July 7, 2025 • 6 mins
Highlights from our conversation with Lyle from https://www.perfectingpeds.com/
Mark as Played
Transcript
Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
(00:11):
And I have a question and that's who the heck's managing the medications here.
And the answer that she got back was a little bit shocking.
And for a pediatric pharmacist, like she didn't really understand one, how limited of aresource she was, how specialized this group of people really are and what's happening
outside of acute care, outside of the hospital.
And the answer to that question was they had a pharmacist that was really just kind ofchecking the regulatory compliance boxes.
(00:39):
and not working up the patients, right?
And so she said, I'll come in and you can pay me whatever you're paying the other person.
I'm going to open the charts.
I'm going to go in between all of the prescribers and the doctors and the nurses andeverybody here, just like I do in the hospital.
And I'm going to help fine tune these therapies and make sure that patients are gettingthe right or at least the best therapy for them individually.
(01:07):
We're selling something, it's free to them.
It's on behalf of their health plan.
It's a benefit that their health plan probably didn't tell them about when they enrolled,but they have available now.
We have to reset what their concept of pharmacy is comprehensively, and then get them toagree to meet with us the next time we have a call and put them on video and align them to
(01:29):
a single pediatric pharmacist and the nurses and technicians that we have supporting thatrole.
Do you have your own clinical staff?
like pharmacists and clinical staff that communicate with these families that essentiallyjoin those calls and help kind of understand like what are all the things that your kids
on?
Okay, this is right, this is wrong, this could be better.
(01:49):
Is it work kind of like that?
Exclusively.
Okay.
Yeah.
31 % of pediatric prescriptions contain an error.
It's three times the rate of adults and that's a really good source.
2023 research out of the medication errors report by the US Pharmacopeia states 31%.
(02:12):
We think it might be higher or like at least not optimized prescriptions.
A lot of this is rooted in something as simple and silly as the fact that pediatricmedications are dose based on weight.
And if you're a parent or you've ever seen a prescription or you've taken in a child'sprescription to the pharmacy, guess what's not on that?
(02:33):
The weight.
So we see, you know, in our own kids, my kids, Jenna's kids, our CEO, like oftentimes theindication for the drug does not match up with what the dose was.
And there's no check at the pharmacy.
It just gets filled.
It just gets filled.
We'll start to look at what's been ordered, what's been picked up and what's been leftthere.
(02:56):
We'll connect to health information exchanges and the national networks that house lots ofclinical data through what's called a QHIN.
There was recent legislation passed over the last few years to make access to treatmentinformation a little bit more easy for us providers.
We leverage all of those new regulations through this QHIN and an act called TEFCA to getas much as we can beforehand.
(03:19):
And we've got a good idea of where we might start to
uh make adjustments based on the subjective assessment and kind of what we get from thepatient before we ever meet with them.
But the immediate thing, I think, for patients and parents is a resource.
So when they end up in the ER that night unexpectedly, they've got a cold, something,they've got all these other things going on and they're in the middle of the aisle at CVS
(03:45):
or Walgreens, they've got somebody to reach out to and be like, hey, what do I do?
the parents of the kids that we're working with, if the kid is, even if they're a fewyears old, they've been through a lot.
They're typically reluctant to let somebody new or something new onto, onto the care team.
(04:06):
Right.
And so in these initial outreach calls, we get a lot of objections.
There's like, Hey, we've got everything under control.
I've been doing this for 12 years with my son, right?
Like, don't need this.
I've got it.
Oftentimes we'll have to say something like,
Will you just give us a shot?
Can you show up on video for five minutes?
And if you don't think that it's going to provide anything for you, go ahead and hang up.
(04:28):
Like you don't have to do this.
It's your health plan.
This isn't a check for prior authorizations with your health plan.
Like we're actually, we're going to work on your behalf and really just try to help youclinically.
If you don't find that, then you don't have to come back.
So outside of the deprescribing, just the fine tuning of things, they stop admissions fromthe skilled nursing and subacute rehab into the hospital, which is really important to
(04:58):
those businesses to keep patients there and not one, nobody wants a kid or any patient toget sick, but like they also want that patient to stay with them.
uh And so she kept them from being admitted to the hospital from benchmark.
Pre-implementing the solution to just nine months later.
(05:19):
They had reduced admissions to hospital by 44%.
That's a huge number.
44 %?
And that equates to cost, right?
Which is something we talk about a lot in the healthcare industry is these unnecessaryvisits to ER, ICU.
So avoiding those, that's a big cost savings as well.
(05:39):
And all the drugs they don't have to take now because they were taking the wrong drugs.
