Latest / Becker’s Healthcare Podcast / How Ambient AI Is Transforming Leader Rounding and Patient Experience
Transcript
- 0:00- Hi, everyone. This is Brian Zimmerman with Becker's
- 0:02- Healthcare. Thank you so much for tuning into
- 0:04- the Becker's Healthcare podcast.
- 0:07- Today, we're gonna talk about how Ambient AI
- 0:09- is transforming leader rounding. Joining me for this
- 0:12- discussion is Katie Hafeli, senior director of product
- 0:16- at NRC Health, and Tanya Hammond, director of
- 0:19- experience with Parkview Health. Katie, Tanya, thank you
- 0:21- so much for being here. Thanks for having
- 0:23- us. Thank you very much.
- 0:25- Alright. Well, let let's get into it with
- 0:27- some introductions.
- 0:28- Tanya, let's begin with you. Can can you
- 0:31- share just a bit about your your professional
- 0:32- background,
- 0:33- some pertinent details you think listeners should know
- 0:35- as we move into the conversation today?
- 0:38- Sure.
- 0:38- Tanya Hammond, the director of experience at Parkview
- 0:41- Health. It's across Indiana and Ohio, so I'm
- 0:43- in the Midwest.
- 0:45- I have oversight of our, system wide patient
- 0:48- experience strategies.
- 0:49- Most recently, we, not only adopted the digital
- 0:52- routing tool, but advancing in system wide service
- 0:55- recovery platforms,
- 0:56- leader engagement practices. And I also have oversight
- 0:59- of our patient advocate, teams and,
- 1:02- making sure that we have the grievance resolution,
- 1:05- standards and processes in place across our organization.
- 1:09- Excellent. Wonderful to have you, Tanya. Katie, let's
- 1:12- meet you. Can you just introduce yourself, share
- 1:14- share a bit about your background, the perspective
- 1:16- you want you want folks to appreciate as
- 1:18- we move through the conversation today?
- 1:20- Yeah. Hi, everyone. My name is Katie Haefley.
- 1:22- I'm a senior product director here at NRC
- 1:25- Health,
- 1:26- which means I get to wake up every
- 1:27- day,
- 1:29- making our product better,
- 1:31- improving it, connecting with partners, listening to what
- 1:34- they're hearing.
- 1:35- And ambient listening is kind of the next
- 1:37- evolution
- 1:38- of our platform.
- 1:40- And my background
- 1:41- is, well over a decade ago, I started
- 1:44- Noble Health. I was a cofounder of that
- 1:47- product
- 1:48- and,
- 1:49- eventually sold the company to NRC Health a
- 1:51- few years ago. And so we've I've been
- 1:53- at NRC for for a little bit now,
- 1:56- but have a long history
- 1:58- with,
- 1:59- all types of rounding activities in hospitals
- 2:03- and the variability
- 2:04- and variety that, rounding looks like in in
- 2:07- organizations. So excited to be here today and
- 2:10- to go into more details about ambient listening.
- 2:13- Great to have you both. Let's get into
- 2:15- it right now. And and, Katie, first question
- 2:18- for you
- 2:20- as we get into this conversation about ambient
- 2:22- listening. When when you're developing solutions with for
- 2:24- ambient listening with Agendec AI for for leader
- 2:27- rounding specifically,
- 2:29- what were you hearing from health care leaders
- 2:30- about the realities of rounding and documentation
- 2:33- that really sort of shape this capability, shape
- 2:36- this this solution?
- 2:38- Yeah. I think it's a great place to
- 2:39- start today.
- 2:41- So, really,
- 2:42- what it comes down to and the problem
- 2:44- that we've been trying to solve with this
- 2:46- feature comes down to what I call a
- 2:48- trade off. And that's really where majority of
- 2:50- rounders
- 2:52- face either that they have to pay attention
- 2:54- to the patient
- 2:56- or they focus on the screen and document
- 2:59- as they're having that conversation. And so many
- 3:01- people are faced with this trade off when
- 3:04- they're utilizing a leader rounding technology. And so
- 3:08- that being said, I have seen master rounders.
- 3:10- I've done corounding with people that can maintain
- 3:13- eye contact with the patient
- 3:15- and make that technology feel very fluid.
