1 0:00:00,722 --> 0:00:11,782 Mark Haney: And now we have Dr Sarah Almilly on the show today and we're going to talk about her entrepreneurial journey and her way of tackling this, this industry in Medicine.

2 0:00:11,822 --> 0:00:13,947 Mark Haney: That in a little bit different way.

3 0:00:14,008 --> 0:00:15,030 Mark Haney: So welcome the show, sarah.

4 0:00:15,191 --> 0:00:15,572 Dr. Sarah Almilli: Thank you.

5 0:00:16,141 --> 0:00:20,176 Mark Haney: So talk to me about how you got into this business.

6 0:00:20,356 --> 0:00:24,960 Mark Haney: Obviously, you're a doctor, but then what made you decide to take it in this direction?

7 0:00:26,623 --> 0:00:28,106 Dr. Sarah Almilli: So first things first.

8 0:00:28,447 --> 0:00:29,188 Dr. Sarah Almilli: I wanted to clarify.

9 0:00:29,208 --> 0:00:30,871 Dr. Sarah Almilli: I am a doctor of pharmacy, so what that?

10 0:00:30,891 --> 0:00:47,610 Dr. Sarah Almilli: Means is that I'm an advanced clinical provider and I cater to primary care medicine with the specialty of cardiovascular disease Lots of big words to really mean that my specialty is really in diabetes, heart attacks, strokes Anything that touches your heart, your body and your organs.

11 0:00:48,081 --> 0:00:52,775 Mark Haney: Okay, you said pharmacist, but you know, do you prescribe?

12 0:00:52,976 --> 0:00:54,180 Mark Haney: Is that, is that what your role is?

13 0:00:54,320 --> 0:01:00,748 Dr. Sarah Almilli: We can, yes people that have certain Practices and certain collaborative practice agreements in place.

14 0:01:00,888 --> 0:01:05,333 Dr. Sarah Almilli: We can actually prescribe medications Based on certain agreements we have with the physician on board.

15 0:01:05,574 --> 0:01:07,743 Mark Haney: Okay, so let's back up and go how did you get into this?

16 0:01:07,803 --> 0:01:10,231 Mark Haney: And then maybe dive into the customer journey.

17 0:01:11,061 --> 0:01:13,888 Dr. Sarah Almilli: So I got in this because of two main reasons.

18 0:01:14,028 --> 0:01:18,546 Dr. Sarah Almilli: Number one is my own dad his health care journey.

19 0:01:18,726 --> 0:01:32,840 Dr. Sarah Almilli: He had a stroke a few years back and From there on I was able to step away from my duties as a health care professional and be the daughter that I needed to be, and I saw health care with a completely different lens.

20 0:01:33,264 --> 0:01:38,651 Dr. Sarah Almilli: I kind of knew that it was happening, but I did not have that reality check and I think that was my reality check.

21 0:01:39,441 --> 0:01:43,892 Dr. Sarah Almilli: Which brings me to the second reason, which has been my experience in health care in general.

22 0:01:43,932 --> 0:01:47,040 Dr. Sarah Almilli: So I've been in the field for 10 years.

23 0:01:48,203 --> 0:02:01,749 Dr. Sarah Almilli: Fortunately and unfortunately, I was in front line for a short amount of time and then I quickly Climbed up that ladder to corporate level and high levels in the corporate and from there I realized that we could do better to our patients.

24 0:02:02,451 --> 0:02:06,526 Mark Haney: Did you work for a Hospital group or a pharmacy?

25 0:02:07,007 --> 0:02:07,949 Mark Haney: Hospital group Okay.

26 0:02:08,090 --> 0:02:11,699 Dr. Sarah Almilli: Yes, I've worked in health care systems, absolutely so.

27 0:02:11,759 --> 0:02:18,533 Dr. Sarah Almilli: I've worked in five major ones, to be exact, and they all had very similar gaps.

28 0:02:18,734 --> 0:02:38,980 Dr. Sarah Almilli: So, confession, I was part of the problem for a while and then, when my dad had the stroke and then I kind of stepped down to see the problem from a different lens, and that is why I created a lick between my experience from a personal level, professional level, I knew something different needed to happen and I decided to be the difference and what what's broken that you're solving?

29 0:02:40,583 --> 0:02:43,389 Dr. Sarah Almilli: Lots of things, so let's try to categorize them.

30 0:02:43,429 --> 0:02:48,829 Dr. Sarah Almilli: So the first thing is the amount of Demands, right, heightened demands on the health care system.

31 0:02:48,849 --> 0:02:52,487 Dr. Sarah Almilli: Right now we have extremely high burnout rate.

32 0:02:53,230 --> 0:02:56,980 Mark Haney: We have very high burnout rate amongst medical professionals.

33 0:02:57,121 --> 0:03:02,036 Dr. Sarah Almilli: Yes, we had the all-time highest this year 64 percent across the country.

34 0:03:02,498 --> 0:03:06,146 Dr. Sarah Almilli: Before COVID it wasn't the 30th percentile and now we're 64 percent.

