588d182a-895f-4512-9ba5-60c338c3701f/6-0
00:00:03.528 --> 00:00:08.126
the founding director and vice president
of Global Health at Northwell. Eric,

588d182a-895f-4512-9ba5-60c338c3701f/6-1
00:00:08.126 --> 00:00:10.248
thanks so much for joining us today.

588d182a-895f-4512-9ba5-60c338c3701f/5-0
00:00:10.008 --> 00:00:11.208
Thanks for having me.

588d182a-895f-4512-9ba5-60c338c3701f/8-0
00:00:11.368 --> 00:00:14.915
As background,
Northwell Health is a health system based

588d182a-895f-4512-9ba5-60c338c3701f/8-1
00:00:14.915 --> 00:00:17.964
in Long Island, New York,
specifically Melville,

588d182a-895f-4512-9ba5-60c338c3701f/8-2
00:00:17.964 --> 00:00:20.702
right in the middle,
with 6600 beds and 14,

588d182a-895f-4512-9ba5-60c338c3701f/8-3
00:00:20.702 --> 00:00:25.057
500 providers across 24 hospitals and
other care facilities with 100,

588d182a-895f-4512-9ba5-60c338c3701f/8-4
00:00:25.057 --> 00:00:26.488
000 employees. So Eric.

588d182a-895f-4512-9ba5-60c338c3701f/9-0
00:00:26.928 --> 00:00:29.562
We're excited to be talking today about
Guyana,

588d182a-895f-4512-9ba5-60c338c3701f/9-1
00:00:29.562 --> 00:00:33.731
Ukraine and why a health system in the
United States should be caring about

588d182a-895f-4512-9ba5-60c338c3701f/9-2
00:00:33.731 --> 00:00:37.352
international medicine.
So please tell us a little bit about what

588d182a-895f-4512-9ba5-60c338c3701f/9-3
00:00:37.352 --> 00:00:41.796
you're doing in those countries and what
your what your global health program is

588d182a-895f-4512-9ba5-60c338c3701f/9-4
00:00:41.796 --> 00:00:42.728
up to these days.

588d182a-895f-4512-9ba5-60c338c3701f/10-0
00:00:43.008 --> 00:00:46.717
Yeah, thank you. It's great to be here,
like I said. And you know,

588d182a-895f-4512-9ba5-60c338c3701f/10-1
00:00:46.717 --> 00:00:49.318
it's been a privilege at Northwell.
I've been,

588d182a-895f-4512-9ba5-60c338c3701f/10-2
00:00:49.318 --> 00:00:53.802
I've been the kind of founding director
and now vice president of the Center for

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00:00:53.802 --> 00:00:57.012
Global Health at Northwell since 2019
when we founded it.

588d182a-895f-4512-9ba5-60c338c3701f/10-4
00:00:57.012 --> 00:00:59.890
And it really was answering the question,
you know,

588d182a-895f-4512-9ba5-60c338c3701f/10-5
00:00:59.890 --> 00:01:02.768
can a health system do something a little
bit more?

588d182a-895f-4512-9ba5-60c338c3701f/11-0
00:01:02.848 --> 00:01:05.981
Than, you know,
the traditional medical mission model

588d182a-895f-4512-9ba5-60c338c3701f/11-1
00:01:05.981 --> 00:01:09.694
where we let, you know,
it's basically where we passively allow

588d182a-895f-4512-9ba5-60c338c3701f/11-2
00:01:09.694 --> 00:01:14.277
physicians to go out and do this work
internationally that they like to do and

588d182a-895f-4512-9ba5-60c338c3701f/11-3
00:01:14.277 --> 00:01:18.047
that they enjoy doing.
Is there a way that we could organize it,

588d182a-895f-4512-9ba5-60c338c3701f/11-4
00:01:18.047 --> 00:01:22.688
put some structure around it and have
that energy get captured and be a better?

588d182a-895f-4512-9ba5-60c338c3701f/14-0
00:01:22.768 --> 00:01:27.433
Value to a partner internationally and
actually serve some value to the health

588d182a-895f-4512-9ba5-60c338c3701f/14-1
00:01:27.433 --> 00:01:30.385
system.
And that's really kind of what the Center

588d182a-895f-4512-9ba5-60c338c3701f/14-2
00:01:30.385 --> 00:01:34.045
for Global Health's thesis forming thesis
was, was, you know,

588d182a-895f-4512-9ba5-60c338c3701f/13-0
00:01:34.008 --> 00:01:34.568
Mhm.

588d182a-895f-4512-9ba5-60c338c3701f/14-3
00:01:34.045 --> 00:01:38.178
can we take all of this goodwill,
all of this desire to give back and

588d182a-895f-4512-9ba5-60c338c3701f/14-4
00:01:38.178 --> 00:01:42.488
travel abroad and teach and really
organize it around specific projects?

588d182a-895f-4512-9ba5-60c338c3701f/15-0
00:01:42.688 --> 00:01:46.923
And we, we, as you said,
we have two big projects that we work on

588d182a-895f-4512-9ba5-60c338c3701f/15-1
00:01:46.923 --> 00:01:51.222
our flagship project in Guyana,
which is the only English speaking

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00:01:51.222 --> 00:01:54.943
country in South America.
And then Ukraine is our second,

588d182a-895f-4512-9ba5-60c338c3701f/15-3
00:01:54.943 --> 00:01:58.279
second site,
which really started at the request of

588d182a-895f-4512-9ba5-60c338c3701f/15-4
00:01:58.279 --> 00:02:01.808
the CEO Emeritus,
the prior CEO of Northwell, Michael.

588d182a-895f-4512-9ba5-60c338c3701f/16-0
00:02:02.688 --> 00:02:06.968
killing after the full-scale invasion in
2022 of Ukraine.

588d182a-895f-4512-9ba5-60c338c3701f/17-0
00:02:06.688 --> 00:02:11.973
Excellent. So let's start with Deanna.
I understand that they're undergoing a

588d182a-895f-4512-9ba5-60c338c3701f/17-1
00:02:11.973 --> 00:02:16.309
digital transformation from paper to
electronic health records.

588d182a-895f-4512-9ba5-60c338c3701f/17-2
00:02:16.309 --> 00:02:21.865
So many of our more seasoned and tenured
listeners may remember this happening in

588d182a-895f-4512-9ba5-60c338c3701f/17-3
00:02:21.865 --> 00:02:26.608
the United States a few decades ago.
What's the program looking like?

588d182a-895f-4512-9ba5-60c338c3701f/18-0
00:02:26.968 --> 00:02:30.046
Yeah.
So right now we've got a program that has,

588d182a-895f-4512-9ba5-60c338c3701f/18-1
00:02:30.046 --> 00:02:32.622
you know,
we're we're engaged in over 17

588d182a-895f-4512-9ba5-60c338c3701f/18-2
00:02:32.622 --> 00:02:37.522
departments and service lines in Guyana.
So there's really a lot of activity.

588d182a-895f-4512-9ba5-60c338c3701f/18-3
00:02:37.522 --> 00:02:42.548
It's one of what we call a core site,
which really means that the health system

588d182a-895f-4512-9ba5-60c338c3701f/18-4
00:02:42.548 --> 00:02:46.568
has engaged in a five-year partnership
with the government and.

588d182a-895f-4512-9ba5-60c338c3701f/19-0
00:02:46.688 --> 00:02:52.575
The largest public hospital there in in
essentially doing in kind health care

588d182a-895f-4512-9ba5-60c338c3701f/19-1
00:02:52.575 --> 00:02:58.084
kind of advocacy and health system
strengthening work based on what they

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00:02:58.084 --> 00:03:02.688
need and so everything from psychiatry to
pediatric urology.

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00:03:02.688 --> 00:03:05.539
You know,
you know we've we've basically brought to

588d182a-895f-4512-9ba5-60c338c3701f/20-1
00:03:05.539 --> 00:03:09.815
bear in Guyana one of the big projects
that they're doing as you mentioned is

588d182a-895f-4512-9ba5-60c338c3701f/20-2
00:03:09.815 --> 00:03:14.200
they've they've kind of contracted their
first electronic medical record and as

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00:03:14.200 --> 00:03:18.366
they're building new hospitals and and
and starting to bring new facilities

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00:03:18.366 --> 00:03:20.998
online,
they're also looking at digitizing kind

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00:03:20.998 --> 00:03:22.368
of their existing health.

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00:03:22.568 --> 00:03:22.928
Help.

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00:03:22.928 --> 00:03:26.402
Records and health infrastructure.
It's a pretty daunting task.

588d182a-895f-4512-9ba5-60c338c3701f/23-1
00:03:26.402 --> 00:03:28.953
I think right now at most hospitals in
Guyana,

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00:03:28.488 --> 00:03:28.968
Mhm.

588d182a-895f-4512-9ba5-60c338c3701f/23-2
00:03:28.953 --> 00:03:33.350
the amount of medical record storage is
probably a fire hazard in most of the in

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00:03:33.350 --> 00:03:36.498
most of the hospitals. You know,
like even the, you know,

588d182a-895f-4512-9ba5-60c338c3701f/23-4
00:03:36.498 --> 00:03:40.786
we say it in jest, but the CEO of of GPHC,
which is the large public hospital,

588d182a-895f-4512-9ba5-60c338c3701f/23-5
00:03:40.786 --> 00:03:42.848
the coronary care hospital in Georgia.

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00:03:43.928 --> 00:03:46.213
Georgetown, which is the capital,
you know,

588d182a-895f-4512-9ba5-60c338c3701f/24-1
00:03:46.213 --> 00:03:48.914
said that like they were actually in the
file room,

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00:03:48.914 --> 00:03:52.861
they ran out of space to put their
medical records because they had so such

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00:03:52.861 --> 00:03:56.185
a volume of paper records.
And when you think about modern care

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00:03:56.185 --> 00:04:00.235
delivery and how complicated modern care
delivery is to try and document that

588d182a-895f-4512-9ba5-60c338c3701f/24-5
00:04:00.235 --> 00:04:02.728
effectively on paper is essentially
impossible.

