AI Innovations in Physical Therapy: Insights from Prediction Health

WEBVTT

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All right, we are live.

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Good afternoon, everyone.

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I am Tony Meritato.

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I'm here with my co-host, Jimmy McKay,

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and of course, Dr. Pedro.

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I don't even want to try to

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pronounce your last name.

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I was listening to Nathan

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Shields say your name like 10 times.

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Please tell me how to

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pronounce your last name.

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It's DeShada.

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Ooh, okay.

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Crazy Portuguese name.

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What is your heritage?

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Where are you from originally?

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So it's Portuguese and my

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family specifically is from the Azores,

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which is like these teeny

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tiny islands in not the

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middle of the Atlantic,

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but kind of close.

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So if you ever kind of go

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scrolling around a big map

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and you see little dots,

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that's where I'm from.

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Do you ever go back and visit?

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We would go a lot when I was a kid,

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like most summers,

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because all of our family was back there.

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So to see grandma and

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grandpa and everybody, we would go.

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I haven't been back though

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in a very long time, sadly.

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It's been hectic.

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Yeah.

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Wow.

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Yeah.

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Well, you know, before we jumped on,

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I had Jimmy had noticed I

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spelled the name of the company wrong.

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It is prediction health.

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And so I said, OK, no problem.

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We'll whitewash this.

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That was intentional so we

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can gain attention so people can tell me.

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That I had a typo.

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There we go.

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But that being said, I mean,

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you've got some amazing

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content out there on social media.

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I have talked to you for over an hour.

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I had such a great time when we did that.

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I don't want to go too deep

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into your background.

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You are an M.D.,

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You do have a PhD,

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but I really want to jump

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into the most exciting

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stuff that you are doing

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with Prediction Health.

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So give us like the 30 second.

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You're a co-founder, CEO.

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Where are you in the company right now?

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No.

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So yeah, I'm co-founder and CEO.

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We started full time on this back in 2017.

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And we're just really

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excited to take AI and put

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it into health care and do

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useful things for folks and

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for physical therapy.

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That started off with us

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making these AI models that

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go through and read every

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single note and help do

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compliance so you don't

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have to do peer reviews,

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which people really like.

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And then CPT.

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coding assistance as well,

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because that's another thing.

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It's like there's so many

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different activities,

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so many ways to do it.

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And so having the models be

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able to give people

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feedback on that and again,

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read all the notes to find

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opportunities to improve is

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really helpful.

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And then now the next ask we got was,

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can you help with these

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documentation things we got to do?

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We got to spend all these hours.

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I don't want to do this at

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midnight or 3 AM,

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which we do see at times.

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And so now we have AI models

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that are helping therapists

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write their note,

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both with and without audio,

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which both are different

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workflows that are really

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important to people.

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So now we have stuff for that.

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So that's like the 32nd.

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And I'm very like R and D

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and product focused.

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I like building stuff.

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I love getting to work with our team.

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We got a lot of really great

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people who are very

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talented coders and data scientists.

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And that's what makes me

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really happy at the end of

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the day is building useful

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stuff and doing the tech piece,

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but making sure that it

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goes to something that

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actually delivers value to people.

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So take me back to that original,

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you and the co-founder.

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How did you guys sit there and say,

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you know what?

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Why are we spending our time in medicine?

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We need to make the

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transition into tech and

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solve different problems.

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Like, how did that come about?

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So my co-founder is Ravi Atreya.

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He's the same program, so MD, PhD as well.

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And he's super nice, very, very calm,

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relaxed guy,

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which is helpful in startup land.

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And

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We've been talking about

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this since maybe the first

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or second year of med school.

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So you're talking like 2010.

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And we met in 2009.

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And we just kind of bounced

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a lot of ideas back and forth.

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So we were at Vanderbilt.

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And they had their own EMR.

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So you had access to

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millions of patients and

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the data there when we did our PhDs.

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And it was so cool.

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And we had all these models

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that we were doing,

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but to actually make it

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that it's something that

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the clinicians were going

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to use when they were

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seeing patients was this

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Herculean effort.

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Like our entire PhDs was like one question,

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one tiny little question

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that we had to set up and

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did data cleaning and all this stuff.

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And we got to the end of our

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training and it was, well, this is nuts.

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Like this should be so much better.

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And so we can go just

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residency and focus on seeing patients,

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which we like to do,

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but we have to use the tools that exist,

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or we can go try to make

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the tools that we wish did exist.

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And we're kind of, you know, foolish.

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So we were like, let's try, you know,

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we'll probably fail,

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but we'll feel too bad if

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we don't at least, you know,

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give it a shot.

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And so we did and we didn't fail yet.

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And we've managed to build a

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lot of useful things for people,

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which is really rewarding.

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So, you know,

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here we are trying to make

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things better by making

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people's lives easier and

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bringing AI and making it

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easy to bring these models

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into that real time

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workflow and for leaders, you know,

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in organizations and make

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it not a Herculean effort

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for every new model that

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you want to launch.

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I know Jimmy and I talk

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about this all the time.

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Like it's so hard to change

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deeply established patterns,

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even for myself, I wanna do something.

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And in the patient care arena,

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patient comes in,

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they need to start a new

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exercise program.

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How do we get them to do that?

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How do we get a therapist to

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start using tools that are

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to their advantage going to

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make their life better?

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But it's something different.

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I mean,

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I do things in my system that are

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so old and outdated just

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because that's the way it's

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always been done.

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And I love technology.

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There are therapists who

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don't even want to embrace technology.

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I would love to hear about

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how you guys help the

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therapist overcome some of

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that inertia of this is the

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way we've always done it.

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We don't even know what

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you're talking about.

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So the way I like to think

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about a lot of it is that

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it's incentives.

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And there's there's a whole

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set of things that you

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think about when you want

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to form a good habit.

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And it could be anything in

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life that usually is sort

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of the same patterns apply.

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So the harder something is,

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it's like the bigger the

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wall is that you have to jump over.

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And so if you want people to do more of it,

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then like make it easier.

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So

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So then whenever we're doing

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a new technology,

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we think a lot about like,

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what's that experience going to be?

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So you're in the room with a therapist,

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with a patient, right?

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You're the therapist.

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And how do we make it as easy as possible?

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And I like to say like one button.

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So it should be like one button,

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like one click should like

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get the thing done.

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And

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to get that behavior changed, right?

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We put it in the one EMR that they have,

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right?

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So there's not like a second app.

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Like,

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can we just put it in that workflow

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and can they hit like one

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thing and get something of

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value out of clicking on that one button?

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Uh, and so just making it super,

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super easy and just having

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it show up and making it so obvious,

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like how it works and how

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to get value out of it by like,

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so there's,

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there's like assessment

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generation as an example for goals.

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So when you get there,

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you don't have to do anything.

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It's just read everything so

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far and it shows it and it

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helps you generate

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compliant, appropriate, you know,

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assessments and goals, for example,

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and you just hit the button

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and it puts it in there and

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you're reviewing it.

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Right.

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But like, that's it.

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That's all you have to do is

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just show up where you need to go anyway,

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in the current EMR that

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you're using and hit that

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like one button and you get

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some value out of it.

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That's by far the biggest

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leverage thing is not fancy, you know,

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razzle dazzle, but just like,

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how can you make it so easy

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that they do like one thing

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and get value out of it?

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Yeah.

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Jimmy, what are you thinking?

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Yeah, I'm imagining people are saying,

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you know,

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I'm picturing this technology

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feels a lot like driverless cars,

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where I've asked friends

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with like five-year-old,

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six-year-old kids, and I say,

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do you think your kid's

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ever going to have a driver's license?

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Well, of course.

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And I'm saying, well, in 10 years,

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will we need driver's licenses?

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So many people don't have,

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it's very difficult to

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think forward and what we'll get,

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but also what we won't have to do.

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Similar to what Tony was just saying.

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Listen, I like being forward thinking,

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but a lot of times I just

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get stuck in my rut.

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So I think the parallel with

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driverless cars is it feels scary because,

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I mean, a computer could mess up.

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And I'm like, well, have you met humans,

00:07:51.668 --> 00:07:51.788
right?

00:07:51.809 --> 00:07:51.908
Right.

00:07:52.769 --> 00:07:54.009
Without getting to the nitty gritty,

00:07:54.028 --> 00:07:55.829
because it'll be over my head, right?

00:07:56.389 --> 00:07:57.451
I'm sure the thing that you

00:07:57.490 --> 00:07:58.810
pay attention to is how do

00:07:58.831 --> 00:08:00.732
we make sure this is accurate?

00:08:00.851 --> 00:08:02.072
How do we make sure this is

00:08:02.151 --> 00:08:03.411
compliant and coding?

00:08:03.793 --> 00:08:05.612
I'm imagining you bake that

00:08:05.653 --> 00:08:06.312
into the cakes.

00:08:06.452 --> 00:08:08.353
All I want people to know is like, hey,

00:08:08.374 --> 00:08:09.153
we thought about that.

00:08:09.314 --> 00:08:10.654
We knew what your biggest pain points are,

00:08:10.675 --> 00:08:11.574
what your biggest, oh,

00:08:11.615 --> 00:08:13.055
you can't do that because would be.

00:08:13.596 --> 00:08:14.495
But how does that go in

00:08:14.536 --> 00:08:15.675
there real high level for

00:08:15.716 --> 00:08:16.656
people like me who don't

00:08:16.956 --> 00:08:18.016
build things for a living?

00:08:19.067 --> 00:08:21.891
So we try to keep the thing

00:08:21.911 --> 00:08:24.233
that the user's gonna have to do is very,

00:08:24.273 --> 00:08:24.812
very simple,

00:08:25.213 --> 00:08:26.014
but usually that means the

00:08:26.035 --> 00:08:27.295
technology has to be pretty clever.

00:08:27.755 --> 00:08:28.237
And so,

00:08:28.797 --> 00:08:30.658
so much time and effort goes into that.

00:08:30.838 --> 00:08:31.879
So we have a lot of folks

00:08:31.899 --> 00:08:32.320
that are physical

00:08:32.340 --> 00:08:33.341
therapists or other subject

00:08:33.360 --> 00:08:34.422
matter experts on,

00:08:34.562 --> 00:08:36.024
on staff that we coordinate with.

00:08:36.604 --> 00:08:39.046
And then it's a lot of work

00:08:39.246 --> 00:08:40.427
and like data wrangling,

00:08:40.508 --> 00:08:41.948
data organization, you know,

00:08:42.048 --> 00:08:42.870
reviewing and doing all

00:08:42.889 --> 00:08:43.730
these rounds of iteration.

00:08:44.567 --> 00:08:45.408
And we have these really big

00:08:45.448 --> 00:08:46.149
models and all these

00:08:46.229 --> 00:08:47.330
infrastructure around those

00:08:47.389 --> 00:08:49.591
models where we're able to

00:08:49.650 --> 00:08:51.273
take piles and piles of

00:08:51.332 --> 00:08:52.953
examples across different settings,

00:08:52.994 --> 00:08:53.854
different EMRs,

00:08:54.274 --> 00:08:55.394
and for each of those questions,

00:08:55.755 --> 00:08:57.797
compliance, CPD coding, documentation,

00:08:58.397 --> 00:08:59.518
that you're then doing

00:08:59.557 --> 00:09:00.538
these deep dives and seeing

00:09:00.558 --> 00:09:01.119
like all the ways that you

00:09:01.139 --> 00:09:01.960
can try to like break it

00:09:02.440 --> 00:09:04.020
and then labeling data and

00:09:04.120 --> 00:09:05.042
organizing data for every

00:09:05.062 --> 00:09:05.861
single one of those cases

00:09:06.283 --> 00:09:08.443
so that then the model can

00:09:08.504 --> 00:09:10.586
like learn from all those examples,

00:09:10.686 --> 00:09:10.926
right?

00:09:11.046 --> 00:09:13.827
And so then you end up providing

00:09:14.817 --> 00:09:16.940
millions of examples of data, right.

00:09:17.039 --> 00:09:18.179
To these models.

00:09:18.259 --> 00:09:18.721
And they're really

00:09:18.740 --> 00:09:19.400
interesting because they

00:09:19.441 --> 00:09:21.582
take words in and then inside the models,

00:09:21.702 --> 00:09:23.323
it goes like words to numbers.

00:09:23.604 --> 00:09:24.544
So then in the future you

00:09:24.565 --> 00:09:25.404
can give them more words

00:09:25.605 --> 00:09:26.466
that you turn into numbers,

00:09:26.926 --> 00:09:27.586
but then it's basically

00:09:27.606 --> 00:09:29.128
doing like math and like statistics.

00:09:29.187 --> 00:09:30.509
And it tries to be like, okay, you know,

00:09:30.548 --> 00:09:31.649
you're telling me about this example,

00:09:31.669 --> 00:09:32.970
or like we have this type of patient.

00:09:33.291 --> 00:09:34.871
Oh, I've seen a low back pain patient.

00:09:34.991 --> 00:09:35.432
That's, you know,

00:09:35.451 --> 00:09:36.452
an older person that's had

00:09:36.472 --> 00:09:37.553
mechanical back pain before.

00:09:37.974 --> 00:09:39.835
And then inside it's doing

00:09:39.855 --> 00:09:41.176
all this matching, uh,

00:09:41.395 --> 00:09:42.177
based again on all these

00:09:42.197 --> 00:09:42.917
data sets that we've

00:09:42.956 --> 00:09:44.057
cleaned and label and things.

00:09:44.337 --> 00:09:45.158
So then it can generate a

00:09:45.198 --> 00:09:46.899
really great high quality result.

00:09:47.019 --> 00:09:48.500
And so I'll avoid a lot of the math,

00:09:48.659 --> 00:09:49.240
right?

00:09:50.761 --> 00:09:52.142
It's a pattern recognition.

00:09:52.241 --> 00:09:53.442
It's a pattern recognition

00:09:53.743 --> 00:09:55.384
platform program thinking

00:09:55.443 --> 00:09:57.144
sort of intelligence, right?

00:09:57.304 --> 00:09:58.546
Artificial intelligence that

00:09:58.885 --> 00:10:00.106
has seen these things before,

00:10:00.567 --> 00:10:02.288
which means if it's a little nervous now,

00:10:02.868 --> 00:10:03.629
it's learning.

00:10:04.249 --> 00:10:05.288
The idea is it will just

00:10:05.328 --> 00:10:06.350
continue to improve.

00:10:06.429 --> 00:10:07.649
And when it's given a curve ball,

00:10:07.669 --> 00:10:08.711
something it's never seen,

00:10:09.350 --> 00:10:10.130
it sounds like it'll just

00:10:10.390 --> 00:10:12.152
compare and say to yourself,

00:10:12.751 --> 00:10:13.932
what is something similar

00:10:13.952 --> 00:10:14.572
that we've done?

00:10:14.613 --> 00:10:16.413
And then I'm going to extrapolate.

00:10:16.453 --> 00:10:17.614
This is what human brains do.

