Robin Wiener, Managing Director of Enterprise Data Solutions at Dedalus: From Italy to America: Dedalus' Data-Driven Journey

Access to data and technology will revolutionize the healthcare industry.

In this episode of Bite the Orange, Robin Wiener, Managing Director of Enterprise Data Solutions at Dedalus, discusses the importance of improving data access and communication in the healthcare sector. She talks about her background and role as the founder of Get Real Health and introduces Dedalus, an Italian health IT company she's bringing to the US market, emphasizing the use of data to enhance healthcare outcomes. Robin also touches on the Command Center, a real-time monitoring tool for healthcare systems with a strong focus on efficiency, especially in rural areas, and addressing social determinants of health. She has worked throughout her career to use technology and data to revolutionize healthcare, prioritize patient-centered care, and improve access, particularly for underserved populations.

Listen to this episode and learn about data-driven healthcare transformation!

FULL EPISODE

BTO_Robin Wiener: Audio automatically transcribed by Sonix

BTO_Robin Wiener: this mp3 audio file was automatically transcribed by Sonix with the best speech-to-text algorithms. This transcript may contain errors.

Emmanuel Fombu:
Welcome to Bite the Orange. Through our conversations, we create a roadmap for the future of health with the most impactful leaders in the space. This is your host, Dr. Manny Fombu. Let's make the future of healthcare a reality together.

Emmanuel Fombu:
Good morning, good afternoon, good evening, ladies and gentlemen. Welcome to another episode of Bite the Orange. And today, we have a very special guest that comes all the way from my hometown in Maryland, where my mom currently is, and we actually grew up, which is actually my home base in the United States. And this person has a very unique background, has traveled around the country in very unique locations that I also personally like, and has also accomplished some great things. And if you know her, then good for you, and if you don't know her, today, you'll get to know her, and hopefully, we can partner together to make the future of healthcare a reality. This person is no other than Robin Wiener, managing director of Enterprise Data Solutions at Dedalus. Welcome to the show, Robin.

Robin Wiener:
Manny, I'm so excited to be here today. I'm excited to talk about people and what we can do in healthcare around them.

Emmanuel Fombu:
Thank you, so welcome to the show. So tell us something about yourself. I know you're from Connecticut area. How did you end up in Maryland?

Robin Wiener:
I grew up in a town called Willimantic, Connecticut, right outside the University of Connecticut, and if anybody watches basketball, they just won the NCAA championship. So absolutely, we're a little proud in our hometown, that's where I went to college, University of Connecticut. I ended up coming down with a couple of friends and moving to Maryland and met my husband here, so I stayed in Maryland, and it's, I actually love it. I love Rockville.

Emmanuel Fombu:
If you don't have a ... is famous for its crab cakes, even when I lived in Maryland; actually, interestingly, I heard everyone talking about crabs and crab cakes, and I never saw these crab cakes, but I realized we go to the eastern shore of Maryland, right? ... towards Annapolis, there's a massive, this big water kind of area, or like saline is a big deal down there, right? The crabs, the people are friendly, ... a great area to be in the DC, Maryland, Virginia area. So that's one town, so, for those that don't know, definitely visit the area. With that being said, I know you're starting a company previously; you're a founder of a company called Get Real Health. They tell us about that piece of it, what the idea was behind it.

