2 Episode results for "Heidi Janetta"
The State of Rehab Therapy with WebPTs Heidi Jannenga
"Prepare yourself for a physical therapy conference. That will deliver a p._t. Education hangover of epic proportions because we're going to las courageous this october p._t. Podcast presents the tri-state physical therapy conference october eleventh to thirteenth in fabulous las vegas nevada. Maybe three days of learning networking and well probably some good old fashioned las vegas-style fund with with presentations by president sharon done state chapter presidents chris powers of california john hike of arizona and r._j. Williams from nevada with your keynote presentation by tim flynn focused talks on telehealth medical marijuana and motivational interviewing just so we're clear that's three different talks. We're not mixing medical. Oh marijuana with telehealth and motivational interviewing well not yet anyway. Tickets are on sale now. Get yours at p._t. Podcasts dot com wanna win your your way in enter to win free tickets at p._t. Pint cast dot com the tri-state physical therapy conference october eleventh to thirteenth. What happens in vegas yeah well. You know how this ends history always the times of conflict that at some point in time something happens to elevate and make that opportunity even greater and i can't say enough about how right now during this time we have the opportunity to really elevate our industry as a whole in terms of the value and getting our people understand the value add more patients at our practices so please take advantage of this time period had a chance to have heidi janetta. No a stranger to the program back on the show wanted to take a little bit of toe dip into this gigantic document that they're giving away for free. It's called the state of rehab rehab therapy twenty nineteen essentially just a gigantic and i mean big survey from your colleagues more than six thousand. P._t.'s responded on do things like pay happiness things you're looking to do inside and outside of the profession and we wanted to take it in depth. Look with with heidi we covered demographics business visited financial salary challenges and opportunities and technology and i even had a couple of quotes in there so of course wanna read my own quotes. Episode is brought to you by owens recovery recovery science. They're a single source for looking for certification and personalized blood flow restriction rehabilitation training and the equipment. You need to apply it in your clinical practice practice so take a look at johnny owens and his team as their around the country and around the world not only improving research and bef are but certifying instructing clinicians and how to use it online at owens recovery science dot com now. Take a listen as we get in depth with heidi from web p._t. Broadcasting the physical therapists around the world heard over one hundred thirty five countries with more than one million downloads and counting this is this is the p._t. Podcast the best conversations happen at happy hour. Welcome to ours. May i introduce to introduce you. Here's your host physical therapist. Jimmy jimmy mackay the next episode of podcast starts right now. Our guest today is the president and co founder of web p._t. Heidi janetta note no stranger ranger to the show. I think the more time you come on the show. How did the shorter your intro gets. That's okay. That's fine with me but it's still hold true to the p._e. Keep anka's and unfortunately this is early morning. I do not have anything to pop. Open this early but you know we. It's totally fine. It's in the spirit of what it would sound like if we were having a beer but <hes> but but yeah with your integrate with your short shorter. It's getting closer to being someone like beyond say or madonna bono. It's like they don't need to be introduced. It's just heidi's here alert jimmy's here. I'll start that yeah. I'll get closer and closer to that but uh but how are things for you what these things are great. <hes> things are moving moving forward. <hes> we have a lot to still do. Efficiency is a huge component of what would be teased focusing on right now. <hes> which you know kind auto's tug way into some of the things that we found out from this amazing what petit annual rehab therapy industry survey <hes> that we want to talk about today so the the top of mind issue and what not and <hes> specifically around our documentation efficiency moving back to sort of our mission of really helping and empowering our our therapist to achieve greatness in practice is what we're all about and a lot of really cool things including what we're calling so to to dotto gonna be coming out. <hes> very very soon already invaded getting lots of positive feedback from uh been involved in that. We're looking forward to it anything that you can do that. Can have you know physical physical therapists. Also you know t's therapist who utilizes the software do more of the things that we went to school for and less of the other stuff or at least make the other stuff off a little bit smoother and you guys do this this this state of rehab therapy a survey. Which were you collected this year more than six thousand responses says and fifty fifty three percent of those responding. We're actually non web p._t. Members you get you get a really good gamut of responses. It's not just people who are who were. We're using your software. You you really trying to capture what the profession is thinking that that was the whole point of the survey. We as a organization are very mission driven and <hes> in order to truly sort of effectively work work towards in school. We needed to really understand what is the state of our profession in general and the more we sort of looked around. We went to analyst we. We looked at you know trying to find scour the industry reports that were existing to find out more this data and we simply couldn't do it. We couldn't find it and so <hes> we opted to just do it ourselves. This is our third the annual last year we had similar results and so now we're starting to compact compound that information and be able to now compare some of the same interesting findings that we're doing and see trends over time which is exactly what we're trying to accomplish. This thing is <hes> six thirty pages long so if people took the survey and now you want to see the results right you want to see what you and your other six thousand three hundred fifty. Seven colleagues are thinking the big picture takeaways who want to focus on first first and foremost let's. Let's talk about that that that thing that happens when documentation can can be a little bit friction filled therapy. Rehab professionals are burning out burnout all coming up in a big takeaway talk about that for a second yeah the burnout issue <hes> is huge. <hes> you know the career outlook for for people that <hes> have started into the field of physical therapy and have continued on in physical therapy. I mean there's so many things now that we're burdened with where it is is no longer just about you know treating patients and getting people better which is why most of us got into field. We wanted to help people you know the the the copays the barriers to entry to even getting into our practice practices for us even per hands and and be able to help them huge issue you but the regulatory burden of compliance burden i think is the is the biggest thing right <hes> the hurdles that we have to jump through insurance companies the amount of documentation unburden all of those things really you know put a damper on your meaningfulness of the work that you do every day and so you know that's essentially essentially what we as a company are trying to alleviate and do more and more got by the burden still exist therapists and it's something they're having to learn in school now now and again it takes away from the sexiness. If you will the meaningful work that we're we're trying to accomplish with patients fortunate because yea in order to get paid you you gotta jump through these two yeah. I've got a few friends who are now taking students as clinical instructors and they're talking about. I need to remind the students wants to maintain contact with the person there across from because they keep jumping back into the computer except we part of the gig right. We've got to get that stuff filled out but you got to remind the people like hey. You need to do that but remember. There's a human sitting in front of you some other details in there about half of the survey takers little more than three thousand people. We're thinking about making a professional chained within the next five years that should that's scary yeah. I mean it's it's scary because for me we always i want the smartest and brightest most innovative people staying within an industry and when i would i would also like to just put my opinion that