Latest / The Inspired Stories Podcast / Adoption, Adversity, and Advocacy: Cheryl Lovell’s Personal and Professional Journey
Transcript
- 0:04Welcome to another edition of the Inspired Stories podcast
- 0:07where leaders share their experiences so we can learn from
- 0:11their successes and be inspired by how they've overcome
- 0:14adversity. My name is Anthony Kotaspodi and
- 0:16today's guest is Cheryl Lovell, COO of Constellation Health
- 0:20Services. They are a family centered
- 0:23organization that offers a range of health services including
- 0:27community based home health, palliative care, Hospice and
- 0:31much more. Cheryl's also CEO of CLC Group,
- 0:36which specializes in business consulting focusing on
- 0:39healthcare leadership, mentoring and operational efficiencies.
- 0:43They offer products and services designed to improve operations
- 0:46and finance and businesses, especially in the healthcare
- 0:50sector. Her background includes CEO
- 0:53positions at Charter Healthcare and Southland Home Health,
- 0:56highlighting her deep experience in healthcare leadership and
- 0:59business development. She holds an MBA from Merrill
- 1:02Hurst University and ABA from Webster University, which have
- 1:06supported her focus on boosting organizational growth and
- 1:10innovation. Her commitment to improving
- 1:12healthcare operations has earned a recognition for guiding teams
- 1:15through change and creating efficient systems.
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- 2:02All right, back to our guest today, CEO of Constellation
- 2:05Health Services, Cheryl Lynn Lavelle.
- 2:07I appreciate you making the time to Share your story today.
- 2:11Thank you. So Cheryl, you've LED several
- 2:14healthcare organizations before and actually I think I just
- 2:18messed up your title there. And in the second mentioned,
- 2:20didn't I? It's not CEO, it's COO at
- 2:24Constellation. So before joining Constellation
- 2:28Health Services and and becoming the COO, I'm curious to talk a
- 2:31little bit more about your background first.
- 2:33What first drew you into healthcare leadership?
- 2:38So I, I think it's a pretty fun, a little bit interesting story.
- 2:43I was in the Navy, I was in the Gulf War.
- 2:46During the Gulf War, we had lots of training in emergency trauma,
- 2:51ER, all that kind of thing. And when I got out of the Navy,
- 2:55my goal was to go to nursing school.
- 2:58And I started nursing school in the early 90s in Oregon.
- 3:03My husband was still in the military and we were getting
- 3:06transferred around in early 90s. Nursing schools would not
- 3:09transfer you wherever you wanted to go.
- 3:13You. It was like they thought there
- 3:15was going to be too many nurses. It was a really weird time.
- 3:19And Webster University is the university that supports
- 3:24military members and their families.
- 3:26So they are on most military installations, travel with the
- 3:29military. And one of the advisors said,
- 3:32look, we have this new degree in healthcare administration.
- 3:35You should go for that because it's going to be the wave of the
- 3:38future, blah, blah, blah, there's going to be so many
- 3:40nurses, yadda, yadda, yadda. So I ended up doing my degree
- 3:45with Meryl Hurt with Webster, getting my degree in healthcare
- 3:48administration and not finishing nursing school.
- 3:52So that sort of propelled me into healthcare leadership.
- 3:56I started out in healthcare after the military as a CNA,
- 4:00worked my way up into operations, office management,
- 4:03those kind of things. But I've kind of done every job
- 4:06in the in the post acute setting from, you know, caregiver to
- 4:11scheduling to office manager to administrator to leader and just
- 4:15worked my way up through the ranks because I ended up not
- 4:19being a clinician due to the whole weird nursing industry at
- 4:23the time. So that's how I ended up in
- 4:25healthcare leadership sort of by default, not as a nurse, but as,
- 4:30you know, someone who understood the operations of the business.
- 4:34Now it's it's probably hard to answer this with any definitive
- 4:37but definitiveness, but I wonder, is there a part of you
- 4:41that wishes that you had gone the nursing route?
- 4:43Or do you feel pretty comfortable in the role of
- 4:46administration? There's part of me that always
- 4:49wishes I would have done it. However, what I, what I can say,
- 4:53and I've said this many times in my career, is that many of my
- 4:58friends and colleagues who went into home health and Hospice and
- 5:01to that post acute visiting world were clinicians
- 5:05themselves. And what I found is they solve
- 5:08their own problems by being the nurse in the field, doing the
- 5:12care. And that limited their ability
- 5:14to grow and manage their business.
- 5:16And I always had to find a solution because I couldn't be
- 5:19the solution to my own problem. So it forced me to grow my
- 5:24businesses differently with loyal employees and how to
- 5:29manage things that I couldn't just control myself.
- 5:32Because if I was a nurse and I couldn't find someone to do it,
- 5:35the easy answer would have been go out and do it myself.
- 5:39And I think I grew faster, learned more, and was a Better
- 5:43Business person because I couldn't solve my own problem.
- 5:46So give an example of how one of your peers, you know, who was a
- 5:50nurse would have been able to go on site and what the solution
- 5:54was that you had to find as an alternative.
- 5:56I had to define, I had to find employees that were willing to
- 6:00walk with me. I had to find the clinical team
- 6:03and develop them as employees that would walk alongside me
- 6:07would be as hungry as I was during startup phases of
- 6:12businesses, things like that. So I think that when you, it
- 6:16taught me how to build teams earlier, quicker, faster, and
- 6:21really just get people to, you know, buy into your vision and
- 6:25what you're doing. Whereas if I didn't do that and
- 6:27I went and did it myself, I may not have developed the same
- 6:31relationships with my employees and help them be as hungry as I
- 6:35was and as motivated. What were some things that
- 6:38helped you kind of develop those skills?
- 6:40I mean, other than just sort of being forced to like in the
- 6:43moment, were there, you know, mentors that kind of coached you
- 6:47some courses or books or how did you get there?
- 6:50I think one of my best mentors was very early on in my career,
- 6:54right after I got out of this military, one of my first jobs
- 6:58in an office. I was first a scheduler and then
- 7:01I became the branch manager. That was with Kelly assisted
- 7:04living way back in the day. Betty McNamara, I'll never
- 7:07forget her. She was my boss, solid nurse,
- 7:10whatever. And she called me one day and
- 7:13she's like, look, you just really can't tell people what to
- 7:17do. You have to like, ask them like,
- 7:19you're not in the military anymore.
- 7:20You have to like, you know, find a way to ask them to do their
- 7:25jobs. You can't just tell them to go
- 7:26do their job because they're not taking it very well.
- 7:28And I was like, we're paying them to do their job.
- 7:31I don't understand. Like, I don't get this.
- 7:33And she's like, I'm just saying you got to find a different way.
- 7:37Like this is not going to work for you long term.
- 7:39So you really need to understand how to captivate your employees
- 7:43in a different way by getting them to do what you want by
- 7:45asking in a different way and whatever.
