Join Dr. Christine Gall from Colette Health as she explores how virtual care platforms are transforming acute care delivery in hospitals and health systems. Starting with virtual observation as the entry point for falls prevention and patient safety, Dr. Gall will discuss how Colette Health's comprehensive virtual care solution expands into virtual nursing for admissions, discharges, transfers, and clinical support. Discover how hospitals are leveraging virtual care technology to enhance patient safety, optimize nursing workflows, and address staffing challenges while maintaining high-quality care standards in acute care environments.
Christine Gall, DrPH, MS, BSN, Chief Nursing Officer, Colette Health
Megan Antonelli, Founder & CEO, HealthIMPACT Live
0:01 [Intro]: Welcome to Digital Health Talks. Each week we meet with healthcare leaders making an immeasurable difference in equity, access, and quality. Hear about what tech is worth investing in and what isn't as we focus on the innovations that deliver. Join Megan Antonelli, Janae Sharp, and Shahid Shaw for a weekly no BS deep dive on what's really making an impact in healthcare.
0:30 Megan Antonelli: Hi everybody. Welcome to Digital Health Talks by Health Impact Live. This is Megan Antonelli, and I am here today with Doctor Christine Gall from Collette Health. As hospitals nationwide grapple with staffing challenges and the imperative to maintain exceptional patient safety standards, virtual care platforms are emerging as a critical solution. Doctor Gall will walk us through how virtual care is reshaping acute care delivery, starting with virtual observation for risk prevention and expanding into comprehensive virtual nursing support that enhances everything from admissions to medication verification. For our healthcare technology leaders listening, this conversation will provide actual insights on implementation strategies, measurable outcomes, and the ROI potential of virtual care in your acute care settings.
1:21 Megan Antonelli: Hi, Doctor Gall, welcome to Digital Health Talks.
1:24 Dr. Christine Gall: Thanks so much, Megan. Happy to be here.
1:26 Megan Antonelli: Yeah, it's great to see you again. I so enjoyed having a conversation with you and Becky at our event last week of measuring the health impact, so it's great.
1:36 Dr. Christine Gall: Yeah, it was a pleasure being there and it's such a great forum to be able to share knowledge and ideas and thoughts. This is such a hot topic and an important place to be right now in virtual care, so really happy to have this opportunity.
1:54 Megan Antonelli: Yeah, I mean, it's just amazing how much it's changing and we talked a lot about the workforce and what it means for nursing to have virtual tools and virtual assistants and virtual observation. But tell us a little bit about, you know, Collette's entry point to virtual care and let's talk a little bit more specific around fall prevention and acute care settings and what it's being used for.
2:24 Dr. Christine Gall: Sure. Well, you know, virtual patient observation, the foundations were to allow hospitals to have a low risk but proven way of demonstrating measurable ROI, particularly in the area of falls. We did a recent pilot as an example, and we focused very diligently on training the staff and making sure that our trained observers understood the types of patients they're observing. And we were able to demonstrate a 84% reduction in patient falls which translated to $1.3 million in cost savings and or cost avoidance. So it was an incredibly successful program, and it's really what we're focused on as the entry point into virtual care.
3:25 Dr. Christine Gall: You know, we do have a unified platform that has been developed, so that when an organization is entering, as typically organizations do in the area of safety and addressing falls, they can move seamlessly to adding on more comprehensive services like virtual nursing or virtual care for other service providers, with the same hardware with no additional investment in cost or evaluating equipment or anything. So it really is remarkable that we can do all of the various features and facets of virtual care with one single platform.
4:12 Megan Antonelli: Yeah, you know, it's so important in terms of fall prevention. I mean, I think, you know, as we've, you know, starting in healthcare and when you sort of shift your attention to where so much, you know, so the risk and the, you know, where money is spent and kind of those indicators falls is always, you know, it's been a long time indicator of an area that that needs to be addressed. So I think, you know, that, and when we talk about technology often, the technology isn't necessarily, you know, we talk about, oh, the tech, it's not necessarily addressing an important problem, you know, it's like finding that we have these technologies without problems and this is such a big problem that virtual nursing is able to assist with, you know, and I mean, to some degree that observation piece of it is, you know. So important and, and yet, you know, an easier sort of low hanging fruit, I guess is what I'm trying to say. But as, as the sort of the tool has evolved too, you're also looking at, you know, transitions for, sort of that support. So virtual nursing support. So talk a little bit about how the virtual care platform goes from just observation to truly supporting the nurses and, you know, at the bedside.
