WEBVTT NOTE language:en-US NOTE Confidence: 0.9478833079338074 00:00:16.560 --> 00:00:18.800 Hello and welcome to today's Health Webinar. NOTE Confidence: 0.899544894695282 00:00:19.320 --> 00:00:21.308 This episode is brought to you by our friends at NOTE Confidence: 0.899544894695282 00:00:21.350 --> 00:00:21.640 DaVita. NOTE Confidence: 0.9012361764907837 00:00:21.640 --> 00:00:23.816 We would like to remind you that the Q&A feature NOTE Confidence: 0.9012361764907837 00:00:23.862 --> 00:00:26.220 is available, so feel free to send in your questions NOTE Confidence: 0.9012361764907837 00:00:26.265 --> 00:00:28.080 and comments throughout today's webinar. NOTE Confidence: 0.9254255890846252 00:00:28.640 --> 00:00:29.560 We would love to hear from you. NOTE Confidence: 0.8625152111053467 00:00:29.560 --> 00:00:32.123 And with that, I will turn it over to our NOTE Confidence: 0.8625152111053467 00:00:32.186 --> 00:00:34.000 moderator, Francesca Tentori. NOTE Confidence: 0.9187299013137817 00:00:34.960 --> 00:00:35.680 Hello everybody. NOTE Confidence: 0.9611998200416565 00:00:35.680 --> 00:00:38.400 Thank you so much for attending this webinar. NOTE Confidence: 0.8991569876670837 00:00:38.720 --> 00:00:42.535 I'm excited today to host a really great panel to NOTE Confidence: 0.8991569876670837 00:00:42.613 --> 00:00:46.584 discuss a topic that I think is super timely, which NOTE Confidence: 0.8991569876670837 00:00:46.662 --> 00:00:49.621 is how can we use AI to help us manage NOTE Confidence: 0.8991569876670837 00:00:49.699 --> 00:00:51.879 multiple chronic conditions? NOTE Confidence: 0.7647718787193298 00:00:52.680 --> 00:00:56.936 My name is Francesca Tintori, I'm a nephrologist and epidemiologist NOTE Confidence: 0.7647718787193298 00:00:56.999 --> 00:01:00.811 and I'm AVP for outcomes research and patient empowerment at NOTE Confidence: 0.7647718787193298 00:01:00.875 --> 00:01:01.319 DaVita. NOTE Confidence: 0.8522492051124573 00:01:01.960 --> 00:01:05.663 The Vita as an organization provides care for more than NOTE Confidence: 0.8522492051124573 00:01:05.730 --> 00:01:10.040 250,000 patients with chronic kidney disease and kidney failure. NOTE Confidence: 0.8596597909927368 00:01:10.959 --> 00:01:15.445 Kidney disease is a complex condition and and typically presents NOTE Confidence: 0.8596597909927368 00:01:15.515 --> 00:01:19.720 itself in people who also have multiple other comorbidities. NOTE Confidence: 0.8623687028884888 00:01:20.120 --> 00:01:23.531 So I'm really excited to learn from this panel today NOTE Confidence: 0.8623687028884888 00:01:23.597 --> 00:01:27.009 how AI can help us moving forward better manage this NOTE Confidence: 0.8623687028884888 00:01:27.075 --> 00:01:27.600 patient. NOTE Confidence: 0.9006054401397705 00:01:28.200 --> 00:01:31.360 First, I think we should do a round of introduction. NOTE Confidence: 0.9281343221664429 00:01:32.120 --> 00:01:33.480 Neil, do you want to go first? NOTE Confidence: 0.809721052646637 00:01:34.360 --> 00:01:34.840 Yeah, sure. NOTE Confidence: 0.9557670950889587 00:01:35.400 --> 00:01:38.057 Thank you, Francesca, and thank you for joining us on NOTE Confidence: 0.9557670950889587 00:01:38.108 --> 00:01:38.760 this webinar. NOTE Confidence: 0.8743744492530823 00:01:39.040 --> 00:01:39.960 My name is Neil Patel. NOTE Confidence: 0.7603885531425476 00:01:39.960 --> 00:01:42.000 I lead the Ventures team at Redesign Health. NOTE Confidence: 0.8250392079353333 00:01:42.000 --> 00:01:44.342 We're a venture builder and I've had the pleasure of NOTE Confidence: 0.8250392079353333 00:01:44.387 --> 00:01:46.548 working with both Steve and Rishi is on a number NOTE Confidence: 0.8250392079353333 00:01:46.594 --> 00:01:47.720 of things over the years. NOTE Confidence: 0.8866004943847656 00:01:50.920 --> 00:01:51.560 Steve. NOTE Confidence: 0.8688578009605408 00:01:55.840 --> 00:01:58.440 Thanks Francesca and and great to be with you all. NOTE Confidence: 0.8328344821929932 00:01:58.920 --> 00:02:02.709 So Steve Phillips, I oversee DaVita Venture Group for for NOTE Confidence: 0.8328344821929932 00:02:02.775 --> 00:02:06.166 DaVita, which I would think of as an innovation and NOTE Confidence: 0.8328344821929932 00:02:06.232 --> 00:02:10.354 growth enabler for DaVita focused on venture investing and and NOTE Confidence: 0.8328344821929932 00:02:10.421 --> 00:02:13.279 broader investing inclusive of of M and A1. NOTE Confidence: 0.8007323145866394 00:02:13.280 --> 00:02:16.327 One point about DaVita that I'd I'd love to add NOTE Confidence: 0.8007323145866394 00:02:16.392 --> 00:02:19.569 Francesca on and build off what you said is that, NOTE Confidence: 0.8007323145866394 00:02:19.634 --> 00:02:22.552 yeah, I think DaVita is often thought of as a NOTE Confidence: 0.8007323145866394 00:02:22.617 --> 00:02:23.719 dialysis company. NOTE Confidence: 0.9485958218574524 00:02:23.840 --> 00:02:26.455 And if you go back 7-8 years, that is largely NOTE Confidence: 0.9485958218574524 00:02:26.514 --> 00:02:28.199 what we did for our patients. NOTE Confidence: 0.9096665978431702 00:02:28.680 --> 00:02:31.034 But who we are has evolved to be a fairly NOTE Confidence: 0.9096665978431702 00:02:31.092 --> 00:02:33.160 large value based care organization. NOTE Confidence: 0.8890972137451172 00:02:33.160 --> 00:02:37.504 So if you think about common comorbidities, diabetes, hypertension, palliative NOTE Confidence: 0.8890972137451172 00:02:37.559 --> 00:02:40.734 care, behavioral health, those are all things that are in NOTE Confidence: 0.8890972137451172 00:02:40.790 --> 00:02:43.184 scope and we are are trying to to solve and NOTE Confidence: 0.8890972137451172 00:02:43.240 --> 00:02:44.800 support our patients around. NOTE Confidence: 0.9031403660774231 00:02:46.120 --> 00:02:46.720 Absolutely. NOTE Confidence: 0.8924391269683838 00:02:48.600 --> 00:02:50.000 And Rishi, do you want to go next? NOTE Confidence: 0.7941285371780396 00:02:50.480 --> 00:02:51.200 Yeah, awesome. NOTE Confidence: 0.674049973487854 00:02:51.400 --> 00:02:52.200 Thank you Francesca. NOTE Confidence: 0.6186604499816895 00:02:52.440 --> 00:02:55.948 So Rishi Mazouk I I'm CEO and Co founder of NOTE Confidence: 0.6186604499816895 00:02:56.030 --> 00:02:56.520 Linea. NOTE Confidence: 0.7977274060249329 00:02:56.520 --> 00:03:00.187 My brief background I'm an emergency physician and clinical informaticist NOTE Confidence: 0.7977274060249329 00:03:00.238 --> 00:03:03.051 with a background in digital health and kind of building NOTE Confidence: 0.7977274060249329 00:03:03.101 --> 00:03:04.760 companies over the past 12 years. NOTE Confidence: 0.8198747038841248 00:03:06.000 --> 00:03:08.654 We, you know, Linea itself was, was born out of NOTE Confidence: 0.8198747038841248 00:03:08.710 --> 00:03:12.042 redesign and a partnership with the veto thinking about how NOTE Confidence: 0.8198747038841248 00:03:12.098 --> 00:03:15.374 do we identify and engage patients with heart failure and, NOTE Confidence: 0.8198747038841248 00:03:15.430 --> 00:03:18.705 and simply prevent the readmission, but add value back and NOTE Confidence: 0.8198747038841248 00:03:18.762 --> 00:03:22.320 solve for problems for, for all the stakeholders in healthcare. NOTE Confidence: 0.7697255611419678 00:03:22.919 --> 00:03:24.875 So, so super happy to be here and, you know, NOTE Confidence: 0.7697255611419678 00:03:24.920 --> 00:03:26.520 looking forward to our conversation. NOTE Confidence: 0.9695031642913818 00:03:27.520 --> 00:03:28.640 Thank you all for being here. NOTE Confidence: 0.8445335030555725 00:03:28.639 --> 00:03:31.536 I think it's really exciting that we have a concrete NOTE Confidence: 0.8445335030555725 00:03:31.592 --> 00:03:35.769 example of what collaborations across organization as yielded and hopefully NOTE Confidence: 0.8445335030555725 00:03:35.825 --> 00:03:38.053 we you will be able to share some of the NOTE Confidence: 0.8445335030555725 00:03:38.109 --> 00:03:40.560 benefits that this collaboration as yielded. NOTE Confidence: 0.9639272689819336 00:03:40.560 --> 00:03:43.156 But first I would like to start with a fairly NOTE Confidence: 0.9639272689819336 00:03:43.214 --> 00:03:44.080 broad question. NOTE Confidence: 0.9428531527519226 00:03:44.080 --> 00:03:47.386 So as a clinician, and if there are clinicians in NOTE Confidence: 0.9428531527519226 00:03:47.454 --> 00:03:51.368 the audience, we know that the burden of comorbidities and NOTE Confidence: 0.9428531527519226 00:03:51.435 --> 00:03:55.079 chronic conditions is just growing as population ages. NOTE Confidence: 0.9022271037101746 00:03:55.440 --> 00:03:58.683 And so we have more and more conditions to take NOTE Confidence: 0.9022271037101746 00:03:58.752 --> 00:04:01.720 care of and not necessarily more resources. NOTE Confidence: 0.803283154964447 00:04:02.160 --> 00:04:05.145 So for each of you, I would like for each NOTE Confidence: 0.803283154964447 00:04:05.218 --> 00:04:08.203 of you to kind of weigh in and share your NOTE Confidence: 0.803283154964447 00:04:08.276 --> 00:04:12.863 thoughts on how technology and perhaps specifically AI can help NOTE Confidence: 0.803283154964447 00:04:12.936 --> 00:04:17.959 clinicians and healthcare system manage multiple comorbid conditions. NOTE Confidence: 0.9071922898292542 00:04:19.400 --> 00:04:20.480 Neil, do you want to go first? NOTE Confidence: 0.9240715503692627 00:04:21.840 --> 00:04:22.640 Yeah, of course. NOTE Confidence: 0.8702800273895264 00:04:23.560 --> 00:04:27.297 So I'll take this broadly from a broader disease management NOTE Confidence: 0.8702800273895264 00:04:27.360 --> 00:04:30.401 AI standpoint and maybe level up a little bit to NOTE Confidence: 0.8702800273895264 00:04:30.464 --> 00:04:34.201 kind of how we think about tech enabled services businesses NOTE Confidence: 0.8702800273895264 00:04:34.265 --> 00:04:38.256 and how they've transformed with, you know, new next generation NOTE Confidence: 0.8702800273895264 00:04:38.319 --> 00:04:41.360 artificial intelligence that's that's available. NOTE Confidence: 0.8358821868896484 00:04:41.640 --> 00:04:43.958 And that a lot of companies, you know, Lenny as NOTE Confidence: 0.8358821868896484 00:04:44.007 --> 00:04:46.720 well are kind of applying in new really inventive ways. NOTE Confidence: 0.7813214659690857 00:04:48.200 --> 00:04:50.010 You know, there's, there's a number, number of kind of NOTE Confidence: 0.7813214659690857 00:04:50.044 --> 00:04:50.480 applications. NOTE Confidence: 0.8550733923912048 00:04:50.480 --> 00:04:52.189 One is, if you think about it like the clinical NOTE Confidence: 0.8550733923912048 00:04:52.225 --> 00:04:52.480 bucket. NOTE Confidence: 0.7542608380317688 00:04:52.480 --> 00:04:53.840 The other is in the operational. NOTE Confidence: 0.8154727816581726 00:04:54.560 --> 00:04:57.880 And I would say that we're seeing transformation across both NOTE Confidence: 0.8154727816581726 00:04:57.935 --> 00:05:01.256 factors and both are equally exciting because one thing from NOTE Confidence: 0.8154727816581726 00:05:01.311 --> 00:05:04.521 a, a venture investors and a venture builder standpoint is NOTE Confidence: 0.8154727816581726 00:05:04.576 --> 00:05:07.675 that one of the knocks on tech enabled services business NOTE Confidence: 0.8154727816581726 00:05:07.730 --> 00:05:10.885 historically has been, you know, gross margins tend to be NOTE Confidence: 0.8154727816581726 00:05:10.940 --> 00:05:14.371 somewhat capped and value accretion to, you know, the company, NOTE Confidence: 0.8154727816581726 00:05:14.426 --> 00:05:17.360 the investors comes through, you know, massive scale. NOTE Confidence: 0.921944797039032 00:05:17.640 --> 00:05:20.132 And I think one thing that we've seen is that NOTE Confidence: 0.921944797039032 00:05:20.187 --> 00:05:23.344 when you apply artificial intelligence to be able to, you NOTE Confidence: 0.921944797039032 00:05:23.400 --> 00:05:26.833 know, automate certain workflows to be able to really optimize NOTE Confidence: 0.921944797039032 00:05:26.889 --> 00:05:30.156 your resources, you're able to, you know, decrease the cost NOTE Confidence: 0.921944797039032 00:05:30.212 --> 00:05:32.760 of providing really, really high quality care. NOTE Confidence: 0.9603712558746338 00:05:32.760 --> 00:05:34.914 And then you can also apply it to that actual NOTE Confidence: 0.9603712558746338 00:05:34.962 --> 00:05:36.159 care interaction as well. NOTE Confidence: 0.8694353103637695 00:05:36.520 --> 00:05:38.207 And so we see this applied to a lot of NOTE Confidence: 0.8694353103637695 00:05:38.252 --> 00:05:40.916 verticals, you know, going from diabetes all the way through NOTE Confidence: 0.8694353103637695 00:05:40.961 --> 00:05:42.959 congestive heart failure and other verticals. NOTE Confidence: 0.7992798089981079 00:05:42.960 --> 00:05:45.526 And it's a really exciting time to be, you know, NOTE Confidence: 0.7992798089981079 00:05:45.579 --> 00:05:48.519 kind of at this early stages of of company development. NOTE Confidence: 0.9316444396972656 00:05:50.360 --> 00:05:52.881 Which I think is exactly 1 of the of the NOTE Confidence: 0.9316444396972656 00:05:52.944 --> 00:05:56.159 ingredients that made our collaboration successful. NOTE Confidence: 0.686758816242218 00:05:57.440 --> 00:05:59.974 Rishi, do you want to weigh in on that initial NOTE Confidence: 0.686758816242218 00:06:00.029 --> 00:06:03.280 question, maybe kind of come back to Neil's considerations? NOTE Confidence: 0.8060663342475891 00:06:03.320 --> 00:06:05.977 Yeah, Just to double click on what Neil was saying, NOTE Confidence: 0.8060663342475891 00:06:06.029 --> 00:06:08.582 right, I think is that like so much of healthcare NOTE Confidence: 0.8060663342475891 00:06:08.635 --> 00:06:11.292 comes down to, you know, the right solution, but at NOTE Confidence: 0.8060663342475891 00:06:11.344 --> 00:06:12.959 the right point in time, right? NOTE Confidence: 0.8524972200393677 00:06:12.960 --> 00:06:15.508 And so being able to like take a single data NOTE Confidence: 0.8524972200393677 00:06:15.566 --> 00:06:18.984 point, like an elevated potassium or presentation to the ER NOTE Confidence: 0.8524972200393677 00:06:19.042 --> 00:06:21.823 or, you know, an admission to the hospital and a NOTE Confidence: 0.8524972200393677 00:06:21.881 --> 00:06:25.357 discharge, but then take those data points, drive an insight NOTE Confidence: 0.8524972200393677 00:06:25.415 --> 00:06:28.137 from them, create a task and an action and then NOTE Confidence: 0.8524972200393677 00:06:28.195 --> 00:06:31.845 ensure that it happens has been amongst the greatest challenges NOTE Confidence: 0.8524972200393677 00:06:31.903 --> 00:06:33.119 in healthcare, right? NOTE Confidence: 0.9300581812858582 00:06:33.120 --> 00:06:34.720 How do you coordinate across that? NOTE Confidence: 0.8079470992088318 00:06:35.160 --> 00:06:37.372 We often know what to do, but applying it to NOTE Confidence: 0.8079470992088318 00:06:37.422 --> 00:06:40.137 when and, and, and actually getting it done has always NOTE Confidence: 0.8079470992088318 00:06:40.187 --> 00:06:43.656 been that scalable, like challenge an operational challenge to Neil's NOTE Confidence: 0.8079470992088318 00:06:43.706 --> 00:06:44.360 point, right? NOTE Confidence: 0.7693350315093994 00:06:44.360 --> 00:06:47.711 It's costly to do that from the traditional healthcare perspective NOTE Confidence: 0.7693350315093994 00:06:47.762 --> 00:06:50.961 when you think about technologies like generative AI or genetic NOTE Confidence: 0.7693350315093994 00:06:51.012 --> 00:06:51.520 AI, right? NOTE Confidence: 0.7127981781959534 00:06:51.520 --> 00:06:54.720 The both the reactive and proactive capabilities, right? NOTE Confidence: 0.7630077004432678 00:06:54.720 --> 00:06:57.607 And what we've seen is the ability to orchestrate these NOTE Confidence: 0.7630077004432678 00:06:57.660 --> 00:06:58.920 actions in these events. NOTE Confidence: 0.8491841554641724 00:06:58.920 --> 00:07:01.958 And so really to collapse down the time to get NOTE Confidence: 0.8491841554641724 00:07:02.024 --> 00:07:05.854 from data point to action and realizing it's happened, but NOTE Confidence: 0.8491841554641724 00:07:05.920 --> 00:07:09.025 also being able to drive in the right person or NOTE Confidence: 0.8491841554641724 00:07:09.091 --> 00:07:10.280 next agent, right? NOTE Confidence: 0.7635279297828674 00:07:10.280 --> 00:07:12.512 So that idea that like I can bring a care NOTE Confidence: 0.7635279297828674 00:07:12.567 --> 00:07:15.344 team in to talk to that patient even before they're NOTE Confidence: 0.7635279297828674 00:07:15.399 --> 00:07:17.360 discharged from the hospital, right? NOTE Confidence: 0.855029284954071 00:07:17.360 --> 00:07:20.454 And then use an agent to schedule their cardiology and NOTE Confidence: 0.855029284954071 00:07:20.511 --> 00:07:23.606 nephrology follow up and have that all in place before NOTE Confidence: 0.855029284954071 00:07:23.663 --> 00:07:26.815 24 hours from, you know, after the patients released to NOTE Confidence: 0.855029284954071 00:07:26.872 --> 00:07:27.560 the outside. NOTE Confidence: 0.8735058903694153 00:07:28.760 --> 00:07:30.905 And then all that comes back down to patient level, NOTE Confidence: 0.8735058903694153 00:07:30.947 --> 00:07:31.199 right? NOTE Confidence: 0.8886341452598572 00:07:31.200 --> 00:07:34.080 So that the patients feel that they have this personal NOTE Confidence: 0.8886341452598572 00:07:34.133 --> 00:07:35.840 advocate with them at all times. NOTE