Robin Wiener:
I started the company with two partners, Mark Heaney and Jason Harmon, and we started it 23 years ago. And it really was, we came out of, it was during the dot-com world, and we decided, you know what? We could do this ourselves, we don't have to go out, and basically, we started it with us just being at an incubator here in Montgomery County, and we started doing it, and we got into building software. My partners, one was an engineer, one was a developer, and I was the people person out in front, and we can combine this company together, and we really fell into something that we became very passionate about, which is healthcare. And it was interesting because we jumped into it, and we didn't know anything about technology and healthcare, so we were shocked to see how old it was and how it was just built on, technology, it was built in 1964, so it was quite surprising to see how old and how ... And for us, we didn't have any thoughts, we just thought it should be run just the way everything else in the world was run. So when we got into it, we didn't understand why it didn't, you couldn't get to data, why you couldn't communicate quickly, why you couldn't do these things. So we started from the beginning trying to knock down barriers. And what we ended up doing is working with our good friends at Microsoft, something called HealthVault back then, which was a database that was up in the sky, the first guys that really thought about making healthcare available to everybody in the world. And that came after what happened at Katrina with the hurricanes, and you couldn't get data. A good friend of ours, Sean Nolan from Microsoft, came up with the concept of putting your health information safely into the cloud so you can get there, get it to you anytime, and it was just, so us, it was like, that is really important to be able to put the power back in the patient's hand. People were going from New Orleans to Dallas, and they were asking them questions like what medication you're on? And they couldn't tell them because their house were flooded, the doctor's office was flooded, and the hospitals were flooded, and they couldn't get ..., they said, well, it was a pink pill. Or where are you on your chemo? I'm not exactly sure. That was craziness, but you could get your banking, you could still get your banking information, but you couldn't get something that is what's going to keep you alive. So we got real passionate with it, and we started working with Microsoft right then to build the front end of that, to be able to give patients/people/citizens, the ability to actually get their data, and get there, and look at it, and be able to add data from home and etc. So that's where we started with Get Real Health and what we called Instant PHR back then, and that is where I became passionate about it. And my partners, my, one of my partners is type one diabetic, and he really was, wait a second, I should be able to get this information anywhere, anytime, anyhow.

Emmanuel Fombu:
Which is quite interesting. During that period for Katrina, you mentioned. Katrina, at the time, I was like a resident down in Atlanta, Georgia, and I remember having a lot of people that moved out of Louisiana, like up towards Georgia. People were scattered around the place, and with that being said, even outside of that, I'll tell you that even my grandmother, who had heart failure and lived in Rockville, Maryland at the time, she'd go to Suburban Hospital or the Shady Grove Hospital or Georgetown. And because you have different EHRs that you used to get to each other, she actually used to ... pills by color. There was a real thing that actually happened that we all experienced.

Robin Wiener:
... and it's craziness to me, because in Maryland, and we have one of the best HIEs, health exchanges, that can go with Chris, it doesn't move from hospital to hospital. And even with so, you look at, John Hopkins is here, right? So you're suburban, you've got Sibley, even with that, because they're on different levels of Epic, that information does not flow sometimes. But if you went to a bank, literally, if you went to a bank in Dubai and you went to your card in to get money, guess what? You can get money out of that bank in Dubai, in real time.

Emmanuel Fombu:
... conversion, correct?

Robin Wiener:
Yeah, we don't carry, that's what you do. You land in Dubai or in England or anything, and you just put your card in, and you get pounds, you walk out, you get pounds in your hands, but we can't seem to get our healthcare information from eight miles down the road. So to me, that's where I was like, Why can't we do it in white? It's craziness. We should be able to do it. So that's what I've been passionate about for years. And I had the problem down in Memphis, my father couldn't get the information, and my mother almost died because of it. You get passionate when you know you have to get data, and we don't understand why we can't.

Emmanuel Fombu:
With that being said, Robin, and that's the problem that we actually face till today. I know Apple has done a good work, ... they go to Apple health, ... We should pull up, for EHR kind of datasets, but I think it's still a major challenge, right, on how we actually aggregate and pull our datasets out together ... During your experience during this period, what do you think is the main reason? Because I don't really buy this idea of, it's about privacy for people, right? It's about in HIPAA, GDPR, these things are still there, but that's gonna be some kind of universal policy or some kind of regulations in place to make sure that this happens. I'm sure our banking data is also subject to GDPR regulations, right? So it's not like ... protection levels, right? So why is it possible in banking but not possible in healthcare up to this point, despite all the efforts you guys have made?