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00:04:03.088 --> 00:04:07.060
And so they realized very quickly that
they were going to have a kind of

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00:04:07.060 --> 00:04:10.271
enormous challenge,
not only in switching to an electronic

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00:04:10.271 --> 00:04:14.406
medical record that's hopefully starting
from all the mistakes of the past,

588d182a-895f-4512-9ba5-60c338c3701f/25-3
00:04:14.406 --> 00:04:17.780
you know, 30 years of medical records.
But but not only that,

588d182a-895f-4512-9ba5-60c338c3701f/25-4
00:04:17.780 --> 00:04:22.079
they had this enormous wealth of paper
data that they were going to have to in

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00:04:22.079 --> 00:04:22.568
some way.

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00:04:22.688 --> 00:04:27.133
Kind of make workable and usable.
So we've been working with them and other

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00:04:27.133 --> 00:04:29.765
New York health systems are engaged on
that.

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00:04:29.765 --> 00:04:34.503
Our specific cut out right now is in the
pre-hospital space and we're looking at

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00:04:34.503 --> 00:04:38.656
taking their ambulance service,
which isn't isn't a national ambulance

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00:04:38.656 --> 00:04:42.048
service and creating a national ambulance
authority that.

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00:04:42.448 --> 00:04:46.032
Will respond to emergencies countrywide,
dispatch ambulances,

588d182a-895f-4512-9ba5-60c338c3701f/27-1
00:04:46.032 --> 00:04:50.367
provide a record of patient care and then
have that record of patient care

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00:04:50.367 --> 00:04:53.836
seamlessly integrate into the larger
hospital system's EMR.

588d182a-895f-4512-9ba5-60c338c3701f/27-3
00:04:53.836 --> 00:04:58.518
And so that's the kind of the piece of
this that we've taken on and are spending

588d182a-895f-4512-9ba5-60c338c3701f/27-4
00:04:58.518 --> 00:05:01.928
a lot of time thinking about right now
and it's even that.

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00:05:01.968 --> 00:05:05.490
I think has enormous,
enormous challenges and things that you

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00:05:05.490 --> 00:05:08.728
wouldn't think of coming at this from the
United States.

588d182a-895f-4512-9ba5-60c338c3701f/30-0
00:05:09.048 --> 00:05:12.427
So, Eric,
there's just a million topics you covered

588d182a-895f-4512-9ba5-60c338c3701f/30-1
00:05:12.427 --> 00:05:16.909
talking about that. You know,
let's talk about the specifics of what

588d182a-895f-4512-9ba5-60c338c3701f/30-2
00:05:16.909 --> 00:05:21.457
Northwell is providing. First of all,
I'm thinking, is it mentorship?

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00:05:21.457 --> 00:05:25.940
Is it actual physicians and nurses,
provider caregivers giving care?

588d182a-895f-4512-9ba5-60c338c3701f/30-4
00:05:25.940 --> 00:05:28.928
Is it consulting? What exactly,
specifically?

588d182a-895f-4512-9ba5-60c338c3701f/29-0
00:05:27.888 --> 00:05:28.168
Yeah.

588d182a-895f-4512-9ba5-60c338c3701f/31-0
00:05:29.008 --> 00:05:32.728
Are the resources being allocated from
Northwell to Guyana?

588d182a-895f-4512-9ba5-60c338c3701f/35-0
00:05:33.888 --> 00:05:39.082
So it's a little bit of all of the above
that you just mentioned with an emphasis

588d182a-895f-4512-9ba5-60c338c3701f/35-1
00:05:39.082 --> 00:05:43.452
on we're trying very hard not to be the
ones providing medical care.

588d182a-895f-4512-9ba5-60c338c3701f/32-0
00:05:41.248 --> 00:05:42.008
Mhm.

588d182a-895f-4512-9ba5-60c338c3701f/33-0
00:05:43.408 --> 00:05:43.608
3.

588d182a-895f-4512-9ba5-60c338c3701f/35-2
00:05:43.452 --> 00:05:48.455
So with very limited exception are our
docs and nurses functioning as docs and

588d182a-895f-4512-9ba5-60c338c3701f/34-0
00:05:48.408 --> 00:05:48.888
Mhm.

588d182a-895f-4512-9ba5-60c338c3701f/35-3
00:05:48.455 --> 00:05:49.088
nurses in.

588d182a-895f-4512-9ba5-60c338c3701f/36-0
00:05:49.168 --> 00:05:52.197
In Guyana,
it's really we do some campaign based

588d182a-895f-4512-9ba5-60c338c3701f/36-1
00:05:52.197 --> 00:05:56.585
work where we do some surgical campaigns
and help them clear backlogs,

588d182a-895f-4512-9ba5-60c338c3701f/36-2
00:05:56.585 --> 00:06:01.715
but that's the exception and not the rule.
I would say the rule of it is really in

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00:06:01.715 --> 00:06:06.041
kind consulting, mentorship,
leadership development, everything from,

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00:06:06.041 --> 00:06:07.648
you know, launching a new.

588d182a-895f-4512-9ba5-60c338c3701f/37-0
00:06:09.168 --> 00:06:12.434
Modality of psychiatric care.
So electroconvulsive therapy,

588d182a-895f-4512-9ba5-60c338c3701f/37-1
00:06:12.434 --> 00:06:16.353
which has been used in the States for
years and years to for refractory

588d182a-895f-4512-9ba5-60c338c3701f/37-2
00:06:16.353 --> 00:06:20.217
depression and schizophrenia.
We launched that service with the public

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00:06:20.217 --> 00:06:23.210
hospital in Guyana.
So help them acquire the machines,

588d182a-895f-4512-9ba5-60c338c3701f/37-4
00:06:23.210 --> 00:06:26.693
trained all the nurses,
the anesthesia docs, the psychiatrists,

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00:06:26.693 --> 00:06:29.088
so they were able to deliver this
modality.

588d182a-895f-4512-9ba5-60c338c3701f/38-0
00:06:29.168 --> 00:06:34.222
Of care and then helped them launch that
service and then provided kind of not

588d182a-895f-4512-9ba5-60c338c3701f/38-1
00:06:34.222 --> 00:06:37.677
just tech support,
but in kind support kind of to the

588d182a-895f-4512-9ba5-60c338c3701f/38-2
00:06:37.677 --> 00:06:40.939
program moving forward.
And so that's one example,

588d182a-895f-4512-9ba5-60c338c3701f/38-3
00:06:40.939 --> 00:06:45.929
but it's really kind of full thickness
partnership I think is the best way to

588d182a-895f-4512-9ba5-60c338c3701f/38-4
00:06:45.929 --> 00:06:48.808
describe it.
Our docs get a lot out of this.

588d182a-895f-4512-9ba5-60c338c3701f/40-0
00:06:49.008 --> 00:06:52.897
To like our doctors come back from these
projects and they say, you know,

588d182a-895f-4512-9ba5-60c338c3701f/40-1
00:06:52.897 --> 00:06:56.680
I spent a week there in country.
They've now normally the week visit of

588d182a-895f-4512-9ba5-60c338c3701f/40-2
00:06:56.680 --> 00:07:00.936
from an attending physician is buttressed
by weeks and weeks of virtual meetings

588d182a-895f-4512-9ba5-60c338c3701f/40-3
00:07:00.936 --> 00:07:05.088
before and after. But then you know,
we encourage a lot of our providers to do

588d182a-895f-4512-9ba5-60c338c3701f/39-0
00:07:02.248 --> 00:07:02.728
Mhm.

588d182a-895f-4512-9ba5-60c338c3701f/40-4
00:07:05.088 --> 00:07:08.608
a site visit to see the country,
to see the providers, to see the.

588d182a-895f-4512-9ba5-60c338c3701f/43-0
00:07:08.728 --> 00:07:14.318
The clinical environment for themselves
and they come back and they say, you know,

588d182a-895f-4512-9ba5-60c338c3701f/43-1
00:07:14.318 --> 00:07:19.302
this has been one of the most valuable
parts of my career in terms of the

588d182a-895f-4512-9ba5-60c338c3701f/43-2
00:07:19.302 --> 00:07:22.804
exposure,
the ability to form kind of intercultural

588d182a-895f-4512-9ba5-60c338c3701f/43-3
00:07:22.804 --> 00:07:27.855
professional bonds with people in the
same discipline that are facing very

588d182a-895f-4512-9ba5-60c338c3701f/41-0
00:07:24.688 --> 00:07:25.288
Mhm.

588d182a-895f-4512-9ba5-60c338c3701f/43-4
00:07:27.855 --> 00:07:28.528
different.

588d182a-895f-4512-9ba5-60c338c3701f/46-0
00:07:28.568 --> 00:07:31.120
Challenges.
And there's a kind of a what's gets

588d182a-895f-4512-9ba5-60c338c3701f/42-0
00:07:29.368 --> 00:07:30.008
Mhm.

588d182a-895f-4512-9ba5-60c338c3701f/46-1
00:07:31.120 --> 00:07:35.425
described as a kind of a purity of the
medicine, you know, cause most countries,

588d182a-895f-4512-9ba5-60c338c3701f/44-0
00:07:35.328 --> 00:07:35.928
Mhm.

588d182a-895f-4512-9ba5-60c338c3701f/46-2
00:07:35.425 --> 00:07:38.880
it's not hard to go to a country that has
less focus on medical,

588d182a-895f-4512-9ba5-60c338c3701f/46-3
00:07:38.880 --> 00:07:42.176
legal and billing than than when you
leave the United States.

588d182a-895f-4512-9ba5-60c338c3701f/46-4
00:07:42.176 --> 00:07:44.621
Basically any country you go to in the
world,

588d182a-895f-4512-9ba5-60c338c3701f/45-0
00:07:42.928 --> 00:07:43.048
OK.

588d182a-895f-4512-9ba5-60c338c3701f/46-5
00:07:44.621 --> 00:07:48.448
you're probably doing a little bit better
than you would be doing here.

