Latest / Becker’s Payer Issues Podcast / Using AI and Virtual Reality to Strengthen EMS Training with Dan LaVallee
Transcript
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- 0:50- Hello, everyone. This is Jacob Emerson with the
- 0:53- Becker's Payer Issues podcast.
- 0:55- I'm thrilled today to be joined by Dan
- 0:57- LaValle, who serves as the associate vice president
- 0:59- of community engagement at UPMC Health Plan. Dan,
- 1:01- appreciate you taking the time to chat with
- 1:03- me on the podcast. Once again, it's it's
- 1:05- good to have you with us. Thank you,
- 1:08- my friend. Great to be with you. Yeah.
- 1:11- So, Dan, we're we're here today to talk
- 1:13- about a new AI powered virtual reality training
- 1:17- tool that you all developed for students,
- 1:20- as a EMS workforce training initiative,
- 1:24- created by by the health plan and by
- 1:25- UPMC.
- 1:27- So talk to us a little bit about
- 1:28- that. Where did this all come from,
- 1:31- and,
- 1:32- ultimately, who's responsible for putting it together?
- 1:35- Absolutely, Jacob. And thanks so much. I mean,
- 1:37- we're just always so excited to share these
- 1:39- stories and what we've learned. And, you know,
- 1:41- we are just so passionate about workforce development
- 1:43- and, you know, helping our community members find
- 1:46- life changing careers that that care for so
- 1:48- many of those in the communities where they
- 1:50- live. And that was kind of the basis
- 1:52- of how we created our overall pathways to
- 1:54- work program several years ago, which has done
- 1:56- just that. We've reached some great milestones of
- 1:58- individuals off Medicaid hired. But then another program
- 2:01- that we call Freedom House. And many of
- 2:03- you, you know, are likely familiar. There was
- 2:05- a recent episode on there, or not so
- 2:07- recent episode on the pit,
- 2:09- that that discussed a little bit about the
- 2:11- historical significance of Freedom House. And basically, it
- 2:14- was the beginning of emergency medical service in
- 2:16- this country, right in neighborhood in Pittsburgh, you
- 2:19- know, where individuals were not being served. It
- 2:21- was very challenging, you know, and it took
- 2:23- individuals that were unemployed at the time and
- 2:25- gave them an EMS training and basically built
- 2:28- what we now know is is EMS across
- 2:30- the country. And it's just a beautiful story.
- 2:32- And, you know, we really felt, and especially
- 2:34- in the the early time of the pandemic,
- 2:37- that it was time for us to restart
- 2:39- that and really bring that legacy of what
- 2:41- we had given so much of the challenge.
- 2:43- So we did just that and, you know,
- 2:45- you know, we started with an EMT
- 2:47- training right out the gates. And then we
- 2:49- really realized though that we could take the
- 2:51- the fundamentals of Freedom House and turn it
- 2:53- into a program that served individuals to get
- 2:56- into kind of the the community health workers
- 2:59- or nursing assistants, working in the hospitals, in
- 3:01- the emergency rooms, even if they didn't go
- 3:03- on to get their EMT. So we've had
- 3:05- 30 successful cohorts. I can't believe that it
- 3:07- is, it has been that. It's been a
- 3:09- wonderful journey in partnership with so many,
- 3:12- workforce development agencies and others. But now we
- 3:15- are back to,
- 3:17- rebuilding that EMT side of the training. And
- 3:19- we're so excited for it. And, you know,
- 3:20- I can't say enough about the wonderful team
- 3:22- that we have that, you know, is running
- 3:24- different trainings of different length and and all
- 3:26- this work that's been great. And I think
- 3:28- what we saw, Jacob, was that, you know,
- 3:30- of course, the current challenges of the EMS
- 3:32- workforce, you know, across the country and, of
- 3:34- course, here. So we wanted to make sure
- 3:36- that we were doing what we could for
- 3:37- a program that we have such strong,
- 3:40- results from, you know, to make this work.
