Most leaders get corrected with a meeting or an email.
Speaker ABut Marcus Perez got corrected by a commander who took the controls of the helicopter, dropped it toward the water, and told him, if this engine quits now, you're dead.
Speaker AThat moment became the most powerful leadership role he's used ever since.
Speaker BWent to a field site to pick up a private brand new in the Army.
Speaker BI started buzzing fishing boats.
Speaker BI got pretty low.
Speaker BNeedless to say, I broke all those rules.
Speaker BBut at the end, behind me was my boss's boss who radio called in.
Speaker BI knew I was in trouble.
Speaker ABut instead of punishing his commander, used the next day's flight to teach the leadership rule that Marc Castill uses to lead thousands.
Speaker BI remember in that moment thinking, you know, a boss's job is to teach as much as it is to hold people accountable.
Speaker BTeaching people so they can be accountable is really a key tenet to leadership.
Speaker BYou know, I had a boss who told me once, well, tell him a version of the truth.
Speaker BAnd I remember looking at him and saying, the truth doesn't have versions where I'm from.
Speaker ABy the end of this episode, you'll know exactly how to lead people through chaos, mistakes and pressure without losing their trust.
Speaker AFirst, you'll hear the inside the cockpit moment that started it all.
Speaker AThen we break down why it works and how Marcus applies it today in high stakes leadership and how you can use these same principles immediately with your own team.
Speaker AWelcome back to Lead the Team.
Speaker AI'm your host, Ben Fanning, and this conversation that you're going to hear is meant to challenge, inspire and ripple out.
Speaker AIt's not just a podcast.
Speaker AIt's a positive movement to build better leaders.
Speaker AAnd you can help by taking just 10 seconds to rate and follow on Apple, Spotify and YouTube and drop a quick review over on Apple.
Speaker AThis helps more bold leaders discover the show and keeps the mission alive.
Speaker AEnjoy.
Speaker ATell me about the helicopter mistake that made you a better leader.
Speaker BI went to a field site to pick up a private brand new in the army.
Speaker BHe'd never been in a helicopter before.
Speaker BIt was a beautiful day.
Speaker BWe were flying over the coast of the Sea of Japan and I thought, never been in a helicopter before.
Speaker BWell, let's have a little fun.
Speaker BAnd so we took off and I had to drop him at a field site on the way to a mission and I started having a little fun with him.
Speaker BThe doors were off.
Speaker BIt was a beautiful day.
Speaker BI started buzzing fishing boats.
Speaker BI got pretty low.
Speaker BNow when you're flying in the field, there's usually an established hard deck which is, at a certain elevation, you're not supposed to go below that altitude for lots of reasons.
Speaker BNeedless to say, I broke all those rules, But I was having a great time.
Speaker BThe kid was having a great time.
Speaker BIt was pretty awesome.
Speaker BBut at the end, you got to climb up to the designated altitude to make sure that you're cleared to land.
Speaker BI did that, and as I radio called in, behind me was my boss's boss, who radio called in and then said, I'm number two behind that aircraft.
Speaker BI knew I was in trouble, so I descended.
Speaker BI let the young man out of the aircraft.
Speaker BI quickly refueled and went about my business.
Speaker BNothing was ever said.
Speaker BThe next day, I. I flew into a field site to get briefed for a mission, and my boss was there, and he said, hey, Lieutenant, how about I go flying with you today?
Speaker BI said, that sounds great, sir.
Speaker BHe climbs in, we strap in, we.
Speaker BOff we go, and we're basically taking the same route.
Speaker BAnd I'm minding my P's and Q's, staying at the right altitude, doing everything, you know, perfectly.
Speaker BHe says, hey, mind if I fly?
Speaker BI said, no, sir, you got it.
Speaker BHe takes the controls, and he starts to slowly descend and do exactly what I was doing.
Speaker BBuzzing fishing boats, having a big time.
Speaker BAnd he doesn't say anything for a few minutes.
Speaker BThen he looks at me and he says, you know, in the.
Speaker BIn special ops, the aircraft are equipped with a radar altimeter that tells you exactly how high you are off the ground or the water.
Speaker BI was like, that's pretty cool, sir.
Speaker BKeeps doing it for a few more minutes, and then he looks at me and he says, you think you could make it to the shore if the engine died right now?
Speaker BAnd I being a cocky lieutenant, I said, yeah, sir.
Speaker BWe'd probably get the feet.
Speaker BThe skids.
Speaker BWe probably get the feet wet.
Speaker BWell, we'd be all right.
Speaker BHe said, I bet you would.