00:10:17.653 --> 00:10:18.333
We're just super good at

00:10:18.354 --> 00:10:19.054
pattern recognition.

00:10:19.434 --> 00:10:20.134
But now you've got this

00:10:20.235 --> 00:10:22.216
super deep expert on CPT

00:10:22.255 --> 00:10:23.375
codes or documentation

00:10:24.057 --> 00:10:25.937
working for you alongside

00:10:25.996 --> 00:10:27.177
you so you can do the other

00:10:27.238 --> 00:10:28.958
thing while it's doing this thing.

00:10:29.178 --> 00:10:29.719
That's really cool.

00:10:30.389 --> 00:10:31.850
Yeah, I mean, it's a blast.

00:10:31.890 --> 00:10:32.350
I love the tech.

00:10:32.390 --> 00:10:33.471
It's so cool because usually

00:10:33.490 --> 00:10:34.751
you think about these things like, oh,

00:10:34.792 --> 00:10:35.711
like numbers and math,

00:10:36.113 --> 00:10:37.633
but to be able to give it words,

00:10:37.793 --> 00:10:38.354
like here's what I wrote

00:10:38.374 --> 00:10:39.754
for my HPI and then have it

00:10:40.014 --> 00:10:40.894
understand that and do

00:10:40.955 --> 00:10:41.615
useful things with that,

00:10:41.715 --> 00:10:42.696
I always thought it's kind

00:10:42.716 --> 00:10:43.196
of like magical.

00:10:44.591 --> 00:10:46.811
So let's go through some of the specifics.

00:10:46.932 --> 00:10:48.451
I know when you and I first

00:10:48.491 --> 00:10:50.251
met and I was researching the company,

00:10:50.432 --> 00:10:52.013
I heard a lot about analytics.

00:10:52.673 --> 00:10:53.852
How does prediction health

00:10:53.893 --> 00:10:56.052
kind of go through and does

00:10:56.133 --> 00:10:59.793
it directly connect into the EMR itself?

00:10:59.854 --> 00:11:01.153
Does it write on a browser

00:11:01.214 --> 00:11:02.195
on top of the EMR?

00:11:02.235 --> 00:11:03.855
How does it get access to the information?

00:11:03.894 --> 00:11:05.495
But what does it do from an

00:11:05.615 --> 00:11:07.235
analytics perspective and a

00:11:07.375 --> 00:11:08.255
planning perspective?

00:11:09.644 --> 00:11:11.265
So for the different services,

00:11:11.306 --> 00:11:12.407
there's different connections.

00:11:12.706 --> 00:11:14.048
So for like the thing that

00:11:14.067 --> 00:11:15.529
helps people write their documentation,

00:11:15.590 --> 00:11:16.629
that's a Chrome extension

00:11:16.710 --> 00:11:17.370
that's able to just

00:11:17.510 --> 00:11:19.192
integrate in and be part of the EMR.

00:11:19.392 --> 00:11:19.572
Again,

00:11:19.592 --> 00:11:20.572
you don't want to have to go to like

00:11:20.592 --> 00:11:21.573
another window and bounce

00:11:21.693 --> 00:11:22.654
back and forth and copy paste.

00:11:23.154 --> 00:11:24.155
So that's, you know, that,

00:11:24.436 --> 00:11:25.397
and so it's reading the screen,

00:11:25.856 --> 00:11:26.957
but then for the analytics

00:11:27.298 --> 00:11:28.619
and for the backend of a

00:11:28.659 --> 00:11:29.500
lot of that other work,

00:11:29.961 --> 00:11:30.841
you have to look at

00:11:31.020 --> 00:11:32.542
millions and millions of notes,

00:11:32.682 --> 00:11:33.342
especially, you know,

00:11:33.363 --> 00:11:34.464
you're a big organization

00:11:34.803 --> 00:11:35.225
and you're looking at

00:11:35.245 --> 00:11:35.945
compliance and you're

00:11:35.965 --> 00:11:37.105
looking at the last couple of years,

00:11:37.426 --> 00:11:38.346
you have to get all that data out.

00:11:39.231 --> 00:11:40.072
So we have some partnerships

00:11:40.352 --> 00:11:42.754
with different EMRs, right?

00:11:42.793 --> 00:11:44.475
Like Prompt and WebBT and

00:11:44.534 --> 00:11:45.514
Empower more recently.

00:11:46.596 --> 00:11:47.375
So we're connecting in,

00:11:47.395 --> 00:11:48.177
we're getting that data,

00:11:48.456 --> 00:11:49.758
we're pulling it into our system.

00:11:50.077 --> 00:11:50.758
And then we have this big

00:11:50.798 --> 00:11:52.418
old pipeline of cleaning

00:11:52.438 --> 00:11:53.700
and normalization and all this stuff,

00:11:53.919 --> 00:11:55.321
because folks do things differently.

00:11:56.160 --> 00:11:58.302
And then also it's really

00:11:58.361 --> 00:11:59.383
important when you give

00:11:59.403 --> 00:12:00.884
data to a model that it's

00:12:00.943 --> 00:12:02.244
clean and organized.

00:12:02.283 --> 00:12:03.125
That's one of the ways that

00:12:03.144 --> 00:12:03.784
you can get into a lot of

00:12:03.804 --> 00:12:04.865
trouble with data is,

00:12:05.426 --> 00:12:06.807
if I train a model on,

00:12:07.647 --> 00:12:08.248
how do I keep this like not,

00:12:09.178 --> 00:12:10.220
if I train a model on uh

00:12:11.600 --> 00:12:13.001
pictures right and then you

00:12:13.062 --> 00:12:13.942
use a different camera

00:12:14.383 --> 00:12:15.903
right well it might still

00:12:15.943 --> 00:12:17.085
look to a human like it's a

00:12:17.125 --> 00:12:18.385
picture of a cat but just

00:12:18.405 --> 00:12:19.067
because it's like a

00:12:19.126 --> 00:12:20.168
different like width or

00:12:20.187 --> 00:12:21.028
something for the picture

00:12:21.448 --> 00:12:22.389
or the the sensor is a

00:12:22.408 --> 00:12:23.029
little bit different you

00:12:23.049 --> 00:12:23.830
can get these completely

00:12:23.931 --> 00:12:25.652
crazy outputs right because

00:12:25.711 --> 00:12:26.673
we see things differently

00:12:26.712 --> 00:12:27.633
than the machine sees it

00:12:27.653 --> 00:12:28.413
because it's all coming in

00:12:28.453 --> 00:12:29.455
as numbers getting converted

00:12:29.955 --> 00:12:32.677
So we have all this pipeline

00:12:32.798 --> 00:12:34.139
to organize and normalize

00:12:34.178 --> 00:12:35.840
the data so that then as

00:12:35.879 --> 00:12:36.541
it's going through those

00:12:36.581 --> 00:12:37.442
millions of notes,

00:12:37.782 --> 00:12:39.524
it's able to get it all nicely organized.

00:12:39.703 --> 00:12:41.546
So backend, you've got infrastructure,

00:12:41.605 --> 00:12:42.546
you've got data pulling,

00:12:42.647 --> 00:12:43.486
you have some partnerships

00:12:43.527 --> 00:12:44.268
and some integrations that

00:12:44.288 --> 00:12:45.349
have been really great with

00:12:45.369 --> 00:12:46.409
these different EMR systems.

00:12:46.851 --> 00:12:47.493
then you can have the chrome

00:12:47.513 --> 00:12:48.394
extension piece because

00:12:48.433 --> 00:12:49.335
again we wanted to be able

00:12:49.355 --> 00:12:50.655
to give people a nice

00:12:50.696 --> 00:12:52.597
simple unified experience

00:12:52.778 --> 00:12:53.778
within the emr that they're

00:12:53.798 --> 00:12:55.179
already using to make it

00:12:55.221 --> 00:12:56.140
really really easy for them

00:12:56.581 --> 00:12:57.783
so so lots of points of

00:12:57.863 --> 00:12:58.724
stuff and stuff we've had

00:12:58.744 --> 00:13:00.285
to build which is

00:13:00.365 --> 00:13:01.506
complicated on our side to

00:13:01.547 --> 00:13:02.368
make it a really simple

00:13:02.408 --> 00:13:03.288
experience for all our

00:13:03.328 --> 00:13:04.230
different you know users

00:13:04.669 --> 00:13:05.291
practice leadership

00:13:06.778 --> 00:13:07.817
Wow, I just,

00:13:07.878 --> 00:13:09.519
I can't even imagine like the

00:13:09.558 --> 00:13:12.178
complexities of getting into that data,

00:13:12.578 --> 00:13:14.360
the privacy concerns, the issues,

00:13:14.379 --> 00:13:14.620
you know,

00:13:14.659 --> 00:13:15.740
that's always the chief thing

00:13:15.779 --> 00:13:17.461
that I hear about is, well,

00:13:17.480 --> 00:13:18.620
what about HIPAA privacy

00:13:18.660 --> 00:13:19.961
and how can you assure that?

00:13:20.701 --> 00:13:22.261
Going back to Jimmy's comment though,

00:13:22.282 --> 00:13:24.201
I think this is so important.

00:13:24.841 --> 00:13:28.543
I use GPT-40, I use other AIs.

00:13:29.023 --> 00:13:30.884
I understand the challenges

00:13:31.124 --> 00:13:32.083
of I say something,

00:13:32.124 --> 00:13:33.384
I'm expecting a response

00:13:33.424 --> 00:13:34.544
and it gives me something different.

00:13:35.225 --> 00:13:36.405
But then when I started

00:13:36.566 --> 00:13:38.047
using AI related to patient

00:13:38.067 --> 00:13:39.548
care and I started to look

00:13:39.687 --> 00:13:41.469
at my own documentation,

00:13:41.808 --> 00:13:42.509
and I think this is

00:13:42.570 --> 00:13:43.370
something that therapists

00:13:43.410 --> 00:13:44.331
don't do enough of.

00:13:45.072 --> 00:13:46.952
When I go back and I look at

00:13:47.113 --> 00:13:48.514
what I wrote based on what

00:13:48.573 --> 00:13:50.215
I tried to remember as a

00:13:50.235 --> 00:13:51.816
49-year-old therapist who's

00:13:51.855 --> 00:13:54.618
seeing even on a low volume day, six,

00:13:54.758 --> 00:13:56.899
maybe 10 patients in that day,

00:13:57.639 --> 00:13:59.981
I have got multiple inaccuracies.

00:14:00.121 --> 00:14:01.982
I've got missing or omitted facts.

00:14:02.102 --> 00:14:03.303
I've got so many things that

00:14:03.344 --> 00:14:04.504
are in there that

00:14:05.684 --> 00:14:07.346
I never looked at because I

00:14:07.405 --> 00:14:08.926
assumed I created it.

00:14:09.046 --> 00:14:10.225
It must be correct.

00:14:10.826 --> 00:14:12.027
It is not at all.

00:14:12.086 --> 00:14:14.407
So just like using an AI,

00:14:14.427 --> 00:14:15.447
you have to double check it.

00:14:15.467 --> 00:14:16.788
You have to make sure it's accurate.

00:14:17.288 --> 00:14:18.708
Doing your own documentation,

00:14:18.749 --> 00:14:20.068
you would have to do that stuff.

00:14:20.769 --> 00:14:22.230
And the conversation that

00:14:22.250 --> 00:14:23.110
I've been having with so

00:14:23.129 --> 00:14:24.570
many therapists goes back

00:14:24.649 --> 00:14:27.171
to this isn't about replacing me.

00:14:27.750 --> 00:14:29.532
This is about augmenting me.

00:14:29.672 --> 00:14:30.972
I wish it was more augmented

00:14:31.714 --> 00:14:32.554
intelligence than

00:14:32.715 --> 00:14:33.754
artificial intelligence

00:14:33.855 --> 00:14:36.437
because it's giving me access to data,

00:14:36.798 --> 00:14:37.658
to histories,

00:14:37.697 --> 00:14:39.399
to other cases that I never

00:14:39.580 --> 00:14:40.759
necessarily would have

00:14:41.201 --> 00:14:42.481
thought of or considered.

00:14:43.042 --> 00:14:44.602
And then I am the one that

00:14:44.643 --> 00:14:45.943
makes the final decision as

00:14:46.024 --> 00:14:46.664
the therapist.

00:14:47.225 --> 00:14:47.485
You know,

00:14:47.524 --> 00:14:48.865
so could you talk to a little bit

00:14:48.905 --> 00:14:50.287
about insecurities that

00:14:50.346 --> 00:14:51.227
other therapists you've

00:14:51.248 --> 00:14:53.109
talked to might have about

00:14:53.288 --> 00:14:54.889
using this kind of technology?

00:14:54.909 --> 00:14:56.270
Is it going to replace them?

00:14:56.331 --> 00:14:57.591
Is it going to improve them?

00:14:57.751 --> 00:14:59.633
What are you seeing in the real world?

00:15:00.673 --> 00:15:02.154
Yeah, I get that question a lot, right?

00:15:02.174 --> 00:15:03.056
Is this going to, you know,

00:15:03.936 --> 00:15:05.317
the AI is going to take our jobs, right?

00:15:09.783 --> 00:15:11.125
If I'm going in to see somebody,

00:15:11.145 --> 00:15:12.748
there's things that you

00:15:12.788 --> 00:15:13.288
want a robot to do,

00:15:13.307 --> 00:15:13.869
and there's things that you

00:15:13.889 --> 00:15:14.929
don't want a robot to do.

00:15:15.870 --> 00:15:18.254
And if I, for example,

00:15:18.313 --> 00:15:20.035
wanted to remind myself

00:15:20.096 --> 00:15:22.018
regularly to do a habit,

00:15:22.038 --> 00:15:23.159
and I just had an automated

00:15:23.320 --> 00:15:24.761
text reminder that's going to come in,

00:15:25.802 --> 00:15:26.942
And every day at whatever,

00:15:26.942 --> 00:15:28.082
9 AM is going to remind me

00:15:28.123 --> 00:15:29.302
to go for a walk or do some

00:15:29.322 --> 00:15:30.023
pushups or something.

00:15:30.743 --> 00:15:33.004
If it's just a robot doing that,

00:15:33.744 --> 00:15:34.803
I'm going to be like, I can ignore that.

00:15:35.325 --> 00:15:36.884
But if it's a person, if it's a friend,

00:15:37.524 --> 00:15:39.046
if it's like an accountability buddy,

00:15:39.206 --> 00:15:39.926
which I've done this now

00:15:39.966 --> 00:15:40.605
repeatedly because

00:15:40.645 --> 00:15:41.466
sometimes I want to start a

00:15:41.485 --> 00:15:42.645
habit and I know what's

00:15:42.666 --> 00:15:43.466
going to work and what's not.

00:15:44.826 --> 00:15:46.346
If it's a human on the other side of that,

00:15:46.707 --> 00:15:48.508
we think about it so much differently.

00:15:49.307 --> 00:15:50.528
Especially if you're in pain

00:15:50.568 --> 00:15:51.869
or you're a patient, you have a problem.

