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have a pretty strong technology infrastructure already in place, not purpose-built for the intent of a pandemic, but there we were. And then
we quickly ramped up policies, procedures, processes to run the business remotely, do remote shipments at scale, arrange for follow-up consultations. And I think, look, a lot of sleep providers, I think, had remote shipping on their roadmap of things to try and tackle.
There were concerns about brand reputation; of going too far, too fast with it. However, a lot of us had been thinking about it for a while. I think some people had already been doing it in pockets, but we were just forced to adapt really quickly.
And I’m very proud of our team’s ability to do that and the service we were able to provide. The patient feedback that we got over the first several months was overwhelmingly positive in terms of our ability to provide service without interruption. And then we began to educate our referral partners on how they could operate in
a COVID world through home sleep testing and telehealth consultation; trying to help coach them up a little bit because without them diag- nosing new cases, the pool quickly dries up.
HMEB: Have there been some key lessons
that providers have learned? Will they last?
Gary: We’ve learned a lot over the last several months. We will continue to take those learn- ings and apply them to how we do business moving forward. We are selectively, very slowly, and cautiously reopening some of our facilities for folks who demand in-person. I still think it’s a very tenuous time for the country and for the states that we operate in. So we’re still biased towards remote setups. First, because it’s worked well and, second, we don’t want to be involved directly or indirectly with further trans- mission at this point.
From a patient services point of view, a key adaptation we have made is the remote setup and the consultation follow-up. I think even when this is over with, that might be the preferred methodology with an in-person setup, post- initial setup. It’s a bit of a mouthful, but it might be a more constructive dialogue to start therapy for two or three nights and then have a setup
in person before — rather than just sitting in a room and learning about it cold. I think the first few nights of therapy introduce a lot of ques-
tions. So, perhaps a drop-ship or a shipping model first, and then an in-person consultation or telehealth consultation after.
The other key adaptation is the remote workforce. I feel like we can now recruit in all 50 States for support personnel and ship them a phone and on we go. So, it’s a bit of a different view on employee requirements, potentially. We haven’t made that strategy actionable yet, but it’s something that we’re absolutely considering, because it’s been very successful. And I don’t care if they’re working remote. To some degree, it doesn’t matter if they’re five miles from the office or 500 miles from the office.
We’re not doing anything overly exotic, but we’ve focused on education and consultation, so sending patients videos specific to their prod- ucts, so that they can orient themselves.
Sonal: I think everybody understood that they needed to embrace technology in their own workflow and how we were all as providers managing our patients. We needed to embrace technology at each step. So whether it was on the patient intake side, whether it was on the administrative side, whether it was in billing, whether it was for a remote patient set up, they saw the benefits: you can now do a remote patient set up. You can do a phone call or a video call with your patient to set them up, give the patient the engagement and education tools, etc. I think a lot of providers realized that, and after eight or nine months of this, I think a lot of them have moved there. They’ve realized that by using technology and remote tools, you can still give quality patient care.
Also, they have realized they need to use other partners as well. For me, for all us people that are respiratory providers, we’ve learned to do what you can do best; outsource the rest. And I use that simple phrase, “do what you
can do best; outsource the rest.” I think a lot of providers are starting to embrace that philos- ophy. If I’m very good at managing their efforts, then let me focus on that. So with remote setup, “if Philips can help me with their patient adher- ence services or their home delivery remote services, let me give it to Philips,” right? Or, “if I can use a different tool for resupply, etc., or any different technology, whether it’s from any other company, I will use that.”
Another lesson is that this pandemic is real, this is not going away. Providers need to put up business continuity plans as an organization. Providers need to continue with their plans and procedures and protocols [for COVID], because even if we go back into how we were a few months ago or last year, I think this could happen again. So you need to be ready. You need to preempt and be prepared so that if it happens, you know exactly what to do next.
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