35 0:03:06,166 --> 0:03:10,114 Dr. Sarah Almilli: Sacramento, to be exact, we're hitting 42 percent burnout rate for physicians.

36 0:03:10,621 --> 0:03:21,060 Mark Haney: Yeah, and then when that happens, when when the Healthcare professionals are burned out, that translates to the patient translates to the patients healthcare costs increase right at the more burnout.

37 0:03:21,281 --> 0:03:22,546 Dr. Sarah Almilli: We enter the vicious cycle.

38 0:03:23,048 --> 0:03:25,036 Dr. Sarah Almilli: They get burned out, they leave right.

39 0:03:25,116 --> 0:03:26,100 Dr. Sarah Almilli: And if they leave, what happens?

40 0:03:26,180 --> 0:03:29,247 Dr. Sarah Almilli: We have more staff shortages and if we have more staff shortages?

41 0:03:29,287 --> 0:03:30,229 Dr. Sarah Almilli: What happens then?

42 0:03:30,370 --> 0:03:35,948 Dr. Sarah Almilli: The patients don't have the education they need to get yeah, quality of your services care decreases, right.

43 0:03:36,028 --> 0:03:42,205 Dr. Sarah Almilli: The appointment length of time decreases and instead of spending Spending 20 minutes, we spent 10 minutes.

44 0:03:42,646 --> 0:03:43,989 Dr. Sarah Almilli: Seven minutes, right?

45 0:03:44,129 --> 0:03:46,154 Dr. Sarah Almilli: What kind of diabetes can you explain in seven minutes?

46 0:03:47,382 --> 0:03:49,065 Mark Haney: Yeah, yeah, it's like it's.

47 0:03:49,246 --> 0:03:57,953 Dr. Sarah Almilli: You get treated just like a number instead of like a person right, and a vicious cycle continues on both sides of the house right, the physician side of the house, or the primary care practitioners and the patients.

48 0:03:58,434 --> 0:04:04,720 Dr. Sarah Almilli: And now you're seeing that medical schools, for example, right, less and less students are becoming primary care physicians because they're seeing the burnout.

49 0:04:05,562 --> 0:04:22,851 Dr. Sarah Almilli: Oh yeah so the vicious cycle is a lot more bigger and extreme than we think, than just what's under our feet and from the patient standpoint, we have a huge, high rate of patients entering our hospitals and eddies and creating that bottleneck Because of the lack of education, because of the lack of quality of care.

50 0:04:23,422 --> 0:04:26,920 Dr. Sarah Almilli: So they're both happening at the same time and they're hurting each other.

51 0:04:27,483 --> 0:04:29,313 Mark Haney: Yes, so which one are you?

52 0:04:29,413 --> 0:04:30,680 Mark Haney: Are you addressing both?

53 0:04:31,001 --> 0:04:41,280 Mark Haney: So you said you talked about because our lifestyles are putting us in the hospital, and then we get to the heart of the doctor, and then we get to the doctor and you know we get worse treatment, right?

54 0:04:41,502 --> 0:04:43,457 Mark Haney: Okay, so tell me about your solution.

55 0:04:43,477 --> 0:04:55,190 Dr. Sarah Almilli: I so the solution is to cater to both, because I think every other solution we've had so far caters to only one side patient side or the physician side and I think ILLIC is innovative in a way that it's catering to both sides of the house.

56 0:04:55,712 --> 0:05:03,644 Dr. Sarah Almilli: So what that means is for the physicians or primary care practitioners in general whether they're nurse practitioners, dos, mds then we go and support them.

57 0:05:03,724 --> 0:05:06,175 Dr. Sarah Almilli: Let's remove this administrative burden that they have.

58 0:05:06,396 --> 0:05:08,423 Dr. Sarah Almilli: We're advanced pharmacists, we're clinical pharmacists.

59 0:05:08,523 --> 0:05:11,891 Dr. Sarah Almilli: We can do practically everything a physician can do except diagnose.

60 0:05:12,500 --> 0:05:14,005 Dr. Sarah Almilli: So let's get the refills out of the way.

61 0:05:14,065 --> 0:05:15,791 Dr. Sarah Almilli: Let's get the prior authorizations out of the way.

62 0:05:16,383 --> 0:05:18,737 Dr. Sarah Almilli: Let's get the trainings out of the way, your competencies, all of that.

63 0:05:18,777 --> 0:05:22,455 Dr. Sarah Almilli: Let's get that out of the way and let you focus on what you need to focus on the most and the best.

64 0:05:23,278 --> 0:05:29,212 Dr. Sarah Almilli: Then, from the patient standpoint, let's get you what you need to get the quality of care that you deserve.

65 0:05:29,372 --> 0:05:42,048 Dr. Sarah Almilli: So instead of having the 10-minute appointment with your physicians, let's sit them for an hour, because, believe it or not, an hour will have a lot of things surface that need to be treated, more than the problem that's presenting in the 10 minutes.

