WEBVTT
00:00:05.759 --> 00:00:13.599
Nevada ranks 45th in the country for active physicians per capita, 48th for primary care.
00:00:14.160 --> 00:00:16.960
For many of us, those are not surprising numbers.
00:00:17.039 --> 00:00:18.559
We've known it for years.
00:00:18.800 --> 00:00:24.239
But when you see them in print or hear them out loud, it really hits home.
00:00:24.800 --> 00:00:27.199
My first thought wasn't, well, that's alarming.
00:00:27.280 --> 00:00:30.399
It was just like, more, yeah, I can see that.
00:00:30.719 --> 00:00:31.280
I'm Dr.
00:00:31.359 --> 00:00:35.600
Kevin Allo, co-founder and chief medical officer of Clinician Corps.
00:00:35.759 --> 00:00:40.479
I've been a physician and surgeon longer than I have not been, and I've been all over this state.
00:00:40.640 --> 00:00:42.880
I've had privileges at five different hospitals.
00:00:43.039 --> 00:00:44.880
I have met physicians from all of them.
00:00:44.960 --> 00:00:47.359
I've asked independent physicians one question.
00:00:47.600 --> 00:00:56.799
What would it take for Nevada's healthcare community to actually function like a community instead of a set of practices working in parallel and alone?
00:00:58.159 --> 00:01:00.880
This is Nevada between.
00:01:01.359 --> 00:01:03.600
And here is what I've heard.
00:01:03.840 --> 00:01:06.560
Here's a number that everyone knows first.
00:01:07.120 --> 00:01:14.319
Nevada would need 2,300 additional physicians to match the national average.
00:01:14.640 --> 00:01:19.519
All 17 counties in Nevada carry a federal shortage designation.
00:01:19.760 --> 00:01:20.879
Every county.
00:01:21.120 --> 00:01:22.719
That's the baseline.
00:01:22.879 --> 00:01:26.159
But here's what took years of conversation to understand.
00:01:26.400 --> 00:01:30.079
Nevada just doesn't have too few physicians.
00:01:30.480 --> 00:01:34.000
In addition, Nevada educates them but doesn't keep them.
00:01:34.239 --> 00:01:40.480
We graduate more medical students than we have residency slots to place them in state.
00:01:40.719 --> 00:01:44.000
So our graduates do their residency training out of state.
00:01:44.079 --> 00:01:48.079
And once that happens, the odds that they come back are low.
00:01:48.400 --> 00:01:50.640
That's a residency funding problem.
00:01:50.799 --> 00:01:52.239
That's a policy problem.
00:01:52.480 --> 00:02:03.920
Nevada Congresswoman Susie V introduced the Physicians for Underserved Areas Act to tackle Nevada's severe doctor shortage by expanding local medical residency opportunities.
00:02:04.239 --> 00:02:06.560
And that's a great place to start, right?
00:02:06.719 --> 00:02:09.840
However, as physicians, what's our part?
00:02:10.159 --> 00:02:12.879
What should we be doing to address this issue?
00:02:13.199 --> 00:02:15.120
Here's an interesting fact.
00:02:15.439 --> 00:02:22.319
Only 42% of physicians nationally remain in physician-owned private practice.
00:02:22.479 --> 00:02:25.199
That's down from 60% a decade ago.
00:02:25.680 --> 00:02:35.039
The ones who stayed independent, the physicians that I know, are not doing it for an easier scheduler, they're doing it for autonomy.
00:02:36.159 --> 00:02:39.840
Still, independence has a hidden cost.
00:02:40.479 --> 00:02:46.080
It takes years to build that referral network and to build those relationships and that trust.
00:02:46.639 --> 00:02:52.400
If you leave a health system, well, you leave the referral network.
00:02:52.879 --> 00:03:00.639
That means you leave that colleague two doors down who has seen this case before and give you the advice that you really need.
00:03:01.199 --> 00:03:05.439
You leave that curbside consult that used to be a walk-down hallway.
00:03:06.800 --> 00:03:09.360
Then there is the connection and communication issues.
00:03:09.599 --> 00:03:19.520
One practice administrator told me she was juggling a personal cell phone, a shared clinic line, and a consumer messaging app just to coordinate three physicians across two locations.
