Meeting Title: Robert <> Audre | Brainforge Kickoff Date: 2025-09-26 Meeting participants: Robert Tseng, Hyp+Access
WEBVTT
1 00:00:02.860 ⇒ 00:00:06.990 Robert Tseng: But I think just to that place, like, deciding this budget.
2 00:00:08.530 ⇒ 00:00:09.850 Robert Tseng: She doesn’t know what it’s keys.
3 00:04:27.310 ⇒ 00:04:29.140 Hyp+Access: Hello?
4 00:04:29.900 ⇒ 00:04:30.630 Robert Tseng: Hey, Audrey.
5 00:04:30.790 ⇒ 00:04:31.880 Hyp+Access: How are you?
6 00:04:32.740 ⇒ 00:04:33.710 Robert Tseng: I’m doing well.
7 00:04:34.190 ⇒ 00:04:40.620 Hyp+Access: Good, let me just pull up… the notes document.
8 00:04:41.170 ⇒ 00:04:41.780 Robert Tseng: Okay.
9 00:04:41.950 ⇒ 00:04:42.630 Hyp+Access: Sorry.
10 00:04:43.030 ⇒ 00:04:50.480 Hyp+Access: And then, yeah, thanks for your patience with our, kind of, clunky…
11 00:04:51.740 ⇒ 00:04:55.259 Hyp+Access: clunky system at this point.
12 00:04:55.830 ⇒ 00:04:58.069 Robert Tseng: No worries, we’re excited to get started.
13 00:04:58.970 ⇒ 00:05:02.509 Hyp+Access: Same, I’m hoping that this will… the Brainforge can kind of…
14 00:05:02.830 ⇒ 00:05:06.349 Hyp+Access: Maybe even direct us all a little bit more?
15 00:05:06.570 ⇒ 00:05:10.130 Hyp+Access: Just because I am not quite sure our IT company has the…
16 00:05:11.240 ⇒ 00:05:13.859 Hyp+Access: Skills for some of the questions we have.
17 00:05:14.220 ⇒ 00:05:14.730 Hyp+Access: Okay.
18 00:05:16.090 ⇒ 00:05:17.450 Hyp+Access: So…
19 00:05:19.300 ⇒ 00:05:21.000 Robert Tseng: We have…
20 00:05:21.090 ⇒ 00:05:26.720 Hyp+Access: Basically, the consulting contract, Executed, right? Yes. Yep.
21 00:05:27.510 ⇒ 00:05:29.789 Hyp+Access: And,
22 00:05:30.040 ⇒ 00:05:37.240 Hyp+Access: usually we meet with Omega on Fridays, but next Friday I’m out of office, so it might be better…
23 00:05:37.610 ⇒ 00:05:44.150 Hyp+Access: for, like, a general meeting to be outside of our normal meeting, we’re still also figuring out, like.
24 00:05:44.590 ⇒ 00:05:48.520 Hyp+Access: They’re still timelining everything that’s within their scope,
25 00:05:49.200 ⇒ 00:05:54.800 Hyp+Access: And we still haven’t gotten a construction schedule, so it’s all kind of, like, Maybe, maybe.
26 00:05:55.830 ⇒ 00:05:56.560 Robert Tseng: Okay.
27 00:05:57.310 ⇒ 00:06:03.759 Hyp+Access: And… I wanted to kind of go through some of our data.
28 00:06:04.070 ⇒ 00:06:06.200 Hyp+Access: Flows that we’ve identified?
29 00:06:07.810 ⇒ 00:06:13.199 Hyp+Access: Or what would be best to, like, start to talk about? Like, what’s the best information to start with?
30 00:06:13.480 ⇒ 00:06:21.290 Robert Tseng: Yeah, well, I think I… you generally have told me the, kind of, the systems that we’re dealing with, so we have Omega, we have Falfe.
31 00:06:21.390 ⇒ 00:06:37.409 Robert Tseng: I don’t know what you’re using for workflow automation. I don’t have to go through the… you can just send it to me offline, but you could… I don’t know if you have, like, a tech stack kind of diagram or architecture kind of sheet documentation you can share with us?
32 00:06:37.410 ⇒ 00:06:46.520 Robert Tseng: we can just kind of take that and, like, I’ll map everything out, and, I’ll do my research to just kind of get a sense of, like, how everything kind of stitches together.
33 00:06:46.640 ⇒ 00:06:58.310 Robert Tseng: And then the time that we spend together can definitely be a lot more kind of focused on workflows or strategy, and just kind of making sure that we’re kind of heading in the direction you want… you want us to.
34 00:06:59.480 ⇒ 00:07:03.680 Hyp+Access: Okay.
35 00:07:03.940 ⇒ 00:07:10.870 Hyp+Access: So, I feel like we’re still figuring out our stack, okay. And there’s…
36 00:07:11.270 ⇒ 00:07:15.569 Hyp+Access: We want, like, as simplified a system as possible.
37 00:07:15.570 ⇒ 00:07:32.679 Hyp+Access: Just because there’s so many third-party integrations, possi… possibly. There’s this company called Kerrigon that integrates with Healthy that seems like a HIPAA-compliant stash system, kind of like Airtable. They even integrate Airtable, but,
38 00:07:33.400 ⇒ 00:07:38.540 Hyp+Access: you know, and they price based on number of workflows, which I don’t really know what that means.
39 00:07:38.960 ⇒ 00:07:40.040 Robert Tseng: I’m like…
40 00:07:41.040 ⇒ 00:07:42.240 Hyp+Access: we’re not…
41 00:07:42.800 ⇒ 00:08:00.679 Hyp+Access: because we’re already creating a fully HIPAA compliant environment outside of Caragon, like, even our 365 and our SharePoint and our email systems for all of our staff, regardless of their control or not, will be HIPAA compliant, I’m like, is Caragon necessary? You know, I think it does automate some things.
42 00:08:00.810 ⇒ 00:08:11.030 Hyp+Access: But I’m still finding… I’m meeting with them on Monday to get a better understanding, even though the initial meeting’s only 15 minutes, and I don’t really know what will get done in that time. Yeah.
43 00:08:11.650 ⇒ 00:08:14.650 Hyp+Access: So, I don’t know if you’ve heard of them before.
44 00:08:15.220 ⇒ 00:08:18.329 Robert Tseng: I haven’t, yeah, I’m on the website now, I’m looking through it.
45 00:08:18.740 ⇒ 00:08:21.559 Hyp+Access: 300 integrations, or something?
46 00:08:21.870 ⇒ 00:08:23.950 Hyp+Access: It’s kind of absurd like that.
47 00:08:24.230 ⇒ 00:08:24.770 Robert Tseng: Yeah.
48 00:08:26.000 ⇒ 00:08:27.100 Hyp+Access: And…
49 00:08:27.770 ⇒ 00:08:35.010 Hyp+Access: But there’s also a lot of stuff, like, already integrated with Healthy, like, you know, scheduling systems that we can use, there’s…
50 00:08:35.600 ⇒ 00:08:37.780 Hyp+Access: So, it’s just a question of, like.
51 00:08:38.010 ⇒ 00:08:49.569 Hyp+Access: What is the most simplified system that maybe we start with that seems to meet our needs, and then do we really need to add on these other services, or does it kind of just become, like.
52 00:08:51.700 ⇒ 00:08:58.710 Hyp+Access: like, you posted the thing on LinkedIn about, like, AI actually increasing the amount of time people are spending on things?
53 00:08:58.970 ⇒ 00:08:59.790 Robert Tseng: Yeah.
54 00:08:59.790 ⇒ 00:09:09.659 Hyp+Access: I wonder if, like, that’s similar to a lot of these, like, integration third-party systems, where it actually kind of creates complexity that may not be necessary.
55 00:09:10.240 ⇒ 00:09:10.820 Hyp+Access: But I don.
56 00:09:10.820 ⇒ 00:09:11.440 Robert Tseng: Yeah.
57 00:09:11.840 ⇒ 00:09:26.969 Robert Tseng: Yeah, no, I think for your integrations, or whoever you use for workflow, either workflow orchestration or integrations, yeah, those are all pretty bespoke. You can kind of turn on and off what you need. I think, yeah, I think, once we…
58 00:09:29.610 ⇒ 00:09:31.370 Robert Tseng: Once we structure, like.
59 00:09:32.880 ⇒ 00:09:38.200 Robert Tseng: Yeah, I think we’d focus on, like, what’s critical. For stuff that’s critical, you probably would wanna…
60 00:09:38.310 ⇒ 00:09:41.529 Robert Tseng: I mean, I’m just speaking generally, you might want to set up.