66 0:05:42,169 --> 0:05:46,483 Dr. Sarah Almilli: And if you hit those core problems, your other problems will kind of solve themselves out.

67 0:05:46,784 --> 0:05:47,104 Mark Haney: Okay.

68 0:05:47,184 --> 0:05:50,049 Mark Haney: So when do I call you?

69 0:05:50,330 --> 0:05:50,570 Mark Haney: Okay?

70 0:05:50,610 --> 0:05:52,594 Mark Haney: So I'm feeling good.

71 0:05:53,121 --> 0:05:55,269 Mark Haney: Should I go get a checkup or should I go visit you?

72 0:05:55,610 --> 0:05:56,393 Mark Haney: I'm feeling bad.

73 0:05:56,513 --> 0:05:59,483 Mark Haney: Should I go to regular doctor or go you?

74 0:06:00,004 --> 0:06:03,773 Mark Haney: I'm trying to figure out, like what's going to prompt me to come see you.

75 0:06:04,461 --> 0:06:06,871 Dr. Sarah Almilli: So a couple of things, or a lot of things.

76 0:06:06,971 --> 0:06:14,172 Dr. Sarah Almilli: If you have already, or if you already know what problems you have and you're currently concerned about these problems, so let's say you have.

77 0:06:14,400 --> 0:06:16,666 Dr. Sarah Almilli: You know you have diabetes and now your blood sugars are acting up.

78 0:06:17,147 --> 0:06:22,472 Dr. Sarah Almilli: You know you have heart failure and you're seeing that you're accumulating fluid in your feet.

79 0:06:22,934 --> 0:06:29,364 Dr. Sarah Almilli: If you know that what the problem is and you're seeing exacerbations or symptoms of that problem, you can come straight to ELIC, because then we can help you out.

80 0:06:29,384 --> 0:06:37,809 Mark Haney: So then I go to you and you're not a general practitioner, you're not a I shouldn't say regular doctor, you're more like a doctor of pharmacy, correct?

81 0:06:37,870 --> 0:06:46,498 Mark Haney: So in terms of like, comparing to, I'm gonna get more time with you, but are at what kind?

82 0:06:46,538 --> 0:06:47,240 Mark Haney: What's the difference in my care?

83 0:06:47,400 --> 0:06:49,486 Mark Haney: When do you send them over to the hospital or what?

84 0:06:49,706 --> 0:06:51,270 Mark Haney: How do you sort that out?

85 0:06:51,350 --> 0:06:52,962 Dr. Sarah Almilli: So that's the beauty of ELIC, right?

86 0:06:53,062 --> 0:06:58,023 Dr. Sarah Almilli: So when you come to me knowing exactly what diagnosis you have, I get to dig deep into what the problem is.

87 0:06:58,083 --> 0:07:01,391 Dr. Sarah Almilli: That's the one hour that we spend together multiple times, or one time.

88 0:07:01,852 --> 0:07:04,692 Dr. Sarah Almilli: From there, we assess together Do you need a physician?

89 0:07:04,832 --> 0:07:12,867 Dr. Sarah Almilli: Is this the time that we start involving your physician, or is this the time that I need to help you out without a physician at this point, while communicating to the physician?

90 0:07:12,967 --> 0:07:14,413 Dr. Sarah Almilli: Do you absolutely need that access?

91 0:07:14,895 --> 0:07:17,223 Mark Haney: So you're the place we can go to.

92 0:07:17,303 --> 0:07:24,119 Mark Haney: That's not a physician, physician and the and the normal treatment you get.

93 0:07:24,139 --> 0:07:31,724 Mark Haney: It's more like a concierge service to help get us directed to the right place or maybe get something simple, just handled, correct, absolutely.

94 0:07:32,105 --> 0:07:33,046 Mark Haney: Give me.

95 0:07:33,127 --> 0:07:34,870 Mark Haney: Walk me through an example.

96 0:07:34,910 --> 0:07:44,162 Mark Haney: Let's say I'm feeling good, but you know, I feel like I need a physical to make sure because I'm getting old and I want to live a long time.

97 0:07:44,182 --> 0:07:45,044 Mark Haney: But I'm feeling good.

98 0:07:45,505 --> 0:07:48,853 Mark Haney: Should I go see you to get pointed in the right direction for that?

99 0:07:49,601 --> 0:07:51,773 Dr. Sarah Almilli: No, if you're feeling good, you need to make an appointment.

100 0:07:52,034 --> 0:07:57,752 Dr. Sarah Almilli: I encourage everyone to make their one year at least one year of physical checkup with their physician or whatever hospital they go to.

101 0:07:58,020 --> 0:08:17,461 Mark Haney: Okay, so it's when I have some sort of symptom that I would come and see you and then walk me through maybe something typical, some of the typical scenarios where I walk in I've got you talked about diabetes, I've got some of these symptoms, and what do you do at that point?

102 0:08:17,501 --> 0:08:18,263 Mark Haney: Walk me through that journey.

103 0:08:18,303 --> 0:08:21,552 Mark Haney: I get my one hour consult with you and what kinds of things.

