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Trailblazers in healthcare: Experiencing Oracle Health EHR in real-time

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Manage episode 510088910 series 2508488
Content provided by Oracle and Oracle Health. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Oracle and Oracle Health or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://podcastplayer.com/legal.

In this episode, we dive deep into the transformative journey of two beta customers who are among the first to experience the Oracle Health EHR system and Clinical AI Agent’s in an ambulatory setting. They share their firsthand experiences while working with the design and testing of this cutting-edge technology. Joining the conversation is an Oracle Health clinical executive, Ashleigh George, who provides insights into the design, vision, and potential impact of this EHR solution on improving patient care. Together, they explore how this innovative system is reshaping the landscape of healthcare delivery and what it means for the future of ambulatory care.

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Episode Transcript:

Welcome to Perspectives on Health and Tech Podcasts, brought to you by Oracle Health, where we dive deep into the world of innovation and transformation in health care. My name is Matt Patterson, your host and moderator for today's discussion. Today, we're thrilled to welcome three renowned experts who are pioneering change in the health care industry.

00;00;59;03 - 00;01;28;18

Unknown

Joining us today, we have Ashley George, a visionary in health care technology and leader with an Oracle health product development. Dr. Ryan McFarland, a family medicine physician based out of Hudson, Wisconsin. And Dr. Randy Thompson, an emergency physician by training who now serves as the chief health analytics officer at Billings Clinic. In today's episode, we're going to explore challenges facing health care systems and how groundbreaking innovation is paving the way for a brighter, healthier future.

00;01;28;20 - 00;01;48;22

Unknown

So grab a seat and prepare to be inspired as we embark on this insightful journey. First off, I'd like to allow the opportunity for each of you to introduce yourselves. We'll start with Ashley and then Dr. McFarland and Dr. Thompson. Ashley Yeah, Thanks, Matt. Well, I think you actually might have a new calling in as a podcast broadcaster.

00;01;48;23 - 00;02;24;09

Unknown

That was an impressive intro. You've got a radio voice almost, but that's great. Well, anyway, thanks to Matt for having me on today. I'm Ashley George. I'm a clinician, actually, by background started my career 25 years ago in a neuro ICU unit and from there have had the opportunity to work in health care I.T. for the last 20 years and have really been at the forefront of the changes that have occurred over the last several decades and and excited for the work that I hand at Oracle Health, where we're doing today within our products and serving our clinicians around the world.

00;02;24;12 - 00;02;48;16

Unknown

Thanks, Ashley. And Dr. McFarlane, why don't you tell us a little bit about your yourresponsibilities in the organization and patients that you serve? Yeah, my name's Ryan McFarland. I'm a family medicine physician in Hudson, Wisconsin, part of a large private practice group. We've got about 60 providers. I'm one of the owners in the practice on our medical board, kind of help direct our practice into the future.

00;02;48;16 - 00;03;14;05

Unknown

And one of the big parts of my job has been working with our I.T. tech and things like that. And that's how we got involved with Oracle and fortunate enough to help be in the early beta testing and help build these products and everything. Thanks. And Dr. Thompson? Yeah. Good morning. My name's Randy Thompson. I'm the chief health Analytics officer for Billings Clinic Emergency Physician by training but work full time.

00;03;14;05 - 00;03;46;09

Unknown

And it now in our system is the largest independent health care system in Montana, where those clinic at Logan Health merge in 2023, we have over 1200 providers representing 80 medical specialties. My job is to try to make their lives better. And I, I could say I'vebeen in health care for 41 years now and there has never been a more exciting time to be in health care in terms of the positive solutions coming to our providers and nurses.

00;03;46;11 - 00;04;11;16

Unknown

Wonderful. Yeah, Thanks, Dr. Thompson. And I think that's a good segway into to get right into the meat of the conversation here. So today's podcast is obviously really about exactly what you just mentioned. Randy, The opportunities that exist within health care really to raise the bar in the industry with some of the Gen AI technologies that we're entering intothis new era of beyond.

00;04;11;16 - 00;04;33;11

Unknown

So within the current landscape, I want a level set where we're at today. Ashley Can you tell us a little bit about the biggest challenges that health care systems are seeing today? Really, how is technology currently influencing health care delivery today? Yeah, I mean, I'll say as I think about this, my my response isn't just US based centric.

00;04;33;11 - 00;04;51;12

Unknown

It is also thinking about internationally as I meet with customers around the world. And hands down top of mind is how are we supporting our clinicians so that they can better take care of the patients? Right. And I think you could I could be as dramatic to say as like we're at a moment of reckoning in terms of people are tired, they're exhausted.

00;04;51;12 - 00;05;11;17

Unknown

We don't have enough clinicians around the world to serve, you know, the patients that we need to take care of. Everyone is on razor thin margins. They're trying to do more with less. And yet it doesn't stop the regulations that continue to come in. It doesn't stop almost theinability for clinicians to be able to access care appropriately.

00;05;11;17 - 00;05;43;01

Unknown

And I think that's where for us, it's not an option. We have to transform and rethink how we're delivering health care and how technology can play a pivotal role in that. It's not the only answer, but it is a big answer in terms of how we're going to approach this. And I think, you know, I feel that here at Oracle Health, we we feel that urgency is to be able to help our clinicians, like the ones that are joining today's podcast, like how can we do better for them so that they themselves can do better and help take care of their patients.

00;05;43;01 - 00;06;23;08

Unknown

And that's really what we wake up every single day, striving to deliver. Wonderful. And Dr. McFarland, Dr. Thompson, you're from your purview. Well, what trends are you seeing that that opens up opportunity to really reshape health care? You know, I think the biggest trends are, you know, trying to get more, I would say, you know, clinician and patient focused and centered resources and technology for the first time versus it's previously been just purely a data gathering billing tool that didn't serve anyone other than the insurers and certain researchers.

00;06;23;10 - 00;06;40;17

Unknown

So that's I think the biggest trend is that we're actually seeing patient forward and physician forward products for the first time, which is part of why I think it's so exciting to see what's coming. So that's what I think is really the trend that we're seeing. That'sgoing to be a huge impact to our careers and patient care.

00;06;40;20 - 00;07;22;08

Unknown

And I would just add to that, having the system work for the providers and the nurses and the schedulers and the reps cycle people rather than us working for that solution. And I'll just give an example with the new H.R., the system is working on behalf of the clinician and going out and searching the record, finding out relevant information, bringing that back, collating it and presenting it to the clinicians in a manner that makes sense to them so that so that they can make decisions and, you know, have a better chart and so now it's the opposite way.

