WEBVTT 00:00:00.069 --> 00:00:02.029 You're listening to the PT Pinecast, 00:00:02.129 --> 00:00:04.169 where smart people in healthcare come to 00:00:04.209 --> 00:00:05.391 make noise. 00:00:05.431 --> 00:00:06.551 Here's your host, Jimmy McKay. 00:00:06.711 --> 00:00:10.192 All right, as always, 00:00:10.231 --> 00:00:11.791 want to say thanks to Empower EMR. 00:00:11.832 --> 00:00:14.593 If your clinic is stuck in an EMR 00:00:14.632 --> 00:00:15.393 that slows you down, 00:00:15.452 --> 00:00:16.574 you do realize that that's not, 00:00:16.653 --> 00:00:17.153 that's not... 00:00:18.300 --> 00:00:19.541 Death and tax is the only thing you've 00:00:19.561 --> 00:00:20.161 really got to count on. 00:00:20.202 --> 00:00:21.301 You can leave your EMR. 00:00:21.582 --> 00:00:22.082 You can do it. 00:00:22.382 --> 00:00:22.864 You're allowed. 00:00:22.943 --> 00:00:24.184 I checked. 00:00:24.285 --> 00:00:25.486 Empower gives you speed, 00:00:25.525 --> 00:00:27.527 clean workflows and features PTs actually 00:00:27.626 --> 00:00:27.987 asked for. 00:00:28.307 --> 00:00:30.890 It's almost as if they're in all the 00:00:30.910 --> 00:00:32.691 Facebook groups listening to your 00:00:32.710 --> 00:00:34.893 employees anonymously because now you can 00:00:34.912 --> 00:00:36.393 post on Facebook anonymously, 00:00:36.734 --> 00:00:38.295 complain about the stuff at their job. 00:00:38.536 --> 00:00:39.216 Here's the thing. 00:00:39.697 --> 00:00:41.118 You're allowed to fix that. 00:00:41.578 --> 00:00:42.960 Because they're asking for things like 00:00:43.380 --> 00:00:44.040 better notes. 00:00:44.502 --> 00:00:45.764 Yeah, if you've ever treated a patient, 00:00:45.783 --> 00:00:46.725 you're pissed off about that. 00:00:46.744 --> 00:00:47.426 You want better notes, 00:00:47.686 --> 00:00:51.752 faster documentation, smooth operations, 00:00:52.212 --> 00:00:53.533 all wrapped in customer support that 00:00:53.554 --> 00:00:54.115 doesn't ghost you. 00:00:54.295 --> 00:00:55.095 Because here's the thing, 00:00:55.396 --> 00:00:57.279 when something goes wrong, and it will, 00:00:57.499 --> 00:00:58.780 you just want someone to be able to 00:00:58.820 --> 00:00:59.201 fix it. 00:01:00.207 --> 00:01:01.168 Even if you don't fix it quick, 00:01:01.189 --> 00:01:02.509 I just want to know you are working 00:01:02.590 --> 00:01:02.829 on it. 00:01:03.390 --> 00:01:04.290 And that's what happens there. 00:01:04.391 --> 00:01:06.391 So upgrade your clinic's brain. 00:01:06.792 --> 00:01:08.453 This is the thing you're probably playing 00:01:08.474 --> 00:01:09.713 with more than your phone if you're 00:01:09.733 --> 00:01:11.676 working with Empower EMR. 00:01:11.936 --> 00:01:12.715 Find them online. 00:01:12.756 --> 00:01:14.537 They're walking through it nice and slow 00:01:14.677 --> 00:01:16.618 on what the future could look like at 00:01:16.638 --> 00:01:17.980 empoweremr.com. 00:01:18.579 --> 00:01:19.861 One more time for the people in the 00:01:19.881 --> 00:01:22.222 back, empoweremr.com. 00:01:22.382 --> 00:01:24.403 It's weird doing the live read while 00:01:24.424 --> 00:01:25.504 you're sitting here, Sharif. 00:01:25.545 --> 00:01:26.766 Yeah, I'm right here. 00:01:26.945 --> 00:01:28.486 It's great to hear it though. 00:01:28.507 --> 00:01:29.828 I'm like, yeah, let's do it. 00:01:30.487 --> 00:01:32.189 Hearing it live is fun. 00:01:32.250 --> 00:01:33.471 Three part series. 00:01:33.870 --> 00:01:35.012 We had you on before. 00:01:35.072 --> 00:01:36.612 So if you are listening to this, 00:01:37.112 --> 00:01:38.254 this is like Voltron. 00:01:38.274 --> 00:01:39.614 This is the second in three. 00:01:40.075 --> 00:01:40.256 All right. 00:01:40.296 --> 00:01:41.637 So don't skip the first part. 00:01:42.037 --> 00:01:43.578 Previously, we talked about, 00:01:44.179 --> 00:01:45.719 I think I titled the episode like the 00:01:45.859 --> 00:01:46.881 silent tax episode. 00:01:47.361 --> 00:01:48.341 on PT clinics. 00:01:48.402 --> 00:01:49.843 I wanted you to understand, you, 00:01:49.862 --> 00:01:50.683 the person listening, 00:01:51.024 --> 00:01:52.905 who's thinking of launching, launched, 00:01:53.105 --> 00:01:53.885 trying to grow, whatever. 00:01:54.527 --> 00:01:56.367 Your EMR could be costing you, 00:01:56.468 --> 00:01:58.329 and I'm not talking about what you have 00:01:58.370 --> 00:01:59.310 to pay to use it. 00:01:59.631 --> 00:02:02.192 It could be paying annoyance tax on your 00:02:02.233 --> 00:02:02.712 clinicians. 00:02:02.852 --> 00:02:03.414 That's not fair. 00:02:03.914 --> 00:02:05.795 It could be losing you time. 00:02:05.834 --> 00:02:06.876 And we know time equals money. 00:02:07.376 --> 00:02:09.197 You could be losing staff because of this 00:02:09.236 --> 00:02:10.978 decision or a non-decision. 00:02:11.018 --> 00:02:12.459 So that's part one. 00:02:12.838 --> 00:02:14.699 This is part two of three. 00:02:15.099 --> 00:02:16.580 And this one I wanted to focus on 00:02:16.961 --> 00:02:17.782 the big hairy... 00:02:18.521 --> 00:02:19.502 I won't even call it scary. 00:02:19.522 --> 00:02:21.044 I'll call it the big hairy question mark. 00:02:21.764 --> 00:02:22.384 Here it is. 00:02:22.805 --> 00:02:24.346 I'm sure you've never heard this phrase, 00:02:24.366 --> 00:02:24.485 right? 00:02:24.725 --> 00:02:25.947 AI and physical therapy. 00:02:26.026 --> 00:02:26.586 It's everywhere. 00:02:26.687 --> 00:02:27.348 Go to LinkedIn. 00:02:27.367 --> 00:02:28.888 You're going to trip over it everywhere. 00:02:29.308 --> 00:02:31.270 But I wanted to come to you because... 00:02:33.253 --> 00:02:34.895 You've been doing this for twenty one 00:02:34.914 --> 00:02:35.235 years. 00:02:35.855 --> 00:02:37.415 You've seen things come and go. 00:02:37.515 --> 00:02:39.176 I think in your last episode was a 00:02:39.236 --> 00:02:39.698 great thing. 00:02:39.918 --> 00:02:41.498 You started when EMRs were a covered 00:02:41.538 --> 00:02:41.899 wagon. 00:02:42.278 --> 00:02:43.780 You started when it was Oregon Trail. 00:02:43.860 --> 00:02:45.040 That was that was advanced. 00:02:45.121 --> 00:02:46.861 Oregon Trail was advanced. 00:02:48.020 --> 00:02:49.641 So you've seen things come and go. 00:02:49.741 --> 00:02:51.263 Things are cyclical. 00:02:51.603 --> 00:02:53.564 You can see the patterns. 00:02:53.724 --> 00:02:55.626 You can see the signal in the noise. 00:02:55.665 --> 00:02:58.127 So today, what's real? 00:02:58.247 --> 00:02:58.948 What's hype? 00:02:59.528 --> 00:03:01.750 What will actually change in your practice 00:03:01.810 --> 00:03:03.270 in the next three months, three years? 00:03:03.730 --> 00:03:05.072 Knowing that you don't have a crystal 00:03:05.092 --> 00:03:05.431 ball, 00:03:05.812 --> 00:03:07.854 but you do have a memory and you've 00:03:07.913 --> 00:03:10.096 seen the only way to predict or best 00:03:10.195 --> 00:03:13.318 try to predict the future is to understand 00:03:13.358 --> 00:03:13.737 the path. 00:03:14.318 --> 00:03:16.180 So when PT owners, first of all, 00:03:17.020 --> 00:03:18.680 When they hear AI in healthcare, 00:03:19.681 --> 00:03:22.040 what do you see them misunderstanding the 00:03:22.140 --> 00:03:23.781 most right now when you're doing deep 00:03:23.820 --> 00:03:26.442 dives with current or potential clinics 00:03:26.461 --> 00:03:27.461 coming on board with Empower? 00:03:28.681 --> 00:03:30.263 Yeah, no, it's good to be back. 00:03:30.423 --> 00:03:31.802 I would have to say, 00:03:31.923 --> 00:03:33.263 I think the goal is to keep you 00:03:33.282 --> 00:03:35.484 from dying from dysentery on the Oregon 00:03:35.524 --> 00:03:35.764 Trail. 00:03:35.783 --> 00:03:37.604 That was always like the thing, right? 00:03:37.623 --> 00:03:39.004 It's like you've died from dysentery and 00:03:39.044 --> 00:03:42.004 now it's like, so you've died from AI, 00:03:42.085 --> 00:03:43.586 from hearing too much about AI. 00:03:43.605 --> 00:03:45.086 You've been AI to death. 00:03:45.686 --> 00:03:47.487 uh because you know you're not just 00:03:47.527 --> 00:03:49.871 hearing about it on linkedin and pt but 00:03:49.931 --> 00:03:51.712 like everything on the news is about ai 00:03:51.752 --> 00:03:54.195 everything every product even products 00:03:54.216 --> 00:03:55.858 that make no sense have ai in them 00:03:55.897 --> 00:03:56.998 like you go to the grocery store and 00:03:57.039 --> 00:03:59.141 popcorn has ai in it doesn't make any 00:03:59.181 --> 00:04:00.683 sense how does this have ai in it 00:04:00.743 --> 00:04:02.346 and what can it do for me but 00:04:02.385 --> 00:04:04.348 it's just it's you there was a meme 00:04:04.367 --> 00:04:05.530 i saw on on um 00:04:07.531 --> 00:04:09.193 like a year ago and it was like 00:04:09.293 --> 00:04:11.373 CEOs adding AI to their product. 00:04:11.394 --> 00:04:12.776 And it was a guy making a sandwich 00:04:12.795 --> 00:04:14.556 and he just was just pouring sauce all 00:04:14.616 --> 00:04:14.856 over it. 00:04:14.877 --> 00:04:15.457 The sauce with the, 00:04:15.497 --> 00:04:16.718 and he just kept going and then he 00:04:16.759 --> 00:04:18.639 put it in a styrofoam container and then 00:04:18.660 --> 00:04:20.041 covered the styrofoam container in the 00:04:20.262 --> 00:04:21.983 sauce and then did this three more times. 