- 3:42- And I think,
- 3:43- you know, for us in this, it's all
- 3:45- about making sure that we help our students
- 3:47- succeed. So many, you know, are, are balancing
- 3:50- so much in their life, from work to
- 3:51- childcare to others, and, you know, are really
- 3:54- working at this without so many of the
- 3:55- supports needed. So what we tried to do
- 3:57- is make sure that we did this right.
- 3:59- And I think a cool thing that we're
- 4:01- talking about today was this AI powered VR
- 4:03- simulator, which is a new part of the
- 4:05- partnership.
- 4:06- We realized, I think, that, you know, we
- 4:08- needed to help our students make sure that
- 4:10- they could really simulate what it would be
- 4:12- like. Not that, you know, any traditional
- 4:15- simulator is not valuable. Of course it is.
- 4:17- And of course this does not replace what
- 4:19- we do in the classroom. But I think
- 4:21- the really cool thing, you know, as as
- 4:23- to to see how it works is, you
- 4:25- know, the students put the headset on, there's
- 4:27- a dispatch prompt, they encounter a patient, then
- 4:29- they kinda work through the call by, you
- 4:31- know, speaking with the patient and the actions
- 4:33- and the environment that they're around is just
- 4:36- truly exceptional. And I think,
- 4:38- you know, for us,
- 4:40- what we've tried to do... And again, can't
- 4:41- say enough about our wonderful, you know, leader
- 4:43- of the program, Trevor, who always talks about
- 4:45- how we just need to make sure that
- 4:47- people understand really, you know, how to, you
- 4:49- know, be with people in the most challenging
- 4:51- moments, and their families, and others in a
- 4:53- community. I think that's really been the special,
- 4:56- you know, part of this, just enabling little
- 4:58- more practice in that, being able to do
- 4:59- that because, of course, it's harder to simulate
- 5:01- that,
- 5:02- you know, in in in the real world.
- 5:04- So it's been a wonderful partnership.
- 5:07- You know, the the the basis of it
- 5:08- was,
- 5:10- through partners. And one of those was the
- 5:12- RK Mellon Foundation, one of the largest foundations
- 5:14- in the Commonwealth Of Pennsylvania in the country
- 5:16- that is investing in workforce development. We partner
- 5:18- up with,
- 5:20- Partner for Work, which is a workforce investment
- 5:21- board that invests in the program. So, Jacob,
- 5:24- it's true partnership, serving the community, and making
- 5:26- sure that we're doing the best that we
- 5:28- can to help our students get through and
- 5:30- get to the best pass rate and make
- 5:31- a difference in our communities.
- 5:33- Very cool, Dan. And and I I wonder
- 5:35- if you could just dive deeper for us
- 5:37- a little bit in terms of,
- 5:38- what EMT training led by an AI powered
- 5:41- VR simulator, what does that actually look like
- 5:43- in the classroom? I know you touched on
- 5:45- that,
- 5:46- but can you walk us through a little
- 5:47- bit more in detail?
- 5:48- Sure. Happy to. So, you know, I think
- 5:50- the great thing is, of course, we learn
- 5:52- all about the regular,
- 5:54- anatomy, all the other parts of the course
- 5:56- that are so important over a several week,
- 5:58- you know, period. But, you know, what what
- 6:00- has been so different, I think, about this,
- 6:02- is that, you know, we've been able to
- 6:04- to help students really get into the kind
- 6:05- of an immersive emergency scenario, which is so
- 6:08- hard again to simulate. So, of course, we'll,
- 6:11- you know, do all the classroom training that
- 6:13- we need, but then we'll have the students
- 6:14- put this, you know, put the headset on
- 6:16- and make sure that, you know, they can
- 6:18- practice repeatedly
- 6:19- in the classroom setting and really kinda independently
- 6:22- in that interactive environment. It reinforces kind of
- 6:25- how we do verbal communication,
- 6:27- you know, kinda the the clinical sequencing of
- 6:29- it, if you will, around when, you know,
- 6:31- the the type of care needed, how that,
- 6:33- you know, works from kind of a decision
- 6:35- making side as well when you're in the
- 6:37- middle of a very challenging time with with
- 6:39- somebody and families and others in the community.
