WEBVTT
00:00:00.640 --> 00:00:01.919
Picture this.
00:00:02.240 --> 00:00:06.080
A patient is crashing in an operating room in Elko, Nevada.
00:00:06.320 --> 00:00:11.119
The surgeon needs a specialist opinion right now, not in two hours.
00:00:11.759 --> 00:00:18.079
And the only tool in the room is a cell phone with two bars of signal on hold, hoping somebody picks up.
00:00:18.800 --> 00:00:21.760
That's not a hypothetical situation.
00:00:22.160 --> 00:00:24.079
That's just a Tuesday.
00:00:24.640 --> 00:00:29.679
And it's happening in every frontier county in this state right now while we're sitting here.
00:00:30.079 --> 00:00:33.200
Here's the part that should bother you.
00:00:33.439 --> 00:00:39.439
It's not happening because Nevada's physicians are not good enough, or fast enough, or committed enough.
00:00:39.840 --> 00:00:45.119
It's happening because the infrastructure around them was never built for a state shaped like this one.
00:00:45.600 --> 00:00:46.640
Hi, I'm Dr.
00:00:46.719 --> 00:00:51.119
Kevin Hallow, surgeon, veteran, and co-founder of Clinician Corps.
00:00:51.520 --> 00:00:58.079
And this is a connected Nevada, a statewide movement to build the most unified clinical community in the country.
00:00:58.320 --> 00:01:04.959
Before you ever see a product screen, I want you to understand exactly why this state and why now.
00:01:05.840 --> 00:01:11.599
And on this podcast today, I want to talk about how we fix this issue.
00:01:11.760 --> 00:01:14.640
Not someday, this September.
00:01:15.120 --> 00:01:18.640
Here's what most people outside healthcare do not realize.
00:01:18.959 --> 00:01:24.879
Nevada has roughly 218 active physicians for every 100,000 residents.
00:01:25.120 --> 00:01:28.560
That ranks us 45th in the country.
00:01:28.799 --> 00:01:33.519
We're 48th in primary care, 49th for general surgery.
00:01:33.920 --> 00:01:35.920
It's not just the cities.
00:01:36.079 --> 00:01:43.200
Every single one of Nevada's 17 counties is a federally designated health professional shortage area.
00:01:43.840 --> 00:01:47.120
Urban, rural, frontier, all of it.
00:01:47.599 --> 00:01:56.879
When you have a workforce that thin, isolation doesn't just slow things down, it compounds the shortage.
00:01:57.439 --> 00:02:04.879
A physician working alone is doing the job of two or three physicians in a denser market and doing it without backup.
00:02:05.439 --> 00:02:08.960
So what does this isolation actually look like day to day?
00:02:09.360 --> 00:02:10.400
Three things.
00:02:10.639 --> 00:02:15.039
And I've lined up all three for you to review.
00:02:15.439 --> 00:02:22.000
So what does this healthcare isolation in Nevada actually cost us?
00:02:22.960 --> 00:02:27.199
Well, first of all, it is a delay in consults.
00:02:27.439 --> 00:02:36.960
An urgent curbside question ends up in phone tag, or worse, on a consumer messaging app that has no business anywhere near a patient's chart.
00:02:37.680 --> 00:02:42.240
The clinical reasoning behind that consult just evaporates.
00:02:42.719 --> 00:02:49.439
Nobody documents it, nobody bills it, and worst of all, nobody can learn from it later.
00:02:49.919 --> 00:02:54.719
Secondly, we see it in care transitions.
00:02:54.960 --> 00:03:02.319
Moving a patient from a surgery center to a clinic or a clinic to a specialist should be a conversation between clinicians.
00:03:02.639 --> 00:03:05.360
Consults should be physician to physician.
00:03:05.759 --> 00:03:08.879
Instead, it becomes a paperwork relay race.
00:03:09.599 --> 00:03:15.199
And finally, and this is the one I feel the most, burnout.
00:03:15.599 --> 00:03:23.280
Nationally, 43.2% of physicians reported at least one symptom of burnout last year.
00:03:23.520 --> 00:03:25.680
That's not a soft statistic.
00:03:25.919 --> 00:03:33.919
The American Hospital Association puts the cost of burnout to our healthcare system at 4.6 billion.
00:03:34.719 --> 00:03:38.319
4.6 billion dollars a year.
00:03:38.960 --> 00:03:47.520
Every physician managing five disconnected communication tools instead of one is paying part of that bill personally.
