Latest / Pharmacy Podcast Network / Expanding Long-Term Care Pharmacy at Home, Delivery Logistics, AI, and Healthcare Misinformation | TWIRx

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Expanding Long-Term Care Pharmacy at Home, Delivery Logistics, AI, and Healthcare Misinformation | TWIRx · Pharmacy Podcast Network

• 0:05
  Speaker 1: You are listening to the global network of podcasters dedicated
• 0:09
  Speaker 1: to the pharmacy profession. Welcome to the Pharmacy podcast Network. Hey,
• 0:40
  Speaker 1: welcome back to this Week in Pharmacy. Hey, if you've
• 0:45
  Speaker 1: heard any of our programming in the community space, our
• 0:49
  Speaker 1: independent community pharmacies, the expansion of long term care pharmacy
• 0:54
  Speaker 1: at home is happening.
• 0:57
  Speaker 2: It's out there. It's enormous.
• 0:58
  Speaker 1: We see so many of our operators and owners gravitating
• 1:01
  Speaker 1: towards that model.
• 1:02
  Speaker 2: There's things to do.
• 1:03
  Speaker 1: It's not like you just turn it on overnight, especially
• 1:05
  Speaker 1: if you want to get paid for it correctly. I
• 1:08
  Speaker 1: want to bring Joe Demowski on from Centennial Pharmacy.
• 1:13
  Speaker 2: Joe, welcome to the show.
• 1:15
  Speaker 3: Thank you, thanks for having me. I appreciate it, and.
• 1:18
  Speaker 1: I don't want to embarrass Joe, but he is the
• 1:20
  Speaker 1: father of an industry rock star that we are all
• 1:24
  Speaker 1: very well aware of, Lindsey Dmowski Constantino is one of
• 1:30
  Speaker 1: the leaders here with the long term care pharmacy at
• 1:34
  Speaker 1: home or her leadership, So shout out to Lindsay.
• 1:38
  Speaker 4: Joe.
• 1:38
  Speaker 2: You must be proud of.
• 1:39
  Speaker 5: Her, extremely proud of her. She is a pioneer I
• 1:43
  Speaker 5: believe of long term care at home pharmacy.
• 1:46
  Speaker 4: I love it.
• 1:47
  Speaker 1: I love it all right, So Joe, let's just kick
• 1:49
  Speaker 1: off right from the beginning. Why is long term care
• 1:53
  Speaker 1: pharmacy at home? We used to call it combo shop
• 1:56
  Speaker 1: like you back team, There were a community macies that
• 2:00
  Speaker 1: were serving long term care nursing homes, a little bit
• 2:05
  Speaker 1: of skilled nursing maybe maybe these group homes. And now
• 2:10
  Speaker 1: it's evolved to the point where people don't want to
• 2:12
  Speaker 1: go to those places. They want to age in their home.
• 2:16
  Speaker 1: They want to stay in their home. Talk to us
• 2:18
  Speaker 1: about kind of like you've seen the evolution from the
• 2:21
  Speaker 1: beginning about the expansion of long term care pharmacy at home.
• 2:27
  Speaker 5: About several years back, around twenty sixteen twenty fifteen is
• 2:31
  Speaker 5: when we started the concert in this business model of
• 2:36
  Speaker 5: term care at home. We found seniors that were living
• 2:41
  Speaker 5: in independent living communities, that needed specialized services, that needed
• 2:47
  Speaker 5: more complex services that was able that was not available
• 2:52
  Speaker 5: basically from a retail setting. But they did not want
• 2:55
  Speaker 5: to be in the long term care setting, so they
• 2:58
  Speaker 5: wanted to age in place. And this is where the
• 3:01
  Speaker 5: concept of long term care at home pharmacy arose from.
• 3:05
  Speaker 3: And we've taken that and grew that concept. It's what
• 3:09
  Speaker 3: we have today, and it's exciting.
• 3:12
  Speaker 5: It's exciting where it is and where it's going and
• 3:15
  Speaker 5: how this can revolutionize the pharmacy industry.
• 3:18
  Speaker 3: And it does save money.
• 3:21
  Speaker 5: It is a cost savings effect, so it's a win
• 3:23
  Speaker 5: win for the industry itself.
• 3:27
  Speaker 1: I think there's more. There's more containment of the processes.
• 3:31
  Speaker 1: There's the ability to collect more data based on the
• 3:34
  Speaker 1: interaction that's happening over and over and over with that
• 3:38
  Speaker 1: with that individual that needs care at home. There's payment
• 3:43
  Speaker 1: differentials of how you're being reimbursed as a long term
• 3:46
  Speaker 1: care pharmacy. There's the delivery aspect of all this, and
• 3:51
  Speaker 1: the logistics and timing of how that how the needs
• 3:55
  Speaker 1: of the individual for their services and their products to
• 3:58
  Speaker 1: be serviced at home. So there's lots of puzzle pieces.
• 4:01
  Speaker 1: Sometimes this can feel daunting to build something that we're
• 4:06
  Speaker 1: not used to. Nobody wants change. Everybody has operational change.
• 4:10
  Speaker 1: But talk to us about those pieces. Can you break
• 4:13
  Speaker 1: it into a couple of pieces of what it takes
• 4:16
  Speaker 1: to become a long term care pharmacy at home?
• 4:20
  Speaker 5: Well, from traditional retail to a combo shop to long
• 4:24
  Speaker 5: term care at home.
• 4:25
  Speaker 3: Pharmacy. You do have to migrate your business.
• 4:28
  Speaker 5: You have to migrate from the traditional of people walking
• 4:31
  Speaker 5: into your pharmacy and you're handling patients on a one
• 4:34
  Speaker 5: on one basis to handling patients more on a referral basis.
• 4:39
  Speaker 5: Working with into it. You're more involved in the healthcare continuum.
• 4:43
  Speaker 5: You're working with the providers, working with the patient, the caregivers,
• 4:48
  Speaker 5: and the providers to provide services. We deliver all our
• 4:53
  Speaker 5: services out to all our patients, and that's what There's
• 4:56
  Speaker 5: different aspects than retail pharmacy, so it becomes a logistic issue.
• 5:01
  Speaker 5: We have more logistic issues than your average retail pharmacy.
• 5:07
  Speaker 5: We work off of a workflow system that we're enhanced
• 5:13
  Speaker 5: workflow system, I should say.
• 5:16
  Speaker 4: I think so.
• 5:18
  Speaker 1: My background, my boot camp into the pharmacy industry was
• 5:22
  Speaker 1: pure long term care pharmacy, and a long term care
• 5:27
  Speaker 1: pharmacy may have ten, twelve, maybe twenty locations that they're
• 5:33
  Speaker 1: coordinating with and they're having to deliver to. When I
• 5:37
  Speaker 1: think of long term care pharmacy at home, I'm thinking
• 5:40
  Speaker 1: that number is going to explode. It's going to go
• 5:43
  Speaker 1: from maybe twenty locations to maybe two hundred locations depending
• 5:48
  Speaker 1: on how many patients and services that you have out there.
• 5:52
  Speaker 1: So when you start instituting those larger numbers, Joe, how
• 5:57
  Speaker 1: are you managing the logistics best routes, tracking of the product,
• 6:03
  Speaker 1: being able to kind of drill down into issues and
• 6:06
  Speaker 1: catch them before the patient knows what's going on, like,
• 6:09
  Speaker 1: Talk to us about that.
• 6:10
  Speaker 2: Talk to us about what things were like before.
• 6:12
  Speaker 1: And now you have a logistics team, you have a
• 6:15
  Speaker 1: logistics program, you have logistics and delivery technology.
• 6:20
  Speaker 2: Talk to us about that.
• 6:22
  Speaker 5: Well, one of the biggest hurdles that we face growing
• 6:25
  Speaker 5: this business model was our logistics. How do you do
• 6:30
  Speaker 5: logistics and how do you do it properly? How do
• 6:32
  Speaker 5: you get the product to the patient caregiver? And where
• 6:37
  Speaker 5: you are not dealing with facilities all the time. We're
• 6:40
  Speaker 5: dealing with, like you say, the patient, the caregivers, residents.
• 6:46
  Speaker 5: So we do roughly a year close to thirty to
• 6:50
  Speaker 5: forty thousand deliveries over what you would see a facility
• 6:55
  Speaker 5: they based on regular long.
• 6:56
  Speaker 3: Term care would do to a facility multiple deliveries.
• 7:00
  Speaker 5: So it became a logistics issue for us, and we.
• 7:07
  Speaker 3: Went through it multiple times on how to do it.
• 7:10
  Speaker 5: Delivery in house getting an outside service to use, and
• 7:15
  Speaker 5: we basically went and we worked our way and checked.
• 7:19
  Speaker 3: Out all the.
• 7:21
  Speaker 5: Software available on the market and what was available to
• 7:24
  Speaker 5: us to help us do logistics properly for this business.
