:11
  - not,
• 2:12
  - owned by any health care system. We are
• 2:14
  - our own entity.
• 2:15
  - Today, we have over 500 providers across
• 2:18
  - nearly 100 locations,
• 2:21
  - and we serve about a half a million
• 2:23
  - patients in the Greater Columbus, Ohio region.
• 2:26
  - COPC has been engaged in, value based care
• 2:29
  - services
• 2:30
  - very specifically,
• 2:33
  - for the past,
• 2:34
  - almost ten years.
• 2:36
  - And, we operate our own robust imaging services,
• 2:39
  - our own lab, infusion centers,
• 2:42
  - all with the goal of being the absolute
• 2:44
  - best in primary care.
• 2:46
  - In addition to all of our primary care
• 2:47
  - offices, we also have sports medicine, pain management
• 2:50
  - clinics, as well as hospitalist services
• 2:53
  - so that we can really offer a robust
• 2:55
  - wraparound care for all of our patients.
• 2:59
  - That's amazing to hear. And, you know, certainly
• 3:01
  - a a great history,
• 3:03
  - to the organization and foundation to what you're
• 3:05
  - doing today and continuing to offer so many
• 3:07
  - services and and important,
• 3:10
  - for the community. So that's great to hear.
• 3:12
  - I'm curious. Could you tell us a little
• 3:14
  - bit about your perspective on some of the
• 3:16
  - most powerful forces that are,
• 3:18
  - shaping really the digital health and IT conversations
• 3:21
  - at your organization?
• 3:22
  - What are you talking most about, and how
• 3:24
  - do you think those things will evolve over
• 3:25
  - the next year or so?
• 3:28
  - Yeah. One of my favorite things,
• 3:30
  - about health care IT in specifics
• 3:33
  - is,
• 3:35
  - is the rate of change that the the,
• 3:38
  - industry is going through. I think, of course,
• 3:41
  - many industries are experiencing change, finance and and
• 3:43
  - banking and,
• 3:45
  - so many other industries, manufacturing. But health care
• 3:48
  - seems to always be at this renaissance of
• 3:50
  - change.
• 3:51
  - Something is always new,
• 3:53
  - around the corner. And that's what really excites
• 3:57
  - me about working in this space.
• 4:00
  - I am a change agent. I love the
• 4:03
  - new. I love the different. I love the
• 4:06
  - ability to look at
• 4:08
  - situations where, gosh, we've been doing the same
• 4:10
  - thing for however many years, and we don't
• 4:12
  - like it. We should change.
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  - What else is out there? And and helping
• 4:16
  - people navigate
• 4:18
  - change. Navigating change is hard. Change is hard.
• 4:21
  - And it's something that I love. I personally
• 4:24
  - am an early adopter of a lot of
• 4:25
  - technologies.
• 4:27
  - I was that person who purchased Google Glass
• 4:30
  - and more of them around the office,
• 4:32
  - much to the chagrin of, I think, literally
• 4:34
  - everyone around me.
• 4:37
  - When EVs started to become a little bit
• 4:39
  - more prevalent, I thought, gosh, I've got to
• 4:41
  - get on this. I need to learn more,
• 4:42
  - and and I love that.
• 4:45
  - So when I think about health care and
• 4:47
  - the technology landscape that we have now and
• 4:50
  - in front of us,
• 4:51
  - that's what really gets me excited. How can
• 4:54
  - I look at what's new and what's coming
• 4:56
  - to help our providers
• 4:58
  - where they may be struggling today to take
• 5:01
  - better care of our patients?
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  - How do I help our patients have
• 5:04
  - better access and communication
• 5:06
  - with their various care teams?
• 5:09
  - Of course, we're we're looking at at AI,
• 5:12
  - and I know we'll probably talk about that
• 5:14
  - a fair amount today.
• 5:17
  - But there are so many other technologies that
• 5:21
  - are coming around
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  - to help us take better care of our
• 5:23
  - patients, to help give patients better access and
• 5:26
  - visibility
• 5:27
  - into
• 5:28
  - their records and the care they're receiving.