Robin Wiener:
I think when COVID hit, everybody had their mind, this is the way we do it, this is the way we do it, we have to do it this new way. It's sitting in that stubbornness of I'm a healthcare provider, I'm the EMR, I'm going to tell you what's going to happen. And what happened during COVID is patients, citizens, human beings stood up and said, I'm sick, I'm scared, get me information faster, get me information faster, get me things done fast clinical studies, everything happened faster. And what I, as much as it was an awful, the worst time in our lives, it did make healthcare move a little faster. And what I'm hoping is we don't go backwards, because we learned during COVID that if we had data, and we knew that certain people were more susceptible to this, and we started to actually figure it out faster, we would have saved lives. We've been able to do that. And I'm not talking just in the United States here, we're talking, this is a worldwide situation. If we were able to have, as you say, one place where information was able to be together and we could come up with a quicker way to be able to diagnose what's happening, and the hotspots and etc., and be able to get this information out to the citizens, the humans, being able to do that is good. I felt a little hopeful that some of the mindsets were starting to change, and also, I think with, I want to say, a new group of people coming into health, that things are starting to do. We have slid back a little bit, we need to keep the pressure on to make it happen and get through all these regulations that people who are scared about things, and I am sorry, with our phones nowadays, everybody knows everything about everybody. And if you don't think that's true, you got my Apple Watch on right now. Siri's listening, I got Alexa over here, it is what it is, I don't have secrets. It's, it is, if you can get me better because you know that I've got a heart condition, Oh, dear God, everybody in the whole wide world can know I have a heart condition. And you all know I have a heart condition now, I don't care because it could save my life or my family's life in some way.

Emmanuel Fombu:
Which I really like about that, where I would rather the individual make that decision for themselves than having this overall policy and prevent innovation that makes, that doesn't contribute to health, but people being paranoid and very scared around this. Yes, I think, so I agree with you 1,000% on that. But now, very interestingly, you are managing director now, at Dedalus Enterprise Solutions. So tell us about Dedalus. Tell us about the company overall.

Robin Wiener:
Yeah, no, it's, Dedalus is look, for here in the US, nobody knows, what is this Dedalus. What is it? Dedalus has been around for 40 years and is actually out of Italy. And when I sold my company at Get Real Health, I was looking for a company, when I decided, okay, I'm going to leave that, and I'm going to do something new. I've been there for 23 years, and it just happened a few months ago, and I was looking for something that I could be passionate about, that I could believe in. And a good friend of mine, Damon, is our executive director here at Dedalus North America, and he started telling me about this company. And so Dedalus is out of Milan, Italy, it's been around for 40 years, it's one of the top five largest health IT companies in the world. And it's one of those things, they have been able to do some amazing things. They are the biggest EMR outside of the United States. They're bigger than Epic, they're bigger than Cerner, but with that great power, they're able to do a lot more, which was really passionate about. And part of that is they've got some phenomenal tools, but what I love and what we're bringing here, and so I'm part of the team bringing Dedalus to the US market. I love that they have something called Connected Care or DC for age, and this is, Manny, this is exactly what we're looking for, right? It is a database that collects, that can do with HL7 or FHIR, connect into all the different medical areas, EMRs, HIEs, etc. But I like even, which is great, we want to get it thinking that we're at NYP, we've got other, about 100 connections up at NYP, all kinds of data sets. Bringing data is making it, basically getting it to a point where they're indexing it, and you can do things with it. But what they also do, which I think is really important, they connect to other areas: the weather, social thing. All that is because, just think about it, you're in a hospital system, and there is, in New York, we live in New York City, there's smog coming in, it's going to be a hot 95-degree day. It's like they can look and see that the weather is coming in, and they can do predict it. They can predict that we're going to see more people with COPD or asthma coming into the emergency room. They can reach out ahead of time to those patients to say, hey, listen, the weather's coming in, this is what's going to happen, you should wear your mask, put your air conditioning on, and etc., but at the same time, predicted that the ER know, or ED know, that we might see a spike, right? So they're doing, they're gathering this data, and they're actually doing something with the data, and to me, that is passion. Along with that, over in Europe, they got 280 million lives that they had data on that have permission to go ahead and do clinical studies, and be able to dive in and do clinical studies, again, do predictive, being able to work with the research areas and be able to do that. We're going to be building the same network here in the United States because, again, data is power right now, and if we can take data with AI and actually make predictive things happening, or for me, I'm really passionate about the data side of it, and they have a good trials care product that takes that data and able to dive in and figure out matching people to clinical trials. Now, you and I grew up, we lived in Rockville, Maryland. NIH is, what, three, three metro stops from us, right? So if something happens to us, there's a clinical trial that we're going to be able to get. We'll knock on the door and get a clinical trial. What's that person out in the middle of Iowa that doesn't have the chance to do it? And that is where I think the, that is the power of what we're doing at Dedalus. We're building this great database, we're doing it, now we're connecting to all these different hospitals, building one for the United, the whole the US, and connecting it to what we're doing in Europe and being able to do something with that data, predictive analytics on it, being able to do studies on it, and etc. And then the last thing I'll say is we're rolling out what's called a command center and then a hospital system. Think about if ... or whatever, you need everything up on your screen so you can see real-time what's happening with, inside the hospital system. Again, bringing the weather in, bringing in conditions, social care, all those kinds of things on a big screen and making real good decisions that, you know, you can move staff from here to here because that's happening, etc. So that is what I'm passionate about. I didn't have to, I left Get Real, I could probably just sit in Rockville, but this got me excited in ... bringing Dedalus here to US. It's like a startup, which is cool, right? This is fun. We like that, right? But with a nice rich parent on top, so it's good.

