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As I headed down to the subway, a brightly colored sign with bold text taped to some scaffolding caught my eye. 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Was this femtech/health startup with a cycle tracking, female health problem-solving app real? I immediately searched for an email address and sent a hopeful message expressing my admiration and newfound dream to work as the acupuncturist at the very 1st Tia clinic."}],"markDefs":[],"style":"normal"},{"_key":"ad0b40d8437e","_type":"block","children":[{"_key":"db025f3ffad90","_type":"span","marks":[],"text":"Fast forward 6 months later, I found myself in a meeting room at a coworking space with Chief Medical Officer at the time, Dr. Stephanie McClellan, and CPOO, Felicity Yost. Together we brainstormed how to incorporate the integrative +Traditional Chinese Medicine (TCM) medicine lens into the UHR while I googled meanings to tech acronyms under the table. 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The research on acupuncture for female-specific health concerns is ever-growing. Acupuncture and herbal medicine have successfully offered life-changing solutions to those plagued with chronically painful periods, hormonally influenced emotional roller coasters, fertility woes, and so on. Tia, and the creative minds building both the clinic and the UHR from the ground up, we're eager to find ways to weave TCM + whole-body health into their approach to care."}],"markDefs":[],"style":"normal"},{"_key":"07895de6947e","_type":"block","children":[{"_key":"6823d62b193f0","_type":"span","marks":[],"text":"This concept of whole-body health is at the very core of Chinese and integrative medicine. It’s nearly impossible, or at least very unlikely, for an acupuncturist to ask a patient about their inability to fall to sleep at night and not inquire about their bowel movements, frequency of headaches, or preference for warm or cold beverages. Figuring out how to merge together this, oftentimes stream of consciousness/ connect the dots style of thinking into a cohesive document is where the fun started."}],"markDefs":[],"style":"normal"},{"_key":"567c7c4bad79","_type":"editorialImageCarousel","items":[{"_key":"409dabfc6dc4","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_id":"image-cf02c265f7e1dc86b5e116a79640a636ad2dca3b-2103x842-png","_type":"sanity.imageAsset","_createdAt":"2022-12-27T08:04:52Z","_rev":"uBZyzL1oEJWqYeY7qEW5Ca","_updatedAt":"2022-12-27T08:04:52Z","assetId":"cf02c265f7e1dc86b5e116a79640a636ad2dca3b","extension":"png","metadata":{"_type":"sanity.imageMetadata","blurHash":"D5R+dPoeJ7kC=e}sI;NaoLs.","dimensions":{"_type":"sanity.imageDimensions","aspectRatio":2.497624703087886,"height":842,"width":2103},"hasAlpha":true,"isOpaque":true,"lqip":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABQAAAAICAYAAAD5nd/tAAAACXBIWXMAAAsTAAALEwEAmpwYAAABAElEQVQokW2Sy27DIBRE88etHBtDt63iRwDn/6pu4qZW0tiJH1lPxQUqTLsYy4KrM3NHbJZGYNIcd2U1Ko5ZC5jzWI/Dy0rx3dIIbAzsXGc47hLSqdziUme4qRyTFpidYWgyNQKDEhikDbACjprjs9ji/fUJH2/PaIsEXZXiumcwdx5o/gncCPRK4FgytEVGc8YsSCgoUbtL8FWm6GVuV9fW2es3qUt3qhi6KqPZVULzGSRDV6S41IzWmZ3C3nzXPu1NcVcLX80SsJeMujvXDKODhStamDHOacVYYUoCjjrHVWaU1ANMLz6RXfcv8Ps/4OMgsBiFTyDqLu4yVvh0fgDXi9jXIb2V4AAAAABJRU5ErkJggg==","palette":{"_type":"sanity.imagePalette","darkMuted":{"_type":"sanity.imagePaletteSwatch","background":"#91444c","foreground":"#fff","population":0.01,"title":"#fff"},"darkVibrant":{"_type":"sanity.imagePaletteSwatch","background":"#6a2816","foreground":"#fff","population":0.02,"title":"#fff"},"dominant":{"_type":"sanity.imagePaletteSwatch","background":"#f4947c","foreground":"#000","population":73.33,"title":"#fff"},"lightMuted":{"_type":"sanity.imagePaletteSwatch","background":"#ba9592","foreground":"#000","population":0.05,"title":"#fff"},"lightVibrant":{"_type":"sanity.imagePaletteSwatch","background":"#f4947c","foreground":"#000","population":73.33,"title":"#fff"},"muted":{"_type":"sanity.imagePaletteSwatch","background":"#8d6a67","foreground":"#fff","population":0.1,"title":"#fff"},"vibrant":{"_type":"sanity.imagePaletteSwatch","background":"#ee5c52","foreground":"#fff","population":0.05,"title":"#fff"}}},"mimeType":"image/png","originalFilename":"AcuProduct_Inline-3.png","path":"images/8qqycr4y/production/cf02c265f7e1dc86b5e116a79640a636ad2dca3b-2103x842.png","sha1hash":"cf02c265f7e1dc86b5e116a79640a636ad2dca3b","size":84203,"uploadId":"O9tijOqPqPJKGKqHd8v8boHjAmoA2Dlr","url":"https://cdn.sanity.io/images/8qqycr4y/production/cf02c265f7e1dc86b5e116a79640a636ad2dca3b-2103x842.png","id":"image-cf02c265f7e1dc86b5e116a79640a636ad2dca3b-2103x842-png","parent":null,"children":["78dcd8d8-55f1-5450-932d-9fbe6e976a14"],"internal":{"type":"SanityImageAsset","contentDigest":"b040d5e479701e2caefde6a07aec0965","counter":8732,"owner":"gatsby-source-sanity"}}}}}]},{"_key":"4c98917d1ec2","_type":"block","children":[{"_key":"3e623103eac50","_type":"span","marks":[],"text":"Dr. McClellan, who had spent her career studying the effect of stress on female brains and convincing her medical colleagues that women were not just “small men” already tended to a more holistic and natural approach. She had been recommending acupuncture to her patients for the past 20 years even though I was the first to give her acupuncture. My task wasn’t to figure out how to convince them of acupuncture’s long list of benefits, something I was accustomed to doing, it was how to incorporate the ideology behind it  The first few questions I saw at the top of an intake asked, “were you born vaginally or cesarean?” and “Did your mother have a difficult pregnancy?” This type of thinking — looking at one’s innate constitution and how that informs overall health is embedded within TCM."}],"markDefs":[],"style":"normal"},{"_key":"ca0aaea9c2f5","_type":"block","children":[{"_key":"548b8db553230","_type":"span","marks":[],"text":"Some of the concerns I had noticed in UHR’s at previous acupuncture clinics at which I worked included:"}],"markDefs":[],"style":"normal"},{"_key":"23b20e9115cd","_type":"block","children":[{"_key":"34138abe29630","_type":"span","marks":["strong"],"text":"1. Either the questionnaire was so extensive and detailed that the patient’s first appointment was almost two hours or\n2. it was simply a space to free write your chief complaint."}],"markDefs":[],"style":"normal"},{"_key":"60ba8e307f3c","_type":"block","children":[{"_key":"14144e999cde0","_type":"span","marks":[],"text":"Both versions worked- patients benefited and symptoms improved from the acupuncture they received at either clinic, but they both were catered to a very specific model. As with most things, there is a sweet spot between the two- a UHR where you could get into the nitty-gritty without having to read and/or transcribe a novel. To do this, we had to see where our typical intake questions overlapped."}],"markDefs":[],"style":"normal"},{"_key":"3edee9b18514","_type":"block","children":[{"_key":"b769046733680","_type":"span","marks":[],"text":"We collaborated to explore the various ways we thought about female health. We had the more commonly asked questions about the menstrual cycle like, “Is your cycle regular? How many days do you bleed for? Do you experience pain with your cycle?\" And then dove into the more qualitative, nit-picky TCM style question, “what color is your blood?” “Do you experience clots?” “Does your period start and stop?” We expanded questions about sleep to go beyond, “How many hours do you sleep each night? and “What time do you go to bed? To include, “Do you have a hard time falling and/or staying to sleep? Do you experience night sweats? What about dream disturbed sleep?” We blended our approaches to patient inquiry to find where we aligned, what was missing, and what was necessary"}],"markDefs":[],"style":"normal"},{"_key":"75ff261869b6","_type":"block","children":[{"_key":"7e05947a8aed0","_type":"span","marks":[],"text":"What Chinese and integrative medicine brings to the table that is often missing in Western medicine clinics + hospitals is the idea that symptoms, or the branch, arises due to an underlying concern, the root. This idea is fundamental in TCM. Rather than giving a pill for this and a pill for that, this root/branch thinking enables us to dig deeper and figure out the "},{"_key":"7e05947a8aed1","_type":"span","marks":["em"],"text":"why"},{"_key":"7e05947a8aed2","_type":"span","marks":[],"text":" of how it all started. And what’s more affirming in this type of thinking is not only seeing longer-lasting solutions to what was once a chronic ailment, but the fact that asking patients these questions, incorporating them into the UHR enables them to make the connections. What we have found is that Tia patients are actively invested in their health and they are tired of going to specialist after specialist who say that the pain will eventually go away, that their chronic bloating doesn't sound that abnormal, or that their irregular bleeding "},{"_key":"7e05947a8aed3","_type":"span","marks":["em"],"text":"seems"},{"_key":"7e05947a8aed4","_type":"span","marks":[],"text":" to be normal their body. The Tia patient wants more answers. They are curious and intuitive and while they’ve been taught to ignore the signs their body is telling, sometimes screaming at them, they have come to us ready to listen, ready to learn."