• 5:31
  - I I am so so interested to see
• 5:34
  - where we'll take patient portals, where we'll take,
• 5:37
  - of course, AI,
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  - where we'll take new outreach efforts to meet
• 5:41
  - patients where they are with telehealth
• 5:44
  - or them moving away from maybe phone calls
• 5:47
  - into secure communication channels through our patient portals,
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  - and any other way we can meet the
• 5:53
  - patients where they are with the care that
• 5:55
  - they need.
• 5:58
  - Love that. And, you know, I I think
• 6:00
  - it's really important to, see that kind of
• 6:03
  - vision and understanding the future, you know, the
• 6:05
  - things that are gonna be possible. And I
• 6:06
  - love the the fact that, you know, you
• 6:09
  - are so into the technology and the new
• 6:10
  - things that are available and willing to
• 6:13
  - adapt and and and move in that direction.
• 6:15
  - Could you tell us a little bit about
• 6:17
  - some big project or a big swing that
• 6:19
  - you took in the last year that paid
• 6:20
  - off? What did you do, and what were
• 6:21
  - the results?
• 6:23
  - Absolutely.
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  - So I think my biggest swing lately
• 6:27
  - is and it's probably no surprise to anyone
• 6:30
  - how we implement AI tools thoughtfully and deliberately.
• 6:35
  - All CIOs and and many other folks at
• 6:37
  - this point are under a constant deluge of
• 6:40
  - marketing,
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  - for new AI companies and technologies, tools that
• 6:45
  - every day seem to pop onto the landscape.
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  - And it can be difficult to sift through
• 6:49
  - all the products and to find the right
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  - match for your needs. I think it's important
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  - to not look at AI as,
• 6:57
  - just a hammer looking for a nail.
• 7:00
  - Maybe I have a very specific nail that
• 7:02
  - needs a very specific hammer, and it's really
• 7:05
  - important for us to do our due diligence,
• 7:07
  - sift through the noise, and find the right
• 7:09
  - things,
• 7:11
  - to deal with the problems that we're having
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  - in in our offices, in all of our
• 7:15
  - locations.
• 7:16
  - For me, it was helping to answer the
• 7:18
  - call of reducing provider burnout.
• 7:22
  - We know that patient visit documentation can be
• 7:23
  - burdensome,
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  - especially when you're operating in the value based
• 7:27
  - care like we are or in our pediatric
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  - offices
• 7:30
  - where our providers there see a lot of
• 7:32
  - kiddos every day and the burden of documentation
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  - on
• 7:36
  - seeing 30 or so patients a day can
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  - be massive.
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  - And I knew I had to do something
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  - about it. That's where the call was for
• 7:44
  - me next. And how do I find the
• 7:46
  - right thing to help with this?
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  - At this point, I'd I'd probably venture to
• 7:50
  - say that most of us have heard of
• 7:52
  - some flavor of an AI note writer. And
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  - when we look at the marketing or we
• 7:57
  - get outreach from them, they all say they
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  - can integrate with our specific EHR, whatever it
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  - is.
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  - And in our instance, we are an epic,
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  - institution,
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  - and they all share all sorts of sensational
• 8:10
  - metrics. But, you know, how how do you
• 8:12
  - sift through all that noise? What's real and
• 8:15
  - what's what's marketing?
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  - And that was what was ahead of me.
• 8:19
  - I per I I reached out to some
• 8:21
  - of my provider friends and other health care
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  - organizations,
• 8:24
  - dug a little bit more into epic road
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  - maps. What are what do they have coming?
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  - What may be of use to me?
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  - And my team talked a team and I
• 8:33
  - talked to a few vendors and got some
• 8:35
  - demos with our some of our providers
• 8:38
  - to take a look at Epic's Ambient offering.
• 8:41
  - For Ambient, you can sort of bring your
• 8:43
  - own vendor to a point that that can
• 8:45
  - hook into that platform inside of Epic. And
• 8:48
  - if you're not familiar with Ambient, it's a
• 8:50
  - tool that our providers will use to record
• 8:52
  - the conversations with their patient, and then that
• 8:55
  - system helps to craft,
• 8:57
  - a visit note
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  - directly into the system. And that could take
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  - a lot of time away from the provider
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  - of having to do all that and a
• 9:04
  - whole lot of clicking.
