Meeting Title: Brainforge | Hyp Access Weekly Sync Date: 2025-10-21 Meeting participants: Uttam Kumaran, Grey Louisos, they/them, Hyp+Access
WEBVTT
1 00:00:59.860 ⇒ 00:01:01.060 Uttam Kumaran: Hello?
2 00:01:05.239 ⇒ 00:01:06.689 Grey Louisos, they/them: Hi, Tom.
3 00:01:06.690 ⇒ 00:01:07.990 Uttam Kumaran: Hey, how are you?
4 00:01:08.250 ⇒ 00:01:10.389 Grey Louisos, they/them: I’m doing alright, how are you doing today?
5 00:01:10.390 ⇒ 00:01:11.240 Uttam Kumaran: Good.
6 00:01:11.650 ⇒ 00:01:12.430 Grey Louisos, they/them: Good.
7 00:02:01.880 ⇒ 00:02:04.380 Hyp+Access: But it was just diarrhea, and it wasn’t very much.
8 00:02:42.900 ⇒ 00:02:50.039 Uttam Kumaran: I don’t think, andrea’s joining, and Awashia’s not joining from mine, so I think it’s just us?
9 00:02:50.440 ⇒ 00:02:54.499 Hyp+Access: Oh, hey, sorry, I, like… Turned something off on my…
10 00:02:55.580 ⇒ 00:03:00.109 Hyp+Access: Oh dear, what did I do here? My mom was talking about my dog’s diarrhea when I came on, so I’m…
11 00:03:00.110 ⇒ 00:03:01.140 Uttam Kumaran: No problem.
12 00:03:01.220 ⇒ 00:03:03.260 Hyp+Access: Haha!
13 00:03:03.530 ⇒ 00:03:11.449 Hyp+Access: Okay, wait, what did I do to, actually, maybe it’s just you and me, right? I’m not… I’m not accidentally hiding anybody else in the call.
14 00:03:11.450 ⇒ 00:03:13.020 Uttam Kumaran: No, no, yeah.
15 00:03:13.610 ⇒ 00:03:15.120 Hyp+Access: Oh, and here’s Gray. Hi, Gray.
16 00:03:17.380 ⇒ 00:03:24.290 Hyp+Access: Yeah, hopefully this is kind of, like, a quick recap, and I do want to just, like… I’ve been so behind.
17 00:03:24.290 ⇒ 00:03:36.720 Uttam Kumaran: No, I think this is a good forcing function, too, because we can get through a bunch of stuff on a call. That’s why I would just, like, if we can talk every week, even once, like, it’ll help us keep pushing things forward. For sure.
18 00:03:37.180 ⇒ 00:03:46.869 Uttam Kumaran: So, that’s totally fine, no problem. Like, I think we made good… we… we have healthy access now, and we figured out the Stripe stuff, so we have some stuff to do this week anyways on our side.
19 00:03:47.210 ⇒ 00:03:53.880 Hyp+Access: Yeah, we do as well. Let me find… there… there’s my notes document. So…
20 00:03:54.270 ⇒ 00:03:57.689 Hyp+Access: Today is the 21st of whatever. Okay.
21 00:03:57.990 ⇒ 00:04:03.490 Hyp+Access: So yeah, so you got healthy access.
22 00:04:03.630 ⇒ 00:04:04.330 Uttam Kumaran: Yes.
23 00:04:04.680 ⇒ 00:04:05.410 Hyp+Access: Okay, great.
24 00:04:06.540 ⇒ 00:04:13.260 Uttam Kumaran: And what I’ve been sort of working on since then with Awash, and I’ll… Send this link,
25 00:04:14.040 ⇒ 00:04:16.570 Uttam Kumaran: in the… at…
26 00:04:17.070 ⇒ 00:04:24.430 Uttam Kumaran: It’s just continuing to work through, this, sort of diagram.
27 00:04:24.560 ⇒ 00:04:30.510 Uttam Kumaran: And Gray, I just invited you in case it, didn’t come through…
28 00:04:31.120 ⇒ 00:04:35.479 Uttam Kumaran: But at the bottom of this…
29 00:04:36.000 ⇒ 00:04:39.800 Uttam Kumaran: You can see some of the new…
30 00:04:40.690 ⇒ 00:04:44.649 Uttam Kumaran: Basically, the one… you can see some of the new diagrams that we’re…
31 00:04:44.820 ⇒ 00:04:52.369 Uttam Kumaran: Working on, though this is the one from last time that we sort of, talked through.
32 00:04:53.700 ⇒ 00:05:00.769 Uttam Kumaran: the ones on the left and right are the ones that we need a little bit of review of. They’re a little bit,
33 00:05:00.920 ⇒ 00:05:01.910 Uttam Kumaran: dense.
34 00:05:02.120 ⇒ 00:05:04.719 Hyp+Access: So I was probably going to…
35 00:05:04.920 ⇒ 00:05:07.309 Uttam Kumaran: Blow them up a little bit, but they should have…
36 00:05:07.790 ⇒ 00:05:10.340 Uttam Kumaran: Kind of all the feedback from last time.
37 00:05:11.550 ⇒ 00:05:18.129 Uttam Kumaran: And so, those two, we can either go through now together, or if you think that’s a…
38 00:05:18.610 ⇒ 00:05:22.590 Uttam Kumaran: We could even take 5 minutes for both of you guys, 5-10 minutes for both of you guys to just…
39 00:05:22.830 ⇒ 00:05:28.459 Uttam Kumaran: poke at them, if you want, if we think that’s good, and then that way I can jot down any notes, or we can…
40 00:05:28.800 ⇒ 00:05:36.100 Uttam Kumaran: like, I think last meeting was pretty productive, just to see the entire flow, so… that’s a good use of time, then maybe I can give…
41 00:05:37.410 ⇒ 00:05:39.530 Uttam Kumaran: 5 minutes just to walk through this.
42 00:05:41.010 ⇒ 00:05:43.119 Hyp+Access: Yeah, let’s,
43 00:05:43.470 ⇒ 00:05:49.240 Hyp+Access: I know Andrea’s not here, and I do want to go through things with Andrea at some point as well, so…
44 00:05:49.780 ⇒ 00:05:51.819 Hyp+Access: Does it work to…
45 00:05:52.100 ⇒ 00:05:59.089 Hyp+Access: we can look at this briefly, and then do a markup once we get Andrea’s feedback and feedback, or.
46 00:05:59.090 ⇒ 00:05:59.530 Uttam Kumaran: fine?
47 00:05:59.530 ⇒ 00:06:13.730 Hyp+Access: Because the other thing I want to send you that I forgot to do, haha, is, we’ve… we did the outline of our E&M visit SOP, and it might be, you know, that’s something else you all could work on kind of while we’re… Yes. …as a team.
48 00:06:13.730 ⇒ 00:06:14.240 Uttam Kumaran: Okay.
49 00:06:14.240 ⇒ 00:06:22.120 Hyp+Access: But if there’s one, I mean, maybe we can look at the… the issue.
50 00:06:22.120 ⇒ 00:06:26.659 Uttam Kumaran: So I can… I can even just follow your cursor, and if we can walk probably just from the top…
51 00:06:27.170 ⇒ 00:06:27.690 Hyp+Access: on the adapter.
52 00:06:28.060 ⇒ 00:06:29.139 Hyp+Access: Take flow? Is that…
53 00:06:29.140 ⇒ 00:06:30.360 Uttam Kumaran: Yeah, yeah.
54 00:06:31.610 ⇒ 00:06:38.530 Hyp+Access: So, I’m gonna speak out loud, because that is the easiest way for me to think about this.
55 00:06:39.340 ⇒ 00:06:43.590 Hyp+Access: So we’re starting at the top, right?
56 00:06:43.590 ⇒ 00:06:44.260 Uttam Kumaran: Yes.
57 00:06:44.580 ⇒ 00:06:45.280 Hyp+Access: Okay.
58 00:06:45.660 ⇒ 00:06:55.409 Hyp+Access: So… the healthy EHR… Or no, we’re starting with the new patient lane, is that right? In the bottom?
59 00:06:55.410 ⇒ 00:06:58.400 Uttam Kumaran: Yeah, so they’re… yeah, it’s not, like, super linear.
60 00:06:58.480 ⇒ 00:07:02.440 Hyp+Access: Okay. That’s a good point, I can probably make it a little bit more linear, but yes.
61 00:07:02.440 ⇒ 00:07:05.260 Uttam Kumaran: So, the new patient lane is…
62 00:07:05.410 ⇒ 00:07:08.630 Uttam Kumaran: On the right, so this is, like, new patient intake.
63 00:07:08.830 ⇒ 00:07:12.739 Uttam Kumaran: And then it sort of works its way back into… into healthy.
64 00:07:14.180 ⇒ 00:07:17.430 Hyp+Access: Okay, so we kind of start at…
65 00:07:18.930 ⇒ 00:07:25.470 Uttam Kumaran: So you have, for example, like, fill-out intake form, and then there’s a part of that goes into…
66 00:07:26.030 ⇒ 00:07:32.020 Uttam Kumaran: it’s just… it’s kind of… I think it’s just a little bit tough to trace on this diagram, but basically.
67 00:07:32.140 ⇒ 00:07:34.069 Uttam Kumaran: There’s a new patient intake form.
68 00:07:34.520 ⇒ 00:07:41.599 Uttam Kumaran: If you trace this, there’s a front desk, which is, like, send intake link via email SMS.
69 00:07:41.720 ⇒ 00:07:46.720 Uttam Kumaran: Once that’s done, this line… goes down.
70 00:07:46.910 ⇒ 00:07:50.510 Uttam Kumaran: There’s a receive intake link, fill out the intake form.
71 00:07:50.730 ⇒ 00:07:56.459 Uttam Kumaran: And then that finally goes into receive… Caragon receives the intake form.
72 00:07:56.670 ⇒ 00:08:01.660 Uttam Kumaran: We create the payment account via Stripe, We create the healthy account.
73 00:08:01.990 ⇒ 00:08:09.259 Uttam Kumaran: We then checked the account status and healthy, if it’s complete or not. We talked about sending the reminder notification last time.
74 00:08:09.760 ⇒ 00:08:16.799 Uttam Kumaran: If it is complete, we trace this line, All the way back up.
75 00:08:17.050 ⇒ 00:08:23.040 Uttam Kumaran: into healthy, which is, like, receive the intake form data, then we work our way down here. So…
76 00:08:23.340 ⇒ 00:08:27.239 Uttam Kumaran: One thing that I can put a note here is I just want to make it
77 00:08:27.930 ⇒ 00:08:38.879 Uttam Kumaran: Little bit more linear between New patient, front desk… Sarah, Don, and Alfie.
78 00:08:39.340 ⇒ 00:08:44.770 Uttam Kumaran: They’re kind of more, like, side-by-side, and so…
79 00:08:45.300 ⇒ 00:08:53.309 Uttam Kumaran: we basically moved… there’s… what we talked about a lot last time was just, like, is it complete, is it a reminder? So we sort of have some of these triggers.
80 00:08:53.650 ⇒ 00:08:56.849 Uttam Kumaran: We’re storing the intake data.