00:15:52.610 --> 00:15:53.490
knowing that it's not a

00:15:53.572 --> 00:15:55.475
robot that doesn't know what pain is,

00:15:55.635 --> 00:15:56.677
but instead a human being

00:15:56.697 --> 00:15:57.961
that can have that empathy

00:15:58.562 --> 00:16:00.004
is so much more motivating.

00:16:00.894 --> 00:16:02.195
And so there's these things

00:16:02.235 --> 00:16:03.355
that humans can do and

00:16:03.375 --> 00:16:05.256
these relationships and this, you know,

00:16:05.596 --> 00:16:06.758
motivation that we can

00:16:06.798 --> 00:16:08.678
provide for each other that's so critical,

00:16:09.120 --> 00:16:10.941
especially in something like therapy,

00:16:11.140 --> 00:16:12.261
where you have to do stuff

00:16:12.322 --> 00:16:12.922
and you have to do your

00:16:12.961 --> 00:16:14.283
home exercise plan and you

00:16:14.302 --> 00:16:15.423
have to do these exercises

00:16:15.443 --> 00:16:16.965
when you don't feel like doing it, right?

00:16:17.264 --> 00:16:18.846
And you have to be part of the treatment.

00:16:18.907 --> 00:16:20.106
You have to cooperate, you know,

00:16:20.147 --> 00:16:20.768
for it to be really

00:16:20.868 --> 00:16:21.668
functional and effective.

00:16:23.475 --> 00:16:24.535
that stuff where humans are really,

00:16:24.576 --> 00:16:25.037
really great.

00:16:25.177 --> 00:16:26.976
And I don't see how a human, sorry,

00:16:26.996 --> 00:16:29.018
how a robot replaces that.

00:16:29.638 --> 00:16:30.857
But for things like

00:16:30.958 --> 00:16:31.979
remembering all these CPT

00:16:32.019 --> 00:16:32.938
codes and making sure my

00:16:32.999 --> 00:16:33.980
note is compliant and doing

00:16:34.000 --> 00:16:35.580
all this writing and like documentation,

00:16:35.620 --> 00:16:37.120
like summarization stuff, well,

00:16:37.321 --> 00:16:38.640
the robots are good at that.

00:16:38.821 --> 00:16:39.500
And also as a human,

00:16:39.581 --> 00:16:40.601
I don't maybe wanna do that.

00:16:41.142 --> 00:16:41.902
And so I think there's a

00:16:41.961 --> 00:16:42.863
really great synergy of

00:16:42.923 --> 00:16:43.682
those things where,

00:16:44.442 --> 00:16:45.124
people are really great at

00:16:45.144 --> 00:16:46.205
certain things and people

00:16:46.245 --> 00:16:47.466
expect certain things and

00:16:47.505 --> 00:16:48.447
value things from other

00:16:48.486 --> 00:16:49.408
people in a way that just

00:16:49.447 --> 00:16:50.669
they don't from a robot

00:16:51.070 --> 00:16:51.610
that I think it's gonna be

00:16:51.630 --> 00:16:53.172
incredibly difficult to get

00:16:53.211 --> 00:16:54.092
rid of that and in the

00:16:54.113 --> 00:16:55.475
meantime why don't we give

00:16:55.735 --> 00:16:56.456
the therapist what they

00:16:56.475 --> 00:16:57.356
would like right make their

00:16:57.397 --> 00:16:58.577
lives easier make the

00:16:58.618 --> 00:16:59.698
compliance and the cpt

00:16:59.719 --> 00:17:00.960
coding stuff a lot easier

00:17:01.280 --> 00:17:02.642
so they have more bandwidth

00:17:03.043 --> 00:17:04.384
to show that empathy and

00:17:04.403 --> 00:17:05.125
that attention to their

00:17:05.144 --> 00:17:05.846
patients and I think

00:17:05.865 --> 00:17:06.987
that'll improve the patient care

00:17:07.406 --> 00:17:08.366
And at the end of the day, you know,

00:17:08.406 --> 00:17:09.428
we started the whole

00:17:09.468 --> 00:17:10.607
adventure because we wanted

00:17:10.627 --> 00:17:12.269
to make sure patients got excellent,

00:17:12.328 --> 00:17:12.909
excellent care.

00:17:13.409 --> 00:17:15.289
And it's really rewarding to

00:17:15.329 --> 00:17:16.410
have this path to do it.

00:17:17.471 --> 00:17:18.611
Yeah, absolutely.

00:17:19.171 --> 00:17:20.191
What are some of the new

00:17:20.250 --> 00:17:21.251
things that you guys are

00:17:21.291 --> 00:17:22.852
doing specifically around

00:17:22.991 --> 00:17:25.452
real time information processing?

00:17:25.472 --> 00:17:26.334
Tell me about that.

00:17:27.534 --> 00:17:30.095
So we sort of have these two paths.

00:17:30.115 --> 00:17:31.194
The first one is like the super,

00:17:31.214 --> 00:17:33.375
super easy one, at least for the user,

00:17:33.756 --> 00:17:35.217
which is go into your EMR,

00:17:35.396 --> 00:17:36.156
start documenting.

00:17:37.105 --> 00:17:38.106
and we call it sidekick

00:17:38.126 --> 00:17:38.988
because it's you know your

00:17:39.028 --> 00:17:39.768
sidekick as you're doing

00:17:39.788 --> 00:17:41.049
your documentation and it's

00:17:41.130 --> 00:17:42.170
reading through and then

00:17:42.371 --> 00:17:43.592
generates results for you

00:17:43.612 --> 00:17:44.432
and then just shows it on

00:17:44.451 --> 00:17:45.532
the screen so when you get

00:17:45.553 --> 00:17:46.273
to your assessment when you

00:17:46.294 --> 00:17:47.494
get to the goals like on

00:17:47.535 --> 00:17:48.776
initial eval it's got a

00:17:48.816 --> 00:17:49.936
draft of compliant

00:17:49.957 --> 00:17:51.638
appropriate goals and you

00:17:51.659 --> 00:17:53.299
had to do nothing uh and so

00:17:53.400 --> 00:17:54.340
folks have really loved

00:17:54.361 --> 00:17:57.502
that um additionally in cpd

00:17:57.522 --> 00:17:58.183
coding too like you're

00:17:58.203 --> 00:17:59.204
typing your interventions

00:17:59.224 --> 00:18:00.425
and it'll give you feedback on like

00:18:00.996 --> 00:18:01.455
oh, you know,

00:18:01.476 --> 00:18:03.538
treadmill warmup under Therac,

00:18:03.998 --> 00:18:05.118
you might want to put that somewhere else,

00:18:05.239 --> 00:18:05.440
right?

00:18:05.500 --> 00:18:06.200
So it'll give you like a

00:18:06.259 --> 00:18:08.241
gentle little nudge or reminder on that.

00:18:08.862 --> 00:18:09.962
The next tier up where you

00:18:09.982 --> 00:18:11.904
do have to click the one button is audio.

00:18:12.305 --> 00:18:13.605
So you can do just,

00:18:13.645 --> 00:18:14.246
you're walking in the room,

00:18:14.267 --> 00:18:14.807
you're going to have your

00:18:14.826 --> 00:18:15.788
initial e-value hit start.

00:18:16.107 --> 00:18:17.028
And it listens to that sort

00:18:17.048 --> 00:18:18.109
of ambiently to a

00:18:18.150 --> 00:18:19.391
conversation and then

00:18:19.451 --> 00:18:21.132
summarizes it into your

00:18:21.152 --> 00:18:22.173
subjective objective

00:18:22.192 --> 00:18:23.193
assessment plan goals.

00:18:24.159 --> 00:18:25.421
And then that now shows up

00:18:25.941 --> 00:18:27.502
integrated into that same EMR.

00:18:27.542 --> 00:18:28.223
So it's just sitting there

00:18:28.243 --> 00:18:28.724
ready for you to go.

00:18:28.984 --> 00:18:30.306
But now with the context of

00:18:30.666 --> 00:18:31.387
what would you talk about?

00:18:31.448 --> 00:18:31.688
You know,

00:18:31.708 --> 00:18:32.990
what was the patient worried about?

00:18:33.309 --> 00:18:35.152
What did you sort of like teach them?

00:18:35.471 --> 00:18:36.933
What did you say your assessment was?

00:18:37.555 --> 00:18:38.536
And I really love that one because

00:18:39.557 --> 00:18:41.137
It reminds people to educate

00:18:41.178 --> 00:18:42.019
the patient about what

00:18:42.038 --> 00:18:42.619
they're thinking for a

00:18:42.660 --> 00:18:43.780
diagnosis and for what the

00:18:43.800 --> 00:18:44.580
plan of care looks like.

00:18:45.061 --> 00:18:47.384
And that's work, right?

00:18:47.403 --> 00:18:48.364
You have to spend time to do

00:18:48.403 --> 00:18:48.865
that teaching.

00:18:49.404 --> 00:18:50.566
It overlaps a lot, though,

00:18:50.605 --> 00:18:51.346
with what you would type

00:18:51.366 --> 00:18:52.907
into your own assessment.

00:18:53.188 --> 00:18:54.869
And so since the models are smart enough,

00:18:55.410 --> 00:18:56.750
you can really focus in on

00:18:56.770 --> 00:18:57.791
the education that the

00:18:57.811 --> 00:18:58.633
patient gets so they

00:18:58.673 --> 00:18:59.993
understand the treatment.

00:19:00.013 --> 00:19:00.755
So hopefully you get a lot

00:19:00.775 --> 00:19:01.996
more compliance and a

00:19:02.016 --> 00:19:02.976
better outcome for that person.

00:19:03.836 --> 00:19:04.758
And simultaneously,

00:19:05.138 --> 00:19:05.679
you're going to get your

00:19:05.699 --> 00:19:07.520
assessment drafted out too, right?

00:19:07.580 --> 00:19:08.823
So it's like taking work off

00:19:08.843 --> 00:19:10.324
your plate and freeing the

00:19:10.364 --> 00:19:11.285
human in this case, right?

00:19:11.346 --> 00:19:12.747
The therapist to focus in on

00:19:12.767 --> 00:19:14.548
doing really great education, you know,

00:19:14.588 --> 00:19:15.190
to the therapist.

00:19:15.269 --> 00:19:16.691
That's one of my favorite examples of it.

00:19:16.711 --> 00:19:18.153
And I imagine, I don't know, Tony,

00:19:18.192 --> 00:19:19.134
I imagine, you know,

00:19:20.136 --> 00:19:20.897
we're going to be finding a

00:19:20.938 --> 00:19:22.618
lot of things that PTs are already doing,

00:19:22.659 --> 00:19:24.141
but not necessarily being

00:19:24.181 --> 00:19:25.080
given credit for,

00:19:25.260 --> 00:19:26.762
or that showing up in the documentation,

00:19:26.782 --> 00:19:27.743
because we might discount it.

00:19:28.344 --> 00:19:29.605
Education being one of those

00:19:29.644 --> 00:19:30.746
things is a lot of times

00:19:30.766 --> 00:19:31.946
we'll do it and not really

00:19:31.967 --> 00:19:32.468
think about it.

00:19:32.488 --> 00:19:34.028
And then we don't mention it or, hey,

00:19:34.068 --> 00:19:35.369
don't bill for it because, hey,

00:19:35.830 --> 00:19:36.611
I did some other things.

00:19:36.671 --> 00:19:37.811
Let me focus on some other codes.

00:19:37.832 --> 00:19:40.515
So I like the name sidekick

00:19:40.535 --> 00:19:41.736
because I think it's super marketable,

00:19:41.776 --> 00:19:42.516
but I also think it's a

00:19:42.536 --> 00:19:43.656
good way to think about this,

00:19:43.837 --> 00:19:45.499
which is you're the Robin to my Batman,

00:19:46.140 --> 00:19:47.601
not replacing, but you're yes and.

00:19:48.461 --> 00:19:48.721
Yeah.

00:19:48.942 --> 00:19:49.682
Yeah, I agree.

00:19:49.703 --> 00:19:50.565
That's one of the things

00:19:50.625 --> 00:19:52.727
that I've been using AI

00:19:53.127 --> 00:19:55.369
scribe technology for over a month now.

00:19:55.470 --> 00:19:56.892
And as I experiment and

00:19:56.951 --> 00:19:58.534
tinker with it and figure stuff out,

00:19:58.614 --> 00:19:59.694
I run into roadblocks.

00:19:59.714 --> 00:20:00.636
But at the same time,

00:20:01.156 --> 00:20:03.279
I see things I realize I

00:20:03.420 --> 00:20:04.902
never would have documented

00:20:04.961 --> 00:20:06.002
certain elements that were

00:20:06.042 --> 00:20:07.964
communicated between the patient and I.

00:20:08.685 --> 00:20:09.905
But it was in my head.

00:20:10.126 --> 00:20:11.426
It actually occurred.

00:20:11.446 --> 00:20:12.446
I just would not have

00:20:12.487 --> 00:20:13.807
thought to put it into the

00:20:13.847 --> 00:20:14.488
medical record.

00:20:15.008 --> 00:20:16.148
And so it's finding and

00:20:16.189 --> 00:20:18.028
extracting that added value.

00:20:18.528 --> 00:20:19.589
And when therapists get

00:20:19.630 --> 00:20:20.569
frustrated that they don't

00:20:20.589 --> 00:20:21.410
get paid enough,

00:20:21.971 --> 00:20:24.211
I try to help them separate.

00:20:24.290 --> 00:20:25.932
Look, you know what you're doing.

00:20:25.971 --> 00:20:27.092
The patient knows what you're doing.

00:20:27.112 --> 00:20:29.032
But the payer, the auditor,

00:20:29.073 --> 00:20:30.693
the reviewer has no idea

00:20:30.753 --> 00:20:32.953
except what they see on the screen.

00:20:33.575 --> 00:20:33.974
And so.

00:20:34.914 --> 00:20:35.275
I agree.

00:20:35.295 --> 00:20:36.134
This gives us a great

00:20:36.174 --> 00:20:37.355
opportunity to capture

00:20:37.395 --> 00:20:38.756
those pieces of value that

00:20:38.816 --> 00:20:40.135
we would have otherwise let

00:20:40.395 --> 00:20:41.656
go unrecognized.

00:20:42.416 --> 00:20:43.777
So what are some of the

00:20:43.856 --> 00:20:45.616
other opportunities or new

00:20:45.656 --> 00:20:49.518
things that are happening today, 2024,

00:20:49.518 --> 00:20:50.298
compared to even just a

00:20:50.337 --> 00:20:51.058
couple of years ago?

00:20:51.078 --> 00:20:51.979
Like you guys have been at

00:20:51.999 --> 00:20:53.358
this for a long time.

00:20:53.378 --> 00:20:54.598
A lot has changed.

00:20:55.179 --> 00:20:56.279
How is this evolving?

00:20:56.460 --> 00:20:57.220
What's gotten better?

