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    Rapid Response: How "startup DNA" helped One Medical respond to Covid, with CEO Amir Rubin

    enMay 28, 2020

    Podcast Summary

    • Leveraging digital tools for business success during crisesCompanies that adapt and use digital tools effectively can save time and resources, especially during crises. Agility and clear communication are key.

      Adaptability and the use of digital tools are crucial for businesses, especially during crises. Amir Rubin, CEO of One Medical, shared how his company leveraged digital tools to provide healthcare services and became a key player in COVID-19 testing. Rubin mentioned that their national approach and preparedness allowed them to serve during the pandemic, just as they do every day. Erica Flynn, VP of Alliances and Audience Development at WaitWhat, emphasized the importance of clear communication and the use of AI tools like Grammarly to minimize miscommunication and streamline work processes. The discussion highlighted how companies that use such tools can save significant time and resources. Overall, the conversation underscored the importance of being agile and utilizing technology to navigate challenges, whether in healthcare or business communications.

    • Impact of COVID-19 on One Medical's BusinessThe COVID-19 pandemic led to increased demand for digital health and testing services, while reducing the need for in-person care for One Medical. The company's adaptability and existing infrastructure enabled them to quickly provide testing services and underscored the importance of digital health services.

      The COVID-19 pandemic significantly impacted businesses, particularly those in urban areas, in unexpected ways. For One Medical, a membership-based primary care platform combining digital health and in-person care, the crisis led to increased demand for digital health and testing services, while in-person care saw reductions. The company's national model, strong service culture, and existing infrastructure allowed them to quickly adapt and provide testing services in New York City and other communities. The crisis highlighted the importance of flexibility and adaptability in business operations and underscored the growing significance of digital health services.

    • Adapting to COVID-19: Healthcare Company's StrategiesA healthcare company thrived during COVID-19 by segmenting services, offering virtual visits, and transforming offices into respiratory clinics, alleviating anxiety and ensuring frictionless access for members. PCR tests played a crucial role in acute diagnosis, while ongoing screening is vital for population health.

      During the COVID-19 pandemic, a healthcare company adapted to the unique circumstances by implementing various strategies in both digital and physical arenas. They segmented their services based on COVID symptoms, offered virtual visits, and transformed some offices into respiratory care clinics. Members responded positively due to the frictionless access and alleviation of anxiety. Testing and screening are crucial for acute diagnosis and ongoing population health. The sensitive and specific PCR test plays a significant role in the former, while ongoing screening is essential for the latter. The company's tight bond with its members and their gratitude during this time highlight the importance of healthcare's role in addressing both medical needs and alleviating anxiety.

    • Factors affecting COVID-19 testing strategiesRegular workplace screening through questionnaires and PCR tests help minimize virus transmission, ensuring a safe return to work.

      Effective COVID-19 testing strategies depend on various factors, including the prevalence of the virus in a community, the type of test used, and the stage of the infection. For diagnosing acute cases, PCR tests are commonly used in combination with antibody tests detecting early IgM antibodies. However, for workplace screening, the primary focus should be on identifying current infections. Regular screening through questionnaires about symptoms, travel, and exposure can help minimize the risk of virus transmission. The ultimate goal is to ensure a safe and healthy return to worksites.

    • Identifying potential COVID-19 cases through screening and temperature checksRegular screening with self-reported health questions and temperature checks can help identify potential COVID-19 cases, but temperature alone is not a reliable indicator. Use a combination of strategies like social distancing, masks, and screening to minimize risk.

      Regular screening through a combination of self-reported health questions and temperature checks can help identify potential COVID-19 cases in a population, even if not every individual is tested daily. This approach is important for both acute diagnosis and long-term surveillance. However, temperature alone is not a reliable indicator, as many asymptomatic individuals do not exhibit a fever. Therefore, it's essential to use a combination of screening questions, social distancing, masks, and temperature checks to mitigate risk. While testing is an essential tool, it's not feasible or practical to test everyone every day. By focusing on risk assessment and mitigation strategies, employers and employees can work together to minimize the spread of the virus in the workplace.

    • Adapting to the pandemic: Health and wellness initiatives for employersCompanies focusing on health and wellness have pivoted to include on-site testing, virtual behavioral health, and partnerships to offer testing, allowing quick adaptation and significant cost savings for employers.

      During the pandemic, companies have had to adapt quickly to ensure the health and safety of their employees while continuing their mission. For example, the company discussed in this conversation, which focuses on health and wellness initiatives for employers, has had to pivot to include on-site testing in parking lots, virtual behavioral health, and partnerships with hotels to offer testing to guests. This required new features and adjustments to their software, but their existing membership-based, relationship-focused model and culture allowed them to move quickly and serve at scale. Additionally, they have seen significant cost savings for employers, with a recent study showing their model reducing health benefits costs by 45%. Overall, the pandemic has presented new challenges, but for companies with a strong foundation and aligned mission, it has also provided opportunities for growth and innovation.

