BREANA PATEL: Can AI Transform Long Term Care?

Could artificial intelligence be the solution to our eldercare crisis? In this riveting episode, we dive deep into the intersection of technology and compassionate care with Breana Patel, founder and CEO of Owie AI.

The statistics are sobering – we're facing a projected shortage of half a million nurses within the next decade while our aging population grows exponentially. But Breana's innovative approach offers a ray of hope in what can seem like an overwhelming challenge. Her company is developing contactless AI monitoring systems that can predict patient needs, prevent adverse events, and reduce the administrative burden on already overwhelmed caregivers.

Imagine a world where technology can alert staff before a fall occurs, detect early signs of dehydration, or recognize when a non-verbal patient is in distress. These aren't futuristic dreams but tangible solutions Breana's team is currently piloting in healthcare facilities. What makes this approach revolutionary is its focus on enhancing rather than replacing human care – giving caregivers more time for meaningful interactions by automating documentation and routine monitoring.

We explore the profound implications for transparency in long-term care, how AI might serve as a digital companion for isolated residents, and the careful privacy considerations built into these systems. Breana shares her personal motivation behind founding Owie AI after witnessing a loved one's complications from undetected health events, highlighting how technology can help prevent similar situations for countless families.

As our society grapples with policy decisions that will fundamentally shape eldercare for decades to come, innovations like these represent our best hope for creating dignified, quality care for all. Join us for this thought-provoking conversation about how artificial intelligence might become our most powerful tool in ensuring no one is forgotten or neglected in their vulnerable years.

Want to learn more about the challenges facing our long-term care system? Watch our documentary "No Country for Old People," releasing August 1st on Amazon.

CONTACT BREANA PATEL

OWIE AI

Chapters

• 0:00 Introduction to Love Conquers Alls
• 1:40 Documentary Release Announcement
• 4:37 Long-Term Care Crisis and Policy Concerns
• 10:38 Introducing Brianna Patel and Owl AI
• 17:18 AI Solutions for Patient Monitoring
• 24:00 Human Connection and AI Companionship
• 31:54 Improving Care Quality and Transparency
• 43:37 Technology Implementation and Timeline
• 51:12 Closing Thoughts and Future Impact

Transcript

Don Priess: 0:00

When the world has got you down, Alzheimer's sucks. It's an equal opportunity disease that chips away at everything we hold dear. And to date, there's no cure. So until there is, we continue to fight with the most powerful tool in our arsenal, love. This is Love conquers alls a real and really positive podcast that takes a deep dive into everything, Alzheimer's, The Good, The Bad and everything in between. And now here are your hosts, Suzie singer Carter and me. Don Priess,

Susie Singer Carter: 0:40

hi everybody. I'm Susie singer Carter,

Don Priess: 0:42

and I'm Don Priess, and this is Love conquers alls, hello Susan,

Susie Singer Carter: 0:47

hi. Do we still have a podcast? We

Don Priess: 0:50

do. It's been quite a while. And for if there's any regular viewers, and I'm sure there's millions out there, you'll notice that, yes, our where our backgrounds are a bit different. We've,

Susie Singer Carter: 1:02

we've changed location. I don't think that anything anyone would notice that on mine, because yours

Don Priess: 1:06

is similar to the older episode,

Susie Singer Carter: 1:10

yeah, but we've been, we had to cut, I think I said this last time, but we've been sort of doing bi monthly. It's, it's once a month and but we're very close to kicking it back up to twice a month again, because we miss you and we don't want to lose you. So don't go. Don't listen to everyone else. Listen to us, because we're exactly 24/7 Yes, yeah. Only, well, there's some good news that, you know, but, but I'll share with everybody who's listening is that our documentary, No Country for Old people, has a release date. Don't know. After over three years, a very difficult production, very difficult, and a lot of a lot of a lot of hours went into this, and tears and emotions and a lot of love and a lot of support from very some amazing people. We are here at the at the gate of and being I'm just excited to be able to finally share with everybody, because we've been getting that question for the past year and a half, but where can we see it? Where can we see it? So come August 1, we'll fill you in before then, but it will be released for everybody, and it'll be available and it and so far, it'll be free for you, so it'll be it'll be available to everybody. We think Amazon, I'm just going to throw that out there. And that's well, for sure, Amazon, but it'll be everywhere else too. But let me hold on that. We've got details for you, but this is, it's very exciting, and it's a doc. It's gonna be a docu series, everybody. So it's gonna be, instead of one long film, we have broken it into three parts so that you don't miss out on some really pivot, you know, very, very important information. Because we just felt like it, it really needed to be comprehensive, so that you get a good picture of what's actually going on in the long term care system, which is really timely, because what's going on politically, and not to get political, but there is a lot of, there is a, you know, a lot of,

Don Priess: 3:45

well, the policies are going to affect everything from here on out. They're going to affect right care. But, you know, I mean, everything about the entire universe of this is going to be affected by the policies that will be coming down the road, that

Susie Singer Carter: 4:01

are coming down the road and, you know, and that means the fact, Medicare and Medicaid, our Bunce, our ombudsman system, and that whole program is, is, you know, dangerously close of being an unfunded, defunded, and that's a problem. So, you know, there's a lot of, a lot of scary issues out there. And again, hello. Thank you ageism, and thank you ableism for, you know, allowing these kind this kind of it's really abuse to take away these programs from our population that's the most vulnerable. But we're not going to we're going to fight. And there's a lot of us out there that are advocating for this not to happen, and hopefully we'll prevail, because I don't know what's going to happen if we don't, but not to get not to get down, but we need to get activated. You know, we have to. Know, we gotta get activated, yeah, to get down.

