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Hello, everyone, and thank you for tuning in

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to the Becker's Healthcare Podcast.

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We're thrilled to be joined today by Amanda

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Penrod,

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CEO and founder of RFx Solutions, to discuss

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the health care safety culture, its challenges, compliance,

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and technology partnerships.

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Amanda, thank you so much for joining us

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today.

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Thank you, Brian. Really appreciate it.

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So, let let's dive in. To begin, I

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just wanna sort of level set here for

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our listeners. Can you introduce yourself by sharing

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a few pertinent details about your professional journey,

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how you ended up at at at founding

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RFX,

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and and what are you working on today?

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Yeah. I'd absolutely,

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love to. So prior to RFX,

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spent,

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roughly a little over 20 years in various

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roles from operational roles and, consulting in health

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care,

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primarily in post acute space, physician practice, and

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also in the ambulatory surgery space. So saw

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a lot of different,

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process and failures on that during my time.

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It's been about a decade actually doing a

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lot of turnaround

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and helping organizations navigate some very significant,

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compliance issues,

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you know, failing systems and so forth. And

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so,

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that really became the impetus for me in

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terms of looking for other solutions due to

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the heavy manual processes, seeing failures where well

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intended people had, you know, wanted better outcomes,

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but didn't have the tools to do that.

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And so we started RFX to help meet

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that need. Yeah. I mean, everyone wants good

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outcomes. Right? It's to to your point. Absolutely.

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They do. Yeah. And and to that point,

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we hear a lot about trying to achieve

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those outcomes. We hear the phrase culture of

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safety quite a bit in health care,

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but creating, I think, like, that that your

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experience sort of speaks to is creating such

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a culture is not an easy feed. So

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can you talk a little bit about in

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your experience, what are the primary challenges that

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hinder safety in the healthcare settings, particularly in

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the ASC, of course? Absolutely. So, a lot

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of times what we're seeing is, you know,

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again, people want to have and promote

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patient safety. They have the desire for those

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outcomes.

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But a lot of the data, because we're

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in manual processes,

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there's a lack of transparency. There's a lack

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of visibility in terms of what is actually

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occurring from day to day, where are we

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meeting these compliance requirements and the regulations.

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And, with that information, because it's hidden so

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much in our paper, our binders,

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so forth,

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we don't have the manpower necessary to even

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adequately,

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you know, aggregate this, oversee it, monitor, and

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really drive,

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that culture and, ultimately, that safety even more.

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The other thing we see a lot is

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just a lack of understanding and knowledge that

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sits in the space.

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And many times, you know, we'll have an

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individual that's, you know, placed in an administrator

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role or a director of nursing just due

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to the fact that, you know, they're there.

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They've been a great employee, but they don't

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have all the experience and knowledge as there's

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when they step in those roles to really

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drive

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all the requirements,

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that they have to meet at that point.

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So, sort of not not enough experience in

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some ways. And then also the the challenges

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are hidden.

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Right? As as you can you speak to

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that and elaborate on that a little bit

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more? You touched on it. But but why

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is that such

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so common, I guess?

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Yeah. So one of the things,

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you know, definitely,

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speaking in those challenges and that that they

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have and and how this ends up being

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overlooked. Again, kinda going back to those manual,

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processes. So we see 2 areas that become

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very, very significant, particularly in the ASC space.

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1, in that provider credentialing realm due to

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the heavy,

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tasks, the all of the documents and stuff

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that have expirations, keeping up with that, making

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sure that we have doctors who are, you

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know, qualified in what they're doing so forth,

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but it's a lot of paper manual process.

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The other thing we see a lot is,

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even in all the requirements for regulation,

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the daily, weekly, monthly, so forth, all the

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logging of data, there's just, again, it's on

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paper, so we have gaps or we really

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don't know when things are out of compliance.

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No real mechanisms to notify us. One of

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the things we we share a lot of

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times with our clients, we like to tell

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the story of an airplane. And we're like,

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you know, if I am in an airplane

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and I'm 10,000 feet in the air, the

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one thing we don't wanna hear is a

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pilot come over to speaker and say, hey.

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By the way, we're gonna start our safety

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checks now.

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And at that point, I mean, everybody would

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panic or, oh, by the way, my credentials

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have expired, but I'm still good to go.

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And

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it's just learning to kind of rethink that,

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but a lot of them are not they're

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not thinking about the why Mhmm. Behind the

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what of what we're doing, which creates, you

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know, a bigger level of challenge, in this

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industry. And it's been done one way for

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so long, I imagine too, that it's sort

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of it requires somewhat of a mind step

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shift to to get to that place that

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you're talking about. Right? It absolutely does because,

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you know, it's

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when you talk about, that mind

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the mindset that is there, a lot of

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people also view this from the perspective of,

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okay, I've gotta I've gotta meet this intent

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for my surveys or my department of health

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accreditation.

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It's a it's a box I'm checking, but

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not, again, realizing, okay, this is all designed

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to bring us to a different level in

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truly patient safety.

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And this requires new tools as well. So

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what what tools or or other strategies are

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available to to help overcome these challenges and

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and get to get to this place where

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where you're not operating in this old old

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mode of things that's been so vulnerable to

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some some safety challenges.

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Absolutely. So one of the you know, as

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we kinda we talked about, obviously, labor intensive

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processes,

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gaps in the knowledge and information.