00:20:59.135 --> 00:21:01.938
So a lot of the technologies

00:21:02.057 --> 00:21:03.578
for especially the ambient processing,

00:21:03.598 --> 00:21:04.298
these generative AI

00:21:04.318 --> 00:21:05.539
technologies have gotten so much better.

00:21:06.140 --> 00:21:07.141
I'm sure a lot of your

00:21:07.181 --> 00:21:08.000
audience probably has

00:21:08.141 --> 00:21:08.862
tested things out with like

00:21:08.882 --> 00:21:10.502
ChatGPT and other tools.

00:21:11.403 --> 00:21:11.702
And of course,

00:21:11.742 --> 00:21:13.604
on like iPhones or other

00:21:13.624 --> 00:21:14.744
sort of like mobile devices,

00:21:15.125 --> 00:21:16.165
a lot of that's gotten better, right?

00:21:16.185 --> 00:21:16.986
People are noticing that it

00:21:17.006 --> 00:21:18.227
can pick out like, oh,

00:21:18.247 --> 00:21:19.228
I took a picture of a

00:21:19.268 --> 00:21:20.647
sunset or a cheeseburger or something,

00:21:20.667 --> 00:21:21.888
and it's identifying that.

00:21:22.490 --> 00:21:24.951
And that's what the users see,

00:21:25.010 --> 00:21:25.770
but the tools for

00:21:25.790 --> 00:21:27.112
developers have gotten a lot better too.

00:21:28.673 --> 00:21:30.755
And that has just enabled so much more.

00:21:30.914 --> 00:21:32.596
Because part of the reason

00:21:32.615 --> 00:21:33.636
is we started a ways back.

00:21:33.676 --> 00:21:34.377
We were actually originally

00:21:34.397 --> 00:21:35.739
a documentation-focused company,

00:21:36.419 --> 00:21:39.300
just like human review of

00:21:39.500 --> 00:21:40.582
notes that were generated

00:21:40.761 --> 00:21:42.763
in combination with human

00:21:42.784 --> 00:21:44.704
effort and with AI summarization.

00:21:45.346 --> 00:21:46.666
And it was really,

00:21:46.686 --> 00:21:47.847
really hard to get to that

00:21:48.087 --> 00:21:49.088
level of accuracy that you need.

00:21:49.108 --> 00:21:49.788
Because you don't want to

00:21:49.828 --> 00:21:51.490
have a kind of good note.

00:21:51.711 --> 00:21:53.332
These are used to take care of people.

00:21:53.612 --> 00:21:54.313
And so you want to make sure

00:21:54.333 --> 00:21:55.193
the quality is quite high.

00:21:56.128 --> 00:21:57.990
And so compliance,

00:21:58.049 --> 00:21:59.230
the CPT coding were things

00:21:59.270 --> 00:22:00.070
that we could focus in a

00:22:00.090 --> 00:22:01.191
more narrow domains and get

00:22:01.211 --> 00:22:02.192
good performance out of those.

00:22:02.571 --> 00:22:04.893
But now with the generative technologies,

00:22:04.952 --> 00:22:05.512
with a lot of the things

00:22:05.532 --> 00:22:06.153
that have been learned over

00:22:06.193 --> 00:22:07.054
the last couple of years,

00:22:07.433 --> 00:22:08.335
it's now made it possible

00:22:08.355 --> 00:22:09.255
for us to be part of more

00:22:09.275 --> 00:22:11.115
of that conversation, that real time,

00:22:11.135 --> 00:22:11.816
and then provide a lot of

00:22:11.836 --> 00:22:12.957
value there and.

00:22:13.509 --> 00:22:14.550
The most exciting thing to

00:22:14.590 --> 00:22:16.352
me about that is that if

00:22:16.372 --> 00:22:17.071
you want to be able to

00:22:17.132 --> 00:22:19.272
positively impact what

00:22:19.373 --> 00:22:20.673
clinicians are doing real time,

00:22:20.693 --> 00:22:22.575
that's where you have to be.

00:22:22.595 --> 00:22:24.155
You have to be in that workflow.

00:22:24.175 --> 00:22:25.557
You have to be part of the

00:22:25.656 --> 00:22:27.137
time when they're making their decisions,

00:22:27.157 --> 00:22:27.857
when they're asking the

00:22:27.897 --> 00:22:29.239
questions and gathering information.

00:22:29.578 --> 00:22:30.259
I think it's the highest

00:22:30.278 --> 00:22:32.059
leverage point to get that

00:22:32.260 --> 00:22:33.181
positive impact for the

00:22:33.221 --> 00:22:35.261
patients and also a good

00:22:35.362 --> 00:22:36.742
outcome for the therapists

00:22:36.863 --> 00:22:37.824
by saving them time and effort.

00:22:38.634 --> 00:22:39.776
you need these types of

00:22:39.836 --> 00:22:40.737
models that can understand

00:22:40.757 --> 00:22:42.318
that such a fuzzy thing is

00:22:42.338 --> 00:22:43.339
like a human conversation

00:22:43.661 --> 00:22:44.682
where maybe you and I are

00:22:44.701 --> 00:22:45.461
going back and forth and

00:22:45.501 --> 00:22:46.503
we're just referring to stuff like,

00:22:46.624 --> 00:22:47.384
oh yeah, does this hurt?

00:22:47.424 --> 00:22:48.365
Like, oh yeah, that does hurt.

00:22:48.685 --> 00:22:49.406
And you have to know that

00:22:49.467 --> 00:22:50.428
from five minutes ago,

00:22:50.508 --> 00:22:51.229
you're coming in for knee

00:22:51.249 --> 00:22:52.190
pain to be able to

00:22:52.230 --> 00:22:53.330
interpret that sentence correctly.

00:22:53.770 --> 00:22:55.313
And so that's been a very

00:22:55.333 --> 00:22:56.273
enabling and exciting

00:22:56.294 --> 00:22:58.115
technology on top of a lot

00:22:58.135 --> 00:22:59.037
of other exploration we've

00:22:59.057 --> 00:22:59.617
done over the years.

00:23:00.922 --> 00:23:02.522
Help me understand what is

00:23:02.603 --> 00:23:04.942
the real world rollout look like?

00:23:04.982 --> 00:23:07.104
So a new practice owner reaches out,

00:23:07.144 --> 00:23:08.285
they're like, Hey, I love this.

00:23:08.345 --> 00:23:09.285
I love what you guys are doing.

00:23:09.305 --> 00:23:10.865
I want to improve, you know,

00:23:11.026 --> 00:23:12.685
my patient care experience.

00:23:13.506 --> 00:23:14.646
How does something like this

00:23:14.807 --> 00:23:16.287
even just get off the ground?

00:23:16.346 --> 00:23:17.708
Is it something they do on their own?

00:23:17.728 --> 00:23:19.567
Do you guys have an onboarding process?

00:23:19.788 --> 00:23:20.788
What's the next step?

00:23:22.289 --> 00:23:24.290
So sometimes folks have questions.

00:23:24.631 --> 00:23:26.332
So we have a demo that we'll

00:23:26.511 --> 00:23:28.113
run through with them and explain things.

00:23:28.153 --> 00:23:28.813
They can ask questions.

00:23:28.833 --> 00:23:29.554
They can see stuff.

00:23:29.854 --> 00:23:30.673
They can see us do a little

00:23:30.713 --> 00:23:32.994
test case to kind of get a feel for it.

00:23:33.476 --> 00:23:34.715
So then folks just reach out.

00:23:34.756 --> 00:23:36.557
We have our demo form up on our website,

00:23:36.797 --> 00:23:37.758
and we're happy to do those.

00:23:38.678 --> 00:23:39.519
So there's an educational

00:23:39.558 --> 00:23:40.659
component that can be helpful.

00:23:40.719 --> 00:23:41.440
But if people are really

00:23:41.460 --> 00:23:42.720
interested in their game to go,

00:23:43.641 --> 00:23:44.161
we set them up.

00:23:44.761 --> 00:23:46.163
And the analytics product

00:23:46.523 --> 00:23:47.724
and the real time are just

00:23:47.744 --> 00:23:48.265
slightly different,

00:23:48.285 --> 00:23:49.365
because the real time we

00:23:49.385 --> 00:23:50.267
can provide pretty quickly.

00:23:50.366 --> 00:23:51.647
So you can come to us, be like, yeah,

00:23:51.728 --> 00:23:52.028
I'm game.

00:23:52.068 --> 00:23:52.828
I want to use this.

00:23:53.369 --> 00:23:53.769
Come to us,

00:23:54.069 --> 00:23:55.511
and we set you up so that you can start.

00:23:55.551 --> 00:23:56.653
You download a Chrome extension,

00:23:57.212 --> 00:23:59.115
and on WebPT, clinician, prompt,

00:24:01.804 --> 00:24:03.865
You can just log in, start using it,

00:24:03.984 --> 00:24:04.184
right?

00:24:05.644 --> 00:24:06.505
And that's great.

00:24:06.845 --> 00:24:08.625
Now the analytics tool,

00:24:09.086 --> 00:24:10.685
we have to pull in the

00:24:10.766 --> 00:24:12.787
previous year or two years, et cetera,

00:24:12.807 --> 00:24:13.166
of data.

00:24:13.487 --> 00:24:14.027
So then you give us

00:24:14.047 --> 00:24:15.346
authentication credentials

00:24:15.386 --> 00:24:16.627
and our pipeline, we connect it.

00:24:17.087 --> 00:24:18.647
It's HIPAA compliant and secure.

00:24:18.968 --> 00:24:19.528
We pull that in,

00:24:19.548 --> 00:24:20.469
we do all of our analysis.

00:24:20.588 --> 00:24:21.368
And then for that,

00:24:22.506 --> 00:24:23.507
have our customer success

00:24:23.547 --> 00:24:25.169
folks which we have a lot

00:24:25.189 --> 00:24:26.710
of really great folks kelly

00:24:27.250 --> 00:24:28.352
is one of them and people

00:24:28.372 --> 00:24:30.192
love kelly um and they'll

00:24:30.212 --> 00:24:31.054
actually then set up a

00:24:31.094 --> 00:24:31.835
meeting as a kickoff

00:24:31.855 --> 00:24:32.756
meeting to walk you through

00:24:32.776 --> 00:24:34.396
that because for a lot of

00:24:34.837 --> 00:24:35.959
these practice you know

00:24:36.058 --> 00:24:37.539
owners they've never had

00:24:37.619 --> 00:24:39.882
access to compliance or cpt

00:24:39.982 --> 00:24:41.263
predictions from ai and

00:24:41.304 --> 00:24:42.605
dashboards for every single

00:24:42.644 --> 00:24:44.487
visit you know that their folks are doing

00:24:44.866 --> 00:24:45.807
And so we have a kind of a

00:24:45.847 --> 00:24:47.429
nice white glove onboarding

00:24:47.469 --> 00:24:48.109
experience for them,

00:24:48.470 --> 00:24:50.011
where within one week, two weeks,

00:24:50.211 --> 00:24:51.173
we get the data pulled in,

00:24:51.532 --> 00:24:52.354
we schedule a kickoff,

00:24:52.513 --> 00:24:53.815
and we can then walk them through and say,

00:24:53.835 --> 00:24:54.776
like, hey,

00:24:54.836 --> 00:24:55.916
here's the top three things

00:24:55.936 --> 00:24:57.137
that I would focus on if I

00:24:57.157 --> 00:24:57.817
were you in your

00:24:57.857 --> 00:24:59.200
organization to make sure

00:24:59.220 --> 00:25:01.642
that you get the most bang for your buck,

00:25:01.682 --> 00:25:03.042
the most ROI on a

00:25:03.363 --> 00:25:05.025
compliance and CPT and all

00:25:05.045 --> 00:25:05.924
the other sort of analytics

00:25:05.964 --> 00:25:07.586
that we do for their retrospective data.

00:25:08.358 --> 00:25:08.519
Yeah,

00:25:08.638 --> 00:25:09.520
I feel like the first couple of

00:25:09.540 --> 00:25:10.342
things we're talking about

00:25:10.382 --> 00:25:11.462
was really tactical in

00:25:11.502 --> 00:25:12.724
terms of like patient care.

00:25:13.405 --> 00:25:14.567
How is this working?

00:25:14.667 --> 00:25:14.928
Right?

00:25:14.988 --> 00:25:15.868
What is it going to do?

00:25:15.929 --> 00:25:16.569
Is it safe?

00:25:16.630 --> 00:25:17.310
Is it accurate?

00:25:17.330 --> 00:25:18.593
But there's three bullet

00:25:18.633 --> 00:25:19.674
points on your website,

00:25:19.694 --> 00:25:21.897
which I think speaks to decision makers.

00:25:22.298 --> 00:25:23.359
Clinicians would be like, hey,

00:25:23.400 --> 00:25:24.661
help a sidekick.

00:25:25.241 --> 00:25:25.642
Great.

00:25:25.803 --> 00:25:26.723
Like I'm all for it,

00:25:27.263 --> 00:25:28.865
but we know who the decision makers are,

00:25:28.945 --> 00:25:29.066
right?

00:25:29.105 --> 00:25:29.946
These are business people.

00:25:29.987 --> 00:25:30.867
So there's three things you

00:25:30.887 --> 00:25:32.689
have on your website that caught my eye,

00:25:33.130 --> 00:25:33.770
which I think would,

00:25:34.270 --> 00:25:34.852
are going to make the

00:25:34.892 --> 00:25:35.632
people who would say,

00:25:35.652 --> 00:25:37.273
we're going to adopt this or not,

00:25:37.413 --> 00:25:38.955
which would be optimized

00:25:39.016 --> 00:25:41.057
CPT coding for five to 20

00:25:41.057 --> 00:25:42.338
to 20 times ROI.

00:25:44.401 --> 00:25:46.103
Remove up to 75% of the

00:25:46.143 --> 00:25:47.804
therapist's documentation burden.

00:25:48.265 --> 00:25:49.266
There's a double-edged sword there.

00:25:49.286 --> 00:25:49.806
We'll get to that in a

00:25:49.846 --> 00:25:50.626
second because I know

00:25:51.028 --> 00:25:52.128
clinicians are already thinking about it.

00:25:52.568 --> 00:25:54.270
And reduce risk of audit failure.

00:25:54.290 --> 00:25:55.291
That first and second one,

00:25:55.432 --> 00:25:56.893
optimize CPT coding for 5

00:25:56.893 --> 00:25:59.095
to 20 X ROI and reduce risk

00:25:59.115 --> 00:25:59.756
of audit failure.

00:25:59.776 --> 00:26:01.096
The business owners out there are like,

00:26:02.163 --> 00:26:02.644
Yes, please.

00:26:02.683 --> 00:26:03.604
You have my attention.

00:26:04.184 --> 00:26:05.326
I think the middle bullet,

00:26:05.506 --> 00:26:06.366
which is remove up to 75%

00:26:06.366 --> 00:26:08.147
of therapist documentation time,

00:26:08.188 --> 00:26:09.169
therapists are like, great.

