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 Good morning, everybody. Good afternoon, depending on where you're

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 joining from. We are so excited about this panel

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 and thrilled to have you we're just going to give folks a

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 few minutes to join and see we have

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 an amazing lineup of speakers for here for you this this

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 morning and this afternoon, so I see people popping in

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 already. We'll just give folks a

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 few minutes.

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 Hopefully you are all having

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 an awesome week so far.

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 I feel like this is I forgot to ask for music. That

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 would be good. We could.

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 Do a music countdown.

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 terrific

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 or we could do a group meditation I could do I could

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 do that together as well.

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 right

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 We have a lot of prompt folks.

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 Almost a hundred people already at the top of the hour.

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 so

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 well as so so as we have folks joining,

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 I just want to just first think the panel we

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 know everybody's so busy and just wanted to say this is great. Thank

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 you for making time for this really important topic. So I'm

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 Dr. Elizabeth Baca. I am I have

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 the honor of moderating this panel today just a

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 quick introduction of myself. I actually spent a

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 number of years practicing and teaching Pediatrics and

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 so environmental health and in the exposures

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 of the environment or near and dear to my heart because I saw

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 really really very visibly

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 and powerfully each day how much the environment impacts

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 our health. We actually I'm with delayed.

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 I'm a clinician strategist and we recently did a white paper

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 looking at these connections to really see how

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 Healthcare can have an impact and so delighted to

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 have this conversation today. Essentially. We really are

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 gonna be talking about the whole Healthcare can play the connections

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 around health and Health Equity. And really we

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 think this this

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 Of things that there's a really big opportunity and important

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 role for everyone in terms of really committing

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 to action and taking things to the next level. So we're

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 going to start off today with introductions by

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 our panelists, but we will also Reserve

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 sometime for questions. So as we hear through the

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 conversation today, make sure there's a Q&A panel.

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 We're all really familiar with with zoom at

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 this point, but feel free to type in questions as we go along. We may

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 try to Pepper a couple questions into the conversation and and

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 then we'll try to do a couple of minutes of Q&A

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 at the end on that. I'm actually going to hand it over

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 to Zoe to kick us off with a quick introduction and

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 how she is working on sustainability in healthcare.

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 So let me take it away.

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 Hi everyone. I'm Zoe Beck. I am the director of

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 sustainability at HCA Healthcare and I'm

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 leading all things sustainability in

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 within a large Health System.

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 I came to sustainability really

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 I grew up in New Mexico and Colorado and it

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 was just a part of life. I thought

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 in all places and then I moved around the country in

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 the world and realized that wasn't the case and went

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 to school to marry business

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 and sustainability and then

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 Sort of fell into Healthcare and realized the

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 impact that we all could have

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 through our Health Care system. So I'm

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 bringing the business mind sustainability mind

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 to the healthcare world, and I look forward to our conversation

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 today.

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 That's awesome. So we definitely have some business questions and

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 economics questions for you Seema, I

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 will let you I go next. Wonderful. Thank

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 you. Thank you also for hosting this great

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 panel and to be with such great leaders in this space. So

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 I'm Seema wagwa. I'm the executive director of

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 environmental stewardship for Kaiser Permanente in

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 my role. I am engaged and

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 overseeing our sustainable operations looking at

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 how we make investments to create healthy Equitable communities

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 and also thinking about the work

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 we do to really catalyze change in the

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 industry. And the way that I came to

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 this work, you know, it sounds in some way similar to

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 Zoe I grew up in Canada and in a

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 place that was very connected to Nature and really it just

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 became a core of part of who I am, you know,

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 I spent my first career as a civil engineer designing roadways

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 neighborhoods and then about 14 years

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 ago really found my call.

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 When working on environmental stewardship in

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 healthcare and haven't looked back since so

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 very excited to have our conversation today.

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 Thank you.

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 Awesome and Noah

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 Hello, everyone grateful to be here with

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 you. I'm in background the

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 vice president of insights Innovation and pmo

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 within our supply chain company called the Venice

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 Health Partners.

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 Which is a subsidiary of Bon Secour Mercy Health

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 and I support all the sustainability efforts at

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 Bon Secour Mercy Health as a result

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 in a diet structure with her mission team.

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 Our organization is focused on being of Good Help

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 in lots of different ways. And in respect to

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 sustainability caring for

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 our common home. Now. These things have really resonated

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 for me personally as well as I think about

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 my children and I think about the generations to

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 come I think as I walk around the world I can

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 see so much Beauty in it the caring

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 for it seems Seems to

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 Natural activity my background and supply chain

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 is also

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 Got some business aspects to share around how sustainability

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 can be incorporated into operations.

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 That's awesome. That's awesome. No, I yeah, I mean,

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 I think we were having this conversation earlier and

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 my daughter's name is actually Zoe, you know as

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 we think about why we're all doing this work.

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 It's a great a great reminder.

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 Dr. David Callaway

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 Okay. Thanks Dr. Rock appreciated very

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 excited to be here with this awesome group. I am

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 the novice of the group. So my

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 name is Dave Callaway. I am a practicing emergency medicine physician

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 at Adrian Health in Charlotte, North Carolina. I was

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 raised by a single mom in Minnesota and so nature was my best

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 friend growing up because I was always outside while she's

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 at work, but my specialty is actually Global Health

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 security and Disaster Response, and I've spent my

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 career working in crisis Zone around the world and then sudden on said disasters

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 like hurricanes tornadoes tsunamis.

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 So as a clinician, you know,

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 I've seen the first hand impacts of course migration from

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 war and from drought I've seen

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 children who are sick because their water is polluted from

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 a hurricane or from you know, local industry

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 and this is what shaped my last

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 15 years of practice during covid. I let a series

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 of these new cross-functional teams.

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 Founded by Atrium Health, but that brought together. He's like

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 Bank America and Honeywell Lowe's the

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 Carolina Panthers are our city

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 government that ultimately distributed about four

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 million face masks and administered about

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 a million vaccines and we relied really

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 heavily on non Health sector Partners to get this done and when

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 it ended our CEO said, hey, great job.

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 What do we do next? And the idea was this

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 model that we built could be applied to community violence

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 social determines of Help Housing and in my

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 case climate change and sustainability. And so

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 from that my weird job title of chief of Crisis operations

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 and sustainability was born and now I

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 have a tremendous executive team

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 with a senior leader in strategy senior

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 leader and facilities and energy management and then our head of

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 supply chain.

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 And we we have this this team that is in supported by

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 a about a 30 person environmental Action Council

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 across our entire Enterprise. And then what is

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 right now a 50 person and growing clinical Advisory

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 Group that represents the clinical side

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 of care education of patients and of

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 our providers and this is all across North Carolina to South

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 Carolina and Georgia and perhaps soon other parts of the

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 country. So very excited to be here and learn from from

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 you all. Yeah, it's amazing and you can hear just

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 from the breath and depth of the experience this panel.

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 It's it's a pretty amazing group. I think, you know

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 one of the things so just to kick us off. I'm especially in

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 light of you know, Dr. Kelly. We're just mentioning the work with covid.

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 I've heard a lot of people say, you know, this is

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 just we have too much right now. We you know,

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 we just were you know Hospital Systems health systems were dealing with

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 margin pressure and a lot of reasons not

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 to be taking action on on climate change.

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 So would love for this group, you know.

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 I know why why is this really the important time to

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 be taking climate action in the face of the fact

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 that we have, you know covid and it's still ongoing and all of its

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 ongoing issues.

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 Well, I'm happy to kick off the clinician

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 side who doesn't know any finance and then you all can

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 y'all can weigh in? Yeah, so

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 so I I work last

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 night in the emergency department and it was packed and

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 I think our total

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 volume probably isn't higher than it's been it's been but as as

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 with any health system in the United States right now, we're probably

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 30% down on nurses and Healthcare techs.

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 I mean our staffing is not unique. But but

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 when I hear executive leaders talk about the

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 crisis the crisis around Staffing and then if you read you know

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 Becker that's about as deep as I get in finance, you

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 know, you see these Financial reports and first quarter hundred

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 million a lot of 500 million loss and so it what

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 I often hear on this topic is

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 we're bleeding right now. We need to

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 we need to just focus on this problem. We can't focus on

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 sustainability or climate change now the challenge with

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 Think they're a couple one is we live

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 in a complex World, especially in healthcare and we have

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 a very complex profession. We have always had multiple Barbarians

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 at the gate. There's probably no one on

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 this on this panel. He said do you remember the time we only had to

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 deal with one issue in healthcare and wasn't that you know, wasn't that

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 the nice like halcy and hay days.

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 We always have multiple threats. We always have multiple threats right

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 now. And we only focus on that. What

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 we end up doing is spending a bunch of money on stopgap

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 solutions that six months 12 months a

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 year down the road cost us even more and put us in a worse

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 situation. So the challenge I think in what

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 I'd love to hear from from this team is

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 How do you how do you Market this right and part of it is we know

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 that we have a talent retention issue.

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 And we know that 20 to 30 year old professionals all

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 care about environmental social ESG issues.

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 They all want to be in a Purpose Driven organization

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 and they're willing to walk if they

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 don't get that and so how do we incorporate that

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 into our HR recruiting into our benefits into our retention

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 into our resilience for our staff? And I think

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 that there's an opportunity here on this topic to really

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 make that part of how we address the acute issue while setting

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 the stage for future future strength in our

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 system.

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 I'm happy to add to that

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 and thank you. That's a great perspective and you know, and I

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 think think the way that I

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 really look at it is, you know, when we look

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 at the core of why we exist the missions

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 of our organization. It really is to improve

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 or address a health issues

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 in the communities we serve and when you look at climate

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 change it is exactly that I mean

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 We are we understand that climate

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 change is Major Public Health

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 crisis, and I think that keeping that

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 Central, you know, when we start to think about climate

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 change or addressing sustainability or the

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 environment as something else or something outside

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 of what we're doing. That's when

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 we are going that's when we have programs that are not effective

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 or efficient, but when we start to think about it in the way that

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 Dr. Calloway talked about of you know, this is a pathway to

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 address employee retention,

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 you know, addressing stewardship aligns

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 directly with our growth and

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 our brand and you know, thinking about

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 the cross-cutting conversations of the things

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 that are on our leaders Minds when we're thinking about cost saving,

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 how can we leverage environmental stewardship

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 and sustainability as a

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 solution to address that problem and only in

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 looking at it in that holistic fashion.