Emmanuel Fombu:
That, it's great, fascinating. I actually have quite some good colleagues and partners out of Milan, right? And so I think it was great to showcase the great innovations around the world and the right partners that we need actually to carry this into different countries. And some of the examples that you use, actually, like very real. For example, I'll tell you that we know that heart failure readmissions in hospitals goes up during the July 4th and during Thanksgiving, right? It's a known fact that everyone is ... and everyone is having these heavy, salty meals, right? So there's a high likelihood of getting people to get these acute events that gets them to the hospital, right? We know about allergies, for example, that people have allergic conditions, but we know things about the weather. We know things even about happiness and sadness. Some people get sadder in cold weather, dark weather places they need to be, warm-weather kind of places, right? So where you live also affect mood. And so there are many things that we can know, and what I like about what you said, Robin, is also the fact that you're not just collecting data to make it static. You're collecting data and making that data actionable. What's the next best action from what you've learned, correct?

Robin Wiener:
Yeah, absolutely. It's great. We have all kinds of data lakes all over the place. Everybody has data lakes, is what you do with that data lake is what makes the difference, right? If you don't do anything with the data lake, then it's just data sitting there. But when we can actually do actionable things on top of that data and actually help humans to get better and be able to predict, that is what we've got to do. And it gets me frustrated that we're still sitting there worried about, like you say, we have privacy, we have security surrounding it, but people understand the better good is not to sit back and hide behind that rule, but to go ahead and push the limits of that and making sure that we're able to do really good things for people and get them healthier, have them better lives. Just by, looking at somebody who has heart failure, by putting on something, basically having them check their blood pressure every oh, actually the easiest thing, have them stay on the on their scale every morning; and you can have a grandma, maybe she doesn't know anything about technology at all, she doesn't know, even though I know a lot of grandmas that know a lot about technology, but they step on their scale, and that scale now is able to send it up. and this is what we did at Get Real Health, and we're doing it at Dedalus. The scale is able to send that information in, there are rules engine behind it that says if grandma's weight goes up five 5 pounds overnight, we send an alert to her family members and to her doctor, because if she's gained 5 pounds overnight, there's water retention and she could be going into heart failure. By doing that, instead of having to, knowing it, and she doesn't get worse and worse, you might be able to get on a telehealth call pretty quickly, and they can out her Lasik, be able to do it. But if that doesn't work, then get into the hospital and get into, or she has a heart attack before something happens, but that's just using the technology that we all have. We have our watches, we have these things, and it's easy, just putting a rules engine behind that, and the alert. And you can say doctors don't want to have an alerts every five seconds, but if it's something that is, my son's a type one diabetic, it ... sugar, goes up and down, but it is going down, and we're starting to see a trend on that, that is where the doctors are going to intervene and say, you know what, He's getting too much insulin. We need to take it. Because that's, to be honest with you, as a mom of a type one diabetic, I don't love it that his sugar gets high sometimes. It scares the bejesus out of me when it's too low, because that, then he goes into a coma and things like that. But being able to monitor that real-time and be able to real-time monitor as a parent to know what's going on with them, but the other side of the real-time for the doctors to make those kind of decisions, that's the kind of stuff that's going to keep people out of the hospitals, they keep them at home and keep them healthy. But we got to be able to do that, which is, I think, where healthcare is going, and we need to keep pushing it. People like you and me, Manny, we can't sit on the sidelines. We got to say ...

