Digital Health Talks - Changemakers Focused on Fixing Healthcare

From Bedside to Boardroom: Revolutionizing Patient Care Through AI and Virtual Nursing

Episode Notes

Join Megan Antonelli as she interviews Deb Muro, Chief Information Officer at El Camino Health, Silicon Valley's first Magnet-designated hospital system. With over 25 years combining nursing expertise and healthcare technology leadership, Deb has transformed patient experiences through strategic AI implementations, virtual nursing initiatives, and innovative workforce solutions. From reducing nurse turnover to implementing predictive analytics that prevent adverse patient outcomes, discover how this pioneering CIO is leveraging cutting-edge technology to address healthcare's most pressing challenges. Learn about El Camino's journey from reactive to predictive care, their approach to AI-powered clinical decision support, and how they're redefining the future of healthcare delivery in one of the world's most tech-forward regions.

Deb Muro, Chief Information Officer, El Camino Health

Megan Antonelli, Founder & CEO, HealthIMPACT Live

Episode Transcription

0:01 Narrator: Welcome to Digital Health Talks. Each week we meet with healthcare leaders making an immeasurable difference in equity, access, and quality. Hear about what tech is worth investing in and what isn't as we focus on the innovations that deliver. Join Megan Antonelli, Janae Sharp, and Shahid Shaw for a weekly no BS deep dive on what's really making an impact in healthcare.

0:29 Megan Antonelli: Welcome to Digital Health Talks, where we explore how technology is transforming healthcare delivery with the leaders making it happen. I'm Megan Antonelli, and today I'm thrilled to speak with Deb Muro, Chief Information Officer at El Camino Health, a true pioneer in healthcare technology leadership.

0:46 Megan Antonelli: Under her leadership, El Camino Health has become a model for Innovation from implementing predictive analytics that prevent patient deterioration to exploring virtual nursing solutions that combat workforce burnout. Deb is at the forefront of healthcare's digital transformation, and I'm honored to have her here with us here today. Hi, Deb, welcome to Digital Health Talks. It's wonderful, wonderful to have you here.

1:11 Deb Muro: Thank you. I appreciate it. Yeah, thrilled to join.

1:15 Megan Antonelli: Me too. I, you know, we've, you know, you've been to Health Impacts, you've attended our events in the past. So it's always great to be able to connect this way. And you know, you have had such a great career and are just so well respected. The CIO community, and of course, as a, as a female leader within health IT and technology, and at El Camino Health, you know, tell us a little bit about your journey and, you know, and, and you have, you know, you've had a nursing background and how that's a, you know, sort of shaped your approach to, to being a CIO and, and that clinical perspective.

1:54 Deb Muro: It's been a wonderful career. When I look back, I started as a nurse, as you mentioned, graduated from nursing school. I had worked as a nurse technician in a couple of organizations and really realized that I loved nursing and I wanted to stay in that profession. And as I graduated, I started working at an organization and was recruited to do a bedside computer product. They were implementing a patient centered care initiative at the time, and I knew nothing about computers and technology, but I leaned in and I think that's a real message of, you know, when you get that opportunity, lean in and take advantage, and I did and I learned and I loved the opportunity.

2:36 Deb Muro: And, it just created this path for me to think about how do we help the clinician and how do we help the technology to come together and that's that magic spot for me. So I've really appreciated and loved, as I've gone through the years, how that has really made a difference for, I think organizations that I've worked for and for the industry, but for me personally, to make a difference in the life of a clinician or an employee or a patient, it really is so meaningful and I love the work.

3:09 Megan Antonelli: Yeah, and you, I mean, you've been at the forefront of it so much. And I think right now though, we're seeing this incredible, you know, sort of movement towards nurse leadership, I think in the technology space. And I think it started, you know, sounds like you had had that experience with informatics and nursing and, and those intersections of. Kind of bringing nurses into the IT technology space. And now with AI where it's really become the, you know, sort of the clinical tools that are being used. and I am just seeing it across rural health systems, urban health systems, big academic medical centers that they're really doubling down on bringing the nurses into that conversation. You know, in terms of technology and AI implementation, about a little bit about what you're seeing there at El Camino and nationally for that matter.

4:01 Deb Muro: Yeah, absolutely. And as we were one of the first organizations to be designated as a magnet hospital, you know, magnet really. Employees and really talks about the nursing at the decision making level like including nurses in decisions regarding technology, including them in the ability to to really create that path and so it has been really important for us to to do that and I've loved having the nurse at the bedside or, you know, really in the trenches to be part of bringing forward problems that we need to help them solve.