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 Will we be able to effectively address this this challenge

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 we're facing.

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 So understanding Zoe you were you were coming off me to

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 send God but I just wanted to add team. I was just at this, um mindful MD

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 it was a collection of folks really

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 working on position burnout. And one of

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 the key themes that came out through that discussion was

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 the link around planetary health and in human health

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 and healing butterfly gardens and in a

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 whole bunch of really cool things. So I think you had come

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 up earlier. I know the financial questions had come

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 up with love to hear your perspective on

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 that.

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 so for me pure Financial perspective

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 if you look at the effects that

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 As Dr. David Callaway said that

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 we are seeing people in the ER, you

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 know heat stroke and massive extreme

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 disasters where people have

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 nowhere else to go but the hospital and

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 vector-borne diseases all these reasons why people are

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 in the hospitals.

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 We can have an effect on that.

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 From a financial perspective if we just look at

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 really easy things like Energy Efficiency in

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 our operations if we

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 want to make a change down the future

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 so that we can address these problems. Not today.

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 This is the hardest part about climate change

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 and sustainability is we're all talking about 2050

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 and what it's going to look like, but we

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 have to we have to take action today to make that happen.

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 That we can do really the low hanging fruit

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 for lack of a better term and address things

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 like Energy Efficiency, which saves money you're not

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 paying for your energy. You can look at renewable energy

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 options that are out there that also

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 helps with resilience if you're operating in

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15:16.800 --> 15:19.400
 Texas and the grid goes

301
15:19.400 --> 15:19.700
 down.

302
15:20.600 --> 15:23.900
 What are you going to do as a health system to take care

303
15:23.900 --> 15:26.500
 of those patients? So there are options

304
15:26.500 --> 15:30.400
 out there that make Financial sense and also

305
15:29.400 --> 15:32.400
 address all of these issues

306
15:32.400 --> 15:34.100
 that my colleagues have mentioned.

307
15:38.700 --> 15:41.200
 Yeah, I just Echo those sentiments. I don't think they

308
15:41.200 --> 15:44.200
 have to be in separate buckets the more

309
15:44.200 --> 15:48.200
 often. We can incorporate sustainability into consideration as

310
15:47.200 --> 15:50.300
 we're grappling with the challenges of

311
15:50.300 --> 15:54.100
 our day. I think we'll find pretty often that they're

312
15:53.100 --> 15:56.500
 not at odds and that we can incorporate them

313
15:56.500 --> 15:59.400
 in ways that they can lead to a mutual

314
15:59.400 --> 16:02.300
 outcome the benefits every consideration.

315
16:03.700 --> 16:06.100
 Examples like like Zoe mentioned

316
16:06.100 --> 16:09.300
 where if we are to to Dr.

317
16:09.300 --> 16:13.400
 Calaway's Point experiencing Financial headwinds. There

318
16:12.400 --> 16:16.800
 are sustainability initiatives that

319
16:15.800 --> 16:18.400
 could help in addressing the

320
16:18.400 --> 16:20.600
 cost and expensively organization.

321
16:21.800 --> 16:24.300
 That's great. So I'm hearing I think one of the things

322
16:24.300 --> 16:27.300
 and tell me otherwise

323
16:27.300 --> 16:30.300
 you but it sounds like just thinking about it more from an Enterprise

324
16:30.300 --> 16:34.100
 lens is going to be important. So not necessarily having

325
16:33.100 --> 16:36.400
 the climate policies out here but really starting

326
16:36.400 --> 16:39.700
 to think about operations across the board and how

327
16:39.700 --> 16:42.100
 it's connected and one of the things though you

328
16:42.100 --> 16:45.300
 just mentioned as well is, you know, we often talk about

329
16:45.300 --> 16:49.100
 2050 plans or 20 30. There's a

330
16:48.100 --> 16:52.000
 sense that it's really far out there but to

331
16:51.300 --> 16:54.300
 your point in Dr. Calloway this there's a lot

332
16:54.300 --> 16:57.400
 of impacts happening right now, you know, I'm

333
16:57.400 --> 17:00.500
 in Sacramento and every day this week is over a hundred

334
17:00.500 --> 17:04.000
 degrees and now, you know yesterday I

335
17:03.300 --> 17:06.500
 was swimming and I'm like I smell fire right?

336
17:06.500 --> 17:09.700
 So so I think there's the sense that things aren't necessarily far

337
17:09.700 --> 17:12.200
 away to that see me, you mentioned,

338
17:12.200 --> 17:16.300
 you know, the social economic and environmental factors. It

339
17:15.300 --> 17:18.800
 would love to hear from from everybody. How

340
17:18.800 --> 17:21.000
 are you thinking about Health Equity?

341
17:21.800 --> 17:25.000
 And social determinants as part of this entire picture,

342
17:24.400 --> 17:27.300
 especially as you

343
17:27.300 --> 17:29.500
 frame and think about actions.

344
17:31.500 --> 17:34.400
 That's a great question. So, you know, one of the things that I'll

345
17:34.400 --> 17:37.700
 highlight that I appreciate is,

346
17:37.700 --> 17:40.400
 you know, I actually report into our community

347
17:40.400 --> 17:45.000
 health division of to achieve Health officer and you

348
17:43.000 --> 17:45.100
 know

349
17:47.600 --> 17:50.500
 That is somewhat unique and it was by Design in

350
17:50.500 --> 17:53.300
 terms of really looking at climate change

351
17:53.300 --> 17:56.500
 through that lens of Health along with

352
17:56.500 --> 17:59.500
 other key social determinants of

353
17:59.500 --> 18:03.100
 Health whether that's economic Economic Development

354
18:02.100 --> 18:05.700
 or housing for Health. It

355
18:05.700 --> 18:08.300
 really is Right align with

356
18:08.300 --> 18:12.000
 there. And you know, I think just how we

357
18:11.400 --> 18:14.500
 talk and think about climate

358
18:14.500 --> 18:17.500
 change really is Shifting and needs

359
18:17.500 --> 18:20.600
 to be part of this conversation. So, you

360
18:20.600 --> 18:23.300
 know, I challenge challenge everybody

361
18:23.300 --> 18:26.300
 who's listening to talk to talk to

362
18:26.300 --> 18:29.300
 your colleagues and ask them when they think about climate change.

363
18:29.300 --> 18:32.200
 What's the first thing that comes to their mind and I'd be

364
18:32.200 --> 18:33.700
 surprised if it was health.

365
18:34.300 --> 18:37.500
 but you know that kind of slowly

366
18:37.500 --> 18:40.600
 shifting and something that we need to drive more

367
18:40.600 --> 18:43.800
 and we're in a position as a healthcare industry to

368
18:43.800 --> 18:47.300
 really change that Dynamic of conversation when

369
18:46.300 --> 18:49.600
 it comes to climate change being

370
18:49.600 --> 18:53.100
 a health issue and being an equity issue and

371
18:52.100 --> 18:55.500
 you know, one of the thing I'd really like to add is

372
18:55.500 --> 18:55.700
 that

373
18:58.500 --> 19:01.900
 Efforts we're putting into place to reduce our operational

374
19:01.900 --> 19:04.700
 impacts, whether it's energy or waste or

375
19:04.700 --> 19:07.200
 water, you know, as we

376
19:07.200 --> 19:11.100
 can connect that back to understanding these

377
19:10.100 --> 19:13.600
 these operational issues are not

378
19:13.600 --> 19:16.700
 independent as well. They are a

379
19:16.700 --> 19:19.900
 pathway to support Health Equity.

380
19:19.900 --> 19:22.400
 So it's not only whether we doing

381
19:22.400 --> 19:26.200
 within our four walls to reduce impact

382
19:25.200 --> 19:28.600
 making that connection that what

383
19:28.600 --> 19:32.100
 we're doing to reduce energy is actually directly

384
19:31.100 --> 19:34.100
 tied to the health and the Health

385
19:34.100 --> 19:37.200
 Equity of the communities we serve and then taking it

386
19:37.200 --> 19:41.300
 to that next step step when we think about our investments

387
19:40.300 --> 19:43.500
 through Community our community

388
19:43.500 --> 19:46.900
 benefit work and our community health work and direct

389
19:46.900 --> 19:49.900
 links on what can we do Upstream

390
19:49.900 --> 19:53.100
 that have Downstream impacts on

391
19:52.100 --> 19:55.900
 on health and as always point of

392
19:55.900 --> 19:58.200
 keeping our community out our

393
19:58.400 --> 20:01.500
 Facilities and keeping them healthy. So for us it

394
20:01.500 --> 20:05.000
 really is just the core of how we look at climate

395
20:04.200 --> 20:07.300
 change. It is a health and Equity

396
20:07.300 --> 20:09.200
 issue, which is the core of why we're here.

397
20:13.600 --> 20:16.400
 It's great. I think one of the things it's it's so interesting

398
20:16.400 --> 20:19.100
 you mention it. That way I'm when I was working at the

399
20:19.100 --> 20:22.300
 time with the state, but the governor's office. We were doing all this work

400
20:22.300 --> 20:25.300
 to create healthy communities and then we were doing all this work to

401
20:25.300 --> 20:28.700
 create sustainable and resilient communities and I'd be in different conversations and

402
20:28.700 --> 20:31.100
 like wait how we're trying to do the same

403
20:31.100 --> 20:34.300
 things, but we're labeling it differently. So that's that's really

404
20:34.300 --> 20:37.700
 interesting from the resilience standpoint

405
20:37.700 --> 20:40.000
 Dr. Calaway. I know you you also think

406
20:40.400 --> 20:43.900
 quite a bit about Health Equity and kind of impact to

407
20:43.900 --> 20:46.300
 patients with love to hear kind of how you

408
20:46.300 --> 20:49.100
 guys have been conceptualizing it especially in light of

409
20:49.100 --> 20:51.300
 this multi kind of sector task force.

