Latest / Becker’s Healthcare Podcast / Building a World-Class Heart Program Through Innovation, Quality, and Patient-Centered Care with Dr. Tom Nguyen & Ashford Denman

Transcript

Building a World-Class Heart Program Through Innovation, Quality, and Patient-Centered Care with Dr. Tom Nguyen & Ashford Denman · Becker’s Healthcare Podcast

• 0:02
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  - This is Laura Dierdahl with the Beckers Healthcare
• 1:01
  - podcast.
• 1:02
  - I'm thrilled today to be joined by doctor
• 1:04
  - Tom Wynne, system chief executive of Baptist Health
• 1:06
  - Heart and Bachelor Care, chief medical executive at
• 1:10
  - Baptist Health Miami Cardiac and Vascular Institute, and
• 1:13
  - chair and professor of the department of cardiovascular
• 1:15
  - sciences at the Florida International University, Herbert Wertheim
• 1:19
  - College of Medicine, as well as Ashford Denman,
• 1:23
  - vice president of heart and vascular services at
• 1:25
  - Baptist Health South Florida, where he oversees operations
• 1:28
  - for Baptist Health heart and vascular care, which
• 1:30
  - includes both Miami Cardiac and Vascular Institute, Maryland
• 1:34
  - Cardiac Vascular Institute. Doctor Wynne, Ashford, thank you
• 1:37
  - so much for joining us on the podcast
• 1:39
  - today.
• 1:40
  - Thanks for having us. Thanks for having us.
• 1:42
  - Absolutely. Now I'm excited to dig in. I
• 1:44
  - know we're gonna talk a lot about how
• 1:46
  - you built the Baptist Health heart and vascular
• 1:49
  - care and some some of the things you're
• 1:50
  - doing there at the institutes. And and, doctor
• 1:52
  - Winn, I'd like to throw this to you
• 1:54
  - first. For the listeners who may not be
• 1:56
  - familiar,
• 1:57
  - how would you describe the clinical scope of
• 1:59
  - Baptist Health Heart and Bachelor care? What do
• 2:02
  - you see as being,
• 2:03
  - the things that you're truly known for, and
• 2:05
  - and how did you get started?
• 2:08
  - Thank you so much. It's a privilege to
• 2:09
  - be here. Just as a a little bit
• 2:11
  - of a background, I'm a recent transplant,
• 2:13
  - to the Miami area. I came from San
• 2:16
  - Francisco where I was the chief of cardiothoracic
• 2:18
  - surgery at a major academic hospital,
• 2:20
  - the University of California, San Francisco.
• 2:23
  - And what drew me here and I'll answer
• 2:24
  - that question, in in a second. What drew
• 2:26
  - me here was just this incredible opportunity and
• 2:29
  - potential for the Miami and South Florida market
• 2:33
  - to have a health care system that could
• 2:35
  - be very
• 2:36
  - transformative.
• 2:37
  - And I saw all the right ingredients here
• 2:39
  - at Baptist. You know, we have an incredibly
• 2:42
  - large footprint
• 2:43
  - from Palm Beach all the way down to
• 2:45
  - the Keys. We're a 12 hospital system. We
• 2:47
  - have all the resources, and what we really
• 2:49
  - needed was to kinda put all those pieces
• 2:51
  - together.
• 2:52
  - And another way I look at it, you
• 2:53
  - know, it's like cooking where you you have
• 2:56
  - the ingredients to make a delicious meal, but
• 2:58
  - how you put it together is really what
• 3:00
  - ends up making a a a wonderful meal.
• 3:03
  - So we what we have done and and
• 3:05
  - what we have tried to focus on are
• 3:07
  - are really two things.
• 3:09
  - One is we are relentless
• 3:11
  - about quality.
• 3:12
  - You know? If we don't have quality,
• 3:15
  - the patients fail, the physicians fail, health care
• 3:17
  - systems fail. So we revolve absolutely everything about
• 3:20
  - making sure we have the absolute best quality
• 3:23
  - for our patients as possible.
• 3:25
  - The second thing that we double down on
• 3:27
  - is that service side of medicine,
• 3:29
  - making sure that when patients come in, making
• 3:32
  - sure that when physicians send us patients,
• 3:34
  - they have that absolute
• 3:36
  - concierge
• 3:37
  - four seasons Ritz Carlton experience where they walk
• 3:40
  - away saying, wow. We just had something magical,
• 3:44
  - done there. We had a magical experience.