Emmanuel Fombu:
This is quite fascinating from the approach that I think Dedalus takes, because you have things ranging from prevention, early detection, diagnosis, treatment, rehab, right, follow-up, all the way to end of life, right? And then you have case-driven front door services for patient digital journeys. You have multi-allergy imaging, so you have real-time AI data. So, do you also have data on your health systems? I know you have like thousands of health systems ... data on, right? And so you have data on health systems? Who's your target customer? Because it looks like you have basically, all the data sets that you have, from birth to death.

Robin Wiener:
Yeah, our target customers are large hospital systems that are looking to do something different that are really looking to; again, the Command Center is something that we're rolling out this week. It's hospitals, what we heard from a conference called ViVE, and what they heard from every one of the hospital systems I've talked to is they have less people with more things to do. So, anything that we can do to make that provider care team be able to do their job more efficiently and not just sit in front of a computer and type it in using things like ChatGPT, using Dragon, things like that to start pulling that information together, so at night, when they finish their last patient at 5:00, they're not still there filling out paperwork to 8:00 or 9:00 at night to be able to pull that information using good technology. But along with that is, again, making real-time decisions that they're not wasting time and wasting people's, people are important, right? People that are working in, after what happened in the last four years as a doctor, the burnout rate is just incredible, right? So we need to look at, for us, as human beings out in the world, we want to stay healthy, we need to look at the care teams and making sure we give them tools to make their lives easier, and a couple of that is being able to do all this new technology. We partnered with Microsoft on some of this and with ChatGPT, with Nuance, with Dragon and being information, and then take that information and do something really cool with it with Command Center. And that's where we're, our clients are really large hospital systems, but I have to have some conversations with the US Army right now, to think about doing something like that with all the theaters all around the world and then, you know, do that conversation with NIH right now to be able to do some things there. Our clients can range from big, large hospital systems to large governments, large government systems, and research organizations.

Emmanuel Fombu:
Which is quite interesting. So with the partnership with the health system, for example, so if you partner, you could literally look across the entire health system and look at some of the areas where the inefficient, right, what kind of pathways are inefficient, and then you could provide them with the solutions. I know you have this matrix that used to measure hospital performance. Is that something that you are doing right now?

Robin Wiener:
Again, because of data. If you get the data, you can start to look and say what is not going well, right? And especially when you start looking at, we're not just bringing in medical data, we're bringing in staffing data, we're bringing unstructured data that is, with PDFs and stuff. You have a great product called Himedia that actually brings it all in. So when you're looking at the data, which brings in claim data as well as what's happening in the billing department. So you start to see the whole picture. What you don't want is to look at pieces of something, pieces of people, but pieces of the organization. When you can actually pull that all together and have a real eye look at what's happening, you make better decisions for all of the people coming in, all your, all the citizens, but also make better decisions for the people that work there. They're exhausted, they don't want to have to do the job of, they're doing the job of 14 people. If they can do a job of 8 people, my God, that would be like a wonderful thing for them. So to be able to look at the whole picture, analyze it, and be able to give real-time analysis to the C-suite in a hospital system, that's where I think the power is, and that trickles down to all your citizens in your area. Because if your doctors have more time to look at you as a person, you're going to get better service, right? You're going to be able to do it. I think something you wrote on your, one of your blogs was, in a four-year span, that takes as much as you are on your phone for one day, right? The three-year span to see your, it takes you four years to see the doctor to be on, you're on your phone for a day, right? And that is where it is, now I think with telehealth, it's been a little bit easier. I think there's more communication going on, but what if we were able to free up all these providers, all these care teams, and be able to give them the tools and the insights they need? They're going to make better decisions for you.

Emmanuel Fombu:
And I agree, I think looking at efficiency across entire health systems. So I think it goes a very long way because then you can understand what kind of solutions you want to plug in, right, to get the outcomes, and then make them measurable as well. You can measure what patients feel about the treatment they received, you can look at how efficient you are actually saving on cost. We all know that there are lots of expenses in healthcare in the US, especially in the last couple of years of life, right, where everyone blows up all this money they have ... So, talking about the Command Center. So is that something that you plan on launching in the US?

Robin Wiener:
We are.

Emmanuel Fombu:
A sort of base. Is it like a national kind of thing?