410
20:53.500 --> 20:56.400
 Yeah, thanks for the question. I mean, so see my I

411
20:56.400 --> 20:59.300
 really like how you distilled down with the core issue is

412
20:59.300 --> 21:02.200
 and and this is how we approach it also,

413
21:02.200 --> 21:04.500
 which is like what is our mission?

414
21:05.400 --> 21:08.400
 So for all of us in healthcare or Healthcare Systems, what is

415
21:08.400 --> 21:11.500
 our core mission of what we're trying to do and if you

416
21:11.500 --> 21:14.200
 can get agreement on that then then the next

417
21:14.200 --> 21:17.700
 conversation is all right, we all agree on that then then what

418
21:17.700 --> 21:20.200
 are the components that help us achieve our

419
21:20.200 --> 21:23.000
 mission so Health versus Healthcare I think

420
21:23.200 --> 21:26.200
 is the ongoing conversation that's been going on for 20 years in terms

421
21:26.200 --> 21:29.500
 of changing, you know to value-based models

422
21:29.800 --> 21:33.400
 Etc. But sustainability has never really large scale

423
21:33.400 --> 21:36.200
 been involved in that conversation, right? But the fact is

424
21:36.200 --> 21:39.000
 that we want to maintain Health then we need to invest in

425
21:39.900 --> 21:42.300
 Decrease our environmental impact. So from a

426
21:42.300 --> 21:45.200
 resilient standpoint Elizabeth. I

427
21:45.200 --> 21:48.500
 think the way we look at it is our job is our

428
21:48.500 --> 21:51.500
 job is to provide Health open healing for all we have

429
21:51.500 --> 21:54.500
 this very strong social Mission. We have two billion invested in

430
21:54.500 --> 21:57.200
 social impact and addressing social determinants of

431
21:57.200 --> 22:00.300
 Health at Atrium around North Carolina, South Carolina

432
22:00.300 --> 22:03.300
 and Georgia what that means for us is

433
22:03.300 --> 22:06.600
 both addressing the preventive measures so we know

434
22:06.600 --> 22:09.300
 that stable housing, right? So we'll work

435
22:09.300 --> 22:12.700
 on housing. We work on education job training food. Now, we're

436
22:12.700 --> 22:16.500
 starting to integrate the the energy side of this as well and pollution

437
22:15.500 --> 22:17.400
 side because we know that

438
22:18.900 --> 22:21.800
 largely in the United States black and brown communities are

439
22:23.700 --> 22:27.500
 disproportionately impacted by air pollution dirty water

440
22:27.700 --> 22:30.300
 Etc in this leads to these increased risks

441
22:30.300 --> 22:34.900
 of of asthma diarrhea, you

442
22:34.900 --> 22:37.200
 know still birth maternal mortality.

443
22:38.600 --> 22:41.800
 Why that ties into resilience so is because these individuals we

444
22:41.800 --> 22:44.400
 care for them from Cradle to grave and so

445
22:44.400 --> 22:47.000
 in order to build a resilient system that is able to

446
22:47.100 --> 22:51.100
 actually maintain our financial strength

447
22:50.100 --> 22:53.500
 as we care for these people over the course of their lives. We

448
22:53.500 --> 22:56.100
 need to start addressing health because if you

449
22:56.100 --> 22:58.200
 look at it over 10 or 20 year window

450
22:59.200 --> 23:02.400
 By not doing that we actually are negatively impact

451
23:02.400 --> 23:06.400
 in our bottom line. So we're trying to push out distributed

452
23:05.400 --> 23:08.500
 care models. We're trying to put more access

453
23:08.500 --> 23:12.600
 in the community. We're trying to then tie that into how we

454
23:12.600 --> 23:15.100
 operate at our acute care facilities. And then how we

455
23:15.100 --> 23:18.500
 operate in our our smaller micro

456
23:18.500 --> 23:21.700
 hospitals increase access and then to just

457
23:21.700 --> 23:24.700
 create these new models of care like hospital at

458
23:24.700 --> 23:27.300
 home virtual care Etc. And we think that those

459
23:27.300 --> 23:30.500
 redundancies allow us to be more resilient as we

460
23:30.500 --> 23:33.500
 provide care either an extreme weather events or supply chain

461
23:33.500 --> 23:36.400
 disruption or churches and gas prices or

462
23:36.400 --> 23:38.000
 whatever maybe thrown our way.

463
23:39.900 --> 23:42.400
 Know that that's great. You know that that's great. That's

464
23:42.400 --> 23:45.400
 great. I mean, I think that it's a great transition to thinking

465
23:45.400 --> 23:49.100
 about how to start going towards Solutions. I

466
23:48.100 --> 23:51.100
 know we really wanted to

467
23:51.100 --> 23:54.200
 make sure we get to some of the action part, you know,

468
23:54.200 --> 23:57.800
 we think about Solutions in a couple of different broader

469
23:57.800 --> 24:00.200
 buckets and I think some of the stuff you were

470
24:00.200 --> 24:03.200
 just talking about Dr. Kelly is like new value creation, right? So

471
24:03.200 --> 24:06.900
 really reading I think the conversation having the lowest

472
24:06.900 --> 24:09.400
 carbon footprint is the healthy this

473
24:09.400 --> 24:12.600
 individual, how do we keep people healthy would love

474
24:12.600 --> 24:16.300
 to really transition to some of the solutions. No,

475
24:15.300 --> 24:18.400
 I know you guys have been doing a lot in this

476
24:18.400 --> 24:21.600
 space. So what have been some of the biggest actions

477
24:21.600 --> 24:24.700
 in terms of you know across the board for mitigation that

478
24:24.700 --> 24:27.400
 you have been able to you know to have success with

479
24:29.100 --> 24:32.700
 Yeah, thanks. We we have had some

480
24:32.700 --> 24:35.100
 recent successes here part of

481
24:35.100 --> 24:38.300
 it is making sure that education is always a part

482
24:38.300 --> 24:41.600
 of what we're doing that they're clear communication channels

483
24:41.600 --> 24:44.600
 and Dr. Calaway's point. The

484
24:44.600 --> 24:47.600
 alignment is critical being able

485
24:47.600 --> 24:50.300
 to coordinate all the disparate stakeholders to make

486
24:50.300 --> 24:53.800
 sure sustainability is always at the table for us

487
24:53.800 --> 24:56.500
 in Practical terms. We have had success

488
24:56.500 --> 24:59.600
 and various categories, especially related

489
24:59.600 --> 25:02.200
 to supply chain where we think about

490
25:02.200 --> 25:05.300
 reusable product introduction or

491
25:05.300 --> 25:10.100
 a reprocessing programs recycling as

492
25:09.100 --> 25:13.600
 a Integrated Waste stream consideration and

493
25:12.600 --> 25:15.900
 efforts in bringing

494
25:15.900 --> 25:19.400
 some of our dollars home thinking

495
25:18.400 --> 25:21.100
 about that as it relates to Freight and

496
25:21.100 --> 25:24.700
 some of the resilience challenges like Dr. Kelly

497
25:24.700 --> 25:27.500
 was mentioning the vulnerabilities that came

498
25:27.500 --> 25:28.900
 into the limel.

499
25:29.400 --> 25:32.300
 Throughout the pandemic right? When we evaluate our

500
25:32.300 --> 25:35.500
 cradle to grave supply chain. It's also an

501
25:35.500 --> 25:38.300
 opportunity for us to start to think about those different

502
25:38.300 --> 25:41.700
 elements of our Cradle to grave supply chain need in

503
25:41.700 --> 25:44.600
 themselves to all be scrutinized for the sustainable

504
25:44.600 --> 25:47.300
 practices present or not within them.

505
25:47.300 --> 25:50.600
 So for us certainly in each

506
25:50.600 --> 25:54.000
 of those cases, whether you talk about reusable products or processing

507
25:53.300 --> 25:57.000
 or local manufacturing

508
25:56.400 --> 26:00.400
 and and in areas

509
26:00.400 --> 26:05.000
 around waste reduction in mitigation, there

510
26:03.400 --> 26:06.800
 hasn't been this compromise of

511
26:06.800 --> 26:09.900
 incremental investment, which

512
26:09.900 --> 26:12.200
 I know at present certainly with all the

513
26:12.200 --> 26:15.700
 factors mentioned can be challenging as you

514
26:15.700 --> 26:18.500
 seek to gain alignment throughout your organizations in each

515
26:18.500 --> 26:22.000
 of those cases. We found it actually can be also contributing

516
26:21.100 --> 26:24.200
 to the financial success that the organization

517
26:27.400 --> 26:31.200
 And if you want more specific initiatives in

518
26:30.200 --> 26:33.500
 those categories, certainly we can talk to them. But

519
26:33.500 --> 26:36.200
 yeah, I mean, I think one of the things is we mentioned

520
26:36.200 --> 26:36.900
 we hope that this

521
26:37.300 --> 26:40.000
 Panel discussion is the start of a broader kind of

522
26:40.600 --> 26:43.200
 Engagement with everybody and we're doing a

523
26:43.200 --> 26:46.500
 project right now actually with international hospital Federation where we're

524
26:46.500 --> 26:49.100
 cataloging tools and

525
26:49.100 --> 26:52.100
 interventions. And so we've been interviewing people from around the

526
26:52.100 --> 26:55.700
 globe. It's fascinating all the different types of solutions. So, you

527
26:55.700 --> 26:59.800
 know probably will reach out to see about cataloging

528
26:58.800 --> 27:01.100
 some of those so we know

529
27:01.100 --> 27:04.900
 you also been doing a lot across the board mitigation and

530
27:04.900 --> 27:07.700
 there's lions and adaptation would love to hear some of

531
27:07.700 --> 27:10.600
 the things that you think have been the most impactful and really trying

532
27:10.600 --> 27:12.100
 to move the needle in space.

