Transcript Generated by AI 00:00 Hey, 00:00 Mark Parkinson back with Park Place and very excited to 00:04 announce that Tapestry is the newest sponsor of Park Place. 00:07 Um, 00:08 they've been involved in the sector and are, 00:10 you know, 00:10 helping lots and lots of folks with technology and improving clinical outcomes, 00:14 and we're thrilled that they're a part 00:16 of Park Place. 00:17 We're joined today by Morty Eisenberg, 00:19 who is the Chief Growth and Product Officer and one of the co-founders of Tapestry. 00:24 Morty, 00:25 welcome to Park Place and thanks so much for your sponsorship. 00:28 Thanks. 00:28 Thanks for having me. 00:29 Looking forward. 00:30 Now, 00:31 I know that at its heart, 00:32 at its core, 00:33 tapestry is a clinical practice. 00:34 Uh, 00:35 tell us about that. 00:36 Yeah, 00:37 so tapestry is a physician practice first. 00:39 That is our DNA. 00:40 That's how we were founded. 00:41 Our 00:42 founder of the company is a geriatrician, 00:44 Dr. 00:44 David Chass. 00:45 Everything we do is grounded in clinical excellence. 00:49 We're not just a tech vendor 00:51 looking to provide technology services. 00:54 So really clinician-led, 00:56 clinician driven, 00:57 and really everything we do is with clinical integrity. 01:00 I mean, 01:01 when I think of you, 01:01 I think of you as a clinical practice that uses technology to improve patient care. 01:07 We've been a sector that's been behind the times and technology for a long time, 01:10 and I feel like you're, 01:11 you're dragging us, 01:13 uh, 01:13 sort of into the 21st century, 01:14 which is very helpful. 01:16 Kicking and screaming. 01:18 Absolutely. 01:19 So what is it that you do? 01:20 What, 01:20 what, 01:20 what do you guys hope to accomplish? 01:23 Reduce hospitalizations, 01:24 and that's the simplest way to put it. 01:26 And how do you do that? 01:28 So we bring a group, 01:31 I would say a platform of technologies to the facilities, 01:34 starting with an analytics layer. 01:36 So we build our program sort of as a foundation, 01:40 as a 01:41 layered 01:42 offering that there's a foundation that gets built on. 01:45 So 01:45 foundation being 01:47 clinical analytics or predictive analytics related to clinical decline, 01:52 that is the first layer that we bring to the facilities. 01:55 And then we use other technologies 01:57 more around the hardware to fill in the blanks 01:59 that the clinical analytics would have on its own. 02:03 So when you look at data analytics and skilled nursing, 02:06 um, 02:06 because of the nature of documentation and skilled nursing, 02:08 there are many gaps, 02:10 whether that's related to just the overall 02:13 overall quality of documentation or the quantity of documentation. 02:16 Lots of, 02:18 lots of patients or residents only have documentation maybe once a week, 02:22 maybe even less than that sometimes. 02:24 So by bringing in other technologies, 02:26 namely vital sign collection and radar collection, 02:29 which we'll talk about, 02:30 we're able to fill in lots of the clinical gaps 02:33 in the data and then really make accurate predictions to help 02:37 prevent 02:38 hospitalizations. 02:39 What, 02:40 what are the main products that you bring into a building? 02:43 Again, 02:43 the foundation is a data analytics platform 02:46 that provides a daily risk report, 02:48 so we're providing daily risk analysis and 02:50 and really helping the facilities focus on 02:54 those residents that are at most risk for 02:56 hospitalization or decline in the next 3 days. 02:59 Layered on top of that is a monthly 03:02 report which really looks at just clinical 03:05 chronic conditions and the 03:07 exacerbation of chronic conditions, 03:09 usually 03:10 lower, 03:10 lower acuity items that may often go 03:14 unchallenged in skilled nursing, 03:15 but we're able to surface that and help them with that. 03:18 The next 03:19 layer on top of that is connected vitals. 03:23 Connected vitals are a traditional vital sign device, 03:26 but 03:27 where it's connected directly to the EHR. 03:30 So when a nurse rolls it into the room, 03:32 they see a list of residents on the on the device screen. 03:35 They're able to choose the correct resident. 03:37 Take an accurate set of vitals and push it to the correct chart, 03:40 which is key. 03:41 Many times, 03:42 uh, 03:42 you know, 03:43 before, 03:43 before doing it this way, 03:44 they're kind of writing it on the back of their hand or 03:48 transcribing it incorrectly or onto the wrong chart. 03:50 So 03:51 if you're going to provide any sort of analytics, 03:53 having, 03:55 having 03:57 Accurate data on the accurate chart is really crucial. 04:00 Now I know that you've recently started adding radar devices into resident rooms. 04:05 Tell us about that. 04:06 So the radar devices, 04:07 you know, 04:07 we've been actually 04:09 deploying them probably since the end of 2021. 