00;07;22;09 - 00;07;42;21

Unknown

We have to go out and we have to find relevant notes and find relevant studies and try to tweak the details and gather those details so we can consider that what their interaction with the patient and then document that all in the chart afterwards. And it's just almost impossible to do with a clinicians busy schedule the amount of time that takes.

00;07;42;23 - 00;08;03;17

Unknown

So that's what I'm excited about. Yeah, I mean that's I mean, it's huge. I mean, that's what I spend the bulk of my time doing is before I see a patient. Even when I'm in with the patients, it's digging through this slog of just repetitive data, good data, bad data, what'srelevant, where is the relevant information? And it falls on me to just sift through this huge backlog of data.

00;08;03;19 - 00;08;32;03

Unknown

And this is the first time where it's being brought forward to us. It's going to help us make better decisions, not miss things. You know, just give an example. And, you know, I was looking at one patient's note and the summary, the problem based summary had gone out and looked at 11 different notes and brought that information forward and presented it in a really succinct manner that was understandable and complete.

00;08;32;06 - 00;09;00;17

Unknown

So that so that, you know, that was really actionable information that it would be almost impossible for a clinician to do in the limited amount of time they have to review the record and then bring that forward. So I mean, it's just really exciting. Well said. You know, Ashley and I were actually talking yesterday in preparation for this podcast about the acceptance that exists in the industry around training requirements when you go to a new EMR.

00;09;00;19 - 00;09;20;15

Unknown

And I think it's just exemplary of where the bar stands today and the opportunity to raise that bar that you don't require 15 hours of training to understand where you need to go to find what you need, because now the technology works on your behalf as opposed to you having to figure out the technology to find what you need to provide care.

00;09;20;15 - 00;09;44;22

Unknown

So very well said. And I think a good segue way again to the next piece that we're going to dig into a little bit more about the Oracle health. Are each of you are very involved in, you know, being an early adopter, a part of the overall design as we've been going through this journey of the future state of really what an Oracle health model can bring to the industry.

00;09;44;25 - 00;10;07;21

Unknown

So Ashley, you know, focusing a little bit on the Oracle health are in that broader context. We just spoke to. Can you just talk a little bit about the vision of the system that you've been designing over the recent years? Yeah, absolutely. So if we even kind of unpack like Oracle Health electronic health record, right, to us, the vision is it's not it's not a record anymore.

00;10;07;21 - 00;10;34;05

Unknown

I mean, certainly has to be a record things, but it's beyond a record. It's a system of intelligence. And how do we really think about it as a partner, as a care team member that's aiding our clinicians, the staff, whoever's interacting with that, to really automate, to anticipate, to connect care. And really, at the end of the day, how does that empower our clinicians and not weigh them down?

00;10;34;07 - 00;11;03;29

Unknown

You'll hear us often say, even not to be so cliche, but it's like, how do we bring the joy to when a clinician is interacting with the system and making this meaningful and an invaluable to to him or her and all the interactions? And so I think when it comes down to it is it is how are we pivoting from just being a system of record to truly a system of intelligence that is acting on behalf as a care team member with the with the entire group and the team.

00;11;04;01 - 00;11;51;12

Unknown

And thanks, Ashley and Dr. McFarland. Dr. Thompson, can you just speak a little bit about your experience thus far and the impact to your practice that you believe you'll see? Yeah, it's I mean, it's been pretty exciting. Seven were part of a beta testing for the last two years I think almost now between the the COAG, the, you know, the ambient listening and creating notes to building orders the new are, I mean even from where we're at now, we went from struggling to find scribes to help support our practices to now I have a smart agent that writes my notes, is proposing orders for me, allowing me to keep productivity volume going.

00;11;51;14 - 00;12;09;05

Unknown

And then when we have seen the the new and getting to beta test that it's been I mean, it's it's incredible. You know, I keep having this desire to well, I need to go find the notes. I need to go look and dig in and all sort of like, she's just telling me right here what what'sbeen done, what the history is.

00;12;09;05 - 00;12;32;27

Unknown

And it's it's a it's really kind of creating an entire different paradigm of how we're going to interact with the electronic health record. Like, like Ashley was saying, it's not going to be so much more of a record. I do truly think they're building a product that will be more of kind of like a part of the care team, something that the physician can utilize to care for a patient and a patient can even utilize to understand their care better.

00;12;33;03 - 00;13;06;22

Unknown

That's where I kind of see this. The impact that it making. And I would just add, so we became a beta test partner kind of for selfish reasons. And, you know, our providers like to offer their opinions on why that solution is so terrible, right? But they don't have the opportunity to really help craft that solution. And so for us, having our providers have the opportunity to really help in the development of a solution that really makes sense to them and meets their needs.

00;13;06;22 - 00;13;41;03

Unknown

And so that was why we really volunteered to be a beta test partner. And it's been extremely rewarding both to the providers who, you know, previously would not participate in these test validations because they would do something, they'd read their feedback and nothing would happen, and so they would lose interest pretty quickly. But really exciting that when they rolled out like CAA, the the initial product was pretty basic, but it quickly improved based on the early and often feedback sessions that were scheduled.

00;13;41;05 - 00;14;04;13

Unknown

And the first time they saw their suggestion incorporated into the product. I mean, that was really exciting. And so we had like zero problem recruiting volunteers for this. So so that was really exciting. And, you know, Oracle I think is on the right track in terms of theyhave a vision for a solution like caa or the new h.r.

00;14;04;15 - 00;14;29;27

Unknown

And then they build something and then bring in clinicians both on the build side because, you know, on the new h.r. There have been work groups for providers and nurses for the acute ambulatory side of this for a while now. Since last year that they've been running the solution by them and soliciting feedback. Now they've got a product that they're in front of the beta testers and they're doing the same thing, soliciting that feedback and making changes on the fly.

00;14;29;29 - 00;14;50;05

Unknown

And so, I mean, to me, that's just the right way to do this. And everybody's pretty excited about that. Yeah, it's I mean, it's been incredible to be part of the process and to see, you know, feedback and frustrations get fixed quickly within, you know, a week or two direct feedback communication with the engineering team. I mean, it's been cool.

00;14;50;05 - 00;15;13;02

Unknown

We've had the engineers out at our clinic to watch our workflow because they weren'tunderstanding some of our, you know, issues or complaints. And then they see us using they go, that's what you need, which is I mean, instead of them giving us something, the engineers are actually in, Oracle's actually building something for the clinicians with direct clinician input, which has been pretty exciting to be part of.