533
27:15.500 --> 27:18.500
 Well, I think like I mentioned earlier some of

534
27:18.500 --> 27:21.800
 that really low hanging fruit where especially

535
27:21.800 --> 27:24.900
 as Noah mentioned in times like these when you

536
27:24.900 --> 27:27.400
 can do things like Energy Efficiency projects.

537
27:28.100 --> 27:32.200
 That's been a huge Focus as you

538
27:31.200 --> 27:34.700
 know, we're all working to lower. Our greenhouse

539
27:34.700 --> 27:37.300
 gas emissions in especially in

540
27:37.300 --> 27:40.500
 where we're operating because we're

541
27:40.500 --> 27:43.700
 all operating in communities to serve the communities and

542
27:43.700 --> 27:46.500
 we don't want to add as a

543
27:46.500 --> 27:49.400
 healthcare system to the you know

544
27:49.400 --> 27:51.000
 pollution of the area.

545
27:53.200 --> 27:56.500
 In addition. I know everybody knows this

546
27:56.500 --> 28:01.400
 but this is a really cross-functional, you

547
28:00.400 --> 28:04.400
 know, multi-year multi-dimensional.

548
28:05.800 --> 28:09.700
 Project as we all undertake sustainability initiatives.

549
28:09.700 --> 28:12.600
 So we're also working

550
28:12.600 --> 28:13.000
 with

551
28:15.300 --> 28:18.700
 our Dei teams to understand at the

552
28:18.700 --> 28:22.400
 division level how we can work together

553
28:22.400 --> 28:23.400
 with communities.

554
28:24.300 --> 28:27.600
 you make sure that each individual

555
28:27.600 --> 28:29.200
 Community has their

556
28:30.500 --> 28:33.600
 has a project that we can talk about and work

557
28:33.600 --> 28:38.400
 with those communities in terms of hurricanes, you

558
28:37.400 --> 28:40.200
 know places that it's

559
28:40.200 --> 28:43.500
 get getting really hot. I would argue that's probably everywhere at

560
28:43.500 --> 28:44.100
 the moment, but

561
28:45.800 --> 28:47.300
 105 in Nashville today

562
28:48.600 --> 28:51.500
 Um, but we have varying communities

563
28:51.500 --> 28:54.300
 and needs and that's that's a highlight as

564
28:54.300 --> 28:57.200
 well and and making sure to work with all of

565
28:57.200 --> 29:00.500
 the agencies in the country that are

566
29:00.500 --> 29:03.200
 working on this. So the government has a lot of

567
29:03.200 --> 29:06.300
 efforts to look at Social determinants of

568
29:06.300 --> 29:09.500
 health and how can we work with them to make it work best

569
29:09.500 --> 29:12.300
 in operations to address

570
29:12.300 --> 29:13.800
 the needs of our communities?

571
29:17.600 --> 29:21.000
 I think that's a really important a really

572
29:20.100 --> 29:23.300
 important aspect of bringing Community voice in

573
29:23.300 --> 29:26.900
 so that there are also part of the solution

574
29:26.900 --> 29:29.900
 set to all of this actually in

575
29:29.900 --> 29:33.000
 in aligned with that see my

576
29:32.100 --> 29:35.200
 know that you guys recently because I watched your

577
29:35.200 --> 29:38.700
 webinar because last week on the

578
29:38.700 --> 29:41.600
 commitments you've made from a government perspective with

579
29:41.600 --> 29:44.600
 HHS. Maybe can you highlight a

580
29:44.600 --> 29:48.200
 little bit about some of the actions you're taking to be part of that voluntary

581
29:47.200 --> 29:48.500
 pledge?

582
29:49.600 --> 29:52.400
 Absolutely. So, you know last week

583
29:52.400 --> 29:54.300
 we had the honor to announce.

584
29:55.100 --> 29:58.300
 First of all that we that we have made

585
29:58.300 --> 30:02.900
 a commitment to reduce our carbon footprint

586
30:01.900 --> 30:05.000
 by 50% by

587
30:04.400 --> 30:07.100
 50% in 2030 in aiming for

588
30:07.100 --> 30:10.400
 Net Zero by 2050. We were

589
30:10.400 --> 30:14.200
 excited to actually join the

590
30:13.200 --> 30:16.300
 Health and Human Services had put

591
30:16.300 --> 30:19.900
 out a pledge calling for Action in healthcare sector

592
30:19.900 --> 30:22.200
 and for us this really

593
30:22.200 --> 30:26.100
 was a natural step we truly believe in

594
30:25.100 --> 30:29.000
 creating coalitions and

595
30:28.400 --> 30:32.300
 learning together and this comes

596
30:31.300 --> 30:35.000
 you know on the heels of action

597
30:34.500 --> 30:37.500
 that we've been taking for decades now,

598
30:37.500 --> 30:40.400
 so in 2016, we made some

599
30:40.400 --> 30:43.600
 pretty bold goals and some of those, you

600
30:43.600 --> 30:46.700
 know, we made without total transparent see

601
30:46.700 --> 30:49.900
 on how we were going to get there and one of them was around carbon neutrality.

602
30:49.900 --> 30:52.000
 So in 2020, we were the first

603
30:52.400 --> 30:55.100
 Health System to achieve carbon neutral

604
30:55.100 --> 30:58.500
 Ready for our scope 1 and scope too. So strongly focused on our energy

605
30:58.500 --> 31:01.700
 and you know speaking to action. How

606
31:01.700 --> 31:04.300
 did we get there was really, you know,

607
31:04.300 --> 31:07.700
 strong focus on investments in renewable

608
31:07.700 --> 31:12.700
 large-scale utility wind and

609
31:12.700 --> 31:15.400
 and solar as well

610
31:15.400 --> 31:19.600
 as of course focusing on energy on-site solar

611
31:19.600 --> 31:22.300
 as well at over 100 of our sites now have

612
31:22.300 --> 31:26.000
 on-site solar and then, you know addressing

613
31:25.500 --> 31:29.200
 the remainder of the greenhouse

614
31:28.200 --> 31:32.600
 gases that we can't quite remove

615
31:31.600 --> 31:34.300
 as at this moment

616
31:34.300 --> 31:37.000
 through some offsets when it comes to you know,

617
31:37.300 --> 31:40.300
 our natural gas and our boilers, but you know, all of

618
31:40.300 --> 31:43.300
 that work has happened not only

619
31:43.300 --> 31:46.800
 through what we've done but because we've

620
31:46.800 --> 31:49.500
 really focused on being part

621
31:49.500 --> 31:52.700
 of organization such as the healthcare climate

622
31:52.700 --> 31:55.000
 Council supporting work at the national

623
31:55.600 --> 31:59.000
 Academy of Medicine and then now so excited

624
31:58.500 --> 32:01.600
 that for the first time there is

625
32:01.600 --> 32:05.400
 an office of climate change and Equity under

626
32:04.400 --> 32:07.600
 HHS and a pledge

627
32:07.600 --> 32:09.400
 to bring others to the table as well.

628
32:12.500 --> 32:15.200
 I love that in Dave. I

629
32:15.200 --> 32:18.300
 see you shaking your head as well over there. Well, no, I

630
32:18.300 --> 32:21.500
 mean, yeah, so itreml sign the HHS pledge

631
32:21.500 --> 32:25.000
 as well and obviously very

632
32:24.200 --> 32:27.500
 excited about it. And and you know, I try

633
32:27.500 --> 32:30.300
 to stock Kaiser and you know,

634
32:30.300 --> 32:33.500
 see whatever guys is gonna do and try to you know get there

635
32:33.500 --> 32:36.200
 as well. But you know, so

636
32:36.200 --> 32:39.500
 the pledge The Pledge is important and it's interesting because

637
32:39.500 --> 32:42.200
 I think there are people on various stages of their Journey

638
32:42.200 --> 32:45.300
 here. We never had sustainability as

639
32:45.300 --> 32:50.100
 a strategic priority until April of last year and we

640
32:49.100 --> 32:52.400
 never had it as a named priority. But but

641
32:52.400 --> 32:55.400
 interestingly we had approached it. We had a pretty good operations in

642
32:55.400 --> 32:59.500
 place. So we had invested about 12 million dollars and Energy Efficiency upgrades

643
32:59.500 --> 33:00.500
 back in 2012.

644
33:01.300 --> 33:04.100
 Decrease our energy scope one scope two energy consumption by

645
33:04.100 --> 33:07.300
 about 30% and and offset about

646
33:07.300 --> 33:10.400
 30 million dollars in capex and operational expenses

647
33:10.400 --> 33:13.500
 over an eight year period it's a 12 million dollars 30 million

648
33:13.500 --> 33:17.800
 return decreased 30 percent and these

649
33:17.800 --> 33:20.800
 these are all math numbers when you have an ER doctor talking about capex an

650
33:20.800 --> 33:23.600
 apex. Like, you know, it's a problem so don't don't

651
33:23.600 --> 33:26.400
 ask me any deeper questions. But but it goes

652
33:26.400 --> 33:29.400
 to this question of you know, where where do

653
33:29.400 --> 33:32.500
 you sit your your sustainability team and

654
33:32.500 --> 33:35.600
 Seema you talked about within within

655
33:35.600 --> 33:38.600
 the health sphere oftentimes for

656
33:38.600 --> 33:42.300
 new organizations. It's within the social impact team so

657
33:42.300 --> 33:45.100
 used to be there for us, but then

658
33:45.100 --> 33:48.200
 we realize if we want to move the needle on scope one scope two and

659
33:48.200 --> 33:51.200
 even scope three which for us the big buckets are obviously supply chain

660
33:51.200 --> 33:54.300
 for everybody and then Investments and

661
33:54.300 --> 33:57.100
 whether Healthcare Investments need to

662
33:57.100 --> 34:00.600
 be offset or not. That's a big area of debate, but who owns those

663
34:00.600 --> 34:01.300
 big chunks of money?