Speaker BDescends a little more, keeps doing his thing, and then looks at me and says, I don't care how good you are, if the engine quits now, you're dead.
Speaker BThat's why he goes, that's why we have a hard deck.
Speaker BAnd I knew in that moment this was his way of teaching me.
Speaker BInstead of fussing at me, he paused.
Speaker BHe kept doing it for another 30 seconds or so, and then looks over and he goes, sure.
Speaker BIt's fun, though, isn't it?
Speaker BAnd I got a big smile on my face.
Speaker BHe climbed up, and we continued on.
Speaker BAnd I remember in that moment thinking, you know, a boss's job is to teach as much as it is to hold people accountable.
Speaker BHolding people accountable is important, but teaching people so they can be accountable is really a key tenet to leadership.
Speaker BIt's the learning I took with me everywhere I went ever since.
Speaker BShout out to Colonel Binkley if he's still.
Speaker BListen.
Speaker BSomehow listening to this, because it was probably the best lesson I've ever got.
Speaker AAnd what a powerful way to deliver that lesson.
Speaker AHow?
Speaker ALike that.
Speaker AHaving fun with the fishing boats.
Speaker ALike how, how high, how close is a buzzing the fishing boat?
Speaker ALike how close are you?
Speaker B5 or 10ft.
Speaker BOh my gosh.
Speaker AAnd the fishermen probably don't appreciate this.
Speaker BWell, I, I, I'm not sure they, or they're not really scared.
Speaker BIt was probably pretty exciting for them too.
Speaker BJust wondering what the heck we were doing.
Speaker BWe weren't in the area of engagement yet, so I wasn't worried about getting shot at, but it was just fun.
Speaker BRight.
Speaker BAnd, and poor young private, he was having a big time.
Speaker BSo yeah, it was, it was just.
Speaker AA great learning from a military standpoint.
Speaker AThat's why we have a hard deck.
Speaker ABecause if you have any problems with this aircraft, there's no room, there's no wiggle room.
Speaker BThat's right.
Speaker ABecause you're like going right into the water at that point, right?
Speaker BThat's right.
Speaker BThat's right.
Speaker AAs long as they're good.
Speaker BHelicopters don't glide like airplanes.
Speaker BThey drop like a giant brick when the engine.
Speaker BSo, okay, it wasn't, I mean, I understood what he was saying about the hard deck, but it was more about, you know, I found out much later that he got lit on fire by his boss for my behavior.
Speaker BHe never said a word.
Speaker BHe never said, hey, you know, reprimand me, fuss at me, whatever, which in the military is pretty common.
Speaker BHe didn't do any of that.
Speaker BHe taught me something.
Speaker BAnd he did it in a way that lasted with me for, I mean, that was 40 years ago.
Speaker AYeah.
Speaker AIn the movies, when something goes down, like in this, the military, like in Top Gun, when Tom Cruise goes with Buzz the Tower or whatever, there's a, there's a lot of problems.
Speaker ARight.
Speaker AThey're not very kind to him.
Speaker AHe keeps doing, he keeps doing it and he gets in trouble.
Speaker AFrom your standpoint, did you have a, it sounds like you had a pre existing relationship with this leader.
Speaker ALike you had made positive deposits in those relationship, in that relationship made some trust with him, am I right?
Speaker ASo when this happened, he didn't just lay down the law.
Speaker AHe was sort of taking you through A different way of coaching.
Speaker BThat's right.
Speaker BI'd been in, in the theater for, you know, I'd been in the area of operation there for almost a year.
Speaker BAt that point, I was pretty experienced.
Speaker BHe knew I knew what I was doing.
Speaker BHe knew that I wasn't just being a cowboy, right?
Speaker BJust doing whatever I wanted, feeling like the rules didn't apply to me.
Speaker BHe knew there was probably a reason, knowing that I, that, you know, brand new people in country when you're deployed are called turtles.
Speaker BSo he knew that I had a turtle on board and I was just trying to let the kid have a good time.
Speaker BHe knew I knew what I was doing with the aircraft.
Speaker BI'd been in a few situations, so he knew I knew what I was doing.
Speaker BIt wasn't a matter of reprimanding me because I wasn't a rule follower or anything.
Speaker BI had built up some trust with my performance.
Speaker BBut I'd like to believe that even if I hadn't built up that much trust, if I'd just been, you know, a responsible, accountable guy, he would have handled it the same way.
Speaker BNow I, I saw him handle others differently based on circumstances.
Speaker BBut it, I think it was the circumstances too, was, was all a bit in, in.
Speaker BIn fun.
Speaker BAnd when you're deployed, fun is hard to find.
Speaker BSo.