00;15;13;04 - 00;15;38;03

Unknown

Yeah, I'll just add to that. They, they brought a team of over 20 engineers and, and solution people out here and they weren't just focused on one product they wanted to understand workflows so that they could then incorporate that into their design and build. And to me that was a big investment for them and I think well worth it for our end users.

00;15;38;05 - 00;16;02;23

Unknown

Great. And Dr. Thompson, Dr. McFarland, obviously Ashley just gave some insight on the overall Oracle health design strategies. But from your perspective, day in, day out, living in that world, can you talk a little bit more about really just what Oracle brings from, you know, a technology innovation strategy perspective? Matt Where are you directing that to me? Sorry, Yeah.

00;16;02;24 - 00;16;29;27

Unknown

Ashley Sorry. Yeah, yeah, yeah. I mean, got me to restate that. Yeah, maybe. Sorry. Let me, let me restate that pause. So, Ashley, having heard from Dr. Thompson and Dr. McFarland talk about some of the engagements and early adoption into strategies, can you just talk a little bit more about that detail from somebody working in the day in, day out?

00;16;29;29 - 00;16;55;19

Unknown

Yeah, I mean, you you heard Dr. Thompson say like in the legacy system, feedback was given and then it felt as if it went to a black hole and died like there was nothing that was coming out of out of the customer, even engaging in the feedback. And I think the theapproach and the engagement that the Oracle health team has taken is our design and development is a reflection of the customer voice first and foremost.

00;16;55;19 - 00;17;30;17

Unknown

And so it is how do we engage often and frequently and have that feedback loop that is constant so that we are constantly improving. I think we can also point to the fact of, you know, your hours and our history with our, you know, our current legacy systems, right?There's 30, 40 plus years of knowledge. And so there's also being able to take what worked really, really well in terms of some of the design, the usage and the patterns and what are we what should sustain or, you know, be persistent, but also what completely needs to be reimagined.

00;17;30;17 - 00;17;50;00

Unknown

And I think that is the piece as we are engaging with customers, is also we often say like check the brain of everything that you know historically about ours. And why did we always do it this way? Was it because it was a technology hindrance or we were had a limitation? Is it because it was a process issue that we now could maybe solve in a different way?

00;17;50;00 - 00;18;10;09

Unknown

And then how can I and automation completely turn it on its head to say, well, why does this need to take so many clicks tabs? Or do I even have to do that work? And it just automatically presented. And so it's really challenging our own kind of approach to how we'rethinking about these workflows to ensure that it's meeting the end users really needs.

00;18;10;09 - 00;18;46;29

Unknown

And it isn't just an answer with technology, but how does it all come together from a clinician perspective, their workflows and the lives and hopefully you guys are seeing that, you know, day in and day out in terms of the engagements that we're we're doing it at our customer sites and in these design sessions. Yeah, I would say I mean, we're it's we're seeing and it's been fun, you know, having been involved early to see what the kind of these dreams were and that here's our vision for the future and to see it slowly come out and start to as we're now culminating in the new EHR and seeing how these technology pieces interact to

00;18;46;29 - 00;19;22;11

Unknown

build this. I mean, it's unlike any other, you know, electronic system out there, which is pretty exciting to kind of see that come to fruition. Do you have any good stories, Dr. McFarland, Dr. Thompson, that you'd like to share on the impact thus far? Yeah. So couple, you know, personal impacts from a patient care standpoint. I mean, largely around the CAA order entry and some of the I would say some of the safety and accuracy that comes along with it.

00;19;22;13 - 00;19;44;10

Unknown

One patient's love of the product, the fact that I'm not on the computer, I'm sitting listening to them, and then the other one being, as you know, we're talking about orders and labs as we go along the visit. And it's tracking that for me and proposing these. So I'm not responsible for keeping up with them later. A good example was a long visit.

00;19;44;10 - 00;20;03;29

Unknown

I'd forgotten that we'd talked about a colonoscopy that they'd had elsewhere that wasn't in the h.R. And they were telling me how they needed a colonoscopy. And I said, yep, will help coordinate that. And then 30 minutes later, when the visit was done, I'd completely forgotten about it. But because or the oracle, the cia was listening, it proposed the colonoscopy order for me.

00;20;04;02 - 00;20;21;21

Unknown

You know, something that didn't get missed. While it may seem small, likely, yeah. The patient may have called back later. It saves a phone call. It's better. Patient care care is delivered accurately and on time. And I you know, I think we both probably have a lot of stories, but I mean, we just get feedback all the time.

00;20;21;21 - 00;20;44;09

Unknown

Like this week I got feedback from her provider that she said she was almost addicted to CAA and our chief of neurosurgery had a conversation with our CEO and said, if you ever take this away from me, I'm going to quit, which is pretty powerful. I was out in RTI shopping a couple of weeks ago and a family medicine physician made icon tacked it, headed my way.

00;20;44;09 - 00;21;04;18

Unknown

And usually you kind of dread those interactions because it's usually not positive. It'slike, how did it hurt me this week? But it wasn't that conversation. It was really she was ready to cut down on her FTE. She was always had to quit charts. She'd go home and chart late at night and on the weekend and never caught up.

00;21;04;21 - 00;21;26;23

Unknown

And then the first day she used it, she was done at 530 Notre Dame. She went home and enjoyed her family and that had never happened before. So that was really, really positive. Another person commented, That saved my career, very similar. And so we hear these stories all the time and and they're I mean, they're real and meaningful.

00;21;26;25 - 00;21;45;16

Unknown

You Yeah, we were sitting in our one of our owner meetings not too long ago, and someone brought up, you know, making sure that like, is the CAA worth it is what we're doing is this you know necessary. And I think four or five of the physicians stopped and goes, let me be clear, if we don't have this, I'm retiring today.

00;21;45;18 - 00;22;03;18

Unknown

So, I mean, it's it's, you know, a huge joy factor for physicians. It's career extending, it's work life balance. You know, it's patient safety. It's all of it. I mean, the notes are better as we review, you know, previous physician notes who we continually had to be like, hey, these notes aren't up to par. We need more in there.

00;22;03;18 - 00;22;42;17

Unknown

It's from a billing, safety, legal standpoint, whatever it was, those aren't conversations we need to have anymore because it's just ambient me doing it. And that's just what I would say is the more quote unquote simple of the products that's coming, you know, coming out. And it's already had just such a huge impact. I love that. And one of the key goals at Oracle, as we've taken on this health care journey is really for technology to become an aid to clinicians, to patients, and as opposed to a hindrance as its historically existed.