half of those people are probably are those fifty percent of the people in the survey are some of the smartest and brightest because they see other opportunities. He's in other industries to make more money and to put their skills to work and that's that's really unfortunate for a long term view of our industry and the progress that we we have made but need to continue to make and you know part of that a reason that they're considering the change was just to decrease the hours that they're working so oh i know that there are a lot of hours spent on doing these you know hoops that we have to jump through that is outside of patient care i and again dan what most people came in to profession to do and so that's really part of the issue is again <hes> efficiency of work and getting back to doing what we love to treat patients jeff further insight from this topic that we've found inside that wiped state of rehab therapy in twenty nineteen is what you just mentioned top two most popular options. If you're thinking about leaving a profession working fewer hours as you mentioned it also moving out a patient care directly the top motivator for making this type of change was improve workflow work life balance follow very closely by increase satisfaction and fulfillment which could absolutely be be attached to are you there doing the thing that you wanted to do or you spending too much time doing the thing that you need to do with some of that being that regulatory burden that documentation well and that really is why we are pushing out this report because what we hope to do is have clinic. Leaders have clinic owners. Look at this information information and really understand okay. What can i do different to not only <hes> recruit the best and brightest but what are the things that are for most meaningful to therapists today <hes> which is you know not uncommon to other industries. They wanna have meeting to their work. They wanna have purpose and so. I talk a lot about conscious capitalism right now that is you know really surrounding the specific things driving towards a higher purpose within your organization having this community feel of meaningful enough to your word driving some economy that having a fantastic culture within your organizations can really any help to i think make different so whether that's <hes> you know looking at your benefits packages looking at the environment which you work having these gross career passing opportunities within your organization i all of those things <hes> are so important in have to be focused on not just the clinical care and and driving towards better reimbursement. All of those things are so meaningful to actually keeping people in my opinion to make those other things happen love the art so that's. That's the very first big picture takeaway from this report. Let's go to the second one. The p._t._a. Was pushing for this for a long time. In terms of direct access for physical therapy. Hoti runs around conferences wearing a red coat to raise some money so we can lobby for that and gay. We did it but we find that the big picture take away from your state of rehab therapy direct access. Laws are misunderstood under leverage heidi. We got it but now we're not understanding stuff. This isn't good yeah. You know i've been getting trump for quite a while. In arizona we've had direct access unrestricted let alone since ninety eighty three and we've done some you know just little mini non-recourse research studies where we just call around to clinics locally and say hey on the pay shit. I'd love to come in. I have the shoulder problem. I got over the weekend. Can i come to you and even even you know last year. We still got eight out of ten clinics that are saying i'm sorry do you have you seen your physician. I you need a referral to come see us and even when we say hey hey you know we we know in the state we we can come in without a referral my insurance leave and pay for the first visit there like i'm really sorry that's our clinic policy and it's like oh i just i wanna shake people and so you know today we have eighteen unrestricted patient access states. There's twenty six states including washington d._c. And u._s. original is that has some <hes> richard schinder provisions that you know at least allow them to have an evaluation and treatment. Maybe you're limited on visits or you know after that you have to have specific referral <hes> requirement and only six states only six days alabama illinois mississippi missouri texas within wyoming are the states in which you can access to evaluation <hes> but you have you. You're very limited in the treatment before you do actually indeed have to get a referral and so every state in the union has direct access so we just it's frustrating that still people don't understand what that means and essentially it means that you any patient can walk off the street. Come into your clinic and receive a physical therapy evaluation at the least right right and so we talk a lot about i talk about this ninety percent right. We ask profession only ten percent of the population who have musculoskeletal. It's injuries or issues that are very applicable to physical therapy evaluation and treatments are getting into the us. So how do we attack this ninety percent and we must utilize direct access. Get our our brand our our values that we add it therapists out there to more people to to allow them to come in and stop putting up barriers who to having more access to people coming into physical therapy misunderstanding information in thirteen point. Seven percent of your survey takers said patients could not access a physical therapist directly in their state. That's not good when we know that there's at least some form of direct access in all fifty of those states also added that less than one in ten respondents on this survey reported receiving the majority of new patients self referral which could lead us to our next big takeaway. Compares are one of the biggest buried a first line of rehab therapy. That's got to be a big one. That comes up a lot but i think that's also perception then from our research we we've looked at the majority of insurance companies are now at least paying including medicare are at least paying for that initial that they and so that's what we want we want people to understand that that first visit and puts us in the driver's seat as physical therapist to now become a refer to our physician partners right and potentially on a more equal playing field in which now you develop referral patterns in which you are now referring patients to physicians who then will refer back to you and understand the kind of care there was delivering your clinic right and so it's such a huge issue. This is one of my biggest word of soapbox platforms that i am going to be pushing so much more <hes> this here in years to come because i think it's such a missed opportunity when we <hes> competing with each other for patient way. We really shouldn't be where we have such the a huge majority of the overall population in the u._s. That could see us but that that art and i will say to exclamation point. There's right now now with the opioid crisis issue. We can't do more of this fast enough. <hes> it is at the top of the food chain it all insurance companies as to figure out alternatives to musculoskeletal pain <hes> neurological pain and we are the right provider to they able to do that and so you know insurance companies are are definitely trying to partner the i know we are doing some work with the united healthcare right now in which yes they had said you know we will eliminate copays for a certain number visit to get these patients in the door direct access absolutely we we'll pay for those visits of physical therapy with these people coming in specifically with low back pain and musculoskeletal pain so you know pointing the finger at other people. I think is an easy the way too easy cop but many of those barriers are starting to come down if they were there and and the first wave again. I think there's misconception misperception on a lot of that. It just seems like lingering perception that takes away. I was talking with alin j._d. Not long ago in there that that frequently cited statistics of taking seventeen years for a bit of research to go from being published being put into practice. Hopefully it doesn't take that long. We have the ability to literally record a podcast today and release it in an hour to get information out but we know that the fabric of how people operate you need to mention it many many times to get them change their opinion or change change that meth change being the key word right or easy. <hes> scotus close tends to stick around because it's what you know and fear sets in when things are new right and so <hes> but the more what are we can educate the more we can get people to understand the opportunity