Just healthier, right?
Welp, better care for children.
(06:43):
This has been a Shut Up
And I have a question and that's who the heck's managing the medications here.
And the answer that she got back was a little bit shocking.
And for a pediatric pharmacist, like she didn't really understand one, how limited of aresource she was, how specialized this group of people really are and what's happening
outside of acute care, outside of the hospital.
And the answer to that question was they had a pharmacist that was really just kind ofchecking the regulatory compliance boxes.
(00:39):
and not working up the patients, right?
And so she said, I'll come in and you can pay me whatever you're paying the other person.
I'm going to open the charts.
I'm going to go in between all of the prescribers and the doctors and the nurses andeverybody here, just like I do in the hospital.
And I'm going to help fine tune these therapies and make sure that patients are gettingthe right or at least the best therapy for them individually.
(01:07):
We're selling something, it's free to them.
It's on behalf of their health plan.
It's a benefit that their health plan probably didn't tell them about when they enrolled,but they have available now.
We have to reset what their concept of pharmacy is comprehensively, and then get them toagree to meet with us the next time we have a call and put them on video and align them to
(01:29):
a single pediatric pharmacist and the nurses and technicians that we have supporting thatrole.
Do you have your own clinical staff?
like pharmacists and clinical staff that communicate with these families that essentiallyjoin those calls and help kind of understand like what are all the things that your kids
on?
Okay, this is right, this is wrong, this could be better.
(01:49):
Is it work kind of like that?
Exclusively.
Okay.
Yeah.
31 % of pediatric prescriptions contain an error.
It's three times the rate of adults and that's a really good source.
2023 research out of the medication errors report by the US Pharmacopeia states 31%.
(02:12):
We think it might be higher or like at least not optimized prescriptions.
A lot of this is rooted in something as simple and silly as the fact that pediatricmedications are dose based on weight.
And if you're a parent or you've ever seen a prescription or you've taken in a child'sprescription to the pharmacy, guess what's not on that?
(02:33):
The weight.
So we see, you know, in our own kids, my kids, Jenna's kids, our CEO, like oftentimes theindication for the drug does not match up with what the dose was.
And there's no check at the pharmacy.
It just gets filled.
It just gets filled.
We'll start to look at what's been ordered, what's been picked up and what's been leftthere.
(02:56):
We'll connect to health information exchanges and the national networks that house lots ofclinical data through what's called a QHIN.
There was recent legislation passed over the last few years to make access to treatmentinformation a little bit more easy for us providers.
We leverage all of those new regulations through this QHIN and an act called TEFCA to getas much as we can beforehand.
(03:19):
And we've got a good idea of where we might start to
uh make adjustments based on the subjective assessment and kind of what we get from thepatient before we ever meet with them.
But the immediate thing, I think, for patients and parents is a resource.
So when they end up in the ER that night unexpectedly, they've got a cold, something,they've got all these other things going on and they're in the middle of the aisle at CVS
(03:45):
or Walgreens, they've got somebody to reach out to and be like, hey, what do I do?
the parents of the kids that we're working with, if the kid is, even if they're a fewyears old, they've been through a lot.
They're typically reluctant to let somebody new or something new onto, onto the care team.
(04:06):
Right.
And so in these initial outreach calls, we get a lot of objections.
There's like, Hey, we've got everything under control.
I've been doing this for 12 years with my son, right?
Like, don't need this.
I've got it.
Oftentimes we'll have to say something like,
Will you just give us a shot?
Can you show up on video for five minutes?
And if you don't think that it's going to provide anything for you, go ahead and hang up.
(04:28):
Like you don't have to do this.
It's your health plan.
This isn't a check for prior authorizations with your health plan.
Like we're actually, we're going to work on your behalf and really just try to help youclinically.
If you don't find that, then you don't have to come back.
So outside of the deprescribing, just the fine tuning of things, they stop admissions fromthe skilled nursing and subacute rehab into the hospital, which is really important to
(04:58):
those businesses to keep patients there and not one, nobody wants a kid or any patient toget sick, but like they also want that patient to stay with them.
uh And so she kept them from being admitted to the hospital from benchmark.
Pre-implementing the solution to just nine months later.
(05:19):
They had reduced admissions to hospital by 44%.
That's a huge number.
44 %?
And that equates to cost, right?
Which is something we talk about a lot in the healthcare industry is these unnecessaryvisits to ER, ICU.
So avoiding those, that's a big cost savings as well.
(05:39):
And all the drugs they don't have to take now because they were taking the wrong drugs.
Just healthier, right?
Welp, better care for children.
(06:43):
This has been a Shut Up
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