• 7:30
  Speaker 3: We try multiple systems and multiple.
• 7:34
  Speaker 5: Different software packages and until we found a solution networked
• 7:39
  Speaker 5: for us the best.
• 7:41
  Speaker 1: So I just want to give the listeners some background
• 7:45
  Speaker 1: just to shout out, I'm not a fan of Amazon Pharmacy. Joe,
• 7:48
  Speaker 1: I'm sure you're not a fan either, but this giant
• 7:53
  Speaker 1: is predicting by the end of twenty twenty six, Amazon
• 7:57
  Speaker 1: will be expanding the same day prescription deliver to over
• 8:01
  Speaker 1: four thousand, five hundred cities and towns throughout the United States,
• 8:05
  Speaker 1: adding nearly two thousand new communities as it's expanding in
• 8:09
  Speaker 1: just twenty twenty six. Now, what that tells me as
• 8:13
  Speaker 1: a capitalist, as an entrepreneur, somebody that's creative is our
• 8:17
  Speaker 1: independent community. Pharmacies need to get in on the ball,
• 8:20
  Speaker 1: and they need to have a system in place that
• 8:23
  Speaker 1: no matter how they grow, no matter if they have
• 8:26
  Speaker 1: two hundred locations or they have twenty thousand locations, that
• 8:29
  Speaker 1: they're able to scale and keep up with these giants
• 8:32
  Speaker 1: who have been working on these kind of delivery plans
• 8:36
  Speaker 1: for what twenty twenty five thirty years, so staying ahead
• 8:40
  Speaker 1: of it and being able to have technology that works
• 8:43
  Speaker 1: with your pharmacy management system, it works possibly potentially with
• 8:48
  Speaker 1: reports back to the major operation and being able to
• 8:52
  Speaker 1: divide routes. Joe talk to us about choosing the system
• 8:57
  Speaker 1: that you implemented and how it does work with Pharmacy
• 9:00
  Speaker 1: Management's mag management system, and how it's connected to other
• 9:04
  Speaker 1: things in your operations so that you do scale seamlessly well.
• 9:09
  Speaker 5: When we first decided to look into technology to help
• 9:12
  Speaker 5: us grow the business, we were struggling at a couple
• 9:16
  Speaker 5: hundred deliveries a week. We've decided and we went back
• 9:21
  Speaker 5: and forth and we came across rx RA route. I
• 9:24
  Speaker 5: met the owners of the business we taught. They were
• 9:27
  Speaker 5: extremely extremely great to work they were great to work with.
• 9:33
  Speaker 5: They wanted us be a partner in our business. They
• 9:38
  Speaker 5: wanted to help us grow our business. So they integrated
• 9:42
  Speaker 5: with our pharmacy system, which was great and they have
• 9:46
  Speaker 5: made us sixty percent more efficient as a as a
• 9:51
  Speaker 5: as a pharmacy and as a delivery logistics.
• 9:55
  Speaker 3: In that area we currently have right now of five.
• 10:01
  Speaker 5: To six delivery drivers on the street every day and
• 10:04
  Speaker 5: we're doing a couple hundred deliveries a day, and we
• 10:07
  Speaker 5: do it seamlessly. We have real time delivery, We're able
• 10:10
  Speaker 5: to track our drivers, We're able to move our drivers
• 10:13
  Speaker 5: on the go.
• 10:14
  Speaker 3: If we need to change the route and move a
• 10:17
  Speaker 3: route around our around.
• 10:18
  Speaker 5: Delivery, our delivery team downstairs is able to make that
• 10:24
  Speaker 5: adjustment on the fly. Our drivers are able to do
• 10:27
  Speaker 5: that and that's because of the software package that we
• 10:30
  Speaker 5: use and our ex Raute has made it that easy
• 10:34
  Speaker 5: for us and the logistics that they have helped us.
• 10:37
  Speaker 5: The logistics problems, I should say that they have helped
• 10:40
  Speaker 5: us correct has been amazing and they are one of
• 10:44
  Speaker 5: the reasons that we are able to grow.
• 10:46
  Speaker 3: Like we are.
• 10:49
  Speaker 2: All right, Hey, we're going to take a quick break.
• 10:52
  Speaker 1: When we come back, I have somebody special that's no
• 10:55
  Speaker 1: stranger to This Week in Phiremacy and The Pharmacy Podcast
• 10:59
  Speaker 1: Network Studios.
• 11:00
  Speaker 2: Hold on, we'll be right back.
• 11:09
  Speaker 6: This episode of This Week in Pharmacy is sponsored by
• 11:12
  Speaker 6: RX for Route Pharmacy delivery software built to help pharmacies simplify, optimize,
• 11:17
  Speaker 6: and scale their prescription delivery operations. If your pharmacy is
• 11:21
  Speaker 6: expanding into long term care, at home, medicync delivery, specialty pharmacy,
• 11:26
  Speaker 6: we're simply trying to improve your daily delivery workflow. RX
• 11:30
  Speaker 6: for Route gives your team the tools to do it smarter.
• 11:32
  Speaker 6: Their platform supports route optimization, real time order tracking, proof
• 11:37
  Speaker 6: of delivery, patient notifications, driver management, and seamless integration with
• 11:42
  Speaker 6: leading pharmacy systems. RX for Route helps pharmacies reduce manual work,
• 11:46
  Speaker 6: improve delivery accuracy, and give patients better visibility into when
• 11:50
  Speaker 6: their medications are arriving. Drivers get an easier workflow, pharmacies
• 11:55
  Speaker 6: get better control, and patients get a more reliable experience.
• 11:58
  Speaker 6: Trusted by more than fifteen hundred pharmacies, empowering over seventy
• 12:02
  Speaker 6: thousand deliveries a day, our x for route is helping
• 12:05
  Speaker 6: pharmacies turn delivery into a true competitive advantage. To learn
• 12:09
  Speaker 6: more or schedule a demo, visit our X four route
• 12:12
  Speaker 6: dot com. That's our x the number four route dot Com.
• 12:17
  Speaker 6: Smarter pharmacy delivery starts here.
• 12:28
  Speaker 1: Hey, we're back our X four route. I met Donnie.
• 12:33
  Speaker 1: I met Maya from the parent team. We've had several
• 12:39
  Speaker 1: times Donnie come on the show and talk with us.
• 12:41
  Speaker 1: We've worked with him at pharmacy national pharmacy conferences, our X,
• 12:46
  Speaker 1: the number four route dot com.
• 12:50
  Speaker 2: Check that out.
• 12:51
  Speaker 1: Don't do it while you're driving or jogging. Wait till
• 12:53
  Speaker 1: you get back. There will be links in the show notes. Donnie,
• 12:57
  Speaker 1: welcome back to this Week in Pharmacy. I'm so glad
• 12:59
  Speaker 1: that you were able to thank you Dog. All right,
• 13:03
  Speaker 1: so Joe doesn't have time to mess around with systems
• 13:08
  Speaker 1: that aren't integrated into the pharmacy management system. He doesn't
• 13:11
  Speaker 1: want to pull teeth from a pharmacy system provider of
• 13:16
  Speaker 1: any sort, regardless of it being delivery or even medication
• 13:20
  Speaker 1: management or anything, or packaging or anything. So talk to
• 13:24
  Speaker 1: us about how you work with an independent community pharmacy
• 13:28
  Speaker 1: to transform them from that traditional community pharmacy to now
• 13:32
  Speaker 1: having the opportunity to grow into which in my opinion,
• 13:37
  Speaker 1: is the future a big portion of the future revenue
• 13:40
  Speaker 1: or independent community pharmacies, which is long term care pharmacy
• 13:44
  Speaker 1: at home. Talk to us about how you work with
• 13:46
  Speaker 1: pharmacies out there.
• 13:48
  Speaker 7: Absolutely so.
• 13:50
  Speaker 8: Our platform was specifically built for vacation delivery purposes, unlike
• 13:58
  Speaker 8: any other delivery plots, so you may have come around.
• 14:01
  Speaker 7: We use our platform on daily basis ourselves.
• 14:04
  Speaker 9: We run a career company that does around twenty to
• 14:07
  Speaker 9: twenty five thousand deliveries on daily basis in the East Coast,
• 14:12
  Speaker 9: and given.
• 14:13
  Speaker 7: All of our expertise and knowledge for the pharmacies, we
• 14:16
  Speaker 7: were able to build a platform that helps pharmacies to
• 14:19
  Speaker 7: just run their deliveries as smoothly as possible, sufficiently as possible.
• 14:25
  Speaker 1: Joe, how do you implement something that anytime? I don't
• 14:29
  Speaker 1: have to tell you this, Joe, you know this better
• 14:31
  Speaker 1: than me. I'm preaching to you and I've never done it.
• 14:35
  Speaker 1: I just know because I've been talking to pharmacists for
• 14:37
  Speaker 1: twenty some years.
• 14:39
  Speaker 2: But how disruptive is.