104 0:08:21,760 --> 0:08:22,543 Mark Haney: What would that feel like?

105 0:08:23,386 --> 0:08:31,213 Dr. Sarah Almilli: So I would first start collecting your health history right, just like any physician, except that they may have they may do it on steroids.

106 0:08:31,574 --> 0:08:35,589 Dr. Sarah Almilli: I will do it over 20 minutes just to collect what else is going on.

107 0:08:36,332 --> 0:08:37,817 Dr. Sarah Almilli: Why do you think you have the symptoms?

108 0:08:37,877 --> 0:08:39,946 Dr. Sarah Almilli: What has happened in the past few weeks or few months?

109 0:08:40,086 --> 0:08:41,452 Dr. Sarah Almilli: Who lives differently with you?

110 0:08:41,592 --> 0:08:42,597 Dr. Sarah Almilli: Where do you live differently?

111 0:08:43,099 --> 0:08:46,936 Dr. Sarah Almilli: Everything from a financial standpoint, social standpoint, emotional, mental, everything.

112 0:08:47,257 --> 0:08:52,158 Dr. Sarah Almilli: Collect all that history, because everything counts, and then, from there on, I look at your medications.

113 0:08:52,379 --> 0:08:53,504 Dr. Sarah Almilli: What is it that you're taking?

114 0:08:53,624 --> 0:08:54,508 Dr. Sarah Almilli: Are you still taking them?

115 0:08:54,568 --> 0:08:56,015 Dr. Sarah Almilli: Are you taking the right things?

116 0:08:56,437 --> 0:08:58,908 Dr. Sarah Almilli: Did you decide to improvise and add things on your own?

117 0:08:58,949 --> 0:09:00,074 Dr. Sarah Almilli: The supplements and the herbs?

118 0:09:00,476 --> 0:09:05,669 Dr. Sarah Almilli: Are you sticking to what you're supposed to be taking, the way you're supposed to be taking them, and believe it or not?

119 0:09:05,709 --> 0:09:09,749 Dr. Sarah Almilli: From all these conversations cause it's a lengthy one lots of other things surface.

120 0:09:10,185 --> 0:09:18,346 Dr. Sarah Almilli: For example, I had one of my patients that came to me just for diabetes, just speaking of that, but it turns out that it was the PTSD from.

121 0:09:18,386 --> 0:09:23,892 Dr. Sarah Almilli: Something completely different is what's messing up her blood sugars, and I really needed to leave diabetes alone.

122 0:09:24,345 --> 0:09:28,846 Dr. Sarah Almilli: Address what is really the core problem, then go back and fix the blood sugars Cause.

123 0:09:29,287 --> 0:09:30,833 Dr. Sarah Almilli: Bendating blood sugars is not gonna work.

124 0:09:31,145 --> 0:09:32,350 Dr. Sarah Almilli: Hitting the core is what's gonna work.

125 0:09:32,691 --> 0:09:33,273 Dr. Sarah Almilli: Oh, interesting.

126 0:09:33,605 --> 0:09:40,630 Mark Haney: The PTSD was changing their habits and what they do all day what they put into their body.

127 0:09:40,750 --> 0:09:43,632 Mark Haney: Yes, and that was the ultimate cause, correct?

128 0:09:44,265 --> 0:09:45,811 Mark Haney: Okay, so you're getting more to the root of the cause.

129 0:09:45,851 --> 0:09:46,433 Mark Haney: Okay, interesting.

130 0:09:48,026 --> 0:09:54,513 Mark Haney: And what about somebody who has a cold or maybe just feels like they've got the flu, or oh no, maybe I have COVID or something like that?

131 0:09:54,605 --> 0:09:57,810 Mark Haney: Would I go to you if I'm just like feel like I might have a virus coming on?

132 0:09:58,225 --> 0:09:59,972 Dr. Sarah Almilli: Yeah, so we have specialties under ELEC.

133 0:10:00,105 --> 0:10:13,376 Dr. Sarah Almilli: We have the chronic conditions, which is everything we just touched on, and then we have medication therapy management and then we have consultations If you're feeling like you have a cold and you need someone to really walk you through the cold symptom without it being diagnosed.

134 0:10:13,585 --> 0:10:19,587 Dr. Sarah Almilli: Ie, a lot of patients of mine don't even sometimes have a physician at all, or they don't want to go to a physician, they just have a cold.

135 0:10:19,608 --> 0:10:22,853 Dr. Sarah Almilli: They want over the counters, they want something to help them out.

136 0:10:23,345 --> 0:10:25,293 Dr. Sarah Almilli: Then, yes, then we can help you with this.

137 0:10:25,405 --> 0:10:27,212 Dr. Sarah Almilli: This is usually a much shorter service.

138 0:10:27,345 --> 0:10:28,590 Mark Haney: I don't need an hour for that.

139 0:10:28,630 --> 0:10:34,229 Dr. Sarah Almilli: Yeah, but the beauty of ELEC is that they also have that provider on demand and at their fingertips.