664
34:01.300 --> 34:04.200
 And for us it's our Co and our our CFO.

665
34:04.600 --> 34:07.200
 Right so we can we can tie it to the mission.

666
34:07.200 --> 34:10.600
 We tie it to health we tie it to social impact but the

667
34:10.600 --> 34:13.600
 end of the day like I need to go get 50 or

668
34:13.600 --> 34:16.600
 100 million dollars in capital expenditures. I need

669
34:16.600 --> 34:19.400
 to go to our chief operating officer and our Chief Financial Officer

670
34:19.400 --> 34:22.700
 and I need to convince them that this is worth it. And so

671
34:22.700 --> 34:26.000
 I I again love to hear people's perspective on. Where do

672
34:25.100 --> 34:29.100
 you move this? How do you line it with Mission? And then where are

673
34:28.100 --> 34:31.500
 the big asks that you get that you

674
34:31.500 --> 34:33.700
 go for and and how do you pitch that?

675
34:34.300 --> 34:37.300
 Because that that gets into both the strategy and the operational side

676
34:37.300 --> 34:40.400
 of how do we actually transform health care, which is fundamentally what

677
34:40.400 --> 34:43.600
 we're talking right? We're talking about taking externalities of

678
34:43.600 --> 34:46.500
 the environment and bringing it

679
34:46.500 --> 34:49.000
 into the cost of health care right now and creating a new

680
34:49.400 --> 34:52.500
 model for health and Healthcare delivery in the future that that

681
34:52.500 --> 34:54.300
 takes into account the environment.

682
34:57.200 --> 35:00.100
 Yeah, well, I'm gonna give Noah and Zoe and see a couple

683
35:00.100 --> 35:03.100
 minutes to think about that. I can we there's so

684
35:03.100 --> 35:06.100
 many ways to structure this right? So, where is

685
35:06.100 --> 35:09.100
 it best? I guess one of the things is as you set up

686
35:09.100 --> 35:12.500
 your own kind of setups what's worked?

687
35:12.500 --> 35:15.100
 Well, like what like I think especially kind of to your point

688
35:15.100 --> 35:18.500
 in a day. We have a lot of folks probably on the line who are at different

689
35:18.500 --> 35:21.200
 maybe they might be earlier parts of the trajectory and

690
35:21.200 --> 35:24.200
 they're like trying to figure out what the best ways to structure this. So

691
35:24.200 --> 35:27.200
 would love to hear some of the Lessons

692
35:27.200 --> 35:28.100
 Learned on that side.

693
35:29.700 --> 35:32.300
 So I'm I'm happy to jump in here only

694
35:32.300 --> 35:37.300
 because I've reported to so many different places with

695
35:35.300 --> 35:38.700
 with over the

696
35:38.700 --> 35:41.200
 last 14 years. So I've reported to supply

697
35:41.200 --> 35:45.300
 chain reported to HR. I

698
35:44.300 --> 35:48.900
 have reported to strategy. I've

699
35:48.900 --> 35:51.200
 reported to a hospital CEO. I've reported to

700
35:51.200 --> 35:54.900
 our at my previous organization our system

701
35:54.900 --> 35:57.400
 CEO now, I'm in

702
35:57.400 --> 36:00.400
 community health and the thing I'll share

703
36:00.400 --> 36:00.800
 is

704
36:02.300 --> 36:03.300
 to a certain degree

705
36:04.400 --> 36:06.400
 all of those were great fits.

706
36:08.100 --> 36:11.600
 But the thing that has been most important in

707
36:11.600 --> 36:14.600
 terms of actually getting the work done starts at

708
36:14.600 --> 36:18.000
 the top with leadership support. So,

709
36:17.600 --> 36:20.700
 you know, it's still true

710
36:20.700 --> 36:23.800
 that when we're working on initiatives at Kaiser

711
36:23.800 --> 36:27.300
 Permanente. We need to get partnership and

712
36:27.300 --> 36:31.000
 support from our CFO and from our our other

713
36:30.300 --> 36:34.200
 Business Leaders and the

714
36:33.200 --> 36:36.100
 thing that drives that or in my experience,

715
36:36.100 --> 36:39.700
 you know, even in in previous roles what

716
36:39.700 --> 36:42.900
 really drives that is a leadership right at the top and when

717
36:42.900 --> 36:46.400
 you can have an organization that really understands

718
36:45.400 --> 36:48.300
 the why when you can have a CEO

719
36:48.300 --> 36:52.000
 or leader that gets why this work is important. It makes

720
36:51.300 --> 36:54.200
 the rest of those asks a lot

721
36:54.200 --> 36:57.100
 easier. So, you know for those who are on the

722
36:57.100 --> 37:01.800
 line today in our reporting to different places know

723
37:00.800 --> 37:05.200
 that you can drive change whichever seat

724
37:04.200 --> 37:05.800
 you're in

725
37:07.800 --> 37:10.300
 Um, and it just gets more support

726
37:10.300 --> 37:13.200
 and I think a lot of that comes, you know, I'm seeing more

727
37:13.200 --> 37:16.100
 and more of that as society as a whole is making more of that

728
37:16.100 --> 37:16.400
 connection.

729
37:19.800 --> 37:22.100
 You know and Zoe, what do

730
37:22.100 --> 37:22.200
 you think?

731
37:23.200 --> 37:26.900
 Yeah, would Echo absolutely that sentiment but alignment

732
37:26.900 --> 37:29.800
 with leadership is critical to success

733
37:29.800 --> 37:32.900
 to Dr. Calaway's point about name priorities

734
37:32.900 --> 37:36.500
 and making sure this is highlighted as

735
37:35.500 --> 37:38.700
 a direction. The organization

736
37:38.700 --> 37:41.400
 is going in is focused on Etc.

737
37:41.400 --> 37:44.200
 It certainly resonates throughout the

738
37:44.200 --> 37:47.200
 organization as they contemplate the work they're doing and how it

739
37:47.200 --> 37:49.200
 aligns with the priorities of the organization.

740
37:50.100 --> 37:53.500
 I think also folks want to be part of a movement. They

741
37:53.500 --> 37:56.800
 want to be filled with purpose and they

742
37:56.800 --> 37:59.600
 want to know how they can pitch in so having

743
37:59.600 --> 38:02.900
 a structuring connection with that leadership alignment that

744
38:02.900 --> 38:05.700
 allows for people to to do just

745
38:05.700 --> 38:09.200
 that to pitch in and engage and that

746
38:08.200 --> 38:11.100
 there's a job for each to do that. They can

747
38:11.100 --> 38:14.400
 lift where they stand and having a structure that enables

748
38:14.400 --> 38:17.800
 that in whatever extent or degree that

749
38:17.800 --> 38:20.600
 folks can engage and it's

750
38:20.600 --> 38:23.600
 all the other priorities they've got has been

751
38:23.600 --> 38:24.500
 effective for us as well.

752
38:32.500 --> 38:35.800
 So I would Echo much of what SEMA

753
38:35.800 --> 38:36.200
 said that.

754
38:37.200 --> 38:41.100
 you need leadership support, but you

755
38:40.100 --> 38:44.000
 can also work anywhere within the organization and

756
38:43.100 --> 38:44.400
 I think

757
38:45.800 --> 38:46.000
 that

758
38:47.700 --> 38:50.600
 because it's so cross-functional this

759
38:50.600 --> 38:51.000
 work.

760
38:52.300 --> 38:55.500
 It could depend it's very organization specific and could

761
38:55.500 --> 38:58.600
 depend on where you are in the sustainability Journey.

762
38:58.600 --> 39:01.300
 So if you're at the very beginning it might be helpful to

763
39:01.300 --> 39:04.700
 be very close to operations and doing like

764
39:04.700 --> 39:08.900
 the very nitty-gritty work of maintaining

765
39:07.900 --> 39:11.000
 HVAC systems and

766
39:10.200 --> 39:13.600
 and working with the facilities people

767
39:13.600 --> 39:14.900
 to do projects like that.

768
39:15.900 --> 39:18.700
 but it really is you can do this from

769
39:18.700 --> 39:21.800
 anywhere with leadership support and as

770
39:21.800 --> 39:24.900
 the public markets continue to

771
39:24.900 --> 39:27.900
 talk about ESG initiatives and

772
39:29.100 --> 39:32.800
 push that work forward it's often going

773
39:32.800 --> 39:35.100
 to be you know, as it always has

774
39:35.100 --> 39:37.200
 been in business the CFO that is

775
39:38.800 --> 39:41.800
 Responsible for these efforts and so

776
39:41.800 --> 39:45.300
 that is driving a lot of leadership attention

777
39:44.300 --> 39:47.900
 and it's helpful for for

778
39:47.900 --> 39:50.500
 all organizations as we're

779
39:50.500 --> 39:53.600
 working towards this to have that sort of lens on

780
39:53.600 --> 39:55.600
 this work from the leadership perspective.

781
39:57.300 --> 40:00.500
 That's that's great. So I think that the key takeaway is

782
40:00.500 --> 40:03.200
 is there are many ways to do

783
40:03.200 --> 40:06.400
 it not just one but the leadership at the highest level does really

784
40:06.400 --> 40:09.100
 matter as well. I want to make sure we get

785
40:09.100 --> 40:12.500
 to a couple questions. We officially end

786
40:12.500 --> 40:15.200
 at 8:45 or 11:45 or 10

787
40:15.200 --> 40:18.600
 for depending on where you are. We the panelists can

788
40:18.600 --> 40:21.200
 stay on a little bit longer if we need to but I

789
40:21.200 --> 40:24.000
 wanted to make sure before we have any anyone drop so one of

790
40:24.200 --> 40:28.200
 the questions and this is actually on the the multi

791
40:27.200 --> 40:30.100
 sector approach. So it says you talked about

792
40:30.100 --> 40:33.600
 partnering with non Healthcare organizations around these initiatives

793
40:33.600 --> 40:36.800
 that impact Public Health. Would you value a partnership

794
40:36.800 --> 40:39.500
 with an industry supplier to address these initiatives?