Confidence: 0.8261562585830688 00:07:35.840 --> 00:07:39.059 And that's really made possible by using technology and then NOTE Confidence: 0.8261562585830688 00:07:39.113 --> 00:07:42.064 bringing, you know, humans in the clinical care team in NOTE Confidence: 0.8261562585830688 00:07:42.118 --> 00:07:44.800 the loop, but then the real values and taking that NOTE Confidence: 0.8261562585830688 00:07:44.854 --> 00:07:48.235 personalized level and breaking it out to population level, you NOTE Confidence: 0.8261562585830688 00:07:48.288 --> 00:07:50.864 can do it for every single patient all the time, NOTE Confidence: 0.8261562585830688 00:07:50.918 --> 00:07:51.240 right? NOTE Confidence: 0.903884768486023 00:07:51.240 --> 00:07:55.089 That scalability of quality interaction and care is the unique NOTE Confidence: 0.903884768486023 00:07:55.151 --> 00:07:58.628 opportunity right now with what we see in technology and NOTE Confidence: 0.903884768486023 00:07:58.690 --> 00:08:01.359 using AI as a as the infrastructure, right? NOTE Confidence: 0.9566636681556702 00:08:01.360 --> 00:08:03.444 It's not the why, but it's the how we get NOTE Confidence: 0.9566636681556702 00:08:03.494 --> 00:08:03.800 there. NOTE Confidence: 0.9048369526863098 00:08:03.880 --> 00:08:06.487 And it's frankly for us, it's been changing how we NOTE Confidence: 0.9048369526863098 00:08:06.539 --> 00:08:06.800 work. NOTE Confidence: 0.806504487991333 00:08:06.800 --> 00:08:09.353 And you know, to Neil's point, like it changes those NOTE Confidence: 0.806504487991333 00:08:09.403 --> 00:08:10.679 operational costs as well. NOTE Confidence: 0.8544154167175293 00:08:11.680 --> 00:08:14.434 And I think, I thought, I'm not sure there are NOTE Confidence: 0.8544154167175293 00:08:14.494 --> 00:08:17.907 many skeptical clinicians on the call, but I think that's NOTE Confidence: 0.8544154167175293 00:08:17.967 --> 00:08:21.439 really the magic word is scalability of personalized care. NOTE Confidence: 0.9275010228157043 00:08:21.720 --> 00:08:24.115 Like I think I'm a great doc, but I'm only NOTE Confidence: 0.9275010228157043 00:08:24.172 --> 00:08:24.800 one person. NOTE Confidence: 0.9072601795196533 00:08:24.800 --> 00:08:27.393 And so how do you actually scale it at a NOTE Confidence: 0.9072601795196533 00:08:27.457 --> 00:08:28.559 population level? NOTE Confidence: 0.9700191020965576 00:08:28.840 --> 00:08:30.040 That is the magic. NOTE Confidence: 0.8544653058052063 00:08:30.040 --> 00:08:33.635 And it's probably where your Fi FCAI words become less NOTE Confidence: 0.8544653058052063 00:08:33.702 --> 00:08:37.097 scary to people who just want to deliver great care NOTE Confidence: 0.8544653058052063 00:08:37.164 --> 00:08:40.760 for every single patient in a very, very large number. NOTE Confidence: 0.781123161315918 00:08:41.200 --> 00:08:44.883 Speaking of large numbers, Steve's, what are your your thoughts NOTE Confidence: 0.781123161315918 00:08:44.941 --> 00:08:45.759 and reactions? NOTE Confidence: 0.8088290095329285 00:08:46.520 --> 00:08:50.056 Yeah, No, maybe coming at what Rishi hit on from NOTE Confidence: 0.8088290095329285 00:08:50.130 --> 00:08:52.119 a slightly different angle. NOTE Confidence: 0.814058244228363 00:08:52.720 --> 00:08:56.588 I I'd flag that Davita's in a unique spot where NOTE Confidence: 0.814058244228363 00:08:56.671 --> 00:09:01.528 we have certain markets where our patients can get referred NOTE Confidence: 0.814058244228363 00:09:01.610 --> 00:09:04.079 to your providers in a market. NOTE Confidence: 0.9311254024505615 00:09:04.840 --> 00:09:08.254 There is such massive fragmentation in some of those markets NOTE Confidence: 0.9311254024505615 00:09:08.311 --> 00:09:11.498 that for certain services they can get referred to north NOTE Confidence: 0.9311254024505615 00:09:11.555 --> 00:09:15.084 of 100 different providers and across those providers and, and NOTE Confidence: 0.9311254024505615 00:09:15.141 --> 00:09:19.239 whatever service they're, they're engaging around, they have a different NOTE Confidence: 0.9311254024505615 00:09:19.296 --> 00:09:23.280 experience that leads to different outcomes and and differential cost. NOTE Confidence: 0.8528107404708862 00:09:24.000 --> 00:09:28.297 And yeah, it's, it's that where I'd say technology can NOTE Confidence: 0.8528107404708862 00:09:28.376 --> 00:09:31.559 both engage to, to really do two things. NOTE Confidence: 0.8803101778030396 00:09:31.559 --> 00:09:34.699 One, increase access that can happen more quickly as you NOTE Confidence: 0.8803101778030396 00:09:34.755 --> 00:09:37.502 think about where where agents can play a role in NOTE Confidence: 0.8803101778030396 00:09:37.558 --> 00:09:38.679 lower acuity events. NOTE Confidence: 0.8500299453735352 00:09:39.280 --> 00:09:42.419 And then two, and this is exactly where Rishi was NOTE Confidence: 0.8500299453735352 00:09:42.483 --> 00:09:46.584 headed standardization and if if you know tools and capabilities NOTE Confidence: 0.8500299453735352 00:09:46.648 --> 00:09:50.236 can really get at clinical next best action that informs NOTE Confidence: 0.8500299453735352 00:09:50.300 --> 00:09:53.760 a base level of care that all patients can experience. NOTE Confidence: 0.8300237655639648 00:09:54.400 --> 00:09:57.090 You can just, you can envision a world where there NOTE Confidence: 0.8300237655639648 00:09:57.144 --> 00:09:59.619 there is a rising tide that lifts what it what NOTE Confidence: 0.8300237655639648 00:09:59.673 --> 00:10:01.879 is that base model for, for all patients? NOTE Confidence: 0.7931784987449646 00:10:03.560 --> 00:10:03.920 Got it. NOTE Confidence: 0.890813410282135 00:10:03.920 --> 00:10:07.146 And maybe we can transition to a concrete example of NOTE Confidence: 0.890813410282135 00:10:07.208 --> 00:10:10.560 what our recent collaboration through Linear has been. NOTE Confidence: 0.8566356897354126 00:10:10.559 --> 00:10:12.825 Just to set the stage a little bit from A NOTE Confidence: 0.8566356897354126 00:10:12.880 --> 00:10:16.692 clinical perspective, congestive heart failure is a condition that is NOTE Confidence: 0.8566356897354126 00:10:16.747 --> 00:10:20.559 very common among patients with kidney disease and specifically those NOTE Confidence: 0.8566356897354126 00:10:20.615 --> 00:10:21.720 with kidney failure. NOTE Confidence: 0.7392526865005493 00:10:22.120 --> 00:10:25.507 It's that one of the main driver of hospital admissions NOTE Confidence: 0.7392526865005493 00:10:25.569 --> 00:10:28.279 and you know, resource utilizations overall. NOTE Confidence: 0.8123180866241455 00:10:28.559 --> 00:10:32.562 So a big problem for us to solve and to NOTE Confidence: 0.8123180866241455 00:10:32.665 --> 00:10:36.359 solve a scale in a large population. NOTE Confidence: 0.8901142477989197 00:10:36.679 --> 00:10:39.951 So, Richard, Steve, do you want to elaborate a bit NOTE Confidence: 0.8901142477989197 00:10:40.017 --> 00:10:43.223 on how we got to the collaboration and maybe some NOTE Confidence: 0.8901142477989197 00:10:43.288 --> 00:10:46.495 of the benefits that we have been able to observe NOTE Confidence: 0.8901142477989197 00:10:46.560 --> 00:10:48.719 so far as well as the challenges? NOTE Confidence: 0.8136086463928223 00:10:50.560 --> 00:10:53.280 Yeah, I'm happy to take a first stab, you know. NOTE Confidence: 0.8249948620796204 00:10:53.559 --> 00:10:56.912 So, you know, for Linea, when we started the company, NOTE Confidence: 0.8249948620796204 00:10:56.975 --> 00:11:00.518 the focus was, you know, patients with heart failure get NOTE Confidence: 0.8249948620796204 00:11:00.581 --> 00:11:04.630 admitted frequently and when they get admitted in discharge, the NOTE Confidence: 0.8249948620796204 00:11:04.693 --> 00:11:07.919 readmission rates can be that 40 to 60% number, you NOTE Confidence: 0.8249948620796204 00:11:07.983 --> 00:11:11.335 know, across the US So high cost, time, morbidity and NOTE Confidence: 0.8249948620796204 00:11:11.398 --> 00:11:13.359 mortality and mixes population. NOTE Confidence: 0.8767332434654236 00:11:13.960 --> 00:11:16.446 We also have solutions in place that we know can NOTE Confidence: 0.8767332434654236 00:11:16.498 --> 00:11:17.120 work, right. NOTE Confidence: 0.8661859631538391 00:11:17.120 --> 00:11:19.799 If you get a patient on GDMT, which is for NOTE Confidence: 0.8661859631538391 00:11:19.862 --> 00:11:23.881 medications, get them on, titrate them up aggressively, you can NOTE Confidence: 0.8661859631538391 00:11:23.945 --> 00:11:27.772 reduce that readmission rate, but doing that is hard because NOTE Confidence: 0.8661859631538391 00:11:27.836 --> 00:11:29.239 they need lab results. NOTE Confidence: 0.7547715306282043 00:11:29.240 --> 00:11:32.040 They need something to coordinate that care there. NOTE Confidence: 0.7490230798721313 00:11:32.120 --> 00:11:34.448 There are a ton of other issues that could be NOTE Confidence: 0.7490230798721313 00:11:34.499 --> 00:11:36.000 a total other webinar for it. NOTE Confidence: 0.7622870206832886 00:11:37.240 --> 00:11:40.700 When we sat with DaVita and you know, DaVita obviously NOTE Confidence: 0.7622870206832886 00:11:40.764 --> 00:11:43.711 is no more for kidney care, you know, and, and NOTE Confidence: 0.7622870206832886 00:11:43.775 --> 00:11:47.684 you know, knee jerk reaction would always be around dialysis, NOTE Confidence: 0.7622870206832886 00:11:47.748 --> 00:11:50.760 but also in CKD, non dialysis patients as well. NOTE Confidence: 0.7842349410057068 00:11:51.800 --> 00:11:55.219 This population also carries it's own comorbidities and patients don't NOTE Confidence: 0.7842349410057068 00:11:55.268 --> 00:11:56.880 just have one comorbidity, right? NOTE Confidence: 0.7199674844741821 00:11:56.880 --> 00:12:01.636 So the crossover rate between heart failure and CKD or NOTE Confidence: 0.7199674844741821 00:12:01.724 --> 00:12:04.719 ESRD is also like oddly 40 to 60%. NOTE Confidence: 0.7739872336387634 00:12:05.040 --> 00:12:06.800 Maybe it's just the number that I always remember. NOTE Confidence: 0.7676001787185669 00:12:07.520 --> 00:12:09.667 But the idea there is that, you know, as I, NOTE Confidence: 0.7676001787185669 00:12:09.717 --> 00:12:12.514 as I've said frequently, we saw ourselves as taking care NOTE Confidence: 0.7676001787185669 00:12:12.564 --> 00:12:15.411 of patients with heart failure, but heart failure ends up NOTE Confidence: 0.7676001787185669 00:12:15.461 --> 00:12:16.760 not all that we do, right? NOTE Confidence: 0.8715533018112183 00:12:16.760 --> 00:12:19.436 Our goal is to engage the patient and keep them NOTE Confidence: 0.8715533018112183 00:12:19.493 --> 00:12:22.397 healthy, keep them out of the hospital and focus on NOTE Confidence: 0.8715533018112183 00:12:22.454 --> 00:12:25.187 this 90 day episode after a after a discharge to NOTE Confidence: 0.8715533018112183 00:12:25.244 --> 00:12:28.319 really show concrete value to all of our stakeholders. NOTE Confidence: 0.8545661568641663 00:12:29.440 --> 00:12:33.130 And part of what made our collaboration with DaVita work NOTE Confidence: 0.8545661568641663 00:12:33.196 --> 00:12:36.359 so well is being able to understand, you know, a NOTE Confidence: 0.8545661568641663 00:12:36.425 --> 00:12:39.720 large entity that's doing this at scale currently. NOTE Confidence: 0.877541184425354 00:12:40.560 --> 00:12:41.640 What is their process? NOTE Confidence: 0.8169664144515991 00:12:41.640 --> 00:12:44.706 How are they identifying when breaking up that whole process NOTE Confidence: 0.8169664144515991 00:12:44.757 --> 00:12:48.182 from a patient's discharge to hopefully preventing A readmission or NOTE Confidence: 0.8169664144515991 00:12:48.233 --> 00:12:51.197 what causes that readmission and seeing what are the steps NOTE Confidence: 0.8169664144515991 00:12:51.248 --> 00:12:53.753 that are applicable to what Linear wants to do in NOTE Confidence: 0.8169664144515991 00:12:53.804 --> 00:12:54.520 heart failure? NOTE Confidence: 0.75987309217453 00:12:54.920 --> 00:12:58.335 And sitting down and actually working with the IKCRNS and NOTE Confidence: 0.75987309217453 00:12:58.395 --> 00:13:01.751 the IKCAS and speaking to the nephrologist and two point NOTE Confidence: 0.75987309217453 00:13:01.811 --> 00:13:06.665 Francesca, speaking to the cardiologist and involving those relevant stakeholders NOTE Confidence: 0.75987309217453 00:13:06.725 --> 00:13:10.261 into the into the product building conversation has made us NOTE Confidence: 0.75987309217453 00:13:10.321 --> 00:13:11.399 successful, right? NOTE Confidence: 0.9381144046783447 00:13:11.720 --> 00:13:14.742 Is that it's allowed us to take their clinical workflow NOTE Confidence: 0.9381144046783447 00:13:14.797 --> 00:13:16.830 and not for us to impose a new one on NOTE Confidence: 0.9381144046783447 00:13:16.885 --> 00:13:17.159 them. NOTE Confidence: 0.840354859828949 00:13:17.520 --> 00:13:20.316 But rather saying how do we take our innovation, How NOTE Confidence: 0.840354859828949 00:13:20.370 --> 00:13:23.060 do we take these broad concepts of AI and whatever NOTE Confidence: 0.840354859828949 00:13:23.113 --> 00:13:26.179 else and insert into clinical workflow, driving to a very NOTE Confidence: 0.840354859828949 00:13:26.233 --> 00:13:29.407 concrete outcome, which is drop the readmission rate to 20% NOTE Confidence: 0.840354859828949 00:13:29.460 --> 00:13:31.719 and below, which is what Linia's focus is. NOTE Confidence: 0.8738730549812317 00:13:32.720 --> 00:13:35.222 And then working backwards from there is what really led NOTE Confidence: 0.8738730549812317 00:13:35.267 --> 00:13:37.993 to our success is by constantly keeping those stakeholders in NOTE Confidence: 0.8738730549812317 00:13:38.037 --> 00:13:38.440 the loop. NOTE Confidence: 0.7261255979537964 00:13:39.440 --> 00:13:42.295 So that's that to me is really yielded that that NOTE Confidence: 0.7261255979537964 00:13:42.355 --> 00:13:46.519 successful collaboration between you know DaVita and Linnea and Steve. NOTE Confidence: 0.800656259059906 00:13:47.120 --> 00:13:50.719 And for, for people in the audience, IKC is the NOTE Confidence: 0.800656259059906 00:13:50.795 --> 00:13:55.084 DaVita name for our value based care programs because we NOTE Confidence: 0.800656259059906 00:13:55.160 --> 00:13:58.453 tend to use a lot of liquors that might not NOTE Confidence: 0.800656259059906 00:13:58.530 --> 00:14:01.440 be might not be as familiar to others. NOTE Confidence: 0.7768601775169373 00:14:01.640 --> 00:14:03.120 I'm sorry, Steve, you were jumping in. NOTE Confidence: 0.7264041304588318 00:14:03.720 --> 00:14:05.850 No, I was just going to build off of what NOTE Confidence: 0.7264041304588318 00:14:05.902 --> 00:14:08.292 Rishi said and and talk a little bit about the NOTE Confidence: 0.7264041304588318 00:14:08.344 --> 00:14:09.279 Y up front, right. NOTE Confidence: 0.7708781361579895 00:14:09.640 --> 00:14:12.979 And, you know, CHF as, as he articulated, falls into NOTE Confidence: 0.7708781361579895 00:14:13.043 --> 00:14:17.025 the bucket of sort of unfortunate comorbidities that that many NOTE Confidence: 0.7708781361579895 00:14:17.089 --> 00:14:19.079 of our patients are navigating. NOTE Confidence: 0.8688085675239563 00:14:19.080 --> 00:14:22.098 And it, and it's one where, you know, there is, NOTE Confidence: 0.8688085675239563 00:14:22.162 --> 00:14:25.566 there are protocols that we have a pretty high degree NOTE Confidence: 0.8688085675239563 00:14:25.630 --> 00:14:28.841 of confidence in that can move the needle and bend NOTE Confidence: 0.8688085675239563 00:14:28.906 --> 00:14:30.640 the trend for our patients. NOTE Confidence: 0.8832269310951233 00:14:31.240 --> 00:14:33.708 And at the same time, there's a high degree of NOTE Confidence: 0.8832269310951233 00:14:33.761 --> 00:14:36.713 fragmentation as he as as Rishi indicated, and, and not NOTE Confidence: 0.8832269310951233 00:14:36.766 --> 00:14:39.449 too many patients are able to be adherent to those NOTE Confidence: 0.8832269310951233 00:14:39.503 --> 00:14:40.039 protocols. NOTE Confidence: 0.901603639125824 00:14:40.600 --> 00:14:42.961 And so, so for us, it was, is there, is NOTE Confidence: 0.901603639125824 00:14:43.022 --> 00:14:46.474 there a solution that exists that could create, you know, NOTE Confidence: 0.901603639125824 00:14:46.534 --> 00:14:50.108 some standardization at scale as you think about DaVita and NOTE Confidence: 0.901603639125824 00:14:50.168 --> 00:14:53.559 having a population that, that spans across the country? NOTE Confidence: 0.8827195763587952 00:14:54.040 --> 00:14:56.533 And, and we came to the conclusion that there was NOTE Confidence: 0.8827195763587952 00:14:56.583 --> 00:14:58.924 not a, a, a perfect solution, which is why we, NOTE Confidence: 0.8827195763587952 00:14:58.975 --> 00:15:01.722 we decided to partner with, with redesign and then and NOTE Confidence: 0.8827195763587952 00:15:01.773 --> 00:15:04.012 then Rishi to stand up what, what I think is NOTE Confidence: 0.8827195763587952 00:15:04.063 --> 00:15:06.199 a new and exciting company and capability. NOTE Confidence: 0.8039261698722839 00:15:07.760 --> 00:15:11.146 I would add on the capability point to what Rishi NOTE Confidence: 0.8039261698722839 00:15:11.215 --> 00:15:14.118 said too, is that, that I, that I do think NOTE Confidence: 0.8039261698722839 00:15:14.187 --> 00:15:17.920 is, is more exciting than I had initially appreciated. NOTE Confidence: 0.8430480360984802 00:15:17.920 --> 00:15:19.600 It's just