140 0:10:34,805 --> 0:10:39,851 Dr. Sarah Almilli: You can call us at 7 pm because you are at Rayleigh's not knowing what to pick out of the shelf.

141 0:10:40,325 --> 0:10:41,249 Mark Haney: And we'll help you out with that.

142 0:10:41,430 --> 0:10:41,992 Mark Haney: Oh, interesting.

143 0:10:42,245 --> 0:10:48,296 Mark Haney: Okay, so you have an actual facility that I can walk into or just handle something over the phone.

144 0:10:48,585 --> 0:10:50,212 Dr. Sarah Almilli: It's all virtual or we go to you.

145 0:10:50,425 --> 0:10:52,974 Dr. Sarah Almilli: It's really the most old school way of doing healthcare.

146 0:10:53,245 --> 0:10:54,511 Mark Haney: Oh, okay, so there is no facility.

147 0:10:54,705 --> 0:10:56,613 Dr. Sarah Almilli: Yeah, there is no facility.

148 0:10:56,745 --> 0:11:08,873 Dr. Sarah Almilli: It's remember those times when we used to maybe my parents would know that more but we'd call a doctor and they'd come to you and have this bag and it has like a stethoscope right and a thermometer and a Tylenol and you have the bag.

149 0:11:09,445 --> 0:11:11,613 Dr. Sarah Almilli: It's practically very similar to that.

150 0:11:11,725 --> 0:11:14,719 Mark Haney: Oh wow, you come to the house, so Okay, good dog.

151 0:11:14,920 --> 0:11:19,151 Dr. Sarah Almilli: I have been to some of my patients houses to go and cater to them if they're elderly.

152 0:11:19,780 --> 0:11:24,147 Dr. Sarah Almilli: Some of them a lot of my patients like virtual, so we do a lot of virtual zoom calls and team calls.

153 0:11:25,300 --> 0:11:28,667 Dr. Sarah Almilli: Lots of my patients like to meet elsewhere and then we also cater to public education.

154 0:11:28,760 --> 0:11:36,029 Dr. Sarah Almilli: So a lot of times I'm giving like public education speaking engagements about medication, adherence, COVID, whatever you name it.

155 0:11:36,560 --> 0:11:39,167 Mark Haney: Now, in terms of the industry, there's a lot of people that are.

156 0:11:39,467 --> 0:11:48,128 Mark Haney: You use the term supplements so that a lot of people want to take, want to be as healthy as they can, so they end up taking different types of supplements.

157 0:11:48,200 --> 0:11:55,106 Mark Haney: Are there certain types of things that you recommend for healthy people to take, or is it predominantly just sick people?

158 0:11:56,720 --> 0:11:58,688 Dr. Sarah Almilli: So vitamins are no brain right.

159 0:11:58,800 --> 0:12:02,570 Dr. Sarah Almilli: If I can make one public advice, it would be the vitamins, because they're the safest part.

160 0:12:03,340 --> 0:12:12,011 Dr. Sarah Almilli: I think it gets tricky when you dive into things off of social media Like if you take this, your blood sugars are going to like be okay.

161 0:12:12,300 --> 0:12:17,229 Dr. Sarah Almilli: The other day I got an email that if you make this one hand movement you will cure your diabetes.

162 0:12:17,830 --> 0:12:20,305 Dr. Sarah Almilli: Let's not do that Because that's not going to work.

163 0:12:20,920 --> 0:12:26,072 Dr. Sarah Almilli: So I think supplements are good if they want to have them, if they have the affordability.

164 0:12:26,680 --> 0:12:41,313 Dr. Sarah Almilli: From where I sit, a lot of medications are a lot of these things over the counter are not FDA approved or they have not been tested through safety and other measures, so I try to caution against them if the patient is on a lot of other medications.

165 0:12:41,740 --> 0:12:48,567 Dr. Sarah Almilli: The other thing people don't know is they will do a lot of internet search and Google will tell them all the kinds of different things, which is great.

166 0:12:48,648 --> 0:12:50,899 Dr. Sarah Almilli: Some of it is credible, some of it is not.

167 0:12:50,960 --> 0:12:54,730 Dr. Sarah Almilli: But most patients don't know what's a credible source versus what's not a credible source.

168 0:12:55,380 --> 0:13:02,973 Mark Haney: So I'm a believer in exercise, very strenuous cardio, weightlifting and things like that.

169 0:13:03,033 --> 0:13:04,643 Mark Haney: As far as health, I do yoga.

170 0:13:06,300 --> 0:13:15,387 Mark Haney: In terms of recommending lifestyle choices, obviously I've kind of mentioned what we put into our bodies, but what about the activities that we do?

171 0:13:15,500 --> 0:13:18,429 Mark Haney: How important is exercise, you think, in keeping us healthy?

172 0:13:18,800 --> 0:13:25,090 Dr. Sarah Almilli: Oh, crucial, very important, very important and I would say, know what you need to do.

173 0:13:25,820 --> 0:13:29,610 Dr. Sarah Almilli: If you're a healthy man and you're doing yoga and different vigorous exercises, great.