that exist and get on board with it. I am going to be saying that until then probably are. We kind got. We'll keep it up. I like it all right. The fourth big takeaway we'll start the show with was consolidation is widespread image therapy market mark in about twenty. Three percent of all respondents were involved in a merger or acquisition within the last five years. <hes> we've been talking about this for quite title to <hes> in terms of way sort of depending. I can tell that was happening. We knew two three years ago that private equity money had started flowing into the industry anytime there is this you know ability in their minds to pull things together to get the economies of scale gail they they like to do that when they see opportunity and so we saw that money falling in so now what you're seeing is these larger organizations who received <hes> private equity funding ending are now really starting to to do the consolidation to buy it connects. You put you know mid size practices together. You know i it's it's a normal sort of economic evolution. I've seen this happened now twice. During my twenty plus years <hes> within the industry so the normal course of this. I think with slightly different this time is a lot of these organizations are being led by still continuing to be led through even through private equity funding through physical therapists which i think is a positive thing enrich <hes> we have people that truly understand you know patient care <hes> not just people at the top who are looking to make a profit so you know. I'd love to continue to say that this is going. I it continued to be he positive and opportunity for those that are quote unquote burnt-out to have other opportunities to to make you know make a good business decision on whether or not they you want to continue or if they would like to be a part of a larger organization if if money is coming at product money's coming in it means. There's a good forecast. I you know people with private equity that their job is to invest in things that will grow so that's a good sign and the myth really when you hear of consolidation that is is really dispelled eld in this you said about twenty twenty percent of all respondents were involved in a merger acquisition in the last five years usually think of oh no that's bad but the majority already reported that the transaction had an overall positive impact on the organization so it's good news that money's coming in and when it does and their consolidation happens. They've been positively impacted. Those are those are two bits of good news well and the overall industry like you said is growing and that's also positive right we know the baby boomer impact and with hopefully some of these changes that we're starting to see and policy with insurance companies have driving more patients with those therapy with us continue to push forward on and if you know breaking the ninety percent barrier having more access to technology like patient retention management platforms in which you are keeping in contact with patients for longer. They're they're staying within the ecosystem a therapy. I think a lot of these changes are very positive to continued to expand the ability for us to to see more patients but also continued to have the patients that have come into to <hes> physical therapy or uh-huh therapy <hes> <hes> o._t. Or speech to see the value and continue coming back yeah great point all right so those are the four big takeaways. How do you just remind people. Where can they download download this even if they didn't take the survey work and they get it <hes> where p._t. Dot com guessing social media as well yep herschel media if you do go state of rehab therapy industry report what p._t. You can get the download their or via. <hes> we've been publicizing on on on facebook and twitter you can go to my page age. <hes> i've got a link up on my twitter page as well so any place out on the web pretty much if you if you google web p._t.'s state of industry report euro. We'll find it stand. Stay tuned. We'll be right back to the p._t. Podcast if you look for education passed your physical therapy degree look no further than i'm brooks i._h._l. That's brooks rehabilitation institute of higher learning you can find out more at brooks i h l dot org continuing education along with residencies and fellowships residencies in orthopaedics geriatrics women's health neurologic pediatrics sports and fellowship opportunity community as well so look into it if you're looking to expand your knowledge base brooks i._h._l. Dot org to the p._t. Typecast with jimmy mackay just reminded this is the third year so we are starting to see some trends so that's what we'll talk about. <hes> you guys actually reached out for some quotes for some people in the industry for some reason you decided to ask me what i thought about some the things that i and i of course open my mouth so let's go to challenges and opportunities in terms of <hes> student debt. You guys really broke this this this this report down into five major major categories all having a big impact on the profession and those were being demographics business this and financials salary challenges and opportunities and technology in the one that comes up <hes> especially for persons like myself. I graduated in sixteen zero. Three years out is is that student debt and you have a lot of demographics information here in a lot of <hes> of debt information looks like twenty six point three percent of total student debt at graduation eduation in two thousand eighteen twenty nineteen about twenty six percent of those graduating head between a hundred and one hundred and fifty thousand dollars in debt. That was the largest group represented. That's a lot of debt so my question where mike and mike in the report was i think unfortunately will start to see smart students and this is sort of what you alluded to earlier is. We're starting to see some of the best and brightest who were in the profession start to look for the door. I think think we'll start to see smart students who might have chosen as their profession. Take a smart look at the situation high cost low payout in terms of salary and unfortunately fortunately choose something else and in keep in mind that the payoff doesn't only equal salary. I know it equals those things that you mentioned culture job satisfaction but you also factor in that burnout so if you want if we want to attract smart people to the profession we need to make their day to day appealing and not just that paycheck every other week that day to day meet needs needs to be appealing and right now with documentation expectation of on billable hours the friction of navigating the healthcare system in general the juice doesn't really equal to squeeze. I think debt will scare a lot of bright people away and we can never have too many bright people in the profession the one small bit of advice or or <hes> the silver lining is it actually went down. Twenty six percent of the respondents have between one hundred one hundred fifty thousand dollars in twenty eighteen that went down by three percent in twenty only nineteen so maybe returning that way it might have just been whoever was <hes> was being smarter financially in terms of loans but that student debt that that's got to be a huge issue and that's why we wanted wanted to bring that one up yeah this is something we've brought to light and put a huge spotlight on it last year when we just looked at the the insurmountable to be honest a city that that people are coming out regard with respect to the salaries that peop- the that new graduates are starting out with right and like you said that does it usually matched squeezed so i i was happy to see the change but at the same time i don't. I don't know that it's really statistically typically significant for all but one thing i will say is that i agree with your quote and terms. I think that we are going to start losing using some best and brightest but i think there's also another silver lining jimmy in that. There's people like you and i who are a therapist. I know that you're continuing continuing on with your clinical care but we're also delving into other industries and other areas in which our expertise can be super valuable and it and for me i think that really <hes> highlight and elevates our profession and when you do these you know really smart people that that are starting to become analyst in healthcare organization in insurance companies and other financial organizations things like that where our healthcare is important but we are now having the opportunity to take on positions with p._t. Behind our name that weren't necessarily always traditional so these non clinical <hes> roles that continues to elevate the profession as a whole so although i one hundred percent agree agree that <hes> we never wanna lose the best and