the ability to engage patients. NOTE Confidence: 0.875898540019989 00:15:20.000 --> 00:15:22.271 And as, as you think about what, what I believe NOTE Confidence: 0.875898540019989 00:15:22.319 --> 00:15:25.509 is perhaps the biggest challenge in healthcare today, it's exactly NOTE Confidence: 0.875898540019989 00:15:25.558 --> 00:15:25.799 that. NOTE Confidence: 0.9220845699310303 00:15:26.120 --> 00:15:29.653 And I think Linea has deployed a, a model that NOTE Confidence: 0.9220845699310303 00:15:29.729 --> 00:15:33.723 intervenes at a point in time when patients are more NOTE Confidence: 0.9220845699310303 00:15:33.800 --> 00:15:37.333 excited to engage and begin to make a shift in NOTE Confidence: 0.9220845699310303 00:15:37.410 --> 00:15:41.788 behavior that that then yields them a, a positive outcome NOTE Confidence: 0.9220845699310303 00:15:41.865 --> 00:15:44.399 in terms of feeling more healthy. NOTE Confidence: 0.9213109612464905 00:15:44.720 --> 00:15:47.917 And that creates the stickiness that is is so valuable NOTE Confidence: 0.9213109612464905 00:15:47.976 --> 00:15:50.996 as you think about your behavior change and and and NOTE Confidence: 0.9213109612464905 00:15:51.055 --> 00:15:52.240 changing trajectory. NOTE Confidence: 0.9164190888404846 00:15:53.680 --> 00:15:56.360 To be honest, that was super surprising to me. NOTE Confidence: 0.8722237944602966 00:15:56.360 --> 00:15:59.285 And I would love for Rishi to elaborate more on NOTE Confidence: 0.8722237944602966 00:15:59.347 --> 00:16:02.771 that because as a clinician, I was super skeptical that NOTE Confidence: 0.8722237944602966 00:16:02.833 --> 00:16:06.505 anybody sitting in the hospital would actually be reading a NOTE Confidence: 0.8722237944602966 00:16:06.568 --> 00:16:08.560 text or picking up a phone call. NOTE Confidence: 0.8186754584312439 00:16:09.000 --> 00:16:11.386 And yet we are seeing that that is a time, NOTE Confidence: 0.8186754584312439 00:16:11.443 --> 00:16:15.080 maybe due to vulnerability, that patients are willing to engage. NOTE Confidence: 0.8597152829170227 00:16:15.440 --> 00:16:18.680 And so, Rishi, can you talk a little bit about NOTE Confidence: 0.8597152829170227 00:16:18.751 --> 00:16:22.908 how that initial encounter, which is not truly an encounter NOTE Confidence: 0.8597152829170227 00:16:22.978 --> 00:16:27.417 but connection, carries forward and how that enables your model NOTE Confidence: 0.8597152829170227 00:16:27.487 --> 00:16:27.840 care? NOTE Confidence: 0.7602695226669312 00:16:28.880 --> 00:16:31.971 Awesome, Yes, So for linear right, like our approach was NOTE Confidence: 0.7602695226669312 00:16:32.026 --> 00:16:34.732 to think about all right, when you want to engage NOTE Confidence: 0.7602695226669312 00:16:34.787 --> 00:16:37.326 a patient, if you ping the patient on their on NOTE Confidence: 0.7602695226669312 00:16:37.382 --> 00:16:39.424 a normal day for them right on a on a NOTE Confidence: 0.7602695226669312 00:16:39.480 --> 00:16:42.903 Saturday morning when they're out, you know, but maybe they're NOTE Confidence: 0.7602695226669312 00:16:42.958 --> 00:16:46.215 attending their kids soccer game, they're going to see that NOTE Confidence: 0.7602695226669312 00:16:46.270 --> 00:16:49.141 text and they're going to say that's nice, the heart NOTE Confidence: 0.7602695226669312 00:16:49.196 --> 00:16:52.288 failure program and then put it away right 'cause that's NOTE Confidence: 0.7602695226669312 00:16:52.343 --> 00:16:53.999 it's not really we are people. NOTE Confidence: 0.8096724152565002 00:16:54.120 --> 00:16:57.141 We have other priorities and admission to the hospital is NOTE Confidence: 0.8096724152565002 00:16:57.194 --> 00:17:00.639 a significant event for people because it's extremely disruptive. NOTE Confidence: 0.8544214367866516 00:17:01.360 --> 00:17:03.284 It takes you out of your job, it takes you NOTE Confidence: 0.8544214367866516 00:17:03.330 --> 00:17:05.438 out of your family life, takes you out of your NOTE Confidence: 0.8544214367866516 00:17:05.484 --> 00:17:07.638 things that we really enjoy and sticks you in a NOTE Confidence: 0.8544214367866516 00:17:07.684 --> 00:17:08.279 hospital bed. NOTE Confidence: 0.9187256693840027 00:17:08.280 --> 00:17:11.285 And suddenly you're poked, prodded and told what to eat NOTE Confidence: 0.9187256693840027 00:17:11.340 --> 00:17:13.581 and when to eat and you know what you can NOTE Confidence: 0.9187256693840027 00:17:13.636 --> 00:17:13.799 do. NOTE Confidence: 0.8832195401191711 00:17:14.320 --> 00:17:16.452 And it is it is very difficult for patients and NOTE Confidence: 0.8832195401191711 00:17:16.497 --> 00:17:19.583 very disruptive, especially when it's an unplanted mission, which is NOTE Confidence: 0.8832195401191711 00:17:19.628 --> 00:17:20.400 most of the time. NOTE Confidence: 0.8296249508857727 00:17:21.200 --> 00:17:23.610 So we saw that as an opportunity to also say NOTE Confidence: 0.8296249508857727 00:17:23.665 --> 00:17:26.459 this is the time where people will be very invested NOTE Confidence: 0.8296249508857727 00:17:26.513 --> 00:17:28.759 to making sure this doesn't happen again. NOTE Confidence: 0.8631799817085266 00:17:30.160 --> 00:17:33.149 And can we find these patients when they're admitted to NOTE Confidence: 0.8631799817085266 00:17:33.203 --> 00:17:35.160 the hospital and can we engage them? NOTE Confidence: 0.668207049369812 00:17:35.600 --> 00:17:38.122 When we first sat down with DaVita and learned the NOTE Confidence: 0.668207049369812 00:17:38.172 --> 00:17:41.047 process of how it's done traditionally and talk to other, NOTE Confidence: 0.668207049369812 00:17:41.098 --> 00:17:43.570 you know, AC, OS and risk very entities, the task NOTE Confidence: 0.668207049369812 00:17:43.620 --> 00:17:44.679 seemed very daunting. NOTE Confidence: 0.6639437079429626 00:17:44.760 --> 00:17:47.017 Like it was, you know, there are armies of people NOTE Confidence: 0.6639437079429626 00:17:47.063 --> 00:17:48.400 who call and figure this out. NOTE Confidence: 0.7859224677085876 00:17:49.080 --> 00:17:51.466 And so I was actually quite worried what we, what NOTE Confidence: 0.7859224677085876 00:17:51.514 --> 00:17:53.949 we did is we looked at what's what's commonly done NOTE Confidence: 0.7859224677085876 00:17:53.998 --> 00:17:56.286 right ADT feeds to try to identify and watch or NOTE Confidence: 0.7859224677085876 00:17:56.335 --> 00:17:59.646 current kind of provide surveillance of when eligible patients could NOTE Confidence: 0.7859224677085876 00:17:59.695 --> 00:18:02.325 be admitted and not just admitted to the hospital, but NOTE Confidence: 0.7859224677085876 00:18:02.373 --> 00:18:03.639 present to the E neighbor. NOTE Confidence: 0.8707507848739624 00:18:04.320 --> 00:18:06.422 So when you present to the ER, we have an NOTE Confidence: 0.8707507848739624 00:18:06.473 --> 00:18:08.884 idea when you could be admitted and we start to NOTE Confidence: 0.8707507848739624 00:18:08.935 --> 00:18:12.781 prepare the resources anticipating an admission because admission rates are NOTE Confidence: 0.8707507848739624 00:18:12.832 --> 00:18:14.319 very high in this population. NOTE Confidence: 0.8588260412216187 00:18:15.360 --> 00:18:18.520 Once you're admitted, we're able to engage. NOTE Confidence: 0.8987458348274231 00:18:18.520 --> 00:18:21.361 And so the system is actually looking past your prior NOTE Confidence: 0.8987458348274231 00:18:21.415 --> 00:18:24.739 records, creating a clinical summary, but also mapping out who NOTE Confidence: 0.8987458348274231 00:18:24.793 --> 00:18:27.902 your providers are, where you might be sitting, what's the NOTE Confidence: 0.8987458348274231 00:18:27.956 --> 00:18:31.066 phone number for the specific, you know, floor that you're NOTE Confidence: 0.8987458348274231 00:18:31.119 --> 00:18:33.639 admitted to for heart failure in that hospital. NOTE Confidence: 0.9265382885932922 00:18:34.080 --> 00:18:36.848 And you might get a call via the hospital phone NOTE Confidence: 0.9265382885932922 00:18:36.907 --> 00:18:39.734 when you're sitting in bed, You might get a text NOTE Confidence: 0.9265382885932922 00:18:39.793 --> 00:18:41.560 on your on your mobile device. NOTE Confidence: 0.8051118850708008 00:18:41.920 --> 00:18:44.438 We may even reach out to your designated and improved NOTE Confidence: 0.8051118850708008 00:18:44.486 --> 00:18:47.195 point of contact and you know, we introduce ourselves and NOTE Confidence: 0.8051118850708008 00:18:47.242 --> 00:18:49.666 say what's we're here, you know, just to, you know, NOTE Confidence: 0.8051118850708008 00:18:49.714 --> 00:18:52.233 help you through the admission process and as you get NOTE Confidence: 0.8051118850708008 00:18:52.280 --> 00:18:54.847 ready for discharge, we're going to create a plan that NOTE Confidence: 0.8051118850708008 00:18:54.894 --> 00:18:55.559 aligns to you. NOTE Confidence: 0.7829268574714661 00:18:56.320 --> 00:18:59.312 What's actually happening on the back end for the system NOTE Confidence: 0.7829268574714661 00:18:59.365 --> 00:19:02.465 is it's looking through the chart, not just such structure NOTE Confidence: 0.7829268574714661 00:19:02.518 --> 00:19:03.159 data, right? NOTE Confidence: 0.7970685958862305 00:19:03.160 --> 00:19:06.398 Our typical patient has, you know, 68 year old female NOTE Confidence: 0.7970685958862305 00:19:06.459 --> 00:19:09.575 with heart failure and you know, ESRD, you know, on NOTE Confidence: 0.7970685958862305 00:19:09.636 --> 00:19:10.920 these meds, etcetera. NOTE Confidence: 0.890298068523407 00:19:10.920 --> 00:19:13.385 Yes, of course, we look at that, but we'll also NOTE Confidence: 0.890298068523407 00:19:13.438 --> 00:19:15.904 look at what's been done for the patient in the NOTE Confidence: 0.890298068523407 00:19:15.956 --> 00:19:19.366 past, what social determinants of health have been involved, What NOTE Confidence: 0.890298068523407 00:19:19.419 --> 00:19:22.200 do their current insurance covers and coverage cover? NOTE Confidence: 0.9555308818817139 00:19:22.560 --> 00:19:25.040 And not just in terms of meds, but potentially transportation NOTE Confidence: 0.9555308818817139 00:19:25.080 --> 00:19:27.479 home, What opportunities are being missed for this patient? NOTE Confidence: 0.9267566800117493 00:19:28.200 --> 00:19:31.423 And we align that into a complete plan and we NOTE Confidence: 0.9267566800117493 00:19:31.494 --> 00:19:34.360 put that plan in place before discharge. NOTE Confidence: 0.8876017332077026 00:19:34.920 --> 00:19:36.935 So when they're leaving the hospital, we can get them NOTE Confidence: 0.8876017332077026 00:19:36.973 --> 00:19:37.239 a ride. NOTE Confidence: 0.8695700764656067 00:19:37.240 --> 00:19:39.019 Let's get them a ride if we need to make NOTE Confidence: 0.8695700764656067 00:19:39.064 --> 00:19:41.200 sure that they need meal support at home for the NOTE Confidence: 0.8695700764656067 00:19:41.244 --> 00:19:43.558 first seven days because the first seven days on the NOTE Confidence: 0.8695700764656067 00:19:43.603 --> 00:19:44.759 outside are are difficult. NOTE Confidence: 0.944838285446167 00:19:45.160 --> 00:19:46.400 Let's have that aligned for them. NOTE Confidence: 0.8844111561775208 00:19:46.480 --> 00:19:47.040 Good to go. NOTE Confidence: 0.9084355235099792 00:19:48.400 --> 00:19:52.199 And so being able to identify these patients rapidly, create NOTE Confidence: 0.9084355235099792 00:19:52.263 --> 00:19:56.189 a clinical summary and really just a very personalized summary NOTE Confidence: 0.9084355235099792 00:19:56.253 --> 00:19:59.293 of them, create a plan and assign tasks in those NOTE Confidence: 0.9084355235099792 00:19:59.356 --> 00:20:02.713 plans to agents within the linear platform as well as NOTE Confidence: 0.9084355235099792 00:20:02.776 --> 00:20:05.879 our own clinical team or their own clinical team. NOTE Confidence: 0.913526177406311 00:20:06.600 --> 00:20:08.728 And then drive that all the way through really is NOTE Confidence: 0.913526177406311 00:20:08.772 --> 00:20:10.639 kind of what led us to be quite successful. NOTE Confidence: 0.8189408779144287 00:20:10.800 --> 00:20:13.479 And at any point in time, this speaks to the NOTE Confidence: 0.8189408779144287 00:20:13.540 --> 00:20:16.280 8090% patient engagement rate that we've had. NOTE Confidence: 0.9557930827140808 00:20:16.880 --> 00:20:20.420 Patients can call or text us whenever they want and NOTE Confidence: 0.9557930827140808 00:20:20.490 --> 00:20:22.920 they have a dedicated phone number. NOTE Confidence: 0.9521921873092651 00:20:22.920 --> 00:20:23.640 There's no app. NOTE Confidence: 0.8227689862251282 00:20:25.480 --> 00:20:28.823 You know, Healthcare is not like Instagram where people want NOTE Confidence: 0.8227689862251282 00:20:28.879 --> 00:20:30.439 to log in and review things. NOTE Confidence: 0.7854567766189575 00:20:30.440 --> 00:20:31.840 No one wants to do that. NOTE Confidence: 0.928257167339325 00:20:32.800 --> 00:20:34.911 But when they need something, they want to know and NOTE Confidence: 0.928257167339325 00:20:34.953 --> 00:20:36.858 they want to know that they're not going to be NOTE Confidence: 0.928257167339325 00:20:36.899 --> 00:20:38.887 on hold or told to call back tomorrow or someone NOTE Confidence: 0.928257167339325 00:20:38.928 --> 00:20:39.839 will get back to them. NOTE Confidence: 0.8604356050491333 00:20:40.480 --> 00:20:43.113 And so the reality is as a patient can call NOTE Confidence: 0.8604356050491333 00:20:43.174 --> 00:20:45.808 or text us at any point in time, they'll be NOTE Confidence: 0.8604356050491333 00:20:45.869 --> 00:20:46.359 engaged. NOTE Confidence: 0.8023924231529236 00:20:47.800 --> 00:20:49.920 Sometimes they need to get a call, fall back call. NOTE Confidence: 0.9363246560096741 00:20:49.920 --> 00:20:53.039 But generally, we are able to ingest that information of NOTE Confidence: 0.9363246560096741 00:20:53.094 --> 00:20:56.437 that outreach and give them a personalized response and plan NOTE Confidence: 0.9363246560096741 00:20:56.492 --> 00:20:59.500 as a result, whether it's when they're on the outside, NOTE Confidence: 0.9363246560096741 00:20:59.556 --> 00:21:01.839 hey, when is my cardiologist appointment? NOTE Confidence: 0.9065064787864685 00:21:02.119 --> 00:21:04.816 We can give it to them in that second or, NOTE Confidence: 0.9065064787864685 00:21:04.882 --> 00:21:08.105 you know, I, I want to stop my medication because NOTE Confidence: 0.9065064787864685 00:21:08.171 --> 00:21:11.000 it's causing, you know, sexual dysfunction. NOTE Confidence: 0.849471926689148 00:21:11.520 --> 00:21:14.335 We can alert their provider, readjust plan, suggest that plan NOTE Confidence: 0.849471926689148 00:21:14.381 --> 00:21:16.966 to the provider and prevent them from stopping the meds, NOTE Confidence: 0.849471926689148 00:21:17.012 --> 00:21:19.920 which is, you know, frankly, something that happened during the NOTE Confidence: 0.849471926689148 00:21:19.966 --> 00:21:22.412 protocol and allowed us to keep the patient on track, NOTE Confidence: 0.849471926689148 00:21:22.458 --> 00:21:25.135 you know, instead of just stopping their meds because it's NOTE Confidence: 0.849471926689148 00:21:25.181 --> 00:21:27.120 getting in the way of the quality of life. NOTE Confidence: 0.8480484485626221 00:21:28.480 --> 00:21:30.907 But yeah, these are the areas and where we've been NOTE Confidence: 0.8480484485626221 00:21:30.955 --> 00:21:33.383 able to align well to the patients and and frankly NOTE Confidence: 0.8480484485626221 00:21:33.431 --> 00:21:36.441 where we learned as we've onboarded more patients because when NOTE Confidence: 0.8480484485626221 00:21:36.490 --> 00:21:39.015 I started the company, we thought and I thought that NOTE Confidence: 0.8480484485626221 00:21:39.063 --> 00:21:40.520 text message would be the way. NOTE Confidence: 0.8823859691619873 00:21:41.280 --> 00:21:44.816 And what we learned is no patients will text, patients NOTE Confidence: 0.8823859691619873 00:21:44.881 --> 00:21:47.893 will call and it depends on who the patient is NOTE Confidence: 0.8823859691619873 00:21:47.959 --> 00:21:50.120 and a variety of other variables. NOTE Confidence: 0.9047490358352661 00:21:50.600 --> 00:21:52.476 So you have to be able to just willing to NOTE Confidence: 0.9047490358352661 00:21:52.522 --> 00:21:54.673 meet the patient where they are and be ready to NOTE Confidence: 0.9047490358352661 00:21:54.718 --> 00:21:55.679 enter catch for that. NOTE Confidence: 0.8735839128494263 00:21:56.080 --> 00:21:58.630 And that speaks to a lot of the technology investment NOTE Confidence: 0.8735839128494263 00:21:58.678 --> 00:22:00.988 and the ability of the platform is we're able to NOTE Confidence: 0.8735839128494263 00:22:01.036 --> 00:22:03.298 meet the patient where they need to be and then NOTE Confidence: 0.8735839128494263 00:22:03.346 --> 00:22:05.320 and work with them on, on on their terms. NOTE Confidence: 0.8139214515686035 00:22:07.280 --> 00:22:10.783 You're touching up something that is really important to me, NOTE Confidence: 0.8139214515686035 00:22:10.842 --> 00:22:13.820 which is the experience of care of patients and not NOTE Confidence: 0.8139214515686035 00:22:13.878 --> 00:22:17.032 only in the acute setting, but then as there's they're NOTE Confidence: 0.8139214515686035 00:22:17.090 --> 00:22:18.199 discharged to home. NOTE Confidence: 0.8470377326011658 00:22:18.600 --> 00:22:22.086 And I wonder Neil or or others, but do you NOTE