00:03:20.240 --> 00:03:22.240
That's just three physicians.
00:03:22.960 --> 00:03:24.560
That's not a staffing gap.
00:03:24.639 --> 00:03:26.800
That's missing infrastructure.
00:03:27.360 --> 00:03:32.240
And this is the heart of what I mean when I say Nevada is between.
00:03:39.280 --> 00:03:47.439
The informal structure that they used to come with part of a larger system, the building that contains the expertise that they needed.
00:03:47.759 --> 00:03:49.759
Now they're between worlds.
00:03:50.000 --> 00:03:53.840
They have the freedom they fought for, but they're managing it alone.
00:03:54.080 --> 00:03:57.680
Let me take a moment and expand on this topic a bit.
00:03:58.000 --> 00:04:01.840
Because physicians are not the only ones caught in this middle ground.
00:04:02.080 --> 00:04:08.960
You see, independent physician practices are between regulatory burden and clinical care.
00:04:09.120 --> 00:04:16.560
Alarmingly, regulatory administrative burden is now the leading reason practices report that physicians are burning out.
00:04:16.879 --> 00:04:19.680
This far outweighs the clinical workload itself.
00:04:19.920 --> 00:04:30.480
Practices that should be staffed to handle 30% of their administrators' time on compliance and other issues are handling 60%.
00:04:31.279 --> 00:04:32.959
Do more with less, right?
00:04:33.680 --> 00:04:40.079
Hospitals and independent practices are between needing each other and having no formal way to talk to each other.
00:04:40.240 --> 00:04:51.759
A patient discharged from a critical access hospital lands in an independent physician's lab, and that discharge summary doesn't arrive in time or at all.
00:04:52.079 --> 00:04:56.639
Both hospital and the practice have to guess what happened next.
00:04:56.959 --> 00:05:11.680
Medical students are between Nevada investing heavily in four medical schools, educating more graduates than ever, yet those graduates are leaving the state to train, and as a result, are not building their professional networks here.
00:05:12.079 --> 00:05:24.079
Nurses, medical students, and billing staff are between noticing communication breakdowns first and having the least formal voice in fixing any of them.
00:05:24.319 --> 00:05:28.560
And then, of course, the reason that healthcare begins.
00:05:28.639 --> 00:05:29.759
That's why we're all here.
00:05:29.920 --> 00:05:30.800
The patients.
00:05:31.040 --> 00:05:43.439
The patients are between transitions in care at the exact moment they're most vulnerable, hoping the information they need made it to the right person on the right day at the right time.
00:05:44.399 --> 00:05:49.360
This is Nevada between, not a shortage, a fragmentation.
00:05:49.600 --> 00:05:54.639
When I started asking what practices needed, they asked for a lot of things.
00:05:54.879 --> 00:06:01.519
Some of them made sense on the surface, but most of them, when I really listened, were just band-aids on a bigger problem.
00:06:01.759 --> 00:06:04.560
One more inbox for physicians to check.
00:06:05.360 --> 00:06:07.759
That's the exact problem we're trying to solve.
00:06:08.000 --> 00:06:09.439
So we started over.
00:06:10.079 --> 00:06:22.480
I sat with many physicians in many locations, such as social functions, their own practices, medical staff meetings, and even doctors' lounges, both in larger medical centers and critical access hospitals.
00:06:22.639 --> 00:06:28.879
I met with practice administrators and staff members doing the work of three roles because no one else was there to do it.
00:06:29.040 --> 00:06:39.040
I sat with providers and nurses listening to how consults can disappear into the ether and follow-up is lost or nowhere to be found.
00:06:40.079 --> 00:06:45.439
Yet, despite all of this stress and anxiety, ironically, it seems almost expected.
00:06:45.839 --> 00:06:47.279
We've come to accept it.
00:06:47.519 --> 00:06:51.439
Worse yet, to ask for help is a sign of weakness.
00:06:51.759 --> 00:06:53.040
Don't believe me?
00:06:53.360 --> 00:06:55.519
Here's a stat that proves the point.
00:06:55.839 --> 00:07:03.199
When polled, 73% of physicians still feel stigma around seeking mental health support.