brightest in terms of clinical care because at the end of the day that is our brand right how patients perceive <hes> the clinical nicole care that you received from a physical therapist. That is the most important. I do see other opportunities for those that. Maybe say you know what maybe this isn't all that it was cracked up to be in terms of clinical care. I love that i'm a p._t. And i'm gonna continue to represent myself at the p. t. even today when someone asked me what do you do. My first response is still physical therapist. I and i just happened to start a software company and so i think that's important too in terms of elevating elevating fresh brushing and seeing other opportunities in the business world that we can continue to push the physical therapy brand therapist brand but maybe just in a different profession. Maybe this is the this is the proverbial pressure that creates the diamond or cracks the coal <hes> you know i think i think you bring you bring up. You know what you did. Ally bet you a lot of people for for decades bitched about you know e._m._r.'s or were paperwork but how many of them did something about it and i think i think that the connectivity the entrepreneurial spirited people in in our our industry right into using that entrepreneurial to do slightly something different that helps iraq profession. I think the negative yeah. I agree quote that i had dropped in. There was about really the challenge and opportunity section really in career outlook and i said some tease way the things they come into the profession four versus the things they're doing in their work day in philip there on the short end of the stick bottom line is though that p._t. Attracts people who want to help other our people once they feel like they're not effectively doing that and they're spending too much time documenting versus treating being forced to do non activities like dealing with insurance or other bureaucracy and getting paid less than they feel they should. They start to feel cheated and then i would go on with saying but it doesn't. It's not all money and i hear this a lot. From other pe- teases through the reason they came here was nobody was nobody was fooling themselves and thinking they were going to get rich being a p._t. So we're okay with that. I think that people are going to start to seek out places who really we really want to focus on the culture of their environment if they can improve their minute to minute existence and how things are getting excited to go to work you know if you get excited no matter what the setting of the patient population if you get excited to work to go to work with the the individuals you get to work with and you know the three cs that we talk about a lot of craft causing community. Will we know our 'cause and treating patients. It's that community who we build around us. If you can raise the bar there it doesn't have to be in a paycheck in people people people responding to the survey who work considering changes in the next five years. We're looking at decrease hours work moving into a non clinical role as we just mentioned or they were just looking to retire so i'd even take twelve percent of that. That was the response to retire there at the end of their career so that's that's showing even even less people. Were considering the change because they were thrown in that group. I think the more we pay attention to the culture as you mentioned the better the outlook will be. I can't agree anymore. <hes> it absolutely and i would say also the demographic percentages not heavily weighed only on millennials. I think this this type of conversation gets pushed onto millennials. It's not just a millennial. I think people in general right people want meaning to their work and what motivated than having that atonomy but truly having purpose to their work and you know when you you have a pile of of documentation to do and hoops to jump through to get paid and unfortunately the business side of the p._t. Not world is is not all that everybody you know. I'd peop- people want to get into the profession. Although it is very important so i i think that you know overall you know it is absolutely and comment on clinic leaders owners to take this to heart if they wanna wanna keep the best and brightest in in their in their clinic so i'm excited we talk a lot about core values going back to the basics of truly understanding. What is the foundation asian of your culture right so taking some time to do that and and understanding the vision and mission and being able to relate it to those that are are with you right a in creating that sense of community absolutely. I love your three year three seats. I think that's that's fabulous. I wanna give fox rehabilitations. We talk about a lot of those three. C.'s is but <hes> listen. We've been talking about this thing for thirty minutes but it's thirty one pages. Long is what you can check this out the state of rehab therapy their third annual here in twenty nineteen from web p._t. Go download this thing and peruse it if i don't see a person in that wouldn't benefit from it either. You're working for a large organization a small organization if you're self employed if you're a student if you're thinking about this is kind of a snapshot of where things are right now and this is the third annual so the cool thing is you can go back it to eighteen and seventeen and kind of compare where things are going so. Thank you guys for doing this. I really really appreciate guys. You know putting a ton of effort thirty one pages of stuff like this. It doesn't just crank out itself now. We've got a crack marketing team at cracking on what team who has really done a yeoman's job to get this ongoing but it is really important to us. I mean selfishly. We've done this because we we want the data right. We want to be able to aggregate and share share it. We'll we don't have to goes goes to our mission. Jimmy goes to our mission if anybody wants to dive into those thirty. One page is <music> even in more adopt. We're actually doing an in depth webinar next thursday. So if you go to web dot com you go to the state of therapy industry report <hes> you can sign sign up for the webinar we do. You don't have to be live in present. We actually record it and send it out but you do have to sign up for it to get that recording so anybody nobody who's interested <hes>. It'll be this thursday at nine a._m. At pacific time for three questions heidi shirt on the hunt seat feet with three questions on the podcast art three questions brought to you by our sponsors aureus medical staffing their leaders travel medusa for a couple of decades that you a p._t. Or p._t._a. Do what you wanna do wherever you want to do it placements all over the country in all fifty states. You're thinking about relocating yeah. They can find you the position but then housing. They got you covered. They got a person for that. What about taxes. If you live somewhere and you work somewhere else that's complicated. They got a person for that. <hes> what about see us worry about that. They've got a person for that you starting to see a theme so if you're thinking about maybe taking a short term assignment thirteen weeks. Maybe it turned that into a long-term silent. Check them out online at a u. R. e. u._s. medical l. dot com first question is aware question heidi no you're you're out in the <hes> in the south west but if you could go anywhere in the country and be an m._b._p. Ear how whatever p._t. Means for you. Where would you wanna go. We're somewhere in the country. I am partial to hawaii obvious reasons but also because is that is where my mom's family is from so i feel very akin to the hawaiian people and so i was gonna practice i i would love to be in hawaii and i talked to sunny in the crew is when we do these broadcasts at at conferences they say all the time people just assume there are no positions in hawaii because everybody would you wanna go. There are positions all the time so you should definitely even look into it so it's cool second. Question is <hes> what something that you've read watched each downloaded listen to. That's really inspired. You could be a movie a book a podcast anything. What's something that recently that you really said yes. This inspired me so i ah the most recent read that i just finished <hes> and that is probably the most inspiring thing for me is <music> brenes last book leading greatly so i can't say enough about her browns and also just in her latest book <hes> <hes> it has been an absolute i say game changer but very much a validation and framework to help talk about leadership leadership and how vulnerability needs to be a part of leadership but how to be a great leader <hes> and so i would i would say most inspiring most recently or that amazon so we think alike like i'll let you know what i think. Data third question is is a who