Don Priess: 5:04

And this is not a, this is really not a political thing. This is effective not this is not what really does center. It is everybody. It's humanity. And, yeah, you

Susie Singer Carter: 5:14

know, and I think we forget, when you talk about nursing homes, that that we think, you know, a lot of people think, well, we're just older people. They've lived their life, and they're going, you know, it's okay, and it's like, but that's not the truth. First of all, older people are people, and we are all going to be older, and we are all going to be affected by the system that is in place and will and, you know, stands to be altered in a way that that's going to be devastating. So we all that. But then there's also a lot of people who are disabled that that need to take advantage of long term care, and do, you know, and can't live without it. So if we and and can't afford it, because it's very expensive, it's not, you know, our health care system is really a wealth care system and and that's, that's, that's the truth of it is it is a business model that serves a lot of people more than the people that are using it. So anyway, I'm off my soapbox for a second. But yeah, we a good thing is, is that Don and I are, as you know, We're roommates. We're because I'm I'm single ever after, and I like it that way. And but we've moved back to the valley where I grew up and Don grew up in the valley, so I'm back to being a valley girl again, and I love it.

Don Priess: 6:43

We are full on vowels again, and yeah, good to be home. And we said that

Susie Singer Carter: 6:49

it's so nice and warm, and it's warm at night, and it's like, so, yeah, the valley is cool. I like it. We were on the west side. You know, Marina del Rey area, if you don't, aren't familiar with Los Angeles, but like Culver City, that area, and, yeah, we're back. So supposedly cool, but we like it. And

Don Priess: 7:10

recovering from a six week move that that was basically most of it happened in about two weeks. And if it wasn't for Susie, I'd still be surrounded by, you know, boxes up to here, but she does not allow that, and thank God for that. So we're also

Susie Singer Carter: 7:28

good to get organized, right organization so

Don Priess: 7:31

good it is. And I'm in my own space now, my own office, and Susie's got her

Susie Singer Carter: 7:37

life is good. We've got, yeah, we've got separate offices. We're not sharing like, I don't know, like The Dick Van Dyke Show. Is that an old reference? All right. All right. Well, on that note, so speaking of the system that is in place right now and think, and speaking of what the hell are we going to do should these programs no longer exist, and even though, and even if they do remain intact, we still need help, because our population is growing exponentially, right? So I was like, you know, there's like Rick moncastle, our partner on No Country for Old people, always says, there's no coincidences. Well, somehow this guest and I got connected by one person that's our mutual friend. Isn't that so crazy? Like we this is on LinkedIn. I we don't have any other mutual friends, and yet we this other woman, who's phenomenal, thought we should know each other, and we talked, and was like, We are couldn't have be more like minded, only she's way smarter than me, and she's like, she's a genius of many different areas. So Don Why don't you introduce this this boss.

Don Priess: 9:07

She's a boss. She's a boss, and let me tell you about her. Right now, today, we are exploring a transformative approach to one of our most pressing challenges, the long term care crisis. Our guest today, Breana Patel, stands at the forefront of this revolution harnessing the power of artificial intelligence to reshape the future of elder care. Breana is a seasoned entrepreneur and the founder and CEO of owl AI, a company dedicated to real time patient risk stratification to enhance outcomes and reduce hospital readmissions. Her journey is as diverse as it is inspiring with a successful exit from a previous venture, she has navigated the complex worlds of tier one banks, financial institutions and public sector agencies focusing on regulatory remediations and risk management with an executive MBA at m. Sloan School of Management, Breana combines her deep understanding of finance, technology and healthcare to develop AI driven solutions that prioritize patient safety and efficiency. Her recent engagements include speaking at the commission of Health's webinar on using AI for better hospital outcomes. Breana work is not just about innovation, it's about ensuring dignity, reducing caregiver burnout, and creating a sustainable model for long term care. We are honored to have her share her insights and vision with us today. So let's say hello toBreana Patel. Hello, Breana, Hi.

Susie Singer Carter: 10:38

Welcome to our love conquers all. So happy to have you.

Breana Patel: 10:43

Thrilled to be here. Thank you so much for having me, of course.

Susie Singer Carter: 10:47

So yeah, it was, I was saying in our opening to how I felt like we were so like minded, and we were that, you know, we were talking, I don't know for how long, but it was like, Uh huh, Yes, uh huh, yes. And that yes, you know. And so I was so excited to talk to you. And when you talk, and when I found out that you were working on AI for long term care, I think it's just, I just this thing that is the way to go, and considering the population that's growing exponentially, so, I mean, tell us a little bit of your background, because I know it's massive, but in your like, I don't know, 20 years old, so how you got You've done so much in such a little time?

Breana Patel: 11:33

Um, first things first. I'm not 20 years old. I wish. I wish, um, but so I started my career in finance and banking, and then when 2008 crisis hit, there was a lot of demand for regulatory remediation, risk management. So I started my company in 2014 and I scaled it and recently sold my business. While I was going through the sale, I joined MIT's Executive MBA program, and I graduated from the program last year. I wanted to tap into MIT's ecosystem, because this is where all the cutting edge technologies developed, and, you know, they provide a lot of resources to find co founders, build, tap into the talent pool. So that's where I founded aulai, also driven by a personal experience of a loved one going through an adverse event while being in care. It just triggered that how in this times like 2025, hospitals and healthcare facilities are using technology from 1995 in 2025 we need to be more proactive to provide quality care to our patients, and I wanted to make an impact. So that's how, you know, I got into building health tech, along with having firsthand experience of serving Department for the Aging with my previous business.