5:37 Dr. Christine Gall: Yeah, sure, sure. So we intentionally designed our unified platform with the same hardware, same software, and same user interface for both virtual observation and virtual nursing to allow that seamless transition. That, you know, it is a it is a pretty major organizational decision and challenge to launch a virtual nursing project. So being able to do so with the comfort of technology that you've already used is really a plus. So, and we really listen to our customers who told us we don't want new ways of, of having to log in or separate work flows to go from one virtual care service to another. We don't want multiple systems to manage, so we have this one stop shop for technology. And therefore, organizations can create endless combinations of workflows.
6:34 Dr. Christine Gall: When you look at virtual observation, we call that a continuous visit. It's an extension for either hours or days where somebody needs that ongoing continuous monitoring. You can decide to insert a virtual visit into that session where the observers still doing their thing. They're still providing that safety monitoring, but in addition, the virtual nurse can knock and join that conversation, join that room. And then do what they need to do with that patient, whether it's virtual, and an admission, a discharge, maybe doing some teaching, maybe the admission or the bedside nurse said, you know, this patient. I, you know, needing X, Y, or Z, and I just don't have time. Can you come and, and, and can you do that for me? So it really relieves a lot of areas of, of strain, stress, reduces bottlenecks or delays in care. So that continuous, that continuity, I should say, is really important for allowing organizations and teams to decide the best way to leverage technology.
7:50 Dr. Christine Gall: So in addition to that complex visit where you have that, observer and then you're bringing in a nurse. You can also, the nurse can do their own thing. They can start their own visit, knock, join the room, do what they're going to do, uninterrupted, and, you know, and then finish and leave, and then the patient has their room back. They are, you know, independent and, and, you know, the session is over. So it can be any combination of those and it doesn't just have to be obviously nurses, it can be any member of the care team. You can even invite, let's say, the observer says to the nurse, you know, this patient seems really lonely. Maybe the best thing that, that, that nurse can do for that patient is invite their family member to join the observer in that room. So, you know, again, the, the possibilities for leveraging tech. Technology are really endless here.
8:45 Megan Antonelli: Yeah, and it is, I mean, in that time where there's so many critical pieces of the, you know, kind of admission and discharge and transfer and so many people involved in those in those to make that continuity and that connection is so important. when it comes down to kind of the specific. Risk prevention protocols. I know we're, we're we're having this conversation we're kind of digging into the fall prevention. It's fall prevention week, you know, in terms of, you know, creating awareness around that. Tell me around about the sort of risk prevention protocols that the virtual care system monitors beyond falls, you know, to prioritize sort of interventions in real time.
9:29 Dr. Christine Gall: Yeah, you know, it's so important. We all know that especially in our elderly population, it is typical that what ultimately creates their demise is initiated with a fall event and then, you know, the, the downward trajectory starts and you know, so. The fall, the area of concern and the focus on falls is so very important. But in addition to that, using the same technology can be done for patients at risk for elopement or contraband use. We actually have an AI enabled follow patient feature that allows the observer to keep their eye. on the patient without even having to engage in any of their equipment.
10:17 Dr. Christine Gall: The, so when you think about it, OK, that seems easy just to track a patient, but think about the situation where there's a patient in the room, they have a family member at the bedside or the nurse comes in, or the housekeeper is in the room, the environmental services person is there. It actually has the sophistication to know which of the people in the room is the patient and then follows the patient. So that is a huge, that's a really powerful feature.
10:49 Dr. Christine Gall: And another feature is, that allows the observer, let's say they're attending to one of the patients, they'll, they'll be observing multiple patients typically and a patient that might have multiple drains and or tubes and they just are subtly moving and It will actually pick up on the subtle movement and notify, alert the observer that, hey, this patient is moving, and that, that observer will already have the information from the bedside nurse that this person is at risk for pulling out their tubes. And here's the location of the tubes on their body. So if even under the covers, they see somebody grabbing their right elbow and they know that there's a line there, they can redirect the patient and, and address that potentially dangerous situation.