00:07:04.000 --> 00:07:05.120
That's crazy.
00:07:05.439 --> 00:07:08.480
Independent physicians describe a unique scenario.
00:07:08.879 --> 00:07:18.240
One common thing that I've heard is well, there's nobody who really understands what it's like running a clinical practice and a small business at once.
00:07:18.399 --> 00:07:22.399
I can't complain to my hospital-employed colleagues because they don't get it.
00:07:22.560 --> 00:07:23.839
I can't tell my patients.
00:07:24.000 --> 00:07:26.959
I can't tell my staff without it becoming office gossip.
00:07:27.920 --> 00:07:31.199
That's isolation with an audience washing.
00:07:32.160 --> 00:07:33.600
That's the gap.
00:07:34.399 --> 00:07:39.600
That's what we built the physician lounge to close, a verified way for physicians to reach one another.
00:07:39.759 --> 00:07:41.040
Now that the hallway's gone.
00:07:41.199 --> 00:07:43.360
This is where the actual work begins.
00:07:44.560 --> 00:07:47.759
Individual practice was never actually individual.
00:07:48.000 --> 00:07:51.839
A patient's diagnosis depends on a specialist read somewhere else.
00:07:52.000 --> 00:08:00.399
A discharge plan depends upon whether the hospital team's notes reach the outpatient physician before the follow-up visit.
00:08:00.639 --> 00:08:05.680
A tricky case depends on a trusted colleague picking up the phone.
00:08:06.000 --> 00:08:08.079
None of that is solo work.
00:08:08.560 --> 00:08:11.040
It's always been a network.
00:08:11.439 --> 00:08:19.600
The problem is that it has been an invisible network, undocumented, informal, running on relationships instead of infrastructure.
00:08:20.800 --> 00:08:25.759
When you have enough physicians and specialists in a dense market, that works.
00:08:26.079 --> 00:08:28.879
Informal relationships handle most of it.
00:08:29.199 --> 00:08:38.720
When you have 2,300 fewer physicians than you need, scattered across the fourth largest state in the country, informal doesn't scale well.
00:08:39.919 --> 00:08:43.759
So what does connected infrastructure actually look like?
00:08:44.159 --> 00:08:49.360
Well, the HCO practice HQ handles the connections inside a single practice.
00:08:49.519 --> 00:09:02.240
When a message comes in, the routing rules know who's actually on call today, not who was on last call yesterday, the day before, the last week, when someone updated the schedule.
00:09:02.559 --> 00:09:08.399
Front desk, nursing, physicians, billing labs, everyone's part of the same information flow.
00:09:09.679 --> 00:09:13.360
ACC Consult Court documents the connections between physicians.
00:09:13.519 --> 00:09:16.639
A specialist answer becomes a record instead of a memory.
00:09:16.799 --> 00:09:23.039
A referral becomes a track handoff instead of a fax that may or may not have arrived.
00:09:24.159 --> 00:09:28.799
Most of all, these connections become billable events.
00:09:29.039 --> 00:09:31.840
We're not leaving money on the table anymore.
00:09:32.639 --> 00:09:38.399
The HCX or exchange extends across the organizational lines, including hospitals.
00:09:38.720 --> 00:09:47.759
Hospital-based specialists and a community physician have shared a documented channel instead of a page and hope callback loop across the distance.
00:09:48.480 --> 00:09:56.399
And the physician lounge rebuilds the peer connection that independent practice has eroded.
00:09:57.360 --> 00:10:00.480
This isn't about one company solving Nevada shortage.
00:10:00.559 --> 00:10:11.279
It's about infrastructure that lets the physicians, providers, nurses, practices, hospitals, and educators who are already doing this work actually see each other while they're doing it.
00:10:11.440 --> 00:10:14.399
At the end of the day, we're tracking three things.
00:10:14.639 --> 00:10:21.120
First of all, how many practices use documented consults instead of informal ones?
00:10:21.519 --> 00:10:28.559
Second of all, how many physicians stay active in a physician lounge rather than signing up once and disappearing?
00:10:29.519 --> 00:10:36.639
And third, how many of the actual requests we heard from physicians this year actually ship?