    • Adapting to Uncertainty with Flexible Digital Health ServicesCompany prioritizes strategic alignment, daily management, and a flexible, multimodal approach to digital health services, enabling them to quickly adapt to changing circumstances and execute at scale

      The company's flexible and multimodal approach to digital health, which includes both inbound and outbound, virtual and physical services, has positioned them well for adapting to the uncertainty of the future. They are constantly looking ahead, planning for various future states, and preparing their tech platform and physical locations to adapt accordingly. This includes thinking about how their services can be used in different scenarios, such as returning to work or mass vaccinations. They also prioritize strategic alignment and daily management to ensure they can execute their strategies at scale and with high performance. Their operating system allows them to quickly roll out new approaches and train their thousands of team members in a standardized way, enabling them to adapt quickly to changing circumstances.

    • Navigating uncertain times with adaptability and responsivenessCEOs pivot teams to work efficiently, stay connected, and identify ways to improve operations in uncertain times.

      Adaptability and responsiveness are key to navigating uncertain times, whether it's a pandemic or a high-growth startup environment. The CEO shared how they pivoted their teams to work more efficiently and effectively, emphasizing the importance of staying connected with team members and clients. He also discussed his personal experience observing the company's operations, both remotely and in person, to gain a better understanding of the experience and identify ways to improve it. Despite the challenges and stressors of the current situation, the CEO expressed gratitude for working in an organization with a strong mission and a dedicated team.

    • COVID-19's Impact on Mental Health and Opportunities for Transformative ChangeAmidst the pandemic, mental health support is crucial. Companies like One Medical expand services to include virtual mental health resources, such as SHIFT's group sessions using CBT and coaching techniques. Simple pleasures also help manage stress, and the pandemic highlights the need for a more accessible and efficient healthcare system.

      The COVID-19 pandemic has brought about unprecedented stress and anxiety for individuals and society as a whole. Amidst this challenging time, companies like One Medical see an opportunity to make a transformative impact on healthcare and people's lives. Anxiety and depression have risen by 100% among their members, leading them to expand their services to include virtual mental health resources. Amidst the stress, it's essential to recognize the need for mental health support and find ways to manage it. One Medical's program, SHIFT, offers virtual group sessions using cognitive behavioral therapy and coaching techniques. Additionally, finding simple pleasures like watching a Seinfeld rerun can provide respite. The pandemic has exposed the flaws in the current healthcare system, which underinvests in primary care and has long wait times, leading to frustration for all stakeholders. With the acceleration of telehealth and virtual care, there's an opportunity to address these issues and make healthcare more accessible and efficient.

    • Transforming healthcare with salary-based payments and virtual teamsOne Medical improved efficiency and coordination by paying providers a salary and building a virtual team for chronic diseases, while Grammarly streamlined writing processes with AI to save time and maintain data security.

      The traditional fee-for-service model in healthcare leads to inefficient and uncoordinated care, resulting in frustration for both consumers and providers. At One Medical, they've transformed this model by paying providers a salary instead of per visit, leading to longer visits, lower utilization, and more rewarding work for providers. Additionally, they've built a virtual team to address chronic diseases and interfaced with the existing healthcare ecosystem to improve coordination of care. Grammarly, on the other hand, uses AI to streamline writing processes, saving time and generating better first drafts while maintaining data security. Both One Medical and Grammarly demonstrate the power of human-centered and technology-powered solutions to address the needs of various stakeholders in their respective industries.

    • Effective communication and quick response during crisesClear communication plans, rapid response teams, empathy, transparency, and crisis response plans are essential for businesses navigating crises and protecting their reputation

      Effective communication and quick response are crucial in business, especially during times of crisis. In the Masters of Scale podcast episode featuring the story of how Airbnb handled the 2014 Hostage Crisis in Amman, Jordan, we learned that having a clear and concise communication plan, as well as a rapid response team, can help mitigate the impact of a crisis on a business. The episode highlighted how Airbnb's founders Brian Chesky and Joe Gebbia, along with their team, were able to respond quickly to the crisis by setting up a war room, establishing a clear communication plan, and utilizing social media to keep their users informed. They also emphasized the importance of empathy and transparency in their communication, which helped to build trust with their users and minimize the negative impact on their business. Additionally, the episode underscored the importance of having a crisis response plan in place, as well as regularly testing and updating it to ensure that it is effective. By taking a proactive approach to crisis management, businesses can help protect their reputation and maintain the trust of their customers. So, in summary, effective communication, quick response, and a well-prepared crisis response plan are essential elements for businesses looking to navigate crises and protect their reputation. To learn more about this topic and other business insights, be sure to visit mastersofscale.com/rapidresponse and subscribe to our email newsletter.

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