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August 23, 2022 18 mins

Julie Skaff sees a lot of similarities between her time as a legislative correspondent for the U.S. Senate and her current role as chief operating officer for Viz.ai, an intelligent care coordination platform. In these roles and throughout her career, Julie has followed her desire to address big societal challenges head-on. Join Julie and host Shiva Mirhosseini as they discuss what care coordination can look like with AI and other emerging tools that are helping clinical teams identify and treat diseases more effectively. 

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Episode Transcript

Available transcripts are automatically generated. Complete accuracy is not guaranteed.
S1 (00:09):
Hi. Welcome to Paving the Path. I'm your host, Shiva Meter.
Say me. People know me as a customer experience champion
and a digital executive at Fortune 50 companies. I plan
on paving the path in my show with women game changers,
thought leaders and executives touching the entire spectrum of digital
transformation in health care. Join me in exploring the digital

(00:32):
renaissance that's shaping health care today and forever changing the
future of wellness, care and health. Hello, everybody. Thank you
so much for joining us today. I am beyond excited
for our guests today. Julie Scarf is a serial entrepreneur

(00:54):
and also a friend. Julie is the chief operating officer
at Wizz Air Resources. Mission is to increase access to
life saving treatments. Julie has served in numerous executive roles
in health technology companies, including OODA Health, acquired by Cedar
Brand Rounds, now included Health and Castlight Health. Julia has

(01:20):
also worked at Booz Allen Hamilton and Company's Global Health
Practice and has also worked in the US Senate. So
we have a true Sara and a true athlete that
I would say in terms of professional experience and also personal. Julie, welcome.
Thank you so much for joining us today. How are you?

S2 (01:41):
I'm good, Shiva. I'm excited to be here with you.
Thanks so much for having me.

S1 (01:45):
Thank you. I give your introduction, of course, But, you know,
you being a serial entrepreneur, I want to make sure
I didn't leave anything out. You have a very rich background.
Anything you want to say with respect to your background
and how you ended up here now?

S2 (02:01):
Yeah, well, I appreciate that. I think probably the perhaps
the most throughline for me in my experience is that
I've really always been interested in addressing these big, hairy
societal challenges. And so as reflecting on this, it may
seem interesting that I went from the U.S. Senate and

(02:21):
now at a startup and in health care. But the
reality is that when I worked on Capitol Hill, which
was now almost 20 years ago, I saw how poor
outcomes in health care lead to really massive impacts on families,
communities and in programs like Medicare, Social Security. And, you know,
it is today we actually are working on those same issues.

(02:43):
If you really think about it right, we work to
make sure that a patient with a particular disease, like
a stroke or another condition that they're getting to the provider,
they can best serve them. And those minutes and that
care coordination actually make a huge difference between the person
walking out of the hospital versus not. And on a
broader scale, you can see that every time that is happening,

(03:06):
we're actually starting to move the needle on those big
societal challenges. So for me, I think that's the clear
through line.

S1 (03:14):
Very mission driven. And as you say that I'm reminded
of that passion and that energy even years back when
we were in consulting. So tell us with that mission
driven mindset, is there anything that you add to your routine?
I don't know. When you wake up in the morning,
anything special that reminds you of that bigger task or

(03:37):
what gets you going?

S2 (03:38):
Well, I think an obsessive focus on those missions is
really actually quite healthy, which is sort of a funny
thing to say in health care. And that obsession. It
is a healthy it is a healthy focus for any
of these high growth health technology companies. And certainly true
for us, it is. I think for me, on a
personal level, I always start the day with a combination

(03:59):
of coffee and a workout. It's usually a bike ride
or a bootcamp. For me, that's the the way to
set the tone for the day. So that has worked
for me and it's probably been my routine for the
last 20 plus years.

S1 (04:12):
20 plus years. So you are a superhero. Superhuman. On
top of being a serial entrepreneur. I know I know
you for years, but every time I talk to you,
I learn a little bit of an additional anecdote to
your life, which is every single time impresses me. Now,
coming back to with I super impressive, very mission driven,

(04:36):
very technologically driven company. Tell us the kind of the
layperson's version of what these AI does and what its
mission is.

S2 (04:46):
Yeah. So we're essentially what we would call an intelligent
care coordination platform. And what does that mean? Well, it
means that we enable multidisciplinary care teams to. On their
phones or on. On desktop view images, communicate with each other,
coordinate care, and essentially dramatically then improve the patient outcome. Right.

(05:10):
And so at the heart of it, there is artificial
intelligence running on images like CT scans that will then
alert those care teams to a specific suspected disease like stroke,
aneurysm hemorrhage, pulmonary embolism, or other disease. States that the
AI will work to to alert the care team on.