- 7:48And maybe six months later or something like that, she called
- 7:51me, she goes, you know, you're the only person I've ever had to
- 7:54give like hard leadership advice to that listened to what I told
- 7:58them and really, you know, grew. And I don't even know where
- 8:02Betty is anymore. I don't even know if she's with
- 8:04us anymore. But if she isn't, she listens to
- 8:06this podcast. She was a huge impact on my
- 8:08transition from military into real world leadership and
- 8:13management. So she really helped me
- 8:15understand that how to get how to ask people and get them to do
- 8:20what you need them to do in a different way.
- 8:22So she brought it to your attention like, hey, Cheryl, you
- 8:25got to, you need a different approach here.
- 8:27How did you actually figure out that approach?
- 8:31God, it's been so long. I don't remember.
- 8:33I think I just had to work at it and I think I was so surprised.
- 8:36Like I can't like I, I just remember telling myself over and
- 8:39over, I really have to ask people who we are paying to do a
- 8:43job, to do their job. I don't understand.
- 8:46But you know, eventually I maybe I asked her.
- 8:49Maybe we did coaching. I'm not, I don't really
- 8:51remember, but I know that I had to work really hard at it.
- 8:54And which which company was this with?
- 8:57That was with Kelly Assisted Living back in the day.
- 8:59They got bought out by Res Care years ago or whatever, but it
- 9:02was the old Kelly Girl Company. They were private duty home care
- 9:06company. And so it was my really big
- 9:08entry into leadership. And prior to Constellation,
- 9:13which we're going to get to in a moment, you held CEO roles at
- 9:16Charter Healthcare and Southland Home Health.
- 9:19Can you think about maybe a big obstacle there that you faced
- 9:24and how you were able to overcome?
- 9:25It charter was the hardest we were I was brought in as the
- 9:29turnaround CEO for a company that had been in some serious
- 9:36trouble financially. And I think it was a, it was
- 9:40just a situation that nobody knew that it was as bad as it
- 9:44was until we really dug in a little bit differently and
- 9:47different, you know, different eyes looking on something bring
- 9:51sheds light where maybe there wasn't light before.
- 9:55And when we thought was probably maybe a 10 or $15 million turn
- 9:58around turned out to be double or triple that type of turn
- 10:02around. And it was really significantly
- 10:04impactful on the organization. And we just couldn't get out
- 10:08from under the hurdles of it. So that was a super challenging
- 10:13thing. We were so close but we just
- 10:16couldn't get it over the the hurdle.
- 10:18So eventually it did have to fold.
- 10:20Yeah, it did. What was that like?
- 10:23I mean, you were brought in to to make the the turn around and
- 10:26for reasons outside your control just weren't able to pull that
- 10:30off. It was really, I mean, I think
- 10:32sometimes you learn more from your failures than you do from
- 10:35your successes. But it was really hard.
- 10:37It was hard because we had such great employees.
- 10:40We had such a great leadership team.
- 10:43There was just so much going for us, but we just didn't have
- 10:48enough resources, cash, or, you know, whatever.
- 10:51Like I always said, God, if I could have been in there a
- 10:53couple years before, it would have been so different.
- 10:56But I literally was the last 18 months of the business and we
- 11:00just couldn't get it over the hump.
- 11:01Myself and Anna Jean O'Neill, who just started her own with a
- 11:05venture capital company, Cross Bridges, like we were a it was
- 11:10just a dream team and she's going to do amazing things in
- 11:14her new, new role and new world. But we, we just couldn't get it
- 11:19over the hump. And we really, really tried.
- 11:21We did everything that we could, but we worked our tails off as a
- 11:26leadership team. And there were so many amazing
- 11:28people working hard with us and they knew how devastating it was
- 11:33for us to have to shut her down. You say that you learn more from
- 11:37your failures. What do you think you learned
- 11:38and through that experience? I think I learned how to pull
- 11:45together a dream team pretty quickly and knowing that I built
- 11:50significant enough relationships in my career that I could pull
- 11:53people onto that team. And I think, you know, Jean
- 11:56learned the same thing. We pulled the best of our best
- 11:59right alongside of us that had we had worked with in the past
- 12:04or that we had known. So we pulled a dream team
- 12:07together like in record speed, I think within like 60 days maybe
- 12:12from the time that we sort of took over until.
- 12:16And they hung in there through the good, the bad, the
- 12:19struggles, through the whole thing as we were trying to turn
- 12:22things around, make better decisions.
- 12:25And we had to make a lot of changes, a lot of hard choices
- 12:28through the whole experience. And our leadership team was all
- 12:32the way till the end. What got you through it on a
- 12:36personal level? What did you lean on?
- 12:39Where'd you go to for support? I think we leaned on each other.
- 12:42Our leadership team was so tight.
- 12:45We leaned on each other. We had calls.
- 12:48We we met on a regular basis in person, So and that was hard
- 12:53because we were all over the country, but we made those
- 12:56things happen and we really supported each other.
- 12:59I think all of us had our family support and that kind of thing
- 13:02we did. So that was helpful, but we
- 13:04really were there for each other.
- 13:06Yeah. So how did the opportunity to
- 13:09join Constellation come about? Oddly enough, a recruiter that I
- 13:15had worked with in the past had called me up while we were in
- 13:20the final quarter of charters existence and said, hey, I want
- 13:24you to meet this guy, the owner of Consolation, he's trying to
- 13:28do some different things, blah, blah, blah.
- 13:30I think you guys would hit it off and he introduced us and
- 13:36literally a week later there was an opportunity for him to
- 13:40potentially put an offer on some of the charter assets that were
- 13:43maybe being divested. And so our relationship grew
- 13:48really quickly in a really short amount of time.
- 13:51And based on building that relationship, he asked me to
- 13:56join consolation with him and help him grow the operations.
- 14:01And I think we've done 5 de Novos in the last year.
- 14:05What is that? New start-ups from scratch?
- 14:09Say more about that. What are these start-ups doing?
- 14:12So they're all Hospice start-ups.
- 14:13So it's 5 operations that we started up either with ourselves
- 14:18or with joint ventures across our organization to really build
- 14:23the footprint of consolation on the East.
- 14:25So we're basically Texas and East.
- 14:28So where is the company itself based?
- 14:31The company's headquarters are in New York, so that's where
- 14:36they started our main home health and Hospice offices in
- 14:40Connecticut, but their corporate offices are Connecticut and New
- 14:44York. And so we're mostly in East
- 14:47Coast team and that's where the family that owns Consolation is
- 14:50from. And is this all in home care?
- 14:54It's all, it's all Hospice, home health, palliative care.
- 14:58It's all in home care, Yes. Is the Hospice so it's always in
- 15:02home even if it's Hospice, is that Hospice service ever
- 15:04provided, you know, it's some sort of a senior care facility
- 15:07or it. Can be if it's a particular
- 15:09level of Hospice care there it's called general inpatient care,
- 15:13which can be done at a hospital, a skilled facility or whatever.