588d182a-895f-4512-9ba5-60c338c3701f/47-0
00:07:46.448 --> 00:07:52.301
Yeah. So you, you know,
there's great expense associated with all

588d182a-895f-4512-9ba5-60c338c3701f/47-1
00:07:52.301 --> 00:07:56.735
of this.
Is all this funded by Northwell Health's

588d182a-895f-4512-9ba5-60c338c3701f/47-2
00:07:56.735 --> 00:08:01.790
largesse or is there funding from the
World Bank or IMF?

588d182a-895f-4512-9ba5-60c338c3701f/47-3
00:08:01.790 --> 00:08:05.248
And this is going back to the original.

588d182a-895f-4512-9ba5-60c338c3701f/48-0
00:08:05.328 --> 00:08:09.068
Premise of this conversation, which is,
you know,

588d182a-895f-4512-9ba5-60c338c3701f/48-1
00:08:09.068 --> 00:08:14.379
for any of our listeners this episode,
why would they be interested in

588d182a-895f-4512-9ba5-60c338c3701f/48-2
00:08:14.379 --> 00:08:20.288
initiating some sort of like program at
their institution? So funding and ROI.

588d182a-895f-4512-9ba5-60c338c3701f/49-0
00:08:19.488 --> 00:08:22.347
Yeah,
it's it's a great question and it's a

588d182a-895f-4512-9ba5-60c338c3701f/49-1
00:08:22.347 --> 00:08:26.115
question I get asked often,
as you can imagine. You know,

588d182a-895f-4512-9ba5-60c338c3701f/49-2
00:08:26.115 --> 00:08:29.948
it's it started out 100% seeded from the
Northwell budget.

588d182a-895f-4512-9ba5-60c338c3701f/49-3
00:08:29.948 --> 00:08:33.001
This was kind of an idea,
a twinkle in an eye.

588d182a-895f-4512-9ba5-60c338c3701f/49-4
00:08:33.001 --> 00:08:37.808
And so it's tough to get funders,
especially when you're 30 years behind.

588d182a-895f-4512-9ba5-60c338c3701f/52-0
00:08:39.328 --> 00:08:44.017
Kind of the other major academic medical
centers in terms of global health

588d182a-895f-4512-9ba5-60c338c3701f/52-1
00:08:44.017 --> 00:08:47.393
development to say, hey,
fund this idea that we have.

588d182a-895f-4512-9ba5-60c338c3701f/50-0
00:08:45.328 --> 00:08:45.808
Mhm.

588d182a-895f-4512-9ba5-60c338c3701f/52-2
00:08:47.393 --> 00:08:51.644
So it was seeded through Northwell's
budget and Northwell still has

588d182a-895f-4512-9ba5-60c338c3701f/51-0
00:08:50.368 --> 00:08:51.408
Mm-hmm.

588d182a-895f-4512-9ba5-60c338c3701f/52-3
00:08:51.644 --> 00:08:55.583
significant stake in the game.
But I our programmatic expense,

588d182a-895f-4512-9ba5-60c338c3701f/52-4
00:08:55.583 --> 00:08:58.208
the expense of travel, the expense of our.

588d182a-895f-4512-9ba5-60c338c3701f/55-0
00:08:58.288 --> 00:09:03.677
The expensive kind of program delivery
has been offset about $0.70 on the dollar,

588d182a-895f-4512-9ba5-60c338c3701f/55-1
00:09:03.677 --> 00:09:06.765
and that's offset by either government
grants,

588d182a-895f-4512-9ba5-60c338c3701f/53-0
00:09:04.928 --> 00:09:05.648
Mhm.

588d182a-895f-4512-9ba5-60c338c3701f/55-2
00:09:06.765 --> 00:09:11.365
so direct from the government of Guyana
or the government of Ukraine,

588d182a-895f-4512-9ba5-60c338c3701f/55-3
00:09:11.365 --> 00:09:15.308
individual donors.
So we have an individual donor pool that

588d182a-895f-4512-9ba5-60c338c3701f/55-4
00:09:15.308 --> 00:09:17.608
is interested in this kind of work.

588d182a-895f-4512-9ba5-60c338c3701f/56-0
00:09:17.808 --> 00:09:22.497
And seeing this kind of work work and and
then the other part is is still you know

588d182a-895f-4512-9ba5-60c338c3701f/54-0
00:09:19.368 --> 00:09:19.448
Um.

588d182a-895f-4512-9ba5-60c338c3701f/56-1
00:09:22.497 --> 00:09:25.830
there's about $0.
30 on the dollar that's Northwell budget

588d182a-895f-4512-9ba5-60c338c3701f/56-2
00:09:25.830 --> 00:09:30.292
funded and that that's kind of our stake
in the in this in saying that this is

588d182a-895f-4512-9ba5-60c338c3701f/56-3
00:09:30.292 --> 00:09:32.608
important in our part of the partnership.

588d182a-895f-4512-9ba5-60c338c3701f/59-0
00:09:32.048 --> 00:09:37.471
So since this is Healthy Data podcast,
I'd like to ask a few data centric

588d182a-895f-4512-9ba5-60c338c3701f/59-1
00:09:37.471 --> 00:09:42.894
questions. Data centers, connectivity,
broadband infrastructure, latency.

588d182a-895f-4512-9ba5-60c338c3701f/57-0
00:09:38.048 --> 00:09:38.808
Sure.

588d182a-895f-4512-9ba5-60c338c3701f/59-2
00:09:42.894 --> 00:09:47.364
These are questions I'm sure many
listeners are considering.

588d182a-895f-4512-9ba5-60c338c3701f/59-3
00:09:47.364 --> 00:09:50.808
Obviously you know clouds,
is cloud an option?

588d182a-895f-4512-9ba5-60c338c3701f/58-0
00:09:51.488 --> 00:09:51.848
Yeah.

588d182a-895f-4512-9ba5-60c338c3701f/61-0
00:09:51.728 --> 00:09:54.747
Out there commercial cloud.
Is it only on Prem?

588d182a-895f-4512-9ba5-60c338c3701f/61-1
00:09:54.747 --> 00:09:58.081
What about data security?
Security of a data center?

588d182a-895f-4512-9ba5-60c338c3701f/61-2
00:09:58.081 --> 00:10:01.288
Is there a data center there?
How you know please?

588d182a-895f-4512-9ba5-60c338c3701f/60-0
00:09:59.248 --> 00:09:59.448
Yeah.

588d182a-895f-4512-9ba5-60c338c3701f/62-0
00:10:01.328 --> 00:10:04.769
Yeah, no, it's great.
Those are all great questions.

588d182a-895f-4512-9ba5-60c338c3701f/62-1
00:10:04.769 --> 00:10:09.313
And it's funny because this week I'm
grappling with some very similar

588d182a-895f-4512-9ba5-60c338c3701f/62-2
00:10:09.313 --> 00:10:13.598
questions with, you know,
with computer assisted dispatch for for

588d182a-895f-4512-9ba5-60c338c3701f/62-3
00:10:13.598 --> 00:10:16.714
911 and EMS.
You know their their cloud is is a

588d182a-895f-4512-9ba5-60c338c3701f/62-4
00:10:16.714 --> 00:10:21.128
feasible option in Guyana.
Broadband Internet is pretty ubiquitous.

588d182a-895f-4512-9ba5-60c338c3701f/64-0
00:10:21.248 --> 00:10:25.379
Certainly in the capital and in the
coastline cities,

588d182a-895f-4512-9ba5-60c338c3701f/64-1
00:10:25.379 --> 00:10:31.575
you know direct broadband or 5G or LTE
style kind of mobile service is is pretty

588d182a-895f-4512-9ba5-60c338c3701f/64-2
00:10:31.575 --> 00:10:35.859
ubiquitous in the hinterland of Guyana,
which you know,

588d182a-895f-4512-9ba5-60c338c3701f/64-3
00:10:35.859 --> 00:10:40.448
95% of the Guyanese population lives on
the Atlantic Coast.

588d182a-895f-4512-9ba5-60c338c3701f/66-0
00:10:40.768 --> 00:10:44.586
On the North Coast,
the other 5% lives in a a very large part

588d182a-895f-4512-9ba5-60c338c3701f/66-1
00:10:44.586 --> 00:10:47.542
of area that's got very low population
density,

588d182a-895f-4512-9ba5-60c338c3701f/66-2
00:10:47.542 --> 00:10:52.037
you know population centers of 2000 or
less. What the ministry has done,

588d182a-895f-4512-9ba5-60c338c3701f/65-0
00:10:48.528 --> 00:10:49.008
Mhm.

588d182a-895f-4512-9ba5-60c338c3701f/66-3
00:10:52.037 --> 00:10:57.025
the Ministry of Health has done in those
cases is they set up health centers and

588d182a-895f-4512-9ba5-60c338c3701f/66-4
00:10:57.025 --> 00:11:00.288
health outposts and each one of them is
set up with.

588d182a-895f-4512-9ba5-60c338c3701f/68-0
00:11:00.368 --> 00:11:06.049
A low Earth orbit satellite connection
and it's actually all Starlink at this

588d182a-895f-4512-9ba5-60c338c3701f/68-1
00:11:06.049 --> 00:11:12.095
point cause Starlink is the most reliable
of the low Earth orbit at least in in in

588d182a-895f-4512-9ba5-60c338c3701f/68-2
00:11:12.095 --> 00:11:16.465
in South America.
So so you know we we're we're able to not

588d182a-895f-4512-9ba5-60c338c3701f/67-0
00:11:13.208 --> 00:11:13.688
Mhm.

588d182a-895f-4512-9ba5-60c338c3701f/68-3
00:11:16.465 --> 00:11:19.888
only digitize the health post but it
actually.

588d182a-895f-4512-9ba5-60c338c3701f/69-0
00:11:20.208 --> 00:11:23.988
It's got enough broadband that we
actually give the community members

588d182a-895f-4512-9ba5-60c338c3701f/69-1
00:11:23.988 --> 00:11:27.282
digital access as well.
So they are able to get online for a

588d182a-895f-4512-9ba5-60c338c3701f/69-2
00:11:27.282 --> 00:11:31.656
certain amount of time per day where they
can log in and check e-mail and access

588d182a-895f-4512-9ba5-60c338c3701f/69-3
00:11:31.656 --> 00:11:34.302
the digital services the government is
offering.