Confidence: 0.8470377326011658 00:22:22.169 --> 00:22:26.900 have a specific, specific thoughts on how tech can really NOTE Confidence: 0.8470377326011658 00:22:26.983 --> 00:22:28.560 support that piece? NOTE Confidence: 0.8721286058425903 00:22:28.560 --> 00:22:32.622 How can it drive a differentiated patient experience or stakeholder NOTE Confidence: 0.8721286058425903 00:22:32.682 --> 00:22:34.319 experience for that matter? NOTE Confidence: 0.4660521149635315 00:22:34.680 --> 00:22:35.040 Absolutely. NOTE Confidence: 0.861569344997406 00:22:35.040 --> 00:22:37.956 I think one thing that as Rishi was describing the NOTE Confidence: 0.861569344997406 00:22:38.014 --> 00:22:40.989 the kind of the end to end experience there, anyone NOTE Confidence: 0.861569344997406 00:22:41.047 --> 00:22:44.489 who has been building and been around healthcare, you know, NOTE Confidence: 0.861569344997406 00:22:44.547 --> 00:22:47.580 if you're novice to it, that would sound, oh, that's NOTE Confidence: 0.861569344997406 00:22:47.638 --> 00:22:51.079 that sounds great, magical, all these things come together. NOTE Confidence: 0.7475784420967102 00:22:51.080 --> 00:22:54.012 But in reality, it's brutally painful to stitch all those NOTE Confidence: 0.7475784420967102 00:22:54.064 --> 00:22:57.923 different data sources together because they're sitting in different places NOTE Confidence: 0.7475784420967102 00:22:57.974 --> 00:23:00.753 if the permissions, you know, for to make possibly the NOTE Confidence: 0.7475784420967102 00:23:00.804 --> 00:23:02.759 different standards, standards change. NOTE Confidence: 0.8920274972915649 00:23:03.119 --> 00:23:05.946 And I think to make that experience possible, to make NOTE Confidence: 0.8920274972915649 00:23:05.999 --> 00:23:08.346 it as real time as Richie's been able to do, NOTE Confidence: 0.8920274972915649 00:23:08.399 --> 00:23:10.319 it requires, you know, preparedness. NOTE Confidence: 0.8995544910430908 00:23:10.320 --> 00:23:13.205 Having having the information ready to be able to pull NOTE Confidence: 0.8995544910430908 00:23:13.259 --> 00:23:15.877 together to be able to know all the things about, NOTE Confidence: 0.8995544910430908 00:23:15.931 --> 00:23:20.526 you know, insurance eligibility, medications, appointments, historical data, when they NOTE Confidence: 0.8995544910430908 00:23:20.580 --> 00:23:23.679 actually get to the hospital, what to do next, caregivers, NOTE Confidence: 0.8995544910430908 00:23:23.733 --> 00:23:26.886 transportation, all these sorts of things, which I think to NOTE Confidence: 0.8995544910430908 00:23:26.939 --> 00:23:30.519 your point, Francesca is kind of creating this holistic experience. NOTE Confidence: 0.8703678250312805 00:23:30.520 --> 00:23:33.436 I think Rishi also said something really important, which is, NOTE Confidence: 0.8703678250312805 00:23:33.484 --> 00:23:35.588 you know, yes, we set out to build a company NOTE Confidence: 0.8703678250312805 00:23:35.636 --> 00:23:38.839 around congestive heart failure, but ultimately these are patients. NOTE Confidence: 0.922360897064209 00:23:38.840 --> 00:23:39.800 They're not their condition. NOTE Confidence: 0.8970391750335693 00:23:40.160 --> 00:23:42.050 And you have to kind of treat the whole person NOTE Confidence: 0.8970391750335693 00:23:42.091 --> 00:23:45.214 and understand contextually what their situation is, what their relationship NOTE Confidence: 0.8970391750335693 00:23:45.255 --> 00:23:46.160 is with their disease. NOTE Confidence: 0.8569267392158508 00:23:46.160 --> 00:23:47.640 Does it define them, does it not? NOTE Confidence: 0.9713208079338074 00:23:48.320 --> 00:23:50.713 And I think to that point, understanding them to the NOTE Confidence: 0.9713208079338074 00:23:50.759 --> 00:23:51.680 extent that you can. NOTE Confidence: 0.9351420402526855 00:23:52.200 --> 00:23:54.378 And one, one thing that I think you know, you NOTE Confidence: 0.9351420402526855 00:23:54.426 --> 00:23:57.282 again, from an investment standpoint is all the things that NOTE Confidence: 0.9351420402526855 00:23:57.330 --> 00:23:59.847 that we're doing here in a world of abundance, let's NOTE Confidence: 0.9351420402526855 00:23:59.896 --> 00:24:02.171 say that we had all the resources in the world, NOTE Confidence: 0.9351420402526855 00:24:02.219 --> 00:24:04.639 a lot of these things would be very much possible. NOTE Confidence: 0.8889424800872803 00:24:05.119 --> 00:24:07.823 Something is still very, quite difficult and very manual and NOTE Confidence: 0.8889424800872803 00:24:07.868 --> 00:24:08.680 probably too slow. NOTE Confidence: 0.9692846536636353 00:24:09.119 --> 00:24:12.220 And I think so much of this is actually using NOTE Confidence: 0.9692846536636353 00:24:12.288 --> 00:24:14.080 technology to bring speed. NOTE Confidence: 0.8808777332305908 00:24:14.240 --> 00:24:16.848 And I think tying this back to your point is NOTE Confidence: 0.8808777332305908 00:24:16.907 --> 00:24:21.056 that speed, that understanding is what drives engagement experience is NOTE Confidence: 0.8808777332305908 00:24:21.116 --> 00:24:24.079 that, you know, you're not repeating as a patient. NOTE Confidence: 0.8628305792808533 00:24:24.080 --> 00:24:25.810 It's like I'm not repeating things that you already know NOTE Confidence: 0.8628305792808533 00:24:25.841 --> 00:24:26.119 about me. NOTE Confidence: 0.9001184105873108 00:24:26.359 --> 00:24:28.599 You are, I've, I've told you that I like being NOTE Confidence: 0.9001184105873108 00:24:28.648 --> 00:24:29.719 called and not texted. NOTE Confidence: 0.9423624277114868 00:24:29.720 --> 00:24:31.360 Next time, don't text me, right? NOTE Confidence: 0.9201557040214539 00:24:31.400 --> 00:24:34.058 And I think those kinds of things, it's like, OK, NOTE Confidence: 0.9201557040214539 00:24:34.113 --> 00:24:36.717 this this care team actually cares about me as a NOTE Confidence: 0.9201557040214539 00:24:36.771 --> 00:24:39.485 as an individual and they care about my, you know, NOTE Confidence: 0.9201557040214539 00:24:39.539 --> 00:24:42.740 return to health because, you know, you're catching them at NOTE Confidence: 0.9201557040214539 00:24:42.795 --> 00:24:44.640 a point in which they are engaged. NOTE Confidence: 0.7578389048576355 00:24:44.640 --> 00:24:46.120 They're looking for solutions. NOTE Confidence: 0.926072895526886 00:24:46.119 --> 00:24:48.098 They don't want to end up back in the hospital NOTE Confidence: 0.926072895526886 00:24:48.141 --> 00:24:48.399 again. NOTE Confidence: 0.9583232402801514 00:24:48.640 --> 00:24:50.520 They want to go back to their activities, daily living. NOTE Confidence: 0.8817463517189026 00:24:50.520 --> 00:24:51.963 They want to go back to that soccer game and NOTE Confidence: 0.8817463517189026 00:24:51.996 --> 00:24:53.440 they want to do that as quickly as possible. NOTE Confidence: 0.8102402091026306 00:24:54.920 --> 00:24:57.792 And I think that's somewhat counter to what I would NOTE Confidence: 0.8102402091026306 00:24:57.848 --> 00:25:01.003 have thought intuitively when I would have said you need NOTE Confidence: 0.8102402091026306 00:25:01.059 --> 00:25:03.200 the human interaction with one person. NOTE Confidence: 0.890407919883728 00:25:03.200 --> 00:25:07.825 But technology here really allows us to provide personalized care NOTE Confidence: 0.890407919883728 00:25:07.896 --> 00:25:11.384 for each of those individual as opposed to just a NOTE Confidence: 0.890407919883728 00:25:11.455 --> 00:25:14.230 few that you might be able to that as a NOTE Confidence: 0.890407919883728 00:25:14.301 --> 00:25:14.799 person. NOTE Confidence: 0.9040606617927551 00:25:15.120 --> 00:25:17.440 So I think that's a really good point to me. NOTE Confidence: 0.7855480313301086 00:25:17.640 --> 00:25:19.280 Steve, I'm sorry, I think I cut you off. NOTE Confidence: 0.5482230186462402 00:25:19.280 --> 00:25:19.560 No. NOTE Confidence: 0.8492709398269653 00:25:19.680 --> 00:25:22.216 I would just add one, one point that I think NOTE Confidence: 0.8492709398269653 00:25:22.273 --> 00:25:25.328 isn't implied and what both, what both Neil and Rishi NOTE Confidence: 0.8492709398269653 00:25:25.386 --> 00:25:28.383 said, But it's, it's that all of these services that NOTE Confidence: 0.8492709398269653 00:25:28.441 --> 00:25:31.092 if you had talked about four or five years ago NOTE Confidence: 0.8492709398269653 00:25:31.150 --> 00:25:34.032 would have, would have needed to be delivered at a NOTE Confidence: 0.8492709398269653 00:25:34.089 --> 00:25:36.280 cost structure that's just not viable. NOTE Confidence: 0.8687447309494019 00:25:36.720 --> 00:25:39.676 And, and, and it's technology that that brings the cost NOTE Confidence: 0.8687447309494019 00:25:39.730 --> 00:25:42.580 to a place where the organizations like ours can, can NOTE Confidence: 0.8687447309494019 00:25:42.633 --> 00:25:45.322 embrace them and bring that suite to patients in a NOTE Confidence: 0.8687447309494019 00:25:45.375 --> 00:25:47.795 way we couldn't have prior to the the sort of NOTE Confidence: 0.8687447309494019 00:25:47.849 --> 00:25:51.343 the technology evolution that we've experienced over the last few NOTE Confidence: 0.8687447309494019 00:25:51.397 --> 00:25:51.719 years. NOTE Confidence: 0.9057239294052124 00:25:53.359 --> 00:25:57.802 Speaking of cost, obviously there is an investment that needs NOTE Confidence: 0.9057239294052124 00:25:57.874 --> 00:26:01.151 to be made in any kind of endeavour, this one NOTE Confidence: 0.9057239294052124 00:26:01.224 --> 00:26:01.879 included. NOTE Confidence: 0.9057782292366028 00:26:02.480 --> 00:26:05.429 I know we live in a very fast changing investment NOTE Confidence: 0.9057782292366028 00:26:05.489 --> 00:26:08.920 environment, definitely not an area of expertise of mine. NOTE Confidence: 0.8684441447257996 00:26:09.280 --> 00:26:12.574 So Neil, could you kind of provide some insight to NOTE Confidence: 0.8684441447257996 00:26:12.639 --> 00:26:16.658 our audience and what are the considerations that they should NOTE Confidence: 0.8684441447257996 00:26:16.724 --> 00:26:20.282 be thinking about and specifically how do they wait on NOTE Confidence: 0.8684441447257996 00:26:20.348 --> 00:26:23.839 chronic disease management in this in these examples? NOTE Confidence: 0.8012711405754089 00:26:24.520 --> 00:26:26.561 Yeah, I, I touched on a little bit, but I NOTE Confidence: 0.8012711405754089 00:26:26.611 --> 00:26:28.603 think someone a lot of it has to do with NOTE Confidence: 0.8012711405754089 00:26:28.653 --> 00:26:29.599 capital efficiency. NOTE Confidence: 0.875928521156311 00:26:30.359 --> 00:26:33.406 Steve was touching on this as well, which is around NOTE Confidence: 0.875928521156311 00:26:33.466 --> 00:26:36.931 scalability of being able to provide, provide the care at, NOTE Confidence: 0.875928521156311 00:26:36.991 --> 00:26:40.157 you know, even economics that are viable for both the NOTE Confidence: 0.875928521156311 00:26:40.217 --> 00:26:43.443 end customer and the company and you know, the sources NOTE Confidence: 0.875928521156311 00:26:43.502 --> 00:26:44.159 of capital. NOTE Confidence: 0.8671942949295044 00:26:45.280 --> 00:26:48.037 I think one thing that has kind of changed in NOTE Confidence: 0.8671942949295044 00:26:48.098 --> 00:26:51.163 this regard is, is really around if you, you know, NOTE Confidence: 0.8671942949295044 00:26:51.224 --> 00:26:54.104 from a investor or a, you know, end customer or NOTE Confidence: 0.8671942949295044 00:26:54.165 --> 00:26:57.842 a payer's perspective, you, you kind of assume that outcomes NOTE Confidence: 0.8671942949295044 00:26:57.903 --> 00:27:00.600 are, you know, if you're, if a, if a partner NOTE Confidence: 0.8671942949295044 00:27:00.661 --> 00:27:03.970 is delivering a program to you, the, the, the outcomes NOTE Confidence: 0.8671942949295044 00:27:04.032 --> 00:27:07.280 that they're delivering are effectively table stakes. NOTE Confidence: 0.9755680561065674 00:27:07.280 --> 00:27:08.280 They have to do that. NOTE Confidence: 0.8957000970840454 00:27:08.720 --> 00:27:11.360 And if they don't, you select someone that can, right. NOTE Confidence: 0.8373444676399231 00:27:11.680 --> 00:27:14.139 You don't actually care what their cost of delivering those NOTE Confidence: 0.8373444676399231 00:27:14.181 --> 00:27:16.432 outcomes are, so long as like, if they're losing money NOTE Confidence: 0.8373444676399231 00:27:16.474 --> 00:27:18.475 and you're saying I'm going to pay you a dollar, NOTE Confidence: 0.8373444676399231 00:27:18.516 --> 00:27:20.559 but it costs them $1.20, they're just going to go NOTE Confidence: 0.8373444676399231 00:27:20.601 --> 00:27:21.559 out of business, right? NOTE Confidence: 0.923613965511322 00:27:21.840 --> 00:27:24.104 And so it's incumbent on that partner to be able NOTE Confidence: 0.923613965511322 00:27:24.152 --> 00:27:26.511 to like figure out how much, what's the, you know, NOTE Confidence: 0.923613965511322 00:27:26.558 --> 00:27:28.729 what profit margin can I deliver so that I can NOTE Confidence: 0.923613965511322 00:27:28.776 --> 00:27:29.719 continue doing this? NOTE Confidence: 0.9109607338905334 00:27:29.720 --> 00:27:32.371 How can I turn this into a business that ultimately NOTE Confidence: 0.9109607338905334 00:27:32.423 --> 00:27:34.763 I can reinvest into, you know, what did I do, NOTE Confidence: 0.9109607338905334 00:27:34.815 --> 00:27:36.479 what I do to make myself better? NOTE Confidence: 0.8717339634895325 00:27:36.760 --> 00:27:39.773 And as as an investor looking in, we're looking for, NOTE Confidence: 0.8717339634895325 00:27:39.831 --> 00:27:42.555 you know, how quickly can you get to, you know, NOTE Confidence: 0.8717339634895325 00:27:42.613 --> 00:27:46.033 unit economics, gross margins that are, you know, 50% plus, NOTE Confidence: 0.8717339634895325 00:27:46.091 --> 00:27:50.090 right, which historically in technical services really only come with NOTE Confidence: 0.8717339634895325 00:27:50.148 --> 00:27:53.220 increased top line and like, you know, risk upside or NOTE Confidence: 0.8717339634895325 00:27:53.278 --> 00:27:53.800 downside. NOTE Confidence: 0.9066787958145142 00:27:54.120 --> 00:27:56.760 And you can do that plus kind of even more. NOTE Confidence: 0.926981508731842 00:27:56.960 --> 00:27:59.280 And the second side is what kind of network effects NOTE Confidence: 0.926981508731842 00:27:59.326 --> 00:28:01.237 do we see as we see more and more density, NOTE Confidence: 0.926981508731842 00:28:01.282 --> 00:28:03.785 more patients that we see more in organizations that we NOTE Confidence: 0.926981508731842 00:28:03.830 --> 00:28:05.560 connect with doing this more and more. NOTE Confidence: 0.8540090918540955 00:28:05.560 --> 00:28:08.631 So that there's a kind of defensible competitive advantage or NOTE Confidence: 0.8540090918540955 00:28:08.682 --> 00:28:11.905 remote that exists through whether whether it's data or clinical NOTE Confidence: 0.8540090918540955 00:28:11.955 --> 00:28:14.523 outcomes or you know, what have you that says that, NOTE Confidence: 0.8540090918540955 00:28:14.574 --> 00:28:17.847 you know, another competitor that's looking into coming into this NOTE Confidence: 0.8540090918540955 00:28:17.897 --> 00:28:18.199 space. NOTE Confidence: 0.8957542181015015 00:28:18.480 --> 00:28:20.749 Even if they try to replicate our exact same care NOTE Confidence: 0.8957542181015015 00:28:20.796 --> 00:28:23.668 model, you know, copy paste or technology blueprint, they just NOTE Confidence: 0.8957542181015015 00:28:23.714 --> 00:28:25.660 will not be able to catch up as quickly as NOTE Confidence: 0.8957542181015015 00:28:25.706 --> 00:28:27.791 we can because we have this kind of this this NOTE Confidence: 0.8957542181015015 00:28:27.837 --> 00:28:30.200 head start in all the things that I just mentioned. NOTE Confidence: 0.8328562378883362 00:28:30.200 --> 00:28:31.707 So that's kind of a lot of the dimensions that NOTE Confidence: 0.8328562378883362 00:28:31.739 --> 00:28:33.639 we look for and when evaluating these kinds of businesses. NOTE Confidence: 0.9120716452598572 00:28:35.480 --> 00:28:35.840 Got it. NOTE Confidence: 0.8226686716079712 00:28:36.120 --> 00:28:37.040 Steve, what would you add? NOTE Confidence: 0.8613156080245972 00:28:38.080 --> 00:28:40.948 Yeah, I, I would just say it's a, it's a NOTE Confidence: 0.8613156080245972 00:28:41.019 --> 00:28:44.390 dynamic time as as an investor and I would flag NOTE Confidence: 0.8613156080245972 00:28:44.461 --> 00:28:47.975 that as a consumer of technology and and being at NOTE Confidence: 0.8613156080245972 00:28:48.046 --> 00:28:51.703 a company like DaVita, I think it's an amazing time NOTE Confidence: 0.8613156080245972 00:28:51.775 --> 00:28:56.579 where solutions are getting more efficient, more scalable and doing NOTE Confidence: 0.8613156080245972 00:28:56.651 --> 00:29:00.236 that at a lower cost, which is really exciting for NOTE Confidence: 0.8613156080245972 00:29:00.308 --> 00:29:03.320 your value based care players like DaVita. NOTE Confidence: 0.7810289263725281 00:29:04.040 --> 00:29:06.396 As a consumer, as as an investor, I think it's NOTE Confidence: 0.7810289263725281 00:29:06.447 --> 00:29:09.214 actually a pretty hard time for, for reasons that Neil NOTE Confidence: 0.7810289263725281 00:29:09.265 --> 00:29:09.880 articulated. NOTE Confidence: 0.8292540311813354 00:29:09.880 --> 00:29:14.217 You've also got a world where there's reimbursement uncertainty that NOTE