Carina Edwards of Quil Health stops by and we discuss Giants football, adjusting through COVID and reaching underserved populations among others things that the team at Quil is addressing.
Today in health, it interviews from the chime
Bill Russell:conference in San Diego.
Bill Russell:My name is bill Russell.
Bill Russell:I'm a former CIO for a 16 hospital system and creator of this week in health.
Bill Russell:It a channel dedicated to keeping health it staff current and engaged.
Bill Russell:Just a quick reminder.
Bill Russell:I wouldn't be dropping interviews over the next couple of days and into
Bill Russell:next week from the chime conference.
Bill Russell:And then I'm going to have some more interviews from the next conference I
Bill Russell:want to be going to, and then eventually I'll get back to Florida and to the studio
Bill Russell:where we'll start looking at the news.
Bill Russell:Once again.
Bill Russell:Hope you enjoy this interview.
Bill Russell:All right.
Bill Russell:Another interview from the chime floor.
Bill Russell:And we are here with a member of the class from welcome back Kotter.
Bill Russell:We're here with Corinne Edwards.
Bill Russell:That was a great picture of you up there.
Bill Russell:You did.
Bill Russell:I'm sorry.
Bill Russell:I didn't finish with the Korean Edwards, Quill health CEO, but the the opening
Bill Russell:for chime, you were up on stage.
Bill Russell:You're a chime board member.
Carina Edwards:I am a time board better.
Carina Edwards:We did this whole skit for welcome back hotter.
Carina Edwards:Yep.
Carina Edwards:The new Yorker in me had to come out and they showed my
Carina Edwards:really big hair in high school.
Carina Edwards:It was, are
Bill Russell:you originally from New York that explains to the New York giants?
Bill Russell:Totally.
Bill Russell:Yes.
Bill Russell:But you lived in Boston.
Carina Edwards:I did.
Carina Edwards:So I was born in Yonkers.
Carina Edwards:I grew up in New York and I went to school in DC and then my first gig was in Boston.
Carina Edwards:So it just became this thing where I always held on to the giants,
Bill Russell:the giants, but not giant.
Bill Russell:I was
Carina Edwards:never that big into baseball.
Carina Edwards:And so now, because of my basketball, legions was also not strong.
Carina Edwards:So I'm a Sixers fan and I'm a giants fan.
Carina Edwards:That's my two sports, but I thought
Bill Russell:you followed.
Bill Russell:Yeah, don't worry.
Bill Russell:You're Phillies.
Bill Russell:You're not missing much.
Bill Russell:I'm sorry.
Bill Russell:I'm sure somebody from Philadelphia is watching.
Bill Russell:I'm originally from Pennsylvania.
Bill Russell:And so I grew up a Phillies fan, an Eagles fan, Penn state fan, all those things.
Bill Russell:But what I found is when you move around the country yeah.
Bill Russell:It's.
Bill Russell:It's kinda neat to root for the team where you live.
Bill Russell:I'm always going to be a St.
Bill Russell:Louis Cardinals fan.
Bill Russell:I lived there for 20 years, but when you move to a city, it's, there's
Bill Russell:something about connecting with it and being there and it's great for
Carina Edwards:me coming to Philly.
Carina Edwards:Cause I think Philly is very similar to a New York city.
Carina Edwards:So it's just a, it's a fun, it's a gritty city, but it's close to New York so I can
Carina Edwards:get to the Meadowlands really quickly.
Carina Edwards:So for me, I'm still rooting for a local team, but I can't
Carina Edwards:wear any blue on the streets.
Carina Edwards:And
Bill Russell:the good news Saquon Barkley went to Penn state.
Bill Russell:So
Carina Edwards:a little tiny in there.
Bill Russell:I know we're going to talk well, hell don't worry because it is.
Bill Russell:I want to hear your journey.
Bill Russell:It's been awhile since I, since we visited, but.
Bill Russell:New York giants.
Bill Russell:They've got problems.
Bill Russell:They do.
Carina Edwards:So a Cowboys game, I have to give them credit.
Carina Edwards:So 70% of the offensive line was in the locker room.
Carina Edwards:Injured.
Carina Edwards:Danny Jones got that bad whack, but I give them credit because they had grit
Carina Edwards:to come back and score a touchdown.
Carina Edwards:And just I know they didn't win the game, but they showed grit.