• 3:46
  - And even, you know, when the valet person
• 3:48
  - greets you, when the the the the cafeteria
• 3:51
  - worker gives you the meal, when the nurses
• 3:53
  - gives you medications,
• 3:54
  - when you interact with the patients, when you
• 3:56
  - have the procedure done, we want our patients
• 3:59
  - to drive away in their rear view mirror
• 4:01
  - and say, wow. I had this wonderful experience
• 4:03
  - and and put their sometimes you you could
• 4:05
  - put your finger on, like, that one thing
• 4:07
  - that made it made it very special. And
• 4:08
  - sometimes
• 4:09
  - it's just this, you know, great feeling of
• 4:12
  - of being taken care of. So so we
• 4:14
  - revolve everything around that, and I'm having to
• 4:16
  - go we'll go into details, I'm sure, about,
• 4:18
  - you know, some of the little nuances, but
• 4:20
  - those are kind of our fundamental,
• 4:23
  - tenants that we're we've kinda pushed for in
• 4:25
  - in developing the program.
• 4:27
  - I love that. I I think it's so,
• 4:29
  - impactful,
• 4:30
  - to hear your story and how you got
• 4:33
  - here and then, you know, what's really most
• 4:35
  - important thinking about that quality care, and I
• 4:37
  - I really truly appreciate that.
• 4:39
  - Ashford, from your standpoint, how are you seeing
• 4:42
  - the program? What are you doing to elevate
• 4:43
  - the bachelor program,
• 4:45
  - and and make sure you're covering patients in
• 4:47
  - the South Florida region?
• 4:50
  - Yeah. I think,
• 4:52
  - first off, thank you for having us both
• 4:53
  - here. It's really a pleasure to be able
• 4:55
  - to present what we've done.
• 4:57
  - I've just like doctor Wynne, I'm a a
• 5:00
  - recent
• 5:00
  - transplant to the Miami area. I think what
• 5:03
  - we've started with is is fourfold
• 5:05
  - coming in here. First,
• 5:07
  - commitment from the organization
• 5:09
  - that the institute is where they want to
• 5:12
  - lead and what they want to,
• 5:15
  - lead the organization.
• 5:17
  - Two, I think it really takes the organization
• 5:20
  - understanding
• 5:20
  - that in order to be a service line
• 5:22
  - you have to think about the care continuum
• 5:24
  - of the patient which means you have to
• 5:27
  - give operational,
• 5:29
  - responsibility
• 5:30
  - to the service line for managing both the
• 5:33
  - ambulatory as well as, the hospital level of
• 5:36
  - care and really seeing that as the vision.
• 5:39
  - Three, I think it requires,
• 5:41
  - appreciation,
• 5:42
  - appreciation that you need physician leadership not just
• 5:46
  - at one site of care but at all
• 5:48
  - your sites of care to provide operational
• 5:52
  - continuity.
• 5:53
  - You know for the patient it really doesn't
• 5:55
  - matter whether they walk into
• 5:57
  - one Baptist
• 5:58
  - location or another for them they're a cardiac
• 6:00
  - patient and they want to be taken care
• 6:02
  - of the same way And I think, the
• 6:04
  - fourth thing I would just impress upon that's
• 6:06
  - that's helped us
• 6:08
  - a lot is I think the understanding
• 6:11
  - that,
• 6:12
  - and the willingness to
• 6:14
  - double down on a physician administrative
• 6:17
  - dyad structure.
• 6:19
  - Doctor Wynne and I talk almost
• 6:21
  - every hour
• 6:22
  - about where are we going, how are we
• 6:24
  - getting there, what are we, you know, what
• 6:26
  - do we need to get there.
• 6:28
  - And not only do we realize that's important,
• 6:31
  - but we have impressed upon our leaders that
• 6:33
  - they should also have a physician dyad. So
• 6:35
  - each one of our leaders, whether it's a
• 6:38
  - hospital level, whether it's a practice, whether it's
• 6:41
  - a a department,
• 6:42
  - each one of them has a physician dyad
• 6:45
  - that we put in a leadership position,
• 6:47
  - we've roped them in and given them a
• 6:49
  - job description,
• 6:51
  - both of them know that they're supposed to
• 6:53
  - be working in tandem just like Doctor. Wannama.