61 00:09:41.530 ⇒ 00:09:46.409 Hyp+Access: Your own custom workflows, and because, sometimes these third parties.
62 00:09:46.610 ⇒ 00:10:03.190 Robert Tseng: They don’t… it is kind of a black box. You just assume that things kind of stay on, but things may break or whatnot, so I think we would just have to kind of go through all the use cases and figure out what needs to be always on, what can be…
63 00:10:03.190 ⇒ 00:10:15.200 Robert Tseng: what’s, like, safe to kind of be, like, I don’t know, like, switched on, like, a daily basis or even hourly is not that… not that frequent. And being able to kind of… kind of cascade down to,
64 00:10:15.480 ⇒ 00:10:32.659 Robert Tseng: like, what, you know, like, basically what level of reliability do you need? I would say anything that’s, like, super critical, that all… that needs to be always on, you’d probably end up needing to kind of build… build custom yourself, and then you can rely on, like, a Kerrigan or something like that for the other ones.
65 00:10:32.990 ⇒ 00:10:36.070 Hyp+Access: Yeah. Yeah, it kind of feels… so…
66 00:10:36.490 ⇒ 00:10:44.240 Hyp+Access: Let me, and I’ll send all of this stuff to you. I’ll share my screen, though, and maybe we can look at some of the data stuff that we outlined
67 00:10:44.980 ⇒ 00:10:46.450 Hyp+Access: Recently, is that fine?
68 00:10:46.800 ⇒ 00:10:47.890 Robert Tseng: Yeah, let’s do that.
69 00:10:48.120 ⇒ 00:10:54.090 Hyp+Access: Okay, and then maybe you can tell me if this is, like, what you’re looking for, or if you’re looking for something different. So,
70 00:10:55.230 ⇒ 00:10:58.200 Hyp+Access: So we have,
71 00:10:58.920 ⇒ 00:11:03.420 Hyp+Access: Well, let’s see, what is this? Oh, this is a little more complicated. Never mind, let’s not look at that one yet.
72 00:11:03.940 ⇒ 00:11:04.540 Robert Tseng: Okay.
73 00:11:06.130 ⇒ 00:11:12.160 Hyp+Access: And I can also send you an in-writing version of this that we really started when we built this, so…
74 00:11:12.370 ⇒ 00:11:13.730 Robert Tseng: Okay, this is great, yeah.
75 00:11:13.730 ⇒ 00:11:15.439 Hyp+Access: Yeah, so we have, like.
76 00:11:16.840 ⇒ 00:11:23.979 Hyp+Access: you know, testing. There’s vitals, which we’re hoping in Pilot is the integration. I spoke with a…
77 00:11:24.620 ⇒ 00:11:28.040 Hyp+Access: I don’t know, like, an API guy who…
78 00:11:28.330 ⇒ 00:11:34.059 Hyp+Access: The meeting was really confusing, I just wanted to know…
79 00:11:34.680 ⇒ 00:11:41.480 Hyp+Access: I don’t know, our IT person connected me with him, even though I didn’t actually want to talk to him, but I ended up talking to him to be like, okay, let me just see what he says.
80 00:11:41.480 ⇒ 00:11:42.900 Robert Tseng: And he was kind of like.
81 00:11:42.900 ⇒ 00:11:46.390 Hyp+Access: Bearer of bad news, you know, they have not built
82 00:11:46.730 ⇒ 00:11:56.470 Hyp+Access: even, like, the base code to read the screens of the vitals units within Healthy, they have not.
83 00:11:56.900 ⇒ 00:12:12.080 Hyp+Access: base code for any of that, and so he could not find that in their open API information, but, like, Healthy’s business model is, like, they don’t provide a lot of that stuff so that you build it on your own, but then they still own it, so you can’t sell it.
84 00:12:12.370 ⇒ 00:12:12.890 Hyp+Access: So…
85 00:12:13.570 ⇒ 00:12:27.979 Hyp+Access: I don’t know if there’s a way we could convince them to build it to make it easier for people to integrate vitals, and I’m still waiting on Impilot, even though it’s been, like, another week and a half, to send me, like, basic information about what systems we can even integrate.
86 00:12:27.980 ⇒ 00:12:34.050 Hyp+Access: We had a meeting with them last week or the week prior, and we were supposed to get all this information, and…
87 00:12:34.050 ⇒ 00:12:42.309 Hyp+Access: they just didn’t even have it on hand, so I don’t know what pricing looks like, I don’t really understand what vital systems they want. We can integrate
88 00:12:42.540 ⇒ 00:12:52.180 Hyp+Access: And they said that, they actually prefer cellular over Bluetooth, even though they primarily presented me with Bluetooth options. So, it feels, like, really…
89 00:12:52.320 ⇒ 00:12:56.039 Hyp+Access: I’m a little concerned with Impilot, because, like.
90 00:12:56.290 ⇒ 00:12:59.079 Hyp+Access: Their customer service has been, like, pretty horrible.
91 00:13:00.060 ⇒ 00:13:01.200 Hyp+Access: And I’m just like…
92 00:13:01.370 ⇒ 00:13:08.370 Hyp+Access: If a company is taking 4 months to get me really basic information, like, can they actually handle the system they have?
93 00:13:08.900 ⇒ 00:13:09.430 Robert Tseng: Yeah.
94 00:13:09.430 ⇒ 00:13:12.850 Hyp+Access: So… I don’t know.
95 00:13:13.970 ⇒ 00:13:19.659 Hyp+Access: But we’re trying to identify, you know, what could go through in PLO, and then what has to be separate
96 00:13:19.910 ⇒ 00:13:26.269 Hyp+Access: And of course, all of these will have, you know, base templates that we build out in our EMR.
97 00:13:28.050 ⇒ 00:13:33.730 Hyp+Access: And then we have our EMR section. I can also, like, zoom in a tiny bit to get away from some of these, whoopsie!
98 00:13:34.160 ⇒ 00:13:35.040 Hyp+Access: Oh.
99 00:13:35.250 ⇒ 00:13:36.999 Hyp+Access: How about this? There we go.
100 00:13:37.740 ⇒ 00:13:38.420 Robert Tseng: Yeah.
101 00:13:38.420 ⇒ 00:13:41.690 Hyp+Access: We have our patient intake, appointment scheduling.
102 00:13:41.730 ⇒ 00:13:49.739 Hyp+Access: Communication about care, progress assessment forms, which are, like, the standardized, like, quality of life, levels of disability, etc.
103 00:13:49.740 ⇒ 00:14:04.059 Hyp+Access: event feedback forms, which is a policy we’re almost done with. I think once we get through next week, we’ll have the final system within Healthy that we know will work, so it’ll be kind of a situation where, like, a patient will…
104 00:14:04.170 ⇒ 00:14:09.289 Hyp+Access: Fill out a form, essentially like an adverse event, and it’ll either be
105 00:14:09.290 ⇒ 00:14:25.339 Hyp+Access: Medication or treatment-related or care delivery, and then that will automatically be pushed to me and the floor manager, and our policy is for us to, like, review it within 24 to 48 hours, and then kind of create a plan for responding to the adverse event.
106 00:14:26.610 ⇒ 00:14:37.309 Hyp+Access: So some of that stuff we’ll want to pull into our data bank, some of that stuff we’ll need to specifically keep out of the chart, because we don’t want providers to see the care delivery feedback if it’s about them.
107 00:14:37.310 ⇒ 00:14:40.519 Robert Tseng: So the feedback forms get a little bit tricky in terms of, like.
108 00:14:40.550 ⇒ 00:14:48.020 Hyp+Access: What type of feedback is it? How do we need to kind of protect everybody from retaliation for communicating those things to us so that we can handle it?
109 00:14:48.190 ⇒ 00:14:49.660 Hyp+Access: In the best way we can.
110 00:14:50.060 ⇒ 00:14:58.349 Hyp+Access: Insurance and billing, telehealth, which is the Zoom integration that Healthy already has, and then, they already have integrations for…
111 00:14:58.890 ⇒ 00:15:05.049 Hyp+Access: You know, gathering other medical records, test results, and sending out, prescriptions.
112 00:15:05.690 ⇒ 00:15:15.119 Hyp+Access: So then we’re thinking of doing the 365 dock space, and our care manager program, which is essentially, like.
