Dr. Stacey Johnston Spills the Tea on Automating Medication Reconciliation During a Transitioning to Epic
HITea With GraceApril 30, 202400:26:12

Dr. Stacey Johnston Spills the Tea on Automating Medication Reconciliation During a Transitioning to Epic

Welcome to HITea Tuesday, where we spill the tea on HIT. This week we have Stacey Johnston, MD, VP Vice President Chief Applications Officer at Baptist Health with us to share about her transitioning their disparate EHRs to EPIC and deciding to also automate medication reconciliation in the process. 

With the patient and caregiver experience as their north star, she talks about saving her team 70,000 clicks in a year’s time by choosing to do both at the same time, improving patient care and reducing administrative burden across the board for both providers and healthcare consumers.

Stacey is an ambitious ray of sunshine from the sunshine state and an inspiration to us all as one of the first women CMIOs. She speaks about what strategies keep her team and her at the top of their game as leaders in digital transformation. Be sure to tune in!

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[00:01:13] Welcome to the High Tea with Grace podcast where we spill the tea on HIT.

[00:01:21] Today I'm honored to welcome Stacey Johnson, Doctor, Vice President Chief Applications Officer

[00:01:27] at Baptist Health in Florida.

[00:01:30] Thanks for joining us Stacey.

[00:01:31] You're welcome.

[00:01:32] Thank you so much for asking me.

[00:01:33] Yeah.

[00:01:34] So tell me a little bit about the career path that brought you to where you are now

[00:01:38] at Baptist Health.

[00:01:39] Sure.

[00:01:40] So I'm actually a physician by background and when you go to medical school, you

[00:01:45] do not think, hey, I want to be a healthcare leader or I want to be an IT or technology.

[00:01:51] And so ultimately during residency, it was transition from paper to electronic.

[00:01:58] And at that time, I was a super user and a lot of the residents for the ones leading

[00:02:04] the head of the implementation.

[00:02:06] And then by the time I graduated from residency and I went to become on an attending, I was

[00:02:12] the only one at that healthcare organization that had done any sort of electronic order

[00:02:16] entry.

[00:02:17] So next thing I know, I'm the Chief Medical Information Officer very shortly out of residency.

[00:02:23] And so I led up our implementation from paper to electronic at the smaller community hospital

[00:02:30] where I was before at Buford Memorial and Buford, South Carolina.

[00:02:34] And so at that time, I was also a full-time hospitalist and medical director of the

[00:02:38] hospitalist program.

[00:02:40] So it was pretty busy.

[00:02:42] And next thing I know, Baptist had reached out to me and said, hey, we are looking

[00:02:46] for someone to become our CMIO when the CMIO retires.

[00:02:51] And they said it's a job and training, you're going to come in as the associate CMIO.

[00:02:56] But we're looking for someone that's a hospitalist, someone that has their master's degree and

[00:03:01] someone that's a current sitting CMIO.

[00:03:03] And I said, I have all those things.

[00:03:06] And so they said, yep, we think you would be a perfect fit.

[00:03:09] And so I came in and was the associate CMIO for a period of time.

[00:03:16] During that time, I learned a lot about the organization.

[00:03:19] This of course was a much bigger organization, had more services.

[00:03:23] They really wanted someone that came in as a half physician, half administration so

[00:03:28] that I really got to be boots on the ground, really got to know the physician leadership,

[00:03:33] the other physicians.

[00:03:34] So I was spending half of my time as a hospitalist and then the other half as in the IT world.

[00:03:39] I really enjoyed getting to know the physicians and I just really felt like Baptist was this

[00:03:44] great place where I could see living forever and finishing out my career.

[00:03:50] And so then as I mentioned, it was on-the-job training but it was also like an everyday

[00:03:55] audition.

[00:03:56] But fortunately they did say yes, we want to move forward with you becoming our CMIO.