}],"markDefs":[],"style":"normal"},{"_key":"b056d7da9b6f","_type":"block","children":[{"_key":"d17f898fce060","_type":"span","marks":[],"text":"Working with the team to layer this type of thinking into the UHR did, as expected, posed a concern in terms of length. What I found, and still find to be a challenge when bringing together health and tech is all of the “ifs, buts and it depends,” of a patient's story. While tech thrives on clean, bullet point answers and organized layouts, my note-taking often leads me on a winding journey of writing outside the lines. I expected to incorporate at least some open text for a patient to “free write” a specific answer but soon found that not only is this inefficient space-wise, but also, makes it harder for another practitioner to make sense of it all. In order to honor the need to allow flexibility in response, I was introduced to the idea of “conditional logic”."}],"markDefs":[],"style":"normal"},{"_key":"20c62320168b","_type":"editorialImageCarousel","items":[{"_key":"a20ba21e3ed5","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_id":"image-e1755d89b8de062321877ae0f906430a6f434b80-2103x1008-png","_type":"sanity.imageAsset","_createdAt":"2022-12-27T08:05:06Z","_rev":"uBZyzL1oEJWqYeY7qEW8HS","_updatedAt":"2022-12-27T08:05:06Z","assetId":"e1755d89b8de062321877ae0f906430a6f434b80","extension":"png","metadata":{"_type":"sanity.imageMetadata","blurHash":"M5R+dO^6-U=xxF}sNaR+oLs.=yEfI;j[j[","dimensions":{"_type":"sanity.imageDimensions","aspectRatio":2.0863095238095237,"height":1008,"width":2103},"hasAlpha":true,"isOpaque":true,"lqip":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABQAAAAJCAYAAAAywQxIAAAACXBIWXMAAAsTAAALEwEAmpwYAAABGElEQVQokY1S2VKDQBDki1WO5fDRg3AsxC+MZWnKEAlHSJ7b6llRkiIpH5qlemZ6embXGpYRuiJAnfuCHaEDdEWIwzLC8eX+BHPccQKLgo0OsM0UqkzJ+ZUp4fZlCMYPMyA/lOac8hY/+zJCX4biqifKEG0RoEo9bBIPTe6jyxT6XGGQPBowsSr1ZCo2F8FL1ln0Edt4e7pDlbjYxTaahYNOm7V8LlyJr2NHRFsd/Dk8BwXZkaNvU+OwzRTaXKEvzH7J1T/rYQNO9i9Bdq9zJS4pPq6E/3T3/myL21+H5zc4CnJkJr8+3krhmoWxI4XcL0UYWz3cSF6j/euCo8NN4ppb59jaF3eMUYC8eREXLmUqOLeKaxjf4TfjMBKtdY7JigAAAABJRU5ErkJggg==","palette":{"_type":"sanity.imagePalette","darkMuted":{"_type":"sanity.imagePaletteSwatch","background":"#965045","foreground":"#fff","population":0.12,"title":"#fff"},"darkVibrant":{"_type":"sanity.imagePaletteSwatch","background":"#743414","foreground":"#fff","population":0.01,"title":"#fff"},"dominant":{"_type":"sanity.imagePaletteSwatch","background":"#f4947c","foreground":"#000","population":75.94,"title":"#fff"},"lightMuted":{"_type":"sanity.imagePaletteSwatch","background":"#c49c84","foreground":"#000","population":0,"title":"#fff"},"lightVibrant":{"_type":"sanity.imagePaletteSwatch","background":"#f4947c","foreground":"#000","population":75.94,"title":"#fff"},"muted":{"_type":"sanity.imagePaletteSwatch","background":"#985f54","foreground":"#fff","population":0.02,"title":"#fff"},"vibrant":{"_type":"sanity.imagePaletteSwatch","background":"#f24c4c","foreground":"#fff","population":0.01,"title":"#fff"}}},"mimeType":"image/png","originalFilename":"AcuProduct_Inline-4.png","path":"images/8qqycr4y/production/e1755d89b8de062321877ae0f906430a6f434b80-2103x1008.png","sha1hash":"e1755d89b8de062321877ae0f906430a6f434b80","size":94217,"uploadId":"SNtpIzwlPlh5OIBe5M4bNg5YWMm9OCvc","url":"https://cdn.sanity.io/images/8qqycr4y/production/e1755d89b8de062321877ae0f906430a6f434b80-2103x1008.png","id":"image-e1755d89b8de062321877ae0f906430a6f434b80-2103x1008-png","parent":null,"children":["36be26db-990d-5a55-8e67-400649c5ed38"],"internal":{"type":"SanityImageAsset","contentDigest":"1794223bf661a598efdadccf1e147a45","counter":9292,"owner":"gatsby-source-sanity"}}}}}]},{"_key":"c2bb33909b2c","_type":"block","children":[{"_key":"2cfee6596459","_type":"span","marks":[],"text":"Conditional logic allowed us to include the possibilities of the “if’s, but’s and it depends” into a relatively concise questionnaire. While I can’t credit this simple idea with being the secret to condensing dozens of textbooks of theory and years of clinical questioning into something a bit more approachable, it certainly helped."}],"markDefs":[],"style":"normal"},{"_key":"20e6fb756868","_type":"block","children":[{"_key":"9af6afea8faa0","_type":"span","marks":[],"text":"The underlying theme in this whole process was efficient collaboration — finding a balance between honoring a patient’s unique health journey while at the same time, making it digestible for practitioners of varying backgrounds. 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in your own words, what does it mean to be a “Well-Woman” in 2019?"}],"markDefs":[],"style":"h4"},{"_key":"d519a6c6cdda","_type":"block","children":[{"_key":"b10eadd865fc","_type":"span","marks":[],"text":"I believe that a “Well-Woman” in 2019 knows what she needs to feel nourished and balanced. She has learned how to set boundaries in her personal, social and work lives to avoid feeling burnt out, over-extended and drained. In this age of “self care,” she gives her body and mind the rest, movement and love that she needs to feel good. A well-women can speak up for herself; knowing when to ask her community for help, when to back down and when to say no. She recognizes her imperfections but loves herself regardless, knowing that she is enough."}],"markDefs":[],"style":"normal"},{"_key":"4ed4835bf2c5","_type":"block","children":[{"_key":"4ed4835bf2c50","_type":"span","marks":[],"text":"What’s the most important thing you’ve learned about yourself over the last decade?"}],"markDefs":[],"style":"h4"},{"_key":"a61639d86714","_type":"block","children":[{"_key":"a61639d867140","_type":"span","marks":[],"text":"Over the past decade, I have learned to trust myself. I’ve always been the type of person who calls a million friends before making any sort of decision. Maybe it’s my Gemini nature, but I’ve always struggled to finalize my choices and feel confident about what I wanted. No matter how big, (should I move to New York City?) to how small (should I eat that cookie?) I’ve doubted myself and my ability to know and more so, to trust what I really wanted. In the last decade, however, I have learned to listen to my intuition, to know that I am fully capable of making my own choices, and while I can (and do) still turn to friends to talk something over, I am the one who need to decide. Trusting myself is everything."}],"markDefs":[],"style":"normal"},{"_key":"1c758a57c35b","_type":"block","children":[{"_key":"1c758a57c35b0","_type":"span","marks":[],"text":"If you could go back in time, what do you wish you knew about your health that you know now?"}],"markDefs":[],"style":"h4"},{"_key":"48b9c257b05d","_type":"block","children":[{"_key":"48b9c257b05d0","_type":"span","marks":[],"text":"I wish I knew that things take time, that patience is everything and that sometimes you can’t fix yourself. I wish I knew that taking care of myself every day and having a self-care routine, no matter how small, is essential to my mental, physical and emotional wellbeing. As much as we may think we can, we can’t overextend ourselves and expect our bodies to keep up. I didn’t understand the value of listening to my own my body’s cues; hunger signs, fatigue, headaches or sore muscles and because of this, I didn’t know when to stop or slow down. Through trial and error, I have since learned to listen, I appreciate that I discover more and more about my body and myself with every year that passes by."}],"markDefs":[],"style":"normal"},{"_key":"1ef0b020e50e","_type":"block","children":[{"_key":"1ef0b020e50e0","_type":"span","marks":[],"text":"If you could wave a magic wand and change one aspect of women’s healthcare, what would it be?"}],"markDefs":[],"style":"h4"},{"_key":"a8bec51b28d2","_type":"block","children":[{"_key":"a8bec51b28d20","_type":"span","marks":[],"text":"I would change how we talk about sex, about body acceptance and self-care. I’m grateful that the idea of self-care and self-love are finally gaining traction as wellness trends that promise a relaxed mind and rested body are suddenly everywhere. I wish that sex conversations were more diverse, more inclusive and more open from the start. Knowing that we can have sex that is different from what we read about in Cosmo, see in health class or on Sex & The City can be life-changing to someone who doesn’t fit into that hetero-normative box. We have so much shame and guilt around sex, especially when something isn’t right or isn’t “normal.” Luckily, due to more queer and diverse visibility in mainstream media, this is finally starting to change, but we still have a lot of work to do, especially in the healthcare world. This is one of the reasons I’m so excited to work with Tia."}],"markDefs":[],"style":"normal"},{"_key":"83098141acc4","_type":"block","children":[{"_key":"83098141acc40","_type":"span","marks":[],"text":"Tell me about your journey to acupuncture. What drew you to it?"}],"markDefs":[],"style":"h4"},{"_key":"0acccec6b46c","_type":"block","children":[{"_key":"0acccec6b46c0","_type":"span","marks":[],"text":"I started getting acupuncture when I was in undergrad. I was a creative writing major and while working on my thesis, I got tendonitis from writing all the time. I didn’t have healthcare or an expendable income, but luckily, someone recommended that I go to an acupuncturist who was able to be flexible with pricing. I decided to go and within a few treatments, not only was my wrist feeling better, but the treatments helped to reduce anxiety, lift my moods and energy. I was so amazed at how these little needles were able to do so much — I was instantly hooked. Even more so, the questions that Chinese Medicine brings up and asks of us led me to examine my body in ways I had never considered; did my headaches come on before my period or after? What kinds of foods did I crave? Do I feel rested when I wake up? Do I sweat at night?"