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Smilow Cancer Hospital Town Hall | September 24, 2024

September 27, 2024

Yale New Haven Health, Yale Cancer Center and Smilow Cancer Hospital Town Hall with New Clinical Announcements, Awards and Accolades, Q & A and Discussion. Please submit questions in advance at canceranswers@yale.edu.

ID
12135

Transcript

  • 00:38Hi, everyone. We'll get started
  • 00:39soon.
  • 00:40Apology
  • 00:43for
  • 00:46the
  • 00:49delay.
  • 01:12Since it's five after, do
  • 01:13we wanna get started?
  • 01:15Yeah. I think we should.
  • 01:16I think we've got everybody
  • 01:18on now. Right?
  • 01:23Great. Welcome everyone to the
  • 01:24next Milo Cancer Hospital town
  • 01:26hall.
  • 01:28We have,
  • 01:30some results for you this
  • 01:31evening, but we're gonna start
  • 01:32off with,
  • 01:33doctor Weiner giving us a
  • 01:35welcome, and then Laurie Pickens
  • 01:37is gonna update.
  • 01:39If I could advance this
  • 01:40slide. Are you seeing the
  • 01:41presentation
  • 01:43there?
  • 01:45Can you see it?
  • 01:46It's hard for me to
  • 01:47tell. Yeah. Okay. Great. So
  • 01:49then, we're gonna kick it
  • 01:50off with Eric and Laurie.
  • 01:52Welcome, everyone.
  • 01:53Eric, it's all yours.
  • 01:55Sure. Well, I'm gonna keep
  • 01:56this really brief because I
  • 01:57don't need to take up
  • 01:58everyone's time since you all
  • 02:00have planned out a a
  • 02:02very nice agenda.
  • 02:03But just,
  • 02:05welcome to the town hall.
  • 02:08The, I think this is
  • 02:09gonna be a a useful
  • 02:11meeting, not one that's done
  • 02:12on a weekly basis by
  • 02:14any means, and you'll hear
  • 02:15more about that. But,
  • 02:17but I think it's it's
  • 02:19a a great meeting for
  • 02:20people to attend.
  • 02:21And I'm very sorry to
  • 02:23say that the summer is
  • 02:24over,
  • 02:26and we're now back hard
  • 02:28at work in the fall.
  • 02:30But we've made a lot
  • 02:31of progress, and we're gonna
  • 02:32keep pushing further.
  • 02:35Tracy. Oh, are Laurie next?
  • 02:37Yes. Hi. Hi, everyone. Thank
  • 02:39you for joining us this
  • 02:41evening. We are keeping it
  • 02:42short tonight,
  • 02:43and most of what we'll
  • 02:45focus on will be,
  • 02:47results of of us the
  • 02:49survey that you all were
  • 02:50kind enough to, provide input
  • 02:52on and, of course, some,
  • 02:54new faculty and clinical staff
  • 02:56updates. But before we do
  • 02:57that,
  • 02:58I wanted to give everyone
  • 02:59an update on where we
  • 03:00are with our search for
  • 03:02a a vice president for
  • 03:03patient services
  • 03:05for Smilo system wide. As
  • 03:07you may recall, Kim Slusser,
  • 03:10left us not all that
  • 03:11long ago,
  • 03:12for a role at MD
  • 03:14Anderson, and
  • 03:15we conducted a, we've conducted
  • 03:17a pretty comprehensive national search.
  • 03:20We have a search committee,
  • 03:22that has been engaged in
  • 03:23screening candidates and that has
  • 03:25identified
  • 03:26three
  • 03:27finalists for us to interview
  • 03:29on-site. So we've actually started
  • 03:32the on-site interviews. We've had
  • 03:33one of the three candidates
  • 03:35have come in so far.
  • 03:36We have another
  • 03:37candidate joining us in early
  • 03:39October, and the third one
  • 03:40is,
  • 03:41currently being scheduled for, on-site
  • 03:44visits. The visits are two
  • 03:45days.