00:04:22.043 --> 00:04:24.264 So it's overwhelming, I think. 00:04:25.725 --> 00:04:28.569 And so what's the number one thing I 00:04:28.608 --> 00:04:30.550 think to start, you know, 00:04:30.810 --> 00:04:32.211 you ask some tough questions like what's 00:04:32.291 --> 00:04:33.872 next in three months and three years. 00:04:34.656 --> 00:04:36.218 I think the number one thing right now 00:04:36.499 --> 00:04:38.401 is probably some of the claims are maybe 00:04:38.440 --> 00:04:40.663 a little bit beyond the reality of the 00:04:40.723 --> 00:04:42.384 actual technology itself. 00:04:42.423 --> 00:04:44.987 I mean, AI is incredible, right? 00:04:45.607 --> 00:04:45.927 It is. 00:04:46.148 --> 00:04:47.588 You can go and you can talk to 00:04:47.668 --> 00:04:48.990 it and ask it a question and it 00:04:49.009 --> 00:04:50.331 can synthesize an answer. 00:04:50.932 --> 00:04:52.634 It's really incredible. 00:04:52.673 --> 00:04:53.754 And then obviously there are all these 00:04:53.795 --> 00:04:55.096 other applications for it, 00:04:55.115 --> 00:04:56.978 like self-driving and things that are even 00:04:57.017 --> 00:04:59.100 pushing boundaries in one's mind. 00:04:59.920 --> 00:05:01.521 But that's counterbalanced by the fact 00:05:01.540 --> 00:05:03.322 that you may have even had your own 00:05:03.362 --> 00:05:04.983 experience with this as a listener. 00:05:05.204 --> 00:05:06.685 You signed up for something that said it 00:05:06.704 --> 00:05:08.105 was AI-laden, you got it, 00:05:08.144 --> 00:05:11.567 and it wasn't that great. 00:05:11.608 --> 00:05:13.127 Maybe it was like an extra frill or 00:05:13.168 --> 00:05:14.009 something like that, 00:05:14.048 --> 00:05:15.329 or there was a bunch of it. 00:05:15.370 --> 00:05:17.071 So I think there's a growing... 00:05:17.370 --> 00:05:18.651 The number one thing to know is there's 00:05:18.672 --> 00:05:21.314 a growing dichotomy between AI claims and 00:05:21.413 --> 00:05:22.194 AI reality. 00:05:22.494 --> 00:05:24.435 And I think that's especially true in PT 00:05:24.475 --> 00:05:24.896 right now. 00:05:24.956 --> 00:05:25.076 It's 00:05:25.822 --> 00:05:28.685 It's another technological wild, 00:05:28.706 --> 00:05:30.127 wild west where obviously everybody wants 00:05:30.148 --> 00:05:32.430 to go for the gold rush and claim 00:05:32.451 --> 00:05:33.692 their stake and say, okay, 00:05:33.752 --> 00:05:34.774 we can do this. 00:05:34.814 --> 00:05:35.795 We have AI. 00:05:36.396 --> 00:05:38.019 And then there are some meaningful 00:05:38.059 --> 00:05:39.860 implementations of it that are making real 00:05:39.901 --> 00:05:41.202 changes, positive changes. 00:05:41.242 --> 00:05:42.764 And there's others that are just a veneer. 00:05:43.446 --> 00:05:45.267 And sometimes they're not even really AI, 00:05:45.367 --> 00:05:47.550 you know, not to get technically detailed, 00:05:47.569 --> 00:05:49.310 but sometimes they're just like a riff on 00:05:49.331 --> 00:05:50.973 an older technology that kind of smells 00:05:50.992 --> 00:05:51.612 like AI. 00:05:52.093 --> 00:05:53.574 It's like using a, you know, 00:05:53.654 --> 00:05:55.216 I can't believe it's not butter instead of 00:05:55.255 --> 00:05:55.716 real butter. 00:05:56.516 --> 00:05:58.538 So it's not what you think. 00:05:58.759 --> 00:05:59.240 And, um, 00:06:00.362 --> 00:06:01.262 Here's the problem, though, 00:06:01.302 --> 00:06:04.286 is that these kind of faux things can 00:06:04.326 --> 00:06:06.608 cost you real money and real time. 00:06:06.629 --> 00:06:08.230 So that's where it becomes, you know, 00:06:08.250 --> 00:06:09.771 it's not just fun and games. 00:06:09.812 --> 00:06:10.853 It's real money. 00:06:10.892 --> 00:06:11.593 It's real time. 00:06:11.634 --> 00:06:12.394 It's real people. 00:06:12.413 --> 00:06:13.175 It's real patients. 00:06:13.194 --> 00:06:14.036 It's real systems. 00:06:14.596 --> 00:06:16.658 So you do need to get increasingly more 00:06:16.718 --> 00:06:18.500 judicious about some of this stuff and, 00:06:18.540 --> 00:06:18.721 like, 00:06:18.841 --> 00:06:20.903 what you believe and what you can hold 00:06:20.963 --> 00:06:22.384 in your hands and what you can use. 00:06:23.404 --> 00:06:24.625 what you actually think will make a 00:06:24.665 --> 00:06:26.247 difference in your practice versus just 00:06:26.288 --> 00:06:28.230 sounds really cool on a drive-by 00:06:28.449 --> 00:06:30.132 advertising marketing. 00:06:30.271 --> 00:06:31.293 Where is it legit? 00:06:31.413 --> 00:06:32.074 You mentioned, hey, 00:06:32.134 --> 00:06:33.355 it's pretty good at some things. 00:06:33.475 --> 00:06:34.755 So where is it legit? 00:06:34.795 --> 00:06:37.579 Where does the hype match the output? 00:06:37.619 --> 00:06:37.699 Yeah. 00:06:38.276 --> 00:06:39.076 Yeah, I mean, listen, 00:06:39.156 --> 00:06:41.517 I think the two best things right now 00:06:41.699 --> 00:06:43.519 that AI can do both broadly, 00:06:43.559 --> 00:06:45.819 but also specifically in our sort of neck 00:06:45.839 --> 00:06:49.721 of the woods is helping document and 00:06:49.841 --> 00:06:52.062 summarize and write or helping write. 00:06:52.463 --> 00:06:53.764 So that can come in a variety of 00:06:53.783 --> 00:06:55.725 forms like documentation is obviously 00:06:55.764 --> 00:06:57.925 number one in this world, but marketing, 00:06:58.026 --> 00:06:59.966 job descriptions, like creating content. 00:07:00.507 --> 00:07:01.607 The aisle was found, 00:07:01.666 --> 00:07:02.767 and maybe others did too, 00:07:02.788 --> 00:07:04.307 that starting a document was the hardest 00:07:04.327 --> 00:07:04.408 part. 00:07:04.427 --> 00:07:05.908 Remember when you'd open Word and you're 00:07:05.928 --> 00:07:07.069 just staring at that blank thing, 00:07:07.088 --> 00:07:07.949 and you know you're supposed to write 00:07:07.988 --> 00:07:08.589 something, and you're like, 00:07:08.610 --> 00:07:09.170 how do you even write? 00:07:09.389 --> 00:07:10.269 Then once you get going, 00:07:10.310 --> 00:07:11.110 it's not so bad. 00:07:11.711 --> 00:07:14.831 So that's really where AI can help, right? 00:07:14.891 --> 00:07:16.471 It's like, just give me a few inputs. 00:07:16.512 --> 00:07:18.572 Like, I need to write Jimmy a letter. 00:07:19.072 --> 00:07:20.593 I need to tell him he's great, 00:07:20.713 --> 00:07:21.653 and I don't know where to start. 00:07:21.694 --> 00:07:22.374 Can you write this? 00:07:22.473 --> 00:07:23.613 And same with documentation. 00:07:23.634 --> 00:07:24.233 I have a patient. 00:07:24.274 --> 00:07:25.095 Here's a little bit about the 00:07:25.154 --> 00:07:25.675 presentation. 00:07:25.714 --> 00:07:26.074 Help me. 00:07:26.235 --> 00:07:28.115 Or do an ambient record the thing and 00:07:28.156 --> 00:07:28.755 have it started. 00:07:29.295 --> 00:07:31.197 And then it's really good at summarizing 00:07:31.958 --> 00:07:32.519 information. 00:07:32.559 --> 00:07:33.860 So if you have a large volume of 00:07:33.899 --> 00:07:34.800 data and you need to like, 00:07:34.821 --> 00:07:36.901 just give me like ten things I can 00:07:36.982 --> 00:07:38.163 read about. 00:07:38.362 --> 00:07:40.125 And I have to laugh when it's like 00:07:40.165 --> 00:07:41.565 now it's summarizing chats with your 00:07:41.605 --> 00:07:41.925 friends. 00:07:41.946 --> 00:07:43.007 That seems a little ridiculous. 00:07:43.047 --> 00:07:44.187 Like just read your chats with your 00:07:44.228 --> 00:07:44.487 friends. 00:07:44.507 --> 00:07:45.528 That's five or six things. 00:07:45.548 --> 00:07:47.651 But if you have like a chart of 00:07:47.750 --> 00:07:49.031 notes for a patient and you kind of 00:07:49.052 --> 00:07:50.512 want to distill that down into like a 00:07:50.533 --> 00:07:51.954 little narrative about that patient is 00:07:52.014 --> 00:07:53.295 really good at that kind of stuff. 00:07:55.245 --> 00:07:56.504 It's not good at, you know, 00:07:56.584 --> 00:07:58.846 at like solving, you know, 00:07:59.026 --> 00:08:00.745 actual problems in some cases. 00:08:00.786 --> 00:08:01.226 I mean, I'm, 00:08:01.466 --> 00:08:03.187 I'm a patient at times as many of 00:08:03.247 --> 00:08:04.226 us are with different things. 00:08:04.266 --> 00:08:06.307 I don't really want, you know, 00:08:06.367 --> 00:08:08.088 chat GPT to be my clinician. 00:08:08.127 --> 00:08:09.749 Maybe it can help give some pointers and 00:08:09.769 --> 00:08:11.168 some tips and things like that. 00:08:12.288 --> 00:08:14.610 It's, it's not really good at like at, 00:08:15.757 --> 00:08:18.197 like really offloading a hundred percent 00:08:18.218 --> 00:08:19.137 of your practice too. 00:08:19.158 --> 00:08:20.699 I think that's like the biggest claim. 00:08:20.738 --> 00:08:22.060 Like, don't worry, AI will do it. 00:08:22.079 --> 00:08:23.199 It's like, AI will do what? 00:08:23.339 --> 00:08:24.519 And who's going to look over it and 00:08:24.560 --> 00:08:26.281 make sure that it doesn't embarrass you or 00:08:26.321 --> 00:08:27.802 do something stupid that doesn't make any 00:08:27.862 --> 00:08:30.742 sense or hallucinate and just plain flatly 00:08:30.862 --> 00:08:31.682 out be wrong, 00:08:31.762 --> 00:08:33.203 which is absolutely possible. 