}],"markDefs":[],"style":"normal"},{"_key":"1c7ec043d9d2","_type":"block","children":[{"_key":"1c7ec043d9d20","_type":"span","marks":[],"text":"I had battled an eating disorder for years — I didn’t understand how my mind and body were a part of the same circuit. With the support of acupuncture and the self-awareness it encouraged me to have, I was able to reconnect to parts of myself I thought were lost. I became drawn to this medicine because of how balanced, supportive and customized it is. Two people may both have period pain, but their remedies can be entirely different because they are not the same. This is an idea that seems so simple and even so, I think conventional medicine often strays from this belief. I think Chinese Medicine is magical in how it works; helping people regain body awareness through supporting them to find balance and encouraging them to make small, everyday changes towards a balanced lifestyle."}],"markDefs":[],"style":"normal"},{"_key":"279aa15bc3d7","_type":"editorialImageCarousel","items":[{"_key":"e46b94823985","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-1897f1ab8bc281f1a8157dbda3fd7f9e1325483b-2400x1336-png","_type":"reference"}}}}]},{"_key":"13d133a78723","_type":"block","children":[{"_key":"13d133a787230","_type":"span","marks":[],"text":"How do you see acupuncture complementing conventional medicine?"}],"markDefs":[],"style":"h4"},{"_key":"dace31b6f8a4","_type":"block","children":[{"_key":"dace31b6f8a40","_type":"span","marks":[],"text":"I have found, both personally and clinically that time and time again, acupuncture is able to provide unparalleled support to conventional medicine. Acupuncture and Traditional Chinese Medicine strive to get to the root of why problems and diseases arise by analyzing our everyday patterns and behaviors. As an integrative medicine practitioner, I believe that when balancing health, it’s often necessary to engage with a more holistic and inclusive view to create lasting benefit. By helping to reduce inflammation, balance hormones, relax the nervous system and encourage rest, acupuncture and TCM provide a grounding reset to modes of conventional medicine."}],"markDefs":[],"style":"normal"},{"_key":"5096eb4c07b7","_type":"block","children":[{"_key":"5096eb4c07b70","_type":"span","marks":[],"text":"What is the connection between acupuncture and women’s health?"}],"markDefs":[],"style":"h4"},{"_key":"1a4aadba484f","_type":"block","children":[{"_key":"1a4aadba484f0","_type":"span","marks":[],"text":"Simply put, Traditional Chinese Medicine (TCM) works to restore balance to one’s overall health. For women’s health in particular, there are many moving pieces — stress, sleep, energy, menstrual health, hormonal wellness, and so one. When just one piece to this complicated puzzle goes off track, the whole system is off. TCM works with the body to redirect and recalibrate the imbalances; how blood is flowing, how hormones are rising and falling throughout the cycle, how easy digestion is and so on. Through bringing awareness to the part of the puzzle that has fallen out of place, TCM aims to find the root of the problem. Acupuncture is so good at filling in the gaps of conventional healthcare; it is a subtle medicine with many intricate nuances, not unlike women’s health. The ability of TCM to look at each women as unique creatures and discover a personalized route to health is unmatched."}],"markDefs":[],"style":"normal"},{"_key":"075538ba94e0","_type":"block","children":[{"_key":"075538ba94e00","_type":"span","marks":[],"text":"Why did you join Tia? What is your definition of success for Tia and women’s health more broadly?"}],"markDefs":[],"style":"h4"},{"_key":"84e562dceeb2","_type":"block","children":[{"_key":"84e562dceeb20","_type":"span","marks":[],"text":"I joined Tia because I believe in the mission that women’s health care can be better, can do more. I believe that by working side by side with a multifaceted team of skilled and passionate practitioners, we can better address the common imbalances that women face. I believe that women’s health care should be affordable, approachable, accessible and integrative. Women’s health care should provide solutions, remedies and answers rather than fear, distrust and trauma. I think the success for this clinic will be bringing a diverse group of women together in open conversation about their health to offer encouragement, empowerment and reassurance."}],"markDefs":[],"style":"normal"},{"_key":"81704c647db8","_type":"cta","backgroundColor":"bcbluetint","text":[{"_key":"ab93928e2fd4","_type":"block","children":[{"_key":"ab93928e2fd40","_type":"span","marks":[],"text":"Ready to book acupuncture?"}],"markDefs":[],"style":"h2"},{"_key":"75bbe60c4f95","_type":"buttonBlock","items":[{"_key":"d77205d88529","_type":"singleButton","linkCta":"Book appointment","linkType":"button","url":"https://asktia.com/member/appointment/schedule"}]},{"_key":"85015ba80a59","_type":"block","children":[{"_key":"85015ba80a590","_type":"span","marks":[],"text":"Not a member? "},{"_key":"85015ba80a591","_type":"span","marks":["9ddfb5b7ac08"],"text":"Join now."},{"_key":"85015ba80a592","_type":"span","marks":[],"text":""}],"markDefs":[{"_key":"9ddfb5b7ac08","_type":"internalLink","linkType":"text","reference":{"_ref":"6b861435-f6fe-4c96-893c-77732c7ab389","_type":"reference"}}],"style":"normal"}]}],"image":{"_type":"image","asset":{"_id":"image-c50edeb46ab015410abcb7bcd89f1669ce8d0f3e-2500x800-png","_type":"sanity.imageAsset","_createdAt":"2022-11-08T01:25:51Z","_rev":"TBVR5mfoBKv2xR4I2TmpET","_updatedAt":"2022-11-08T01:25:51Z","assetId":"c50edeb46ab015410abcb7bcd89f1669ce8d0f3e","extension":"png","metadata":{"_type":"sanity.imageMetadata","blurHash":"DWPpWL}rEgR+^5xGj@a{j[oL","dimensions":{"_type":"sanity.imageDimensions","aspectRatio":3.125,"height":800,"width":2500},"hasAlpha":true,"isOpaque":true,"lqip":"data:image/png;base64,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","palette":{"_type":"sanity.imagePalette","darkMuted":{"_type":"sanity.imagePaletteSwatch","background":"#493634","foreground":"#fff","population":1.02,"title":"#fff"},"darkVibrant":{"_type":"sanity.imagePaletteSwatch","background":"#671d11","foreground":"#fff","population":0.3,"title":"#fff"},"dominant":{"_type":"sanity.imagePaletteSwatch","background":"#fc8f7d","foreground":"#000","population":9.35,"title":"#fff"},"lightMuted":{"_type":"sanity.imagePaletteSwatch","background":"#c2c2c3","foreground":"#000","population":0.81,"title":"#fff"},"lightVibrant":{"_type":"sanity.imagePaletteSwatch","background":"#fc8f7d","foreground":"#000","population":9.35,"title":"#fff"},"muted":{"_type":"sanity.imagePaletteSwatch","background":"#915a4f","foreground":"#fff","population":3.77,"title":"#fff"},"vibrant":{"_type":"sanity.imagePaletteSwatch","background":"#ef8d6c","foreground":"#000","population":0.09,"title":"#fff"}}},"mimeType":"image/png","originalFilename":"MeetElana_Header.png","path":"images/8qqycr4y/production/c50edeb46ab015410abcb7bcd89f1669ce8d0f3e-2500x800.png","sha1hash":"c50edeb46ab015410abcb7bcd89f1669ce8d0f3e","size":347511,"uploadId":"YGPYA6f1vkWjSYfYUJuUkrQ1qiJ9X0CE","url":"https://cdn.sanity.io/images/8qqycr4y/production/c50edeb46ab015410abcb7bcd89f1669ce8d0f3e-2500x800.png","id":"image-c50edeb46ab015410abcb7bcd89f1669ce8d0f3e-2500x800-png","parent":null,"children":["a808c895-9b26-5d15-8e55-069effa7bdfc"],"internal":{"type":"SanityImageAsset","contentDigest":"35b39622c9370d4bd831b6fc4c2bd8c1","counter":8427,"owner":"gatsby-source-sanity"}}},"modules":[{"_key":"0ee26cb4714c","_type":"furtherReading","articles":[{"_id":"e43a486c-c7d1-4ea2-b9ac-37ccdc5d2d07","_type":"editorial","_createdAt":"2020-08-13T15:01:22Z","_rev":"8ycwaKn5PLURgEeFH9z4T6","_updatedAt":"2022-12-28T09:51:29Z","content":{"_type":"articleTabs","main":{"_type":"articleContent","articleColor":"bcraspberry","articleType":{"_ref":"29c10dba-823d-4f71-a20b-15b0d6d9db76","_type":"reference"},"authors":[{"_key":"0e6b0168ac15","_ref":"1d6ce256-595a-4357-89ae-bda37a32224e","_type":"reference"}],"cardImage":{"_type":"image","asset":{"_ref":"image-f3f771743acdf4624170918649f0d956e3b35ade-1366x800-png","_type":"reference"}},"editorialText":[{"_key":"a6a756b987cd","_type":"block","children":[{"_key":"a6a756b987cd0","_type":"span","marks":[],"text":"Last week we hosted our very first Tia Tackles event — "},{"_key":"a6a756b987cd1","_type":"span","marks":["462761f45d02"],"text":"Dr. Terri-Ann Bennett"},{"_key":"a6a756b987cd2","_type":"span","marks":[],"text":" shared her wisdom and expertise in conversation with Dr. Stephanie McClellan, Chief Medical Officer of Tia. They spoke about the need for patient advocacy for BIPOC, what patient advocates do, and how to weave them through the clinical experience from institutional change to providers to the layperson. Here is some of what we learned."