- 6:41- So I think, you know, the the cool
- 6:43- thing is, of course, you know, other EMT
- 6:45- simulators exist and they're they're great, but we
- 6:47- really wanted to make sure that we're reinforcing,
- 6:49- you know, how how you communicate, how you
- 6:51- do these things in so many of the
- 6:53- the the challenging environments that are that are
- 6:55- out there. So, you know, it's it's just,
- 6:57- I think, you know, I think the beautiful
- 6:59- thing,
- 7:00- is, you know, that it helps our students
- 7:02- kinda reduce their anxiety and build confidence and
- 7:04- help them really understand, you know, the difference
- 7:07- between kind of textbook exam preparation and real
- 7:10- real world, you know, patient care. And we're
- 7:12- we're so confident that it could be something
- 7:14- that is, you know, hopefully replicated. It was
- 7:16- used in the first class and,
- 7:18- you know, Trevor and then our wonderful medical
- 7:20- director who is, an ER doc herself, you
- 7:22- know, they... They've loved it and then been
- 7:24- so willing to to try and and and
- 7:26- do things that are different, you know, and
- 7:28- and that's what we're all about here is
- 7:29- making sure that we can, you know, try
- 7:31- and, you know, see what works and, you
- 7:33- know, replicate into the future, Jacob. 100%.
- 7:36- So more realistic,
- 7:37- experience with what your EMTs will will actually
- 7:40- go through in the real world.
- 7:42- And and I understand you have a 100%
- 7:45- certification pass rate for the most recent class
- 7:47- that used the simulator. So what are you
- 7:51- attributing that to specifically, and can you talk
- 7:54- to us about how you're measuring whether this
- 7:56- tool is actually driving
- 7:57- better clinical readiness versus just better test taking?
- 8:02- You know, that's a great question, Jacob. I
- 8:04- will say the the number one thing I
- 8:06- attribute that success to is our just exceptional
- 8:08- team. You know, I mean, we've, you know,
- 8:10- really built this up over years. We have
- 8:12- social work,
- 8:13- social worker on the team that is helping
- 8:15- individuals with any barriers that they might have
- 8:17- to class, you know, other types of supports
- 8:19- here that we didn't have in the beginning
- 8:21- when we started this. And I think that's
- 8:22- been, you know, an incredible piece. But really,
- 8:24- you know, to pair it up with being
- 8:27- able to give students, like, what a realistic,
- 8:30- scenario would be to assess a patient, ask
- 8:32- questions in the right manner, to help make
- 8:34- decisions in a quick manner as well. You
- 8:37- know, and I... Some of that pairs so
- 8:39- well with so much of the classroom and
- 8:41- educational needs that we have. So... But we're
- 8:43- we're we're one class in getting this down,
- 8:45- so I will say, you know, they were
- 8:47- an incredible class. I've met a lot of
- 8:48- them at the graduation that we recently had.
- 8:51- So passionate and so, you know, willing and
- 8:54- able to serve and have been wonderful. You
- 8:56- know? So we know that the way the
- 8:58- class was structured here, you know, is the
- 9:00- model to do. And, you know, Jacob, we
- 9:02- will, you know, be sure to come back
- 9:04- to you after multiple more classes so that
- 9:05- we can continue to show, you know, why
- 9:07- the success. But I just can't can't thank
- 9:09- all the partners,
- 9:10- you know, enough, the WonderSeed Foundation who put
- 9:12- together this technology. And then, of course, our
- 9:15- partners are are enabling us to do this.