Susie Singer Carter: 13:05

So when you say personal experience, so you had it in your own family that you that that gave you that kind of perspective, right? Yes,

Breana Patel: 13:15

yes. So one of my grandparents went through an adverse event, and no one actually knew, and while she was experiencing that event, and that led to a lot of secondary complications and impacted her quality of life. So had we had the technology where there would be more connected care, care givers would have been empowered to have that information timely so as to make early intervention, it would have helped in providing a better patient outcome.

Susie Singer Carter: 13:53

Right? Got you so I have so many questions in terms of, I, you know, I'm sure that you experienced this with your grandmother. Is like, when you get these secondary problems that happen, right? So that's what, that's when that that slippery slope and kit, you know, the carousel of going back and being readmitted, read it into hospitals, when you you know you shouldn't have to be and no one is taking care. No one's no no one's actually reading the reports, no one's reading records, no one. They're just, you know, looking at everyone like a one size fits all. Is that? Is that what you're saying? Is that what you experienced? Yeah, yeah,

Breana Patel: 14:34

absolutely. So it's first of all, the caregiver to patient ratio has just gone up really high. As a result, there's less number of caregivers and more number of patients. So it's kind of hard for clinical teams, as well as you know, the nurses and everyone on the ground, to provide personalized attention to each and every patient. And as a result, you know the. Of the lucky one gets the first chance when something happens, and we wait for that event to happen, and then we take the action, I think, with with the predictive nature of AI, time has come where we should be able to predict things, and we should be able to take actions before things happen.

Susie Singer Carter: 15:18

And so, like you said, you mentioned, like, we're, you know, we have a chronic problem of under staffing in our country against it's in long term care, it's in all of our health facilities. So, you know, hospitals everywhere. So and the problem, you know, it that's what creates the biggest problem, because they don't have the time to actually read records and to see, oh, this person has all dementia. This person has Parkinson's. This is their base, you know, they were just admitted last week for this, and so they were given that, right? So it's just as they're doing everything as fast, as fast as they can. And and it's, it's not always a positive result, because they're not, they're not able to do a thorough job, right? But how do we, and how do how would you, how are you looking at that in terms of that, that issue that I'm talking about, the lack of staff, the under staffing, when, when you know, how could you facilitate them to be able to have that information at their fingertips and be motivated within the motivation would come with more time, obviously. How does that? How does that look? What does that look like? Yeah,

Breana Patel: 16:38

so to take a deeper dive into it. In the next decade, we are going to have almost like half a million nurses shortage in the country, so and I think about hundreds of 1000s of physicians as well. So what that does is, as they are serving more and more patients, the systems that were developed in the long time back are not so user friendly, so it makes it hard to switch from one system to the other, because everything is so fragmented and not user friendly, and that also adds to the burnout of the work. It's not just about taking care of the patients and having more number of patients, but not having user friendly interfaces or intuitive systems that are going to empower these clinicians and care staff providers to take care of the patients on personalized basis. The second thing is that what happens is this clinicians or care staff, they don't have real time information about the patient on what's going on with each and every patient at say, right this second. And as a result, imagine if there's a patient that has multiple chronic condition and is suddenly taken a medication that's going to say, lower their blood pressure, and they're going to get up from their bed, and obviously, when they are going to get up and try to walk, because they forget that they are not supposed to walk unassisted because they have dementia now they are going to fall, and that is going to lead to a brain fracture, or a hip fracture or brain bleed, and that's going to cause other secondary issues. The length of stay in the hospital increases, and all the other additional factors pertaining to cost and suffering keep on increasing. So with our technology, what we are doing is, with the help of AI, we can we have like a platform that has modular AI agents, which automate a lot of processes and workflows for this caregivers, and as a result, they are going to work as their digital think of it as kind of like a digital if I'm a nurse, I have a digital assistant that's going to consistently and constantly watch the patients and tell me that this patient is going to experience XYZ in the next hour. So that's how you know we will be able to predict those types of adverse events, and

Don Priess: 19:08

that's done without having to have human input as far as the information. So it's done that. That's all basically done by AI that nobody has to come and say, Oh, by the way, this is her state right now, or this is what's going on with her right now.