00:26:09.189 --> 00:26:10.069
But then they're like, wait a minute.

00:26:10.230 --> 00:26:11.069
I bet you my boss is just

00:26:11.089 --> 00:26:13.112
going to hit me with a few

00:26:13.132 --> 00:26:13.913
more patients because now

00:26:13.952 --> 00:26:14.673
that I'm more efficient.

00:26:15.173 --> 00:26:16.674
But those three things are

00:26:16.714 --> 00:26:18.135
making people who run clinics,

00:26:18.236 --> 00:26:19.938
organizations who...

00:26:21.238 --> 00:26:22.338
are constantly doing juice

00:26:22.358 --> 00:26:23.319
versus squeeze metrics.

00:26:23.759 --> 00:26:25.801
So those have to be in your

00:26:25.821 --> 00:26:26.602
thought process.

00:26:26.801 --> 00:26:27.823
And I like how we're talking

00:26:27.843 --> 00:26:29.765
about them next, not first, which is,

00:26:29.904 --> 00:26:30.484
is this good?

00:26:30.545 --> 00:26:32.646
Does this help therapists

00:26:33.067 --> 00:26:34.827
reduce their burden, be more accurate,

00:26:34.847 --> 00:26:35.409
all those things?

00:26:35.709 --> 00:26:36.630
But it has to be a good

00:26:36.730 --> 00:26:37.951
business decision as well.

00:26:39.106 --> 00:26:39.307
Yeah,

00:26:39.346 --> 00:26:41.087
you kind of need like a combo approach.

00:26:41.188 --> 00:26:41.847
And I'm really glad you

00:26:41.867 --> 00:26:42.989
called out the CPT thing too,

00:26:43.009 --> 00:26:44.608
because that's one of the

00:26:44.808 --> 00:26:45.750
best examples that

00:26:46.009 --> 00:26:46.910
therapists are doing

00:26:47.450 --> 00:26:48.651
functional activities, you know,

00:26:48.711 --> 00:26:51.311
advanced things and the, you know,

00:26:51.332 --> 00:26:52.271
the codes they may choose

00:26:52.291 --> 00:26:52.893
or the way they do the

00:26:52.992 --> 00:26:54.653
units can leave a lot of opportunity,

00:26:54.792 --> 00:26:55.253
you know, there.

00:26:55.594 --> 00:26:56.634
And what we see is like a

00:26:56.673 --> 00:26:57.815
three to one ratio of like,

00:26:57.835 --> 00:26:58.934
sometimes people are going too high,

00:26:59.234 --> 00:26:59.394
right?

00:26:59.434 --> 00:27:00.556
Like it doesn't justify it

00:27:00.615 --> 00:27:01.135
and you shouldn't.

00:27:01.236 --> 00:27:02.296
And we try to tell you that

00:27:02.336 --> 00:27:03.376
so you can pull it back.

00:27:03.836 --> 00:27:05.660
but way more of the time

00:27:06.020 --> 00:27:07.363
folks are doing work that

00:27:07.383 --> 00:27:07.963
they're not getting

00:27:07.983 --> 00:27:08.945
necessarily reimbursed for

00:27:09.307 --> 00:27:09.887
and you know that's not

00:27:09.928 --> 00:27:11.130
good either right if you're

00:27:11.150 --> 00:27:12.010
doing a lot of work and

00:27:12.030 --> 00:27:12.551
you're doing so much

00:27:12.652 --> 00:27:13.934
training to get to that point

00:27:14.644 --> 00:27:15.545
he should be reimbursed for

00:27:15.565 --> 00:27:16.644
the quality of care that you're giving.

00:27:16.684 --> 00:27:18.425
And so the ability of the

00:27:18.445 --> 00:27:19.226
models to go through and

00:27:19.246 --> 00:27:20.026
like highlight those and

00:27:20.046 --> 00:27:21.145
then show the examples that

00:27:21.165 --> 00:27:22.646
people understand like, oh, wow, you know,

00:27:22.666 --> 00:27:23.807
that is a functional activity.

00:27:23.826 --> 00:27:24.227
That's better.

00:27:24.787 --> 00:27:25.527
And you see better care.

00:27:25.646 --> 00:27:27.607
So we see folks will stay

00:27:27.728 --> 00:27:28.627
longer and you'll get a

00:27:28.708 --> 00:27:30.348
longer plan of care if

00:27:31.128 --> 00:27:32.068
there are more functional

00:27:32.088 --> 00:27:33.068
activities over the course

00:27:33.108 --> 00:27:34.568
of that plan of care, you know,

00:27:34.588 --> 00:27:35.829
like as if they maybe get a

00:27:35.849 --> 00:27:37.069
little bit more bored or

00:27:37.349 --> 00:27:37.950
they don't see maybe as

00:27:37.970 --> 00:27:39.471
much progress if it's just kind of like,

00:27:39.730 --> 00:27:40.971
you know, their ex, their ex, their ex.

00:27:42.011 --> 00:27:42.912
just as an example.

00:27:43.073 --> 00:27:43.873
And we have a presentation

00:27:43.893 --> 00:27:44.894
with some cool graphs on

00:27:44.913 --> 00:27:46.315
that if folks want to look

00:27:46.355 --> 00:27:48.857
on our webinars page.

00:27:49.627 --> 00:27:50.308
I was always taught,

00:27:50.348 --> 00:27:52.049
I remember as a PT student

00:27:52.130 --> 00:27:53.250
looking around and saying, well,

00:27:53.371 --> 00:27:55.653
how I learned to bill or code,

00:27:56.432 --> 00:27:57.253
that was a direct

00:27:57.314 --> 00:27:58.494
representative of the

00:27:58.555 --> 00:27:59.976
clinical instructor I got.

00:28:00.115 --> 00:28:01.176
So it really was sort of the

00:28:01.217 --> 00:28:02.178
roll of the dice where like,

00:28:02.458 --> 00:28:03.398
how do you do things?

00:28:03.459 --> 00:28:04.619
You're sort of a photocopy

00:28:04.660 --> 00:28:05.840
of a photocopy eventually,

00:28:06.381 --> 00:28:07.382
but this is a good way of

00:28:07.721 --> 00:28:09.063
being able to self audit.

00:28:09.143 --> 00:28:10.203
Like we haven't even touched

00:28:10.243 --> 00:28:11.125
on the fact that you can

00:28:11.144 --> 00:28:12.164
now compare yourself

00:28:12.266 --> 00:28:13.666
against yourself as a clinician,

00:28:14.047 --> 00:28:15.488
yourself against benchmarks

00:28:15.548 --> 00:28:16.169
as clinicians,

00:28:16.828 --> 00:28:17.910
This might be able to help

00:28:17.930 --> 00:28:19.332
you if you get stuck in a rut.

00:28:19.352 --> 00:28:19.471
Well,

00:28:19.491 --> 00:28:21.714
we notice you prescribing this activity,

00:28:21.775 --> 00:28:23.136
but this CPG,

00:28:23.156 --> 00:28:23.998
this clinical practice

00:28:24.038 --> 00:28:25.140
guideline from two years

00:28:25.160 --> 00:28:26.902
ago says that this might be

00:28:26.961 --> 00:28:28.364
something that you might consider.

00:28:28.423 --> 00:28:30.727
So it's like having a really, really great,

00:28:30.807 --> 00:28:33.130
hang on, sidekick working with you.

00:28:34.826 --> 00:28:37.127
Yeah, I can't believe, you know,

00:28:37.188 --> 00:28:39.148
we can never see our own blind spots.

00:28:39.549 --> 00:28:40.670
And this is something that

00:28:40.690 --> 00:28:42.991
I've always recognized about myself.

00:28:43.071 --> 00:28:44.511
I remember the first time I

00:28:44.571 --> 00:28:45.613
turned the camera on and

00:28:45.653 --> 00:28:47.054
recorded myself doing an

00:28:47.153 --> 00:28:48.314
initial evaluation.

00:28:48.694 --> 00:28:49.575
That was one of the things I

00:28:49.615 --> 00:28:52.037
loved about having students, student PTs,

00:28:52.076 --> 00:28:53.778
because I had to

00:28:54.077 --> 00:28:55.979
self-analyze what I'm doing.

00:28:56.038 --> 00:28:56.199
Yeah.

00:28:56.558 --> 00:28:57.559
There was a great post on

00:28:57.599 --> 00:28:58.599
one of my Facebook groups

00:28:58.619 --> 00:28:59.361
the other night where

00:28:59.381 --> 00:29:00.821
somebody had said they

00:29:00.842 --> 00:29:01.821
didn't like a particular

00:29:01.882 --> 00:29:03.242
EMR because they had to put

00:29:03.423 --> 00:29:04.403
all of the interventions

00:29:04.443 --> 00:29:05.223
they were going to do in a

00:29:05.263 --> 00:29:07.405
plan of care on day number one.

00:29:07.445 --> 00:29:07.885
And I thought,

00:29:08.546 --> 00:29:10.928
have you not always put all

00:29:10.948 --> 00:29:13.269
of the interventions in the plan of care?

00:29:13.328 --> 00:29:15.790
Like, I know what I'm going to do.

00:29:15.891 --> 00:29:17.271
That's why it's a plan.

00:29:18.192 --> 00:29:18.471
Anyway,

00:29:18.531 --> 00:29:19.933
this person had never done it before.

00:29:19.953 --> 00:29:20.914
This person had never heard

00:29:20.954 --> 00:29:21.634
of this before.

00:29:22.556 --> 00:29:23.676
And I think of therapists

00:29:23.696 --> 00:29:25.239
that I talked to that can't

00:29:25.298 --> 00:29:26.920
see their own blind spots.

00:29:27.500 --> 00:29:29.423
And so Jimmy said it,

00:29:29.462 --> 00:29:30.644
you're a copy of a copy.

00:29:30.663 --> 00:29:31.505
At most,

00:29:31.545 --> 00:29:33.286
you got exposure to a handful of

00:29:33.365 --> 00:29:33.987
therapists.

00:29:34.086 --> 00:29:35.468
Hopefully you got a good one in there.

00:29:36.189 --> 00:29:37.670
something like this gives me

00:29:37.730 --> 00:29:40.030
another set of eyes, another set of ears,

00:29:40.371 --> 00:29:41.730
helps me catch details I

00:29:41.750 --> 00:29:42.392
would have missed,

00:29:42.432 --> 00:29:44.913
helps me anonymize data,

00:29:44.932 --> 00:29:46.432
but helps me compare across

00:29:46.593 --> 00:29:47.953
so much information that I

00:29:48.013 --> 00:29:48.913
never would have known.

00:29:49.494 --> 00:29:50.575
And so I'm sure we've all

00:29:50.595 --> 00:29:51.715
had this conversation.

00:29:51.776 --> 00:29:52.016
Well,

00:29:52.355 --> 00:29:53.516
if the patient's having trouble

00:29:53.576 --> 00:29:55.116
feeding and they're flexing

00:29:55.156 --> 00:29:57.157
their elbow and bringing hand to mouth,

00:29:57.678 --> 00:29:58.759
It could be therapeutic

00:29:58.858 --> 00:29:59.798
activity or it could be

00:29:59.858 --> 00:30:01.359
therapeutic exercise, right?

00:30:01.420 --> 00:30:02.500
There's a huge difference in

00:30:02.540 --> 00:30:03.681
the reimbursement there.

00:30:04.260 --> 00:30:05.481
But if we don't have an

00:30:05.561 --> 00:30:06.962
understanding of what's the

00:30:07.042 --> 00:30:09.124
intent of therapeutic activity,

00:30:09.163 --> 00:30:11.404
what's the intent of therapeutic exercise,

00:30:11.904 --> 00:30:12.945
clinicians are just out

00:30:12.986 --> 00:30:14.346
there doing what they do best,

00:30:14.385 --> 00:30:15.086
but they're not

00:30:15.446 --> 00:30:16.126
understanding the

00:30:16.146 --> 00:30:17.907
monetization behind the scenes.

00:30:18.548 --> 00:30:19.189
So, you know,

00:30:19.269 --> 00:30:20.128
these are the kinds of

00:30:20.189 --> 00:30:21.109
problems that it sounds

00:30:21.150 --> 00:30:22.410
like you guys are solving.

00:30:22.849 --> 00:30:23.711
That being said,

00:30:23.730 --> 00:30:25.912
I am genuinely curious about,

00:30:26.332 --> 00:30:28.134
What are some success stories?

00:30:28.233 --> 00:30:29.674
What are some special cases

00:30:29.734 --> 00:30:30.895
that you've had over the

00:30:30.935 --> 00:30:32.737
years that kind of stand out to you,

00:30:32.836 --> 00:30:34.057
not mentioning any names?

00:30:34.498 --> 00:30:35.118
You're like, yeah,

00:30:35.199 --> 00:30:36.680
this person was dealing with this.

00:30:36.740 --> 00:30:37.339
And then, you know,

00:30:37.380 --> 00:30:38.280
we helped them with that.

00:30:38.340 --> 00:30:39.461
And now all of a sudden this

00:30:39.501 --> 00:30:40.162
was the outcome.

00:30:42.163 --> 00:30:44.265
So we've got a lot of really

00:30:44.285 --> 00:30:46.106
great examples across the board.

00:30:46.946 --> 00:30:49.769
One of our earliest alpha testers,

00:30:49.788 --> 00:30:50.470
when we started doing the

00:30:50.690 --> 00:30:51.830
documentation thing, for example,

00:30:53.116 --> 00:30:54.057
You know, he's overall, you know,

00:30:54.096 --> 00:30:54.676
doing a good job,

00:30:55.077 --> 00:30:56.278
but still doing notes on

00:30:56.417 --> 00:30:57.417
evenings and on weekends.

00:30:57.637 --> 00:30:58.558
And it was something in the range of,

00:30:58.578 --> 00:31:00.398
I think of like 9% of the time, you know,

00:31:00.479 --> 00:31:02.180
he's doing this, this documentation,

00:31:02.220 --> 00:31:02.859
you know, way later.

00:31:03.599 --> 00:31:05.861
And having the, even the,

00:31:05.901 --> 00:31:06.780
just the text only tool,

00:31:06.800 --> 00:31:07.701
but then we added the audio

00:31:07.740 --> 00:31:08.942
tool for him as well,

00:31:09.402 --> 00:31:11.603
able to basically get 98,

00:31:11.603 --> 00:31:14.042
99% of his notes done within 24 hours,

00:31:14.083 --> 00:31:15.903
you know, not, not on weekends, not on.

00:31:16.403 --> 00:31:18.428
on evenings and that was a

00:31:18.488 --> 00:31:20.049
huge qualitative jump.

00:31:20.069 --> 00:31:21.010
That's what he kept highlighting.

00:31:21.030 --> 00:31:21.231
He's like,

00:31:21.372 --> 00:31:22.614
I get home and I don't have the things.

00:31:22.653 --> 00:31:23.996
I'm not catching up on documentation.

