Michael F Schundler
1 min readNov 17, 2023

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I ran a company with 42,000 people providing health care services to 25,000 people a day in their homes in addition to providing per diem staffing services to hospitals and other employers of clinical health care workers.

We invested millions in sophisticated computer systems designed to make every person more efficient at their jobs. In essence we looked at every job to try to determine what parts could be made more efficient with technology and invested in the technology to do that. A simple example is using technology similar to that used by UPS or Federal Express to help our "visiting nurses" to spend less time getting to homes and thus increasing their productivity by one extra visit per day. The technology also used GPS to help notify patients if the nurse was behind schedule improving patient satisfaction. Once the nurse arrived, she used a handheld tablet to capture all the necessary clinical notes and billing information rather than requiring a subsequent data entry function for patient records and billing systems.

"My time" was before AI, so most of our technology efforts were targeted out reducing "friction" in the processes that defined our business. I can imagine with AI; we could have done so much more. As is, there were literally hundreds of small improvements in each "activity" that collectively made a big difference.

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