Speaker AYeah.
Speaker AAnd am I right, you're in the demilitarized zone between north and South Korea?
Speaker BThat's right.
Speaker BThat's right.
Speaker AWhat was that like, knowing that you've got, on one side, you've got like, almost like Western culture combined with Eastern culture and South Korea, and then you've got North Korea, who has access to nuclear weapons.
Speaker AAnd there's no love loss between the United States and North Korea in general.
Speaker AWhat was it like being in that?
Speaker BWell, you know, north and South Korea are still two countries at ceasefire.
Speaker BThey're not at peace.
Speaker BThey're at ceasefire, literally.
Speaker BAnd the DMZ is, is basically a, a swath of land between the two countries that's de.
Speaker BVegetized.
Speaker BIt's pretty hard to miss.
Speaker BBut at the time, this was like a desert.
Speaker AIt's like a desert between the two, like totally cleared out.
Speaker BIt's, it's, it's dirt and rocks.
Speaker BYou know, there's, there's some elevation there.
Speaker BBut back in the early 90s, part of what the North Koreans like to do was sort of send folks to infiltrate into the south to, you know, sneak and peek, look around.
Speaker BAnd so part of the mission was to make sure that folks weren't doing that it was really interesting, right?
Speaker BTwo countries at ceasefire, not at peace.
Speaker BAnd so you understand the, you know, the rules of engagement and how they are.
Speaker AWhat did you learn about leadership there from your time as a helicopter leader?
Speaker ALike what.
Speaker AWhat's been one of the greatest lessons as a helicopter commander as well as working in that area between two factions of that are not at peace?
Speaker BYeah.
Speaker BI think you'd focus on, you know, the thing I learned particularly deployed, is you.
Speaker BYou focus on the troops.
Speaker BThat same boss, he had three rules of thumb.
Speaker BOne was, crap happens.
Speaker BHe used a different word.
Speaker ATwo, you can say that word on this show.
Speaker AIt's a lot.
Speaker BThat's okay.
Speaker BTwo is, you know, take care of the troops, because the troops will take care of you.
Speaker BAnd the third one was just tell the truth.
Speaker BI can always handle it.
Speaker BAnd I remember thinking that's.
Speaker BThat's pretty basic.
Speaker BRight.
Speaker BHere we are deployed in an essentially hostile environment, and his.
Speaker BThese are his rules.
Speaker BAnd then you reflect back on it and think, those three rules pretty much covered it.
Speaker BRight.
Speaker BAlways tell the truth, even when it's bad news.
Speaker BRight.
Speaker BOne of the things I love most about Altera and Harris is we live these 10 core values, one of which is bad news doesn't get better with time, which is essentially just tell the truth, we can handle it, and take care of the troops because they'll always take care of you.
Speaker BAnd you learn pretty early that leadership is not a reward, it's a responsibility.
Speaker BAnd.
Speaker BRight.
Speaker BMy definition of leadership is to serve others for their benefit.
Speaker BAnd I think I learned that, you know, those formative years in the military, you really understand that, you know, particularly where, as a pilot that, you know, the squadron you're in charge of has a bunch of folks, a handful of pilots, but a bunch of people.
Speaker BAnd those people refuel it, rearm it, fix it.
Speaker BAnd if you don't take care of those folks, you're going to climb into an aircraft that they've been working on.
Speaker BYou might want to make sure that, you know, you're doing everything you can do to support them.
Speaker AYeah.
Speaker AOh, my gosh.
Speaker ASo of those three tenants that you received early on have been so helpful for your career, which of those has been the most difficult to keep implementing?
Speaker BI think that the crap happens one, because, look, telling the truth is pretty easy, I think.
Speaker BYou know, I had a boss once who remained nameless who told me once, well, tell him a version of the truth.
Speaker BAnd I remember looking at him and saying, the truth doesn't have versions where I'm from.
Speaker BSo I Think that was pretty direct and straightforward.
Speaker BI think taking care of the troops is an easy one.
Speaker BAgain, I think if, if your focus is on serving others for their benefit, that's relatively straightforward.
Speaker BBut stuff happens and, and sometimes stuff happens that you don't expect, that you didn't predict, you didn't anticipate it.
Speaker BAnd so how you deal with that in the moment, particularly under chaos or pressure, that can be hard sometimes.
Speaker BAnd we're all human, we all make mistakes.
Speaker BI've made thousands of them.
Speaker BAnd one of them is sometimes my intensity level can be a little alarming.
Speaker BAnd I learned it, I learned a great lesson about it because sometimes right in those extreme moments, the last thing we need is, is more intensity.
