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James McClung - Performing an Effective Mock Survey
113 Plays2 years ago
A surveyor shows up in your lobby, unannounced, with the clipboard in hand, ready to evaluate your surgery center. Are you ready? James McClung, an ASC Developer and Consultant at Reliant Medical Services, is on today's episode to ensure you can confidently answer yes!
In our news recap, we'll cover Google Cloud and Epic's latest plans, a drug shortage created by TikTok, a dire rural hospital situation in Mississippi, and of course, end the news segment with a positive story about a 9-year-old girl who saved her classmate's life by performing the Heimlich.
Articles Mentioned:
Google, Epic partnering to allow Epic hospital clients to run EHRs on Google Cloud
A drug shortage created by TikTok and 10 more supply chain updates
Mississippi at risk of losing over half of its rural hospitals
4th grader uses Heimlich to save fellow student from choking
Brought to you by HST Pathways.
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Transcript
Introduction to 'This Week in Surgery Centers'
00:00:01
Speaker
Welcome to This Week in Surgery Centers. If you're in the ASC industry, then you're in the right place. Every week, we'll start the episode off by sharing an interesting conversation we had with our featured guests, and then we'll close the episode by recapping the latest news impacting surgery centers. We're excited to share with you what we have, so let's get started and see what the industry's been up to.
00:00:27
Speaker
Hi, everyone. I hope you all had a wonderful Thanksgiving with your loved ones. Here's what you can expect on today's episode.
Effective Mock Surveys with James McClung
00:00:35
Speaker
James McClung is an ASC developer and consultant at Reliant Medical Services. And he's here to share with us everything we need to know about performing an effective mock survey and how you can make sure that you're prepared for when an actual survey or shows up in your lobby unannounced with the clipboard in hand ready to evaluate your ASC.
00:00:55
Speaker
In our news recap, we'll cover Google Cloud and Epic's latest plans, a drug shortage created by TikTok, a dire rural hospital situation in Mississippi, and of course, end the news segment with a positive story about a nine-year-old girl who saved her classmate's life by performing the Heimlich. Hope everyone enjoys the episode and here's what's going on this week in Surgery Centers.
00:01:24
Speaker
All right. How's it going, everyone? I am your host, Raphael Kinsby, here at This Week in Surgery Centers. We have a really exciting episode this week. This week we are joined by James McClung of Reliant Medical Services, and we're going to be covering a really fun topic today on performing an effective mock survey in your surgery center.
James McClung's ASC Experience and Passion
00:01:44
Speaker
There's a lot of interesting things here. And I know a lot of our guests or excuse me, a lot of our listeners are excited to hear about this topic. And I want to just kind of before we go in, turn it over to James for anyone who doesn't know you or hasn't had a chance to kind of hear about what you do. Can you give our listeners just a bit of kind of just an overview on you?
00:02:04
Speaker
Absolutely. My name is James McClung. I'm a registered nurse by trade. I've ended up starting my own business a little bit with consulting and doing mock surveys. I've been on the Triple HC expert content committee. So they actually report to the standards committee at Triple HC. So no, I don't make the rules.
00:02:29
Speaker
I hope to advise on the rules. Also, I'm on the executive board of the state organization of ASEs here in Texas, which is TASC. And so they would be a representative for the state of Texas to ASCA, which everyone knows is the national organization. I've helped to run centers as an administrator, been a director of nursing. I pretty much filled and
00:02:59
Speaker
and operated in every position within an ASE. Plus, I've actually helped to build them as well and design them.
00:03:07
Speaker
Let's just say I have a passion for ASCs. That's awesome. That's awesome. Well, that's what we like to have here on the- I like to tell people I do crosswalks on the weekend for fun, which is a mock survey type thing. There we go. There we go. Well, that's one of the reasons that we wanted to have you on the pod. You've got a ton of just kind of expertise there and obviously a passion for ASCs, which we have as well here at this Week in Surgery Center.
00:03:32
Speaker
Excited to jump in and I think you're kind of leading off
Accreditation Importance and Challenges
00:03:35
Speaker
there. You know, we are here to talk about mock surveys and you know, just to my understanding and you know this better than I do, you know, mock surveys are really to help you prepare for when you have actual surveyors that show up to your surgery center.