00:10:37.840 --> 00:10:40.080
All three answers to one question.
00:10:40.320 --> 00:10:45.279
Are Nevada physicians less isolated this year than the last one?
00:10:45.440 --> 00:10:47.600
Or maybe even the year before?
00:10:48.240 --> 00:11:00.960
Some numbers will look worse because they will have to do that before they look better, especially in rural counties, where losing one physician can erase a specialty from the county overnight.
00:11:01.759 --> 00:11:04.559
But we can't fix it if we don't understand the problem.
00:11:04.720 --> 00:11:06.960
This show exists for one reason.
00:11:07.200 --> 00:11:10.960
Because Nevada's shortage of physicians won't be solved by one company.
00:11:11.200 --> 00:11:18.720
It will be solved by physicians, providers, nurses, practices, hospitals, and educators finally working all from the same page.
00:11:18.960 --> 00:11:23.840
And that page gets written by the people living this, not by us alone.
00:11:24.240 --> 00:11:38.480
If you're running independent practice, juggling on call duties across locations, if you lead a residency program, watching graduates lead this chain, if you cover more rural ground than one physician reasonably should, I want to hear from you.
00:11:38.720 --> 00:11:41.279
No pitch required, no product demo.
00:11:41.759 --> 00:11:46.799
Some of my best conversations this year were just comparing notes, nothing else.
00:11:47.279 --> 00:11:55.279
If you're a Nevada physician, practice, or advocate with a story, a case, or a fix that that belongs here.
00:11:55.679 --> 00:11:58.559
This show and the resources behind it are open to you.
00:11:58.799 --> 00:12:00.879
Reach out and we'll feature it.
00:12:01.679 --> 00:12:03.440
Okay, that's all we have for today.
00:12:03.679 --> 00:12:04.159
I'm Dr.
00:12:04.240 --> 00:12:08.159
Kevin Hallow, co-founder and chief medical officer of Clinician Core.
00:12:08.320 --> 00:12:16.320
I welcome you to join the wait list at ClinicianCore.com slash wait list or learn how practices are already coordinating with HCO practice HQ.
00:12:17.120 --> 00:12:20.799
If this hits close to home, send it to a colleague.
00:12:21.120 --> 00:12:24.399
We're in this between space together.
00:12:24.639 --> 00:12:26.240
Thanks for listening.
00:00:05.759 --> 00:00:13.599
Nevada ranks 45th in the country for active physicians per capita, 48th for primary care.
00:00:14.160 --> 00:00:16.960
For many of us, those are not surprising numbers.
00:00:17.039 --> 00:00:18.559
We've known it for years.
00:00:18.800 --> 00:00:24.239
But when you see them in print or hear them out loud, it really hits home.
00:00:24.800 --> 00:00:27.199
My first thought wasn't, well, that's alarming.
00:00:27.280 --> 00:00:30.399
It was just like, more, yeah, I can see that.
00:00:30.719 --> 00:00:31.280
I'm Dr.
00:00:31.359 --> 00:00:35.600
Kevin Allo, co-founder and chief medical officer of Clinician Corps.
00:00:35.759 --> 00:00:40.479
I've been a physician and surgeon longer than I have not been, and I've been all over this state.
00:00:40.640 --> 00:00:42.880
I've had privileges at five different hospitals.
00:00:43.039 --> 00:00:44.880
I have met physicians from all of them.
00:00:44.960 --> 00:00:47.359
I've asked independent physicians one question.
00:00:47.600 --> 00:00:56.799
What would it take for Nevada's healthcare community to actually function like a community instead of a set of practices working in parallel and alone?
00:00:58.159 --> 00:01:00.880
This is Nevada between.
00:01:01.359 --> 00:01:03.600
And here is what I've heard.
00:01:03.840 --> 00:01:06.560
Here's a number that everyone knows first.
00:01:07.120 --> 00:01:14.319
Nevada would need 2,300 additional physicians to match the national average.
00:01:14.640 --> 00:01:19.519
All 17 counties in Nevada carry a federal shortage designation.
00:01:19.760 --> 00:01:20.879
Every county.
00:01:21.120 --> 00:01:22.719
That's the baseline.