• 9:06
  - Quickly with that, I I once had a
• 9:08
  - provider tell me that my salary should be
• 9:09
  - inversely related to the number of clicks he
• 9:11
  - has to make in a day.
• 9:13
  - And
• 9:15
  - at at first, he thought, wow, that's that's
• 9:16
  - a really harsh thing to say to somebody,
• 9:19
  - but it made a lot of sense,
• 9:21
  - to be one to be compensated for making
• 9:23
  - somebody else's life a little bit easier. But
• 9:25
  - really the sentiment of how
• 9:27
  - important it is to get away from the
• 9:30
  - clicking and the typing and just get back
• 9:32
  - to good patient care and good patient connection.
• 9:36
  - So my team and I, we we identified
• 9:38
  - a subset of providers who were interested in
• 9:42
  - in trying out Ambient and seeing what this
• 9:44
  - platform could potentially be for us or or
• 9:47
  - if there was nothing there.
• 9:49
  - We started a ninety day pilot with about
• 9:51
  - 50 providers, and
• 9:54
  - and, Laura, the outcomes were absolutely stunning.
• 9:57
  - At the end of the pilot, we held
• 9:58
  - a town hall,
• 9:59
  - and we took about five representative providers of
• 10:02
  - our panel, of our group of piloters,
• 10:05
  - and asked them about their experience in front
• 10:07
  - of their peers.
• 10:08
  - We have monthly meetings at COPC where we
• 10:11
  - bring together all sorts of providers from
• 10:14
  - across the organization to talk, to learn about
• 10:17
  - where the company is headed and to be
• 10:18
  - able to ask questions.
• 10:20
  - And so this provider panel was actually providers
• 10:24
  - speaking directly to providers about the tool and
• 10:27
  - how that helps them throughout their day.
• 10:29
  - What I'd like to be able to say
• 10:31
  - is that we saw significant change in our
• 10:33
  - same day note closure rates, or significant changes
• 10:37
  - in the charge capture rates.
• 10:39
  - What the actual outcomes were,
• 10:42
  - and while there were some of those metric
• 10:44
  - changes,
• 10:45
  - the outcomes were really qualitative.
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  - What we heard from the providers,
• 10:51
  - was they were saying that, this sounds strange,
• 10:53
  - but they remembered their drive home,
• 10:56
  - that they still had the energy at the
• 10:58
  - end of the day to do things around
• 11:00
  - the house or to go out, to do
• 11:02
  - yoga, take a run,
• 11:04
  - or just to be present in their own
• 11:05
  - lives with their families.
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  - Laughingly,
• 11:09
  - one doc said to me
• 11:11
  - that her husband remarked how chatty she was
• 11:14
  - one night and she thought, Wow, I guess,
• 11:16
  - yeah, I do normally come home and I'm
• 11:18
  - a zombie and I just want to sit
• 11:20
  - there
• 11:22
  - and maybe not vegetate or maybe vegetate, but
• 11:25
  - just to,
• 11:27
  - relax for a moment and didn't wanna talk
• 11:29
  - the rest of the night.
• 11:30
  - Some providers told me that
• 11:34
  - remembering that drive home was a revelation to
• 11:37
  - them. Like, wow. I don't think I ever
• 11:39
  - remember my drive home because I'm just usually
• 11:41
  - so burnt out.
• 11:43
  - The providers told me that they had valuable
• 11:45
  - FaceTime back with their patients rather than staring
• 11:48
  - over a computer screen and and frantically tie
• 11:51
  - trying to type.
• 11:53
  - In one great instance, one of our providers
• 11:55
  - shared a story that,
• 11:57
  - he didn't recall hearing something,
• 11:59
  - but it was written in the note by
• 12:01
  - Ambient. And went back to listen to the
• 12:03
  - recording to see why that was there
• 12:05
  - and realized he was so focused on something
• 12:07
  - else the patient said. He entirely missed this
• 12:10
  - other patient complaint
• 12:12
  - and the other things the patient was talking
• 12:14
  - about. And I thought, gosh, wonder what other
• 12:16
  - things we could have missed,
• 12:19
  - because we got so focused on one particular
• 12:21
  - thing.