Confidence: 0.8292540311813354 00:29:14.281 --> 00:29:18.045 that maybe sort of exceeds where what we've experienced for NOTE Confidence: 0.8292540311813354 00:29:18.109 --> 00:29:19.640 the last couple decades. NOTE Confidence: 0.8514832854270935 00:29:20.320 --> 00:29:23.842 And from, from a, an AI standpoint, you know what NOTE Confidence: 0.8514832854270935 00:29:23.914 --> 00:29:27.365 I would say and, and this really builds off what NOTE Confidence: 0.8514832854270935 00:29:27.437 --> 00:29:32.109 Neil articulated is that it's, it's important to understand where NOTE Confidence: 0.8514832854270935 00:29:32.181 --> 00:29:36.926 companies have those advantages versus being a point solution that NOTE Confidence: 0.8514832854270935 00:29:36.998 --> 00:29:41.240 could be commoditized in a relatively short period of time. NOTE Confidence: 0.8418370485305786 00:29:41.760 --> 00:29:45.303 And for, for those reasons, both, both the, you know, NOTE Confidence: 0.8418370485305786 00:29:45.370 --> 00:29:49.113 reimbursement dynamics as well as the need to be nimble, NOTE Confidence: 0.8418370485305786 00:29:49.180 --> 00:29:52.656 I would say leadership is even more important as you NOTE Confidence: 0.8418370485305786 00:29:52.723 --> 00:29:56.200 think about companies you're going to invest behind. NOTE Confidence: 0.8623760938644409 00:29:56.200 --> 00:29:58.986 Because the reality is, you know, 5 pivots will need NOTE Confidence: 0.8623760938644409 00:29:59.039 --> 00:30:02.040 to be made before that that perfect endpoint is reached. NOTE Confidence: 0.5739264488220215 00:30:02.600 --> 00:30:03.560 Perfect endpoint is. NOTE Confidence: 0.8525924682617188 00:30:03.800 --> 00:30:07.581 It's probably unrealistic, but there there's just going to be NOTE Confidence: 0.8525924682617188 00:30:07.643 --> 00:30:09.999 a lot of twists and turns in the path. NOTE Confidence: 0.7515404224395752 00:30:11.600 --> 00:30:14.602 I think that that's, you know, those are two really NOTE Confidence: 0.7515404224395752 00:30:14.661 --> 00:30:17.723 good points raised by both Neil and Steve, which is, NOTE Confidence: 0.7515404224395752 00:30:17.782 --> 00:30:20.667 you know, coming from the linear side and kind of NOTE Confidence: 0.7515404224395752 00:30:20.726 --> 00:30:23.376 quote, the startup side is how do we show the NOTE Confidence: 0.7515404224395752 00:30:23.435 --> 00:30:26.438 purpose of the heart failure program was to show in NOTE Confidence: 0.7515404224395752 00:30:26.496 --> 00:30:28.439 a very, you know, defined nature. NOTE Confidence: 0.8449298143386841 00:30:28.440 --> 00:30:30.737 Yes, we can hit outcomes, but then when we lift NOTE Confidence: 0.8449298143386841 00:30:30.786 --> 00:30:33.280 the hood, we show here are the processes that we've NOTE Confidence: 0.8449298143386841 00:30:33.328 --> 00:30:34.600 put in place with purpose. NOTE Confidence: 0.8508870601654053 00:30:34.600 --> 00:30:37.798 And the purpose is, is that, you know, the traditional NOTE Confidence: 0.8508870601654053 00:30:37.858 --> 00:30:42.005 workflow for identifying and engaging patients, you know, always meant NOTE Confidence: 0.8508870601654053 00:30:42.064 --> 00:30:43.960 adding more bodies to it, right? NOTE Confidence: 0.7595918774604797 00:30:43.960 --> 00:30:45.000 Adding more personnel. NOTE Confidence: 0.8270711302757263 00:30:45.360 --> 00:30:47.785 Where As for us, we are able to, with, with NOTE Confidence: 0.8270711302757263 00:30:47.842 --> 00:30:50.888 very few personnel, be able to reimagine the nature of NOTE Confidence: 0.8270711302757263 00:30:50.944 --> 00:30:54.442 clinical operations and work, right, be able to identify these NOTE Confidence: 0.8270711302757263 00:30:54.498 --> 00:30:56.360 patients in an automated fashion. NOTE Confidence: 0.784966766834259 00:30:56.680 --> 00:30:59.155 What used to take hours to days of clinical summary NOTE Confidence: 0.784966766834259 00:30:59.203 --> 00:31:01.970 and fraught with human error 'cause you have to interpret NOTE Confidence: 0.784966766834259 00:31:02.018 --> 00:31:03.960 charts and, and kind of make your notes. NOTE Confidence: 0.8084558844566345 00:31:04.400 --> 00:31:07.649 We do in milliseconds at a, you know, pennies on NOTE Confidence: 0.8084558844566345 00:31:07.716 --> 00:31:11.304 the dollar and kind of create this, you know, extreme NOTE Confidence: 0.8084558844566345 00:31:11.372 --> 00:31:15.298 efficiency, you know, push linear to margins that I didn't NOTE Confidence: 0.8084558844566345 00:31:15.366 --> 00:31:18.480 expect us to heat hit until late 2026 to 2027. NOTE Confidence: 0.769690215587616 00:31:18.480 --> 00:31:21.729 Kind of following more of the traditional tech enabled services NOTE Confidence: 0.769690215587616 00:31:21.780 --> 00:31:25.029 approach, but using, you know, generative AI and and technology NOTE Confidence: 0.769690215587616 00:31:25.081 --> 00:31:26.679 in a, in a more thoughtful way. NOTE Confidence: 0.856902003288269 00:31:27.080 --> 00:31:29.903 We've been able to hit these margins and exceed them NOTE Confidence: 0.856902003288269 00:31:29.958 --> 00:31:33.162 much, much more quickly, right, by identifying what are the NOTE Confidence: 0.856902003288269 00:31:33.216 --> 00:31:36.257 high cost and frankly, low human value, you know, points NOTE Confidence: 0.856902003288269 00:31:36.311 --> 00:31:39.189 that we can use generative added takeover and to what NOTE Confidence: 0.856902003288269 00:31:39.244 --> 00:31:42.719 Steve said earlier, right, elevate the quality across the board, NOTE Confidence: 0.856902003288269 00:31:42.774 --> 00:31:46.303 guarantee a standard of quality of data interpretation and really NOTE Confidence: 0.856902003288269 00:31:46.358 --> 00:31:49.073 task our clinical teams and, and kind of the human NOTE Confidence: 0.856902003288269 00:31:49.127 --> 00:31:51.679 effort to intervene at the right point in time. NOTE Confidence: 0.8673875331878662 00:31:51.680 --> 00:31:53.873 Where, oh, that is the right time for one of NOTE Confidence: 0.8673875331878662 00:31:53.923 --> 00:31:56.166 our MPs to pick up the phone and call, right, NOTE Confidence: 0.8673875331878662 00:31:56.215 --> 00:31:58.508 or to review a high risk situation and say, do NOTE Confidence: 0.8673875331878662 00:31:58.558 --> 00:32:01.001 we need to escalate this right and, and make that NOTE Confidence: 0.8673875331878662 00:32:01.051 --> 00:32:03.942 executive decision or de risk and, you know, create safety NOTE Confidence: 0.8673875331878662 00:32:03.991 --> 00:32:04.639 in that loop. NOTE Confidence: 0.8802197575569153 00:32:05.120 --> 00:32:07.485 And that's where I think the the paradigm over the NOTE Confidence: 0.8802197575569153 00:32:07.532 --> 00:32:10.039 next few years for tech enabled services will change. NOTE Confidence: 0.8161752223968506 00:32:10.040 --> 00:32:12.035 It used to be a space where, you know, my NOTE Confidence: 0.8161752223968506 00:32:12.084 --> 00:32:14.177 next raise, how am I going to bring on more NOTE Confidence: 0.8161752223968506 00:32:14.225 --> 00:32:17.000 clinical staff because I want to bring on more contracts. NOTE Confidence: 0.8700804710388184 00:32:17.000 --> 00:32:18.717 How am I going to take on risk to, to NOTE Confidence: 0.8700804710388184 00:32:18.764 --> 00:32:19.600 boost my top line? NOTE Confidence: 0.8821190595626831 00:32:20.640 --> 00:32:23.197 I would, you know, I'd argue that that narrative is NOTE Confidence: 0.8821190595626831 00:32:23.247 --> 00:32:24.200 completely changed. NOTE Confidence: 0.8894380927085876 00:32:24.320 --> 00:32:28.618 Whereas now the approach is, you know, how operationally efficient NOTE Confidence: 0.8894380927085876 00:32:28.683 --> 00:32:29.400 can you be? NOTE Confidence: 0.8524285554885864 00:32:29.960 --> 00:32:33.061 And because we're in this leapfrog moment of technology for NOTE Confidence: 0.8524285554885864 00:32:33.114 --> 00:32:36.636 healthcare specifically, you know, how quickly can what the process NOTE Confidence: 0.8524285554885864 00:32:36.689 --> 00:32:39.212 I built out for heart failure be adapted to, you NOTE Confidence: 0.8524285554885864 00:32:39.265 --> 00:32:40.999 know, where we're looking, right? NOTE Confidence: 0.7729237079620361 00:32:41.000 --> 00:32:43.723 So, you know, CKD and ESRD to metabolic disease cause NOTE Confidence: 0.7729237079620361 00:32:43.774 --> 00:32:46.960 all these are running together and we're treating them anyway. NOTE Confidence: 0.9230424761772156 00:32:47.280 --> 00:32:49.242 And that kind of expands out the impact we can NOTE Confidence: 0.9230424761772156 00:32:49.285 --> 00:32:50.480 have to these organizations. NOTE Confidence: 0.787591278553009 00:32:50.480 --> 00:32:53.328 And I think that's what organizations are looking for long NOTE Confidence: 0.787591278553009 00:32:53.377 --> 00:32:55.981 term, which is deal with an organization as well with NOTE Confidence: 0.787591278553009 00:32:56.030 --> 00:32:57.160 your pinpoint solution. NOTE Confidence: 0.8214737772941589 00:32:58.400 --> 00:33:00.132 You touched on something that I want to go back NOTE Confidence: 0.8214737772941589 00:33:00.169 --> 00:33:00.279 to. NOTE Confidence: 0.8624798059463501 00:33:00.280 --> 00:33:03.454 But first, I would love for any of you to NOTE Confidence: 0.8624798059463501 00:33:03.532 --> 00:33:06.319 address this question from Michelle. NOTE Confidence: 0.8670182228088379 00:33:06.960 --> 00:33:10.271 How do you plan to bridge the knowledge gap in NOTE Confidence: 0.8670182228088379 00:33:10.343 --> 00:33:15.167 AI technology, especially among older adult patients who are mostly NOTE Confidence: 0.8670182228088379 00:33:15.239 --> 00:33:16.319 not tech savvy? NOTE Confidence: 0.8852059841156006 00:33:18.760 --> 00:33:22.401 I would, I wouldn't say we're in early days of, NOTE Confidence: 0.8852059841156006 00:33:22.478 --> 00:33:25.577 you know, AI And I think in reality in a NOTE Confidence: 0.8852059841156006 00:33:25.654 --> 00:33:29.063 few years, like no one would ever say I'm an NOTE Confidence: 0.8852059841156006 00:33:29.140 --> 00:33:30.999 Internet company, right? NOTE Confidence: 0.7446516752243042 00:33:31.040 --> 00:33:33.487 Like we're all the Internet companies because we're always just NOTE Confidence: 0.7446516752243042 00:33:33.526 --> 00:33:35.391 use the Internet as part of, you know, it's like NOTE Confidence: 0.7446516752243042 00:33:35.430 --> 00:33:36.479 I'm an electricity company. NOTE Confidence: 0.7605844736099243 00:33:36.480 --> 00:33:38.400 Well, no, we all use electricity, right? NOTE Confidence: 0.9244267344474792 00:33:38.960 --> 00:33:42.399 You will use AI as part of your workflow, as NOTE Confidence: 0.9244267344474792 00:33:42.478 --> 00:33:44.119 part of a part of it. NOTE Confidence: 0.8317559361457825 00:33:44.160 --> 00:33:48.260 And as the technology becomes better embedded into clinical workflow NOTE Confidence: 0.8317559361457825 00:33:48.320 --> 00:33:51.696 and into your systems that you're already using, you may NOTE Confidence: 0.8317559361457825 00:33:51.757 --> 00:33:54.832 not even realize that it's there or that that's the NOTE Confidence: 0.8317559361457825 00:33:54.892 --> 00:33:56.399 part that's done for you. NOTE Confidence: 0.8486244678497314 00:33:56.480 --> 00:33:59.552 And I think that's, as, you know, our engineering and NOTE Confidence: 0.8486244678497314 00:33:59.610 --> 00:34:01.639 our product experiences get better. NOTE Confidence: 0.9051922559738159 00:34:02.320 --> 00:34:04.094 It doesn't have to be so in your face, but NOTE Confidence: 0.9051922559738159 00:34:04.136 --> 00:34:06.544 rather it's like, wow, now I have this better capability, NOTE Confidence: 0.9051922559738159 00:34:06.586 --> 00:34:06.839 right? NOTE Confidence: 0.9658128023147583 00:34:07.880 --> 00:34:10.255 The first time you ever turned on spell check, it NOTE Confidence: 0.9658128023147583 00:34:10.304 --> 00:34:11.079 was really cool. NOTE Confidence: 0.8884152173995972 00:34:11.600 --> 00:34:13.731 Now you can, you know, have your whole document written NOTE Confidence: 0.8884152173995972 00:34:13.770 --> 00:34:14.080 for you. NOTE Confidence: 0.6727666258811951 00:34:14.080 --> 00:34:15.720 You don't have to understand how that works. NOTE Confidence: 0.8899712562561035 00:34:15.719 --> 00:34:17.738 You know, I don't very few people understand how the NOTE Confidence: 0.8899712562561035 00:34:17.777 --> 00:34:18.359 Internet works. NOTE Confidence: 0.9653555154800415 00:34:18.360 --> 00:34:20.840 But I think that's where I hope that we're heading. NOTE Confidence: 0.8987558484077454 00:34:21.760 --> 00:34:23.400 But we are in a transition period. NOTE Confidence: 0.90272456407547 00:34:23.400 --> 00:34:26.134 So over the next five years, you know, it does NOTE Confidence: 0.90272456407547 00:34:26.194 --> 00:34:29.404 take an understanding and you have to build trust with NOTE Confidence: 0.90272456407547 00:34:29.464 --> 00:34:32.853 your provider specifically to say, here is what the quote NOTE Confidence: 0.90272456407547 00:34:32.912 --> 00:34:35.766 AI will do for you and here's where you're still NOTE Confidence: 0.90272456407547 00:34:35.826 --> 00:34:36.480 in control. NOTE Confidence: 0.9288541674613953 00:34:36.600 --> 00:34:39.684 And I think setting those expectations, the user expectation of NOTE Confidence: 0.9288541674613953 00:34:39.733 --> 00:34:42.083 how the technology can be used and how it should NOTE Confidence: 0.9288541674613953 00:34:42.132 --> 00:34:42.720 not be used. NOTE Confidence: 0.8812997937202454 00:34:43.120 --> 00:34:45.927 And then also reassuring them of what decision points they NOTE Confidence: 0.8812997937202454 00:34:45.976 --> 00:34:48.154 have full control over or how you kind of get NOTE Confidence: 0.8812997937202454 00:34:48.202 --> 00:34:50.720 that adoption and education in place in the interim. NOTE Confidence: 0.8205865621566772 00:34:52.040 --> 00:34:56.102 And I haven't experienced your platform directory, but it sounds NOTE Confidence: 0.8205865621566772 00:34:56.166 --> 00:34:59.593 like it's much more, it's a better experience that the NOTE Confidence: 0.8205865621566772 00:34:59.657 --> 00:35:02.640 Delta agents bots that text me and have no idea NOTE Confidence: 0.8205865621566772 00:35:02.704 --> 00:35:03.719 what I'm asking. NOTE Confidence: 0.8247124552726746 00:35:03.719 --> 00:35:06.969 So I think it is about optimizing the the product NOTE Confidence: 0.8247124552726746 00:35:07.035 --> 00:35:10.882 so that your counterpart, whether it's the provider or the NOTE Confidence: 0.8247124552726746 00:35:10.948 --> 00:35:13.800 patient is, is willing and eager to engage. NOTE Confidence: 0.9284864664077759 00:35:14.480 --> 00:35:17.720 Speaking of which, there is actually a question. NOTE Confidence: 0.9250309467315674 00:35:18.320 --> 00:35:21.705 What do you do about a situation where you encounter NOTE Confidence: 0.9250309467315674 00:35:21.770 --> 00:35:24.439 non collaborative hospitals or providers? NOTE Confidence: 0.9097391366958618 00:35:24.840 --> 00:35:27.851 They may not follow through with the personalized plan you NOTE Confidence: 0.9097391366958618 00:35:27.902 --> 00:35:29.719 have outlined or failed to respond. NOTE Confidence: 0.9542956948280334 00:35:30.480 --> 00:35:31.720 Who wants to take this one? NOTE Confidence: 0.5623703598976135 00:35:34.840 --> 00:35:37.034 Yeah, I mean, I'll, I'll take a stab, but oh, NOTE Confidence: 0.5623703598976135 00:35:37.083 --> 00:35:38.400 go, go ahead, Rishi, Sorry. NOTE Confidence: 0.5677638053894043 00:35:39.040 --> 00:35:39.800 Oh, that's fine. NOTE Confidence: 0.519595205783844 00:35:39.840 --> 00:35:40.840 I don't mean them and I'll play. NOTE Confidence: 0.7617471814155579 00:35:40.840 --> 00:35:42.440 I mean, so you know, we, we experienced this. NOTE Confidence: 0.8989746570587158 00:35:44.880 --> 00:35:48.287 You have to understand where that's coming from, specifically if NOTE Confidence: 0.8989746570587158 00:35:48.341 --> 00:35:50.843 it's on the provider side, you know, and so you NOTE Confidence: 0.8989746570587158 00:35:50.897 --> 00:35:53.240 have to remember that as a physician, right? NOTE Confidence: 0.7641361951828003 00:35:53.240 --> 00:35:55.720 What is my experience been in with technology to date? NOTE Confidence: 0.9255222678184509 00:35:55.760 --> 00:35:59.000 It's been the EMR, right, which is an awful experience. NOTE Confidence: 0.891984760761261 00:35:59.680 --> 00:36:02.412 You've created more work for me, more risk in taking NOTE Confidence: 0.891984760761261 00:36:02.464 --> 00:36:04.934 me away from what I love doing, which is taking NOTE Confidence: 0.891984760761261 00:36:04.986 --> 00:36:05.880 care of patients. NOTE Confidence: 0.705182671546936 00:36:05.880 --> 00:36:07.360 I don't, I don't want to sit there and document. NOTE Confidence: 0.8451218605041504 00:36:07.840 --> 00:36:09.834 So when you ever, you know, and I and I NOTE Confidence: 0.8451218605041504 00:36:09.885 --> 00:36:12.288 carry that into every time we have to onboard a NOTE Confidence: 0.8451218605041504 00:36:12.339 --> 00:36:14.947 new practice or hospital and say, you really got to NOTE Confidence: 0.8451218605041504 00:36:14.998 --> 00:36:17.453 speak past that and say, you know, we're here to NOTE Confidence: 0.8451218605041504 00:36:17.504 --> 00:36:17.759 help. NOTE Confidence: 0.9080761075019836 00:36:18.480 --> 00:36:22.010 We're here to increase reach, you know, capacity retention, reduce NOTE Confidence: 0.9080761075019836 00:36:22.064 --> 00:36:22.759 risk for you. NOTE Confidence: 0.925938069820404 00:36:23.360 --> 00:36:24.160 We want to help. NOTE Confidence: 0.9276844263076782 00:36:24.960 --> 00:36:26.912 And we're not trying to take away from your revenue NOTE Confidence: 0.9276844263076782 00:36:26.950 --> 00:36:28.519 streams or, you know, anything like that. NOTE Confidence: 0.9697341918945312 00:36:29.040 --> 00:36:30.760 We really want to support you. NOTE Confidence: 0.8232496380805969 00:36:32.280 --> 00:36:35.597 And if they're still, you know, resistant to that, you NOTE Confidence: 0.8232496380805969 00:36:35.658 --> 00:36:38.177 know, you have to kind of get to the root NOTE Confidence: 0.8232496380805969 00:36:38.238 --> 00:36:41.371 cause of, of, of what's going on and prove yourself NOTE Confidence: 0.8232496380805969 00:36:41.432 --> 00:36:42.600 essentially, right. NOTE Confidence: 0.9062979221343994 00:36:42.600 --> 00:36:45.081 So it's, you know, hey, I don't have time for NOTE Confidence: 0.9062979221343994 00:36:45.136 --> 00:36:46.239 this, which is true. NOTE Confidence: 0.9736779928207397 00:36:46.240 --> 00:36:47.360 They don't have time for this. NOTE Confidence: 0.9209973812103271 00:36:47.800 --> 00:36:48.720 So what do we need to do? NOTE Confidence: 0.9368721842765808 00:36:48.719 --> 00:36:52.192 We need to figure out where they're already allocating time NOTE Confidence: 0.9368721842765808 00:36:52.251 --> 00:36:55.193 and not add five minutes, but say, listen, we can, NOTE Confidence: 0.9368721842765808 00:36:55.252 --> 00:36:57.960 we can reduce that meeting time by 10 minutes. NOTE Confidence: 0.9617429971694946 00:36:57.960 --> 00:36:59.480 Just give me 5, right? NOTE Confidence: 0.7798339128494263 00:37:00.000 --> 00:37:01.840 How can I add value in this? NOTE Confidence: 0.8180578947067261 00:37:01.880 --> 00:37:04.402 This goes about to like if, if you're a builder NOTE Confidence: 0.8180578947067261 00:37:04.456 --> 00:37:07.193 listening to this webinar, you have to not just add NOTE Confidence: 0.8180578947067261 00:37:07.247 --> 00:37:09.501 value to the patients or to the AC or risk NOTE Confidence: 0.8180578947067261 00:37:09.554 --> 00:37:12.238 bearing entity, but you need to add value to every NOTE Confidence: 0.8180578947067261 00:37:12.292 --> 00:37:14.599 stakeholder in healthcare to be successful. NOTE Confidence: 0.9011479616165161 00:37:15.080 --> 00:37:17.748 And so this is adding value to your, your your NOTE Confidence: 0.9011479616165161 00:37:17.806 --> 00:37:21.518 advanced, you know, practitioners, your physicians, If I can add NOTE Confidence: 0.9011479616165161 00:37:21.576 --> 00:37:24.303 five minutes back to their day, if I can reduce NOTE Confidence: 0.9011479616165161 00:37:24.361 --> 00:37:27.377 the mental burden and the pain of reading charts and NOTE Confidence: 0.9011479616165161 00:37:27.435 --> 00:37:29.987 rather just get to the point you got to give NOTE Confidence: 0.9011479616165161 00:37:30.045 --> 00:37:30.800 that to them. NOTE Confidence: 0.8286908864974976 00:37:31.680 --> 00:37:34.238 And when you add that value to them, then you NOTE Confidence: 0.8286908864974976 00:37:34.295 --> 00:37:37.763 overtime can break down those resistant natures if they fully NOTE Confidence: 0.8286908864974976 00:37:37.820 --> 00:37:39.639 still don't want to participate. NOTE Confidence: 0.8764419555664062 00:37:39.640 --> 00:37:42.818 You know, I think you empower through the patient and, NOTE Confidence: 0.8764419555664062 00:37:42.877 --> 00:37:45.526 you know, you have to come back around and in NOTE Confidence: 0.8764419555664062 00:37:45.585 --> 00:37:45.880 time. NOTE Confidence: 0.7375264763832092 00:37:45.880 --> 00:37:48.352 Listen, there's some people who are early doctors, some are NOTE Confidence: 0.7375264763832092 00:37:48.394 --> 00:37:50.573 middle and some are late and not, not every solution NOTE Confidence: 0.7375264763832092 00:37:50.615 --> 00:37:52.040 is going to be a fit for everyone. NOTE Confidence: 0.8774996995925903 00:37:52.040 --> 00:37:53.240 And that's OK, Steve. NOTE Confidence: 0.9229516983032227 00:37:53.360 --> 00:37:54.160 Sorry, go ahead. NOTE Confidence: 0.8454774022102356 00:37:57.360 --> 00:37:59.615 Yeah, I, I think this builds off what you said, NOTE Confidence: 0.8454774022102356 00:37:59.663 --> 00:38:02.543 but understanding where there are value drivers for them and NOTE Confidence: 0.8454774022102356 00:38:02.591 --> 00:38:04.319 I think there's time and efficiency. NOTE Confidence: 0.7369773983955383 00:38:04.320 --> 00:38:06.200 I I would just add that there's also readmissions. NOTE Confidence: 0.9391542077064514 00:38:06.560 --> 00:38:08.566 And if you can, if you can create a model NOTE Confidence: 0.9391542077064514 00:38:08.615 --> 00:38:11.111 that shows you can move the needle there and create NOTE Confidence: 0.9391542077064514 00:38:11.160 --> 00:38:14.145 value for them through some existing construct that that also NOTE Confidence: 0.9391542077064514 00:38:14.194 --> 00:38:15.760 has the potential to open doors. NOTE Confidence: 0.9430708289146423 00:38:18.120 --> 00:38:22.000 For sure there is one more question. NOTE Confidence: 0.7900093793869019 00:38:23.360 --> 00:38:24.400 It's pretty specific. NOTE Confidence: 0.9493105411529541 00:38:24.800 --> 00:38:28.429 What are you seeing in the way of AI agents NOTE Confidence: 0.9493105411529541 00:38:28.513 --> 00:38:32.734 in chronic care management and how do you see this NOTE Confidence: 0.9493105411529541 00:38:32.818 --> 00:38:34.760 specific area evolving? NOTE Confidence: 0.6852784156799316 00:38:39.280 --> 00:38:39.920 Yeah, I can start. NOTE Confidence: 0.892288327217102 00:38:39.920 --> 00:38:41.000 I'll take it more broadly. NOTE Confidence: 0.6269542574882507 00:38:42.040 --> 00:38:43.666 And Rishi, you can obviously talk about kind of how NOTE Confidence: 0.6269542574882507 00:38:43.698 --> 00:38:44.399 you're deploying them. NOTE Confidence: 0.7652223706245422 00:38:44.800 --> 00:38:48.113 I think Rishi framed, you know, a generative AI and NOTE Confidence: 0.7652223706245422 00:38:48.178 --> 00:38:52.142 then agentic AI and, you know, specifically around agentic AI NOTE Confidence: 0.7652223706245422 00:38:52.207 --> 00:38:55.781 is, you know, for folks that aren't familiar, it's it's NOTE Confidence: 0.7652223706245422 00:38:55.846 --> 00:38:59.160 AI that can actually perform tasks on behalf of, of NOTE Confidence: 0.7652223706245422 00:38:59.225 --> 00:38:59.680 people. NOTE Confidence: 0.8788803815841675 00:39:00.120 --> 00:39:02.390 And you know, do that in a way that is NOTE Confidence: 0.8788803815841675 00:39:02.450 --> 00:39:04.840 often proactive, more efficient, faster. NOTE Confidence: 0.8949264883995056 00:39:05.239 --> 00:39:07.378 And so when we think about, you know, how it's NOTE Confidence: 0.8949264883995056 00:39:07.424 --> 00:39:10.400 applied to chronic care management, there's a multitude of ways. NOTE Confidence: 0.8686881065368652 00:39:10.400 --> 00:39:12.643 I mean, if you think about it, a Gentek AI NOTE Confidence: 0.8686881065368652 00:39:12.696 --> 00:39:15.206 on the behalf of providers, it's kind of to the NOTE Confidence: 0.8686881065368652 00:39:15.260 --> 00:39:17.824 point of the last topic, which was around how do NOTE Confidence: 0.8686881065368652 00:39:17.877 --> 00:39:19.639 we make their their lives easier? NOTE Confidence: 0.9703176617622375 00:39:19.640 --> 00:39:21.560 How do we help them with communication? NOTE Confidence: 0.9079906344413757 00:39:21.560 --> 00:39:24.999 How do we help them with information retrieval things that NOTE Confidence: 0.9079906344413757 00:39:25.058 --> 00:39:28.320 used to be highly manual processes on the patient side. NOTE Confidence: 0.898705005645752 00:39:28.320 --> 00:39:31.047 I think this is also quite interesting if you think NOTE Confidence: 0.898705005645752 00:39:31.101 --> 00:39:34.257 about how can you, you know, managing chronic conditions or NOTE Confidence: 0.898705005645752 00:39:34.310 --> 00:39:37.519 managing complex health conditions is a time consuming task. NOTE Confidence: 0.9047931432723999 00:39:37.800 --> 00:39:41.598 Scheduling appointments, communicating with loved ones, communicating with, you know, NOTE Confidence: 0.9047931432723999 00:39:41.643 --> 00:39:44.280 whoever it is that you need to coordinating certain things. NOTE Confidence: 0.9094449877738953 00:39:45.160 --> 00:39:48.014 You know, what we've started to see now is kind NOTE Confidence: 0.9094449877738953 00:39:48.075 --> 00:39:51.416 of patient focused solutions that that help on that end NOTE Confidence: 0.9094449877738953 00:39:51.477 --> 00:39:51.719 too. NOTE Confidence: 0.8571431636810303 00:39:51.719 --> 00:39:53.769 So I see it as kind of this like, you NOTE Confidence: 0.8571431636810303 00:39:53.824 --> 00:39:57.812 know, healthcare administrative sides of healthcare, both on the patient NOTE Confidence: 0.8571431636810303 00:39:57.867 --> 00:40:00.415 side and the, the kind of the system side, the NOTE Confidence: 0.8571431636810303 00:40:00.470 --> 00:40:02.520 provider side of things are draining. NOTE Confidence: 0.9580081105232239 00:40:02.520 --> 00:40:04.201 No one likes doing them, but it's the cost of NOTE Confidence: 0.9580081105232239 00:40:04.239 --> 00:40:04.799 doing business. NOTE Confidence: 0.8138040900230408 00:40:05.120 --> 00:40:07.527 And we can apply the, the, you know, Gentech A NOTE Confidence: 0.8138040900230408 00:40:07.579 --> 00:40:11.609 technologies to basically minimize the administrative burden that exists kind NOTE Confidence: 0.8138040900230408 00:40:11.662 --> 00:40:13.755 of on the system writ large and in a lot NOTE Confidence: 0.8138040900230408 00:40:13.807 --> 00:40:16.319 of ways want to improve experience for patients. NOTE Confidence: 0.7224440574645996 00:40:16.320 --> 00:40:18.493 And two bring down a lot of cost on the NOTE Confidence: 0.7224440574645996 00:40:18.549 --> 00:40:21.280 this the you know, the overall cost of care side. NOTE Confidence: 0.7246941328048706 00:40:23.560 --> 00:40:24.800 Do you see anything you would add? NOTE Confidence: 0.5877300500869751 00:40:25.880 --> 00:40:28.360 I agree strongly with what Neil said. NOTE Confidence: 0.7420274019241333 00:40:28.440 --> 00:40:31.080 You know, I think when you have something that's so NOTE Confidence: 0.7420274019241333 00:40:31.132 --> 00:40:34.187 broad AI being, you know, this amorphous, you know, concept NOTE Confidence: 0.7420274019241333 00:40:34.239 --> 00:40:36.517 at times, and you have then you drill down a NOTE Confidence: 0.7420274019241333 00:40:36.569 --> 00:40:39.987 degenerative AI and thinking about agentic AI, which is proactive, NOTE Confidence: 0.7420274019241333 00:40:40.038 --> 00:40:43.042 and then, you know, generative AI, which can be considered NOTE Confidence: 0.7420274019241333 00:40:43.093 --> 00:40:43.560 reactive. NOTE Confidence: 0.8170834183692932 00:40:44.120 --> 00:40:46.610 The the best way that Lenny, the way that we NOTE Confidence: 0.8170834183692932 00:40:46.667 --> 00:40:49.554 decided with Lenny on how to deploy this, you know, NOTE Confidence: 0.8170834183692932 00:40:49.610 --> 00:40:53.460 thoughtfully, because we don't have, you know, infinite resources or NOTE Confidence: 0.8170834183692932 00:40:53.516 --> 00:40:53.799 time. NOTE Confidence: 0.9225304126739502 00:40:54.840 --> 00:40:56.785 It's kind of like when you decide to buy a NOTE Confidence: 0.9225304126739502 00:40:56.831 --> 00:40:57.480 hammer, right? NOTE Confidence: 0.8202769756317139 00:40:57.480 --> 00:40:58.520 Like, why'd you buy the hammer? NOTE Confidence: 0.8115508556365967 00:40:58.520 --> 00:41:00.480 I bought the hammer because I needed to nail something. NOTE Confidence: 0.7126449942588806 00:41:00.480 --> 00:41:02.021 I had a nail and I had a board and NOTE Confidence: 0.7126449942588806 00:41:02.066 --> 00:41:03.200 I needed to hammer it in. NOTE Confidence: 0.7620589733123779 00:41:03.880 --> 00:41:05.935 Hence I needed a hammer, but I didn't start buying NOTE Confidence: 0.7620589733123779 00:41:05.976 --> 00:41:07.948 the hammer thinking like, what am I going to use NOTE Confidence: 0.7620589733123779 00:41:07.990 --> 00:41:08.360 this for? NOTE Confidence: 0.8209723234176636 00:41:09.040 --> 00:41:10.802 You know, so you have to know what your endpoint NOTE Confidence: 0.8209723234176636 00:41:10.839 --> 00:41:11.280 solution is. NOTE Confidence: 0.8252161145210266 00:41:11.280 --> 00:41:14.461 And so that came from us understanding, you know, through NOTE Confidence: 0.8252161145210266 00:41:14.517 --> 00:41:17.755 DaVita and through market research of like, hey, you know, NOTE Confidence: 0.8252161145210266 00:41:17.811 --> 00:41:18.759 here's a problem. NOTE Confidence: 0.8358191251754761 00:41:19.200 --> 00:41:22.535 And we found this when we, when we initially deployed NOTE Confidence: 0.8358191251754761 00:41:22.598 --> 00:41:25.871 with patients, we were spending, you know, 5 to, you NOTE Confidence: 0.8358191251754761 00:41:25.934 --> 00:41:30.088 know, 11 hours clinical hours identifying, engaging and creating a NOTE Confidence: 0.8358191251754761 00:41:30.151 --> 00:41:32.480 clinical summary for patients, right? NOTE Confidence: 0.9306040406227112 00:41:32.520 --> 00:41:33.320 That's a long time. NOTE Confidence: 0.7705022096633911 00:41:33.400 --> 00:41:34.240 There's a lot of cost. NOTE Confidence: 0.7886666655540466 00:41:34.800 --> 00:41:37.441 And so some kind of agents or series of agents NOTE Confidence: 0.7886666655540466 00:41:37.498 --> 00:41:38.359 do this better. NOTE Confidence: 0.6456445455551147 00:41:38.400 --> 00:41:41.360 Well, one agent minds that ADT feed and enriches it. NOTE Confidence: 0.9088452458381653 00:41:41.719 --> 00:41:44.623 The next agent will pull through that, you know, clinical, NOTE Confidence: 0.9088452458381653 00:41:44.673 --> 00:41:47.827 you know, documentation and create the clinical summary and the NOTE Confidence: 0.9088452458381653 00:41:47.877 --> 00:41:49.679 third agent will create those tasks. NOTE Confidence: 0.9270831942558289 00:41:49.680 --> 00:41:52.463 Now I just took a problem that cost me, you NOTE Confidence: 0.9270831942558289 00:41:52.528 --> 00:41:55.959 know, about $1100 per patient in the first seven days NOTE Confidence: 0.9270831942558289 00:41:56.024 --> 00:41:58.548 of a 90 day program and dropped it to a NOTE Confidence: 0.9270831942558289 00:41:58.613 --> 00:41:59.519 cost of $2.00. NOTE Confidence: 0.88216632604599 00:41:59.600 --> 00:42:02.031 Now I have a reason that that's why I deployed NOTE Confidence: 0.88216632604599 00:42:02.084 --> 00:42:04.040 those agents and we built from there. NOTE Confidence: 0.8648436665534973 00:42:04.040 --> 00:42:06.811 And you know, our approach has been around thinking of NOTE Confidence: 0.8648436665534973 00:42:06.863 --> 00:42:09.839 like the platform as you know, agent orchestration, right? NOTE Confidence: 0.8351331353187561 00:42:09.840 --> 00:42:12.186 So we have like the swarm of agents and it's NOTE Confidence: 0.8351331353187561 00:42:12.239 --> 00:42:15.439 a way that we've expanded our team without having increasing NOTE Confidence: 0.8351331353187561 00:42:15.493 --> 00:42:18.799 the human footprint too much is that they're running different NOTE Confidence: 0.8351331353187561 00:42:18.853 --> 00:42:21.786 processes and some of them are independent and and some NOTE Confidence: 0.8351331353187561 00:42:21.839 --> 00:42:23.279 of them are interconnected. NOTE Confidence: 0.8362566232681274 00:42:24.120 --> 00:42:26.803 And it gives us more profound insight as we've gone NOTE Confidence: 0.8362566232681274 00:42:26.855 --> 00:42:29.328 through that 90 day trial, right or 90 day kind NOTE Confidence: 0.8362566232681274 00:42:29.381 --> 00:42:29.959 of program. NOTE Confidence: 0.7589808702468872 00:42:30.440 --> 00:42:33.455 So another example for us was if a patient calls, NOTE Confidence: 0.7589808702468872 00:42:33.516 --> 00:42:36.655 right, there's what is said, right, you know, but I NOTE Confidence: 0.7589808702468872 00:42:36.716 --> 00:42:39.240 need an appointment with my cardiologist. NOTE Confidence: 0.7835397720336914 00:42:39.520 --> 00:42:40.840 But it's also how it's said. NOTE Confidence: 0.8656764626502991 00:42:41.000 --> 00:42:44.303 And that actually is an opportunity that that's often missed NOTE Confidence: 0.8656764626502991 00:42:44.358 --> 00:42:46.119 when a human picks up the phone. NOTE Confidence: 0.8510952591896057 00:42:46.120 --> 00:42:48.360 And what I mean is how fast were they speaking? NOTE Confidence: 0.8616138696670532 00:42:48.360 --> 00:42:51.295 What was their work of breathing and taking that and NOTE Confidence: 0.8616138696670532 00:42:51.351 --> 00:42:54.343 comparing it to their last call and then comparing it NOTE Confidence: 0.8616138696670532 00:42:54.399 --> 00:42:57.786 to their dynamic risk assessment of, you know, heart failure NOTE Confidence: 0.8616138696670532 00:42:57.842 --> 00:42:58.519 readmission. NOTE Confidence: 0.8354642987251282 00:42:58.840 --> 00:43:02.573 And using those unspoken insights that's often lost, but can NOTE Confidence: 0.8354642987251282 00:43:02.635 --> 00:43:06.306 be quantified with an agent and technology to actually say, NOTE Confidence: 0.8354642987251282 00:43:06.368 --> 00:43:07.240 you know what? NOTE Confidence: 0.8184975385665894 00:43:07.920 --> 00:43:11.968 This actually needs an escalated, you know, cardiology visit and