[00:04:01] And so the ongoing joke is I became the CMIO on November 1st and on November 2nd,

[00:04:07] we decided to move to Epic.

[00:04:08] And so it was a huge honor, they asked me to head up the Epic implementation and I loved

[00:04:15] every minute.

[00:04:16] It was fun and stressful and exciting and leading this amazing transformational change at this

[00:04:23] amazing organization.

[00:04:25] And we just, I got to meet so many people and work with so many wonderful people.

[00:04:29] We had I think over 1100 people, team members participate in the build.

[00:04:34] So I was working with nurses, pharmacists, clinical staff, non-clinical staff, revenue

[00:04:39] cycle, administration, physicians, nurses.

[00:04:41] So I really got to know a lot of people but then all of this was happening actually during

[00:04:47] COVID so we were doing a lot of this remotely which gave me a chance to really allow

[00:04:53] for us to have a lot more people involved in the implementation just because again

[00:04:58] we're remote.

[00:04:59] So our patient experience committee had 95 people sitting on it.

[00:05:03] So I had a lot of great exposure to so many people within the organization and then as

[00:05:10] we were wrapping that up, I was given the opportunity do you want to go and resume the

[00:05:16] role of CMIO?

[00:05:18] And I thought, you know what, I've really enjoyed leading up the technology aspects

[00:05:22] and we all know that.

[00:05:25] We all know that.

[00:05:26] Exactly.

[00:05:27] And I said, so what is this?

[00:05:30] What can I do here?

[00:05:31] And they said we've never really had an applications department.

[00:05:35] Our applications were all kind of reporting in multiple different areas and so I got to

[00:05:40] build an entire department and so I built the applications department and they created

[00:05:45] the chief applications role for me and so it was a lateral move by the vice president

[00:05:50] and chief applications officer and it allowed for me to bridge between clinical and technology.

[00:05:57] I sit in CIO councils, I sit in CMIO councils and I wear the hats of both and we do have a

[00:06:04] CMIO and she's amazing to work with and we have a really great partnership.

[00:06:07] And of course we have a CIO, he's our CDIO and I work really well with him as well too

[00:06:13] but this is a nice, this is something new.

[00:06:15] It's something different and I've just loved every minute of it.

[00:06:18] What a dream job and a dream place too.

[00:06:20] Like just so beautiful with the dolphins and the water and so tell me a little

[00:06:25] bit about Baptist Health.

[00:06:27] What is the makeup of Baptist Health?

[00:06:29] Who are you serving?

[00:06:30] Yeah, so we are a regional location within Jacksonville, Florida.

[00:06:35] We do actually serve into Georgia as well too.

[00:06:39] We have six hospitals.

[00:06:41] We bucket them into community hospitals or tertiary care center and then a nationally

[00:06:46] renowned and ranked pediatric hospital.

[00:06:49] We also have a partnership with the Andy Anderson Cancer Institute and so we have

[00:06:55] a Baptist MD Anderson so we have nationally renowned world renowned cancer care and so

[00:07:01] we have patients that are reaching as far as four hours away to receive their cancer

[00:07:06] care and same thing with their pediatric care.

[00:07:08] So even though we are some people consider us to be a community hospital,

[00:07:13] I consider us to be so much more.

[00:07:15] We do have a teaching component for our pediatric population so we have

[00:07:20] residents in the pediatric hospital.

[00:07:22] So we're a little bit beyond a community hospital but not quite academic and so we

[00:07:28] have this nice mix of that community based, locally owned, locally governed.

[00:07:34] So we really are the heart of Jacksonville.

[00:07:37] So if you ever go to a Jaguars game, you'll see Baptists up on the sign.

[00:07:41] There Baptist, we are Jacksonville.

[00:07:44] We bleed it and we just really just love representing the city of Jacksonville.

[00:07:49] I love that.

[00:07:50] We're a community hospital but not really because we're so much more.

[00:07:53] It really is a really interesting thing.