588d182a-895f-4512-9ba5-60c338c3701f/69-4
00:11:34.302 --> 00:11:38.784
But it does have its its limitations and
you know we've been thinking about things

588d182a-895f-4512-9ba5-60c338c3701f/69-5
00:11:38.784 --> 00:11:39.648
like everything.

588d182a-895f-4512-9ba5-60c338c3701f/72-0
00:11:39.728 --> 00:11:42.899
From, you know,
ambulance connectivity and EPCR and and

588d182a-895f-4512-9ba5-60c338c3701f/72-1
00:11:42.899 --> 00:11:46.126
remote, you know,
computer-assisted dispatch all the way

588d182a-895f-4512-9ba5-60c338c3701f/72-2
00:11:46.126 --> 00:11:50.599
through to like remote robotic surgery,
which the president of the country has

588d182a-895f-4512-9ba5-60c338c3701f/70-0
00:11:49.488 --> 00:11:50.008
Mhm.

588d182a-895f-4512-9ba5-60c338c3701f/72-3
00:11:50.599 --> 00:11:55.298
challenged us to do in Guyana. You know,
things like latency are really important,

588d182a-895f-4512-9ba5-60c338c3701f/72-4
00:11:55.298 --> 00:11:58.073
right?
And now in low-earth robot satellites you

588d182a-895f-4512-9ba5-60c338c3701f/71-0
00:11:56.328 --> 00:11:56.808
Mhm.

588d182a-895f-4512-9ba5-60c338c3701f/72-5
00:11:58.073 --> 00:11:59.488
can you can kind of plan.

588d182a-895f-4512-9ba5-60c338c3701f/74-0
00:11:59.648 --> 00:12:02.645
And for the latency,
like it's low latency and then there's

588d182a-895f-4512-9ba5-60c338c3701f/74-1
00:12:02.645 --> 00:12:06.291
some interruptions like scheduled
interruptions in the connectivity that

588d182a-895f-4512-9ba5-60c338c3701f/73-0
00:12:05.848 --> 00:12:06.088
Hm.

588d182a-895f-4512-9ba5-60c338c3701f/74-2
00:12:06.291 --> 00:12:08.989
we're thinking about,
but it's certainly a challenge.

588d182a-895f-4512-9ba5-60c338c3701f/74-3
00:12:08.989 --> 00:12:12.785
The data privacy laws in Guyana, again,
that's something that we're working

588d182a-895f-4512-9ba5-60c338c3701f/74-4
00:12:12.785 --> 00:12:16.831
through right now with the National Data
Management Authority because there is a

588d182a-895f-4512-9ba5-60c338c3701f/74-5
00:12:16.831 --> 00:12:19.128
law that says that most health data needs
to.

588d182a-895f-4512-9ba5-60c338c3701f/77-0
00:12:19.288 --> 00:12:22.307
Stay in Guyana on, you know,
on premises somewhere,

588d182a-895f-4512-9ba5-60c338c3701f/75-0
00:12:22.048 --> 00:12:22.568
Mhm.

588d182a-895f-4512-9ba5-60c338c3701f/77-1
00:12:22.307 --> 00:12:26.023
they don't really have the data center
needed to run. You know,

588d182a-895f-4512-9ba5-60c338c3701f/77-2
00:12:26.023 --> 00:12:30.610
the cloud would be a much better option
for them in terms of computer assisted

588d182a-895f-4512-9ba5-60c338c3701f/77-3
00:12:30.610 --> 00:12:35.081
dispatch software and we're trying to
figure out kind of how that's going to

588d182a-895f-4512-9ba5-60c338c3701f/76-0
00:12:32.128 --> 00:12:32.848
Mm-hmm.

588d182a-895f-4512-9ba5-60c338c3701f/77-4
00:12:35.081 --> 00:12:38.448
work. But these are, you know,
really relevant questions.

588d182a-895f-4512-9ba5-60c338c3701f/78-0
00:12:38.448 --> 00:12:41.599
That the government is struggling with
right now,

588d182a-895f-4512-9ba5-60c338c3701f/78-1
00:12:41.599 --> 00:12:44.498
which is how do we protect our citizens
data?

588d182a-895f-4512-9ba5-60c338c3701f/78-2
00:12:44.498 --> 00:12:49.666
How do we not let regulation get in the
way of digitization of our health system,

588d182a-895f-4512-9ba5-60c338c3701f/78-3
00:12:49.666 --> 00:12:53.636
which is badly needed,
and balance kind of those two competing

588d182a-895f-4512-9ba5-60c338c3701f/78-4
00:12:53.636 --> 00:12:55.968
forces? Add the third part, which is.

588d182a-895f-4512-9ba5-60c338c3701f/80-0
00:12:56.048 --> 00:13:00.096
Because Guyana is so small,
the population of the country is under a

588d182a-895f-4512-9ba5-60c338c3701f/80-1
00:13:00.096 --> 00:13:03.967
million people and it's a new market for
most of these companies.

588d182a-895f-4512-9ba5-60c338c3701f/79-0
00:13:00.968 --> 00:13:01.448
Mhm.

588d182a-895f-4512-9ba5-60c338c3701f/80-2
00:13:03.967 --> 00:13:08.660
Even getting companies to pay attention
and sell their cloud service to a place

588d182a-895f-4512-9ba5-60c338c3701f/80-3
00:13:08.660 --> 00:13:13.235
like Guyana where they view, you know,
a new regulatory risk is being a legal

588d182a-895f-4512-9ba5-60c338c3701f/80-4
00:13:13.235 --> 00:13:15.288
risk. Is it worth it given the low?

588d182a-895f-4512-9ba5-60c338c3701f/85-0
00:13:15.808 --> 00:13:19.812
Numbers of patient encounters. It's been,
it's been challenging math for us and

588d182a-895f-4512-9ba5-60c338c3701f/85-1
00:13:19.812 --> 00:13:23.866
it's one of the things that I think kind
of countries that still have developing

588d182a-895f-4512-9ba5-60c338c3701f/81-0
00:13:19.888 --> 00:13:19.928
Uh.

588d182a-895f-4512-9ba5-60c338c3701f/85-2
00:13:23.866 --> 00:13:26.219
healthcare systems are having to contend
with.

588d182a-895f-4512-9ba5-60c338c3701f/85-3
00:13:26.219 --> 00:13:30.323
I remember having a conversation with the
Prime Minister of Barbados and she told

588d182a-895f-4512-9ba5-60c338c3701f/85-4
00:13:30.323 --> 00:13:32.975
me that, you know,
they called Epic to bring Epic to

588d182a-895f-4512-9ba5-60c338c3701f/82-0
00:13:32.768 --> 00:13:33.488
Mhm.

588d182a-895f-4512-9ba5-60c338c3701f/85-5
00:13:32.975 --> 00:13:35.728
Barbados and they didn't even return
their phone call.

588d182a-895f-4512-9ba5-60c338c3701f/86-0
00:13:35.808 --> 00:13:39.156
Because it's too small of a market.
And so, you know, there are just,

588d182a-895f-4512-9ba5-60c338c3701f/83-0
00:13:36.488 --> 00:13:36.728
This.

588d182a-895f-4512-9ba5-60c338c3701f/84-0
00:13:38.048 --> 00:13:38.648
Mhm.

588d182a-895f-4512-9ba5-60c338c3701f/86-1
00:13:39.156 --> 00:13:42.983
there are challenges that I think these
countries face that we don't even think

588d182a-895f-4512-9ba5-60c338c3701f/86-2
00:13:42.983 --> 00:13:45.709
about sitting in New York, you know,
with the, you know,

588d182a-895f-4512-9ba5-60c338c3701f/86-3
00:13:45.709 --> 00:13:47.048
the world at our fingertips.

588d182a-895f-4512-9ba5-60c338c3701f/87-0
00:13:46.168 --> 00:13:50.638
Well, all right. Well,
this is an interesting conversation and

588d182a-895f-4512-9ba5-60c338c3701f/87-1
00:13:50.638 --> 00:13:55.960
that's why we're having an unhealthy data
podcast before we go to Ukraine.

588d182a-895f-4512-9ba5-60c338c3701f/87-2
00:13:55.960 --> 00:13:59.578
And I want to get to that topic. You know,
I just,

588d182a-895f-4512-9ba5-60c338c3701f/87-3
00:13:59.578 --> 00:14:04.048
it wouldn't be a podcast in 2026 if I
didn't mention Gen. A I.

588d182a-895f-4512-9ba5-60c338c3701f/88-0
00:14:04.328 --> 00:14:08.548
But here's the thing.
I'm only mentioning it because I see a

588d182a-895f-4512-9ba5-60c338c3701f/88-1
00:14:08.548 --> 00:14:14.083
particular use case that could be really
interesting that I bet not many health

588d182a-895f-4512-9ba5-60c338c3701f/88-2
00:14:14.083 --> 00:14:17.680
systems in the United States are
leveraging it for.

588d182a-895f-4512-9ba5-60c338c3701f/88-3
00:14:17.680 --> 00:14:22.731
Is there any application of Gen.
AI to ingest all the paper records in a

588d182a-895f-4512-9ba5-60c338c3701f/88-4
00:14:22.731 --> 00:14:23.768
more expedited?

588d182a-895f-4512-9ba5-60c338c3701f/89-0
00:14:24.008 --> 00:14:28.168
Ash and then simply scanning them or
manually typing them in.

588d182a-895f-4512-9ba5-60c338c3701f/91-0
00:14:28.528 --> 00:14:32.565
I I certainly think so.
I I actually think and I've and I've

588d182a-895f-4512-9ba5-60c338c3701f/91-1
00:14:32.565 --> 00:14:37.726
talked to the president and the Minister
of Health about this and I and and I

588d182a-895f-4512-9ba5-60c338c3701f/91-2
00:14:37.726 --> 00:14:42.954
think I think the difficulty with Gen.
AI is unless you have kind of the local

588d182a-895f-4512-9ba5-60c338c3701f/91-3
00:14:42.954 --> 00:14:44.608
champion who understands.

