Valerie VanBooven RN BSN:

Hi everybody, this is Valerie VanBooven with Approved Senior Network Marketing and we are joined today by Neil Tantingco. He is I’m going to say CEO, right? CEO-

Neil Tantingco, Owner, Connected Home Living:

That’s right.

Valerie VanBooven RN BSN:

… of Connected Home Living. In all transparency, he is a client of ours right now, but I love this concept and I hope that as you guys listen to this, you understand that this is an additional revenue source for you. It is not a competing revenue source. It is a way to draw people in. I think it’s a brilliant strategy, especially at a time when we have so many people concerned about the human element and being too close together, but anytime, technology is really taking off and our seniors know more than we give them credit for. I highly recommend that you listen to this. We are recording it, and Neil will take questions at the end. Please type your questions into either the chat or the Q and A, whichever one you can see.

Valerie VanBooven RN BSN:

You can use either one. I will go through and ask Neil the questions at the end if there’s any that he hasn’t already answered. With that, I’m going to be quiet and let Neil take it away.

Neil Tantingco, Owner, Connected Home Living:

Tadan. Thank you Valerie. Hi everyone, thanks for having me. Thanks for taking the time to learn more about Connected Home Living. I’m Neil Tantingco. I’m the founder and CEO of Connected Home Living, and I’m very excited to be part of this event. For those folks who have never heard of CHL or Connected Home Living, all we do is prevent unnecessary trips to the hospital and we do this by blending both technology or telehealth, which we’ll go over into detail and around the clock remote care coordination blended with these care programs. We’ll discuss that a little bit more, but anyway, these programs are purposely built to provide those timely interventions, allows us to bridge those external care services, attend to these patient’s psychosocial needs all within the natural surroundings of the patient.

Neil Tantingco, Owner, Connected Home Living:

You’ll be excited about what we have to talk about, but the little chart there in the bottom, now everyone’s going to be infatuated with technology, but what you’ll learn more and more about CHL, technology is just 10% of our overall solution. Fifteen percent is our ability to work directly with the family members, with the agency, with the doctors and so forth, but the meat of CHL is that human factor, that human element because at the end of the day, it’s all about that human connection. I’ll go more in greater detail. Okay? These are the challenges that we’re going to talk about in the presentation, right? We’re going to look at the client’s perspective, agency’s perspective, a referral source’s perspective.

Neil Tantingco, Owner, Connected Home Living:

Valerie already talked about the client’s concerns, right? To this day, to this very moment, I received a bunch of calls from adult children. They’re concerned about their loved ones who are sheltered in place and to compound matters, their loved ones refused to have their caregivers show up at their homes. It just exacerbates the situation because our seniors now are even in a more vulnerable situation, but it’s no secret, the seniors prefer to age at home. They’re looking for viable ways, most cost-effective ways to make sure that their loved ones are staying at home, but not have to break the bank, right? We’ll talk about that some more. From an agency’s concern, we already know about this. COVID-19 is really affecting everyone, right?

Neil Tantingco, Owner, Connected Home Living:

We’re losing clients. It’s affecting our overall revenue. We’re even seeing a trend of staff refusing to go to the patient’s home because they’re either afraid of being infected or afraid of infecting the clients. It just again exacerbates the situation. The competition doesn’t seem to be going away. In fact, it’s getting more and more crowded, and I get calls a lot from these agencies saying, “You know what, I don’t really have a genuine competitive edge. What I’m saying is almost similar to what my competitor is saying, so I really need that wow factor,” and they feel telehealth makes a big impact. Talking to hospitals, talking to physicians, talking to payers, they are suffering, right?

Neil Tantingco, Owner, Connected Home Living:

They’re getting hammered with readmissions. Right here according to CMS, out of that $26 billion spent on hospital readmissions, they have justified that 17 billion of that is avoidable, and they feel that everyone in this call with the use of technology can be avoided. Anyway, we’re going to show you how we’re able to have that happen, but also we’re getting a lot of calls from our providers or hospitals and physicians because the ER is getting over utilized. Their ICU units are getting you utilized. They’re trying to push patients back to the home, and especially for these patients who don’t require emergent care, but they’re not just going to hand them off to anybody.

Neil Tantingco, Owner, Connected Home Living:

They’re looking for obviously that right partner that’s going to be able to bridge that last smile, and I’ll explain exactly what the heck that means, right? Telehealth is going to play a big part, right? Probably one of the reasons why you guys are here want to learn about virtual caregiving because telehealth is a core part of that offering. Now, let’s say yes, I’m ready for telehealth, but the question now is like now what? Okay. If I’m going to roll out telehealth, man, where do I begin? Okay. What technology should I utilize? There’s so many to choose. I think right now, there’s over close to 300 telehealth solutions out there, and you have the time and the wherewithal to even begin to start to find the right telehealth solution, right?

Neil Tantingco, Owner, Connected Home Living:

These telehealth providers, they’ll tell you, “Oh my gosh, it’s so easy to use,” but boy, once you open up that package, there’s a major assembly required, right? Who’s going to customize this telehealth for my organization? Who will develop this workflow? How about these pathways that I’m going to put together? Those don’t come out of the box. They have to be assembled by you or somebody like us, and then once you’ve got that all in place, who’s going to respond to these alerts, right? Are we going to provide medical or non-medical? Are we going to be Monday through Friday, 8:00 to 5:00 or are we going to be 365 days a year, 24/7, right? That’s going to require some people obviously to man those, and that’s something you have to incorporate.

Neil Tantingco, Owner, Connected Home Living:

It’s probably the decision making process, right? Who will program this? Who will train the patients? Anyway, there’s a whole slew of things that you have to be cognizant about, and then obviously the bottom line number there. The bottom line question there in the very, very last, right? How in the heck is this going to cost me? Now what is my ROI, right? We’ll talk about that some more. Okay. Before we dive in really deep into this, I think it’s important to talk about how the heck I got in this line of work, right? Actually, let me take a step back. I live here in Silicon Valley, here in California and it’s really easy to be working for a high-tech company. In fact, that’s where I came from.

Neil Tantingco, Owner, Connected Home Living:

For about 17 years, I used to work for companies like Netscape, Yahoo, but you know what? It wasn’t my calling. I really felt that my calling is for to take care of seniors. In fact, some people call me the senior whisperer, and there’s not a single senior out there who doesn’t like me because I like them equally back, but anyway. My wife and I decided to hang up a high-tech hat, and we invested in an assisted living community and assisted living building in Central California and to this very day, we own it, and we’ve owned it now for the past 20 years.

Neil Tantingco, Owner, Connected Home Living:

That’s how really I got my scars if you will through my experience running an assisted living community, but about five to six years into the business being an owner operator, I wanted to somehow infuse technology as part of our services because I know I wanted that extra edge and I wanted to empower not just my residents, but also empower my staff to be effective caregivers. I started using technology to capture vitals, ask questions about your chronic condition, but then I started gathering all this cool data, right? I started trading this data with the doctors. I started sharing the data with the adult children. I started sharing the data with the home health agencies, the hospital, and so on, and so forth.

Neil Tantingco, Owner, Connected Home Living:

That data, however, allowed us to collaborate and intercept issues related to the patients sooner rather than later, right? The interception or that intervention allowed us to prevent those readmissions from happening and because of that, our readmission rate or our move out rate went down from here to all the way to a point where we started seeing less people moving out of my community. Guess what I did? I started having a waiting list of patients dying to move in. I started a private-duty organization to service specifically these patients who are eager to move into my assisted living. Now what I did, what I learned through this experience is that it’s really expensive as you all know to hire somebody who’s live in.