11:41 Dr. Christine Gall: We also have something called AI powered acuity scoring. It automatically takes information that is entered at point of admission or on boarding of the patient and tracks continuously 50, around 50 metrics for that patient and assigns a score of high acuity, medium acuity or fall acuity and by a QD when we're talking about. This in virtual observation. We're talking about their busyness. How much does the observer need to monitor them to keep them safe? So a sleeping patient obviously is much lower acuity than a patient that is alert, awake, and possibly agitated, where you might have to engage with them more frequently.
12:30 Dr. Christine Gall: This allows for a number of different things. Number one, if you're thinking about a large, call center where multiple observers are watching, you know, dozens or hundreds of patients. A supervisor can actually assess or continuously see which of their observers might be having a really challenging assignment. versus another observer that's having a really easy assignment and do something we call, that's not very clinical but load balancing, to actually move patients so that everybody can have a pretty consistent mix of patients. and obviously that's so very powerful and it allows the observer team. to do practice at the top of their capabilities and, you know, keeps patients safe. So really, really important.
13:21 Dr. Christine Gall: And from the, yeah, and also, I mean we have so many AI features that this is gonna be a long answer if we have time for it, but you know, from the observer's perspective, the fact that they can then Know that they move their, their busiest patients to their highest line of sight. The patients that are sleeping down here, but it'll actually alert, say, hey, this patient's waking up, because that tends to be the most risky time for patients. They forget they're in the hospital, they forget they just had surgery, and they're going to do what they always do when they wake up, they get out of bed. so this is the opportunity to come on screen, alert them. You know, reorient them to where they are, remind them that they just had surgery, whatever it is, so you're really mitigating that risk. So, absolutely, important.
14:16 Dr. Christine Gall: And we have a second camera on our monitoring system that allows for night vision. So all of this, you know, the, the tube pulling in particular, we can monitor patients crisply without turning on light. There can be absolutely no light source. So, the, the, capacity and the strength of the observation is consistent between day, daylight and nighttime.
14:43 Megan Antonelli: Oh, wow. That's amazing. I mean, and it is, you know, I mean, you just think about, I mean, having been in the hospital, I certainly had family members and friends in the hospital, all of that time where there's so much vulnerability to have that, you know, constant observation and notification. But I think that piece about load balancing is really important because that even, you know, that speaks to that burnout, you know, issue of, you know, you can't really do that. In a, in a live health system setting, you know, that, that when it's, you know, it's hard for everyone, and then, you know, things get intense, but you can then, you know, lean on this system to be able to take some of that burden off your, off your nurses in the, you know, in the field. So that's, that's an amazing, an amazing, you know, sort of thing that I hadn't even thought about in terms of the, the power of these tools, you know.
15:36 Megan Antonelli: What, you know, when it comes to, you know, obviously, you know, and it speaks to, you know, that that then leads to what we've, you know, why we've been implementing these technologies from the beginning is kind of patient safety, right? And, and avoiding unnecessary risk and, and, and errors. are there specific things that you guys have done to sort of enhance and improve patient safety around, you know, sort of complex procedures or medication checks and things like that?
16:07 Dr. Christine Gall: Yeah, virtual visits and virtual nurses can provide real-time dual verification for medications that are considered high risk. and what that does, you know, immensely, it reduces delays in care, avoiding that nurse to have to go find a second nurse, and for that second nurse, they can continue doing what they are doing without disruption. So it, it actually helps to staff, for the, for. For one intervention. The power of the camera is amazing. It provides a 20 times zoom capability, so you can actually zoom in to very small text across the room and be able to review it and, and see it.
16:49 Dr. Christine Gall: So what that does for the virtual nurse is if they're doing, you know, they wanna make sure it's the right patient, they can zoom into that band and check the patient's name, ask them their name and date of birth, which somebody will answer probably 100 times in a day. And also the Medication label, are you giving the right drug at the right, the right dose at the right time, can look at the orders that are on the, the computer. so a number of different features that enable that virtual nurse to really be that great second set of eyes.