00:03:48.479 --> 00:03:54.319
None of this is because physicians in Nevada are not good enough and not good at their jobs.
00:03:54.560 --> 00:04:00.000
It's because the infrastructure around them was never built for a state like Nevada.
00:04:00.319 --> 00:04:00.639
Okay.
00:04:01.199 --> 00:04:05.840
This is the part about which I really want to be clear.
00:04:06.159 --> 00:04:09.360
A connected Nevada is not a software rollout.
00:04:09.520 --> 00:04:13.439
Software does not reduce burnout and it does not heal patients.
00:04:13.919 --> 00:04:15.199
People do.
00:04:16.319 --> 00:04:22.800
What we're building is the infrastructure that lets Nevada's clinical community reconnect with itself.
00:04:23.600 --> 00:04:31.519
That is why the platform launching in September has three pieces, each solving a different piece of the isolation problem.
00:04:32.399 --> 00:04:40.480
HCO Practice HQ handles the intra-office communication, video, voice, and text with intelligent routing.
00:04:40.639 --> 00:04:45.439
So the alerts that reach a physician are the ones that actually matter.
00:04:46.000 --> 00:04:49.759
HCC Console Core is for the inter-organizational consoles.
00:04:50.000 --> 00:04:54.800
The Reno to Elko conversation that we talked about when we started this podcast.
00:04:55.600 --> 00:05:00.879
It documents the clinical reasoning for the interprofessional console codes.
00:05:00.959 --> 00:05:08.399
So that the curbside device that used to disappear into a phone call is now visible, villable, and auditable.
00:05:09.199 --> 00:05:13.439
And finally, the physician's lounge is something different entirely.
00:05:13.839 --> 00:05:18.639
It's a verified NPI check space where physicians can just talk to each other.
00:05:19.199 --> 00:05:25.120
Start a forum, debate a case, ask a question, be a colleague again instead of an island.
00:05:25.920 --> 00:05:35.839
Every one of those is fully HIPAA compliant, end-to-end encrypted, role-based access, full audit trail.
00:05:36.560 --> 00:05:40.240
That is not a feature that we just decided to bolt on.
00:05:40.639 --> 00:05:44.399
It is the foundation upon which we've built the platform.
00:05:44.560 --> 00:05:46.319
Okay, let's be honest with each other.
00:05:46.560 --> 00:05:52.319
Nevada cannot recruit its way out of a physician shortage on any near-term timeline.
00:05:52.879 --> 00:05:59.759
The AAMC projects a national shortage of up to 86,000 physicians by 2036.
00:06:00.319 --> 00:06:04.000
Waiting for more doctors to arrive is not a strategy.
00:06:04.959 --> 00:06:10.079
But connecting the physicians Nevada already has, well, that's something we can do right now.
00:06:10.720 --> 00:06:17.600
And because Nevada is a smaller, tighter clinical community than a lot of larger states, we can actually move faster here.
00:06:18.160 --> 00:06:21.759
We don't have decades of fragmented legacy systems to untangle.
00:06:21.839 --> 00:06:25.439
We have the chance to build this right from the start.
00:06:26.240 --> 00:06:31.040
That is why I believe Nevada becomes the most connected healthcare community in the country.
00:06:31.199 --> 00:06:37.279
Not because it's the biggest state, because it's the state that's willing to go first.
00:06:37.920 --> 00:06:51.519
If you're a physician, a practice leader, or a surgery center administrator in Nevada, this movement launches this September, and I would like you to be part of building it, not just adopting it.
00:06:52.000 --> 00:07:02.959
Head to cliniciancore.com to see how HCO Practice HQ, HCC Console Core, and Physician Lounge come together as one connected network.
00:07:03.360 --> 00:07:03.920
I'm Dr.
00:07:04.000 --> 00:07:08.399
Kevin Hallow, surgeon, veteran, co founder of Clinician Core.
00:07:09.040 --> 00:07:11.519
Come check out our website, ClinicianCore.com.
00:07:11.680 --> 00:07:14.000
Sign up for our early release in September.
00:07:14.160 --> 00:07:18.399
You can check us out on LinkedIn, Spotify, Facebook, Instagram, and Reddit.
00:07:18.800 --> 00:07:21.439
Let's reconnect Healthcare in Nevada.
00:07:22.000 --> 00:07:23.519
Thanks for listening.