Speaker AOh yeah.
Speaker AAnd what happens if you bring more intensity to an already intense situation.
Speaker BParticularly where folks aren't used to it?
Speaker BI had a, a boss here at Harris named Steve Hammond who was amazing.
Speaker BAnd I remember we had a goal at I, I ran a business called Pisces, which was a carve out we bought from Optum that was operating room software.
Speaker BAnd the challenge when I came back to Harris to, to run Pisces was to grow the business.
Speaker BAnd we were still new in the healthcare space couple years and none of our healthcare businesses were growing.
Speaker BAnd so the challenge was, can you make this business grow?
Speaker BAnd it was very modest growth, 2%.
Speaker BAnd so I pushed the team and ultimately we finished the year at 2.01% growth, which was awesome.
Speaker BBut when he came to give me my review, he actually said, you know, listen, sometimes your intensity level is a little much for regular folks and you really need to think about how you deliver messages.
Speaker BI could be pretty direct, pretty frank.
Speaker BI use all the words available.
Speaker BMy daughter likes to say, she knows that my intensity level is high when I use the knife hand, so.
Speaker BWow.
Speaker BHe said, and, and he said, you know, and I was a little defensive when he gave me the feedback and he said, you know, you just have to be mindful of that.
Speaker BMy response was, well, Steve, you got to remember I'm ex military guy.
Speaker BI was a pilot.
Speaker BYou know, if people don't do their jobs, people die.
Speaker BAnd he looked at me and smiled and said, marcus, it's software.
Speaker BNobody's dying.
Speaker BAnd it was such a great line.
Speaker BAnd I've, I've, I remember thinking, I get it right.
Speaker BThat was really the transition for me from, you know, military leader to civilian leader is, he's right now it is health care.
Speaker BAnd metaphorically, yes, we do.
Speaker BYou know, we are trying to help clinicians do all they can do to save lives.
Speaker BHowever, everything we deal with, there is an answer.
Speaker BWe just have to find it.
Speaker BAnd sometimes the way to find an answer is in the calm, not the chaos.
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Speaker AWell, it's so interesting.
Speaker AFirst of all, I don't experiencing, I don't experience you in this interview as that intense.
Speaker AYou seem very relaxed, very casual, very approachable.
Speaker ALike people are probably watching now and be like, oh yeah, I'd like to work with that guy, you know, but then you put up the knife hand and I'm like, oh, okay, I can see, I can see it popping out.
Speaker AAnd I think it's really great that, number one, even as an executive in that moment, you were open to that kind of feedback about your intensity level because you'd been rewarded for that intensity.
Speaker AProbably you, you probably survived because of that as a helicopter pilot and to stay open as a leader to that kind of feedback that, hey, all the stuff that made you successful before, especially this big trait, doesn't work the same way in this environment.
Speaker AYou got to change.
Speaker AThat's, that's impressive.
Speaker BWell, you know, they say feedback is a gift and I think everybody says that, but not everybody believes it, but it really is true.
Speaker BI think feedback is a gift and you should be open to it to receive it.
Speaker AYeah, good, good advice for leaders.
Speaker AAnd also going back to your three adages about shit happens being the hardest one to remember.
Speaker AAnd I think it's important for leaders to go in with a plan.
Speaker AI'm curious about you thinking about this.
Speaker ALike, if you go in with a mindset of, hey, it's going to happen, it's going to hit the fan.
Speaker AWe don't really know how it's going to show up, but it's going to happen.
Speaker AI suspect in your, when it does, you're like, okay, this is the stuff we were like.
Speaker AWe knew something was going to happen and you're going to stay calmer.
Speaker AYou're going to be able to respond with a cooler head and become more effective versus, I mean do you find sometimes leaders just expect their plan to go accordingly, like it is, and then they get mad when it doesn't like it was gonna happen?
Speaker BI think it's a great question.
Speaker BI do see people getting emotionally attached to a strategy, and then that makes it hard to pivot.
Speaker BRight.
Speaker BYou spend so much time thinking through a plan, thinking through a strategy, how you're going to execute.
Speaker BYou got all this, particularly in industry, large organizations.
Speaker BThere's a lot of moving parts that have to get coordinated, and you've done all the work to do that.
Speaker BAnd then something happens that really tells you you need to pivot, but you don't want to because you're so invested and you want that.
Speaker BYou in your heart, you just want it to work.
Speaker BAnd I think that's where folks get it wrong because you.
Speaker BStuff happens.
Speaker BYou got to be able to pivot, and I think you've got to be able to pivot, you know, with poise.
Speaker BAnd it's okay to pivot with intensity, but.