• 12:22
  - So today, we have about 200 providers using
• 12:26
  - Ambient and we generate about 85%
• 12:29
  - of our daily notes using the
• 12:31
  - platform. We're experiencing
• 12:33
  - the outcomes of less provider burnout,
• 12:36
  - higher job satisfaction,
• 12:38
  - and our patients themselves are also loving having
• 12:40
  - their providers back and present in their visit.
• 12:43
  - And I don't mean physically. I mean, able
• 12:46
  - to listen, able to engage,
• 12:48
  - able to take the time to answer the
• 12:50
  - questions that they they probably previously lost because
• 12:53
  - they had to get their note done,
• 12:55
  - right away. They were able to just focus
• 12:58
  - on the patient complaints, talk about their lives,
• 13:00
  - ask about pets or or their kids,
• 13:04
  - and really be able to reconnect with their
• 13:06
  - patients again. And so, again, while I love
• 13:08
  - to say we have all these stunning metrics,
• 13:11
  - we actually have our providers back, And that's
• 13:14
  - probably the most important thing.
• 13:16
  - So I can't wait to see what else
• 13:18
  - could be on our our AI road map
• 13:21
  - with some more planning, thoughtful execution,
• 13:24
  - and making sure that the provider and the
• 13:27
  - patient remain
• 13:28
  - at the center focus for what we do.
• 13:33
  - I love that example. I mean, it's so
• 13:34
  - clear,
• 13:35
  - how the technology is really working to augment
• 13:39
  - and improve,
• 13:40
  - what the clinicians are able to do and
• 13:43
  - certainly helping them make sure they're getting everything
• 13:46
  - right in the patient care side of it,
• 13:48
  - but then also knowing how much work they
• 13:50
  - have to do, alleviating some of that stress
• 13:52
  - and that burnout,
• 13:53
  - which is so critical. As you mentioned, just
• 13:55
  - even being able to have a conversation with
• 13:58
  - family after work is something that many of
• 14:00
  - us take for granted, but really, truly is
• 14:03
  - is not a reality for many clinicians of
• 14:05
  - their busy practices,
• 14:07
  - without some of the support. So, I I
• 14:09
  - love that. And and really seeing some of
• 14:11
  - that,
• 14:12
  - take hold in in worked into the daily
• 14:15
  - processes, I can imagine is extremely rewarding.
• 14:18
  - Yes. Absolutely. Those were stunning,
• 14:21
  - revelations. And, again, I was looking for metrics,
• 14:24
  - and what I found wasn't metrics. And I
• 14:26
  - think I'm even more thrilled with our results.
• 14:29
  - Absolutely. Well, that's amazing. I think now looking
• 14:32
  - ahead, what are some of the most important
• 14:34
  - problems you're trying to solve right now with
• 14:36
  - AI and technology?
• 14:38
  - Yeah.
• 14:39
  - You know, I would say just like so
• 14:40
  - many of my contemporaries, I'm probably looking at
• 14:44
  - how I can accomplish more with less.
• 14:47
  - And I don't intend nor envision that to
• 14:49
  - mean with less people.
• 14:51
  - Our teams are extraordinarily valuable.
• 14:54
  - But how do we empower them
• 14:57
  - to feel more accomplished, to be able to
• 14:59
  - do more,
• 15:01
  - with the tools that they have? You know,
• 15:03
  - our providers
• 15:04
  - often have extenders. Our physicians have extenders. Right?
• 15:07
  - Our APPs, our valuable APPs that are out
• 15:09
  - there helping us take care of our patients.
• 15:11
  - Well, can we look at technology
• 15:13
  - and AI tools to extend
• 15:17
  - our workforces
• 15:18
  - to be able to take care of more
• 15:19
  - things, to feel more, empowered and accomplished in
• 15:22
  - their day.