Carina Edwards:And last week, the Panthers, that was fun.
Bill Russell:You really are a diehard fan.
Bill Russell:We're going to do it.
Bill Russell:We're going to come back someday.
Bill Russell:Maybe someday.
Bill Russell:Maybe spring bill Parcells back, is that the last time you had.
Bill Russell:Come on
Carina Edwards:now, we took two rings away from Brady.
Bill Russell:That's true.
Bill Russell:You had the Eli years and the catch over the head and that kind of stuff.
Bill Russell:You really are a fan.
Bill Russell:If you like to.
Bill Russell:You'd like, no, all this stuff ever since I was a kid.
Bill Russell:Wow, fantastic.
Bill Russell:Quill health.
Bill Russell:Yes.
Bill Russell:You guys are, when we first met, I was in Philadelphia and we actually
Bill Russell:did it on location in Philly.
Bill Russell:That was fun.
Bill Russell:And got to see your location.
Bill Russell:You guys were early on.
Bill Russell:Maybe at signed pen.
Carina Edwards:Yeah.
Carina Edwards:e started, I joined in April,:Carina Edwards:signed a pen two months later.
Carina Edwards:And so you and I think I connected right in between that.
Carina Edwards:Yeah.
Bill Russell:Just gotten started.
Bill Russell:All right.
Bill Russell:So you just got started.
Bill Russell:That was a couple of years ago.
Bill Russell:It was there's this thing called COVID in the middle.
Bill Russell:This thing called COVID in the middle, that slowed things down
Bill Russell:a little bit or accelerated
Carina Edwards:it accelerated some things for us.
Carina Edwards:So what happened was we had pen signed.
Carina Edwards:We also signed off.
Carina Edwards:And so we had Philly covered and we were looking to take our time to make sure that
Carina Edwards:the platform we had built was really going to produce the outcomes that we needed.
Carina Edwards:And we had time to tune it before we started scaling.
Carina Edwards:So that's been, that was the fun journey, but what happened in March,
Carina Edwards:2020, all of our patients went offline.
Carina Edwards:And so we had to say wait a second, we have this amazingly scalable platform.
Carina Edwards:It can do any journey.
Carina Edwards:So what's going on with.
Carina Edwards:And so we worked with Comcast and independence across our parent companies.
Carina Edwards:And there were so much misinformation going on.
Carina Edwards:We partnered with NBC news and the today show, we curated a COVID prepared
Carina Edwards:this toolkit and taught people how to work from home and had a homeschool.
Carina Edwards:Your kids had a caregiver remotely.
Carina Edwards:And so we spun that up in five days.
Carina Edwards:It was one of those moments where you're like, I hope it works and hope it works.
Carina Edwards:And so we brought in the Comcast scaling engineers, we've got our backend scaled
Carina Edwards:up and we launched a 1.3 million.
Carina Edwards:That following
Bill Russell:Monday.
Bill Russell:So you're ready to scale now, is this like stuff that's just going to go on the shelf
Bill Russell:or is this stuff that like proved out the
Carina Edwards:platform at the platform?
Carina Edwards:So it really, when it proved scale, we could do it.
Carina Edwards:And then two, it proved the flexibility of how we bring together
Carina Edwards:videos, articles, links, texts, emails, to engage populations
Carina Edwards:and bring them back to an expo.
Bill Russell:So if I'm an ex affinity customer and I happen to be an
Bill Russell:video customer, even though I'm in Florida, I think they're everywhere.
Bill Russell:Yeah.
Bill Russell:I can essentially talk to my set-top box and say what and access
Carina Edwards:Wilhelm.
Carina Edwards:Yeah.
Carina Edwards:So Quill is available on your mobile device or your or the web,
Carina Edwards:but you can also go to the Comcast box, they Quill, or you can say
Carina Edwards:what happens next into your voice.
Carina Edwards:Remote.
Carina Edwards:The quilt app comes up just like you pair your Netflix account or your Hulu account.
Carina Edwards:You compare your quilt account.
Carina Edwards:So on the landing page right now is a ton of great information about the
Carina Edwards:vaccine and why to get the vaccine and everybody should get vaccinated.
Carina Edwards:And then.
Carina Edwards:It's the, if you pair your journey whether you're one of our 10 customers,
Carina Edwards:you get 10 now, which is great of your, one of our 10 customers.