Speaker BBut it's the pivot that matters.
Speaker BAnd, you know, we learn that every day in the businesses we run at Harris and csi.
Speaker BRight.
Speaker BThat these are the businesses.
Speaker BWe buy that because we acquire business and keep it forever.
Speaker BMy favorite analogy is we.
Speaker BWe run our businesses like you drive your car versus how you drive a rental.
Speaker BRight.
Speaker BWe're going to keep the business forever.
Speaker BSo we're going.
Speaker BWe're going to run it with a long horizon view, and I think that helps us immensely repair businesses and help them grow over time.
Speaker AOh, I like that.
Speaker AYeah.
Speaker AYou're not doing donuts in the parking lot with the, with the businesses you buy.
Speaker ARight.
Speaker AThis is ours.
Speaker AWe're going to keep this thing running for a long time.
Speaker AWhat's the career risk that changed your trajectory?
Speaker BThe career risk.
Speaker BWow.
Speaker BSo I think it was when I came to Harris in 2012, so when I left the military and then I was a coach for a while.
Speaker BWhen I left that and got into sort of the private sector, I found myself in sales and then ultimately sales leadership roles, which I quite liked.
Speaker BI enjoyed, you know, the, the.
Speaker BThe competition, if you will, of, of selling.
Speaker AWhy did you leave?
Speaker AI mean, Division 1 basketball seems like the coolest thing.
Speaker AAnd you were at Missouri, right?
Speaker AYou had like a good major Division 1 basketball coaching gig.
Speaker BYeah, and we went to the Elite Eight 2002, and we were preseason number three in the country at one point.
Speaker BIt was pretty fun.
Speaker BI think ultimately I left coaching because the business of college coaching isn't linear.
Speaker BThere's no Clear sort of understanding of how things work.
Speaker BIt's sort of, it's always chaotic.
Speaker BI had small children, I was never home.
Speaker BMy livelihood depended on the decisions of a 17 to 22 year old male.
Speaker BI'm not sure how many people want to do that.
Speaker BAnd I just found that, you know, my sort of value system in the way I wanted to live as a husband and father was in conflict with the way the, that business ran.
Speaker BIt's much different today now, that was in the early 2000s, so I got out of coaching in 2005.
Speaker BIt's a lot different now, particularly with NIL and the transfer portal, than it was 20 years ago.
Speaker AOh my gosh, man.
Speaker AHas that changed everything or what?
Speaker BIt has, it has.
Speaker BSo I, I just wanted a little bit more of a stable home life and I still loved competing.
Speaker BSo the sales part of me.
Speaker AOkay.
Speaker AOh, got to, I see it now.
Speaker AOkay.
Speaker AI can't do that anymore.
Speaker AI'm not into that.
Speaker ABut where can I channel my competitive choices into this thing?
Speaker BYeah, yeah.
Speaker BSo I was, I did that for a while and then I got hired by a business here in North Florida and we had some assets that were software assets.
Speaker BAnd I was asked to sort of make something of this, of the sales strategy because it wasn't working.
Speaker BAnd after about three months of analysis and visiting clients and learning, I suggested that we sell the assets.
Speaker BAnd we did, and we sold them to Harris.
Speaker BAnd the day before the acquisition was final, I met with Jeff Bender, who is the executive chairman of Harris today, and Jerry Canada, who just retired, but he ran the public sector businesses then.
Speaker BHe ran healthcare.
Speaker BAnd, and I said to them, are you, are you sure you know what you're buying?
Speaker BHere are the challenges.
Speaker BAnd later in the day, again, day before the transaction closes later in the day, Jeff Bender came to me and said, I think you should come over and run this business.
Speaker BAnd I laughed at him because I was a sales guy, didn't know anything about running a software business.
Speaker BAnd that's what I said.
Speaker BI have no idea how to run a software company.
Speaker BI would be lost.
Speaker BI'm not a technologist.
Speaker BNo, no thanks.
Speaker BAnd he looked at me and said, well, we'll teach you.
Speaker BAnd soon as he said that, I was hooked.
Speaker BAnd that was almost 14 years ago now.
Speaker AWow, what a cool opportunity.
Speaker ASomeone that said, hey, you know, you, you were up front with what you thought you were up front about, I guess, your strengths and your weaknesses in that, like you hadn't done this before.
Speaker AAnd then someone will say, hey, I can Teach you that.
Speaker ASo he believed that you had the essence of what to like.
Speaker AWhat were you bringing into that?
Speaker AHe's like, I can.
Speaker BHe.
Speaker AAnd he said, I can teach Marcus the rest.