17:24 Dr. Christine Gall: The camera also, the feature also is so powerful. So if that's, we have a, we have a, a trend that has been, really, I would say, impacting or it's been, it's been evident, in, in, in bedside care and that trend is that the, average tenure of the bedside nurses is decreasing. Right now, I was actually at an event yesterday. In the state of Wisconsin, they said the average tenure of nurses at the bedside is 2.5 years. that is much lower than when I began practicing as a nurse, where I had lots of people directly around me that I could ask for something that I wasn't sure of. So the ability to, to do virtual mentorship and actually have that virtual nurse zoom in on something, and together they can talk. Talk to the patient and look at a wound together and, you know, make a plan together that, that's so very, very powerful.
18:27 Dr. Christine Gall: And another plus is that the virtual nurse, if they're doing, if they're offloading some of the time intensive services like an admission or a discharge or some intensive teaching from the bedside nurse, their workflow. Allow them to do that uninterrupted. They are not going to be called on to answer a call light or to get a phone call from a physician or from another staff member. they have uninterrupted, dedicated time, so what that translates to is more time spent in these, the, the, the times of the admission that are most important. the admission, the discharge.
19:07 Dr. Christine Gall: And when they can be uninterrupted, they can pick up easily on cues. Is this patient really understanding what we're talking about? Or you can tell by body language, the patient isn't asking something, but there's something definitely on their mind. So they can explore that more. And what that translates to ultimately, I decreased complications, possibly decrease in length of stay, and decrease in readmissions overall, and obviously for the patients, they feel, gosh, you know, this person took the time uninterrupted. I felt cared for and cared about, and I feel prepared to go home now. So, you know, for everybody, it really has a lot of impact.
19:52 Dr. Christine Gall: And having a, a smaller group of virtual nurses also has another impact on the quality of care. because for standard practices like admission and discharge, it will ensure that every patient Receives care delivered constantly and consistently at the highest standard. so that patient will get, consistently the same level of care. And that's so very important for those critical points in a patient's admission.
20:24 Megan Antonelli: Yeah, it really is, you know, really one of the most important things. You mentioned also though, you know, as we talk a lot about kind of work flow and, you know, sort of leaning to sort of processes within the organization. And when you're implementing something that's this, you know, sort of this new and what are the The safeguards or even the, you know, sort of, as you're in that implementation, best practices for ensuring that, you know, this integrates well with existing workflows, you know, and is there a lot when, when that implementation happens, is there a lot of, you know, redoing of processes and protocols that have to happen or is it relatively, you know, seamless and easy to do for those who haven't done it yet?
21:12 Dr. Christine Gall: Yeah, so, so 11 common misconception I think when you get into virtual nursing is that you're just going to insert technology and a virtual person into your same workflow. but one thing is, is very evident from the integrations and the implementations that we've been doing with Collette Health and our partners, this is your opportunity in as an organization. To really critically look at your workflows, because virtually every workflow has some area that is either a redundancy or an unnecessary step that is, adding intensity to a process. So it's really, an opportunity to write size and to level up, all of your workflows.
22:05 Dr. Christine Gall: So I was just on a call actually before, before you and I met today, talking about a perioperative virtual nursing workflow, and they were able to remove some really critical, unnecessary steps that included in some cases, paper processes in this organization that is highly, electronically engaged in, you know, everything is, is so integrated that, it, it was just shocking even to some of the leaders that didn't, weren't aware of the processes and the workarounds that had happened, that we were able to clear those out. So that's a really Trusting thing. But at the same time, you know, as I mentioned before, once you have the processes that are the best practices, that's when virtual care can ensure that you hit that mark every single time because you'll have the same folks that are doing those really important, activities with patients.