• 6:57
  - I'll add a little bit, to the the,
• 6:59
  - you know, the transplant concept, you know, doctor,
• 7:03
  - I I came from San Francisco,
• 7:05
  - Ashford,
• 7:06
  - recently came from, the Carolinas.
• 7:09
  - But what we're we're bringing here are people
• 7:11
  - from around not only the country, but around
• 7:13
  - the world and trying to bring the best
• 7:15
  - talent, but also
• 7:16
  - retaining a lot of the wonderful talent here
• 7:18
  - in the Miami area.
• 7:20
  - We're not limited to just local Miami and
• 7:23
  - local Florida. We're trying to bring in the
• 7:25
  - best of the best to really reshape the
• 7:26
  - health care system, again, here for not only
• 7:28
  - Miami, but for Florida.
• 7:31
  - It's amazing to hear, you know, a huge
• 7:33
  - goal, but it it's really cool to know
• 7:35
  - that you have got not only a focus
• 7:37
  - on, the resources and talent there, but, being
• 7:40
  - able to recruit from other places as well.
• 7:42
  - And I know that Baptist Health Heart and
• 7:45
  - Vascular Care,
• 7:46
  - earned a three star rating from the Society
• 7:48
  - of Thoracic Surgeons.
• 7:50
  - So what does that rating mean from a
• 7:52
  - clinical quality standpoint, and how do you look
• 7:55
  - at outcomes? What are you,
• 7:57
  - anticipating,
• 7:58
  - for growth in the future?
• 8:00
  - You know, if you ever,
• 8:02
  - you know, get that Michelin star, you know,
• 8:04
  - you you wanna go that one star Michelin
• 8:06
  - restaurant, but if you get a three star,
• 8:07
  - it's actually pretty hard. Similarly, with the Society
• 8:10
  - for Thoracic Surgery,
• 8:12
  - they issue a star rating for the hospital
• 8:14
  - systems, and getting three stars
• 8:17
  - is very, very, very hard. Getting three stars
• 8:20
  - in multiple categories is even harder. So we've
• 8:23
  - had the privilege of having three stars
• 8:26
  - in coronary artery bypass. That's the most common
• 8:28
  - operation we do as heart surgeons.
• 8:30
  - And,
• 8:31
  - and, you know, I'm sure you and others
• 8:33
  - probably know someone who's had or needed coronary
• 8:35
  - artery bypass surgery. We've received three stars in
• 8:38
  - mitral surgery,
• 8:40
  - and three stars in multi procedural.
• 8:43
  - There aren't any programs in the region that
• 8:45
  - have three stars in multiple categories,
• 8:48
  - only maybe some programs that have three stars
• 8:51
  - in one category, which is a huge testament.
• 8:54
  - Also, something that we've really focused on
• 8:57
  - is valvular heart disease. So we received recognition
• 9:00
  - from the Mitral Foundation
• 9:02
  - as a center of excellence for mitral surgery.
• 9:04
  - There are only 12 programs
• 9:06
  - in the country that actually have this recognition.
• 9:09
  - And it, you know, the the criteria are
• 9:12
  - are are incredibly strict.
• 9:14
  - The way we've gotten there is data. You
• 9:16
  - know, we we
• 9:18
  - can't hold people accountable unless we have data
• 9:21
  - that we're looking at and trying to constantly
• 9:23
  - improve upon.
• 9:24
  - And we have dashboards. We look at our
• 9:27
  - outcomes. We know where our weaknesses are. We
• 9:29
  - know where our strengths are. But for our
• 9:30
  - weaknesses,
• 9:31
  - we are constantly reviewing them and trying to
• 9:33
  - figure out how we could make them better.
• 9:35
  - And I think that's that's our our our
• 9:37
  - our our our basic,
• 9:39
  - kinda algorithm.
• 9:40
  - Know know what the the variables are that
• 9:44
  - we need to improve upon,
• 9:46
  - hire the route the right talent both locally
• 9:50
  - and nationally and internationally
• 9:52
  - to exercise that, but also have the appropriate
• 9:55
  - administrative and operational support
• 9:58
  - to, make sure we can get it across
• 10:00
  - the finish line. It's a huge testament and
• 10:02
  - and and something that we're incredibly proud of.