- 15:16But that's when a patient is experiencing significant pain
- 15:19and symptom management that requires some 24 or nursing
- 15:23care. OK, so say more about the
- 15:26specifics of the Home Care Services that you provide?
- 15:30So we provide home health in a couple of states, New York and
- 15:33Connecticut and then we provide Hospice services in the rest of
- 15:37our locations across the Eastern seaboard through from Texas
- 15:41East. And we provide palliative care
- 15:44services in most of those areas. And we're really focused on a
- 15:49true palliative model, which is really a Part B physician
- 15:53practice type of model where the patient is getting independent
- 15:57pain and symptom management on palliative care programs.
- 16:00What does that say more about that?
- 16:01What does that mean exactly? Well, palliative care is really
- 16:07support for anyone who has chronic diseases, multiple
- 16:11chronic diseases, and eventually one of those chronic diseases is
- 16:14going to be what takes their life, whether it's COPD,
- 16:16diabetes, something like that. But it's usually senior patients
- 16:21who have multiple comorbidities, which is the majority of the
- 16:24country managing multiple medications.
- 16:27And one of those things continues to impact them in a
- 16:31negative way. They can't get their COPD under
- 16:33control, they can't get their diabetes, whatever it is that's
- 16:36really chronically impacting their health in a very negative
- 16:40way. A palliative care provider can
- 16:43help work with their primary care physician as a consultative
- 16:46service to help manage some of those symptoms that may be more
- 16:50difficult that are not maybe in the wheelhouse of the primary or
- 16:54the patient is seeing a cardiologist, A urologist, A
- 16:56nephrologist. So all of the different
- 16:58ologists, right? And it really kind of helps
- 17:01coordinate that big picture so everybody's on the same page
- 17:04trajectory. So it really can bring that
- 17:08family member, the patient and the family member a little bit
- 17:11more continuity of care and consistency in that approach.
- 17:16And where they maybe don't want continuing aggressive treatment
- 17:19or how do they have conversations about not, you
- 17:22know, doing extra more things, really just managing their end
- 17:27of life in the best way that they can.
- 17:30Now, I've talked with a number of home healthcare services and
- 17:33a lot of them use a franchise model.
- 17:35Is that what you're employing as well?
- 17:37No, we are a family owned company.
- 17:40So it is family owned and operated.
- 17:42OK, What else sets you apart from some of the other home
- 17:46health services out there? I think what really sets us
- 17:49apart is the listen, I I say this all the time.
- 17:54We are required by Medicare were required by the government to
- 18:00all provide the same services. Like we, you have to have a
- 18:04social work, you have to have a chaplain, you have to have a
- 18:06nurse, you have to have an aide, you have to have all these
- 18:08things that are government required, right?
- 18:12But what sets you apart is your people and how you treat your
- 18:16people and how your people treat the people you're treating,
- 18:18right? Like that's the one thing that
- 18:21can set you apart. Everybody can have this
- 18:23specialty program, that specialty program, we're all
- 18:26required to do the exact same things.
- 18:28But what sets you apart is the people who are delivering the
- 18:31care and how you're treating the people who are delivering the
- 18:33care. And they are what make you look
- 18:35good. Let's talk more about the people
- 18:39because, you know, it's a tight labor market, right?
- 18:42It's hard to find good folks, hard to hold on to good folks.
- 18:46Sure. What are some things that you've
- 18:48tried and found success with when it comes to recruiting and
- 18:52retention? I think we're all always still
- 18:55trying, like you think you got it and you don't.
- 18:58And you know, I, I think the world has changed a lot in
- 19:01recruiting and retention. I think people since COVID have
- 19:06a very different mindset. So really people have no desire
- 19:14to have I I feel like longevity is not something that is really
- 19:19exists much anymore, right? I think it's you got to try to
- 19:25create the culture and still have expectations and really be
- 19:29able to hold people accountable. But people have changed.
- 19:32It's a little more fickle. They don't, I've never
- 19:35experienced in my career as many people who will just walk off
- 19:39jobs now. They don't have any care,
- 19:42loyalty, anything. And so if they come in and there
- 19:47may be nothing that you can do to ingrain them in your culture
- 19:51that will get them if they don't want to be there, they just will
- 19:53walk off the job. And that's a whole new struggle
- 19:57that we're dealing with. There's not a lot of times
- 19:59people are giving notice anymore.
- 20:00They're just like, I'm done, I'm out now in the professional
- 20:03world, some of the clinicians have to give notice because it's
- 20:05their license, you know, those kind of things.
- 20:07But it is a really interesting dynamic and.
- 20:11You just do the best you can. We have programs, we have
- 20:13employee recognition. We have several things that we
- 20:16try to employ. I don't think there's a magic
- 20:19bullet for anything. I think you just got to do the
- 20:21best you can. You have to be consistent and
- 20:24you have to try to create a positive environment for people
- 20:28who for the majority of people who want to show up every day,
- 20:31you're not going to hit them all.
- 20:32So I heard a lot of this, especially during COVID where
- 20:36like people don't want to work. You know, we're begging, we're
- 20:40bribing, we, you know, we can't get them to come in.
- 20:44And I hear from a lot of folks that that has not changed a
- 20:48whole lot. Maybe some people are coming
- 20:51back to work, right? The government funds have kind
- 20:53of run out and they, they need the job.
- 20:55But it sounds like you're still dealing with kind of a a strange
- 20:59environment where people don't have sort of that level of
- 21:03commitment or responsibility that they used to.
- 21:06Yeah, I, I think it's just different.
- 21:08Like there are definitely people who are not like that, but
- 21:11there's definitely a part of the population where they don't make
- 21:14it through orientation. They agree to do a job and then
- 21:18they I'm like, no, I'm not doing Like, it's just really
- 21:21interesting, the dynamic and it is very different than prior to
- 21:25COVID. Let's talk about CLC Group.
- 21:30This is your consulting service company where you guys focus on
- 21:34operational efficiencies and financial improvements for
- 21:37healthcare companies. Can to help us and our listeners
- 21:41kind of understand more specifically what you do, Maybe
- 21:44can you share a recent example of an innovative approach that
- 21:49you introduced to help a client overcome a big operational
- 21:52challenge? I think, you know, an outside
- 21:56perspective is always helpful when you're a business is
- 22:00struggling with something. Someone who's not in the
- 22:03day-to-day can see a different picture through the window,
- 22:08right? So even if you don't necessarily
- 22:13have a lot of money to bring in consultants, just to have
- 22:15someone to look through your window and say, you know what, I
- 22:23bet if you move this chair over to there, things are going to
- 22:27change a lot, right, Laura? If you, if you just do this
- 22:31little tweak where people when you're in it every day, you
- 22:33can't see it. So sometimes I have the beauty
- 22:37and my team at CLC, I have a few people who work with me, have
- 22:41the ability to look in the window and go, oh, you know
- 22:44what? I think that's blocking your
- 22:45flow of traffic or I think that's impacting your ability to
- 22:49get things done, or I see it from this way.