113 00:15:15.130 ⇒ 00:15:35.100 Hyp+Access: the lowest, you know, quote-unquote, provider-to-patient ratio. So the care managers are the people who are gonna be, like, the quarterbacks for the patients. So they’re gonna do the care coordination, they’re gonna do the advocacy piece, they’re gonna, like, do the due diligence to make sure the providers are following up when they’re supposed to, communicate with external providers that people see.
114 00:15:35.230 ⇒ 00:15:49.569 Hyp+Access: You know, make sure that their social determinants of health are being met, or it’s documented that they’re not being met, and kind of strategizing, like, what needs to happen when to make sure that this person is getting what they need, and kind of taking the labor off of
115 00:15:49.570 ⇒ 00:15:57.860 Hyp+Access: The patient, and also taking the administrative labor off of the provider, because the providers with these patients tend to refuse to
116 00:15:58.220 ⇒ 00:16:03.560 Hyp+Access: Sign notes and things like that, because it just takes up too much administrative time, so we’re trying to kind of…
117 00:16:03.560 ⇒ 00:16:20.860 Hyp+Access: Use this role, one, to center the patient experience more and make sure that that is really the driver of everything, but also redistribute labor, particularly administrative labor, so that providers can actually work at the top of their license and have somebody who’s, like, really helping the care go.
118 00:16:21.360 ⇒ 00:16:21.800 Robert Tseng: Siri.
119 00:16:21.800 ⇒ 00:16:34.359 Hyp+Access: But because of the way charts can be subpoenaed, and they’re legal documents, and the way that all providers can often see what is in the chart, we actually want these notes to be out of the EMR.
120 00:16:34.480 ⇒ 00:16:39.810 Hyp+Access: So this is why we’re creating an entire HIPAA-compliant system outside of the EMR, so that
121 00:16:40.550 ⇒ 00:16:52.039 Hyp+Access: these care managers can really write down whatever they need to. Okay, this person’s undocumented, okay, this person had an abortion, like, whatever it is, right? And we don’t put it in the chart for everyone’s safety.
122 00:16:52.410 ⇒ 00:16:53.110 Hyp+Access: Yeah.
123 00:16:53.110 ⇒ 00:16:54.130 Robert Tseng: Yeah, where… where…
124 00:16:54.410 ⇒ 00:17:01.910 Robert Tseng: Are you using a tool called DocSpace, or, like, kind of… to me, this is, like, traditional CRM kind of tools, so what would you be using for this system?
125 00:17:01.910 ⇒ 00:17:05.029 Hyp+Access: I think it’ll just be, like, 365 and, like, SharePoint.
126 00:17:05.349 ⇒ 00:17:06.629 Robert Tseng: 36 extra points, okay, sure.
127 00:17:06.630 ⇒ 00:17:21.559 Hyp+Access: Yeah, I think. And I think the simpler… honestly, the better. Like, the more we can own this information, and it doesn’t go through third-party integrations, like, this… this part feels almost like the most sensitive to me. Yeah.
128 00:17:22.160 ⇒ 00:17:26.050 Hyp+Access: And the most, like, needing to be really… careful.
129 00:17:28.380 ⇒ 00:17:36.589 Hyp+Access: then I guess, I don’t know what Andre exactly meant by operations, but operations. Time off, benefits, disability.
130 00:17:36.840 ⇒ 00:17:47.309 Hyp+Access: staff trainings, onboarding tracking, finance. So then there’s this, whole system that we’re actually state-mandated to do, but we’re kind of creating
131 00:17:47.880 ⇒ 00:17:55.760 Hyp+Access: a fuller accountability process around this. It’s called QAPI. We’re renaming it QA. I can’t totally remember what it stands for, but basically, like.
132 00:17:56.580 ⇒ 00:18:16.469 Hyp+Access: We’re required to meet quarterly and review. We, like, audit 10 patient charts, we audit 10 care manager documents, we count the amount of soap that has been used in the dispensers to make sure that everything is being cleaned appropriately and people are washing their hands. You know, we’re basically tracking all of this data.
133 00:18:16.730 ⇒ 00:18:23.089 Hyp+Access: And this is also when all of those, Where is it?
134 00:18:24.100 ⇒ 00:18:31.020 Hyp+Access: dodity do-bidity-doo… Event feedback forms will also be reviewed again.
135 00:18:31.530 ⇒ 00:18:38.980 Hyp+Access: with a team, to be like, okay, do we need to change policy? Like, what kinds of events are being reported to us? Does it seem like…
136 00:18:39.200 ⇒ 00:18:55.170 Hyp+Access: we need to initiate, like, a publication of a case study, because we had this wild adverse reaction in a couple of people that isn’t documented anywhere. So this is kind of, like, the meeting where staff will rotate, probably… I don’t know if it’ll be, like.
137 00:18:55.660 ⇒ 00:19:03.479 Hyp+Access: every 6 months, but I want everybody who’s working with us at some point to be on the QAPI committee, so that they understand, like.
138 00:19:03.710 ⇒ 00:19:16.970 Hyp+Access: how are things reported? How are we integrating them into, like, what goes into staff education? What needs to be updated in our handbook? What policies do we have to change? Did we screw this up? You know what I mean? Like, did we.
139 00:19:16.970 ⇒ 00:19:17.450 Robert Tseng: Yeah.
140 00:19:17.450 ⇒ 00:19:30.310 Hyp+Access: So that kind of thing. Some of the stuff is related to state-mandated, but I think a lot of it is actually going to be… it’ll be majority not mandated information that we’re prioritizing, even though, obviously, we’ll get through the mandated stuff.
141 00:19:31.080 ⇒ 00:19:40.000 Hyp+Access: And then, I don’t know where the standardized data bank exactly is, if it lives in docspace, or how we’re all planning to set that up, but,
142 00:19:40.140 ⇒ 00:19:46.800 Hyp+Access: I think, you know, if this could pull from the event feedback forms,
143 00:19:47.410 ⇒ 00:19:54.329 Hyp+Access: new patient intakes, you know, vitals, and kinds of standardized assessments, and stuff like that.
144 00:19:54.580 ⇒ 00:19:58.400 Hyp+Access: And we can kind of identify, like, all the different places we would want it to be.
145 00:19:58.510 ⇒ 00:20:13.899 Hyp+Access: automatically pulling from, so that when we go into a QAPI meeting, you know, somebody can prepare by being like, okay, let me open this quarter’s data that has been sorted for this thing, and this thing, and kind of identify, like, what needs to be reviewed.
146 00:20:14.320 ⇒ 00:20:18.890 Hyp+Access: Or are we okay to move on to…
147 00:20:20.420 ⇒ 00:20:30.220 Robert Tseng: Yeah, I mean, I can… I can just kind of, at a high level, kind of just respond to a couple things. So, yeah, I mean, the EMR work is probably where, you know, we’re… we’re gonna… that’s… that’s more…
148 00:20:30.360 ⇒ 00:20:45.729 Robert Tseng: most familiar to us, we’ve done a bunch of stuff there already. Yeah, I think, kind of, between that and the doc space, kind of, from… at a high level, just the way that I’ve seen this set up before, I think we use pretty much two systems, and so typically, it’s like,
149 00:20:45.960 ⇒ 00:20:57.230 Robert Tseng: I mean, if it’s gonna live in micro… if it’s gonna live in Microsoft 365, then we could end up maybe using Azure, or, you know, just stay within the Microsoft ecosystem. But basically, you know.
150 00:20:57.560 ⇒ 00:21:14.119 Robert Tseng: Patient intake comes in. When someone actually becomes a patient, the data kind of gets… is housed in the EHR or the EMR, and then kind of a separate system for all of the other forms and, like, kind of non-patient related things, that you would need for other, like, operational administrating,
151 00:21:14.120 ⇒ 00:21:28.229 Robert Tseng: work, so… and then that way, you’re not having PII data in the second system, and you just have to be able to pass IDs back and forth. So, I think that linkage is pretty clear, and yeah, I think that’s… that’s… that’s definitely… this makes sense, yeah.
152 00:21:28.280 ⇒ 00:21:32.940 Hyp+Access: Cool Awesome. And then…
153 00:21:33.010 ⇒ 00:21:51.949 Hyp+Access: We’ll have HIPAA-compliant email, which includes staff-to-staff email, staff to external parties, and then care managers to patients. So something we’re trying to figure out right now is, like, is there a HIPAA-compliant way to be texting them? Because some people are going to want to be communicating through text instead of over phone, or…
154 00:21:51.950 ⇒ 00:22:00.029 Hyp+Access: You know, there’s just so many different ways, that patients, depending on their, like, levels of disability, kind of need to do things, and so…
155 00:22:00.650 ⇒ 00:22:10.149 Hyp+Access: One of the options is maybe we can find a HIPAA-compliant texting system. Is it Signal somehow, even though we can’t sign a BA with Signal?