795
40:39.500 --> 40:42.500
 So Med device for my Etc and have

796
40:42.500 --> 40:45.200
 you partnered with any industry suppliers yet? If so, can

797
40:45.200 --> 40:46.900
 you speak to the experience and help?

798
40:49.300 --> 40:52.300
 Yeah, certainly. I I

799
40:52.300 --> 40:55.500
 can speak to that for us.

800
40:55.500 --> 40:58.300
 Certainly one form of a mission when

801
40:58.300 --> 41:03.100
 you think about all the scope one, two, three Etc considerations can

802
41:02.100 --> 41:05.400
 all be impacted by your relationship

803
41:05.400 --> 41:09.100
 with the with those Partners. Certainly when

804
41:08.100 --> 41:11.600
 we think about our distributor relationships. So

805
41:11.600 --> 41:14.900
 in our particular case, we have Outsource distribution.

806
41:14.900 --> 41:17.500
 Some folks have in-house distribution their

807
41:17.500 --> 41:20.200
 own Fleet and trucks and everything working. Our Logistics

808
41:20.200 --> 41:24.000
 model is in partnership with an outside

809
41:23.500 --> 41:26.300
 organization. And one thing

810
41:26.300 --> 41:29.500
 that's been very successful for us and working and is

811
41:29.500 --> 41:33.400
 concept of Channel optimization. So just

812
41:32.400 --> 41:33.700
 like

813
41:35.200 --> 41:38.400
 Many of us sometimes have Amazon drop stuff

814
41:38.400 --> 41:42.100
 at the house and sometimes we go to the grocery store right there.

815
41:41.100 --> 41:45.100
 There's this concept in your Logistics

816
41:44.100 --> 41:47.400
 model that certainly can contribute to more or

817
41:47.400 --> 41:50.000
 less emissions in your Freight if you

818
41:50.400 --> 41:53.300
 ride the same channel essentially you're getting as much as you can on

819
41:53.300 --> 41:57.300
 that truck that's already coming your way. You can

820
41:56.300 --> 41:59.700
 have a dramatic impact on the secondary distribution

821
41:59.700 --> 42:02.500
 of logistics networks that are supporting the the

822
42:02.500 --> 42:05.300
 activity. So for us in partnership

823
42:05.300 --> 42:08.500
 with that outside organization, we've been

824
42:08.500 --> 42:11.200
 able to consolidate much of what had been

825
42:11.200 --> 42:14.200
 previously, you know, parcel shipment Etc,

826
42:14.200 --> 42:18.200
 you know direct to locations into

827
42:17.200 --> 42:20.300
 that Consolidated channel that we

828
42:20.300 --> 42:23.800
 can focus on as well and reducing emissions as we

829
42:23.800 --> 42:26.500
 operate that channel. So that's one

830
42:26.500 --> 42:29.300
 example that I think is has been a great deal of dividends

831
42:29.300 --> 42:33.500
 for us both from a cost perspective, but also in reducing emissions

832
42:32.500 --> 42:33.900
 in fact

833
42:36.300 --> 42:39.700
 That's great and Dave. What do you think? Yeah, Elizabeth. I

834
42:39.700 --> 42:44.400
 think they I mean the answer for us is absolutely so about

835
42:43.400 --> 42:47.000
 38% of our so we

836
42:46.200 --> 42:49.200
 just finished our materiality maturity assessment rights

837
42:49.200 --> 42:52.600
 are based on assessment. So estimated about 38%

838
42:52.600 --> 42:56.100
 Our footprint is from supply chain now, so

839
42:55.100 --> 42:58.300
 there are and Zoe you

840
42:58.300 --> 43:01.200
 kind of hit on this there are things we can directly impact which we've

841
43:01.200 --> 43:04.200
 just immediately started to do. So, we we have a million

842
43:04.200 --> 43:07.500
 miles of Courier driving in

843
43:07.500 --> 43:10.600
 our in one of our markets they a month

844
43:10.600 --> 43:14.200
 million miles a month. And so our SVG

845
43:13.200 --> 43:14.900
 is sliding just said

846
43:15.400 --> 43:18.200
 and when you guys to use EVs and that's not part

847
43:18.200 --> 43:19.000
 of our contract, right so

848
43:19.900 --> 43:22.000
 with like immediately within it you guys

849
43:22.400 --> 43:25.300
 can start in July. So three month period a million miles of gas

850
43:25.300 --> 43:28.300
 off now is that on our books? I don't know at some

851
43:28.300 --> 43:30.600
 point probably we counted but but that's a quantifiable impact.

852
43:31.600 --> 43:34.600
 So there are things like that that you can just do our food

853
43:34.600 --> 43:37.700
 services with our classic reduction, you know, just changing

854
43:37.700 --> 43:40.400
 the contract now you have to make the financial argument for it.

855
43:40.400 --> 43:43.100
 But if you are the size and scope of

856
43:43.100 --> 43:46.300
 our organizations here something like 179 billion

857
43:46.300 --> 43:49.700
 op Revenue year between HCA Kaiser

858
43:49.700 --> 43:52.700
 Atrium Mercy, right you

859
43:52.700 --> 43:55.800
 have you have leverage to do that? And that

860
43:55.800 --> 43:58.800
 goes the second point which is how do you drive the market for

861
43:58.800 --> 44:01.400
 our suppliers? Right? So Medtronic wants

862
44:01.400 --> 44:01.900
 to do good work.

863
44:02.800 --> 44:05.100
 Phillips wants to do good work, but it

864
44:05.100 --> 44:08.800
 costs money to develop new products that are more sustainable.

865
44:08.800 --> 44:11.300
 And so part of what's on us. And this

866
44:11.300 --> 44:14.600
 is why the supply chain experts here. So valuable is we need

867
44:14.600 --> 44:17.500
 to help accelerate the market. So we need to tell our

868
44:17.500 --> 44:20.800
 suppliers. This is what your consumer demands we

869
44:20.800 --> 44:23.500
 are. I mean, this is right is like I want

870
44:23.500 --> 44:26.500
 a Big Mac, right? So McDonald's makes Big Macs like we

871
44:26.500 --> 44:29.200
 want this product and now it's not just each room. It's

872
44:29.200 --> 44:32.900
 not just Kaiser. It's not just one Off Systems. It's a unified

873
44:32.900 --> 44:35.300
 group within the health system

874
44:35.300 --> 44:38.300
 that represents 20% of our GDP saying

875
44:38.300 --> 44:41.300
 we want this and we will work with you to get

876
44:41.300 --> 44:44.900
 this that that is how we transform what

877
44:44.900 --> 44:47.600
 we're doing and so it has to be Beyond Health

878
44:47.600 --> 44:51.300
 System. It has to be with suppliers Pharma. It

879
44:50.300 --> 44:53.400
 has to be with the the rap run services that

880
44:53.400 --> 44:56.500
 deliver the equipment. So it's it's the

881
44:56.500 --> 44:57.300
 only way that this works.

882
44:59.600 --> 45:02.300
 No, I

883
45:02.300 --> 45:04.200
 think it's I think go ahead guys.

884
45:06.200 --> 45:07.900
 just one more note that

885
45:08.800 --> 45:11.300
 Absolutely, we should be partnering with

886
45:11.300 --> 45:14.800
 all of our suppliers to understand where we

887
45:14.800 --> 45:17.900
 all are and how to address scope three emissions and

888
45:17.900 --> 45:20.500
 also many of the suppliers are doing this

889
45:20.500 --> 45:23.900
 work and they just either don't communicate it

890
45:23.900 --> 45:26.300
 with their customers or

891
45:26.300 --> 45:30.100
 don't know how to communicate it. So that's a lot of the discussions

892
45:29.100 --> 45:32.200
 I've been having with suppliers is if you

893
45:32.200 --> 45:35.400
 are reducing your packaging for

894
45:35.400 --> 45:38.200
 whatever reason let us know and that can go

895
45:38.200 --> 45:38.500
 into

896
45:39.600 --> 45:42.900
 You know all of our discussion around Logistics.

897
45:44.800 --> 45:47.300
 Reduce costs or whatever the case

898
45:47.300 --> 45:50.900
 may be reduce plastic use. So a lot

899
45:50.900 --> 45:53.400
 of it is just communicating. What is already

900
45:53.400 --> 45:53.800
 happening?

901
45:57.500 --> 46:00.300
 Yeah. No, I think that the

902
46:00.300 --> 46:03.800
 communication pieces is great. I think the other thing is in I

903
46:03.800 --> 46:06.500
 think it's partly this conversation as we really are an inflection

904
46:06.500 --> 46:09.600
 plan. I think for so long Health Care there have been the pockets

905
46:09.600 --> 46:12.400
 and movement, but I think we're really seeing

906
46:12.400 --> 46:15.700
 a Tipping Point in terms of action, um to that

907
46:15.700 --> 46:18.100
 I wanted one of the other questions that came in it says you

908
46:18.100 --> 46:21.200
 you briefly mentioned carbon gas emissions. What are your thoughts

909
46:21.200 --> 46:24.000
 on the importance really getting to Net Zero and

910
46:24.600 --> 46:27.100
 at this point, what are your thoughts on how this will need to

911
46:27.100 --> 46:27.700
 be regulated?

912
46:31.800 --> 46:34.500
 I just need to be regularly.

913
46:35.800 --> 46:39.100
 So yes, I know many

914
46:38.100 --> 46:41.400
 of us are working on our carbon and gas

915
46:41.400 --> 46:42.700
 emissions and you know.