Speaker ABut what was that about you that you were bringing that he felt like he.
Speaker AYou could run this business?
Speaker BTo be honest with you, Ben, I have no idea.
Speaker AYou have to ask my boyish charm.
Speaker AWhat?
Speaker AWow.
Speaker BI think you'd have to ask him that question because I asked him.
Speaker BNo, I never did look a gift.
Speaker AHorse in the mouth.
Speaker BI took it and ran with it.
Speaker BI. I think I would like to believe I have lots of.
Speaker BBecause I'm a coach.
Speaker BI still coach a high school basketball team for fun.
Speaker AWow.
Speaker BAnd I have lots of.
Speaker BOne of my phrases is, I don't get discouraged.
Speaker BI get determined.
Speaker ARight.
Speaker BDon't get discouraged.
Speaker BGet determined when things go wrong.
Speaker BI think Jeff probably saw that in me.
Speaker BAs I reflect back now on our 10 core values.
Speaker BI'm a relatively disciplined cat.
Speaker BThat's just the way I like to live.
Speaker BI'm pretty determined.
Speaker BI don't have a problem being decisive or even being unpopular to do it.
Speaker BI do pour myself into things.
Speaker BI think love is a big quality leaders have to have.
Speaker BYou got to love what you do.
Speaker BYou got to love the people you serve.
Speaker BYou got to really, you know, invest in that.
Speaker BI think he saw those things.
Speaker BProbably be good.
Speaker BYou should get him on your podcast.
Speaker BHe'd be a good one to ask that question.
Speaker ASounds like a good fit.
Speaker BYeah.
Speaker AHe's like, let me.
Speaker ALet me ask you.
Speaker AThe first question is, why did you give Marcus such a great opportunity?
Speaker AHe doesn't know.
Speaker ASo you're, like, given this huge opportunity, and you got determined quickly.
Speaker BYeah.
Speaker AAnd things went pretty darn well.
Speaker BWell, it was a small business at the time.
Speaker BIt was in the public sector.
Speaker BIt was county clerk recorder software, so marriage licenses, death certificates, and mortgages.
Speaker BI worked for a very large lending mortgage company, and so that was the software we sold to Harris, and I didn't know anything about any of it.
Speaker BAnd you just go learn.
Speaker BYou just.
Speaker BI think curiosity is another key quality of being a leader.
Speaker BRight.
Speaker BAnd so I was curious.
Speaker BI'm curious by nature, so.
Speaker AWow.
Speaker AAnd that.
Speaker AAnd that.
Speaker AThat was a risk, and it paid off because it got you into a whole nother level of leadership.
Speaker AAnd it looks like, based on your background, you did not stop.
Speaker AYou kept rolling.
Speaker AAnd here you are leading ALTERA today.
Speaker AAltera Digital Health.
Speaker AWhat.
Speaker AWhat's broken in the industry, and what is your bold fix there?
Speaker BWow.
Speaker BThat's a so many things I think in healthcare that are a challenge.
Speaker BAt the end of the day, the consumer in healthcare is the patient.
Speaker BSo if you approach it that way, you can understand where are the challenges.
Speaker BI think one of the biggest challenges is in the data.
Speaker BIn 2008, when interoperability and EHRs became a thing, the idea was instead of paper records, we'll have electronic records so that wherever you go to get care, all that data will be there.
Speaker BWe'll know everything about Ben we need to know to provide for him the best care possible.
Speaker BThe reality is that doesn't exist today.
Speaker BStill 13 years later, we still don't have real operability.
Speaker AThis doctor, like you go see this doctor, they don't know what anything else about your healthcare background.
Speaker AAnd if you don't tell them, guess what, they're just like starting over.
Speaker AThey're running redundant tests.
Speaker BCorrect.
Speaker AThey're charging your insurance company, your insurance company's confused because they're not going to pay again, money and efficiencies, just overall patient miserableness in terms of getting.
Speaker BThat's right.
Speaker BAnd imagine what it does to the clinicians.
Speaker BRight.
Speaker BI think the clinicians then, who've invested an inordinate amount of effort and resource to go through medical school now, they're struggling too because they don't know they're ordering redundant tests.
Speaker BThey don't know things about you that maybe not every patient knows their health history or is at least honest about it.
Speaker AYeah.
Speaker AAnd so, yeah, like an ailing parent, by the way, like the baby boomers are getting older now, the kids are having to get involved and they're not able to communicate because the documents aren't there.
Speaker AThere's not a lot of clarity on that.
Speaker BThat's right.
Speaker BMy 85 year old mother lives a half a mile from me and I live that every day.