- 3:19- But we know not everyone is that comfortable
- 3:21- with utilizing technology in front of a patient.
- 3:24- So,
- 3:25- this is actually a topic that I've done
- 3:27- webinars on for many, many years on, like,
- 3:30- how to combine
- 3:31- using technology
- 3:33- with having a conversation with a patient.
- 3:35- And so
- 3:37- ambient listening really removes that trade off. It
- 3:40- lets that rounder focus on the conversation
- 3:43- without losing
- 3:44- the documentation
- 3:46- and all the nuance to that conversation.
- 3:49- Yeah. And and, Katie, do you think even
- 3:50- for those master rounders who have sort of,
- 3:54- you know, done a good job at at
- 3:56- avoiding that trade off or minimizing it as
- 3:58- as much as they can, do you think
- 4:00- they too can even benefit from from this
- 4:02- type of solution?
- 4:03- Absolutely. What what we've seen in the data
- 4:06- too is those master rounders before
- 4:08- probably were really good at documentation
- 4:10- as well. They were entering in a lot
- 4:12- of information, so they were spending a lot
- 4:15- of their time
- 4:16- typing into the software. So for those people,
- 4:19- they're gonna feel like this is a time
- 4:21- savings now.
- 4:22- I once heard a partner said that they
- 4:24- spend,
- 4:25- you know, out of their hour of rounding
- 4:28- every day, they spend twenty minutes documenting. And
- 4:30- so if you were that person spending twenty
- 4:32- minutes documenting,
- 4:34- you're you're actually gonna be spending less time
- 4:36- documenting now. Yeah. And and added win wins
- 4:39- for everybody involved with with this kinda technology.
- 4:42- Tanya, moving to you, thinking about that trade
- 4:45- off, sort of the your experience with this,
- 4:47- before adoption of of Ambient AI, does what
- 4:51- Katie sort of shared resonate with you? Was
- 4:53- that your experience at Parkview?
- 4:56- Yes.
- 4:57- It we had nurses rounding, but it felt
- 4:59- very transactional. And they weren't capturing details
- 5:03- like the ambient listening captures now. They thought
- 5:06- the rounding was helpful,
- 5:08- but they certainly
- 5:10- didn't think it was helpful when they were
- 5:11- back to read their notes because it wasn't
- 5:13- very detail oriented or focused on all the
- 5:16- things that had been discussed potentially during that
- 5:18- round. Some nurses would even say that the
- 5:20- rounding questions felt unnatural
- 5:22- because
- 5:23- the time to document it just wasn't there.
- 5:25- And when they shared the level of detail
- 5:27- in real time, they just didn't have the
- 5:29- time to spend to document.
- 5:31- So the workaround sometimes would be that the
- 5:33- nurse would talk to the patient and then
- 5:35- try to document later. And we know that
- 5:37- when that happens, you lose some of those
- 5:40- details and some of those important
- 5:42- pieces of the conversation if you try to
- 5:43- go back and recall that at a later
- 5:45- time.
- 5:46- It also felt duplicate, you know, duplicate work
- 5:48- for the nurses because they would talk to
- 5:49- the patient and then they'd go back later
- 5:51- and try to document it
- 5:52- all. So we did not have the right
- 5:54- tool and process
- 5:55- or process in place to actually document things
- 5:58- correctly or in the level of detail the
- 6:00- ambient listening provides.
- 6:02- Yeah. That that that's a real challenge, and
- 6:04- I'm sure can can make people more skeptical
- 6:07- of the technology, right, Tanya, when when when
- 6:08- that's the experience. Is that correct? Yeah. That's
- 6:11- correct.
- 6:11- Yep. Katie, coming to you now, can you
- 6:14- talk a little bit about how
- 6:17- the new solution new solutions are really
- 6:20- designed in such a way to fit naturally
- 6:22- into a live rounding interaction. Sort of unpack
- 6:25- what that actually looks like,
- 6:27- from this this positive experience. What does it
- 6:30- actually feel like to to be in this
- 6:32- kind of this room, in this experience?
- 6:35- Yeah. Yeah. I think, really the beautiful thing
- 6:37- about how we've designed the feature
- 6:39- is that really once you get that patient
- 6:42- consent and mark that in the platform, you
- 6:45- can literally set the phone down.