[00:07:55] So I want to dive into this transition from disparate electronic health records to consolidation.

[00:08:04] So can you tell me a little bit about the challenges you were facing with all of these

[00:08:08] different record systems prior to consolidating and how did these challenges impact patient

[00:08:14] care, operational efficiency and other things at that time?

[00:08:16] And I think you were saying you were even a physician there too at that time.

[00:08:20] What was that like?

[00:08:21] Yeah.

[00:08:22] So I'm a hospitalist by background and training and I still practice on occasion.

[00:08:26] So as a hospitalist, we couldn't see the primary care notes.

[00:08:30] And so we were often working off of prior medication lists.

[00:08:35] We didn't necessarily have their updated medication lists, their allergies or

[00:08:39] immunizations and was this blood pressure medication stopped for a reason?

[00:08:43] Was it started for a reason?

[00:08:45] So losing that core information and then on the flip side, again, being in

[00:08:51] technology, we often heard from our primary care docs and our outpatient cardiologists,

[00:08:56] any of our other outpatient services.

[00:08:58] We don't know what happened during the inpatient stay.

[00:09:02] I'd like to get the discharge summary and we were trying to work out this direct

[00:09:06] send a direct interface to the inpatient summaries, the discharge summaries

[00:09:11] and the medication lists would be one medication list on the inpatient side

[00:09:15] and a different medication list on that ambulatory side.

[00:09:18] And so at the end of the day, that didn't allow for us to provide the best

[00:09:23] patient care that we knew we could.

[00:09:25] We have amazing docs who care about the quality, who care about our patients.

[00:09:29] But really what we felt was technology was getting in the way of caring for

[00:09:33] our patients.

[00:09:34] And so Baptist decided to look at the best way to consolidate that patient

[00:09:39] care journey and really also push it to the limit.

[00:09:43] So not only bringing in your ambulatory and your inpatient into this

[00:09:47] single electronic health record, but your revenue cycle components, the

[00:09:51] ability to pay online.

[00:09:53] Also that the patient portal experience, we had a, I think a 10%

[00:09:58] patient portal usage prior to our go live.

[00:10:02] And then within six months, we are already at 50% of our patients were

[00:10:05] already using our patient portal.

[00:10:07] So just having that better patient experience from end to end, from the

[00:10:12] time of arrival to the time of discharge to the outpatient followup

[00:10:17] to paying their bill and scheduling appointments.

[00:10:20] All of that was is our patient journey.

[00:10:23] And when we decided to consolidate, we decided to move to Epic and

[00:10:29] we set out guiding principles.

[00:10:31] And our very first guiding principle is putting the patient in their family

[00:10:35] first. And to me, that is the core of why we are here.

[00:10:38] No matter whether you're in environmental services or in healthcare

[00:10:42] IT or a physician, we all are serving our patients at one form or another.

[00:10:47] That was important to me.

[00:10:49] That was our number one guiding principle.

[00:10:51] Our North Star of why we're all here today is to give that better

[00:10:54] patient experience.

[00:10:56] And then our second guiding principle was really looking at that

[00:11:00] caregiver experience, improving the caregiver experience.

[00:11:02] And so putting technology in the hands of the nurses, making sure that

[00:11:06] they can do mobile vital signs and integrating the vital signs in real

[00:11:11] time, electronic scanning of the barcode administration.

[00:11:15] And so interfacing wherever we can whenever possible and looking

[00:11:19] at that full mobility solution for the physicians and making sure

[00:11:24] that they have voice recognition capabilities and looking at some

[00:11:29] of those other capabilities that we were really trying to enhance

[00:11:32] that caregiver experience.

[00:11:34] That just brings tears to my eyes because I know that most caregivers

[00:11:39] are forgotten in the process.

[00:11:40] People say that they'll be patient-centered, but it's not really

[00:11:43] patient-centered if you don't have it patient-centered and caregiver-centered.

[00:11:47] Exactly.