Neil Tantingco, Owner, Connected Home Living:

They typically hire us four hours or eight hours a day, and the patients are fantastic when there’s a caregiver on-site, but once the caregiver leaves the premises, all the wheels starts coming off, right? You leave him on Friday, you’re not going to door on Monday, and “Where is Mrs. Smith? Why is she in the hospital? She looked fantastic when I left her.” That’s when I started supplementing telehealth with my private duty care services, right? Even though there’s no caregiver physically at the premises, we have the telehealth system, which I’ll show you an example here in a little bit who will be there at their beck and call, right?

Neil Tantingco, Owner, Connected Home Living:

We’re only a button away from the residents and just like the telehealth that we use into my assisted living, this telehealth that’s now sitting at home allows us to capture vitals, ask questions, and again allow us to gather that data which will enable us to share that with again the adult children, the physician, the home health agencies, and again prevent that readmission from happening, right? The next thing I knew, the word got out about this really effective way of keeping patients or residents or clients within their home, and I started getting called primarily in the beginning from home health agencies.

Neil Tantingco, Owner, Connected Home Living:

Five years ago, I started Connected Home Living because the agencies are saying, “Neil, we have these telehealth systems in place, but we don’t know what to do with them, right? Nobody wants to respond to them, nobody wants to program them, nobody who knows how to get the patient engage.” We started offering our telehealth solution as a turnkey solution for clients who want to start a telehealth but don’t know or don’t know where to begin, and do it in a way where it’s inexpensive to deploy. Okay? Probably the best way to describe what we do is I’m going to walk you through a real-life scenario, right?

Neil Tantingco, Owner, Connected Home Living:

I’m going to go through a daily life, so this way you see and feel exactly how it is to utilize a service like Connected Home Living, but I’ll start off with a home health agency, and then we’re going to traverse into that care continuum onto a private-duty type of situation, right? Bear with me. Let’s pretend I’m a home health agency, and I just received a referral from a hospital nearby saying, “You know what agency, I like your program. You have this telehealth solution that’s really going to help reduce my readmission, so I am going to award you this referral.” Okay, so that agency will then receive that discharge order and that discharge order will have all the information we need to do two things.

Neil Tantingco, Owner, Connected Home Living:

It’ll allow us to assign a live 24/7 remote care coordinator team, and this RCC as we like to call them short is going to be the same people who are going to be not just working with that particular agency, but it’s going to be the same set of eyeballs monitoring that patient because they’re going to respond to the alerts generated by the telehealth, but they’re going to do a lot more things which I’ll go over in greater detail, right? The second piece is that we’re going to assign the patient the appropriate telehealth platform and in this picture, you see we actually have two platforms that we utilize, so depending on the patient’s capability, right? If a patient’s walking around with their smartphone or their tablet, they just seem to be pretty with it in terms of the utilization of the platform.

Neil Tantingco, Owner, Connected Home Living:

Then we would recommend the app version of our telehealth system. Okay, and that’s actually really we prefer that route because it’s actually a much cheaper route because we don’t have to provide the hardware. Now however, we do come across patients who don’t have a smartphone or don’t know how to use a smartphone, or don’t have internet connectivity. For those clients, we recommend the picture on the left which we call the telehealth kit, and the kit, it comes in a little 9-pound box. Within the kit comes with its own tablet, and the tablet actually has its own built-in 4G internet, so we don’t have to worry about Wi-Fi network or the passcode and everything.

Neil Tantingco, Owner, Connected Home Living:

All we need to do is press this little on button and it’s ready to go, but within this box comes with a number of medical devices that are going to be paired in advance because it’s all Bluetooth. It’ll come with a weight scale, a blood pressure monitor, a pulse oximeter. Now if the patient is diabetic, we have a glucometer and lately too, we’ve been getting a lot of COVID patients so we also include a thermometer. Again, we would retrofit the patient appropriately based on their situation. Okay. Anyway, so once again we receive the referral, we then notify the agency and say, “Okay, the telehealth is now ready.” Again, we either drop ship the equipment at the patient’s home or the kit is delivered by the agency themselves, right? Everyone’s a little bit different.

Neil Tantingco, Owner, Connected Home Living:

Now if it’s an app, all we do is we send a notice to the patient’s smartphone or email address and as soon as they receive that message, they press this little accept button, and it automatically installs the app onto their device. It’s really, really simple, okay, but anyway so let’s just say but just for the sake of this presentation, I’m just going to show you the telehealth kit because it’s easier to demonstrate and show here on the screen. Okay. Let’s just say the telehealth has arrived at the patient’s home, and now it’s been unboxed and placed let’s say on top of the dining table. I’m going to show you what it looks like here in a little bit. Okay. There we go.

Valerie VanBooven RN BSN:

Yeah, don’t show a top screen.

Neil Tantingco, Owner, Connected Home Living:

Oh yeah. I’m going to put it on stop staring screen here, so that we can see better.

Valerie VanBooven RN BSN:

Yey! Yeah.

Neil Tantingco, Owner, Connected Home Living:

I’m also going to remove my headset and I’m going to use my laptop audio to this, so you can hear what the tablet’s saying. Anyway, so by the time the tablet shows up, it’s already going to be programmed specifically for that patient’s situation, right? Right now, I set this up as a patient that we learned that this patient has a congestive heart failure, and maybe perhaps we want to monitor the patient potentially if they have signs of COVID. Okay. Now you heard that little dinging sound basically telling the caregiver or the patient or the family member that their care plan is now past due. What they have to do is just tap any part of the screen.

Speaker 3:

Please enter your password.

Neil Tantingco, Owner, Connected Home Living:

Since this is HIPAA compliant and you don’t want your grandkids typing in fake data, we obviously have to make this password protected, and we would like to use their birthday. Today, I’m born in 1921. I’m looking pretty good, so I click on okay.

Speaker 3:

While at rest, how was your breathing over the past 24 hours?

Neil Tantingco, Owner, Connected Home Living:

It’s going to start asking questions specific to in this case, congestive heart failure. The system comes with over 87 pre-built care plans or clinical pathways or health survey questions, however they call it that we put together over years of experience working with hospitals, doctors, home health agencies, private duty organizations. This is one less thing that you have to deal with because we’ve already put it through the test and our referral folks love it, right? Right now, it’s going to ask very specific questions since it’s a CHF patient CHF related items. The question again is…

Speaker 3:

While at rest, how was your breathing over the past 24 hours?

Neil Tantingco, Owner, Connected Home Living:

Right, and on the bottom, you see a series of answers they have to pick and choose that fit their condition that day. Maybe today-

Speaker 3:

Short of breath.

Neil Tantingco, Owner, Connected Home Living:

… short of breath, and every time I click on an answer, behind the scenes were associating some level of alert, so that for us will be considered a medium alert. Okay.

Speaker 3:

Did you notice an increase in swelling in your feet, ankles or hands yesterday?

Neil Tantingco, Owner, Connected Home Living:

Again, this is a typical CHF questions that you would normally see in medical journals and guides and so forth, but anyway, we made it easy so that we can display it here on the tablet. Okay. This is a typical CHF question. I’ll say-

Speaker 3:

Yes.

Neil Tantingco, Owner, Connected Home Living:

… yes, I have a little bit more swelling today. Okay.

Speaker 3:

Did you take all your medications yesterday?

Neil Tantingco, Owner, Connected Home Living:

Maybe perhaps part of the care plan is they want to make sure they’re taking their meds, and I’ll be a bad patient. I’ll say it, “You know what, I didn’t take my meds.”