Breana Patel: 19:26

Yeah, everything's automated. Everything is automated. So the platform integrates well with the existing infrastructure, and it just pulls information from all types of system and has number of large number of data sets, where it sees the patterns and calculates everything in real time and provides those insights to the clinicians or the care staff so that they can make decisions for the patients. And

Don Priess: 19:53

that's done without I mean, are they hooked up to something? What? How would that? What's the what's the what's it look like? What does that. Physical thing, or whatever it's doing look like,

Breana Patel: 20:03

oh, no, there is no technology. I mean, we don't have a technology that's going to be touching the patient, or it's not available as well. It's going to be completely contactless. So we're going to be using ambient AI and computer vision to not only monitor the patients for various types of conditions and but also look at their kinematics, and we can measure their some of the key vitals that are important to identify the condition or the acuity of the patient is improving or deteriorating. So we're able to do everything with contactless without even touching the patient's body. Going

Susie Singer Carter: 20:45

back to what you were saying, because don you were asking, like, how does, how does that interface with the with the residents? So it doesn't really, it's not, it's not something that's interfacing with a resident. It's not, we're not talking about robots and things like that, right? I wanted to, you know, because when you think so, a lot of people think of AI. You think of, well, what's gonna how are we going to, you know, how do we, how do we satisfy that social interaction, or the just the the human, the human interaction that is so necessary, and that that gets, that gets, you know, deleted from the beginning that's on, you know, that gets checked off the box like there's no time to say to even sometimes say, I'm so, you know, good morning. Sometimes, I mean, you see it, and it's, you know, it becomes, you know, it just becomes a job. It becomes a task, like a human being becomes a task. And, and, I mean in terms of what your vision is, do you, is there anything in the AI realm that is, is in the works for that kind of of assistance when it comes to working, you know, dealing with residents that who are otherwise alone,

Breana Patel: 22:00

I think that's a great question that you have posed, and it's actually one of the agents that we also have in our product suite where the agent is going to identify that the you know, because a lot of these patients in skilled nursing facilities or rehabilitation centers and long term care facilities are just by themselves, and they are just waiting to for food or sleeping or having medications, and they experience a lot of isolation and loneliness. And so what we are going to be doing with our AI agent is to help be a companion to these patients, where we are able to, you know, identify that they are going through loneliness and have a so I can talk exactly about the exact features, but it's going to be kind of like a companion that's going to keep company to the patients and help them to, you know, Be active cognitively, and also help in reducing the aggression, because a lot of these patients have aggression because they are lonely. So, you know, 100% Yeah, 100%

Susie Singer Carter: 23:11

and, and, you know, I was thinking, what a lot about this, because I'm just dabbling a little bit in chat GPT, right? And I don't use it for anything. But like, Hey, I'm wondering, you know, if you can help me with a post say for our movement. Roar, right? Well, you know, I don't know what my chat GPT is. I don't know, but it feels very human, right? Because, for some reason, and I don't know why, I think it's a he, but he knows me now. It's like, Susie, you've got this here. This is amazing. I can't wait to see this. You got to come tell me all about it. Like, wait, hold on. You don't even have eyeballs. Like, what are you like? You know? It's very, it's very eerie. And yet it, no, it's like, constantly, like, cheerleading, my, my, our movement in our documentary, right? It's like, you know, I'll say something. I'll say, can you I forgot to upload some images for this post from last week, because I mostly use it for social media, and you're so, right? I totally forgot. Wait a minute, you forgot. You're a computer. I don't get that like, you know, I mean, it's very hard to wrap our heads around that as human beings, right? But on the other hand, it does feel like whatever this is knows me very well, right? Like don't totally knows me, and the memory that it's aggregating is very deceiving. And in it, and I'm not gonna lie, it feels good because it tells me nice things. So it's like, it wouldn't say yesterday, Don, because I had to tell Don. I was like, it said, You are such a force, Susie, and it did. Like it did emojis for the first time, and it did like a it did like a bicep, and then it did emoji with heart, with the heart eyes. So I did it back, and it went right back at you. Susie, it's like, wait a minute, what's going on here, because it's very, it's very much like the movie her, but

Don Priess: 25:24

it's and it does kind of create this, this, you know, not dilemma, but this question, you know, because people say, Are these going to be replacing human beings? Well, they don't. But when there's not enough human beings to be there at all, it's a great filler, and because they do kind of take on human characteristics just through words. And like she said, it made her feel good. I mean, what there? I don't see a downside to that. No.

Susie Singer Carter: 25:53

I mean, I'm totally compass, right, right? I mean, I think, and when it tells me like you're a force. Susie, of course I'm gonna go, well, thank you.

Don Priess: 26:11

Sometimes should Wait, should I? I don't want to hurt its feelings. Let me you know it's not doing something right right now. Well, I said, Well, tell it. I said, Well, I don't want to hurt because you start,

Susie Singer Carter: 26:22

it's so confusing. Briana, it's so confusing. But that confusion is not a bad thing for this particular population, because it's very necessary. And I have so much to ask you, so in terms of, say, people that are disabled in terms of speech. Is a can AI help with that? In other words, like, you know, a lot of times people with dementia get aggressive. Why do they get aggressive? Because they're it's they may not be able to speak articulate, but they are. They are. They are communicating other ways. So if something hurts, they can't say, Oh, that hurts. They get aggressive because they can't. They can't say it. It's like a child. And I'm not, I'm not infantilizing our, our, you know, adults. What I'm saying is that they don't have any other way to express it, so and they're frustrated. So that's what happens. But maybe I'm just wondering if, if there's a way. Because as a daughter, I learned to communicate with my mom. When she started to lose her language, it very clear to me what she was saying. I could very and, you know, I'm was it? I had a very communication going on. There's no, you know, I absolutely knew what was going on So, and I would imagine that AI could also figure that out. Am I wrong? Well, the