00:31:24.036 --> 00:31:25.178
I'm leaving and I have it done.

00:31:26.199 --> 00:31:28.563
Just the happiness in his voice,

00:31:28.682 --> 00:31:30.265
sharing that and reducing

00:31:30.305 --> 00:31:31.807
that burden because burnout,

00:31:32.830 --> 00:31:34.332
largely driven by documentation,

00:31:34.352 --> 00:31:35.311
all these like admin tasks

00:31:35.332 --> 00:31:35.873
that you have to do.

00:31:35.913 --> 00:31:37.113
It doesn't feel rewarding

00:31:37.133 --> 00:31:37.993
and satisfying to have to

00:31:38.034 --> 00:31:39.134
do all this typing for things,

00:31:39.473 --> 00:31:40.575
for work that you've already done,

00:31:40.654 --> 00:31:41.815
for patients you already helped, right?

00:31:41.954 --> 00:31:42.635
Right.

00:31:42.955 --> 00:31:43.615
So that was a really,

00:31:43.635 --> 00:31:44.477
really rewarding one.

00:31:44.497 --> 00:31:46.958
And then on like the compliance side,

00:31:46.978 --> 00:31:48.258
we've seen people shift

00:31:48.278 --> 00:31:49.699
their CPT coding really effectively.

00:31:49.739 --> 00:31:52.740
We've seen some like really like, you know,

00:31:52.740 --> 00:31:53.461
50% TheraX,

00:31:53.500 --> 00:31:54.942
maybe even more that folks

00:31:54.961 --> 00:31:55.642
have been able to get a

00:31:55.701 --> 00:31:56.701
much better distribution of

00:31:56.721 --> 00:31:57.903
their TheraX and TheraAct

00:31:58.722 --> 00:31:59.564
and their neuromuscular

00:31:59.683 --> 00:32:01.644
education codes as well, which is great.

00:32:02.737 --> 00:32:03.738
it's I think a credit to the

00:32:03.817 --> 00:32:05.359
entire industry is that therapists,

00:32:05.980 --> 00:32:08.363
they're competitive at times,

00:32:08.403 --> 00:32:09.324
which is really good to see,

00:32:09.624 --> 00:32:10.744
but they really wanna improve.

00:32:10.845 --> 00:32:11.625
And when you give them a

00:32:11.685 --> 00:32:12.426
number that they can

00:32:12.507 --> 00:32:13.448
optimize and improve,

00:32:14.304 --> 00:32:15.105
And we've seen this with

00:32:15.505 --> 00:32:17.426
countless practice owners where it's like,

00:32:17.446 --> 00:32:18.387
oh, I want to see my scores.

00:32:18.407 --> 00:32:19.469
I want my notes to be better.

00:32:20.509 --> 00:32:22.332
And that tracking,

00:32:22.352 --> 00:32:23.893
that result and seeing that they improve,

00:32:23.913 --> 00:32:24.513
seeing that they sort of

00:32:24.693 --> 00:32:26.515
then better distribute

00:32:26.555 --> 00:32:27.316
their codes they really

00:32:27.355 --> 00:32:28.557
like and seeing compliance

00:32:28.596 --> 00:32:29.999
improvements as well across

00:32:30.038 --> 00:32:30.959
even really large sites.

00:32:31.019 --> 00:32:31.900
So we have some larger sites

00:32:31.920 --> 00:32:32.540
where they've done these

00:32:32.601 --> 00:32:33.781
education efforts and

00:32:33.981 --> 00:32:35.963
everyone gets like a, what do you call it,

00:32:36.003 --> 00:32:36.585
a snapshot,

00:32:36.744 --> 00:32:37.826
kind of like a scorecard type

00:32:37.846 --> 00:32:38.926
thing so they can see how they're doing.

00:32:40.227 --> 00:32:41.127
And the entire organization,

00:32:41.147 --> 00:32:42.607
like a 15% improvement in

00:32:42.627 --> 00:32:43.648
their compliance score from

00:32:43.669 --> 00:32:46.609
like a 60 something up into the 70s.

00:32:46.670 --> 00:32:48.131
And like an 80 is already plenty enough.

00:32:48.230 --> 00:32:49.510
That's the thing we have to remind people,

00:32:49.570 --> 00:32:50.692
again, because of the competitiveness.

00:32:51.071 --> 00:32:52.092
Folks want to go for that 100.

00:32:52.412 --> 00:32:54.192
But like once you're above 80,

00:32:54.192 --> 00:32:55.534
like you're in a really good spot,

00:32:55.614 --> 00:32:56.534
you know,

00:32:56.614 --> 00:32:58.654
like 80 to 90 range because

00:32:58.714 --> 00:33:00.296
you're largely justifying your care.

00:33:00.316 --> 00:33:01.316
You're doing a really, really good job.

00:33:01.576 --> 00:33:02.655
You don't have to go, you know,

00:33:02.695 --> 00:33:03.596
and spend all that extra

00:33:03.656 --> 00:33:05.217
effort to get to the perfect 100.

00:33:05.217 --> 00:33:06.137
But we do see some people

00:33:06.157 --> 00:33:06.758
where they're just like,

00:33:06.857 --> 00:33:07.818
I want to get a perfect score.

00:33:07.858 --> 00:33:08.338
It's like, well,

00:33:09.618 --> 00:33:10.679
You're in the green zone.

00:33:10.699 --> 00:33:11.440
You're totally good.

00:33:11.539 --> 00:33:13.920
Like you don't have to go nuts about it,

00:33:13.940 --> 00:33:14.760
right?

00:33:14.820 --> 00:33:15.121
But anyway,

00:33:15.161 --> 00:33:15.701
those are a couple of the

00:33:15.721 --> 00:33:16.861
examples that really stick out.

00:33:17.221 --> 00:33:18.162
You want to do better.

00:33:18.402 --> 00:33:19.422
You want to do faster,

00:33:19.461 --> 00:33:20.102
but you want to know that

00:33:20.122 --> 00:33:21.502
you're being safe too, right?

00:33:21.563 --> 00:33:22.262
I mean, how many times,

00:33:23.323 --> 00:33:24.403
I have no data on this.

00:33:24.644 --> 00:33:25.703
I'm sure Pedro can pull this

00:33:25.784 --> 00:33:27.204
out now or sometime in the future,

00:33:27.224 --> 00:33:29.444
but how many times a therapist,

00:33:29.945 --> 00:33:31.705
if it was a jump ball on

00:33:31.766 --> 00:33:32.625
how I should bill,

00:33:33.366 --> 00:33:34.686
they would opt for the safer,

00:33:34.727 --> 00:33:36.248
lower amount because I just

00:33:36.288 --> 00:33:37.228
would rather be safe.

00:33:38.362 --> 00:33:39.383
I'd rather be accurate,

00:33:39.423 --> 00:33:41.144
but this lets you take that

00:33:41.365 --> 00:33:43.807
subjectivity and put objectivity to it.

00:33:44.507 --> 00:33:45.828
I'm now putting other pain

00:33:45.888 --> 00:33:46.868
points to clinic owners.

00:33:46.888 --> 00:33:49.531
I'm still on the business owner aspect.

00:33:50.071 --> 00:33:50.732
Tony,

00:33:50.893 --> 00:33:52.273
you probably have a statistic or you

00:33:52.294 --> 00:33:53.454
know this as a business

00:33:53.494 --> 00:33:55.036
owner in terms of talent

00:33:55.136 --> 00:33:57.377
acquisition and talent retention.

00:33:57.818 --> 00:33:58.700
If you have somebody who in

00:33:58.740 --> 00:33:59.861
the beginning three months

00:33:59.921 --> 00:34:00.922
is underperforming,

00:34:02.041 --> 00:34:02.642
I'm going to have to put a

00:34:02.682 --> 00:34:03.742
lot of effort to get that

00:34:03.782 --> 00:34:05.564
person up to speed to keep

00:34:05.624 --> 00:34:07.144
them because finding them as a cost,

00:34:07.224 --> 00:34:08.065
retaining them as a cost,

00:34:08.505 --> 00:34:09.586
it sounds as if this is

00:34:09.646 --> 00:34:11.088
going to clearly help that

00:34:11.148 --> 00:34:12.548
clinic owner identify where

00:34:12.608 --> 00:34:13.548
that person is falling

00:34:13.628 --> 00:34:15.030
short or where that person

00:34:15.090 --> 00:34:16.690
is just not hitting the marks.

00:34:17.271 --> 00:34:18.172
It's going to save costs

00:34:18.192 --> 00:34:18.853
because you might not have

00:34:18.873 --> 00:34:19.713
to replace that person.

00:34:19.733 --> 00:34:21.193
It might have been one little tweak,

00:34:21.594 --> 00:34:22.335
but as a business owner,

00:34:22.355 --> 00:34:23.795
you can't sit over their shoulder.

00:34:23.835 --> 00:34:25.056
You can't be their sidekick

00:34:25.476 --> 00:34:26.476
in their first three months

00:34:26.516 --> 00:34:28.038
in that onboarding procedure,

00:34:28.739 --> 00:34:30.380
but a product like this can.

00:34:31.121 --> 00:34:31.561
What's the thing?

00:34:31.880 --> 00:34:33.422
You just read my mind, Jimmy.

00:34:34.822 --> 00:34:35.762
The next thing that I wanted

00:34:35.782 --> 00:34:36.943
to ask you about, Pedro,

00:34:37.003 --> 00:34:39.282
was how this kind of

00:34:39.342 --> 00:34:42.364
technology is affecting recruitment,

00:34:42.583 --> 00:34:44.664
hiring, talent acquisition,

00:34:45.925 --> 00:34:47.646
because I know that's one of the things,

00:34:47.925 --> 00:34:49.005
and this is going way back

00:34:49.005 --> 00:34:50.126
20 plus years when we

00:34:50.146 --> 00:34:51.726
started our physical therapy practice.

00:34:51.786 --> 00:34:52.266
I remember

00:34:52.927 --> 00:34:54.951
a great physical therapist assistant,

00:34:55.072 --> 00:34:55.713
one of the best,

00:34:56.114 --> 00:34:57.817
said the main reason why he

00:34:57.876 --> 00:34:59.139
loves working for us so much,

00:34:59.199 --> 00:34:59.961
even though he got paid

00:35:00.041 --> 00:35:02.226
more working PRN at other facilities,

00:35:02.666 --> 00:35:03.949
was because we allowed him

00:35:04.710 --> 00:35:05.610
to control the music.

00:35:06.150 --> 00:35:07.851
He could play whatever music

00:35:07.871 --> 00:35:10.773
he wanted in the clinic any time of day.

00:35:11.373 --> 00:35:12.434
Fast forward now,

00:35:13.713 --> 00:35:14.994
I know therapists that are

00:35:15.094 --> 00:35:16.074
choosing to work for

00:35:16.135 --> 00:35:17.516
organizations because of

00:35:17.576 --> 00:35:18.876
their documentation system

00:35:19.317 --> 00:35:20.476
and choosing not to work

00:35:20.516 --> 00:35:21.717
for organizations because

00:35:21.757 --> 00:35:23.539
of other documentation systems.

00:35:24.199 --> 00:35:25.219
I put a poll out,

00:35:25.219 --> 00:35:27.021
93% of the people who

00:35:27.101 --> 00:35:29.902
answered my poll said, yes, AI,

00:35:29.983 --> 00:35:30.923
scribe technology,

00:35:31.003 --> 00:35:31.864
all of this stuff is going

00:35:31.885 --> 00:35:33.226
to be a major component in

00:35:33.385 --> 00:35:35.067
new talent acquisition

00:35:35.688 --> 00:35:37.088
moving into the future.

00:35:37.528 --> 00:35:38.809
Have you guys, Jimmy,

00:35:38.829 --> 00:35:40.311
you look like you're about to burst.

00:35:40.411 --> 00:35:41.050
Either of you guys,

00:35:41.110 --> 00:35:41.871
have you heard anything,

00:35:41.931 --> 00:35:42.773
said anything about this?

00:35:43.193 --> 00:35:44.574
Pedro, let me just interject before you go,

00:35:44.614 --> 00:35:45.755
and I hope you have, because it's like,

00:35:45.815 --> 00:35:46.896
do you want to work for a place?

00:35:47.115 --> 00:35:48.336
We got chopped wood.

00:35:48.356 --> 00:35:49.458
Do you want to use an ax or a chainsaw?

00:35:51.559 --> 00:35:51.838
Right.

00:35:51.938 --> 00:35:52.360
So, of course,

00:35:52.380 --> 00:35:53.340
you want to use the chainsaw.

00:35:53.380 --> 00:35:54.601
And that's sort of how I feel.

00:35:54.621 --> 00:35:56.844
So, Pedro, what have you seen?

00:35:57.184 --> 00:35:58.585
This is a value add, right?

00:35:59.045 --> 00:35:59.405
Yeah.

00:35:59.766 --> 00:36:02.128
This is a huge issue for folks.

00:36:02.268 --> 00:36:04.251
And it's just been sort of

00:36:04.291 --> 00:36:05.652
magnifying over the last three,

00:36:05.692 --> 00:36:07.333
four years for a lot of reasons.

00:36:07.873 --> 00:36:09.054
And the cost,

00:36:09.094 --> 00:36:09.976
we were doing some estimates.

00:36:10.056 --> 00:36:11.077
If you lose a therapist,

00:36:11.177 --> 00:36:12.157
it's on the order of like over $50,000.

00:36:12.157 --> 00:36:12.237
Why?

00:36:14.599 --> 00:36:16.201
like how much patients that

00:36:16.221 --> 00:36:16.961
aren't being seen that

00:36:16.981 --> 00:36:17.543
otherwise would have been

00:36:17.563 --> 00:36:19.264
seen your time to rehire them.

00:36:19.684 --> 00:36:20.324
If you're recruiting,

00:36:20.344 --> 00:36:21.925
there's cost of that time

00:36:21.945 --> 00:36:23.047
that you have to spend interviewing.

00:36:23.166 --> 00:36:24.487
So it's very rapidly getting

00:36:24.507 --> 00:36:26.070
into a huge sounding number, right?

00:36:26.610 --> 00:36:28.010
Yeah.

00:36:28.612 --> 00:36:29.793
We roughly did the number and it's like,

00:36:30.452 --> 00:36:32.434
If you just save one therapist,

00:36:32.634 --> 00:36:34.414
it pays for an entire year

00:36:34.494 --> 00:36:36.795
for 36 therapists for Sidekiq,

00:36:36.855 --> 00:36:37.396
as an example,

00:36:37.416 --> 00:36:38.195
because the magnitude of

00:36:38.235 --> 00:36:39.896
the problem is just so high, right?

00:36:41.137 --> 00:36:41.936
And so then we've had

00:36:41.996 --> 00:36:43.217
organizations just bring it up like, hey,

00:36:43.237 --> 00:36:44.458
do you guys have recruiting materials?

00:36:44.697 --> 00:36:45.878
Can you give us some stuff

00:36:45.938 --> 00:36:46.639
and some videos?