}],"markDefs":[{"_key":"462761f45d02","_type":"externalLink","url":"https://www.instagram.com/drbennettmfm/?hl=en"}],"style":"large"},{"_key":"5cc2d857b25a","_type":"sectionHeader","title":"The basics"},{"_key":"18872cfaaa12","_type":"block","children":[{"_key":"18872cfaaa120","_type":"span","marks":[],"text":"The American healthcare system has a long legacy of racism and discrimination, fuel for the disparity that is pervasive in this system. Navigating the healthcare system is daunting for most, but especially for BIPOC. Due to an array of access barriers, BIPOC not only receive less care than white people but also receive worse care. BIPOC are disproportionately misdiagnosed, under-diagnosed, and mistreated, quality of care directly correlates to worse health outcomes."}],"markDefs":[],"style":"normal"},{"_key":"69c3a1a3bba9","_type":"block","children":[{"_key":"69c3a1a3bba90","_type":"span","marks":[],"text":"Emotional expressions and experience of pain by Black individuals are more likely to be misperceived. Pain is under-diagnosed and under-treated as a result of racial bias. Stereotyping is ever-present in clinical situations, leading certain populations to emphasize specific class and cultural resources such as cultural health capital (cultural skills, attitudes, behaviors, and interaction styles) to leverage and mitigate discrimination."}],"markDefs":[],"style":"normal"},{"_key":"f7a587f59750","_type":"block","children":[{"_key":"f7a587f597500","_type":"span","marks":[],"text":"Epigenetics, the study of inherited genetic trait changes, is a quickly evolving field showing that trauma and its effects may be passed through generations, recognizable through gene expression and cellular activity that is influenced by external factors such as environment. Inherited trauma may be likened to the permanence of scar, the remnants of the initial wound become a scar inscribed into a person that then passes on through their lineage. Generational trauma can impact livelihood via both the mind and body."}],"markDefs":[],"style":"normal"},{"_key":"486e325a5684","_type":"block","children":[{"_key":"486e325a56840","_type":"span","marks":[],"text":"There are social determinants of health that directly impact BIPOC — economic and social conditions, such as living and working conditions (think: the distribution of income, wealth, influence, and power) that influence individual and group differences in health status (think: risk and vulnerability of disease or injury) and access to care."}],"markDefs":[],"style":"normal"},{"_key":"5bc6416a244f","_type":"sectionHeader","title":"How can we create a built-in system for patient advocacy?"},{"_key":"8396cabbd87c","_type":"block","children":[{"_key":"8396cabbd87c0","_type":"span","marks":[],"text":"Trust facilitates care-seeking behavior and promotes patient honesty and adherence. Distrust inhibits care-seeking and may lead to non-adherence. One study in Chicago looked at how trustworthy Black people found their physicians. The study found that participants indicated that trust is determined by the interpersonal and technical competence of physicians. Contributing factors to distrust in physicians included a lack of interpersonal and technical competence, perceived quest for profit, and expectations of racism and experimentation during routine health care. Another study looking at race in patient-physician relationships found that the quality of interpersonal care is vital in facilitating a patient’s involvement in their care, increased patient involvement improves patient satisfaction and outcomes."}],"markDefs":[],"style":"normal"},{"_key":"96b7f39ad00d","_type":"block","children":[{"_key":"96b7f39ad00d0","_type":"span","marks":[],"text":"One way to effectively create institutional change is to promote diversity within the healthcare system. Data suggests that African American patients rate their visits with physicians as less participatory than whites. However, patients seeing physicians of their own race rate their physicians’ decision-making styles as more participatory. Improving cross-cultural communication between physicians and patients and providing patients with access to a diverse group of physicians may lead to more patient involvement in care, higher levels of patient satisfaction, and ultimately, better health outcomes. A study conducted by Stanford looked at Black men in Oakland, found that men seen by Black physicians were more likely to engage with them, and even consent to preventive services like cardiovascular screenings and immunizations. Black doctors were 71% more likely to get their patients to receive a cholesterol screening, whereas non-Black doctors were 45% as likely. The study estimates this approach could reduce the Black-white mortality gap due to heart disease by 19%."}],"markDefs":[],"style":"normal"},{"_key":"43ac32ba5304","_type":"block","children":[{"_key":"43ac32ba53040","_type":"span","marks":[],"text":"Dr. Terri-Ann Bennett believes that providers should be trained early on in their schooling to understand not only bias but also the actual biological differences that result from inherited trauma. Beyond this training, she recommends that providers continually check their bias while working with patients and actively seek to understand why their patients have fears or misunderstandings. Understanding why gives way to an empathetic response, leading with empathy engenders advocacy. Dr. Bennett suggests implicit bias training but also asks that providers take it a step further by enhancing their cultural competency and actively work to have an anti-racist practice."}],"markDefs":[],"style":"normal"},{"_key":"01939b3fe286","_type":"sectionHeader","title":"In conclusion"},{"_key":"a0520b6fd005","_type":"block","children":[{"_key":"a0520b6fd0050","_type":"span","marks":[],"text":"Research shows that patient advocacy is effective. One study looking at a sample of 30–74-year-old self-identified African-American and/or Black women who had received abnormal mammogram results found advocacy to be a positive factor in their medical experiences. The participants felt that engaging in medical advocacy helped address ongoing experiences of mistrust and racism in the medical setting. Participants also expressed that they felt accountable for their own bodies because they were involved in decisions about their care because they were informed about their decisions."}],"markDefs":[],"style":"normal"},{"_key":"3cb35a11f00c","_type":"block","children":[{"_key":"3cb35a11f00c0","_type":"span","marks":["strong"],"text":"Institutions can support patient advocacy by…"}],"markDefs":[],"style":"normal"},{"_key":"840e64a59bcc","_type":"block","children":[{"_key":"840e64a59bcc0","_type":"span","marks":[],"text":"Promoting body literacy by actively teaching and making information readily accessible which empowers patients to advocate for themselves."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"276008b74a88","_type":"block","children":[{"_key":"276008b74a880","_type":"span","marks":[],"text":"Personalizing medicine, rather than generalizing."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"6607820d9ff9","_type":"block","children":[{"_key":"6607820d9ff90","_type":"span","marks":[],"text":"Revolutionizing healthcare delivery by incorporating patient advocates throughout the patient journey and actively supporting their presence (eg. doulas, friends and family members joining appointments)."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"c9591238e643","_type":"block","children":[{"_key":"c9591238e6430","_type":"span","marks":["strong"],"text":"Providers can advocate for their patients by…"}],"markDefs":[],"style":"normal"},{"_key":"9be527d2e42e","_type":"block","children":[{"_key":"9be527d2e42e0","_type":"span","marks":[],"text":"Empowering them through teaching and shared-decision making."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"2f294d0b9ebb","_type":"block","children":[{"_key":"2f294d0b9ebb0","_type":"span","marks":[],"text":"Reminding patients of their rights."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"e788333914af","_type":"block","children":[{"_key":"e788333914af0","_type":"span","marks":[],"text":"Using communication styles that support understanding."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"28ebefbaaff8","_type":"block","children":[{"_key":"28ebefbaaff80","_type":"span","marks":[],"text":"Ensuring care continues after appointments (eg. follow-ups, lifestyle changes, medication, etc.)."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"0e9da3e98991","_type":"block","children":[{"_key":"0e9da3e989910","_type":"span","marks":["strong"],"text":"Patients can advocate for themselves by…"}],"markDefs":[],"style":"normal"},{"_key":"58a2e5a98858","_type":"block","children":[{"_key":"58a2e5a988580","_type":"span","marks":[],"text":"Bringing someone with them (eg. friend or family member) for support. Note: hospital systems and third party agencies are often able to provide advocates to patients."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"14785252d485","_type":"block","children":[{"_key":"14785252d4850","_type":"span","marks":[],"text":"Not ending an appointment until they feel they understand their provider fully."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"b9df7bfd8f51","_type":"block","children":[{"_key":"b9df7bfd8f510","_type":"span","marks":[],"text":"Researching before and after visits."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"8802015a591b","_type":"block","children":[{"_key":"8802015a591b0","_type":"span","marks":[],"text":"Ask all the questions! Ask why and why again! Ask about side-effects, advantages, and disadvantages of recommendations made by the provider. Pro-tip from Dr. Bennett: come to your appointment with your questions written down."