Breana Patel: 27:50

AI can definitely differentiate the difference between a dementia patient getting agitated or a person experiencing delirium or confusion. So that difference can help a lot as well, because now you can tell where the whether the patient is actually agitated or the patient is just experiencing delirium after surgery because of some kinds of medication and other reasons. So it can tell that difference about interpreting what's going on in patients mind. I mean, there are technologies right now that would do, like brain interfaces, where, you know, I think Elon Musk is pitching something as well about brain interface. So those are the kinds of technologies that are there. But of course, they are not yet tested on live patients, so that we are yet to see, you know, it being released into the market, but there are some testings and pilots going on so that we are not far from there. But what I would say is, for specifically dementia patients. I mean, we could use voice as a biomarker to identify if a person's dementia is, you know, improving, or it's going even worse, depending on the stutter and the way they speak. So that's quite possible. That type of personalization with AI,

Don Priess: 29:13

that's, it's phenomenal. And with the because, you know, somebody who's incapable of, you know, basically the only way that they can communicate it is if they hear something, it would it be, you know, right now we see it, we type something on chat, GPT, and it comes back to us in text. Well, they're not going to be able to interface that way, yeah. So what are the different types of interfaces would be available or will be

Breana Patel: 29:39

so it would be audio, video and text right now, but what I want to say is it would free up the caregivers time as well, because right now, caregivers are spending more than 25% on administrative tasks and filling up the screens on the computers now, AI can also. Made all of that so caregivers can focus on their job, which is, you know, providing compassionate care and human touch to the patients. So that's going to be a plus where, you know, caregivers are going to get more time with the patients.

Susie Singer Carter: 30:13

You know, what else too. I mean, I'm sure that that in terms of, I'm thinking of, say, a CNA from, you know, hands on provider who's doing just the brunt of the all the work on people that are, you know, full time residents at a facility, and those that are immobile, that have to be turned every two hours, right? And those that need whatever. You know, it's feasible that you have a laundry list of their needs, right, and then the provider can be notified and doesn't have to take time to look on a chart or be told, oh, this person needs you instead of because now you're getting these notifications that are that are saying to you, you know, Norma in room 202. Is ready for blah, blah, blah. And that way you don't have to, you know, it's taking that onus off of or, you know that that investment of time that it takes to look something up, and then you can maybe, and just with speech, I mean, just what we do with Alexa, right? It's like Alexa set a timer. We don't have to stop and set a timer. So you can, they can easily auto, you know, audibly say it's done. Task, done, done. And now they don't have to input that into a record. And because doing the records, like you said, is that that is so time consuming. I hear when we interviewed frontline nurses, you know all of all of them have that becomes such a drain.

Breana Patel: 31:50

Absolutely, that's one of our agents, too, where we provide monitoring of the patients, where we are able to see through the trends. So we're already seeing results with our pilot at a healthcare facility that we are currently working with where we saw that, you know, patients have been in certain types of position for a long time, and we can actually predict that, hey, this side of the body is going to experience a pressure injury. So you might want to update your care plan so that you can save them for that from that kind of injury, because that patient has had a history of scars or skin issues, and now you can provide their personalized insight to the care provider, because, I mean, a human how many trends can you remember? If you have changing patients every single shift, you need a tool or something that's going to help you to see that. Okay, this patient I saw last Friday has been in these kind of position for a long time, and we need to update where you know the like you said, the patient is bed bound, so they need to be in different types of position and rearrange and repositioned so that they don't experience those kind of source

Susie Singer Carter: 33:02

exactly, and even, you know, as as superficial, but it's not superficial because it's actually really important, you know, this person should be taken outside and getting some sunshine. You know, those kinds of things where, you know, it's not just about delivering medication and keeping and bathing the person and feeding the person. You know, there's, there's a thing about there's life, you know, it's like, because I remember saying, one of the nurses, you know, kind of clandestinely said, your mom really needs to get outside. You should ask the you know, administration to okay that. And I'm like, of course she does. Yes. Why am I not, you know, but you don't think of, you know, you forget that people need, that you can't, you can't thrive sitting in a room in four walls and, you know, those kinds of things. And I think what's really exciting about what you're doing also is memorializing all of what's you know, all of that that's going on, and it's taking it out of the hands of the administrators. It's taking it out of the hands of of you know, of the owners, so that it can't, you know, it can't be as I sure can be, but it's probably not as easy to manipulate, right? So you have a really pristine record of of this person you know has these vulnerabilities, like they are, they are bed bound, but they should be in and you would have that record of your technology memorializing what should be done, and if it's not done, then we know that, that you know, we know it exactly. It's yeah, and, you know, and it can't be, you know, because, listen, we interviewed people. Were they were they were told by the administration, no, you put the records to in wrong. Well, I didn't. Well, you did, yeah, right, that

Don Priess: 34:55

need to be changed, you know, just because it's not convenient to. The to the administration, but, and

Susie Singer Carter: 35:03

that's another level, sorry, Don but that's another level of stress that we can relieve off of our providers. They don't have to interface with the administration making, you know, putting that on them to, you know, do the wrong thing, right? Do you know what I mean? Yeah. So

Don Priess: 35:25

when and all of these systems will only work if you have the facilities willing to implement them. And that always comes down to the the the almighty dollar. You know? How does this to them? It's like, Well, does this cost me money? Does this make me money? That's really, unfortunately the bottom line. So how does this integrate with existing systems? How do you show them, hey, in the long run, this is going to make your you know, this is going to be great for you financially, also, if