• 10:04
  - But also I'll also add that not only
• 10:07
  - quality is important. You know, we volume wise,
• 10:10
  - we've done phenomenally. Now we're the largest market
• 10:13
  - share,
• 10:14
  - in South Florida. We could take the next
• 10:16
  - two programs
• 10:17
  - and then combine their volumes, and their volumes
• 10:19
  - aren't equal to ours. So so volume is
• 10:21
  - important, but we're doing volume at a level
• 10:24
  - where we're we're having excellent quality. And in
• 10:26
  - some ways, those go go in parallel because,
• 10:29
  - you know, the higher volume, you can leverage
• 10:30
  - on economies of scale and become more efficient
• 10:32
  - to really deliver that concierge,
• 10:35
  - experience for our patients.
• 10:37
  - And, Laura, just back to your other question
• 10:39
  - as well. When you have that nucleus
• 10:42
  - of quality excellence like Doctor. Wynne has brought
• 10:45
  - here and others,
• 10:46
  - it's actually
• 10:47
  - it helps us in recruiting,
• 10:49
  - both trying to employ physicians because they wanna
• 10:52
  - be around that, as well as trying to
• 10:54
  - align with physicians in the community, we don't
• 10:56
  - employ everybody,
• 10:57
  - but people want to be aligned. They wanna
• 10:59
  - be a part of something excellent.
• 11:02
  - And when you have that nucleus, it actually
• 11:03
  - makes it a lot easier to go out
• 11:05
  - there and recruit,
• 11:07
  - really good talent to come in and be
• 11:09
  - alongside that.
• 11:11
  - That's fantastic to hear. And, you know, it
• 11:13
  - makes a ton of sense being able to
• 11:15
  - have that quality
• 11:16
  - care and that baseline, that reputation, but also,
• 11:19
  - you know, a high volume program, having those
• 11:21
  - reps and and bringing in, more patients. It
• 11:24
  - just makes sense that you'd be able to
• 11:26
  - snowball from there and really build the strong
• 11:29
  - program that you have to do not only
• 11:30
  - volume, but quality as well. Now, Ashford, I'm
• 11:34
  - curious. How do you think expanding access to
• 11:36
  - advanced heart care, while still meeting this consistency,
• 11:39
  - quality, and patient experience across multiple locations. What
• 11:42
  - does that mean for you, and and how
• 11:44
  - do you do that from an administrative standpoint?
• 11:47
  - Yeah. That's a great question.
• 11:49
  - That's one of the things that doctor Wynne
• 11:51
  - and I grapple with a a lot. It's
• 11:53
  - one of the things that my team and
• 11:55
  - I talk about a lot.
• 11:57
  - Going back to the the dyad structure, I
• 11:59
  - think it's really, really important that we understand
• 12:02
  - first and foremost we're part of a system,
• 12:05
  - and part of being a part of that
• 12:07
  - system is collaboration.
• 12:09
  - And in order to have collaboration, you have
• 12:11
  - to have really, really good communication
• 12:14
  - and communication that is bidirectional.
• 12:17
  - And in that communication
• 12:19
  - that's bidirectional,
• 12:20
  - we need to, you know, start from the
• 12:22
  - point of we are all learning here, and
• 12:24
  - we are all trying,
• 12:27
  - our best, and we are trying to understand.
• 12:29
  - And,
• 12:30
  - we want people to bring to the table,
• 12:34
  - that curiosity and that level of, spirit.
• 12:38
  - And we
• 12:39
  - wanna create that within the environments that we
• 12:42
  - set up, and so we've set up structures
• 12:44
  - and we've been very intentional
• 12:46
  - to put people in leadership roles
• 12:48
  - that wanna facilitate that
• 12:50
  - and wanna facilitate that across not just, you
• 12:53
  - know, one hospital or one site of care,
• 12:56
  - but all of our sites of care. And
• 12:57
  - then also understanding that there are
• 13:00
  - differences in certain markets.
• 13:03
  - It doesn't mean heart disease is different,
• 13:06
  - It means that maybe we we interact with
• 13:08
  - patients differently,
• 13:10
  - you know, and and taking that into account
• 13:12
  - and not being, you know, a,
• 13:15
  - for lack of a better term, you know,
• 13:17
  - a a one way street. It's a two
• 13:19
  - Way Street, and we need to make sure
• 13:21
  - that,
• 13:22
  - we appreciate that as we,
• 13:25
  - operationally
• 13:26
  - look towards excellence.