- 9:17- There's, you know, nothing better than partnership to
- 9:19- make, you know, meaningful impact. And, you know,
- 9:21- we certainly believe it's, you know, the next
- 9:23- phase of how we can do job training
- 9:25- together.
- 9:26- Absolutely. And, Dan, as you know, and you
- 9:28- alluded to at the the start of this
- 9:30- conversation,
- 9:32- health systems all over the country,
- 9:34- they continue to struggle to build and retain
- 9:36- an EMS workforce. So so the the context
- 9:39- of what we're talking about today in terms
- 9:41- of the problems you're looking to solve, they're
- 9:44- nothing new,
- 9:46- and they face the entire industry. And so
- 9:48- I wonder, is this simulator,
- 9:50- is this something that could scale beyond Freedom
- 9:53- House, and what would another health system need
- 9:55- to know,
- 9:56- from what you all have learned and scaled
- 9:58- in order to replicate things like this?
- 10:01- Yeah. Absolutely, Jacob. So number one thing, reach
- 10:03- out to us anytime. You can reach us
- 10:05- through through Jacob, of course, and the team.
- 10:07- You know, we are always happy to share
- 10:09- what's worked, what hasn't worked, how things can
- 10:12- be done, you know, differently no matter if
- 10:13- it's a simulator or how we build, you
- 10:15- know, pipelines and fund these programs, you know,
- 10:17- in particular. So, you know, I think for
- 10:19- us, and we know there's quite a bit
- 10:21- of investment across the country into different ways
- 10:23- to train, you know, and this is one
- 10:25- part of the larger puzzle for us. So
- 10:28- we've learned that if we can make an
- 10:30- investment, we can try something and see if
- 10:32- it works like this simulator clearly has in
- 10:34- these early days, can we pair it with
- 10:36- how we do workforce development overall? You know,
- 10:38- we just got the... Our our EMS classes,
- 10:41- our EMT class, is a registered apprenticeship with
- 10:43- the state of Pennsylvania. We're so grateful for
- 10:46- secretary Walker and her team from labor and
- 10:48- industry here in Pennsylvania who've encouraged new apprenticeship
- 10:51- programs in new sectors,
- 10:53- allied health programs that we have, and plenty
- 10:55- of other areas as we talked about on
- 10:57- a past episode with you. I think that
- 10:59- has been the basis for how can we
- 11:01- replicate these models and do them everywhere and
- 11:03- get the right partners involved. It certainly is
- 11:05- not just us. It'll be employers, EMS agencies,
- 11:09- others, you know, to bring this in a
- 11:11- way that can be replicated across the country
- 11:13- and use technologies like we have here. We
- 11:15- wouldn't even be in this place to innovate
- 11:17- in that way with this simulator unless we
- 11:20- had done some of the groundwork to make
- 11:21- sure that a training program could work, that
- 11:24- we could fund it appropriately, and we could
- 11:26- show up, you know, for the needs of
- 11:27- the community, which in the end is the
- 11:29- number one goal for us to make sure
- 11:31- that we're supporting individuals who wanna serve our
- 11:33- communities, our members, you know, make people healthier
- 11:36- and and, you know, do so, you know,
- 11:38- in a way that is life changing. So
- 11:39- we've we've loved it very much and, you
- 11:41- know, we'd be happy to talk with anybody
- 11:43- anytime about innovative solutions. We're all in this
- 11:45- together.
- 11:46- Wonderful. Well, appreciate that offer, Dan, and I
- 11:49- hope,
- 11:50- some of our listeners will reach out,
- 11:52- and can't thank you enough for for taking
- 11:54- the time to chat with us about this
- 11:56- and and offering your insights to our listeners.
- 11:58- We really appreciate you doing so. Thank you,
- 12:00- my friend. We appreciate you illuminating all this
- 12:02- as well. Thanks so much. Absolutely. And to
- 12:04- our listeners, if you'd like to listen to
- 12:05- more podcasts from Becker's, you can visit beckershospitalreview.com.