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"05df59e789b8","_type":"block","children":[{"_key":"05df59e789b80","_type":"span","marks":[],"text":"Familiarizing themselves with the "},{"_key":"05df59e789b81","_type":"span","marks":["419d8e2d4349"],"text":"patient bill of rights"},{"_key":"05df59e789b82","_type":"span","marks":[],"text":"."}],"level":1,"listItem":"bullet","markDefs":[{"_key":"419d8e2d4349","_type":"annotation","text":[{"_key":"79c725936df8","_type":"block","children":[{"_key":"79c725936df80","_type":"span","marks":["strong"],"text":"Patient's bill of rights"}],"markDefs":[],"style":"normal"},{"_key":"eb98ed994f21","_type":"block","children":[{"_key":"eb98ed994f210","_type":"span","marks":[],"text":"A patient’s bill of rights is a list of guarantees on patient information, fair treatment, and autonomy over medical decisions for those receiving care. It is usually found in the paperwork you sign upon arrival!"}],"markDefs":[],"style":"normal"}]}],"style":"normal"},{"_key":"de181be6ed14","_type":"block","children":[{"_key":"de181be6ed140","_type":"span","marks":[],"text":"Asking for an interpreter if needed."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"76c11b01b163","_type":"block","children":[{"_key":"76c11b01b1630","_type":"span","marks":[],"text":"\nSOURCES"}],"markDefs":[],"style":"h5"},{"_key":"0db611282b75","_type":"block","children":[{"_key":"72eb6ee3b643","_type":"span","marks":[],"text":"Cooper-Patrick, L., Gallo, J. J., Gonzales, J. J., Vu, H. T., Powe, N. R., Nelson, C., & Ford, D. E. (1999). Race, gender, and partnership in the patient-physician relationship. "},{"_key":"8724797ed80c","_type":"span","marks":[],"text":"JAMA"},{"_key":"f32faae9ce4f","_type":"span","marks":[],"text":", "},{"_key":"7f1b0e2df26f","_type":"span","marks":[],"text":"282"},{"_key":"3eb6bea0bcbe","_type":"span","marks":[],"text":"(6), 583–589. "},{"_key":"315f163fe6c8","_type":"span","marks":["52ae7d4e6f1b"],"text":"https://doi.org/10.1001/jama.282.6.583"}],"markDefs":[{"_key":"52ae7d4e6f1b","_type":"externalLink","linkType":"text","url":"https://doi.org/10.1001/jama.282.6.583"}],"style":"small"},{"_key":"fce7197a986b","_type":"block","children":[{"_key":"fce7197a986b0","_type":"span","marks":[],"text":"Jacobs, E. A., Rolle, I., Ferrans, C. E., Whitaker, E. E., & Warnecke, R. B. (2006). Understanding African Americans’ views of the trustworthiness of physicians. Journal of general internal medicine, 21(6), 642–647. "},{"_key":"84ef5e0054c8","_type":"span","marks":["e6a6ed7bf493"],"text":"https://doi.org/10.1111/j.1525-1497.2006.00485"},{"_key":"0a7b2dd4db7d","_type":"span","marks":[],"text":"​ "}],"markDefs":[{"_key":"e6a6ed7bf493","_type":"externalLink","linkType":"text","url":"https://dx.doi.org/10.1111%2Fj.1525-1497.2006.00485.x"}],"style":"small"},{"_key":"98575ad7c337","_type":"block","children":[{"_key":"98575ad7c3370","_type":"span","marks":[],"text":"Marcella Alsan & Owen Garrick & Grant Graziani, 2019. Does Diversity Matter for Health? Experimental Evidence from Oakland. American Economic Review, vol 109(12), pages 4071–4111. "},{"_key":"42ec4000ec71","_type":"span","marks":["a1cfb3ced60b"],"text":"https://doi.org/10.1257/aer.20181446"},{"_key":"6069a899806c","_type":"span","marks":[],"text":""}],"markDefs":[{"_key":"a1cfb3ced60b","_type":"externalLink","linkType":"text","url":"https://doi.org/10.1257/aer.20181446"}],"style":"small"},{"_key":"6019ebaa2bfd","_type":"block","children":[{"_key":"6019ebaa2bfd0","_type":"span","marks":[],"text":"Mende-Siedlecki, P., Qu-Lee, J., Backer, R., & Van Bavel, J. J. (2019). Perceptual contributions to racial bias in pain recognition. "},{"_key":"6019ebaa2bfd1","_type":"span","marks":[],"text":"Journal of experimental psychology. General"},{"_key":"6019ebaa2bfd2","_type":"span","marks":[],"text":", "},{"_key":"6019ebaa2bfd3","_type":"span","marks":[],"text":"148"},{"_key":"6019ebaa2bfd4","_type":"span","marks":[],"text":"(5), 863–889. "},{"_key":"6019ebaa2bfd5","_type":"span","marks":["bd83529a24be"],"text":"https://doi.org/10.1037/xge0000600"}],"markDefs":[{"_key":"bd83529a24be","_type":"externalLink","linkType":"text","url":"https://doi.org/10.1037/xge0000600"}],"style":"small"},{"_key":"e1ead0b84c94","_type":"block","children":[{"_key":"e1ead0b84c940","_type":"span","marks":[],"text":"Molina, Y., Hempstead, B.H., Thompson-Dodd, J. "},{"_key":"e1ead0b84c941","_type":"span","marks":[],"text":"et al."},{"_key":"e1ead0b84c942","_type":"span","marks":[],"text":" Medical Advocacy and Supportive Environments for African-Americans Following Abnormal Mammograms. "},{"_key":"e1ead0b84c943","_type":"span","marks":[],"text":"J Canc Educ"},{"_key":"e1ead0b84c944","_type":"span","marks":[],"text":" 30, 447–452 (2015). "},{"_key":"e1ead0b84c945","_type":"span","marks":["a0374c8a68a7"],"text":"https://doi.org/10.1007/s13187-014-0732-9"}],"markDefs":[{"_key":"a0374c8a68a7","_type":"externalLink","linkType":"text","url":"https://doi.org/10.1007/s13187-014-0732-9"}],"style":"small"},{"_key":"fbb2a28b50c7","_type":"block","children":[{"_key":"fbb2a28b50c70","_type":"span","marks":[],"text":"Tina K. Sacks (2018) Performing Black womanhood: a qualitative study of stereotypes and the healthcare encounter, Critical Public Health, 28:1, 59–69, "},{"_key":"689f7d4b8b5b","_type":"span","marks":["a104a43f8ff7"],"text":"https://doi.org/10.1080/09581596.2017.1307323"}],"markDefs":[{"_key":"a104a43f8ff7","_type":"externalLink","linkType":"text","url":"https://doi.org/10.1080/09581596.2017.1307323"}],"style":"small"}],"image":{"_type":"image","asset":{"_ref":"image-228323fbe67e3159426089abddd6eb78812cf4ef-2500x870-png","_type":"reference"}},"publishedAt":"2020-07-21T04:00:00.000Z","slug":{"_type":"slug","current":"why-bipoc-need-patient-advocates"},"status":"production","title":"Why BIPOC Need Patient Advocates","topics":[{"_key":"00f847065951","_ref":"4d3d2a4e-4420-4445-861f-83091bb63a99","_type":"reference"},{"_key":"cfe6fad08736","_ref":"e73216c3-62ac-4d28-a1a2-78bb60a208be","_type":"reference"}]},"metaInformation":{"_type":"metaCard","metaDescription":"Tia Tackles the need for patient advocacy for BIPOC, what patient advocates do, and how to weave them through the clinical experience from institutional change to providers to the layperson.","metaTitle":"Why BIPOC Need Patient Advocates","openGraphDescription":"Tia Tackles the need for patient advocacy for BIPOC, what patient advocates do, and how to weave them through the clinical experience from institutional change to providers to the layperson.","openImage":{"_type":"image","asset":{"_ref":"image-90ce6037428cf29d572f018d458dea4e54d23aa9-5000x1600-png","_type":"reference"},"crop":{"_type":"sanity.imageCrop","bottom":0,"left":0.0057670126874279125,"right":0.5720876585928494,"top":0},"hotspot":{"_type":"sanity.imageHotspot","height":1,"width":0.42214532871972277,"x":0.2168396770472893,"y":0.5}},"title":"Why BIPOC Need Patient Advocates","twitterDescription":"Tia Tackles the need for patient advocacy for BIPOC, what patient advocates do, and how to weave them through the clinical experience from institutional change to providers to the layperson.","twitterImage":{"_type":"image","asset":{"_ref":"image-90ce6037428cf29d572f018d458dea4e54d23aa9-5000x1600-png","_type":"reference"},"crop":{"_type":"sanity.imageCrop","bottom":0,"left":0,"right":0.557093425605537,"top":0},"hotspot":{"_type":"sanity.imageHotspot","height":1,"width":0.442906574394463,"x":0.2214532871972315,"y":0.5}},"twitterTitle":"Why BIPOC Need Patient Advocates"}},"id":"58136014-de5f-58a6-a676-f3eaf7cea2f0","parent":null,"children":[],"internal":{"type":"SanityEditorial","contentDigest":"a601d3ec181c7f48f34f2ae1839af676","counter":2857,"owner":"gatsby-source-sanity"}},{"_id":"08c5931f-3691-412d-86b2-fcfd343a0f59","_type":"editorial","_createdAt":"2021-04-27T19:43:58Z","_rev":"zCnlwSHeUAWMYpGG8BWyHp","_updatedAt":"2026-08-24T16:53:36Z","content":{"_type":"articleTabs","main":{"_type":"articleContent","articleColor":"bcraspberry","articleType":{"_ref":"29c10dba-823d-4f71-a20b-15b0d6d9db76","_type":"reference"},"authors":[{"_key":"07a174153623","_ref":"1d6ce256-595a-4357-89ae-bda37a32224e","_type":"reference"}],"cardImage":{"_type":"image","asset":{"_ref":"image-1f6a8273e812a032716a6606c75751c0f7dd3b60-1366x800-png","_type":"reference"}},"editorialText":[{"_key":"cfc301978e91","_type":"block","children":[{"_key":"d29fea5a33e2","_type":"span","marks":[],"text":"Interested in joining Tia? "},{"_key":"68da2db4bc45","_type":"span","marks":["00d8b4950642"],"text":"Join Now"},{"_key":"739e8bc9a0dd","_type":"span","marks":[],"text":"\n\nOne of the most exciting things about Tia’s growth and evolution as a healthcare provider is that we’re continually improving, changing, assessing, and evaluating our services to make sure we’re meeting the needs of our community. We understand the deep history of healthcare in the United States as a site of exclusion, oppression, and trauma for many people, making our commitment to personalized, affirming, whole-person care all the more critical. That also means we have a responsibility to take an intersectional approach to our diversity, equity, and inclusion initiatives at every level of our organization, and to offer transparency about that process to our community. You’ve asked us important questions about who we serve, the line between our values and expertise, and what we’re doing to make Tia a more inclusive provider -- we’re here to provide some answers."