Speaker 3:

No.

Neil Tantingco, Owner, Connected Home Living:

I’m not happy with the answer no.

Speaker 3:

Why did you not take your medicine?

Neil Tantingco, Owner, Connected Home Living:

We have what we call branch logic that’ll dive deeper into why you said no in this situation, right? It could be because…

Speaker 3:

I am out of medicine and need a refill.

Neil Tantingco, Owner, Connected Home Living:

Okay. That would generate an alert obviously. Okay.

Speaker 3:

Have you taken your blood pressure medication Coreg?

Neil Tantingco, Owner, Connected Home Living:

Maybe in this referral form that we received from the agency that they have been prescribed a new medication called Coreg or carvedilol. Again, I’ll be a bad patient and I’ll say, “You know, I don’t remember taking that meds.”

Speaker 3:

No.

Neil Tantingco, Owner, Connected Home Living:

Since I said no to Coreg…

Speaker 3:

Please watch Coreg.

Neil Tantingco, Owner, Connected Home Living:

This becomes a teachable moment. Okay.

Speaker 3:

Now…

Neil Tantingco, Owner, Connected Home Living:

Now we’re going to force the patient or the caregiver or a family member to watch a video.

Speaker 4:

Let’s take a minute to talk about your medication. This is carvedilol. Carvedilol is often used to treat high blood pressure in order to help…

Neil Tantingco, Owner, Connected Home Living:

Okay, only press pause. The system comes with over 1600 educational videos, about 700 videos are specific to medication. Now we don’t want to load up every medication videos into the tablet because obviously, some patients have maybe 20 to 30 meds. New meds or meds that they continue to be non-compliant with would be the ones who we would load up. Now the videos are extremely powerful, not just for the patient or the client, but it’s really powerful also for the caregiver and family members who also need to be educated in the patient’s concern. Okay, let me fast forward.

Speaker 3:

It is important to stand up slowly when taking a blood pressure medications.

Neil Tantingco, Owner, Connected Home Living:

Now as an option, we can check their competency to see if they understood the video, right? Now this is important for home health agencies because right now, they’re required to track the efficacy of their training. Because some of our clients are also home health agencies, they like this capability because now they can show proof, right?

Speaker 3:

True.

Neil Tantingco, Owner, Connected Home Living:

Tadan. I answered it correctly. Okay.

Speaker 3:

Please watch congestive heart failure.

Neil Tantingco, Owner, Connected Home Living:

Maybe part of the care plan is also to be educated about their condition.

Speaker 3:

Now…

Neil Tantingco, Owner, Connected Home Living:

We’re going to force them to watch a CHF video.

Speaker 5:

The heart is a beating muscle that pumps oxygen and nutrient-rich blood into the body via the…

Neil Tantingco, Owner, Connected Home Living:

Let’s fast forward now. Again, so…

Speaker 3:

Have you had contact with anyone diagnosed with confirmed coronavirus, COVID-19 in the last 14 days?

Neil Tantingco, Owner, Connected Home Living:

We’re done with our CHF care plan, so now we’re going to go into the COVID screening. Now this could be an option for your client, but trust me, right now, everyone is looking for any kind of solution that relates to COVID, right? This is something very marketable for all agencies, whether you’re a private duty, home health, and so forth. Anyway, so now this could be part of your offering. Now we’re going to go jump into an example of a coronavirus type of screening process. The question again is… Well you saw the question but I’ll say no.

Speaker 3:

No.

Neil Tantingco, Owner, Connected Home Living:

Okay.

Speaker 3:

Are you currently experiencing any of the following symptoms? Select all that apply.

Neil Tantingco, Owner, Connected Home Living:

Maybe today I have…

Speaker 3:

Chills.

Neil Tantingco, Owner, Connected Home Living:

Okay.

Speaker 3:

Do you have a close contact that is currently experiencing any of the following symptoms? Select all that apply. Cough. Please stand on your scale for weight measurement.

Neil Tantingco, Owner, Connected Home Living:

I abbreviated the corona out of the sake of the demo because we don’t have too much time here, but anyway, we can make the questions as long or as little as you see fit, and everything you saw on the health survey questions is completely customizable. Some clients, especially home health agencies, they like it to be more clinical. Private duty organizations like it to be less clinical. Depending on how you feel will be best for that client, we’ll work together and put together the right care plan. Now let’s say also too just because what we deployed on the beginning are these the following questions, but over time, we can actually adjust, remove, modify these questions.

Neil Tantingco, Owner, Connected Home Living:

Maybe today, you were taking care of them because maybe they’re prone to falling, but maybe four weeks from now, they develop a cold or a flu. We can always add in other care plans or remove care plans based on their ongoing condition. Okay, so hopefully that makes it a lot of sense. Anyway, so now we’re done with our health survey questions. Now may be part of their requirement is to take their vitals. Now I’m not going to step on the scale because I just had lunch. I’m going to cheat. I’m just going to manually input it for now.

Speaker 3:

Please enter your weight measurement.

Neil Tantingco, Owner, Connected Home Living:

Okay, so I’m just going to tap in my weight.

Speaker 3:

Your weight is 175 pounds.

Neil Tantingco, Owner, Connected Home Living:

If I were to step on the scale next to me, it’ll actually automatically capture the vitals, but it’s not just going to capture the vitals. It’s going to trend the vitals, but more importantly, since this is a CHF patient, let’s say there’s a 7-pound weight gain in three days, that’s a big no, no, right? That’s going to cause an alert. Okay.

Speaker 3:

Please place cuff around upper arm for blood pressure measurements.

Neil Tantingco, Owner, Connected Home Living:

Again for the sake of the demo, I’m not going to put on a blood pressure monitor, but I am going to press this help button. Just in case the patient or the caregiver doesn’t know how to use a blood pressure and believe it or not, there’s a good number of them out there, we have the videos that can walk them through, right? If they still don’t know how to use it, the live remote care coordinator can walk them through live on video and show them how to use it. Okay. Again for now, I’m just going to manually…

Speaker 3:

Please enter your blood pressure.

Neil Tantingco, Owner, Connected Home Living:

information for now. Okay.

Speaker 3:

Your blood pressure is 120/80.

Neil Tantingco, Owner, Connected Home Living:

Here we go.

Speaker 3:

Please put pulse oximeter on your finger for measurements.

Neil Tantingco, Owner, Connected Home Living:

This one, I’m going to actually use, so I’m going to use my… This pulse oximeter came with a kit. This one, it prefers my middle finger and it likes with the palm up. I’m going to just stick it in here and right now, it’s forcing me to relax. Oh my heart rate is pretty high, so hopefully there’s some nurses…

Speaker 3:

Your oxygen is 98%. Your pulse ix 85.

Neil Tantingco, Owner, Connected Home Living:

Without me typing in the result, it automatically inputted the results into the system, so now all I have to do is press yes. Okay, so that tada, just like that, the care plan is done. Now we can add in reminders to take your medication, maybe your reminders to elevate your legs or hydrate yourself some more, or get ready for your doctor’s appointments. We can do a lot of different things on the system, especially if the patient’s not subscribing for a living or not too many hours of virtual care. Anyway, again, things can be customized to keep them at bay. Now there’s a little phone button right here, and basically it’s a basic call button. If the patient has any questions or need immediate help, they can always press that, and press now, right?

