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212- Inside Healthcare IT Challenges with David Caicedo

digital transformation, ai
Dissecting Popular IT Nerds
212- Inside Healthcare IT Challenges with David Caicedo
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David Caicedo

David Caicedo is a tech sales leader with 15+ years of experience driving digital transformation and cloud adoption at major companies. He specializes in building strategic partnerships and delivering innovative solutions for healthcare and life sciences organizations. David has held various sales and account management roles and is currently a Strategic Business Manager at AWS.

Inside Healthcare IT Challenges with David Caicedo

Join us for an insightful episode as we delve into the world of AWS certifications and their impact on career opportunities in the tech industry. Our special guest, David Caicedo, a strategic business manager at Amazon Web Services, shares his expertise on the importance of technology knowledge and skills in today’s job market.

We discuss the benefits of obtaining AWS certifications, including the potential for career advancement and the value it can bring to mid-market businesses. We also explore the challenges and successes of working for large companies, and how technological advancements in healthcare are changing the game.

Disclaimer: The views, thoughts, and opinions expressed by guests on this podcast are solely their own and do not necessarily reflect the views or positions of their employers, affiliates, organizations, or any other entities. The content provided is for informational purposes only and should not be considered professional advice. The podcast hosts and producers are not responsible for any actions taken based on the discussions in the episodes. We encourage listeners to consult with a professional or conduct their own research before making any decisions based on the content of this podcast

digital transformation, ai

3 Key Takeaways

Episode Show Notes

Discussion about David Caicedo’s journey into technology and training experiences. [0:02:42]

Learning Beyond College: The Power of Pushing Comfort Zones. [0:10:33]

Transitioning from Mid-Market to Enterprise: Impacting Tech Giants. [0:12:26]

From Small Company to Fortune 500s. [0:12:57]

Joining Microsoft and the challenges of transitioning roles. [0:17:10]

The Amazon effect on healthcare and involvement in healthcare and life sciences. [0:20:20]

Challenges of Implementing Telehealth in Vermont. [0:25:29]

The Hierarchy and Challenges of IT in Healthcare Industry. [0:28:03]

Challenges in Healthcare: Regulations and Policies. [0:29:08]

Transforming Healthcare: Better Patient Experience and Efficiency. [0:31:02]

The Evolution of Gaming: Atari to Nintendo. [0:38:03]

Transcript

Speaker 0 | 00:09.528

All right, welcome everyone back to Dissecting Popular IT Nerds. Today we have kind of a nerd on, but he comes from really the founders of Super Nerds, Amazon, David Caicedo, right? And well, first of all, welcome to the show, Strategic Business Manager, Amazon Web Services, a little bit of IT. background kind of a lot of it background worked at google before worked at microsoft before and other various msps and manufacturers and in a past uh you know full of of great um nerdy things so welcome to the show thank you for being on and uh yeah yeah and here’s my my my first question i want to ask you is because i i had an interesting Because people know that I work in technology, everyone has this idea of like, oh, you work at Amazon, what do you do? Or you work in technology, you must like, you know, work with, you know, all these blinky lights and in a dark room or, you know, some kind of data center or something like that. So I got, here’s the, here’s a question I got the other day was, so Phil, I’ve been, I’ve heard a lot about this AWS thing. Should I get into that? And that, you know, that was the question, like, you know, In this show, a lot about this show is how did you grow up in technology? And I think when you get to a certain age, you realize everything kind of just happens to you. And it’s about, did I make the right decisions at the right point in time that got me to where I’m at? Which I’m sure you can speak to something about that. But I didn’t even know how to answer that question. I said, that’s such a, Amazon’s such a big company. There’s probably like a thousand different ways to get involved. And I think basically what he was asking is, hey, should I go get this AWS? these AWS certifications. So why don’t we just start there? What would your advice be to some kid coming out of college with doesn’t really even matter what degree he has anymore, I don’t think. And should he get involved and get Amazon certifications or should he start somewhere else?

Speaker 1 | 02:13.585

Sure. So first of all, thank you for having me on the podcast here. So greatly appreciate it.

Speaker 0 | 02:20.389

Oh, and before you answer that question, think about it before you answer that question. If you can find a way to get Jeff Bezos on this podcast, he can, you know, I don’t know if you can like send an internal email or something like that, but it would put our podcast on the map and maybe we could figure out a way to, you know, give back to the public. I have a nonprofit that I, that I work in where we put up food pantries and stuff throughout, you know, low income neighborhoods. We got to think of some way to get Jeff Bezos on this show. So whatever it is, send an internal email and we’ll get them on the show next week.

Speaker 1 | 02:51.919

Yeah. A little easier said than done, but sure. I’ll be right back.

Speaker 0 | 02:57.583

Okay. Go, go, go. So anyways, starting out, should he get Amazon certifications or where do we get started? How’d you get where you were?

Speaker 1 | 03:05.208

So I guess short answer would be yes. I’m always a firm believer that you should kind of have more knowledge in terms of how to do certain things in particular around technology, right? So whether it be. as simple as an understanding of how tools and services work within cloud computing, which is what AWS is. I’d say that’s a great way to get your visibility to either recruiters or just build up your brand more so than anything, which is really, really important nowadays to stick yourself out in terms of, hey, this is sort of like my level of capabilities and things that I can do, which is great and fantastic. So long-winded answer to say yes. In terms of how I got here, I think that was sort of kind of the part of that question as well was I wasn’t in technology, actually. I graduated from St. Peter’s, now a university. I used to be college back then. with a business degree. And I did all my internships at the big banks when they were still around. So DLJ Direct, which is no longer around, Credit Suisse Boston, all that stuff. Morgan Stanley, Morgan Stanley is the only one still around. But I was just kind of bored of looking at numbers. And then I went to work. Once I graduated, I ended up having a job at a 3M converter. which is basically sort of you take non-metallic products and you die cut them into certain shapes. So I had no idea how much tape we have in the world, but we, when you think about it, tape or non-adhesive material is pretty much everywhere from patching to Bose radios to bumpers in your cabinet so that you don’t scratch the surfaces and all that stuff.

Speaker 0 | 05:18.341

Yeah. Your Coke bottle.

Speaker 1 | 05:20.041

Yep. And that’s, that’s basically what I did for my first two years. And then it was some recruiter that told me about a, tech company that’s out of Plano, Texas, that is looking for mid-market account managers to drive software sales. And I had no idea what’s at the top.

Speaker 0 | 05:38.331

Don’t worry. We’ll train you. We’ll train you.

Speaker 1 | 05:42.275

Today is probably the best training that I’ve ever received in my entire life.

Speaker 0 | 05:46.838

Okay. Why, why, what was the, what was it? Was it how to talk to people? Was it how to like overcome fear? I mean, what was it?

Speaker 1 | 05:54.665

All the above. So they talk about somebody a company um they were called software spectrum at the time which they were owned by level three for those who don’t know what level three is they’re like sort of like uh the pirate everyone that knows Lumen he knows aka Lumen yeah so they they owned um a software reseller and uh basically hey you want to go buy a a particular sort of kind of license for either microsoft ibm trend micro whoever yeah this is a reseller right that cannot resolve those things so what they did is they invested so much into people because they were building up this mid-market business right they were they were in a large enterprise space but they had no they’ve never been in mid-market so mid-market would be um companies that have more than 250 employees

Speaker 0 | 06:49.944

It’s everybody, just so you know, it’s everybody that listens to this show is in the mid-market space. So I mean, it was like an IT leadership show. Where do you need IT leadership? You need IT leadership in the mid-market space. At Amazon, I don’t know, we have droves of people. I don’t even know how you do it at Amazon, but keep going.