588d182a-895f-4512-9ba5-60c338c3701f/90-0
00:14:43.208 --> 00:14:43.688
Mhm.

588d182a-895f-4512-9ba5-60c338c3701f/95-0
00:14:44.648 --> 00:14:47.998
The language,
potential and risk and can articulate

588d182a-895f-4512-9ba5-60c338c3701f/95-1
00:14:47.998 --> 00:14:52.637
that to the non kind of non-expert in a
way that they feel comfortable.

588d182a-895f-4512-9ba5-60c338c3701f/95-2
00:14:52.637 --> 00:14:57.597
It's almost like you false start,
like they're like, yeah, we want to do it.

588d182a-895f-4512-9ba5-60c338c3701f/92-0
00:14:52.768 --> 00:14:53.768
Mm-hmm.

588d182a-895f-4512-9ba5-60c338c3701f/95-3
00:14:57.597 --> 00:15:02.171
How do we do it? Like do you,
like do you just call anthropic and say,

588d182a-895f-4512-9ba5-60c338c3701f/93-0
00:14:59.568 --> 00:15:00.728
Yeah.

588d182a-895f-4512-9ba5-60c338c3701f/95-4
00:15:02.171 --> 00:15:04.168
hey, we got, you know, 100 and.

588d182a-895f-4512-9ba5-60c338c3701f/98-0
00:15:04.368 --> 00:15:08.007
50 million pages of patient data that
we'd like you to ingest,

588d182a-895f-4512-9ba5-60c338c3701f/94-0
00:15:04.528 --> 00:15:04.648
OK.

588d182a-895f-4512-9ba5-60c338c3701f/98-1
00:15:08.007 --> 00:15:11.357
like it's really hard to figure out where
to start there.

588d182a-895f-4512-9ba5-60c338c3701f/96-0
00:15:09.808 --> 00:15:10.048
Hmm.

588d182a-895f-4512-9ba5-60c338c3701f/98-2
00:15:11.357 --> 00:15:14.823
We've had a couple of good conversations
with some AI, Gen.

588d182a-895f-4512-9ba5-60c338c3701f/98-3
00:15:14.823 --> 00:15:18.289
AI healthcare companies that want to help
Guyana with this,

588d182a-895f-4512-9ba5-60c338c3701f/97-0
00:15:17.088 --> 00:15:17.568
Mhm.

588d182a-895f-4512-9ba5-60c338c3701f/98-4
00:15:18.289 --> 00:15:20.368
but I think the problem is, is that.

588d182a-895f-4512-9ba5-60c338c3701f/100-0
00:15:20.448 --> 00:15:24.628
We're we're far enough along that they
don't want to really prove concept with a

588d182a-895f-4512-9ba5-60c338c3701f/100-1
00:15:24.628 --> 00:15:28.705
pilot for us and they're not far enough
along where they're going to get a big

588d182a-895f-4512-9ba5-60c338c3701f/100-2
00:15:28.705 --> 00:15:32.731
contract from us to do this because in
our mind it's unproven still or in the

588d182a-895f-4512-9ba5-60c338c3701f/99-0
00:15:31.968 --> 00:15:32.408
Yeah.

588d182a-895f-4512-9ba5-60c338c3701f/100-3
00:15:32.731 --> 00:15:35.672
guy in these minds.
And so we're in this Gray zone where

588d182a-895f-4512-9ba5-60c338c3701f/100-4
00:15:35.672 --> 00:15:38.098
we're not sure how to kind of proceed
forward,

588d182a-895f-4512-9ba5-60c338c3701f/100-5
00:15:38.098 --> 00:15:40.368
but there is this and then the second
part.

588d182a-895f-4512-9ba5-60c338c3701f/103-0
00:15:40.408 --> 00:15:45.864
Part of this is they you know the the
company that they went with for the their

588d182a-895f-4512-9ba5-60c338c3701f/103-1
00:15:45.864 --> 00:15:50.842
EMR is a it's a British company.
They've had some some EMR success in in

588d182a-895f-4512-9ba5-60c338c3701f/103-2
00:15:50.842 --> 00:15:56.502
in the Caribbean but but Guyana is their
biggest project ever and and there's kind

588d182a-895f-4512-9ba5-60c338c3701f/101-0
00:15:51.648 --> 00:15:52.208
Mhm.

588d182a-895f-4512-9ba5-60c338c3701f/102-0
00:15:54.568 --> 00:15:55.128
Mhm.

588d182a-895f-4512-9ba5-60c338c3701f/103-3
00:15:56.502 --> 00:16:00.048
of this wonder will the EMR even be able
to ingest.

588d182a-895f-4512-9ba5-60c338c3701f/104-0
00:16:00.128 --> 00:16:04.769
The level of data that the that an A I
would pull from and and and kind of how

588d182a-895f-4512-9ba5-60c338c3701f/104-1
00:16:04.769 --> 00:16:08.176
would that work.
And so a lot of questions unanswered and

588d182a-895f-4512-9ba5-60c338c3701f/104-2
00:16:08.176 --> 00:16:12.759
I feel like that's probably something
that we should be more prescriptive and

588d182a-895f-4512-9ba5-60c338c3701f/104-3
00:16:12.759 --> 00:16:15.872
thoughtful about,
but we're ending up being reactive

588d182a-895f-4512-9ba5-60c338c3701f/104-4
00:16:15.872 --> 00:16:19.808
because there are so many other competing
priorities right now in.

588d182a-895f-4512-9ba5-60c338c3701f/105-0
00:16:19.888 --> 00:16:22.208
up this this this electronic health
record.

588d182a-895f-4512-9ba5-60c338c3701f/108-0
00:16:22.608 --> 00:16:26.665
Well, I appreciate you delving into that.
Thank you for indulging me.

588d182a-895f-4512-9ba5-60c338c3701f/106-0
00:16:25.288 --> 00:16:25.928
Done.

588d182a-895f-4512-9ba5-60c338c3701f/108-1
00:16:26.665 --> 00:16:29.737
I'd like to pivot to Ukraine.
What's going on there?

588d182a-895f-4512-9ba5-60c338c3701f/107-0
00:16:29.208 --> 00:16:29.448
Yeah.

588d182a-895f-4512-9ba5-60c338c3701f/108-2
00:16:29.737 --> 00:16:33.388
Obviously it was a priority for the
previous CEO of Northwell.

588d182a-895f-4512-9ba5-60c338c3701f/108-3
00:16:33.388 --> 00:16:35.648
What are you doing on the ground there?

588d182a-895f-4512-9ba5-60c338c3701f/109-0
00:16:36.088 --> 00:16:41.101
Yeah, so, you know,
Ukraine's been something that's also near

588d182a-895f-4512-9ba5-60c338c3701f/109-1
00:16:41.101 --> 00:16:45.871
and dear to my heart.
It started as a telemedicine service

588d182a-895f-4512-9ba5-60c338c3701f/109-2
00:16:45.871 --> 00:16:51.288
where in 2022 in addition to working with
the with the government.

588d182a-895f-4512-9ba5-60c338c3701f/110-0
00:16:51.328 --> 00:16:54.208
Hospitals in providing supplies and
needed equipment,

588d182a-895f-4512-9ba5-60c338c3701f/110-1
00:16:54.208 --> 00:16:58.475
which really started after the Russian
full-scale invasion in February of 2022.

588d182a-895f-4512-9ba5-60c338c3701f/110-2
00:16:58.475 --> 00:17:02.102
We started talking to hospital directors
and asking them, you know,

588d182a-895f-4512-9ba5-60c338c3701f/110-3
00:17:02.102 --> 00:17:05.995
would would telemedicine be helpful to
you? We were coming out of COVID.

588d182a-895f-4512-9ba5-60c338c3701f/110-4
00:17:05.995 --> 00:17:10.155
We had just learned kind of all these
things we could do with kind of virtual

588d182a-895f-4512-9ba5-60c338c3701f/110-5
00:17:10.155 --> 00:17:11.168
patient monitoring.

588d182a-895f-4512-9ba5-60c338c3701f/113-0
00:17:11.208 --> 00:17:13.755
And telemedicine and virtual second
opinions.

588d182a-895f-4512-9ba5-60c338c3701f/113-1
00:17:13.755 --> 00:17:17.961
And and we were looking to see if there
was a way that we could be helpful,

588d182a-895f-4512-9ba5-60c338c3701f/113-2
00:17:17.961 --> 00:17:21.449
honestly. And we were,
we were empowered by the CEO to to make

588d182a-895f-4512-9ba5-60c338c3701f/113-3
00:17:21.449 --> 00:17:25.711
it work. And I'll be honest with you,
what we envisioned and what I think we

588d182a-895f-4512-9ba5-60c338c3701f/111-0
00:17:21.808 --> 00:17:22.368
Mhm.

588d182a-895f-4512-9ba5-60c338c3701f/113-4
00:17:25.711 --> 00:17:27.648
thought the system was going to be.

588d182a-895f-4512-9ba5-60c338c3701f/116-0
00:17:27.728 --> 00:17:30.403
Is not ended,
did not end up being what it actually

588d182a-895f-4512-9ba5-60c338c3701f/112-0
00:17:28.008 --> 00:17:28.248
Hmm.

588d182a-895f-4512-9ba5-60c338c3701f/116-1
00:17:30.403 --> 00:17:34.467
ended up and what was helpful. You know,
I think we somehow imagined that we'd

588d182a-895f-4512-9ba5-60c338c3701f/116-2
00:17:34.467 --> 00:17:38.480
have like a camera in a trauma Bay and
we'd be helping direct resuscitations.

588d182a-895f-4512-9ba5-60c338c3701f/116-3
00:17:38.480 --> 00:17:42.132
It became very clear, you know,
you only have to be at war for a small

588d182a-895f-4512-9ba5-60c338c3701f/116-4
00:17:42.132 --> 00:17:46.299
amount of time before your docs become
really good at taking care of penetrating

588d182a-895f-4512-9ba5-60c338c3701f/114-0
00:17:44.728 --> 00:17:45.208
Mhm.