• 15:24
  - Many of us will create a task list
• 15:26
  - in the morning and then try to work
• 15:28
  - through that list throughout the day,
• 15:30
  - And you may feel different levels of accomplishment
• 15:32
  - if you're able to get through a lot
• 15:34
  - of your list or not. But what if
• 15:36
  - you had an AI sidekick
• 15:38
  - or a technology sidekick
• 15:40
  - that could do some tasks that maybe were
• 15:42
  - a little bit more repetitive for you while
• 15:44
  - you focused on
• 15:45
  - more important salient things to do throughout the
• 15:48
  - day. What if
• 15:50
  - our managers had some AI tools helping them
• 15:53
  - with their email, helping them with their communication
• 15:56
  - so that they could have a really robust
• 15:58
  - conversation
• 15:59
  - at annual review time,
• 16:01
  - and have more examples of when an employee
• 16:04
  - did an exceptional job and be able to
• 16:07
  - bring those back because they had their own
• 16:09
  - whereabouts
• 16:10
  - their own own wherewithal back,
• 16:13
  - and could really focus on what was important
• 16:15
  - to them. So I don't necessarily think I
• 16:17
  - intend on how I can use AI
• 16:20
  - to reduce any of our staff. I want
• 16:23
  - to see how I can reduce AI or
• 16:25
  - use AI
• 16:26
  - to help just like with our providers,
• 16:29
  - be able to feel more accomplished, be able
• 16:31
  - to reconnect with their work and enjoy what
• 16:33
  - they're doing again.
• 16:35
  - How do I potentially use some of
• 16:38
  - the funds,
• 16:40
  - that I have to
• 16:42
  - divert into cybersecurity. And goodness, we need lots
• 16:46
  - more help in there. So I'm interested to
• 16:48
  - see what AI can do to help us
• 16:49
  - with cybersecurity.
• 16:51
  - How can I bring more tools in to
• 16:54
  - help us with workforce training so that we
• 16:57
  - all know how to use AI
• 16:59
  - more efficiently, more effectively,
• 17:01
  - to be able to do the work that
• 17:03
  - we want and maybe inside and outside of
• 17:05
  - work?
• 17:06
  - How do we use some of the technology
• 17:08
  - so that you can reconnect with the things
• 17:10
  - that you find important when you go home?
• 17:12
  - Can
• 17:13
  - we use AI or other tech
• 17:16
  - so that when not just our providers go
• 17:19
  - home that they're energetic and chatty with their
• 17:21
  - family
• 17:22
  - but maybe all of our employees as well.
• 17:24
  - I really think it's important that
• 17:26
  - not just provider well-being and provider satisfaction, but
• 17:29
  - we have employee well-being and employee satisfaction.
• 17:32
  - And how do I use some of those
• 17:34
  - same learnings
• 17:35
  - so that our teams
• 17:37
  - are more satisfied and happy with their day
• 17:39
  - as well?
• 17:41
  - At the end of the day, I want
• 17:42
  - to make trans
• 17:43
  - technology
• 17:44
  - transparent.
• 17:46
  - I want our workforces to be able to
• 17:48
  - just log in,
• 17:49
  - do the work they need to do without
• 17:51
  - having to fight with the computer. I think
• 17:53
  - everybody knows that morning that you start and
• 17:55
  - you just can't even get logged in, that
• 17:56
  - the rest of the day is going to
• 17:57
  - be terrible.
• 17:58
  - How do we leverage technology? How do we
• 18:01
  - leverage AI?
• 18:02
  - So the technology disappears
• 18:04
  - and our employees, our providers are just back
• 18:07
  - to connecting with people and patients?
• 18:10
  - That that's what I'm trying to solve. That's
• 18:12
  - the technology stack I'm trying to to find
• 18:15
  - and to implement.
• 18:19
  - That's really helpful to see and understand. And
• 18:21
  - I think, you know, that idea of how
• 18:24
  - AI can really
• 18:25
  - support the workforce and,
• 18:28
  - supercharge everything that you're trying to do, all
• 18:30
  - the different efforts, whether, as you mentioned, is
• 18:31
  - looking at cybersecurity
• 18:33
  - or other ways that technology
• 18:35
  - is,
• 18:36
  - really boosting.
• 18:37
  - What you're trying to do there is really
• 18:40
  - a great thought and incredible to kind of
• 18:42
  - look through that lens and not be scared
• 18:44
  - of the possibilities of AI, but really excited
• 18:46
  - by how you can be trained and and
• 18:48
  - rethink things, to put it in a direction
• 18:52
  - that would make sense for you.
• 18:53
  - Absolutely.