}],"markDefs":[{"_key":"00d8b4950642","_type":"internalLink","linkType":"text","reference":{"_ref":"6b861435-f6fe-4c96-893c-77732c7ab389","_type":"reference"}}],"style":"normal"},{"_key":"2c6e33ed515b","_type":"block","children":[{"_key":"d8504928d5ad","_type":"span","marks":[],"text":"At Tia, we call ourselves the “modern medical home for women”. We understand that solely referencing cisgender women in the context of women’s health excludes a diverse group of "},{"_key":"0fd9664acd6f","_type":"span","marks":["44ff8a5511ac"],"text":"transgender"},{"_key":"39ff26d63504","_type":"span","marks":[],"text":" and "},{"_key":"b716b165438b","_type":"span","marks":["32d575ec287d"],"text":"gender nonbinary"},{"_key":"b970a12e5ec8","_type":"span","marks":[],"text":" people who have healthcare needs and experiences that can be similar to, but also unique from, those of cisgender women.\n\nTrans women are women, full stop. When we reference “women'' at Tia, our language is always inclusive of trans women, who face unique and disproportionate barriers to healthcare, especially if they are women of color. "},{"_key":"28ea40d4fb7e","_type":"span","marks":["strong"],"text":"Trans people and nonbinary individuals are welcome and celebrated at Tia, and are active members of the Tia patient community today."}],"markDefs":[{"_key":"44ff8a5511ac","_type":"externalLink","linkType":"text","url":"https://www.glaad.org/transgender/transfaq"},{"_key":"32d575ec287d","_type":"externalLink","linkType":"text","url":"https://transequality.org/issues/resources/understanding-non-binary-people-how-to-be-respectful-and-supportive#:~:text=The%20idea%20that%20there%20are,two%20categories%2C%20male%20or%20female."}],"style":"normal"},{"_key":"0bad204028fb","_type":"editorialImageCarousel","items":[{"_key":"b2b7fe49d4fc","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-1608bc3621e73bf13ff16b6e6c39b779a9271679-2400x1336-png","_type":"reference"}}}}]},{"_key":"ac9ccc60789f","_type":"block","children":[{"_key":"50020f1db97e","_type":"span","marks":[],"text":"As a Tia member, your gender identity will be affirmed and respected. Before you ever meet with one of our providers, you’ll fill out a detailed health record form that will tell us important details about your identity, including your gender, pronouns, and sexual orientation, so we can ensure that we are referring to you correctly and asking appropriate questions about your health and life experiences. "},{"_key":"c22a8b26d458","_type":"span","marks":["strong"],"text":"More than 7% of Tia patients use a pronoun other than she/her and identify across the gender spectrum"},{"_key":"6bd0d0b2cfc0","_type":"span","marks":[],"text":". Where appropriate, we provide our patients clinical context as to why it's important for a provider to understand this information; it’s core to our care philosophy, specifically, our commitment to personalized care and treating the person, not (just) the patient. We recognize the multitude of ways that a patient’s lived experience influences their health and access to care: clinically, psychosocially, and experientially. All Tia providers undergo training on inclusive care as well as inclusive language, protocols, and the individualized, connected model of Tia care that centers our patients and gives you full agency over your health care."}],"markDefs":[],"style":"normal"},{"_key":"e0724b55d1c6","_type":"editorialImageCarousel","items":[{"_key":"0f67f13d62d9","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-ebaa45eefd3638624fd7f2f7e1fa97d395dbfccc-1644x1138-png","_type":"reference"}}},"text":[{"_key":"2e2a3cdd50fb","_type":"block","children":[{"_key":"7b6f18c3bf47","_type":"span","marks":[],"text":"Tia provider screen that includes important information about patient identity."}],"markDefs":[],"style":"normal"}]}]},{"_key":"b1e2c0d9ff52","_type":"block","children":[{"_key":"b94976a06f2e","_type":"span","marks":[],"text":"While our community is explicitly open and welcoming to people of all genders, we have a duty to be transparent that we are not a center of excellence for every person across the gender spectrum at this time. Tia offers a range of services from primary care to acupuncture to gynecology and mental health, which are currently utilized by trans and nonbinary patients. We provide primary care services for cis, trans and nonbinary patients (ranging from blood pressure management to acute injury or illnesses) and at this time work with our community specialist partners who provide gender affirming hormone therapy and surgical services. While we do not currently offer these specific services that we know are critical to the trans community, you still have a place at Tia. If you are a Tia member in need of a service that we do not offer, we will work with you one on one to refer you to the high-quality, trusted care you require to live healthily and as your authentic self."}],"markDefs":[],"style":"normal"},{"_key":"2f3e2398205b","_type":"block","children":[{"_key":"db5e7889e4b50","_type":"span","marks":[],"text":"As a healthcare provider, Tia is committed to growing and evolving, always keeping diversity, equity, and inclusion at the heart of our mission. As we look forward to our future, we commit to gender inclusivity in the following ways at this moment:"}],"markDefs":[],"style":"normal"},{"_key":"1e05417fa5dd","_type":"block","children":[{"_key":"6dfd1aff438f","_type":"span","marks":["381b1d77117f"],"text":"Creation of a Tia DEI Advisory Council"},{"_key":"6c1bf9936a18","_type":"span","marks":[],"text":" made up of experts and members to strategize and guide us in becoming a more inclusive health care providers"}],"level":1,"listItem":"bullet","markDefs":[{"_key":"381b1d77117f","_type":"internalLink","linkType":"text","reference":{"_ref":"b0cc1191-358f-4639-b68c-f28aae31e8ee","_type":"reference"}}],"style":"normal"},{"_key":"9f46e9ab63f7","_type":"block","children":[{"_key":"2409f5547d53","_type":"span","marks":[],"text":"Engaging an experienced LGBTQ+ consultant, "},{"_key":"e80a46bd575d","_type":"span","marks":["f61eddd2d87f"],"text":"Shane Snowdon"},{"_key":"ef5c6b178845","_type":"span","marks":[],"text":", to ensure our organization and environment of care (for both employees and patients) supports the health of people of all gender identities and sexual orientations"}],"level":1,"listItem":"bullet","markDefs":[{"_key":"f61eddd2d87f","_type":"internalLink","linkType":"text","reference":{"_ref":"571a4e54-4ef4-44ba-87bc-b6eef3f32e63","_type":"reference"}}],"style":"normal"},{"_key":"944c3dd5d759","_type":"block","children":[{"_key":"3044f0ee1d76","_type":"span","marks":[],"text":"Continued education for staff and providers on issues in LGBTQ+ health"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"4839d60b3752","_type":"block","children":[{"_key":"e5107206af8d","_type":"span","marks":[],"text":"Community events that specifically speak to the experiences and needs of LGBTQ+ members"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"9831a10f8465","_type":"block","children":[{"_key":"3232bdce812b","_type":"span","marks":[],"text":"Building more partnerships with LGBTQ+ institutions, influencers, and health experts / educators"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"833e86a5475c","_type":"block","children":[{"_key":"f42aa73d9ac8","_type":"span","marks":[],"text":"Expansion of the language we use with regard to gender in our clinic experience and communications"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"056d0320340c","_type":"block","children":[{"_key":"421d68edd01c","_type":"span","marks":[],"text":"Increasing representation of LGBTQ+ people on the Tia Care Team and our staff as a whole"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"4aefbaa1bfd8","_type":"block","children":[{"_key":"82cbe1f71faf","_type":"span","marks":[],"text":"Providing a listening ear to our community and an open door policy for feedback and ideas for our growth. Reach out at "},{"_key":"02d6628e2863","_type":"span","marks":["9ccaf116e1a4"],"text":"sayhello@asktia.com"},{"_key":"b55f2bcb769a","_type":"span","marks":[],"text":"."}],"level":1,"listItem":"bullet","markDefs":[{"_key":"9ccaf116e1a4","_type":"externalLink","linkType":"text","url":"mailto:sayhello@asktia.com"}],"style":"normal"},{"_key":"369df6bfe144","_type":"block","children":[{"_key":"ea3a37c58d36","_type":"span","marks":[],"text":"At Tia, we understand that the journey of growth and change can be messy and difficult. We know there may be stumbling blocks or mistakes ahead, and we thank our community for holding us accountable and being a partner in our evolution. Learning is never over, and we’re committed to the process. Our services and care model can grow and change in the future, and we are open to so many possibilities. 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As I headed down to the subway, a brightly colored sign with bold text taped to some scaffolding caught my eye. It read “your vagina deserves better.” My first thought was “YES, she does!” and then I wondered, “who & what is Tia!?\" After a quick Instagram search, while waiting for the subway, I found "},{"_key":"42b7279d02e3","_type":"span","marks":["244eb34056cd"],"text":"@asktia"},{"_key":"617fbb29f5cb","_type":"span","marks":[],"text":", the Instagram handle for the app soon to be IRL clinic coming to Flatiron in NYC."