00:01:22.879 --> 00:01:26.159
But here's what took years of conversation to understand.
00:01:26.400 --> 00:01:30.079
Nevada just doesn't have too few physicians.
00:01:30.480 --> 00:01:34.000
In addition, Nevada educates them but doesn't keep them.
00:01:34.239 --> 00:01:40.480
We graduate more medical students than we have residency slots to place them in state.
00:01:40.719 --> 00:01:44.000
So our graduates do their residency training out of state.
00:01:44.079 --> 00:01:48.079
And once that happens, the odds that they come back are low.
00:01:48.400 --> 00:01:50.640
That's a residency funding problem.
00:01:50.799 --> 00:01:52.239
That's a policy problem.
00:01:52.480 --> 00:02:03.920
Nevada Congresswoman Susie V introduced the Physicians for Underserved Areas Act to tackle Nevada's severe doctor shortage by expanding local medical residency opportunities.
00:02:04.239 --> 00:02:06.560
And that's a great place to start, right?
00:02:06.719 --> 00:02:09.840
However, as physicians, what's our part?
00:02:10.159 --> 00:02:12.879
What should we be doing to address this issue?
00:02:13.199 --> 00:02:15.120
Here's an interesting fact.
00:02:15.439 --> 00:02:22.319
Only 42% of physicians nationally remain in physician-owned private practice.
00:02:22.479 --> 00:02:25.199
That's down from 60% a decade ago.
00:02:25.680 --> 00:02:35.039
The ones who stayed independent, the physicians that I know, are not doing it for an easier scheduler, they're doing it for autonomy.
00:02:36.159 --> 00:02:39.840
Still, independence has a hidden cost.
00:02:40.479 --> 00:02:46.080
It takes years to build that referral network and to build those relationships and that trust.
00:02:46.639 --> 00:02:52.400
If you leave a health system, well, you leave the referral network.
00:02:52.879 --> 00:03:00.639
That means you leave that colleague two doors down who has seen this case before and give you the advice that you really need.
00:03:01.199 --> 00:03:05.439
You leave that curbside consult that used to be a walk-down hallway.
00:03:06.800 --> 00:03:09.360
Then there is the connection and communication issues.
00:03:09.599 --> 00:03:19.520
One practice administrator told me she was juggling a personal cell phone, a shared clinic line, and a consumer messaging app just to coordinate three physicians across two locations.
00:03:20.240 --> 00:03:22.240
That's just three physicians.
00:03:22.960 --> 00:03:24.560
That's not a staffing gap.
00:03:24.639 --> 00:03:26.800
That's missing infrastructure.
00:03:27.360 --> 00:03:32.240
And this is the heart of what I mean when I say Nevada is between.
00:03:39.280 --> 00:03:47.439
The informal structure that they used to come with part of a larger system, the building that contains the expertise that they needed.
00:03:47.759 --> 00:03:49.759
Now they're between worlds.
00:03:50.000 --> 00:03:53.840
They have the freedom they fought for, but they're managing it alone.
00:03:54.080 --> 00:03:57.680
Let me take a moment and expand on this topic a bit.
00:03:58.000 --> 00:04:01.840
Because physicians are not the only ones caught in this middle ground.
00:04:02.080 --> 00:04:08.960
You see, independent physician practices are between regulatory burden and clinical care.
00:04:09.120 --> 00:04:16.560
Alarmingly, regulatory administrative burden is now the leading reason practices report that physicians are burning out.
00:04:16.879 --> 00:04:19.680
This far outweighs the clinical workload itself.
00:04:19.920 --> 00:04:30.480
Practices that should be staffed to handle 30% of their administrators' time on compliance and other issues are handling 60%.
00:04:31.279 --> 00:04:32.959
Do more with less, right?
00:04:33.680 --> 00:04:40.079
Hospitals and independent practices are between needing each other and having no formal way to talk to each other.
00:04:40.240 --> 00:04:51.759
A patient discharged from a critical access hospital lands in an independent physician's lab, and that discharge summary doesn't arrive in time or at all.
00:04:52.079 --> 00:04:56.639
Both hospital and the practice have to guess what happened next.