00:03:49
Speaker
They've got the checklist and clipboard in hand to evaluate your surgery center. But before we dive directly into that process and what that looks like, can you give us a little bit of just understanding the accreditation process for ASCs and the options on the accreditation side before we jump into the actual mock survey? Sure. So accreditation, and I don't want to answer all the questions at once because I can probably just
00:04:18
Speaker
you know, I'm so familiar with the process and blur it all out. But yeah, accreditation, it's the gold standard when it comes down to commercial payers. So a lot of commercial payers like to see centers accredited to work with that center in contracting. Now I have not seen a center get denied a commercial contract, a commercial payer contract because they're not accredited.
00:04:46
Speaker
So, is accreditation required? Well, it depends on who you talk to, and it also depends on your state. However, in the state of Texas, accreditation is not required. However, a state license is to be open as an ambulatory surgery center. Now, is accreditation the gold standard? I think, I believe so. Accreditation is not deemed status pun intended, but
00:05:16
Speaker
Accreditation is more of a consultant type angle that they take on it versus like a state health department where they're coming in and they're more of an enforcing type attitude or perspective on the theme inspection.
00:05:36
Speaker
process. That makes sense. And in terms of just for anyone who's not totally familiar with accreditation and kind of going through that a bit, can you give us a bit of background on kind of why the accreditation is necessary for an ASC or why it would be one of the things an ASC would want to do? Right. And so accreditation, it all stems back to
00:06:02
Speaker
quality improvement. And the reason why I would say that every center should be accredited is because it's very similar to nursing. No one in nursing wants to present themselves as a physician or MD. When you go to get a nursing degree,
00:06:24
Speaker
they want to promote as many nurses to a higher degree, a PhD in nursing, right? So you can promote the profession, the industry, right? And so it provides a process that if you follow by it, you're not reinventing the wheel. It's a process that is set up and ran
00:06:50
Speaker
to help you not only provide excellent quality care, but to improve your center, your care, and the industry.
00:07:01
Speaker
So it's a no-brainer in my mind. Yeah. So, you know, the next thing that kind of comes to mind for me then is for Surgery Center, is there a requirement for them to have accreditation to be able to perform cases or are there certain cases that can't be performed if you don't have accreditation?
00:07:23
Speaker
It depends on your state and it depends on your contracts. To be a network with Medicare, all you need is a state license and you need to be licensed through the state. Now, most states that I know of at least, what they'll do is, let's just be honest, most state departments are
00:07:46
Speaker
they're not overstaffed, right? And so what they will do is give more, much more leeway to their inspections or maybe not even come inspect you at all, right? Depending on the situation and your state, of course, if you are accredited and they, right. So it really depends on what state you're in. And then there is a,
00:08:15
Speaker
I've always been told that you have to be accredited to have commercial payer contracts, so Aetna and UnitedHealthcare. Now, I've never seen that in practice, and I have seen AACs that do not have accreditation have commercial payer contracts, right? However, that is on an individual entity basis, our AAC basis, including your state, because Blue Cross Blue Shield has, you know,
00:08:45
Speaker
a Blue Cross Blue Shield of Texas, right? So you would have to approach your payer contracting specialist. Awesome. That makes sense. And the state variation there seems fairly logical with kind of the different ways those are structured.
00:09:03
Speaker
So then, you know, as I think kind of through that, and I'm sure this might vary by state as well, but one of the things that we've heard a lot of from different ASCs is that the process of getting accredited can be fairly rigorous and many times more rigorous than it is for hospitals. Is that something that you found to be true and kind of how do you see that varying for different ASCs? So I would say that
00:09:31
Speaker
It is a very serious process. You're going to need the authority to provide documentation such as ownership structure, loan information potentially to open up a center when it's a de novo or a new build. You would be working very closely with a physician owner
00:10:00
Speaker
right, are have the authority to provide that information. So, you know, at times a legal team could, you know, be helpful 100%, right? And then in addition to that, you know, you're not only just applying for accreditation, but you're looking to, especially in a de novo, you're looking to transfer over
00:10:27
Speaker
patients from either one facility to another are a doctor's office to an ASE plus looking at timelines that don't have set dates, right? With commercial or Medicare contracts, commercial payer contracts. And so that's where it gets pretty tricky and a specialist could help in that situation that has experience. I suggest never
00:10:54
Speaker
working with someone solely that does not have experience in opening up a facility or an AOC facility. Now, when it comes down to the difference between a hospital, I was a safety officer and an emergency manager of a hospital for seven to eight years. I've gone through JACO, Triple HC inspections.
