This episode is a deep dive into the biggest technical shift in the history of home-based care. Tom Maxwell sits down with Dr. Alex Milani, the MD/MBA power-player behind Steno Health, to break down their massive new integration with HomeCare HomeBase.

Documentation is the #1 reason for clinician burnout. Between the rigidity of OASIS and the hours spent "pajama documenting" at night, the industry is losing its best people. Dr. Milani explains how ambient "clinical intelligence" is changing the game—acting as a co-pilot that listens in the background, pre-populates complex forms, and gives nurses up to 50% of their time back.

Key discussion points:

• The HCHB Integration: How Steno Health is being deployed at scale to 195,000 clinicians.
• Ending "Pajama Documentation": Moving from 2005-era "click-click-click" charting to real-time clinical capture.
• The "Angel on the Shoulder": How AI serves as a safety net for high-risk cases like CHF and fall prevention.
• Patient Literacy: Breaking communication barriers with support for 80+ languages.
• The Future of the Role: Why AI won't replace clinicians, but will replace those who refuse to use it.

Chapters:

• 00:00 Introduction to Steno Health and AI in Home Care
• 01:57 Reducing Documentation Burden with AI
• 04:32 Enhancing Clinical Documentation Efficiency
• 07:45 The Future of Clinical Intelligence
• 13:26 Alex Milani's Journey: From Medicine to Entrepreneurship
• 15:35 Steno Health's Unique Position in the Market
• 19:03 Addressing Language Barriers in Home Health
• 20:59 Popular Features and Overcoming Skepticism
• 24:45 Combating Burnout in Healthcare Professionals
• 26:08 Future Roadmap and Innovations
• 26:53 The Role of AI in Healthcare Documentation
• 28:19 AI's Impact on Radiology and Job Dynamics
• 31:28 Building a High-Performance Team
• 33:47 Navigating the Rapid Evolution of AI Tools
• 38:12 The Importance of Effective Onboarding in Home Health
• 41:57 Service Codes and Flexibility in Home Health Documentation
• 45:15 Enhancing Patient Care Through Better Communication
• 49:25 Future Prospects and Industry Changes

Special thank you to our sponsors:

• Premier Sponsor: Trella Health: https://trellahealth.com/
• Premier Sponsor: Homecare Homebase: https://hchb.com/
• Maxwell TEC: https://maxwelltec.com/
• StenoHealth: https://www.stenohealth.com/
• IntellaTriage: https://intellatriage.com/

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• Apple Podcasts: https://podcasts.apple.com/us/podcast/last-visit-first/id1830051182
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Content discussed may not be suitable for all investors. Each participant may or may not hold positions in securities referenced during the discussion. Individuals and organizations associated with the participants may serve different clients with varying objectives, risk tolerances, investment horizons, and strategies.

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