Speaker 1 | 07:07.538

Yep. So essentially what they would do, they would fly you out to Plano, Texas, and you would be there for three weeks. They would first… week of training was sort of like what the role is, what you’re going to do. And then halfway through that first week, they started teaching you the Sandler method of selling.

Speaker 0 | 07:31.993

What method?

Speaker 1 | 07:33.013

Sandler.

Speaker 0 | 07:34.073

Okay. Sandler. Yep.

Speaker 1 | 07:35.594

So basically that is sort of like the upfront commitment, walking a client through what they call the, the, the, the, the talking funnel so that eventually it kind of leads to an action. Right. Um, so they spent three days of that they video taped you at the time yep they posted back that up during the class they just yeah uh well no that at the time was more digital i’m not going back look

Speaker 0 | 08:05.586

you graduated one year after me so i’m just uh i’m poking a little bit of fun no worries and then and then they started teaching you um licensing from you

Speaker 1 | 08:19.008

the biggest sort of kind of tier one vendors, right? So it would be Microsoft licensing. It would be IBM licensing, Adobe, Semantic, we’re like, and Trend, I think we’re like the top five, but you spent an entire week just on Microsoft and understanding how they license each product, going through contracts. And then the remaining week and a half was sort of, more um you had to do um one-on-one uh selling to each other and then to a larger group role playing an entire role play you would have to sort of kind of little focus groups on this this doesn’t work whatever so it was literally just three weeks of education and training and then by the time that you were done with the three weeks they sent you back where you came from you went on You know, you did about a month worth of selling. Your manager kind of kept up to date with sort of how you were progressing. And then they flew you back another week to do reinforcement on pretty much everything that you learned and then everything that happened, you know, when you were there for three weeks. So I would say that was probably, and that’s why I say today is probably the most comprehensive sort of kind of ramp up training. in my professional life. Cause no, not even the big companies kind of,

Speaker 0 | 09:45.967

they don’t teach it in school. And I did, I did a similar, I had a similar life altering experience at a Cisco startup. And, uh, um, And ironically, the two top people in the company were me and this other guy, Guido Sirocco. I should tag him in this. Guido Sirocco. And yeah, he went to a company called Sandler Partners. So interestingly, I wonder if they pulled that off of the, and they’re a huge level three reseller, not Lumen, everything like basically telecom, voice and data, CSP, Microsoft, all that stuff. So interesting, great story. I’m sure there was a lot of trials and tribulations after they released you to the masses as well and you learned to actually speak with real people.

Speaker 1 | 10:38.712

Absolutely. There was a lot of learning, a lot of growing pains.

Speaker 0 | 10:45.556

It’s very, isn’t it interesting when you really push yourself beyond your comfort zone, what you learn and how you learn how to deal with people and then eventually you kind of… i don’t know you come out of the fog of whatever it is and now you’re just like a human that can speak with anybody and you can kind of see through people’s emotions and be more empathetic and all these type of things and i don’t think that’s it’s definitely not something taught in college it’s not something that you learned with your business degree no

Speaker 1 | 11:11.946

it’s not i mean uh i think college just more focuses on teaching you how to learn more so than anything you know how to do research and um how to kind of skim through data for the most part, right? So you have that level of foundation. But then once you get into the real world, you have no idea and really understanding customer behavior. Not every customer is the same. Not every person likes, you know, sort of your approach. So you have to kind of adjust per person.

Speaker 0 | 11:48.142

Not everyone likes Amazon. Some people want Google.

Speaker 1 | 11:50.183

Not everyone likes Amazon.

Speaker 0 | 11:51.004

Some people want Azure. I mean,

Speaker 1 | 11:53.362

a lot of people want GCP. So those kinds of things you have to forgive them.

Speaker 0 | 12:00.128

Yes,

Speaker 1 | 12:00.528

exactly. But those things are the things that I learned, obviously, very early on. And, you know, a lot of sort of kind of trial by fire, basically, a lot of crashing and burning in the beginning. But actually, you start to kind of find yourself, you start to really understand what you’re strong at. um, where your weaknesses are, what you can do from those things. And then all those sort of kind of mental scars that you, that you’ve kind of developed along the way, you try to focus on how to not concentrate on those things, but concentrate more on the strengths and the positives and then learning from those mental scars. Um, so those, that’s basically sort of what I’ve done. Yeah.

Speaker 0 | 12:42.163

How do you go from. such an intimate space and i say intimate because mid-market the mid-market space 250 employees let’s say maybe it gets cut off at 10 000 i would say 10 000 nearing enterprise um how do you go from such a space where you where you when you make a decision or you do something it makes such an impact to microsoft google aws how did you I guess, why did you do that? Because these are your last three companies are huge, massive companies. Is it just like, Hey, this is fun. I just want to work in one of these big, I mean, you’ve worked for pretty much the three major, the three major ones. Like why, how did you end up there and how do you, um, you know, just go to work excited every day?

Speaker 1 | 13:31.022

And yeah, I, so, um, so that company that I was telling you about a software spectrum was later sold to insight. Um, inside is another uh fortune 500 i think they are uh company and um and they you know kind of software spectrum completed the entire sort of portfolio for them because they were more predominantly hardware resellers cisco all that um and you had to get it you can’t really stay in that space anymore it’s exactly uh it’s low margins and a lot of heckling and everything so um So while I was there at Insight, kind of the same company, obviously, but we started, I started more on the hardware and software consulting side. And that’s how I started to kind of graduate more towards the large enterprise customers where it was kind of like a mixed bag where I had mid market accounts, large enterprise accounts. So that’s how I started to get exposure there. I became a manager very quickly. And I started managing the mid-market business for New York Metro. And then I got a promotion for managing the entire Northeast. So again, a lot of exposure into working with and partnerships with Microsoft, which pretty much was like 80% of my business at the time. But then the financial crisis of 2008 happened and we had massive layoffs. I was the sole survivor of those layoffs for my area. So I my role obviously was was sort of kind of wiped out. But I went back to being an individual contributor. So I was alone in New York for a while where it was just like a. one man band basically um five months or so for those five months first five months of 2009 i think and then um but that’s where i started developing a big relationship more so with my microsoft um counterparts because we worked on a lot of deals together and part

Speaker 0 | 15:49.696

of the thing of where you and where did it it’s the key thing a key thing there just mentioned your network was very important to you the people you build the communications i mean i think people underestimate that a lot. Like the network, the people, you know, um, obviously that was a, a key piece there for anyone that’s listening that, you know, is, I don’t know, fresh or new. Um, that’s a big piece. So this was 2009. Keep going.

Speaker 1 | 16:15.293

Yep. So, um, when I developed those, those great relationships, I, I sort of kind of build up my brand. Um, I know I mentioned that earlier on and my reputation of being a good, good reseller. strategic person can carry both a business conversation as well as you know a large part of that at the time too was sales was just more of like hey let’s go grab a drink let’s go dinner let’s do this and that so it was more of like kind of more of a a genuine kind of conversation and i didn’t come off as as someone that’s too salesy um but i knew technology i knew contracts in and out so Those kinds of things really sort of kind of caught on to a few of my Microsoft counterparts. And then the opportunity came where they were looking for an enterprise strategic account manager for healthcare and life sciences. And I happen to have like about five healthcare and life sciences customers at the time. And that’s sort of how we kind of developed that relationship. And his name was Cam. Um, I’m not going to say his last name, but, um, he’s now at Apple, I think. Um, but he, he approached me. He’s like, Hey Dave, you know, we have a role opening up on the team. I think you’d be great fit. And, um, you know, I, I took a shot cause I’m like, you know, this is sort of what I thought my next level of progression in my career was going to be. Uh, and, um, you know, it was, it was a pretty long process, a hiring process with Microsoft. And, um, I eventually, uh, joined the healthcare and life science team i was at the time this was back in 2011 i was the youngest hire uh at microsoft and i was just barely a little over 30 at the time wow uh 31 i think i just turned um that shows you how much the company got changed yeah exactly so um they i i was the youngest hire there i they were everyone was older than me Um, there, I think the youngest person was probably my age now, uh, at the time. And, um, so yeah, so it, a lot of learning to, um, once you start dealing, because you went, I went from having, I think at the time I left like 50 accounts that I had in my portfolio to just five now. So now you, you really have to start to think more strategically. You have to really understand. Um. your customer, their business, their initiatives. You start to sort of like, this is where the whole college thing comes into play, where you start to learn and what you did in college about learning, learning about a customer and being able to carry a conversation, being able to articulate different pain points and challenges, and then being able to relate that back to, you know, Microsoft, right? Services and solutions, how this maps back to this initiative and how this maps back to this particular sort of kind of gap that you may have in your environment. So that’s where I started to think more strategically about sort of how to approach a customer and really understand them and then how to apply that back to a value-added solution that we had.