• 13:28
  - That makes a ton of sense. And, you
• 13:29
  - know, I it really is is a group
• 13:32
  - effort, I know, to get some of those
• 13:33
  - things in place and and make sure that
• 13:35
  - you're scaling in a proper way. Now I
• 13:37
  - wanted to ask a bit about technology too.
• 13:41
  - Doctor Winn, I'm curious. Can you talk about
• 13:43
  - some of the minimally invasive and robotic technology
• 13:46
  - within heart surgery, how that's changed the patient
• 13:48
  - experience and especially when it comes to recovery
• 13:51
  - and return to daily life. What types of
• 13:52
  - technologies do you really see advancing what you're
• 13:55
  - doing at Baptist Health Heart and Vascular Care?
• 13:58
  - You know, I, I have a busy cardiothoracic
• 14:00
  - surgery practice, and and I do all aspects
• 14:02
  - of adult cardiac surgery.
• 14:05
  - And I'm very comfortable with kind of the
• 14:06
  - big operation.
• 14:07
  - But I've never had a patient come to
• 14:09
  - my office begging me to get their chest
• 14:11
  - cracked open. That doesn't happen
• 14:13
  - anymore. And we've advanced to the point where
• 14:16
  - we could do a lot of complicated
• 14:18
  - operations now through tiny incisions
• 14:21
  - safely
• 14:22
  - and actually better than we do via a
• 14:24
  - standard sternotomy. And I and I'll give you
• 14:26
  - an example. You know, we are able to
• 14:28
  - do bypass surgery robotically through a two, three
• 14:31
  - centimeter incision,
• 14:33
  - and we have our patients walking around the
• 14:34
  - ICU the day of surgery and go home
• 14:36
  - in a couple of days.
• 14:38
  - We have a a close,
• 14:41
  - partner
• 14:42
  - friend who recently had,
• 14:44
  - heart surgery robotically,
• 14:46
  - and he was actually doing a podcast two
• 14:48
  - weeks after surgery and giving talks and and
• 14:50
  - out there working four or five weeks after
• 14:52
  - actually, four actually, he was working, like, you
• 14:54
  - know, three or four weeks after surgery already,
• 14:56
  - and and, you know, without missing a beat
• 14:58
  - as all at all. The the tricky thing
• 15:01
  - is that not all heart surgeons, not all
• 15:03
  - heart programs
• 15:05
  - do a lot of minimally invasive surgery or
• 15:08
  - robotic surgery. Some programs say they do, but,
• 15:11
  - you know, they dabble in it. We we
• 15:13
  - put our our our heels in it, and
• 15:15
  - we do a lot of minimally invasive surgery.
• 15:19
  - I'm I'm currently the, the present elect of
• 15:22
  - the International Society of Immel Invasive Cardiac Surgery.
• 15:25
  - So so it's something that we're very comfortable
• 15:26
  - with. I, you know, we lead this here
• 15:28
  - locally, nationally, internationally where people come and and
• 15:31
  - try to learn,
• 15:33
  - minimally invasive and robotic techniques.
• 15:36
  - The other thing, you talk about technology, and
• 15:38
  - and I and and and I'll say not
• 15:40
  - only in technology for the operating room, but
• 15:42
  - we are also trying to leverage, you know,
• 15:45
  - the the the the famous word now, AI,
• 15:48
  - how to use AI technology
• 15:50
  - to streamline our patient experience,
• 15:53
  - to make it as,
• 15:56
  - as efficient,
• 15:57
  - and patient centric,
• 16:00
  - as possible as well. So we you know,
• 16:01
  - we're we leverage technology on all fronts, both
• 16:03
  - in the operating room, from an operational standpoint.
• 16:06
  - Again, really kind of focus on patient care
• 16:08
  - to make sure that their experience is as
• 16:09
  - seamless as possible.
• 16:11
  - That's helpful to understand. You know? And I
• 16:13
  - love the idea of being able to bring
• 16:15
  - in the technology,
• 16:16
  - make outcomes better, but then also really digging
• 16:19
  - into the patient experience and what that means.