00:04:56.959 --> 00:05:11.680
Medical students are between Nevada investing heavily in four medical schools, educating more graduates than ever, yet those graduates are leaving the state to train, and as a result, are not building their professional networks here.
00:05:12.079 --> 00:05:24.079
Nurses, medical students, and billing staff are between noticing communication breakdowns first and having the least formal voice in fixing any of them.
00:05:24.319 --> 00:05:28.560
And then, of course, the reason that healthcare begins.
00:05:28.639 --> 00:05:29.759
That's why we're all here.
00:05:29.920 --> 00:05:30.800
The patients.
00:05:31.040 --> 00:05:43.439
The patients are between transitions in care at the exact moment they're most vulnerable, hoping the information they need made it to the right person on the right day at the right time.
00:05:44.399 --> 00:05:49.360
This is Nevada between, not a shortage, a fragmentation.
00:05:49.600 --> 00:05:54.639
When I started asking what practices needed, they asked for a lot of things.
00:05:54.879 --> 00:06:01.519
Some of them made sense on the surface, but most of them, when I really listened, were just band-aids on a bigger problem.
00:06:01.759 --> 00:06:04.560
One more inbox for physicians to check.
00:06:05.360 --> 00:06:07.759
That's the exact problem we're trying to solve.
00:06:08.000 --> 00:06:09.439
So we started over.
00:06:10.079 --> 00:06:22.480
I sat with many physicians in many locations, such as social functions, their own practices, medical staff meetings, and even doctors' lounges, both in larger medical centers and critical access hospitals.
00:06:22.639 --> 00:06:28.879
I met with practice administrators and staff members doing the work of three roles because no one else was there to do it.
00:06:29.040 --> 00:06:39.040
I sat with providers and nurses listening to how consults can disappear into the ether and follow-up is lost or nowhere to be found.
00:06:40.079 --> 00:06:45.439
Yet, despite all of this stress and anxiety, ironically, it seems almost expected.
00:06:45.839 --> 00:06:47.279
We've come to accept it.
00:06:47.519 --> 00:06:51.439
Worse yet, to ask for help is a sign of weakness.
00:06:51.759 --> 00:06:53.040
Don't believe me?
00:06:53.360 --> 00:06:55.519
Here's a stat that proves the point.
00:06:55.839 --> 00:07:03.199
When polled, 73% of physicians still feel stigma around seeking mental health support.
00:07:04.000 --> 00:07:05.120
That's crazy.
00:07:05.439 --> 00:07:08.480
Independent physicians describe a unique scenario.
00:07:08.879 --> 00:07:18.240
One common thing that I've heard is well, there's nobody who really understands what it's like running a clinical practice and a small business at once.
00:07:18.399 --> 00:07:22.399
I can't complain to my hospital-employed colleagues because they don't get it.
00:07:22.560 --> 00:07:23.839
I can't tell my patients.
00:07:24.000 --> 00:07:26.959
I can't tell my staff without it becoming office gossip.
00:07:27.920 --> 00:07:31.199
That's isolation with an audience washing.
00:07:32.160 --> 00:07:33.600
That's the gap.
00:07:34.399 --> 00:07:39.600
That's what we built the physician lounge to close, a verified way for physicians to reach one another.
00:07:39.759 --> 00:07:41.040
Now that the hallway's gone.
00:07:41.199 --> 00:07:43.360
This is where the actual work begins.
00:07:44.560 --> 00:07:47.759
Individual practice was never actually individual.
00:07:48.000 --> 00:07:51.839
A patient's diagnosis depends on a specialist read somewhere else.
00:07:52.000 --> 00:08:00.399
A discharge plan depends upon whether the hospital team's notes reach the outpatient physician before the follow-up visit.
00:08:00.639 --> 00:08:05.680
A tricky case depends on a trusted colleague picking up the phone.
00:08:06.000 --> 00:08:08.079
None of that is solo work.
00:08:08.560 --> 00:08:11.040
It's always been a network.
00:08:11.439 --> 00:08:19.600
The problem is that it has been an invisible network, undocumented, informal, running on relationships instead of infrastructure.
00:08:20.800 --> 00:08:25.759
When you have enough physicians and specialists in a dense market, that works.