- 22:51What do you think? And just pointing out things and
- 22:54getting people to come along with saying, Oh my God, you're
- 22:59right. Like I didn't see that for sure.
- 23:02So in that kind of thing, so an example might be like like
- 23:06traffic flow through a like a a waiting area and it's like, hey
- 23:09it. Could be, it could be as simple
- 23:11as like, oh just any workflow thing like I answer the phone
- 23:15and this is how I process my intake through getting a patient
- 23:20onto service. And if you just tweak this one
- 23:25workflow in your process, you would save labor, save time,
- 23:31save whatever. And that changes everything.
- 23:34Or just even looking at, you know, what geography your
- 23:38clinicians are in and how you're doing it and why someone's doing
- 23:41it a particular way because they've always done it that way.
- 23:44And if you just change one dynamic, you can change
- 23:47productivity. And in healthcare, your most
- 23:51expensive cost is labor, right? If you can manage your labor
- 23:54efficiently, you make a better margin.
- 23:58And it's really hard to do because people are people,
- 24:01right? So how do you help leaders and
- 24:05companies really effectively manage that most expensive part
- 24:10of their business, which is their labor?
- 24:12Without mentioning names, can you think of a particular client
- 24:15scenario where you pulled this lever or turned that dial and
- 24:20here was the situation before and here was the situation
- 24:23after? Yeah.
- 24:25So I had a client that I worked with a few years ago and really
- 24:29they processed their paperwork in such an archaic way and they
- 24:37scheduled their labor in an archaic way.
- 24:40And we just changed how they scheduled and how they did their
- 24:44paperwork. And they were able to go from
- 24:46losing, you know, maybe 8 million to losing 4 million to,
- 24:52I think they're at the point where they're now close to break
- 24:55even for the first time just in keeping those processes enacted.
- 24:59Just by changing how they schedule folks.
- 25:01So just by. Changing how they did their
- 25:04paperwork and how they scheduled folks, Yeah.
- 25:06And so that they didn't have as too many people working a shift
- 25:10where it was unnecessary. Well, think about in the field,
- 25:14there's not a shift. It's like how many people that
- 25:16you can see on an everyday basis and what kind of caseload can
- 25:20you handle. So there isn't anybody coming
- 25:23into a building. They're all trying to manage a
- 25:25certain number of patients. Where do they manage them?
- 25:28How do they manage them? How do they get from one place
- 25:30to the other? Because the biggest part of our
- 25:32industry is limiting windshield time, right?
- 25:36Because the longer it takes you to get from one to the other,
- 25:39the bigger impact it has on our ability to see more, right?
- 25:42So if you can just manage your scheduling efficiently and keep
- 25:47your dots on the map as close as you can keep them, then you end
- 25:50up with a better outcome. Got it.
- 25:53So the consulting services that you're providing with CLC Group
- 25:57is to the same kinds of organizations that you're a COO
- 25:59at. It's for home healthcare
- 26:01companies. Yeah, home health and Hospice.
- 26:05OK. And there's not a conflict of
- 26:06interest there like the the when I.
- 26:10Have like a main client. If I do something for someone
- 26:14else, then I just run that by my client like so just say that I
- 26:18would do something, I would talk to consolation and be like, hey,
- 26:21are you good if I help this person with this?
- 26:24But I'm pretty much full time there so.
- 26:28Gotcha. And that's my.
- 26:29Focus now. You've been recognized for
- 26:32excellence in the public sector and have experience in community
- 26:36investments. Can you say more about that?
- 26:38Well, I think I, in the companies that I've run, I've
- 26:41won awards for innovation and quality.
- 26:45Some of them were, it feels like 100 years ago, but just trying.
- 26:50Back in the day, one of the awards that I won was for
- 26:53innovation and quality when everything was still on paper,
- 26:56before there was even an electronic medical record, when
- 26:59all of your files were in giant file rooms at the Wee Wee arms,
- 27:03you know, that kind of thing. And just trying to be more
- 27:09innovative because Medicare was changing all of the compliance
- 27:12perspectives. And so just creating fun unique
- 27:16ways, I created a compliance Monopoly game where they could
- 27:20win prizes if they pass go based on their compliance.
- 27:24And remember, we're tracking this all on paper, pieces of
- 27:27paper. It was before there was like, we
- 27:30were just getting to the place where you could scan in some of
- 27:32the Medicare questions and everything had to be done very
- 27:37manually. So it was really a long time ago
- 27:41that we got to be even more creative and innovative with
- 27:44software and things. Now it's really having the best
- 27:47tools in the toolbox. Like, if you have the right
- 27:49tools in your toolbox, you can be more successful than when we
- 27:53had to like figure it all out on paper.
- 27:56The Monopoly game reminded me of.
- 27:58I can't remember the time period when McDonald's have that really
- 28:00popular. Is that?
- 28:02Was that part of the inspiration back then or?
- 28:04I don't remember why. Maybe I don't even remember why.
- 28:07Gosh, it wasn't like 2000, 345 maybe like it was 100 years ago.
- 28:13It feels like maybe it's 20 years ago.
- 28:17So I'm looking at your website herewhichisconstellationhs.com
- 28:22and yeah, I see most of your locations are out east.
- 28:27I see. Ohio, Pennsylvania.
- 28:29And Texas? And Texas, yeah.
- 28:32What are the future plans? What, what kind of growth do you
- 28:36guys have in mind? I think for the CEO Sky's the
- 28:40limit, whatever we can do. And you know, maintain, I think
- 28:43when you do a lot of new startups, you got to get, once
- 28:46you do them all, you got to get them humming at a certain level.
- 28:49And I think Medicare is taking a long time to get things
- 28:53processed these days with all the changes in the cuts or
- 28:56whatever. So the process is a little bit
- 28:58slower than I think we've all seen in the past.
- 29:01But so it takes a good year and a half to get those really
- 29:04standing on their own 2 feet. And then once that is, who
- 29:07knows? Like it's his is, is his circus
- 29:11and I just help him, you know, ring lead at all.
- 29:15Say more about the challenges with Medicare.
- 29:18I just think they're under a lot of scrutiny.
- 29:20There's a lot of changes in the administration.
- 29:23There's just a lot of things going on.
- 29:25And I'm sure that there were cuts from a staffing
- 29:28perspective. And, you know, it's just a big
- 29:31machine and nothing is super efficient.
- 29:34And I think people don't even know this.
- 29:37And I wish this is one of the things Doge would have handled.
- 29:40But Medicare's back end system is still a DOS based system.
- 29:45When you log in directly to Medicare, it's still the green
- 29:48and black screen, like it is old.
- 29:51Like it is really, really old. It doesn't talk.