588d182a-895f-4512-9ba5-60c338c3701f/116-5
00:17:46.299 --> 00:17:47.328
trauma, right? Like.

588d182a-895f-4512-9ba5-60c338c3701f/118-0
00:17:47.408 --> 00:17:51.505
You know, like it, nothing.
Nothing gives you expertise like

588d182a-895f-4512-9ba5-60c338c3701f/115-0
00:17:47.568 --> 00:17:48.368
Mm-hmm.

588d182a-895f-4512-9ba5-60c338c3701f/118-1
00:17:51.505 --> 00:17:55.064
experience.
So we we really found ourselves like not

588d182a-895f-4512-9ba5-60c338c3701f/118-2
00:17:55.064 --> 00:18:00.100
expert at managing wartime trauma
compared to our Ukrainian colleagues who

588d182a-895f-4512-9ba5-60c338c3701f/118-3
00:18:00.100 --> 00:18:03.928
were seeing it day in and day out as the
war marched on.

588d182a-895f-4512-9ba5-60c338c3701f/117-0
00:18:03.488 --> 00:18:04.568
Mm-hmm.

588d182a-895f-4512-9ba5-60c338c3701f/120-0
00:18:04.728 --> 00:18:07.818
What ended up,
what ended up being really valuable to

588d182a-895f-4512-9ba5-60c338c3701f/120-1
00:18:07.818 --> 00:18:10.564
them,
and it was important that we had the kind

588d182a-895f-4512-9ba5-60c338c3701f/120-2
00:18:10.564 --> 00:18:13.367
of operational flexibility that we could
really,

588d182a-895f-4512-9ba5-60c338c3701f/120-3
00:18:13.367 --> 00:18:16.285
we were building the plane as we were
lifting off.

588d182a-895f-4512-9ba5-60c338c3701f/119-0
00:18:16.048 --> 00:18:16.648
Mhm.

588d182a-895f-4512-9ba5-60c338c3701f/120-4
00:18:16.285 --> 00:18:20.862
So we really kind of had the ability to
modify what the use case was as we were

588d182a-895f-4512-9ba5-60c338c3701f/120-5
00:18:20.862 --> 00:18:23.608
talking to the Ukrainians.
It ended up being a.

588d182a-895f-4512-9ba5-60c338c3701f/122-0
00:18:24.048 --> 00:18:29.114
Virtual second opinion service for really
complicated medical patients whose care

588d182a-895f-4512-9ba5-60c338c3701f/122-1
00:18:29.114 --> 00:18:34.055
was severely disrupted by the war because
specialists were scattered around the

588d182a-895f-4512-9ba5-60c338c3701f/121-0
00:18:31.408 --> 00:18:31.608
1.

588d182a-895f-4512-9ba5-60c338c3701f/122-2
00:18:34.055 --> 00:18:37.762
country, because big,
big centers of excellence were either

588d182a-895f-4512-9ba5-60c338c3701f/122-3
00:18:37.762 --> 00:18:41.962
bombed or at risk. You know,
these patients that had really kind of

588d182a-895f-4512-9ba5-60c338c3701f/122-4
00:18:41.962 --> 00:18:43.568
fragile cases that needed.

588d182a-895f-4512-9ba5-60c338c3701f/124-0
00:18:43.568 --> 00:18:47.632
Lots of different specialist and
subspecialist interactions.

588d182a-895f-4512-9ba5-60c338c3701f/123-0
00:18:46.688 --> 00:18:47.208
Mhm.

588d182a-895f-4512-9ba5-60c338c3701f/124-1
00:18:47.632 --> 00:18:51.563
Think pediatric cancers.
Think really complicated surgical

588d182a-895f-4512-9ba5-60c338c3701f/124-2
00:18:51.563 --> 00:18:55.693
surgical approaches.
Northwell physicians were really helpful

588d182a-895f-4512-9ba5-60c338c3701f/124-3
00:18:55.693 --> 00:19:00.890
in managing those cases as kind of a
copilot that sat alongside the Ukrainian

588d182a-895f-4512-9ba5-60c338c3701f/124-4
00:19:00.890 --> 00:19:02.888
doc that had training in some.

588d182a-895f-4512-9ba5-60c338c3701f/126-0
00:19:03.048 --> 00:19:08.004
But not all of the of the care and helped
provide kind of a full suite of care to

588d182a-895f-4512-9ba5-60c338c3701f/126-1
00:19:08.004 --> 00:19:11.328
these patients.
And so the ones that I really remember

588d182a-895f-4512-9ba5-60c338c3701f/126-2
00:19:11.328 --> 00:19:14.047
the most are the pediatric cancer
referrals.

588d182a-895f-4512-9ba5-60c338c3701f/126-3
00:19:14.047 --> 00:19:18.882
We had a couple of you know transplant
cases where we were working with working

588d182a-895f-4512-9ba5-60c338c3701f/126-4
00:19:18.882 --> 00:19:22.568
with patients that were scheduled for
transplant before the.

588d182a-895f-4512-9ba5-60c338c3701f/125-0
00:19:22.528 --> 00:19:23.768
Mm-hmm.

588d182a-895f-4512-9ba5-60c338c3701f/128-0
00:19:22.688 --> 00:19:26.966
War that needed optimization and then
transplant elsewhere and how do you know

588d182a-895f-4512-9ba5-60c338c3701f/128-1
00:19:26.966 --> 00:19:31.135
answering complicated questions about how
you manage that patient as they're

588d182a-895f-4512-9ba5-60c338c3701f/128-2
00:19:31.135 --> 00:19:35.629
waiting for a transplant that's now you
know the the date of which is not certain.

588d182a-895f-4512-9ba5-60c338c3701f/128-3
00:19:35.629 --> 00:19:39.852
You know it it it became really nuanced
and it and it but it took off and you

588d182a-895f-4512-9ba5-60c338c3701f/128-4
00:19:39.852 --> 00:19:42.288
could tell that it was valuable because
the.

588d182a-895f-4512-9ba5-60c338c3701f/131-0
00:19:42.288 --> 00:19:46.313
Ukrainians kept calling and that was kind
of to me, the measure of success.

588d182a-895f-4512-9ba5-60c338c3701f/131-1
00:19:46.313 --> 00:19:49.861
The more that we, I said,
the more that they hit the button to get

588d182a-895f-4512-9ba5-60c338c3701f/129-0
00:19:48.888 --> 00:19:49.368
Mhm.

588d182a-895f-4512-9ba5-60c338c3701f/131-2
00:19:49.861 --> 00:19:52.774
us on the phone,
the better this was going to be done.

588d182a-895f-4512-9ba5-60c338c3701f/130-0
00:19:51.808 --> 00:19:51.928
So.

588d182a-895f-4512-9ba5-60c338c3701f/131-3
00:19:52.774 --> 00:19:56.375
And to date we've done, you know,
over 1500 of these virtual second

588d182a-895f-4512-9ba5-60c338c3701f/131-4
00:19:56.375 --> 00:19:59.128
opinions and it was a model for Northwell
Health's.

588d182a-895f-4512-9ba5-60c338c3701f/134-0
00:19:59.408 --> 00:20:04.392
Contract with the Department of State,
where we now do this officially for every

588d182a-895f-4512-9ba5-60c338c3701f/134-1
00:20:04.392 --> 00:20:09.376
embassy and consulate around the world
for the United States government. And so,

588d182a-895f-4512-9ba5-60c338c3701f/133-0
00:20:07.168 --> 00:20:11.044
Oh, interesting.
So it was a business development play,

588d182a-895f-4512-9ba5-60c338c3701f/134-2
00:20:09.376 --> 00:20:12.083
yeah, it ended up, it started as,
you know,

588d182a-895f-4512-9ba5-60c338c3701f/133-1
00:20:11.044 --> 00:20:11.528
really.

588d182a-895f-4512-9ba5-60c338c3701f/134-3
00:20:12.083 --> 00:20:16.328
very altruistic and ended up being a
business development plan. Yep.

588d182a-895f-4512-9ba5-60c338c3701f/136-0
00:20:18.328 --> 00:20:23.296
So we are approaching the end of the
podcast episode and I do have a closing

588d182a-895f-4512-9ba5-60c338c3701f/136-1
00:20:23.296 --> 00:20:26.521
question,
but penultimately before we get to that

588d182a-895f-4512-9ba5-60c338c3701f/136-2
00:20:26.521 --> 00:20:30.779
one. So on this Ukraine topic,
I do have to ask at least one data

588d182a-895f-4512-9ba5-60c338c3701f/135-0
00:20:30.208 --> 00:20:31.048
Yeah.

588d182a-895f-4512-9ba5-60c338c3701f/136-3
00:20:30.779 --> 00:20:33.940
question.
So you have Northwell providers in the

588d182a-895f-4512-9ba5-60c338c3701f/136-4
00:20:33.940 --> 00:20:35.488
New York tri-state area.

588d182a-895f-4512-9ba5-60c338c3701f/138-0
00:20:36.128 --> 00:20:39.425
And then you have patients and providers
in Ukraine.

588d182a-895f-4512-9ba5-60c338c3701f/137-0
00:20:39.168 --> 00:20:39.528
Yeah.

588d182a-895f-4512-9ba5-60c338c3701f/138-1
00:20:39.425 --> 00:20:44.215
Now I'm presuming that the providers in
Ukraine are looking at an electronic

588d182a-895f-4512-9ba5-60c338c3701f/138-2
00:20:44.215 --> 00:20:48.382
health record and they're asking for
support from providers across

588d182a-895f-4512-9ba5-60c338c3701f/138-3
00:20:48.382 --> 00:20:51.368
international boundaries in the Atlantic
Ocean.

588d182a-895f-4512-9ba5-60c338c3701f/139-0
00:20:51.648 --> 00:20:57.437
So the question that I would like to pose
to you is how are you facilitating

588d182a-895f-4512-9ba5-60c338c3701f/139-1
00:20:57.437 --> 00:21:03.376
viewing of the patient's EHR in real time
and allowing Northwell physicians to

588d182a-895f-4512-9ba5-60c338c3701f/139-2
00:21:03.376 --> 00:21:09.239
navigate through it in order to provide
recommendations because I'm sure just

588d182a-895f-4512-9ba5-60c338c3701f/139-3
00:21:09.239 --> 00:21:10.968
having me on the phone.