• 14:41
  Speaker 1: It to put in a new technology into your workflow
• 14:44
  Speaker 1: in order to have this scalability that ARCS for Route
• 14:48
  Speaker 1: gives you for delivery.
• 14:50
  Speaker 3: Todd to be completely honest with you.
• 14:52
  Speaker 5: On the team at Ours Royal, Donno's team, they made
• 14:56
  Speaker 5: it a seamless process for us.
• 14:59
  Speaker 3: We started last year.
• 15:01
  Speaker 5: We started January first, and Donnie and his team came
• 15:04
  Speaker 5: in about a week prior, helped us organize things and
• 15:07
  Speaker 5: get it ready and we turned to switch on January first,
• 15:10
  Speaker 5: and we were January second, I should say. And we
• 15:13
  Speaker 5: were often running at that point, and it was a
• 15:16
  Speaker 5: seamless process. A few little hiccups here and there, like
• 15:19
  Speaker 5: I say, his team and their developers, and they were
• 15:23
  Speaker 5: on top of it and fixed everything right away. If
• 15:26
  Speaker 5: we had to make some maneuvers and change some stuff around,
• 15:29
  Speaker 5: and they made it seamless for us.
• 15:32
  Speaker 3: We didn't miss a beat, didn't miss a delivery day.
• 15:37
  Speaker 2: I love that.
• 15:37
  Speaker 1: So in this day and age, I pick up my phone,
• 15:43
  Speaker 1: it's four point thirty in the afternoon. I want some
• 15:48
  Speaker 1: I don't know, Wedndays or something. Punch it in. Might
• 15:51
  Speaker 1: be sorry, I'm what. I live out in the boonies,
• 15:53
  Speaker 1: so it's probably going to be a forty five to
• 15:56
  Speaker 1: sixty minute wait. And that philosophy with GPS and and
• 16:01
  Speaker 1: and how the Internet has grown, that all kind of
• 16:04
  Speaker 1: makes sense to me. But in this case, this this
• 16:07
  Speaker 1: we're talking about medication. We're talking about hippa information, we're
• 16:11
  Speaker 1: talking about privacy. We're talking this is not fast food
• 16:15
  Speaker 1: and and and you know what, Joe, I know that
• 16:17
  Speaker 1: you know this, but there there are big pharmacy giants
• 16:20
  Speaker 1: out there who have tried to commoditize the the services
• 16:25
  Speaker 1: that pharmacists and pharmacy technicians delivered to their community. It's
• 16:29
  Speaker 1: anything but commodity. It's it's people's lives that are that
• 16:32
  Speaker 1: are at stake. But the public has been trained to
• 16:35
  Speaker 1: kind of think of things as commodity that shouldn't and
• 16:40
  Speaker 1: of course my health health is not a commodity. But
• 16:43
  Speaker 1: how how is there differential between the average bare delivery
• 16:48
  Speaker 1: system that I'm getting as a consumer and then the
• 16:51
  Speaker 1: world of ARCS for Route that's integrated into a healthcare
• 16:55
  Speaker 1: healthcare organization like you guys.
• 16:59
  Speaker 5: One of the one of the different which is we
• 17:00
  Speaker 5: found with RX for Route is their compliance. They are
• 17:05
  Speaker 5: basically focused on compliances, all regulated hippo compliance.
• 17:10
  Speaker 3: They they helped us.
• 17:12
  Speaker 5: They store the delivery information for ten years, which is
• 17:16
  Speaker 5: CMS compliance. That's basically what sold me when I first
• 17:22
  Speaker 5: was investigating RX for Route, I was amazed that they
• 17:25
  Speaker 5: were able to take that and help me with that
• 17:28
  Speaker 5: compliance aspect of deliveries, so it's at my fingertips whenever
• 17:32
  Speaker 5: I needed for the next ten years. So I feel
• 17:37
  Speaker 5: with using RX for Route, completely secure and everything they
• 17:42
  Speaker 5: do and patients information and all PPI information is completely
• 17:47
  Speaker 5: secure with it. And like I said, it's just a great,
• 17:51
  Speaker 5: great system that I rave about.
• 17:56
  Speaker 1: Johnnie, talk to us about compliance like it's going to
• 17:59
  Speaker 1: be a nightmare for me as a pharmacy owner if
• 18:01
  Speaker 1: I have some kind of audit, there's some kind of issue,
• 18:05
  Speaker 1: and I don't have data at my fingertips to dial
• 18:07
  Speaker 1: into the most minute detail. So talk to us about
• 18:11
  Speaker 1: arcstro route and the compliance side of it.
• 18:15
  Speaker 4: Absolutely.
• 18:16
  Speaker 9: So, starting off, we are socked to certified, which allows
• 18:20
  Speaker 9: large pharmacies hospitals at any level to use our platform
• 18:24
  Speaker 9: security as well as we're hit A compliant as well,
• 18:27
  Speaker 9: and as JoJo's mentioned, we also store all your data
• 18:31
  Speaker 9: for up to ten years for you. Not only we
• 18:33
  Speaker 9: send that data back to your pharmacy management system, but
• 18:36
  Speaker 9: also is stored on our end at any time that
• 18:40
  Speaker 9: you need to.
• 18:43
  Speaker 1: And then let's shift to one of my favorite subjects
• 18:46
  Speaker 1: in the realm of growing a business, and Joe, this
• 18:50
  Speaker 1: is more for you. Talk to us about optimizing routes
• 18:54
  Speaker 1: depending on the time of day, depending on how many
• 18:57
  Speaker 1: patients you have in a geographic area, and then more
• 19:00
  Speaker 1: importantly emergencies that may come up. Talk to us about
• 19:04
  Speaker 1: optimizations and routes.
• 19:07
  Speaker 8: Well.
• 19:08
  Speaker 5: Route optimization with our four route is fairly easy when
• 19:12
  Speaker 5: the night before when when the routes are loaded for
• 19:16
  Speaker 5: our drivers, our drivers come in verify the routes and
• 19:19
  Speaker 5: they are in and out of the building twenty minutes
• 19:24
  Speaker 5: half hour tops to pick up their routes, and then
• 19:28
  Speaker 5: our drivers are we're back in the building and then
• 19:32
  Speaker 5: we do a second route. During the day, we do
• 19:34
  Speaker 5: a second delivery for not for all our drivers, but
• 19:37
  Speaker 5: for a large number of our drivers will do a
• 19:40
  Speaker 5: second delivery run. That optimization and the availability, like I
• 19:48
  Speaker 5: said previously, for us from in house here to handle
• 19:52
  Speaker 5: a change that's happening on the street. If a character
• 19:55
  Speaker 5: calls and says, hey, we can't take that, we can't
• 19:57
  Speaker 5: accept delivery that day, my delivery department can actually remove
• 20:02
  Speaker 5: that package from the driver while they're on the street,
• 20:08
  Speaker 5: takes it right out of their system. They don't even
• 20:10
  Speaker 5: make the stop at that point, it's gone, so it
• 20:13
  Speaker 5: saves optimizes their time on the street. They just bring
• 20:16
  Speaker 5: the package back and it gets sent for the next
• 20:19
  Speaker 5: day delivery if it needs to be. So we can
• 20:21
  Speaker 5: make changes on the fly with the arcs for route
• 20:23
  Speaker 5: that we can do from the back end here at
• 20:26
  Speaker 5: the pharmacy, and it makes the optimizes it amazingly.
• 20:33
  Speaker 1: Johnnie, let's talk about the dashboard. I mean someone like
• 20:36
  Speaker 1: Joe who has a pick and charge the pharmacies back there,
• 20:40
  Speaker 1: it's kind of running the operation. They open up the dashboard,
• 20:44
  Speaker 1: talk to our listeners about what type of management things
• 20:47
  Speaker 1: are happening at that point.
• 20:49
  Speaker 10: Absolutely, so, this thoughtforum has been built by us. We
• 20:54
  Speaker 10: utilize this thoughtsform daily on daily basis ourselves. So we've
• 20:57
  Speaker 10: made it as easy as possible, and we've made it
• 21:00
  Speaker 10: We originally was was building we're building it for ourselves,
• 21:03
  Speaker 10: but then we had a lot of clients within house
• 21:05
  Speaker 10: drivers that were asking us to use wise how platforms,
• 21:08
  Speaker 10: and we made it available and official for everyone else.
• 21:11
  Speaker 10: The reason everything is so thought through and easy to
• 21:15
  Speaker 10: use because we use it on daily basis. Right, think
• 21:19
  Speaker 10: of it as the platform the built for your drivers.
• 21:23
  Speaker 10: Think of it of the same control level, same access
• 21:25
  Speaker 10: level to do anything that pretty much comes to your mind. Uh,
• 21:29
  Speaker 10: the remove, change, exchange pretty much anything that comes to
• 21:34
  Speaker 10: your mind.
• 21:35
  Speaker 7: There's there's there's no limit in the platform.