• 16:21
  - Now, Ashford, what does the investment in technology
• 16:25
  - facilities and some of these specialized teams, how
• 16:27
  - does that play into building the world class
• 16:29
  - heart program that you're envisioning
• 16:31
  - at Baptist?
• 16:32
  - I mean, that's a great question. I think
• 16:34
  - it it it feeds on what doctor Wynne
• 16:37
  - was just talking about. You know, patients are
• 16:39
  - seeking out the best technology, and not only
• 16:42
  - are patients much more
• 16:44
  - and patients nowadays
• 16:46
  - are much more,
• 16:47
  - knowledgeable, they research everything.
• 16:50
  - They chat GPT, you know, who's the best
• 16:52
  - at minimally invasive surgery, what is the best
• 16:55
  - type of surgery out there? And so by
• 16:58
  - being able to offer, you know, a complete
• 17:00
  - continuum
• 17:01
  - of technologies,
• 17:03
  - you're able to
• 17:04
  - service that patient who's researching one thing or
• 17:07
  - the other. The other thing I would add
• 17:09
  - is it it also means, that we can
• 17:12
  - recruit the best talent.
• 17:14
  - You know, we do cardiac robotic surgery,
• 17:17
  - here at Baptist Health,
• 17:19
  - and that robotic surgeon, doctor Wynne, recruited him
• 17:21
  - from Japan. He's internationally known
• 17:24
  - for what he does, and he wanted to
• 17:26
  - come here because he knew that Baptist was
• 17:28
  - committed to both, you know, the physician and
• 17:32
  - the technology that physician needs in order to
• 17:34
  - deliver the best type of care.
• 17:37
  - And I think that's what MCBI and Baptist
• 17:39
  - Health Heart and Vascular is really founded on,
• 17:42
  - is how do we continue to innovate.
• 17:44
  - And in order to innovate and in order
• 17:47
  - to continue to push the envelope,
• 17:49
  - we need to be able to provide the
• 17:51
  - technologies
• 17:52
  - in order to get there,
• 17:54
  - for for our our our physicians and our
• 17:56
  - patients. I'll
• 17:58
  - add a little bit to, you know, doctor
• 18:00
  - Ashford.
• 18:01
  - I'm calling you doctor Ashford.
• 18:03
  - You talk about innovation and I stayed in
• 18:05
  - the Holiday Inn last night. That's right.
• 18:07
  - You talk about innovate and research, and that's
• 18:10
  - something that is also incredibly important to us.
• 18:13
  - We do not want to be just here
• 18:15
  - practicing medicine. We want us to be leading
• 18:17
  - medicine. We wanna be doing things that other
• 18:19
  - people aren't doing. And the only way to
• 18:21
  - do that is through research and innovation, having
• 18:24
  - access
• 18:24
  - to technologies,
• 18:27
  - spearheading
• 18:28
  - the,
• 18:29
  - a different way of how people look and
• 18:31
  - think about medicine,
• 18:33
  - is incredibly important for us and and is
• 18:35
  - a requirement as we bring people in. Research
• 18:37
  - and innovation is incredibly important for us. And
• 18:39
  - I'll also add, you know, we have a
• 18:41
  - a phenomenal partnership,
• 18:43
  - with FIU. We have a phenomenal partnership with
• 18:45
  - Nicholas,
• 18:46
  - again, leveraging on their expertise, what we have
• 18:48
  - to really innovate,
• 18:50
  - do research, and, push medicine to the next
• 18:53
  - level for our community.
• 18:55
  - I love it. I I think that's so
• 18:57
  - critical on having all,
• 18:58
  - focus on all of those things, whether it's
• 19:01
  - innovation, the clinical care, and the research,
• 19:03
  - really makes everything else work. Now before we
• 19:06
  - wrap up, I I wanted to ask both
• 19:08
  - of you, and you're looking into the future,
• 19:10
  - what's next for Baptist Health when you're thinking
• 19:12
  - about the heart care program and the cardiology
• 19:15
  - care there? What are you most excited about,
• 19:17
  - and how do you see things growing?
• 19:20
  - You know, I'm excited about a lot of
• 19:21
  - things. I I I think that,
• 19:23
  - as I started off with and the reason
• 19:24
  - why we came here
• 19:26
  - is the huge potential. And in the short
• 19:28
  - amount of time that I've been here and
• 19:30
  - the short amount of time that Asher's been
• 19:32
  - here, we've seen
• 19:34
  - exponential changes, and we really do think that
• 19:36
  - this is only the tip of the iceberg.