Carina Edwards:You can basically see your journey on the screens.
Carina Edwards:So we're doing a lot with the television when it comes to oncology, new diagnosis,
Carina Edwards:really sitting down with your family and understanding what it's going to
Carina Edwards:mean to go through head and neck cancer.
Carina Edwards:Another one that we're doing is a lot of PT, a lot of self-directed exercises.
Carina Edwards:You already have the screen hanging on your wall.
Carina Edwards:Why try to stand up?
Bill Russell:So this is you go in and talk to, if I were at a health system, you
Bill Russell:come in and talk to, I assume the CA CMO medical officer and others, and you would
Bill Russell:say, here's what our platform can do.
Bill Russell:And then they sit back and go, where we could use that.
Bill Russell:We use that here and here.
Bill Russell:And so that's, what's driving your content,
Carina Edwards:IRIS.
Carina Edwards:It is.
Carina Edwards:So we actually, we had a couple of core thesis on where to start.
Carina Edwards:So the first was where anybody's entering into value based
Carina Edwards:contracts are capitated models.
Carina Edwards:And so Medicare is your.
Carina Edwards:Where are those where those things are capitated and you have to control the 30,
Carina Edwards:60, 90 days post experience and getting patients prepared for the better outcome
Carina Edwards:is how we start them pre procedure.
Carina Edwards:And then we follow them through, post-procedure getting insights
Carina Edwards:from them along the way.
Carina Edwards:Interesting.
Carina Edwards:And then we pivoted to chronics cause that's for the ACS of the world.
Carina Edwards:That's a big one.
Carina Edwards:So COPD, diabetes, lupus.
Carina Edwards:How do we make sure that we can enable the PCPs?
Carina Edwards:And now we're also doing, fee for service.
Carina Edwards:Thriving.
Carina Edwards:And so for differentiating service lines, like musculoskeletal cardiology the areas
Carina Edwards:of bariatric surgery, the areas that are growing revenue for health system.
Carina Edwards:So we're differentiating to prove, can we reduce risk?
Carina Edwards:Can we improve patient compliance?
Carina Edwards:And can we actually deliver a consumer grade experience?
Carina Edwards:That's
Bill Russell:fun.
Bill Russell:I like about this.
Bill Russell:The, I talked to Glen Tullman last week at the health conference.
Bill Russell:The thing that Glen is a master at is he knows healthcare.
Bill Russell:So he's able to say, okay, here's the soft spot that we're going to go in here.
Bill Russell:We're going to solve this.
Bill Russell:Here's another one.
Bill Russell:And when I hear you talk like somebody who knows healthcare.
Bill Russell:And when I walked around the health conference and I talked to some of
Bill Russell:the startups, they're like, we think this, and we think that, and I'm gone.
Bill Russell:You might want to prove out your thesis before you take
Bill Russell:that $5 million or 10 or 250
Carina Edwards:million that the money is raining in.
Carina Edwards:I've been in this industry for 25 years.
Carina Edwards:The exciting part for me is we've proven outcomes with rigor.
Carina Edwards:And so we've reduced readmissions.
Carina Edwards:We reduce like the savings, improved discharge to home.
Carina Edwards:We've reduced ed visits.
Carina Edwards:So I know on the outcome side, the platform works and the way we
Carina Edwards:get patients through an episode of care is very differentiated.
Bill Russell:Will you do studies like public?
Bill Russell:You
Carina Edwards:are going to do a few of them right now.
Bill Russell:That's that's good stuff.
Bill Russell:And the other thing is, when you're at one client, I'm interviewing you
Bill Russell:saying, Hey, I really like you tell me about what is it like being at a
Bill Russell:startup, but when you're at 10 clients, that's that's validation in healthcare.
Bill Russell:That
Carina Edwards:means, it's exciting.
Carina Edwards:And it's also we're we're partnered up in.
Carina Edwards:So I have a partner Pete care, who is the best in class
Carina Edwards:interactive in-patient system.
Carina Edwards:And so when you're hanging TVs on the wall and you're having your patients connect to
Carina Edwards:their television, we can do the prey, they do the bed, we do the discharge home and
Carina Edwards:it's this lovely care continuum solution.
Carina Edwards:And they've been great because they've been answering a lot of infrastructure
Carina Edwards:RFPs for wonderful new towers going up.