4:37 Deb Muro: I, you know, if I ever want to become grounded, I walk through our ED department at 5 p.m. on a Friday evening, and you know when you walk through that department and you see what clinicians are dealing with on a daily basis and I see how technology doesn't always do what it needs to do for them, it creates that I would say, boy, that passion within me to say we need to solve this problem.

5:01 Deb Muro: And so I think being present, having nurses. Available to tell you pain points, but going and observing them. I, I round often and I was meeting with a nurse one day. I was asking her what, you know, her biggest opportunities were for, for technology, and she sat there and, and she was thrilled to talk about it. And, and for about 30 minutes, we dialogued about how we could improve in technology. And so I started bringing my leaders with me. And so my leaders could hear that as well and, and it was just, it's been powerful to have that integration and that really discussion with, with those that are taking care of patients, how we can improve their lives.

5:39 Megan Antonelli: Yeah, I hear a lot about the importance of rounding and just really. You know, seeing what's happening on the floors. It's so, it's so important and I think, you know, El Caminos had some, you know, specific coverage around how, you know, your retention rates have gone on, gone up and you've saved, you know, money on, on kind of that repla those replacement tech you know, replacement costs and You know, really combating nurse burnout right there, you know, tell us a little bit about what you're seeing, you know, on, on those rounds in terms of what this that the technology is doing.

6:15 Deb Muro: Yeah, you know, as we talk about what we could do better for nursing right now we're contemplating how we can work with nursing to provide a better device that they can utilize. And so we are on a path now to provide a smartphone for our nursing staff that could actually be a communication tool. It could be a documentation tool, ambient listening where we want to get away from clinicians. Typing and we want to have that documentation occur as natural language occurs. And so exciting to see how we could really make that difference and we're involving nurses in that decision making process of how should this look, how would you, you know, how would this help you in your day?

6:55 Deb Muro: We're using robots right now. many people use robots, but we, we had a nurse in one of our facilities that said. You know, every day I, I'm asked to walk to the front of the, of the hospital and, and guide a patient back to a procedural area. She said, could the robots do that? And so we now actually use robots to do wayfinding for, for staff. So those bright ideas are actually probably some of the better things that we can focus on, which is, was really fun to think about what we can do to move. The dial and patients actually love it too. They really think it's fun to have Rosie the robot walk them down the hall, and it kind of distracts them from maybe the procedure that they're having.

7:37 Deb Muro: So it's a win-win for everyone, but we're thinking about some really exciting things to reduce the the work and the, you know, the, the effort that our staff are having to do. How can we make their day easier? , we've implemented some things like staff duress where patients where nurses when they're feeling like they're in a a time where they need some extra security support, they can push a button on their badge and then security arrives. So we're seeing some really exciting technologies.

8:08 Deb Muro: So another one that we're utilizing for our management staff is it uses AI to predict which staff need extra attention. So it looks at which staff have worked overtime, which staff have, you know, have a birthday today, which staff, you know, might be at risk for attrition, and it helps guide the manager to focus on certain individuals. So we're seeing some real improvements in engagement from utilizing those types of tools.

8:39 Megan Antonelli: Yeah, and that's interesting. I haven't heard as much about it being used, you know, on the administrative. Side and and from the employee management side, but I think that's really, you know, we talked so much about nurses or AI replacing replacing nurses or doctors or, you know, but creating those efficiencies everywhere and in these low risk places too, you know, in that, you know, you can make these remarkable improvements in places that you haven't really been able to put the resources before.

9:07 Deb Muro: Yeah, great. And you know, any moment in time. People are stretched. There is, there is just so much effort and work and, and patients need to spend more personal time with their, with their nurse or their physician even. How do we free them up so they can spend that personal time being very present with their patient versus having to do menial tasks, we're. We're thinking it's going to replace our, our nurses. That's one of our, I think, secret sauce of our organization is that empathy, that compassion. You can only do that in a human to human scenario. So we want to create that time for empathy for compassion, so patients feel well cared for, right?