00:11:21
Speaker
Is it, it's a different process, but is it more difficult? I would, I would probably say, no, it's just, it's the same. It's, it's just, it could be strenuous, tedious work where you're having to either create or put documents into place that you should have been keeping up with from the,
00:11:46
Speaker
living there now. It's like, I just say it. And that could be more difficult. It's easier said than done sometimes. Yeah. Do you feel like the resourcing in the hospitals versus ASCs are a little different and make the process any easier for hospitals versus ASCs when it comes to that? Oh, man, hands down. Oh, hands down. Yeah. I would tell you, in the hospital side, right, there is a department in person for everything. Okay.
00:12:13
Speaker
Oh yeah, and maybe some larger AC management groups might have a quality department, but you would have somebody come in and go, you've never seen before and then afterwards you would never see again. Yeah.
00:12:26
Speaker
You know, I actually worked for a surgical hospital. So it's more, it's like a glorified ASC. They put an emergency room physician somewhere in the hospital and you don't ever want to see them. And so it was more structured like an ASC where you would have the people that are, you would have people filling multiple roles, right? So, but 100%.
00:12:54
Speaker
in a hospital, they typically have a lot more resources, but that's what makes AACs great. Yep. That makes a ton of sense. Makes a ton of sense there. So, you know, kind of jumping forward and kind of getting into the compliance mock surveys a bit there.
Guidance on Mock Surveys
00:13:09
Speaker
For someone who's totally brand new to mock surveys, can you kind of just walk us through it? How does it work? Kind of what are the components there to a mock survey?
00:13:20
Speaker
Sure, absolutely. The first thing that I would say to do is if you are accredited currently, then reach out to your account executive for Triple Hc or a Jayco and let them know that you were planning on a mock survey, right? And to be perfectly honest, typically, mock surveys,
00:13:47
Speaker
are contact, a person doing a mock survey is contacted when a facility is not living in the now and there might be, you know, things like backlog or, you know, right? You're looking to determine how bad it is, right? And what needs to be done to get up to speed to pass the inspection. So
00:14:10
Speaker
You wanted to determine that first. Contact your account executive. Don't tell them any of that information, right? But just let them know because a lot of accrediting bodies like a Triple H CJCO, they take more of a consultative perspective to the inspection process. And they might be able to help you or guide you through that process, right?
00:14:37
Speaker
And whether your experience is great with that or not, you're communicating with them and staying within communication with them. They are not there to fail you. They're there to help you stay accredited. That's their whole point. And then the next step would, and on
00:15:04
Speaker
I know for TripleHC for a fact, but I'm not sure on JEGO, but it probably does have a section on their re-application or initial application. Are you using a mock survey? I see. Right. And who are you using for a mock survey? But the next step would be contacting someone like me or a mock survey specialist to come in.
00:15:30
Speaker
And I'll stop right there and break because I could go into the whole process.
00:15:40
Speaker
No, no, I mean, that's one of the reasons we wanted to have you on, because I think you've got a lot of brilliant knowledge there. And, you know, we don't have to go through all the details. I don't want you to have to give through, give out all the secret sauce. But if you were given someone kind of an overview of like, here is the, you know, three or four or maybe three to five kind of things to expect in a mock survey or maybe ways to prep for a mock survey. What are, what are some of those three to five things you would say centers should expect or prep for? That's easy. Yeah. So, um,
00:16:11
Speaker
I will tell you is that every setter, the most difficult situations are contracting, right? Are your contracts expired, right? What is it, credentialing?
00:16:27
Speaker
And hot topics, you know, for credentialing, they're going to, are for accreditation, they're going to rotate, right? I don't know if you guys remember, but during COVID, emergency management was huge. I was loving because I came back from a background emergency management. And I still feel a big
00:16:48
Speaker
portion of that will help us to take that next step as an industry. That's another point. Credentialing is huge. Are your physicians credentialed? Is it expired? Is primary source verification completed? It has to go through your bylaws. Then also, are they credentialed
00:17:10
Speaker
for one, procedures that are not being performed at the ASE? And are they credentialed for the procedures that they are performing at the ASE? And those are big hiccups because without a good CDO organization or process, it can fall behind very quickly. Is that something that you see as pretty common for surgery centers that you work with in terms of kind of falling behind there?