- 6:47- And so for some rounders, this may mean
- 6:49- that they now can pull up a chair
- 6:51- next to a patient, sit down, and just
- 6:54- have a conversation
- 6:55- more easily.
- 6:57- And another thing that we designed it was
- 7:00- we know the nature of leader rounds. They
- 7:02- go off script. We don't ask questions verbatim.
- 7:06- They go out of order.
- 7:08- We know that other people participate in rounds.
- 7:10- We might be rounding on a family. Maybe
- 7:13- that patient's intubated, and so the husband and
- 7:16- their child are in the room, and we're
- 7:17- having a whole conversation.
- 7:19- So all of those sort of scenarios can
- 7:22- continue to happen. You don't have to change
- 7:24- what your rounding process
- 7:26- looks like to use the ambient listening feature,
- 7:28- which is a which I think is the
- 7:30- beauty of it. We didn't have to change
- 7:32- a process. We said, keep with your process,
- 7:35- whatever it looks like today, and just continue
- 7:38- with that and let the technology pick up
- 7:40- on the nuance of those conversations.
- 7:42- Yeah. I'm I'm sure that's a big one.
- 7:43- Right? Because you kinda don't know what you're
- 7:45- gonna walk into in various different situations. It's
- 7:48- gonna be different. And if the the technology
- 7:50- is not adaptable, it's just gonna slow you
- 7:51- down. Right, Katie?
- 7:53- Yeah. Absolutely.
- 7:54- Yep. Tanya, coming to you now to
- 7:57- sort of
- 7:58- get the experience of what this looks like
- 8:00- in patient conversations. Now we got your your
- 8:02- previous experience, but what is a new iteration?
- 8:05- What does this feel like now?
- 8:07- Yeah. Katie actually,
- 8:09- explained how it happens pretty frequently across Parkview
- 8:12- now. So our nurses walk into the patient's
- 8:15- room, and they do their visual environmental scan
- 8:17- and safety assessment.
- 8:19- And then,
- 8:20- they ask the patient if it's appropriate time
- 8:22- to talk. But then shortly after that, they'll
- 8:24- ask the patient for permission to use either
- 8:27- their iPad or their iPhone
- 8:28- to help capture the details of their conversation.
- 8:31- At that point, if the patient agrees, then
- 8:33- they do set that iPad or iPhone down
- 8:35- on the bedside table, and they pull up
- 8:37- a chair. They actually sit down, most often
- 8:39- than not, and they have that conversation with
- 8:42- the patient.
- 8:42- It does feel way more natural and and
- 8:45- like you're having that conversation with the patient
- 8:48- or family members,
- 8:49- and not trying to keep track of your
- 8:51- notes on a on a piece of paper
- 8:53- or in, some digital form.
- 8:55- They don't often ask the questions verbatim.
- 8:58- They like to finesse them and and have
- 9:01- them flow more naturally.
- 9:02- It's mostly our nurse leaders that do our
- 9:04- patient rounds, and what we heard pretty quickly
- 9:07- after introducing the ambient listening is the functionality,
- 9:10- is truly the way to go to capture
- 9:12- those important details
- 9:13- and that the patient shares, so much information
- 9:17- throughout the round and,
- 9:18- the the level of of the detail and
- 9:20- the amount of information it's capturing is beneficial
- 9:23- when they go back and and read that.
- 9:25- Yeah. And and, experientially,
- 9:26- I think we've established just how beneficial this
- 9:29- could be for for nurse leaders. But, Tanya,
- 9:31- it stands to reason that if these interactions
- 9:33- are going so well and so much is
- 9:35- being captured,
- 9:36- that there are gonna be added benefits for
- 9:37- the organization here.
- 9:39- Can can you share a little bit about
- 9:41- what you've seen in terms of the broader
- 9:43- impact of this technology in terms of just
- 9:46- efficiency, whether it's depth of insight, any any
- 9:49- bigger impacts you can sort of call out
- 9:51- or point to for folks?
- 9:53- Yeah. Sure. I mean, the sheer amount of
- 9:55- detail captured has been night and day different.
- 9:58- Before,
- 9:59- you might have a comment entered that could
- 10:01- say something as simple as,
- 10:03- the patient is concerned about going home. And
- 10:05- because of the time or competing priorities, the
- 10:08- nurse didn't elaborate.