00;22;42;19 - 00;23;02;13

Unknown

Dr. Macfarlane, you spoke to this a little bit earlier. I'd be curious to your lines on this not only now, but moving forward as we as a closing question, does a guide does the journey that we're on with Oracle Health, does I feel like a member of the team to actually become that assistant or or just another observer?

00;23;02;16 - 00;23;22;21

Unknown

You know, I think it does. I was talking with someone the other day and I kind of made the analogy to the airline industry and I kind of see, you know, the physician career and what I envision it is we're going to become truly more like a pilot. And the air is the airplane that we're flying, that it does a whole lot of things for us, right?

00;23;22;21 - 00;23;45;22

Unknown

I'm there for takeoff. I'm collecting the patient information, I'm interviewing the patient, doing the exam, getting the correct, the stuff I'm trained for. I'm collecting the healthdata, using my expertise and training to elicit the important information I collect that I help make clinical decisions. And then the AI is doing all the automated stuff. Once we'retaken off, it's helping me with their maintenance.

00;23;45;22 - 00;24;10;02

Unknown

What do they do when all the automated stuff that I really shouldn't be using my brain power for? I don't need to be memorizing all the rules around immunization intervals, colonoscopy intervals. The AI is doing that for me, understanding that also patients are unique and unexpected. Unexpected things happen just like, you know, turbulence, mid-air. Something happens. I can intervene just like a pilot can intervene, and then I'm there for the landing.

00;24;10;02 - 00;24;31;13

Unknown

We get all the data and information back. The air is helping me give me feedback and telling me what things are happening and what things to maybe zoom in on, and then I can help make the clinical decision and help, you know, make the unique treatment plan for the patient. Understanding that the air just has the data that's put in, the patient has data that they'rebringing into the room.

00;24;31;13 - 00;24;49;09

Unknown

And I can help synthesize all of that and help, quote unquote, land the plane and help deliver that patient care. So that's kind of how I see the future, where it's doing a lot of very important things, but things that doesn't necessarily need the expertise of a physician to do. Yeah, that's that's a really good summary of that.

00;24;49;09 - 00;25;19;04

Unknown

And, you know, the more involved we get with the AI, the more we see the potential possibilities of AI, because I think we're already signed up for like 15 beta test solutions. And every time we have a conversation, we think of additional use cases coming down the road that I could help with. And so now we're getting to the point where we need to really be thoughtful about A.I. governance.

00;25;19;07 - 00;25;47;06

Unknown

And as far as I can tell, everybody's struggling with that whole concept of A.I. governance and how do we make sure that that we're delivering, you know, safe products and safe care from an AI perspective? And that's that's I think a hot button for most organizations is how do they do that better? But I think we're getting to that point where the system can help us and many things, and we're just starting with K but the new RB part of that.

00;25;47;06 - 00;26;10;06

Unknown

But ultimately, you know, having the system take every new piece of input, information that it comes at it, consider it in the context of the patient. And if it identifies an insight, we should know about that. Even if we haven't seen the patient, haven't seen the result, haven't seen that piece of information, if it impacts potentially the patient, we should know about it so we can then act on that.

00;26;10;06 - 00;26;35;06

Unknown

And so I think we're getting there. It's really exciting. We're all about safe travel here at Oracle. That's so. So Ashley, we'll have you close us out. As as health care organizations consider, you know, Oracle health for the future. What guidance would you give them you know in the the broader consideration of someone like Larry Ellison, what he really is out to go achieve?

00;26;35;08 - 00;26;57;24

Unknown

You know, I think obviously making sure that you have a clear vision for where you want your organization to go and why you're making the change and I think anchoring that decision as well in terms of what do you need today as well as where you're going in the future, if you think about, I'll say the competition or the rest of the the legacy laws that are out there.

00;26;57;26 - 00;27;23;00

Unknown

They're all what Dr. McFarland, Dr. Thompson has described, they're heavy on burden on the clinician because they're relying on them to do all the cognitive load decision making without really presenting meaningful information. And I really think that it's important for organizations as they're assessing their strategies for an are is how are how are those hours and other systems applying AI is it a bolt on that?

00;27;23;00 - 00;27;47;27

Unknown

I typically see the rest of the industry doing and trying to figure out how do they retrofit a AI that can only go an inch deep in supporting their needs, or are they really thinking about it, how Oracle's thinking about it, where it's woven at every single layer of the application to the data in the services. So that's allowing organizations to really transform how they manage care.

00;27;48;00 - 00;28;12;26

Unknown

An example I give is, you know, how do you best search for information in structured, unstructured data? Right? That's the power of the Oracle database is allowing us to do that. And so also thinking about the breadth and depth of the problems that organizations are looking to solve for, it might be clinical workflows today, it might be financials, tomorrow, it might be how are you stitching your supply chain together?

00;28;12;29 - 00;28;39;19

Unknown

So making sure that you're also thinking about in our system that can connect all of these threads together holistically and have the data to compute all the while in a safe, secure cloud that OCI can bring. So I think as we kind of round out to where Larry's vision is, right, Larry's has stated multiple times that it's a moral obligation for us to fix health care.

00;28;39;22 - 00;29;04;09

Unknown

And he knows that this is a long play, a long game that we're going to be in. And it's the commitment that you also want to make sure as an organization that you're hedging your wagon to an organization that also has that same commitment behind it that is willing to go on this journey with you. And I think that speaks volumes, too, to Larry and what he's doing and how he's helping to transform health care across the globe.

00;29;04;12 - 00;29;29;22

Unknown

Thanks, Ashley, and thanks for your leadership in that journey. It's a bold vision that I know we're out to go to go conquer. So thank you for leading charge. And I want to pay Special thanks to Dr. McFarland and Dr. Thompson for your partnership, for your time here today and for your leadership in that journey as well. You've been very influential to our teams continuing to move the meter forward on the innovation journey where we're out to go achieve.

00;29;29;24 - 00;29;57;24

Unknown

That's all for this episode of Perspectives on Health and Tech podcast. Be sure to subscribe to catch all of our future episodes. For more information from industry experts, visit Oracle dot com Forward slash health and Oracle dot com forward slash life hyphen Sciences. Thank you again for listening and join us again for the next insightful episode of Perspectives on Health and Tech.