156 00:22:10.900 ⇒ 00:22:23.689 Hyp+Access: Or do we need to, essentially have a patient sign a form being like, you know, we cannot guarantee full HIPAA compliance on your side, and so if you want to text us, you know, you just have to, like, sign this waiver, or whatever.
157 00:22:24.280 ⇒ 00:22:34.400 Hyp+Access: And I’m not sure if that’s the same, like, with email as well, but, and then our phone system, our… so we’re gonna have Zoom phones.
158 00:22:35.110 ⇒ 00:22:38.490 Hyp+Access: And, I actually really love the Zoom phone.
159 00:22:38.930 ⇒ 00:22:45.080 Hyp+Access: Setup, because we can set up all of these different communication flows very easily for, like, quite cheap.
160 00:22:45.480 ⇒ 00:22:46.179 Robert Tseng: Yeah, dude.
161 00:22:46.180 ⇒ 00:22:57.250 Hyp+Access: And, you know, determine, like, scheduling versus getting on the floor to a provider versus, you know, whoever. And staff will be communicating to each other through Zoom phones, like, on the floor.
162 00:22:57.450 ⇒ 00:23:02.070 Hyp+Access: There’ll be patient-to-staff communication, and then staff to external parties as well.
163 00:23:02.710 ⇒ 00:23:10.350 Hyp+Access: And it’s unclear if Zoom phone messaging is HIPAA compliant, but we’re trying to figure that out right now.
164 00:23:11.450 ⇒ 00:23:12.090 Robert Tseng: Okay.
165 00:23:12.490 ⇒ 00:23:19.879 Hyp+Access: And then… we’ll have virtual conferencing that will be outside of the EMR, and this will be, like, staff training and other staff calls.
166 00:23:20.210 ⇒ 00:23:33.070 Hyp+Access: Right now, our HR software is Gusto, but I know we actually need to change that at some point, although I don’t think we’re, like, big enough for ADP, so I feel like we’re kind of in this funny, like, in-between place of, like.
167 00:23:33.790 ⇒ 00:23:39.419 Hyp+Access: Gusto’s fine, but it also kind of sucks, and, you know, what… how do we, you know…
168 00:23:39.420 ⇒ 00:23:41.730 Robert Tseng: We use Gusto, yeah. Yeah.
169 00:23:41.730 ⇒ 00:23:49.949 Hyp+Access: And then we’ll have payroll, hiring and firing data, and then all of our, like, workers’ comp, disability, long-term disability, and stuff like that.
170 00:23:50.310 ⇒ 00:23:50.860 Robert Tseng: Yeah.
171 00:23:51.400 ⇒ 00:24:02.180 Hyp+Access: And then, for physical security, the building has Butterfly MX, and then our actual security system in our space is 2N on our floor.
172 00:24:02.890 ⇒ 00:24:03.380 Robert Tseng: Okay.
173 00:24:03.380 ⇒ 00:24:07.990 Hyp+Access: And so, what’s really annoying that I hate is that the…
174 00:24:08.100 ⇒ 00:24:11.230 Hyp+Access: Front of the building, when we first signed the lease.
175 00:24:11.510 ⇒ 00:24:14.530 Hyp+Access: Had a wheelchair-accessible, like, door button.
176 00:24:15.050 ⇒ 00:24:22.230 Hyp+Access: And then they removed it to put in this Butterfly MX system that I think is actually too high to be ADA compliant, which I’m like.
177 00:24:22.980 ⇒ 00:24:30.830 Hyp+Access: people. And… Basically, every single person has to ring and then be let in manually.
178 00:24:30.830 ⇒ 00:24:31.500 Robert Tseng: Oh.
179 00:24:31.500 ⇒ 00:24:32.320 Hyp+Access: Which is horrible.
180 00:24:33.150 ⇒ 00:24:33.840 Robert Tseng: Yes.
181 00:24:33.840 ⇒ 00:24:41.989 Hyp+Access: because of just the flow of traffic that we’re gonna have, and I don’t want our people at our front desk to constantly be doing that, because.
182 00:24:41.990 ⇒ 00:24:42.590 Robert Tseng: Yeah.
183 00:24:42.800 ⇒ 00:24:59.939 Hyp+Access: they need to be helping manage the floor, right? Yeah. And paying attention to what’s going on in the floor, and be able to take calls that are, like, more related to, hey, I need to talk to a nurse, you know, or something. Yeah. So I don’t know if there’s, like, a way we could set up an automated, like, opening?
184 00:25:00.550 ⇒ 00:25:03.500 Hyp+Access: I’ve no idea. But I’m like, what do we…
185 00:25:05.930 ⇒ 00:25:11.680 Hyp+Access: how? How do we make it so I don’t need to, like, hire an entire another person to just be opening… whoopsie…
186 00:25:11.800 ⇒ 00:25:13.140 Hyp+Access: Oh my gosh, sorry.
187 00:25:13.270 ⇒ 00:25:16.259 Hyp+Access: Over the, the door all the time.
188 00:25:17.380 ⇒ 00:25:21.979 Hyp+Access: And it, like, takes photos of them, and I just… I hate… I really don’t like it. Yeah.
189 00:25:23.240 ⇒ 00:25:26.930 Hyp+Access: So, this is what we have so far.
190 00:25:27.750 ⇒ 00:25:36.589 Hyp+Access: And… like… you know.
191 00:25:38.440 ⇒ 00:25:49.619 Hyp+Access: hopefully the majority of our testing goes through Impilo and can be automatically integrated, but then there are certain testing that we’ll be using a lot, like our autonomic system testing, including a.
192 00:25:50.280 ⇒ 00:25:54.410 Hyp+Access: Doppler, which I love the transcranial Doppler.
193 00:25:55.100 ⇒ 00:25:57.409 Hyp+Access: Where, like, we have to figure out, like.
194 00:25:58.160 ⇒ 00:26:16.260 Hyp+Access: where is it manual? Can we automate it? Do we need to do an HL7 integration? Are the reports that it’s providing even useful for what we’re trying to do for diagnosis? I tend to find that they’re not. So I’m still kind of in the process of figuring out, like, what do these systems actually export versus just
195 00:26:16.320 ⇒ 00:26:18.199 Hyp+Access: full Excel sheets of data.
196 00:26:18.470 ⇒ 00:26:19.240 Hyp+Access: Yeah.
197 00:26:19.740 ⇒ 00:26:36.340 Hyp+Access: And then, obviously, like, we would want the Excel sheets of data to go into our data bank, but then we would want to create some kind of reporting system to where then that gets, you know, uploaded to the medical record, but there… this is where there may be manual requirement, because…
198 00:26:37.840 ⇒ 00:26:41.129 Hyp+Access: These are systems we don’t totally have control over.
199 00:26:41.430 ⇒ 00:26:42.110 Robert Tseng: Yep.
200 00:26:42.980 ⇒ 00:26:47.480 Hyp+Access: So yeah, any, any other, like, Oops, oh my gosh.
201 00:26:47.840 ⇒ 00:26:49.529 Hyp+Access: I don’t know how to use this.
202 00:26:49.860 ⇒ 00:26:51.260 Robert Tseng: No worries.
203 00:26:51.590 ⇒ 00:26:55.730 Hyp+Access: Is there any other stuff that I should…
204 00:26:58.270 ⇒ 00:27:02.099 Hyp+Access: I mean, the other thing Andrea was trying to do, based on our policies.
205 00:27:02.580 ⇒ 00:27:13.229 Hyp+Access: was create kind of, like, a… where are things in over… where are things overlapping, where is data overlapping, or where is it located individually?
206 00:27:13.360 ⇒ 00:27:19.309 Hyp+Access: So… There’s the EMR, there’s doc space, there’s our email calendar.
207 00:27:20.080 ⇒ 00:27:26.130 Hyp+Access: Gusto, Caragon, HR, whatever our other operations kind of stack looks like, and this feels…
208 00:27:26.290 ⇒ 00:27:34.879 Hyp+Access: like, I want it to be as simple as possible. Like, it’d be nice if there weren’t so many different applications
209 00:27:36.360 ⇒ 00:27:38.810 Hyp+Access: For this orange, but.
