Rebecca Pomaville

Company Type: Growth stage or hyper growth stage health care AI company.
Core Function: Provides technology for early detection of medical conditions such as:
- COPD exacerbations
- Sepsis
- Pneumonia
Target Areas: Nursing homes and home health settings.
Current Workforce: Approximately 25 Nurse Practitioners (NPs), both full-time and part-time.
Patient Reach: Serves 40,000 patients daily across the U.S.
Key Contracts: 3,000 beds in Michigan; major contracts signed with home health organizations associated with Ascension and Trinity for launch in 2026.

Hardware: Sensor designed to track vital signs behind the patient's bed without direct body contact.
Predictive Analytics: The company employs its own predictive analytics to inform patient care.
Clinical Services: Embedded clinical services include initial patient visits and at-risk assessments:
- Initial Visits: Ensures patient enrollment in the program.
- At-Risk Reviews: Review flagged patients to ensure follow-up actions are taken by the facility’s bedside team, though full follow-up assessments are not currently conducted.

Initial Visits for Enrollment: NPs perform initial assessments to enroll patients into the program.
At-Risk Reviews: Monitor flagged patients by conducting periodic visits and collaborating with bedside teams to update care plans.
Patient Demographics: Primarily older adults, with an average patient age of 80 but may include younger patients with conditions like ALS.
Daily Patient Visits: NPs typically see 6-15 patients daily, averaging around 12, depending on travel and patient needs.

Travel Radius: NPs may be required to travel up to 40 miles to see patients. The typical distance covered by Rebecca is about 25-30 miles within Macomb County.
Schedule Flexibility: NPs can work per diem, scheduling around other commitments. The expectation is approximately 10 work shifts per month.

Educational Background: Rebecca attended the University of Michigan, Flint, and initially pursued a degree in exercise science before transitioning to nursing.
Experience in Homebound Care: Rebecca provides primary care services to homebound individuals, primarily in nursing homes and assisted living facilities.
Specialization in Geriatrics: Passionate about geriatrics, Rebecca has built strong relationships with older patients, emphasizing trust and personalized care.

Voice AI Assistant Concept: Treatment and Interaction:
- Design should address potential technology apprehension among elderly patients.
- Frequent check-ins to establish rapport and trust.
- Address medication adherence issues through potential partnerships with pharmacies to ensure compliance with medication use.
- Essential areas of inquiry during AI calls include:
- Patient well-being (e.g., nutrition, mobility, safety).
- Mood and emotional state.

Medication Noncompliance Issues: Recognizing that self-reported medication compliance might not reflect actual behavior, NPs often find medication bottles unused or unfilled, leading to the idea of collaborating with pharmacies to ensure accurate adherence checks.

Falls Prevention: Implementation of a reminder system to encourage the use of assistive devices (e.g., walkers, wheelchairs) to reduce fall risks.

Payment Structure: Pay ranges from $25 to $27 per patient visit, with no cap on the number of visits performed per day.
Visit Expectations: Target volume is approximately 25 visits per day, but it may require condensing patient visits with the aid of AI tools. Duration per visit is typically around 6-15 minutes, depending on patient needs and inquiries.

Training Requirements:
- Two days of onboarding, including:
- Day 1: HIPAA and security training.
- Day 2: Comprehensive clinical training.
Clinical Skills Verification: A brief follow-up call with a physician or lead NP to validate clinical skills before formal onboarding begins.

There are growth opportunities within the organization, as many individuals who start in per diem roles transition into full-time positions after discovering they enjoy the work.

Following the discussion, Kiani will reach out to facilitate the clinical sign-off process.
Once accepted, the credentialing process will commence, with immediate attention to training needs and scheduling that accommodate personal and professional commitments.

The conversation has panned out positively, emphasizing the importance of home care and innovative care delivery through both technology and human interaction.