Carina Edwards:And so it's been a great route to market for us to provide you.
Carina Edwards:Sure.
Bill Russell:Talk to me about the road to CEO because when you write.
Bill Russell:We met when you were at Impravada you, weren't not a CEO, but you
Bill Russell:were, you're doing a lot of stuff.
Bill Russell:The interesting with what I see from the outside, because
Bill Russell:I see you on social media.
Bill Russell:I see.
Bill Russell:Oh, Korean Edwards is going to be here with Dr.
Bill Russell:Klasko and she'd be here with, and I'm like, how does she get the product done?
Bill Russell:How does she get the board meetings?
Bill Russell:How does she get sales?
Bill Russell:This, the role of the CEO is a lot of, it's a pretty interesting dance, isn't it?
Carina Edwards:I think the first thing is you have to surround yourself with great.
Carina Edwards:And I've had the great fortune of having a few folks follow me that we have
Carina Edwards:a shorthand or any, which is lovely.
Carina Edwards:And they have an amazing team.
Carina Edwards:My CFO, my chief people officer, my chief of staff, they are
Carina Edwards:they are aligned to the mission.
Carina Edwards:They help us drive to the
Bill Russell:outcome.
Bill Russell:So you're not looking at code every day.
Carina Edwards:I just brought in Dwight rom to look at code every day.
Bill Russell:But what I mean?
Bill Russell:So there's an operation component.
Bill Russell:There's a marketing, there's a sales component.
Bill Russell:You're the F you end up being the face of the organization or is it Al Roker?
Bill Russell:W
Carina Edwards:it's really important.
Carina Edwards:So I've always been, so my role at Impravada was I ran all of our
Carina Edwards:customers and our post-sale experience.
Carina Edwards:So running and being integrated in where the clinicians work and
Carina Edwards:understanding the workflow and seeing the outcomes that's business outcomes.
Carina Edwards:And so being the front end of this, to know the specifics of the journeys,
Carina Edwards:to understand how our customers are using it, like when you and I met back
Carina Edwards:in the day, or you were a CIO at St.
Carina Edwards:Joe's and you were a customer and getting in there to understand
Carina Edwards:your business challenges makes us.
Carina Edwards:So when
Bill Russell:you're sitting across from a CEO, you're saying, look, these are
Bill Russell:the results we're getting here, and here.
Bill Russell:And you already know their challenges you already, before you
Bill Russell:go in and sit down with that CEO.
Bill Russell:How much of their population is at risk.
Bill Russell:How much of their population is Medicare, Medicaid, all that stuff.
Bill Russell:That's public.
Bill Russell:And so you're ready to talk about what you've done
Carina Edwards:and also where they need help.
Carina Edwards:Because I think everybody across the provider side is at a
Carina Edwards:different stage of this journey.
Carina Edwards:And so when I think the most, the worst term we're seeing everywhere
Carina Edwards:is the digital front door.
Carina Edwards:And we assume there's one.
Bill Russell:All right.
Bill Russell:We're going to have to edit like five of my episodes.
Bill Russell:Now
Carina Edwards:go ahead.
Carina Edwards:Because I think it goes back to, there's probably not one digital front
Carina Edwards:door, there's different experiences.
Carina Edwards:You have to spin up for different patients on different parts of
Carina Edwards:their journey and the pane of glass that they use should be irrelevant.
Carina Edwards:It's what's more convenient for them and the consumer, and more importantly,
Carina Edwards:what's more convenient to their caregiver.
Bill Russell:That's it?
Bill Russell:Yeah.
Bill Russell:It's interesting.
Bill Russell:This is really being driven by the consumers.
Bill Russell:Expectations have really changed during COVID.
Bill Russell:Are we tracking that.
Bill Russell:Because a lot of times we get anecdotal in healthcare.
Bill Russell:We go everybody wants a digital front door.
Bill Russell:And the reality is when we look at the data, we go, you know what?
Bill Russell:They respond to tax a lot better than the newer digital front door, maybe.
Bill Russell:But we don't tend to look at that data.
Bill Russell:We just assume, oh, digital transformation means a really cool
Bill Russell:app or a really cool something.
Bill Russell:Are we tracking that?
Bill Russell:How we're interacting with.