[00:11:48] So that's just the way care works for systems and families and real people.

[00:11:53] It's about more than the patients about the caregiver too.

[00:11:55] So I just appreciate that so much.

[00:11:57] You talked about medication reconciliation and why was that such

[00:12:01] an important part of the puzzle?

[00:12:03] And did you use AI to help with that, help with the accuracy and more?

[00:12:07] What part did that prescriptions, medication, reconciliation play

[00:12:11] within this process?

[00:12:13] Yeah.

[00:12:13] So our medication reconciliation process has been a journey.

[00:12:17] And in our prior system, what we realized is we were having

[00:12:22] a lot of fields where people had to free text in.

[00:12:26] And one thing that we noted was I feel like there's something better out there.

[00:12:31] We also wanted a solution that would do a broader search than just

[00:12:35] your major pharmacies, looking at some of those mom and pop

[00:12:38] pharmacies, some of your cash payers.

[00:12:40] And so we started looking at different solutions of how can we

[00:12:44] solve for these two issues?

[00:12:46] When we aren't getting enough data and even the data that we're getting,

[00:12:50] it's a free text field and it's automatically not coming over as

[00:12:53] discrete data, so it's requiring manual transcription.

[00:12:56] And we had found a partner that we really liked working with

[00:13:00] and with Doctor First Solution and they have something called a smart

[00:13:05] processor. Basically what we ended up doing was we were talking about

[00:13:09] doing this in our prior environment.

[00:13:12] But there's the complexity of change and then change again.

[00:13:15] We thought, you know what?

[00:13:15] We'll hold off and just do it all at once.

[00:13:18] We'll go Big Bang.

[00:13:19] We're not only going to go Big Bang with Epic, but we're going to go

[00:13:21] Big Bang with this new medication reconciliation partner.

[00:13:25] And that allowed for them to continue working on the smart processor.

[00:13:28] And so when we went live, all of those fields that were manual

[00:13:33] fields that people had to transcribe into were now 95% filled in.

[00:13:38] But people didn't realize because it's all in the back end.

[00:13:41] Like you aren't realizing what's AI, what's not AI, what's being

[00:13:46] filled in, you see what's being filled in, but you're not realizing

[00:13:50] there's something else outside of Epic doing that work for us in the back end.

[00:13:55] And so I felt like that was one of our biggest wins because it was such

[00:13:58] a seamless integration and because we were able to go live with it.

[00:14:02] And also just the data around having 95% of those what we call

[00:14:07] in the pharmacy world, SIG fields, those SIG fields are filled in.

[00:14:11] And so we did a time study basically from the first seven months of go live.

[00:14:15] So we went live on July 30th, 2022.

[00:14:18] And in January, we ran our data.

[00:14:21] We had saved 70 million clicks and so 70 million fields were filled in.

[00:14:30] Yeah. So amazing.

[00:14:31] So it was just we saved 22,000 hours of nursing hours.

[00:14:37] Just a lot of time given back.

[00:14:39] But what people didn't realize because we did it at go live is

[00:14:42] they didn't know that there's something else working in the background.

[00:14:46] But to save them time, they all thought it was Epic.

[00:14:48] Yeah. Yeah.

[00:14:50] But it's amazing that so many different applications can work so seamlessly

[00:14:54] with Epic and that you were able to think about think strategically.

[00:14:58] OK, we're going live with Epic.

[00:14:59] Let's have a lot of other things go alongside to make sure

[00:15:03] that people are getting the most money out of what we're doing here.

[00:15:06] This challenge of switching it's like millions of records.

[00:15:10] We make it the most useful as possible.

[00:15:12] So what elaborate a little more on the process now of consolidating

[00:15:17] all these millions of medication records and ensuring its accuracy.

[00:15:21] What was the framework you used when you were doing this?

[00:15:25] Yeah, so we had a data archiving committee that was led by physicians.