  • 03:46They meet with a lot
  • 03:47of people,
  • 03:49twenty five, perhaps, across the
  • 03:51system in a variety of
  • 03:52different capacities, physicians,
  • 03:54nursing leaders, administrative leaders, part
  • 03:57other parts of the system
  • 03:58in the hospital.
  • 04:00We really like to make
  • 04:01sure that
  • 04:02we have a broad base
  • 04:03of,
  • 04:04folks that that this individual
  • 04:06will work extensively
  • 04:08with on our behalf.
  • 04:10And so it does take
  • 04:11a little bit of time
  • 04:12to accomplish that. We also,
  • 04:15built in time for them
  • 04:16to see parts of not
  • 04:18only the Smilow Cancer Hospital
  • 04:20here in New Haven, but
  • 04:21also,
  • 04:23go out to one of
  • 04:23our,
  • 04:24cancer centers outside of
  • 04:26New Haven so they can
  • 04:27get a a real feel
  • 04:28for,
  • 04:29at least a portion of
  • 04:30what, they would be responsible
  • 04:32for.
  • 04:33Our goal is to have
  • 04:35a candidate selected
  • 04:36in October. I know we're
  • 04:38we're getting close to October
  • 04:39now. So,
  • 04:40the goal would be that
  • 04:41we would have everybody come
  • 04:42through for their on-site visits,
  • 04:46before the end of October
  • 04:48and that we would be
  • 04:49in a position to make
  • 04:50a decision on a finalist.
  • 04:52And then, of course, the
  • 04:53goal would be to see
  • 04:55somebody here at the beginning
  • 04:56of, the new calendar year,
  • 04:59ideally in January.
  • 05:01Hopefully, not any later than
  • 05:02that. So
  • 05:03we are,
  • 05:05grateful to Tracy Carafino,
  • 05:07who has,
  • 05:08carried a lot on her
  • 05:09shoulders,
  • 05:11in her interim capacity as
  • 05:12our VP for patient services.
  • 05:15I'm sure she is ready
  • 05:16for us to,
  • 05:19name a,
  • 05:20permanent,
  • 05:21person here. But, she has
  • 05:23done an amazing job, and
  • 05:24we're really grateful that she
  • 05:26has been willing
  • 05:27to continue to do this
  • 05:28work with us while we've
  • 05:29gone through this really important,
  • 05:32search effort for a new,
  • 05:34patient services leader for us.
  • 05:38Thank you, Tracy. Thanks, Laurie.
  • 05:40Thank you
  • 05:41very much.
  • 05:43So we are gonna move
  • 05:44into I think, there's been
  • 05:45a little bit of a
  • 05:46pause because of the summer
  • 05:48months, but we had
  • 05:50done a survey in the
  • 05:51spring in relation to some,
  • 05:53decrease in attendance and trying
  • 05:55to really understand
  • 05:58what, was working well, what
  • 06:00things could be improved. And
  • 06:02I think
  • 06:03we were able to generate
  • 06:04quite a amount of valuable
  • 06:06feedback. As you can expect,
  • 06:09it's mixed because
  • 06:11as with anything we try
  • 06:12to do in an organization
  • 06:13this size and schedules, what's
  • 06:15a perfect time for someone
  • 06:17else isn't work. And so
  • 06:19we're playing around still with
  • 06:21some of the feedback, and
  • 06:22and moving forward, we will
  • 06:24still look
  • 06:25to have people still, you
  • 06:27know, give us feedback and
  • 06:28thoughts and ideas as we
  • 06:30move to the new platform.
  • 06:31So one of the questions
  • 06:33was, do you regularly attend
  • 06:34the Smile Cancer Hospital, Yale
  • 06:36Cancer Center town hall webinars.
  • 06:40Fifty two percent of the
  • 06:41respondents said yes, and fifty
  • 06:43two forty eight percent said
  • 06:45no, so kind of half
  • 06:46and half of the respondents.
  • 06:48And if not, why don't
  • 06:49you join?
  • 06:51The biggest area was scheduling
  • 06:53conflict,
  • 06:55and you'll see in the
  • 06:56changes that we are trying
  • 06:57to address that by offering,
  • 06:59some different times.