• 21:39
  Speaker 2: Jo Let's talk about money.
• 21:42
  Speaker 1: Yeah that let's let's talk about money because there's lots
• 21:44
  Speaker 1: of operators out there who want to understand if I
• 21:49
  Speaker 1: implement invest in and disrupt my operations, put something new
• 21:54
  Speaker 1: in that and of itself is is nerve wracking. But
• 21:58
  Speaker 1: but how long does it take to see that profit
• 22:02
  Speaker 1: difference between where you were and then where you are
• 22:06
  Speaker 1: with let's say the first two hundred locations, but then
• 22:09
  Speaker 1: all of a sudden you start adding in more locations
• 22:11
  Speaker 1: and you're seeing revenue grow based on the demands of
• 22:15
  Speaker 1: your of your patient base.
• 22:18
  Speaker 3: I think you're asking me for our our.
• 22:22
  Speaker 5: How efficient ARCS for Out has made us. It was
• 22:27
  Speaker 5: it was instantaneously We've seen a difference in money we
• 22:30
  Speaker 5: were spending for deliveries, for to get the packages to
• 22:34
  Speaker 5: the patients and to the caregivers to It was an
• 22:38
  Speaker 5: instantaneous change where we actually save money with our X
• 22:42
  Speaker 5: for out. I could say I saved around seven hundred
• 22:46
  Speaker 5: dollars a month right off the top, flat out.
• 22:50
  Speaker 2: It's incredible. Yeah, that is incredible. That's huge.
• 22:55
  Speaker 1: That really gives me, and that gives our listeners an
• 22:59
  Speaker 1: idea of what this means for the bottom line. I mean,
• 23:02
  Speaker 1: that's the most important thing, not having the second guess,
• 23:06
  Speaker 1: not having to worry about am I choosing the right
• 23:09
  Speaker 1: technology based on my operation and where I want to
• 23:12
  Speaker 1: go as a service provider pharmacy deserts. We know with
• 23:16
  Speaker 1: right Aid closing down, we know with many of the
• 23:19
  Speaker 1: Walgreens and even CBS is closing down, there are pockets
• 23:23
  Speaker 1: of Now it's not two miles away from your pharmacy,
• 23:26
  Speaker 1: the nearest pharmacy. Sometimes it's twenty miles away from your
• 23:31
  Speaker 1: from your from your pharmacy. So, Joe, what for with
• 23:35
  Speaker 1: Centennial Pharmacy's business? Are you picking out a kind of
• 23:40
  Speaker 1: a pinpoint in the map and are you are you
• 23:43
  Speaker 1: saying our limitations are X number of miles away or
• 23:48
  Speaker 1: are you saying that's it, I'm gonna We're gonna go.
• 23:50
  Speaker 1: We're going to be able to to to just grow
• 23:52
  Speaker 1: no matter where it is within a within a certain
• 23:55
  Speaker 1: geographic location. And how how does our X for route
• 23:58
  Speaker 1: kind of help you play into that?
• 24:00
  Speaker 5: What we are in Pennsylvania, Southeastern Pennsylvania. We serve Pennsylvania,
• 24:04
  Speaker 5: New Jersey and Delaware. Our x Fraralte has made that
• 24:11
  Speaker 5: we can expand our logistical area with our X for raut,
• 24:15
  Speaker 5: which we weren't able to do prior to that.
• 24:18
  Speaker 3: We are more efficient. We know what routes we have
• 24:21
  Speaker 3: to build and.
• 24:22
  Speaker 5: Where are logistically we're building our routes into let's say,
• 24:27
  Speaker 5: the New Jersey area, How we're building our routes down
• 24:29
  Speaker 5: to the area of Delaware and as we go western,
• 24:33
  Speaker 5: as we go out west in Pennsylvania, how we expanding
• 24:37
  Speaker 5: out to possibly Harrisburg. How we can get out that
• 24:39
  Speaker 5: far while serving out of the Philadelphia area from one
• 24:44
  Speaker 5: central location. Dinning this team and made that available to us,
• 24:50
  Speaker 5: and our X route has made that available.
• 24:53
  Speaker 1: That's incredible, all right? So I think of people at home.
• 24:57
  Speaker 1: I understand the medication delivery. We've already talked talked about that.
• 25:01
  Speaker 1: The people that are at home sometimes their conditions change
• 25:06
  Speaker 1: all of a sudden. I need a walker, I need
• 25:09
  Speaker 1: a cane.
• 25:10
  Speaker 2: I need a.
• 25:11
  Speaker 1: Special contraption for my you know, for my toilet so
• 25:15
  Speaker 1: I can sit on and not have to, you know,
• 25:17
  Speaker 1: be uncomfortable. So are there other things that your team
• 25:21
  Speaker 1: is thinking of and saying, hey, we're already delivering medications
• 25:24
  Speaker 1: every day. Are there other Are there other components, other
• 25:28
  Speaker 1: services Joe, that your team is now kind of empowered
• 25:33
  Speaker 1: to offer to all of your long term care pharmacy
• 25:36
  Speaker 1: at home patients.
• 25:38
  Speaker 2: And how has that impacted the.
• 25:39
  Speaker 5: Business Centennial strictly does medication management. We strictly our medication
• 25:45
  Speaker 5: management company dealing with long term care at home and
• 25:49
  Speaker 5: we do clinical MTM services for patients. We do have
• 25:54
  Speaker 5: the availability to we provide the information and outsource. If
• 25:58
  Speaker 5: somebody needs, like you said, walk or something like that,
• 26:01
  Speaker 5: we have contacts that we give them from that we
• 26:04
  Speaker 5: can direct them to the proper place to get that
• 26:07
  Speaker 5: what they need in a timely manner.
• 26:12
  Speaker 1: And then how about the world of the patient wondering
• 26:14
  Speaker 1: where things are, if they're a little bit extra worried
• 26:17
  Speaker 1: of are are there? Is there a patient side of
• 26:20
  Speaker 1: this where they're like, hey, I know that my medication
• 26:23
  Speaker 1: is arriving at three pm Eastern time? Is there a
• 26:26
  Speaker 1: system that you can give the patient and rest ashore
• 26:30
  Speaker 1: so they can kind of be part of this logistics environment,
• 26:34
  Speaker 1: this delivery environment.
• 26:36
  Speaker 5: Yes, the patients are contacted and are given a time
• 26:40
  Speaker 5: and their deliveries are coming out, and we give them
• 26:43
  Speaker 5: a window and we give them.
• 26:45
  Speaker 3: They're contacted by the system and.
• 26:50
  Speaker 5: We can tell the patient where are where the drivers
• 26:53
  Speaker 5: are when we get fifteen minutes ten minutes from their location.
• 26:57
  Speaker 5: We could tell the patient, the caregiver what's when to
• 27:01
  Speaker 5: expect the driver to be there, and that's that's made
• 27:03
  Speaker 5: available through our x raraun. That system has that availability
• 27:07
  Speaker 5: and that's been a lifesaver for us.
• 27:12
  Speaker 1: Johnnie, talk to us about the API, the integration into
• 27:15
  Speaker 1: the pharmacy management system, because the last thing I want
• 27:17
  Speaker 1: to do is have to double key things like I
• 27:21
  Speaker 1: don't I don't want that. I want to integration immediately
• 27:23
  Speaker 1: into the system. Talk to us about integration.
• 27:27
  Speaker 7: Absolutely, it's a.
• 27:29
  Speaker 11: Two integration that we have with pretty much all pharmacy
• 27:32
  Speaker 11: management systems that are out there. Not only will receive
• 27:36
  Speaker 11: the information on our rent, but we also send this back.
• 27:39
  Speaker 11: There's a lot of settings that you can play around
• 27:41
  Speaker 11: with during the integration, depending on data of delivery, delivery type, time, Windows.
• 27:48
  Speaker 7: Order types, just pretty much a lot.
• 27:50
  Speaker 4: Right.
• 27:51
  Speaker 11: Our platform is not a one platform fit's all. There's
• 27:54
  Speaker 11: a lot of customizations that you could do yourself, and
• 27:56
  Speaker 11: the settings to make sure that it is fully tailored
• 27:58
  Speaker 11: up to your workflow, to your pharmacy operations. So this
• 28:02
  Speaker 11: way it fits in perfectly, rather than you adjusting something
• 28:06
  Speaker 11: from your pharmacy to make it work with our platform.
• 28:09
  Speaker 11: So we make any necessary changes, you can make them
• 28:12
  Speaker 11: as well, and it's it's us easy as it can
• 28:15
  Speaker 11: possibly get.
• 28:19
  Speaker 2: All right, Joe, what about the future.