81 00:08:57.230 ⇒ 00:08:58.389 Hyp+Access: there is…
82 00:08:58.390 ⇒ 00:09:05.490 Uttam Kumaran: Like, sort of alerts that we can get triggered, and then the second piece is create an intake review task for the front desk.
83 00:09:06.130 ⇒ 00:09:10.429 Uttam Kumaran: That kind of moves down through the front desk, who then reviews the intake.
84 00:09:10.840 ⇒ 00:09:17.440 Uttam Kumaran: Assigns a provider, which I think we need. There was a… there’s a policy for that.
85 00:09:17.770 ⇒ 00:09:21.639 Uttam Kumaran: So one of the things that I think my question is.
86 00:09:22.480 ⇒ 00:09:32.340 Uttam Kumaran: Right now, I’m… on the right side of this big diagram, I’m starting to save, like, policies as, like, visual diagrams, as, like, visuals here.
87 00:09:34.860 ⇒ 00:09:43.500 Uttam Kumaran: So you can see this is, like, over here. We have, like, sort of some of the policies, so gray, some of the ones that you sent me. I’ll start to make sure that,
88 00:09:43.680 ⇒ 00:09:46.859 Uttam Kumaran: These are, this is what I’m looking at, yeah.
89 00:09:46.860 ⇒ 00:09:47.530 Hyp+Access: Nice.
90 00:09:47.530 ⇒ 00:09:50.939 Uttam Kumaran: These are sort of linked visually as well.
91 00:09:51.120 ⇒ 00:09:54.960 Uttam Kumaran: Which is, like, the policy example that needs to get filled out.
92 00:09:55.170 ⇒ 00:10:00.689 Uttam Kumaran: And so… There’s… there’s definitely some…
93 00:10:01.070 ⇒ 00:10:07.030 Uttam Kumaran: Logic on assigning the providers, scheduling, confirming the appointment.
94 00:10:07.410 ⇒ 00:10:14.990 Uttam Kumaran: And then there’s also… we sort of have another lane for existing patient.
95 00:10:15.320 ⇒ 00:10:18.770 Uttam Kumaran: And then there’s, of course, an area for pre-auth.
96 00:10:19.070 ⇒ 00:10:25.339 Uttam Kumaran: So yeah, I think what… basically what we’ve done in this diagram is, like, Each of the core boxes
97 00:10:26.170 ⇒ 00:10:30.039 Uttam Kumaran: Have all the structure from what we talked about last time.
98 00:10:30.150 ⇒ 00:10:38.229 Uttam Kumaran: I think it’s… there’s just so much overlap that the flow isn’t, like, super clear on this diagram, which, now that I… it’s the first time I’m explaining it out loud.
99 00:10:38.370 ⇒ 00:10:42.769 Uttam Kumaran: So that helps me to, like, probably just re-move some things around, but.
100 00:10:42.770 ⇒ 00:10:45.909 Hyp+Access: Is there a way to, like, color code, or, like.
101 00:10:45.910 ⇒ 00:10:46.540 Uttam Kumaran: Yeah.
102 00:10:46.540 ⇒ 00:10:50.180 Hyp+Access: Is if we can kind of, like, keep each…
103 00:10:50.990 ⇒ 00:10:55.180 Hyp+Access: linear, and then we, like, color code, like, this is a Caragon thing, this is a…
104 00:10:55.180 ⇒ 00:10:55.820 Uttam Kumaran: Sure.
105 00:10:55.820 ⇒ 00:10:57.849 Hyp+Access: or something, I think that would help.
106 00:10:57.850 ⇒ 00:10:58.470 Uttam Kumaran: Okay.
107 00:10:59.080 ⇒ 00:11:07.089 Hyp+Access: my brain. Gray, would that be helpful, or is there another way to kind of link it to that policy ordering that we have that…
108 00:11:08.380 ⇒ 00:11:10.340 Hyp+Access: Would be beneficial to you.
109 00:11:11.310 ⇒ 00:11:15.190 Grey Louisos, they/them: I… yeah, I mean, I think…
110 00:11:15.410 ⇒ 00:11:22.369 Grey Louisos, they/them: separating what would be Caragon, visually, that would… color coding would be helpful with that.
111 00:11:25.090 ⇒ 00:11:28.860 Uttam Kumaran: We also have in one diagram the existing patient and new patient.
112 00:11:28.990 ⇒ 00:11:31.810 Hyp+Access: Right. We could… But you could…
113 00:11:32.600 ⇒ 00:11:36.019 Uttam Kumaran: Separate those if necessary, or basically, like.
114 00:11:37.080 ⇒ 00:11:43.120 Uttam Kumaran: keep them in the same diagram, but, like, kind of duplicate flows. I… yeah, again, like, there’s multiple ways to…
115 00:11:43.600 ⇒ 00:11:48.490 Uttam Kumaran: to do this, so kind of, like, what… what works for your guys’ brain is, like, what I want to bias towards.
116 00:11:49.290 ⇒ 00:11:55.079 Grey Louisos, they/them: I like the idea of color coding by patient time, too. That’s… that was, what I was thinking, actually.
117 00:11:55.580 ⇒ 00:11:56.940 Hyp+Access: Color coding by what, Gray?
118 00:11:56.940 ⇒ 00:11:59.870 Grey Louisos, they/them: Patient type, new versus established.
119 00:12:01.040 ⇒ 00:12:06.059 Hyp+Access: Okay, and so I guess my question there is, how are we going to differentiate
120 00:12:07.690 ⇒ 00:12:13.380 Hyp+Access: The workflow versus the operational… Software components of the workflow.
121 00:12:14.650 ⇒ 00:12:19.119 Hyp+Access: like, I think the workflow almost needs to be somewhat more linear.
122 00:12:19.120 ⇒ 00:12:19.930 Uttam Kumaran: Yeah.
123 00:12:19.930 ⇒ 00:12:23.789 Hyp+Access: To track it, and then… and we could combine
124 00:12:25.070 ⇒ 00:12:30.230 Hyp+Access: Existing patient and new patient, it’s almost like, what is that entry point for them?
125 00:12:30.410 ⇒ 00:12:34.079 Uttam Kumaran: Yeah, I guess, like, now that I’m explaining out loud, I think,
126 00:12:34.350 ⇒ 00:12:38.530 Uttam Kumaran: So, the… the challenge is, like, we…
127 00:12:39.240 ⇒ 00:12:52.389 Uttam Kumaran: we may just… I may just duplicate this one on top of the other. Basically, like, there is a… there is a set of, like, healthy-related things for a new patient. There is also a set of healthy-related things for existing patient.
128 00:12:52.390 ⇒ 00:12:55.400 Hyp+Access: Instead of just having one healthy box.
129 00:12:55.400 ⇒ 00:13:00.179 Uttam Kumaran: for both, I’ll create 2 healthy boxes, and really, like, we will…
130 00:13:00.370 ⇒ 00:13:11.679 Uttam Kumaran: have each tool be represented for each of the two patient types. I think that’ll make it a little bit more clear, because right now we’ve bundled everything together. There will be kind of two processes, so, like.
131 00:13:11.780 ⇒ 00:13:22.480 Uttam Kumaran: moving… you’ll basically be moving through a series of decisions and actions. So, for example, like, is account setup complete? No or yes, right? There’s a decision there.
132 00:13:22.530 ⇒ 00:13:31.829 Uttam Kumaran: There’s also some decisions that are more, like, policy-based. So, I think one thing that I want to do here is differentiate, like, workflows.
133 00:13:31.970 ⇒ 00:13:38.340 Uttam Kumaran: Versus decisions, and then decisions themselves can be, like, Follow policy.
134 00:13:38.840 ⇒ 00:13:43.320 Uttam Kumaran: You know, versus just simple, like, Yes, no decisions.
135 00:13:43.820 ⇒ 00:13:51.989 Uttam Kumaran: And then… Agree, like, within the… within different tools, there are gonna be our… there are specific workflows.
136 00:13:54.180 ⇒ 00:14:08.370 Uttam Kumaran: And then ideally, what… basically, what you would do is… is for a given tool… for a given line, someone owns that, right? There is an owner of… of that that carries the baton from each path, whether that is automated or that’s… that’s human.
137 00:14:08.540 ⇒ 00:14:15.840 Uttam Kumaran: So that’s another thing I want to distinguish, is, like, who owns. This is either, like, an automated
138 00:14:15.950 ⇒ 00:14:18.730 Uttam Kumaran: like, API call, or whatever integration.
139 00:14:19.120 ⇒ 00:14:21.569 Uttam Kumaran: Or this is, like, like a human.
140 00:14:22.610 ⇒ 00:14:23.310 Hyp+Access: Right.
141 00:14:27.070 ⇒ 00:14:28.510 Uttam Kumaran: Okay, I can do that.
142 00:14:31.970 ⇒ 00:14:37.689 Uttam Kumaran: So, like, I would consider, like, you know, the stuff, like, for example, if we were to talk through, like, the floor manager.
143 00:14:39.500 ⇒ 00:14:48.069 Uttam Kumaran: I would commonly consider that very similar to… like, if we’re thinking about the system, that is almost another tool, basically, or another, like.
144 00:14:48.280 ⇒ 00:14:50.640 Uttam Kumaran: It’s a set of workflows with, like.
145 00:14:50.760 ⇒ 00:14:54.099 Uttam Kumaran: There’s inputs into the floor, and then outputs from…
146 00:14:55.130 ⇒ 00:14:57.850 Uttam Kumaran: these sets of actions, right? Like…
147 00:14:57.980 ⇒ 00:15:02.530 Uttam Kumaran: Assign, like, review access needs, coordinate, confirm logistics.
148 00:15:02.730 ⇒ 00:15:09.969 Uttam Kumaran: And so I want to make this flexible, but I feel like there’s… the floor itself is another thing to color coordinate, is like.
149 00:15:10.360 ⇒ 00:15:12.780 Uttam Kumaran: There’s a bunch of tasks and workflows within there.
150 00:15:14.230 ⇒ 00:15:20.879 Hyp+Access: Yeah, and I think different… Like, we also probably need to be…
151 00:15:21.130 ⇒ 00:15:27.869 Hyp+Access: there’s some things we haven’t quite decided who’s doing what yet, and so I think… I wonder if first we can…
152 00:15:29.940 ⇒ 00:15:40.930 Hyp+Access: Do workflows based on patient type, And… You know.
153 00:15:43.850 ⇒ 00:15:53.450 Hyp+Access: you know, is it Karragon? Is it blah-ba-di-blah? Whatever we want to call that. And then… we can… assign…
154 00:15:56.720 ⇒ 00:16:04.910 Hyp+Access: like, a character icon. Like, maybe we can go back in and then, like, characterize it a little bit, and kind of see what all of those are, and then…
155 00:16:05.100 ⇒ 00:16:07.210 Hyp+Access: Gray and I can decide…
156 00:16:07.480 ⇒ 00:16:14.460 Hyp+Access: you know, does this make sense in terms of who’s holding what, and do we want to kind of reassign? Because I think the floor manager…
157 00:16:15.120 ⇒ 00:16:18.610 Hyp+Access: I think we actually want the front desk to be coordinating.
158 00:16:18.800 ⇒ 00:16:21.720 Uttam Kumaran: A lot of that stuff, like the floor manager…
159 00:16:22.930 ⇒ 00:16:27.089 Hyp+Access: Well, we kind of have to talk through all of the… the access pieces, but, like.