  • 07:01Other was a large amount,
  • 07:03Content not applicable, not aware
  • 07:05of meetings, and prefer an
  • 07:07email communication
  • 07:09was some of the other
  • 07:10reasons listed.
  • 07:13Do you find the topics
  • 07:14presented at the town hall
  • 07:16relevant
  • 07:16and informative? And and for
  • 07:18the most part, eighty percent
  • 07:19was yes
  • 07:21and twenty percent no. So
  • 07:22I think, overall,
  • 07:24that is working well.
  • 07:26We do have some changes
  • 07:27also to that, but really
  • 07:29appreciate people's feedback. You can
  • 07:30email Renee, Gaudette, myself, or
  • 07:32Kevin if you have suggestions
  • 07:34or thoughts on topics you
  • 07:36would like, you know, brought
  • 07:37forward.
  • 07:41Thanks, Tracy.
  • 07:42So,
  • 07:43you know, as Tracy alluded
  • 07:45to, the majority of respondents
  • 07:47did tell us that they'd
  • 07:49like town halls to be
  • 07:50scheduled during the workday.
  • 07:53You know, when
  • 07:55as we talked about, the
  • 07:57workday is a broad
  • 08:01span of time. And I
  • 08:02think we are all working
  • 08:04hard to
  • 08:05find a time that is
  • 08:08encompassed within that period,
  • 08:10yet is not keeping people
  • 08:12at work overtime,
  • 08:13nor is it disrupting the
  • 08:15workflow, which is very difficult
  • 08:17to get away from, particularly
  • 08:19for our members of the
  • 08:20nursing staff
  • 08:21who were often go go
  • 08:23go their entire shift.
  • 08:25But we did we do
  • 08:27hear that loud and clear,
  • 08:28and we are working on
  • 08:29it.
  • 08:30One of the things that
  • 08:31we also heard is that
  • 08:33it would be nice to
  • 08:34do at least quarterly hybrid
  • 08:36town halls at noon,
  • 08:39and that will give us
  • 08:40an opportunity for in person
  • 08:42gathering.
  • 08:43You know, I think we
  • 08:45all feel that, we have
  • 08:46moved into this world of
  • 08:48hybrid meetings.
  • 08:49There are certainly clear advantages
  • 08:51to that, but there is
  • 08:53also,
  • 08:55I, you know, I think
  • 08:55great
  • 08:57value for all of us
  • 08:58who care for cancer patients
  • 09:00together,
  • 09:01to to be together in
  • 09:03person on occasions.
  • 09:05So these quarterly town halls
  • 09:07will be generally concise
  • 09:09and short and,
  • 09:12kind of rapid fire presentations.
  • 09:15We will be distributing,
  • 09:18emails and other
  • 09:20informationals
  • 09:21to all Smilos staff,
  • 09:23and we'll be asking our
  • 09:24managers to assist with that,
  • 09:26and helping us understand what
  • 09:28are the high priority,
  • 09:30high value topics that,
  • 09:33our teams need to be
  • 09:34kept,
  • 09:35aware of.
  • 09:37I think, you know, to
  • 09:38Kevin, just to jump in
  • 09:39here, there there is an
  • 09:40ask, like, for it to
  • 09:41show up on people's calendars
  • 09:42as an appointment, which is
  • 09:44challenging from a scheduling perspective
  • 09:46because
  • 09:46it can only be sent
  • 09:47to a certain number. So
  • 09:49we're really asking for you
  • 09:50to assist in sort of
  • 09:51spreading that and forwarding that
  • 09:53appointment to all of your
  • 09:54team members,
  • 09:56to try and really help
  • 09:57with people understanding
  • 09:59when and and and what
  • 10:00time and where they are.
  • 10:04So, you know, I think
  • 10:05in in summary,
  • 10:07what
  • 10:09we are really hoping for
  • 10:10is to use this forum
  • 10:12as an opportunity
  • 10:13for engagement.