9:49 Megan Antonelli: Yeah, and that, you know, and I think that's, it's like with, with Rosie though, I mean, it's funny to think, you know, with robots, but, but there's a human part of, of interacting with them that is, that is sort of fun and distracting, right? And so, When we talk about kind of technology being sort of a burden or a or a distraction when we talk about the EHR and the physicians sort of, or the clinician being so glued to that. On the other hand, the robot, you know, rose the robot can be a more fun, you know, engaging, you know, meeting people where they are with technology. But one thing you mentioned in that that I think is interesting too is, you know, the nurse. Is identifying where they need the robot, where the gap can be. And then, you know, tell me a little bit about the process. You know, what does that look like? The nurse identifies the problem, but then you go back to the technology vendor to kind of help engineer that. I mean, I think that's something that we're seeing too that's evolved is that like there's a relationship between providers and their technology partners to work together towards those solutions. And that's where real, real innovation can happen.

10:57 Deb Muro: Absolutely, you know, when I, with the, I'll just use the robot vendor as an example. I was asking them, what are you doing with robots? What are you seeing the industry doing? And yeah, they mentioned things like in hospitality they're delivering food and so I started thinking about, OK, what would be some synergies in our industry with Could we deliver food to nurses when they don't have time to go to the cafeteria? We haven't done that yet, but that there's certainly some exciting ideas about delivering food to the patient room when they have a unique need. So there's some really great synergies there.

11:31 Deb Muro: When we were thinking about the robots, in addition to the nurse, the access, the the registration area, they were the ones that were so excited about the robot. , because it did free their staff up as well. And so once they register the patient, they get the patient, you know, ready to go, they, they tell them, here's a robot that's gonna walk you to your area that you need to go and, and, and so it's been really fun to see the different use cases and how it helps various types of employees, to various types of care providers, really do better in their day and have more time to spend with the patient.

12:08 Megan Antonelli: Yeah, so much what I've heard about it is how much they like it, you know, which is not what we are used to hearing people talk about, you know, sort of clinicians talk about the technology, you know, and, and another area that, that seems to be really popular and what, you know, I think when we Again, getting back to that replacement versus enhancement, you know, virtual nursing, where you think of, you know, when you hear it, you think, oh, it's all about sort of remote, remote nursing engagement, but what it, what it really actualizes into, at least from what I can see, you know, is a lot more observation, a lot more, you know, kind of watching and, and in some cases, coaching, right?

12:49 Megan Antonelli: I think one of the most amazing things about virtual nursing is how you're hearing about kind of more senior. , nurses being able to train and, and kind of co-round with, with our junior nurses and and that value. and I know you're doing a lot with that there at El Camino. Tell us about, you know, kind of your vision for it both as a, you know, as a nurse, but also as a hospital CIO, you know, what you think the impacts and and future is gonna be there.

13:17 Deb Muro: You know, if I think about, when I think of AI and I think about what does AI really do for care providers, it's really your assistant. If you think about, I could have an assistant with me that could do various things for me when I'm needing to be more involved with my patient, that's really the, the value of a of an assistant. So what we're thinking about with virtual nursing is the fact that a patient needs very in depth discharge instructions. It'd be great eye to eye to have, you know, the screen open up in the patient room and the and the the nurse on the screen and the patient have a deep dialogue about their after visit summary, their discharge instructions, what they're needing to do next.

13:58 Deb Muro: You could also bring in patient family members, maybe a family member is is across the country, or not able to be in the room at that moment. You could bring them in to be part of the discharge instructions. So, so much, I love the fact that we're not geographically bound. Any more that we can have the patient and the provider, not, not be in the same location yet have a very rich experience and we want to utilize that and capitalize on it.

14:24 Deb Muro: So our thoughts are virtual nursing should be that assistant for the nurse, doing things that they don't necessarily that they would like some help with discharge instructions, being able to monitor certain, you know, if a patient has an event dialing into the room to check on them. , maybe doing some medication teaching, education, so lots of opportunities for really making the nurse more productive in their day, and it's a win-win. The goal is to that the patient is happier, more satisfied. They're feeling that they have that real response to their needs and that the clinician feels like they're freeing them up so that they can be successful in the care of their patients.

15:08 Megan Antonelli: Yeah, that, you know, that discharge piece that is always, you know, as a patient, so cumbersome and you're, you know, and you know that like sort of you're the, you know, the least emergent of the, you know, you're, you're on your way out, but it is a, it's an administrative, you know. Number of tasks that have to get done. So there's no, there's sort of endless possibilities to how that can be kind of streamlined. And you mentioned data AI and you've talked about it, you know, at hands, I, I think I saw that, that talk in terms of, you know, even AI kind of doing the work that we don't want to do, right? In terms of the. You know, just that, that administrative stuff and, and so that it is harder to do. Where, where do you see that going both, you know, both on the nursing and the physician side?