00:36:47.179 --> 00:36:48.260
We recorded one for one of

00:36:48.320 --> 00:36:49.760
our sites where we have a

00:36:49.820 --> 00:36:51.820
current user who just said

00:36:52.041 --> 00:36:52.742
how it's helping him so

00:36:52.762 --> 00:36:53.601
that they can provide that

00:36:53.641 --> 00:36:54.822
as part of their recruiting materials.

00:36:54.862 --> 00:36:56.123
Like, hey, we have prediction health,

00:36:56.202 --> 00:36:58.403
and you get to use Sidekiq at our site.

00:36:59.364 --> 00:37:00.985
And like, you know,

00:37:01.786 --> 00:37:02.646
we admittedly like they

00:37:02.666 --> 00:37:03.807
thought about it first, right?

00:37:03.867 --> 00:37:04.989
And then they told us like, oh, man,

00:37:05.009 --> 00:37:05.510
that's awesome.

00:37:05.530 --> 00:37:07.472
That's a huge lever that we can provide.

00:37:07.512 --> 00:37:08.172
So then, yeah, you know,

00:37:08.192 --> 00:37:09.373
like we'll happily provide

00:37:09.393 --> 00:37:10.795
videos and materials so

00:37:10.835 --> 00:37:11.596
folks can see that this is

00:37:11.635 --> 00:37:12.376
an option at your site.

00:37:12.416 --> 00:37:12.476
And

00:37:14.563 --> 00:37:16.164
I know I would consider,

00:37:16.184 --> 00:37:17.425
how are you going to document?

00:37:17.465 --> 00:37:18.025
What's the EMR?

00:37:18.045 --> 00:37:19.487
What's my day-to-day going to be like?

00:37:19.527 --> 00:37:20.487
And the tool that you use,

00:37:21.228 --> 00:37:21.847
it influences it.

00:37:21.927 --> 00:37:22.449
I mean, again,

00:37:22.489 --> 00:37:23.349
that's why I ended up

00:37:23.688 --> 00:37:24.650
building stuff was because

00:37:24.710 --> 00:37:25.951
I was just so frustrated with like,

00:37:26.271 --> 00:37:26.931
these are the tools that I

00:37:26.951 --> 00:37:27.451
have to work with?

00:37:27.490 --> 00:37:28.152
We can do better.

00:37:28.172 --> 00:37:30.753
And I did this for now

00:37:30.833 --> 00:37:32.233
almost eight years because

00:37:32.253 --> 00:37:33.114
that was so important to me.

00:37:33.514 --> 00:37:34.355
So I'm not surprised other

00:37:34.375 --> 00:37:35.076
people are going to use it

00:37:35.115 --> 00:37:38.016
in their job selection, hiring,

00:37:38.056 --> 00:37:38.898
recruiting decisions.

00:37:39.277 --> 00:37:40.378
But in Tony's example,

00:37:40.418 --> 00:37:41.480
that PTA stuck around

00:37:41.500 --> 00:37:42.601
because they understood the

00:37:42.641 --> 00:37:43.902
value of having some place

00:37:43.942 --> 00:37:45.503
that my minute to minute is better.

00:37:46.204 --> 00:37:47.324
So maybe I'm short a couple

00:37:47.364 --> 00:37:48.606
hundred bucks at the end of the year,

00:37:48.626 --> 00:37:49.065
right?

00:37:49.106 --> 00:37:51.208
Maybe, but the juice is worth the squeeze.

00:37:51.248 --> 00:37:52.248
So what is my day?

00:37:52.568 --> 00:37:53.650
What does it feel like when

00:37:53.690 --> 00:37:54.690
I walk out across the

00:37:54.710 --> 00:37:56.192
parking lot at five o'clock, right?

00:37:56.211 --> 00:37:57.353
Do I feel like I made an impact?

00:37:57.693 --> 00:37:58.934
Do I feel burned out?

00:37:59.974 --> 00:38:00.896
It feels like this type of

00:38:00.936 --> 00:38:02.237
technology is going to help

00:38:03.516 --> 00:38:04.516
Maybe we don't say all those things,

00:38:04.556 --> 00:38:06.518
but most of the things that were,

00:38:06.538 --> 00:38:08.237
you know, I've said before, you know,

00:38:08.277 --> 00:38:10.438
Empower EMR is a sponsor of my podcast.

00:38:10.498 --> 00:38:10.717
I said,

00:38:11.277 --> 00:38:12.858
don't you want to like the tool

00:38:13.119 --> 00:38:14.438
that you interact with more

00:38:14.478 --> 00:38:16.498
than likely more than a goniometer?

00:38:16.539 --> 00:38:17.719
You're touching your EMR

00:38:17.818 --> 00:38:19.440
more than you're touching a goniometer,

00:38:19.480 --> 00:38:20.860
more than you're touching, you know,

00:38:20.880 --> 00:38:21.420
a tape measure,

00:38:21.460 --> 00:38:22.460
more than touching a lot of things.

00:38:23.199 --> 00:38:24.400
You should like that thing.

00:38:24.440 --> 00:38:26.340
It should empower you.

00:38:26.440 --> 00:38:27.201
It shouldn't be heavy.

00:38:27.221 --> 00:38:28.840
It should be easy to use and intuitive.

00:38:28.880 --> 00:38:29.681
And it sounds like that's

00:38:29.722 --> 00:38:30.802
the direction that these

00:38:30.842 --> 00:38:32.081
types of technologies are going.

00:38:32.101 --> 00:38:32.501
Yeah.

00:38:33.146 --> 00:38:33.927
Kelly has a really good

00:38:33.987 --> 00:38:34.987
quote because she's a therapist.

00:38:35.068 --> 00:38:37.028
And she says when she got a

00:38:37.068 --> 00:38:38.230
chance to use a tool like this,

00:38:38.889 --> 00:38:39.831
that instead of having a

00:38:39.871 --> 00:38:41.112
new patient come in and thinking, oh,

00:38:41.251 --> 00:38:42.833
another initial eval I have to write,

00:38:43.172 --> 00:38:43.972
she said, hey,

00:38:44.454 --> 00:38:45.514
this is now an opportunity

00:38:45.534 --> 00:38:47.635
for me to use my clinical

00:38:47.655 --> 00:38:48.675
skills and solve some

00:38:48.695 --> 00:38:49.376
problems to figure out how

00:38:49.396 --> 00:38:50.077
to take care of this patient.

00:38:50.317 --> 00:38:51.878
And that switch in mindset,

00:38:52.077 --> 00:38:52.918
it was so much easier.

00:38:52.938 --> 00:38:54.438
That was so rewarding to hear about.

00:38:55.699 --> 00:38:56.400
Just before the call, I mean,

00:38:56.420 --> 00:38:57.481
I don't know if you can tell,

00:38:57.501 --> 00:38:58.161
I'm a little sweaty.

00:38:58.181 --> 00:38:59.061
I got paint all over me.

00:38:59.920 --> 00:39:01.202
Doing some renovations on the house,

00:39:01.242 --> 00:39:02.101
but the minute you're like,

00:39:02.161 --> 00:39:03.161
I need this tool,

00:39:03.242 --> 00:39:04.202
and you go to Lowe's or

00:39:04.242 --> 00:39:05.282
Home Depot and you get one,

00:39:05.682 --> 00:39:06.543
but now you sort of look

00:39:06.603 --> 00:39:07.304
around and you're like,

00:39:07.364 --> 00:39:09.384
where else can I use the new toy, right?

00:39:09.423 --> 00:39:11.364
So it's this eagerness to say,

00:39:11.385 --> 00:39:13.186
I understand what this does

00:39:13.226 --> 00:39:14.405
in this one situation.

00:39:14.985 --> 00:39:17.007
Okay, but wait, oh, hang on a second.

00:39:17.027 --> 00:39:18.706
I can use it these 10 different places,

00:39:19.307 --> 00:39:20.507
and then you get better at

00:39:20.628 --> 00:39:21.407
using the tool.

00:39:21.987 --> 00:39:22.869
But here's the thing.

00:39:23.822 --> 00:39:24.784
the tool that I use to

00:39:24.844 --> 00:39:25.806
renovate my house doesn't

00:39:25.846 --> 00:39:27.288
get smarter the more I use it.

00:39:27.827 --> 00:39:29.751
It feels like this technology does.

00:39:29.931 --> 00:39:32.954
And that's, that's sidekicky to me is,

00:39:32.994 --> 00:39:34.097
which is like, Oh, did you,

00:39:34.157 --> 00:39:34.998
have you thought about,

00:39:35.018 --> 00:39:36.139
and that's a relationship.

00:39:37.320 --> 00:39:38.202
Now let's go down that

00:39:38.262 --> 00:39:39.304
rabbit hole just a little

00:39:39.344 --> 00:39:40.284
bit because something else

00:39:40.304 --> 00:39:41.126
that I've mentioned

00:39:41.266 --> 00:39:44.010
publicly is before these

00:39:44.050 --> 00:39:45.532
kinds of technologies came around,

00:39:46.112 --> 00:39:47.976
we did things the way we did things.

00:39:48.436 --> 00:39:49.617
But now all of a sudden we

00:39:49.657 --> 00:39:51.039
have new doors that are open.

00:39:51.159 --> 00:39:52.442
One of the things that I've

00:39:52.501 --> 00:39:54.023
always personally been a fan of

00:39:54.565 --> 00:39:55.485
I love patient care.

00:39:55.525 --> 00:39:56.967
I love evaluating patients.

00:39:57.007 --> 00:39:58.086
But I feel like the greatest

00:39:58.146 --> 00:39:59.768
value that I could deliver today,

00:39:59.768 --> 00:40:01.628
22 years into my career,

00:40:02.289 --> 00:40:03.610
is to help patients who

00:40:03.650 --> 00:40:05.030
don't need physical therapy.

00:40:05.331 --> 00:40:07.393
They don't need a 12-visit plan of care.

00:40:07.672 --> 00:40:09.173
They just need a little reassurance.

00:40:09.213 --> 00:40:10.514
They need somebody with a

00:40:10.554 --> 00:40:11.635
professional eye and lots

00:40:11.675 --> 00:40:12.896
of experience to say, you know what?

00:40:13.235 --> 00:40:13.956
This is normal.

00:40:13.996 --> 00:40:14.697
This is normal.

00:40:14.777 --> 00:40:15.757
I see no red flags.

00:40:15.777 --> 00:40:16.818
You're going to do amazing.

00:40:17.159 --> 00:40:18.679
Check back in with me if you need me.

00:40:19.199 --> 00:40:20.300
And historically...

00:40:21.221 --> 00:40:23.062
The therapist who would spend 40,

00:40:23.062 --> 00:40:25.085
50 minutes doing an evaluation,

00:40:25.125 --> 00:40:27.025
another 30 minutes writing up a report,

00:40:27.085 --> 00:40:28.126
doing all of this stuff,

00:40:28.708 --> 00:40:30.570
couldn't easily access

00:40:30.650 --> 00:40:32.331
those single visit plans of

00:40:32.391 --> 00:40:33.692
care because it was too

00:40:33.751 --> 00:40:34.994
cumbersome to get it done.

00:40:35.353 --> 00:40:36.414
But now that I have an

00:40:36.494 --> 00:40:38.916
assistant who is listening,

00:40:39.036 --> 00:40:40.077
who is documenting,

00:40:40.137 --> 00:40:41.378
who understands the minimum

00:40:41.418 --> 00:40:42.940
requirement for payment

00:40:42.981 --> 00:40:45.003
threshold of the evaluation and

00:40:45.643 --> 00:40:47.224
Now I could do a really

00:40:47.304 --> 00:40:49.427
simple 20 minute eval just to say, hey,

00:40:49.487 --> 00:40:50.869
peace of mind, you're going to do great.

00:40:51.210 --> 00:40:52.630
Do these two exercises.

00:40:53.032 --> 00:40:54.853
Check up with me in a month if you need me,

00:40:54.893 --> 00:40:55.474
but I don't even think

00:40:55.494 --> 00:40:56.215
you're going to need to.

00:40:56.635 --> 00:40:58.498
Now that opens a new stream of revenue.

00:40:58.557 --> 00:40:59.880
This is a new referral source.

00:40:59.920 --> 00:41:01.742
That person now is a raving fan.

00:41:02.101 --> 00:41:03.222
Because I didn't tie them

00:41:03.302 --> 00:41:05.244
into a 24 visit plan of care.

00:41:05.264 --> 00:41:06.644
And when they have their next problem,

00:41:07.065 --> 00:41:07.846
they're going to come back

00:41:07.885 --> 00:41:08.985
to me or they're going to

00:41:09.025 --> 00:41:10.387
send family and friends.

00:41:10.847 --> 00:41:13.188
Like there are so many little things,

00:41:13.268 --> 00:41:14.409
little doors that I see

00:41:14.489 --> 00:41:16.391
opening up with these kinds

00:41:16.451 --> 00:41:17.851
of technologies that aren't

00:41:17.911 --> 00:41:19.213
even on the therapist's radar.

00:41:19.992 --> 00:41:21.255
And that's where you go back.

00:41:21.514 --> 00:41:22.936
You look at ChatGPT when it

00:41:22.976 --> 00:41:23.958
was first introduced.

00:41:24.038 --> 00:41:24.978
Everybody freaked out.

00:41:24.998 --> 00:41:26.481
We're going to take away all your jobs.

00:41:27.001 --> 00:41:28.382
But then writers figured out

00:41:28.423 --> 00:41:29.525
how to use it to make them

00:41:29.565 --> 00:41:30.385
more productive.

00:41:30.425 --> 00:41:31.768
It opened new opportunities.

00:41:32.387 --> 00:41:34.990
I live in ChatGPT 4.0 every single day.

00:41:35.032 --> 00:41:35.532
I'm using it.

00:41:35.592 --> 00:41:36.472
My wife's using it.

00:41:36.512 --> 00:41:37.474
My kids are using it.

00:41:38.074 --> 00:41:40.818
Like we don't even know the

00:41:41.079 --> 00:41:42.360
way your technology is

00:41:42.380 --> 00:41:43.561
going to help us five years

00:41:43.601 --> 00:41:44.081
down the road.

00:41:44.262 --> 00:41:47.085
We cannot see what it's going to do,

00:41:47.646 --> 00:41:49.047
but I guarantee it's going

00:41:49.068 --> 00:41:50.168
to open so many doors.

00:41:50.690 --> 00:41:52.130
I know we're getting close to the end.

00:41:52.672 --> 00:41:53.012
Jimmy,

00:41:53.253 --> 00:41:54.873
any kind of thoughts or final

00:41:54.914 --> 00:41:55.996
questions you want to ask

00:41:56.056 --> 00:41:57.557
before we head home?

00:41:58.594 --> 00:42:00.336
We're recording this on June 13th, 2024.