160 00:16:28.780 ⇒ 00:16:39.669 Hyp+Access: the medical assistant also needs to be notified of certain things, and… but is it… is it the floor manager first, and then it’s the front desk, and then it’s the medical assistant notification? So I think we just haven’t quite…
161 00:16:41.880 ⇒ 00:16:47.369 Uttam Kumaran: There’s almost, like, a couple of different, like, views of this. I think one is there’s, like, a linear view, like, there’s, like, a…
162 00:16:48.060 ⇒ 00:16:56.250 Uttam Kumaran: this visual view. I think I also want to give a breakdown of, like, Workflows by person.
163 00:16:56.370 ⇒ 00:17:02.380 Uttam Kumaran: And almost having both of those side by side, I think, could be helpful, because it’s hard to see…
164 00:17:02.750 ⇒ 00:17:12.860 Uttam Kumaran: Like, it’s hard to see that in the diagram, because there’s just a lot going on, but if you clearly break down, this person owns these workflows, or we can say these workflows don’t have an owner.
165 00:17:13.119 ⇒ 00:17:18.130 Hyp+Access: That’s a good way for us to make those decisions, okay. Yeah, that would be really helpful, and then…
166 00:17:18.869 ⇒ 00:17:27.530 Hyp+Access: we can assess, oh, there’s kind of more nuance in this workflow, and kind of case study, you know, write all of the case possibilities. Okay.
167 00:17:29.740 ⇒ 00:17:31.060 Hyp+Access: And then…
168 00:17:32.940 ⇒ 00:17:34.860 Grey Louisos, they/them: And maybe… oh, sorry.
169 00:17:34.970 ⇒ 00:17:36.399 Hyp+Access: I was just gonna say, like.
170 00:17:36.600 ⇒ 00:17:44.240 Hyp+Access: We could, even before we character assign it, we could at least differentiate, is this a human, is this automation?
171 00:17:44.240 ⇒ 00:17:44.940 Uttam Kumaran: Yes.
172 00:17:44.940 ⇒ 00:17:45.740 Hyp+Access: First.
173 00:17:46.130 ⇒ 00:17:49.310 Hyp+Access: And then go into the character assigning.
174 00:17:49.570 ⇒ 00:17:53.590 Uttam Kumaran: Yeah, so owner can be a tool or a person.
175 00:17:53.880 ⇒ 00:17:54.480 Hyp+Access: Yeah.
176 00:17:54.880 ⇒ 00:17:56.679 Uttam Kumaran: And then it’s… yeah, okay.
177 00:17:57.210 ⇒ 00:18:01.580 Uttam Kumaran: Okay.
178 00:18:02.260 ⇒ 00:18:03.509 Hyp+Access: What were you gonna say, Gray?
179 00:18:04.840 ⇒ 00:18:12.810 Grey Louisos, they/them: I was just gonna say that we have been using the term floor manager and practice manager interchangeably.
180 00:18:13.420 ⇒ 00:18:21.980 Grey Louisos, they/them: And that, it’s… it’s probably gonna land on practice manager, that’s the… what we’re calling it in the job description we’re writing right now, and… and that is…
181 00:18:22.110 ⇒ 00:18:29.939 Grey Louisos, they/them: Under the front desk, it’s part of the front desk team, the admin team, so yeah, just a…
182 00:18:30.080 ⇒ 00:18:36.740 Hyp+Access: We could also create… a… What the heck is it called?
183 00:18:40.660 ⇒ 00:18:43.869 Hyp+Access: Like, floor manager, front desk, pre-auth.
184 00:18:44.090 ⇒ 00:18:44.950 Uttam Kumaran: Yes.
185 00:18:44.950 ⇒ 00:18:49.219 Hyp+Access: Like, on the, floor plan?
186 00:18:50.050 ⇒ 00:18:51.100 Uttam Kumaran: Oh, okay.
187 00:18:51.100 ⇒ 00:18:54.060 Hyp+Access: On the floor plan, or we could do a, a staff
188 00:18:54.260 ⇒ 00:18:59.539 Hyp+Access: Staff hierarchy, that’s not what it’s called, but kind of showing, like, who’s working in what team.
189 00:18:59.880 ⇒ 00:19:01.760 Grey Louisos, they/them: Well, we have an org chart we could send you.
190 00:19:01.760 ⇒ 00:19:03.550 Hyp+Access: That’s what I meant.
191 00:19:04.580 ⇒ 00:19:06.680 Uttam Kumaran: Org chart would be… org chart would be great.
192 00:19:06.870 ⇒ 00:19:07.250 Hyp+Access: Yeah.
193 00:19:07.250 ⇒ 00:19:12.900 Uttam Kumaran: And I can… basically have this very similar thing here in Figma.
194 00:19:13.930 ⇒ 00:19:17.279 Grey Louisos, they/them: Yeah, I’ll add it to the Brainforge folder in the drive right now.
195 00:19:17.280 ⇒ 00:19:18.390 Hyp+Access: Okay, thank you.
196 00:19:19.040 ⇒ 00:19:19.590 Grey Louisos, they/them: Yeah.
197 00:19:20.840 ⇒ 00:19:22.479 Hyp+Access: And then,
198 00:19:24.730 ⇒ 00:19:29.020 Hyp+Access: And I know we’re kind of, like, doing a lot of things at once, but I do wonder if…
199 00:19:30.870 ⇒ 00:19:39.250 Hyp+Access: the visit… like, the E&M SOP will be helpful in clarifying, kind of, how this information gets translated into
200 00:19:40.270 ⇒ 00:19:47.600 Hyp+Access: the visit? Or should we wait until we kind of clarify this before introducing, like, how it gets funneled from there?
201 00:19:47.830 ⇒ 00:19:53.589 Uttam Kumaran: Well, yeah, I guess that’s also, like, is there… some of these, I think we,
202 00:19:56.500 ⇒ 00:19:59.600 Uttam Kumaran: Yeah, I think it’s important to have,
203 00:20:01.380 ⇒ 00:20:11.109 Uttam Kumaran: I guess this is where it’s helpful to hear the differentiation of, like, we want to have very clear, separate flows for a new patient and existing, and then, yeah, if we want to do a very
204 00:20:11.770 ⇒ 00:20:15.190 Uttam Kumaran: Narrower view of just the visit.
205 00:20:15.590 ⇒ 00:20:17.420 Uttam Kumaran: That could be helpful as well.
206 00:20:18.390 ⇒ 00:20:20.990 Hyp+Access: It’s kind of, like, how it has to be ordered.
207 00:20:20.990 ⇒ 00:20:21.710 Uttam Kumaran: Yes.
208 00:20:21.960 ⇒ 00:20:22.660 Hyp+Access: like…
209 00:20:23.090 ⇒ 00:20:27.999 Hyp+Access: one of the examples, and maybe this is the only example I’m really thinking of that would be useful, but, like.
210 00:20:28.640 ⇒ 00:20:45.900 Hyp+Access: You know, the medical assistant and the provider need to review the intake form prior to seeing the patient, and the medical assistant, you know, day prior, needs to look at all of the access requests that have been coordinated by whichever admin we’re assigning that, so.
211 00:20:45.900 ⇒ 00:20:46.550 Uttam Kumaran: Yeah.
212 00:20:46.550 ⇒ 00:20:53.079 Hyp+Access: for, like, okay, I need to grab a wheelchair at this time, and at this time I need to grab this kind of thermometer, or whatever.
213 00:20:53.180 ⇒ 00:20:58.829 Hyp+Access: And then, Gray, you and I need to talk about the…
214 00:20:59.830 ⇒ 00:21:07.790 Hyp+Access: article you sent me about having the medical assistant and the provider in the room at the same time, which I actually think is really smart.
215 00:21:08.490 ⇒ 00:21:10.109 Grey Louisos, they/them: Thought that was a cool idea, too.
216 00:21:10.230 ⇒ 00:21:21.670 Hyp+Access: Which does kind of… it might not shift responsibilities, it’ll just kind of, like, keep everything in one room at one time, and maybe make things a little bit faster, because people… two people are working at the same time.
217 00:21:21.980 ⇒ 00:21:29.210 Hyp+Access: Which may be… Doesn’t matter to this flow now, but…
218 00:21:29.210 ⇒ 00:21:34.499 Uttam Kumaran: So we can carve that entire piece out, and then I’ll… basically what I can do is, in, like, the bigger flow.
219 00:21:34.790 ⇒ 00:21:36.469 Uttam Kumaran: I can just link to this…
220 00:21:36.710 ⇒ 00:21:39.029 Uttam Kumaran: one, because I think that’s important to even
221 00:21:39.350 ⇒ 00:21:41.080 Uttam Kumaran: Yeah, to go pretty deep on.
222 00:21:42.000 ⇒ 00:21:50.270 Hyp+Access: Yeah, and how are we… Yeah, managing everyone’s tasks and kind of standardizing it so that they’re…
223 00:21:51.730 ⇒ 00:21:56.739 Hyp+Access: It just needs to be really… You know.
224 00:21:58.430 ⇒ 00:22:04.729 Uttam Kumaran: Well, it should just… I feel like for each, workflow, it should just be clear that for every… for a new patient, existing patient.
225 00:22:05.620 ⇒ 00:22:10.870 Uttam Kumaran: like, what does each person in the flow need to handle? Like, check, check, check, check, check, right?
226 00:22:12.360 ⇒ 00:22:22.359 Uttam Kumaran: And so that’s, like, sort of, like, what… the visual diagram is not going to be as linear as that, and of course, each person in this flow may or may not need to know.
227 00:22:22.440 ⇒ 00:22:25.390 Hyp+Access: It’s the whole thing, where they just really need to know their piece.
228 00:22:25.720 ⇒ 00:22:27.260 Hyp+Access: And so…
229 00:22:27.510 ⇒ 00:22:32.599 Uttam Kumaran: One thing I’m just starting to even do at the bottom here is even just create these little character cards for…
230 00:22:32.900 ⇒ 00:22:37.920 Uttam Kumaran: you know, each of the people that we talked about, so I’ll just… I can continue on that, too. So we have, like.
231 00:22:38.960 ⇒ 00:22:44.779 Uttam Kumaran: The practice manager… I know last time we talked about, like, the pre-auth specialist.
232 00:22:47.560 ⇒ 00:22:54.780 Hyp+Access: Yeah, and Gray just added the org chart into that, into your folder, and there’s a link there, so,
233 00:22:55.760 ⇒ 00:22:59.540 Hyp+Access: if I open it, we have… Oh.
234 00:22:59.660 ⇒ 00:23:04.479 Hyp+Access: Look at this, lovely org chart we sent to the DOH. Okay, so…
235 00:23:15.620 ⇒ 00:23:29.840 Hyp+Access: Well, it’s funny, because the practice manager really, like, is at the top of managing everything, but it does look lower in the way we organized it. But basically on page 2, under the hype care section.
236 00:23:30.260 ⇒ 00:23:35.750 Hyp+Access: Maybe I’ll just talk you through this so you… so we have our…
237 00:23:36.000 ⇒ 00:23:47.289 Hyp+Access: medical director, Dr. Polizzi, who’s kind of seeing patients, but she is, like, required to, like, do, like, audit stuff with us, and kind of review certain policies, but otherwise she’s not, like.