Speaker 0 | 19:44.117

A lot of things going through my brain right now. One, it just made me think of a friend of mine that works at Microsoft and how he was in Microsoft for a whole year. It was a long, I think a long process, but he was in Microsoft for a whole year and they actually placed him by mistake in the wrong role. somehow like some glitch somehow right so they’re like don’t worry about it don’t worry about it they’re like look just take your time we want you to talk with everyone in the company go you know research find out where you feel that you fit in best he said i took probably a whole year just having like zoom meeting not as teams meetings obviously teams meetings with uh people until i found where i needed to be at microsoft he’s like um it’s like i’m just saying that the size difference probably from when you joined and where he is now is like, it’s just this massive campus of, of just a massive company. The, I saw something on your profile that I found very interesting and would be very beneficial. So there’s this thing we call the Amazon effect, right? Especially in the, I do a lot in transportation and logistics. So transportation and logistics loves to talk about Amazon because they come in. because obviously the effect the amazon effect on transportation logistics that completely aside in healthcare which i believe is a place that has the most opportunity for technology advancement and growth amazon

Speaker 1 | 21:11.675

is doing some cool things how are you involved in that so in in where i’m at now um i focus on healthcare and life sciences for three large strategic accounts So there is a ton of development that we’re doing both at AWS and Amazon as a whole around healthcare. So my actual focus is on understanding some of the gaps that are currently within these customers that I have, right? And being able to apply some of these services there. But from my end, it’s really understanding our entire healthcare. portfolio, both from a solution standpoint, as well as a innovation and where we’re going standpoint. And I would say from a, just again, if I take off my AWS hat in comparison to the other hyperscalers, one thing that I, that I, the main difference that I’ve seen here in the last, you know, almost three years that I’ve been here is that there is a reference. for every single industry, sub-industry, vertical in that space where there’s actual customers using it for a while, number one. Number two, they’re brand customers, right? So it’s not a community hospital in Topeka, Kansas or something like that. No offense to anyone from Topeka, Kansas, but it’s, you know, recognized brands, but it’s just the entire spectrum, right? Um, you don’t see that with the other hyperscalers. Um, there’s references, but not for every single, let’s say vertical industries of industry. Right. Um, they’re, they’re, they’re obviously getting there. Um,

Speaker 0 | 23:05.596

now why is that? Is that because you guys make it so easy to work with you?

Speaker 1 | 23:09.399

Yeah. Um, I, yeah, I would say that’s number one. Number two,

Speaker 0 | 23:14.262

I’m just saying it’s a good, I mean, it’s a good,

Speaker 1 | 23:16.243

it’s a great, yeah.

Speaker 0 | 23:17.104

I’m not trying to downplay the fact that you guys have a reference with every single customer. I’m not trying to, there’s a reason for that. And the reason for it is easy to work with.

Speaker 1 | 23:26.788

I think that’s number one. Number two is we’ve been at it for a while. Especially cloud infrastructure service, platform as a service, we’re pioneers in that space. So naturally, you’re going to have sort of that. that head start in it where customers are like hey you know if i want infrastructure as a service i want to spin up a server or something like that or storage right aws we were the first ones there everyone else kind of created it out of necessity right because that’s where the

Speaker 0 | 24:00.626

trend is going right i like it i like sandler’s coming out exactly so um i mean we’re pioneers in the space i mean we’ve got more labels we’ve got you know keep going keep going i like this and then um you have

Speaker 1 | 24:14.116

And then you have the amount of different, you know, we’re at 230, I think now, products and services. So that’s the other thing, too, where it’s like you have a product for every single need. Right. Again, sort of the big why AWS. Right.

Speaker 0 | 24:36.831

How does it transform health care? How will it?

Speaker 1 | 24:41.754

I think in terms of health care. Where I’ve seen the biggest transformation now has been more of what happened with COVID. What COVID did sort of is expose a lot of the shortcomings in the industry. um and sort of magnified those shortcomings like 30 let’s go okay let’s go top five so one is uh resourcing and burnout that that’s staffing yeah staffing that’s always been prevalent but once covet hit that magnified it that’s number one yep number two is uh planning um every let’s if we talk about just providers hospitals right yep prior to covid if you talk if i talk to every single hospital they would tell me they have a telehealth plan in place and strategy um but it’s kind of hard to have something like that when you know only maybe six to seven percent of um of your patient population use telehealth right so they’re like yeah we have something in place my sister’s ahead

Speaker 0 | 25:55.070

she’s everyone in my family comes from the medical field my dad’s urologist my my uncle ophthalmologist my grandfather pediatrician my my sister’s an rn her husband’s an anesthesiologist and my sister’s now like this head i don’t know what her role is called but some some kind of planning and you know like like future future not proof we’d say that in technology future proving um you know some kind of planning and in change management or something like that you for you know this massive hospital in vermont right so like how many people in vermont know like elderly people with telehealth in vermont it just made me think of that but but anyways so yeah we got telehealth but uh great can you pull it up i have no clue how to use it so um but go ahead you’re

Speaker 1 | 26:42.006

just yeah being in your staff in general that was number one is either how to use it number two deploy it to the masses right so again the the magnify it’s advised 30 times Um, the other big thing is that there was so much data siloed. Um,

Speaker 0 | 26:58.662

Ooh, I like silo.

Speaker 1 | 27:00.043

So again, where they thought the prior to that, uh, you know, the EHR is sort of the, the, the Nirvana state, right. And everything’s our EHR, our EHR is wonderful and all that stuff. And then COVID happened. And then where’s all the EHR values that you were kind of.

Speaker 0 | 27:23.438

pouting you know a year ago where are those um so going to some deep uh and into some deep uh conspiracy theories here now because now i’m starting to think how great covid was for the technology industry i was like you know like the classic meme that’s like you know we need to we need to forklift our technology what drove like you know what drove the the, the, the response most, you know, or what convinced upper management the most to do it. It was like, you know, my great lead it leadership, this, this, this, and the last one is, you know, COVID. Uh, I was like,

Speaker 1 | 27:57.743

basically it. And then, and then you had, and then you had more of consumerization of health. Those, those are probably the, the, the five, I think I rattled off the, the five biggest things that, that COVID did that sort of kind of really magnified the, the shortcomings, right. It’s more of like now. you have people that are, you know.