00:08:33.879 --> 00:08:36.182 You have to remember that AI is really 00:08:36.241 --> 00:08:38.283 just pattern recognition on steroids. 00:08:38.344 --> 00:08:40.125 So it's like it's learning what patterns 00:08:40.225 --> 00:08:40.385 are. 00:08:40.426 --> 00:08:42.869 It's the simple like one, three, five. 00:08:42.889 --> 00:08:43.769 What's the next number? 00:08:43.789 --> 00:08:44.711 And you're like, oh, that's easy. 00:08:44.750 --> 00:08:45.250 It's seven. 00:08:45.451 --> 00:08:46.451 That's what AI is, 00:08:46.491 --> 00:08:48.614 but on a grand scale. 00:08:49.907 --> 00:08:51.346 What I'm trying to get at here is, 00:08:51.846 --> 00:08:52.086 you know, 00:08:52.148 --> 00:08:53.707 anybody who says it's not changing the 00:08:53.748 --> 00:08:55.107 world and it's not that important is 00:08:55.148 --> 00:08:55.488 wrong. 00:08:55.648 --> 00:08:57.869 Everybody, anybody who says, you know, by, 00:08:58.269 --> 00:09:00.288 you know, June, you know, 00:09:00.328 --> 00:09:01.850 your food will be delivered by an AI 00:09:01.909 --> 00:09:03.370 robot and they'll be cleaning your house 00:09:03.409 --> 00:09:04.509 and all that's also wrong. 00:09:04.710 --> 00:09:05.710 And again, 00:09:05.750 --> 00:09:09.431 PT practices really have to be tight with, 00:09:09.571 --> 00:09:09.811 you know, 00:09:09.850 --> 00:09:11.032 what they want to do and what they 00:09:11.072 --> 00:09:12.272 want to spend on in order to be 00:09:12.312 --> 00:09:12.812 successful. 00:09:13.438 --> 00:09:14.220 Always and never, 00:09:14.259 --> 00:09:15.740 as we were taught in test taking, hey, 00:09:15.801 --> 00:09:16.782 beware of always and never. 00:09:16.802 --> 00:09:18.143 Beware of everything or nothing. 00:09:18.443 --> 00:09:19.884 It's probably somewhere in the middle. 00:09:19.924 --> 00:09:22.167 And because it's a PT podcast, of course, 00:09:22.206 --> 00:09:23.528 I'm going to say it depends. 00:09:24.408 --> 00:09:25.850 What are the parts of PT that you 00:09:25.909 --> 00:09:28.932 think should not be automated? 00:09:29.253 --> 00:09:30.654 What would you put in the black box 00:09:30.695 --> 00:09:31.855 and go, no, don't touch it. 00:09:31.956 --> 00:09:32.816 I don't want this. 00:09:33.437 --> 00:09:34.618 You should not automate this. 00:09:34.778 --> 00:09:35.339 Or sorry, 00:09:35.619 --> 00:09:36.720 I should not put AI in there. 00:09:37.589 --> 00:09:38.089 Yeah, well, 00:09:38.190 --> 00:09:40.110 I certainly think the clinical aspect 00:09:40.150 --> 00:09:41.631 needs a lot of, you know, 00:09:41.731 --> 00:09:42.712 thinking and time. 00:09:42.773 --> 00:09:44.735 I mean, you know, again, as a patient, 00:09:44.794 --> 00:09:47.115 as a human being, you know, 00:09:47.135 --> 00:09:48.758 there is value to somebody who's gone 00:09:48.778 --> 00:09:50.239 through extensive education, right, 00:09:50.278 --> 00:09:50.759 to learn, 00:09:50.798 --> 00:09:52.080 and they're actually putting their hands 00:09:52.120 --> 00:09:53.841 on you and understanding what's happening 00:09:53.881 --> 00:09:55.663 with you and that sort of thing. 00:09:55.682 --> 00:09:58.325 And again, I think that can be augmented, 00:09:58.365 --> 00:09:59.326 but that's something. 00:09:59.586 --> 00:10:01.548 The second one I would give urge caution 00:10:01.587 --> 00:10:01.888 with is, 00:10:02.653 --> 00:10:04.575 try so i wouldn't say there's something 00:10:04.615 --> 00:10:06.056 that at the moment i'm ready to say 00:10:06.115 --> 00:10:07.836 can never be touched by ai but there 00:10:07.876 --> 00:10:09.798 are some things that should be very end 00:10:09.859 --> 00:10:12.460 or very cautious and another one is your 00:10:12.500 --> 00:10:15.662 patient experience um i don't know if you 00:10:15.741 --> 00:10:19.104 enjoy talking to ai phone things or ai 00:10:19.144 --> 00:10:21.505 chat bots it's a mixed bag you know 00:10:21.546 --> 00:10:23.527 sometimes it's like you're like when you i 00:10:23.547 --> 00:10:25.607 would say though as again as a customer 00:10:25.628 --> 00:10:26.889 of things like when i have a good 00:10:26.928 --> 00:10:28.529 experience with one i'm kind of surprised 00:10:28.549 --> 00:10:29.951 i'm like actually that's pretty good you 00:10:29.971 --> 00:10:31.371 know like it actually did what i want 00:10:32.052 --> 00:10:33.153 Most of the time, though, 00:10:33.253 --> 00:10:34.754 I'm chatting with the damn thing because I 00:10:34.794 --> 00:10:36.336 already know I have an exception and 00:10:36.375 --> 00:10:37.856 that's why I need to talk to somebody. 00:10:38.298 --> 00:10:39.759 And so what you want to be careful 00:10:39.798 --> 00:10:41.399 with with your patient experience is over 00:10:41.500 --> 00:10:44.142 automating it to death and realizing that 00:10:44.162 --> 00:10:45.844 you're really upsetting your patients. 00:10:45.923 --> 00:10:49.206 You know, these are your customers. 00:10:49.226 --> 00:10:49.966 This is your money. 00:10:50.548 --> 00:10:52.889 And, you know, what will they do? 00:10:52.950 --> 00:10:54.350 Well, they could go to another practice. 00:10:54.370 --> 00:10:55.912 They could fall off their plan of care 00:10:55.951 --> 00:10:57.714 and kill off half your revenue stream from 00:10:57.754 --> 00:10:58.274 that patient. 00:10:58.595 --> 00:10:59.956 They can exercise their 00:11:01.158 --> 00:11:01.958 kind of power. 00:11:02.038 --> 00:11:04.080 So I see a lot out there about, 00:11:04.179 --> 00:11:05.259 you know, the phones will be gone, 00:11:05.279 --> 00:11:06.679 the front desk will be fully gone, 00:11:06.899 --> 00:11:08.059 nobody cares, you know, 00:11:08.080 --> 00:11:10.120 the AI bot will do everything and collect 00:11:10.140 --> 00:11:13.140 the money and, you know, caution, 00:11:13.500 --> 00:11:15.261 you know, radar goes up and just says, 00:11:15.642 --> 00:11:17.241 there are absolutely opportunities to make 00:11:17.282 --> 00:11:18.942 that stuff better and more streamlined and 00:11:18.961 --> 00:11:19.922 get rid of the scut work. 00:11:20.581 --> 00:11:22.802 There are some things that need, you know, 00:11:23.283 --> 00:11:24.903 and you're in healthcare, you're not in, 00:11:25.222 --> 00:11:27.283 you're not Amazon delivering widgets. 00:11:27.303 --> 00:11:29.004 So you need to have some human 00:11:29.884 --> 00:11:30.865 compassion, I think, 00:11:30.904 --> 00:11:33.405 and empathy to mix in with that tech 00:11:33.426 --> 00:11:33.765 stack. 00:11:33.865 --> 00:11:34.527 And actually, 00:11:34.567 --> 00:11:35.726 if you do a good job with it, 00:11:35.767 --> 00:11:37.488 I think you can amplify some of those 00:11:37.508 --> 00:11:39.389 good things rather than thinking about it 00:11:39.408 --> 00:11:40.870 as a way to get rid of those 00:11:40.909 --> 00:11:42.291 things or get rid of those costs. 00:11:44.357 --> 00:11:46.239 You get to define the next terms for 00:11:46.259 --> 00:11:46.879 the next question. 00:11:47.219 --> 00:11:49.539 Small versus large clinics, 00:11:49.559 --> 00:11:52.019 because you work with both, right? 00:11:52.039 --> 00:11:54.020 You work with a range of who works 00:11:54.061 --> 00:11:54.321 with. 00:11:54.961 --> 00:11:57.081 So how do you think AI and automation 00:11:57.162 --> 00:12:00.602 change the economics of small clinics and 00:12:00.702 --> 00:12:03.024 versus medium or large like there are 00:12:03.063 --> 00:12:05.184 different problems if you are doing less 00:12:05.205 --> 00:12:06.544 than a million dollars a year versus 00:12:06.686 --> 00:12:08.025 twenty million dollars a year and i know 00:12:08.046 --> 00:12:09.366 people are like it's more complicated i go 00:12:09.787 --> 00:12:12.148 yes you have you're either you're you're 00:12:12.227 --> 00:12:13.467 on the up ramp you're just in different 00:12:13.508 --> 00:12:16.009 parts of a life cycle so which means 00:12:16.190 --> 00:12:18.110 economics or the things that are important 00:12:18.210 --> 00:12:20.892 or hard are different for these practices 00:12:21.292 --> 00:12:23.513 so how do you think ai and automation 00:12:23.592 --> 00:12:25.634 actually change the economics of small 00:12:25.673 --> 00:12:28.914 versus large over the next couple of years 00:12:29.894 --> 00:12:31.398 Yeah, more money, more problems, 00:12:31.457 --> 00:12:33.402 I think is the good old adage there 00:12:33.422 --> 00:12:33.841 for sure. 00:12:34.302 --> 00:12:35.164 You know, oddly enough, 00:12:35.466 --> 00:12:36.988 I would say in a lot of ways 00:12:37.028 --> 00:12:39.393 that the problems aren't that different 00:12:39.833 --> 00:12:41.616 between smaller practices and larger, 00:12:41.657 --> 00:12:42.558 just in the sense that 00:12:43.235 --> 00:12:45.076 often they're confronting the same issues 00:12:45.136 --> 00:12:47.337 it's the scale um obviously that matters 00:12:47.378 --> 00:12:49.399 so like a small practice would say you 00:12:49.419 --> 00:12:51.140 know cancels and no shows are a challenge 00:12:51.181 --> 00:12:52.782 for us and a large practice might also 00:12:52.802 --> 00:12:54.384 say cancels and no shows are a challenge 00:12:54.403 --> 00:12:56.365 for us but the large practice needs to 00:12:56.445 --> 00:12:59.307 solve for a thousand cancellations a month 00:12:59.427 --> 00:13:01.149 out of you know ten thousand visits and 00:13:01.168 --> 00:13:03.509 the little one needs to solve for fifty 00:13:03.610 --> 00:13:05.211 out of you know out of a thousand 00:13:05.251 --> 00:13:06.633 over the course of a month something like 00:13:06.673 --> 00:13:06.873 that 00:13:07.352 --> 00:13:09.495 And so how has it changed the economics? 