15:56 Deb Muro: So, you know, documentation is probably one of the least, satisfying parts of a clinician's day. Whether you're a physician or you're a nurse. I remember when I was a nurse and I would take care of my patients and I would end my shift and then I had to spend about an hour just documenting things that I hadn't documented throughout the day and you pull out the proverbial piece of paper and you're hoping that all the, all of your brains are on that piece of paper so you can document effectively.

16:24 Deb Muro: What Ambient does and what AI does for us is that as we're talking, it's taking the important information from the conversation and it's calculating or putting that back in as the documentation. So for a physician, the physician walks in the clinic appointment, talks to the patient, interacts with them, talks about their their plan of care, leaves, that's all they have to do. They're done. , they would review obviously the note that was generated from the ambient listening and, and finalize it, but it's so freeing for the physician that at the end of their day, they can.

17:01 Deb Muro: Close the chart that generates the bill that means that they're gonna get paid faster and they're not spending pajama time in the evening after dinner, finishing their charts so that they can meet some of the, the goals that we that, they have to get paid and what our organization has. We had a chart closure rate of, we wanted to have them close charts within 72 hours. We've now moved it to 24 and we're leading edge. We're in the top 25%. Of our EMR customers, which is a big group for having chart closure below 24 hours.

17:36 Deb Muro: So when for the organization, money comes in faster through the door, when for the physician that they're not having to do that documentation and when for the patient because on the MyChart. Or on their patient portal, they can actually see that note faster and you know be engaged with their patient with their medical record and know what that what that visit was all about. So it's a real win for for the physician for the nursing, it is the same of. At the end of the day, your documentation is done because it's been done throughout the day as you're conversing, as you're, you know, interacting with the patient, it's going into the chart and then of course you're reviewing it and approving it. Humans always in the loop.

18:17 Deb Muro: We're also using some AI in the radiology area, so radiologists are really busy these days. There's a scarcity of those, of those physicians, and so the AI will prioritize the readings for the radiologist and say out of so many readings that you need to do, do this one first, this one second, this 1 3rd based on severity. and it generates the impression, it generates the note or the, you know, the report for them which saves them time. And the other thing that AI does is it searches through that image and it finds other incidental findings. So we might find a pulmonary embolus, we might find, you know, some other finding a nodule, and then, great that we can identify that early for the patient and get them on a path. So again, using AI to do things that humans couldn't do to improve the care of our patients is, is really our goal.

19:14 Megan Antonelli: Yeah. Yeah, it's funny when you're talking it remind me of, I mean, back when, I mean EHRs, you know, for all the technology and all that they were and are. You know, we were solving for a patient safety issue that had to do with physician handwriting in my, I know.

19:34 Deb Muro: You know, when I was, so this is so funny and this little it's interesting to think back before the EMRs and and all the bad, you know, PR about EMRs, but just think about what life was like before the electronic health record. There was one patient chart. And the one patient chart can only be used by one person at a time. And so if you really wanted to see the whole chart, you had to wait till the physician finished it or or someone else. Just think about that and you had to be present in the nursing unit to see the patient chart today, physicians on their iPhones and their phones can look up the patient chart, they can see it, you know, it's available wherever you're at. I mean just think of the improvement that has, that we've seen from that.

20:16 Deb Muro: And it is, you know, we don't, in some ways we don't give ourselves enough credit in healthcare. Right? It's like, oh, we're always so slow and the change that ever happens. But if you think about what it was, you know, really 20 years ago, where these medical records were, you know, single folders with with terrible handwriting that no one could read. And now we're, you know, questioning and, and with due, cause, you know, what is the accuracy of the ambient, you know, listening and devices. But, you know. As long as they're assistive, then that physician can then, you know, and clinician can can correct and, and, and how much easier that is than the, than the nurse, you know, reviewing the physician's handwritten documents to, to determine whether or not that what it is is accurate or even legible, right?