238 00:23:48.040 ⇒ 00:23:50.359 Hyp+Access: Leading the… the days.
239 00:23:50.610 ⇒ 00:23:53.259 Hyp+Access: And then I’m the operator.
240 00:23:53.840 ⇒ 00:23:56.210 Hyp+Access: Which also has a similar role of, like.
241 00:23:56.700 ⇒ 00:23:59.979 Hyp+Access: I have to do this when this policy gets activated.
242 00:24:00.360 ⇒ 00:24:02.370 Hyp+Access: And I don’t really know what else…
243 00:24:05.090 ⇒ 00:24:17.360 Hyp+Access: we’ll see how that falls into play. I actually think Elle’s gonna be having to manage the overall operations of Hype Access a little bit more than kind of doing the training and community relations. Anyway,
244 00:24:18.410 ⇒ 00:24:24.860 Hyp+Access: But the practice manager oversees the front desk person.
245 00:24:26.280 ⇒ 00:24:39.290 Hyp+Access: scheduling staff, which we might have off-site, we might have some, like, part-time scheduling folks. I think, Gray, we need to redo this org chart, actually, I think, to make it clearer in relation to our SOPs.
246 00:24:39.290 ⇒ 00:24:49.409 Hyp+Access: And that admin should actually be at the top, and then we have care below. Because ultimately, the practice manager will be overseeing the operations of the clinical care anyway.
247 00:24:49.930 ⇒ 00:24:58.629 Grey Louisos, they/them: Yeah, the way I color-coded the, the chart was so purple is all supposed to be on the same line, we just didn’t have…
248 00:24:58.630 ⇒ 00:24:59.649 Hyp+Access: Right, the space.
249 00:24:59.650 ⇒ 00:25:01.040 Uttam Kumaran: horizontal space. Yeah.
250 00:25:01.040 ⇒ 00:25:06.049 Grey Louisos, they/them: But yeah, we can totally move it around, but that’s the intention, is that… Okay. Yeah.
251 00:25:06.400 ⇒ 00:25:08.439 Grey Louisos, they/them: That’s the level of management.
252 00:25:08.780 ⇒ 00:25:14.489 Grey Louisos, they/them: And that the practice manager branch represents the admin, department.
253 00:25:16.930 ⇒ 00:25:27.030 Hyp+Access: But our admin department might actually be bigger than this, I think is what I’m also wondering if we should note, because, like, the phone forwarding systems, which I don’t think you’ve been a part of
254 00:25:27.330 ⇒ 00:25:29.180 Hyp+Access: those meetings, Gray.
255 00:25:29.510 ⇒ 00:25:37.459 Hyp+Access: is, like… I don’t want the front desk person to be dealing with all of the scheduling calls.
256 00:25:37.580 ⇒ 00:25:42.420 Hyp+Access: And so that could be a remote, off-site, part-time role that we have filled.
257 00:25:42.690 ⇒ 00:25:47.419 Hyp+Access: You know, from… 7 a.m. to 9pm, basically.
258 00:25:48.250 ⇒ 00:25:48.870 Grey Louisos, they/them: Sure.
259 00:25:48.870 ⇒ 00:25:52.930 Hyp+Access: And so we set up the call forwarding so that certain calls only go to…
260 00:25:53.170 ⇒ 00:26:04.519 Hyp+Access: The front desk person if necessary, but then the front desk person, which is the patient intake specialist, is really helping operations on the floor and interacting more with the patients who come on site.
261 00:26:05.130 ⇒ 00:26:10.089 Hyp+Access: So we might wanna…
262 00:26:14.530 ⇒ 00:26:21.000 Hyp+Access: clarify a little bit. And also, it might be useful to clarify, like, who is on-site and who is not on-site.
263 00:26:21.110 ⇒ 00:26:23.860 Hyp+Access: Because, like, the medical is not going to be on site.
264 00:26:24.550 ⇒ 00:26:27.379 Hyp+Access: But, like, the pre-auth person will be.
265 00:26:33.790 ⇒ 00:26:35.540 Uttam Kumaran: Okay, this is very helpful, though.
266 00:26:35.910 ⇒ 00:26:36.450 Hyp+Access: Okay.
267 00:26:36.450 ⇒ 00:26:37.080 Uttam Kumaran: Yeah.
268 00:26:39.590 ⇒ 00:26:44.840 Hyp+Access: And then, yeah.
269 00:26:46.200 ⇒ 00:26:49.960 Hyp+Access: So we’ll… so I’ll send you the E&M…
270 00:26:51.180 ⇒ 00:26:53.649 Hyp+Access: Which, again, E&M just means, like, a visit.
271 00:26:54.080 ⇒ 00:26:56.439 Hyp+Access: It’s like an office visit.
272 00:26:56.440 ⇒ 00:27:02.089 Uttam Kumaran: That’s why I want to map out the… the visit, I think, is, I want to map out, like, almost…
273 00:27:02.430 ⇒ 00:27:03.760 Uttam Kumaran: In its own.
274 00:27:04.190 ⇒ 00:27:08.609 Uttam Kumaran: And then… I can either merge it with the whole thing, or basically, like.
275 00:27:09.190 ⇒ 00:27:10.010 Hyp+Access: Cheers.
276 00:27:10.010 ⇒ 00:27:13.349 Uttam Kumaran: This is all black box under visit, or something like that.
277 00:27:14.750 ⇒ 00:27:15.400 Hyp+Access: Right.
278 00:27:15.590 ⇒ 00:27:16.220 Uttam Kumaran: Yeah.
279 00:27:18.120 ⇒ 00:27:19.550 Uttam Kumaran: And then… Yeah.
280 00:27:19.870 ⇒ 00:27:27.199 Hyp+Access: Did… Gray, were you… did we… I just looked at… did I look at the billing policy today? I think I did look at the billing policy today.
281 00:27:27.610 ⇒ 00:27:28.880 Grey Louisos, they/them: Yes, I think so.
282 00:27:30.030 ⇒ 00:27:36.449 Hyp+Access: Should we… send that to you as well. I think you had… you had requested that, Utem.
283 00:27:36.450 ⇒ 00:27:37.020 Uttam Kumaran: Yes.
284 00:27:37.370 ⇒ 00:27:38.030 Hyp+Access: Okay.
285 00:27:39.570 ⇒ 00:27:43.840 Uttam Kumaran: I don’t know if, yeah, I don’t know if… I don’t think I got that last time.
286 00:27:43.840 ⇒ 00:27:47.659 Hyp+Access: Okay, so we’ll do the E&M SOP and the billing policy.
287 00:27:51.700 ⇒ 00:27:53.250 Hyp+Access: And.
288 00:27:55.550 ⇒ 00:27:56.900 Uttam Kumaran: Yeah… okay.
289 00:27:56.900 ⇒ 00:27:58.209 Hyp+Access: Let’s see what else…
290 00:27:59.500 ⇒ 00:28:04.320 Uttam Kumaran: And then this week also, we are going to…
291 00:28:05.160 ⇒ 00:28:14.630 Uttam Kumaran: Just start mapping out, like, kind of, like, fake people and healthy.
292 00:28:15.400 ⇒ 00:28:20.970 Uttam Kumaran: And test out, like, the various automations to…
293 00:28:21.350 ⇒ 00:28:23.069 Hyp+Access: See what it’s like, yeah. Yeah.
294 00:28:23.730 ⇒ 00:28:27.759 Hyp+Access: So… Does that mean…
295 00:28:28.950 ⇒ 00:28:37.920 Hyp+Access: We want to clarify the new patient versus other… versus existing patient kind of flows, provide that feedback.
296 00:28:38.090 ⇒ 00:28:38.760 Uttam Kumaran: Yes.
297 00:28:38.920 ⇒ 00:28:39.240 Hyp+Access: like.
298 00:28:39.240 ⇒ 00:28:43.539 Uttam Kumaran: Ideally, we, ideally, we start with new.
299 00:28:44.300 ⇒ 00:28:45.510 Uttam Kumaran: Yeah. Logically.
300 00:28:45.510 ⇒ 00:28:48.369 Hyp+Access: Yeah. We closed that.
301 00:28:49.120 ⇒ 00:28:50.190 Uttam Kumaran: That way.
302 00:28:50.340 ⇒ 00:28:57.180 Uttam Kumaran: we, like, I almost think we should just close house on new, so that we can test it through Healthy.
303 00:28:57.180 ⇒ 00:28:59.549 Hyp+Access: And then, naturally, we go through and test.
304 00:28:59.960 ⇒ 00:29:09.059 Uttam Kumaran: Existing, because we will take those dummy accounts, and then they will turn into existing patients, and then we’ll run through the next scenario.
305 00:29:10.490 ⇒ 00:29:15.599 Uttam Kumaran: what I can do also, now that I have the org chart, is I’ll kind of, like, make sure that we have
306 00:29:15.950 ⇒ 00:29:19.219 Uttam Kumaran: These little cards at the bottom here for,
307 00:29:19.820 ⇒ 00:29:24.259 Uttam Kumaran: for the people. And so we can start to…
308 00:29:24.640 ⇒ 00:29:31.420 Uttam Kumaran: Have the diagram, and then in parallel, maintain, like, a more tabular view of the responsibilities.
309 00:29:31.540 ⇒ 00:29:50.629 Uttam Kumaran: I’ll see how I can, like… I’m… the… the… try to get everything in the diagram, but it’s… it’s just gonna become very hard to see everything and see all the flows, so… and I do know that a big part of this is just understanding who’s responsible for what flow, so we’ll make sure that there is also, like, a table format of person and the
310 00:29:51.090 ⇒ 00:29:54.280 Uttam Kumaran: the flow that they own. And,
311 00:29:54.740 ⇒ 00:29:58.060 Uttam Kumaran: The tool and the flow that the tool owns.
312 00:29:58.230 ⇒ 00:30:07.639 Uttam Kumaran: Right. And then, yeah, part of this also, I can indicate whether these people are on-site or off-site.
313 00:30:14.220 ⇒ 00:30:15.010 Uttam Kumaran: Okay.
314 00:30:22.480 ⇒ 00:30:26.490 Grey Louisos, they/them: Yeah, that seems good. Existing patient after new patient will…
315 00:30:26.700 ⇒ 00:30:31.510 Grey Louisos, they/them: It’ll be a lot easier to do… to do existing patient once we’ve figured out the new patient process.
316 00:30:31.510 ⇒ 00:30:32.310 Uttam Kumaran: Yeah.
317 00:30:32.790 ⇒ 00:30:33.780 Hyp+Access: Definitely.
318 00:30:34.490 ⇒ 00:30:41.230 Hyp+Access: And we provided… Gray sent, like, some intake forms will be based.
319 00:30:41.230 ⇒ 00:30:41.810 Uttam Kumaran: Yes.
320 00:30:41.810 ⇒ 00:30:50.430 Hyp+Access: intake on, and I think that’s good enough to just trial with, and then we’ll come back and, like, re… redo it when we’re… when we have more time to redo it.