question who is someone in the <hes> the world of p._t. Or whatever world urine that the audience should know more about this. Is your chance to give somebody shout out for doing something great and i got me on fire well. I'm gonna say if you guys don't know and haven't seen what evidence in motion with child is doing with regard to the changes in education <hes> the disruption that they've done with their newer model as well as their d._p._t. Program oh grabbing they run through the i am. I'm a graduate of that program and just a fantastic job of of consolidating the sort of major's. Here's <hes> talk about smart and best and brightest of educators <hes> who come in and spend their time teaching these courses. I can't say enough about the gains gaines. I've personally gotten through that program but also just i love seeing the disruption and john's just a kind of an icon in the industry but yeah he would it'd be someone i would say get to know <hes> and also check out their blogs and i catch the things they do. They do a really nice job but through their education program agreed all right you off the hot seat for three questions again brought to you by irish medical staffing. Check him out a you are u._s. Medical dot com. They're actually helping us to support our newest podcast. We just launched another podcast highly because i got nothing else to do. No free time so might as well never show n._p._t. Steady cast which is a free resource for students to prepare themselves for the n. p. t. e. so when i was getting ready to study for it i always had to drive to and from clinic because i was still in my third rotation when i was studying for it so i said i wish there was a podcast casts. I could listen to and there wasn't but now that i've graduated. I just made one so i wanna thank them for helping that out. Last thing we do is your parting shots. This is the parting parting shots. The parting shot is brought to you by rock tape more the just the tape company rock tape is a movement company tools and education shen for medical professionals. If you look at to help your patients go stronger longer checkout rock tape dot com. What's the one sentiment you'd want everybody to to take away from <hes> from today's show and and leave with first and foremost take the time to read this <hes> state of the rehab industry report. I think it jimmy mention. There's there's just so made little nuggets in here information that you can take away and actually do something with and in terms of your clinics and then the second one is just the <hes> <hes> the ninety percent number that direct access opportunity that we have in front of this right now with the opiate crisis. Take advantage of it in history. There are always these times of conflict that at some point in time something happen to elevate and make that opportunity even greater and i can't say enough about how right now during this time we have the opportunity to really elevate our industry as a whole in terms of the value you and getting more people to understand the value more more access to patients in our practices so please take advantage of this time period excellent and of course doing it to the pack whenever you're invent event yeah absolutely have to donate to the wanted to get that plug in there to check them out at web dot com the state of rehab therapy twitter nineteen eighteen dive into this heidi appreciate taking time out to talk us through this. Thank for doing such great work for the industry the p._t. Podcast is a product of p._t. She podcast l._l._c. It is hosted and produced by p._t. Podcasts e._e._o. Jimmy k sky donovan from marymount university. We talked p._t._a. Drink beer and recorded. This has done another poor from the p._t. Podcast pd podcast is intended for educational purposes. Only no clinical decision making should be based solely on one source. Slow care is taken to ensure accuracy. Factual errors can be present more on the show at p._t. Podcasts dot com our home on the internet. The pike cast dot com created by build build p._t. Provides marketing services specifically for private practice p._t.'s website development and hosted inviting content marketing solutions p._t. Clinics across the country see what goes p._t. Can do for you today dot com hi. I'm alexa. You can now hear p._t. On cast using me just say hey alexa launch p._t. Podcast or you could be nice and try saying please for luntz what it's being polite dead these days to your episodes just say hey alexa launch p._t. Pint cast <hes>. Maybe throw in a please at the end.
860: Heidi Jannenga Shares The Tech Startup Story Behind WebPT
"Welcome to the tank bloke writer podcast, your guy to future Tech Trends and innovation in a language. You understand now over to your host Neal Hughes. Welcome back to the tech blog Reuter podcasts, not way back in February opposited, Phoenix. Arizona, I was amazed by how they'll building connected place, and tech hope essentially the state was tempting tech talent our increasingly on affordable, Silicon Valley, and offering best and of life to start founders. Now during that trip I was briefly introduced to Heidi genera, and she's the president and co founder of web PT book, unfortunately, always asked to leave mid presentation to perform an interview that had previously been arranged for me. I must are incredibly rude, taking that walk of shame of the room, but I did my best to make my apologies and reached out to Heidi directly. And viaduct onto these podcasts because I was promise of inspired by her tech startups story, which is genuinely inspirational. And I think it's something that you would all appreciate and thankfully, she said, yes, so book elope, and hold on tight. So I can be meal is all the way to Phoenix. So we can speak with hydrogen Anga president and co founder of web PT. So massive warm, welcome to the show. Can you tell them this is a Labatt who you are, and what you do? Sure. Thank you. Now my name is Heidi Janetta. I am a physical therapist, and I'm also the president and co founder of web PT, and web PT is an electronic health record based in the United States, specifically designed for rehab, therapists. So that includes physical, therapists, occupational therapists, and speech language pathologists, we've been around since two thousand eight when we launched the company, so we're an eleven year old company and within the eleven years we've been able to garner just about forty percent market share which means about eighty five thousand users hitting our putt form and fifteen thousand practices across the all the all every state in the US. And now all the US. Territories. But one of the things are low of about recording. This daily tech podcast is everyday we look at different industry, and how it's being transformed by technology. And like you said web PT's and leading rehab therapy software solution, but if anyone listening, you might be set the scene, and tell them a little bit more about the kind of problems that you're solving for your customers, and using technology. And what makes you different really from other solutions out there. When we first started back in two thousand eight eighty percent of physical, therapists in, in our country, were using pen and paper to compete, their documentation. So if you're familiar with physical therapy at all or physiotherapy as it's known around the world when you see us go to see a physical therapist. It's not like just seeing your doctor. You actually see them for multiple visits. Sometimes in a week definitely in a month and over a plan of care that sometimes can span. Munster even years, depending on the ailment that you have and every interaction that you have with therapist has to be documented for liability. Reasons, also to, to show progress to understand what would transpire during that visit, but also here in the states for sure in order to get paid from insurance company. And so that burden of documentation is pretty significant compared to, you know, medical other medical providers. And so when as a therapist back in two thousand six I was also a clinic director I was running three large clinics, and one of our largest expenses that we were incurring, were for transcription dictation. So we were transcribing notes that would either have to get sent to a physician to provide them updates or two insurance companies to in order for us to get paid for our services. And so. So around this time, there are many physician based platforms that had been starting to get instituted. We, we looked at some of those, but they didn't have the workflow that a therapist would need, which is very different. And so that's why we decided to launch the company it was really actually supposed to solve a problem that I had in my practice. But when we found out that the eighty percent number was prolific out the actual profession here in the US we decided to launch the company we were the first web based application. And again, if you've ever been set foot into a physio clinic, we don't sit behind the desk, very often we're out and about with their patients teaching exercises putting our hands on patients and so having a web based application was very important as a differentiator for us when we first started. On an incredible inspirational stall Tope journey the I think it's going to be so valuable to other startup founders, they're going to be listening to all over the world at various stages of their own startup journey. So could I take you back to two thousand eight where it all began, and can you tell me more about your story is a leading sports, physical, therapists and multi clinic, Dr rector looking for ways to improve your practices online and actually inspired you to start this journey to the inspiration for me. Initially was really out of born out of a problem that I was having an in the practice with this transcription dictation expense that was continuing to grow while my top line, which was made up of insurance payments on co pay payments from patients and some cash paying patients that the majority of that was insurance company payments, which had steadily declined over the years. And so, you know, if your top line is starting to either flattened or slightly decline in your expense lines going up at doesn't equal a good profitable margin for, for a company and so you, do everything you can to increase the top line, but you also have to look at your expenses. And with that being our business biggest Spence, that's where I put a lot of focus and attention in trying to find technology to help solve that problem that we were having. And so when we couldn't find anything the logical solution for me at the time was to try to build something, and I partner up with a very tech savvy software engineer, who had had a history of building enterprise level, web based software applications. We put our heads together and developed version one, which was just the documentation piece. So truly solving the problem that I was having and we started to develop. In two thousand six it took us about a little over a year to get that I product going getting positive feedback from my therapist in my clinic and within the next six months, I had some of my colleagues who said, hey, we like to try that product, we'd love to save some money, and so we let them try as sort of a beta, but they actually paid us, which I think is really important. I on this journey that we, we made sure that people felt the value that they were willing to pay us for our product. It wasn't just they were getting a freebie because I if you're actually writing a check for something every day, or, you know, paying a monthly cost for something there's, there's value that's being driven from that. And so before we knew it, we had twelve other practices using our pot form. And that's when we did the market research and found that eighty percent number and light bulbs go off. And so we decided to launch the company. Two thousand eight and you know here we are today, but it all started from problem solving, right? Which I think is for the most part, one of the keys to many entrepreneurial successes is that you actually see a problem and build a better mouse trap to be able to get people to see the value in what you're delivering absolutely enough to fifty interviews on the definite trend amongst old stall took found as they expanded the problem. First time go to fix it was, I think it was a long time ago. But women instances of people looking at technology first, and then looking for a problem to solve. But thankfully, we've moved away from that unless I was founded in two thousand eight an up, and if you went onto clubs, a one minute delay, Sammy's funding round back in two thousand ten so what kind of lessons, did you learn along the way that would be a volleyball, twenty still took found a listening looking to get themselves not perfect foot dot perfect position for? Invested in to get that funding that they need to watch the progress, things Fullwood. So during those first couple of years that, you know, it's grind. Right. You're, you're every month, you're trying to get more customers to, to pay. And we were looking at, you know every every month we were looking at her expensive. What, what did we absolutely need based on the revenue that we made that month? Was it a new server was it, you know, an a support rap, you know what, what was it? That was most of highest priority. So you're, you're basically living hand to mouth at that point. And over that first, two years, we'd actually garnered a million dollar run rate. So we had a great trajectory a couple of things happen. So there was some regulatory change that happened within the US that helped propel our momentum forward in which the Affordable Care Act, which included the high tech. Act had been passed, which mandated eligible professionals meaning physicians and other providers to be using digital documentation, or an electronic medical record by two thousand fourteen and they were given incentives to do that. Now, we think it was fortunate, but many, people think is unfortunate that physical, therapists were not an occupational or speech pathologist. We're not included as an eligible freshener meeting that they did not receive the incentive in order to adopt. Any of them are so all of our growth was organic. But we we were helped by that momentum. That was happening in healthcare to adopt a digital platform. So you can imagine if you're still writing handwritten notes in your sending your notes to a physician that refers, you a patient. It doesn't bode well for you, as a professional to send them over something you've had to handwrite when they, you know, have been mandated to you something digital. And so we kind of rode that wave a little bit, which really helped on say on on sales. So we got to a point actually where we were having trouble. Keeping up with demand. Right. Which is every investors. Dream. And so we even though we, we were pushing forward, we came together, founders inside, you know, do we want to swing for the fences here. Obviously, we can keep going, but it would be helpful to have some capital to, you know, keep this this ember. That's now starting to turn into a fire like to, to actually get that going even even stronger. So, you know, I'm a huge advocate of bootstrapping until you get to a point that you actually have a product that actually is showing momentum. We did that which enabled us to only give away a small percentage of the company at that point, even though we took a series a million dollar round in one of the biggest challenges that we had early on prior to taking our first round of funding in was convincing people that are small quote unquote, small niche space. Which when we did the market size for PT? We found it to be a six billion dollar market, but they consider that small because, you know, as we're going through looking for investment, you know, market cap or I'm sorry, a total just well, Marquette is something that people always want to know what's the opportunity to get expand and get bigger. And so it was really hard initially to convince people that know we really needed to stay focused on the physical therapy space. It was our core competency. There was so much greenfield opportunity, and we truly had built a hockey stick. And so now as we are, you know, pushing towards this forty percent market share number that question continues to be in our ear. One of the reasons we did that total addressable market. Now is outside of outpatient. We have a lot of opportunity, which thankfully, we've, we've been. To continue to just push and, you know, put aside all those naysayers who said, our, our market size was not big enough. But I think it's really important to understand what your market is. And what the market opportunity is because that eighty percent number was huge for us in that people we, we were able to convince people that, yeah, I see how that you've got a lot of greenfield opportunity. With eighty percent of people still using pen and paper, that was a very clear marker that we could move the needle on. And so getting over that initial challenge of market size, and staying niche. I think in today's market, I think, more people are, are willing to, to understand the niche, but that was a big thing that we had overcome early in our early stages, and it wasn't just about a check writer. It was about bringing expertise into the company that would help us get to that next level. So not only did we take a round of funding. And we got Jim arms. Wrong, who is the founder of JD software, which is a worldwide known point of service software platform that he started Encana out of his garage and became a multi-million million dollar market cap company on our board, as well as helping us to find CEO, which is also a very difficult decision as founders to bring in a experienced CEO to help run the company with us. We get a lot of credit for that decision because it really helped us to again, keep that hockey stick growth that we had started on that same path. Hope difficult was that for you is the found was particularly challenging you just knew in Saudi that was the right thing today. Yeah, I took a lot of consultation with, you know, others. To put your ego aside. And, and to say, you know, we have never done this before even though we have had a lot of success in, we're on a great path to, to bring someone who really actually would might have a little bit more expertise. And what we did actually once we made the decision we did some strength finders work to figure out. You know what are each of us are the two of us for, for sure as founders, what are strengths? And what are we missing? And what we figured out was that we were truly missing a processor, somebody who's going to bring in process, more of an operational leader than a true. Maybe CEO, if you will, and someone who's going to institute, you know, Salesforce, for us in an accounting platform that was going to help scale and we were lucky enough to find that person. And when we, we. They set up the organization. We actually had three people leading the company, which was a little sometimes difficult. We didn't find it difficult. But we had sort of trifecta as the, the team called us where we had sort of this triangle of decision making which I don't think Slota's down. We worked really, really well together in making decisions and we had a very flat organization at the time. So there were we had divided up teams in which reported up, and then came together to make big strategic decisions together. So it was definitely tough to set your ego aside. But at the time it, ultimately, it was about being humble enough to say, you know what I'm really good at these things, and we need help in these areas are overlapped wasn't so much that we stepped on each other's toes and continued to respect each other's domains, which I think ultimately. It was how we were able to be successful and they soon they save the great move to make. I mean, hey, we all now over ten years later. I mean one of your biggest challenges bane in those ten years. Keep maybe telling me how you overcame some of those challenges. Yeah. There's been many. I just keeping up with the pace of change within the organization. It truly is, I think, in any startup is, is a part of your culture. Like, if you don't talk about change management part of your culture, it's important to, to address those things, and we from the very beginning have developed a very strong internal culture and one of the things that we did. When we took that I trying to funding in, we had about twelve people in the company when we took that round of funding and within the next six months, we had hired close to thirty people, and so we had more people in the company than we had in the previous, you know, first three years of the organization, and we felt this cultural shift and so. We sat around, like we did every year at the beginning of the year, kind of a mini strategic planning session, and we asked the those forty people that were sitting in the room, you know, who do we want to be as an organization, what do we stand for, like, what types of people do we need, we filled up a giant whiteboard, which we then distill down into our core values of the company and what I am you know, most proud of is that those core values have now scaled with us to where we are today over five hundred twenty five and police in eight states across the US. And so that truly had laid the foundation for our growth in how we communicate with our teams through all of these big changes. So, so that was one of them, you know, the second is really around keeping up with innovation as you start to get bigger. And making sure you're building the right things and or building or buying depending on, you know what you have the opportunity to do, and, and making sure that you are looking far enough forward to make decisions that are not just reactive. But hopefully, proactive and balancing the reactive and proactive choices that you have to make so that you're still ahead of the game as you move forward within ovation. And sometimes that's been very difficult, especially more recently actually, as we've moved into the enterprise organizations and companies, which, you know, become a lot more of a burden and taxing and taxing the teams with wants and needs. Then where we first started which was small and medium sized business space. So that move up market has been a challenge. But again communication. Having the right people to help lead that and also to be patient. Which I know everyone says it's a virtue for sure. But trying to balance the proactiveness in reactive niff-, I think has been a challenge, but and still remains a challenge for us. And then I guess the third thing I would say, as far as a challenge goes within the organization. Would be just in terms of our, our customers. So we call our customers members. We did that from the very beginning because we wanted them to feel like they'd be long to community and in healthcare healthcare providers are not known to be the most tech savvy and so moving through the adoption curve. Initially we hit it right on the head. We had a lot of early adopters with web-based with a web based application they felt comfortable they were the folks that were doing their, their banking online earlier than everyone else. They probably had a, you know, they had gone away from the blackberry, and we're moving into more of a smart berm earlier than anyone else. But then there's this huge you know, middle part of the adoption curve. That is much more difficult to win over. And so having to take step. Back when you have so many smart people in a tech company, trying to deliver technology to non tech savvy people to take a step back and really understand how does your marketing have to work. And so, again, in two thousand ten two thousand eleven a time period, that's when we really and our currency. Oh, Nancy ham, actually talks about how we've actually developed to companies for web PT one almost like an educational platform, because we had to that now is this education community that truly now becomes lead generation 'cause we have become a thought leader in the space around technology specifically, you know, electronic, health record and more now with data analytics within the industry. And so the challenge was overcoming, the, the non tech savviness of our. Customers in trying to deliver a technology to them in how we solve that was by becoming this educational thought leadership platform that helped empower them to gain the knowledge to understand that we were the best product for them who will twenty nineteen. I mean you know one of the major players in the physical therapy shelf web. Okay, you said, you've got to comb not adoption learning curve that especially for people that to seventy associated with technology. But so what does that landscape? Look like now. And he's technology continuing to transform physical therapy. Physiotherapy say. Absolutely. You know, we've been helping to push that curve. But absolutely technology is, is much more available and rampant through the physical therapy or rehab therapy spaces. We call it so that eighty percent number is now flipped on its head, so eighty percent of the rehab, therapists in the US are using some sort of digital platform of which forty percent are using what PT but you now are seeing much many more technology opportunities with, you know, a range of motion, try being able to do more consistent measurements of range of motion Telehealth is now a big thing, that's happening to, to help again reach more people in order to gain access to healthcare, which is extremely important. And so you're seeing so many more apps are available for therapists to use for home exercise program. We've actually added on a onto the front end of our platform. A patient retention management, which is like a mini CRM to our Amar to where our therapist are able to keep in contact with their patients more so that they aren't leaving their treatment plans to early, or their key continuing to keep up with their home, exercise program because compliance with home exercises, isn't the best so long PT patients. And so having the ability to use technology, and so many more ways in reaching, you know, your average consumer and where they are, which today as you know, is on their phones. We've had to really continue to progress them that way. And that's you're seeing that more and more with within the healthcare space in general. But for sure. Sure, in the PT space as well. But you guys are also based in Phoenix Akito, tell me a little bit more about the textile up sane in the why you think tech talent is actually migrating away from Silicon Valley towards paintings. Yeah. Phoenix is an emerging technology mecca for sure as are a lot of different cities, right? I mean it's I say these days like what company is not a technology company, right? Restaurants, PT clinics. I mean, everything pretty much is tech company these days, and so with the, the need for more technology applications more opportunities to, to apply technology. Education, first and foremost has to be the, the sort of foundation. And so all of the major schools, especially state university and Grand Canyon university here in Arizona have really stepped up early to understand like this is important. So having the education and computer science and technology, readily available has been a great to help, you know, get more people who have the education levels to, to work in companies. And then you have this startup amazing startup environment in which incubators tech working co working spaces galvanize our neighbor across the street from where we are in the Phoenix warehouse district, which has become a great sort of atmosphere, in which, there are many startup companies that are housed here. So you have this ability to have this density of interaction with, with more start of it's just a completely different landscape than when we started in two thousand eight the mentor ship now that's available. The attraction of, of people coming into Arizona, and the state has actually we have a very entrepreneurial governor in, in, Doug Ducey, who has introduced a lot of legislation that has been very favorable to technology companies, and policy changes our mayor guy, I go is also had been a huge advocate for the city of Phoenix, and again, bring more density into this area. So I, I can't say enough about how it has to be a collaborative effort in order to have cities like, Phoenix to really sort of b b empowered to. To have this ability to become sort of attack mecca, and we're definitely do that doing that. I think Phoenix has been named the number one entrepeneurship city for the last two or three years running. And so, you know, we're well on our way to establishing ourselves which is, which is fantastic. At the same time I will just say that. It also can be I mean it's now much more competitive with all these new startups coming up where huge advocates for for start. We, we do a lot of tourist or building. I speak at a lot of entrepreneurial events. But at the same time, I also also want to sometimes put this extra down below is, hey, don't come. Steal my people. Because, you know, it although yeah, it's the, the market of more new companies coming up is not keeping up with the pace of talent. And so we as in all over, I think the world, probably, there's just this lack of talent as a folks in technology specifically, so, you know, computer science in coding, but also in, in driving businesses. Right. Especially from fast platform. So software is a service, which is very different than, than a more traditional company in terms of your recurring, revenue models and things like that. So from a financial operational perspective, you know, growing companies to our size. There's very few people that have done that. And so, yeah, we, we have to keep the electric fences up around our folks pretty pretty well. Also comes back to having a great culture. We've obviously, we've talked about where you came from and the story behind Webb PT. An also way you all right now. But I mean, what's next for web PT's anything else, you can share with us about the future? And also excites. You about your journey moving forward. Gosh, there's so much. We, we've done some recent work on our town, which is our total addressable market. And we've obviously killed it in the outpatient, physical therapy rehab therapy market, which means that clinics that are standalone, or that people go to, you know that you can readily go and out of on your own, whether they're associated with a hospital or entrepreneurial free standing clinic, but there's so many more opportunities within our space. Whether that's home health, a skilled nursing facilities, even acute care, which is pretty much taken care of and dominated by the larger EMR's, but integration with some of those larger organizations to help. With our very niche, physiotherapy knowledge is things that we're looking at in the future for sure. And what excites me the most is really we have with our thought leadership, we've done a we done now for the third annual rehab therapy state of the rehab therapy survey that goes out to all the US therapist, and we garnered that asked him a bunch of different questions to understand more about the industry, and there's so much opportunity that we have right now we are helping at the forefront of trying to empower more patience to get into see physical therapist today, only ten percent of patients who have diagnoses that a. A physical therapists has the potential to see are actually getting into see fiscal therapists. So that means ninety percent of them are off doing things that, you know, hope may lead to surgery or more expensive sort of outcomes, or which is sort of the crux, that's happening today with the opioid crisis. They're getting pain medications that they end up staying on and getting hooked on an addicted to. And so we are at the forefront of trying to help with technology to empower more patients in working with insurance companies to get them in to see if his therapist to hopefully, mitigate some of the opportunity for opioid addiction or costly downstream services. That may not actually get them better. Anyway. I'm so using our data using our, our technology promise, we were helping and empowering more patients. And so that's. Some of the things that really excite me because our, our touch factor our ability to help more people, which at the end of the day is why became a physical therapists in the first place was to help people the, the ability to help many, many more people today with the Lepetit platform is just so inspiring, and even on eleven years, like I get up every morning and still wanna come to work every day with a with excitement us to apply to officially wants to find out more information about you'll still and everything that you doing it PT, what's the best way of funding you on line, and also might be contacted by the team, if they just left with any questions after listening to conversation today, share? So we're hiring so wet PT dot com slash careers. We have lots of opportunity down here in Phoenix, and we actually have all over the country, including Taku in Denver and Boston. So anybody's interested. From a if you're a wanna learn more about the rehab therapy industry, we again on our web dot com website. We have all kinds of blogs, and webinars that you can learn more about us, and the industry has a whole, and then me personally, I'm on Lincoln, so Heidi. Janetta. J. N. N E NGA. I'm I'm happy to, to connect with you via via Lincoln. Loop. You'll story of how you've transformed the world of physiotherapy with with technology, having experienced firsthand. And I think it's an inspiring textile, ab- story, but I think the end of every episode, I always say that technology works best when he brings people together, but you've used technology to empower patients, an ultimately help paper got so beautiful thing. So a big thank you for taking the time to come on and chat with me today. Thanks already appreciate the opportunity. One of my easing, June and indeed story about a woman in tech achieving highly deserve success. These are the stories I don't want to hear more of an celebrate on this type podcast. I cannot thank God, you know, first of all, of course, for forgiving me for leaving her presentation. And also, of course, for taking the time to chat with me today, and I'll go to fade in the holidays. Textile top story would have resonated with so many of you listening, whether you're in the textile tubes eight all out of it. But I want you to share what you found valuable from today's conversation and maybe even shea your personal story with the listeners hit two and that's nice and easy for you to do a platform. So we can all get avoid said, and you can Email me tech blog writer outlook dot com. Tweet me at nail Nailsea Hughes. Oh, coast. Visit my website tech blow grata dot co dot UK. And finally, before I go a big, thank you for all your well wishes, by the way, I'm feeling much an hour after my skin on the plane home the other day. Now I do have a routine visit with my doctors next week about I'm sure everything is going to be falling. You're not going to get rid of me that easily. Okay. So a big thank you for listening until next time. Don't be a stranger. Thanks for listening to the tank global rice appalled cost until next time. Remember technology is best when it brings people together.