NOTE Confidence: 0.8184975385665894 00:43:12.031 --> 00:43:13.360 needs a reassessment. NOTE Confidence: 0.7493516206741333 00:43:13.360 --> 00:43:15.983 Let's run the diuresis protocol, which is its own set NOTE Confidence: 0.7493516206741333 00:43:16.032 --> 00:43:18.853 of agents to actually identify and apply to this patient, NOTE Confidence: 0.7493516206741333 00:43:18.903 --> 00:43:19.200 right? NOTE Confidence: 0.780639111995697 00:43:19.200 --> 00:43:21.742 And, and that type of new work is a good, NOTE Confidence: 0.780639111995697 00:43:21.804 --> 00:43:24.719 your next step of evolution with agents, right? NOTE Confidence: 0.8622274994850159 00:43:25.000 --> 00:43:29.143 How are we reimagining clinical work to incorporate this ability NOTE Confidence: 0.8622274994850159 00:43:29.208 --> 00:43:31.280 of what couldn't be done, right? NOTE Confidence: 0.7098332643508911 00:43:31.520 --> 00:43:35.212 Identifying and looking at these data points, engaging the patients NOTE Confidence: 0.7098332643508911 00:43:35.267 --> 00:43:38.519 in, in what was previously unscalable manner and, and, and, NOTE Confidence: 0.7098332643508911 00:43:38.574 --> 00:43:41.000 and processes to a way that can be done now. NOTE Confidence: 0.8919594883918762 00:43:42.040 --> 00:43:44.712 And so that's how we think about, you know, incorporating NOTE Confidence: 0.8919594883918762 00:43:44.759 --> 00:43:46.399 agents into that clinical workflow. NOTE Confidence: 0.7916507124900818 00:43:46.400 --> 00:43:49.707 Is it, it's either, you know, reducing our operational costs NOTE Confidence: 0.7916507124900818 00:43:49.762 --> 00:43:53.511 while elevating that quality or solving for specific problems, right NOTE Confidence: 0.7916507124900818 00:43:53.566 --> 00:43:57.039 and looking for insights where previously we couldn't get them? NOTE Confidence: 0.7492865324020386 00:43:58.680 --> 00:43:59.080 Got it. NOTE Confidence: 0.8052701354026794 00:43:59.560 --> 00:44:02.317 Steve, is there a question that I think was written NOTE Confidence: 0.8052701354026794 00:44:02.371 --> 00:44:04.479 for you and obviously for anybody else? NOTE Confidence: 0.8271632194519043 00:44:05.360 --> 00:44:11.225 What role do partnerships between start-ups and legacy healthcare organizations NOTE Confidence: 0.8271632194519043 00:44:11.299 --> 00:44:16.199 play in accelerating innovation without compromising care quality? NOTE Confidence: 0.8918352127075195 00:44:18.520 --> 00:44:18.840 Yeah. NOTE Confidence: 0.7955511808395386 00:44:18.840 --> 00:44:21.868 Well, first, I love the engagement and all the questions NOTE Confidence: 0.7955511808395386 00:44:21.922 --> 00:44:22.680 we're getting. NOTE Confidence: 0.8492808938026428 00:44:24.120 --> 00:44:27.445 Maybe first, I'd say that yeah, DaVita is a is NOTE Confidence: 0.8492808938026428 00:44:27.517 --> 00:44:30.697 a fairly large company and and I am proud to NOTE Confidence: 0.8492808938026428 00:44:30.770 --> 00:44:34.239 say that I do think it's it's fairly innovative. NOTE Confidence: 0.9424147009849548 00:44:34.840 --> 00:44:37.894 And at the same time, I think we'd be naive NOTE Confidence: 0.9424147009849548 00:44:37.965 --> 00:44:41.518 to think that we can drive all the innovation that NOTE Confidence: 0.9424147009849548 00:44:41.589 --> 00:44:44.359 that we need and want for our patients. NOTE Confidence: 0.9164459705352783 00:44:45.000 --> 00:44:49.017 And so for that reason, and it is super important NOTE Confidence: 0.9164459705352783 00:44:49.099 --> 00:44:54.100 for companies like ours to create structures that enable them NOTE Confidence: 0.9164459705352783 00:44:54.182 --> 00:44:59.839 to connect with entrepreneurs and other innovators outside of outside NOTE Confidence: 0.9164459705352783 00:44:59.921 --> 00:45:04.922 of the organization that enable pads to again identifying and NOTE Confidence: 0.9164459705352783 00:45:05.004 --> 00:45:10.498 infusing those innovative solutions that are being built outside of NOTE Confidence: 0.9164459705352783 00:45:10.580 --> 00:45:11.399 our walls. NOTE Confidence: 0.8883588910102844 00:45:13.000 --> 00:45:16.188 Maybe building off of that, I would say that the NOTE Confidence: 0.8883588910102844 00:45:16.255 --> 00:45:20.041 next piece of the puzzle is creating structures where you NOTE Confidence: 0.8883588910102844 00:45:20.108 --> 00:45:23.894 can support those companies as they seek to deploy inside NOTE Confidence: 0.8883588910102844 00:45:23.960 --> 00:45:28.079 of an organization that does have, you know, robust compliance NOTE Confidence: 0.8883588910102844 00:45:28.146 --> 00:45:31.866 and legal and, you know, other guardrails that that that NOTE Confidence: 0.8883588910102844 00:45:31.932 --> 00:45:35.453 can be challenging for a small company and, you know, NOTE Confidence: 0.8883588910102844 00:45:35.519 --> 00:45:39.372 could, could otherwise, you know, crush them, right as you NOTE Confidence: 0.8883588910102844 00:45:39.439 --> 00:45:42.959 think about the burden of, of big company complexity. NOTE Confidence: 0.8715585470199585 00:45:43.320 --> 00:45:47.763 So it's really took to me an infrastructure point that NOTE Confidence: 0.8715585470199585 00:45:47.846 --> 00:45:52.372 both enables a path to partnership and, you know, paves NOTE Confidence: 0.8715585470199585 00:45:52.454 --> 00:45:56.980 the way for pockets where those solutions can be tested NOTE Confidence: 0.8715585470199585 00:45:57.062 --> 00:45:59.119 in a safe and secure way. NOTE Confidence: 0.8757433891296387 00:46:01.560 --> 00:46:03.040 Neil, would you add anything to that? NOTE Confidence: 0.9405762553215027 00:46:04.120 --> 00:46:04.800 I would, yeah. NOTE Confidence: 0.890796422958374 00:46:04.800 --> 00:46:07.380 I think one of the things that we we think NOTE Confidence: 0.890796422958374 00:46:07.442 --> 00:46:11.006 about is, you know, from a company building standpoint and NOTE Confidence: 0.890796422958374 00:46:11.067 --> 00:46:14.631 tackling something as, you know, complex as this it's, you NOTE Confidence: 0.890796422958374 00:46:14.692 --> 00:46:17.826 know, there's kind of shared DNA between US and and NOTE Confidence: 0.890796422958374 00:46:17.888 --> 00:46:19.239 a partner like DaVita. NOTE Confidence: 0.79195237159729 00:46:19.239 --> 00:46:21.222 So I, you know, when I saw a legacy, I NOTE Confidence: 0.79195237159729 00:46:21.274 --> 00:46:22.840 kind of bristled out of these. NOTE Confidence: 0.827289342880249 00:46:22.840 --> 00:46:24.854 I don't really see DaVita as a, as a legacy NOTE Confidence: 0.827289342880249 00:46:24.901 --> 00:46:28.555 organization because I think legacy organizations don't engage in partnerships NOTE Confidence: 0.827289342880249 00:46:28.602 --> 00:46:31.179 like this because they, you know, it's a willingness to NOTE Confidence: 0.827289342880249 00:46:31.226 --> 00:46:32.960 take risks, to do things differently. NOTE Confidence: 0.8977875113487244 00:46:34.200 --> 00:46:36.362 You know, and I I would say when we kind NOTE Confidence: 0.8977875113487244 00:46:36.416 --> 00:46:39.714 of embark on those types of relationships, we're looking for, NOTE Confidence: 0.8977875113487244 00:46:39.768 --> 00:46:42.363 you know, this kind of willingness to to kind of NOTE Confidence: 0.8977875113487244 00:46:42.417 --> 00:46:46.471 engage in different types of payment models, pushing forward, understanding NOTE Confidence: 0.8977875113487244 00:46:46.525 --> 00:46:49.499 that building takes time and it'll be time before value NOTE Confidence: 0.8977875113487244 00:46:49.553 --> 00:46:52.040 is delivered both financially and to patients. NOTE Confidence: 0.8418997526168823 00:46:52.360 --> 00:46:54.342 And there is a kind of an appetite to kind NOTE Confidence: 0.8418997526168823 00:46:54.390 --> 00:46:55.239 of take that risk. NOTE Confidence: 0.8989242315292358 00:46:55.560 --> 00:46:57.960 And a very Longview on on this. NOTE Confidence: 0.8882928490638733 00:46:58.239 --> 00:47:00.110 You know, if you said I need this right now, NOTE Confidence: 0.8882928490638733 00:47:00.152 --> 00:47:02.575 you don't embark on company building, you look for what's NOTE Confidence: 0.8882928490638733 00:47:02.617 --> 00:47:04.827 available in the market or you continue to do things NOTE Confidence: 0.8882928490638733 00:47:04.870 --> 00:47:05.720 the way you do them. NOTE Confidence: 0.8616552948951721 00:47:06.040 --> 00:47:08.506 You know, from the moment in time we started the NOTE Confidence: 0.8616552948951721 00:47:08.558 --> 00:47:11.333 conversations, while we like to move fast, it was, you NOTE Confidence: 0.8616552948951721 00:47:11.384 --> 00:47:13.902 know, probably a year, year and a half before and NOTE Confidence: 0.8616552948951721 00:47:13.953 --> 00:47:16.883 that was actually quite fast that before, you know, Linea NOTE Confidence: 0.8616552948951721 00:47:16.934 --> 00:47:19.555 was in market and starting to see patients that was NOTE Confidence: 0.8616552948951721 00:47:19.606 --> 00:47:20.840 well ahead of timelines. NOTE Confidence: 0.9336735606193542 00:47:21.160 --> 00:47:23.337 We kind of set expectations that it'd be two years NOTE Confidence: 0.9336735606193542 00:47:23.381 --> 00:47:25.863 or more potentially, but it's because you're trying to do NOTE Confidence: 0.9336735606193542 00:47:25.907 --> 00:47:27.039 something quite different. NOTE Confidence: 0.8806986808776855 00:47:27.040 --> 00:47:29.586 And so, you know, from a, there's obviously different types NOTE Confidence: 0.8806986808776855 00:47:29.629 --> 00:47:30.320 of partnerships. NOTE Confidence: 0.8934416770935059 00:47:30.480 --> 00:47:32.892 You know, company creation is a very specific type of NOTE Confidence: 0.8934416770935059 00:47:32.937 --> 00:47:33.120 one. NOTE Confidence: 0.8625715970993042 00:47:33.120 --> 00:47:35.704 It's definitely not for everyone, but if for those that NOTE Confidence: 0.8625715970993042 00:47:35.751 --> 00:47:37.819 are kind of seeking to do this, I'd say make NOTE Confidence: 0.8625715970993042 00:47:37.866 --> 00:47:41.109 sure that there's kind of shared expert, shared understanding, shared NOTE Confidence: 0.8625715970993042 00:47:41.156 --> 00:47:43.599 vision around the kind of the, the duration of this. NOTE Confidence: 0.9000568389892578 00:47:45.520 --> 00:47:45.960 Yes. NOTE Confidence: 0.7684954404830933 00:47:45.960 --> 00:47:49.917 And having only been, you know, marginally involved, I think NOTE Confidence: 0.7684954404830933 00:47:49.983 --> 00:47:53.150 that that was really the the secret sauce to the NOTE Confidence: 0.7684954404830933 00:47:53.216 --> 00:47:57.371 to the this partnership was the close collaboration between you NOTE Confidence: 0.7684954404830933 00:47:57.437 --> 00:48:01.000 guys and all the stakeholders across, across the Vita. NOTE Confidence: 0.8763601183891296 00:48:02.320 --> 00:48:06.123 Rishi, there is a question that is I think directed NOTE Confidence: 0.8763601183891296 00:48:06.197 --> 00:48:06.719 to you. NOTE Confidence: 0.8036190271377563 00:48:07.480 --> 00:48:12.866 How do you ensure that AI algorithms achieve medical grade NOTE Confidence: 0.8036190271377563 00:48:12.959 --> 00:48:18.159 accuracy and avoid the deviations commonly seen in LLMS? NOTE Confidence: 0.874761700630188 00:48:18.920 --> 00:48:19.680 I don't know what those. NOTE Confidence: 0.7446430921554565 00:48:20.960 --> 00:48:21.520 Are it's awesome. NOTE Confidence: 0.881840169429779 00:48:21.520 --> 00:48:24.583 I love this question and again, we'll we'll try to NOTE Confidence: 0.881840169429779 00:48:24.644 --> 00:48:27.218 not take up the rest of the the time going NOTE Confidence: 0.881840169429779 00:48:27.279 --> 00:48:30.588 down a rabbit hole, but one is understanding again why NOTE Confidence: 0.881840169429779 00:48:30.649 --> 00:48:32.120 you're deploying an LLM. NOTE Confidence: 0.7730478644371033 00:48:32.120 --> 00:48:35.157 So it's some work flows that can be completely agentically NOTE Confidence: 0.7730478644371033 00:48:35.209 --> 00:48:37.200 wrong, non clinical work flows, right. NOTE Confidence: 0.8355022072792053 00:48:37.719 --> 00:48:40.260 Scheduling a follow up call with a card with a NOTE Confidence: 0.8355022072792053 00:48:40.316 --> 00:48:44.569 cardiologist or potentially just calling the cardiologist and working through NOTE Confidence: 0.8355022072792053 00:48:44.624 --> 00:48:47.276 the phone tree and then handing it to my patient NOTE Confidence: 0.8355022072792053 00:48:47.331 --> 00:48:49.761 navigator to, to do the call and and get the NOTE Confidence: 0.8355022072792053 00:48:49.817 --> 00:48:50.480 appointment. NOTE Confidence: 0.9454958438873291 00:48:51.160 --> 00:48:56.105 Sounds very simple and can be deployed very rapidly and NOTE Confidence: 0.9454958438873291 00:48:56.195 --> 00:49:00.691 easily, but saves me 10 to 12 minutes per patient, NOTE Confidence: 0.9454958438873291 00:49:00.781 --> 00:49:02.040 which is huge. NOTE Confidence: 0.8751978874206543 00:49:03.320 --> 00:49:07.520 And some of these quote, small interventions allow Linea to NOTE Confidence: 0.8751978874206543 00:49:07.591 --> 00:49:10.794 do something that I, I have not seen in other NOTE Confidence: 0.8751978874206543 00:49:10.866 --> 00:49:14.639 companies, which is 4 hours of human work yields, you NOTE Confidence: 0.8751978874206543 00:49:14.710 --> 00:49:17.700 know, that 12 to 16 to 18 hours of patient NOTE Confidence: 0.8751978874206543 00:49:17.771 --> 00:49:19.479 engagement over 90 days. NOTE Confidence: 0.9035396575927734 00:49:19.880 --> 00:49:21.951 That's when I talk about like how this changes the NOTE Confidence: 0.9035396575927734 00:49:21.992 --> 00:49:22.200 game. NOTE Confidence: 0.8395119309425354 00:49:23.200 --> 00:49:26.295 Now when you talk about, you know, LLMS and models NOTE Confidence: 0.8395119309425354 00:49:26.357 --> 00:49:30.320 potentially making medical decisions or medical recommendations. NOTE Confidence: 0.9202646613121033 00:49:30.320 --> 00:49:33.017 So you could take, for example, like the way that NOTE Confidence: 0.9202646613121033 00:49:33.072 --> 00:49:35.880 we generate GDMT protocols for all of our patients. NOTE Confidence: 0.8418102264404297 00:49:36.880 --> 00:49:39.325 One is you, you can take models that perform for NOTE Confidence: 0.8418102264404297 00:49:39.375 --> 00:49:41.668 this, you know, and I'm not going to name any NOTE Confidence: 0.8418102264404297 00:49:41.719 --> 00:49:43.400 names, but they're all out there. NOTE Confidence: 0.7796318531036377 00:49:44.120 --> 00:49:47.731 And you can, many companies take what's called prompt engineering NOTE Confidence: 0.7796318531036377 00:49:47.787 --> 00:49:50.899 and they'll just, you know, engineer prompt or you know, NOTE Confidence: 0.7796318531036377 00:49:50.954 --> 00:49:53.399 to kind of extract what they want over time. NOTE Confidence: 0.8813413977622986 00:49:53.400 --> 00:49:56.232 What you start to do is you, we've created this NOTE Confidence: 0.8813413977622986 00:49:56.292 --> 00:49:58.040 more common back end of data. NOTE Confidence: 0.9218079447746277 00:49:58.840 --> 00:50:01.737 So we say, listen, don't just look at the whole NOTE Confidence: 0.9218079447746277 00:50:01.799 --> 00:50:04.696 world, look at our world of what we care about, NOTE Confidence: 0.9218079447746277 00:50:04.758 --> 00:50:08.149 of what our protocols mandate and what's unique to this NOTE Confidence: 0.9218079447746277 00:50:08.211 --> 00:50:11.355 patient and run the model based on that, right, not NOTE Confidence: 0.9218079447746277 00:50:11.416 --> 00:50:12.280 on everything. NOTE Confidence: 0.8768489360809326 00:50:12.280 --> 00:50:15.898 So we're avoiding kind of like the, the randomness of NOTE Confidence: 0.8768489360809326 00:50:15.967 --> 00:50:19.722 taking all knowledge and focusing a back end brain that NOTE Confidence: 0.8768489360809326 00:50:19.790 --> 00:50:23.546 just focus on clinical knowledge and then generate me a NOTE Confidence: 0.8768489360809326 00:50:23.614 --> 00:50:27.847 GDMT protocol that gives me meds, titration, dosage, you know, NOTE Confidence: 0.8768489360809326 00:50:27.916 --> 00:50:32.627 alternative economic options based on coverage that are very specific NOTE Confidence: 0.8768489360809326 00:50:32.695 --> 00:50:33.720 to the patient. NOTE Confidence: 0.8926677703857422 00:50:34.960 --> 00:50:36.799 And then the next layer is kind of bringing in NOTE Confidence: 0.8926677703857422 00:50:36.839 --> 00:50:37.719 the human in the loop. NOTE Confidence: 0.8851328492164612 00:50:37.719 --> 00:50:40.088 And this is to, to allow us to, you know, NOTE Confidence: 0.8851328492164612 00:50:40.145 --> 00:50:42.976 especially in the early days and years of this to NOTE Confidence: 0.8851328492164612 00:50:43.033 --> 00:50:46.210 introduce like safety and, and quality is bringing in a NOTE Confidence: 0.8851328492164612 00:50:46.268 --> 00:50:49.387 human to not spend the effort on generating that plan, NOTE Confidence: 0.8851328492164612 00:50:49.444 --> 00:50:51.119 but signing off on it, right? NOTE Confidence: 0.8946877121925354 00:50:51.120 --> 00:50:53.880 So we use a clinical pharmacist to say, Hey, like, NOTE Confidence: 0.8946877121925354 00:50:53.935 --> 00:50:56.530 does this make sense right in QA and when there NOTE Confidence: 0.8946877121925354 00:50:56.585 --> 00:50:59.124 needs to be a change, make the change, but let NOTE Confidence: 0.8946877121925354 00:50:59.179 --> 00:51:00.560 the system learn from it. NOTE Confidence: 0.7865511178970337 