}],"markDefs":[{"_key":"244eb34056cd","_type":"externalLink","linkType":"text","url":"https://www.instagram.com/asktia"}],"style":"large"},{"_key":"b582d05cd15d","_type":"editorialImageCarousel","items":[{"_key":"31de1aa49564","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-5cd5d2cd791b10ef222af688c59e51247036a73e-2103x842-png","_type":"reference"}}}}]},{"_key":"b431a4261485","_type":"block","children":[{"_key":"29b887bca4280","_type":"span","marks":[],"text":"I scrolled through posts — “imagine your PCP talks to your acupuncturist to collaborate on your care plan, “ or “yes, your diet and repeat UTIs might just be connected” to “sex-positive health care where you run the show” and other female empowered, body positive and pro-choice messages. Was this femtech/health startup with a cycle tracking, female health problem-solving app real? I immediately searched for an email address and sent a hopeful message expressing my admiration and newfound dream to work as the acupuncturist at the very 1st Tia clinic."}],"markDefs":[],"style":"normal"},{"_key":"ad0b40d8437e","_type":"block","children":[{"_key":"db025f3ffad90","_type":"span","marks":[],"text":"Fast forward 6 months later, I found myself in a meeting room at a coworking space with Chief Medical Officer at the time, Dr. Stephanie McClellan, and CPOO, Felicity Yost. Together we brainstormed how to incorporate the integrative +Traditional Chinese Medicine (TCM) medicine lens into the UHR while I googled meanings to tech acronyms under the table. It was my first time working with anyone other than small- business- owning -acupuncturists and I found myself temporarily swapping out words like Qi, Yin and Yang for more easily accessible phases like blood circulation, fluid balance, and energy levels. I was relieved, however, to find a team that was so open, fascinated, and hungry for this alternative way of thinking."}],"markDefs":[],"style":"normal"},{"_key":"61ffa4748505","_type":"editorialImageCarousel","items":[{"_key":"9db853ec9d46","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-1b60436c5a54b529856733d8a406ce2724a8ac2a-2103x841-png","_type":"reference"}}}}]},{"_key":"ef7ea03fecbe","_type":"block","children":[{"_key":"8e61f227c9290","_type":"span","marks":[],"text":"As evidence-based medicine, acupuncture and TCM have long been recognized for their non-invasive, side effect free and long-lasting stress relieving and health boosting benefits. The research on acupuncture for female-specific health concerns is ever-growing. Acupuncture and herbal medicine have successfully offered life-changing solutions to those plagued with chronically painful periods, hormonally influenced emotional roller coasters, fertility woes, and so on. Tia, and the creative minds building both the clinic and the UHR from the ground up, we're eager to find ways to weave TCM + whole-body health into their approach to care."}],"markDefs":[],"style":"normal"},{"_key":"07895de6947e","_type":"block","children":[{"_key":"6823d62b193f0","_type":"span","marks":[],"text":"This concept of whole-body health is at the very core of Chinese and integrative medicine. It’s nearly impossible, or at least very unlikely, for an acupuncturist to ask a patient about their inability to fall to sleep at night and not inquire about their bowel movements, frequency of headaches, or preference for warm or cold beverages. Figuring out how to merge together this, oftentimes stream of consciousness/ connect the dots style of thinking into a cohesive document is where the fun started."}],"markDefs":[],"style":"normal"},{"_key":"567c7c4bad79","_type":"editorialImageCarousel","items":[{"_key":"409dabfc6dc4","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-cf02c265f7e1dc86b5e116a79640a636ad2dca3b-2103x842-png","_type":"reference"}}}}]},{"_key":"4c98917d1ec2","_type":"block","children":[{"_key":"3e623103eac50","_type":"span","marks":[],"text":"Dr. McClellan, who had spent her career studying the effect of stress on female brains and convincing her medical colleagues that women were not just “small men” already tended to a more holistic and natural approach. She had been recommending acupuncture to her patients for the past 20 years even though I was the first to give her acupuncture. My task wasn’t to figure out how to convince them of acupuncture’s long list of benefits, something I was accustomed to doing, it was how to incorporate the ideology behind it  The first few questions I saw at the top of an intake asked, “were you born vaginally or cesarean?” and “Did your mother have a difficult pregnancy?” This type of thinking — looking at one’s innate constitution and how that informs overall health is embedded within TCM."}],"markDefs":[],"style":"normal"},{"_key":"ca0aaea9c2f5","_type":"block","children":[{"_key":"548b8db553230","_type":"span","marks":[],"text":"Some of the concerns I had noticed in UHR’s at previous acupuncture clinics at which I worked included:"}],"markDefs":[],"style":"normal"},{"_key":"23b20e9115cd","_type":"block","children":[{"_key":"34138abe29630","_type":"span","marks":["strong"],"text":"1. Either the questionnaire was so extensive and detailed that the patient’s first appointment was almost two hours or\n2. it was simply a space to free write your chief complaint."}],"markDefs":[],"style":"normal"},{"_key":"60ba8e307f3c","_type":"block","children":[{"_key":"14144e999cde0","_type":"span","marks":[],"text":"Both versions worked- patients benefited and symptoms improved from the acupuncture they received at either clinic, but they both were catered to a very specific model. As with most things, there is a sweet spot between the two- a UHR where you could get into the nitty-gritty without having to read and/or transcribe a novel. To do this, we had to see where our typical intake questions overlapped."}],"markDefs":[],"style":"normal"},{"_key":"3edee9b18514","_type":"block","children":[{"_key":"b769046733680","_type":"span","marks":[],"text":"We collaborated to explore the various ways we thought about female health. We had the more commonly asked questions about the menstrual cycle like, “Is your cycle regular? How many days do you bleed for? Do you experience pain with your cycle?\" And then dove into the more qualitative, nit-picky TCM style question, “what color is your blood?” “Do you experience clots?” “Does your period start and stop?” We expanded questions about sleep to go beyond, “How many hours do you sleep each night? and “What time do you go to bed? To include, “Do you have a hard time falling and/or staying to sleep? Do you experience night sweats? What about dream disturbed sleep?” We blended our approaches to patient inquiry to find where we aligned, what was missing, and what was necessary"}],"markDefs":[],"style":"normal"},{"_key":"75ff261869b6","_type":"block","children":[{"_key":"7e05947a8aed0","_type":"span","marks":[],"text":"What Chinese and integrative medicine brings to the table that is often missing in Western medicine clinics + hospitals is the idea that symptoms, or the branch, arises due to an underlying concern, the root. This idea is fundamental in TCM. Rather than giving a pill for this and a pill for that, this root/branch thinking enables us to dig deeper and figure out the "},{"_key":"7e05947a8aed1","_type":"span","marks":["em"],"text":"why"},{"_key":"7e05947a8aed2","_type":"span","marks":[],"text":" of how it all started. And what’s more affirming in this type of thinking is not only seeing longer-lasting solutions to what was once a chronic ailment, but the fact that asking patients these questions, incorporating them into the UHR enables them to make the connections. What we have found is that Tia patients are actively invested in their health and they are tired of going to specialist after specialist who say that the pain will eventually go away, that their chronic bloating doesn't sound that abnormal, or that their irregular bleeding "},{"_key":"7e05947a8aed3","_type":"span","marks":["em"],"text":"seems"},{"_key":"7e05947a8aed4","_type":"span","marks":[],"text":" to be normal their body. The Tia patient wants more answers. They are curious and intuitive and while they’ve been taught to ignore the signs their body is telling, sometimes screaming at them, they have come to us ready to listen, ready to learn."}],"markDefs":[],"style":"normal"},{"_key":"b056d7da9b6f","_type":"block","children":[{"_key":"d17f898fce060","_type":"span","marks":[],"text":"Working with the team to layer this type of thinking into the UHR did, as expected, posed a concern in terms of length. What I found, and still find to be a challenge when bringing together health and tech is all of the “ifs, buts and it depends,” of a patient's story. While tech thrives on clean, bullet point answers and organized layouts, my note-taking often leads me on a winding journey of writing outside the lines. I expected to incorporate at least some open text for a patient to “free write” a specific answer but soon found that not only is this inefficient space-wise, but also, makes it harder for another practitioner to make sense of it all. In order to honor the need to allow flexibility in response, I was introduced to the idea of “conditional logic”."}],"markDefs":[],"style":"normal"},{"_key":"20c62320168b","_type":"editorialImageCarousel","items":[{"_key":"a20ba21e3ed5","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-e1755d89b8de062321877ae0f906430a6f434b80-2103x1008-png","_type":"reference"}}}}]},{"_key":"c2bb33909b2c","_type":"block","children":[{"_key":"2cfee6596459","_type":"span","marks":[],"text":"Conditional logic allowed us to include the possibilities of the “if’s, but’s and it depends” into a relatively concise questionnaire. While I can’t credit this simple idea with being the secret to condensing dozens of textbooks of theory and years of clinical questioning into something a bit more approachable, it certainly helped."