Speaker BAnd so I think, you know, if you think about what the biggest roadblocks are to great care, start there.
Speaker BAnd that's where we are choosing to at Altera Digital Health, where we're really investing some time.
Speaker BAI is a, is a big lever to pull.
Speaker BBut again, even with AI data matters.
Speaker BTo have great AI, bad data will give you bad results from AI.
Speaker BSo you need trusted data.
Speaker BWorse, you know, I think with the advent of technology, we are, I think closer than anyone now on being able to create trusted data across any platform out there.
Speaker BAnd that I think will change how patients can interact and get careful.
Speaker BIt also then enables clinicians because they need the data at the point of care to make the Right decision at the right time and ultimately for us.
Speaker BAnd I know this may sound odd in the industry, but our vision is to measure our success by our clients outcomes.
Speaker BAnd so what are the outcomes?
Speaker BA hospital, a health system or a physician practice, what are the outcomes they want?
Speaker BAnd if the outcomes are fewer repeat returns to the ER or if the outcomes are, you know, revenue is, it's a business.
Speaker BMany healthcare systems are operating on razor thin margins because of the way reimbursements work.
Speaker BIf it is in fact, you know, improving and lowering claim denials and all that sort of stuff.
Speaker BWe want to measure our success by the outcomes that matter to them.
Speaker BAnd it's really three things.
Speaker BEnabling clinicians again with data, with tools that allow them to get back to patient care and away from keyboards and mouses and reporting.
Speaker BRight.
Speaker BWe have a cool ambient listening product out there now for multiple EHRs that we own that will allow a clinician and a patient to have a conversation and full documentation.
Speaker BNot just, you know, not, not just listening but fully then taking that information and embedding it in the physician document.
Speaker BBecause a lot of clinicians now spend an awful lot of time, they call it pajama time where they're documenting at night.
Speaker BMy wife is an occupation, she's an occupational therapist and she spends every evening.
Speaker ADocumenting, taking those notes, documenting to be.
Speaker AYeah, and then that's huge because huge.
Speaker AIt's accurate.
Speaker AThe doctors don't have to interpret everything and remember everything when they seen 20 patients.
Speaker AAnd the best part is, you know, 20 years from now if a 18 year old, 22 year old person is going to be in their 40s and have healthcare problems like it's going to be documented, the real information will be on there, legible.
Speaker AAnd then hopefully.
Speaker ARight.
Speaker AIt's going to free up the doctors to be doctors again, not just a bunch of note takers.
Speaker BThat's right.
Speaker BAnd, and that flow of data between systems will allow those clinicians to have the information and it's trustworthy.
Speaker BBecause right now the problem is the data isn't trustworthy because of the way it flows.
Speaker BSo we want to enable clinicians so they can right, live better lives, see more patients, provide better care with the right information.
Speaker BWe want to empower patients.
Speaker BWe, the patient is the consumer.
Speaker BSo let's empower patients to be able to have control of their healthcare journey and understand the costs and understand the, the tests and the diagnoses and the outcomes again so they can have better outcomes.
Speaker BAnd then the third is, is really transforming healthcare organizations.
Speaker BIf you, if you Think about any industry.
Speaker BIndustries transform, usually through some change.
Speaker BThink about Amazon and the way we shop now.
Speaker BAnd I think in healthcare, healthcare is slower to change, but at some point care is going to fundamentally change.
Speaker BHow you get care will change.
Speaker BIt's already happening.
Speaker BIf you think about, you can go online today and order products from hims or hers that are.
Speaker BThat you just can have a call with a doctor or input some information and get written a prescription that arrives at your door.
Speaker BI think over time, healthcare organizations are all going to work more like on demand services, just like all the other things we have in our lives that have become on demand.
Speaker BWhat's that?
Speaker AWhat are the biggest risk for you right now in this industry?
Speaker ABecause you're dealing with data, you're dealing with AI and you're dealing with probably a lot of people who focus on healthcare and not data and information.
Speaker AThere's a risk of it leaking, of it getting messed up if it, I mean, it's a, it's like you're building this tremendous resource, but it can be used for good or evil.
Speaker ARight.
Speaker AIn terms of how.
Speaker AJust like any data and true and it's truth.
Speaker ARight.
Speaker AIt's not a interpreted health care moment.
Speaker AThis is like the people, human beings, real health care, real vital information and it's a treasure trove for research, for healing them, for their families, for, for everything.
Speaker AWhat, how are the risks from your perspective?
Speaker BSo I, I think you can lean too heavily on automated intelligence and nada or artificial intelligence and not heavily enough on human intelligence.
Speaker BRight.