- 10:10- But with ambient listening,
- 10:11- if they're in there and they agreed to
- 10:14- the,
- 10:15- to the tool,
- 10:16- then ambient listening is gonna capture something that
- 10:18- sounds more like the patient stated that they
- 10:21- sometimes are confused and worried that they will
- 10:23- get their medication mixed up and we're back
- 10:25- in the hospital, which is causing them concerns
- 10:27- to go home. So
- 10:29- that example is is a great one to
- 10:32- say the level of detail documented does give
- 10:34- those nursing teams further insight into those root
- 10:36- causes of the patient's concerns, which ultimately allows
- 10:39- them to work on what really matters to
- 10:41- the patient the most.
- 10:43- We have lots of examples just like that,
- 10:45- and it's it's not only easy to use,
- 10:48- but the depth of the conversation captured with
- 10:50- ambient listening would be hard to duplicate without
- 10:52- a tool like this. And that's really the
- 10:54- benefit, and we hear that across our system
- 10:56- with the nurses that are utilizing it today.
- 10:58- Yeah. Certainly. And it really solves for that
- 11:00- challenge of of folks trying to remember stuff
- 11:03- and document later.
- 11:05- This is gonna be way more thorough than
- 11:06- than that would be. Right, Tanya? Yeah. Oh,
- 11:08- yes. Absolutely. We hear that every day. Yeah.
- 11:11- And if I can comment on that as
- 11:13- well, Tanya, I think, some of the interesting
- 11:16- insights too that we've seen from that, like,
- 11:18- is we've seen 60 times more
- 11:21- narrative depth when we look at the, quality
- 11:24- of documentation,
- 11:25- and I think that the examples that you
- 11:27- shared are are are accurate. Right?
- 11:31- Patient is concerned about going home versus, you
- 11:34- know, them sharing a more in-depth reason why
- 11:37- they're concerned about going home. And we didn't
- 11:39- just
- 11:40- develop the feature just to add more characters
- 11:43- just for the sake of adding more characters.
- 11:45- To Tanya's point, this really adds richness
- 11:49- to the reports data and analytics,
- 11:51- which we can use for process improvement,
- 11:54- for root cause analysis to Tanya's point,
- 11:57- and for enablement. Right? So this is really
- 12:00- trying to move us in that direction of
- 12:02- how do we use this data for improvement.
- 12:05- And this is gonna give us more insight
- 12:08- to that. One other interesting thing too that
- 12:10- we saw was
- 12:12- one out of every four rounds now picks
- 12:15- up a patient concern. So we didn't ask
- 12:17- our rounders to change their process, but,
- 12:21- this technology is picking up on more nuanced
- 12:24- concerns.
- 12:25- So the rounder before might have only put
- 12:28- in more of the extreme concerns before, but
- 12:31- now those nuanced concerns are being added in.
- 12:34- And those are the things that might be
- 12:36- really easy things that we can pick up
- 12:37- and,
- 12:38- take to our patient experience committees or PFACs
- 12:41- and and make a quick change with. Right?
- 12:43- So Mhmm. That's been really exciting to see.
- 12:47- You you actually,
- 12:48- reminded me of something else that during those
- 12:51- rounds,
- 12:51- the amount of information that is captured,
- 12:54- we're actually getting more recognition, right, and opportunities
- 12:57- to provide service recovery. And so
- 13:00- those are bubbling up oftentimes. And and not
- 13:02- that our nurses didn't wanna give those kudos
- 13:04- or that recognition before, but if, if something
- 13:07- was, you know, emergent happening within that room
- 13:09- or there was a a a time crunch
- 13:12- for,
- 13:12- the bubbling up priorities that it might have
- 13:15- slipped their mind that they had, given
- 13:17- accolades to a nurse or to an attacker
- 13:19- to somebody else on the team, and and
- 13:21- this ambient listening is capturing that now.