21:04 Deb Muro: So it's so interesting and you know, we were the first healthcare system in the, in the country to to implement an electronic health record. In 1969, 1 of the defense companies in Silicon Valley approached us and asked us if we would develop a medical information system with them, which was the precursor name of the EMR, and so we did and we went live in 1971. And doctors use the light pins, which was developed by the defense industry to touch the screen and enter orders and you know, it's just we, we see the video back we have a video of what what they how they were promoting that technology and it's so fun to see that and to see what progress we've made and then it's also telling to say what progress we haven't made and what we need to do to to really drive it forward even faster.

21:55 Deb Muro: So it's, it's exciting to see that. I liken. Healthcare a little bit to how can we be the next Kodak moment? How can we really transform healthcare so that it's so unique and different than it was before but if I liken healthcare to industries like airline industry, if you remember years ago we would all call a travel agent or we'd call the airline and we would schedule our reservation. Just think of how that industry is transformed in that. Everyone is self-service. You can take care of it. You don't really need a travel agent and then with AI you're able now to generate your own itineraries and even and progress more. We need to do that in healthcare. We need to really ingrain self-service for patients scheduling their own appointments, for them to be able to be in charge of, of finding the care that they need, but we're very easy to work with. So that's a real opportunity for us to to move the dial.

22:50 Megan Antonelli: Yeah, I think that, that sort of shift towards both self-service but also personalization. And then, you know, just that idea of sort of like delighting the customer, right? It's never been part of healthcare because The customer is often sick and there's, you know, there's so much to that. But there's, there's so much opportunity to making the environment more pleasant and making the experience, you know, optimal, you know, and, and it's the most important time and the most vulnerable time in all in all of our lives when we go through it. And yet, we've never looked at it as something that should be, you know, a positive experience just because it was inherently. Not, you know, that there's there's so much, there's so much room for improvement that in that area that, it's exciting to see what can be done. Once we free up people's time from some of the things that they don't want to do and don't need to do because they're, you know, so, but yeah, it's fascinating.

23:51 Megan Antonelli: , so we've got a few minutes left, and we, we tend to talk a lot about female and women leadership at Health Impact. I don't know why, no, because I drive that conversation. and, as a female CIO, you know, I've been, you know, tracking down and trying to invite and, and, and recruit CIOs for a long time, and it's, it's, there was a time when I had a pool of maybe 1 or 2 female CIOs, and that's growing, and it's really good to see. , there's still not enough, and there's still, so much more room for, for that to improve. And as we said, as we started the conversation around nurse leadership and the potential there, but I'd love to have you share a little bit of your advice for, women in healthcare and IT for what they can kind of do to, you know. Move that needle.

24:43 Deb Muro: You know, women are perfectly suited for the work of IT for the work of really improving the lives of clinicians and for patients and for employees, you know, we, we have the spirit of empathy again, we have the spirit of compassion. We have the spirit of getting things done. And you know, the women in my and that I'm around, I'm amazed that they're the ones that are digging in, they're persevering, they're passionate, and they get it done. And so we really want to celebrate that. I always encourage women to lean in. Take leadership seriously, you know, be better than those around you, really, because you are, you can, you can be and so really take advantage of the opportunities when you get an opportunity just like I had was an opportunity when I was in my early days to implement bedside computers and I knew nothing about it. Has a gift. Take advantage of it, learn, and, you know, really make it, make that yours. And so the sky is the limit. I love to see women really making a difference. They do every day. And, and you know, I'm, I'm all about a team too. I mean, you know, it's great. We have the, we have the females, we have the males and, and really using the strengths and the weaknesses of everyone so that we are a really solid team. But I love female leadership, and every day we're really talking about how we can move that forward and, and really drive our leaders to be more and more productive.

26:17 Megan Antonelli: So I love your dog. I know I'm like, hi, I guess, I guess Bear agrees.

26:23 Deb Muro: Yeah. A cute dog. Like, I think I had locked him up somewhere and he decided to come down. So we have a visitor.

26:32 Megan Antonelli: What makes it more personable. Yes. Well, you know, and we always, we always, one of our segments is the 5 good things in healthcare, and we always like to end on kind of the positive note. And of course, women leadership and the Growth of women leadership in healthcare is, is certainly one of those things. But as we close, are there any other things that you, you know, what are, would you look out to the next 5, 10 years in healthcare? What is like sort of that one thing that's, that's really positive and and exciting in that intersection between kind of technology and patient care?