00:17:36
Speaker
100%. Yeah. I mean, but for on the independent side, at least, right? Yeah. And then the third one would be human resource files, occupational health. And those are the big three that, you know, every almost every inspector or every inspection that I've been in, they're gonna ask you for 10 files, right? 20 charts, right. And, you know, credentialing files. So it's,
00:18:07
Speaker
Yep, those are the big three right there. So typically what I would do is come in and follow that same process, right? Awesome. And I guess to that end, you know, when you think about it for a surgery center who's thinking about their process around mock surveys, kind of being prepared from that compliance standpoint, are mock surveys something that centers can, you know, can they do that on their own? Or is it something where you would say they should pretty consistently bring in a third party to be effective?
00:18:35
Speaker
100%. Now, so someone like myself, what we say, we say, we say bandwidth, right? Now, I will tell you is that being able to see and having years of experience being in multiple centers, right? And being in contact with industry leaders, you know, being on these boards, it does give a benefit, right? And neat ways to do things. But my first center, I had no idea any of this existed.
Third-party Specialists and Compliance Automation
00:19:03
Speaker
I was a registered nurse that a pain doc walked in and was like, hey, you want to start an ASC with me? And I'm like, I have no idea what that is, but okay, let's do it. I was in my twenties, right? No kids. And so I'm in the back of his office going, what is an ASC? Right. And so we went through the whole credentialing process.
00:19:28
Speaker
accreditation process just by research and experience with crosswalks, right? So all you have to do really is, for HHC and JACO both, they have HHC I think in my mind does a little bit better job. They have, and there is quality ASF as well. So that's a story for another day.
00:19:51
Speaker
but QuadASF is accrediting body. There might be a couple more as well, just to let you know. It really depends on if your SQL specialty, what your situation is, just do your research. But just because I'm more familiar with TripleHC, in the back of their handbook, they have checklist where you can go and check. To be honest with you, as a mock surveyor, when I come in, I'm using those as a guideline. That's the way that I was taught from
00:20:22
Speaker
you know, my mentors as mock surveyors. So the big difference though is bandwidth, right? And every, every one situation is different. So yeah, I think that makes a ton of sense. Obviously, you know, depending on the size of an ASC, whether they're independent or not, you know, the resource, even going back to what we mentioned before, kind of differences between ASCs and hospitals when it comes to accreditation, like some of those resourcing factors seem like they could be impactful in terms of how
00:20:49
Speaker
they're able to handle mock survey prep, whether doing themselves or bringing in a third party. But that seems super helpful there in terms of the considerations. Now, if I am an ASC that's going into this process of getting prepped for a mock survey, are there any additional tips or tricks that you think would be really helpful for an ASC in terms of making their mock survey really impactful? Oh, yeah, absolutely.
00:21:19
Speaker
My ultimate goal as a mark surveyor, my accreditation's ultimate goal is to get facilities to live in the now. Makes sense. Right. It's on autopilot and you don't have to go back and backlog. You don't have to go back and worry about has it been done or not.
00:21:43
Speaker
Right. Promoting and looking at structure or dynamics within an organization and then determining how you can live within the now. It should be priority number one. You should have a master schedule. You should be trusting and relying on the people that are within their departments and their sector and their jobs to be a part of quality improvement.
00:22:07
Speaker
and to help you to complete that. I, you know, base all of my performance evaluations on, you know, being a part of quality improvement. You know, surgical tech walks in and, you know, hey, you asked for these sterilization logs. Okay, well, is everything in order? Yep.
00:22:35
Speaker
All right, well, what's the benchmark on that? What's a benchmark? And I'm like, I don't know. You tell me. You know the answer to that already, don't you? And I'm like, yes, I do. It's not a one person job, because I tell you, if you try to take the world on your shoulders, and this is really more independence, right? And just coming from experience.
00:22:59
Speaker
It can be done, but it can be done a lot less stressful, right? And lean on the people that are within the departments if you have those resources. But scheduling, benchmarks, good quality improvement, or QAPI, some people call it, just QAPI meetings on a quarterly basis.