321 00:30:50.430 ⇒ 00:30:54.189 Uttam Kumaran: Okay, okay. Yeah, I have the… I have the one here, so we’ll…
322 00:30:54.680 ⇒ 00:30:58.930 Uttam Kumaran: I think we’ll just go with that and healthy and see just what the flow’s like.
323 00:30:59.190 ⇒ 00:30:59.890 Hyp+Access: Yeah.
324 00:31:00.760 ⇒ 00:31:01.910 Uttam Kumaran: Okay.
325 00:31:03.760 ⇒ 00:31:18.190 Hyp+Access: And then, what other stuff was I trying to do? This week, my brain’s pretty… So
326 00:31:21.050 ⇒ 00:31:25.989 Hyp+Access: We are… More finalizing our autonomics.
327 00:31:26.390 ⇒ 00:31:28.840 Hyp+Access: I’m talking out loud, Gray, I’m wondering if…
328 00:31:29.060 ⇒ 00:31:39.650 Hyp+Access: Something else we can add to our… Meeting agenda ongoing is, like, like, like, identifying…
329 00:31:40.080 ⇒ 00:31:46.290 Hyp+Access: what needs to be reassessed, for TCD integration?
330 00:31:47.100 ⇒ 00:31:50.400 Hyp+Access: in, like, testing SOPs?
331 00:31:51.110 ⇒ 00:31:52.340 Grey Louisos, they/them: Yeah.
332 00:31:54.100 ⇒ 00:31:57.420 Hyp+Access: Don’t know what needs to be confirmed.
333 00:31:58.540 ⇒ 00:32:05.000 Hyp+Access: And then on… So I met with someone today who is, like.
334 00:32:05.230 ⇒ 00:32:12.999 Hyp+Access: an advisor of mine, I guess? And now she… she kind of, like, looked at all of our contracts with Omega, and she was like, this is highway robbery.
335 00:32:13.580 ⇒ 00:32:33.509 Hyp+Access: And so, she’s basically, like, pulling together a separate team and gonna give me a proposal, and we might, like, totally switch IT situations, but we’re gonna, like, make that decision in a couple weeks to let her get some stuff together and, like, pause on Omega, because it just feels like I just don’t even understand…
336 00:32:35.440 ⇒ 00:32:39.259 Hyp+Access: what we’re signing up for with Omega, still.
337 00:32:39.620 ⇒ 00:32:44.489 Hyp+Access: And then on… Friday, Awash and I are meeting with
338 00:32:44.820 ⇒ 00:32:58.799 Hyp+Access: Schiller, which supposedly is a company that might be able to integrate Vitals and an EKG, which would be really great, but I don’t really know what that means, if we have to use their API, if that would require, like, management for us, so we’ll find that out on Friday.
339 00:32:58.920 ⇒ 00:33:03.340 Hyp+Access: and…
340 00:33:08.340 ⇒ 00:33:10.440 Hyp+Access: Yeah, maybe that’s kind of…
341 00:33:14.130 ⇒ 00:33:16.590 Hyp+Access: the situation.
342 00:33:16.750 ⇒ 00:33:19.469 Uttam Kumaran: Yeah, and then one thing is, like, as we’re,
343 00:33:20.040 ⇒ 00:33:22.449 Uttam Kumaran: As we’re going through the tools, also.
344 00:33:23.630 ⇒ 00:33:28.259 Uttam Kumaran: For the stuff that’s manual and the tools, we can start to build out SOPs and, like, looms.
345 00:33:28.910 ⇒ 00:33:34.720 Uttam Kumaran: For almost everything. I think that’ll be really helpful for when other people start to onboard.
346 00:33:34.850 ⇒ 00:33:36.080 Uttam Kumaran: And then…
347 00:33:37.320 ⇒ 00:33:48.180 Uttam Kumaran: I don’t see the tools much different than we see the people in that they’re responsible for workflows and speaking with either people or tools, right? So I kind of don’t want to differentiate that.
348 00:33:48.180 ⇒ 00:33:48.500 Hyp+Access: Okay.
349 00:33:48.500 ⇒ 00:33:54.430 Uttam Kumaran: And then, I also, once… once we’re able to see who’s responsible for which workflow.
350 00:33:54.790 ⇒ 00:34:04.510 Uttam Kumaran: the goal in bringing on additional tooling should either be to take stuff off, or to consolidate, right? Like, that’s the decision-making, and then understanding, like, the cost.
351 00:34:04.560 ⇒ 00:34:05.610 Hyp+Access: to run…
352 00:34:05.670 ⇒ 00:34:08.810 Uttam Kumaran: each of those. So that’s, like, sort of hopefully what I’m trying to…
353 00:34:09.449 ⇒ 00:34:16.359 Uttam Kumaran: get a concise view on, is, like, what are all the workflows that are going on in between all these characters? And then…
354 00:34:17.699 ⇒ 00:34:23.369 Uttam Kumaran: We can… once… when you evaluate a new tool, you can evaluate that with… with these workflows in mind.
355 00:34:24.130 ⇒ 00:34:25.890 Hyp+Access: Okay, so it’s like…
356 00:34:26.510 ⇒ 00:34:32.130 Hyp+Access: We start with mapping the new patient, close house by testing through healthy to understand what is native.
357 00:34:32.139 ⇒ 00:34:32.869 Uttam Kumaran: Yes.
358 00:34:32.870 ⇒ 00:34:50.799 Hyp+Access: Same with existing patient, test that through Healthy, and then do this kind of more broad, like, tools and people mapping, so that we figure out where the gaps, where we tran… where can we transition things from people to tools, where might we need to bring something in new that’s kind of the last choice, or the last assessment?
359 00:34:50.800 ⇒ 00:34:56.750 Uttam Kumaran: Ideally, you should see all the workflows, and it’ll be clear… On, hey, is this, like.
360 00:34:57.240 ⇒ 00:35:03.180 Uttam Kumaran: a couple things will be clear. One is, like, oh, we didn’t know… we don’t know who’s gonna own this, or right now.
361 00:35:03.180 ⇒ 00:35:04.340 Hyp+Access: Yeah.
362 00:35:04.620 ⇒ 00:35:14.359 Uttam Kumaran: or, like, one specific person has, like, way too much, or one… something has way too much. So that’ll… that should become clear. And then, yes, I want this week for us to start
363 00:35:14.510 ⇒ 00:35:16.619 Uttam Kumaran: Messing around and healthy with stuff.
364 00:35:16.850 ⇒ 00:35:18.209 Hyp+Access: For a new patient.
365 00:35:18.210 ⇒ 00:35:27.830 Uttam Kumaran: So ideally, like, that’s what I’m gonna work with away, Sean, is, like, can we start just poking around in there, get the Stripe hookup working? Some of this stuff will be, like.
366 00:35:28.330 ⇒ 00:35:32.239 Uttam Kumaran: It’ll be a little phony, because, like, there’s no… it’s all, like, dummy, but, like.
367 00:35:32.380 ⇒ 00:35:39.230 Uttam Kumaran: I kind of, like, I want to see end-to-end what it would be like, and ideally, if it’s something we could do…
368 00:35:39.530 ⇒ 00:35:42.810 Uttam Kumaran: Like, in an hour on a phone call, we walk through the whole process.
369 00:35:43.060 ⇒ 00:35:46.709 Uttam Kumaran: we can all get on the same page, so that’s, like, sort of, like, what I’m hoping to get to, maybe next week.
370 00:35:47.580 ⇒ 00:35:56.969 Uttam Kumaran: Okay. It’s like, we could walk through creating whatever it isn’t Healthy, Healthy talks to Stripe, we fill out the invoice, we, like, go through that, and we’ll… we’ll see what we’re missing.
371 00:35:57.260 ⇒ 00:36:01.260 Uttam Kumaran: And I know from last… we still have also a bunch of
372 00:36:01.430 ⇒ 00:36:03.289 Uttam Kumaran: Things to take care of on, like.
373 00:36:03.540 ⇒ 00:36:07.630 Uttam Kumaran: figuring out that Healthy can do the forms and all those stuff, so…
374 00:36:07.880 ⇒ 00:36:11.459 Uttam Kumaran: That’s gonna take, like, a week or two to, like, nail down.
375 00:36:11.890 ⇒ 00:36:12.950 Hyp+Access: That’s fine.
376 00:36:13.380 ⇒ 00:36:21.610 Hyp+Access: And then… I’m like, what else?
377 00:36:22.860 ⇒ 00:36:25.680 Hyp+Access: I’m actually.
378 00:36:25.680 ⇒ 00:36:30.529 Uttam Kumaran: You know, we didn’t talk anything about, like, the data systems. I’m, like, not as worried.
379 00:36:31.150 ⇒ 00:36:34.729 Hyp+Access: I think we’ll get there. I feel like understanding, like, I understand…
380 00:36:34.730 ⇒ 00:36:37.799 Uttam Kumaran: that’s more of our wheelhouse for stuff, so I’m not, like…
381 00:36:38.240 ⇒ 00:36:42.310 Uttam Kumaran: We’ll land all that data wherever you guys need it for audit and stuff, so I’m not…
382 00:36:42.430 ⇒ 00:36:43.579 Uttam Kumaran: Yeah, too concerned.
383 00:36:43.580 ⇒ 00:36:49.770 Hyp+Access: Yeah, and we’re… Still, like, building out those policies and,
384 00:36:50.270 ⇒ 00:36:56.980 Hyp+Access: it makes sense to kind of go with, like, okay, what’s the base software? What do we know? What do we don’t know? And then we kind of,
385 00:36:57.830 ⇒ 00:37:03.160 Hyp+Access: Yeah, I’m not that concerned about the data systems either. The only thing I need to…
386 00:37:05.220 ⇒ 00:37:07.220 Hyp+Access: Eventually figure out is, like.
387 00:37:09.620 ⇒ 00:37:20.380 Hyp+Access: What kind of reports, ideally, would we like for those audit processes, and how that stuff could be presented and automatically presented, so that someone’s not spending a week trying to pull it together.
388 00:37:20.750 ⇒ 00:37:22.570 Uttam Kumaran: Yeah, okay, so that’s what I think.
389 00:37:22.930 ⇒ 00:37:26.429 Hyp+Access: But I also think that that’s gonna come from…
390 00:37:27.700 ⇒ 00:37:29.679 Hyp+Access: We have to, like, get through…
391 00:37:30.070 ⇒ 00:37:30.550 Uttam Kumaran: Yeah.
392 00:37:30.550 ⇒ 00:37:34.189 Hyp+Access: actual operations… Where the data’s going.
393 00:37:34.400 ⇒ 00:37:43.799 Hyp+Access: and then be like, where are the other places that data has to be collected? What’s the process of collecting that data? Like, the logs in the med prep room, you know, the logs in…
394 00:37:44.030 ⇒ 00:37:48.330 Hyp+Access: a variety of other places. Like, we’ll kind of get into that, like, state-mandated.
395 00:37:48.630 ⇒ 00:37:49.150 Uttam Kumaran: Yeah.
396 00:37:49.150 ⇒ 00:37:52.449 Hyp+Access: Z, I think, secondarily, and then be like.