Neil Tantingco, Owner, Connected Home Living:

What’s that’s going to happen, it’s going to send an alert to the remote care coordinator. In fact, all this need that we’ve just captured, it’s all going to be stored in the cloud and sent to that assigned remote care coordinator. On his or her screen, they’ll see all the red and yellow alerts, anything that’s triggered by the telehealth system, right? Since I said I’m running out of meds, on the screen of that remote care coordinator, that would prompt the RCC to call that patient live on video on this tablet or on the patient’s phone, or since I answered the question I’m having some shortness of breath, that would prompt a live video call to the patient’s home.

Neil Tantingco, Owner, Connected Home Living:

They’re going to call the patient and ask some additional questions say, “Hey, do you have your oxygen on? Is it plugged in? Are you going through some stress,” or maybe a part of our effort with some of our clients, we do personal exercises with the patient before we take that pulse ox reading again to make sure we get that most accurate information. Look, somebody asked a question here, I’m sure will pop up later there. The good news is once the RCC who’s assigned to the agency, once they call the patient, they’re going to validate the information. Once it’s validated, we then escalate it to the appropriate contacts of the agency, or maybe we have a setup to contact the adult daughter as an example, right?

Neil Tantingco, Owner, Connected Home Living:

Anyway, we’re going to define in advance who we’re going to escalate matters to, but once that RCC validates the information, they’re going to call the appropriate escalation contact. They’re going to call on the phone and say, “I have Valerie here who’s our patient, and I noticed that there’s a wound on her, or she’s got some breathing issues or I noticed there’s a wound on her elbow, or she’s now have a mark on the left eye.” Whatever it may be, we’re going to notify the appropriate folks and once we notify the people, we then invite the escalation contact to join our video call, right? It’s really cool.

Neil Tantingco, Owner, Connected Home Living:

We do a lot of video triage or video conferencing. Without having to drive all back to the patient’s home, I can call let’s say the clinical supervisor or the owner of the private duty agency and say, “Hey, I have the patient on call. Can you join me in my call with the patient?” If you say yes, we’re just going to send you a link through your phone or your computer and once you receive that message, you press that link, and it joins you automatically in our video calling session, right? The most I’ve ever done was seven in one video call where I invited the remote care coordinator, two adult daughters who always want to be involved with everything about their mom, the physical therapist who was there two hours ago, but now settling at home, having dinner, the physician and self care coordinator.

Neil Tantingco, Owner, Connected Home Living:

We had a party, but the point is to provide that timely intervention and address those matter at the natural surrounding of the patient, right? The patient will thrive better when we treat them at home as opposed to sending him to the ER or the hospital, right? It works really, really good. I’m getting a lot of questions. These RCCs, are they nurses? Well, the answer is yes and no, depending on our arrangement with a client. Normally, when we have agreements with a home health agency, they prefer to be the nursing escalations. In that model, model I mean we would have non-medical RCCs. They’re typically med techs and MAs, and then they would validate information and based on predefined protocols, we will escalate it to the nurses at the agency.

Neil Tantingco, Owner, Connected Home Living:

Now for private duty organizations, if you choose to have a nurse, we can provide the nurses, right? We have RNs. In fact, we have a nurse practitioner as part of our organization. We even have physicians who can chime in. If we want, we can invite the physicians to join our video call. They’ll provide their assessments and their diagnosis, and then they bill the insurance company or Medicare which is really cool, right? No money is out of your pocket.

Valerie VanBooven RN BSN:

I’m going to chime in and ask this question. You do not have to be a home health care agency in order to use this system. You can be private duty-

Neil Tantingco, Owner, Connected Home Living:

Yeah.

Valerie VanBooven RN BSN:

… and there are lots of instances where no home health care or no private duty is involved, this is a person at home doing all these things themselves. Obviously, if a human person can do this by themselves at home at their kitchen table with no other providers around them, you obviously don’t have to be a home health agency in order to provide this service because if I were sitting at home by myself and I really didn’t need home care yet, but I did need some of these other things to be monitored and my family felt more comfortable doing all this, then that would be okay, as long as I can manage it on my own, and there would be somebody on the other end who would be able to look at all these things and say, “Ooh, we need to get your daughter on the phone or ooh, we need to make sure you’ve got your medications refilled.”

Valerie VanBooven RN BSN:

The private duty versus home health care, whatever your license as is okay to use this kind of a system.

Neil Tantingco, Owner, Connected Home Living:

Right, exactly. In fact, in my assisted living, oftentimes the assistant nurse/private duty oftentimes when they inquire for our services, a lot of times they’re not quite ready yet for a full-time private duty care. We lead with the services as a way to establish a beachhead if you will, right?

Valerie VanBooven RN BSN:

That’s right.

Neil Tantingco, Owner, Connected Home Living:

Because some of them can’t afford even four hours of private duty, or maybe perhaps you just don’t want anybody showing up at their home.

Valerie VanBooven RN BSN:

Right.

Neil Tantingco, Owner, Connected Home Living:

Why not start with a very low cost, very effective model, at least just now you’ve got that client in your hands, but amazingly over time, these… Oh, you know what, I’m going to call on the tablet, so let me show you an example of what an RCC. I’m going to hold this thought real quickly, so you can talk to one of my…

Valerie VanBooven RN BSN:

Okay.

Neil Tantingco, Owner, Connected Home Living:

what we do is the tablet is ringing. Just like a phone, I’m going to click on accept, right? When I click on accept… Oh, let me see. We also use a HIPAA compliant of Zoom version of the service to be able to talk to the parties. Okay, so let’s see who’s on the call here. Hang on here.

Mirabel:

Hi Neil.

Neil Tantingco, Owner, Connected Home Living:

Hello, hello… Oh, I can hear you. Oh, there you are. You popped up.

Valerie VanBooven RN BSN:

Hi.

Neil Tantingco, Owner, Connected Home Living:

I can see you [Mirabel 00:32:44]. Okay. Say hello to all our friends. You’re not seeing them, but there’s a lot of eyeballs looking at you.

Valerie VanBooven RN BSN:

Hi.

Mirabel:

Oh, okay.

Neil Tantingco, Owner, Connected Home Living:

Mirabel, do you mind introducing yourself?

Mirabel:

Sure. Hi everyone. My name is Mirabel. I’m a remote care coordinator and my job is to monitor and track all of our patient’s vitals and survey questions. We’re also in contact with all of our nurses and home health agencies daily. We’re able to track their nursing visits and just talk to our patients and nurses on a daily basis.

Neil Tantingco, Owner, Connected Home Living:

Awesome, awesome. Mirabel, do you mind providing an example of a client that you care for?

Mirabel:

Yeah. Yes, we have Sam. Our patient came to us with brain injury, and she was over medicating herself. Her daughter invited her sister and doctor were very concerned because she would over medicate herself. She had a lot of falls. She wouldn’t eat. She forgets to eat due to the medications that she was taking, and what we did for her is we would call her every morning an every night. We would watch her take her medications, and after doing that for a while with her, she started to have a better picture. Her brain was much clear. She was able to think better. Now she knows our name. She knows every time we call her. She knows who we are. She has her supplies ready, her level packs, her water.

Mirabel:

She pours it into a little cup, so she doesn’t drop anything. She hasn’t had any falls since she’s been with us. In the beginning, she was very depressed because she lives alone. She’s very depressed, so I offered to have lunches with her. We were able to have little lunch dates with our Sam and that would brighten up her day. I would show her my puppy. My daughter would sing her little songs. She’s come a long ways. Her doctor was very impressed with the progress that she’s done.

Neil Tantingco, Owner, Connected Home Living:

Mirabel, just to make sure we people don’t think your next door to her, where exactly are you and where exactly is the patient or the client?