23:09 Megan Antonelli: Yeah. No, that is, we always talk about the, the program out of Hawaii, the getting rid of the stupid stuff, right? When you do implement a new system, you know, it gives you that opportunity to re-evaluate those processes, re-evaluate those protocols, and, and hopefully, that's the point, right? build new ones that are more both efficient and, you know, bring in more safety and then You know, one thing when I think about all of this, I mean it's that you're collecting so much data, right? I mean, there's so much observation data, there's so much, you know, opportunity to then use that to begin to predict and learn more about how to improve those processes. So tell us a little bit about where, where that, you know, sort of the predictive analytics of all of this fits into the platform that you guys have built.
23:57 Dr. Christine Gall: Well, I think what you're talking about is measurable improvement and having the metrics to really identify whether or not this insertion of technology has achieved the desired outcome. So obviously, reduction in patient falls is one of the most common things and noteworthy changes that we're talking about when we're talking about observation. and because of the importance of, you know, falls, and, and what it can do, particularly to our elderly population, it's so very important that we mitigate that as much as possible.
24:33 Dr. Christine Gall: We've also seen a remarkable correlation between the hours of observation and falls. So as hours of observation increases, patient falls decrease. So being able to apply that technology, recognizing that If you look at the risk stratification of your patients that are admitted to a hospital, the majority of them will have some risk for fall, either because of their mental state, because of the medications they're on, or maybe the injury that brought them into the hospital. So, many patients could benefit from some level of virtual observation.
25:12 Dr. Christine Gall: So the, the, the, The correlation that we identified from increased observation and decreased falls makes a lot of sense. And another important metric is the cost avoidance or cost savings that's associated with the reduction in one on one sitters. it's common that if a patient needs a one on one sitter, they're going to pull them out of staffing and often because of shortages, they don't have somebody to replace that person with a full assignment. So that means that the, the patient care assistant who remains on the unit has to take their assignment and the other patients assignment, which means that probably they aren't going to be able to manage that. So the overflow will go to the nursing staff who are there. So that prevents them from practicing at the top of their license and expertise as well. So there's a real snowball effect.
26:07 Dr. Christine Gall: So the impact of being able to keep somebody in their, in their, role at a full assignment is so very important, and being able to track the actual, ability to decrease one on one sitter usage is so important. So, It's also important related to that fact to look at the long-term impact. When you keep staff, staffing at the right level and you don't have to pull people allowing everybody else to pick up the, the, the rest, you're going to see an impact in resilience of your staff and you should see, start to see a decrease in some of the, the turnover, that it occurs because of burnout.
26:54 Dr. Christine Gall: So that's really, really important. And also, this is another interesting thought that I probably didn't consider. When you think about a robust virtual observation program, That observer is going to have the right level of engagement with their patients. They're going to address patient needs and group the requests of that patient and keep them engaged. What that translates to is less using of the call lights. And call lights, unfortunately, are a very high They're, they cause a lot of unproductive and reactive time.
27:37 Dr. Christine Gall: So it takes somebody who had their plan for how they're going to be efficiently providing care for all their patients, and it stops them from doing this to go do this, and they might not even be the right person who answers that call light. It could have been answered by perhaps, you know, a different, a different staff person. So, that does cause some, some level of inefficiency. So what we've actually had some of our customers.
28:06 Dr. Christine Gall: Study that, and they were able to identify a statistically significant reduction in incidental overtime because nurses were actually able to take their lunch and avoid staying over to document because they were able to manage their patient assignment as they planned with fewer interruptions. So that's a really remarkable. thing that I think is noteworthy and important to, to keep track of.
28:35 Megan Antonelli: Absolutely. You know, I mean, it goes back, I mean, one of the things you said about, you know, the, the fact that sort of nurse at the bedside time has been reduced to 2.5 years and I, you know, it just brings me to say why, right? Why has that happened, you know, I mean, it was a, you know. A career that you would go into and stay in love and and do for years and now it has changed. And now we, you know, what, what excites me about all of this and the conversations I've had, and, and learning about it and also that a lot of times the ability for nurses who are older to be, to be able to continue to practice through. virtual nursing and, and, and be at the bedside that way when they can no longer, you know, sort of be on the floor is also amazing. But I think it's definitely an extension. It's a new path, career pathway, which I absolutely agree, it's something that, is getting lots of attention when we're talking about how To manage some of the workforce challenges.