  • 10:16You know, it's a large
  • 10:17organization as Tracy alluded to
  • 10:20a lot of things going
  • 10:20on a lot of developments
  • 10:23and we would like the
  • 10:25town hall forum
  • 10:26to really serve the needs
  • 10:28of our community.
  • 10:30So we are here to
  • 10:31listen,
  • 10:32and we'd love to we'd
  • 10:33love to hear from you.
  • 10:34What do you wanna hear
  • 10:35about? What do you wanna
  • 10:36discuss? Tell us in real
  • 10:37time. Give us topics and
  • 10:39suggestions.
  • 10:41This is what Tracy and
  • 10:43myself
  • 10:44are here for. Renee is
  • 10:45here to help us.
  • 10:47So,
  • 10:48please, we look forward to
  • 10:49hearing from you. Thank you.
  • 10:52Kevin, can I can I
  • 10:53just add one thing?
  • 10:56Oh, you're gonna do the
  • 10:57schedule. I'm sorry. I'll do
  • 10:58it after. Tracy or Kevin,
  • 11:00go ahead and run through
  • 11:01the schedule, and I'll make
  • 11:02one more point. Okay. Thanks,
  • 11:04Laurie. Well, you know, you
  • 11:05can see the schedule. We're
  • 11:07planning for these.
  • 11:08November will be a virtual
  • 11:10only in,
  • 11:11early morning.
  • 11:14Late January at noon will
  • 11:15be hybrid.
  • 11:17As we get to the
  • 11:18spring, another virtual meeting, and,
  • 11:21late spring will be at
  • 11:23noon hybrid in the Smile
  • 11:25Auditorium.
  • 11:27So, Laurie, go ahead, please.
  • 11:29Yeah. I just wanted to
  • 11:30add a lot of some
  • 11:31of the other feedback we
  • 11:32received from all of you
  • 11:34in the survey,
  • 11:36was that there was an
  • 11:37interest to maybe receive some
  • 11:39of this information,
  • 11:41electronically
  • 11:42to fill in the gaps
  • 11:43because we were doing town
  • 11:45halls every month.
  • 11:47So
  • 11:48we're really trying to also
  • 11:49create a a a menu,
  • 11:50if you will,
  • 11:52of,
  • 11:53opportunities for engagement
  • 11:55and for
  • 11:56information sharing in particular
  • 11:58in the written form,
  • 12:00by getting some further information
  • 12:02out to everyone. And you
  • 12:03you may recall during COVID,
  • 12:05we did the weekly,
  • 12:07smile updates.
  • 12:10And we talked about revisiting
  • 12:11that. Of course, that was,
  • 12:13that was largely focused on
  • 12:14the plethora of information
  • 12:17that needed to get out
  • 12:17to everyone around the constant
  • 12:19changes that were occurring during
  • 12:21COVID. But then we transitioned
  • 12:23to to trying to
  • 12:25inform everybody of various policies
  • 12:27and various
  • 12:28activities that were going on
  • 12:29that was, you know, particularly
  • 12:31relevant to our our smile
  • 12:33and our our cancer colleagues.
  • 12:35We're gonna look at,
  • 12:38revisiting that as well
  • 12:40and, more
  • 12:42come on that, but that
  • 12:42would be another mechanism for
  • 12:44us to fill in some
  • 12:45of the gaps of the
  • 12:46monthly town halls. And then
  • 12:48finally, hopefully,
  • 12:50most of you, if not
  • 12:50all of you know that,
  • 12:51you know, for the last
  • 12:52two years,
  • 12:54we've been very vigilant about
  • 12:56a particular
  • 12:57schedule for, for our leadership
  • 12:59team to round. We've always
  • 13:00rounded. For years, we've rounded,
  • 13:02but we've created a very
  • 13:04structured,
  • 13:06meaningful and intentional approach to
  • 13:09leadership rounding,
  • 13:10which I think we,
  • 13:12worked to improve upon this
  • 13:14past year, and we'll continue
  • 13:15to seek your feedback,
  • 13:17through a variety of mechanisms
  • 13:19on how we can,
  • 13:21round more effectively
  • 13:22across all of our sites.