Speaker 0 | 28:19.844

So let me explain, let me just paint a picture for you, the hospital, because I grew up in this environment, okay? So you’ve got a very strong pecking order in the hospital. And as much as it should be an environment that’s very non-stereotypical, inviting, all this type of thing, it’s completely not. There is like a hierarchy where the doctor is the most important person in the room. Then you have the nurse, the RN. Then you have all the way down to the janitor. And there’s another person on that list that’s not even- on the list and that’s the it department i don’t think in a massive health care industry like there’s this it department there’s a cto sitting at the top and with the board and everything but how does all that it’s to me it’s one of the biggest opportunities in america to change with technology and going to be one of the hardest and slowest unless unless amazon has some way of you know you um and the answer is the i’m looking to you for the the quick answer here to solve all these problems so um i mean the probably the the i’m trying to say this like in a very sort of political

Speaker 1 | 29:27.848

way i guess oh right so um so short answer is can amazon do a lot in in health care yes um we can um But the challenge is always going to be regulations. There’s always going to be policies, right? And that’s, for the most part, is the thing that kind of holds you back. Again, going back to COVID, the technology to be able to come up with a vaccine has always been there. um you know everyone you know was screaming at the hills about conspiracy theories and how do you develop this so quickly blah blah so it really the tech has always been there right um the science ai and

Speaker 0 | 30:16.667

machine learning all that stuff has always been there what you don’t need to micro pipette like 50

Speaker 1 | 30:21.890

000 things anymore you can actually put a model together to do that but the only thing that that what again going back to what COVID was able to do is that you had regulations that went down, right? You had a community of scientists collaborating, and then you had funding, right? All those three things, right? The tech was always there. The sort of kind of vertical of how you deliver that vaccine, that technology was always there, right? But you had those other things removed, right? So And again, it shows how quickly you can kind of develop something when you have obviously less regulations and less politics involved. And then you let the technology work. Right.

Speaker 0 | 31:08.947

So personally, personally, I’m not a vaccine believer. I’m I’m I’m unvaccinated. I’m an unvaccinated covid guy. But that has nothing to do with has nothing to do with the idea that technology can change the health care world. It’s because to me, there’s a whole. like you said, to try and stay unpolitical, which I completely believe we should do or that I’m going to do. But, you know, what would drive the vaccine could be a million different things. But what can drive hospitals to give better health care is a totally different is a different subject in itself. Right. Vaccines, one thing aside, whatever, whatever’s going on there. But to provide better health care, to provide better patient experience, to provide, you know, a how do we say? efficient, efficient healthcare process from cradle to the grave and all that has a lot, there’s a lot to be done there.

Speaker 1 | 32:04.338

Absolutely. I think, and it comes down, you’ve mentioned in terms of like pecking water in the past, let’s say for, if we just kind of keep it to technology in the past, you had a CIO, depending on where, where that person was in his career, the biggest thing from a provider standpoint that the CIO sort of kind of hung his hat on or her hat on. was the EHR and the implementation of an EHR system in the hospital, right?

Speaker 0 | 32:32.373

And that’s only been the last since, I don’t know, since Obama signed. Remember when Obama signed, like we’re all going digital medical records and everything. Remember that race? Yeah. And- But keep going.

Speaker 1 | 32:44.697

So that CIO, let’s say for example, if that was successful, that’s what he hung his hat on, her hat on, and it would be-

Speaker 0 | 32:55.064

i’m going to ride that wave until my retirement right yeah the next person up i’m going to let them do whatever they want to do to kind of put their brand and their stand yeah yeah i’m sticking with pgp and my routing protocol until the end of times and if you come in and try and touch my neck my network you know get the heck out of here so

Speaker 1 | 33:15.421

and then what changed though and was obviously things with COVID. But then also now what’s changing that mentality is Gen AI. And the reason is because you’re going to have a FOMO, you know, fear of missing out. And you don’t want to be that CIO that is not sort of kind of really understanding how this technology can kind of help. the health system and you don’t want to be that CIO that is not doing what they need to do to sort of kind of try to implement some of these things within your health system. So you’re, you’re sort of kind of being forced to really be one of that could be part of the big,

Speaker 0 | 33:58.980

that could be part of the problem at the same time,

Speaker 1 | 34:01.641

because then also what I think would be sort of your, your, we’re, what I’m seeing is more, more customers are not. either being very sort of kind of skeptical at this point where they’re like huh we we want to try it but we don’t know where um and then you have other ones that are you know the the more the mid-market accounts let’s say for example if we take it back to that the startups those those folks they’re they’re adopting it as as quickly as possible because they know that’s going to be a big differentiation from them products that they develop solutions that they develop right and it’s a much easier sort of kind of sort of a low risk, high reward for them, where you have the larger enterprises that, again, have a lot of legacy systems in place. They may be cloud, but not every single part of their business is cloud. And then you have a lot of more, you know, sort of kind of risk, especially in healthcare, right? You’re going to have a lot of… regulations, you’re going to have a lot of compliances, and that’s where they start to pump the brakes, but they have to put it in play somewhere. That’s where people are right now, where they’re developing their plan and their strategy of where they’re going to adopt Gen AI. How I see this changing healthcare is because you’re going to have more front consumer-facing services, whether through applications that are developed either by the health system or third-party applications that they use they’re going to have more um more offerings that an individual can kind of pick and choose their their their health care and you know they’ve seen right um more of the more of the need for like the the sort of kind of mini clinics urgent cares because those are a lot easier to kind of book appointments and be seen

Speaker 0 | 36:00.908

yeah in other words should i wait should i really wait 12 months to or 8 to 12 months for my physical yeah and then also try making an appointment with your primary and it’s going to be like hey it’s three months out when literally i got a physical the other day they took my blood pressure temperature doctor came in so how you doing i’m like i got torn muscle okay oh yeah well i see you’re seeing the sports guy next week okay um all right well that’s it and it was like what you know like that could that could have been whipped out but you know i’m pretty sure my eighth grader could have done that you know and just sent the info over to the doc you could have signed off on it but yeah you have you’re gonna have technology being able to do that um some of that exists today um for

Speaker 1 | 36:43.964

example uh one medical um which is a company that that um that amazon acquired about a year ago officially um they provide those those services right you’re you’re going to be able to kind of quickly see a doctor virtually too.

Speaker 0 | 37:01.032

Let’s end with this. And the only reason why I’m saying this, because all of this is making me think of a guy that started up a company in his garage selling books. That’s what’s amazing about all this.

Speaker 1 | 37:16.224

Exactly.

Speaker 0 | 37:17.065

It’s a, it’s a nerd pretty much. It’s pimp now. He’s always, he’s, he’s, uh, yeah, like probably pretty buff now too. Does whatever. Anyways, guys, a nerd that started in his garage selling books and Sears made fun of him. And, uh, where’s Sears at? You don’t want to be the healthcare, the Sears of healthcare. Don’t be the Sears of healthcare as I guess the, uh, I guess the thing there, I just, it’s still absolutely blows my mind. I mean, you and I are pretty much the same age. We grew up in the 80s. We probably had a Nintendo NES. We remember playing Mike Tyson’s Punch-Out. There was no Amazon then. There was no internet then. Oh, yes. I forgot. I never even did this part of the show. What did you do prior to the invention of the internet for fun? What do you remember doing?

Speaker 1 | 38:13.282

I was soccer. I still play soccer. So I was out playing sports for the most part. And it wasn’t until probably… because i i had an old atari actually too uh uh i i played atari i think um until i was like nine ten not not all the time right but it was just you know you had you had pac-man and you had um um oh my god um i forgot the the back and forth pin thing uh ball thing but anyway oh yeah pong yeah you had you had two games basically and then yeah uh until nintendo that you know that when you know gaming and all that stuff really sort of kind of went to the next level uh you know i had uh um was it um goose hunt bird hunt but yeah yeah yeah mario brothers all that stuff so um how much does exercise how much does exercise play into your life and i think the fact that you say soccer i love that you said soccer because um

Speaker 0 | 39:21.180

Well, first of all, I’m a huge jujitsu fan. And you’re down in New Jersey. I’m sure you know who Marcelo Garcia is. You must know him.