00:13:09.514 --> 00:13:10.934 I mean, for sure, 00:13:11.735 --> 00:13:14.057 practice that is really effectively using 00:13:14.118 --> 00:13:16.958 technology can definitely hit, 00:13:17.078 --> 00:13:18.320 punch a little bit out of its weight 00:13:18.340 --> 00:13:18.720 class. 00:13:18.740 --> 00:13:21.182 It can sort of emulate a larger practice 00:13:21.221 --> 00:13:22.383 with less resources. 00:13:22.863 --> 00:13:23.964 So that's kind of interesting. 00:13:24.663 --> 00:13:26.184 But the flip side to that is that 00:13:26.325 --> 00:13:28.125 any size practice that's doing a poor 00:13:28.145 --> 00:13:30.187 implementation or poor job of actually 00:13:30.226 --> 00:13:31.668 using the tools could actually be spending 00:13:31.748 --> 00:13:33.408 more money and possibly even be less 00:13:33.448 --> 00:13:35.669 efficient just because they're not doing a 00:13:35.710 --> 00:13:37.510 good job with the actual tools they have. 00:13:38.532 --> 00:13:41.614 You can see evidence of that at times 00:13:41.653 --> 00:13:43.094 where they're trying to stretch too much 00:13:43.114 --> 00:13:43.855 and do too much, 00:13:43.914 --> 00:13:45.796 and then the outcome is actually lower 00:13:45.875 --> 00:13:47.116 output, more burnout, 00:13:47.197 --> 00:13:48.657 like just everybody's frazzled, 00:13:48.736 --> 00:13:49.677 and then it starts showing up. 00:13:50.409 --> 00:13:52.691 in satisfaction, employee, patient, 00:13:52.971 --> 00:13:55.052 in money, and those sorts of things. 00:13:55.072 --> 00:13:57.413 So I do think there's some similarities. 00:13:57.533 --> 00:13:59.754 I do think, you know, 00:14:00.114 --> 00:14:02.956 any practice can sort of make itself, 00:14:03.395 --> 00:14:03.875 bulk it up, 00:14:04.176 --> 00:14:05.736 bulk itself up a little bit with the 00:14:05.756 --> 00:14:08.077 right technology and with the right 00:14:08.138 --> 00:14:09.378 utilization. 00:14:10.078 --> 00:14:12.940 I don't think, you know, 00:14:14.712 --> 00:14:17.154 Yeah, it's a very interesting question. 00:14:17.995 --> 00:14:19.777 It just plays into some much larger themes 00:14:19.797 --> 00:14:21.018 that are kind of floating around my head, 00:14:21.057 --> 00:14:21.918 but I don't want to go too far 00:14:21.938 --> 00:14:22.198 afield. 00:14:22.239 --> 00:14:24.581 But more money is flowing into the PT 00:14:24.620 --> 00:14:25.081 space, 00:14:25.241 --> 00:14:28.424 exits and conglomeration is all a 00:14:28.485 --> 00:14:30.025 conversation that, again, 00:14:30.066 --> 00:14:31.386 being in the space for a long time 00:14:31.427 --> 00:14:33.129 wasn't a reality a few years ago, 00:14:33.149 --> 00:14:35.129 but certainly has entered in a large way 00:14:35.149 --> 00:14:37.272 if you go to any large scale PT 00:14:37.312 --> 00:14:37.692 events. 00:14:38.493 --> 00:14:39.854 i don't know you could walk around with 00:14:39.874 --> 00:14:41.153 your ai and it can count how many 00:14:41.214 --> 00:14:42.815 times people say multiple what's the 00:14:42.855 --> 00:14:44.034 multiple what are we getting for a 00:14:44.075 --> 00:14:45.895 multiple that's like a super cool word and 00:14:45.956 --> 00:14:48.336 it you know it's so it's it's uh 00:14:48.397 --> 00:14:51.437 changed a lot and um so i think 00:14:51.557 --> 00:14:53.359 that that's the bottom line is you can 00:14:53.418 --> 00:14:56.399 punch higher than your class but only with 00:14:56.419 --> 00:14:58.360 a good only with a positive quality 00:14:58.400 --> 00:14:59.841 implementation of the tools 00:15:00.580 --> 00:15:02.139 Right now, who benefits the most? 00:15:02.360 --> 00:15:05.601 Who gets the most juice versus squeeze 00:15:05.881 --> 00:15:07.822 from adopting automation early? 00:15:07.902 --> 00:15:09.962 Is it struggling clinics, growing clinics, 00:15:10.062 --> 00:15:11.043 high-performing ones? 00:15:11.623 --> 00:15:13.783 Is it they all benefit differently? 00:15:13.964 --> 00:15:15.225 But who is like, hey, listen, 00:15:15.725 --> 00:15:19.285 automation can help this group the most at 00:15:19.686 --> 00:15:19.806 what? 00:15:21.111 --> 00:15:21.712 Yeah, 00:15:21.732 --> 00:15:24.134 I guess my off-the-cuff answer is it's the 00:15:24.195 --> 00:15:26.017 middle of the bell curve that can most 00:15:26.518 --> 00:15:27.359 improve from this. 00:15:27.399 --> 00:15:29.520 The struggling ones, unfortunately, 00:15:29.561 --> 00:15:31.663 sometimes their struggles are not related 00:15:31.702 --> 00:15:32.543 to technology. 00:15:32.583 --> 00:15:34.125 It's a patient pipeline problem. 00:15:34.145 --> 00:15:35.187 It's a payer problem. 00:15:36.467 --> 00:15:39.371 out of whack balance between admin staff 00:15:39.392 --> 00:15:40.032 and providers. 00:15:40.072 --> 00:15:42.315 Like something is structurally going on is 00:15:42.394 --> 00:15:43.235 often what I see. 00:15:43.296 --> 00:15:45.818 And I really feel bad when I see 00:15:45.839 --> 00:15:47.341 those clinics because they will often 00:15:47.581 --> 00:15:48.923 start attributing it to other things. 00:15:48.942 --> 00:15:50.024 They bring in a new system, 00:15:50.144 --> 00:15:51.625 their problems are the same or worse, 00:15:51.645 --> 00:15:52.847 and they don't understand why 00:15:53.467 --> 00:15:54.568 And it's because there's whatever 00:15:54.609 --> 00:15:55.970 structural issue they have. 00:15:56.971 --> 00:15:57.211 You know, 00:15:57.292 --> 00:15:59.354 we have one PT who works part time 00:15:59.394 --> 00:16:00.995 in a PTA and we don't understand why 00:16:01.054 --> 00:16:02.216 we're not making any hay. 00:16:02.736 --> 00:16:03.837 I mean, I can tell you why. 00:16:03.898 --> 00:16:05.558 There's no EMR you can buy that's going 00:16:05.578 --> 00:16:07.961 to change your dynamic or your economics 00:16:08.001 --> 00:16:08.282 on that. 00:16:09.099 --> 00:16:10.139 The high-end clinics, 00:16:11.299 --> 00:16:13.039 they're usually more dialed in, 00:16:13.100 --> 00:16:13.659 not always, 00:16:13.700 --> 00:16:15.081 sometimes they just have had awesome 00:16:15.120 --> 00:16:16.441 organic growth and they're just the 00:16:16.500 --> 00:16:18.241 benefactors of luck and they really 00:16:18.261 --> 00:16:19.282 haven't dialed things in, 00:16:19.322 --> 00:16:21.542 but many of them have dialed things in 00:16:21.581 --> 00:16:24.202 and their benefit primarily would be 00:16:24.883 --> 00:16:26.583 reduction or redirection of staff. 00:16:26.644 --> 00:16:27.384 So reduction, 00:16:27.423 --> 00:16:29.024 like literally they can offload things and 00:16:29.063 --> 00:16:31.125 have less people or redirection, 00:16:31.404 --> 00:16:33.405 we can offload tasks and have Jimmy work 00:16:33.466 --> 00:16:35.306 on something more profitable or some 00:16:35.365 --> 00:16:37.086 marketing effort we didn't previously 00:16:37.126 --> 00:16:37.307 have. 00:16:37.326 --> 00:16:38.086 And that can help them 00:16:38.726 --> 00:16:40.868 improved by ten percent let's say but the 00:16:40.947 --> 00:16:43.229 middle one the one that's like not failing 00:16:43.389 --> 00:16:44.769 and not blowing it out of the water 00:16:45.288 --> 00:16:46.929 uh really has a lot to gain by 00:16:46.970 --> 00:16:48.669 saying like you know what like if if 00:16:48.730 --> 00:16:51.211 we could see another five patients per 00:16:51.270 --> 00:16:54.091 week if we could um attract you know 00:16:54.152 --> 00:16:55.712 a little bit more if if we could 00:16:55.812 --> 00:16:58.114 automate a few things and you know we 00:16:58.134 --> 00:16:59.573 can keep our front desk but they want 00:16:59.594 --> 00:17:01.215 to only work a half day on friday 00:17:01.294 --> 00:17:02.615 and and we get to keep a trusted 00:17:02.634 --> 00:17:04.375 employee but we kind of give a little 00:17:04.415 --> 00:17:04.855 get a little 00:17:05.476 --> 00:17:08.719 They have a lot to gain from implementing 00:17:08.818 --> 00:17:10.740 AI, from implementing technology, again, 00:17:10.780 --> 00:17:12.082 meaningfully and measurably, 00:17:12.843 --> 00:17:14.703 because then they can go from being in 00:17:14.723 --> 00:17:15.184 the middle. 00:17:15.585 --> 00:17:17.467 They can avoid falling into that 00:17:17.507 --> 00:17:18.347 struggling category, 00:17:18.508 --> 00:17:20.148 or they can actually push into the lower 00:17:20.229 --> 00:17:21.851 end of that sort of high performing 00:17:22.230 --> 00:17:23.612 practice or beyond, you know, 00:17:23.731 --> 00:17:24.553 over a period of time. 00:17:25.239 --> 00:17:26.338 All right. 00:17:26.378 --> 00:17:27.740 You've been around since it was. 00:17:27.859 --> 00:17:29.319 Did I surprise you with that answer? 00:17:29.339 --> 00:17:30.380 Or is that what you expected? 