[00:15:30] We really wanted the Epic implementation to be finished physician and clinician

[00:15:35] led. So we had multiple levels of advisory councils and work groups.

[00:15:40] And for every work group, we had both a pediatric and adult version of that.

[00:15:45] Again, having this world renowned pediatric hospital is important to us

[00:15:48] that pediatrics sat at the table.

[00:15:50] And so one of the consolidated work groups was kind of the data

[00:15:56] archiving consolidation work group and how much data are we bringing back?

[00:16:02] How much are we going to store?

[00:16:04] What are how are we going to access the historical records?

[00:16:08] How long do we keep Surinor and TechWorks going?

[00:16:11] All of these decisions were made.

[00:16:12] And what we settled on was three years of data would be coming in

[00:16:17] and that we would store in the historical records, our archiving system,

[00:16:21] anything beyond that for we had some asterisks.

[00:16:25] So for colonoscopy, we brought in 10 years worth.

[00:16:27] And so for our medication list, we brought in the three years worth.

[00:16:31] When we went live, we thought, you know, what data is great?

[00:16:35] Let's bring in all the data.

[00:16:36] So with care everywhere, we're like, whatever is available, let's bring in.

[00:16:40] And what we found was it was overwhelming and we thought we this is not sustainable.

[00:16:45] So we had found out that you can actually dial down how much data you're bringing in.

[00:16:50] So we dialed it down to the last 12 months of data for care everywhere.

[00:16:55] And then we found that even with Dr.

[00:16:57] First, that's actually more than we really needed.

[00:16:59] So we're bringing in just the last six months with Dr. First.

[00:17:03] So that kind of that's that reach out of the past medication history,

[00:17:08] that the pharmacy tax or the nurses reckons how is looking back six months.

[00:17:13] But from a physician standpoint, if they want to look back even further,

[00:17:17] they can use the care everywhere for other historical records from beyond

[00:17:22] and with that integrated care everywhere in that work.

[00:17:25] That was one of the feedback, one of our lessons learned.

[00:17:28] But I was going to ask you, what are your lessons learned?

[00:17:30] And do you have any insights or advice?

[00:17:31] You want to share other health care leaders considering a consolidation and moving forward?

[00:17:35] So much data is a real thing.

[00:17:37] So it was overwhelming with just the amount of data we brought in.

[00:17:41] And so I would say that is something we probably if I had known

[00:17:47] that we needed to dial down how much how many years worth of medication history

[00:17:52] were coming in that we probably would have done that from the very beginning.

[00:17:55] The other thing that I think we would have liked to have done differently

[00:17:59] is the when you're converting, you actually have to have a physical

[00:18:04] transcription person like someone actually reconciled the meds into the patient's new chart.

[00:18:10] So you have your care everywhere, doctor, for some solution out there doing the medication history.

[00:18:16] But then for that first time that patient arrives for that medication list

[00:18:21] to be populated as these are my home medications, it requires someone

[00:18:25] to actually click on that plus sign and then reconcile those meds.

[00:18:29] There are some solutions out there.

[00:18:31] We didn't go live with that.

[00:18:33] And I realize that's probably something I wish we had maybe done initially

[00:18:38] has gone live with that and then had this person work off of the solution

[00:18:44] instead of this whole mass of medication.

[00:18:47] So after a few months, we realized this Medicaid,

[00:18:50] the medication reconciliation process was so onerous to our primary care docs in particular.

[00:18:55] So we started working with Dr. First and some other solutions to bring in

[00:19:00] this kind of this better medication history for our primary care docs

[00:19:04] to do the reconciliation so that again, as your patients are being seen

[00:19:08] for the first time, their medication list is already populated.

[00:19:11] I just love that. It's amazing that they had ePrescribing

[00:19:14] and then now they have this situation where it's like they can use AI

[00:19:17] on all of this data for reconciliation.

[00:19:19] It's so much help to the people trying to serve the patients.