• 28:20
  Speaker 1: What do you have planned in the rest of twenty
• 28:24
  Speaker 1: twenty six and twenty seven with regards to services that
• 28:27
  Speaker 1: you're offering. Is it more of an expansion of numbers
• 28:30
  Speaker 1: or are you drilling down into what you're offering your patients,
• 28:33
  Speaker 1: especially with the remote services that you're offering with I
• 28:38
  Speaker 1: would imagine some telehealth or something else in order to
• 28:41
  Speaker 1: keep that relationship in that connection, that's the key to
• 28:44
  Speaker 1: keeping patients and then you know, continuing to grow.
• 28:46
  Speaker 2: So talk to us about the future.
• 28:49
  Speaker 5: Well, the future, Centennial is right. We're looking to grow
• 28:53
  Speaker 5: and continue to grow in the Philadelphia and the regional area,
• 28:58
  Speaker 5: and we're excited where we're going. And we are happy
• 29:01
  Speaker 5: to have a partner like RX for Route with us
• 29:04
  Speaker 5: helping us expand this. And we're excited to see where
• 29:09
  Speaker 5: where we can take Centennial and where we can how
• 29:13
  Speaker 5: we can offer long term care at home services to
• 29:15
  Speaker 5: the people throughout the whole Delaware Valley, New Jersey and Sylvania,
• 29:18
  Speaker 5: New Jersey and Delaware.
• 29:20
  Speaker 4: Love it.
• 29:22
  Speaker 2: I love it.
• 29:22
  Speaker 1: Hey, this interview in this podcast episode was going just
• 29:27
  Speaker 1: fine until I realized that you're probably a Philadelphia Eagles fan.
• 29:33
  Speaker 1: Am I assuming correctly?
• 29:34
  Speaker 4: Joe?
• 29:36
  Speaker 3: Yes, I am all right.
• 29:39
  Speaker 1: Well, this is Steeler country over here and in my
• 29:43
  Speaker 1: age that I'm at. Can we just get a super
• 29:46
  Speaker 1: Bowl where that's all Pennsylvania and we'll make Donnie Bias
• 29:50
  Speaker 1: tickets to at least one of the playoffs, maybe the
• 29:53
  Speaker 1: of the the AFC Championship or something like that in Pittsburgh.
• 29:58
  Speaker 3: And I'll forget. We just beat the that's burn England's
• 30:01
  Speaker 3: in hockey.
• 30:02
  Speaker 1: I know that you had to rub that in. See
• 30:04
  Speaker 1: I opened that door. Hey, I so much appreciate you,
• 30:11
  Speaker 1: Joe sharing your story. I do want to give a
• 30:13
  Speaker 1: shout out to Lindsay. She, like I said, Rockstar. By
• 30:17
  Speaker 1: the way, listeners, if you want to grow your long
• 30:21
  Speaker 1: term care pharmacy at home business, reach out to us
• 30:25
  Speaker 1: at long at Pharmacy podcast Network.
• 30:28
  Speaker 2: Look up long Term.
• 30:30
  Speaker 1: If you go to Google, just put in long Term
• 30:32
  Speaker 1: LTC Pharmacy at Home Network. You'll be able actually actually
• 30:36
  Speaker 1: be able to get in touch with Lindsay. But even
• 30:39
  Speaker 1: I'm gonna put Joe, I'm gonna put your LinkedIn connection
• 30:42
  Speaker 1: down on the show notes. If other owners want to
• 30:44
  Speaker 1: reach out to you on LinkedIn. I'm gonna put that
• 30:47
  Speaker 1: in there so they can maybe ask some questions. But
• 30:49
  Speaker 1: I really appreciate the insights that you you shared with
• 30:52
  Speaker 1: our listeners today.
• 30:53
  Speaker 3: Sure, thank you, I appreciate it. You take care, Thank you.
• 30:56
  Speaker 1: And Donnie you're you're always available to give us some insights.
• 31:00
  Speaker 1: We appreciate your insight. We appreciate what you do. The website,
• 31:04
  Speaker 1: by the way, is our X for route. That's our
• 31:08
  Speaker 1: X the number four route dot com. And we thank
• 31:13
  Speaker 1: you for listening to this Week in Pharmacy see guys,
• 31:17
  Speaker 1: thank you again.
• 31:20
  Speaker 6: Feeling lost with the complexities of pharmacy accounting.
• 31:23
  Speaker 12: In pharmacy today, there's so many different variables and issues
• 31:29
  Speaker 12: that impact the pharmacy, books, records, accounting, the profitabilities, so
• 31:33
  Speaker 12: or so forth. There's different components of pharmacy that have
• 31:36
  Speaker 12: its own nuances from an accounting standpoint, and so it's tricky,
• 31:40
  Speaker 12: there's no doubt about it.
• 31:41
  Speaker 6: Ready to take your pharmacy to the next level, but
• 31:43
  Speaker 6: don't know where to start. Psychs and Company is here
• 31:46
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• 31:51
  Speaker 6: the pharmacy CPAs and advisors at PSYCHS will do a
• 31:54
  Speaker 6: deep dive into your accounting and tax situation and give
• 31:57
  Speaker 6: you the action steps you need to take to your
• 32:00
  Speaker 6: pharmacy to the next level.
• 32:02
  Speaker 12: If you're interested in, you know, working with a team
• 32:05
  Speaker 12: who understands the industry and how the accounting in tact
• 32:08
  Speaker 12: should really be in a pharmacy, this is this is
• 32:12
  Speaker 12: your chance to get under the hood check of what's
• 32:14
  Speaker 12: going on and getting the feedback of any issues or
• 32:17
  Speaker 12: concerns or again things we think you're doing really well.
• 32:20
  Speaker 6: Get the financial check up your pharmacy needs and head
• 32:23
  Speaker 6: over to Sykes hyphen CPA dot com or call two
• 32:26
  Speaker 6: five two four eight two seven six four four.
• 32:38
  Speaker 1: Back to this week in pharmacy, we are twerksing with
• 32:42
  Speaker 1: Vincent Grippy. I should say, I should like sing it Vincent,
• 32:47
  Speaker 1: I should say he's back, He's back, like like you know, like,
• 32:53
  Speaker 1: what was that?
• 32:53
  Speaker 4: What was that song?
• 32:54
  Speaker 13: It's some Oh that was that Imminem song? Right?
• 32:58
  Speaker 4: Yeah?
• 32:58
  Speaker 13: Yeah, remember buying that record back in school when it
• 33:03
  Speaker 13: was still cool to buy CDs.
• 33:06
  Speaker 1: We're starting to feel old, We're starting to react to
• 33:09
  Speaker 1: things old. I'm a gen xer, you're a millennial. We're
• 33:12
  Speaker 1: talking about AI today, which is really fun. It's one
• 33:15
  Speaker 1: of my most favorite subjects. Just got back from Assembia,
• 33:18
  Speaker 1: the largest gathering of specialty pharmacy people that are focused
• 33:22
  Speaker 1: on the business of specialty pharmacy and women's health, and
• 33:25
  Speaker 1: AI and specialty were the two leading discussions that we
• 33:29
  Speaker 1: were hearing all about. You did a really interesting deep
• 33:33
  Speaker 1: research blog and this is on grippymedia dot com. I'm
• 33:37
  Speaker 1: the put a link to this in the show notes
• 33:40
  Speaker 1: for our listeners. So if you're driving or doing something
• 33:42
  Speaker 1: you can't look at the screen, don't worry about it.
• 33:44
  Speaker 1: But Vincent put blog out that was titled AI marketing
• 33:49
  Speaker 1: scams are Hijacking the GLP one boom and event. You
• 33:55
  Speaker 1: did an amazing job on really drawing out the dangers
• 33:59
  Speaker 1: of of these of these bots and of this use
• 34:03
  Speaker 1: of AI to dig into what is the gold rush
• 34:07
  Speaker 1: right now in medicine in one of them is the
• 34:12
  Speaker 1: realm of GLP ones and managing obesity. But kind of
• 34:16
  Speaker 1: talk to our listeners about this about your publication.
• 34:19
  Speaker 13: Yeah, so what happened was recently at the New York Times,
• 34:22
  Speaker 13: they had published a glowing profile of a telehealth company
• 34:27
  Speaker 13: called medv that they celebrated as the very first one
• 34:32
  Speaker 13: man company to ever generate a billion dollars. I think
• 34:36
  Speaker 13: it is actually one point eight billion dollars in revenue
• 34:39
  Speaker 13: using not like.
• 34:41
  Speaker 4: You know, a human staff or team, but everyday AI tools.
• 34:46
  Speaker 13: Calling medv a telehealth company is generous or more of
• 34:50
  Speaker 13: like a marketing middleman that would promote you know, GLP
• 34:54
  Speaker 13: one's compound JLP ones two people who were eager to
• 34:57
  Speaker 13: lose weight. And what they would do is they would
• 34:59
  Speaker 13: do all marketing, all of this promotion. They would capture
• 35:02
  Speaker 13: these patients and then kick them over to compound pharmacies
• 35:06
  Speaker 13: and actual telehealth providers and then collect the commission on it.
• 35:10
  Speaker 4: The story went viral.