916
46:43.900 --> 46:46.200
 The importance of getting to Net Zero that's

917
46:46.200 --> 46:48.600
 that's a really good question. I think that

918
46:50.300 --> 46:53.600
 Getting to Net Zero is absolutely where we all need

919
46:53.600 --> 46:56.400
 to be going. But I think the steps along

920
46:56.400 --> 46:59.700
 the way that are closer to us. The

921
46:59.700 --> 47:02.600
 2030 goal is actually even

922
47:02.600 --> 47:05.400
 more important because we all need to act

923
47:05.400 --> 47:09.000
 on climate change now, I mean, the scientists are telling us I think

924
47:08.500 --> 47:11.600
 one of the more recent ipcc reports, you

925
47:11.600 --> 47:14.400
 know, five to seven years is when we really got

926
47:14.400 --> 47:17.400
 to get things done now, you know

927
47:17.400 --> 47:20.700
 as it relates to regulations, I think

928
47:20.700 --> 47:21.200
 that

929
47:23.400 --> 47:26.700
 What I'm seeing is regardless of what is

930
47:26.700 --> 47:29.200
 happening out there. There is a

931
47:29.200 --> 47:32.400
 social drive and movement to make things

932
47:32.400 --> 47:35.400
 happen and companies. You know,

933
47:35.400 --> 47:38.500
 I think something like 2/3 of the global GDP has

934
47:38.500 --> 47:42.000
 committed to Net Zero goals. So there

935
47:41.400 --> 47:45.600
 is this work is moving and

936
47:44.600 --> 47:47.700
 you know, are there opportunities to accelerate

937
47:47.700 --> 47:51.400
 it? Yes likely but but you

938
47:51.400 --> 47:54.600
 know regardless of what we're doing as we

939
47:54.600 --> 47:57.700
 get to the 2050 Mark or the 2040

940
47:57.700 --> 48:00.300
 mark it really is. What are

941
48:00.300 --> 48:03.600
 we doing on climate action today? That's gonna

942
48:03.600 --> 48:07.400
 that's really gonna Define health of

943
48:07.400 --> 48:08.800
 our communities and our own health.

944
48:09.800 --> 48:12.800
 Yeah, no for sure. I know

945
48:12.800 --> 48:15.500
 we're getting to time. I want to make sure we take this there's one

946
48:15.500 --> 48:18.100
 more question. I have a lot of thoughts but would want to

947
48:18.100 --> 48:22.100
 open this get get folks thoughts on this and the

948
48:21.100 --> 48:24.300
 environment is important it needs to be protected. But

949
48:24.300 --> 48:27.600
 according to population Health experts is responsible for 20%

950
48:27.600 --> 48:30.700
 of health issues 50% of costs are

951
48:30.700 --> 48:33.400
 derived from poor behavior and individual change choices. We

952
48:33.400 --> 48:36.500
 spend eight percent of our money on medical services and 4% on

953
48:36.500 --> 48:39.300
 improving behavior is all this in the

954
48:39.300 --> 48:42.800
 environment really going to help. What do you guys think? I think

955
48:42.800 --> 48:45.200
 this touch is very much on the social determinants of health.

956
48:45.200 --> 48:46.200
 Love to hear.

957
48:50.600 --> 48:53.100
 I'm happy to take this

958
48:53.100 --> 48:56.100
 one and get other other people's thoughts as well. And you know, I think it

959
48:56.100 --> 48:59.600
 kind of comes back to when we start looking at our environment as

960
48:59.600 --> 49:02.300
 something outside of ourselves. We're really in my

961
49:02.300 --> 49:05.900
 opinion missing the point because you know

962
49:05.900 --> 49:09.100
 the air we breathe it clearly affects,

963
49:08.100 --> 49:11.600
 you know things like asthma and

964
49:11.600 --> 49:15.300
 cardiac related issues, you know,

965
49:15.300 --> 49:18.700
 allergies vector-borne diseases those those

966
49:18.700 --> 49:21.400
 are very key in instrumental to our health.

967
49:21.400 --> 49:24.300
 And as soon as we start to look at climate change as

968
49:24.300 --> 49:27.100
 a health issue, I think some of

969
49:27.100 --> 49:30.200
 that will adjust but I want to give time to

970
49:30.200 --> 49:31.800
 the other panelists to share their thoughts too.

971
49:35.900 --> 49:38.900
 What see matter I drew the I think it's like

972
49:38.900 --> 49:41.300
 the environment in our health has been

973
49:41.300 --> 49:44.800
 intimately linked sense like Humanity the

974
49:44.800 --> 49:47.600
 first human, you know walked out of a cave right like

975
49:47.600 --> 49:50.600
 it this idea that somehow we're making this

976
49:50.600 --> 49:53.100
 new revelation that the air we breathe the

977
49:53.100 --> 49:56.600
 water. We drink the temperature outside. Oh, wow. Look

978
49:56.600 --> 49:59.600
 we like. Oh it matters for Health. It is always and

979
49:59.600 --> 50:02.100
 that's that's you know, it's funny

980
50:02.100 --> 50:05.300
 having these conversations, right? Because it it's just

981
50:05.300 --> 50:08.400
 been we have we have never been able to separate our health from the

982
50:08.400 --> 50:11.700
 environment. I think the question that's being asked though. Is it like

983
50:11.700 --> 50:14.000
 I I think they're linked right we're talking about

984
50:14.800 --> 50:17.200
 That the critique in that question is

985
50:17.200 --> 50:20.600
 we've spent all our money on on fixing people instead of

986
50:20.600 --> 50:23.500
 preventing disease. That's true. And so

987
50:23.500 --> 50:26.100
 what is a solution? Yeah, the solution is making sure

988
50:26.100 --> 50:29.500
 we invest in preventing disease. I mean water air Etc.

989
50:29.500 --> 50:32.100
 It also means Behavior change it means

990
50:32.100 --> 50:35.400
 helping to to shape behavior on

991
50:35.400 --> 50:38.600
 food choices and exercise. These are not mutually

992
50:38.600 --> 50:42.100
 exclusive. They're tied into this new model of transforming

993
50:41.100 --> 50:44.200
 health and Healthcare in the United States,

994
50:44.200 --> 50:47.900
 which is we need to figure out a way to incentivize right where

995
50:47.900 --> 50:51.000
 we're capitalist country profit

996
50:50.100 --> 50:53.200
 and purpose. We need to figure out how to incentivize

997
50:54.200 --> 50:57.800
 Healthcare businesses to promote health

998
50:57.800 --> 51:00.100
 or we need to incentivize someone

999
51:00.100 --> 51:03.200
 else to help promote health and that that is all those things that

1000
51:03.200 --> 51:04.800
 were buried in that question. I don't think it's neither or

1001
51:08.300 --> 51:11.300
 Yeah agreed if you're if you're getting out there

1002
51:11.300 --> 51:14.200
 and going for a walk, but you're walking through a cloud of pollution. You know,

1003
51:14.200 --> 51:17.100
 they're gonna be put some takes in there. Right? So, I think

1004
51:17.100 --> 51:18.400
 it's it's all interconnected.

1005
51:23.600 --> 51:26.400
 Hey, well, I will and I

1006
51:26.400 --> 51:29.100
 agree. I mean, I think one of the things is there's a ton of

1007
51:29.100 --> 51:32.300
 research even Community design. So no at your

1008
51:32.300 --> 51:35.500
 point if you get out and walk, but if you are in a place where there's no place to

1009
51:35.500 --> 51:38.600
 walk a lot of people make a decision, but it's deemed Behavior.

1010
51:38.600 --> 51:41.100
 So I think it's a it's

1011
51:41.100 --> 51:45.100
 a really important broadening of how we think about behavior in

1012
51:44.100 --> 51:47.300
 the context make decisions. I know we are

1013
51:47.300 --> 51:50.300
 coming to time I want I mean I think part of

1014
51:50.300 --> 51:53.300
 it is we think about the fact that we're all sitting and like or many

1015
51:53.300 --> 51:56.100
 of us are sitting and hundred degree weather. We see that the

1016
51:56.100 --> 52:00.300
 reports on, you know, the increase in storms

1017
51:59.300 --> 52:02.200
 and wildfires and all of these

1018
52:02.200 --> 52:05.300
 things. Sometimes it can be a bit challenging right? There are

1019
52:05.300 --> 52:08.100
 a lot of challenges have so you know, just like the

1020
52:08.100 --> 52:11.300
 last kind of partying words for all the folks who are joining us to think

1021
52:11.300 --> 52:14.700
 about doing this what really keeps you driving this forward. What's

1022
52:14.700 --> 52:16.400
 your motivation? And how do you keep going?

1023
52:21.800 --> 52:24.300
 I can I can start I

1024
52:24.300 --> 52:29.000
 I think earlier we talked about how there's

1025
52:28.400 --> 52:32.900
 really kind of this concept of justice and how

1026
52:32.900 --> 52:35.700
 there was disproportionate impact the typically

1027
52:35.700 --> 52:38.000
 the poor and underserves in some cases could be

1028
52:38.800 --> 52:42.000
 especially those that there are

1029
52:41.500 --> 52:44.900
 impacted most

1030
52:44.900 --> 52:48.200
 about some of what we're seeing continue

1031
52:47.200 --> 52:50.900
 to develop out in our world. I also

1032
52:50.900 --> 52:53.600
 think about my children and and

1033
52:53.600 --> 52:56.900
 how for them I want

1034
52:56.900 --> 52:59.400
 all good things and I hope

1035
52:59.400 --> 53:03.000
 that they can enjoy a good environment in the

1036
53:02.200 --> 53:06.200
 years that they have on Earth. And also

1037
53:05.200 --> 53:08.700
 I think generally the idea

1038
53:08.700 --> 53:11.000
 of sustainability makes sense to

1039
53:11.100 --> 53:14.200
 me as we collectively I think there's nothing that can you

1040
53:14.200 --> 53:17.700
 not unite us more than this common

1041
53:17.700 --> 53:20.900
 home that we're a part of so as

1042
53:20.900 --> 53:21.200
 I look at

1043
53:21.800 --> 53:24.900
 This for the world to come together. I think

1044
53:24.900 --> 53:27.000
 this is one of those that just stands out

1045
53:27.100 --> 53:31.200
 to me as quite a unifying purpose that really

1046
53:30.200 --> 53:34.000
 spans across borders and and all

1047
53:33.100 --> 53:36.300
 the other ways that we try to separate ourselves as

1048
53:36.300 --> 53:38.100
 as people here on Earth.