00:08:26.079 --> 00:08:28.879
Informal relationships handle most of it.
00:08:29.199 --> 00:08:38.720
When you have 2,300 fewer physicians than you need, scattered across the fourth largest state in the country, informal doesn't scale well.
00:08:39.919 --> 00:08:43.759
So what does connected infrastructure actually look like?
00:08:44.159 --> 00:08:49.360
Well, the HCO practice HQ handles the connections inside a single practice.
00:08:49.519 --> 00:09:02.240
When a message comes in, the routing rules know who's actually on call today, not who was on last call yesterday, the day before, the last week, when someone updated the schedule.
00:09:02.559 --> 00:09:08.399
Front desk, nursing, physicians, billing labs, everyone's part of the same information flow.
00:09:09.679 --> 00:09:13.360
ACC Consult Court documents the connections between physicians.
00:09:13.519 --> 00:09:16.639
A specialist answer becomes a record instead of a memory.
00:09:16.799 --> 00:09:23.039
A referral becomes a track handoff instead of a fax that may or may not have arrived.
00:09:24.159 --> 00:09:28.799
Most of all, these connections become billable events.
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We're not leaving money on the table anymore.
00:09:32.639 --> 00:09:38.399
The HCX or exchange extends across the organizational lines, including hospitals.
00:09:38.720 --> 00:09:47.759
Hospital-based specialists and a community physician have shared a documented channel instead of a page and hope callback loop across the distance.
00:09:48.480 --> 00:09:56.399
And the physician lounge rebuilds the peer connection that independent practice has eroded.
00:09:57.360 --> 00:10:00.480
This isn't about one company solving Nevada shortage.
00:10:00.559 --> 00:10:11.279
It's about infrastructure that lets the physicians, providers, nurses, practices, hospitals, and educators who are already doing this work actually see each other while they're doing it.
00:10:11.440 --> 00:10:14.399
At the end of the day, we're tracking three things.
00:10:14.639 --> 00:10:21.120
First of all, how many practices use documented consults instead of informal ones?
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Second of all, how many physicians stay active in a physician lounge rather than signing up once and disappearing?
00:10:29.519 --> 00:10:36.639
And third, how many of the actual requests we heard from physicians this year actually ship?
00:10:37.840 --> 00:10:40.080
All three answers to one question.
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Are Nevada physicians less isolated this year than the last one?
00:10:45.440 --> 00:10:47.600
Or maybe even the year before?
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Some numbers will look worse because they will have to do that before they look better, especially in rural counties, where losing one physician can erase a specialty from the county overnight.
00:11:01.759 --> 00:11:04.559
But we can't fix it if we don't understand the problem.
00:11:04.720 --> 00:11:06.960
This show exists for one reason.
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Because Nevada's shortage of physicians won't be solved by one company.
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It will be solved by physicians, providers, nurses, practices, hospitals, and educators finally working all from the same page.
00:11:18.960 --> 00:11:23.840
And that page gets written by the people living this, not by us alone.
00:11:24.240 --> 00:11:38.480
If you're running independent practice, juggling on call duties across locations, if you lead a residency program, watching graduates lead this chain, if you cover more rural ground than one physician reasonably should, I want to hear from you.
00:11:38.720 --> 00:11:41.279
No pitch required, no product demo.
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Some of my best conversations this year were just comparing notes, nothing else.
00:11:47.279 --> 00:11:55.279
If you're a Nevada physician, practice, or advocate with a story, a case, or a fix that that belongs here.
00:11:55.679 --> 00:11:58.559
This show and the resources behind it are open to you.
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Reach out and we'll feature it.
00:12:01.679 --> 00:12:03.440
Okay, that's all we have for today.
00:12:03.679 --> 00:12:04.159
I'm Dr.
00:12:04.240 --> 00:12:08.159
Kevin Hallow, co-founder and chief medical officer of Clinician Core.
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I welcome you to join the wait list at ClinicianCore.com slash wait list or learn how practices are already coordinating with HCO practice HQ.
00:12:17.120 --> 00:12:20.799
If this hits close to home, send it to a colleague.
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We're in this between space together.
00:12:24.639 --> 00:12:26.240
Thanks for listening.