• 35:11
  Speaker 13: Everybody was talking about it, celebrating it on social media
• 35:14
  Speaker 13: about you know, hey, this is what AI can unlock.
• 35:18
  Speaker 13: But shortly thereafter, it was revealed that medve and the
• 35:23
  Speaker 13: story behind the company itself was just a big fabrication.
• 35:28
  Speaker 13: In most cases, you know, they were not a one
• 35:32
  Speaker 13: man show. They were actually a network of affiliate marketers,
• 35:37
  Speaker 13: and they did not generate a.
• 35:38
  Speaker 4: Billion dollars in revenue. You know.
• 35:40
  Speaker 13: The one point eight figure is a figure that you
• 35:42
  Speaker 13: just keep hearing right now, is an ARR which is
• 35:44
  Speaker 13: annualized run rate, which is essentially you taking your highest
• 35:48
  Speaker 13: performing revenue month, multiplying it by twelve and saying, yeah,
• 35:52
  Speaker 13: that's how much money we're making this year, which the
• 35:54
  Speaker 13: equivalent to like me, you know, getting an A on
• 35:57
  Speaker 13: one math test and then till my parents like that,
• 36:00
  Speaker 13: you know, I'm going to ace the class when I'm
• 36:01
  Speaker 13: like probably failing it. So you know, that stuff is
• 36:05
  Speaker 13: obviously concerning enough, but the real meat of the story
• 36:11
  Speaker 13: is the shady and deceptive and spammy marketing practices that
• 36:17
  Speaker 13: might be used to promote its products to unsuspecting patients.
• 36:23
  Speaker 1: And the pictures they were using, even the pictures of
• 36:26
  Speaker 1: the physicians that were being quoted. You put in some
• 36:32
  Speaker 1: o their comments around that, and oh, yeah, that gets
• 36:35
  Speaker 1: you know, let's couple let's let's couple this with the
• 36:40
  Speaker 1: truth about the long term potential side effects of the
• 36:46
  Speaker 1: gl GLP one craze, the semiglutides, the tri zeppritides, you know,
• 36:53
  Speaker 1: et cetera. I mean we're talking about now they're coming
• 36:56
  Speaker 1: out with studies that they're like, hey, you're going to
• 36:59
  Speaker 1: have more gastro gastro issues, I got issues. You're going
• 37:03
  Speaker 1: to have potential muscle loss, your bones are going to
• 37:06
  Speaker 1: start getting bubbles in them. I forget what that's called osteoporosis,
• 37:11
  Speaker 1: not a physician or or a armacist, but they showed
• 37:16
  Speaker 1: pictures of bones that there's these tiny little bubbles in
• 37:19
  Speaker 1: the bones where it's like almost becoming more brittle, and
• 37:23
  Speaker 1: thyroid issues dependency, and then of course mental health has
• 37:28
  Speaker 1: been attributed with it. So you're OBEs, you get on
• 37:33
  Speaker 1: one of these, I think it's a wonder drug. I
• 37:36
  Speaker 1: think that it's amazing they drop one hundred and fifty pounds.
• 37:39
  Speaker 1: But by the time you get down to the weight
• 37:42
  Speaker 1: that the physician in your team is saying, let's get
• 37:46
  Speaker 1: you one hundred and sixty pounds. Me, let's do me.
• 37:50
  Speaker 1: I'm five foot seven, I'm one hundred and fifty eight pounds.
• 37:55
  Speaker 1: I actually no, I'm lying. I'm about one hundred and
• 37:57
  Speaker 1: seventy I should be about one hundred and fifty five pounds.
• 38:00
  Speaker 1: So I'm not really a candidate. But if I did
• 38:02
  Speaker 1: take it take it for me to get to that level,
• 38:05
  Speaker 1: and by the time I reached that level. For people
• 38:07
  Speaker 1: that are obese and they're losing hundreds of pounds or
• 38:11
  Speaker 1: over one hundred pounds, you have to have a plan
• 38:14
  Speaker 1: that by the time you get to that weight with
• 38:16
  Speaker 1: some kind of estimation, your physician will be like, hey,
• 38:20
  Speaker 1: let's get you down over once again. Not a physician,
• 38:24
  Speaker 1: So I'm just making this up. Let's get you down
• 38:26
  Speaker 1: in nine months or twelve months. Right in twelve months,
• 38:29
  Speaker 1: you better have a new diet, you better have an
• 38:32
  Speaker 1: exercise plan, you better have So it's the baton. I'm
• 38:37
  Speaker 1: taking the health baton, and I'm saying I'm gonna get
• 38:41
  Speaker 1: a little head start on this. I'm going to get
• 38:42
  Speaker 1: the GLP one shot. I'm going to lose all this
• 38:44
  Speaker 1: weight over a healthy period of time. Then the baton
• 38:48
  Speaker 1: is handed to the next level of my health and life,
• 38:52
  Speaker 1: which is I learned to eat within that one year, Vince,
• 38:56
  Speaker 1: I have to learn to eat differently within that one year.
• 38:59
  Speaker 1: I have to learn to exercise within that one year.
• 39:02
  Speaker 1: I have to change my freaking life or I have
• 39:06
  Speaker 1: to be on this medication for too long and then
• 39:08
  Speaker 1: all of a sudden, that's when all these side effects
• 39:11
  Speaker 1: take place. So let's couple the reality with the with
• 39:15
  Speaker 1: the bullshit, you know, AI generated stuff, and it's a crisis,
• 39:20
  Speaker 1: like it's not good.
• 39:22
  Speaker 4: Yeah, well it was really bad.
• 39:23
  Speaker 13: In the case of MEDV because you know, yes, they
• 39:27
  Speaker 13: were promoting actual you know, they were promoting GLP ones
• 39:31
  Speaker 13: like the injectionable that you know were compounded, but they
• 39:35
  Speaker 13: were also promoting MEDV branded or alterzeppetites, which they're not
• 39:42
  Speaker 13: FBA approved, and actually it's pretty clear that they're not effective.
• 39:46
  Speaker 4: They do not work, they don't do anything.
• 39:48
  Speaker 13: MEDV is actually getting in trouble for that, specifically by
• 39:51
  Speaker 13: claiming that they create this product that they do not.
• 39:55
  Speaker 13: And what's scary about it is, yeah, they did everything
• 39:58
  Speaker 13: from using AI generated doctors, AI generated before and after
• 40:03
  Speaker 13: weight loss photos and the ones that weren't AI generated
• 40:06
  Speaker 13: that were real photos. They were pictures of real people
• 40:09
  Speaker 13: that they stole from Reddit that did not use this
• 40:12
  Speaker 13: service and did not use jlp ones at.
• 40:14
  Speaker 4: All to lose their weight.
• 40:16
  Speaker 13: They did a lot of really sketchy stuff, but you know,
• 40:20
  Speaker 13: they're actually just the tip of the iceberg. There's and
• 40:23
  Speaker 13: I covered this in that blog poster, tons of businesses
• 40:28
  Speaker 13: that are promoting all sorts of weight loss drugs, from
• 40:31
  Speaker 13: jlp ones to these pink salt drinks like g Lipomax
• 40:35
  Speaker 13: and what have you. And they're using fake celebrity endorsements
• 40:39
  Speaker 13: like Oprah Winfrey and fake doctors all of this stuff,
• 40:44
  Speaker 13: and they're using you know, meta ads and what have
• 40:46
  Speaker 13: you to promote them and these. In those cases, it's
• 40:51
  Speaker 13: even worse than medve because people are outright getting scammed.
• 40:54
  Speaker 13: I mean, people are losing tons of money. Then they
• 40:57
  Speaker 13: go to call for a refund or they go to
• 40:59
  Speaker 13: find hunt this business down, they disappear.
• 41:02
  Speaker 4: The Actually, the.
• 41:03
  Speaker 13: FDA Commissioner, Marty Mcery, who we had on a podcast
• 41:06
  Speaker 13: not too long ago, said that in the last six
• 41:09
  Speaker 13: months the FDA had to hand out more warnings to
• 41:12
  Speaker 13: pharma and health and telehealth companies than they did in
• 41:15
  Speaker 13: the entire decade prior. So this is a yeah, it's
• 41:19
  Speaker 13: a real concern for sure.
• 41:21
  Speaker 4: It's wild.