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So by being able to leverage tools, that

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technology provides, it gives us an ability to,

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first of all, have greater transparency and visibility

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on what's actually happening day to day. So

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it's not a matter of walking around or

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opening up a paper file and sifting through

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a 100 pages, but rather we are we're

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able to actually see the visibility and transparency

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through the technology that's there. You know, leveraging

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that in ways that also not only can

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we see what's happening or something's out of

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compliance, being able to be more proactive

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in that manner, because, again, it's real time

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data. It's information. It's interactive, and we can

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get more automations around it.

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Yeah. And and I think, like, the technology

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is easy to conceptualize how powerful it can

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be in this space. I think though perhaps

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for some listeners out there too, they might

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be feeling this. It's kind of hard sometimes

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to navigate the tech landscape these days.

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So in your opinion then, when you're looking

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for technology that can do what you described,

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what differentiates a a true partner from from

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a transactional one?

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Yeah. So when when we start talking about

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the technology landscape,

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for myself, even prior to RFX and, again,

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kind of what gave rise to, some of

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this passion that we have behind what we're

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even doing

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is we

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watched even when technology is being implemented some

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of those failures and things that can happen.

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So with the, with the partnership in the

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way that, they approach that implementation and the

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client support is gonna be, paramount to obviously,

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being able to drive the technology, meeting those

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clients where they're at. One of the things

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that oftentimes we individuals in the implementation process

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don't have the industry acumen

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necessary to really understand the why

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behind the what of the technology and the

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functionality.

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And so, you know, being a partner says

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we're gonna meet that client where they're where

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they're at in this process. They may have

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knowledge gaps. They may have technology gap in

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that skill set. And in the ASC space,

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we don't have a lot of bandwidth. There's

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not, you know, an entire team who is

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there dedicated and designed with the knowledge behind

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it to actually implement that process. So we're

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depending on that. But most technology, unfortunately,

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is implemented in a transactional manner. Facilities are

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left to try and understand it and implement

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it.

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Many of the times, the individuals assisting in

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that process, they've got limited to actual,

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like, you know, sometimes no knowledge even of

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the health care industry as a whole.

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And so then, unfortunately, these outcomes result in

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poorly implemented software. We get insufficient workflows, underutilized

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technology,

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staff and physician dissatisfaction,

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and poor adoption of future, you know, technology

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solutions.

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It sounds like meeting clients where they're at,

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meeting partners where they're at is sort of

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essential for for getting a good end result

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here. Like, you're not gonna be able to

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ensure that they're, like you said, leveraging the

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technology to its fullest capacity,

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getting widespread adoption rates if you don't have

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the awareness of where the client's at and

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where their challenges might be. Right?

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Completely agree with you on that because technology

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truly can, you know, help with reducing labor

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burdens, streamlining processes, reduce task saturation,

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provide a valuable data insights. But if we

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don't meet them where they're at, we can't

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help them get to the point where they

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really are leveraging that technology to truly benefit

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them.

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Well, Amanda, it's been a pleasure talking to

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you today. Is there anything we didn't get

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to? Any thoughts you wanna leave our listeners

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with today? Anything you wanna reemphasize?

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Yeah. Absolutely. I,

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would love to kinda leave them with this

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thought. And, you know, as we continue to

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look at health care and our ASC space

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and the growth and the demands there, and

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as we continue to move forward, we know

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that there's gonna be more and more emphasis

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on quality and this quality of care, particular

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even as we're gonna see more pressure from

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payers who are gonna move into that value

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based approach in, you know, this particular space.

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Our current manual processes and the means for

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which we're collecting data

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are going to hinder our organizations from being

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able to accelerate this and move forward, you

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know, in a very positive, compliant manner and

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really promoting culture of safety. Safety. So I

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really wanna encourage them. I mean, we've been

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pushing a lot of technology that's obviously,

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you know, collecting inpatient information,

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our payer billing revenue aspects of it, and

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when it's patient facing in terms of what

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we're doing,

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but I really wanna encourage them to take

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the time to make this

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a higher priority and the initiatives and really

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start looking at technology

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because we don't wanna, you know, find out

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after the fact that, for instance, our provider

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credentialing or so forth, we had a bad

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actor that impacted our, you know, our patients

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or patient livelihood. We also don't want to

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get to 2 o'clock in the afternoon

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and find out that one of our daily

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checks, like on a defibrillator,

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didn't work and we just put 40 patients

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through our ORs at this point in time.

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So

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it's, I really, again, moving away from these

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manual processes and disparate systems,

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investing in technology that's really gonna drive these

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processes gives the ASC leaders the best opportunity

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to work with both real time data,

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real time information,

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and truly be able to drive that culture

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safety. Yeah. And to your point, the the

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credentialing and compliance is, of course, essential to

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driving that culture safety. And to your point,

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that work's not necessarily getting any easier. It's

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not getting any easier, and the demands on

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it are gonna be more and more as

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we're moving forward. Absolutely. Well, Amanda, thank you

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so much for for coming on the podcast

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today. I appreciate it. Thank you so much

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for your time. Yeah.

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Of course, wanna thank RFX Solutions for sponsoring

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today's content. To our listeners, thank you for

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joining us, and please be sure to check

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out other Becker's podcasts. Have a wonderful rest

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of your day.