Thus, he endeavored to change that. Peck lived at a nursing home on Long Island for three months. During his time at Central Island Healthcare, he slept on a cot in a conference room and experienced the various elements of the facility, from seeing how the food was made to meeting with the CFO.
While there, Peck also set up an experiment to see what the nursing home was like in the middle of the night. He set an alarm for 1 a.m. one night, 2 a.m. the next night and so on. Each time he got up and walked around, but never once did he see a physician.
“You assume as a consumer … that there are physicians there, but there aren’t,” he said. That was the biggest lesson he learned from the experience.
“It changed the trajectory of my life,” Peck added. “You can’t really go back after seeing the problem firsthand.”
The knowledge gained from his time in the nursing home assisted him as he continued to build Call9.
Here’s how the startup’s approach works: It places a first responder in nursing homes 24/7. They attend to the patient whenever there’s a change in his or her condition. The first responder can then use Call9’s technology to bring a remote doctor into the loop. The doctor can see, diagnose and treat patients, thus avoiding unnecessary ED trips.
Peck said about 20 percent of the patients Call9 treats end up going to the ED, but the other 80 percent are able to stay in their own beds in the nursing home.
The company participates in value-based arrangements with payers. It also contracts with nursing homes. “They pay us a platform fee for the utilization of some of our consulting services that are not covered by the payers themselves,” Peck said.