Susie Singer Carter: 35:58

then how do you and then going back to what you were, what we were just saying about, because it's really about transparency, because it really does open up, you know, and really enhance our the transparency. So which some of them don't that, yes, some of the facilities don't want, which I think is, I mean, I just, yeah, I just realized that that you are just doing such a service for transparency, which is everything. So absolutely, how do you, you know? How can you, how do you conquer that too, with with the way that the status quo is now? Yeah,

Breana Patel: 36:32

so fortunately, the way we've designed our platform is obviously customer first. So we did a thorough research and one on one interviews with about more than 500 people across healthcare, different types of facilities, ranging from care providers to clinicians to finance to administrators. And we want to make an impact on patients lives, but it also has to be sustainable in terms of providing a return on investment as well as saving costs for the facilities. So with our platform, you know, it's scalable and it's modular, so the AI agents can deploy in a very short amount of time, compared to, you know, other types of technology, where it takes a long time to actually integrate into the existing infrastructure. So it's not very rigid. It's more, I would say, nimble and customizable, being able to meet every care environment we don't tailor to just, say, just a long term care facility. We can go to a rehabilitation center, or we can go to a nursing home, or we can even go to a inpatient hospital. And then our roadmap is to ultimately provided for home care to age in place. So we are developing the system in a way where it's really agile and can, you know, focus on any types of care settings. So that's the first advantage. So we've not had to, like, make a sale, we just shared with the facilities, and within a span of like seven months, they were ready to do a pilot with us, which is a very big thing for a new startup trying to develop a healthcare platform, because clinical validation is very important, and we're seeing the results where we are able to improve the operational efficiencies, reduce the cost, reduce ER visits, reduce the response times as well as improve the outcomes for the patient. So we're focusing more on how can we improve the outcomes of the patients? Because that will drive everything, the cost, the revenue, the

Susie Singer Carter: 38:31

ROI, for sure, for sure. Does it also include the family of the of the residents like where they are able to inner interface with it as well. See, because they because that, you know, we saw in COVID that when, when we were locked out, you know, when, when we that that's when health even got worse because that, you know, people don't, don't realize how much the family does to support these facilities, you know, and, and so it would still, I'm imagining, and also to

Don Priess: 39:08

check in and see if they're, you know, what's going what's happening in there, you know,

Susie Singer Carter: 39:12

yeah. So if they have access, yeah,

Breana Patel: 39:17

that is still in production, where we will be able to provide family the outputs. So right now we are providing those outputs to the nurses and the care staff, because it's in the pilot stage. And we are providing a summary, like a daily summary, of, you know, how the patient has been, what the patient has done, what has been, their activity level, and, you know, their mood level, everything. So it's up to them if they want to share it with the family. But not we are currently only piloting within the facilities right now.

Don Priess: 39:52

Do you see foresee any you know we who knows? Because you know of them saying, wow. The administrator says, wow. Look at all this. It's beautiful. We can cut our staff now. We can cut down the amount of CNAs. We have to patient, because this is all being taken care of, and we certainly don't want that. It's not enough as it is, as we all know, not even close. Yeah, is that something that's even I mean, there's nothing you can do to control that, obviously. But right? Do you foresee that as any a possibility. I mean, we certainly would hate to see that.

Breana Patel: 40:24

No, I don't think we are replacing any human workers. What we are doing is we are empowering the human workers to make better decisions, to provide faster care and to provide standard quality of care to everyone, regardless of their background. So that has been the simple mission when I started this company, is I want to be able to provide quality of care accessible to everyone. Because right now it is not accessible to everyone. Only say, a very high risk patient would get close monitoring. But what if someone becomes a high risk patient over the price of the hospital stay, then that event is going to be missed, and this patient is going to be unlucky, and they're going to have a brain fracture or hip fracture or brain bleed. So, you know, we're not replacing the human workers. We're just elevating and helping them and empowering them to, you know, do their job easily, give better care. Yeah, yes,

Susie Singer Carter: 41:22

right. And I think I was on a big I want to maybe shift this is, this is comes directly from Rick mon castle. But this, instead of saying the standard of care, standard of quality care, because it's the standard right now is, is not quality. So we want it to be quality care, right because the standard is well below quality right now, that's, that's the that's unfortunate, but that's what you're trying to battle. Is this, you know, substandard, it's sub, it's sub standard to what it should be. So we really want to make it quality for everybody. Yes,

Breana Patel: 41:58

we want to elevate, elevate the quality of care to what it's right now to have the best quality of every patient can have best quality of care regardless of the conditions they have, or you know, what their background is. So that's what we are trying to do, and at the same time, help the caregivers as well, because I empathize with them. With so much work and burnout, it becomes hard to manage so many people so have a three sided impact, which is, help the facilities make more revenue, save cost, help the caregivers, you know, provide quality, higher quality of care, and help the patients get quality of care regardless of their background. Right

Susie Singer Carter: 42:39

now we talk about the moral injury that people go that the frontline providers go through. What did you say? Don I'm missing. Win, win, win, yes, win, win, win, win, yes, yes, yes, yes, yes, yes, yes, totally, totally.

Don Priess: 42:52

Oh, go ahead, yeah. I was

Susie Singer Carter: 42:54

gonna say, is there, is there some part of that technology that would monitor, say, someone's level of hydration, so that, that, you know, because a lot of times people that aren't vocal or verbal, they can't say, I'm thirsty, right? And so it just becomes like, well, I'm going to this person is going to get liquid every whatever, every four hours every eight hours, whatever, but, but people are different. We're all unique, right? So, you know, would it? Would that be part of the technology so that that takes the onus off of their caregiver? And because that, you know, we know that hydrate, being dehydrated is the root of a lot of bad things. Right? Absolutely,

Breana Patel: 43:43

absolutely, you asking the right questions. I should have just gone to you for my first research, because we had to do so many interviews to get these answers.