Mirabel:

Well, I’m in Arizona. I’m in Mesa, Arizona and I believe she’s in Oklahoma. She’s not next door to me. She’s very far.

Neil Tantingco, Owner, Connected Home Living:

Awesome, awesome. Well cool. I know Mirabel, what do you call this? I saw the doctor recommendation. He was actually quite astonished, wasn’t he?

Mirabel:

Yes, he wrote us a very, very nice letter. He was so surprised how far she’s come. She’s remembering our names. She couldn’t do that in the beginning. She was very isolated, very depressed, and now every time we call her, she’s like, “I’m ready.” She’s ready. She knows who we are. She’ll ask for the girls. Yeah, she’s done wonderful. She’s relaxed now.

Neil Tantingco, Owner, Connected Home Living:

Awesome, awesome. Well, cool. Well, thanks Mirabel. I know you’re super busy. I see there’s a bunch of alerts. I’m going to let you go, but I really appreciate you dialing in.

Mirabel:

You’re welcome. Bye.

Neil Tantingco, Owner, Connected Home Living:

Okay. Bye-bye. That’s an example of an experience working with our service. In fact, they stopped calling their telehealth…

Valerie VanBooven RN BSN:

Wow, that’s so cool.

Neil Tantingco, Owner, Connected Home Living:

Yeah. In fact, they’re calling their telehealth Mirabel or Dora or Oscar. We’ve actually humanized the telehealth, and I think that’s one of the secrets why our patient’s utilization rate is so high, but I should going back to the example of that home health. Typically, the home health when they utilize our service, the episode is typically right around 45 to 60 days. After that, obviously they have to discharge the patient, but right before discharge, we always ask, would you like to continue the services beyond home health? Right now, we’re getting anywhere from 52% to 60% yes, I want to continue to do this because if you unplug my telehealth, you’re unplugging Maribel, right?

Neil Tantingco, Owner, Connected Home Living:

You’re unplugging my friend, and so they want to continue to services beyond home health, right? That’s a testimonial of the efficacy of our services, right? We’re just trying to see more of these patients staying with us as the long-term patients. I’m going to go back to my slide here, so that way…

Valerie VanBooven RN BSN:

Yeah, let’s finish your presentation, then we’ll answer everybody’s questions here.

Neil Tantingco, Owner, Connected Home Living:

Yeah. Hang on here. Hang on. Okay. Hopefully, you see my slides. Okay. Just a real high quick level, this is what we do. We’re going to provide a customized reading. We’re going to provide that time of the intervention, but we’re also going to be the extension of the clinical and the private-duty organization because you can’t be there 24/7 most of the time. In between those visits, you can say, “Hey Dora or Maribel, I need to make sure this patient doesn’t miss her doctor’s appointment. Could you call tonight at 8:30 because she has blood work? Could you also make sure she doesn’t eat past 9:00 p.m.?” That could be our responsibility you can pass on to the RCC and when we do so, we again can call them live on video to reaffirm that things are being done right, right?

Neil Tantingco, Owner, Connected Home Living:

We’re also going to bridge the social determinance, help you with that effort, right? The way we do that is that every Thursday at 9 a.m., we asked four additional questions, right? Do you have enough meds? Do you have enough supplies? How’s your pain level, and also do you have any doctor’s appointment? If any of those are yeses, guess what? Those are all potential private-duty services, right? If they’re saying I’m running out of meds and I’m running out of supplies, especially nowadays with COVID and shelter in place, a lot of seniors can’t leave their homes, right? We’re going to notify the agency, let them know that there is a need for exactly that, right? They need a transport to the appointments.

Neil Tantingco, Owner, Connected Home Living:

They need supplies they need to get their hair done if the shops are open, but the really cool thing too on the morning of their doctor’s appointment, we’re actually going to fax over what we call the patient summary report, and it’ll have all the vitals we’ve captured. It’ll have all the health summary questions that we have that they have answered, and it’ll see all the red and yellow alert and if things triggered, but we’ll fax that on the morning of the doctor’s appointment.

Neil Tantingco, Owner, Connected Home Living:

It’ll say courtesy of ABC private duty company or home health agency, your client’s been on telehealth since day so-and-so, and it’s a fantastic marketing tool because now the doctor’s going to rely on this and say, “Hey, I’m not going to rely on the patient’s anecdotes, but I’m going to rely on this empirical data coming out of this telehealth system,” right? Other pieces too that we’re going to address, their psychosocial needs. Like as Mirabel had mentioned on the video here, a lot of our patients unfortunately are very lonely, a lot of them are feeling isolated, especially now when COVID, nobody’s allowed to leave the homes. It’s amazing the volume of people out there who are just thirsting for information or not information, but thirsting for conversations.

Neil Tantingco, Owner, Connected Home Living:

The RCC is there, but we don’t just stop there. We actually have volunteers at Connected Home Living. In fact, we just recruited seven new volunteers, and most of them are high school students that are looking to fulfill their community hours. They’re all college bound, right? We get them background check. We make sure they’re HIPAA certified. They to go through training to see each other, but we paired them up with the super-lonely patients, right? My favorite story is we have a kid here in Palo Alto. His name is [Aiden 00:41:02], but his patients all the way near the Mojave Desert where he doesn’t get any visitors. On Mondays and Wednesday, Aiden walks his dog around the streets of Palo Alto, but he would call his patient through his smartphone, right?

Neil Tantingco, Owner, Connected Home Living:

He’ll walk him around school, introduce him to his neighbor, watch the dog poop on the ground, but the whole time, Mr. Nay was the patient sitting on his recliner watching the whole event unfold him, just like reality TV, right? When I called Mr. Nay, I said, “Hey, Mr. Nay, how’s Aiden treating you?” Mr. Nay said, “Neil, when that tablet rings on Mondays and Wednesdays, I find myself leaping towards the tablet because I can’t wait to hear his physic’s score or his hot date at the prom or how he plays in a swimmy,” right? It’s a magical thing and I have so many stories to share with you, but those case studies go a long way because Mr. Nay hasn’t got to the hospital since, right?

Neil Tantingco, Owner, Connected Home Living:

Anyway, so that’s our service in a nutshell and just to show you, I’m not going to give you anymore examples because I think I’ve over ground you already, but just going to give you the efficacy of our program, especially when working with home health agencies, physicians, and hospitals. One hospital right here, they typically see of 17% to 25% readmission rate for their cardiovascular patients. We went back to them and showed them out of those 121 patients we cared for, we only have three re-hospitalization. That’s a 2.47 readmission rate compared to 17% and 25%. That equated to about $317,000 of cost savings to the hospital.

Neil Tantingco, Owner, Connected Home Living:

Now if you have a problem like this, whether your private duty or a home health or hospice agency, if we come up with this numbers working together, you’re going to get the mind share of the hospitals, right? That’s part of our program. Okay? We talked about the weekend tuck-in program where we ask those questions every Thursday, and that’s how we bridge the social determinance. We have a whole COVID program, right? We have a COVID search program. For every patient to come under your care, we’re going to make sure that we’re going to screen them for potential COVID signs, but lately we’re beginning a lot of confirmed COVID patients because a lot of these hospitals are trying to push them away from their ER and ICU unit, especially if they don’t require emergent care.

Neil Tantingco, Owner, Connected Home Living:

For the audience here in the call, if you start marketing yourself as having a compelling COVID solution like we’re talking about now, again this should drive additional referrals to your agency, right? Anyway, this is built in as part of our program, right? We have all the programs, so we can talk about some more, but I know we’re running a little bit of time here, but we have a hospital-to-home program. We have a whole sniff transitional program. In case we have some home health agencies here, we have a whole Medicaid program where we have Medicaid actually paying for our telehealth services and use this as a revenue generator, but diving deep into the virtual caregiving, right?