Speaker BAnd what we're choosing to do is really lean in on the human connection and creating the tools and the processes to make that connection stronger and more effective.
Speaker BAnd so yes, you've got to really think about data security.
Speaker BI think again, our focus is not only on security, but on the trustworthiness of that data.
Speaker BWe know that data is correct.
Speaker BWe are working very closely with Microsoft and databricks to make sure and obviously we're in using healthgorilla to make sure that we have this qualified health information network so we can share data across any platform.
Speaker BBut being able to harmonize and synthesize that data exactly for what you've described, that data unlocks the secrets to improving care through analysis, which is what AI can do.
Speaker BRight.
Speaker BHey, a patient presents with these conditions and comorbidities.
Speaker BIf you could look back at all the previous patients who looked similar and had similar circumstances and all the different potential treatment courses and which ones had the highest effectiveness, you suddenly get directed down a path that helps you deliver Better care faster.
Speaker BAnd I think that's where healthcare is going again.
Speaker BOur third priority is transforming organizations.
Speaker BHealthcare folks want this, they just don't know how to get there because no one has gotten there yet.
Speaker BAnd I think what we want to do is again measure our success by our clients outcomes, which means we're in the boat with you.
Speaker BAnd so how do you help us understand what your outcomes are, the ones you want, how you measure them and then how do we make improvements to those things?
Speaker AYeah, I really like that.
Speaker AAnd I feel like you're, you're giving us all a good leadership blueprint to think about the expansiveness of data and information right now and other industries because it's like, it's almost like trying to boil the ocean.
Speaker AIf you look at data, what we could do, it's nice to talk about it from a really high perspective, high level perspective for the Wall Street Journal and get everybody excited about it and try to jack up a stock price.
Speaker ABut it's a whole another deal if you're like wait a minute, what are we going to actually action and what can we actually do?
Speaker AAnd I think you're asking the right question there.
Speaker AHey, what does the real customer need?
Speaker AWell, what is that outcome they want?
Speaker AAnd then we're going to take all of this, all these tools and technology we have and we're going to focus it like a laser beam, you know, at that problem.
Speaker AAnd I think a lot of leaders are, are really struggling and industries are struggling and that's why we're not seeing a lot of the benefits of AI right now in, in, in commerce because there's just too many options.
Speaker ASounds like I've got a, well, I've got a way to solve that though.
Speaker BYeah, I think this idea of AI and OHAI can do all these things, which it can, it can do all kinds of things, but it relies on two pieces.
Speaker BOne is the data has to be accurate because you can ask chat GPT questions.
Speaker BAnd if it doesn't have good data, it will manufacture an answer.
Speaker AOh yes, a good sounding one.
Speaker BThat's right.
Speaker BAnd it's convincing.
Speaker BAnd the second thing it needs is human expertise.
Speaker BSo no AI is going to take the place of a clinician because AI had, does not have the experience that comes with dealing with humans every day.
Speaker BAnd so if you have great data and great human expertise, you can really leverage AI in any industry.
Speaker BBut without it you run the risk of going down roads that just will lead you nowhere.
Speaker BAnd so we have taken a very human centric approach to using AI.
Speaker BWe've got hundreds of AI initiatives and experiments going on, but they still all come right back to how do we help empower patients, enable clinicians and transform organizations?
Speaker BAnd I think in business as a leader, your job is to keep everybody's eyes on the right things.
Speaker BIt's easy to get distracted, particularly in health care with there's lots of noise.
Speaker BBut if you keep focused on, you know, what we're focused on relative to those three things, I think you, you have a great chance of delivering real value.
Speaker BAnd ultimately in any business, your job is to deliver value for your clients.
Speaker BAnd if we're delivering value, we will be around forever.
Speaker BAnd that's the goal at csi, is to run businesses that will last forever.
Speaker BForever.
Speaker BBecause we will never divest the assets we buy.
Speaker BEver.
Speaker AYou ain't running that car, baby.
Speaker AYou are out of the car.
Speaker BWe are not rent.
Speaker BThat's right.
Speaker AWell, I think that's a good mic drop because I feel like that's how you lead in general, right.
Speaker AWith your team.
Speaker AYou know, like your companies don't treat it like a temporary asset of anything.
Speaker ARight.
Speaker AIf you, if you're playing the long game, people like to be treated that way, treat your career that way.
Speaker AThe companies and directionally, you know, you're going to be heading up into the right.
Speaker BThat's right.
Speaker AThanks for joining us on lead the team, my friend.
Speaker AThanks, Marcus and fun Ben.
Speaker BSo happy to be here.
Speaker BReally appreciate it.
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