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>> NURSING HOMES AND ASSISTED
LIVING FACILITIES IN INDIANA ARE
AMONG THE HARDEST HIT BY
COVID-19 WITH A SIGNIFICANT

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SHARE OF DEATHS CAUSED BY THE
CORONAVIRUS. STATE LEADERS ARE
TAPPING THE PRIVATE SECTOR TO
HELP ATTACK THE PROBLEM, AND

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AMONG ITS PARTNERS IS
INDIANAPOLIS-BASED STARTUP
PROBARI.
BUSINESS OF HEALTH REPORTER

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KYLIE VELETA JOINS US WITH MORE.
PROBARI MEANS "PROVEN" IN LATIN,
AND THAT'S A REFERENCE TO THE
STARTUP'S ROOTS: AN

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ACADEMIA-BASED PROJECT TO
IMPROVE QUALITY OF CARE AT
NURSING HOMES.
FOUNDED TWO YEARS AGO, THE

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STARTUP'S GOAL IS TO IMPROVE
QUALITY OF CARE AT NURSING HOMES
TO REDUCE THE NUMBER OF
UNNECESSARY TRANSFERS TO

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HOSPITALS. THAT MISSION REMAINS,
BUT LIKE SO MANY HOOSIER
COMPANIES, THE STARTUP IS NOW
PIVOTING AND USING ITS EXPERTISE

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TO HELP THE MORE THAN 500
NURSING HOMES IN THE STATE
BATTLE COVID-19.
HERE TO TELL US ABOUT THE

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STARTUP'S NEW CONTRACT WITH THE
STATE IS DR. KATHLEEN UNROE,
FOUNDER AND CHIEF EXECUTIVE
OFFICER OF PROBARI.

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>> THANK YOU FOR HAVING ME.
>> BEFORE WE GET INTO YOUR START
UP'S RESPONSE, LET'S TALK ABOUT
ITS GENERAL MISSION. TELL US

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ABOUT WHAT PROBARI DOES. SO
PROBARI WAS CREATED OUT OF
OPTIMISTIC, CLINICAL
DEMONSTRATION PROJECT FUNDED BY

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CMS, A $30.3 MILLION PROJECT
DESIGNED TO REDUCE AVOIDABLE
HOSPITAL TRANSFERS OF NURSING
FACILITY RESIDENTS. SO WE WORK

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AT PROBARI IN PARTNERSHIP WITH
NURSING HOMES TO REDUCE THESE
TRANSFERS AND -- AND WE DO THAT
THROUGH IMPLEMENTING AND

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EVIDENCE-BASED NURSE ROLE THAT
IS SUPPORTED WITH PROTOCOLS,
WORK FLOWS, AND SOFTWARE.
>> MUCH OF THIS TAKING PLACE

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WHERE YOU ARE A RESEARCHER, AND
ONE OF PROBARI'S INVESTORS. LIKE
SO MANY COMPANIES IN INDIANA,
YOU'RE PIVOTING A LITTLE BIT AND

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TAKING YOUR SKILLSET AND
APPLYING IT TOWARD THIS HEALTH
CRISIS, TELL US EXACTLY WHAT
PROBARI IS DOING AND ABOUT YOUR

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NEW PARTNERSHIP WITH THE STATE.
>> YES. SO I'M A A GERIATRIC AND
PHYSICIAN, I # THE FIRST # # #
# -- MY HEART IS WITH EVERY

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FRONT LINE NURSING HOME STAFF
AND PROVIDER IN THE COUNTRY
RIGHT NOW. YOU KNOW, AS GERRY
SAID, THIS IS A VERY INTENSE

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TIME FOR NURSING FACILITIES AND
ASSISTED LIVING FACILITIES. MY
TEAM AT PROBARI ARE TRAINED IN
GERIATRICS, PALLIATIVE CARE AND

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IMPLEMENTATION OF BEST PRACTICES
IN NURSING HOMES. WE'RE REALLY
SEARCHING FOR HOW CAN WE
CONNECT, AND HOW CAN WE SUPPORT

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BEST DURING THIS TIME. AND I'M
SO GRATEFUL TO BE CONNECTED TO
THE COMMAND, OR NON-HOSPITAL
RESPONSE TO COVID-19 IN INDIANA.

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WE HAVE A CONTRACT WITH THE
INDIANA STATE DEPARTMENT OF
HEALTH TO SUPPORT AND EXTEND THE
NURSE SURVEYOR RESOURCES, SO OUR

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PROBARI NURSES ARE CALLING
NURSING FACILITIES AND ASSISTED
LIVING FACILITIES ACROSS THE
STATE, WE'RE DELIVERING TEST

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RESULTS AND ALSO DOING EDUCATION
AND TRAINING AROUND BEST
PRACTICES FOR INFECTION CONTROL
AT THIS TIME.