(05:32):
Then that actually helps to mobilize the care team so
that they can come to their communication device, review those images,
respond very expeditiously. And what we're essentially doing is massively
improving the care coordination then, so that those care teams
can better serve the patient. And so today, this is

(05:53):
actually used in a thousand hospitals, and we're actually serving
a patient every 30 seconds. So our impact has really
dramatically increased with the growth of the company and continues
to I think, you know, you asked what makes this
unique to me, Probably what is most unique, especially in
the health tech landscape, is that this is designed entirely

(06:15):
around provider workflow. Care teams generate enormous outcomes improvement, and
it also improves their quality of life because they're actually
able to support a patient from anywhere through the power
of their phone. Right. Keeping them updated on the patient
transfer or making sure the referral is happening. It's really

(06:36):
remarkable to see in action and I do think that
that's unique. It really comes from our founders. Dr. Chris
Mansi is a neurosurgeon by training, and Dr. David Glenn
is a Ph.D. in statistics. And that sort of massive
obsession around provider workflow I do think is unique. And

(06:56):
it's a good lesson, I think, for anyone who's trying
to improve health care that you can build tech, but
it doesn't have the impact that you want unless it's
really designed with that obsession and focus on the teams
delivering the care.

S1 (07:11):
I couldn't agree more. I mean, I think one of
the side effects of science having progressed so much over
the past 20 some odd years, is that you have
so many lines of specializations that's so deep, and therefore
the interaction relationship between the provider and the patient is episodic.

(07:31):
And that care coordination, that one view of the patient is,
you know, somewhat not completely lost, but it's it's getting
kind of foggy a little bit and your platform brings
that visibility and that coordination. And the care coordinated is
the best name for it, really. Maybe, perhaps, Julie, what

(07:52):
will help our audience and myself is if we can
bring it to life with an example and we can
pick and choose from the different lines. But like in
the in the patient's journey coming in, what would that
coordination look like in just a quick kind of case example?

S2 (08:08):
Yeah, sure. So I think a great example would probably
be our first product in stroke where so to take
an example, you would have the patient presents with a
suspected stroke. The scan is reviewed, the care team coordinates
the care and then expedites the treatment. And so if
we took that specific disease state, which is just one

(08:30):
of the platform, but I think it's a it's a
really important one. It actually then translates to a reduced
time and treatment and in stroke time is brain. And
so that first product that we have, which is indicated
to detect stroke, has been shown to reduce disability by 40%,
mortality by 50%. And on the efficiency side, a neuro

(08:53):
ICU length of stay is reduced by three and a
half days. That's what studies have shown. And so even
though I think, you know, for us as patients and families,
we aren't necessarily aware of what's happening in the background
of the technology is in use does mean, you know,
much better outcomes for families and patients. So hopefully that's

(09:15):
overwhelmed and that helps.

S1 (09:17):
That's a great example and talk about significant impact and
doing that at scale, working closely with providers. Touching you
says a few thousand hospitals. How many lives? I'm assuming
thousands of lives. Yeah.

S2 (09:34):
So over a thousand hospitals and serving a patient every
30 seconds.

S1 (09:39):
Oh, wow. Give us a reality check here. What kind
of progress can we realistically expect in the health care
industry in the next couple of years, would you think?

S2 (09:48):
I think more broadly in health care and I'm also
curious to hear what you think of this. But on
the provider side, I think we're going to continue to
see physician burnout, staffing shortages. And those cost pressures that
come with it. And, you know, perhaps the silver lining
of that is that, you know, there will be essentially

(10:11):
a necessity for innovation. So I think we're going to
see greater energy to improve health equity, especially for rural
and underserved communities. I think we're going to continue to
see shifts towards telehealth, more value based care, more payer
provider systems. I think retailers are certainly going to continue
to move in and expand their reach into health care

(10:34):
and vice versa. I think health care companies into retail,
there's a lot of discussion about that now. And I
think many of those developments are really going to do
a lot to improve health equity perhaps. Also, as you know,
the silver lining around necessity drives innovation that I think
solutions that really do generate results will be adopted much

(10:54):
faster and more broadly than they might have been otherwise. And,
you know, hopefully that's a silver lining to the stress
that the system's under.

S1 (11:03):
That is very well put and very inspirational as well
as we look at all the issues and problems that
we are facing now. And I think the amount of
capital that's going to health care, despite the slowdown and
the market conditions, is still and, you know, $20 billion

(11:24):
type of thing just in the first half of the
year is very promising. Yeah, I know. I do agree
with you with with everything that you said. I think
that with technology disrupting every single vertical, you know, health
care not being an exception. Personalizing patient experience, provider experience,

(11:45):
preventative care. All of that power BI and a lot
of great tools such as Visit I, I think are
very much promising and very much aligned with your vision.
So it's wonderful to have with A.I. and your leadership
here to kind of guide us through all that is
upon us. Speaking of is I, can you give us

(12:08):
some perspective about what the next perhaps 6 to 12
months may hold for the company and the patients and
the providers?