Speaker 1 | 39:27.123

Yeah,

Speaker 0 | 39:27.763

I do. Okay. So he was a soccer player before jujitsu. But I think just to stay in shape, you have to have something that’s fun to do. I used to run. I was like, once I found jujitsu and I wrestled in high school, I was like, oh, I’m never running again. Running is boring anyways. But some people, I guess, love running and biking. But yeah. So exercise.

Speaker 1 | 39:49.996

as far as work-life balance that i have to start my day by exercising every day i uh i go for either a run a walk um it’s a way for me to sort of kind of um, keep my mind clear, um, you know, and just sort of kind of move away from what I have to do that day and, and start sort of kind of every morning fresh. Um, and it gives me motivated for the day actually. So I, I don’t like starting my day without an exercise. Um, again, it doesn’t, I’m not in, you know, I’m not in the gym, um, like crazy two hours, but. At least 40 minutes every morning, whether it’s a walk, a run, whatever it is, I have to do it. It plays a major, major role in my mental health.

Speaker 0 | 40:42.206

Beautiful. David, thank you so much for being on the show. Any final words of wisdom for anyone out there listening?

Speaker 1 | 40:49.030

I would say, one, I appreciate it. Two, continue to learn. Always learn.

Speaker 0 | 40:56.174

Thank you, sir.

212- Inside Healthcare IT Challenges with David Caicedo

Speaker 0 | 00:09.528

All right, welcome everyone back to Dissecting Popular IT Nerds. Today we have kind of a nerd on, but he comes from really the founders of Super Nerds, Amazon, David Caicedo, right? And well, first of all, welcome to the show, Strategic Business Manager, Amazon Web Services, a little bit of IT. background kind of a lot of it background worked at google before worked at microsoft before and other various msps and manufacturers and in a past uh you know full of of great um nerdy things so welcome to the show thank you for being on and uh yeah yeah and here’s my my my first question i want to ask you is because i i had an interesting Because people know that I work in technology, everyone has this idea of like, oh, you work at Amazon, what do you do? Or you work in technology, you must like, you know, work with, you know, all these blinky lights and in a dark room or, you know, some kind of data center or something like that. So I got, here’s the, here’s a question I got the other day was, so Phil, I’ve been, I’ve heard a lot about this AWS thing. Should I get into that? And that, you know, that was the question, like, you know, In this show, a lot about this show is how did you grow up in technology? And I think when you get to a certain age, you realize everything kind of just happens to you. And it’s about, did I make the right decisions at the right point in time that got me to where I’m at? Which I’m sure you can speak to something about that. But I didn’t even know how to answer that question. I said, that’s such a, Amazon’s such a big company. There’s probably like a thousand different ways to get involved. And I think basically what he was asking is, hey, should I go get this AWS? these AWS certifications. So why don’t we just start there? What would your advice be to some kid coming out of college with doesn’t really even matter what degree he has anymore, I don’t think. And should he get involved and get Amazon certifications or should he start somewhere else?

Speaker 1 | 02:13.585

Sure. So first of all, thank you for having me on the podcast here. So greatly appreciate it.

Speaker 0 | 02:20.389

Oh, and before you answer that question, think about it before you answer that question. If you can find a way to get Jeff Bezos on this podcast, he can, you know, I don’t know if you can like send an internal email or something like that, but it would put our podcast on the map and maybe we could figure out a way to, you know, give back to the public. I have a nonprofit that I, that I work in where we put up food pantries and stuff throughout, you know, low income neighborhoods. We got to think of some way to get Jeff Bezos on this show. So whatever it is, send an internal email and we’ll get them on the show next week.

Speaker 1 | 02:51.919

Yeah. A little easier said than done, but sure. I’ll be right back.

Speaker 0 | 02:57.583

Okay. Go, go, go. So anyways, starting out, should he get Amazon certifications or where do we get started? How’d you get where you were?

Speaker 1 | 03:05.208

So I guess short answer would be yes. I’m always a firm believer that you should kind of have more knowledge in terms of how to do certain things in particular around technology, right? So whether it be. as simple as an understanding of how tools and services work within cloud computing, which is what AWS is. I’d say that’s a great way to get your visibility to either recruiters or just build up your brand more so than anything, which is really, really important nowadays to stick yourself out in terms of, hey, this is sort of like my level of capabilities and things that I can do, which is great and fantastic. So long-winded answer to say yes. In terms of how I got here, I think that was sort of kind of the part of that question as well was I wasn’t in technology, actually. I graduated from St. Peter’s, now a university. I used to be college back then. with a business degree. And I did all my internships at the big banks when they were still around. So DLJ Direct, which is no longer around, Credit Suisse Boston, all that stuff. Morgan Stanley, Morgan Stanley is the only one still around. But I was just kind of bored of looking at numbers. And then I went to work. Once I graduated, I ended up having a job at a 3M converter. which is basically sort of you take non-metallic products and you die cut them into certain shapes. So I had no idea how much tape we have in the world, but we, when you think about it, tape or non-adhesive material is pretty much everywhere from patching to Bose radios to bumpers in your cabinet so that you don’t scratch the surfaces and all that stuff.

Speaker 0 | 05:18.341

Yeah. Your Coke bottle.

Speaker 1 | 05:20.041

Yep. And that’s, that’s basically what I did for my first two years. And then it was some recruiter that told me about a, tech company that’s out of Plano, Texas, that is looking for mid-market account managers to drive software sales. And I had no idea what’s at the top.

Speaker 0 | 05:38.331

Don’t worry. We’ll train you. We’ll train you.

Speaker 1 | 05:42.275

Today is probably the best training that I’ve ever received in my entire life.

Speaker 0 | 05:46.838

Okay. Why, why, what was the, what was it? Was it how to talk to people? Was it how to like overcome fear? I mean, what was it?

Speaker 1 | 05:54.665

All the above. So they talk about somebody a company um they were called software spectrum at the time which they were owned by level three for those who don’t know what level three is they’re like sort of like uh the pirate everyone that knows Lumen he knows aka Lumen yeah so they they owned um a software reseller and uh basically hey you want to go buy a a particular sort of kind of license for either microsoft ibm trend micro whoever yeah this is a reseller right that cannot resolve those things so what they did is they invested so much into people because they were building up this mid-market business right they were they were in a large enterprise space but they had no they’ve never been in mid-market so mid-market would be um companies that have more than 250 employees

Speaker 0 | 06:49.944

It’s everybody, just so you know, it’s everybody that listens to this show is in the mid-market space. So I mean, it was like an IT leadership show. Where do you need IT leadership? You need IT leadership in the mid-market space. At Amazon, I don’t know, we have droves of people. I don’t even know how you do it at Amazon, but keep going.

Speaker 1 | 07:07.538

Yep. So essentially what they would do, they would fly you out to Plano, Texas, and you would be there for three weeks. They would first… week of training was sort of like what the role is, what you’re going to do. And then halfway through that first week, they started teaching you the Sandler method of selling.

Speaker 0 | 07:31.993

What method?

Speaker 1 | 07:33.013

Sandler.

Speaker 0 | 07:34.073

Okay. Sandler. Yep.