00:17:30.500 --> 00:17:30.720 Okay. 00:17:30.819 --> 00:17:31.099 Yeah. 00:17:31.119 --> 00:17:31.881 I don't know. 00:17:32.260 --> 00:17:33.601 I think people are always thinking like, 00:17:33.621 --> 00:17:35.500 aha, the high-end clinics are always, 00:17:35.540 --> 00:17:37.061 you know, the ones, the high performing, 00:17:37.102 --> 00:17:38.261 are they going to crush it with 00:17:38.301 --> 00:17:38.942 technology? 00:17:39.001 --> 00:17:40.623 And, you know, they certainly are leading. 00:17:41.222 --> 00:17:42.542 They are on the front end of the 00:17:42.563 --> 00:17:44.824 adoption curve, but for different reasons, 00:17:44.923 --> 00:17:45.763 I think at times. 00:17:46.231 --> 00:17:46.632 Sure. 00:17:46.711 --> 00:17:47.853 I mean, listen, like, look at it, 00:17:48.373 --> 00:17:48.532 you know, 00:17:48.553 --> 00:17:49.853 and it doesn't always work when you make 00:17:49.873 --> 00:17:50.393 a parallel. 00:17:50.432 --> 00:17:52.894 But if you got a boat that's sinking, 00:17:53.134 --> 00:17:54.474 a boat that's doing all right, 00:17:54.515 --> 00:17:55.634 and a boat that is, you know, 00:17:55.654 --> 00:17:57.174 like one of those crew boats in the 00:17:57.214 --> 00:17:57.775 Olympics, 00:17:58.536 --> 00:18:01.936 you might improve that Olympic crew rowing 00:18:02.076 --> 00:18:03.997 skull one percent. 00:18:04.057 --> 00:18:05.198 And then that's the difference between 00:18:05.238 --> 00:18:05.778 gold or not. 00:18:07.385 --> 00:18:10.128 you're going to need a bilge pump and 00:18:10.148 --> 00:18:11.750 a giant patch to get the one who's 00:18:11.830 --> 00:18:12.711 already mid-sinking. 00:18:13.893 --> 00:18:15.413 New paint job ain't going to fix it, 00:18:15.473 --> 00:18:15.673 right? 00:18:15.713 --> 00:18:18.217 But the middle, you might see the best... 00:18:19.713 --> 00:18:21.875 roi the biggest change because like you're 00:18:21.915 --> 00:18:23.837 not sinking we can we can work on 00:18:23.897 --> 00:18:25.920 higher level problems we're not in as my 00:18:25.960 --> 00:18:27.401 dad a firefighter would say what's the 00:18:27.441 --> 00:18:29.002 worst thing to do in a panic situation 00:18:29.042 --> 00:18:31.625 and the answer was panic don't do that 00:18:31.904 --> 00:18:32.925 and the second worst thing to do in 00:18:32.945 --> 00:18:35.628 a panic situation is nothing right so we 00:18:35.648 --> 00:18:37.210 should be doing something we want to go 00:18:37.309 --> 00:18:40.212 faster look around is it scrape barnacles 00:18:40.333 --> 00:18:41.314 is it a paint job is it a 00:18:41.354 --> 00:18:43.214 bigger motor pick one of those things and 00:18:43.256 --> 00:18:44.757 run with it you'll see a big a 00:18:44.817 --> 00:18:45.837 bigger roi there 00:18:46.731 --> 00:18:47.334 A hundred percent. 00:18:47.595 --> 00:18:47.855 Yeah. 00:18:48.096 --> 00:18:48.377 All right. 00:18:48.659 --> 00:18:48.819 Yep. 00:18:48.960 --> 00:18:50.104 So I'll make you look in the future. 00:18:50.858 --> 00:18:51.078 Okay. 00:18:51.098 --> 00:18:51.939 Three-year vision. 00:18:52.038 --> 00:18:52.618 We always want, 00:18:53.000 --> 00:18:54.180 I feel like I always ask you unfair 00:18:54.220 --> 00:18:54.759 questions like, 00:18:55.279 --> 00:18:56.420 I need you to look in the future, 00:18:56.760 --> 00:18:57.000 right? 00:18:57.461 --> 00:18:59.101 But if we're sitting here three years from 00:18:59.161 --> 00:18:59.421 now, 00:18:59.820 --> 00:19:03.182 what will the best run PT clinics have 00:19:03.221 --> 00:19:05.143 been doing in twenty twenty six if they're 00:19:05.163 --> 00:19:07.123 doing well in twenty twenty nine, 00:19:07.222 --> 00:19:08.683 which feels like a fake number. 00:19:08.743 --> 00:19:10.723 Twenty twenty twenty six feels like a fake 00:19:10.763 --> 00:19:11.624 year from a movie. 00:19:11.864 --> 00:19:12.785 But what will they have been doing 00:19:12.904 --> 00:19:14.625 operationally different in twenty twenty 00:19:14.724 --> 00:19:17.346 six so that they are high performing in 00:19:17.385 --> 00:19:18.046 twenty twenty nine? 00:19:19.300 --> 00:19:19.540 Yeah, 00:19:19.681 --> 00:19:22.605 I think that the very first answer I 00:19:22.625 --> 00:19:24.967 have to give is they'll be focusing in 00:19:25.027 --> 00:19:25.867 twenty twenty six. 00:19:25.928 --> 00:19:26.568 So, you know, 00:19:26.628 --> 00:19:29.332 cutting through a whole bunch of nonsense, 00:19:29.471 --> 00:19:31.233 determining what are their profitability 00:19:31.273 --> 00:19:33.396 factors and then drawing back from that 00:19:33.517 --> 00:19:35.219 what operational things need to change in 00:19:35.259 --> 00:19:35.839 order to do that. 00:19:36.698 --> 00:19:36.877 Yeah. 00:19:36.958 --> 00:19:37.458 I mean, listen, 00:19:37.498 --> 00:19:39.638 if we took a hundred practices from all 00:19:39.679 --> 00:19:40.539 fifty different states, 00:19:40.579 --> 00:19:42.621 there'd be some absolutely common threads 00:19:43.141 --> 00:19:43.681 between them. 00:19:43.721 --> 00:19:44.961 You know, we need more patients. 00:19:45.001 --> 00:19:45.882 We need higher. 00:19:45.981 --> 00:19:47.222 We need to get rid of some payers 00:19:47.262 --> 00:19:48.063 that are low paying. 00:19:48.103 --> 00:19:49.064 I mean, all the stuff you go, 00:19:49.104 --> 00:19:50.605 you hear about at the conferences and you 00:19:50.625 --> 00:19:52.826 hear speakers talk about ad nauseum. 00:19:53.566 --> 00:19:55.787 So, you know, in twenty twenty six, like 00:19:56.846 --> 00:19:58.328 I don't know, as a tech person, 00:19:58.348 --> 00:19:58.929 you might think, well, 00:19:59.490 --> 00:20:00.790 you should say something like do an 00:20:00.871 --> 00:20:02.432 automated wait list or something like 00:20:02.472 --> 00:20:02.712 that. 00:20:03.053 --> 00:20:04.734 But the automated wait list is that's, 00:20:04.894 --> 00:20:06.616 that's the, um, you know, 00:20:06.636 --> 00:20:08.357 it's like the symptom versus the disease 00:20:08.377 --> 00:20:09.278 kind of analogy. 00:20:09.318 --> 00:20:09.819 Like, you know, 00:20:09.839 --> 00:20:11.260 we need to understand what it is we're 00:20:11.280 --> 00:20:11.901 trying to do. 00:20:12.281 --> 00:20:14.084 And then we can back into how to 00:20:14.124 --> 00:20:15.585 get there and hopefully not with 00:20:15.605 --> 00:20:16.105 band-aids, 00:20:16.125 --> 00:20:17.906 but with actual meaningful operational 00:20:17.946 --> 00:20:18.448 changes. 00:20:19.107 --> 00:20:19.628 And, um, 00:20:20.555 --> 00:20:21.576 So they'll be focusing, 00:20:21.875 --> 00:20:23.596 they will be implementing new things. 00:20:23.616 --> 00:20:24.757 There's no question about that, 00:20:24.777 --> 00:20:26.397 but they will be implementing them in a 00:20:26.478 --> 00:20:27.239 measured way. 00:20:27.358 --> 00:20:27.638 So, 00:20:28.098 --> 00:20:29.920 twenty twenty six might be the year you 00:20:29.960 --> 00:20:31.480 pick three or four initiatives that are 00:20:31.520 --> 00:20:32.721 sort of tech based and you're like, 00:20:32.801 --> 00:20:33.221 all right, yeah, 00:20:33.261 --> 00:20:34.942 this is the year we're going to implement 00:20:35.022 --> 00:20:35.682 online booking. 00:20:35.702 --> 00:20:36.943 We're going to do an automated wait list. 00:20:37.344 --> 00:20:40.226 We're going to jump into AI documentation. 00:20:40.506 --> 00:20:41.705 And those are our three things. 00:20:41.926 --> 00:20:43.487 And that's like one per quarter or 00:20:43.527 --> 00:20:45.107 something or two per quarter or something 00:20:45.127 --> 00:20:45.909 that's manageable. 00:20:46.489 --> 00:20:47.730 And it spans the teams. 00:20:47.789 --> 00:20:49.111 So like you'll have one that's for your 00:20:49.151 --> 00:20:50.912 clinical team, kind of a tech goal, 00:20:51.011 --> 00:20:53.032 one for your scheduling front desk 00:20:53.093 --> 00:20:54.512 operations team, billing team, 00:20:54.574 --> 00:20:55.433 all those sorts of things. 00:20:56.233 --> 00:21:00.356 And your goal is not going to be 00:21:00.416 --> 00:21:03.878 to change UnitedHealthcare's payment fee 00:21:03.919 --> 00:21:06.240 schedule, at least not by itself, I think. 00:21:06.923 --> 00:21:08.784 everybody wants that you know like and 00:21:08.824 --> 00:21:10.845 vendors harp on that constantly because 00:21:10.865 --> 00:21:11.984 they think that's a way for them to 00:21:12.005 --> 00:21:13.246 get paid more it's like oh if we 00:21:13.266 --> 00:21:14.705 can convince you that you can convince 00:21:14.865 --> 00:21:16.267 united to pay you more than you could 00:21:16.307 --> 00:21:17.586 pay us more too and everybody will be 00:21:17.626 --> 00:21:20.127 happy it's a good goal there are advocacy 00:21:20.167 --> 00:21:21.469 groups that do that but that's not a 00:21:21.489 --> 00:21:23.430 business strategy that that's like a long 00:21:23.490 --> 00:21:26.711 range uh kind of thing so get focused 00:21:27.583 --> 00:21:29.384 Be reasonable, implement, 00:21:29.884 --> 00:21:31.044 actually do the damn thing, 00:21:31.284 --> 00:21:32.505 and then come out at the end and 00:21:32.525 --> 00:21:34.644 then say, okay, let's do this. 00:21:35.144 --> 00:21:35.586 And for AI, 00:21:35.766 --> 00:21:36.786 I know I've harped on this, 00:21:36.826 --> 00:21:38.807 but it does mean being very judicious. 