00;29;57;27 - 00;30;06;18

Unknown

All right now. Yeah, I haven't sold my broadband, so I kind of got long winded. I was like, What am I going?

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In this episode, we dive deep into the transformative journey of two beta customers who are among the first to experience the Oracle Health EHR system and Clinical AI Agent’s in an ambulatory setting. They share their firsthand experiences while working with the design and testing of this cutting-edge technology. Joining the conversation is an Oracle Health clinical executive, Ashleigh George, who provides insights into the design, vision, and potential impact of this EHR solution on improving patient care. Together, they explore how this innovative system is reshaping the landscape of healthcare delivery and what it means for the future of ambulatory care.

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Episode Transcript:

Welcome to Perspectives on Health and Tech Podcasts, brought to you by Oracle Health, where we dive deep into the world of innovation and transformation in health care. My name is Matt Patterson, your host and moderator for today's discussion. Today, we're thrilled to welcome three renowned experts who are pioneering change in the health care industry.

00;00;59;03 - 00;01;28;18

Unknown

Joining us today, we have Ashley George, a visionary in health care technology and leader with an Oracle health product development. Dr. Ryan McFarland, a family medicine physician based out of Hudson, Wisconsin. And Dr. Randy Thompson, an emergency physician by training who now serves as the chief health analytics officer at Billings Clinic. In today's episode, we're going to explore challenges facing health care systems and how groundbreaking innovation is paving the way for a brighter, healthier future.

00;01;28;20 - 00;01;48;22

Unknown

So grab a seat and prepare to be inspired as we embark on this insightful journey. First off, I'd like to allow the opportunity for each of you to introduce yourselves. We'll start with Ashley and then Dr. McFarland and Dr. Thompson. Ashley Yeah, Thanks, Matt. Well, I think you actually might have a new calling in as a podcast broadcaster.

00;01;48;23 - 00;02;24;09

Unknown

That was an impressive intro. You've got a radio voice almost, but that's great. Well, anyway, thanks to Matt for having me on today. I'm Ashley George. I'm a clinician, actually, by background started my career 25 years ago in a neuro ICU unit and from there have had the opportunity to work in health care I.T. for the last 20 years and have really been at the forefront of the changes that have occurred over the last several decades and and excited for the work that I hand at Oracle Health, where we're doing today within our products and serving our clinicians around the world.

00;02;24;12 - 00;02;48;16

Unknown

Thanks, Ashley. And Dr. McFarlane, why don't you tell us a little bit about your yourresponsibilities in the organization and patients that you serve? Yeah, my name's Ryan McFarland. I'm a family medicine physician in Hudson, Wisconsin, part of a large private practice group. We've got about 60 providers. I'm one of the owners in the practice on our medical board, kind of help direct our practice into the future.

00;02;48;16 - 00;03;14;05

Unknown

And one of the big parts of my job has been working with our I.T. tech and things like that. And that's how we got involved with Oracle and fortunate enough to help be in the early beta testing and help build these products and everything. Thanks. And Dr. Thompson? Yeah. Good morning. My name's Randy Thompson. I'm the chief health Analytics officer for Billings Clinic Emergency Physician by training but work full time.

00;03;14;05 - 00;03;46;09

Unknown

And it now in our system is the largest independent health care system in Montana, where those clinic at Logan Health merge in 2023, we have over 1200 providers representing 80 medical specialties. My job is to try to make their lives better. And I, I could say I'vebeen in health care for 41 years now and there has never been a more exciting time to be in health care in terms of the positive solutions coming to our providers and nurses.

00;03;46;11 - 00;04;11;16

Unknown

Wonderful. Yeah, Thanks, Dr. Thompson. And I think that's a good segway into to get right into the meat of the conversation here. So today's podcast is obviously really about exactly what you just mentioned. Randy, The opportunities that exist within health care really to raise the bar in the industry with some of the Gen AI technologies that we're entering intothis new era of beyond.

00;04;11;16 - 00;04;33;11

Unknown

So within the current landscape, I want a level set where we're at today. Ashley Can you tell us a little bit about the biggest challenges that health care systems are seeing today? Really, how is technology currently influencing health care delivery today? Yeah, I mean, I'll say as I think about this, my my response isn't just US based centric.

00;04;33;11 - 00;04;51;12

Unknown

It is also thinking about internationally as I meet with customers around the world. And hands down top of mind is how are we supporting our clinicians so that they can better take care of the patients? Right. And I think you could I could be as dramatic to say as like we're at a moment of reckoning in terms of people are tired, they're exhausted.

00;04;51;12 - 00;05;11;17

Unknown

We don't have enough clinicians around the world to serve, you know, the patients that we need to take care of. Everyone is on razor thin margins. They're trying to do more with less. And yet it doesn't stop the regulations that continue to come in. It doesn't stop almost theinability for clinicians to be able to access care appropriately.

00;05;11;17 - 00;05;43;01

Unknown

And I think that's where for us, it's not an option. We have to transform and rethink how we're delivering health care and how technology can play a pivotal role in that. It's not the only answer, but it is a big answer in terms of how we're going to approach this. And I think, you know, I feel that here at Oracle Health, we we feel that urgency is to be able to help our clinicians, like the ones that are joining today's podcast, like how can we do better for them so that they themselves can do better and help take care of their patients.

00;05;43;01 - 00;06;23;08

Unknown

And that's really what we wake up every single day, striving to deliver. Wonderful. And Dr. McFarland, Dr. Thompson, you're from your purview. Well, what trends are you seeing that that opens up opportunity to really reshape health care? You know, I think the biggest trends are, you know, trying to get more, I would say, you know, clinician and patient focused and centered resources and technology for the first time versus it's previously been just purely a data gathering billing tool that didn't serve anyone other than the insurers and certain researchers.

00;06;23;10 - 00;06;40;17

Unknown

So that's I think the biggest trend is that we're actually seeing patient forward and physician forward products for the first time, which is part of why I think it's so exciting to see what's coming. So that's what I think is really the trend that we're seeing. That'sgoing to be a huge impact to our careers and patient care.

00;06;40;20 - 00;07;22;08

Unknown

And I would just add to that, having the system work for the providers and the nurses and the schedulers and the reps cycle people rather than us working for that solution. And I'll just give an example with the new H.R., the system is working on behalf of the clinician and going out and searching the record, finding out relevant information, bringing that back, collating it and presenting it to the clinicians in a manner that makes sense to them so that so that they can make decisions and, you know, have a better chart and so now it's the opposite way.