29:36 Megan Antonelli: Yeah. And we talk a lot about the nurses, you know, in the, in the health system who are, how are they handling it? How do they like virtual nursing, but I think it's, it's important to talk about how the nurses who are doing the observation are also, you know, enjoying it and that an opportunity as well, so. you know, tell us a little bit about, you know, you're, you've been, you know, been a nurse for many years and, and sort of what your perspective is on, on kind of where this is, where will this go, you know, I mean, because there's a lot, you know, we see some, you know, resistance as, as physicians. Resist AI and everyone resists, you know, technology a little bit. Change is always hard. But in terms of like, what does the future of nursing look like with these tools as, you know, their companions and as, as their helpers and assistants.
30:25 Dr. Christine Gall: Yeah, well, you know, I, my, my crystal ball, says that I think there there is definitely a place for AI in, the provision of care. Anytime there are tasks that are redundant, repetitive, you know, real low level functioning tasks that AI could possibly eliminate or figure out a workaround for, I think those administrative kinds of things, should and, and will be peeled off. the time spent documenting, I've actually had the opportunity to speak with some folks who are trying to tackle, the documentation. drain using AI and some are using speech, which is ambient scribing, and then taking that basically recording and organizing it into a note that somebody would actually write.
31:24 Dr. Christine Gall: That's one way, but there's other ways that they're actually using cameras to track what's happening in a room and then are documenting what the camera and the AI are interpreting is happening along with, you know, what, what is, is occurring, verbally. So there, it's, it's fascinating where this is going and I think, you know, what this is going to do is some of the things that You know, when I was practicing, there are the painful things that you have to get through to get back to the bedside to be with your patients and do the things that brought you, brought you into nursing. I think we're going to see a lot of opportunity and, you know, the, the future nurses are gonna say you had to do what and why did you do that? So I think there, there's lots of opportunity for the future.
32:16 Dr. Christine Gall: And also, you know, helping with decision support. You know, the, the current example that I like to point to is when you're looking at CT. scans in the films and when radiologists read them, it used to be they started out with a couple dozen images that they'd have to look through and interpret. Now that's hundreds upon hundreds of images. And, you know, obviously we have these metrics that talk about efficiency and productivity and if it used to take somebody doing things manually, 10 minutes, they're expecting you to do it in 10 minutes or less, even though The work might have, you know, multiplied exponentially.
32:57 Dr. Christine Gall: So I think that there will be similar things that happen as, you know, even identifying, we have such an issue with workforce violence with staff, 2 nurses every hour are, you know, the victims of violence when they're at work, and that, that's just unacceptable. So there's, there's technology out there that actually is measuring. patients, a different, you know, automatically and behind the scenes, so there's nothing on the patient, nothing that they are having to respond to, but just seamlessly monitoring patients who are either becoming more anxious, more depressed, or, maybe. Becoming violent, even before the symptoms of that are evident. So, you know, staff can, can, you know, do what they need to to be safe. And I think that those are, those are features that are going to be so very important in the future because what's happening right now is simply tragic and unacceptable.
34:02 Megan Antonelli: Yeah, I know, I absolutely. And it, you know, I mean it just goes back to kind of the, the sort of both the, the patient's safety, the, the professional's safety and, and what can be observed and what can be done to, to kind of make all of those things better and more seamless. I, you know, I don't know if you've seen the, the pit. It just won the Emmy. I was so excited to see, but there was a, you know, they, they captured many different aspects, but of course, in that. there's a very powerful scene where she, where the, the lead charge nurse gets attacked and, and it was, you know, it really brings that to light and, you know, that burnout discussion and where these tools. Are, are useful and of course that the 24 hours they're focused on because it was this. Incident that was happening, they were, they were absent of their technology, right? They didn't have any of their technology. So the tools that we've implemented over the years, and that's really what EHRs came about for was patient safety. And now there's, you know, so many tools for, for, for all of this and I feel like we're just finally seeing the applications really, you know, reach their potential and have that like sort of scaled adoption. That we're seeing results and you guys have just seen incredible results. So, so, you know, it's amazing to, to hear about that.