• 41:22
  Speaker 1: So as content developers on this week in Pharmacy, a
• 41:28
  Speaker 1: fellow content mega lord of podcasts, one of the czars,
• 41:34
  Speaker 1: Dan Kendall, had had published about AI getting involved in
• 41:40
  Speaker 1: podcast development, and of course I think he posted it
• 41:44
  Speaker 1: and within an hour I was commenting on it because
• 41:47
  Speaker 1: I love his posts anyway, and it and it really
• 41:50
  Speaker 1: it really stuck with me. It was like, you know what,
• 41:53
  Speaker 1: I like using AI for organization and I like using
• 41:58
  Speaker 1: it for you know, uh, spell checking really more than anything,
• 42:02
  Speaker 1: which is hilarious to just admit it. But this article
• 42:06
  Speaker 1: that he references is like, hey, there's podcasts out there
• 42:10
  Speaker 1: that are being generated and claiming to be physicians, claiming
• 42:14
  Speaker 1: to be medical information, and the information is is anything
• 42:20
  Speaker 1: but but verifiable or anything, but you know, evidence based,
• 42:24
  Speaker 1: and and I think this is dangerous. I think that
• 42:28
  Speaker 1: that we have to have some standards in place that
• 42:31
  Speaker 1: say something like, hey, you can publish whatever you want,
• 42:35
  Speaker 1: use whatever you want, but you have to make a
• 42:38
  Speaker 1: statement at the beginning of a podcast or the beginning
• 42:41
  Speaker 1: of a video or on a graph graphic in the
• 42:44
  Speaker 1: meda tagging or something that hey, this is AI driven,
• 42:47
  Speaker 1: be cautious and just say, hey, you have to be cautious.
• 42:50
  Speaker 1: This isn't you know. You need consult with your physician,
• 42:53
  Speaker 1: just like they do on commercials where they're like, hey,
• 42:55
  Speaker 1: make sure consult with your freaking physician before you take
• 42:58
  Speaker 1: this medication, because they're the ones that really should be
• 43:01
  Speaker 1: helping you to make these determinations. We need get into
• 43:04
  Speaker 1: that same thing with content that's developed by AI.
• 43:08
  Speaker 4: Yeah, I agree.
• 43:09
  Speaker 13: I think that, Yeah, it goes even further than that.
• 43:11
  Speaker 13: I think it's just it all comes down to accountability.
• 43:17
  Speaker 13: In that blog post, I actually pointed to this research
• 43:20
  Speaker 13: that came from the Coalition of Health AI I think
• 43:24
  Speaker 13: about a month ago maybe.
• 43:25
  Speaker 4: Two, where you know, they asked.
• 43:28
  Speaker 13: A group of patients like, hey, you know, how do
• 43:32
  Speaker 13: you feel about the use of AI and healthcare? And
• 43:34
  Speaker 13: I think it was like ninety three percent of them
• 43:36
  Speaker 13: said they had genuine concerns about the use of AI
• 43:39
  Speaker 13: and healthcare, and more than half of them, I think
• 43:42
  Speaker 13: it was like fifty one percent or something had said
• 43:45
  Speaker 13: that the use of AI and healthcare actually makes them
• 43:47
  Speaker 13: trust it less. But they did ask them, hey, you
• 43:52
  Speaker 13: know what, if accountability was clearer, would it make you
• 43:56
  Speaker 13: trust the use of AI and healthcare more?
• 43:58
  Speaker 4: And eighty percent of them said yes.
• 44:00
  Speaker 13: And I think that that does apply to marketing as well, right,
• 44:05
  Speaker 13: because look, we all use AI, and like whenever you
• 44:09
  Speaker 13: use like any chatbot, it'll have that you know that
• 44:12
  Speaker 13: patented you know that makes mistakes warning beneath the input field.
• 44:17
  Speaker 4: But that's really not enough.
• 44:20
  Speaker 13: Bob Walker, whose book actually have on the Wall behind Me,
• 44:23
  Speaker 13: we had him on a podcast too. He was talking
• 44:25
  Speaker 13: about ambient documentation right for doctors when you have appointments
• 44:29
  Speaker 13: with your patients and you're saying, yes, it's great, there's
• 44:31
  Speaker 13: benefits for both the patient and of course the doctors,
• 44:35
  Speaker 13: and you can say, hey, yeah, we've got a human
• 44:37
  Speaker 13: in the loop checking this stuff. The doctors are going
• 44:39
  Speaker 13: to check the notes, make sure it's verified and that
• 44:41
  Speaker 13: it's it's accurate. But he said, realistically, he knows that
• 44:46
  Speaker 13: many doctors eventually are going to settle in and just
• 44:48
  Speaker 13: get too comfortable with the technology and they're going to
• 44:51
  Speaker 13: just sign off on something that was accurate that perhaps wasn't.
• 44:55
  Speaker 4: And I think that that's.
• 44:56
  Speaker 13: Why, like we kind of have to go beyond just
• 45:01
  Speaker 13: you know, being transparent that like, hey, here's how we're
• 45:03
  Speaker 13: using AI and where it was used, and actually be
• 45:06
  Speaker 13: a little bit more clear onlike how we're we're being
• 45:09
  Speaker 13: accountable in the content that we're using it for or
• 45:13
  Speaker 13: how we're using it me personally, and you know this,
• 45:16
  Speaker 13: I like to use it for operational stuff and you know,
• 45:19
  Speaker 13: things like like data entry and stuff like that. You know,
• 45:22
  Speaker 13: when you start introducing things like agents and you know,
• 45:26
  Speaker 13: AI generated content in general, you know, fully automated, you're
• 45:31
  Speaker 13: you're really opening yourself and in the case of healthcare,
• 45:35
  Speaker 13: your audience up to you know, SARMs, and I think
• 45:39
  Speaker 13: accountability needs to be front and center and everything that
• 45:42
  Speaker 13: we do and transparency.
• 45:44
  Speaker 1: So, as I said Vince when we got back from Assembia,
• 45:47
  Speaker 1: there are companies out there that are helping to use
• 45:50
  Speaker 1: AI to to offer more customer or patient interaction based
• 45:56
  Speaker 1: on a specific treatment. And what's happening is the AI
• 46:00
  Speaker 1: bought is accessing the electronic health record that is very
• 46:05
  Speaker 1: intense about the pharmacy care, specifically about the pharmacy care,
• 46:10
  Speaker 1: what stage of care that they're in, how much dosing
• 46:13
  Speaker 1: they're taking, what their diets like, based on interaction with
• 46:16
  Speaker 1: the patient. And now when the phone call comes in
• 46:21
  Speaker 1: phone call, where text comes, it's being brought to the
• 46:24
  Speaker 1: patient by AI first, or if the call comes into
• 46:29
  Speaker 1: the community I mean the independent I'm sorry, the especially pharmacy,
• 46:32
  Speaker 1: then AI's grabbing the ball first. But it's referencing in
• 46:37
  Speaker 1: yes or no form and questions and it sounds very natural.
• 46:41
  Speaker 1: I got to listen to it. I thought it was amazing.
• 46:43
  Speaker 1: But one percent of that information is being pulled to
• 46:47
  Speaker 1: the controlled environment of information. It's already been verified by
• 46:52
  Speaker 1: a specialty pharmacist who's super tedious and nerdy about what
• 46:56
  Speaker 1: that individual's going through, and I thought it was a
• 47:00
  Speaker 1: beautiful use of AI. I heard this sweet female voice
• 47:04
  Speaker 1: that was like, Hi, Darryl. I don't know why this
• 47:07
  Speaker 1: patient's name was Daryl, but it was like, Hey, Darryl,
• 47:09
  Speaker 1: how are you feeling today? Listen, the last time you
• 47:12
  Speaker 1: talked to us, you said that the bloo butity blah
• 47:15
  Speaker 1: blah andy blah happened to you. Are you still feeling nausea?
• 47:18
  Speaker 1: From a scale from one to ten?
• 47:20
  Speaker 3: What is it?
• 47:21
  Speaker 1: You think it's like an eight to seven like it
• 47:22
  Speaker 1: was before? And then she waits and he's like, no,
• 47:26
  Speaker 1: it's about a six and she's like that's excellent to hear.
• 47:29
  Speaker 1: Sounds like it went down a little bit. Okay, I'm
• 47:31
  Speaker 1: gonna mark that and we're gonna have somebody following up
• 47:34
  Speaker 1: with you. By the way, have you been drinking Gator eight?
• 47:38
  Speaker 1: And I'm just making this shit up, but it was like,
• 47:40
  Speaker 1: are you have you been drinking gator a blah blah blah?
• 47:43
  Speaker 13: Are you?
• 47:43
  Speaker 1: Are you taking in enough fluids? And I'm listening to
• 47:45
  Speaker 1: this thing, I'm like, I would this is cool, Like
• 47:48
  Speaker 1: if I wanted access to information right away and then
• 47:52
  Speaker 1: at any time the patient can go hey or whatever
• 47:56
  Speaker 1: her name is, because it even names, or they'll be like, hey,
• 47:59
  Speaker 1: Lawrence or Tiffany or whatever. You know, I want to
• 48:03
  Speaker 1: talk to a physician, or I want to talk to
• 48:05
  Speaker 1: a pharmacist, or I want to talk to a tech
• 48:07
  Speaker 1: and they'll be like, hey, no problem, I'm going to
• 48:09
  Speaker 1: put you in a queue, and if if you're on
• 48:11
  Speaker 1: hold for too long, press nine or something. And then
• 48:15
  Speaker 1: all of a sudden and then it goes to a
• 48:17
  Speaker 1: freaking pharmacist. Pharmacists like hey, what's up.