00:21:39.027 --> 00:21:40.926 The decisions may be to pass on something 00:21:40.946 --> 00:21:43.567 or it's just too nascent. 00:21:43.607 --> 00:21:44.647 It's just not there yet. 00:21:44.688 --> 00:21:46.489 It's not worth your time to implement it 00:21:46.528 --> 00:21:47.169 or the cost. 00:21:47.628 --> 00:21:49.329 That's the other crazy thing about AI is 00:21:49.690 --> 00:21:51.250 a lot of these, I think, 00:21:51.329 --> 00:21:53.010 nascent things are very expensive. 00:21:53.612 --> 00:21:55.554 And so it's kind of like when we 00:21:55.574 --> 00:21:56.756 think about EMR, I mean, 00:21:57.297 --> 00:22:00.019 what is a reasonable spend for an EMR 00:22:00.300 --> 00:22:01.982 per provider per month? 00:22:02.103 --> 00:22:02.584 I mean, 00:22:02.604 --> 00:22:04.886 that's a question that we think we have 00:22:04.906 --> 00:22:06.328 an answer because obviously we're selling 00:22:06.368 --> 00:22:06.450 it. 00:22:06.490 --> 00:22:08.211 So we have to have product market fit, 00:22:08.613 --> 00:22:08.813 but 00:22:09.550 --> 00:22:11.313 there are very wide ranging answers 00:22:11.353 --> 00:22:12.053 amongst vendors. 00:22:12.073 --> 00:22:12.574 I mean, 00:22:12.614 --> 00:22:14.815 some people think it can be exponential. 00:22:15.155 --> 00:22:17.017 I'm not of that mind personally, 00:22:17.076 --> 00:22:18.759 but I think it needs to be and 00:22:18.798 --> 00:22:20.039 continue to stay reasonable. 00:22:20.099 --> 00:22:22.882 So you cannot triple your EMR spend this 00:22:22.902 --> 00:22:24.983 year per provider and think that that's 00:22:25.023 --> 00:22:26.125 going to like go well for you. 00:22:26.244 --> 00:22:27.246 You just can't do that. 00:22:27.385 --> 00:22:29.147 So that is something to be mindful of, 00:22:29.627 --> 00:22:31.650 especially if you make that spend and then 00:22:31.670 --> 00:22:33.671 you don't get any real meaningful benefit 00:22:33.691 --> 00:22:34.011 out of it. 00:22:34.590 --> 00:22:35.632 Yeah. 00:22:35.672 --> 00:22:36.872 I've talked about this before, 00:22:37.413 --> 00:22:38.432 and I feel like we haven't talked about 00:22:38.452 --> 00:22:38.833 it in a while. 00:22:38.853 --> 00:22:40.253 This is specific to you guys. 00:22:40.614 --> 00:22:42.955 You meet people who are nodding along with 00:22:43.076 --> 00:22:44.737 us on this episode or previous, 00:22:45.356 --> 00:22:45.997 and they go, all right, 00:22:46.017 --> 00:22:47.238 I'll take one step closer. 00:22:47.939 --> 00:22:50.039 When someone comes to you or another EMR, 00:22:50.319 --> 00:22:52.181 how do you walk them through like 00:22:53.088 --> 00:22:55.569 what the future looks like do you let 00:22:55.650 --> 00:22:58.152 them lead the conversation do you say do 00:22:58.172 --> 00:22:59.853 you just do you essentially just feature 00:23:00.252 --> 00:23:02.314 click through on a screen or like what's 00:23:02.354 --> 00:23:03.494 the best way because a lot of times 00:23:03.515 --> 00:23:04.515 they're like i know i need something 00:23:04.555 --> 00:23:06.797 different what do you need i don't know 00:23:06.997 --> 00:23:08.617 like so what's the best way for someone 00:23:08.657 --> 00:23:10.137 to do a sort of a self-assessment to 00:23:10.178 --> 00:23:11.959 go okay before i just go and book 00:23:11.999 --> 00:23:14.740 all these calls with these emr people what 00:23:14.780 --> 00:23:16.541 should i ask myself or be prepared because 00:23:16.561 --> 00:23:17.863 you could waste a whole hour and get 00:23:17.903 --> 00:23:18.403 no answers 00:23:19.528 --> 00:23:20.087 Absolutely. 00:23:21.548 --> 00:23:24.410 I always think tech starts with business. 00:23:24.450 --> 00:23:26.309 So you need the first introspective 00:23:26.349 --> 00:23:27.931 question is what is happening with my 00:23:27.990 --> 00:23:28.451 practice? 00:23:28.490 --> 00:23:29.971 What is happening with my business? 00:23:31.192 --> 00:23:31.432 You know, 00:23:31.451 --> 00:23:33.212 it could be that you're just annoyed with 00:23:33.232 --> 00:23:34.673 your current system because literally 00:23:34.692 --> 00:23:36.153 there are a few hangups that are driving 00:23:36.173 --> 00:23:37.974 you nuts and that's just how it is. 00:23:38.515 --> 00:23:40.375 But most of the time, I think, 00:23:41.016 --> 00:23:41.576 you know, 00:23:41.655 --> 00:23:44.196 these changes are precipitated by a 00:23:44.297 --> 00:23:46.538 business, some kind of business case, 00:23:47.038 --> 00:23:47.218 like 00:23:48.521 --> 00:23:51.143 profit, revenue, patient acquisition, 00:23:51.943 --> 00:23:52.864 staff burnout, 00:23:52.903 --> 00:23:54.285 the usual ones that you hear. 00:23:54.986 --> 00:23:56.787 And there's a goal or, and then there's, 00:23:56.807 --> 00:23:58.346 there needs to be, you know, 00:23:58.507 --> 00:24:00.028 let's use the good old analogy of the 00:24:00.067 --> 00:24:00.449 patient. 00:24:00.509 --> 00:24:01.808 You know, the practice is the patient. 00:24:01.828 --> 00:24:02.970 We need to figure out what the issue 00:24:03.069 --> 00:24:03.250 is. 00:24:03.670 --> 00:24:05.070 Then we need to go through a diagnosis 00:24:05.111 --> 00:24:05.750 phase where we're like, 00:24:05.830 --> 00:24:06.971 why is this happening? 00:24:07.211 --> 00:24:07.551 You know, 00:24:07.752 --> 00:24:09.574 and really being reasonable about what 00:24:09.594 --> 00:24:11.294 your expectations are and why you're 00:24:11.314 --> 00:24:12.075 making a change. 00:24:12.575 --> 00:24:13.175 And by the way, 00:24:13.215 --> 00:24:14.777 you need to be able to articulate to 00:24:14.817 --> 00:24:16.258 your staff while you're making the change. 00:24:16.278 --> 00:24:17.700 So if you cannot articulate it to your 00:24:17.740 --> 00:24:18.059 staff, 00:24:18.099 --> 00:24:19.441 you will not be able to articulate it 00:24:19.461 --> 00:24:20.021 to a vendor. 00:24:20.162 --> 00:24:20.382 You know, 00:24:20.682 --> 00:24:23.044 we are switching EMRs because I don't 00:24:23.064 --> 00:24:24.204 know, because we just are. 00:24:24.224 --> 00:24:26.247 I'm like, OK, well, that's you know, 00:24:26.267 --> 00:24:26.988 that's interesting. 00:24:27.048 --> 00:24:28.368 Like that could it could go great. 00:24:28.489 --> 00:24:29.670 It could could not go great. 00:24:29.710 --> 00:24:31.432 I suppose if you have no expectations. 00:24:31.912 --> 00:24:34.353 you know it could just it you know 00:24:34.393 --> 00:24:36.534 so what is the answer to that question 00:24:36.594 --> 00:24:38.233 and and a lot of times yeah it's 00:24:38.753 --> 00:24:40.934 very basic stuff like cost for my current 00:24:40.954 --> 00:24:42.875 emr is grown out of control or reliability 00:24:42.895 --> 00:24:44.455 is an issue or support sucks you know 00:24:44.476 --> 00:24:46.717 all those different things come up but 00:24:46.797 --> 00:24:48.617 oftentimes it should be it really needs to 00:24:48.637 --> 00:24:51.019 be accompanied by the business case behind 00:24:51.098 --> 00:24:53.138 why and then you can articulate to staff 00:24:53.159 --> 00:24:55.359 then to the vendor and then they can 00:24:55.400 --> 00:24:56.701 make the case for why they can solve 00:24:56.740 --> 00:24:57.621 those problems for you 00:24:58.500 --> 00:25:02.605 I like what you actually say and do, 00:25:02.965 --> 00:25:04.387 say on your website, which is, 00:25:05.148 --> 00:25:06.951 thirty minutes, no pressure, 00:25:07.991 --> 00:25:08.573 friendly people. 00:25:08.952 --> 00:25:10.174 Like when you go to book a call, 00:25:11.009 --> 00:25:12.811 Because from a marketing guy, of course, 00:25:12.832 --> 00:25:14.133 I'm going to look through the same lens. 00:25:14.153 --> 00:25:15.413 You're a tech guy, EMR guy. 00:25:15.834 --> 00:25:16.433 I look at it as like, 00:25:17.055 --> 00:25:18.115 what do I have to give? 00:25:18.895 --> 00:25:19.656 Thirty minutes. 00:25:20.057 --> 00:25:21.018 That's pretty reasonable. 00:25:21.838 --> 00:25:23.900 Is this, hey, come to Boca. 00:25:24.780 --> 00:25:26.001 Go to a timeshare and we'll give you 00:25:26.021 --> 00:25:26.481 free golf. 00:25:26.542 --> 00:25:27.363 Is there strings? 00:25:27.383 --> 00:25:28.523 And you're like, no pressure. 00:25:29.525 --> 00:25:30.506 And then finally, it's like, 00:25:30.846 --> 00:25:32.186 is this going to be sort of a 00:25:32.247 --> 00:25:33.989 salesman that I got to weasel my way 00:25:34.028 --> 00:25:34.828 out of the conversation? 00:25:34.848 --> 00:25:35.710 You're like, friendly people. 00:25:36.049 --> 00:25:36.289 It's like, 00:25:36.691 --> 00:25:37.811 we might not be right for you. 00:25:38.011 --> 00:25:40.032 This is the best sale, non-sale, 00:25:40.053 --> 00:25:40.534 which is like, 00:25:41.980 --> 00:25:43.280 I have no idea if I'm right for 00:25:43.320 --> 00:25:43.480 you. 00:25:43.980 --> 00:25:44.642 Maybe I am. 00:25:44.781 --> 00:25:45.882 But thirty minutes. 00:25:46.383 --> 00:25:46.663 Right. 00:25:46.702 --> 00:25:47.282 No pressure. 00:25:47.383 --> 00:25:48.064 Friendly people. 00:25:48.584 --> 00:25:49.644 Let's walk through this. 00:25:49.805 --> 00:25:51.125 And the answer might be no. 00:25:51.526 --> 00:25:53.007 I have a take a wild guess. 