Robin Wiener:
It's going to start with hospitals, and we are hopeful. We just launched it in Spain and it looks like we're going to be launching it hopefully in on the East Coast very quickly. We'll know probably within the next two weeks. And it's something that our chief digital officer, Femi, which you should totally talk to, he's phenomenal, it's his vision, and he is, he's going to actually be in New York City the next week after next, having these large conversations, and he's amazing because this is his vision, this is Femi's vision, and to be able to do it, and he is just he's so passionate about it. I got to watch him speak about it last week and I was jumping out of my seat. It's something that's really important. So we've done it in Spain, we're looking to do something here in the US pretty quick, like within the next month, and then start rolling it out. I'll be talking about it at our big conference HIMSS in next, in two weeks and we'll be talking about it, and that's our big health, people don't know this, very large health conference that we have here in the US, and we'll be talking about that. We're in the interoperability showcase as we're the sponsors there, so we'll be talking about this, absolutely, there, starting to roll it out.

Emmanuel Fombu:
Now, this is quite it's quite fascinating. I think you got me actually pumped. And so as we wrap up here, and I think there's lots of great information, I'd love to have you back again on the show, but what are the short-term wins for you? So I know you're bringing Dedalus to US, what would be the win for you the next six months or next year? So when we follow up, we could see how you're doing there.

Robin Wiener:
Absolutely. My big wins would be to be, we're going to try to build this network of hospitals for data, and it's, honestly, it's a ..., to enter is like $10,000 for us to bring everybody, $10,000 a hospital system, 10 to $20 depending how big you are. We want standards of ...

Emmanuel Fombu:
... for them to pay to join into this.

Robin Wiener:
Yeah just ... it just, it just connection, just a connection. But they have the ability to go ahead, and if they're having any studies, to reach out outside their four walls to ask, see, doing that sharing it's like some described it like Bumble, like a dating service, right? You put yourself up there and say, Hey, I'm looking for this, and this hospital says, Guess what? I'm looking for this. You have patients that match my study, I have patients match your study, why are we not talking to one another, right? And then we can bring the pharmaceuticals in and the pharmaceuticals, I need those studies also. And by the way, little rural hospital that barely makes enough to live, I'll pay you X amount of money for the access there. So it's, but the key is we need to build this data of all these hospitals, and we've done it in Europe, we got to do in the US. So that's my first win, would be to be able to get that. My second win would be able to get Command Center in a couple of hospital systems, because I think Command Center and what we do is social care; because one of the things we didn't talk about is the whole person care, which is really important, the whole person care, but not just on the medical side, but connecting to social services, too, because a person does not just have medical problems, they probably might have food insecurity, places to live, and things, so to be able to actually do a little bit more of that on the whole care and then just really getting this whole command center database, etc. up and going. So got a lot to do in the next six months.

Emmanuel Fombu:
And I don't want to exploit that part because I'm a big fan of socioeconomic determinants of health. I think zip codes matter, and they play a significant role. So I, that's something I don't want to brush over, ... actually talking about this, you brought it up. But I think it's very important looking at zip codes and all the healthcare outcomes are, that's something that's like pretty massive, right? So I think it, definitely like you're bringing in that you could then realize around the country, and I'll tell you, I'm looking at data that shows that most digital health applications in the US are being done in Boston, in California, and in New York, right? Yes, and if you look at most people that get sick, they don't live in the city-states only, right? You have people in New Hampshire, you have people over in Vermont, people in Maryland, people in Virginia, West Virginia, Tennessee. So the people around the country, but they're not being represented at all. So I think it's just something you've identified as well.