00;07;22;09 - 00;07;42;21

Unknown

We have to go out and we have to find relevant notes and find relevant studies and try to tweak the details and gather those details so we can consider that what their interaction with the patient and then document that all in the chart afterwards. And it's just almost impossible to do with a clinicians busy schedule the amount of time that takes.

00;07;42;23 - 00;08;03;17

Unknown

So that's what I'm excited about. Yeah, I mean that's I mean, it's huge. I mean, that's what I spend the bulk of my time doing is before I see a patient. Even when I'm in with the patients, it's digging through this slog of just repetitive data, good data, bad data, what'srelevant, where is the relevant information? And it falls on me to just sift through this huge backlog of data.

00;08;03;19 - 00;08;32;03

Unknown

And this is the first time where it's being brought forward to us. It's going to help us make better decisions, not miss things. You know, just give an example. And, you know, I was looking at one patient's note and the summary, the problem based summary had gone out and looked at 11 different notes and brought that information forward and presented it in a really succinct manner that was understandable and complete.

00;08;32;06 - 00;09;00;17

Unknown

So that so that, you know, that was really actionable information that it would be almost impossible for a clinician to do in the limited amount of time they have to review the record and then bring that forward. So I mean, it's just really exciting. Well said. You know, Ashley and I were actually talking yesterday in preparation for this podcast about the acceptance that exists in the industry around training requirements when you go to a new EMR.

00;09;00;19 - 00;09;20;15

Unknown

And I think it's just exemplary of where the bar stands today and the opportunity to raise that bar that you don't require 15 hours of training to understand where you need to go to find what you need, because now the technology works on your behalf as opposed to you having to figure out the technology to find what you need to provide care.

00;09;20;15 - 00;09;44;22

Unknown

So very well said. And I think a good segue way again to the next piece that we're going to dig into a little bit more about the Oracle health. Are each of you are very involved in, you know, being an early adopter, a part of the overall design as we've been going through this journey of the future state of really what an Oracle health model can bring to the industry.

00;09;44;25 - 00;10;07;21

Unknown

So Ashley, you know, focusing a little bit on the Oracle health are in that broader context. We just spoke to. Can you just talk a little bit about the vision of the system that you've been designing over the recent years? Yeah, absolutely. So if we even kind of unpack like Oracle Health electronic health record, right, to us, the vision is it's not it's not a record anymore.

00;10;07;21 - 00;10;34;05

Unknown

I mean, certainly has to be a record things, but it's beyond a record. It's a system of intelligence. And how do we really think about it as a partner, as a care team member that's aiding our clinicians, the staff, whoever's interacting with that, to really automate, to anticipate, to connect care. And really, at the end of the day, how does that empower our clinicians and not weigh them down?

00;10;34;07 - 00;11;03;29

Unknown

You'll hear us often say, even not to be so cliche, but it's like, how do we bring the joy to when a clinician is interacting with the system and making this meaningful and an invaluable to to him or her and all the interactions? And so I think when it comes down to it is it is how are we pivoting from just being a system of record to truly a system of intelligence that is acting on behalf as a care team member with the with the entire group and the team.

00;11;04;01 - 00;11;51;12

Unknown

And thanks, Ashley and Dr. McFarland. Dr. Thompson, can you just speak a little bit about your experience thus far and the impact to your practice that you believe you'll see? Yeah, it's I mean, it's been pretty exciting. Seven were part of a beta testing for the last two years I think almost now between the the COAG, the, you know, the ambient listening and creating notes to building orders the new are, I mean even from where we're at now, we went from struggling to find scribes to help support our practices to now I have a smart agent that writes my notes, is proposing orders for me, allowing me to keep productivity volume going.

00;11;51;14 - 00;12;09;05

Unknown

And then when we have seen the the new and getting to beta test that it's been I mean, it's it's incredible. You know, I keep having this desire to well, I need to go find the notes. I need to go look and dig in and all sort of like, she's just telling me right here what what'sbeen done, what the history is.

00;12;09;05 - 00;12;32;27

Unknown

And it's it's a it's really kind of creating an entire different paradigm of how we're going to interact with the electronic health record. Like, like Ashley was saying, it's not going to be so much more of a record. I do truly think they're building a product that will be more of kind of like a part of the care team, something that the physician can utilize to care for a patient and a patient can even utilize to understand their care better.

00;12;33;03 - 00;13;06;22

Unknown

That's where I kind of see this. The impact that it making. And I would just add, so we became a beta test partner kind of for selfish reasons. And, you know, our providers like to offer their opinions on why that solution is so terrible, right? But they don't have the opportunity to really help craft that solution. And so for us, having our providers have the opportunity to really help in the development of a solution that really makes sense to them and meets their needs.

00;13;06;22 - 00;13;41;03

Unknown

And so that was why we really volunteered to be a beta test partner. And it's been extremely rewarding both to the providers who, you know, previously would not participate in these test validations because they would do something, they'd read their feedback and nothing would happen, and so they would lose interest pretty quickly. But really exciting that when they rolled out like CAA, the the initial product was pretty basic, but it quickly improved based on the early and often feedback sessions that were scheduled.

00;13;41;05 - 00;14;04;13

Unknown

And the first time they saw their suggestion incorporated into the product. I mean, that was really exciting. And so we had like zero problem recruiting volunteers for this. So so that was really exciting. And, you know, Oracle I think is on the right track in terms of theyhave a vision for a solution like caa or the new h.r.

00;14;04;15 - 00;14;29;27

Unknown

And then they build something and then bring in clinicians both on the build side because, you know, on the new h.r. There have been work groups for providers and nurses for the acute ambulatory side of this for a while now. Since last year that they've been running the solution by them and soliciting feedback. Now they've got a product that they're in front of the beta testers and they're doing the same thing, soliciting that feedback and making changes on the fly.

00;14;29;29 - 00;14;50;05

Unknown

And so, I mean, to me, that's just the right way to do this. And everybody's pretty excited about that. Yeah, it's I mean, it's been incredible to be part of the process and to see, you know, feedback and frustrations get fixed quickly within, you know, a week or two direct feedback communication with the engineering team. I mean, it's been cool.

00;14;50;05 - 00;15;13;02

Unknown

We've had the engineers out at our clinic to watch our workflow because they weren'tunderstanding some of our, you know, issues or complaints. And then they see us using they go, that's what you need, which is I mean, instead of them giving us something, the engineers are actually in, Oracle's actually building something for the clinicians with direct clinician input, which has been pretty exciting to be part of.