- 13:25- Some wonderful points. And, also,
- 13:27- easy to think about, like, you know, it's
- 13:29- still relatively early days for for this kind
- 13:31- of solution. Right? Over time,
- 13:34- what can be done with some of this
- 13:35- information that's being captured? I mean, there's
- 13:38- a great potential there, I imagine, for for
- 13:40- for improvements. But I wanna come back to,
- 13:42- Katie, something you mentioned a bit earlier, which
- 13:45- is, you know, what what these these nurse
- 13:48- leaders are doing after round after rounds now
- 13:51- now that they don't have to spend as
- 13:52- much time at the keyboard,
- 13:54- looking at a screen or documenting.
- 13:56- So how does this change the way they
- 13:58- spend their time during and after rounds, Katie?
- 14:00- Can you just expand on that a bit
- 14:01- a bit more for our listeners?
- 14:03- Yeah. Yeah. Good question. Well, during rounds, now
- 14:06- they can sit down and have a conversation.
- 14:08- But what we see happening is
- 14:11- now as they're kind of stepping out, walking
- 14:13- outside of that patient's room, they're shifting their
- 14:16- time from sitting there typing,
- 14:19- or sometimes it was the end of the
- 14:21- day task where they would come back to
- 14:23- their desktop at 05:00 and just try to,
- 14:26- do a lot of memory recall into the
- 14:28- software. So they're shifting their time from typing
- 14:31- and recalling
- 14:32- to approving the AI generated documentation.
- 14:36- And, when we look at this, we found
- 14:39- that on average, we're generating around six minutes
- 14:42- worth of typing time,
- 14:44- which takes about thirty seconds to approve. So
- 14:47- they didn't spend six minutes typing anymore, but
- 14:50- we've, generated
- 14:52- six minutes worth of documentation for them, and
- 14:55- it it takes a quick thirty seconds to
- 14:57- approve that.
- 14:58- Excellent. Appreciate those details.
- 15:01- Tanya, I wanna come back to you now.
- 15:02- And it's I think we've clearly established what
- 15:05- the benefits of this this technology are.
- 15:08- But even when strong, you know, new technology,
- 15:11- there comes sort of the the challenges associated
- 15:13- with change, right, and figuring out what it
- 15:15- means for for for the future. So how
- 15:17- is Parkview thinking about governance here with the
- 15:20- expanded use of of ambient listening tools and
- 15:23- including thinking about how how that factors into
- 15:26- physician workflows as well? Can you share a
- 15:28- little bit about how you're you're doing that
- 15:29- work and and managing the change?
- 15:32- Yeah. Good question. The, so we have a
- 15:35- steering committee already in place that was is
- 15:38- dedicated to the AI
- 15:40- focus, and they continue to advance the responsible
- 15:43- adoption of the AI across
- 15:45- our organization.
- 15:46- And we actually have just put together a
- 15:48- subcommittee
- 15:49- that focuses specifically on patient facing AI capabilities
- 15:53- and the patient experience,
- 15:55- because as we know, there's different types of
- 15:57- AI that are being used, patient facing and
- 15:59- then kinda behind the scenes. So So as
- 16:01- we embed that AI deeper into the patient
- 16:04- journey,
- 16:05- this subcommittee allows us to have really coordinated
- 16:08- strategies to meet the patients and coworkers where
- 16:10- they're at,
- 16:11- and really help to build the trust in
- 16:12- these tools, whether that's with our providers allowing
- 16:16- us to to use them with them or
- 16:18- our providers trusting the tool itself and
- 16:21- understanding that it's capturing the correct information
- 16:24- on their behalf.
- 16:25- Yeah. So some important work, important conversations being
- 16:28- had there, Tanya.
- 16:29- Katie,
- 16:30- from the the the NRC standpoint, how are
- 16:32- you thinking about this responsible
- 16:35- AI use and governance in the context of
- 16:37- these these patient facing conversations?
- 16:40- Yeah. I think, overall, we've kinda taken a
- 16:42- multipronged
- 16:43- approach to this. So first, we're really focused
- 16:45- on making sure we've got the right security
- 16:47- protocols,
- 16:49- infrastructure and safeguards in place so our partners
- 16:51- can feel confident and trust us with really
- 16:54- capturing patient conversations.
- 16:56- And then the second piece is really giving
- 16:58- our partners flexibility and control on how they
- 17:01- use the technology. So not every patient interaction
- 17:04- is gonna be the right fit, so we
- 17:06- allow organizations to decide what types of rounds
- 17:08- they wanna deploy this to.