588d182a-895f-4512-9ba5-60c338c3701f/141-0
00:21:11.328 --> 00:21:15.435
Is inadequate to allowing me to have
direct access to the EHR in order to

588d182a-895f-4512-9ba5-60c338c3701f/141-1
00:21:15.435 --> 00:21:19.265
provide that second opinion.
So how are you facilitating data access

588d182a-895f-4512-9ba5-60c338c3701f/140-0
00:21:17.328 --> 00:21:17.928
Yeah.

588d182a-895f-4512-9ba5-60c338c3701f/141-2
00:21:19.265 --> 00:21:23.150
across thousands of miles and
international boundaries to support the

588d182a-895f-4512-9ba5-60c338c3701f/141-3
00:21:23.150 --> 00:21:24.648
real time decision support?

588d182a-895f-4512-9ba5-60c338c3701f/144-0
00:21:25.808 --> 00:21:29.211
That's a great question.
The short answer is not well,

588d182a-895f-4512-9ba5-60c338c3701f/144-1
00:21:29.211 --> 00:21:33.170
but but you know and it's and it's
evolved as the as the as our

588d182a-895f-4512-9ba5-60c338c3701f/142-0
00:21:29.608 --> 00:21:30.168
Mhm.

588d182a-895f-4512-9ba5-60c338c3701f/144-2
00:21:33.170 --> 00:21:38.305
understanding in this program has evolved.
I mean for most of the things that they

588d182a-895f-4512-9ba5-60c338c3701f/144-3
00:21:38.305 --> 00:21:42.883
want us to to to review that are really
complicated are radiology images.

588d182a-895f-4512-9ba5-60c338c3701f/144-4
00:21:42.883 --> 00:21:45.728
And so we do have an import tool where
we're.

588d182a-895f-4512-9ba5-60c338c3701f/143-0
00:21:42.968 --> 00:21:43.608
Mhm.

588d182a-895f-4512-9ba5-60c338c3701f/146-0
00:21:45.848 --> 00:21:51.209
Able to import but sandbox the the
Ukrainian data in a in a kind of sandbox

588d182a-895f-4512-9ba5-60c338c3701f/146-1
00:21:51.209 --> 00:21:55.230
where we can review the images for a set
period of time,

588d182a-895f-4512-9ba5-60c338c3701f/146-2
00:21:55.230 --> 00:22:00.379
kind of collaborate on the care and then
you know we memorialize the our

588d182a-895f-4512-9ba5-60c338c3701f/146-3
00:22:00.379 --> 00:22:05.528
recommendation in some sort of usually an
e-mail honestly and then that.

588d182a-895f-4512-9ba5-60c338c3701f/145-0
00:22:04.208 --> 00:22:04.328
OK.

588d182a-895f-4512-9ba5-60c338c3701f/149-0
00:22:05.728 --> 00:22:09.371
That data is then is not doesn't become
part of the Northwell EHR.

588d182a-895f-4512-9ba5-60c338c3701f/149-1
00:22:09.371 --> 00:22:13.557
They were never Northwell patients and
that data gets purged and it's really

588d182a-895f-4512-9ba5-60c338c3701f/149-2
00:22:13.557 --> 00:22:16.166
just native.
It's it's memorialized only in the

588d182a-895f-4512-9ba5-60c338c3701f/149-3
00:22:16.166 --> 00:22:19.211
Ukrainian EHR.
But to say that that was a little bit of

588d182a-895f-4512-9ba5-60c338c3701f/147-0
00:22:17.288 --> 00:22:17.768
Mhm.

588d182a-895f-4512-9ba5-60c338c3701f/149-4
00:22:19.211 --> 00:22:23.016
a little bit of the fog of war and a
little bit of a nightmare from a

588d182a-895f-4512-9ba5-60c338c3701f/148-0
00:22:21.848 --> 00:22:22.328
Mhm.

588d182a-895f-4512-9ba5-60c338c3701f/149-5
00:22:23.016 --> 00:22:25.408
compliance standpoint is an
understatement.

588d182a-895f-4512-9ba5-60c338c3701f/151-0
00:22:25.648 --> 00:22:29.060
We had to go through a lot of iterations
of what would, what would not.

588d182a-895f-4512-9ba5-60c338c3701f/151-1
00:22:29.060 --> 00:22:32.992
We wanted to make sure that the Ukrainian
government had assured us that they were

588d182a-895f-4512-9ba5-60c338c3701f/151-2
00:22:32.992 --> 00:22:36.877
not going to get upset with us about this.
They actually gave us a blanket letter

588d182a-895f-4512-9ba5-60c338c3701f/151-3
00:22:36.877 --> 00:22:40.193
from the Minister of Health that as long
as there was a Ukrainian Dr.

588d182a-895f-4512-9ba5-60c338c3701f/151-4
00:22:40.193 --> 00:22:43.320
in the loop in these discussions,
we were OK from a data privacy,

588d182a-895f-4512-9ba5-60c338c3701f/150-0
00:22:42.008 --> 00:22:42.568
Mhm.

588d182a-895f-4512-9ba5-60c338c3701f/151-5
00:22:43.320 --> 00:22:45.168
from a licensure standpoint and from a.

588d182a-895f-4512-9ba5-60c338c3701f/153-0
00:22:45.248 --> 00:22:48.590
Risk standpoint,
what we were worried about then was is if

588d182a-895f-4512-9ba5-60c338c3701f/153-1
00:22:48.590 --> 00:22:53.009
we took on too much data and had too many
kind of too many thoughts happening

588d182a-895f-4512-9ba5-60c338c3701f/153-2
00:22:53.009 --> 00:22:57.484
between the patient and the doctor with
the US doctor sitting here that the US

588d182a-895f-4512-9ba5-60c338c3701f/153-3
00:22:57.484 --> 00:23:01.959
may in someday someday determine that
that was AUS covered patient under HIPAA

588d182a-895f-4512-9ba5-60c338c3701f/153-4
00:23:01.959 --> 00:23:03.488
and all these other things.

588d182a-895f-4512-9ba5-60c338c3701f/152-0
00:23:02.608 --> 00:23:03.128
Mhm.

588d182a-895f-4512-9ba5-60c338c3701f/155-0
00:23:03.488 --> 00:23:06.101
And and that became a concern that we
needed,

588d182a-895f-4512-9ba5-60c338c3701f/155-1
00:23:06.101 --> 00:23:10.759
wanted to make sure we were we mitigated
around but but it but it was challenging

588d182a-895f-4512-9ba5-60c338c3701f/155-2
00:23:10.759 --> 00:23:13.371
and it's and it's still not a perfect
system.

588d182a-895f-4512-9ba5-60c338c3701f/155-3
00:23:13.371 --> 00:23:17.859
In an ideal world it'd be like 2 epic
tenants just pushing pushing the data to

588d182a-895f-4512-9ba5-60c338c3701f/154-0
00:23:16.728 --> 00:23:17.208
Mhm.

588d182a-895f-4512-9ba5-60c338c3701f/155-4
00:23:17.859 --> 00:23:20.528
another one and I barely know what that
means.

588d182a-895f-4512-9ba5-60c338c3701f/156-0
00:23:19.088 --> 00:23:24.008
The care everywhere isn't actually
everywhere.

588d182a-895f-4512-9ba5-60c338c3701f/159-0
00:23:21.768 --> 00:23:24.700
Yeah, I mean, I, I,
and it's funny because I, you know,

588d182a-895f-4512-9ba5-60c338c3701f/159-1
00:23:24.700 --> 00:23:28.993
I'm just learning what care everywhere.
We just switched to Epic in at our health

588d182a-895f-4512-9ba5-60c338c3701f/157-0
00:23:27.328 --> 00:23:27.608
Yeah.

588d182a-895f-4512-9ba5-60c338c3701f/159-2
00:23:28.993 --> 00:23:33.234
system. So I'm just, I mean, like I'm a,
I'm a freshman when it comes to kind of

588d182a-895f-4512-9ba5-60c338c3701f/159-3
00:23:33.234 --> 00:23:35.642
Epic.
I've been used to a lot less functional

588d182a-895f-4512-9ba5-60c338c3701f/159-4
00:23:35.642 --> 00:23:38.259
system.
And so we've had to think outside the box

588d182a-895f-4512-9ba5-60c338c3701f/159-5
00:23:38.259 --> 00:23:39.568
a lot as a health system.

588d182a-895f-4512-9ba5-60c338c3701f/158-0
00:23:39.488 --> 00:23:39.808
Yeah.

588d182a-895f-4512-9ba5-60c338c3701f/161-0
00:23:40.008 --> 00:23:44.819
Because we've had data systems that just
weren't supportive of interoperability

588d182a-895f-4512-9ba5-60c338c3701f/161-1
00:23:44.819 --> 00:23:49.029
and and data pushes and I, you know,
I think that that's that's a big

588d182a-895f-4512-9ba5-60c338c3701f/160-0
00:23:45.768 --> 00:23:45.928
So.

588d182a-895f-4512-9ba5-60c338c3701f/161-2
00:23:49.029 --> 00:23:53.539
challenge to to global healthcare
delivery kind of worldwide that is still

588d182a-895f-4512-9ba5-60c338c3701f/161-3
00:23:53.539 --> 00:23:57.448
a major threat to our ability to deliver
high quality safe care.

588d182a-895f-4512-9ba5-60c338c3701f/162-0
00:23:57.328 --> 00:24:00.413
You know,
a lot of times throughout many of these

588d182a-895f-4512-9ba5-60c338c3701f/162-1
00:24:00.413 --> 00:24:03.559
episodes,
guests on Healthy Data podcast will say,

588d182a-895f-4512-9ba5-60c338c3701f/162-2
00:24:03.559 --> 00:24:07.693
you know, tech has its challenges,
but a lot of times it's people,

588d182a-895f-4512-9ba5-60c338c3701f/162-3
00:24:07.693 --> 00:24:12.567
regulations and processes that really
pose the greatest challenges to have any

588d182a-895f-4512-9ba5-60c338c3701f/162-4
00:24:12.567 --> 00:24:15.528
successful technological innovation
introduced.