Bill Russell:We
Carina Edwards:are, and I think it goes back to, everyone's
Carina Edwards:got different digital personas.
Carina Edwards:And when you're on different parts of the journey, getting a hip replacement
Carina Edwards:is completely different than going through head and neck cancer.
Carina Edwards:Or if you're going through head and neck cancer, you have to have surgery.
Carina Edwards:There is something where you have your family's impacted, you are impacted.
Carina Edwards:Your life expectancy is impacted.
Carina Edwards:So getting prepared for that mentally and having a good outcome is tied
Carina Edwards:to preparedness hip replacement.
Carina Edwards:Do you know, the fundamentals, do you need to show up prepared and then
Carina Edwards:recovering from that it's getting moving and making sure patients are moving.
Carina Edwards:So sometimes getting moving means a TV and exercises, getting
Carina Edwards:ready for head neck cancer.
Carina Edwards:That means a lot of other offline conversations.
Carina Edwards:Just understanding the information when you're ready to hear it
Carina Edwards:on whatever pane of glass you
Bill Russell:want.
Bill Russell:What about, so w we have a lot of conversations about health
Bill Russell:equity and those kinds of things.
Bill Russell:Communities.
Bill Russell:Philadelphia is one of those.
Bill Russell:Cause the interview I did with Dr.
Bill Russell:Klasko taught he very much.
Bill Russell:Hey, that's zip code?
Bill Russell:It's going to die five years quicker than that zip code.
Bill Russell:And he wasn't talking like a hundred miles away.
Bill Russell:He was talking like, yeah.
Bill Russell:Yeah.
Bill Russell:In Philadelphia it was pretty stark.
Bill Russell:Does the set top box.
Bill Russell:That's a phone.
Bill Russell:You have a lot of different ways
Carina Edwards:to tone the texts and the emails really resonates.
Carina Edwards:So we have, one of our customers is AmeriHealth Caritas, and
Carina Edwards:they're a Medicaid provider and we serve 187,000 Medicaid lives
Carina Edwards:in Philadelphia, five county.
Carina Edwards:And really for them, we're really driving up health literacy for
Carina Edwards:caregiving, just on the notion of if you're caring for someone in the
Carina Edwards:Medicaid program and you they qualify for being a longterm shared services.
Carina Edwards:And what are the benefits?
Carina Edwards:How do I navigate Medicaid?
Carina Edwards:How do I make sure that the person I'm caring for it gets the right care
Carina Edwards:at the right venue at the right time?
Carina Edwards:So it's been really interesting understanding their text, email
Carina Edwards:adoption versus long form video content.
Carina Edwards:And then also with that population, we promote the Comcast internet essentials
Carina Edwards:program where any household that qualifies for Medicaid can get $10 a
Carina Edwards:month internet and a hundred dollars PC.
Carina Edwards:So we can start connecting homes in a different way, especially in urban
Carina Edwards:environments that have connectivity.
Bill Russell:Brianna, we could talk for another half hour easily.
Bill Russell:You're stepping off the board next year.
Carina Edwards:Yeah.
Carina Edwards:My term is over in December 10 year five-year it was five years.
Carina Edwards:It was phenomenal.
Carina Edwards:It's a great organization.
Carina Edwards:What we do here, I'm really excited for the Vive conference coming up.
Carina Edwards:I think it's going to be a great
Bill Russell:marriage.
Bill Russell:Of course I was worried about.
Bill Russell:Sometimes you and I, this is the only time we get together.
Bill Russell:So we'll have to, we'll have to make it a little bit more next year.
Bill Russell:So thank you for your time.
Bill Russell:Thank you.
Bill Russell:Appreciate it.
Bill Russell:Don't forget to check back as we have more of these interviews
Bill Russell:coming to you, that's all for today.
Bill Russell:If you know of someone that might benefit from our channel,
Bill Russell:please forward them a note.
Bill Russell:They can subscribe on our website this week, health.com or wherever you listen
Bill Russell:to podcasts, apple, Google, overcast, Spotify, Stitcher, you get the picture.
Bill Russell:We are everywhere.
Bill Russell:We want to thank our channel sponsors who are investing in our mission to
Bill Russell:develop the next generation of health.
Bill Russell:VMware Hill-Rom Starbridge advisors, McAfee and Aruba networks.
Bill Russell:Thanks for listening.