[00:19:24] And I just think as a patient and caregiver, my experience is I don't remember

[00:19:28] all of the meds, the names in particular.

[00:19:30] It's all you for this.

[00:19:32] I use it for that and I'm a good patient.

[00:19:34] So I'm sure that's helpful for that as well.

[00:19:36] And that it is saying that.

[00:19:38] I think the other opportunity that we have is that we had a process

[00:19:44] in our prior system with Cerner where the pharmacy texts were notified

[00:19:48] ahead of time before again, I'm a hospitalist.

[00:19:50] So as I go and do the admissions that the medication history was usually

[00:19:55] a majority of the times already done, that we lost that in Epic.

[00:19:59] And so now that we're past live, we've optimized the system.

[00:20:04] Technically, everything's working pretty well.

[00:20:06] Let's look at our workflows and processes.

[00:20:08] That's really what we're working on now.

[00:20:10] So we're working closely with our pharmacists and our nursing leaders

[00:20:14] to figure out how best can we make sure that medication history is done

[00:20:18] earlier in the process so that it's already done by the time the hospitalist

[00:20:22] sees the patients so that we can ensure that the medications are fully

[00:20:26] reconciled at the time of the visit.

[00:20:29] I love that. I love that.

[00:20:30] And so forward thinking.

[00:20:32] So now I want to dive into you as a leader, you, Stacey Johnston.

[00:20:36] Tell me, are you to have any habits that you have in your personal life

[00:20:40] that help you work your best and make a difference?

[00:20:42] Obviously, very stressful situation you walked into

[00:20:46] to not only manage that so successfully, but you've got to keep yourself going.

[00:20:51] So what are things that you do to keep yourself going and moving and growing?

[00:20:55] Yes, it takes a village.

[00:20:57] Obviously, I am just one person.

[00:20:59] And throughout this implementation and post implementation,

[00:21:03] I couldn't have done it without the team that we have.

[00:21:06] I have amazing directors that report to me and amazing managers that report to them.

[00:21:11] We literally hand selected the team that we have here.

[00:21:14] And so I call them the Rockstar team.

[00:21:16] And I feel like a mom sometimes when I walk into our team meetings

[00:21:20] and like, I'm so proud of you all.

[00:21:22] You all we got the epic 10 gold stars at 11 months after Go Live.

[00:21:26] It's just like amazing, just amazing work done by the team.

[00:21:30] But I couldn't have also done it without the partnership

[00:21:32] with our CMIO and our Chief Technology Officer, the CIO, our clinical leaders.

[00:21:38] So this really was a team coming together.

[00:21:42] And I think having a really good working relationship is really important

[00:21:47] so that you have it's hard work and can it be stressful?

[00:21:50] Yes, obviously.

[00:21:51] But it can also be fun.

[00:21:53] So adding that element of fun to work.

[00:21:56] I take the team, we break them up into their applications.

[00:21:58] We go out to lunch and so we rotate through who I go out to lunch with.

[00:22:03] I bring we have donuts with Dr.

[00:22:05] Jay, so the managers and I get to sit around and chat once a month.

[00:22:08] And we just have donuts together and just talk about whether it's work related,

[00:22:12] not work related.

[00:22:13] And so I just really what gets me going through the day is just that teamwork.

[00:22:19] Just being part of something that is so special is amazing.

[00:22:23] And again, I couldn't have done it without them.

[00:22:25] Baptist, we couldn't have done it without them.

[00:22:28] But what keeps us continuing on a year and a half later

[00:22:31] is the fact that we have such a cohesive team

[00:22:33] that we really do have a lot of fun together.

[00:22:35] We are going bowling next weekend or next week together as a team and,

[00:22:40] you know, having that balance between kind of that work hard, played hard.

[00:22:44] And then, of course, at home, I have an amazing family.

[00:22:47] I've got a very supportive husband

[00:22:49] that allowed me to put my career ahead of his, which is amazing.