00:51:00.560 --> 00:51:03.779 Every time there is a change or a contraindication or NOTE Confidence: 0.7865511178970337 00:51:03.839 --> 00:51:07.119 in quote error made in in Linea's current deployments. NOTE Confidence: 0.8829352259635925 00:51:07.400 --> 00:51:10.082 This process has allowed us to basically go from where NOTE Confidence: 0.8829352259635925 00:51:10.132 --> 00:51:12.169 we when we ran just a human process to do NOTE Confidence: 0.8829352259635925 00:51:12.218 --> 00:51:14.752 this, meaning the typical run the chart and or even NOTE Confidence: 0.8829352259635925 00:51:14.801 --> 00:51:16.639 just have a clinical pharmacy review. NOTE Confidence: 0.7932599186897278 00:51:17.080 --> 00:51:19.766 We had some mistakes when we're running in in in NOTE Confidence: 0.7932599186897278 00:51:19.822 --> 00:51:23.348 a traditional way, whereas the the generative value enabled way NOTE Confidence: 0.7932599186897278 00:51:23.404 --> 00:51:25.866 with a human in the loop to check safety and NOTE Confidence: 0.7932599186897278 00:51:25.922 --> 00:51:28.720 quality, creating a lot of efficiency has led to a NOTE Confidence: 0.7932599186897278 00:51:28.776 --> 00:51:30.120 lot less errors as well. NOTE Confidence: 0.8982043266296387 00:51:30.760 --> 00:51:34.264 So we're able to move time to treatment faster, higher NOTE Confidence: 0.8982043266296387 00:51:34.328 --> 00:51:36.600 quality and much more scale, right. NOTE Confidence: 0.888260543346405 00:51:36.600 --> 00:51:38.320 And so that's, you know how we do it. NOTE Confidence: 0.9376741051673889 00:51:38.800 --> 00:51:41.618 But on the back end, it will be as more NOTE Confidence: 0.9376741051673889 00:51:41.690 --> 00:51:46.388 of these models are are fine-tuned and then foundationally built, NOTE Confidence: 0.9376741051673889 00:51:46.460 --> 00:51:51.520 you will have improvement in its medical decision making capabilities. NOTE Confidence: 0.9121913909912109 00:51:51.800 --> 00:51:54.642 But again, while we're in the early days and, and NOTE Confidence: 0.9121913909912109 00:51:54.700 --> 00:51:57.541 for a company like Linea, you have to decide when NOTE Confidence: 0.9121913909912109 00:51:57.599 --> 00:52:00.499 is the right point to sacrifice some of that quote NOTE Confidence: 0.9121913909912109 00:52:00.557 --> 00:52:03.399 efficiency and bring a human in to do the review. NOTE Confidence: 0.8977417349815369 00:52:03.400 --> 00:52:06.056 And and that's one of our approaches to to avoid NOTE Confidence: 0.8977417349815369 00:52:06.112 --> 00:52:09.267 those types of mistakes where it's a high risk situation, NOTE Confidence: 0.8977417349815369 00:52:09.322 --> 00:52:12.643 no clinical plan reaches a patient without our internal team NOTE Confidence: 0.8977417349815369 00:52:12.698 --> 00:52:15.466 looking at it and or making sure it's gone through NOTE Confidence: 0.8977417349815369 00:52:15.521 --> 00:52:18.399 a cardiologist or nephrologist for approval as well. NOTE Confidence: 0.863698422908783 00:52:20.200 --> 00:52:23.480 So it's really the synergy between machines and humans. NOTE Confidence: 0.8592660427093506 00:52:23.760 --> 00:52:27.429 We cannot live without each other, which I think it NOTE Confidence: 0.8592660427093506 00:52:27.501 --> 00:52:30.810 makes more sense for those of us who are maybe NOTE Confidence: 0.8592660427093506 00:52:30.882 --> 00:52:33.759 the later adopters to go back to Neil's. NOTE Confidence: 0.6401869654655457 00:52:33.760 --> 00:52:34.800 Neil's prior statement. NOTE Confidence: 0.9605622887611389 00:52:36.400 --> 00:52:39.440 Surprisingly to me, we only have 7 minutes left. NOTE Confidence: 0.8674769997596741 00:52:39.520 --> 00:52:42.720 So to each of you, 2 minutes. NOTE Confidence: 0.9559446573257446 00:52:43.320 --> 00:52:48.222 If you wanted to highlight one concept, one idea for NOTE Confidence: 0.9559446573257446 00:52:48.317 --> 00:52:53.502 attendees of this webinar to take back, what would that NOTE Confidence: 0.9559446573257446 00:52:53.597 --> 00:52:53.880 be? NOTE Confidence: 0.9278174042701721 00:52:55.360 --> 00:52:56.480 Neil, do you want to go first? NOTE Confidence: 0.6500831246376038 00:52:56.480 --> 00:52:56.600 Yeah. NOTE Confidence: 0.6689068078994751 00:52:57.920 --> 00:52:58.080 Sure. NOTE Confidence: 0.7655852437019348 00:52:59.719 --> 00:53:03.874 I think, you know, there's going to be a varied NOTE Confidence: 0.7655852437019348 00:53:03.963 --> 00:53:08.560 level of, you know, dependence on AI and technology. NOTE Confidence: 0.8489126563072205 00:53:08.880 --> 00:53:12.289 And I think one thing that everyone should remember is NOTE Confidence: 0.8489126563072205 00:53:12.352 --> 00:53:15.950 that, you know, we've redesigned, we talked about kind of NOTE Confidence: 0.8489126563072205 00:53:16.013 --> 00:53:19.865 the, the traditional model of moving fast and breaking things NOTE Confidence: 0.8489126563072205 00:53:19.928 --> 00:53:24.221 doesn't work in healthcare because, you know, patient lives, patient NOTE Confidence: 0.8489126563072205 00:53:24.284 --> 00:53:27.630 health, people are in the balance and we can't really NOTE Confidence: 0.8489126563072205 00:53:27.693 --> 00:53:29.840 make unforced errors and mistakes. NOTE Confidence: 0.9233540296554565 00:53:29.840 --> 00:53:31.613 We can take risk, but we have to do it NOTE Confidence: 0.9233540296554565 00:53:31.659 --> 00:53:32.639 in a responsible way. NOTE Confidence: 0.9451399445533752 00:53:33.080 --> 00:53:36.411 And I think one thing that Rishi mentioned here is NOTE Confidence: 0.9451399445533752 00:53:36.477 --> 00:53:40.142 really emblematic of of the approach is that, you know, NOTE Confidence: 0.9451399445533752 00:53:40.209 --> 00:53:43.207 we can, we can push AI to the boundaries, but NOTE Confidence: 0.9451399445533752 00:53:43.273 --> 00:53:47.071 we can't put it out there without understanding that, you NOTE Confidence: 0.9451399445533752 00:53:47.138 --> 00:53:51.202 know, we as leaders are ultimately fully accountable for what NOTE Confidence: 0.9451399445533752 00:53:51.269 --> 00:53:54.400 the technology does with with us, for us on our NOTE Confidence: 0.9451399445533752 00:53:54.467 --> 00:53:55.399 behalf, right? NOTE Confidence: 0.9074234366416931 00:53:55.400 --> 00:53:58.006 And so I think that's that's the key take away NOTE Confidence: 0.9074234366416931 00:53:58.062 --> 00:54:01.008 here is that that shouldn't stop us from pushing the NOTE Confidence: 0.9074234366416931 00:54:01.065 --> 00:54:04.124 envelope, from innovating, but we need to be also, you NOTE Confidence: 0.9074234366416931 00:54:04.181 --> 00:54:07.297 know, very mindful of what the limitations are and, you NOTE Confidence: 0.9074234366416931 00:54:07.353 --> 00:54:09.959 know, deploy things in a very responsible way. NOTE Confidence: 0.9599325656890869 00:54:11.520 --> 00:54:12.720 Thank you so much, Steve. NOTE Confidence: 0.9649421572685242 00:54:12.720 --> 00:54:13.840 Do you want to go next? NOTE Confidence: 0.6345188617706299 00:54:13.840 --> 00:54:13.960 Sure. NOTE Confidence: 0.4784724712371826 00:54:14.640 --> 00:54:16.760 Yeah, yeah. NOTE Confidence: 0.700433611869812 00:54:17.440 --> 00:54:20.319 I've, I've reflected on this a little bit and thinking NOTE Confidence: 0.700433611869812 00:54:20.373 --> 00:54:22.399 about it through the, the DaVita lens. NOTE Confidence: 0.8727201819419861 00:54:22.400 --> 00:54:24.301 And I just say, I think we are at a NOTE Confidence: 0.8727201819419861 00:54:24.356 --> 00:54:27.562 very unique moment in history where where massive change is NOTE Confidence: 0.8727201819419861 00:54:27.616 --> 00:54:28.160 happening. NOTE Confidence: 0.8835151791572571 00:54:29.040 --> 00:54:31.686 And as you think about organizations like ours, it's, I NOTE Confidence: 0.8835151791572571 00:54:31.734 --> 00:54:34.477 think it's the, the incumbents who are willing to embrace NOTE Confidence: 0.8835151791572571 00:54:34.525 --> 00:54:37.412 change that will that will ultimately survive and thrive and NOTE Confidence: 0.8835151791572571 00:54:37.460 --> 00:54:39.000 have the biggest patient impact. NOTE Confidence: 0.9017317295074463 00:54:39.000 --> 00:54:42.891 And, and what that means to me in the context NOTE Confidence: 0.9017317295074463 00:54:42.977 --> 00:54:46.350 of, of AI at, at DaVita, is that we, we NOTE Confidence: 0.9017317295074463 00:54:46.436 --> 00:54:50.241 can't have a, you know, a small team that is NOTE Confidence: 0.9017317295074463 00:54:50.328 --> 00:54:53.959 figuring out how to embrace and deploy AI. NOTE Confidence: 0.9018823504447937 00:54:54.360 --> 00:54:57.781 It, it needs to be something that is, is pervasive NOTE Confidence: 0.9018823504447937 00:54:57.849 --> 00:54:59.559 throughout our workforce. NOTE Confidence: 0.7989771962165833 00:54:59.560 --> 00:55:01.680 And when we have a bit of a, and this NOTE Confidence: 0.7989771962165833 00:55:01.738 --> 00:55:03.973 is a, a phrase Rishi uses a lot, but an NOTE Confidence: 0.7989771962165833 00:55:04.030 --> 00:55:05.120 AI first mentality. NOTE Confidence: 0.8505271673202515 00:55:05.440 --> 00:55:08.740 And as as problems come up, everyone is empowered to NOTE Confidence: 0.8505271673202515 00:55:08.804 --> 00:55:11.533 say how, how can AI be enabled or enable us NOTE Confidence: 0.8505271673202515 00:55:11.596 --> 00:55:14.834 to, to tackle this in a unique and differential way NOTE Confidence: 0.8505271673202515 00:55:14.897 --> 00:55:17.500 that lifts us all up and enables us to do NOTE Confidence: 0.8505271673202515 00:55:17.563 --> 00:55:18.960 more for our patients? NOTE Confidence: 0.9748754501342773 00:55:21.160 --> 00:55:21.640 Thank you. NOTE Confidence: 0.8813562989234924 00:55:22.040 --> 00:55:24.080 Rishi, you have 3 minutes. NOTE Confidence: 0.8758494257926941 00:55:26.880 --> 00:55:30.194 You know, I think that there's always been like throughout NOTE Confidence: 0.8758494257926941 00:55:30.251 --> 00:55:33.908 my journey in startups, there's always been this promise, right, NOTE Confidence: 0.8758494257926941 00:55:33.965 --> 00:55:36.480 of opening up access to care and scaling it. NOTE Confidence: 0.7973240613937378 00:55:37.719 --> 00:55:40.176 And I, I used to always think about the idea NOTE Confidence: 0.7973240613937378 00:55:40.231 --> 00:55:43.134 as a physician, like if everyone of my patients like NOTE Confidence: 0.7973240613937378 00:55:43.190 --> 00:55:45.199 texted me today, we just be overrun. NOTE Confidence: 0.7476063370704651 00:55:45.200 --> 00:55:46.280 And that should be more risk. NOTE Confidence: 0.8106595873832703 00:55:46.280 --> 00:55:48.946 And, and that's frankly a lot of the provider sentiment, NOTE Confidence: 0.8106595873832703 00:55:48.994 --> 00:55:50.280 you know, from prior years. NOTE Confidence: 0.8506167531013489 00:55:50.800 --> 00:55:53.886 And I think we're entering into for the first time NOTE Confidence: 0.8506167531013489 00:55:53.948 --> 00:55:57.404 that opportunity that that dream can be realized of like NOTE Confidence: 0.8506167531013489 00:55:57.466 --> 00:56:00.800 scaling high quality care in a sustainable way, right? NOTE Confidence: 0.7190978527069092 00:56:01.360 --> 00:56:05.845 Sustainable, I mean like an operationally sustainable for health systems NOTE Confidence: 0.7190978527069092 00:56:05.908 --> 00:56:09.210 and for payers and risk bearing entities in that, you NOTE Confidence: 0.7190978527069092 00:56:09.272 --> 00:56:12.886 know, we're able to orchestrate data that's there and data NOTE Confidence: 0.7190978527069092 00:56:12.948 --> 00:56:16.749 that couldn't be quantified right into insights and then into NOTE Confidence: 0.7190978527069092 00:56:16.811 --> 00:56:19.677 action and follow U care for our patients on a NOTE Confidence: 0.7190978527069092 00:56:19.740 --> 00:56:21.359 deeply personalized level. NOTE Confidence: 0.890454888343811 00:56:22.239 --> 00:56:25.544 But then at the same time, take that, that one NOTE Confidence: 0.890454888343811 00:56:25.615 --> 00:56:28.919 line and scale it across an entire population. NOTE Confidence: 0.8164690136909485 00:56:29.360 --> 00:56:31.761 And for, for what we're seeing in many and for NOTE Confidence: 0.8164690136909485 00:56:31.813 --> 00:56:34.423 what I'm seeing in the industry, it's just it over NOTE Confidence: 0.8164690136909485 00:56:34.475 --> 00:56:37.137 the next few years and, and potentially even in the NOTE Confidence: 0.8164690136909485 00:56:37.189 --> 00:56:39.799 next few months, you see it changing the way we're NOTE Confidence: 0.8164690136909485 00:56:39.851 --> 00:56:42.775 thinking about, you know, clinical work and, and what we NOTE Confidence: 0.8164690136909485 00:56:42.827 --> 00:56:44.080 can do for our patients. NOTE Confidence: 0.7379558682441711 00:56:44.520 --> 00:56:47.713 But also what, what these organizations such as DaVita can NOTE Confidence: 0.7379558682441711 00:56:47.768 --> 00:56:49.639 do across the organization, right? NOTE Confidence: 0.816879153251648 00:56:49.640 --> 00:56:52.607 And how we can empower our patients to be have NOTE Confidence: 0.816879153251648 00:56:52.672 --> 00:56:55.834 more and do more, how we can enable our workforce NOTE Confidence: 0.816879153251648 00:56:55.898 --> 00:56:59.382 to have a more fulfilling and enriching career as well NOTE Confidence: 0.816879153251648 00:56:59.447 --> 00:57:03.124 in terms of empowering them away from that, that clerical NOTE Confidence: 0.816879153251648 00:57:03.189 --> 00:57:06.480 work and into more meaningful and high value tasks. NOTE Confidence: 0.8148053288459778 00:57:07.320 --> 00:57:08.360 So it's exciting times. NOTE Confidence: 0.8693606853485107 00:57:09.400 --> 00:57:10.720 It definitely is exciting. NOTE Confidence: 0.8996438980102539 00:57:10.719 --> 00:57:13.425 One thing we haven't had the time to touch on NOTE Confidence: 0.8996438980102539 00:57:13.485 --> 00:57:16.972 is, you know, Linear started focusing on one very specific NOTE Confidence: 0.8996438980102539 00:57:17.033 --> 00:57:20.400 clinical application, which is congestive heart failure. NOTE Confidence: 0.8977551460266113 00:57:20.760 --> 00:57:24.489 But as a clinician, I see so many other potential NOTE Confidence: 0.8977551460266113 00:57:24.565 --> 00:57:28.751 areas where the type of efficiencies that can be gained NOTE Confidence: 0.8977551460266113 00:57:28.827 --> 00:57:33.622 through this type of approach could give providers and patients NOTE Confidence: 0.8977551460266113 00:57:33.698 --> 00:57:38.722 such a profoundly different experience as well allow clinicians to NOTE Confidence: 0.8977551460266113 00:57:38.798 --> 00:57:42.375 really focus on the stuff that we want to focus NOTE Confidence: 0.8977551460266113 00:57:42.451 --> 00:57:42.679 on. NOTE Confidence: 0.8143624663352966 00:57:43.080 --> 00:57:46.919 So that has been really eye opening for me as NOTE Confidence: 0.8143624663352966 00:57:47.004 --> 00:57:51.355 as the attendees probably can have guessed, I was a NOTE Confidence: 0.8143624663352966 00:57:51.441 --> 00:57:55.962 pretty confused and I still am a pretty confused user NOTE Confidence: 0.8143624663352966 00:57:56.048 --> 00:57:56.559 of AI. NOTE Confidence: 0.8728101849555969 00:57:56.920 --> 00:58:00.117 But I would like to really thank each of you NOTE Confidence: 0.8728101849555969 00:58:00.190 --> 00:58:04.187 because I come away with a refreshed perspective of how NOTE Confidence: 0.8728101849555969 00:58:04.260 --> 00:58:07.313 this can be a new better tool, like like a NOTE Confidence: 0.8728101849555969 00:58:07.385 --> 00:58:10.583 new hammer that I didn't know I I needed and NOTE Confidence: 0.8728101849555969 00:58:10.656 --> 00:58:13.200 I just need to learn how to use it. NOTE Confidence: 0.8778082132339478 00:58:13.360 --> 00:58:17.175 So one suggestion for you experts is facilitate for those NOTE Confidence: 0.8778082132339478 00:58:17.242 --> 00:58:20.389 who are not, help us understand how we can best NOTE Confidence: 0.8778082132339478 00:58:20.455 --> 00:58:23.669 use these tools because I think that it's also a NOTE Confidence: 0.8778082132339478 00:58:23.736 --> 00:58:26.279 big void that that needs to be filled. NOTE Confidence: 0.7074102759361267 00:58:29.040 --> 00:58:32.160 So you're all on task for this Rishi. NOTE Confidence: 0.8765294551849365 00:58:32.160 --> 00:58:34.760 You will need to educate all of us. NOTE Confidence: 0.9464602470397949 00:58:35.360 --> 00:58:38.529 I would like to thank each of you who has NOTE Confidence: 0.9464602470397949 00:58:38.606 --> 00:58:41.079 been with us for the past hours. NOTE Confidence: 0.8749973177909851 00:58:41.080 --> 00:58:44.780 I think this was a really enriching conversation, at least NOTE Confidence: 0.8749973177909851 00:58:44.844 --> 00:58:46.120 from my perspective. NOTE Confidence: 0.9264890551567078 00:58:46.120 --> 00:58:48.000 And again, just thank you all for your time. NOTE Confidence: 0.7959361672401428 00:58:49.160 --> 00:58:51.510 Thank you to DaVita and to everyone that joined us NOTE Confidence: 0.7959361672401428 00:58:51.557 --> 00:58:51.839 today. NOTE Confidence: 0.8460233211517334 00:58:52.520 --> 00:58:55.124 Please visit our website hlth.com to catch up on all NOTE Confidence: 0.8460233211517334 00:58:55.174 --> 00:58:58.279 health webinars and to watch the according of today's session. NOTE Confidence: 0.9243906140327454 00:58:59.520 --> 00:59:02.551 Join us in Las Vegas October 19th to 22nd for NOTE Confidence: 0.9243906140327454 00:59:02.618 --> 00:59:03.360 Health USA.