210 00:27:38.810 ⇒ 00:27:39.400 Robert Tseng: Yeah.
211 00:27:40.100 ⇒ 00:27:46.800 Hyp+Access: we’ll see. So obviously this is in process, but, yeah.
212 00:27:49.430 ⇒ 00:27:53.779 Robert Tseng: Okay, yeah, no, I mean, this is a great start. I think.
213 00:27:54.330 ⇒ 00:27:57.090 Robert Tseng: Kind of next steps for… for me, so…
214 00:27:57.400 ⇒ 00:28:00.839 Robert Tseng: Yeah, I mean, obviously, if you could share those kind of…
215 00:28:00.840 ⇒ 00:28:01.410 Hyp+Access: Fuckiness.
216 00:28:01.410 ⇒ 00:28:16.240 Robert Tseng: docs with us, that’d be… that’d be helpful. And then, I know you want us to set up some time eventually with Omega and also with Healthy, so if you wanted to… yeah, we kind of just got to pick a… pick a starting point. It seems like the best use of time is not to start from, like.
217 00:28:16.430 ⇒ 00:28:21.709 Robert Tseng: the, like, the vitals, or kind of all that, so I think…
218 00:28:22.060 ⇒ 00:28:39.469 Robert Tseng: those data… the data sources there, you’re still kind of figuring out how that’s going to come through in PLO, and I guess maybe we’ll just kind of hold off on that. I feel like we could definitely start with the healthy, kind of just assuming that we can capture all of those things. So, I think, yeah.
219 00:28:39.470 ⇒ 00:28:59.279 Robert Tseng: getting into the details of the healthy, workflows, and then we’re gonna build… I think we could build a… we can design a schema on, like, you know, just a few of the entities that I’m already seeing. So, pretty much every box in the… in the help… in the healthy way, I think that’s a great way to outline it. Like, we’d probably create, entities for each of those things.
220 00:28:59.380 ⇒ 00:29:18.830 Robert Tseng: patients, appointments, a lot of that data, you know, you would start to see, like, obviously, like, patient record data, that’s just gonna be, like, you know, a table that’s, that continues to get wider as you add more things, whereas, like, appointment scheduling or event feedback forms.
221 00:29:18.830 ⇒ 00:29:33.390 Robert Tseng: the structures there won’t change very much. It’s a pretty narrow table, maybe it’s just, like, your timestamp, you know, the name of the event, you know, whether they started the form, finished the form, what step they’re on, and then some metadata, which is just gonna be
222 00:29:33.390 ⇒ 00:29:44.499 Robert Tseng: you know, if we want to capture, depending on how much of the form data we want to actually capture, it’s pretty easy to store as, like, JSON blobs, I guess. And, yeah, so that structure stays the same.
223 00:29:44.640 ⇒ 00:29:55.280 Robert Tseng: And, yeah, so you pretty much would just be reading a lot of that data as, like, a three… as a three-column, like, kind of, like, table, pretty much. And that’s how the data comes into the system.
224 00:29:55.440 ⇒ 00:29:58.099 Robert Tseng: And then if we need to model it for
225 00:29:58.130 ⇒ 00:30:10.249 Robert Tseng: like, for example, for reporting purposes, then it’s… then we can kind of do additional modeling from there. But I just want to make sure that we’re clear on, like, once the data comes in to…
226 00:30:10.250 ⇒ 00:30:23.639 Robert Tseng: comes through… comes through healthy, and you want to set up your data lake, like, kind of what is… what… how is it going to be structured, I think we can get you that answer pretty quickly, just by, like, kind of doing a deeper dive into all this stuff.
227 00:30:23.740 ⇒ 00:30:31.330 Robert Tseng: Yeah, so I think the EMR and the doc space stuff is probably where we probably could spend a good chunk of our time early on.
228 00:30:32.540 ⇒ 00:30:48.410 Robert Tseng: And then, after that, if you need help kind of evaluating, like, vendors on the email situation, phone, conferencing, we can kind of help, there in, like, helping you evaluate, like, what… how to move forward there as well.
229 00:30:49.670 ⇒ 00:31:00.150 Robert Tseng: yeah, I would say maybe the Lusto and physical security stuff seems to be much later, so… Anyway, I think I… I think I got… this gives me a good idea of where… where we… where we could start.
230 00:31:00.510 ⇒ 00:31:19.549 Hyp+Access: Okay, do you want me to send you, like, our… we have this huge SOP document, and, like, for our intake in particular, like, would… do you want, kind of, the high-level policy of, like, how our intakes… how we want them to happen, and things like that? Like, what the options are, what we hope to, kind of, would that be helpful as well?
231 00:31:19.910 ⇒ 00:31:31.640 Robert Tseng: Yeah, I think that’d be helpful. So typically what I would do with a document like that is, like, pretty much, build, like, a data flow diagram, so it’s just, like, a flow chart, you know, and, that kind of just shows you, like.
232 00:31:31.790 ⇒ 00:31:42.109 Robert Tseng: yeah, just, like, just the event flow through the different paths that people could go through on the intake. That kind of helps me to design what the event should come in as, and then
233 00:31:42.110 ⇒ 00:31:53.689 Robert Tseng: You know, I’m sure Healthy has a lot of that stuff out in the box already, so I’m not gonna reinvent the wheel. I’m just gonna look at what they have boilerplate, and then see what additional things we need to track, because you really…
234 00:31:53.930 ⇒ 00:32:03.359 Robert Tseng: If you have different splits that they don’t have, then, like, we would have to maybe add some customization there. But yeah, I think that’s… that’s basically what that exercise would look like.
235 00:32:03.730 ⇒ 00:32:04.400 Hyp+Access: Okay.
236 00:32:04.510 ⇒ 00:32:14.779 Hyp+Access: And, Gray, who, has done a lot of, kind of, the initial tracking of how healthy functions… oops,
237 00:32:14.940 ⇒ 00:32:17.750 Hyp+Access: I think would be good to… to bring into…
238 00:32:17.850 ⇒ 00:32:36.289 Hyp+Access: a meeting to kind of go through the Nanoflow, because Gray has much more memory than I about what we’ve already asked and, have discovered. And then I can also connect you to Canyon, who is our, like, account manager, who’s been really great.
239 00:32:36.820 ⇒ 00:32:37.839 Robert Tseng: On the healthy side.
240 00:32:37.840 ⇒ 00:32:38.740 Hyp+Access: On the healthy side, yeah.
241 00:32:38.740 ⇒ 00:32:40.639 Robert Tseng: Yeah, okay, great, yeah.
242 00:32:42.640 ⇒ 00:32:44.100 Hyp+Access: And I’m wondering, like…
243 00:32:44.930 ⇒ 00:32:52.260 Hyp+Access: if it actually even makes sense to connect you with Omega yet, because we’re still figuring out
244 00:32:55.100 ⇒ 00:33:02.740 Hyp+Access: like, basic kind of timelines with them for, like, hardware and configurations. Like, we’re not really at the point of, like.
245 00:33:03.750 ⇒ 00:33:11.530 Hyp+Access: thinking high-level data flows, and I don’t know if that’s really their expertise at all, so I… I do kind of want, like, what…
246 00:33:13.390 ⇒ 00:33:16.550 Robert Tseng: Maybe the Impilot could be helpful there, right, instead.
247 00:33:16.870 ⇒ 00:33:27.969 Hyp+Access: Yeah, I mean, Impilot seems like a mess to me. Okay. From my experience. And… and Caragon, too. Like, Caragon’s a little overwhelming to me. I’m kind of like.
248 00:33:27.970 ⇒ 00:33:28.690 Robert Tseng: Okay.
249 00:33:28.690 ⇒ 00:33:31.100 Hyp+Access: is what Caragon is offering.
250 00:33:31.100 ⇒ 00:33:34.949 Robert Tseng: Anything different than what we’re actually trying to build, custom.
251 00:33:34.950 ⇒ 00:33:45.709 Hyp+Access: are there certain aspects of Kerrigan that are actually, like, worth paying for that? Like, does it really automate in a way that we… we want? Like, there’s a whole section on, like, care…
252 00:33:46.340 ⇒ 00:33:50.500 Hyp+Access: Let me actually pull…
253 00:33:51.200 ⇒ 00:33:56.170 Robert Tseng: Yeah, if you want a second opinion on any of these, like, kind of, like, vendor, kind of,
254 00:33:57.260 ⇒ 00:34:00.610 Robert Tseng: By seeing how they work, whatever, you can send… you can send them to me.
255 00:34:00.960 ⇒ 00:34:04.860 Robert Tseng: I feel like we’re making these decisions for clients all the time, so I feel like I…
256 00:34:04.960 ⇒ 00:34:07.610 Robert Tseng: I’ve learned how to read through this stuff beautifully.
257 00:34:08.219 ⇒ 00:34:08.839 Hyp+Access: Okay.
258 00:34:09.309 ⇒ 00:34:16.929 Hyp+Access: Okay, great. Cool, so I’ll send this stuff to you, it might be, like.
259 00:34:17.069 ⇒ 00:34:20.729 Hyp+Access: a lot of, like, too much detailed information, but it’s just because…
260 00:34:20.730 ⇒ 00:34:21.290 Robert Tseng: No worries.
261 00:34:21.290 ⇒ 00:34:30.570 Hyp+Access: And all in one place. And then, is there anything… else? Like… with healthy…
262 00:34:31.159 ⇒ 00:34:33.339 Hyp+Access: What’s amazing about them is, like.
263 00:34:34.250 ⇒ 00:34:38.900 Robert Tseng: we can basically build all of our custom EMR templates for people to pull.
264 00:34:38.900 ⇒ 00:34:43.739 Hyp+Access: things. Yeah. Into, and kind of modularly place it into the chart in any order.
265 00:34:45.030 ⇒ 00:34:48.140 Hyp+Access: And that system can be used for
266 00:34:48.350 ⇒ 00:34:55.879 Hyp+Access: you know, billing and coding justifications, but also for other kinds of form filling that we need, so I think there’s kind of a multi-purpose…
267 00:34:56.159 ⇒ 00:34:58.420 Hyp+Access: possibility there, it’s just a question of, like.
268 00:34:58.660 ⇒ 00:35:02.399 Hyp+Access: Where does the data go once it’s submitted? Who does it go to? Who can see it?
269 00:35:02.660 ⇒ 00:35:05.950 Hyp+Access: And that… I get a little, confused there.
270 00:35:06.400 ⇒ 00:35:12.130 Robert Tseng: Yeah, yeah. So my understanding of Healthy versus, like, Healthfully, which is another platform that we’ve done more work with.
271 00:35:12.270 ⇒ 00:35:17.170 Robert Tseng: hopefully, like, they have a lot more boilerplate out of the box, and so I think…
272 00:35:17.390 ⇒ 00:35:36.359 Robert Tseng: my understanding is that healthy requires a lot more, kind of, your own custom setup, and so, I guess, you know, if you have everything well documented, you have someone on staff who’s, like, going to be, like, kind of your in-house healthy expert to kind of set everything up, then I think we should be fine. We just have to work with them closely and… and…
273 00:35:36.750 ⇒ 00:35:48.459 Robert Tseng: making sure that the way that they set it up actually is outputting the data that they think it is. So, yeah, I mean, I don’t know how much… I mean, just from, like, a timing perspective, like.
274 00:35:48.700 ⇒ 00:35:53.319 Robert Tseng: I’ll… I guess we had talked about, great…
275 00:35:53.370 ⇒ 00:36:09.980 Robert Tseng: leading up to, you know, the launch, eventually getting… building out a sandbox where you have all of these flows set up already, and we want to just be able to push synthetic data through everything. So, I think that’s the value of being able to get ahead of this data stuff, so that even if
276 00:36:10.080 ⇒ 00:36:24.260 Robert Tseng: the vendors are not getting you the data that you need, we can at least simulate all of that already, and we can just tell them, like, this is what it needs to be, and that gives them something to aim for. And so we found that has been a better
277 00:36:24.390 ⇒ 00:36:29.010 Robert Tseng: When we’re building net new systems, that helps kind of push
278 00:36:29.190 ⇒ 00:36:36.250 Robert Tseng: what we want a bit better, because, like, we’re basically showing them this is how it should be done, and they have to be able to do that. Yeah.
279 00:36:36.250 ⇒ 00:36:41.780 Hyp+Access: Okay. Yeah. So, we are hoping… I’m just pulling up our giant timeline here,
280 00:36:42.330 ⇒ 00:36:47.389 Hyp+Access: We’re hoping for a May opening, but, like, who the F knows? Because…
281 00:36:50.550 ⇒ 00:36:54.669 Hyp+Access: our landlord and the DOH are just… so much.
282 00:36:55.270 ⇒ 00:37:02.189 Hyp+Access: But we’re hoping to begin, like, installing. It would be great to have our…
283 00:37:02.630 ⇒ 00:37:06.300 Hyp+Access: EMR template setups and those data flows
284 00:37:06.990 ⇒ 00:37:26.579 Hyp+Access: done or ready to trial by, like, February, because March and April will be when we bring in, like, full staff for 2 months of training before we open, and so I think that would be a good… like, if our deadline was, like, the beginning of February, but then we’d have an extra 4 weeks if we needed it, or something like that. Yeah.
285 00:37:26.910 ⇒ 00:37:30.380 Hyp+Access: I think that would be… Good, but then we…
286 00:37:31.480 ⇒ 00:37:34.509 Hyp+Access: But then I need to make sure that our…
287 00:37:35.160 ⇒ 00:37:37.620 Hyp+Access: All of our licensing and our tech.
288 00:37:39.080 ⇒ 00:37:48.939 Hyp+Access: Because we can’t get into the space until March, and so we can’t actually deliver our tech until then, and so we will need to essentially somehow
289 00:37:49.590 ⇒ 00:38:03.640 Hyp+Access: simulate… so maybe there’s two levels of simulation. The first one is, like, does it work out of the box just with the licenses that we already have access to remote? And then we’ll need to simulate it, like, on-site with all of the.
290 00:38:03.640 ⇒ 00:38:04.190 Robert Tseng: Yeah.
291 00:38:04.190 ⇒ 00:38:04.840 Hyp+Access: Right?
292 00:38:05.100 ⇒ 00:38:13.439 Robert Tseng: Yep. Okay, so then it would be February for, like, remote simulation, and then it would be, like, March, probably second half of March for…
293 00:38:13.550 ⇒ 00:38:15.440 Hyp+Access: On-site simulation.
294 00:38:16.110 ⇒ 00:38:17.990 Hyp+Access: Yep, I think that makes sense.
295 00:38:18.360 ⇒ 00:38:19.170 Hyp+Access: Great.
296 00:38:19.820 ⇒ 00:38:25.499 Hyp+Access: Let me add this to our…
297 00:38:26.460 ⇒ 00:38:32.279 Hyp+Access: On-site data flow simulation with all tech.
298 00:38:34.320 ⇒ 00:38:52.150 Hyp+Access: Yeah, which just means we just need all of our tech to come in, and we somehow need to train on it simultaneously. It might be… there might be a few phases of on-site simulation, depending on the training system. Like, our autonomic testing unit might not be until April.
299 00:38:52.450 ⇒ 00:39:02.340 Hyp+Access: Because it would make sense, probably, for you all to be there during the few days of training, in addition to, like, our staff that are being trained on it, just so we have everybody in the room and we can talk to the… to the…
300 00:39:02.680 ⇒ 00:39:04.679 Hyp+Access: To the salespeople.
301 00:39:05.290 ⇒ 00:39:05.850 Robert Tseng: Yeah.
302 00:39:06.290 ⇒ 00:39:08.910 Hyp+Access: But they’re… Yeah.
303 00:39:09.040 ⇒ 00:39:13.900 Hyp+Access: their system seems… seems… seems quite good. And then we’ll have, you know.
304 00:39:14.650 ⇒ 00:39:17.389 Hyp+Access: Potentially some extra time if we need it, but
305 00:39:18.290 ⇒ 00:39:27.969 Hyp+Access: Okay, cool. Any other questions for me, or, like, things to be thinking about, or, like, feedback, or anything… homework, you know, aside from sending you these things?
306 00:39:28.770 ⇒ 00:39:33.870 Robert Tseng: Yeah, it’s definitely the sending things. I told you what we’re gonna do from, like, a data, kind of,
307 00:39:34.470 ⇒ 00:39:42.140 Robert Tseng: I guess… architecture design perspective, and then… I mean, it sounds like, you know, in…
308 00:39:42.920 ⇒ 00:39:52.000 Robert Tseng: having the February deadline is a great way to kind of work backwards from there. I think making sure that you feel comfortable, like, choosing, like, all of your vendors, like, we should… we should have, like.