1049
53:44.600 --> 53:47.100
 From my perspective. We have such an

1050
53:47.100 --> 53:52.200
 opportunity in healthcare to affect change and that's

1051
53:53.100 --> 53:56.400
 Why I said earlier, I fell into Healthcare

1052
53:56.400 --> 53:59.100
 which is true, but I've stayed here for a reason

1053
53:59.100 --> 54:02.200
 and like SEMA said

1054
54:02.200 --> 54:05.500
 she found her calling. I feel I feel the same and we

1055
54:05.500 --> 54:09.100
 have this opportunity in this real inflection

1056
54:08.100 --> 54:12.500
 point in time to affect

1057
54:11.500 --> 54:13.700
 a lot of the

1058
54:14.800 --> 54:17.300
 issues that are that are going on so

1059
54:18.200 --> 54:22.400
 I also have children like Noah and I definitely want

1060
54:22.400 --> 54:24.400
 to leave them with a place that is.

1061
54:25.300 --> 54:28.400
 Good for all people where everybody can

1062
54:28.400 --> 54:31.400
 breathe. I think

1063
54:31.400 --> 54:34.400
 of the movie Wall-E and I know you know some

1064
54:34.400 --> 54:37.100
 of you who don't have young children might not have seen it but I

1065
54:37.100 --> 54:40.400
 I often think of that movie and think that

1066
54:40.400 --> 54:44.000
 I hope my children aren't searching for the the one

1067
54:43.400 --> 54:45.800
 plant on Earth that's left.

1068
54:47.200 --> 54:50.500
 So I'm super optimistic these

1069
54:50.500 --> 54:54.000
 this group of people makes me very optimistic. There

1070
54:53.400 --> 54:57.800
 are more and more voices more and more organizations coming

1071
54:57.800 --> 55:00.300
 into this conversation, which is great.

1072
55:00.300 --> 55:04.400
 We have government office of climate and

1073
55:04.400 --> 55:08.900
 Health Equity and the public

1074
55:08.900 --> 55:11.200
 market everybody's coming into the

1075
55:11.200 --> 55:14.400
 conversation and I think it's great. So I'm looking forward

1076
55:14.400 --> 55:17.700
 to working with more and more people in the

1077
55:17.700 --> 55:17.800
 future.

1078
55:20.700 --> 55:23.600
 Elizabeth before before there were

1079
55:23.600 --> 55:26.300
 so many things that give me hope and a lot of which have already

1080
55:26.300 --> 55:29.300
 been shared, but I also just wanted to take a real moment to just

1081
55:29.300 --> 55:31.100
 highlight, you know.

1082
55:32.400 --> 55:35.800
 The hope is what's needed to really offset climate

1083
55:35.800 --> 55:38.400
 anxiety, which is a real thing

1084
55:38.400 --> 55:41.400
 these days and so, you know, some of the things that

1085
55:41.400 --> 55:44.300
 I will do to to manage my own

1086
55:44.300 --> 55:47.400
 climate anxiety is being thoughtful of the content. I'm

1087
55:47.400 --> 55:50.300
 taking in it's very easy, and there's

1088
55:50.300 --> 55:54.800
 just so much happening out there right now. So, you

1089
55:54.800 --> 55:54.800
 know,

1090
55:56.500 --> 55:59.000
 That's one of the things I try to be thoughtful of but then you know

1091
55:59.400 --> 56:01.500
 as I think of what gives me hope.

1092
56:02.300 --> 56:06.200
 A few tangible things that I want to share. I just

1093
56:05.200 --> 56:08.500
 recently had three interns who

1094
56:08.500 --> 56:11.000
 joined joined join my team and

1095
56:12.100 --> 56:15.900
 the quality and experience and passion

1096
56:15.900 --> 56:18.100
 of people who are coming into this.

1097
56:19.100 --> 56:24.900
 Space just totally is awe-inspiring and

1098
56:23.900 --> 56:27.000
 you know just excited by

1099
56:26.300 --> 56:29.500
 that as well as more and more people as we

1100
56:29.500 --> 56:32.300
 mentioned making the connection between climate change and health.

1101
56:32.300 --> 56:35.600
 And of course, I would be remiss if I miss highlighting,

1102
56:35.600 --> 56:38.900
 you know, how much how much my kids my

1103
56:38.900 --> 56:41.400
 family inspire me to do this

1104
56:41.400 --> 56:44.000
 work and how they take in the world and such a

1105
56:44.200 --> 56:47.500
 different way and to be able to see it in their eyes to make a

1106
56:47.500 --> 56:47.600
 difference.

1107
56:52.500 --> 56:55.400
 um hard to follow up all those but I think common theme,

1108
56:55.400 --> 56:58.000
 you know, I have a seven year old

1109
56:58.800 --> 57:02.400
 Liliana and a nine year old daughter Elizabeth and

1110
57:03.300 --> 57:06.200
 And I'm a physician, right? So I've sworn

1111
57:06.200 --> 57:09.300
 an oath the you know to do, you know

1112
57:09.300 --> 57:12.100
 harm to do good as trained by the Jesuits on this idea

1113
57:12.100 --> 57:15.300
 of pure personality take care of the whole person which

1114
57:15.300 --> 57:19.700
 means take care of the whole family which means secret whole community. And

1115
57:18.700 --> 57:21.200
 I mean I'm starting to

1116
57:21.200 --> 57:24.200
 purchase the back 20, right? Like I'm almost 50. So the back 21, I'm gonna

1117
57:24.200 --> 57:27.100
 do my life and I think about when I when I look back and I talk

1118
57:27.100 --> 57:30.200
 to my daughter's the question that

1119
57:30.200 --> 57:33.100
 will will be on my mind is

1120
57:33.100 --> 57:36.200
 did I fight the fight to make the world better place for that?

1121
57:36.700 --> 57:39.300
 And you can fight these

1122
57:39.300 --> 57:42.800
 pure battles and you can you know, get overwhelmed

1123
57:42.800 --> 57:46.500
 by like all the different fear that's

1124
57:46.500 --> 57:48.300
 out there and Seamus point about hope it is great.

1125
57:49.100 --> 57:53.300
 The way you build resilience in the face of overwhelming

1126
57:52.300 --> 57:55.300
 threat is by action.

1127
57:55.300 --> 57:58.400
 That's how you define leadership and just you take an

1128
57:58.400 --> 58:01.300
 action and then you take the next one. Now if anyone ever saw the movie

1129
58:01.300 --> 58:04.300
 The Martian, but how do you know how do you survive? He said

1130
58:04.300 --> 58:07.300
 you find the problem in front of you you take action you solve

1131
58:07.300 --> 58:10.100
 it. Then you find the next problem and what we're seeing here, which is

1132
58:10.100 --> 58:13.200
 what gives me hope is look at who is on this

1133
58:13.200 --> 58:16.700
 call and who they represent and you

1134
58:16.700 --> 58:19.300
 know, listen to the government finally starting to talk about this and a

1135
58:19.300 --> 58:22.700
 private sector outside of Health Care starting to talk about this and there

1136
58:22.700 --> 58:25.700
 is truly this moment where we can really align,

1137
58:26.900 --> 58:29.900
 Um and and make an impact now are

1138
58:29.900 --> 58:32.400
 we gonna save the world and the World's Gonna exist after us

1139
58:32.400 --> 58:35.500
 anyways, the question is can we can we save humanity and

1140
58:35.500 --> 58:38.500
 can we put ourselves on a pathway that builds resilience as

1141
58:38.500 --> 58:41.300
 we as we go down that path and I think the answer is yes,

1142
58:41.300 --> 58:42.800
 and and I have to be hopeful.

1143
58:44.400 --> 58:46.000
 Because the opportunities out there.

1144
58:47.400 --> 58:51.200
 Yeah, I know what you guys give me. Hope this is

1145
58:51.200 --> 58:54.800
 been I mean this is this is amazing. And I think that the message

1146
58:54.800 --> 58:57.300
 of you take one step. I think sometimes it's like

1147
58:57.300 --> 59:00.600
 there's so much out there and you you know, it's like overwhelming and

1148
59:00.600 --> 59:03.400
 so I think this that taking one step and remembering well why

1149
59:03.400 --> 59:06.300
 we're all doing this again. I mean, I think we said at the

1150
59:06.300 --> 59:09.500
 beginning of the call. This is not just a webinar. It's like we're really

1151
59:09.500 --> 59:12.600
 thinking about more broadly had it allow for

1152
59:12.600 --> 59:15.100
 everyone to communicate together. I want to

1153
59:15.100 --> 59:18.800
 just thank all of the panelists because I know you all have very busy busy

1154
59:18.800 --> 59:21.300
 schedules. And so thank you so much for spending this time

1155
59:21.300 --> 59:24.300
 with us. Also want to thank everybody who's joined us

1156
59:24.300 --> 59:27.300
 today's part of this. You're also part of the solution

1157
59:27.300 --> 59:30.300
 no matter where you sit and whatever organization um

1158
59:30.300 --> 59:33.300
 into Jamie and a writers for helping to organize this so

1159
59:33.300 --> 59:36.500
 really very much looking forward. There's gonna be a follow-up

1160
59:36.500 --> 59:40.400
 webinar specifically thinking about life sciences. So on

1161
59:39.400 --> 59:43.200
 that I just with a lot of gratitude and I'm

1162
59:42.200 --> 59:45.800
 excited to continue this conversation and interact for

1163
59:45.800 --> 59:45.900
 today.