• 48:19
  Speaker 2: And by the time the pharmacist gets.
• 48:20
  Speaker 1: On the line, it had already documented what has been
• 48:23
  Speaker 1: said between him and them and the AI. Hey, you
• 48:26
  Speaker 1: told the AI that you know, you told Tiffany that
• 48:30
  Speaker 1: your nausea is down to a six? Is that the case? Like,
• 48:32
  Speaker 1: I want to verify, and I'm thinking, here we go.
• 48:35
  Speaker 1: This is where AI belongs, but it belongs as a tool,
• 48:40
  Speaker 1: not as a replacement. And I was like, I was
• 48:43
  Speaker 1: blown away.
• 48:43
  Speaker 2: I thought it was cool.
• 48:44
  Speaker 13: I think that's an awesome use case for it. And
• 48:46
  Speaker 13: I think that's one of the biggest things I always
• 48:49
  Speaker 13: say when it comes to AI, cause you know what,
• 48:50
  Speaker 13: we help our all of our clients implemented in various capacities,
• 48:54
  Speaker 13: and I always say you have to be strategic about
• 48:57
  Speaker 13: it in a sense that if you're using it right externally,
• 49:01
  Speaker 13: it has to benefit your audience or your customers first
• 49:04
  Speaker 13: above and before anything else. And a lot of times
• 49:08
  Speaker 13: I think marketers get too enveloped in, hey, this is
• 49:13
  Speaker 13: helping my efficiency, and that they think that the end
• 49:17
  Speaker 13: customer cares about that or they're going to benefit from that,
• 49:20
  Speaker 13: and they're not. You know, that's that's the same thing,
• 49:22
  Speaker 13: like I covered in that blog post, but I've talked
• 49:25
  Speaker 13: about this on LinkedIn a bunch like Washington Post, you know,
• 49:28
  Speaker 13: offering these automated podcasts that just you know, are personalized
• 49:32
  Speaker 13: to all of its readers. It'll just take every article,
• 49:35
  Speaker 13: you know, within different categories of the news that they're
• 49:38
  Speaker 13: interested in and then just create these automated, you know,
• 49:41
  Speaker 13: podcasts discussing the stories. Turns out, surprisingly a lot of
• 49:45
  Speaker 13: these podcasts contain a lot of errors. They were wrong,
• 49:47
  Speaker 13: And the Washington Posts their response to that is like, well, yeah,
• 49:50
  Speaker 13: you know, you should go and like actually read the
• 49:53
  Speaker 13: damn articles too. But it's like, okay, so you're giving
• 49:56
  Speaker 13: me this product, positioning it as like a solution, but
• 49:59
  Speaker 13: then you're give me homework as well. That's not strategic.
• 50:03
  Speaker 13: So the use case that you just mentioned is excellent. Right,
• 50:07
  Speaker 13: everybody wins in that situation, and it's a smart use
• 50:11
  Speaker 13: of AI where there's an actual human in the loop
• 50:14
  Speaker 13: in real time.
• 50:15
  Speaker 4: I love that.
• 50:16
  Speaker 1: Yeah, you can even leave your phone number if you're
• 50:19
  Speaker 1: on hold for too long and then they're going to
• 50:21
  Speaker 1: call you back. But it keeps the When I think
• 50:24
  Speaker 1: of if I was a pharmacist, I had an NaPb number,
• 50:28
  Speaker 1: which an ABP number, a license number, a DEA number,
• 50:31
  Speaker 1: whatever it was, I'd be so meticulous about the use
• 50:35
  Speaker 1: of AI. I would ask the system that I was
• 50:37
  Speaker 1: working for, Hey, do I get last say on this situation?
• 50:41
  Speaker 1: Because ultimately it's going to come back to the pharmacist
• 50:44
  Speaker 1: or the physician, regardless of how much AI has been
• 50:47
  Speaker 1: between them and the patient. It better be a part
• 50:51
  Speaker 1: of the process and not become the process, because now
• 50:55
  Speaker 1: you get into insurance issues and who's responsible, and you know,
• 51:00
  Speaker 1: if somebody has a contra indication and dies from a
• 51:04
  Speaker 1: medication or something like, there's a lot of implications that
• 51:08
  Speaker 1: I'm sure people like Darshan Kokkarney, who's a pharmacist and
• 51:11
  Speaker 1: lawyer and he loves this crap. We'll probably have to
• 51:13
  Speaker 1: get him on on twerks to talk about it. But
• 51:16
  Speaker 1: what can you shout out before we got to wrap up,
• 51:19
  Speaker 1: but shout out to our pharmacists things that you kind
• 51:22
  Speaker 1: of want to give them a heads up on that
• 51:24
  Speaker 1: we can pull from from grippy media. You guys are
• 51:26
  Speaker 1: doing some great work.
• 51:29
  Speaker 4: Yeah, in a way of AI.
• 51:31
  Speaker 1: Yeah, anything that you kind of like want to give
• 51:33
  Speaker 1: them a heads up on.
• 51:35
  Speaker 13: Yeah, Well, I think you know a big thing that
• 51:37
  Speaker 13: I'm focusing on right now is you know AI search obviously,
• 51:41
  Speaker 13: that's that's a big one SEO for AI search and
• 51:43
  Speaker 13: how you appear in AI search results. And you know
• 51:46
  Speaker 13: Google's recent recommendation now that we're moving from a point
• 51:50
  Speaker 13: away from commodity content, which is content that you know,
• 51:54
  Speaker 13: it's just generic, easy to replicate that anybody, even your
• 51:57
  Speaker 13: competitors or AI can summarize or create themselves versus creating things.
• 52:02
  Speaker 4: That have business impact, are unique and.
• 52:05
  Speaker 13: Offer a better user experience like case studies, research reports
• 52:09
  Speaker 13: and things like that. And you know, a lot of
• 52:12
  Speaker 13: for a lot of businesses, especially on the B to
• 52:13
  Speaker 13: B healthcare side, they're strapped for resources or they're there.
• 52:17
  Speaker 13: They tend to be a little more, you know, risk
• 52:19
  Speaker 13: averse when it comes to putting time and effort into
• 52:22
  Speaker 13: something like one piece of content versus like a ton
• 52:25
  Speaker 13: of content at once. But you know that focus on
• 52:29
  Speaker 13: that quality over quantity and being strategic about it is
• 52:32
  Speaker 13: actually what is going to win nowadays, especially with AI
• 52:36
  Speaker 13: and AI search being here.
• 52:39
  Speaker 1: It's true I agree with you and our our younger generation.
• 52:43
  Speaker 1: You and I already kind of talked about this before
• 52:45
  Speaker 1: we started recording. Like my daughter's fourteen years old, she
• 52:48
  Speaker 1: loves the theater. My other daughter's sixteen years old. She's
• 52:51
  Speaker 1: in Tongue pseudo and theater, and she loves theater. Either
• 52:57
  Speaker 1: neither of them. They can't stand hearing about AI generated
• 53:02
  Speaker 1: anything to do with arts. They don't want. They don't
• 53:04
  Speaker 1: want video, they don't want pictures. They certainly don't want
• 53:08
  Speaker 1: actors like And I think that that tells you something
• 53:11
  Speaker 1: about like where the future of AI is going. I
• 53:14
  Speaker 1: think it's an exciting time right now. I think it's
• 53:16
  Speaker 1: a little bit of the wild West. Probably in the
• 53:19
  Speaker 1: next five years, we're going to see a lot of
• 53:20
  Speaker 1: teaming of how AI is being positioned being used and
• 53:25
  Speaker 1: keeping the human and the soul element into it, and
• 53:28
  Speaker 1: definitely keep it out of podcasting. I don't want to.
• 53:31
  Speaker 1: I don't want to listen to any podcast AI generating.
• 53:34
  Speaker 4: Uh neither do I.
• 53:35
  Speaker 13: And here's here's a tip before we wrap.
• 53:39
  Speaker 4: If you see a podcast.
• 53:41
  Speaker 13: It around the nine minute mark and it sounds robotic,
• 53:44
  Speaker 13: chances are it was probably created using notebook l LAM,
• 53:47
  Speaker 13: which is a free tool that Google has that turns
• 53:49
  Speaker 13: anything that you put into it into a podcast.
• 53:52
  Speaker 4: So stay away from those, please, all right, JAKEO.
• 53:56
  Speaker 1: Look grippymedia dot com. Connect with Vincent Grippy on LinkedIn.
• 54:02
  Speaker 1: Very active on LinkedIn. I love your stuff. I learned
• 54:04
  Speaker 1: from you. I highly recommend following Vince and hey, promise
• 54:08
  Speaker 1: you'll be back on twrqus.
• 54:10
  Speaker 13: Of course, promise you'll have me back. I will thank you, man,
• 54:14
  Speaker 13: I appreciate it.