- 17:10- And then we also give them control over
- 17:12- things like audio retention and deletion time line
- 17:15- so that solution can align with their own
- 17:17- policies and comfort level.
- 17:19- What I thought was great about Parkview too
- 17:21- is, they already had
- 17:23- a physician ambient listening feature in place within
- 17:27- their EMR. And so we were really able
- 17:29- to,
- 17:30- talk with them about what processes and protocols
- 17:33- they have in place to either introduce that
- 17:35- technology, but also around audio retention files. And
- 17:39- then we're able to kinda match,
- 17:41- those standards that were already established before,
- 17:44- we're using this technology in leader rounding. So
- 17:47- overall, philosophy
- 17:49- has been that responsible AI isn't just about
- 17:51- the technology, but it's also about giving our
- 17:54- partners
- 17:55- transparency,
- 17:56- flexibility,
- 17:57- and really the control they need to use
- 17:59- it in a way that aligns with their
- 18:01- own governance practices and and ultimately earns patient
- 18:05- trust because you gotta have patient trust in
- 18:07- order to to use this feature.
- 18:09- Right. And and you've really gotta understand the
- 18:11- organizations you're working with to help best help
- 18:13- them because there's you know, I hear it
- 18:15- all the time. Like, you you see one
- 18:17- hospital, you've seen one hospital. Right? You see
- 18:19- one health system, you've seen one health system.
- 18:21- Every everything's kinda different. So from the NRC
- 18:23- standpoint, you've gotta be able to work with
- 18:25- all kinds of different different, you know, circumstances
- 18:28- for different organizations. Right, Katie?
- 18:30- Absolutely.
- 18:31- Yeah. I think before we we sign off
- 18:34- here, I'll just make space. There's anything you
- 18:36- wanna final thought you wanna share with with
- 18:39- listeners.
- 18:40- Tanya, anything you wanna share before we we
- 18:42- sign off here?
- 18:43- I think the only thing I would say
- 18:45- is that the nurses that were rounding previously
- 18:48- when,
- 18:49- the rounding tool was introduced and the ambient
- 18:51- listening feature
- 18:52- was activated,
- 18:53- it really just reassured them that the work
- 18:56- they were doing was being captured and was
- 18:59- they're able to, again, go back and look
- 19:00- at it. And
- 19:02- they felt
- 19:03- a lot more confident in the connections and
- 19:06- the relationships they're able to build with those
- 19:07- patients because of the amount of information they
- 19:09- capture during that interaction
- 19:11- they had with them. So it has been
- 19:13- a benefit. Even those, nurses that maybe weren't
- 19:16- rounding before,
- 19:17- they have found that using the ambient listening
- 19:19- tool is an easier way to round because
- 19:22- before they
- 19:23- may have thought it was not a great
- 19:25- way to spend their time or, again, a
- 19:26- bit transactional.
- 19:28- And so really winning over the the nurses
- 19:30- that didn't maybe round as often as as
- 19:32- consistently have have really adopted it well because
- 19:35- of the feature.
- 19:36- Yeah. That's a that's a great call out.
- 19:38- Glad glad you shared that with our listeners.
- 19:40- It was a pleasure speaking with you today,
- 19:42- Tanya. Katie, any any final thoughts from you?
- 19:45- Yeah. I mean, I second everything that Tanya
- 19:47- said. I I think, we get into health
- 19:49- care because of the patients. Right? We wanna
- 19:52- help people. We wanna care for people,
- 19:54- And this brings us back to that renewed
- 19:56- focus on helping patients, building relationships, and connections
- 20:00- with them. And so to Tanya's point, they
- 20:02- were already doing great work before. Now we're
- 20:04- just highlighting that great work and and, reducing
- 20:07- that trade off that exists with technology.
- 20:10- Yep. A great place to close out. Thank
- 20:12- you, Katie. Thank you again, Tanya. I really,
- 20:15- really appreciate you both coming on the podcast
- 20:16- today.
- 20:18- My pleasure. Thank you very much.
- 20:20- We also wanna thank our podcast sponsor, NRC
- 20:23- Health. You can tune into more podcasts from
- 20:26- Beckers HealthCare by visiting our podcast page at
- 20:29- beckershospitalreview.com.