00:25:53.366 --> 00:25:55.208 If you onboard or you sell and I'm 00:25:55.228 --> 00:25:56.268 using air quotes in a podcast. 00:25:56.548 --> 00:25:58.170 If you sell someone who's not right for 00:25:58.210 --> 00:26:00.451 empower that probably you probably lose 00:26:00.510 --> 00:26:02.172 money on that in the short term if 00:26:02.211 --> 00:26:03.532 they go and bail in eight or twelve 00:26:03.573 --> 00:26:03.792 months. 00:26:04.545 --> 00:26:06.586 It's not good for anybody. 00:26:07.385 --> 00:26:08.247 It's not a win. 00:26:08.946 --> 00:26:10.307 That's artificial growth. 00:26:11.509 --> 00:26:14.009 Longevity is definitely a key metric for 00:26:14.130 --> 00:26:17.592 us and wanting to have people stay because 00:26:17.612 --> 00:26:18.092 they're happy. 00:26:18.392 --> 00:26:20.692 And we have a very strong no jerks 00:26:20.732 --> 00:26:21.374 policy here, 00:26:21.394 --> 00:26:23.394 which I always encourage people to adopt. 00:26:23.494 --> 00:26:24.134 No jerks, just 00:26:24.194 --> 00:26:25.056 Don't hire any jerks. 00:26:25.756 --> 00:26:26.737 I have a similar policy. 00:26:26.977 --> 00:26:28.678 It's not the word jerk, though. 00:26:28.718 --> 00:26:31.140 It's a different word, which is like, no, 00:26:31.380 --> 00:26:32.059 that's rule one. 00:26:32.701 --> 00:26:33.280 What's rule two? 00:26:33.641 --> 00:26:34.481 See rule number one. 00:26:34.821 --> 00:26:36.022 Just don't be a jerk. 00:26:36.762 --> 00:26:37.824 It works itself out, 00:26:37.983 --> 00:26:40.306 and jerks is a podcast-friendly term, 00:26:40.385 --> 00:26:41.425 so it seems to work well. 00:26:42.086 --> 00:26:43.728 You can insert whatever you want there 00:26:43.748 --> 00:26:44.748 into what you think that is. 00:26:44.768 --> 00:26:46.509 Yeah, but you need to... 00:26:47.798 --> 00:26:49.480 I just think you need to help people. 00:26:49.599 --> 00:26:50.800 That's that's really what it is. 00:26:50.861 --> 00:26:53.042 And I I really empathize with practice 00:26:53.123 --> 00:26:53.363 owners. 00:26:53.442 --> 00:26:56.345 I know that they're so just it's crazy, 00:26:56.484 --> 00:26:57.365 like they're crazy. 00:26:57.766 --> 00:26:58.546 They're doing a lot. 00:26:58.746 --> 00:27:00.086 They're trying to run the business. 00:27:00.227 --> 00:27:00.688 Obviously, 00:27:00.788 --> 00:27:03.189 people are people mostly only bring CEOs 00:27:03.229 --> 00:27:03.690 problems. 00:27:03.750 --> 00:27:05.730 That's that's the nature of being a CEO 00:27:05.770 --> 00:27:06.912 is like you're the practice owner. 00:27:07.592 --> 00:27:09.314 nine times out of ten people are coming 00:27:09.334 --> 00:27:10.575 to you with a problem right they're not 00:27:10.595 --> 00:27:11.694 coming to you to be like everything's 00:27:11.734 --> 00:27:13.457 going so great this is the everything is 00:27:13.557 --> 00:27:15.438 okay alarm and i'm ringing it everything 00:27:15.478 --> 00:27:16.939 is okay they're coming to you because 00:27:17.279 --> 00:27:20.041 there's an hr issue there's a pipe burst 00:27:20.201 --> 00:27:21.863 got an issue with a patient like all 00:27:21.903 --> 00:27:22.683 sorts of things so 00:27:23.334 --> 00:27:24.714 you want to help people you want to 00:27:24.734 --> 00:27:26.615 help the helpers and like help them figure 00:27:26.655 --> 00:27:27.976 out what what they need to do in 00:27:27.996 --> 00:27:29.977 order to be doing well and i think 00:27:30.217 --> 00:27:32.618 the pt space has changed so much the 00:27:33.058 --> 00:27:35.099 the business acumen has grown which i 00:27:35.160 --> 00:27:37.320 think was so needed um there's so much 00:27:37.361 --> 00:27:40.843 time spent debating the dpt uh credential 00:27:40.903 --> 00:27:42.123 and whether that made you know now i'm 00:27:42.182 --> 00:27:43.423 going back some years but whether that 00:27:43.443 --> 00:27:45.025 made sense like should we elevate from the 00:27:45.065 --> 00:27:46.465 masters you probably remember some of 00:27:46.486 --> 00:27:47.165 those debates but 00:27:47.935 --> 00:27:50.298 Now, I think the business side is, 00:27:50.638 --> 00:27:50.859 you know, 00:27:50.880 --> 00:27:52.280 having a bit of a catch up there. 00:27:52.320 --> 00:27:53.142 And I think, you know, 00:27:53.201 --> 00:27:54.604 coaching is very popular now. 00:27:54.624 --> 00:27:56.005 That wasn't true five years ago. 00:27:56.145 --> 00:27:57.707 I mentioned the influence of private 00:27:57.747 --> 00:27:58.127 equity, 00:27:58.147 --> 00:27:59.730 which I think is both good and bad 00:27:59.769 --> 00:28:00.550 in different ways, 00:28:01.111 --> 00:28:02.413 possibly more bad than good. 00:28:02.432 --> 00:28:05.395 But that's maybe another discussion all to 00:28:05.435 --> 00:28:05.836 its own. 00:28:06.176 --> 00:28:07.038 What's the goal here? 00:28:08.968 --> 00:28:12.411 And then just more people asking better 00:28:12.451 --> 00:28:14.492 questions and trying to get better 00:28:14.573 --> 00:28:14.932 answers. 00:28:14.972 --> 00:28:16.974 So there's a lot of things changing. 00:28:17.414 --> 00:28:17.894 I'm seeing it. 00:28:17.954 --> 00:28:19.355 I mean, we're in twenty twenty six. 00:28:19.436 --> 00:28:20.718 I graduated in twenty sixteen. 00:28:20.758 --> 00:28:22.578 So there's a good ten year snapshot. 00:28:23.579 --> 00:28:26.182 I'm seeing better questions from people 00:28:26.362 --> 00:28:26.662 where 00:28:27.682 --> 00:28:28.723 you know there's no such thing as a 00:28:28.763 --> 00:28:30.825 bad question yes there is there are 00:28:30.904 --> 00:28:32.286 terrible questions right right we're 00:28:32.306 --> 00:28:33.446 supposed to say now like we want you 00:28:33.467 --> 00:28:35.067 to ask the question the funny part is 00:28:35.367 --> 00:28:37.368 it's a bad question but the thing at 00:28:37.388 --> 00:28:39.509 the bottom the thing you're not asking but 00:28:39.529 --> 00:28:40.830 you really want to know that's the better 00:28:40.871 --> 00:28:42.612 question right that's what i mean by that 00:28:42.652 --> 00:28:44.192 like yeah you know how do i get 00:28:44.212 --> 00:28:45.513 paid to buy insurance it's like i don't 00:28:45.534 --> 00:28:47.795 know what business you're in yet so we 00:28:47.815 --> 00:28:50.396 got to ask more questions i'm seeing and 00:28:50.416 --> 00:28:52.258 this could be biased i'm seeing people 00:28:52.917 --> 00:28:54.318 with no business experience, 00:28:54.338 --> 00:28:55.259 coming out of PT school, 00:28:55.441 --> 00:28:56.981 asking better questions. 00:28:57.142 --> 00:28:58.364 Because I think we're just talking about 00:28:58.384 --> 00:28:58.784 it more. 00:28:58.963 --> 00:29:00.326 So people might not have enrolled in an 00:29:00.405 --> 00:29:00.865 MBA. 00:29:01.346 --> 00:29:01.807 They're just like, 00:29:01.946 --> 00:29:03.788 I'm sort of gleaning stuff from X or 00:29:03.828 --> 00:29:05.931 LinkedIn and Facebook groups. 00:29:06.010 --> 00:29:09.273 And they're starting on second base where 00:29:09.535 --> 00:29:10.596 we used to start in the dugout. 00:29:11.675 --> 00:29:12.257 Yeah, I agree. 00:29:12.277 --> 00:29:14.038 I also think the market has gotten more 00:29:14.098 --> 00:29:16.320 competitive on every front. 00:29:16.361 --> 00:29:18.002 You have to be better to survive. 00:29:18.063 --> 00:29:19.644 You just have to do better and be 00:29:19.684 --> 00:29:20.026 better. 00:29:20.226 --> 00:29:21.928 And that means you've got to learn faster. 00:29:22.407 --> 00:29:23.449 And that means, like you said, 00:29:23.489 --> 00:29:25.912 starting at a better place if you can 00:29:25.951 --> 00:29:27.134 or reading the book or whatever. 00:29:27.851 --> 00:29:29.811 And so I think all of that's true. 00:29:30.092 --> 00:29:31.952 I know that's true in the EMR space. 00:29:31.972 --> 00:29:33.874 You know, there's there's a lot of them. 00:29:33.913 --> 00:29:35.434 There's a lot of choices now in the 00:29:35.454 --> 00:29:35.894 space. 00:29:36.035 --> 00:29:37.455 It wasn't always that way. 00:29:37.516 --> 00:29:39.076 I can say that from direct experience. 00:29:39.096 --> 00:29:41.337 But today there are lots of companies out 00:29:41.377 --> 00:29:43.118 there and everybody's got their stick and 00:29:43.138 --> 00:29:44.400 they're pushing out their stuff. 00:29:44.460 --> 00:29:46.661 And that's also causing people to ask more 00:29:46.701 --> 00:29:47.300 questions. 00:29:47.381 --> 00:29:49.201 And so I think on the whole, 00:29:49.221 --> 00:29:50.363 this trend is very good. 00:29:50.482 --> 00:29:50.643 Like, 00:29:50.702 --> 00:29:52.163 I think it's good for people to be 00:29:52.263 --> 00:29:53.765 asking better questions, do better, 00:29:53.845 --> 00:29:54.224 be better. 00:29:54.765 --> 00:29:55.605 run a better business, 00:29:55.644 --> 00:29:57.526 hopefully more survive, create more jobs. 00:29:57.685 --> 00:29:59.425 There's all kinds of good things that come 00:29:59.946 --> 00:30:00.406 from that. 00:30:01.507 --> 00:30:03.107 What I don't want people to lose sight 00:30:03.167 --> 00:30:05.087 of is just that there are some 00:30:05.127 --> 00:30:08.148 fundamentals that are somewhat immutable. 00:30:08.348 --> 00:30:10.410 They just don't change. 00:30:10.450 --> 00:30:12.329 You need to run a good business. 