397 00:37:52.670 ⇒ 00:38:10.279 Hyp+Access: do we want an iPad in that room, so that it’s automatically put into the EMR, and we create a form? Like, you know, maybe… maybe we get to that once we kind of know what that base system looks like, and then we’ll be like, okay, here’s other entry points of data, and then we can put it all in the data bank, and then automatically pop out these reports, and then…
398 00:38:10.280 ⇒ 00:38:10.740 Uttam Kumaran: Yeah.
399 00:38:10.740 ⇒ 00:38:11.940 Hyp+Access: Maybe that’s the way.
400 00:38:12.290 ⇒ 00:38:12.780 Uttam Kumaran: Okay.
401 00:38:14.010 ⇒ 00:38:16.200 Hyp+Access: But let me know if that ends up, like.
402 00:38:16.510 ⇒ 00:38:19.099 Hyp+Access: you know, I’m just riffing here, so if at any point it’s…
403 00:38:19.100 ⇒ 00:38:29.450 Uttam Kumaran: I think that’s fine. Yeah, I think basically what… what… now that we have this sort of org chart, some of these peop… some of the folks will… part of their responsibility will be just, like, reporting, right? So I want to make…
404 00:38:29.970 ⇒ 00:38:36.080 Uttam Kumaran: One of the things… the only thing to just… for me to note is, like, what are… what are some of those reports?
405 00:38:36.310 ⇒ 00:38:45.750 Uttam Kumaran: And then we can just, like, make sure that it’s just tracked here somewhere. And then the other thing I’m gonna do in this, like, overall diagram, and again, I don’t know if this is happening elsewhere, so let me know, but…
406 00:38:46.040 ⇒ 00:38:47.720 Uttam Kumaran: Like, part of the…
407 00:38:48.350 ⇒ 00:38:55.920 Uttam Kumaran: the goal here is, like, I want to see these flows visually, but I also want to link out to, like, the policy documents. So I kind of, like, am…
408 00:38:56.360 ⇒ 00:39:03.590 Uttam Kumaran: I’m gonna use something like… Like this… to,
409 00:39:04.350 ⇒ 00:39:15.930 Uttam Kumaran: like, show each of the policies, and then ideally link them to different sections in the diagram. I’m not yet sure, like, this looks really ugly, I’m not yet sure, like, how I’m gonna do that yet,
410 00:39:16.240 ⇒ 00:39:18.229 Uttam Kumaran: But ideally, at each…
411 00:39:18.340 ⇒ 00:39:23.770 Uttam Kumaran: flow where a policy needs to be considered for a decision, it will be clear which
412 00:39:23.970 ⇒ 00:39:28.150 Uttam Kumaran: That document or, like, placeholder document should get linked here.
413 00:39:28.280 ⇒ 00:39:29.510 Uttam Kumaran: Right?
414 00:39:29.950 ⇒ 00:39:37.610 Uttam Kumaran: That way, it’s easier for anyone to come in here and follow through a thread and see, like, the relevant document. Right.
415 00:39:38.510 ⇒ 00:39:44.290 Uttam Kumaran: I… I think, like… again, Google Drive helps with some, like, organization, but…
416 00:39:44.460 ⇒ 00:39:48.590 Uttam Kumaran: I kind of want everything to get linked from the diagram somehow, that way…
417 00:39:48.590 ⇒ 00:39:49.040 Hyp+Access: So…
418 00:39:49.040 ⇒ 00:39:55.849 Uttam Kumaran: Again, like, my goal is, like, if we were to walk through on one meeting, end-to-end to create a new patient, could we do it?
419 00:39:56.030 ⇒ 00:40:02.599 Uttam Kumaran: Right? And, like, have all the tools here. Like, have all the tools or external decisions to do that, so that’s, like, what I’m hoping.
420 00:40:03.060 ⇒ 00:40:03.750 Hyp+Access: Okay.
421 00:40:04.500 ⇒ 00:40:11.680 Hyp+Access: That sounds… that sounds good, and it is a feat.
422 00:40:11.680 ⇒ 00:40:12.900 Uttam Kumaran: Yes.
423 00:40:13.160 ⇒ 00:40:15.279 Hyp+Access: And then… and then it gets into, like…
424 00:40:17.270 ⇒ 00:40:20.049 Hyp+Access: Like, once we get into the rules of the…
425 00:40:21.950 ⇒ 00:40:26.920 Hyp+Access: of the… like, once we get into the EMM… oh my god, E&M templates.
426 00:40:27.100 ⇒ 00:40:29.769 Hyp+Access: With the medical codes we’ll be selecting from.
427 00:40:29.790 ⇒ 00:40:47.739 Hyp+Access: then that kind of transitions into the billing and coding. Like, we’ll kind of be able to start tracking, like, okay, now we need to, like, bring a lot of this information. There’s just… there’s so many rules we’re following that it is a bit, like, step-by-step, otherwise it gets a little bit too overwhelming.
428 00:40:47.740 ⇒ 00:40:51.699 Uttam Kumaran: So that’s why I think if we can knock out, like, if we talk with a new patient and we knock out.
429 00:40:51.700 ⇒ 00:40:53.449 Hyp+Access: Part of the healthy piece.
430 00:40:53.950 ⇒ 00:40:56.209 Uttam Kumaran: And then we can walk through…
431 00:40:56.390 ⇒ 00:40:59.790 Uttam Kumaran: Yeah, the actual visit, and then the post-visit.
432 00:41:00.030 ⇒ 00:41:07.010 Uttam Kumaran: I think we’ll just walk through that for, like, just a new patient that comes in and does a visit, and that will knock out a bunch of items.
433 00:41:07.130 ⇒ 00:41:09.179 Hyp+Access: Someone that will get reused for the…
434 00:41:09.910 ⇒ 00:41:11.680 Uttam Kumaran: Existing patient, anyways.
435 00:41:11.680 ⇒ 00:41:27.450 Hyp+Access: Right, and, like, in that first mapping of the new patient, we’ll also then be able to identify, like, what information have we not included here, and then in the second, in the existing patient, maybe we can add in some of those changes, and then test it more fully, because I do think
436 00:41:28.180 ⇒ 00:41:32.609 Hyp+Access: It is kind of a situation of, like, we do it, and then we’ll feel like, oh, wait, we forgot this part.
437 00:41:32.610 ⇒ 00:41:33.050 Uttam Kumaran: Yes.
438 00:41:33.050 ⇒ 00:41:34.000 Hyp+Access: You know?
439 00:41:34.000 ⇒ 00:41:34.330 Uttam Kumaran: Yeah.
440 00:41:34.330 ⇒ 00:41:38.070 Hyp+Access: Just cause it is so… yeah.
441 00:41:38.460 ⇒ 00:41:41.750 Hyp+Access: Whew! Medical care is truly kind of bonkers, but…
442 00:41:41.750 ⇒ 00:41:47.569 Uttam Kumaran: No, this is a complicated system, but this is good. I think, like, I want to have a visual component and something, like, a little bit linear.
443 00:41:47.740 ⇒ 00:41:50.450 Uttam Kumaran: And so, I’ll figure out with the ways, like, how we can…
444 00:41:51.040 ⇒ 00:41:53.269 Uttam Kumaran: make this really clear in this fig jam, but…
445 00:41:53.590 ⇒ 00:41:54.230 Hyp+Access: Cool.
446 00:41:54.830 ⇒ 00:42:01.569 Hyp+Access: Ray, is there anything else that, like, We’ve been talking about that…
447 00:42:02.880 ⇒ 00:42:09.829 Hyp+Access: you and I need to get done within the next week or so, just to… I don’t know.
448 00:42:12.210 ⇒ 00:42:13.220 Grey Louisos, they/them: I mean…
449 00:42:15.840 ⇒ 00:42:23.749 Grey Louisos, they/them: there are, you know, something I’m thinking about a lot is the… some of the unanswered questions in the…
450 00:42:24.300 ⇒ 00:42:39.589 Grey Louisos, they/them: that will come up in the new patient E&M process around how different parts of the chart are talking to each other, like how the visit note’s talking to the care plan, and things like that that are in our E&M SOP that,
451 00:42:39.820 ⇒ 00:42:51.249 Grey Louisos, they/them: I’m still unclear what the capabilities are in Healthy with that, and so there just… there’ll be some details to figure out when we’re running through that. And then I think next would be…
452 00:42:51.750 ⇒ 00:42:57.119 Grey Louisos, they/them: drafting our testing, data, SOPs.
453 00:42:57.450 ⇒ 00:43:13.519 Grey Louisos, they/them: So that… because the testing SOPs are going to talk to the E&M ones, so if there’s, like, an E&M happening, and then a certain test is done, we want to make sure that the provider can pull in the template for the test, and that… that will all communicate with each other, too.
454 00:43:13.760 ⇒ 00:43:17.670 Grey Louisos, they/them: So that would be, I think, the next thing.
455 00:43:18.370 ⇒ 00:43:23.449 Hyp+Access: So, would it make sense, then, to have… like, a dual…
456 00:43:23.940 ⇒ 00:43:37.359 Hyp+Access: Demo of the new patient, where we first kind of go through the whole thing, and then actually do a little bit more of a deep dive into templates and care plan, and, like, charting, and how all of those things might interact.
457 00:43:38.540 ⇒ 00:43:44.330 Uttam Kumaran: Yeah, I mean, at least at that point, we’ll have data and healthy, and then we can start having the other systems and see…
458 00:43:44.850 ⇒ 00:43:46.239 Uttam Kumaran: Okay. You know, yeah.
459 00:43:47.510 ⇒ 00:43:49.390 Hyp+Access: And Gray, do we have, like…
460 00:43:52.210 ⇒ 00:44:01.389 Hyp+Access: other than our, like, you know, patient load estimates and, like, and, like, MVP, like, code by code, do we have, like.
461 00:44:02.250 ⇒ 00:44:03.490 Hyp+Access: coding…
462 00:44:04.430 ⇒ 00:44:18.299 Hyp+Access: decision trees, or in terms of the… the template creation, was there anything aside from the SOPs that are more related to medical codes and justification that we can also bring in, or is that something we also need to do?
463 00:44:19.230 ⇒ 00:44:21.479 Grey Louisos, they/them: I mean, I have been making…
464 00:44:21.790 ⇒ 00:44:31.750 Grey Louisos, they/them: Documentation checklists, which is definitely gonna be a part of template building and related to… and it’s done by, procedure code.
465 00:44:32.060 ⇒ 00:44:37.619 Grey Louisos, they/them: I think, I mean, that’s something that would need some work to complete, but .
466 00:44:37.960 ⇒ 00:44:38.490 Hyp+Access: Okay.
467 00:44:38.490 ⇒ 00:44:41.330 Grey Louisos, they/them: Something to start with there, for sure, that we could bring in.
468 00:44:41.920 ⇒ 00:44:42.630 Hyp+Access: Okay.
469 00:44:42.960 ⇒ 00:44:50.619 Grey Louisos, they/them: But that’s… that might be getting more in the weeds of, like, what the templates are exactly gonna look like.
470 00:44:50.620 ⇒ 00:44:51.410 Hyp+Access: I see, okay.
471 00:44:51.410 ⇒ 00:44:58.799 Grey Louisos, they/them: I think if we’re able to generally think about how the templates are communicating with each other, and then going from intake
472 00:44:58.910 ⇒ 00:45:02.070 Grey Louisos, they/them: To template, note-taking, to billing.