Robin Wiener:
The rural America is, they don't have what we have, and that's why taking a lot of these little hospitals and trying to combine them into one large area that they're communicating, I don't think it's fair that I am able to get into a study because I live three metro stops from NIH. Somebody who has the same kind of disease that's sitting in a small town out in the middle of the United States should have the ability to actually be part of that study also and be able to get in there, and it's not fair. But on social determinants, too, we need to look at the whole person. We cannot just look at, okay, you know what, you got diabetes, you got this, but why do they have type two diabetes? Because you know why? Because they can't get healthy food. They're eating crap because that's all that is available, because they're in a food desert, or they don't have a good place to live. They're living in a place that's dirty. And those are questions we need to be asking as they come in, because in mental health area. But it's good to ask the question, but you got to do something with that answer. Again, this database is connecting into social services to say, you know what, I'm going to go ahead and connect you into this social service to get you that food, be able to get you that ride to the doctor, transportation this. And doctor, if you have somebody coming from an area that don't have, does not have a car, there's 90% that they're not going to show up for that appointment; but if you sent a car to get them and bring them in, it's about 90%. They will show up for that appointment because somebody is there to do it. You got to find out, if you don't have transportation, we will send you transportation. That will save, the hospital system, will make more money on the doctor's appointment versus sending a $10 Uber to go over and get somebody. It's those kind of questions we need to ask in the front, looking at the whole person, not pieces of that person, the whole person. That is, that I've been passionate about since 23 years ago when I started Get Real Health: whole person, get that data underneath it, do something with that data, but take a look at what's really going on. So that is why I jumped from Get Real Health and closed that chapter, and went to Dedalus, because they believe in the same thing I do, and that is the whole care person, doing something with data, and making a freaking change. And that's how I want to end my career, is doing something that makes changes in the healthcare.

Emmanuel Fombu:
And that's incredible, it's a good way to end the discussion for today, at least, anyways, because I think what you just said is about that whole holistic care for the individual, but using that data to actually create that journey, which you call a patient journey. And everyone's journey could be different, my journey would be, like to have diabetes, to be, Hey, I don't have a car, I need transportation to get to the hospital. When I get there, maybe I can show up next time if I need telemedicine services, maybe I need an app that gets me involved and gets me to do other things. So there's that whole package for that individual, when you build this patient journey and this unique moment, to look at efficiency and outcomes. So with that being said, Robin, I think it was incredible having you. I would love to actually check in again to keep checking on your progress, to see how things are going. And we will have the contact information in the show notes. Anyone listening, please let's help Robin make this a reality. We'll check in again to see how things are going. So once again, thanks, Robin. I hope to have you again soon.

Robin Wiener:
Manny, loved it. Thank you.

Emmanuel Fombu:
You too, thank you very much.

Emmanuel Fombu:
Thank you for listening to Bite the Orange. If you want to change healthcare with us, please contact us at info@EmmanuelFombu.com or you can visit us at EmmanuelFombu.com or BiteTheOrange.com. If you liked this episode and want more information about us, you can also visit us at EmmanuelFombu.com.

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Robin Wiener:

Robin Wiener is a nationally recognized leader in healthcare IT. Robin believes that healthcare should be accessible to everyone. When people have access to all their data, not just medical data but everything, people and providers can make real decisions that make a real impact. 

Robin brings more than 20 years of experience in business development, management, and product strategy to her position as Managing Director of Enterprise Data Solutions at Dedalus, North America. She is part of the team that is bringing Dedalus to North America. Dedalus is one of the Top 5 Global healthcare Companies in the world.

Before starting at Dedalus, Robin was the President and founding partner of Get Real Health. Wiener led business development and marketing efforts for Get Real Health, leveraging her outstanding people skills and an extensive network of contacts to identify opportunities and close sales. She built the company’s growing list of strategic partnerships around the world. Wiener has an innate knack for identifying the skill sets integral to a successful team. Robin led business development, marketing, and partnerships for Get Real Health since its inception in 2002, leveraging her outstanding people skills and a large network of contacts to identify opportunities and close sales. In 2019, Robin led the effort for Get Real Health to be acquired by CPSI in a multi-million-dollar deal.

Robin has generously shared her expertise with the health IT industry and healthcare policymakers (including multiple speaking engagements at the White House). She has also bravely shared her own personal story in media interviews and industry speeches about persevering in the face of challenges. Robin has recently facilitated the selling of her company to a large corporation. She is interested in helping other companies with their growth. She would love to be part of an exciting start-up as a board member.

Things You’ll Learn:

  • Improved data access and communication within the healthcare sector are critical and lag behind other industries.

  • Dedalus, an Italian health IT company, ranks among the world's top five largest health IT companies and surpasses giants like Epic and Cerner outside the United States.

  • Dedalus takes a comprehensive approach by integrating healthcare data with social determinants, including weather data, for predictive healthcare solutions.

  • Addressing healthcare access issues in rural America is a critical priority, ensuring that individuals in remote areas have equal access to healthcare resources and clinical studies.

  • Holistic healthcare recognizes the importance of treating the whole person, addressing medical conditions and broader factors like social determinants.

Resources: