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Hello, everyone. This is Jacob Emerson with the

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Becker's Healthcare ASC podcast. Thanks so much for

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tuning in today where we're thrilled to be

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joined by John Brownlee, who's the CEO and

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cofounder of VidScripps.

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John, thanks so much for taking the time

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to be with me on the podcast today.

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My pleasure, Jacob. Appreciate you inviting me. Absolutely.

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And before we dive into everything we wanna

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talk with you about, can you tell us

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a little bit more about yourself and your

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background in health care?

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Yeah. Certainly.

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So I've spent pretty much my entire career

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in health care. I I started off in

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the biotech and medical device

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businesses,

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worked in,

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with in largely

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in interventional cardiology and oncology

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and,

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and then the vaccine space.

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And I transitioned into the health care services

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side of the of the business. I met

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governor Tommy Thompson who had just finished his

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his time as secretary of health and human

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services, in the George Bush administration,

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w Bush administration. And,

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he was chairman of a company,

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did health care services, and I joined that

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company. And we did a lot of work

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in the both the public sector and military

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and CDC and also in the private sector.

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And then after leaving that company, which was

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sold to UnitedHealthcare,

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went into,

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kind of my entrepreneurial

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time, started a virtual care company called Quinian

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Health, a little bit ahead of the time

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in terms of, in terms of virtual care

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and online care, but,

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ended up selling that company.

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And then about thirteen years ago, I started

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Bitscript along with my, cofounder Brian Koyad, who's

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our who who remains our chief technology officer.

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And, I think, mostly what we'll be talking

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about today is is the script and and

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the things that we do in the ASC

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space.

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Fantastic. So a long time in the health

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care industry, John, and and because of that,

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you know that patient education has traditionally relied

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on brochures and post op handouts. As we've

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seen,

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spectrum, how have you seen this experience evolve,

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during your years in the industry?

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Yeah. There's there's been a lot of evolution,

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I think, with various varying levels of success.

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You know, when we think about how we,

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engage with patients

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prior to procedures,

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after procedures, you know, with new diagnoses

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and so forth. You know, the the the

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big challenge here is, you know, health care

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providers

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tend to repeat themselves a lot. They tend

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to say the same things over and over

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again.

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And, and yet we know patients forget up

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to 80% of what they learn at the

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point of care depending on depending on what

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study you're reading. So we have we have

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these really perishable encounters between

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providers and their patients.

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That leads to a lot of frustration for

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providers, a lot of a lot of drives

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homes, speaking to patients in the car, and

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a lot of callbacks to

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to staff members. And a lot of people

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are trying to figure figure this thing out.

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And I'm not sure we've made a ton

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of progress, to be honest with you. You

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know, there's there's text messaging platforms. There's,

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there's lots of mobile apps. We're looking at

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the future of AI agents, you know, delivering,

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dynamically delivering con content in kind of conversational

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formats, you know, drawing from particular knowledge bases.

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But, you know, there's there's a lot going

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on, and,

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and there's been some successful things and a

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lot of things that haven't really worked. But

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I think I think from my point of

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view, the the endpoint that we we wanna

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be thinking about isn't so much the modality.

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We tend to get kind of caught up

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in innovation

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and digital and

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digital health and and and those kinds of

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things. But it's not really about the the

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modality. It's really about the outcome. You know?

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Well, what are the tools that are that

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are proven to bend the curve

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on outcomes that we all care about?

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And, you know, from from our point of

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view, you know, we we've been doing VidScrip

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for thirteen years now, and

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there's kind of three buckets that we that

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we look at here that that drive success.

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You know, the the information that patients receive

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needs to be accurate.

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That's table stakes.

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One of the challenges, of course, though, is

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that we tend to create information vacuums for

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patients, and patients

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go online and they seek out doctor Google,

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and that's a problem. And then the accuracy

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decreases.

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You know, that's the first a. And the

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the second is, you know, accessibility.

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This is also table stakes. But, you know,

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there's varying levels of of accessibility of

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of educational content. Certainly, health care providers are

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difficult to access because they're so busy.

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Apps are hard to access for a lot

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of patients,

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and so forth. So accessibility is an issue.

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The The one that we really focus on

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at VidScrip, but I probably should talk about

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kind of what it is that we do

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here at some point, but, is authenticity. And

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that's and that's that's kind of the most

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important

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element of really creating

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content that drives

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that drives outcomes. And and not a lot

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of people wanna play in that space. And

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we can talk about kind of what I

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mean by authenticity. But,

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the you know, in our view, and the

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our data seems to indicate that the more

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authentic the content is that patients are receiving,

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the better engaged patients

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are. The better engaged they are, the better

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the outcomes are. And, so accuracy, accessibility, and

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authenticity

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are really those keys, and that's kinda how

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we think about whether it's digital or nondigital,

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how we need to be engaging patients to

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get better outcomes.

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Absolutely. So content drives outcomes. And I and

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I totally hear your perspective that it's not

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necessarily about the modality. It is about the

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outcomes. But is video particularly impactful in an

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ASC setting compared to some of the other

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forms of patient education that you mentioned?

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Yeah. I mean, our day our data would

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would would seem to indicate it it is.

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And, you know, I always kinda caution this.

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You know, there's a lot of people, like,

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talk about video.

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And and, you know, VidScrip, you know, VidScrip

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is is a is a platform that allows,

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health care providers to create short little videos,

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a whole bunch of them that answer

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all of the patient's questions about, you know,

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let's say, a procedure like total knee replacement.

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And then we take these little videos and

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bundle them into journeys, and we guide patients

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through these journeys using the videos from their

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own doctor.

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And so but this script doesn't work because

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it's video

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per se. It works because it's authentic.

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And so, you know, we have we have,

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a study published in the Journal of American

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Urology Association in 2019,

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'12 centers

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around the country, some academic, some private, led

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by doctor Mike Shea at the University of

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California San Diego.

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And that study showed a 70% reduction

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in cans in surgery cancellations

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for patients who were receiving

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these series of videos when they get them

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by text message or email.

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But they're receiving these videos leading up to

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surgery and then after surgery.

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And ninety four percent of the patients in

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that study said that they watched all or

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almost all of their doctor's videos.

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And so I I really try to emphasize

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that I mean, there's there's tons of video

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out there. You know? There's you can go

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to YouTube and find video about anything.

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But what makes VidScrip work or things like

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VidScrip

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is that the videos are so authentic authentic

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because they come from your own provider.

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And what what we figured out how to

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do over the last decade plus is to

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is to create authenticity at scale.

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And that's the trick with video. And, when

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you can do that,

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you combine that accuracy of the information because

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it's coming from your own doctor,

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the accessibility because it's being delivered directly to

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you at just the right time in a

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care episode,

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and most importantly, by far, the authenticity because

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it's content that's coming from your own doctor.

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So when you

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consume that or when you share that with

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a a loved one or a caregiver,

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this is the most important information there is

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because it's authentically coming from the provider who's

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taking care of me or my mother and

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so forth.

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And so, yes, we we do video, and

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there's there's a number of different video based

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platforms out there. But,

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but the authenticity of your own doctor is

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really is really what it comes down to.

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Understood. So so the data is really pointing

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to patients increasingly preferring to consume medical information

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via the video format.

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What are some of the challenges then that

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practices might encounter in getting providers on board

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with doing this? How how is Vidscripts

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making it so that it's easy for clinicians

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to make these videos?

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Yeah. That's and that's, you know, that's been

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the work of the last, you know, thirteen

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years for us. And, you know, there's there's

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I always say there's there's kind of four

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potential failure points for something like this. Number

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one is, you know, is this is this

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a problem we're solving?

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And when I talk to busy surgeons and

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I say, hey. You know, you're it's Groundhog

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Day. Right? You repeat yourself all the time,

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but patients forget what you say. They almost

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all agree with that. And so, you know,

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getting sort of buy in that this is

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a problem we're solving is is not too

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difficult.

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And when I ask them, will they will

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they sit in front of our app, that

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script in our case, that script studio and

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answer a whole bunch of questions? We don't

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really get too much trouble getting them to

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do that because they realize they're solving an

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acute problem that they face directly in their

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own practice. It's not the same as when

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sort of maybe a marketing person calls and

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say, hey. Will you come down to the

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conference room and sit here for an hour

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and make a video that we're gonna put

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on our website? That's that's video content you're

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kinda creating for somebody else. This is content

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you're creating for yourself, for your own patients

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that will drive efficiency and drive better patient

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behavior. So that's really not a big barrier.

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Patients love this content.

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Our we we ask we ask patients,

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patient satisfaction score for every single journey, and

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the average patient satisfaction

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score across our entire platform was 9.6 out

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of 10. So the patients are thrilled with

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this content. They're not used to getting it.

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Where are the operational challenges? And when we're

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working with an ambulatory surgery center or practice,

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the really, the key is

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is getting in there and making sure that

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we're managing the workflow.

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And what that really means is making sure

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the right patient is getting the right VIN

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script from the right doctor. And so we

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can export, you know, very simple standard reports

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from the EMR systems all the way up

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to, you know,

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a fire based integration and kinda everything in

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between to make sure that we're sort of

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automating that process of,

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of making sure that we're getting the data

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so we can enroll these patients.

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And and that's really the operational key. And

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so the providers tend to be really on

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board because they they they they can imagine

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if I if I could repeat myself less

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or if I could have to field fewer

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calls or my staff could field field fewer

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calls and so forth, there's value there. But

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it's really that operational piece in the middle

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that really that really drives success.

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Absolutely. And and, John, you mentioned the high

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consumer scores.

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Can you expand on that and give us

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a a concrete example in terms of from

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the patient side on how Vidscripts is supporting

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the care journey?

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Yeah. Absolutely. So

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there's a lot of I mean, as you

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can imagine over this period of time, there's

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a lot of examples. I'll give you a

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couple of my favorites.

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We do a ton of work in the

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audiology space. So Vidscript Vidscript is across really

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all all specialties.

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We we do we do we happen to

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do a lot in the audiology space. So

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one of my favorite outcomes metrics is something

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in audiology they call companion grade. And so

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if we all think about people who are

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at a point where they're, they're exploring,

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hearing aids and that kind of thing, the

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the percentage of patients who come to their

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visit with a companion

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has a fundamental,

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impact on what they do next. In other

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words, if if my dad goes in for

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hearing aids and he goes by himself, the

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chances are he's gonna walk out there and

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and and nothing's gonna happen. But if he

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goes in with my mom or if he

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goes in with my sister, it's very different

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different things. So we design journeys in the

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audiology space specifically geared towards driving higher companion

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rates, and we've seen

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measurable improvement in that, which improves outcomes, improves

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practice operational and financial performance. And that's just

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a really good example of of what we

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really try to do, which is designing these

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journeys to have it to bend the curve

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on an outcome that we know is important

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to both patients and providers.

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Another another one is we we we work

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in the prosthetic space,

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and we we help prosthetic

339
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practices

340
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guide their patients from sort of that surgery

341
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experience that they have

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to months later when they're actually getting fit

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for

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for a prosthetic device. And so if you

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imagine a patient who is a lower limb

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amputee and they come for that fitting,

347
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one of the things that can be that

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can be determinative of whether they're gonna have

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a successful fitting is whether they bring the

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the other shoe, the shoe for the for

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the limb that they've lost, which they're obviously

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not using currently. And so when they come

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to the fitting, they need to have both

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shoes with them

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so that they have a proper fitting. It

356
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seems like a little thing, but it's actually

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something that derails these fittings.

358
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So, again, part of that journey

359
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is we've designed in reminders to make sure

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that they that that they that they accomplish

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that that relatively minor task so that they

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have a successful fitting. And so those are

363
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just kind of two examples of of that

364
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I particularly like.

365
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And we have examples like that from orthopedics

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and from urology and and and other spaces

367
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as well. But, you know, we design these

368
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journeys, and we organize the questions that the

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providers answer,

370
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with these little videos, and we deliver them

371
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to patients at at just the right time

372
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so that we bend the curve on these

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outcomes that that impact what happens with patients.

374
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And because we get such high engagement in

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the in the content and the reason we

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get such high engagement is because it's, again,

377
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it's authentic. It's my own doctor, my own

378
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prosthetist, my own audiologist.

379
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They're paying attention, and so they

380
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their their actions tend to change as a

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result. And so it's exciting to see once

382
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those once we fine tune and tweak those

383
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journeys, it's exciting to see those metrics those

384
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metrics improve.

385
00:13:46,544 --> 00:13:48,544
Absolutely. So clearly a lot of a lot

386
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of great work happening across many specialties, John.

387
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And and if you were to look ahead,

388
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how do you see video continuing to transform

389
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patient care at ASCs

390
00:13:58,144 --> 00:14:00,304
and other benefits that you think practices can

391
00:14:00,304 --> 00:14:01,684
expect by prioritizing

392
00:14:02,519 --> 00:14:03,660
video based education?

393
00:14:04,920 --> 00:14:07,399
Yeah. I think that the ASC space I

394
00:14:07,399 --> 00:14:10,200
mean, that's clearly, you know, to I'm in

395
00:14:10,200 --> 00:14:12,200
Minnesota and to use a hockey analogy, that's

396
00:14:12,200 --> 00:14:13,879
where the that's where the worst that's where

397
00:14:13,879 --> 00:14:15,480
the puck is going, and that's where we're

398
00:14:15,480 --> 00:14:16,779
that's where we're all skating.

399
00:14:17,235 --> 00:14:19,235
You know, there there's some really some specific

400
00:14:19,235 --> 00:14:21,414
needs in the ASC space that we could

401
00:14:21,634 --> 00:14:22,034
obviously,

402
00:14:22,834 --> 00:14:24,274
talk a lot about and and a lot

403
00:14:24,274 --> 00:14:27,414
of your other podcasts have. But, clearly, operational

404
00:14:27,475 --> 00:14:27,975
efficiency

405
00:14:28,355 --> 00:14:30,674
is really what we're what we're going for.

406
00:14:30,674 --> 00:14:31,815
We we need to reduce,

407
00:14:32,274 --> 00:14:33,210
procedure cancellations and no

408
00:14:37,210 --> 00:14:39,070
that's something that we're able to do.

409
00:14:39,610 --> 00:14:42,350
We we wanna reduce callbacks. We want to

410
00:14:42,410 --> 00:14:44,009
reduce the amount of time staff is spending

411
00:14:44,009 --> 00:14:45,929
answering the same questions over and over again

412
00:14:45,929 --> 00:14:48,170
and so forth. And and we've got data

413
00:14:48,170 --> 00:14:50,465
that shows that that this type of content

414
00:14:50,465 --> 00:14:52,085
can do that. Postoperative

415
00:14:52,705 --> 00:14:55,024
outcomes, you know, a new study that was

416
00:14:55,024 --> 00:14:56,884
just, completed at Penn State,

417
00:14:57,264 --> 00:14:59,264
in the again, in the urology space, which

418
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shows a five x reduction

419
00:15:01,024 --> 00:15:01,524
in

420
00:15:01,904 --> 00:15:04,860
post procedural unplanned visits for patients who are

421
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receiving Vidscript before and at Vidscript videos from

422
00:15:07,980 --> 00:15:09,920
their doctor before and after their procedure.

423
00:15:10,540 --> 00:15:11,679
Those kinds of things,

424
00:15:11,980 --> 00:15:14,160
have a significant impact on kind of operational

425
00:15:14,299 --> 00:15:14,799
outcomes.

426
00:15:15,500 --> 00:15:18,585
I think very specific to the ASC is

427
00:15:18,585 --> 00:15:20,345
some work that we're doing with our partners

428
00:15:20,345 --> 00:15:20,825
at at,

429
00:15:21,465 --> 00:15:22,524
at J and J MedTech,

430
00:15:23,465 --> 00:15:25,625
is really thinking about how can VIT scripts

431
00:15:25,625 --> 00:15:28,585
impact things like the new requirements around OCAP

432
00:15:28,585 --> 00:15:29,085
scores,

433
00:15:29,785 --> 00:15:31,485
patient satisfaction metrics,

434
00:15:32,290 --> 00:15:34,210
things like that. So we can build these

435
00:15:34,210 --> 00:15:36,610
journeys and design these questions that these providers

436
00:15:36,610 --> 00:15:38,370
are answering, and then we deliver those videos

437
00:15:38,370 --> 00:15:39,429
to patients around.

438
00:15:39,809 --> 00:15:41,889
For instance, in the OCAP surveys, there's a

439
00:15:41,889 --> 00:15:44,870
number of questions about, did you receive adequate

440
00:15:45,495 --> 00:15:47,815
information around anesthesia and things like that? And

441
00:15:47,815 --> 00:15:48,795
so we make sure

442
00:15:49,174 --> 00:15:50,715
that as we build these journeys,

443
00:15:51,415 --> 00:15:53,975
we're addressing the things that appear in these

444
00:15:53,975 --> 00:15:54,475
surveys

445
00:15:55,014 --> 00:15:56,934
so that when the patient gets that survey,

446
00:15:56,934 --> 00:15:59,490
they they very likely will have forgotten what

447
00:15:59,490 --> 00:16:01,110
they learned at the point of care.

448
00:16:01,410 --> 00:16:03,090
But when they're at home and they're with

449
00:16:03,090 --> 00:16:05,330
a caregiver or a loved one and they're

450
00:16:05,330 --> 00:16:08,450
calm and they're exploring this information in video

451
00:16:08,450 --> 00:16:10,370
form from their own doctor, they're less likely

452
00:16:10,370 --> 00:16:12,370
to forget that, and they're more likely to

453
00:16:12,370 --> 00:16:12,945
be engaged.

454
00:16:13,664 --> 00:16:15,664
And so we're really targeting some of those

455
00:16:15,664 --> 00:16:17,125
patient satisfaction type

456
00:16:17,585 --> 00:16:19,985
type metrics in the, in the ASC space

457
00:16:19,985 --> 00:16:21,044
to make sure that

458
00:16:21,345 --> 00:16:23,825
those practices are maximizing those scores and then

459
00:16:23,825 --> 00:16:26,465
they obviously, what results from those scores. And

460
00:16:26,465 --> 00:16:28,889
so so we're building these journeys

461
00:16:29,350 --> 00:16:31,850
in in slightly different ways in the ASC

462
00:16:31,909 --> 00:16:34,709
setting than we might in in in in

463
00:16:34,709 --> 00:16:37,350
other settings. And we're we're very focused on

464
00:16:37,350 --> 00:16:38,809
kind of what are the what are the

465
00:16:38,870 --> 00:16:39,370
operational,

466
00:16:39,750 --> 00:16:42,664
clinical, and financial outcomes that those practices vein

467
00:16:47,365 --> 00:16:47,865
of

468
00:16:50,884 --> 00:16:53,605
of building this product with ASCs in mind,

469
00:16:53,605 --> 00:16:55,779
John, we have a lot of ASC leaders

470
00:16:55,779 --> 00:16:58,339
listening in. Before we wrap up, anything else

471
00:16:58,339 --> 00:17:00,100
you wanna share with them or any concluding

472
00:17:00,100 --> 00:17:02,200
thoughts you you have for our listeners?

473
00:17:03,139 --> 00:17:05,940
Yeah. So so, well, for one thing, I

474
00:17:05,940 --> 00:17:07,380
mean, you know, if if if any of

475
00:17:07,380 --> 00:17:09,220
them are interested, obviously, in what we do,

476
00:17:09,220 --> 00:17:11,744
they're more than welcome to go to vidscrip.com

477
00:17:11,744 --> 00:17:12,565
and and,

478
00:17:13,345 --> 00:17:14,944
and learn about that. They're more than welcome

479
00:17:14,944 --> 00:17:17,825
to email me at jbrownley@vidscrip.com.

480
00:17:17,825 --> 00:17:19,345
There's no s on the end of that.

481
00:17:19,505 --> 00:17:21,265
V I d s e r I p

482
00:17:21,265 --> 00:17:22,005
dot com.

483
00:17:22,580 --> 00:17:25,460
J Brownlee with two e's. I this is

484
00:17:25,460 --> 00:17:27,779
what I do is interact with, with leaders

485
00:17:27,779 --> 00:17:29,380
in these spaces and and make sure we

486
00:17:29,380 --> 00:17:30,839
understand what their needs are.

487
00:17:31,299 --> 00:17:32,500
The other thing they can do is they

488
00:17:32,500 --> 00:17:34,994
can contact their J and J medtech

489
00:17:35,394 --> 00:17:35,894
representative

490
00:17:36,355 --> 00:17:38,595
in the orthopedic space, for instance, and,

491
00:17:39,234 --> 00:17:40,994
and we actively work with them in the

492
00:17:40,994 --> 00:17:41,974
ASC space,

493
00:17:42,674 --> 00:17:45,075
to bring these programs, make sure that they're

494
00:17:45,075 --> 00:17:47,579
delivering value for those practices. So so so

495
00:17:47,579 --> 00:17:49,599
we're certainly interested in having conversations

496
00:17:49,900 --> 00:17:52,940
and understanding how how the AC practices are

497
00:17:52,940 --> 00:17:54,720
looking for to implementing,

498
00:17:55,179 --> 00:17:57,440
you know, AI driven patient education,

499
00:17:58,220 --> 00:17:59,755
what are all those things that are on

500
00:17:59,755 --> 00:18:01,434
the table, and and how to make sure

501
00:18:01,434 --> 00:18:01,934
that

502
00:18:02,315 --> 00:18:03,535
with all those technologies,

503
00:18:04,234 --> 00:18:05,054
you're leveraging

504
00:18:05,595 --> 00:18:08,075
the authenticity of the of the expertise of

505
00:18:08,075 --> 00:18:08,734
your clinicians

506
00:18:09,275 --> 00:18:11,914
to really drive outcomes. So so we're very,

507
00:18:11,914 --> 00:18:13,835
very interested in having those kinds of conversations,

508
00:18:13,835 --> 00:18:14,494
of course.

509
00:18:15,450 --> 00:18:18,009
Fantastic. Well, John, thank you so much for

510
00:18:18,009 --> 00:18:19,289
taking the time to chat with me on

511
00:18:19,289 --> 00:18:21,289
the podcast today and for sharing your insights

512
00:18:21,289 --> 00:18:23,690
with our listeners. We really appreciate it. My

513
00:18:23,690 --> 00:18:26,009
pleasure, Jacob. Thank you very much. I'd also

514
00:18:26,009 --> 00:18:28,329
like to thank our podcast sponsor, Johnson and

515
00:18:28,329 --> 00:18:30,435
Johnson MedTech. You can tune in to more

516
00:18:30,435 --> 00:18:32,755
podcasts from Becker's Health Care by visiting our

517
00:18:32,755 --> 00:18:36,135
podcast page at beckershospitalreview.com.