00;15;13;04 - 00;15;38;03

Unknown

Yeah, I'll just add to that. They, they brought a team of over 20 engineers and, and solution people out here and they weren't just focused on one product they wanted to understand workflows so that they could then incorporate that into their design and build. And to me that was a big investment for them and I think well worth it for our end users.

00;15;38;05 - 00;16;02;23

Unknown

Great. And Dr. Thompson, Dr. McFarland, obviously Ashley just gave some insight on the overall Oracle health design strategies. But from your perspective, day in, day out, living in that world, can you talk a little bit more about really just what Oracle brings from, you know, a technology innovation strategy perspective? Matt Where are you directing that to me? Sorry, Yeah.

00;16;02;24 - 00;16;29;27

Unknown

Ashley Sorry. Yeah, yeah, yeah. I mean, got me to restate that. Yeah, maybe. Sorry. Let me, let me restate that pause. So, Ashley, having heard from Dr. Thompson and Dr. McFarland talk about some of the engagements and early adoption into strategies, can you just talk a little bit more about that detail from somebody working in the day in, day out?

00;16;29;29 - 00;16;55;19

Unknown

Yeah, I mean, you you heard Dr. Thompson say like in the legacy system, feedback was given and then it felt as if it went to a black hole and died like there was nothing that was coming out of out of the customer, even engaging in the feedback. And I think the theapproach and the engagement that the Oracle health team has taken is our design and development is a reflection of the customer voice first and foremost.

00;16;55;19 - 00;17;30;17

Unknown

And so it is how do we engage often and frequently and have that feedback loop that is constant so that we are constantly improving. I think we can also point to the fact of, you know, your hours and our history with our, you know, our current legacy systems, right?There's 30, 40 plus years of knowledge. And so there's also being able to take what worked really, really well in terms of some of the design, the usage and the patterns and what are we what should sustain or, you know, be persistent, but also what completely needs to be reimagined.

00;17;30;17 - 00;17;50;00

Unknown

And I think that is the piece as we are engaging with customers, is also we often say like check the brain of everything that you know historically about ours. And why did we always do it this way? Was it because it was a technology hindrance or we were had a limitation? Is it because it was a process issue that we now could maybe solve in a different way?

00;17;50;00 - 00;18;10;09

Unknown

And then how can I and automation completely turn it on its head to say, well, why does this need to take so many clicks tabs? Or do I even have to do that work? And it just automatically presented. And so it's really challenging our own kind of approach to how we'rethinking about these workflows to ensure that it's meeting the end users really needs.

00;18;10;09 - 00;18;46;29

Unknown

And it isn't just an answer with technology, but how does it all come together from a clinician perspective, their workflows and the lives and hopefully you guys are seeing that, you know, day in and day out in terms of the engagements that we're we're doing it at our customer sites and in these design sessions. Yeah, I would say I mean, we're it's we're seeing and it's been fun, you know, having been involved early to see what the kind of these dreams were and that here's our vision for the future and to see it slowly come out and start to as we're now culminating in the new EHR and seeing how these technology pieces interact to

00;18;46;29 - 00;19;22;11

Unknown

build this. I mean, it's unlike any other, you know, electronic system out there, which is pretty exciting to kind of see that come to fruition. Do you have any good stories, Dr. McFarland, Dr. Thompson, that you'd like to share on the impact thus far? Yeah. So couple, you know, personal impacts from a patient care standpoint. I mean, largely around the CAA order entry and some of the I would say some of the safety and accuracy that comes along with it.

00;19;22;13 - 00;19;44;10

Unknown

One patient's love of the product, the fact that I'm not on the computer, I'm sitting listening to them, and then the other one being, as you know, we're talking about orders and labs as we go along the visit. And it's tracking that for me and proposing these. So I'm not responsible for keeping up with them later. A good example was a long visit.

00;19;44;10 - 00;20;03;29

Unknown

I'd forgotten that we'd talked about a colonoscopy that they'd had elsewhere that wasn't in the h.R. And they were telling me how they needed a colonoscopy. And I said, yep, will help coordinate that. And then 30 minutes later, when the visit was done, I'd completely forgotten about it. But because or the oracle, the cia was listening, it proposed the colonoscopy order for me.

00;20;04;02 - 00;20;21;21

Unknown

You know, something that didn't get missed. While it may seem small, likely, yeah. The patient may have called back later. It saves a phone call. It's better. Patient care care is delivered accurately and on time. And I you know, I think we both probably have a lot of stories, but I mean, we just get feedback all the time.

00;20;21;21 - 00;20;44;09

Unknown

Like this week I got feedback from her provider that she said she was almost addicted to CAA and our chief of neurosurgery had a conversation with our CEO and said, if you ever take this away from me, I'm going to quit, which is pretty powerful. I was out in RTI shopping a couple of weeks ago and a family medicine physician made icon tacked it, headed my way.

00;20;44;09 - 00;21;04;18

Unknown

And usually you kind of dread those interactions because it's usually not positive. It'slike, how did it hurt me this week? But it wasn't that conversation. It was really she was ready to cut down on her FTE. She was always had to quit charts. She'd go home and chart late at night and on the weekend and never caught up.

00;21;04;21 - 00;21;26;23

Unknown

And then the first day she used it, she was done at 530 Notre Dame. She went home and enjoyed her family and that had never happened before. So that was really, really positive. Another person commented, That saved my career, very similar. And so we hear these stories all the time and and they're I mean, they're real and meaningful.

00;21;26;25 - 00;21;45;16

Unknown

You Yeah, we were sitting in our one of our owner meetings not too long ago, and someone brought up, you know, making sure that like, is the CAA worth it is what we're doing is this you know necessary. And I think four or five of the physicians stopped and goes, let me be clear, if we don't have this, I'm retiring today.

00;21;45;18 - 00;22;03;18

Unknown

So, I mean, it's it's, you know, a huge joy factor for physicians. It's career extending, it's work life balance. You know, it's patient safety. It's all of it. I mean, the notes are better as we review, you know, previous physician notes who we continually had to be like, hey, these notes aren't up to par. We need more in there.

00;22;03;18 - 00;22;42;17

Unknown

It's from a billing, safety, legal standpoint, whatever it was, those aren't conversations we need to have anymore because it's just ambient me doing it. And that's just what I would say is the more quote unquote simple of the products that's coming, you know, coming out. And it's already had just such a huge impact. I love that. And one of the key goals at Oracle, as we've taken on this health care journey is really for technology to become an aid to clinicians, to patients, and as opposed to a hindrance as its historically existed.