Speaker 1 | 07:35.594

So basically that is sort of like the upfront commitment, walking a client through what they call the, the, the, the, the talking funnel so that eventually it kind of leads to an action. Right. Um, so they spent three days of that they video taped you at the time yep they posted back that up during the class they just yeah uh well no that at the time was more digital i’m not going back look

Speaker 0 | 08:05.586

you graduated one year after me so i’m just uh i’m poking a little bit of fun no worries and then and then they started teaching you um licensing from you

Speaker 1 | 08:19.008

the biggest sort of kind of tier one vendors, right? So it would be Microsoft licensing. It would be IBM licensing, Adobe, Semantic, we’re like, and Trend, I think we’re like the top five, but you spent an entire week just on Microsoft and understanding how they license each product, going through contracts. And then the remaining week and a half was sort of, more um you had to do um one-on-one uh selling to each other and then to a larger group role playing an entire role play you would have to sort of kind of little focus groups on this this doesn’t work whatever so it was literally just three weeks of education and training and then by the time that you were done with the three weeks they sent you back where you came from you went on You know, you did about a month worth of selling. Your manager kind of kept up to date with sort of how you were progressing. And then they flew you back another week to do reinforcement on pretty much everything that you learned and then everything that happened, you know, when you were there for three weeks. So I would say that was probably, and that’s why I say today is probably the most comprehensive sort of kind of ramp up training. in my professional life. Cause no, not even the big companies kind of,

Speaker 0 | 09:45.967

they don’t teach it in school. And I did, I did a similar, I had a similar life altering experience at a Cisco startup. And, uh, um, And ironically, the two top people in the company were me and this other guy, Guido Sirocco. I should tag him in this. Guido Sirocco. And yeah, he went to a company called Sandler Partners. So interestingly, I wonder if they pulled that off of the, and they’re a huge level three reseller, not Lumen, everything like basically telecom, voice and data, CSP, Microsoft, all that stuff. So interesting, great story. I’m sure there was a lot of trials and tribulations after they released you to the masses as well and you learned to actually speak with real people.

Speaker 1 | 10:38.712

Absolutely. There was a lot of learning, a lot of growing pains.

Speaker 0 | 10:45.556

It’s very, isn’t it interesting when you really push yourself beyond your comfort zone, what you learn and how you learn how to deal with people and then eventually you kind of… i don’t know you come out of the fog of whatever it is and now you’re just like a human that can speak with anybody and you can kind of see through people’s emotions and be more empathetic and all these type of things and i don’t think that’s it’s definitely not something taught in college it’s not something that you learned with your business degree no

Speaker 1 | 11:11.946

it’s not i mean uh i think college just more focuses on teaching you how to learn more so than anything you know how to do research and um how to kind of skim through data for the most part, right? So you have that level of foundation. But then once you get into the real world, you have no idea and really understanding customer behavior. Not every customer is the same. Not every person likes, you know, sort of your approach. So you have to kind of adjust per person.

Speaker 0 | 11:48.142

Not everyone likes Amazon. Some people want Google.

Speaker 1 | 11:50.183

Not everyone likes Amazon.

Speaker 0 | 11:51.004

Some people want Azure. I mean,

Speaker 1 | 11:53.362

a lot of people want GCP. So those kinds of things you have to forgive them.

Speaker 0 | 12:00.128

Yes,

Speaker 1 | 12:00.528

exactly. But those things are the things that I learned, obviously, very early on. And, you know, a lot of sort of kind of trial by fire, basically, a lot of crashing and burning in the beginning. But actually, you start to kind of find yourself, you start to really understand what you’re strong at. um, where your weaknesses are, what you can do from those things. And then all those sort of kind of mental scars that you, that you’ve kind of developed along the way, you try to focus on how to not concentrate on those things, but concentrate more on the strengths and the positives and then learning from those mental scars. Um, so those, that’s basically sort of what I’ve done. Yeah.

Speaker 0 | 12:42.163

How do you go from. such an intimate space and i say intimate because mid-market the mid-market space 250 employees let’s say maybe it gets cut off at 10 000 i would say 10 000 nearing enterprise um how do you go from such a space where you where you when you make a decision or you do something it makes such an impact to microsoft google aws how did you I guess, why did you do that? Because these are your last three companies are huge, massive companies. Is it just like, Hey, this is fun. I just want to work in one of these big, I mean, you’ve worked for pretty much the three major, the three major ones. Like why, how did you end up there and how do you, um, you know, just go to work excited every day?

Speaker 1 | 13:31.022

And yeah, I, so, um, so that company that I was telling you about a software spectrum was later sold to insight. Um, inside is another uh fortune 500 i think they are uh company and um and they you know kind of software spectrum completed the entire sort of portfolio for them because they were more predominantly hardware resellers cisco all that um and you had to get it you can’t really stay in that space anymore it’s exactly uh it’s low margins and a lot of heckling and everything so um So while I was there at Insight, kind of the same company, obviously, but we started, I started more on the hardware and software consulting side. And that’s how I started to kind of graduate more towards the large enterprise customers where it was kind of like a mixed bag where I had mid market accounts, large enterprise accounts. So that’s how I started to get exposure there. I became a manager very quickly. And I started managing the mid-market business for New York Metro. And then I got a promotion for managing the entire Northeast. So again, a lot of exposure into working with and partnerships with Microsoft, which pretty much was like 80% of my business at the time. But then the financial crisis of 2008 happened and we had massive layoffs. I was the sole survivor of those layoffs for my area. So I my role obviously was was sort of kind of wiped out. But I went back to being an individual contributor. So I was alone in New York for a while where it was just like a. one man band basically um five months or so for those five months first five months of 2009 i think and then um but that’s where i started developing a big relationship more so with my microsoft um counterparts because we worked on a lot of deals together and part

Speaker 0 | 15:49.696

of the thing of where you and where did it it’s the key thing a key thing there just mentioned your network was very important to you the people you build the communications i mean i think people underestimate that a lot. Like the network, the people, you know, um, obviously that was a, a key piece there for anyone that’s listening that, you know, is, I don’t know, fresh or new. Um, that’s a big piece. So this was 2009. Keep going.

Speaker 1 | 16:15.293

Yep. So, um, when I developed those, those great relationships, I, I sort of kind of build up my brand. Um, I know I mentioned that earlier on and my reputation of being a good, good reseller. strategic person can carry both a business conversation as well as you know a large part of that at the time too was sales was just more of like hey let’s go grab a drink let’s go dinner let’s do this and that so it was more of like kind of more of a a genuine kind of conversation and i didn’t come off as as someone that’s too salesy um but i knew technology i knew contracts in and out so Those kinds of things really sort of kind of caught on to a few of my Microsoft counterparts. And then the opportunity came where they were looking for an enterprise strategic account manager for healthcare and life sciences. And I happen to have like about five healthcare and life sciences customers at the time. And that’s sort of how we kind of developed that relationship. And his name was Cam. Um, I’m not going to say his last name, but, um, he’s now at Apple, I think. Um, but he, he approached me. He’s like, Hey Dave, you know, we have a role opening up on the team. I think you’d be great fit. And, um, you know, I, I took a shot cause I’m like, you know, this is sort of what I thought my next level of progression in my career was going to be. Uh, and, um, you know, it was, it was a pretty long process, a hiring process with Microsoft. And, um, I eventually, uh, joined the healthcare and life science team i was at the time this was back in 2011 i was the youngest hire uh at microsoft and i was just barely a little over 30 at the time wow uh 31 i think i just turned um that shows you how much the company got changed yeah exactly so um they i i was the youngest hire there i they were everyone was older than me Um, there, I think the youngest person was probably my age now, uh, at the time. And, um, so yeah, so it, a lot of learning to, um, once you start dealing, because you went, I went from having, I think at the time I left like 50 accounts that I had in my portfolio to just five now. So now you, you really have to start to think more strategically. You have to really understand. Um. your customer, their business, their initiatives. You start to sort of like, this is where the whole college thing comes into play, where you start to learn and what you did in college about learning, learning about a customer and being able to carry a conversation, being able to articulate different pain points and challenges, and then being able to relate that back to, you know, Microsoft, right? Services and solutions, how this maps back to this initiative and how this maps back to this particular sort of kind of gap that you may have in your environment. So that’s where I started to think more strategically about sort of how to approach a customer and really understand them and then how to apply that back to a value-added solution that we had.