  • 13:24And,
  • 13:26and and that's an opportunity
  • 13:27for you to to engage
  • 13:29and share your thoughts with
  • 13:31with us outside of, town
  • 13:33hall as well. And we
  • 13:35realized that, you know, when
  • 13:36we're talking about inpatient, we've
  • 13:37got, you know, twenty four
  • 13:39seven.
  • 13:40And often our rounding is
  • 13:43during the,
  • 13:44you know, the the work
  • 13:46hours that are not the
  • 13:47overnight. So,
  • 13:49we are going to do
  • 13:50our inpatient rounding at seven
  • 13:51in the morning. I know
  • 13:52there's no perfect time
  • 13:54for the teams to,
  • 13:56to engage when you're busy
  • 13:58trying to change shifts and,
  • 14:00you know, make sure that
  • 14:01everybody's ready to take over
  • 14:03for for the earlier team.
  • 14:05But we will be coming
  • 14:06through the inpatient units at
  • 14:08seven o'clock in the morning
  • 14:10when we round so that
  • 14:11we have a chance to,
  • 14:13see both the, day shift
  • 14:15and the night shift. So
  • 14:16we will look for feedback
  • 14:18on that as well. We
  • 14:19wanna know how we can
  • 14:20do the best,
  • 14:21job possible to make sure
  • 14:23we can connect with with
  • 14:25everybody. So just wanted to
  • 14:27throw that in. I know
  • 14:27that wasn't a town hall
  • 14:29update, but
  • 14:31it was part of the
  • 14:32solution that we identified
  • 14:34for for, further engagement with
  • 14:36everybody. So thank you. Sorry,
  • 14:38Kevin.
  • 14:39All you have. Laurie.
  • 14:41Yeah, just
  • 14:42to
  • 14:44kind of reiterate,
  • 14:45we
  • 14:47we want your engagement. We
  • 14:48wanna hear from you.
  • 14:50You know,
  • 14:51and,
  • 14:53we love the rounding, and
  • 14:56Laurie has us on a
  • 14:57tight schedule with Don. So
  • 14:59we look forward to seeing
  • 15:00you in person.
  • 15:01So one of the things
  • 15:02that I enjoy most, particularly
  • 15:03about this time of year,
  • 15:05is,
  • 15:06kind of welcoming and acknowledging
  • 15:09the many new faculty that
  • 15:10have come into the Cancer
  • 15:12Care Enterprise and Organization over
  • 15:14the past several months. Some
  • 15:16in the spring, some in
  • 15:16the summer,
  • 15:18but it is always
  • 15:20inspiring and humbling to see
  • 15:22the wealth of talent
  • 15:24that,
  • 15:24comes to our our center.
  • 15:27So
  • 15:28just to start off with
  • 15:29in surgery,
  • 15:31welcome to doctor Siba Heikal,
  • 15:33who, has been recruited by
  • 15:34doctor Pamahawk.
  • 15:36Doctor Haikal,
  • 15:38is Canadian originally, and,
  • 15:40she will be serving as
  • 15:41the section chief for reconstructive
  • 15:43oncology. And she's a really
  • 15:45a world leader in breast
  • 15:46reconstruction and microsurgery.
  • 15:48We're also very pleased to
  • 15:49have doctor Kamal Adagapala
  • 15:51join us.
  • 15:52Doctor Adagapala is another,
  • 15:56really talented plastic surgeon who
  • 15:58will be focusing his his
  • 15:59the majority of his practice,
  • 16:01in the Bridgeport, Trumbull area.
  • 16:05Delighted,
  • 16:06to welcome,
  • 16:08some new talent in therapeutic
  • 16:11radiology,
  • 16:11radiation oncology.
  • 16:13And one of the things
  • 16:14that I I wanna acknowledge
  • 16:17and
  • 16:18and thank,
  • 16:19doctor Glaser and,
  • 16:22doctor Wilson on is that
  • 16:24they do an amazing job
  • 16:26cultivating and retaining their own
  • 16:28internal talent.
  • 16:30We have doctor Dan Hicks
  • 16:31joining the faculty.