S2 (12:15):
Yeah. Well, I think it all it all for us
will continue to be about the North Star, right? Every product,
every feature, every project that we undertake is really guided
by our mission. So increasing access to life saving treatment.
And we're going to be relentless about advancing that right.
Every morning, every day. That's what we do. So I
think we are you know, if you want to think

(12:37):
about strategically, we'll continue to expand our provider footprint that's
in the U.S. It's also now in Europe, the Middle
East and Africa. So that is a huge element of
expanding upon our footprint. We will also continue to partner
with innovators. You know, we were working today with innovators

(12:57):
like Medtronic and many others to bring these new products
to serve clinicians and expand that reach. And there's also
some interesting advances that we are looking at how we
impact across the care continuum. And so we have our
Ezviz recruit platform. And that's a really interesting example where

(13:17):
we leverage actually those same tools to enable clinicians to
enroll patients in lifesaving clinical trials. Right. The same platform
I just described can also be applied there and had
real impact. And so those are really that's really where
we're we're expanding. Right. It's it's expanding that provider footprint
and also bringing new products to the market. Again, all

(13:41):
guided by that North Star of increasing access to lifesaving.

S1 (13:44):
Oh, my goodness. I did not know that. Julie, That's
quite exciting. I mean, the whole clinical trial space is
being upended by AI and some of these technologies, but
also think about the lives it takes for 5 to
10 years to bring a drug to market and matching
the right patients. Being on that last mile and expediting

(14:06):
the commercialization with your platform is five game changing. Congratulations, Kent.
Can we to hear more about that? We have covered
a lot in a rather short time period. What's it
like to kind of come back to is what other
trends you're paying attention to? We talked about innovation and
it's a moving target, really. We are expanding the technology,

(14:29):
the roadmap, the features, functions, etc. But what where do
you draw innovation from and what trends are you really
paying attention to?

S2 (14:37):
Yeah, it's a great question. I think like most people,
I'm really watching what's happening in the economy. Every day
there's a new there's a new headline with respect to that.
And I focus especially on how it impacts our providers, especially,
you know, the trends. Have you talked about burnout, staffing shortages,
those financial stresses that will continue to be a. Dress

(14:59):
or a trend that I that I focus on. But
also in my role, I'm very focused on understanding how
do we make sure that we're providing a culture and
making sure that our internal operating system helps us actually
deliver on our goals. The last two plus years, I
think have been a lot for everybody, and especially in
health care, but for everyone. And we all have to

(15:22):
be aware that the way we work has really changed
and I think it's going to continue to change. So
it is we've got teams who are remote, some are hybrid,
some are in-person, and that is all a function of
where they can do their best work. And there I
don't think that there is going to be a one
size fits all approach. There are going to be, I think,

(15:44):
some truths that emerge in all of this. For example,
I think that we all know we need foundational relationships
and trust. And how you do that through things like
really impactful off sites. I think those are some of
the truths that will emerge. But I also recognize that,
you know, one thing I've learned in the last two
plus years is never stop listening. We've got to keep

(16:06):
learning from others experience, because I think the way we work,
even today, it's very different than it was two years ago.
And it will be very different two years from now.
And so there should be no complacency.

S1 (16:16):
You got me a chief operating system officer. It's so true,
because if you think about it and you put it
so nicely, it's an ongoing interactive process. And as the
organization and the environment changes, so does the way we
work and the flexibility and attention that you in your

(16:37):
role are being hyper vigilant about is going to have
that already really emancipating a lot of impact them and
their G and purpose in the company. And so I
am not surprised by the amount of growth that the
company has had. And this is all really, really wonderful.
I want to make sure that our audience know where

(16:59):
to find ways. A I and I probably should have
mentioned it's views i, v, i, z, dot i, So
that's the website. But also if there is a preferred
way for people to reach either your LinkedIn, Twitter, YouTube
or whatnot, please do let us all know.

S2 (17:18):
Yeah. So yeah. So visit AI is a great way.
You know, we are a growing team, so please connect
with us there. And then also feel free to connect
with me on LinkedIn. And Julie Scarf is a I
should be easy to find.

S1 (17:31):
That's awesome. Well, this was absolutely amazing. I know we
spoke recently, but I picked up a few new things
and I'm continuing to learn a lot from you, Julie,
or a true inspiration. And I mean that wholeheartedly. I
have known you for a few years. We started back
in the days at Booz, and I am so inspired

(17:54):
by you, by the impact, by your leadership, by your
just sincerely in servant leadership, really in your role for
the company and the industry. Someone to really continue to watch.
Very delighted to have you on the show. Thank you so,
so much for your time.

S2 (18:13):
Thank you. It's a pleasure to be here. Thanks so much.

S3 (18:16):
Thanks for tuning in. If you like what you heard,
please spread the word. Tell your colleagues to tune in
for all the awesomeness. Then leave a review on Apple, Spotify,
or wherever you listen. This show is produced by Shift
Forward Health, The Channel for Change Makers. Subscribe to Shift
Forward Health on your favorite podcast app and you'll be
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(18:39):
you need and it's all for free. And remember, we
might have a lot of work to do in health care,
but we'll get there faster together. Thanks again.
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