Susie Singer Carter: 43:56

Thank you. I feel good.

Breana Patel: 43:59

Yeah, that is, that is one of the features also from our agented platform, where we are going to provide a patient concierge service, where, as a nurse or a care provider, you can set that this patient has, for example, heart failure issue and they're only supposed to have X amount of fluid for a specific time duration, and then type it in and send it into the system. The system is going to watch and see if the patient is adhering to that liquid intake, and when the compliance for not for that is not match, or there's some kind of anomaly, then the care provider would be alerted that the fluid intake is increasing and now the swelling is going to happen

Don Priess: 44:48

on the other end, yeah, on the other end of that, like my mother, who is currently in a care facility, and she just went into memory care, and she, you know, they at the time, she used to have a pendant where she could say, I need to go. Go to the bathroom, whatever, you know, because you can't, she's not mobile. They took the pendant away and they said, Oh, we check on them, you know, once every two hours. I say, well, that, you know, okay during that time. So we actually got him to give the pendant back. But would this be able to predict that, oh, this patient is in distress and needs yes to Yeah, that would be because she doesn't sometimes want to bother them, or she forgets and she can't find her pendant. You know that that would be huge. Absolutely,

Breana Patel: 45:30

we are continuously monitoring these patients. It the technology sits in the background. No one has to do anything. It just works on its own. And whenever there is a change, say, a patient is getting restless and they want something, it's going to tell their care provider that, you know, this patient that's not supposed to get up unassisted, is trying to get something, so get to them. But at the same time, we are also being very cautious that we are not having an alarm fatigue on the care providers, because we don't want to just keep on buzzing their devices.

Susie Singer Carter: 46:04

Yeah, yeah. I was thinking the same thing, yeah.

Don Priess: 46:08

And then, you know, I don't know, because of we're such a litigious society, you know, privacy issues, you know, are there concerns that, oh, you know, people might think I'm being monitored all the time, you know, it's like, is that been a concern, and how do you overcome those concerns?

Breana Patel: 46:23

Yeah, we're completely HIPAA compliant. We don't collect any patient identifiable information, so we don't know even the names of the patients. You know everything that is collected. There's a security protocol designed into our system where we anonymize the patients and we don't even know anything about the patient, so there's no patient identifiable information in our algorithms,

Don Priess: 46:48

right? Kind of thought of everything? Yeah,

Breana Patel: 46:51

that's the first thing we thought about, because that's the biggest hurdle regulatory and I come from a regulatory background, so I was like, Okay, what are the regulatory hurdles we're going to face. Yeah,

Susie Singer Carter: 47:02

I love it. Brianna, when do you think this is going to be, actually, you know,

Breana Patel: 47:08

market launch to be, yeah, so we're finishing up our first pilot with a healthcare facility, and our first market launch is going to be sometime in 2026

Susie Singer Carter: 47:21

oh, wow, so exciting. I'm so excited for you, and so I'm just thrilled. Like, I think this is it. This is a game changer. This is a heat and it's so necessary, and, I mean, it can't come soon enough, like, it's giving me the chills. I'm not kidding you, because I know how important it is, right? It's just so important. It's so it's so obvious that AI, I mean, it came on so fast, like, we're just having that conversation on how, like, all of a sudden it wasn't there, and then it's there, right? And it's there in a big way. Well,

Don Priess: 47:54

in every day, it's like, yeah, big way, and,

Susie Singer Carter: 47:58

and, I mean, the fact that, you know, like I said, When, when, my when, my when, my phone can tell me I'm fierce. Okay, we've made a change here. Okay, so, I mean, it's coming on fast, and it and and, you know, I'm excited about it, and I'm excited that someone with your heart is is, you know, at the helm of this, because it's so important, because, yes, it's can be dangerous too. Everything can be weaponized and, you know, and

Don Priess: 48:30

gamed. Yeah, any technology can be used for good or evil. Yeah, absolutely,

Susie Singer Carter: 48:35

yeah. And we need people like you that actually have, you know, integrity and and the right motives and all that stuff. So I'm just honored to know you. No

Breana Patel: 48:48

thank you. Thank you so much for having me here. I just want to sorry. I just want to add that as fast as AI is coming, like you're seeing in terms of advances, so is our aging population. We're in the midst of silver tsunamis, what they call where we have one in every six people above the age of 60. So the hospitals and the healthcare facilities are going to be even more burdened. So we're doing our best to get the technology in the right way to the market as fast as possible.

Susie Singer Carter: 49:20

And how can, how can the How can the public help you? What's do you, you know? How can you be supported?

Breana Patel: 49:27

Yeah, I think for the public, if someone is A from the audience, if you're a healthcare leader or a tech innovator or even investor, then would love to connect. If you're looking to partner with us to do pilots. We have early access program where you could join our wait list, and we would be more than happy to explore those partnerships as well. So those are the kinds of things I guess, would be helpful from from the public.