00:00:00.640 --> 00:00:01.919
Picture this.
00:00:02.240 --> 00:00:06.080
A patient is crashing in an operating room in Elko, Nevada.
00:00:06.320 --> 00:00:11.119
The surgeon needs a specialist opinion right now, not in two hours.
00:00:11.759 --> 00:00:18.079
And the only tool in the room is a cell phone with two bars of signal on hold, hoping somebody picks up.
00:00:18.800 --> 00:00:21.760
That's not a hypothetical situation.
00:00:22.160 --> 00:00:24.079
That's just a Tuesday.
00:00:24.640 --> 00:00:29.679
And it's happening in every frontier county in this state right now while we're sitting here.
00:00:30.079 --> 00:00:33.200
Here's the part that should bother you.
00:00:33.439 --> 00:00:39.439
It's not happening because Nevada's physicians are not good enough, or fast enough, or committed enough.
00:00:39.840 --> 00:00:45.119
It's happening because the infrastructure around them was never built for a state shaped like this one.
00:00:45.600 --> 00:00:46.640
Hi, I'm Dr.
00:00:46.719 --> 00:00:51.119
Kevin Hallow, surgeon, veteran, and co-founder of Clinician Corps.
00:00:51.520 --> 00:00:58.079
And this is a connected Nevada, a statewide movement to build the most unified clinical community in the country.
00:00:58.320 --> 00:01:04.959
Before you ever see a product screen, I want you to understand exactly why this state and why now.
00:01:05.840 --> 00:01:11.599
And on this podcast today, I want to talk about how we fix this issue.
00:01:11.760 --> 00:01:14.640
Not someday, this September.
00:01:15.120 --> 00:01:18.640
Here's what most people outside healthcare do not realize.
00:01:18.959 --> 00:01:24.879
Nevada has roughly 218 active physicians for every 100,000 residents.
00:01:25.120 --> 00:01:28.560
That ranks us 45th in the country.
00:01:28.799 --> 00:01:33.519
We're 48th in primary care, 49th for general surgery.
00:01:33.920 --> 00:01:35.920
It's not just the cities.
00:01:36.079 --> 00:01:43.200
Every single one of Nevada's 17 counties is a federally designated health professional shortage area.
00:01:43.840 --> 00:01:47.120
Urban, rural, frontier, all of it.
00:01:47.599 --> 00:01:56.879
When you have a workforce that thin, isolation doesn't just slow things down, it compounds the shortage.
00:01:57.439 --> 00:02:04.879
A physician working alone is doing the job of two or three physicians in a denser market and doing it without backup.
00:02:05.439 --> 00:02:08.960
So what does this isolation actually look like day to day?
00:02:09.360 --> 00:02:10.400
Three things.
00:02:10.639 --> 00:02:15.039
And I've lined up all three for you to review.
00:02:15.439 --> 00:02:22.000
So what does this healthcare isolation in Nevada actually cost us?
00:02:22.960 --> 00:02:27.199
Well, first of all, it is a delay in consults.
00:02:27.439 --> 00:02:36.960
An urgent curbside question ends up in phone tag, or worse, on a consumer messaging app that has no business anywhere near a patient's chart.
00:02:37.680 --> 00:02:42.240
The clinical reasoning behind that consult just evaporates.
00:02:42.719 --> 00:02:49.439
Nobody documents it, nobody bills it, and worst of all, nobody can learn from it later.
00:02:49.919 --> 00:02:54.719
Secondly, we see it in care transitions.
00:02:54.960 --> 00:03:02.319
Moving a patient from a surgery center to a clinic or a clinic to a specialist should be a conversation between clinicians.
00:03:02.639 --> 00:03:05.360
Consults should be physician to physician.
00:03:05.759 --> 00:03:08.879
Instead, it becomes a paperwork relay race.
00:03:09.599 --> 00:03:15.199
And finally, and this is the one I feel the most, burnout.
00:03:15.599 --> 00:03:23.280
Nationally, 43.2% of physicians reported at least one symptom of burnout last year.
00:03:23.520 --> 00:03:25.680
That's not a soft statistic.
00:03:25.919 --> 00:03:33.919
The American Hospital Association puts the cost of burnout to our healthcare system at 4.6 billion.
00:03:34.719 --> 00:03:38.319
4.6 billion dollars a year.
00:03:38.960 --> 00:03:47.520
Every physician managing five disconnected communication tools instead of one is paying part of that bill personally.