  • 16:34Dan's been a resident at
  • 16:35Yale, and he's staying to
  • 16:37practice
  • 16:38here in our organization and
  • 16:40will be at mainly at
  • 16:41Shoreline in Trumbull,
  • 16:43with most of his time
  • 16:44at the Shoreline Medical Center.
  • 16:47Doctor. Napoon Verma is also
  • 16:49a recent graduate of the
  • 16:51Yale radiation oncology
  • 16:53residency program.
  • 16:55She's a physician scientist,
  • 16:57who will be working in
  • 16:58the laboratory in New Haven,
  • 17:00and will be practicing
  • 17:02primarily
  • 17:03in Trumbull.
  • 17:06Next.
  • 17:09Also,
  • 17:11just
  • 17:12great
  • 17:13to
  • 17:13to
  • 17:14welcome a
  • 17:17a graduate of our medical
  • 17:19oncology fellowship, doctor Rob Matera,
  • 17:21is staying here with us.
  • 17:23Many of you know Rob.
  • 17:25He's been an
  • 17:27all star as a fellow,
  • 17:29extremely well liked, and Rob
  • 17:31will be, joining the,
  • 17:34clinical team in Waterbury.
  • 17:36Rob will be focusing the
  • 17:38majority of his clinical efforts
  • 17:40in the GU space, but
  • 17:41we'll also be seeing some
  • 17:42hematology
  • 17:43patients.
  • 17:45Another great,
  • 17:46plastic surgery recruit, doctor Lucy
  • 17:48Wu.
  • 17:50I'm not sure if doctor
  • 17:51Wu is on campus yet,
  • 17:53but she will be shortly.
  • 17:57Very exciting for me to,
  • 17:59welcome doctor Ben Rescio
  • 18:02back to Yale.
  • 18:04I, had the pleasure of
  • 18:06participating in Ben's training
  • 18:08just a couple of brief
  • 18:08years ago as a general
  • 18:10surgery chief resident.
  • 18:12Ben went off to do,
  • 18:14thoracic surgery fellowship and thoracic
  • 18:17oncology,
  • 18:18Memorial Sloan Kettering. And we're
  • 18:20very fortunate to recruit him
  • 18:22back to join doctor Boffa
  • 18:24and team.
  • 18:27Next.
  • 18:33An additional,
  • 18:34recruit in medical oncology, also
  • 18:37one of our fellows.
  • 18:39As a matter of fact,
  • 18:40I'll say we've done pretty
  • 18:41well in retaining fellows in
  • 18:42medical oncology.
  • 18:44Doctor Jing Du is joining
  • 18:45us.
  • 18:46Doctor Du will be an
  • 18:48instructor of medicine,
  • 18:50practicing primarily here in New
  • 18:52Haven,
  • 18:53with a focus on breast
  • 18:54medical oncology.
  • 18:57Really delighted,
  • 18:59to
  • 19:01welcome doctor Thejal Sreekumar,
  • 19:05another graduate of our program.
  • 19:07Thejal, doctor Sreekumar
  • 19:09will be focusing on GI
  • 19:11medical oncology, and we'll also
  • 19:13be seeing patients,
  • 19:15with Doctor. Geary and the
  • 19:17genetics and high risk program.
  • 19:20Doctor. Jan Buehler's Dorf,
  • 19:24another memorial Sloan Kettering graduate
  • 19:27will be,
  • 19:28coming to the he malignancies
  • 19:30faculty,
  • 19:31and we'll be spending a
  • 19:33considerable portion of his time
  • 19:34here in New Haven.
  • 19:37I think that might be
  • 19:39it.
  • 19:40Oh, I would be remiss
  • 19:43if I did not,
  • 19:44mention
  • 19:46a fabulous upcoming event.
  • 19:49The Yale advancements in oncology
  • 19:51will be,
  • 19:53going on this Friday,
  • 19:55at Anthony's Ocean View.
  • 19:57Doctor Herbst has, brought together
  • 19:59an all star cast of
  • 20:01characters,
  • 20:02that will be sharing highlights
  • 20:04from ASCO as well as,
  • 20:06clinical updates and research,
  • 20:09findings,
  • 20:10from our own faculty.