- 29:54It's not super efficient. And I think an upgrade to their
- 29:57back end would be much warranted and needed for them, but
- 30:01certainly above my pay grade. And I, you know, they try hard,
- 30:06but they're certainly limited to what they have in front of them
- 30:09and what's available. And so how does that impact you
- 30:12as you're growing? It is.
- 30:13It's just taking too long to get the the agreement set up with
- 30:17Medicare. It's just a lot, a long time for
- 30:20them to respond to requests and to be able to update requests.
- 30:23And like we were just told things that are normally taking
- 30:2630 to 90 days may take 120 to 180 days, like just simple
- 30:31requests, simple appeal requests, just simple things.
- 30:34So it's definitely and I think impacting everybody in the
- 30:39industry, yeah. OK, so we're back from a small
- 30:43technical glitch. We had a little bit of a a power
- 30:46hiccup, but we're back into the interview.
- 30:49And Cheryl, I want to take this opportunity to kind of change
- 30:53directions a little bit. And I would like to hear about a
- 30:56serious challenge that you've overcome in your life, personal
- 31:00or professional. How did you get through it?
- 31:03What did you learn through the process?
- 31:06Maybe I'll talk a little bit about both personal and
- 31:08professional. So we adopted our son when he
- 31:14was 5 1/2 years old from the foster care system in Atlanta.
- 31:18And, you know, you go into these things, maybe, you know, with
- 31:26grandiose visions or whatever, But when a child has a troubled,
- 31:32you know, upbringing up to 5 1/2, there's so much that that
- 31:37child has to overcome. And becoming parents to a child
- 31:41who had some significant emotional and mental health
- 31:46needs was probably more than we bargained for.
- 31:50And it we spent the majority of his childhood trying to help
- 31:56create the best environment that we could.
- 31:59And he's 21 today and doing well as an independent human.
- 32:04But we struggled many of the years just trying to get him to
- 32:10be able to be a good human. And like, my one and only goal
- 32:14for him was to graduate high school.
- 32:16Like if I could just do anything, it would be get him to
- 32:19graduate high school. And he, it took him a couple of
- 32:23years after he decided that we couldn't help him when he was 18
- 32:28to kind of figure it out on his own.
- 32:30And I'm happy to say that he's, you know, a working adult in
- 32:34Georgia at this moment in time. But there are many days through
- 32:38his childhood that I thought, are we going to make it?
- 32:40Like, are we all going to make it?
- 32:41And it definitely impacted our family and our family dynamic.
- 32:45You don't change those things for the world.
- 32:47But I was not necessarily equipped for the impact that it
- 32:51would have on me as a human, on my other son, on just our
- 32:56environment, the family in general.
- 32:59And so there's just, I just, I think I would say to people who
- 33:03are in those situations, make sure you have a great support
- 33:06network. Make sure you have people to
- 33:07talk to, make sure you are equipped to handle things.
- 33:10Because I think people don't talk about, you know, oh, like
- 33:14we're adopting or we're, you know, helping a child out of the
- 33:17foster care system. If you know anybody who's doing
- 33:21that and you have loved ones, reach out for support because it
- 33:24is harder than I think anybody thinks it is.
- 33:26And I don't think it's one of those things people talk about
- 33:30because nobody wants to say don't do those type of things.
- 33:33Everybody, you know, we all need people who are willing to
- 33:36support. But it is a significant impact.
- 33:39And I'll get on the little soapbox.
- 33:43The mental health availability for our youth, for people who
- 33:48are middle class or upper middle class, it does.
- 33:51Non existent insurance doesn't cover it.
- 33:55You have to pay for it out of your pocket.
- 33:57You'll be lucky if they put it towards your deductible.
- 34:00Most practices don't take insurance.
- 34:03They're cash pay, but they're required to take Medicaid.
- 34:07And if you have a lot of money, you can pay cash.
- 34:09But for the people who are in that middle, upper middle class,
- 34:13when you're talking about multiple therapy appointments a
- 34:15week that cost between 100 and $150.00 an appointment and they
- 34:20have to go two or three times a week, that's in a significant
- 34:24amount of money that most people have to forgo because that many
- 34:29people can't afford that. And for the people who have
- 34:32working class regular healthcare insurance, therapists have been
- 34:36so impacted by the way insurance companies pay them that they
- 34:41won't accept insurance. They'll only accept Medicaid
- 34:45because they're required to accept Medicaid and you, you
- 34:51can't get your insurance to accept and pay you back for any
- 34:55of the bills. Like it's really a difficult
- 34:58thing. And if there was something I
- 34:59could do in my retirement or whatever, it would be figuring
- 35:02out how to fix this problem because if you have a lot of
- 35:06money, you don't have to worry about it.
- 35:08Like the special schools. Like there was times when we
- 35:10looked at sending our son to a special school for a couple of
- 35:13years. They're 50 to $80,000 a year.
- 35:16I can't afford that. They wanted you to take reverse
- 35:19mortgages out. There's no payment for those
- 35:21type of things. When some children need some
- 35:24kind of structured environment and families are at their wits
- 35:27end. If you're not taking out double
- 35:29mortgages or doing things you can't afford to send your
- 35:32children to these to these things that may help them.
- 35:35And so you feel really stuck as a parent and then and as a
- 35:39family when you want to give support and there's nothing you
- 35:43can do and you can't afford it and you can't afford a second
- 35:45mortgage on your house to pay for your child's therapy that
- 35:49may or may not work, right? Like it's just a crapshoot and
- 35:52it doesn't work if they don't protect.
- 35:53Like it's just, it's probably one of the biggest struggles.
- 35:57And if I had something I could advocate for in my future and
- 36:00really be profoundly invested in, it would be what happens to
- 36:05the kids in this middle class, upper middle class sector where
- 36:10the families do have health insurance, but it is not helping
- 36:13them at all. And so the folks at the lower
- 36:16end of the wage scale, there are things available to them through
- 36:18Medicaid. Is that my understanding then?
- 36:21Yeah, yeah. And so.
- 36:22If you have Medicaid. Folks who are very wealthy, they
- 36:24they have their own means, but kind of people in the middle
- 36:27are, are sort of the ones that get stuck. 100% and it's super
- 36:31frustrating. Yeah, as a parent, all you want
- 36:34to do is help, right? And you don't know what's going
- 36:36to help. And and that's a whole another
- 36:38set of frustrations on its own. Like you said, like therapy may
- 36:41or may not work. They the the child may not
- 36:44participate. Maybe the therapist doesn't have
- 36:47the right connection. Like there's all those sort of
- 36:49variables there on whether or not it will work.
- 36:51But you have to at least try different things.
- 36:54And accessing some of these different things to try is
- 36:57incredibly expensive and, and you know, sometimes just
- 37:00completely. Accessible, it's super.
- 37:03I mean, that's probably the most frustrating thing.