• 18:55
  - Now, before we wrap up here, I wanted
• 18:58
  - to ask, what are you most curious about
• 18:59
  - for the future?
• 19:02
  - You know, I'm probably the most curious about
• 19:04
  - where we're going to take our EHR technology
• 19:08
  - next.
• 19:10
  - What
• 19:11
  - else will we use
• 19:13
  - with
• 19:14
  - with our EHRs, with technology
• 19:16
  - that we have out there in the marketplace,
• 19:19
  - and with AI,
• 19:21
  - specifically to help us create
• 19:23
  - a more comprehensive and complete view of a
• 19:27
  - patient's health data across
• 19:29
  - the entire sea
• 19:31
  - of systems that are not connected.
• 19:34
  - How can we use some of these tools
• 19:37
  - to gather all that information from all the
• 19:40
  - different places to close care gaps, which in
• 19:42
  - turn make sure that our patients are getting
• 19:45
  - all of the screening and communication they need
• 19:47
  - to stay healthy,
• 19:49
  - and stay ahead of any problems that they
• 19:51
  - may be having? And then how do we
• 19:53
  - invite the patient into that system? Historically, it's
• 19:56
  - been pretty closed. Right? Every system has its
• 19:59
  - own EHR,
• 20:01
  - and there are always all of these gaps.
• 20:04
  - If you go to, you know, a clinic
• 20:07
  - to
• 20:08
  - have a visit and then you go to,
• 20:10
  - a retail pharmacy to have,
• 20:13
  - your annual flu shot and whether or not
• 20:15
  - that data makes it back to where it
• 20:17
  - should and your provider knows or when you
• 20:19
  - went to a specialist
• 20:20
  - and then you go to the office and
• 20:21
  - that that provider says, oh, we don't have
• 20:23
  - that documentation yet. We know you as a
• 20:26
  - patient get frustrated. I'm also a patient. I
• 20:28
  - get frustrated.
• 20:30
  - And
• 20:31
  - where can we go next
• 20:33
  - with our technology,
• 20:34
  - with our mission critical EHRs,
• 20:37
  - with tools like AI
• 20:39
  - so that we can get closer and closer
• 20:42
  - to having a more
• 20:45
  - full view,
• 20:46
  - maybe even go for let's shoot for perfect
• 20:49
  - view of our patient information
• 20:51
  - no matter where they are in their care
• 20:53
  - journey. How do we all work together? How
• 20:56
  - do we bring technology into this to complete
• 20:58
  - that patient data puzzle?
• 21:01
  - That that's where I want to see where
• 21:03
  - we go. That's where I'm really curious about
• 21:05
  - what's next.
• 21:08
  - I love that. I think you brought up
• 21:09
  - such a great point. When you look at
• 21:11
  - the EHR, there's so many possibilities. There's so
• 21:13
  - much data that health care organizations have. And
• 21:16
  - so to be able to harness that and
• 21:18
  - figure out the interoperability
• 21:20
  - aspect,
• 21:20
  - and then bringing patients into the fold,
• 21:23
  - it seems like it it's such a,
• 21:26
  - you know, so many possibilities in terms of
• 21:28
  - how you can continue to transform the health
• 21:31
  - care delivery system and and really make it
• 21:33
  - work better for the patients that you're serving.
• 21:35
  - Absolutely. It's a chasm. We've built some big
• 21:38
  - bridges in this globe. Let's figure out this
• 21:39
  - bridge.
• 21:41
  - Amazing. Well, Gary, thank you so much for
• 21:43
  - joining us on the podcast today. This has
• 21:45
  - been such a fun and inspiring conversation, and
• 21:48
  - I look forward to seeing you as well
• 21:49
  - at our,
• 21:50
  - our health IT, digital health, and revenue cycle
• 21:53
  - conference coming up here in September. It'll be
• 21:55
  - a great opportunity to dig deeper into some
• 21:57
  - of these themes, and I know you'll be
• 21:59
  - speaking there too. So we'll keep the conversation
• 22:01
  - going.
• 22:02
  - I cannot wait. I'm really looking forward to
• 22:04
  - that connection and looking forward to meet some
• 22:06
  - more of my peers out there who are
• 22:08
  - working on, similar problems.