309 00:39:52.360 ⇒ 00:39:53.910 Robert Tseng: We should have, like, a…
310 00:39:54.100 ⇒ 00:40:07.169 Robert Tseng: freeze days, like, by December or something, like, or I don’t know, whenever your timeline is, like, that’s it, like, we’re this… we’re locking in with these vendors, and, like, that’s… so if we can… if we can be helpful in helping you to, like, kind of work
311 00:40:07.330 ⇒ 00:40:09.670 Robert Tseng: work towards that. I think that would be…
312 00:40:10.090 ⇒ 00:40:11.760 Robert Tseng: Helpful. Yeah.
313 00:40:11.760 ⇒ 00:40:12.110 Hyp+Access: Agree.
314 00:40:12.110 ⇒ 00:40:13.580 Robert Tseng: Yeah, so…
315 00:40:13.580 ⇒ 00:40:14.260 Hyp+Access: Okay.
316 00:40:14.660 ⇒ 00:40:20.560 Robert Tseng: Yeah, obviously for the ones that you’re already locked in with, we want to keep… we want to build some momentum with them, so if healthy is kind of, like.
317 00:40:21.100 ⇒ 00:40:34.699 Robert Tseng: already… is already good, and you’re locked in there, then we can… we can get going there. But yeah, for these other ones, yeah, we just want to make sure we help you make the decision, as, you know, as early as you can, yeah.
318 00:40:34.900 ⇒ 00:40:38.920 Hyp+Access: Yeah, and then, the like.
319 00:40:40.780 ⇒ 00:40:47.339 Hyp+Access: And this was a kind of day two thing we brought up, but the more that I have been thinking about it, the more I’m like, oh, maybe this really does make sense.
320 00:40:47.590 ⇒ 00:40:48.510 Hyp+Access: So, like.
321 00:40:49.660 ⇒ 00:41:08.940 Hyp+Access: we have so much information on, like, diagnoses, treatment outcomes, like, not just from, like, data, but just… or not just from public… published data, but, like, us working with clients for many years. And we’re finishing our diagnostic and treatment databases,
322 00:41:09.330 ⇒ 00:41:18.709 Hyp+Access: And then we also have, like, so many hours of, like, education and resources, and so we’re basically getting a couple staff members to, like.
323 00:41:18.760 ⇒ 00:41:32.270 Hyp+Access: create, like, a giant care management manual that just includes everything we currently know that we can update ongoingly through the QAPI process, you know, so that everybody just has access to it and doesn’t have to memorize it all of the time, but can, like.
324 00:41:32.390 ⇒ 00:41:43.840 Hyp+Access: Command-F, or be like, mitadine, or, like, whatever they’re trying to look at, and then when they’re talking to a patient, be like, okay, this is what we have, this is what we know, you know, I’ll communicate this to you, I can send it to you.
325 00:41:44.020 ⇒ 00:41:49.720 Hyp+Access: Or, like, analyze the situation with that information, and I don’t know if, like.
326 00:41:50.190 ⇒ 00:42:09.529 Hyp+Access: a closed LLM would be good for that, where it’s kind of, like, pulling everything that could be related to that together, so that people can just type in what they’re looking for, rather than Command-F or alphabetically finding or anything, but… so that’s a, I think, a question that I definitely want to keep thinking about.
327 00:42:09.670 ⇒ 00:42:10.540 Hyp+Access: Okay.
328 00:42:11.000 ⇒ 00:42:11.590 Hyp+Access: Just an…
329 00:42:11.590 ⇒ 00:42:19.780 Robert Tseng: Yeah, no, I think the copy method thing kind of makes… yeah, I mean, I think to, compare it to, like, other… so, I mean, I just…
330 00:42:19.790 ⇒ 00:42:38.020 Robert Tseng: I came back a couple weeks ago, we helped, like, you know, I work… I work… one of my clients is, like, they… they basically compound, like, PLP-1s, and so they launched a new pharmacy, and then went there. They were, like, they have to… they had to set up, like, some sort of, like, cycle count, kind of process, where they’re basically reviewing on a weekly basis.
331 00:42:38.020 ⇒ 00:42:40.069 Robert Tseng: Counting inventory, making sure that
332 00:42:40.270 ⇒ 00:42:49.969 Robert Tseng: you know, every scan of, like, goods moving around the warehouse was actually what it was, and so you’re basically setting up an internal… routine internal audit, yeah, and…
333 00:42:50.020 ⇒ 00:43:05.309 Robert Tseng: you know, we basically kind of helped them set up a reporting process to make that easier to do. Yeah, so it’s kind of like taking that idea and kind of bringing it… bringing it here. I don’t know how frequently you want to do it. It sounded like either monthly or quarterly.
334 00:43:05.390 ⇒ 00:43:18.669 Robert Tseng: But yeah, when you do, you know, randomly go and audit, like, I don’t know, 10 patients or something, making sure that we get everything that you need from, into, into a place where you can, like, read that report very easily.
335 00:43:18.670 ⇒ 00:43:19.210 Hyp+Access: mail.
336 00:43:19.210 ⇒ 00:43:20.150 Robert Tseng: Yeah. Yeah.
337 00:43:20.370 ⇒ 00:43:23.660 Hyp+Access: Okay, cool. And then the… It’s almost like…
338 00:43:24.010 ⇒ 00:43:28.070 Hyp+Access: an LLM of, like, institutional knowledge that gets updated, or something.
339 00:43:28.070 ⇒ 00:43:28.510 Robert Tseng: Yeah.
340 00:43:28.510 ⇒ 00:43:35.390 Hyp+Access: But then our providers and care managers can use so that we’re standardizing knowledge that’s being shared, rather than letting
341 00:43:35.590 ⇒ 00:43:42.699 Hyp+Access: providers or care managers kind of decide what their perspective is. Just so that it isn’t…
342 00:43:42.930 ⇒ 00:43:49.230 Hyp+Access: So much projection of… Because the people we’re gonna be hiring will primarily also have these conditions, and…
343 00:43:50.120 ⇒ 00:43:56.329 Hyp+Access: That’s great, and something we see a lot is they’ll be like, well, my experience was this, so that’s how it’ll probably work for you.
344 00:43:56.650 ⇒ 00:44:14.429 Hyp+Access: trying to, like, how do we help people through just standardizing a process to just make sure that they’re way more, like, thinking all-encompassing? We kind of just want that information, like, at their fingertips, so that they don’t have to, like, memorize it, or, you know, it’s just an easier way to… to…
345 00:44:15.070 ⇒ 00:44:23.979 Hyp+Access: you know, oh, well, our policy is that you need to look through this if you feel like you don’t know, right? And so then… Yeah. …say, you didn’t do that, and so you need to do that next time, or whatever.
346 00:44:23.980 ⇒ 00:44:24.740 Robert Tseng: Okay.
347 00:44:25.170 ⇒ 00:44:27.880 Hyp+Access: Anyway, but we’ll… we’ll get there.
348 00:44:28.480 ⇒ 00:44:36.769 Hyp+Access: Okay, cool. I’ll send you this stuff, and then maybe once you get through it, you can let me know what you think the best next steps would be.
349 00:44:37.610 ⇒ 00:44:38.370 Hyp+Access: Okay.
350 00:44:39.260 ⇒ 00:44:41.330 Hyp+Access: Awesome. Are you at a conference right now?
351 00:44:42.680 ⇒ 00:44:45.049 Robert Tseng: Yeah, I’m at NYU right now.
352 00:44:45.150 ⇒ 00:44:47.839 Hyp+Access: Yeah. Good old NYU. What conference is there?
353 00:44:48.220 ⇒ 00:44:54.870 Robert Tseng: It’s like a… Access… Access to Justice forum,
354 00:44:55.310 ⇒ 00:44:59.489 Robert Tseng: Yeah, it’s not exactly, like, it’s not a super techy conference, but
355 00:44:59.900 ⇒ 00:45:08.519 Robert Tseng: Yeah, there’s a… there’s a nonprofit that we work with here that’s kind of on one of the panels. They basically do, like,
356 00:45:10.610 ⇒ 00:45:20.510 Robert Tseng: And they do a lot of different things, but what they’re speaking on today is, like, research that around, consumer… consumer debt that they’ve found, and…
357 00:45:20.960 ⇒ 00:45:36.880 Robert Tseng: They’re trying to impact policy so that states, can, basically make it easier for people who are being sued by, like, debt collectors, to be able to show up to their cases more easily, and, you know, that’s gonna improve
358 00:45:37.140 ⇒ 00:45:38.640 Robert Tseng: Kind of…
359 00:45:39.120 ⇒ 00:45:48.519 Robert Tseng: it’s gonna result… have better outcomes for people, since there are, like, 3… I think something like 4 million cases a year.