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>> AND YOU EXPLAINED TO ME OFF
CAMERA. IT'S ALMOST LIKE GROWING
THE STATE DEPARTMENT HEALTH,
THEIR EMPLOYEE BASE. IT IS KIND

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OF LIKE EXTENDING THEIR
WORKFORCE IN A WAY.
>> OUR GOAL IS TO, EXACTLY, TO
UPLOAD AND EXTEND AND EXTEND

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THEIR REACH, YOU KNOW, WE HAVE
540 NURSING FACILITIES IN
INDIANA, AND MANY ASSISTED
LIVING FACILITIES, AS WELL, AND

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THEY ALL NEED SUPPORT RIGHT NOW.
THIS IS JUST REALLY -- SUCH A
DIFFICULT TIME, AND ALSO NEW
GUIDANCE IS BEING PUT OUT ALL

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THE TIME AS WE LEARN MORE AND
MORE ABOUT BEST PRACTICES FOR
THIS CONDITION IN THIS SETTING.
SO THERE'S THE NEED FOR

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CONTINUED EDUCATION OUTREACH AND
REINFORCEMENT.
>> HELPING GUIDE THEM FOR SURE.
THIS TIME FOR NURSING HOMES,

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LIKE YOU SAID, IT REALLY IS A
TRAGIC TIME FOR THEM. IT ALSO IS
SHINING A LIGHT ON YOUR
START-UP. EXPLAIN HOW THAT'S

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REALLY HELPING SHOW WHAT YOUR
START-UP IS CAPABLE OF DOING.
>> WELL, YOU KNOW, WHAT WE DO IS
LONG-TERM SOLUTION FOR ROOT

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CAUSE PROBLEMS AND ISSUES IN
NURSING FACILITIES. SO, OUR
NURSE ROLE IS DEDICATED TO
SYSTEMIC ADVANCED CARE PLANNING,

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SO UNDERSTANDING RESIDENT AND
FAMILY GOALS FOR CARE AND HOW TO
HONOR THEM, RECOGNITION OF AN
ACUTE CHANGE IN STATUS, AND

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BEING ABLE TO COMMUNICATE THAT
CLEARLY, AND GET A PLAN IN PLACE
TO HAVE MONITOR AND TREAT ACUTE
ILLNESS. ALL OF THIS IS CRITICAL

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RIGHT NOW DURING THE PANDEMIC,
AND MY HOPE IS THAT THERE WILL
BE INCREASED INTEREST IN
INVESTING IN RESOURCES LIKE WHAT

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WE OFFER TO SUPPORT THESE TYPE
OF RESOURCES AND NURSING
FACILITIES LONG-TERM. THEY'RE
VERY NEEDED NOW, BUT THEY'RE

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NEEDED EVERY DAY. WE TAKE CARE
OF VERY MEDICALLY COMPLEX AND
FRAIL AND VULNERABLE RESIDENTS
IN THIS SETTING. NOW I FEEL LIKE

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EVERYBODY IS BECOMING VERY AWARE
OF THIS. BUT, BEFORE COVID-19, A
QUARTER OF LONG STAY NURSING
HOME RESIDENTS TRANSFER TO THE

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HOSPITAL IN A YEAR. SO IT'S
COMMON THAT NURSING FACILITY
RESIDENTS NEED THIS KIND OF
SUPPORT. IT'S JUST THAT MUCH

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MORE INTENSE RIGHT NOW. SO, YES,
I THINK THIS IS SHINING A BRIGHT
LIGHT ON SOME OF THE ISSUES IN
NURSING HOME CARE, BUT ALSO IN

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COMMUNICATION BETWEEN NURSING
HOMES AND HOSPITALS, AND
HOSPITALS TO NURSING HOMES. AND
I HOPE THAT THERE CAN BE

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ATTENTION TO LONG-TERM FIXES FOR
SOME OF THOSE ISSUES, AND THAT'S
A LOT OF THE THINGS THAT OUR
COMPANY CAN HELP WITH AND HAVE

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SPENT YEARS DOING RESEARCH ON
AND STUDYING.
>> DOCTOR, I KNOW YOU CERTAINLY
HAVE YOUR HANDS FULL, AND BEST

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OF LUCK TO YOUR START-UP AS YOU
GUIDE THE STATE THROUGH THIS. I
APPRECIATE YOUR TIME BEING ON