Neil Tantingco, Owner, Connected Home Living:

Again, so we can retain these patients as long-term clients. We can either market ourselves and either sell this as a separate service or a blend with your service. Many of our private UT companies are blending it as part of their offering. They’re just embedding the cost in their hourly rate because the cost is pretty inexpensive, right? We actually have two plans for virtual caregiving. One is what we call the wellness care plan, and the other one is the safe harbor plan. The really key difference here is the number of proactive calls of the remote care coordinator. If we’re just going to do let’s say two proactive calls per week, it’s only going to cost $90 per month. $90 per month, right?

Neil Tantingco, Owner, Connected Home Living:

If you can’t hide $90 in your hourly cost, you’re in trouble, but if you want to do safe harbor where we do up to five proactive calls per week, the cost for that is 155 to the agency, right? Now most agencies that we work with, they mark it up, right? They did mark it up anywhere from $50 to $200, depending on how you want to approach this, but we do all the work here at CHL. We notify you as the agency when things are starting to show troubles, but you get to experience the remedy, right? Again, the beauty about this, we’re doing all the work, and we’re going to help identify additional work for the agency. As I mentioned, in fact, the example that Mirabel failed to mention is that in the beginning, the patient did not want any caregivers at her home, right?

Neil Tantingco, Owner, Connected Home Living:

Over time, we were able to convince her, “Yes, you do need a caregiver because you’re stacking up your dishes on your sink, you’ve got loads of laundry, right? Your refrigerator’s empty, right? Why don’t we go in there, why don’t I introduce you to the private-duty organization and normalize your environment? Let’s just spend eight hours just to get everything back into shape, right?” Guess what, that eight hours is going to overtime convert into four hours every day, eight hours every day or whatever it may be, but again, agency utilizing virtual caregiving as a way to establish that beachhead, right? Anyway, it’s low, cost highly effective, and I think this would be a great addition as part of your services. Let me shut up for now and then…

Valerie VanBooven RN BSN:

All right.

Neil Tantingco, Owner, Connected Home Living:

Maybe get some calls before the end.

Valerie VanBooven RN BSN:

Let’s see about some questions here, and also I want to say this. I don’t know any home care sales consultant in the world that I’ve met and that I’ve listened to you is going to tell you that it doesn’t matter if your private pay, private duty, or your home health, it doesn’t matter, you should be keeping track of your hospital readmission rates per diagnosis because of that in and of itself is a great marketing tool for you. When you can say we are able to keep CHF patients at home, I get it, you’re private duty, but if those medication reminders are helping, if that taking a wait is helping or asking the patient what their daily weight was, if you can’t help them yourself, whatever you can do as a private-duty person help them with meal preparation, those kinds of things that can keep them from eating overly salty foods.

Valerie VanBooven RN BSN:

If you can keep CHF patients at home, you should be recording that. You should know what their last hospitalization was before., and you should be keeping track of that data. This has been the scene for years, we’ve been saying that. Okay so having said that, if your client has one of these, all that data is available to you, and you don’t have to keep track of it yourself. It obviously keeps track of it for you. Okay.

Neil Tantingco, Owner, Connected Home Living:

Right.

Valerie VanBooven RN BSN:

All right. An anonymous attendee says, “Can home health build this service through Medicare as a telehealth visit?”

Neil Tantingco, Owner, Connected Home Living:

The answer is it depends, right? Right now, the CPT codes for telehealth are designed for agencies or providers who have an NPI number, right? Some agencies out there, they have an NPI but most home health agencies do not, right? Right now actually, you’re hearing it on the news, telehealth this, telehealth that. It’s just a matter of time when CMS will eventually not just reimburse for telehealth, but also reimburse and treat those virtual visits as if they’re physical visits and allowed to be billable. Today unfortunately not, but in the future, very short future, there will be.

Valerie VanBooven RN BSN:

Sure. Absolutely, and I think that getting on board and learning a system now is probably a great idea, so that when that day comes which won’t be long, you’re already up to speed, and you can start billing Medicare. All right. We have a lot of questions about costs.

Neil Tantingco, Owner, Connected Home Living:

Mm-hmm (affirmative).

Valerie VanBooven RN BSN:

You’ve talked about it a little bit. If you were to settle directly to a human person, it could cost as little as a $90 a month, but it can go up from there depending on their needs and how many calls a week and all of that. If somebody needs the whole kit because they don’t have Wi-Fi, like my grandpa father’s a great example of that, and two calls a week, what are you looking at in pricing there? Because he’s renting the kit from you, is that correct?

Neil Tantingco, Owner, Connected Home Living:

Yes, yeah. Yeah. For those type of patients, yeah so the plan right here, the wellness and safe harbor one is $90, one is 155 to the agency, that’s if the patient is using their own smartphone. Lately too, a lot of the family members are also… They’ve got like the stacks of tablets if they’re not using, so I’m just going to give to my grandpa because all we need is so long as you have internet connectivity, we’re good to go, right? Now however, if you want the telehealth kit which I just showed you, it is an additional $125 in addition to the 90…

Valerie VanBooven RN BSN:

The 90 or the yeah…

Neil Tantingco, Owner, Connected Home Living:

Exactly.

Valerie VanBooven RN BSN:

Okay. Still, I mean that’s not crazy money. I mean that’s still a monthly fee, not a daily fee or weekly fee. I mean that’s not too bad.

Neil Tantingco, Owner, Connected Home Living:

It’s also important the internet as well. If the client is way out in the woods, we use Verizon and AT&T as our connectivity, and usually that pretty much covers everything, right?

Valerie VanBooven RN BSN:

Right, okay. Now you guys know the pricing, and if you’re reselling the system, that would be billed to you. You can mark that up if you want to and resell it to the client or just add it to their billing if they’re using services. What you charge for it is up to you, but you know what the bottom line pricing is for this, so that’s that. Okay, so let me go back here and let me just make sure I didn’t miss anything. We’ve talked about RRCs. We’ve talked about the kits, the cost of the kit, the monthly charge. Are the RCC’s your employees or are we monitoring the system of our patients? That’s a…

Neil Tantingco, Owner, Connected Home Living:

That’s a good question.

Valerie VanBooven RN BSN:

Yeah.

Neil Tantingco, Owner, Connected Home Living:

Some agencies prefer to do their own monitoring, or actually most agencies since there’s so much work involved to set up the system, put together the workflow, some agencies will sign up for the full service and then over time, let’s say maybe six months or eight months down the road, maybe you know what, I think I can do this on my own. We can set it up that way too where in the beginning, I need a lot of help and then maybe at the end, you know what, I want to be the one responding the alerts. We can just basically resell you just a platform by itself, right? If they are going to use the application, you can obtain that for $25 per month, right? You do everything, right?

Valerie VanBooven RN BSN:

Nice.

Neil Tantingco, Owner, Connected Home Living:

Then if you want the kit, it’s that 125 cost, then…

Valerie VanBooven RN BSN:

Nice.

Neil Tantingco, Owner, Connected Home Living:

That’s for onesie, twosies. Obviously, if you have volume, then we can talk and talk further about that.

Valerie VanBooven RN BSN:

Okay. Oh, that’s great. If you can be the one that answers all the calls, somebody asked in here, can they white label the service? Does it…

Neil Tantingco, Owner, Connected Home Living:

Yes.

Valerie VanBooven RN BSN:

They can?

Neil Tantingco, Owner, Connected Home Living:

Yeah. In fact, instead of Connected Home Living, it’ll be your logo.

Valerie VanBooven RN BSN:

Wow. Oh my gosh.

Neil Tantingco, Owner, Connected Home Living:

You won’t even have to say that we’re Connected Home Living because when we get the alerts, we’re going to know exactly who it’s coming from or what agency it’s coming from and oftentimes we’re going to say, “Hi, I’m Neil and I work with so-and-so agency, and I’m responding to alerts or we’re partnering with the agency, and I’m responding to alert generated by the telehealth. What’s going on,” right? We white label. In fact, it’s really rare though we don’t white label.

Valerie VanBooven RN BSN:

Nice. Okay, so this person has a question. She is a nurse practitioner. Can I bill for telehealth visit if I’m not the primary care physician?

Neil Tantingco, Owner, Connected Home Living:

Absolutely.

Valerie VanBooven RN BSN:

Wow.

Neil Tantingco, Owner, Connected Home Living:

I don’t have it on the slide deck, but, yeah there’s a litany of codes that are reimbursable. The actual telehealth kit is reimbursable. It’s about $115 by providing the equipment, the training, and the 20-minute oversight. Then you can actually stack CPT oracle code stacking, so you can stack your chronic care management, transitional care management, care plan oversight, medication reconciliation. Anyway, so if you want to give me a call and maybe not all would want to hear this, but yeah, we work with a lot of clients who are nurse practitioners and physicians who take advantage of the codes and get reimbursable.

Valerie VanBooven RN BSN:

Nice. If you have one of those on staff, you might be in good shape there for some of that. Okay.

Neil Tantingco, Owner, Connected Home Living:

Right.

Valerie VanBooven RN BSN:

The 125 more per month is not one time, it’s per month because you’re really taking that whole kit, plus the Wi-Fi. You guys are paying for all of that and then the person is renting it and…

Neil Tantingco, Owner, Connected Home Living:

Right, and that’s why I really prefer the app version if you… Some of our agencies, you know what, the 125, that does add up over time, so what they do, someone would work directly when Verizon and At&T because you can get let’s say the smartphone for free and put in a shared data plan in there. Then we’re going to provide you a list of medical devices that we do support, and then you can acquire those on your own. We’ll walk you through how to put it all together, and now you have a much more cost-effective approach as opposed to having to lease it from us. In fact, we preferred that our clients use their own hardware because if we supply it, obviously we have to pay for it, put it together at our margins on top of that, right? Yeah.

Valerie VanBooven RN BSN:

If they have their own equipment or you can tell them which brand to buy that is smart and will go with your kit, okay. Got it.

Neil Tantingco, Owner, Connected Home Living:

Yup.

Valerie VanBooven RN BSN:

Okay. An interesting question, how many clients can one RCC handle?

Neil Tantingco, Owner, Connected Home Living:

The answer is it depends again, right? Depending on the agency. Some agencies that we work with, they market themselves, for instance, “Hey, we’re going to take care of your worst of the worst,” because usually the top 5% of headache people of a given hospital represents 80% of their headaches, right? That hits the bottom line. Some agencies, all they do is they just go after the super high acute patients and in that model, since they do require daily calls, sometimes twice a day calls, the ratio now could be one out of 16 RCC, right? These RCCs working three 8-hour shifts, but then we do get virtual caregiving patients where we’re just managing them, managing their chronic care, right?

Neil Tantingco, Owner, Connected Home Living:

They’re past that danger zone if you will coming out of the hospital. For those folks, we don’t require daily calls. In fact, some of them are getting it tired of daily calls, right?

Valerie VanBooven RN BSN:

Yeah.

Neil Tantingco, Owner, Connected Home Living:

That’s what they prefer maybe three calls per week or two calls per week, or whenever they feel like calling us, they press that little phone icon and that would count towards their call, right? It really varies. For virtual caregiving, we have a much more scalable ratio. It could be one to 120 to 150, depending on the number of outreach that’s required for that population of patients. Does that make sense?

Valerie VanBooven RN BSN:

Yeah, absolutely. Okay. Now I have a question, you’re going to have to probably clarify because I don’t think they got this exactly right.

Neil Tantingco, Owner, Connected Home Living:

Yeah.

Valerie VanBooven RN BSN:

You said there are two proactive calls per month, but I think that can be a two per week, right?

Neil Tantingco, Owner, Connected Home Living:

Per week. I’m sorry, it’s per week.

Valerie VanBooven RN BSN:

Per week.

Neil Tantingco, Owner, Connected Home Living:

Yeah. Per week. Yeah.

Valerie VanBooven RN BSN:

How many times can the client reach out to ask questions?? What if they have their two calls, but they call again on Friday and they have accidentally three calls that week? Also, how do you track their medication info? Who puts that into the system and what if it changes?

Neil Tantingco, Owner, Connected Home Living:

Yeah, so those are fantastic questions. Yeah, so the people, when they call in, if they use up their twice a week calls, that would go towards that and anything over that, we do have an overage…

Valerie VanBooven RN BSN:

Oh, you have an overage. Okay, got you.

Neil Tantingco, Owner, Connected Home Living:

Overage charge, and that’s why it may make more sense to have the next level plan if they’re doing a lot of calls, right? Yeah, so there’s an overage cost, right?

Valerie VanBooven RN BSN:

I would imagine that if you see somebody’s constantly going over, they start with a lower pla. They’re constantly going over. I mean somebody would hopefully reach out to the family and say, “You know what, it’s okay, but it might be less costly if you went with this, and they seem to be more needy than you thought or they liked the interaction more than you thought they would.”

Neil Tantingco, Owner, Connected Home Living:

We don’t charge for the volunteers.

Valerie VanBooven RN BSN:

Right. Oh, okay. Your volunteers are free?

Neil Tantingco, Owner, Connected Home Living:

The volunteers are free. Yeah, the volunteers…

Valerie VanBooven RN BSN:

If they just want to have a conversation that’s not really medical necessity, it’s just you just want to chat and you’re figuring that out, then assigning a volunteer to them would probably cover that.

Neil Tantingco, Owner, Connected Home Living:

Right. Yeah, exactly. Usually the RCCs in the morning because these telehealth systems, we usually like to get the vitals and all that information in the morning because like we want dry weight information. We don’t want to weigh themselves after they had breakfast, lunch, and dinner. We want to get that weight right before they do number two, right?

Valerie VanBooven RN BSN:

Right.

Neil Tantingco, Owner, Connected Home Living:

Anyway, but usually in the afternoons and evenings when things are a little bit more slow, yeah, so a lot of times the RCCs, they use that downtown just to reach out.

Valerie VanBooven RN BSN:

Okay. What about the medications, how do you get that information and what happens if it changes?

Neil Tantingco, Owner, Connected Home Living:

Yeah. When a patient comes on board, we have an online form, right? You log into this secure HIPAA compliant website and in there, it’ll have the patient profile, it’ll have their primary secondary diagnosis if you have that. It’ll have their medication in there, right? Then we would input that in there. Now I do have to admit when we do the reminders for medication, we tend to just say, “Hey, it’s time for your lunch medication. It’s time for your dinner medication,” because when you list them all out because I know in my assisted living, they don’t actually remember the name. They remember that picture or the…

Valerie VanBooven RN BSN:

The pill.

Neil Tantingco, Owner, Connected Home Living:

… color and the shape and the size of that med, but sometimes when you change your meds and it’s now blue instead of pink, they got discombobulated and they won’t take it, right? Anyway yeah, but we can work it out where in the referral form, you can note exactly what the medication is and…

Valerie VanBooven RN BSN:

Can a family member update the RCC if they want to or update a notes or something?