588d182a-895f-4512-9ba5-60c338c3701f/163-0
00:24:15.808 --> 00:24:20.160
I'd like to wrap up this episode with the
final question for you, Eric.

588d182a-895f-4512-9ba5-60c338c3701f/163-1
00:24:20.160 --> 00:24:23.122
I'm going to return.
I kind of posed it earlier,

588d182a-895f-4512-9ba5-60c338c3701f/163-2
00:24:23.122 --> 00:24:26.990
but I'd like you to wrap up on this.
We've spoken about Guyana,

588d182a-895f-4512-9ba5-60c338c3701f/163-3
00:24:26.990 --> 00:24:31.100
we've spoken about Ukraine,
we've spoken about a lot of interesting

588d182a-895f-4512-9ba5-60c338c3701f/163-4
00:24:31.100 --> 00:24:34.968
work that Northwell Health is investing
in with these projects.

588d182a-895f-4512-9ba5-60c338c3701f/164-0
00:24:35.768 --> 00:24:40.230
I'd like you to speak to either yourself
in 2018 before this started,

588d182a-895f-4512-9ba5-60c338c3701f/164-1
00:24:40.230 --> 00:24:45.583
or to any listener now who doesn't have a
similar program across the United States.

588d182a-895f-4512-9ba5-60c338c3701f/164-2
00:24:45.583 --> 00:24:50.427
How would you speak to to to them or or
to your earlier self about the ROI?

588d182a-895f-4512-9ba5-60c338c3701f/164-3
00:24:50.427 --> 00:24:54.888
Why is this something that the President
of XYZ Health System should?

588d182a-895f-4512-9ba5-60c338c3701f/165-0
00:24:55.088 --> 00:24:57.520
Consider authorizing for them. How?
You know,

588d182a-895f-4512-9ba5-60c338c3701f/165-1
00:24:57.520 --> 00:25:01.484
we just heard that there is business
development opportunities with the US

588d182a-895f-4512-9ba5-60c338c3701f/165-2
00:25:01.484 --> 00:25:05.078
State Department that inadvertently came
as a result of Northwell's

588d182a-895f-4512-9ba5-60c338c3701f/165-3
00:25:05.078 --> 00:25:07.933
well-intentioned effort to get involved
with Ukraine.

588d182a-895f-4512-9ba5-60c338c3701f/165-4
00:25:07.933 --> 00:25:11.897
How would you present the return on
investment for any other health system

588d182a-895f-4512-9ba5-60c338c3701f/165-5
00:25:11.897 --> 00:25:14.328
that may be interested in investing
likewise?

588d182a-895f-4512-9ba5-60c338c3701f/166-0
00:25:14.808 --> 00:25:17.792
Yeah,
I I I think that the the the there's

588d182a-895f-4512-9ba5-60c338c3701f/166-1
00:25:17.792 --> 00:25:22.649
there's a couple of things.
I mean one of them which is the hard data

588d182a-895f-4512-9ba5-60c338c3701f/166-2
00:25:22.649 --> 00:25:27.714
that I can use is the global health
program since its inception has cost

588d182a-895f-4512-9ba5-60c338c3701f/166-3
00:25:27.714 --> 00:25:32.848
anywhere from much less than $1,000,
000 to just under $1,000,000 a year.

588d182a-895f-4512-9ba5-60c338c3701f/168-0
00:25:33.488 --> 00:25:37.983
In that time, we've accumulated,
our marketing team estimates accumulated

588d182a-895f-4512-9ba5-60c338c3701f/168-1
00:25:37.983 --> 00:25:42.295
about $212 million worth of earned media
from activities and programs.

588d182a-895f-4512-9ba5-60c338c3701f/168-2
00:25:42.295 --> 00:25:47.032
So that's the that's my hard number.
That's the one that I like to put out in

588d182a-895f-4512-9ba5-60c338c3701f/167-0
00:25:43.928 --> 00:25:44.368
Hmm.

588d182a-895f-4512-9ba5-60c338c3701f/168-3
00:25:47.032 --> 00:25:50.008
the fine at the beginning of the budget
meeting.

588d182a-895f-4512-9ba5-60c338c3701f/169-0
00:25:50.128 --> 00:25:52.840
The softer numbers are our docs want to
do this.

588d182a-895f-4512-9ba5-60c338c3701f/169-1
00:25:52.840 --> 00:25:57.433
Our docs were looking to do this in any
way around the system, through the system,

588d182a-895f-4512-9ba5-60c338c3701f/169-2
00:25:57.433 --> 00:26:01.805
without the system knowing things were
leaving our shelves and just walking to

588d182a-895f-4512-9ba5-60c338c3701f/169-3
00:26:01.805 --> 00:26:05.900
other countries kind of Paul Farmer style
where like, you know, you know,

588d182a-895f-4512-9ba5-60c338c3701f/169-4
00:26:05.900 --> 00:26:09.608
we we were building things that we didn't
even know we were doing.

588d182a-895f-4512-9ba5-60c338c3701f/170-0
00:26:09.728 --> 00:26:14.446
Our docs want to do it because it gives
our doctors autonomy and purpose in ways

588d182a-895f-4512-9ba5-60c338c3701f/170-1
00:26:14.446 --> 00:26:18.756
that the US healthcare system can't
anymore. And that's just the reality.

588d182a-895f-4512-9ba5-60c338c3701f/170-2
00:26:18.756 --> 00:26:23.066
And until we fix US healthcare that
doctors are not frustrated every time

588d182a-895f-4512-9ba5-60c338c3701f/170-3
00:26:23.066 --> 00:26:25.746
they have to write a prior auth or,
you know,

588d182a-895f-4512-9ba5-60c338c3701f/170-4
00:26:25.746 --> 00:26:29.648
do something else about their job,
that's kind of the sludge that.

588d182a-895f-4512-9ba5-60c338c3701f/172-0
00:26:29.728 --> 00:26:34.283
They muck through to get to the actual
patient interaction that brings them joy.

588d182a-895f-4512-9ba5-60c338c3701f/172-1
00:26:34.283 --> 00:26:37.432
This is a shortcut.
Global health gives them an amazing

588d182a-895f-4512-9ba5-60c338c3701f/172-2
00:26:37.432 --> 00:26:41.144
amount of autonomy and purpose,
and it's an amazing retention and

588d182a-895f-4512-9ba5-60c338c3701f/172-3
00:26:41.144 --> 00:26:44.968
recruitment tool. And I can't quantify it.
I have a very hard time.

588d182a-895f-4512-9ba5-60c338c3701f/171-0
00:26:43.088 --> 00:26:43.208
OK.

588d182a-895f-4512-9ba5-60c338c3701f/172-4
00:26:44.968 --> 00:26:48.848
I'd have to pay a consulting company,
and I know this thousands are.

588d182a-895f-4512-9ba5-60c338c3701f/174-0
00:26:49.608 --> 00:26:54.216
Hundreds of thousands of dollars to
quantify that for me and it's just not

588d182a-895f-4512-9ba5-60c338c3701f/174-1
00:26:54.216 --> 00:26:58.270
worth doing it right now,
but it certainly is there and it's it's

588d182a-895f-4512-9ba5-60c338c3701f/174-2
00:26:58.270 --> 00:27:03.308
unfortunately intangible enough that it
doesn't save me during my budget meeting,

588d182a-895f-4512-9ba5-60c338c3701f/173-0
00:27:01.728 --> 00:27:02.728
Mm-hmm.

588d182a-895f-4512-9ba5-60c338c3701f/174-3
00:27:03.308 --> 00:27:08.284
but it's an but it's important enough to
mention because uniformly across all of

588d182a-895f-4512-9ba5-60c338c3701f/174-4
00:27:08.284 --> 00:27:09.328
our docs we have.

588d182a-895f-4512-9ba5-60c338c3701f/176-0
00:27:09.408 --> 00:27:13.626
Just rave reviews about the program,
about their engagement in the program,

588d182a-895f-4512-9ba5-60c338c3701f/176-1
00:27:13.626 --> 00:27:17.289
about how well it's set up,
and it's a reason why they choose and

588d182a-895f-4512-9ba5-60c338c3701f/175-0
00:27:15.128 --> 00:27:15.688
Mhm.

588d182a-895f-4512-9ba5-60c338c3701f/176-2
00:27:17.289 --> 00:27:18.288
stay at Northwell.

588d182a-895f-4512-9ba5-60c338c3701f/178-0
00:27:19.168 --> 00:27:22.519
So burnout is a big issue across the
industry,

588d182a-895f-4512-9ba5-60c338c3701f/178-1
00:27:22.519 --> 00:27:27.866
especially with technology expanding and
a number of obstacles between the

588d182a-895f-4512-9ba5-60c338c3701f/178-2
00:27:27.866 --> 00:27:32.428
provider and the patient.
So I think that's a valid answer that

588d182a-895f-4512-9ba5-60c338c3701f/178-3
00:27:32.428 --> 00:27:35.850
will resonate with many of our listeners.
Eric,

588d182a-895f-4512-9ba5-60c338c3701f/178-4
00:27:35.850 --> 00:27:38.488
I'd like to thank you for joining us.

588d182a-895f-4512-9ba5-60c338c3701f/179-0
00:27:39.168 --> 00:27:39.408
Today.

588d182a-895f-4512-9ba5-60c338c3701f/177-0
00:27:39.648 --> 00:27:41.248
It's a pleasure. Thanks for having me.

588d182a-895f-4512-9ba5-60c338c3701f/180-0
00:27:40.368 --> 00:27:44.325
And for our listeners,
this has been Doctor Eric Choi Pena,

588d182a-895f-4512-9ba5-60c338c3701f/180-1
00:27:44.325 --> 00:27:49.799
the Founding Director and Vice President
of Global Health at Northwell. Take care,

588d182a-895f-4512-9ba5-60c338c3701f/180-2
00:27:49.799 --> 00:27:50.128
Eric.