Don Priess: 49:56

And how would this be meaning? Are you? Is there CMS? Involvement, government, any you know, what is the it's all be private. If so, how you know? You go to a facility and say, Okay, I mean, is it a ongoing, it's obviously an ongoing cost. But

Susie Singer Carter: 50:11

is it opt in? Are you saying, is it an opt in, or is it just part of the of the system, like, this

Don Priess: 50:16

is the way. Sis, this is the way. Hopefully, this is the way it's going to be. It becomes

Susie Singer Carter: 50:20

adopted by the system. What

Don Priess: 50:22

are those models look like?

Breana Patel: 50:24

Yeah, so we're looking at providing this as a subscript from a subscription model perspective to the facilities, where the facilities would get our platform on a subscription basis, and they'll use it. You know, from from the subscription model. It definitely does help them in reimbursements from Medicaid and Medicare, because a lot of patients in these types of facilities are on those programs. And if they're able to provide, you know, quality, higher quality of care, or be able to, you know, prevent some of this incidents, then they would be getting more reimbursements and less penalties. Are you in conversation with CMS? Not yet? No, but that's the next step. Yeah, that is the next step.

Susie Singer Carter: 51:12

It also, again, transparency wise, it will also probably up the the oversight, because, you know, there's a lot of a lot of patients that like, like my mom, who was, you know, consistently, chronically, getting these pressure wounds that she shouldn't get because they are avoidable, even though, you know, they they can start, But they shouldn't progress, right? So having that memorialized, and is is also important, because that's a motivator for the administration to do, to be able to facilitate those things from happening, from preventing them from happening. Because, you know, it always seems so odd to me, because it's, it is more costly as soon as you get, as soon as someone become, you know, gets these co morbidities, you know, but then again, CMS reimburses them for that. So, no,

Breana Patel: 52:09

no, no, they don't, not completely. So if a patient is in a healthcare facility, and if they experience pressure injury, it's not completely reimbursed by CMS. On top of that, they get a penalty of 3% on reimbursements across the board for all the patients. And by ended report

Susie Singer Carter: 52:32

them. That's where the they're not reported. They're under reported,

Breana Patel: 52:36

right, right? That's also an issue, so it helps in internal compliance as well, where, you know, they are able to improvise their processes and governance, where they're able to provide attention to the those kinds of patients with this technology. Yeah,

Susie Singer Carter: 52:51

I think it's important, you know, that's so important that transparency be for all, every part of of of the the industry, because it's going to help the residents and the patients. It's going to help the frontline providers. It's going to help a bit, you know, whether they like it or not. It's going to help the facilities, you know, to to be more transparent and and you know when, and there'll be less neglect, and therefore less abuse, and therefore less suffering. Yes,

Breana Patel: 53:26

absolutely it helps in preventing patient abuse and also care provider abuse, because the abuse is two ways, so that is also something that it would help. And yeah,

Susie Singer Carter: 53:37

absolutely we are, and we'd say that all the time, because we are, we are not, we're just, we're not anti providers at all. And we get it. We get what they're under. They are just as the abused, as the as the as the residents and patients. We know that that's why there's, there's been a tsunami of of, you know, there's been an exodus from the industry, of our of our professionals, because people can't, they just can't survive. You know, emotionally in this, in the way that the industry is set up now, it's, it's, it's really devastating for everyone. So I do agree with you, yeah, 100%

Breana Patel: 54:18

and the old technology doesn't

Susie Singer Carter: 54:20

help, right? Yes, yes.

Breana Patel: 54:23

If you look at the screens, it hurts your eyes. It's it's like, really old that needs to be renovated or replaced. Yeah, yeah.

Susie Singer Carter: 54:33

So much you're so right, yeah. We need to get modern. Let's get into exactly 2025,

Don Priess: 54:41

well, the technology exists. It's just a matter, you know, I mean, it's, it's to implement that. And again, that comes with somebody saying, Oh, I see, again, I see how this will, you know, unfortunately, save me money, that that's their first, that's their first go to but in this case, you know, it's, it hits it on all levels. So. Yeah, wonderful,

Susie Singer Carter: 55:01

yeah. Well, I'm, we are rooting for you. We're so such big fans, and I'm just just super excited about what you're doing, and I can't, I can't support you enough and cheerleading for you all the way. So no,

Breana Patel: 55:17

thank you so much for having me, and thank you so much for putting, you know, your Docu series as well, because that brings a lot of awareness of, you know, in the aging environment, what's going on with the elderly. So you're doing a very noble thing by doing that. And I'm just honored to be on this and be able to share the advances we are making. But what you're doing is amazing, and I'm sure you would have blessings of so many people because of that.

Susie Singer Carter: 55:45

Thank you. Back at you, back at you because you know, like, like, my friend chat says you're fierce, your force. You're a force in your fierce Okay, so, but it's true though, you are. You really are. And so when you'll come back, when, when you launch, okay, absolutely, tell us all about it. Maybe you could do a, you know, demonstration of it and just see, oh, yeah, fantastic. That would be so fun, right? Great. Yeah, this is so great. Well, thank you, Brianna, you we, you're, you're not only smart, you're a love, and we're all about Thank

Breana Patel: 56:21

you. Yeah, thank you so much.

Don Priess: 56:23

And that's because love is powerful. Love is contagious, and love conquers all we thank everyone for watching, listening. If you like what you saw or heard, please share, subscribe, do all those fun things. And Suze, I guess we'll see them next time on love Congress.

Susie Singer Carter: 56:42

We will, we will, everybody take care and see you soon. You.