473 00:45:02.190 ⇒ 00:45:08.310 Grey Louisos, they/them: Okay, I see what you’re saying. That flow is, I think, would be better than maybe optimizing some of that, but…
474 00:45:08.600 ⇒ 00:45:18.500 Hyp+Access: Okay, so that’s maybe day two, once we kind of figure out the operations of the system, then we can actually bring in the more details and test it later with all the detailed pieces.
475 00:45:18.770 ⇒ 00:45:19.630 Grey Louisos, they/them: I think so, yeah.
476 00:45:19.630 ⇒ 00:45:22.260 Hyp+Access: Okay, that makes a lot of sense. Okay, great.
477 00:45:23.480 ⇒ 00:45:24.050 Uttam Kumaran: Okay.
478 00:45:25.500 ⇒ 00:45:26.040 Hyp+Access: Awesome!
479 00:45:26.040 ⇒ 00:45:33.159 Uttam Kumaran: So… so this week, we’ll make some changes to the diagram, and we’ll start on some stuff in Healthy, so I’ll kind of, like.
480 00:45:33.750 ⇒ 00:45:37.279 Uttam Kumaran: Basically, live blog as we poke in there.
481 00:45:37.390 ⇒ 00:45:42.309 Uttam Kumaran: And then, yeah, if I can get the E&M SOP, that would be great.
482 00:45:42.310 ⇒ 00:45:43.780 Hyp+Access: Yep, we can send that to you.
483 00:45:44.690 ⇒ 00:45:45.670 Uttam Kumaran: And then…
484 00:45:45.670 ⇒ 00:45:46.280 Hyp+Access: Stay.
485 00:45:46.560 ⇒ 00:45:50.519 Uttam Kumaran: Can we go ahead and plan maybe another hour for next week?
486 00:45:50.520 ⇒ 00:45:51.140 Hyp+Access: Yeah.
487 00:45:51.630 ⇒ 00:45:54.710 Hyp+Access: Next week is so much better for me.
488 00:45:56.210 ⇒ 00:46:03.749 Hyp+Access: Imagine this week, I’m, like, with a… I have no head on my body. So normally we meet…
489 00:46:04.150 ⇒ 00:46:05.410 Hyp+Access: When do we normally meet?
490 00:46:05.410 ⇒ 00:46:06.889 Uttam Kumaran: on Thursdays?
491 00:46:09.160 ⇒ 00:46:11.600 Hyp+Access: At what time did we normally meet?
492 00:46:13.930 ⇒ 00:46:15.359 Hyp+Access: And by normal, I mean once.
493 00:46:15.530 ⇒ 00:46:17.240 Uttam Kumaran: 11 a.m.
494 00:46:18.150 ⇒ 00:46:20.650 Hyp+Access: Okay.
495 00:46:20.650 ⇒ 00:46:21.130 Uttam Kumaran: Yeah.
496 00:46:21.130 ⇒ 00:46:23.400 Hyp+Access: I… Gray, could you…
497 00:46:24.860 ⇒ 00:46:30.639 Hyp+Access: We could move our check-in that day, Grace, so you have an hour in between Brainforge and Database.
498 00:46:32.080 ⇒ 00:46:36.640 Grey Louisos, they/them: Oh, yeah, let’s… let’s talk about that, but that sounds good.
499 00:46:36.640 ⇒ 00:46:41.070 Hyp+Access: So if we did 11am Brain Forge, you’d be cool with that on Thursday the 30th?
500 00:46:41.070 ⇒ 00:46:41.720 Grey Louisos, they/them: Yes.
501 00:46:41.720 ⇒ 00:46:44.599 Hyp+Access: I’ll add that right now. Or do you want me to add that?
502 00:46:44.600 ⇒ 00:46:46.370 Uttam Kumaran: I could just send it, yeah.
503 00:46:47.180 ⇒ 00:46:50.870 Hyp+Access: And I think that should work for Andrea to meet as well, and…
504 00:46:51.830 ⇒ 00:46:54.940 Hyp+Access: I think it’s helpful to have her on, because she’s so much more, like.
505 00:46:55.450 ⇒ 00:47:00.590 Uttam Kumaran: Yeah, I’ll… I can send Andrea this wrist recording, and so if she wants to…
506 00:47:00.900 ⇒ 00:47:03.239 Uttam Kumaran: Listen to it on 2X, so you can catch up.
507 00:47:06.720 ⇒ 00:47:11.529 Hyp+Access: yeah, I think you’re centralizing a lot of our, like, conversations in a way that I.
508 00:47:11.530 ⇒ 00:47:12.300 Uttam Kumaran: Yeah.
509 00:47:12.300 ⇒ 00:47:15.380 Hyp+Access: Engaged, because it is so, like, interconnected.
510 00:47:15.380 ⇒ 00:47:20.580 Uttam Kumaran: Yeah, this is… it’s so tough, because there is, like, we need… I think we really need this visually,
511 00:47:21.100 ⇒ 00:47:26.670 Uttam Kumaran: But then we also need to start to see, like, okay, the workflows per person start to ladder up.
512 00:47:27.300 ⇒ 00:47:39.289 Uttam Kumaran: And then, of course, like, I really just… I don’t want… like, this is something that happens when you’re designing systems like this, is just that you just kind of, like, keep going, keep going. I wanted to just, like, break stuff unhealthy while we can, and, like, try
513 00:47:40.060 ⇒ 00:47:49.689 Uttam Kumaran: You know, so that’s, like, kind of what I’m gonna push for in parallel, is, like, we at least start trying pieces of it that we can get confident on. We’ll naturally see, like, what can happen, and then…
514 00:47:49.840 ⇒ 00:47:57.329 Uttam Kumaran: That way, we can adjust if needed, or ideally, we see that more things can happen in healthy than we expected.
515 00:47:57.520 ⇒ 00:48:01.040 Uttam Kumaran: And, like, we can consolidate. That would be cool. That would be very nice.
516 00:48:01.270 ⇒ 00:48:04.639 Hyp+Access: That would be nice, although I’m… I question, but we’ll see.
517 00:48:04.640 ⇒ 00:48:06.110 Uttam Kumaran: Okay, okay.
518 00:48:06.910 ⇒ 00:48:14.330 Hyp+Access: I mean, healthy is better than a lot of other EMRs that are used in these places, but .
519 00:48:15.990 ⇒ 00:48:20.960 Uttam Kumaran: Yeah, and then, you know, nicely what you can do is if you go evaluate another vendor, you can basically just send them
520 00:48:21.310 ⇒ 00:48:22.660 Uttam Kumaran: This, and you can say.
521 00:48:22.810 ⇒ 00:48:27.939 Uttam Kumaran: this is what you need to be able to support. So what parts of this can you support for what price?
522 00:48:27.970 ⇒ 00:48:29.190 Hyp+Access: Yeah.
523 00:48:29.480 ⇒ 00:48:31.550 Uttam Kumaran: You can skip a meeting, hopefully.
524 00:48:32.070 ⇒ 00:48:35.359 Hyp+Access: Wow. Oh, God, I don’t know. I feel like sales, I…
525 00:48:36.860 ⇒ 00:48:39.880 Uttam Kumaran: Yeah, that’s… usually they won’t let you skip the meeting, but…
526 00:48:39.880 ⇒ 00:48:45.049 Hyp+Access: No, and they’re… They liked fib.
527 00:48:45.050 ⇒ 00:48:46.939 Uttam Kumaran: Yes, yeah.
528 00:48:46.940 ⇒ 00:48:48.160 Hyp+Access: Right there, cool.
529 00:48:48.670 ⇒ 00:48:54.249 Hyp+Access: Okay, great, so… We’ve got a plan.
530 00:48:54.320 ⇒ 00:48:55.160 Uttam Kumaran: Cool.
531 00:48:55.260 ⇒ 00:48:59.170 Hyp+Access: I think we’re on track, we’re kind of…
532 00:49:00.760 ⇒ 00:49:06.000 Uttam Kumaran: Yeah, I was gonna ask, like, are there, and you may have already shared this, but are there rough, like.
533 00:49:06.280 ⇒ 00:49:07.110 Hyp+Access: Timelines?
534 00:49:07.110 ⇒ 00:49:11.740 Uttam Kumaran: timeline dates that I should… I can just start to, like, put in here, and then also…
535 00:49:12.190 ⇒ 00:49:13.000 Hyp+Access: So, I can…
536 00:49:13.000 ⇒ 00:49:14.410 Uttam Kumaran: to work backwards from.
537 00:49:15.020 ⇒ 00:49:20.799 Hyp+Access: Yeah, so we’re actually redoing our timeline right now, because I had a meeting with the DOH last week, and
538 00:49:21.410 ⇒ 00:49:29.160 Hyp+Access: We’re basically getting a level of scrutiny on our application that our consultants have never seen in their entire careers.
539 00:49:29.320 ⇒ 00:49:37.920 Hyp+Access: It’s great! And so the DOH has been as delayed as our landlord, and our landlord is now hiding from us, and it’s super fun, and so…
540 00:49:37.920 ⇒ 00:49:38.550 Uttam Kumaran: Yeah.
541 00:49:39.010 ⇒ 00:49:44.840 Hyp+Access: So, I think our initial target was, like, a May opening, and we’re redoing our…
542 00:49:45.580 ⇒ 00:49:56.229 Hyp+Access: timeline for a DOH approval now in January and February instead of December, and I’m unsure how much that will actually potentially push us, but
543 00:49:56.290 ⇒ 00:50:16.010 Hyp+Access: I think we are going to have a little bit more room now, through December, to, like, figure out these systems, and then that initial DOH approval comes in in January and February. It’s, like, all hands on deck, we’re starting payer contracting, we’re doing all of these other registrations, like, it kind of becomes, like, another phase of, like.
544 00:50:16.510 ⇒ 00:50:20.079 Hyp+Access: of, like, chickens with no heads a little bit, and so I.
545 00:50:20.080 ⇒ 00:50:20.519 Uttam Kumaran: Yeah. But, like.
546 00:50:20.520 ⇒ 00:50:21.060 Hyp+Access: E.
547 00:50:21.460 ⇒ 00:50:30.669 Hyp+Access: Capitalize on this time as much as I can to just really get through this, because it’ll make onboarding and training so much easier.
548 00:50:31.130 ⇒ 00:50:36.729 Hyp+Access: So, I’ll send you the… Where is the instigant?
549 00:50:36.730 ⇒ 00:50:39.440 Uttam Kumaran: Yeah, so I think if we can arrive on, like,
550 00:50:40.770 ⇒ 00:50:46.940 Uttam Kumaran: I think we probably need another week or two to arrive on, like, the core list of flows, and then it’ll be easier…
551 00:50:47.080 ⇒ 00:50:52.670 Uttam Kumaran: For us to start to say, okay, like, at what point can we confirm these flows, or…
552 00:50:53.250 ⇒ 00:50:55.380 Uttam Kumaran: Decide on the timelines from then.
553 00:50:55.720 ⇒ 00:51:01.550 Hyp+Access: Yeah, so this is the Instagant that Andrea updates, and it includes, great.