00:03:48.479 --> 00:03:54.319
None of this is because physicians in Nevada are not good enough and not good at their jobs.
00:03:54.560 --> 00:04:00.000
It's because the infrastructure around them was never built for a state like Nevada.
00:04:00.319 --> 00:04:00.639
Okay.
00:04:01.199 --> 00:04:05.840
This is the part about which I really want to be clear.
00:04:06.159 --> 00:04:09.360
A connected Nevada is not a software rollout.
00:04:09.520 --> 00:04:13.439
Software does not reduce burnout and it does not heal patients.
00:04:13.919 --> 00:04:15.199
People do.
00:04:16.319 --> 00:04:22.800
What we're building is the infrastructure that lets Nevada's clinical community reconnect with itself.
00:04:23.600 --> 00:04:31.519
That is why the platform launching in September has three pieces, each solving a different piece of the isolation problem.
00:04:32.399 --> 00:04:40.480
HCO Practice HQ handles the intra-office communication, video, voice, and text with intelligent routing.
00:04:40.639 --> 00:04:45.439
So the alerts that reach a physician are the ones that actually matter.
00:04:46.000 --> 00:04:49.759
HCC Console Core is for the inter-organizational consoles.
00:04:50.000 --> 00:04:54.800
The Reno to Elko conversation that we talked about when we started this podcast.
00:04:55.600 --> 00:05:00.879
It documents the clinical reasoning for the interprofessional console codes.
00:05:00.959 --> 00:05:08.399
So that the curbside device that used to disappear into a phone call is now visible, villable, and auditable.
00:05:09.199 --> 00:05:13.439
And finally, the physician's lounge is something different entirely.
00:05:13.839 --> 00:05:18.639
It's a verified NPI check space where physicians can just talk to each other.
00:05:19.199 --> 00:05:25.120
Start a forum, debate a case, ask a question, be a colleague again instead of an island.
00:05:25.920 --> 00:05:35.839
Every one of those is fully HIPAA compliant, end-to-end encrypted, role-based access, full audit trail.
00:05:36.560 --> 00:05:40.240
That is not a feature that we just decided to bolt on.
00:05:40.639 --> 00:05:44.399
It is the foundation upon which we've built the platform.
00:05:44.560 --> 00:05:46.319
Okay, let's be honest with each other.
00:05:46.560 --> 00:05:52.319
Nevada cannot recruit its way out of a physician shortage on any near-term timeline.
00:05:52.879 --> 00:05:59.759
The AAMC projects a national shortage of up to 86,000 physicians by 2036.
00:06:00.319 --> 00:06:04.000
Waiting for more doctors to arrive is not a strategy.
00:06:04.959 --> 00:06:10.079
But connecting the physicians Nevada already has, well, that's something we can do right now.
00:06:10.720 --> 00:06:17.600
And because Nevada is a smaller, tighter clinical community than a lot of larger states, we can actually move faster here.
00:06:18.160 --> 00:06:21.759
We don't have decades of fragmented legacy systems to untangle.
00:06:21.839 --> 00:06:25.439
We have the chance to build this right from the start.
00:06:26.240 --> 00:06:31.040
That is why I believe Nevada becomes the most connected healthcare community in the country.
00:06:31.199 --> 00:06:37.279
Not because it's the biggest state, because it's the state that's willing to go first.
00:06:37.920 --> 00:06:51.519
If you're a physician, a practice leader, or a surgery center administrator in Nevada, this movement launches this September, and I would like you to be part of building it, not just adopting it.
00:06:52.000 --> 00:07:02.959
Head to cliniciancore.com to see how HCO Practice HQ, HCC Console Core, and Physician Lounge come together as one connected network.
00:07:03.360 --> 00:07:03.920
I'm Dr.
00:07:04.000 --> 00:07:08.399
Kevin Hallow, surgeon, veteran, co founder of Clinician Core.
00:07:09.040 --> 00:07:11.519
Come check out our website, ClinicianCore.com.
00:07:11.680 --> 00:07:14.000
Sign up for our early release in September.
00:07:14.160 --> 00:07:18.399
You can check us out on LinkedIn, Spotify, Facebook, Instagram, and Reddit.
00:07:18.800 --> 00:07:21.439
Let's reconnect Healthcare in Nevada.
00:07:22.000 --> 00:07:23.519
Thanks for listening.