360 00:45:48.940 ⇒ 00:45:51.789 Robert Tseng: That are just clogging up court systems.
361 00:45:51.790 ⇒ 00:45:52.410 Hyp+Access: Sure.
362 00:45:52.410 ⇒ 00:46:03.189 Robert Tseng: on stuff that’s just, like, less than $1,500, it’s pretty much just, like, you open, like, a, I don’t know, like, a Target credit card when somebody targeted you on a flight, and then we just… Right.
363 00:46:03.360 ⇒ 00:46:10.389 Robert Tseng: You didn’t really do anything with it, and then your debt got sold to, like, two other people, or 2 other entities, and they finally sued you, like.
364 00:46:10.570 ⇒ 00:46:16.939 Robert Tseng: Two years later, you don’t remember anything, and so most of the time, you probably just default.
365 00:46:17.260 ⇒ 00:46:27.280 Robert Tseng: Yeah, so all of this is public data, so we helped them kind of pull all this data together, and then they kind of, like, went and analyzed it, and kind of… are kind of doing a readout on it.
366 00:46:27.420 ⇒ 00:46:31.490 Robert Tseng: But yeah, so that was, that’s pretty much why I’m here.
367 00:46:32.150 ⇒ 00:46:32.930 Hyp+Access: Nice.
368 00:46:33.130 ⇒ 00:46:36.320 Hyp+Access: Well, enjoy, I hope it’s somewhat uplifting.
369 00:46:36.320 ⇒ 00:46:39.830 Robert Tseng: Yeah, no, it’s… it’s cool. I love being in… in… in this…
370 00:46:39.980 ⇒ 00:46:46.019 Robert Tseng: people here are more inspired than… I don’t know, when I go to, like, a more techy conference, it’s just like… I don’t…
371 00:46:46.170 ⇒ 00:46:48.649 Robert Tseng: It’s all very too homogenous, everybody just…
372 00:46:48.930 ⇒ 00:46:51.530 Robert Tseng: I feel like it’s pretty robotic.
373 00:46:51.740 ⇒ 00:46:53.470 Hyp+Access: Tech feels a little like,
374 00:46:55.250 ⇒ 00:46:57.710 Hyp+Access: wishful thinking. Like, a lot of tech…
375 00:46:57.710 ⇒ 00:46:58.460 Robert Tseng: Totally.
376 00:46:58.840 ⇒ 00:47:01.129 Hyp+Access: You’re living in, like, a cloud. Like, this isn’t.
377 00:47:01.130 ⇒ 00:47:01.540 Robert Tseng: Yeah.
378 00:47:01.540 ⇒ 00:47:11.720 Hyp+Access: how anything works on the ground, like, yeah, in theory, that’s a great idea, but, like, it doesn’t… I don’t know, it almost feels like bottom-up compared to top-down would be, like, a more informed way, but…
379 00:47:12.170 ⇒ 00:47:12.760 Robert Tseng: Yeah.
380 00:47:13.080 ⇒ 00:47:13.959 Hyp+Access: What am I gonna say?
381 00:47:14.610 ⇒ 00:47:16.060 Robert Tseng: We were at a conference last week, right?
382 00:47:16.470 ⇒ 00:47:20.799 Hyp+Access: Yes, I was at the EDS Society conference, where they…
383 00:47:22.170 ⇒ 00:47:30.559 Hyp+Access: Communicated that there are no genetic identifiers, which we knew was gonna happen years ago, but they still put millions and millions of dollars into it,
384 00:47:30.890 ⇒ 00:47:32.190 Hyp+Access: And,
385 00:47:32.560 ⇒ 00:47:46.500 Hyp+Access: we’ve been tracking a lot of these players and these doctors and these researchers for a decade. We’ve seen their practices, we see how they run their practices, we know what medical codes they use, we know how they treat different patients, we see what research they’re publishing, and…
386 00:47:47.150 ⇒ 00:48:01.780 Hyp+Access: Everything we predicted is now coming true, and next year, they’re voting on whether or not the patient population that fills 95% of their caseload that they serve will be a part of their purview anymore.
387 00:48:02.040 ⇒ 00:48:02.719 Hyp+Access: So, they’re planning.
388 00:48:02.720 ⇒ 00:48:03.270 Robert Tseng: Oh, wow.
389 00:48:03.270 ⇒ 00:48:05.919 Hyp+Access: Taking out the patients that we serve, because they’re.
390 00:48:05.920 ⇒ 00:48:06.290 Robert Tseng: Yeah.
391 00:48:06.290 ⇒ 00:48:22.480 Hyp+Access: too complicated. And so it’s a… it’s a… we… we saw it coming, but it was an interesting thing to… to watch them kind of be fearful from… from the plenary sessions, like, talking to the public about their decisions, and,
392 00:48:22.780 ⇒ 00:48:26.090 Hyp+Access: It’s a… it’s a very… it’s more political than anything else, like, there…
393 00:48:26.090 ⇒ 00:48:26.710 Robert Tseng: Yeah.
394 00:48:27.000 ⇒ 00:48:34.770 Hyp+Access: And that’s how it’s always been, and I think that’s how most medical research is. It’s just… it’s actually very political. It’s not actually based in a lot of data, and people will…
395 00:48:35.070 ⇒ 00:48:41.190 Hyp+Access: You know, from a data perspective, like, Okay, their demographics for this
396 00:48:41.340 ⇒ 00:48:58.659 Hyp+Access: you know, 2,000-person study are 96% white and 97% female. And then they make conclusions based on their data, saying, oh, well, you know, estrogen is not a feature here, but a lack of testosterone is.
397 00:48:59.460 ⇒ 00:49:01.540 Hyp+Access: Wait, but you don’t have enough…
398 00:49:01.540 ⇒ 00:49:07.000 Robert Tseng: a huge, big enough sample size to, like, of course, you know, or they’ll… or they’ll say things like, oh, and.
399 00:49:07.140 ⇒ 00:49:16.919 Hyp+Access: they were using the term, like, global ethnicity. I don’t know what they’re trying to say with that at all. They’ll be like, oh, global ethnicity, like, isn’t significant here. And it’s like.
400 00:49:17.240 ⇒ 00:49:18.300 Hyp+Access: everyone’s white
401 00:49:18.420 ⇒ 00:49:26.409 Hyp+Access: You know, like… like, they just… they just can’t quite… it’s like they can acknowledge their limitations in their study, and then they still run…
402 00:49:27.300 ⇒ 00:49:36.830 Hyp+Access: run data, and then are like, oh, this finding is significant, and it’s like, well, no, it’s not. That’s incidental based on your… like, they can’t quite get it, so…
403 00:49:36.830 ⇒ 00:49:37.440 Robert Tseng: Yeah.
404 00:49:38.340 ⇒ 00:49:44.280 Hyp+Access: Anyway, they’ve been bad at research forever. I’m not… I didn’t expect anything different,
405 00:49:44.920 ⇒ 00:49:54.590 Hyp+Access: But, yeah, they’ve been pretty eviscerated, I think, by the community because of the decisions that they’ve made. And it’s all very arbitrary, right? It’s just, like, doctors voting on things in a room. Like, it’s not…
406 00:49:54.590 ⇒ 00:49:55.160 Robert Tseng: Yeah.
407 00:49:56.800 ⇒ 00:50:03.370 Hyp+Access: Anyway, so they might not want to care for anyone anymore, which is, like… That’s cool of you!
408 00:50:03.670 ⇒ 00:50:05.710 Hyp+Access: So then who’s gonna do it, you know?
409 00:50:06.030 ⇒ 00:50:08.030 Robert Tseng: Oh, that’s why you’re there, Jess.
410 00:50:08.030 ⇒ 00:50:09.090 Hyp+Access: Oh my god.
411 00:50:09.460 ⇒ 00:50:12.640 Hyp+Access: So anyway, but yeah, but I,
412 00:50:12.840 ⇒ 00:50:18.740 Hyp+Access: We’ll talk soon, I’ll send you this stuff very shortly, and then, yeah, we’ll go from there. Thank you so much.
413 00:50:18.980 ⇒ 00:50:20.970 Robert Tseng: Okay, sounds good. Thanks, Audrey.
414 00:50:21.700 ⇒ 00:50:22.370 Robert Tseng: Right.