00:42:01.617 --> 00:42:03.719
And my hope is in, I mean,

00:42:03.780 --> 00:42:04.641
one of them in five years,

00:42:04.681 --> 00:42:05.400
but in a couple of years,

00:42:05.460 --> 00:42:07.583
we're just hindsight is so

00:42:07.643 --> 00:42:10.126
perfect that we're going to say, wow, duh,

00:42:10.706 --> 00:42:11.527
they were really questioning.

00:42:11.726 --> 00:42:12.708
They didn't see that,

00:42:12.728 --> 00:42:14.148
that thing that's so obvious now,

00:42:14.269 --> 00:42:15.190
three years from now.

00:42:15.891 --> 00:42:16.510
So, Pedro,

00:42:16.550 --> 00:42:17.692
what what are the things that

00:42:17.972 --> 00:42:19.012
that that you're seeing

00:42:19.032 --> 00:42:20.034
that are the I call them

00:42:20.153 --> 00:42:21.153
eyebrow moments when you

00:42:21.193 --> 00:42:22.454
explain to someone like me

00:42:22.514 --> 00:42:24.235
who gets that this is a tool,

00:42:24.275 --> 00:42:25.797
but we're not elbow deep like you.

00:42:26.117 --> 00:42:28.378
It's this eyebrow moment like, oh, yeah,

00:42:28.838 --> 00:42:29.798
I consider myself a little

00:42:29.840 --> 00:42:30.719
bit on the right side of

00:42:30.739 --> 00:42:31.860
the bell curve because like Tony,

00:42:31.880 --> 00:42:33.001
I'm using a lot,

00:42:33.041 --> 00:42:34.041
but I'm not as I'm not

00:42:34.061 --> 00:42:34.742
trying to say I'm as deep

00:42:34.782 --> 00:42:36.282
as people who are building

00:42:36.322 --> 00:42:36.804
things with it.

00:42:37.304 --> 00:42:39.527
but what's the thing that one thing,

00:42:39.586 --> 00:42:39.788
right?

00:42:39.887 --> 00:42:40.789
A prediction of like,

00:42:40.809 --> 00:42:41.971
we haven't even really

00:42:42.050 --> 00:42:43.032
talked about it yet.

00:42:43.552 --> 00:42:44.074
That's going to be

00:42:44.134 --> 00:42:45.235
commonplace in something

00:42:45.275 --> 00:42:45.996
like three years.

00:42:48.039 --> 00:42:49.981
I think that on that timescale, um,

00:42:50.822 --> 00:42:53.322
that you're going to have this way that,

00:42:53.864 --> 00:42:54.123
right now,

00:42:54.164 --> 00:42:55.463
if you want to pick the best

00:42:55.503 --> 00:42:56.824
thing for your patient,

00:42:57.164 --> 00:42:58.306
and imagine you had all the

00:42:58.346 --> 00:42:58.806
time in the world.

00:42:59.306 --> 00:43:00.907
You would go and you'd read

00:43:00.927 --> 00:43:01.668
all these papers,

00:43:01.728 --> 00:43:02.728
and you'd ask a bunch of people.

00:43:02.748 --> 00:43:04.009
You'd ask all your fellow

00:43:04.208 --> 00:43:05.208
expert clinicians.

00:43:05.650 --> 00:43:06.949
And you would do this,

00:43:07.010 --> 00:43:08.351
and you'd figure out what

00:43:08.690 --> 00:43:09.512
you could do for that

00:43:09.532 --> 00:43:11.373
patient that maybe is the absolute best.

00:43:11.572 --> 00:43:12.233
And right now, though,

00:43:12.293 --> 00:43:13.414
you don't have infinite time.

00:43:13.813 --> 00:43:14.494
You don't have time to go

00:43:14.554 --> 00:43:15.275
read all the papers.

00:43:15.295 --> 00:43:16.875
No one can read all the papers.

00:43:17.155 --> 00:43:17.755
And you don't have time to

00:43:17.815 --> 00:43:18.596
ask all these clinical

00:43:18.735 --> 00:43:19.677
folks what would happen.

00:43:20.197 --> 00:43:21.297
And so we do the best we can.

00:43:22.097 --> 00:43:22.998
And I think that looking

00:43:23.057 --> 00:43:24.077
back from three years,

00:43:24.778 --> 00:43:26.458
that the AIs are going to

00:43:26.478 --> 00:43:27.900
be able to process all the

00:43:27.960 --> 00:43:28.639
patients you've seen,

00:43:28.780 --> 00:43:29.721
everyone's seen at your site,

00:43:30.081 --> 00:43:30.561
all the people,

00:43:30.840 --> 00:43:31.900
millions and millions of visits,

00:43:32.742 --> 00:43:33.782
look at the research literature.

00:43:33.902 --> 00:43:35.503
And then in this little,

00:43:35.902 --> 00:43:36.882
hopefully very easy one

00:43:36.902 --> 00:43:37.842
click button type thing,

00:43:37.862 --> 00:43:38.724
a little pop up like, hey,

00:43:39.284 --> 00:43:39.943
did you consider these

00:43:39.983 --> 00:43:41.284
types of activities for this person?

00:43:41.405 --> 00:43:42.985
Or hey, you haven't progressed here.

00:43:45.005 --> 00:43:48.771
care is going to not be decided by the AIs,

00:43:49.130 --> 00:43:49.692
but it's going to be

00:43:49.731 --> 00:43:50.793
informed by information

00:43:50.813 --> 00:43:52.414
that it pulls in from all these places.

00:43:52.715 --> 00:43:53.336
And I think people are going

00:43:53.356 --> 00:43:53.996
to look back and go,

00:43:54.538 --> 00:43:56.320
I can't believe that we saw

00:43:56.460 --> 00:43:58.443
patients without this great

00:43:58.523 --> 00:43:59.603
informational resource that

00:43:59.643 --> 00:44:01.065
runs automatically for me,

00:44:01.206 --> 00:44:02.248
for every single person I see.

00:44:03.027 --> 00:44:04.449
Right now, it's often cited,

00:44:04.528 --> 00:44:05.208
and I don't even know if

00:44:05.228 --> 00:44:06.070
it's changed since I've

00:44:06.090 --> 00:44:07.590
been in PT school a couple of years ago,

00:44:07.630 --> 00:44:08.871
but it's 17-year gap

00:44:08.911 --> 00:44:11.632
between publish and practice.

00:44:11.931 --> 00:44:12.753
We keep saying this.

00:44:12.913 --> 00:44:13.893
I'm on the board of trustees

00:44:13.913 --> 00:44:15.373
for the Foundation for PT Research.

00:44:15.614 --> 00:44:16.873
We keep making research,

00:44:16.934 --> 00:44:18.014
but how do we make it

00:44:18.054 --> 00:44:19.135
digestible and usable?

00:44:19.536 --> 00:44:20.795
Have someone else digest it

00:44:20.856 --> 00:44:22.077
and then suggest it.

00:44:22.177 --> 00:44:23.878
Something else is going to

00:44:23.938 --> 00:44:25.577
digest it and then suggest

00:44:25.637 --> 00:44:27.298
it when appropriate.

00:44:27.398 --> 00:44:29.159
I think that you need the information,

00:44:29.380 --> 00:44:30.601
what you need, when you need it,

00:44:30.681 --> 00:44:31.400
where you need it.

00:44:32.278 --> 00:44:33.559
not not not knocking a

00:44:33.599 --> 00:44:34.981
journal club but to have it

00:44:35.001 --> 00:44:35.681
in front of me on a

00:44:35.721 --> 00:44:36.842
dashboard potentially at a

00:44:36.882 --> 00:44:39.583
suggestion button is okay

00:44:39.682 --> 00:44:40.864
good that's something we're

00:44:40.884 --> 00:44:42.405
gonna I hopefully a kid in

00:44:42.425 --> 00:44:43.664
pt school now or a kid in

00:44:43.704 --> 00:44:44.666
high school right now who's

00:44:44.686 --> 00:44:46.086
gonna be a pt in five years

00:44:46.567 --> 00:44:47.827
is gonna say yeah how'd you

00:44:48.128 --> 00:44:49.148
how'd y'all get along with

00:44:49.188 --> 00:44:50.248
that and hopefully they

00:44:50.289 --> 00:44:51.130
also say what the hell's a

00:44:51.170 --> 00:44:52.230
fax machine that's my other

00:44:52.269 --> 00:44:53.851
hope that's my hope the

00:44:53.891 --> 00:44:54.672
three years I don't know if

00:44:54.692 --> 00:44:57.032
that's enough time what do you got

00:44:58.182 --> 00:44:59.603
All right, so Pedro,

00:44:59.704 --> 00:45:01.186
we are going to have you back.

00:45:01.306 --> 00:45:02.146
I'm going to put these

00:45:02.226 --> 00:45:03.286
statements out there

00:45:03.347 --> 00:45:04.188
because we're going to talk

00:45:04.228 --> 00:45:05.028
about it next time.

00:45:05.489 --> 00:45:06.990
But I would love to see how

00:45:07.050 --> 00:45:08.211
this is going to kind of

00:45:08.291 --> 00:45:10.413
connect with and work with

00:45:10.492 --> 00:45:12.554
wearable technology, right?

00:45:12.594 --> 00:45:14.556
My wife's got her Garmin or

00:45:15.036 --> 00:45:16.539
her whatever devices.

00:45:16.579 --> 00:45:17.619
Yeah, look at you guys.

00:45:18.900 --> 00:45:20.021
We've got that element.

00:45:20.221 --> 00:45:22.362
We've got the element of, you know,

00:45:22.563 --> 00:45:23.402
really starting to

00:45:23.463 --> 00:45:25.184
understand the psychology of the patient.

00:45:25.224 --> 00:45:27.326
Like I pride myself on my

00:45:27.365 --> 00:45:28.547
ability to connect on a

00:45:28.586 --> 00:45:30.387
human human level with my patient.

00:45:30.427 --> 00:45:31.949
But I would bet there are

00:45:31.969 --> 00:45:33.150
things that are said during

00:45:33.170 --> 00:45:34.911
the therapy session that

00:45:35.190 --> 00:45:36.572
should be analyzed.

00:45:36.771 --> 00:45:38.873
And I should be better at

00:45:38.934 --> 00:45:41.315
connecting emotionally, psychologically,

00:45:41.335 --> 00:45:41.635
you know,

00:45:42.135 --> 00:45:43.177
All of these factors,

00:45:43.538 --> 00:45:45.159
I think we're gonna see AI

00:45:45.199 --> 00:45:46.621
technology that can analyze

00:45:46.641 --> 00:45:47.463
the conversation,

00:45:47.882 --> 00:45:49.505
not just produce documentation,

00:45:49.525 --> 00:45:51.407
but actually tell us what

00:45:51.527 --> 00:45:53.751
we could potentially do to

00:45:53.791 --> 00:45:54.751
better connect with the

00:45:54.771 --> 00:45:55.813
patient's insecurities,

00:45:55.853 --> 00:45:57.394
the patient's fears and anxieties,

00:45:57.494 --> 00:45:58.496
all of these other things.

00:45:58.976 --> 00:45:59.197
I mean,

00:45:59.297 --> 00:46:01.199
we pride ourselves on treating the human,

00:46:01.480 --> 00:46:02.780
not the condition.

00:46:03.501 --> 00:46:05.563
And this will help us move

00:46:05.603 --> 00:46:06.744
down that direction.

00:46:07.065 --> 00:46:08.585
So let's save those topics

00:46:08.867 --> 00:46:10.088
for the next conversation.

00:46:10.228 --> 00:46:11.329
What is the best way for

00:46:11.349 --> 00:46:13.710
people today for decision makers?

00:46:13.731 --> 00:46:14.271
Go ahead, Jimmy.

00:46:14.751 --> 00:46:15.293
I was going to say,

00:46:15.833 --> 00:46:16.914
let's make sure we get a connection.

00:46:16.954 --> 00:46:17.135
Yeah.

00:46:17.195 --> 00:46:17.394
Yeah.

00:46:17.434 --> 00:46:18.396
What's the best way for

00:46:18.436 --> 00:46:19.657
decision makers to connect

00:46:19.757 --> 00:46:20.898
with you to learn more

00:46:20.938 --> 00:46:22.320
about it and set up a demo?

00:46:23.266 --> 00:46:26.047
So predictionhealth.com, just one word,

00:46:26.106 --> 00:46:28.708
just hop on over and come chat with us.

00:46:28.728 --> 00:46:29.608
We love to do demos and

00:46:29.628 --> 00:46:30.610
answer questions for people.

00:46:30.969 --> 00:46:31.570
We've got a lot of great

00:46:31.650 --> 00:46:32.670
folks that would love to

00:46:32.731 --> 00:46:33.971
walk you through and answer

00:46:34.010 --> 00:46:34.672
questions for you.

00:46:35.231 --> 00:46:36.112
And then if anybody really

00:46:36.132 --> 00:46:37.432
wants to nerd out on AI,

00:46:38.313 --> 00:46:39.373
you can always send a

00:46:39.393 --> 00:46:39.833
message to me at

00:46:39.873 --> 00:46:41.014
peter.predictionhealth.com.

00:46:41.494 --> 00:46:41.934
All right.

00:46:42.115 --> 00:46:44.496
Last thing I'll say, you take this or not,

00:46:44.677 --> 00:46:45.016
use this,

00:46:45.277 --> 00:46:47.257
put it into your program or not.

00:46:47.978 --> 00:46:48.898
Small talk button.

00:46:49.139 --> 00:46:50.980
A lot of PTs will say, I have a problem.

00:46:51.021 --> 00:46:52.260
What am I going to talk about today?

00:46:52.681 --> 00:46:54.663
Usually Monday through

00:46:54.702 --> 00:46:56.445
Wednesday was how was your weekend?

00:46:56.525 --> 00:46:57.646
Thursday through Friday,

00:46:57.686 --> 00:46:58.405
it's what are you doing

00:46:58.445 --> 00:46:59.266
this coming weekend?

00:46:59.686 --> 00:47:01.387
But any help on small talk,

00:47:02.048 --> 00:47:02.869
I'm sure PTs would

00:47:02.889 --> 00:47:03.650
appreciate because we've

00:47:03.670 --> 00:47:04.630
got a lot of time with our patients.

00:47:04.690 --> 00:47:05.851
We need things to talk about.

00:47:06.434 --> 00:47:06.954
I like that.

00:47:07.034 --> 00:47:08.235
That's a very creative idea.

00:47:08.396 --> 00:47:10.077
I will do some prototyping

00:47:10.117 --> 00:47:11.317
and we'll look into it.

00:47:11.717 --> 00:47:12.157
Sounds good.

00:47:12.237 --> 00:47:12.637
All right.

00:47:12.838 --> 00:47:14.757
Jimmy, Pedro, stay on here.

00:47:14.858 --> 00:47:15.798
Thank you so much for

00:47:15.838 --> 00:47:17.398
spending your afternoon with us.

00:47:17.579 --> 00:47:19.099
We'll see you on the next episode.

00:47:19.579 --> 00:47:19.800
Thanks.