Speaker 0 | 19:44.117

A lot of things going through my brain right now. One, it just made me think of a friend of mine that works at Microsoft and how he was in Microsoft for a whole year. It was a long, I think a long process, but he was in Microsoft for a whole year and they actually placed him by mistake in the wrong role. somehow like some glitch somehow right so they’re like don’t worry about it don’t worry about it they’re like look just take your time we want you to talk with everyone in the company go you know research find out where you feel that you fit in best he said i took probably a whole year just having like zoom meeting not as teams meetings obviously teams meetings with uh people until i found where i needed to be at microsoft he’s like um it’s like i’m just saying that the size difference probably from when you joined and where he is now is like, it’s just this massive campus of, of just a massive company. The, I saw something on your profile that I found very interesting and would be very beneficial. So there’s this thing we call the Amazon effect, right? Especially in the, I do a lot in transportation and logistics. So transportation and logistics loves to talk about Amazon because they come in. because obviously the effect the amazon effect on transportation logistics that completely aside in healthcare which i believe is a place that has the most opportunity for technology advancement and growth amazon

Speaker 1 | 21:11.675

is doing some cool things how are you involved in that so in in where i’m at now um i focus on healthcare and life sciences for three large strategic accounts So there is a ton of development that we’re doing both at AWS and Amazon as a whole around healthcare. So my actual focus is on understanding some of the gaps that are currently within these customers that I have, right? And being able to apply some of these services there. But from my end, it’s really understanding our entire healthcare. portfolio, both from a solution standpoint, as well as a innovation and where we’re going standpoint. And I would say from a, just again, if I take off my AWS hat in comparison to the other hyperscalers, one thing that I, that I, the main difference that I’ve seen here in the last, you know, almost three years that I’ve been here is that there is a reference. for every single industry, sub-industry, vertical in that space where there’s actual customers using it for a while, number one. Number two, they’re brand customers, right? So it’s not a community hospital in Topeka, Kansas or something like that. No offense to anyone from Topeka, Kansas, but it’s, you know, recognized brands, but it’s just the entire spectrum, right? Um, you don’t see that with the other hyperscalers. Um, there’s references, but not for every single, let’s say vertical industries of industry. Right. Um, they’re, they’re, they’re obviously getting there. Um,

Speaker 0 | 23:05.596

now why is that? Is that because you guys make it so easy to work with you?

Speaker 1 | 23:09.399

Yeah. Um, I, yeah, I would say that’s number one. Number two,

Speaker 0 | 23:14.262

I’m just saying it’s a good, I mean, it’s a good,

Speaker 1 | 23:16.243

it’s a great, yeah.

Speaker 0 | 23:17.104

I’m not trying to downplay the fact that you guys have a reference with every single customer. I’m not trying to, there’s a reason for that. And the reason for it is easy to work with.

Speaker 1 | 23:26.788

I think that’s number one. Number two is we’ve been at it for a while. Especially cloud infrastructure service, platform as a service, we’re pioneers in that space. So naturally, you’re going to have sort of that. that head start in it where customers are like hey you know if i want infrastructure as a service i want to spin up a server or something like that or storage right aws we were the first ones there everyone else kind of created it out of necessity right because that’s where the

Speaker 0 | 24:00.626

trend is going right i like it i like sandler’s coming out exactly so um i mean we’re pioneers in the space i mean we’ve got more labels we’ve got you know keep going keep going i like this and then um you have

Speaker 1 | 24:14.116

And then you have the amount of different, you know, we’re at 230, I think now, products and services. So that’s the other thing, too, where it’s like you have a product for every single need. Right. Again, sort of the big why AWS. Right.

Speaker 0 | 24:36.831

How does it transform health care? How will it?

Speaker 1 | 24:41.754

I think in terms of health care. Where I’ve seen the biggest transformation now has been more of what happened with COVID. What COVID did sort of is expose a lot of the shortcomings in the industry. um and sort of magnified those shortcomings like 30 let’s go okay let’s go top five so one is uh resourcing and burnout that that’s staffing yeah staffing that’s always been prevalent but once covet hit that magnified it that’s number one yep number two is uh planning um every let’s if we talk about just providers hospitals right yep prior to covid if you talk if i talk to every single hospital they would tell me they have a telehealth plan in place and strategy um but it’s kind of hard to have something like that when you know only maybe six to seven percent of um of your patient population use telehealth right so they’re like yeah we have something in place my sister’s ahead

Speaker 0 | 25:55.070

she’s everyone in my family comes from the medical field my dad’s urologist my my uncle ophthalmologist my grandfather pediatrician my my sister’s an rn her husband’s an anesthesiologist and my sister’s now like this head i don’t know what her role is called but some some kind of planning and you know like like future future not proof we’d say that in technology future proving um you know some kind of planning and in change management or something like that you for you know this massive hospital in vermont right so like how many people in vermont know like elderly people with telehealth in vermont it just made me think of that but but anyways so yeah we got telehealth but uh great can you pull it up i have no clue how to use it so um but go ahead you’re

Speaker 1 | 26:42.006

just yeah being in your staff in general that was number one is either how to use it number two deploy it to the masses right so again the the magnify it’s advised 30 times Um, the other big thing is that there was so much data siloed. Um,

Speaker 0 | 26:58.662

Ooh, I like silo.

Speaker 1 | 27:00.043

So again, where they thought the prior to that, uh, you know, the EHR is sort of the, the, the Nirvana state, right. And everything’s our EHR, our EHR is wonderful and all that stuff. And then COVID happened. And then where’s all the EHR values that you were kind of.

Speaker 0 | 27:23.438

pouting you know a year ago where are those um so going to some deep uh and into some deep uh conspiracy theories here now because now i’m starting to think how great covid was for the technology industry i was like you know like the classic meme that’s like you know we need to we need to forklift our technology what drove like you know what drove the the, the, the response most, you know, or what convinced upper management the most to do it. It was like, you know, my great lead it leadership, this, this, this, and the last one is, you know, COVID. Uh, I was like,

Speaker 1 | 27:57.743

basically it. And then, and then you had, and then you had more of consumerization of health. Those, those are probably the, the, the five, I think I rattled off the, the five biggest things that, that COVID did that sort of kind of really magnified the, the shortcomings, right. It’s more of like now. you have people that are, you know.

Speaker 0 | 28:19.844

So let me explain, let me just paint a picture for you, the hospital, because I grew up in this environment, okay? So you’ve got a very strong pecking order in the hospital. And as much as it should be an environment that’s very non-stereotypical, inviting, all this type of thing, it’s completely not. There is like a hierarchy where the doctor is the most important person in the room. Then you have the nurse, the RN. Then you have all the way down to the janitor. And there’s another person on that list that’s not even- on the list and that’s the it department i don’t think in a massive health care industry like there’s this it department there’s a cto sitting at the top and with the board and everything but how does all that it’s to me it’s one of the biggest opportunities in america to change with technology and going to be one of the hardest and slowest unless unless amazon has some way of you know you um and the answer is the i’m looking to you for the the quick answer here to solve all these problems so um i mean the probably the the i’m trying to say this like in a very sort of political

Speaker 1 | 29:27.848

way i guess oh right so um so short answer is can amazon do a lot in in health care yes um we can um But the challenge is always going to be regulations. There’s always going to be policies, right? And that’s, for the most part, is the thing that kind of holds you back. Again, going back to COVID, the technology to be able to come up with a vaccine has always been there. um you know everyone you know was screaming at the hills about conspiracy theories and how do you develop this so quickly blah blah so it really the tech has always been there right um the science ai and

Speaker 0 | 30:16.667

machine learning all that stuff has always been there what you don’t need to micro pipette like 50

Speaker 1 | 30:21.890

000 things anymore you can actually put a model together to do that but the only thing that that what again going back to what COVID was able to do is that you had regulations that went down, right? You had a community of scientists collaborating, and then you had funding, right? All those three things, right? The tech was always there. The sort of kind of vertical of how you deliver that vaccine, that technology was always there, right? But you had those other things removed, right? So And again, it shows how quickly you can kind of develop something when you have obviously less regulations and less politics involved. And then you let the technology work. Right.