554 00:51:01.880 ⇒ 00:51:08.380 Hyp+Access: Like, the physical build of the space, all of our licensing requirements, and our, and our…
555 00:51:08.620 ⇒ 00:51:11.820 Hyp+Access: It doesn’t really include our hiring, but
556 00:51:12.260 ⇒ 00:51:14.869 Hyp+Access: And there’s a lot of contingencies,
557 00:51:18.140 ⇒ 00:51:23.370 Hyp+Access: But… maybe she actually already changed it. Let me look at this.
558 00:51:24.120 ⇒ 00:51:25.959 Grey Louisos, they/them: I think it’s still December.
559 00:51:26.760 ⇒ 00:51:29.729 Grey Louisos, they/them: Or… I don’t know if she’s updated it since…
560 00:51:31.250 ⇒ 00:51:38.429 Hyp+Access: Yeah, no, you’re right, because we’re looking at a May opening, and then we do Medicaid enrollment after that, so I don’t think she has changed it.
561 00:51:38.430 ⇒ 00:51:40.589 Grey Louisos, they/them: Boulder to tell me when she does, so that I can…
562 00:51:40.770 ⇒ 00:51:41.500 Hyp+Access: Okay, great.
563 00:51:41.500 ⇒ 00:51:43.619 Grey Louisos, they/them: You can then work off of it too, yeah.
564 00:51:44.190 ⇒ 00:51:48.860 Hyp+Access: So, oh, gosh.
565 00:51:58.510 ⇒ 00:52:00.190 Uttam Kumaran: Save this also.
566 00:52:03.470 ⇒ 00:52:09.679 Hyp+Access: Yeah, and if there’s any, like, other pieces of information that would be helpful to put on this, we can also add that.
567 00:52:09.680 ⇒ 00:52:10.490 Uttam Kumaran: Okay.
568 00:52:18.770 ⇒ 00:52:22.089 Hyp+Access: And ideally, and we can explain this later, but like…
569 00:52:23.530 ⇒ 00:52:32.360 Hyp+Access: You know, there’s periods of time that we’re hoping to kind of collapse, so, like, the contingency resolution
570 00:52:33.580 ⇒ 00:52:42.329 Hyp+Access: we’re hoping will not be 2 months, and we just immediately resolve contingencies, and then we can do our clinicals. So there’s some… some things that… this is a very…
571 00:52:42.890 ⇒ 00:52:49.530 Hyp+Access: Like, ideal, but… Including all of the buffer time that might exist
572 00:52:49.830 ⇒ 00:52:53.210 Hyp+Access: But we are trying to make some of these buffers smaller, but…
573 00:52:53.210 ⇒ 00:52:53.770 Uttam Kumaran: Okay.
574 00:52:54.710 ⇒ 00:53:08.660 Grey Louisos, they/them: Also, while I’m updating the timeline, our organizational internal timeline, I can think about, and Audrey, we can talk about what some of the good timeframes for some of the things we’re working on with Brainforge specifically,
575 00:53:08.660 ⇒ 00:53:09.200 Hyp+Access: Yeah.
576 00:53:09.440 ⇒ 00:53:10.160 Uttam Kumaran: Yeah.
577 00:53:10.170 ⇒ 00:53:24.720 Uttam Kumaran: That would be helpful. You know, I think we… I think now that I’m starting to form the deliverables for, like, these diagrams and the workflows, I think naturally they’ll start to move on to… like, there’s clearly things that we have to start to test.
578 00:53:24.720 ⇒ 00:53:32.929 Uttam Kumaran: and sign off, like, tools can talk to each other. I want to kind of put it… I want to sort of try to aim for some date for, like.
579 00:53:32.990 ⇒ 00:53:35.039 Hyp+Access: An end-to-end test of new…
580 00:53:35.040 ⇒ 00:53:46.099 Uttam Kumaran: An existing patient. And that way, I can start to build out that, like, test plan. We can be like, okay, cool, this covers every edge case, and then our goal is to, like.
581 00:53:46.230 ⇒ 00:53:49.310 Uttam Kumaran: Be able to run through that flawlessly, and then that’s, like.
582 00:53:49.580 ⇒ 00:53:56.280 Uttam Kumaran: naturally, like, we’ll find hiccups, we’ll iterate on that. So, it would be great to hear a date, and I could kind of work
583 00:53:57.080 ⇒ 00:53:58.669 Uttam Kumaran: Towards that, that would be great.
584 00:53:58.670 ⇒ 00:53:59.280 Hyp+Access: Yeah.
585 00:53:59.510 ⇒ 00:54:02.740 Hyp+Access: And it might make sense, I mean, Robert and I talked…
586 00:54:03.870 ⇒ 00:54:12.200 Hyp+Access: I think a little bit about this in a meeting a while ago, so I can also pull up those notes and send to you what we were thinking, but I think we were thinking about, like.
587 00:54:13.020 ⇒ 00:54:17.160 Hyp+Access: a… initial synthetic sandbox run.
588 00:54:17.160 ⇒ 00:54:17.820 Uttam Kumaran: Yes.
589 00:54:18.360 ⇒ 00:54:28.630 Hyp+Access: off-site, because we won’t be in the space yet, by, like, like, in February, and then we would… once we get into the space, which, at this point, you know.
590 00:54:28.920 ⇒ 00:54:36.250 Hyp+Access: whatever. Then we would, you know, once we get access, we could set up the system and then do a secondary version of it there.
591 00:54:36.510 ⇒ 00:54:51.889 Uttam Kumaran: Yeah, so I think we would probably have, like, a various fidelity of, like, these testing plans, like, something probably we’ll aim for, hopefully, this quarter is, like, something more manual, or just, like, a lot of dummy data, and then we’ll work towards something that’s much more…
592 00:54:52.090 ⇒ 00:55:06.349 Uttam Kumaran: like, realistic in terms of, like, synthetic data, and mimicking, like, different flows. But that’s something, again, like, we kind of… I want… if… if we have those rough dates, I can work backwards, and then, okay, what’s possible?
593 00:55:06.540 ⇒ 00:55:09.909 Uttam Kumaran: So that we can start… so we can start testing really soon.
594 00:55:10.560 ⇒ 00:55:19.120 Hyp+Access: No, absolutely. And then figuring out and identifying, like, what… What can be tested?
595 00:55:19.570 ⇒ 00:55:24.499 Hyp+Access: remote and what has to be tested on site. Like, there’s some things that we’ll just have to wait and see.
596 00:55:24.500 ⇒ 00:55:25.529 Uttam Kumaran: Yes, I agree.
597 00:55:25.530 ⇒ 00:55:32.089 Hyp+Access: hope for the best, you know, once we’re on site. Yeah. I agree. But, yeah, hopefully it’ll,
598 00:55:32.900 ⇒ 00:55:38.949 Hyp+Access: Anyway, but this looks great. I’m excited. We really are enjoying working with you all, and appreciate your, like.
599 00:55:39.750 ⇒ 00:55:40.750 Hyp+Access: Kind of just…
600 00:55:40.750 ⇒ 00:55:44.639 Uttam Kumaran: I appreciate it. No, we, yeah, we just try to…
601 00:55:44.930 ⇒ 00:55:49.479 Uttam Kumaran: There’s, like, we have… just have an innate, like, sense of urgency around everything, so we just try to keep…
602 00:55:49.520 ⇒ 00:56:04.040 Uttam Kumaran: pushing, and if you guys don’t set it in, like, I will set one, and we’ll just try to hit it. So that’s… I just want to make sure that we at least do something, and then I can work backwards from there. I think we made it pretty good. Like, the first 20-30% of the project will, I feel like.
603 00:56:04.040 ⇒ 00:56:09.789 Uttam Kumaran: we’re just getting our heads around everything. Of course. And as soon as we get into the system setup, I think we’ll…
604 00:56:10.140 ⇒ 00:56:10.610 Hyp+Access: Yeah.
605 00:56:10.610 ⇒ 00:56:11.569 Uttam Kumaran: They start to move.
606 00:56:12.030 ⇒ 00:56:12.670 Hyp+Access: Yeah.
607 00:56:13.430 ⇒ 00:56:17.770 Hyp+Access: And we’re still… Yeah, and some stuff, I mean…
608 00:56:18.820 ⇒ 00:56:21.799 Hyp+Access: Ideally, we’re hiring the practice manager, like.
609 00:56:21.800 ⇒ 00:56:22.540 Uttam Kumaran: Yeah.
610 00:56:22.540 ⇒ 00:56:26.300 Hyp+Access: Soon. And then we’ll have another person to really be, like, helping us.
611 00:56:26.300 ⇒ 00:56:27.669 Uttam Kumaran: Start testing with us, yeah.
612 00:56:27.670 ⇒ 00:56:35.420 Hyp+Access: Yeah, and helping there, so… We’ll, you know, we’ll see, but that’s our goal.
613 00:56:35.690 ⇒ 00:56:36.280 Uttam Kumaran: Okay.
614 00:56:36.370 ⇒ 00:56:43.800 Hyp+Access: quite as haphazard. And we’re doing okay, but, you know, there’s a lot, that we’re tracking, so…
615 00:56:44.920 ⇒ 00:56:49.349 Hyp+Access: But no, this is great, I’m excited. The data part is, like, I’m like, this is my favorite.
616 00:56:51.150 ⇒ 00:56:56.610 Uttam Kumaran: Save! Save. The rest of the stuff is very hard. I don’t know anything about…
617 00:56:57.460 ⇒ 00:57:04.519 Uttam Kumaran: This is all I know, actually. This is, like, all I’m good at, so… I don’t know anything about the medical parts.
618 00:57:04.710 ⇒ 00:57:07.939 Hyp+Access: Well, we… we know much far too much, so,
619 00:57:08.800 ⇒ 00:57:13.510 Hyp+Access: It’s… it’s good. It’s just nice to… to actually be like, okay, we’re…
620 00:57:13.670 ⇒ 00:57:22.890 Hyp+Access: we’re actually, like, working toward, like, a tangible workflow that isn’t this kind of, like, in our heads, like, how does it actually function? So this is really good. It’s really good, yeah.
621 00:57:23.620 ⇒ 00:57:31.599 Uttam Kumaran: Okay, perfect. So I sent the, I sent the meeting for next week, and then, yeah, I’ll probably send some updates probably by Thursday or Friday this week.
622 00:57:32.270 ⇒ 00:57:33.900 Hyp+Access: Cool, and I’ll be…
623 00:57:34.370 ⇒ 00:57:41.629 Hyp+Access: At a conference tomorrow and Thursday, but, you know, if anything comes up, email, text, whatever, and I’ll…
624 00:57:41.630 ⇒ 00:57:42.270 Uttam Kumaran: Okay.
625 00:57:42.270 ⇒ 00:57:43.400 Hyp+Access: Best, yeah.
626 00:57:43.780 ⇒ 00:57:44.840 Uttam Kumaran: Okay, perfect.
627 00:57:45.410 ⇒ 00:57:47.510 Hyp+Access: Awesome, thank you, hope you have a good evening.
628 00:57:48.020 ⇒ 00:57:49.489 Uttam Kumaran: Thank you both, appreciate it.
629 00:57:49.490 ⇒ 00:57:51.510 Hyp+Access: Thanks, Gray. We’ll talk to you later.
630 00:57:51.510 ⇒ 00:57:52.110 Uttam Kumaran: Bye.