- 37:05I spent my entire life kind of working, you know, with or
- 37:10towards and it it's just was, it definitely took a toll.
- 37:16And so as you're kind of going through these really challenging
- 37:19years, I'm going to guess it's kind of you and your husband
- 37:22leaning on each other where there's sort of other people in
- 37:25in extended support network that you guys.
- 37:27Lean on, I think I, I think I mentioned to you earlier that we
- 37:31lived in Arizona and it was to be near family.
- 37:35We had lived away, we moved back to Arizona to be near family
- 37:38when he was younger to have that support.
- 37:42There is nothing better than, you know, having a strong family
- 37:45and family support. Not everybody has that, but I'm
- 37:47fortunate and we're fortunate enough that we were able to have
- 37:51that and we had our family supporting through the majority
- 37:53of the the our children's growing up so.
- 37:59Wow. And is there a professional
- 38:01challenge that you want to give voice to as well?
- 38:04You know, I, I think when, when I was in Arizona and I moved to
- 38:10Arizona to help a family business start their home health
- 38:14Hospice and palliative care company.
- 38:16And we, I came in early on at the beginning and we grew that
- 38:22company very significantly, very, very quickly.
- 38:26But there's a couple lessons that you learn when you're
- 38:29growing a business. And I have the fortune of having
- 38:32some ownership in the business. But when you're growing a
- 38:34business like that, you know, everybody's focused on grow,
- 38:39grow, grow. What I learned about growing in
- 38:43this type of industry where all of your reimbursement is in the
- 38:46rears, right? So you take care of people, but
- 38:48you're paid 60 days behind, but you're providing services 60
- 38:52days ahead. I think a lot of, and I've
- 38:56talked to a lot of smaller business owners or whatever, you
- 38:59have to have the right amount of capital to paste your cash.
- 39:03And I think learning that lesson in real time was unbelievably
- 39:11stressful. And we had a couple people try
- 39:16to give us advice and you're young and stubborn and you don't
- 39:19necessarily want to listen. And sometimes you learn your
- 39:22lessons way the hard way. And I think in that scenario,
- 39:25like everybody gets glossy eyed over, Oh my God, we're growing
- 39:30so fast and we're so big and we got so big so fast.
- 39:33But you can't always manage the money, the cash behind that, and
- 39:37you have to have better. We just didn't have a strong
- 39:42enough strategic plan as we started to grow too fast and
- 39:47outpaced our cash. And that was really, really hard
- 39:50lesson to learn. Yeah, Yeah.
- 39:52I don't think a lot of people realize that a lot of small
- 39:55businesses are sort of this in this in between place of kind of
- 39:58acting like a bank, right? You're fronting the cash to pay
- 40:03your employees to deliver this service today, but nobody's
- 40:08fronting you that cash, right? You have to, you know, somehow
- 40:12have the cash reserve, have a line of credit, you know, money
- 40:16in the bank. Because you're not getting paid
- 40:18for. 60 days and the banks don't, they don't look at
- 40:23Medicare receivables in our industry as good collateral.
- 40:28So it's really hard to get the line of credit associated with
- 40:31what type of business you're doing.
- 40:33So we learned a lot of lessons that way, like it's not what you
- 40:38think it is and it was so much harder than we thought it was
- 40:42going to be. And they're, you know, the
- 40:44personal guarantee part of loans and things like that puts a big
- 40:47toll and pressure on small owners.
- 40:51Like it's just, it was definitely stuff that I wasn't
- 40:55expecting and it was harder than I thought.
- 40:58And definitely, you know, have learned significantly.
- 41:03You can't grow your business outside of your cash.
- 41:05And like, I guess you can't learn that lesson sometimes.
- 41:08So you go through it. Yeah.
- 41:11Is factoring a thing in your industry?
- 41:14It is, but I don't recommend it to anyone because it's takes so
- 41:19much. Our margins are so tight as it
- 41:22is, you can't afford it. Yeah, Yeah.
- 41:26They take a big chunk of it. And it's interesting that banks
- 41:28wouldn't recognize those Medicare receivables you have.
- 41:33To have enough personal assets behind it and so we just.
- 41:37Because they didn't trust that the Medicare receivables were
- 41:39gonna get paid or I. Really don't know why I just
- 41:42think it wasn't a thing for them.
- 41:44I don't know cuz it's too much paper.
- 41:47Here's the think about the home health industry.
- 41:49Hospice is a little bit different, but think about the
- 41:51home health industry. The home health industry is a
- 41:55payment guessing system. You fill out a piece of paper at
- 41:58the beginning of the care that you're delivering to that
- 42:01individual and Medicare anticipates that you're going to
- 42:04get X amount of dollars, right? So they anticipate that patient
- 42:08is worth $2500 for the next 30 days and then that patient is no
- 42:14longer with you and you discharge them.
- 42:16And depending on the care that you delivered and the things
- 42:19that you did, that $2500 could go down to $200.
- 42:23If you only did a couple of required elements of the care,
- 42:27it could go down to $1500, it could go above $2500.
- 42:35So your, so you're anticipating what you're going to get paid in
- 42:41advance by your initial assessment and then you get
- 42:44reimbursed based on what you say you did 30 or 60 days later and
- 42:50they automatically make the adjustments.
- 42:53That's a hard place to live. It's a hard place to run a
- 42:55business like home health just gets tougher and tougher and
- 42:58tougher. And there's some legislation
- 43:00going on about more cuts to the home health industry and I and
- 43:04there's just not going to be care available for the seniors
- 43:07if they continue to cut it. The margins are small, the labor
- 43:11keeps getting more and more expensive, and it's hard to keep
- 43:15up. And we're in the midst of the
- 43:18silver tsunami where there are more and more people who are
- 43:22needing this kind of care. So it's it'll be interesting to
- 43:25follow. Setting all humility aside,
- 43:28Cheryl, what would you characterize is your superpower?
- 43:33I think that my ability to come into a situation and see like
- 43:39all the puzzle pieces floating in the air and being able to try
- 43:42to fit them together and make that uniquely dynamic
- 43:46experience. Because I just kind of like if
- 43:49we were having a conversation, say that you wanted me to talk
- 43:53about your business, Whatever your business is, you want me to
- 43:55talk about it and we have a conversation.
- 43:57I'll be like, hey, did you think of this?
- 43:59What about this? What about this?
- 44:00I may know nothing about your business, but for some reason my
- 44:03mind works in this crazy way where I can just see like these,
- 44:07oh, what about this have what about this, what about this?
- 44:10And I can really pull things together that you're like, holy
- 44:14cow, that's like a really great idea.
- 44:16Or like so that I feel like is one of my unique traits.
- 44:20You're able to play 3D business chess.
- 44:24I think a little bit. Yeah.
- 44:28How about a resource that you might recommend to our
- 44:31listeners? A book or a podcast?
- 44:33A course that's been helpful for you?