04:13 We started piloting those to really learn 04:15 their capabilities, 04:17 and I would say in the last year and a half or so really started accelerating 04:21 their, 04:21 their deployment in facilities. 04:24 At this point we have 04:26 well over 40,000 devices running, 04:29 so we know this is not. 04:30 This is not new technology anymore in that it's, 04:33 you know, 04:34 something that people need to be afraid of. 04:35 This is, 04:36 this is up, 04:37 this is running, 04:38 and it's, 04:39 it's been effective. 04:40 And really what it is 04:42 is 04:43 a device that mounts to the wall above the patient's head 04:46 and using radar technology, 04:48 it is able to measure heart rate and respiratory rate. 04:51 In a completely passive manner. 04:53 So there's no, 04:53 there's no wearable, 04:54 there's no touching the patient. 04:56 There's no interaction by the staff. 04:58 Using radar. 04:59 We're able to measure heart rate and respiratory rate on any resident in their bed, 05:03 even through a blanket, 05:04 through, 05:05 through clothing, 05:06 and 05:07 because we get all that information, 05:09 we're able to start building 05:11 and predicting change of change of condition or 05:14 or a possible hospitalization event that may happen in the next few days. 05:18 So you're able to figure out ahead of a bad event that 05:21 it could happen and then have an intervention and improve the care. 05:25 Yeah, 05:25 that's really the key, 05:26 you know, 05:26 the facilities are, 05:27 are, 05:27 are 05:28 really stressed 05:29 both with staff, 05:31 uh, 05:31 quality and quantity. 05:32 Uh, 05:32 acuity levels are through the roof, 05:34 um, 05:34 and they really don't have a way to get into every single room. 05:37 So when you look at, 05:39 um, 05:39 vital signs being checked once a week, 05:42 um, 05:42 or even if they're taking it 3 times a day on 05:44 on short-term units, 05:45 they really don't know what's going on in the room in between those events. 05:48 And with the radar devices we're able to pick up very subtle changes 05:52 in heart rate and respiratory rate, 05:54 and I would say one of the most important parts of what we 05:56 offer is that we don't set any alarms off in the building. 06:00 All of these alerts come to us, 06:02 to our clinical teams. 06:03 We monitor for changes in condition, 06:05 and a handful of times, 06:07 about 8 to 10% of the time, 06:09 we're escalating to the facility for action. 06:11 So the other 90% of it, 06:13 which may be noise or may not be 06:15 relevant for immediate follow-up, 06:17 we're not actually sending to the facility. 06:19 Again, 06:20 the idea here is to help facilities prioritize patients that need care 06:24 and get it to them in a proactive way, 06:26 get it to them way before the event so there's time to act. 06:29 What, 06:29 what does all this technology cost the provider? 06:32 That's the great part. 06:33 It doesn't cost the provider anything 06:35 because these services are billed to Medicare 06:38 under benefits that 06:40 just about every resident in the facility has. 06:42 There is no charge to the facility. 06:44 Tapestry bears the cost of all of the 06:47 devices, 06:48 the setup, 06:48 the monitoring, 06:49 all of that is borne by tapestry, 06:51 and there's no cost to the facility at all. 06:53 That's great. 06:53 How large of a provider do you need to be? 06:56 Any size we can, 06:58 we, 06:58 our smallest building has 20 beds and we can do it in a 20 bed building. 07:02 We can offer it in a 700 bed building. 07:04 That's great. 07:05 And do you do this in assisted living as well as Smith? 07:08 We do. 07:09 We do. 07:09 So this 07:11 late last year we started offering in assisted living. 07:14 Um, 07:14 there's real, 07:15 real interest there, 07:17 um, 07:17 you know, 07:17 the, 07:18 I think the saying goes that the skilled nursing 07:20 facility of today is the hospital of yesterday. 07:23 Well, 07:23 the assisted living of today is a sniff of yesterday, 07:26 so 07:26 everybody's kind of been moving up the acuity ladder and the, 07:29 the 07:30 You know, 07:31 everybody's also trying to keep 07:33 the residents from going to the next level of care. 07:35 So if it's a sniff, 07:36 they're trying to keep them out of the hospital in the AL world, 07:38 they're trying to keep them out of the sniff, 07:40 and we're able to accomplish that as well. 07:42 Well, 07:43 Morty, 07:43 thank you very much for all you're doing in the 07:45 buildings and thank you for your support at Park Place. 07:47 We really appreciate it. 07:48 Absolutely, 07:49 thank you. 07:50 And I wanna thank all of you for watching this video. 07:52 I, 07:52 we know, 07:53 and a lot of it's been because of policy mistakes that Congress has made that 07:57 sniffs have been behind the times in adding technology to their buildings. 08:01 Uh, 08:02 Tapestry is here to fix that, 08:03 and we're excited to work with them in the future. 08:06 Thanks so much for watching this, 08:07 uh, 08:07 segment, 08:08 and thank you for your support of Park Place.