  • 20:12And that will be eight
  • 20:13to four on Friday.
  • 20:19Another event going on,
  • 20:21that I think deserves considerable
  • 20:23attention.
  • 20:25Very important for patients, the
  • 20:27preserving hope seminar
  • 20:29fertility care for patients with
  • 20:30cancer and hematologic disorders,
  • 20:33will be Friday, October eleventh
  • 20:36here on the campus at
  • 20:37the Cohen auditorium.
  • 20:43One of the things that
  • 20:45I think we have made
  • 20:47substantial
  • 20:47progress and is a real
  • 20:49pillar for us in our
  • 20:50clinical program
  • 20:51is growth in our care
  • 20:53signature pathways.
  • 20:55I did wanna take a
  • 20:57minute in this town hall
  • 20:58to highlight the great work,
  • 21:01that has been done by
  • 21:03Dan Heacock,
  • 21:05Kate Mason, and Mary Ann
  • 21:06Davies,
  • 21:08as well as a host
  • 21:09of our faculty who,
  • 21:11work to support them in
  • 21:14clinical consensus building,
  • 21:16groups.
  • 21:17Our SmiloCare Signature pathways
  • 21:19integrate with larger work done
  • 21:21throughout the health system.
  • 21:23This is an effort to
  • 21:25drive
  • 21:26consistency
  • 21:27and quality
  • 21:28across
  • 21:29our entire
  • 21:30clinical care enterprise.
  • 21:32You can see on the
  • 21:33slide, there have been,
  • 21:35over the past eight to
  • 21:36twelve months, substantial progress with
  • 21:39a
  • 21:40a whole range of Smilo
  • 21:41specific pathways
  • 21:43that have been created and
  • 21:45have been launched. There's a
  • 21:46a variety of ambulatory and
  • 21:48inpatient
  • 21:49pathways.
  • 21:50And we have,
  • 21:51a number of kind of
  • 21:53important
  • 21:54cross cutting,
  • 21:55clinical pathways
  • 21:57that are underway and will
  • 21:59be active soon. And these
  • 22:01are things that
  • 22:02are of broad clinical applicability,
  • 22:05regardless of the specific nature
  • 22:07of the malignancy,
  • 22:08including management of oncologic
  • 22:11emergencies, neutropenic fever,
  • 22:14pathway for our patients
  • 22:16to leverage any of our
  • 22:18clinical site for infusions,
  • 22:20that we call infusion everywhere.
  • 22:22And,
  • 22:23another
  • 22:25quickly expanding set of challenges
  • 22:27with IO toxicities, and this
  • 22:29is immuno oncology.
  • 22:31So great work, Kate, Mary
  • 22:34Anne, Dan, and all of
  • 22:35our clinicians who've participated.
  • 22:38This is really,
  • 22:41something we all should be
  • 22:42proud of.
  • 22:43And and I do think
  • 22:44that, you know, we're really
  • 22:45trying to get the word
  • 22:47out there about what pathways
  • 22:48are available. You know, the
  • 22:50utilization
  • 22:51is picking up, but
  • 22:53Mary Anne or Kate would
  • 22:54be happy
  • 22:55to come to a team
  • 22:56or session or any sort
  • 22:59of form you have and
  • 23:00sort of walk people through
  • 23:01how to find them, how
  • 23:02to use them.
  • 23:03And there is, an oncology
  • 23:06council that if if there's
  • 23:08pathways that you think should
  • 23:09be developed, you can bring
  • 23:10that. There's a form, and
  • 23:12and that's reviewed by a
  • 23:13group to prioritize which ones
  • 23:15would be work worked on.
  • 23:18And so, please, you know,
  • 23:19again, if there's if you
  • 23:20have ideas of pathways you
  • 23:22think should be developed, you
  • 23:24know, reach out to Mary
  • 23:25Anne or Kate.