• 19:38
  - We want Miami to be the mecca of
• 19:41
  - health care,
• 19:42
  - for the country, and we're not gonna rest
• 19:45
  - until that happens.
• 19:46
  - I'm excited about how AI is gonna change
• 19:49
  - medicine. I'm a check I'm excited about,
• 19:52
  - some of our strategic plans of,
• 19:55
  - developing
• 19:57
  - centers that revolve
• 19:59
  - around the patient. The example I give is,
• 20:01
  - you know, it's like one of those f
• 20:02
  - one,
• 20:04
  - pit stops where the car comes in and
• 20:06
  - you have 15 people come in all focused
• 20:09
  - on that patient, and they do it officially.
• 20:11
  - The patient, you know, in that car goes
• 20:13
  - out. That's how we're building. We're building these
• 20:15
  - centers that revolve completely around our patients,
• 20:18
  - and focus on that patient.
• 20:20
  - We're excited about research. We're excited about innovation.
• 20:23
  - We're excited about,
• 20:25
  - launching a a heart transplant program, pretty soon,
• 20:28
  - as well. A lot of exciting things. We're
• 20:30
  - excited about our partnerships with,
• 20:32
  - with FIU,
• 20:33
  - Nicholas,
• 20:34
  - with other centers around the country,
• 20:37
  - both nationally and internationally.
• 20:39
  - I I can almost guarantee
• 20:41
  - that the Baptist that you knew
• 20:43
  - a while back ago is very different than
• 20:45
  - the Baptist you're seeing now,
• 20:47
  - and I will put my money that the
• 20:50
  - Baptist four or five years from now will
• 20:52
  - be very, very, very different than it is
• 20:54
  - now as well. So we're excited about the
• 20:55
  - future.
• 20:57
  - I think the thing I would add to
• 20:58
  - that is,
• 20:59
  - I'm excited about,
• 21:01
  - us
• 21:03
  - agreeing and the commitment that we have
• 21:06
  - to putting the patient
• 21:07
  - at the center of everything we do and
• 21:09
  - understanding that, you know, we do a lot
• 21:11
  - of strategic planning and a lot of,
• 21:14
  - growth and a lot of exercises
• 21:16
  - around the
• 21:17
  - around the side of the around around site
• 21:19
  - of service.
• 21:20
  - And, you know, it's not always a facility
• 21:23
  - that's the site of the service.
• 21:25
  - Sometimes it's the patient. And I think we
• 21:27
  - understand that here, and we're putting the patient
• 21:30
  - as the site of service and creating strategies
• 21:33
  - around patients and their disease,
• 21:36
  - and really trying to work upstream to help
• 21:38
  - manage disease
• 21:40
  - and help create a pathway for that disease,
• 21:43
  - to be taken care of ultimately through Baptist
• 21:46
  - at some level of care.
• 21:48
  - I also think, you know, I'm excited to
• 21:51
  - show up to work every day.
• 21:53
  - I don't know about that. I know doctor
• 21:54
  - Wynne feels the same way. We love what
• 21:56
  - we do. We we love developing. We love
• 21:59
  - building.
• 22:00
  - We love the teams around us.
• 22:03
  - We show up to work every day excited
• 22:06
  - about what's next and what we can accomplish,
• 22:08
  - and I think that's really rare.
• 22:10
  - We're not just going through the motions.
• 22:13
  - You know, it's about,
• 22:15
  - much more deeper emotional tie to what the
• 22:18
  - what we're doing and what we know we're
• 22:20
  - gonna be able to accomplish over the next
• 22:22
  - five years.
• 22:23
  - Fantastic. That is incredible to hear, and I'm
• 22:26
  - excited to see that growth that development, the
• 22:28
  - innovation, and research that will be coming out
• 22:30
  - of Baptist.
• 22:31
  - Thank you both so much, doctor Winn, doc
• 22:33
  - Ashford,
• 22:34
  - for being here today and being part of
• 22:36
  - this podcast. And, you know, I'm excited to
• 22:38
  - be able to share what you're doing and
• 22:40
  - look forward to connecting again soon.
• 22:42
  - Our pleasure. Thank you for having us.