00:30:12.369 --> 00:30:14.391 You need to run a profitable business. 00:30:14.590 --> 00:30:15.971 These things are always true. 00:30:15.990 --> 00:30:18.071 They just don't change. 00:30:18.132 --> 00:30:20.272 And how they get achieved may change over 00:30:20.333 --> 00:30:21.192 time, the methods. 00:30:22.292 --> 00:30:22.893 But, you know, 00:30:23.212 --> 00:30:24.814 you just got to respect kind of the 00:30:24.854 --> 00:30:25.653 laws of physics. 00:30:25.673 --> 00:30:27.335 And, you know, 00:30:27.535 --> 00:30:28.694 up is up and down is down. 00:30:28.714 --> 00:30:30.275 And that's just the way it is sometimes. 00:30:31.155 --> 00:30:34.036 And you don't need a very fancy business 00:30:34.076 --> 00:30:35.156 consultant to tell you that. 00:30:35.196 --> 00:30:36.096 You already know that. 00:30:36.277 --> 00:30:37.257 You just, you know. 00:30:38.417 --> 00:30:39.397 Sri, if you know what time it is, 00:30:39.417 --> 00:30:41.678 it's time for the parting shot. 00:30:41.718 --> 00:30:44.959 This is the parting shot. 00:30:45.538 --> 00:30:46.900 One last mic drop moment. 00:30:47.599 --> 00:30:48.420 No pressure. 00:30:48.839 --> 00:30:50.941 Just your legacy on the line. 00:30:52.142 --> 00:30:52.461 All right, 00:30:52.481 --> 00:30:54.002 Party Shot brought to you by Empower EMR. 00:30:54.022 --> 00:30:54.823 Of course, Sharif's here. 00:30:54.863 --> 00:30:56.364 Your clinic is stuck in an EMR that 00:30:56.403 --> 00:30:57.124 slows you down. 00:30:58.085 --> 00:31:00.164 I mean, to put it frankly, 00:31:00.204 --> 00:31:01.365 if it's slowing you down, 00:31:01.586 --> 00:31:02.586 you don't have to use that. 00:31:03.067 --> 00:31:04.047 This is your decision. 00:31:04.146 --> 00:31:05.688 You are, and I hate to do this, 00:31:05.728 --> 00:31:08.108 but you are empowered to make a choice. 00:31:09.144 --> 00:31:10.184 I said I would never do that, 00:31:10.505 --> 00:31:12.365 but I need to point out the obvious. 00:31:12.405 --> 00:31:13.646 The obvious is sometimes the best 00:31:13.686 --> 00:31:14.047 marketing. 00:31:14.326 --> 00:31:15.688 You are empowered to change that. 00:31:16.127 --> 00:31:17.288 It doesn't have to be with Sharif, 00:31:17.628 --> 00:31:18.328 but it might be. 00:31:18.890 --> 00:31:20.069 How do you know unless you go to 00:31:20.089 --> 00:31:20.329 a call? 00:31:21.030 --> 00:31:22.531 Empower, they like to say, 00:31:22.632 --> 00:31:24.333 it gives you speed, clean workflows, 00:31:24.373 --> 00:31:24.853 and features. 00:31:24.932 --> 00:31:28.714 PT's actually asked for hard stop. 00:31:28.835 --> 00:31:30.355 I love the people in Facebook groups who 00:31:30.375 --> 00:31:31.156 are like, great, 00:31:31.517 --> 00:31:32.998 I can make my note blue. 00:31:33.498 --> 00:31:34.358 I don't need that. 00:31:34.759 --> 00:31:36.460 I need it to be better or easier, 00:31:36.480 --> 00:31:37.681 but thank you for letting me make the 00:31:37.721 --> 00:31:38.320 template blue. 00:31:38.820 --> 00:31:40.403 These are things people actually ask for. 00:31:40.903 --> 00:31:42.525 Better notes, faster documentation, 00:31:42.865 --> 00:31:43.746 smoother operations. 00:31:44.145 --> 00:31:46.228 Please pay attention to those matters. 00:31:47.048 --> 00:31:48.430 If you can wrap it up into customer 00:31:48.470 --> 00:31:50.551 support that also doesn't ghost you, 00:31:50.612 --> 00:31:51.573 that's terribly important. 00:31:51.712 --> 00:31:52.413 People look for that. 00:31:52.574 --> 00:31:53.295 We talked earlier. 00:31:53.694 --> 00:31:55.737 Do you like talking to AI on the 00:31:55.777 --> 00:31:56.017 phone? 00:31:56.117 --> 00:31:57.018 Yeah, when appropriate, 00:31:57.057 --> 00:31:58.098 when I can just do two things. 00:31:58.138 --> 00:31:59.361 And sometimes when I have a real problem, 00:31:59.441 --> 00:32:01.241 I want a human to sit down with 00:32:01.321 --> 00:32:02.523 me until it's solved. 00:32:02.864 --> 00:32:03.443 That's what you get. 00:32:04.164 --> 00:32:04.904 So you can do that. 00:32:05.065 --> 00:32:07.286 Upgrade your clinic's brain with Empower 00:32:07.385 --> 00:32:07.747 EMR. 00:32:08.027 --> 00:32:09.267 Maybe it's not right for you. 00:32:09.787 --> 00:32:10.907 But the one way to find out, 00:32:11.107 --> 00:32:12.709 you go to empoweremr.com, 00:32:12.868 --> 00:32:13.749 you click on a demo, 00:32:14.249 --> 00:32:15.009 and here's what you get. 00:32:15.390 --> 00:32:16.170 It's right on the website. 00:32:16.349 --> 00:32:17.851 So it must be true, right? 00:32:17.891 --> 00:32:19.590 Thirty minutes, no pressure, 00:32:20.211 --> 00:32:20.811 friendly people. 00:32:21.132 --> 00:32:22.573 And in twenty nine and a half minutes, 00:32:22.593 --> 00:32:23.114 you're probably like, OK, 00:32:23.173 --> 00:32:23.713 this isn't right. 00:32:23.913 --> 00:32:24.394 That's OK. 00:32:24.634 --> 00:32:25.134 That's good. 00:32:25.675 --> 00:32:26.876 Or, hey, maybe this is. 00:32:27.136 --> 00:32:27.617 That's good. 00:32:27.897 --> 00:32:28.617 More decisions. 00:32:28.898 --> 00:32:29.078 Right. 00:32:29.419 --> 00:32:30.599 Not a sales pitch conversation. 00:32:30.660 --> 00:32:30.839 All right. 00:32:31.180 --> 00:32:31.701 I've talked a lot. 00:32:32.361 --> 00:32:32.981 Parting shot. 00:32:33.182 --> 00:32:34.123 One thing you want to leave with the 00:32:34.143 --> 00:32:35.144 audience as we wrap up today. 00:32:36.528 --> 00:32:40.409 So the one parting thought is AI, 00:32:40.449 --> 00:32:41.169 cautiously. 00:32:41.409 --> 00:32:45.411 So I would say I'm optimistic about the 00:32:45.431 --> 00:32:45.891 future. 00:32:46.230 --> 00:32:48.050 We're undertaking, obviously, 00:32:48.090 --> 00:32:49.692 lots of changes and additions to our 00:32:49.731 --> 00:32:52.032 product to meet the growing demand and 00:32:52.053 --> 00:32:53.192 capabilities of AI. 00:32:53.992 --> 00:32:55.615 But cautious optimism, I think, 00:32:55.994 --> 00:32:57.056 is really what's needed. 00:32:57.276 --> 00:32:59.156 And that will put you on the right, 00:32:59.196 --> 00:33:00.478 it's the right frame of mind, 00:33:00.518 --> 00:33:01.959 because it puts you in the frame of 00:33:01.999 --> 00:33:04.161 mind that progress is what you need and 00:33:04.201 --> 00:33:05.301 moving forward is what you need. 00:33:05.642 --> 00:33:07.644 But you do it, you know, cautiously, 00:33:07.683 --> 00:33:08.785 carefully, prudently, 00:33:08.865 --> 00:33:11.527 so you're not taking on things that don't 00:33:11.567 --> 00:33:13.087 work, costs that are unnecessary. 00:33:15.068 --> 00:33:16.671 or building up unnecessary burnout or all 00:33:16.711 --> 00:33:18.493 the sort of collateral damage things that 00:33:18.513 --> 00:33:19.895 can happen with the wrong thing. 00:33:19.935 --> 00:33:21.277 So let's go forward. 00:33:21.317 --> 00:33:22.979 Let's be cautiously optimistic and keep 00:33:22.999 --> 00:33:25.142 working and see what's doing and what's 00:33:25.201 --> 00:33:26.304 not and then adjust. 00:33:26.929 --> 00:33:28.849 Trust, but verify. 00:33:29.569 --> 00:33:30.691 There you go. 00:33:31.310 --> 00:33:32.571 Again, Sharif, appreciate this. 00:33:32.612 --> 00:33:33.553 This is part two. 00:33:33.893 --> 00:33:35.534 We'll bring you back next time for part 00:33:35.554 --> 00:33:36.354 three in the series. 00:33:36.413 --> 00:33:38.875 But here's the thing. 00:33:38.915 --> 00:33:40.175 This isn't a three-part series. 00:33:40.355 --> 00:33:42.057 This is something you should be paying 00:33:42.136 --> 00:33:44.578 attention and spending time asking 00:33:44.598 --> 00:33:45.898 yourself better questions. 00:33:46.199 --> 00:33:47.180 That's really what I get from 00:33:47.220 --> 00:33:48.141 conversations with you. 00:33:48.240 --> 00:33:50.301 You're not telling people what to think. 00:33:50.942 --> 00:33:51.863 you're essentially saying, 00:33:52.303 --> 00:33:54.324 this is maybe how you might want to 00:33:54.403 --> 00:33:57.006 think about because you are a different 00:33:57.046 --> 00:33:57.586 practice, 00:33:58.086 --> 00:33:59.847 no matter what your specialty is or where 00:33:59.867 --> 00:34:00.729 you are in the growth cycle. 00:34:01.068 --> 00:34:01.990 So instead of what to think, 00:34:02.029 --> 00:34:02.750 how to think, Sharif, 00:34:02.789 --> 00:34:05.271 appreciate the time here in part two of 00:34:05.291 --> 00:34:06.292 the series. 00:34:06.333 --> 00:34:06.633 Yeah. 00:34:06.813 --> 00:34:07.353 Thanks, Jimmy. 00:34:07.413 --> 00:34:07.953 Great to be here. 00:34:09.777 --> 00:34:10.858 That's it for this one, 00:34:11.119 --> 00:34:12.800 but we're just getting warmed up. 00:34:13.260 --> 00:34:15.163 Smash follow, send it to a friend, 00:34:15.382 --> 00:34:17.063 or crank up the next episode. 00:34:17.565 --> 00:34:18.485 Want to go deeper? 00:34:18.925 --> 00:34:21.047 Hit us at pgpiecast.com. 00:34:22.329 --> 00:34:24.311 Or find us on YouTube and socials at 00:34:24.351 --> 00:34:25.572 pgpiecast. 00:34:25.972 --> 00:34:28.273 And legally, none of this was advice. 00:34:28.333 --> 00:34:30.076 It's for entertainment purposes only. 00:34:31.757 --> 00:34:32.338 See, Keith? 00:34:32.538 --> 00:34:33.599 We read the script. 00:34:33.898 --> 00:34:34.559 Happy now?