174 0:13:30,420 --> 0:13:35,711 Dr. Sarah Almilli: If you are a person that has a congestive heart failure, that may not be the route for you Right.

175 0:13:37,741 --> 0:13:48,810 Dr. Sarah Almilli: If you have a disability of one sort or another, some people resort to say like, oh, I can't move, there are exercises to do, while you cannot move certain way or whatever.

176 0:13:50,580 --> 0:13:53,629 Dr. Sarah Almilli: So every disease state also prefers a certain type of exercise.

177 0:13:53,980 --> 0:13:57,949 Dr. Sarah Almilli: Some need cardio, some need muscle resistance, because it depends on what your body is going through.

178 0:13:58,580 --> 0:14:01,629 Dr. Sarah Almilli: So exercise overall is crucial for our health.

179 0:14:02,640 --> 0:14:03,603 Dr. Sarah Almilli: What kind of exercise?

180 0:14:03,683 --> 0:14:05,828 Dr. Sarah Almilli: That is dependent on the person and what they have.

181 0:14:06,269 --> 0:14:06,530 Mark Haney: Okay.

182 0:14:07,700 --> 0:14:16,785 Mark Haney: So in terms of the business so you referred I got referred to you through Scott Crocker and he's a friend of mine.

183 0:14:17,020 --> 0:14:19,768 Mark Haney: He's a business consulting guy, has a marketing practice.

184 0:14:21,020 --> 0:14:23,488 Mark Haney: What are you in terms of like building a business like this?

185 0:14:24,142 --> 0:14:29,711 Mark Haney: Is this a scalable type of business, I mean, or is it just you and your one person show and you do your thing?

186 0:14:30,721 --> 0:14:32,247 Dr. Sarah Almilli: I'm going to follow your statement here.

187 0:14:32,420 --> 0:14:35,303 Dr. Sarah Almilli: No great company is built on one person, right, oh you?

188 0:14:35,323 --> 0:14:39,085 Mark Haney: saw that down below Nobody builds a truly great company alone.

189 0:14:39,186 --> 0:14:40,871 Mark Haney: I love it Okay, cool, tell me about that.

190 0:14:40,991 --> 0:14:41,974 Dr. Sarah Almilli: Definitely not alone.

191 0:14:42,315 --> 0:14:43,900 Dr. Sarah Almilli: I am the co-founder with my husband.

192 0:14:44,161 --> 0:14:46,646 Dr. Sarah Almilli: We are both co-founders of this Elec idea.

193 0:14:46,726 --> 0:14:48,008 Dr. Sarah Almilli: That started as an idea.

194 0:14:48,449 --> 0:14:50,273 Dr. Sarah Almilli: We saw a problem, we saw an opportunity.

195 0:14:50,520 --> 0:14:51,182 Dr. Sarah Almilli: We wanted to solve it.

196 0:14:52,526 --> 0:14:53,208 Dr. Sarah Almilli: Now we have a team.

197 0:14:53,228 --> 0:14:56,668 Dr. Sarah Almilli: We have a team of seven people, so our company is growing.

198 0:14:56,820 --> 0:15:01,191 Dr. Sarah Almilli: It is scalable because people are longing for that attention when it comes to their health.

199 0:15:02,140 --> 0:15:03,685 Dr. Sarah Almilli: People need that bond.

200 0:15:04,267 --> 0:15:08,749 Dr. Sarah Almilli: Think about this it's the strongest bond in the world to talk to someone about their health.

201 0:15:09,190 --> 0:15:09,430 Dr. Sarah Almilli: Why?

202 0:15:10,260 --> 0:15:12,626 Dr. Sarah Almilli: Because health is not one of those things that can come and go.

203 0:15:13,387 --> 0:15:15,512 Dr. Sarah Almilli: Finances come and go, relationships come and go.

204 0:15:15,860 --> 0:15:17,366 Dr. Sarah Almilli: Health, when it goes, it doesn't come back.

205 0:15:17,980 --> 0:15:27,407 Dr. Sarah Almilli: So that is one strong bond and you want to bond with someone, you want to have that continuity of care, you want someone to listen to you and that is why it's scalable.

206 0:15:27,749 --> 0:15:28,250 Mark Haney: Absolutely.

207 0:15:29,345 --> 0:15:33,022 Mark Haney: You have a very excellentamisit device, probably easier to scale.

208 0:15:33,095 --> 0:15:39,739 Mark Haney: I know I'm invested into one telemedicine company that's done really well and grown fast, and I think they were.

209 0:15:40,060 --> 0:15:43,702 Mark Haney: You know you don't have all the infrastructure costs with brick and mortar that you had with brick and mortar.

210 0:15:44,215 --> 0:15:48,183 Mark Haney: If you're doing it online, it seems like it is kind of a more scalable opportunity.

211 0:15:48,524 --> 0:15:49,436 Dr. Sarah Almilli: Absolutely so.

212 0:15:49,496 --> 0:15:54,564 Dr. Sarah Almilli: Right now, for example, we have partners in Sacramento and then we also have partners in Los Angeles, right.

213 0:15:54,695 --> 0:15:57,802 Dr. Sarah Almilli: So it is definitely scalable, at least in the California market right now.

214 0:15:58,135 --> 0:15:59,621 Mark Haney: Do you envision scaling it be?

215 0:16:00,276 --> 0:16:01,722 Mark Haney: How's the company gonna change?

216 0:16:01,835 --> 0:16:08,126 Mark Haney: Will you be adding different kinds of offerings, or is this duplicating what you've got now only?

217 0:16:11,057 --> 0:16:13,084 Dr. Sarah Almilli: So it's going to morph in different ways.

218 0:16:13,335 --> 0:16:18,000 Dr. Sarah Almilli: If I were to tell you our business strategy in a big way, first is the patient part.

219 0:16:18,255 --> 0:16:22,924 Dr. Sarah Almilli: The just the patient piece alone is scalable because it's different subscription packages, right.

220 0:16:23,135 --> 0:16:26,098 Dr. Sarah Almilli: There are the patients that need something on demand, one and done and go.

221 0:16:26,635 --> 0:16:32,020 Dr. Sarah Almilli: And then there are patients that want to be with us for the three months or the six months or even the year because they have a chronic condition.

222 0:16:32,115 --> 0:16:35,159 Dr. Sarah Almilli: A chronic condition is non-curable by definition and is not going away.

223 0:16:36,397 --> 0:16:37,702 Dr. Sarah Almilli: And then we have the physician side.

224 0:16:38,456 --> 0:16:40,343 Dr. Sarah Almilli: So physician sides are more like partnerships.

225 0:16:40,655 --> 0:16:45,243 Dr. Sarah Almilli: Please take care of these patients, please take care of this part of the clinic for us.

226 0:16:45,635 --> 0:16:50,443 Dr. Sarah Almilli: Multiply that by the different physician clinics or like groups in general physician groups.

227 0:16:51,275 --> 0:16:58,000 Dr. Sarah Almilli: And we also cater to the organizations that cater to the public, so healthcare organizations or non-healthcare organizations.

228 0:16:58,535 --> 0:17:00,201 Dr. Sarah Almilli: A lot of them are nonprofit organizations.

229 0:17:00,735 --> 0:17:03,705 Dr. Sarah Almilli: So I know we've done COVID, vaccine clinics, for example.

230 0:17:03,815 --> 0:17:11,858 Dr. Sarah Almilli: We've done speaking engagements to teach about how adverse child experiences impact your stress level and your diet and exercise.

231 0:17:12,099 --> 0:17:15,774 Dr. Sarah Almilli: As a 30 and four year old man, right, you would have never thought about that.

232 0:17:15,915 --> 0:17:17,802 Dr. Sarah Almilli: How to have better medication adherence.

233 0:17:18,355 --> 0:17:19,579 Dr. Sarah Almilli: And that has scaled.

234 0:17:19,679 --> 0:17:31,382 Dr. Sarah Almilli: Started out by the nonprofits, and now it branched out to having us go to like Escatons and other facilities that cater to senior livings, assisted livings and so forth for their patients.

235 0:17:32,035 --> 0:17:35,125 Dr. Sarah Almilli: And then, lastly, the next step is that the employer groups.

236 0:17:35,595 --> 0:17:47,703 Dr. Sarah Almilli: If we can cater to your employees and be there for them, then you have less people absent from work, you have much better retention right and you have a lot less workers come because of the stress of the work environment.

237 0:17:47,775 --> 0:17:57,204 Dr. Sarah Almilli: If you have a provider right there with them, then they can cope with that stress a lot more and better and that way, as an employer, you're benefiting a lot more than what you think you're putting in.

238 0:17:57,575 --> 0:17:59,984 Mark Haney: So in terms of I'm here at a few different revenue streams.

239 0:18:00,035 --> 0:18:08,423 Mark Haney: So you have, you've obviously got people that you supply medication to that's probably paid for by the insurance company many times.

240 0:18:09,245 --> 0:18:20,125 Mark Haney: Yes, okay, and then I guess they can pay cash forward or they can use their insurance, but your service is more of a subscription model, correct, is that right?

241 0:18:21,175 --> 0:18:24,942 Mark Haney: Okay, and then maybe from a speaking engagement, that would be like a one-off type thing.

242 0:18:25,022 --> 0:18:27,562 Dr. Sarah Almilli: Correct One-off or you know, you'd be surprised.

243 0:18:27,635 --> 0:18:30,918 Dr. Sarah Almilli: Some facilities wanted us to go every three months for a different topic.

244 0:18:31,520 --> 0:18:32,142 Mark Haney: Very interesting.

245 0:18:32,375 --> 0:18:36,044 Mark Haney: Okay, what else am I missing in terms of those revenue streams there?

246 0:18:36,115 --> 0:18:40,482 Mark Haney: So kind of simplified it to three because it's how my mind works.

247 0:18:40,535 --> 0:18:43,720 Mark Haney: But where else does the money come in for you to grow the company?

248 0:18:44,715 --> 0:18:46,242 Dr. Sarah Almilli: I think these are the four primary ones.

249 0:18:46,315 --> 0:18:49,578 Dr. Sarah Almilli: The business to consumer, which is straight to the patient, and then the physicians.

250 0:18:49,618 --> 0:18:51,103 Dr. Sarah Almilli: These are like BTCs right.

251 0:18:51,183 --> 0:18:54,521 Mark Haney: Okay, and that's a referral to a physician, correct?

252 0:18:54,602 --> 0:18:54,882 Mark Haney: Okay?

253 0:18:55,223 --> 0:19:05,083 Dr. Sarah Almilli: Yes, and then we have the non-profits or the different organizations for the public education or their patients, or bulk or whatever and then we have your employer groups.

254 0:19:05,495 --> 0:19:16,943 Dr. Sarah Almilli: The last one I haven't talked about is a different side of ELEC and it's not the most famous side right now, but that's okay which is the operational performance improvement side, and that is currently another revenue stream that we have.

255 0:19:17,455 --> 0:19:24,341 Dr. Sarah Almilli: So I personally and that's a one-man show piece I personally have been in performance improvement for like almost a decade, right.

256 0:19:24,835 --> 0:19:30,979 Dr. Sarah Almilli: So I've been certified in multiple of these avenues per se, whether lean or six sigma.

257 0:19:31,000 --> 0:19:58,559 Dr. Sarah Almilli: I know these are terms that are probably foreign to most people, but because of these certifications, what I can do, and what I have been doing, is that I go to an operation, any organization that has productivity measures that are suboptimal staffing issues, performance improvement issues, and what I do is that I go in and enhance those opportunities or jump on the opportunities, enhance the performance, increase productivity, increase staffing.

258 0:19:58,790 --> 0:20:01,038 Mark Haney: You do that, for you said all organizations.

259 0:20:01,370 --> 0:20:03,853 Mark Haney: You don't have a focus within healthcare, then it could be anybody.

260 0:20:04,215 --> 0:20:04,676 Dr. Sarah Almilli: Oh, correct.

261 0:20:05,050 --> 0:20:09,858 Dr. Sarah Almilli: Currently I'm doing it with two different entities One is related to healthcare and one is not.

262 0:20:10,710 --> 0:20:12,075 Mark Haney: Wow, that's interesting.

263 0:20:12,095 --> 0:20:14,295 Mark Haney: Why did you start that when you got this other stuff that's rolling.

264 0:20:14,850 --> 0:20:18,079 Dr. Sarah Almilli: You know, I think it's because I'm a problem solver by nature.

265 0:20:18,730 --> 0:20:19,895 Mark Haney: Yeah, you're an entrepreneur.

266 0:20:20,471 --> 0:20:22,297 Mark Haney: You're going a lot of different directions here.

267 0:20:22,478 --> 0:20:23,611 Mark Haney: Very interesting, Okay.

268 0:20:23,651 --> 0:20:24,977 Mark Haney: So what did I not ask you?

269 0:20:25,050 --> 0:20:29,359 Mark Haney: That you wanna make sure that our audience gets a chance to know about you and your business?

270 0:20:31,270 --> 0:20:43,593 Dr. Sarah Almilli: I think one thing that I wanted to make sure everyone knows is that this company is built based on real, real human, like Reliability, if that's a word right A lot of companies.

271 0:20:43,633 --> 0:20:54,336 Dr. Sarah Almilli: Sometimes we see them and we think like, oh well, they don't know what they're talking about, or like that's so far removed, or the current situation where healthcare is run by, like, administrators and not clinicians.

272 0:20:55,510 --> 0:20:57,638 Dr. Sarah Almilli: But this company is founded by clinicians.

273 0:20:58,532 --> 0:21:07,657 Dr. Sarah Almilli: My co-founder, my husband, is a pharmacist as well and he's a different kind of professional pharmacy, and together we complete each other to cater to everyone that we encounter.

274 0:21:08,650 --> 0:21:16,575 Dr. Sarah Almilli: So I think that's the one part that distinguishes us so much where it's clinicians running a healthcare and that has become rare.

275 0:21:17,010 --> 0:21:19,695 Mark Haney: Yes, yes, well, very cool.

276 0:21:19,830 --> 0:21:30,159 Mark Haney: I love the idea that you're attacking this problem from a different direction, and I think that's how that's what entrepreneurship is all about You're innovating on something that needs to be innovated.

277 0:21:31,390 --> 0:21:35,257 Mark Haney: So thank you for bringing this to the world, and I wish you the best of luck.

278 0:21:35,498 --> 0:21:36,863 Dr. Sarah Almilli: Thank you, thanks for having me here.

279 0:21:37,170 --> 0:21:38,200 Mark Haney: Congratulations on your success.

280 0:21:38,443 --> 0:21:39,089 Dr. Sarah Almilli: Thank you, thank you.