When the high-stakes discipline of a Navy submarine officer meets the fragmentation of hospice and home health, the result is a radical "Nurse-First" philosophy that challenges every industry norm. Daniel Reese, CEO of IntellaTriage, joins Tom Maxwell to expose why the current healthcare system is failing clinicians and how to survive the coming workforce redesign.

Inside the Episode:

• The "Submarine Effect" on Leadership: Why servant leadership isn't just a buzzword—it’s a tactical requirement for mission-driven organizations.
• Solving the After-Hours Black Hole: How immediate access to a US-based nurse (not an answering service) transforms patient outcomes and stabilizes the home environment.
• AI & Clinical Intelligence: A skeptical look at the "AI hype train" and why technology must be used to automate the "maintenance" of documentation so clinicians can focus on "hugging the patient."
• Personal stakes in ESRD: A raw discussion on why the current Medicare hospice benefit is fundamentally broken for end-stage renal disease patients and how we can advocate for change.

Chapters:

• 0:09 - Introduction of Daniel Reese, CEO of IntellaTriage
• 0:32 - Discussion about Daniel's background as a Navy submarine officer
• 0:40 - Daniel's journey through the Naval Academy and active duty
• 3:31 - Leadership lessons learned from military service
• 5:14 - Daniel's transition from the Navy to business school and family business
• 7:09 - The path to becoming CEO of IntellaTriage
• 9:23 - Explanation of IntellaTriage's mission and services
• 10:53 - Discussion on the importance of telephone nursing and after-hours care
• 13:14 - Issues with interoperability and after-hours care
• 16:56 - Staffing shortages and recruitment strategies
• 20:00 - Homecare Homebase premier sponsored ad
• 20:48 - Predictions for the next five years in the industry
• 23:34 - The impact of Medicare Advantage and value-based care
• 28:59 - Discussion on the role of AI in healthcare
• 32:35 - Potential benefits and risks of AI implementation
• 40:27 - Maxwell TEC sponsored ad
• 45:29 - Daniel's personal interests and family life
• 55:48 - His vision for the future of IntellaTriage and personal legacy

Connect with Daniel and IntellaTriage:

• Daniel's LinkedIn: https://www.linkedin.com/in/dreesemba
• Daniel's email: [email protected]
• IntellaTriage LinkedIn: https://www.linkedin.com/company/intellatriage/
• IntellaTriage website: https://intellatriage.com/

Special thank you to our sponsors:

• Premier Sponsor: Trella Health
• Premier Sponsor: Homecare Homebase
• Maxwell TEC
• StenoHealth
• IntellaTriage

Check out Last Visit First on other platforms:

• Apple Podcasts⁠
• ⁠Spotify⁠
• ⁠YouTube⁠
• ⁠Website⁠
• ⁠LinkedIn

About Last Visit First:

• In home health and hospice, the start of care usually begins with the final visit in mind—because every decision becomes a memory.'Last Visit First' challenges the industry to prioritize quality, connection, outcomes, and dignity right from the start.

• Hosted by industry veteran Tom Maxwell, we sit down with the CEOs, innovators, and clinical leaders shaping the future of Care at Home. We bring you the conversations that drive change, from leadership strategies to the innovations redefining patient care.

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