00:23:29
Speaker
that getting into a routine is the biggest hint that I could tell you. Now I have tools and all that that could help you to fill those out, but I don't think I could describe those in headphones, right? I will tell you, one thing I can describe to you is that I don't see a lot is that you want to summarize everything, right? So like if you have a,
00:23:59
Speaker
if you don't have it automated, which by the way, there's not enough automation. And I will tell you is that it's because automation has not caught up value wise to its cost yet for larger organizations, health systems that already have in place, right? Could you imagine
00:24:22
Speaker
how much it would cost to change a giant process, right? Like RCM or whatever it is, you know, from paper to automation, right? Right. From what they're doing now. And so there's not enough automation, but if you don't have automation, you want to summarize everything. You want to have one sheet that has all of your contracts,
00:24:49
Speaker
with expiration dates, right? And you don't want to be able to have notifications sent to you somehow. And if you can't be notified that way, that's the simplest form that's going to help you live in the now. Same thing with infection control, et cetera, et cetera. Typically I don't see that. I just see a bunch of paper everywhere.
00:25:12
Speaker
I can imagine. James, I feel like if there's a theme coming out of this episode, that concept of living in the now in terms of not only from a mock survey standpoint, but just general preparedness for a surgery center, I feel like that's a strong theme coming out of it, and I love that.
00:25:29
Speaker
I think that's something even beyond just kind of, you know, the application for a surgery center. I think kind of in general for all of our listeners, that concept of living in the now seems like a powerful one to take forward. So, you know, with that in mind though, you know, we do this every week with all of our guests.
Enhancing ASC Culture
00:25:45
Speaker
What is one thing our listeners can do this week to improve their surgery center?
00:25:55
Speaker
And it doesn't have to be related to mock surveys, just anything that you think could improve their surgery centers that they could do this week. Easy. It's always culture. There we go. Yeah. Set up a meeting, look to find a way where someone else can take a leadership position to step up, right? To promote them into growing and spreading their wings. Look to find ways to highlight positives. If you want to change a behavior, you don't focus on the negatives.
00:26:28
Speaker
positive behavior that you want to see. Take them out, go bowling. Get to know who you are working with because I promise you, it'll be returned to you in 10-fold. That's awesome.
00:26:45
Speaker
I love that. I'm a big believer in culture. I think that's a, we all arise my man. Exactly. I love it. Love it. Well, James, this has been a fantastic episode. I think there's been a ton of great nuggets from this that, you know, not only our listeners, but you know, really all the people who engage with this week in surgery centers can, can take from it. Um, you know, before we go, um, anyone who wants to get connected with you on, on mock surveys, um, where can the people find you? How can they get in touch with you?
00:27:13
Speaker
Absolutely. You can call my solo. I don't know. Can I drop my number? Yes, you want to drop your number? Yeah, I want to I believe in the industry. I believe in the business model. I believe this is the future of health care. And, you know, patients being more informed. So give me a call 512-496-8854. Or you can, you know, email me, reach out any time.
00:27:45
Speaker
jmcclone.reliantmedserve.com. I'm not gonna spell all of that, but please. And if I don't know the answer, I'll find it for you and point you in the right direction, but I hope to hear from you. Thank you, guys. I love it, James. Well, we will make sure that our producers put not only your phone number and your email in the show notes, I think you're our first guest who's given their phone number out, so we love it. You might be setting a new precedent there.
00:28:11
Speaker
Bring it on, guys. I want to talk to you. I talk at conferences. I attend most of them. So when it comes down to ASCs, I have a passion for it. And I want to see you succeed. So give me a call. All right. Well, thanks, James. We appreciate having you on the pod. Same. Thank you, guys. Have a good day. All right.
00:28:31
Speaker
As always, it has been a busy week in healthcare, so let's jump right in.
Google Cloud and Epic's EHR Plans
00:28:36
Speaker
In a story shared by Healthcare Dive, Google Cloud and Epic have announced plans to allow Epic clients to run their EHRs on Google Cloud. Now, this is extra interesting because just a few years ago, Epic actually announced the exact opposite. They called their clients to let them know
00:28:56
Speaker
they would not be pursuing further integration with Google. So exactly why they changed their minds, we're not sure, but it's certainly good timing for Google because when it comes to market share in the healthcare cloud computing world, they are kind of losing the battle. It's estimated that Amazon Web Services has 40% of the market, Microsoft has 18, and Google only has 12.
00:29:22
Speaker
Hackensack Meridian Health is located in New Jersey and they plan to be one of the first healthcare organizations to host its Epic EHR on Google Cloud. And we'll be moving a total of 17 hospitals onto the platform. So some of the perks would be improved analytics, AI capabilities, and added security. So we look forward to seeing what this means for Google and EHRs and the entire industry.