00;22;42;19 - 00;23;02;13

Unknown

Dr. Macfarlane, you spoke to this a little bit earlier. I'd be curious to your lines on this not only now, but moving forward as we as a closing question, does a guide does the journey that we're on with Oracle Health, does I feel like a member of the team to actually become that assistant or or just another observer?

00;23;02;16 - 00;23;22;21

Unknown

You know, I think it does. I was talking with someone the other day and I kind of made the analogy to the airline industry and I kind of see, you know, the physician career and what I envision it is we're going to become truly more like a pilot. And the air is the airplane that we're flying, that it does a whole lot of things for us, right?

00;23;22;21 - 00;23;45;22

Unknown

I'm there for takeoff. I'm collecting the patient information, I'm interviewing the patient, doing the exam, getting the correct, the stuff I'm trained for. I'm collecting the healthdata, using my expertise and training to elicit the important information I collect that I help make clinical decisions. And then the AI is doing all the automated stuff. Once we'retaken off, it's helping me with their maintenance.

00;23;45;22 - 00;24;10;02

Unknown

What do they do when all the automated stuff that I really shouldn't be using my brain power for? I don't need to be memorizing all the rules around immunization intervals, colonoscopy intervals. The AI is doing that for me, understanding that also patients are unique and unexpected. Unexpected things happen just like, you know, turbulence, mid-air. Something happens. I can intervene just like a pilot can intervene, and then I'm there for the landing.

00;24;10;02 - 00;24;31;13

Unknown

We get all the data and information back. The air is helping me give me feedback and telling me what things are happening and what things to maybe zoom in on, and then I can help make the clinical decision and help, you know, make the unique treatment plan for the patient. Understanding that the air just has the data that's put in, the patient has data that they'rebringing into the room.

00;24;31;13 - 00;24;49;09

Unknown

And I can help synthesize all of that and help, quote unquote, land the plane and help deliver that patient care. So that's kind of how I see the future, where it's doing a lot of very important things, but things that doesn't necessarily need the expertise of a physician to do. Yeah, that's that's a really good summary of that.

00;24;49;09 - 00;25;19;04

Unknown

And, you know, the more involved we get with the AI, the more we see the potential possibilities of AI, because I think we're already signed up for like 15 beta test solutions. And every time we have a conversation, we think of additional use cases coming down the road that I could help with. And so now we're getting to the point where we need to really be thoughtful about A.I. governance.

00;25;19;07 - 00;25;47;06

Unknown

And as far as I can tell, everybody's struggling with that whole concept of A.I. governance and how do we make sure that that we're delivering, you know, safe products and safe care from an AI perspective? And that's that's I think a hot button for most organizations is how do they do that better? But I think we're getting to that point where the system can help us and many things, and we're just starting with K but the new RB part of that.

00;25;47;06 - 00;26;10;06

Unknown

But ultimately, you know, having the system take every new piece of input, information that it comes at it, consider it in the context of the patient. And if it identifies an insight, we should know about that. Even if we haven't seen the patient, haven't seen the result, haven't seen that piece of information, if it impacts potentially the patient, we should know about it so we can then act on that.

00;26;10;06 - 00;26;35;06

Unknown

And so I think we're getting there. It's really exciting. We're all about safe travel here at Oracle. That's so. So Ashley, we'll have you close us out. As as health care organizations consider, you know, Oracle health for the future. What guidance would you give them you know in the the broader consideration of someone like Larry Ellison, what he really is out to go achieve?

00;26;35;08 - 00;26;57;24

Unknown

You know, I think obviously making sure that you have a clear vision for where you want your organization to go and why you're making the change and I think anchoring that decision as well in terms of what do you need today as well as where you're going in the future, if you think about, I'll say the competition or the rest of the the legacy laws that are out there.

00;26;57;26 - 00;27;23;00

Unknown

They're all what Dr. McFarland, Dr. Thompson has described, they're heavy on burden on the clinician because they're relying on them to do all the cognitive load decision making without really presenting meaningful information. And I really think that it's important for organizations as they're assessing their strategies for an are is how are how are those hours and other systems applying AI is it a bolt on that?

00;27;23;00 - 00;27;47;27

Unknown

I typically see the rest of the industry doing and trying to figure out how do they retrofit a AI that can only go an inch deep in supporting their needs, or are they really thinking about it, how Oracle's thinking about it, where it's woven at every single layer of the application to the data in the services. So that's allowing organizations to really transform how they manage care.

00;27;48;00 - 00;28;12;26

Unknown

An example I give is, you know, how do you best search for information in structured, unstructured data? Right? That's the power of the Oracle database is allowing us to do that. And so also thinking about the breadth and depth of the problems that organizations are looking to solve for, it might be clinical workflows today, it might be financials, tomorrow, it might be how are you stitching your supply chain together?

00;28;12;29 - 00;28;39;19

Unknown

So making sure that you're also thinking about in our system that can connect all of these threads together holistically and have the data to compute all the while in a safe, secure cloud that OCI can bring. So I think as we kind of round out to where Larry's vision is, right, Larry's has stated multiple times that it's a moral obligation for us to fix health care.

00;28;39;22 - 00;29;04;09

Unknown

And he knows that this is a long play, a long game that we're going to be in. And it's the commitment that you also want to make sure as an organization that you're hedging your wagon to an organization that also has that same commitment behind it that is willing to go on this journey with you. And I think that speaks volumes, too, to Larry and what he's doing and how he's helping to transform health care across the globe.

00;29;04;12 - 00;29;29;22

Unknown

Thanks, Ashley, and thanks for your leadership in that journey. It's a bold vision that I know we're out to go to go conquer. So thank you for leading charge. And I want to pay Special thanks to Dr. McFarland and Dr. Thompson for your partnership, for your time here today and for your leadership in that journey as well. You've been very influential to our teams continuing to move the meter forward on the innovation journey where we're out to go achieve.

00;29;29;24 - 00;29;57;24

Unknown

That's all for this episode of Perspectives on Health and Tech podcast. Be sure to subscribe to catch all of our future episodes. For more information from industry experts, visit Oracle dot com Forward slash health and Oracle dot com forward slash life hyphen Sciences. Thank you again for listening and join us again for the next insightful episode of Perspectives on Health and Tech.

00;29;57;27 - 00;30;06;18

Unknown

All right now. Yeah, I haven't sold my broadband, so I kind of got long winded. I was like, What am I going?

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