27:03 Deb Muro: You know, I think what I'm most excited about, and I think what's going to be hardest is to really bring in, the personalization of healthcare into our mix. So in other words, Today, a patient has a diagnosis we tend to treat them similarly from one patient to another. I would, I'm so excited about the future where we are using genomics, we're using human dynamics, we're using all the capabilities to personalize that experience so that we're providing. The care that the patient should have based on their genomics, based on their specific body type, we're matching that to the best drug or the best therapy that will provide the best outcome for their specific you know, body type or information. And then we're presenting the information in a way that is meaningful to them based on their human behavioral and dynamics. When we get there it's going to be amazing. I'm excited about it. I don't think it's that far away, but it is going to be hard work, especially when we're in a reimbursement is always a challenge for how do you get reimbursed for. , you know, kind of new and leading edge, opportunities, that's going to be the challenge of how we make it work financially, but we owe it to our patients. We owe it to the, to the patient to know that they're getting the best therapy based on what their situation is.

28:29 Deb Muro: And of course I love wellness. I want us to focus on how do we, how are we the daily partner with the patient or the consumer, wherever they are in their journey. If they're in a wellness state, if they're having a challenge and we need to help them through an event. We want to be that partner, that, that person that they go to or that place that they go to and know that this is my partner on a day to day basis that I interact with so that I can be the best and the well the well and healthy individual.

29:00 Megan Antonelli: Well, it comes, it comes back. to the ring, right? The aura ring.

29:02 Deb Muro: It does. It does all that.

29:07 Megan Antonelli: I know, I think you won like the first giveaway that we had that was part of our mic that.

29:14 Deb Muro: Thank you. I mean it's very. It's so exciting because I'm in Silicon Valley and we have an organization here that has used aura rings and Garmin watches to predict illness. So within 24 hours they can predict you're going to be not feeling so well based on That information, wouldn't that be great if we could all use that in our lives to be able to be more predictive than reactive.

29:37 Megan Antonelli: I, I, that is really it's, it's amazing. I mean, it has been such an amazing tool for me, of course, now, now with the the hot flashes, it gets a little confused, but other than.

29:49 Deb Muro: Oh, that's funny.

29:51 Megan Antonelli: It's, it's an amazing, you know, but when you think of the potential, you know, much to the same that we talked about with EHRs, if, if it, if it's there and the information is there and we can mine it, the, the knowledge now with that additional of literally 24/7 monitoring the potential to kind of recognize. you know, disease states and, and, and kind of the impact of what we do on a daily basis is, is, limitless. So it is definitely a good thing for sure.

30:22 Deb Muro: Absolutely. And you know, longevity, if you think if, if we're hearing more about sleep is so important for longevity, food is the medicine, we start thinking about how we can start seeing our our parameters change if we eat the wrong thing or if we don't get that full night's sleep. It's really gonna help people to live a healthier state. I know I'm living healthier because I've, I've read some things recently about food and, and food as a medicine, and it's made some dramatic changes in my own life. So I'm hoping that we can do that and the of our patients so they can make, absolutely, and it, you know, it really achieves that goal of, of giving people sort of that accountability and that education and that ability to tell, to tell what what works and what doesn't so.

31:04 Megan Antonelli: It is. It's good. Well, thank you so much, Deb. It's a pleasure to have you on the show and you know, you're doing such incredible work and you're an inspiration to so many of us. So thanks, thanks for being here.

31:16 Deb Muro: Thanks for having me. It was fun. So I appreciate it. Have a good one.

31:21 Megan Antonelli: Absolutely and thank you to our listeners for joining us today. That is Megan Antonelli signing off from Digital Health Talks and for more conversations with change makers who are fixing healthcare to technology, tune in, subscribe, and until next time, that's it. Thanks.

31:39 Narrator: Thank you for joining us on Digital Health Talks, where we explore the intersection of healthcare and technology with leaders who are transforming patient care. This episode was brought to you by our valued program partners Automation Anywhere, revolutionizing healthcare work flows through intelligent automation. Nara, advancing contactless vital signs monitoring. Elite groups delivering strategic healthcare IT solutions. Cello, securing healthcare identity management and access governance. Your engagement helps drive the future of healthcare innovation. Subscribe to digital Health Talks on your preferred podcast platform. Share these insights with your network and follow us on LinkedIn for exclusive content and updates. Ready to connect with healthcare technology leaders in person? Join us at the next health impact event. Visit Heimpactforum.com for date and registration. Until next time, this is digital Health Talks, where change makers come together to fix healthcare.