TikTok-induced Drug Shortage Discussion
00:29:50
Speaker
Our second story comes from Becker's ASC, and it's a recap of some supply chain updates and issues and includes a drug shortage that was actually caused by a viral TikTok video. They provided 11 updates in their story, but here are the four that I will share. The first, the American Red Cross issued a warning about the impacts of a severe flu season on the nation's blood supply.
00:30:18
Speaker
And now multiple states, including Hawaii and Georgia, are facing critical shortages. So just a reminder to donate if you can. Another shortage concern thanks to flu season, Tamiflu fill rates are 11 and a half times higher than they were at this time last year. And as of two weeks ago, 13 Tamiflu generics were in short supply among six different pharmaceutical companies.
00:30:47
Speaker
Third shortage here. So last year, Philips Respironics recalled three and a half million ventilators due to safety concerns. And the device maker recently told the FDA that two new potential issues have appeared in their reworked ventilators. So unfortunately, those won't be fixed and redistributed anytime soon.
00:31:11
Speaker
And then the fourth update here, so Ozempic is a prescription drug intended to help people with diabetes and help with long-term weight management. They are experiencing shortages because people have started using it as a weight loss drug, thanks to TikTok. Now, if you just Google Ozempic, you'll see dozens and dozens of stories about it. The drug became popular after a few celebrities were rumored to be taking it and then it blew up like crazy.
00:31:41
Speaker
The sad part is that it has now left people who genuinely need the medication to manage their diabetes unable to find it. And according to another article by the Daily Mail, the government has actually banned the drug from being shipped globally until we can get back on track. So to see the other seven supply chain updates, we'll put a link in the episode notes so you can access the full list.
00:32:06
Speaker
Our next story comes to us from modern healthcare.
Financial Struggles of Mississippi's Rural Hospitals
00:32:10
Speaker
The state of Mississippi is at risk of losing over half of its rural hospitals either immediately or in the very near future. Dr. Daniel Edney, the state health officer, shared that 54% of rural hospitals in Mississippi, so a total of 38 facilities, cannot keep their doors open for much longer due to financial issues.
00:32:34
Speaker
These hospitals find themselves in a really complicated and dire situation and here's why this is happening. First, Mississippi is one of the country's poorest states and has a high number of low income and uninsured patients, which means unfortunately a lot of bills do go unpaid.
00:32:55
Speaker
In combining that with a general increase in health care costs and labor costs, the situation is just not good. Hospital leaders say they will be out of business before the end of the year without a cash infusion. Now, the Mississippi Hospital Association, the governor, and various other politicians are working on finding an interim solution and then figuring out a five-year and ten-year plan so we don't find ourselves here again.
00:33:21
Speaker
I mean, if that many rural hospitals close, it will be detrimental to the health care in those areas, patient access, all of that. So in the meantime, something to think about, there are roughly 75 ASCs across the state of Mississippi.
00:33:39
Speaker
So even if a portion of these 38 rural hospitals do close, that's going to impact the entire healthcare ecosystem. And ASCs really need to start preparing for how this might impact them. I mean, there was going to be nurses out of work, patients looking for safe places to have procedures, and really just a lot of confused communities looking for a place to turn. So it's a good idea to start discussing the possible impact with your staff and just stay really close to this story.
Child Hero Saves Classmate's Life
00:34:10
Speaker
And to end our new segment on a positive note, a nine-year-old elementary school student in Wisconsin saved the life of a classmate by performing the Heimlich maneuver on her as she was choking on her food during lunch.
00:34:25
Speaker
Essie Collier, a fourth grader, noticed one of her classmates grabbing her neck and looking distressed. So she ran over to help. And Essie said she watched a YouTube video two years prior that showed her how to perform the Heimlich. And that's how she knew what she was doing. Her classmate was perfectly fine after everything was cleared. And the school plans to honor Essie during their next board meeting. So perhaps we have a future ER nurse or doctor on our hands here.
00:34:55
Speaker
but great job, Essie. And that news story officially wraps up this week's podcast. Thank you, as always, for spending a few minutes of your week with us. Make sure to subscribe or leave a review on whichever platform you're listening from. I hope you have a great day and we'll see you again next week.