- 44:37You know, I, I'm really a fan of, you know, how to win friends
- 44:42and influence people like old school.
- 44:45Like I think in this day and age, that should be a mandatory
- 44:48high school reading requirement. I made my kids read it in high
- 44:52school, and I have to say that's a huge thing.
- 44:56I taught my kids to communicate. This is a technology day age.
- 44:59Nobody talks, they text, everything is whatever.
- 45:02So an old school mandatory reading requirement for
- 45:07everybody entering the workforce would be How to win Friends and
- 45:10influence People. I also think Lincione has really
- 45:14great storytelling capability when you're talking about the
- 45:18ideal team player, things like that.
- 45:20If you haven't read that book, I recommend read The Ideal Team
- 45:23Player because it really does make a difference.
- 45:26And I'll give a funny story about that if anybody has read
- 45:29the book. He tells the story about the
- 45:31receptionist and how the candidate treated the
- 45:34receptionist, and that really was an impact on whether that
- 45:38candidate was going to get a job.
- 45:40And So what I used to love to do when I had my company at
- 45:43Southland is when I had interviewees coming in, I would
- 45:46sit at the front desk. So I would sit at the front desk
- 45:50to check them in, to see how they treated me, checking them
- 45:54in, not knowing who I was. And then when I walked them back
- 45:57to the interview and I sat behind my desk to to conduct the
- 46:01interview, sometimes the shock on people's faces was
- 46:06unbelievable. Is that something you learned
- 46:08from the book? It was something, it was so it
- 46:11was such AI loved it. I'm just saying if you ever want
- 46:15to figure out people's real whatever, if you're the person
- 46:19conducting the interview, sit at the front desk and check them in
- 46:23for their interview and then walk them back because you will
- 46:25learn unbelievable things. What was the the most priceless
- 46:31reaction you can recall? Well, because someone came in
- 46:34and was late eating their food, you know, just not really
- 46:42prepared. And we're very dismissive to me
- 46:47checking them in and like, I'm here like I'm in a hurry.
- 46:50Like you, like you have to, like I'm.
- 46:52It was just the way they handled themselves when they put
- 46:55themselves in a very stressful situation.
- 46:58And so then when I walked them back and sat down, they were
- 47:00like, oh God, I just blew this, didn't I?
- 47:02And they just got up and left. Well, you know, you got to
- 47:07respect at least that part of it.
- 47:09Like saves you a little bit of extra time.
- 47:11Right. But it was definitely
- 47:13enlightening. Yeah, another gold nugget from
- 47:16that book, because that was that was a good one.
- 47:19Really understanding who another gold nugget from that book is.
- 47:26Really understanding the people who you have and are you using
- 47:30all the talents of the people who you have, right?
- 47:33Like do you really? Are you really maximizing the
- 47:35potential now don't over maximize the potential because
- 47:38that's worse. Like that whole Peter Principle
- 47:40thing is a true thing. Oh, I have a really good nurse
- 47:43in the field. I'm going to move her into
- 47:44management. I'm in a situation right now
- 47:47where there was a person that's a friend of mine was like, oh, I
- 47:53just moved my best nurse into management, you know, that kind
- 47:56of thing. And she didn't make it like now
- 47:58not not only did she lose her best nurse in the field, she
- 48:02lost her best nurse to the company because she didn't make
- 48:05it in the promotion. She didn't had no management
- 48:08experience, no leadership experience, no ability to draw
- 48:12from anything. And so that really impacted her
- 48:17business in a negative way that she did not expect.
- 48:20So you can't just because they're really good here doesn't
- 48:24mean they're going to be really good in leadership.
- 48:26And I think that happens a lot in our industry.
- 48:28You have a great nurse, they're good with their patients,
- 48:31they're great with everything, but that they can't always lead.
- 48:34And if you're going to promote people to be leaders who don't
- 48:38have experience, you've got to give them training.
- 48:41You have to give them leadership training.
- 48:43You have to send them the leadership classes.
- 48:45You have to have them read books because that is something that I
- 48:47think we do in healthcare all the time.
- 48:49We take really good clinical people and try to put them in
- 48:52leadership and they struggle, flounder and fail.
- 48:57And so in that example that you were just recounting there, that
- 49:00was sort of the missing piece is they just sort of popped her
- 49:02into that position and didn't give her that training that she
- 49:06needed to be successful. Right.
- 49:08And and didn't recognize that. That's why there was a struggle,
- 49:14right? Like not recognizing that.
- 49:16Yeah. They thought it was her, that
- 49:18individual's failure. Yeah.
- 49:19Right. And they didn't have anything to
- 49:22draw from. It was, it was unfair.
- 49:26Yeah, how about a daily practice, a habit ritual that is
- 49:30important to you, either getting you started for the day or
- 49:33keeping you on track. I that's a really good question.
- 49:39I love my morning. I hate to say this, but I love
- 49:42my little Morning News update. Like I start my day everyday
- 49:44with this like 20 minute podcast of my Morning News updates and I
- 49:49really enjoy it and it just kind of helps me know what's going on
- 49:52in the world and know that I, I don't have things as bad as
- 49:56other places. And so it just makes me feel.
- 49:59Like recalculate reality for you.
- 50:02Yeah, I can conquer my day. It's all going to be good.
- 50:05Yeah, at least my life's not as bad as that person's.
- 50:08Is that the idea? Well, and I, I'm in general a
- 50:11high energy human. Like I just have high energy
- 50:16that I don't, I don't have to do a lot to have it.
- 50:19It just it comes naturally for me.
- 50:21So I'm a high energy person and I tend to be very, very
- 50:24positive. I'm a glass half full for sure
- 50:27person. Love it.
- 50:29I think those make great leaders.
- 50:31Those are the people that others want to follow.
- 50:34Cheryl, you know, sometimes our mistakes in the moment become
- 50:39our greatest teachers down the road.
- 50:41Is there an early career moment that seemed like a set back at
- 50:43the time that actually propelled you forward?
- 50:47Maybe you look back on that moment now with some gratitude.
- 50:51Yeah. I, I was working for a company
- 50:56that had significant change in senior leadership in, in the
- 51:00period that I worked there. And I was let go from that
- 51:06company and I had done a very, very good job.
- 51:09So I was super surprised. Like I'm let go.
- 51:12Oh my goodness. Like what am I going to do?
- 51:14But what that allowed me to do at the time in, in my life was
- 51:19be able to move and experience different post acute health
- 51:23healthcare in, in different ways across the country and really
- 51:27project my career to the next level.
- 51:30So I, I think had that not happened, I would not have been
- 51:35in the position to own my own home health and Hospice with a
- 51:39family and to start my consult. Like everything I think happens
- 51:45for a reason. And so, but at the time, it
- 51:48feels so ugly, like you get fired, like nobody wants to be
- 51:51fired, but like it happens to the best of us.