  • 23:29I I don't see any,
  • 23:32questions or comments in the
  • 23:33chat. There's one chat. Ali
  • 23:36put in the chat that
  • 23:37doctor Lucy Woe is here
  • 23:38seeing patients, and she is
  • 23:40already operating.
  • 23:42Alright. Thank you, Ali.
  • 23:48That's super.
  • 23:51Does anybody have any questions
  • 23:52or comments or anything they
  • 23:53wanna share in the few
  • 23:55minutes that we,
  • 23:58still have here?
  • 23:59Happy to take questions.
  • 24:05Laurie, would it be helpful
  • 24:06to remind our teams about
  • 24:08any of the surveys
  • 24:10that are will that are
  • 24:12active or will be going
  • 24:13out?
  • 24:18Well, the I think people
  • 24:19have had
  • 24:21go ahead. No. I was
  • 24:22gonna say the engagement the
  • 24:23the Yellowhaven Health System engagement
  • 24:26survey,
  • 24:27just finished on,
  • 24:29Sunday.
  • 24:30And,
  • 24:31it's too soon to
  • 24:33to share the,
  • 24:35participation rate at this point
  • 24:37other than that it was
  • 24:40outstanding.
  • 24:41I'll just say we there's
  • 24:43still a lot of, data
  • 24:45analysis and work that's being
  • 24:46sorted through to,
  • 24:48before there's any kind of,
  • 24:50unofficial announcement on what that
  • 24:53participation rate was. But everyone
  • 24:55who completed the survey,
  • 24:57we thank you,
  • 24:59deeply.
  • 25:00It is so important that
  • 25:02we
  • 25:03get to hear,
  • 25:04your thoughts and and your
  • 25:05voices. And last year, we
  • 25:07spent a lot of time
  • 25:08working with teams and the
  • 25:10directors and others on,
  • 25:13really tracking and and working
  • 25:14through the action plans that
  • 25:16everybody developed. We'll do the
  • 25:17same again. We wanna keep
  • 25:19elevating
  • 25:20the work around engagement. So
  • 25:22thank you for that.
  • 25:24And I think the only
  • 25:26other survey, Eric, is the
  • 25:28there was the survey that
  • 25:29Faye Rogers,
  • 25:32sent out that was specific
  • 25:33to the ill cancer center,
  • 25:35faculty and staff.
  • 25:37And I I think we've
  • 25:38sent out a
  • 25:39a few reminders about it,
  • 25:41so I think we're good.
  • 25:43And we did have a
  • 25:44very brief survey that,
  • 25:46that actually Kevin and Tracy
  • 25:48spearheaded,
  • 25:49that went across all of
  • 25:50Smile and all of the
  • 25:51Yale Cancer Center
  • 25:53that was also a climate
  • 25:54survey. It was just two,
  • 25:55I think, two brief questions
  • 25:57that were asked, and all
  • 25:59of that work is being
  • 26:00coalesced and reviewed,
  • 26:02as we speak. So, again,
  • 26:04I I believe that there
  • 26:05was some really, really, really
  • 26:07rich
  • 26:08and important input that you
  • 26:10all provided, through that survey
  • 26:12as well. So more to
  • 26:13come
  • 26:14on all of on all
  • 26:15of this, but we do
  • 26:17appreciate being able to hear
  • 26:19from everybody when,
  • 26:21when we do put these
  • 26:22surveys out,
  • 26:24for input from everybody. So
  • 26:28those are the surveys that
  • 26:29are that are, I think,
  • 26:30in play
  • 26:33or were in play. Superb.
  • 26:41Quiet group time.
  • 26:43But it is five thirty.
  • 26:45Yes. And, our promise was
  • 26:47that we would make things
  • 26:48short,
  • 26:49at least the virtual ones.
  • 26:51We will make them longer
  • 26:52when we are in a
  • 26:54hybrid,
  • 26:55setting. But
  • 26:57thank you, Kevin and Tracy,
  • 26:59for hosting this again, and
  • 27:01thank you everybody for being
  • 27:02here.
  • 27:04Have a great evening, everyone.
  • 27:05Everyone. Have a good evening.
  • 27:07You're welcome. Thank you.
  • 27:08You're well.