[00:22:53] And so I have three kids, twin girls and then a little boy.

[00:22:58] And in our free time, we do a ton of travel.

[00:23:02] I just got off the icon of the seas, which was just amazing.

[00:23:06] We're going to Europe this summer.

[00:23:07] So I just said that.

[00:23:08] So I truly believe in you only live once and let philosophy of work hard play hard.

[00:23:13] So I work really hard, but I also play really hard and just always on the go

[00:23:17] and taking my kids to Disney.

[00:23:19] And this weekend we're flying up to go see the solar eclipse because why not?

[00:23:23] So yeah, so I just that's what keeps me going is just knowing that

[00:23:28] what I just enjoy the working with people so much that I work with.

[00:23:32] And then I enjoy coming home and being with my family

[00:23:34] and making the most of our time together.

[00:23:36] You have such a positive energy and light about you and optimism.

[00:23:41] How do you keep that optimism as challenges and obstacles come your way in life?

[00:23:46] But what is something that keeps you resilient?

[00:23:48] Interestingly enough, my leadership, when you take that leadership assessment,

[00:23:53] that personality assessment, I scored amazingly high in resiliency.

[00:23:57] And I think part of it is being a physician.

[00:24:00] You got to be resilient and just get through residency in medical school.

[00:24:04] But I also learned that it's also can be a negative because not everyone is as resilient.

[00:24:10] And sometimes when things were going crazy during the implementation

[00:24:15] and say, it's going to be OK.

[00:24:17] And one of the doctors would always say, but it's not.

[00:24:19] And I'm like, I promise you it's going to be.

[00:24:22] And I think it's just realizing at the end of the day, it's going to be OK.

[00:24:26] No matter what happens, we're going to be fine.

[00:24:28] Mistakes are going to be made, but you learn from them and you build upon it.

[00:24:32] And then you realize, OK, let's not do that again next time.

[00:24:34] And being forgiving of others as well as being forgiving of yourself

[00:24:38] is really just the only way best way to get through life.

[00:24:41] That is so inspirational, Stacy.

[00:24:43] I appreciate that so much.

[00:24:45] So to finish off the conversation right, where can our listeners find you online?

[00:24:49] Yeah, so I'm on LinkedIn.

[00:24:50] Just reach out to me.

[00:24:51] I always message back people and I just I like to grow the LinkedIn network.

[00:24:57] And and we go to conferences and I'm part I'm head up the on the hot up board.

[00:25:04] That's one of the time associations.

[00:25:06] And I often go to the time events and any conference if I'm there,

[00:25:10] I would be happy to meet up with you as well, too.

[00:25:12] Thank you so much. That's terrific.

[00:25:14] Now, before I forget, did you happen to bring tea with you today?

[00:25:17] I did. So I brought a peppermint tea and I don't have a very special mug,

[00:25:22] but I actually have a special mug in the cabinet, which I should have brought.

[00:25:26] But that one is from the Boston Tea Party.

[00:25:31] The reenactment place, they have up in Boston, they have a Boston Tea Party ship

[00:25:36] and my great whatever grandfather, Samuel Hammond, was part of the Boston Tea Party.

[00:25:42] So we were invited back for the Boston Tea Party

[00:25:46] two hundred and fiftieth celebration, which is actually this winter.

[00:25:50] I'm not sure that I want to go to Boston in December because it's

[00:25:54] really out there. So anyway, so that's so that's my tea story.

[00:25:58] Oh, I love that tea story.

[00:26:00] I'm in Boston, so I especially love Boston Tea Party story.

[00:26:04] Thank you so much for sharing that, Stacy.

[00:26:06] And thank you for joining us today.

[00:26:08] We just love learning from you.

[00:26:09] Oh, thank you so much for having me.

[00:26:11] And thanks to you folks for joining us too.

[00:26:13] Check out the High Tea with Grace podcast website and more great

[00:26:16] guests for more great guests like Stacy's today. Cheers.

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