- 51:54Sometimes things don't work out. Sometimes it's not the the right
- 51:57fit. And I think if you can look at
- 51:59it, that that is really, you have to make hay when the sun
- 52:06shines, right? Like, so you don't know when
- 52:07it's going to be, but you, you, if you make the best of
- 52:10everything that happens to you, it can project you.
- 52:13And everything happens for a reason that gets you to the next
- 52:15place. And I wouldn't change any of my
- 52:18experiences. Some of them were harder than
- 52:20others, but I wouldn't change any of them because they really
- 52:22made me who I am as a leader today.
- 52:26You know, I've been through similar things myself.
- 52:29I've seen other friends, other guests go through, you know,
- 52:32similar trajectories where it's like this door almost had to
- 52:38close in order for you to see another door that was a little
- 52:43bit further down the road. But it feels so painful and it
- 52:46feels like it feels so final and, and almost paralyzing
- 52:51sometimes when that that current door closes, right?
- 52:56And you don't understand always and you question all the time,
- 52:59like what could I have done differently?
- 53:01What why didn't, why didn't they, you know, like you just
- 53:05question everything and you run those things over and over in
- 53:09your head. And so, but it's, it's
- 53:11definitely is important to understand that everything
- 53:16happens for a reason, no matter how hard they are.
- 53:19And it's going to get you to where you need to be.
- 53:22Yeah, I like that message. What's one thing you wish more
- 53:26people knew about your industry? I wish they knew how much the
- 53:37regulations impact us from necessarily providing as much
- 53:41bedside care as we could. The documentation and the
- 53:45paperwork part of our industry, I think really prohibits maybe
- 53:51more excellent care because you know, when you're spending time
- 53:57bringing a patient onto services, it's an hour with the
- 54:01patient, but two hours of paperwork, right?
- 54:04Like, so if you could spend that full 3 hours with the patient
- 54:08and not 2 of it with paperwork. And I'm hoping that AAI does big
- 54:12things with our ability to manage the paperwork and speak
- 54:15to text and things like that. But what's happening is our
- 54:19margins are really small and all the AI cost a lot of money.
- 54:23And so there's got to be some happy medium where we can use
- 54:26the technology without continuing to have the
- 54:30significant impact on cost. Like it's like everybody's
- 54:34gaining from it, but we're still feeling the pain of the cost of
- 54:38the technology and the margins just aren't what everybody
- 54:43thinks there. This is not like a million.
- 54:45You're not going to be like a bazillionaire.
- 54:47Like you have to be doing this because you care about it.
- 54:49Like the owner of our company cares about delivering quality
- 54:53care, great care, great services.
- 54:57And that is hard sometimes when you're weighing like labor costs
- 55:02and what can you invest in and what can you buy for your staff
- 55:05and those kind of things. It's really difficult.
- 55:07And we shouldn't necessarily have to be in that type of
- 55:10burden. We should be able to have access
- 55:11to better things. We should have access to maybe
- 55:15less burdensome paperwork. There's just so much technology
- 55:19available. And I think it's sad when you
- 55:21can say there's so much technology available, but
- 55:23Medicare's the back end system is still DOS based green screen.
- 55:28Right. Do you think like a possible
- 55:30solution could look something like the following, like the
- 55:34visit with the patient is recorded either audio or video,
- 55:38both. And you know, the AI sort of
- 55:42takes that and uses the transcript from that to kind of
- 55:46fill in some of the documentation and the notes and
- 55:48the forms that are required. That'd be fantastic.
- 55:51Yeah, that'd be fantastic. And are people doing this but
- 55:55it's just cost prohibitive or is nobody even gone there yet?
- 55:59Yeah, there's transcript stuff available where you can do talk
- 56:03to text, but they're there isn't and maybe people are working on
- 56:07it and I'm not up to speed and everything.
- 56:09But there there's talk to text now, but that's, you know, I'll
- 56:13just in our industry it's around $30 per person who uses talk to
- 56:17text to get their narratives done.
- 56:20That's expensive when you think about it, like if you have
- 56:22thousands of employees, $30 a person is expensive, right?
- 56:27So, but there, there are some things coming, there are a few
- 56:30things, but I'm hoping that at some point, I mean, there's a
- 56:34technology out right out right now where you can stick a little
- 56:37pod next to someone's bed and it can monitor their respirations
- 56:41and their movement and things like that.
- 56:43And per predictive analytics, there's some cool things
- 56:46happening, but not necessarily I think there's probably things
- 56:51happening on the back end for the paperwork burden.
- 56:53And I think that would be fantastic if we could record an
- 56:56interaction with the and that transcribed into the required
- 57:00paperwork so that it picked up all the things that it needed
- 57:03and knew how to do those predictive analytics.
- 57:06And I'm sure those things are being worked on, but I, I don't
- 57:09know of any right now they're doing that in our, in our
- 57:13industry. Well, if anyone's listening and
- 57:16this is in your wheelhouse, you contact Cheryl and I.
- 57:20We'll partner up with you and make this a reality.
- 57:23Just one more question for you, Cheryl, But before I ask you, I
- 57:25want to do 2 things. First of all, everybody
- 57:27listening today, pause for just a second.
- 57:29Open up that podcast app you're listening to on now.
- 57:31Go ahead, hit the follow or subscribe button.
- 57:33I want you to continue to get more great interviews like we've
- 57:35had today with Cheryl Lovell from Constellation.
- 57:40If you got an extra second, just go ahead and leave us a little
- 57:42bit of feedback. A review would be nice.
- 57:45That helps other people find the show and make sure that they get
- 57:48to hear these great stories too. And Cheryl, before I ask this
- 57:51last question, I want to let people know either the best way
- 57:54to get in touch with you to follow your story or that of
- 57:58either of the companies that you're involved with.
- 58:00Yeah, you could just reach me at cheryl@clcgroupco.com.
- 58:11Great. And we'll include a link to your
- 58:13e-mail address in the show notes.
- 58:15So last question for you, Cheryl.
- 58:17We've had a great conversation today.
- 58:18You and I reconnect a year from now and you're celebrating
- 58:21something big. It's it's, it's something, it's,
- 58:24it's a big thing. What's that one thing you're
- 58:25celebrating? Oh, that's a good question.
- 58:35I'm just going to go personal. I hope it's my son's engagement
- 58:38and that he's going to be, you know, moving on.
- 58:40And someday I'll get to have grandbabies.
- 58:42That would be like the best thing for me as a human.
- 58:47I love it. OK, well, I hope to hear that
- 58:49news here in the coming months. I'll share a level from
- 58:53Constellation. I want to be the first to thank
- 58:55you for sharing both your time and your story with us today.
- 58:58I really appreciate it. Thank you.
- 59:00It's nice talking to you everybody.
- 59:01Have a great day. Thank you.
- 59:04Folks, that's a wrap on another episode of the Inspired Stories
- 59:07podcast. Thanks for learning with us
- 59:08today.