Neil Tantingco, Owner, Connected Home Living:

Exactly. Yeah, the family member or even the agency can come and call and say, “Hey Dora, could you make sure that they elevate their legs? Oh my gosh, this one particular wound, it looks like it may be crossing over from stage two to stage three,” right? We can do that or if you want, we can take a picture of it. Oftentimes, we do that as well because sometimes like we have one example. We have one adult daughter who rarely visits the loved one and she sees the dad’s leg and was like, “Holy smokes, it’s ready to pop,” right? Because she’s never seen it, but maybe what we’ll do is we’ll take a picture of that leg and we’ll pass it on to the last person who was there, let’s say the physical therapist and say, “Hey, is this really swollen or it has been this way for quite some time?”

Neil Tantingco, Owner, Connected Home Living:

A lot of times, the therapist will say, “You know, it was like that before, so don’t call 911. Everything’s okay.”

Valerie VanBooven RN BSN:

Right, yeah. Okay. Neil, people want to know how to get ahold of you. Do you have a slide that shows your phone number on it? Sorry.

Neil Tantingco, Owner, Connected Home Living:

Absolutely, yeah. I should have put that there last. Yeah, that’s me right there. I’m Neil Tantingco…

Valerie VanBooven RN BSN:

Oh my God, he gave you his mobile phone number.

Neil Tantingco, Owner, Connected Home Living:

That’s my mobile phone number, yes. Right.

Valerie VanBooven RN BSN:

Let me tell you that’s a good way to get all of them too, so now everybody’s going to text you or call you.

Neil Tantingco, Owner, Connected Home Living:

Yeah, everyone will text me, email. Yeah, yeah.

Valerie VanBooven RN BSN:

I think we have a lot of folks interested, and I know there’s some very specific questions you can answer offline really easy, but definitely reach out and talk to Neil.

Neil Tantingco, Owner, Connected Home Living:

Also too, I know we’re running out of time, so when we bring clients on board, let’s say an agency whether it would be private duty, home health, there’s going to be an on board process where we obviously have to set up the system, we’re going to customize it based on your logo.

Valerie VanBooven RN BSN:

Is there a cost to that set up of that onboarding?

Neil Tantingco, Owner, Connected Home Living:

There’s a setup fee. It’s a little bit more for the home health agency because it’s much more involved. I have to involve my clinical team. It’s not so much on the private duty side, so I’ll give what the amount is. For the home health, it’s $1500 with a set up one-time fee and then for the private duty, it’s $500.

Valerie VanBooven RN BSN:

Oh, that’s not bad.

Neil Tantingco, Owner, Connected Home Living:

Not bad.

Valerie VanBooven RN BSN:

I mean there is a lot of work that goes into this either way, so somebody on your staff has to take the time to white label and get everything set up correctly.

Neil Tantingco, Owner, Connected Home Living:

We have to train the team who to need to know specific and say, “Hey, the second we get an alert, we better know exactly who to call especially during business hours and after hours,” because we’re 24/7. We’re a 24/7 provider, but also too…

Valerie VanBooven RN BSN:

The set up also trains the staff, right?

Neil Tantingco, Owner, Connected Home Living:

Yes, we’re going to train the staff, but also we’re going to train not the people who are going to alerts to, but also marketers. We’re going to train the heck out of the marketers and say, “Oh yeah, what once you set up, we have collaterals, right? We have inserts.” If you’ve already produced mass amount of tri-fold, we have these inserts that slide right in the middle, and it’ll be tall enough that’ll say telehealth on the top, and this right now, you don’t have to redo your brochures, but we have that. We have specific brochures about corona, about hospital-to-home, right?

Valerie VanBooven RN BSN:

Wow.

Neil Tantingco, Owner, Connected Home Living:

A lot of information, but also too, the second the agency signs up, we’re going to install the app on their phone. This way, when they go out to the market and they can say, “Hey, let me show you what a day in a life would look like,” and you would just do exactly what I just did.

Valerie VanBooven RN BSN:

Yeah.

Neil Tantingco, Owner, Connected Home Living:

If you plan ahead advance, you can call our company. There’ll be an assigned team for you. Unless you’re doing a demo and you want somebody like me to pop up on your call just like Maribel, I called Mirabel. “Hey Maribel, could you be ready?” Spreading out in advance, they will pop up on the screen, right? Especially if they’re meeting with physicians at a hospital. Those kind of meetings, I like to be involved because they obviously like to hear certain things in certain way, and I know how a whole speil about that.

Valerie VanBooven RN BSN:

Nice.

Neil Tantingco, Owner, Connected Home Living:

Yeah, so I can be part of your sales call, granted I’ll join you here as suppose to right next to you.

Valerie VanBooven RN BSN:

Okay. I got to get a plug in for us because just so you all know, if you are our client, so we’ve been running Google ads for Neil to see what would be a consumer reaction to a Google ad, and I’d say it’s gone pretty well. You’ve gotten a lot of calls from that, haven’t you?

Neil Tantingco, Owner, Connected Home Living:

I get a lot of calls, but you know what’s so weird about filling these calls? A lot of them need, guess what, private duty care.

Valerie VanBooven RN BSN:

They need home care, yeah.

Neil Tantingco, Owner, Connected Home Living:

Yeah. We’re seeing a lot of them, yeah.

Valerie VanBooven RN BSN:

We’ve been running Google ads for Neal just so he can experiment and see what would happen if we went direct to consumers with this, and what happens is he’s finding out that, yeah, consumers love, they see our ads and they realize this isn’t that costly. They call him or they sign up and become a lead. He calls up and it would be great for them to have a virtual caregiving, but he also needs to refer a private duty home care agency too. You guys who are on this are really in the right place, and we know how to run those ads for you already.

Neil Tantingco, Owner, Connected Home Living:

Yeah. I’m actually…

Valerie VanBooven RN BSN:

We got leads.

Neil Tantingco, Owner, Connected Home Living:

I mean I’m not just going to say it because you’re working with us. I’ve actually worked with other social media companies, like the results has been just astonishing, right? Right now, as soon as we’re done here, we got to follow up on those leads.

Valerie VanBooven RN BSN:

Yeah.

Neil Tantingco, Owner, Connected Home Living:

Yeah.

Valerie VanBooven RN BSN:

Yeah. Well, I want to thank you for this. This has been amazing and I think everybody who’s watched this, and trust me when I say more people will watch this in the replay. I think you’re going to get a lot of interest. I mean home health is great. This is built for home health, but I do believe that the private duty home care agencies, even assisted living should really research this and talk to you and find out if it’s a good fit for them. This is a revenue generator and in addition to your revenue, it is not a competitor for you. It is something that real people in before they actually need all that help, and then they’re glued to you forever, until till they…

Neil Tantingco, Owner, Connected Home Living:

Throughout their life.

Valerie VanBooven RN BSN:

Yeah. Yup, absolutely. Thank you Neil. I appreciate it. This has been awesome.

Neil Tantingco, Owner, Connected Home Living:

Thank you for having me.

Valerie VanBooven RN BSN:

All right.

Neil Tantingco, Owner, Connected Home Living:

I had a great time.

Valerie VanBooven RN BSN:

All right. We will get this out to everybody. Thanks everybody for being on the chat, for asking great questions, and we’ll talk to y’all soon. I’ll send out the replay as soon as I get everything put together. All right? Thanks. Bye-bye.

Neil Tantingco, Owner, Connected Home Living:

Bye.