35:24 Megan Antonelli: In our last few minutes, I mean, do you want to just tell us a little bit, you know, did you have anything more that you wanted to share? you can tell our audience how to, how to reach you and, and, you know, how to get in touch.
35:37 Dr. Christine Gall: Oh, well, great. Well, I just want to say I think that we are, we are at a critical point in healthcare, And when I, when I think about my career, I would say the last point that reaches the level, level of criticality as we are at now was probably when the electronic health record came on the scene and how that impacted the way we provide care, the way we think about care and having to Understand and, and be able to work with technology at a level never before having been seen. So, we are here now again because of, you know, everything, you know, we talked before about part of the workforce shortage was understood because there is an incredible population of senior nurses that are aging out and this was to be known and expect. Unfortunately, the, the group behind them didn't keep pace. But at the same time, we're seeing patients, that are aging. The, I, I was at the conference I was at yesterday, she called it the, the silver tsunami, the aging population, and with that comes more, more needs for access to care. So not only are we having, you know, the challenge with our existing workforce, we have a higher demand in our population. And so the combination of those two things, along with more comorbidities and complex care, so, it's not, you don't have your easy patients anymore, so it's just becoming a challenge.
37:21 Dr. Christine Gall: And in my mind for, for those reasons, being able to carve out some of the difficult work with a virtual nurse or a virtual clinician of some sort is so very important, but we have to get it right. So, you know, what I'd like to talk about when I talk about my organization. Is that we are true partners. We, when, when somebody calls us a vendor, I actually cringe because to me, that is not, we're, we're not about selling things. We're about helping you solve problems, addressing your pain points, looking at the data with you, coming elbow to elbow, walking the halls, and deciding the best. Strategy to address your safety and workflow issues. So, I'm very proud of that as the chief nursing officer, we have a team, every single member of my team is mission, vision, and values driven, and I say that unequivocally and that's very important to me and my clinical heart.
38:23 Dr. Christine Gall: So, as far as getting a hold of me, we have a fantastic website at Colettehealth.com. My email address, if anybody wants it, is christine.gall@coletehealth.com. And I am just a click away. You can access, there's a way to contact us on the website as well, that I'd be happy to connect with you. Everybody virtually, I meant, I didn't mean virtually in the virtual sense, but, largely all organizations are at some stage of either doing, implementing or considering virtual care, so we would love to to be there with you.
39:04 Megan Antonelli: Yeah. Well, it's amazing. I, you know, you mentioned that tsunami and, and, you know, we know it's here and it's coming and it is that demand is changing, you know, changing healthcare and, you know, it's clear that Collette is Collette Health is really addressing those operational change, you know, needs and, and the problems really at, you know, for hospital executives, you know, to improve, you know, patient care and patient outcomes. So I thank you so much for joining us today and sharing those insights, you know, specifically around, you know, fall prevention and and some of those really critical, you know, points of, of care that that indicates, you know, safety and and protect our patients. So thanks again for joining us.
39:47 Dr. Christine Gall: A pleasure to chat. And I look forward to seeing all the things that, you know, come out of this as it as it evolves.
39:55 Megan Antonelli: So, this is Megan Antonelli for Digital Health Talks. I want to thank our guests for joining us. and if you want more information on, on health impact, you can join us at Heimpactlive.com. Until next time, keep innovating to fix healthcare. Thank you.
40:15 [Outro]: Thank you for joining us on Digital Health Talks, where we explore the intersection of healthcare and technology with leaders who are transforming patient care. This episode was brought to you by our valued program partners. Automation Anywhere, revolutionizing healthcare work flows through intelligent automation. Nara, advancing contactless vital signs monitoring. Elite groups delivering strategic healthcare IT solutions. Cello, securing healthcare identity management and access governance. Your engagement helps drive the future of healthcare innovation. Subscribe to digital Health Talks on your preferred podcast platform. Share these insights with your network and follow us on LinkedIn for exclusive content and updates. Ready to connect with healthcare technology leaders in person? Join us at the next health impact event. Visit Heimpactforum.com for date and registration. Until next time, this is digital Health Talks, where change makers come together to fix healthcare.