Speaker 0 | 31:08.947

So personally, personally, I’m not a vaccine believer. I’m I’m I’m unvaccinated. I’m an unvaccinated covid guy. But that has nothing to do with has nothing to do with the idea that technology can change the health care world. It’s because to me, there’s a whole. like you said, to try and stay unpolitical, which I completely believe we should do or that I’m going to do. But, you know, what would drive the vaccine could be a million different things. But what can drive hospitals to give better health care is a totally different is a different subject in itself. Right. Vaccines, one thing aside, whatever, whatever’s going on there. But to provide better health care, to provide better patient experience, to provide, you know, a how do we say? efficient, efficient healthcare process from cradle to the grave and all that has a lot, there’s a lot to be done there.

Speaker 1 | 32:04.338

Absolutely. I think, and it comes down, you’ve mentioned in terms of like pecking water in the past, let’s say for, if we just kind of keep it to technology in the past, you had a CIO, depending on where, where that person was in his career, the biggest thing from a provider standpoint that the CIO sort of kind of hung his hat on or her hat on. was the EHR and the implementation of an EHR system in the hospital, right?

Speaker 0 | 32:32.373

And that’s only been the last since, I don’t know, since Obama signed. Remember when Obama signed, like we’re all going digital medical records and everything. Remember that race? Yeah. And- But keep going.

Speaker 1 | 32:44.697

So that CIO, let’s say for example, if that was successful, that’s what he hung his hat on, her hat on, and it would be-

Speaker 0 | 32:55.064

i’m going to ride that wave until my retirement right yeah the next person up i’m going to let them do whatever they want to do to kind of put their brand and their stand yeah yeah i’m sticking with pgp and my routing protocol until the end of times and if you come in and try and touch my neck my network you know get the heck out of here so

Speaker 1 | 33:15.421

and then what changed though and was obviously things with COVID. But then also now what’s changing that mentality is Gen AI. And the reason is because you’re going to have a FOMO, you know, fear of missing out. And you don’t want to be that CIO that is not sort of kind of really understanding how this technology can kind of help. the health system and you don’t want to be that CIO that is not doing what they need to do to sort of kind of try to implement some of these things within your health system. So you’re, you’re sort of kind of being forced to really be one of that could be part of the big,

Speaker 0 | 33:58.980

that could be part of the problem at the same time,

Speaker 1 | 34:01.641

because then also what I think would be sort of your, your, we’re, what I’m seeing is more, more customers are not. either being very sort of kind of skeptical at this point where they’re like huh we we want to try it but we don’t know where um and then you have other ones that are you know the the more the mid-market accounts let’s say for example if we take it back to that the startups those those folks they’re they’re adopting it as as quickly as possible because they know that’s going to be a big differentiation from them products that they develop solutions that they develop right and it’s a much easier sort of kind of sort of a low risk, high reward for them, where you have the larger enterprises that, again, have a lot of legacy systems in place. They may be cloud, but not every single part of their business is cloud. And then you have a lot of more, you know, sort of kind of risk, especially in healthcare, right? You’re going to have a lot of… regulations, you’re going to have a lot of compliances, and that’s where they start to pump the brakes, but they have to put it in play somewhere. That’s where people are right now, where they’re developing their plan and their strategy of where they’re going to adopt Gen AI. How I see this changing healthcare is because you’re going to have more front consumer-facing services, whether through applications that are developed either by the health system or third-party applications that they use they’re going to have more um more offerings that an individual can kind of pick and choose their their their health care and you know they’ve seen right um more of the more of the need for like the the sort of kind of mini clinics urgent cares because those are a lot easier to kind of book appointments and be seen

Speaker 0 | 36:00.908

yeah in other words should i wait should i really wait 12 months to or 8 to 12 months for my physical yeah and then also try making an appointment with your primary and it’s going to be like hey it’s three months out when literally i got a physical the other day they took my blood pressure temperature doctor came in so how you doing i’m like i got torn muscle okay oh yeah well i see you’re seeing the sports guy next week okay um all right well that’s it and it was like what you know like that could that could have been whipped out but you know i’m pretty sure my eighth grader could have done that you know and just sent the info over to the doc you could have signed off on it but yeah you have you’re gonna have technology being able to do that um some of that exists today um for

Speaker 1 | 36:43.964

example uh one medical um which is a company that that um that amazon acquired about a year ago officially um they provide those those services right you’re you’re going to be able to kind of quickly see a doctor virtually too.

Speaker 0 | 37:01.032

Let’s end with this. And the only reason why I’m saying this, because all of this is making me think of a guy that started up a company in his garage selling books. That’s what’s amazing about all this.

Speaker 1 | 37:16.224

Exactly.

Speaker 0 | 37:17.065

It’s a, it’s a nerd pretty much. It’s pimp now. He’s always, he’s, he’s, uh, yeah, like probably pretty buff now too. Does whatever. Anyways, guys, a nerd that started in his garage selling books and Sears made fun of him. And, uh, where’s Sears at? You don’t want to be the healthcare, the Sears of healthcare. Don’t be the Sears of healthcare as I guess the, uh, I guess the thing there, I just, it’s still absolutely blows my mind. I mean, you and I are pretty much the same age. We grew up in the 80s. We probably had a Nintendo NES. We remember playing Mike Tyson’s Punch-Out. There was no Amazon then. There was no internet then. Oh, yes. I forgot. I never even did this part of the show. What did you do prior to the invention of the internet for fun? What do you remember doing?

Speaker 1 | 38:13.282

I was soccer. I still play soccer. So I was out playing sports for the most part. And it wasn’t until probably… because i i had an old atari actually too uh uh i i played atari i think um until i was like nine ten not not all the time right but it was just you know you had you had pac-man and you had um um oh my god um i forgot the the back and forth pin thing uh ball thing but anyway oh yeah pong yeah you had you had two games basically and then yeah uh until nintendo that you know that when you know gaming and all that stuff really sort of kind of went to the next level uh you know i had uh um was it um goose hunt bird hunt but yeah yeah yeah mario brothers all that stuff so um how much does exercise how much does exercise play into your life and i think the fact that you say soccer i love that you said soccer because um

Speaker 0 | 39:21.180

Well, first of all, I’m a huge jujitsu fan. And you’re down in New Jersey. I’m sure you know who Marcelo Garcia is. You must know him.

Speaker 1 | 39:27.123

Yeah,

Speaker 0 | 39:27.763

I do. Okay. So he was a soccer player before jujitsu. But I think just to stay in shape, you have to have something that’s fun to do. I used to run. I was like, once I found jujitsu and I wrestled in high school, I was like, oh, I’m never running again. Running is boring anyways. But some people, I guess, love running and biking. But yeah. So exercise.

Speaker 1 | 39:49.996

as far as work-life balance that i have to start my day by exercising every day i uh i go for either a run a walk um it’s a way for me to sort of kind of um, keep my mind clear, um, you know, and just sort of kind of move away from what I have to do that day and, and start sort of kind of every morning fresh. Um, and it gives me motivated for the day actually. So I, I don’t like starting my day without an exercise. Um, again, it doesn’t, I’m not in, you know, I’m not in the gym, um, like crazy two hours, but. At least 40 minutes every morning, whether it’s a walk, a run, whatever it is, I have to do it. It plays a major, major role in my mental health.

Speaker 0 | 40:42.206

Beautiful. David, thank you so much for being on the show. Any final words of wisdom for anyone out there listening?

Speaker 1 | 40:49.030

I would say, one, I appreciate it. Two, continue to learn. Always learn.

Speaker 0 | 40:56.174

Thank you, sir.

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