}],"markDefs":[],"style":"normal"},{"_key":"20e6fb756868","_type":"block","children":[{"_key":"9af6afea8faa0","_type":"span","marks":[],"text":"The underlying theme in this whole process was efficient collaboration — finding a balance between honoring a patient’s unique health journey while at the same time, making it digestible for practitioners of varying backgrounds. It is through creating the right kind of layered questions that leads not only a practitioner but also the patient, to the underlying 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This allowed providers to understand the patient’s risk factors, determine the urgency of their physical exams, and ensure that the patient was only getting the physical examinations that they needed."}],"markDefs":[],"style":"normal"},{"_key":"4053071bb96c","_type":"block","children":[{"_key":"e9a0800ce8cb0","_type":"span","marks":[],"text":"Thinking we had figured it out, we began to plan for a “Half n’ Half” Well-Woman — half online, half offline."}],"markDefs":[],"style":"normal"},{"_key":"eba3cb389a70","_type":"sectionHeader","title":"Tia Well Woman 2.0: Service Design"},{"_key":"9b3a7d71c730","_type":"block","children":[{"_key":"ab0ef5376dfb","_type":"span","marks":[],"text":"At Tia, we believe in constantly listening to our patients & providers when designing products. We believe that if we listen with open ears, they’ll tell us what they need."}],"markDefs":[],"style":"normal"},{"_key":"de5cb002a27f","_type":"block","children":[{"_key":"29927151e4ea0","_type":"span","marks":[],"text":"As a next step to bring this Half n Half to life, we began reviewing the feedback that we had received on the Well Woman experience we had been delivering to date and did roundtables with patients & providers on the new experiences we were delivering."}],"markDefs":[],"style":"normal"},{"_key":"10a63d751050","_type":"block","children":[{"_key":"703ce216bf040","_type":"span","marks":[],"text":"We heard one thing loud & clear: Tia can do better."}],"markDefs":[],"style":"normal"},{"_key":"5b003b41c99a","_type":"block","children":[{"_key":"a7c25d0c27c90","_type":"span","marks":[],"text":"While the increased access to virtual preventative care was enticing, we repeatedly heard that patients wanted a deeper understanding of the risk factors that providers identified in the visit and a holistic plan on how to address them."}],"markDefs":[],"style":"normal"},{"_key":"67bb5f31fcdb","_type":"block","children":[{"_key":"26e04fe756c90","_type":"span","marks":[],"text":"To meet & exceed our patient’s expectations, we needed to truly uplevel the quality of the consultation portion of the Well Woman experience we had designed. This involved two big changes."}],"markDefs":[],"style":"normal"},{"_key":"8863c28fb5c3","_type":"editorialImageCarousel","items":[{"_key":"0ef0ebc110aa","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-c60fe21384c63ddc718d361b7d875752a0f03878-1679x842-png","_type":"reference"}}}}]},{"_key":"8bfaf907a95b","_type":"block","children":[{"_key":"973dfe86485e0","_type":"span","marks":["strong"],"text":"Delivering patients a Care Plan: "},{"_key":"973dfe86485e1","_type":"span","marks":[],"text":"We heard loud and clear: Tia patients want to take ownership of their health journey. They want a plan, and they want to be a part of designing it. In the new iteration of the Well Woman, every patient would get a documented Care Plan that had the exact plan they had made with their provider. A Tia Care Coordinator would deliver it to the patient via our proprietary chat tool."}],"markDefs":[],"style":"normal"},{"_key":"d142add2c2ff","_type":"block","children":[{"_key":"c406b44529a70","_type":"span","marks":["strong"],"text":"Investing heavily in provider training. "},{"_key":"c406b44529a71","_type":"span","marks":[],"text":"Over the following month, we spent over 20 hours training providers. This spanned everything from how to review Tia’s health record to how to create a Care Plan to very specific trainings on various interventions that would be essential for our patient population."}],"markDefs":[],"style":"normal"},{"_key":"9f19e22c76d1","_type":"sectionHeader","title":"Tia Well Woman 2.0: Bringing it to life "},{"_key":"2654501ed8f0","_type":"block","children":[{"_key":"691e53289f38","_type":"span","marks":[],"text":"We’d designed the product experience. The service had been solidified, and now we needed to bring it to our patients."}],"markDefs":[],"style":"normal"},{"_key":"e088dfcc6ac7","_type":"block","children":[{"_key":"ac62e93da2ff0","_type":"span","marks":[],"text":"Experience & communications"}],"markDefs":[],"style":"h3"},{"_key":"3097f89c78c6","_type":"block","children":[{"_key":"67ce35316f500","_type":"span","marks":[],"text":"This offering simply didn’t exist anywhere else. How would we explain it to people?"}],"markDefs":[],"style":"normal"},{"_key":"f839f32db06f","_type":"block","children":[{"_key":"69d5c6ce08af0","_type":"span","marks":[],"text":"The brand team went to work on identifying the key areas we would use to explain this new experience to patients. Ultimately, we landed on creating new naming conventions and standardizing visualizations of the Care Plans as the tools to explain this to members."}],"markDefs":[],"style":"normal"},{"_key":"b6f6e528b61c","_type":"block","children":[{"_key":"5bfd86a273c7","_type":"span","marks":[],"text":"The team compiled this into "},{"_key":"69b8c90a0b4c","_type":"span","marks":["63d052e7abad"],"text":"a webpage"},{"_key":"d3ab7fda0f88","_type":"span","marks":[],"text":" that took patients through the experience end-to-end."}],"markDefs":[{"_key":"63d052e7abad","_type":"internalLink"}],"style":"normal"},{"_key":"e65c0c5564e3","_type":"block","children":[{"_key":"9aa04d4b822d0","_type":"span","marks":[],"text":"Operationalizing the experience"}],"markDefs":[],"style":"h3"},{"_key":"73bc73a81d83","_type":"block","children":[{"_key":"cac03df2f4ed0","_type":"span","marks":[],"text":"We had introduced an entirely new service line: for one single patient journey, there were multiple providers and administrative staff working behind the scenes to ensure a smooth experience."}],"markDefs":[],"style":"normal"},{"_key":"c04d20a7b2e3","_type":"block","children":[{"_key":"5c6a10af94c00","_type":"span","marks":[],"text":"We doubled down on documentation and training, particularly around the parts of the experience where patients were moving from one step to another — what we like to call at tia “baton passes.”"}],"markDefs":[],"style":"normal"},{"_key":"c20bdae12bb3","_type":"editorialImageCarousel","items":[{"_key":"3564fc63cdde","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-cd12b80e2ea30e51f5bf02c3e2ce18c10f4afcc9-2103x1175-png","_type":"reference"}}}}]},{"_key":"975e4f8dedf4","_type":"block","children":[{"_key":"f31e29a6ff31","_type":"span","marks":[],"text":"Bringing the product into the technology platform"}],"markDefs":[],"style":"h3"},{"_key":"9054bbb00c37","_type":"block","children":[{"_key":"66e9e036e6b50","_type":"span","marks":[],"text":"The online-and-offline experience required a new tech experience, particularly as it related to booking an appointment. We knew that the next experience had to deliver on two key requirements:"}],"markDefs":[],"style":"normal"},{"_key":"d1ccb517fdd8","_type":"block","children":[{"_key":"c76e7f25fde70","_type":"span","marks":[],"text":"Education: it’s a new service, we needed to use this as an opportunity to explain the experience of booking"}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"17a629694195","_type":"block","children":[{"_key":"f385e0b8a3a10","_type":"span","marks":[],"text":"Continuous journey: we needed to show that they were booking the beginning of a journey of appointments, not a one-off appointment."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"64cf3e01f9ad","_type":"block","children":[{"_key":"d00754a3d9ed0","_type":"span","marks":[],"text":"Together, our tech product, product design, and engineering team worked together to shift to a new booking experience that delivered on this requirement."}],"markDefs":[],"style":"normal"},{"_key":"cf14657a28cf","_type":"sectionHeader","title":"It’s just the beginning"},{"_key":"1d824a4ecb8f","_type":"block","children":[{"_key":"5a2dfd292a4d","_type":"span","marks":[],"text":"In June 2020, Tia’s Well-Woman 2.0 was introduced to the world."}],"markDefs":[],"style":"normal"},{"_key":"dcefbf5cdd4f","_type":"block","children":[{"_key":"7ef8da1102140","_type":"span","marks":["strong"],"text":"Patients were thrilled"},{"_key":"d5c524ca72dc","_type":"span","marks":[],"text":" — the new service had both allowed for access to preventative care and created an experience that had up-leveled their preventative care experience."}],"markDefs":[],"style":"normal"},{"_key":"5c7dd3a475d7","_type":"editorialImageCarousel","items":[{"_key":"24a77389a97f","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-427f7de9056483b7a5f896aac7eb7d3e235d690d-1644x424-gif","_type":"reference"}}}}]},{"_key":"7b03da86ab09","_type":"block","children":[{"_key":"4b59e1c2602b","_type":"span","marks":["strong"],"text":"Providers were thrilled"},{"_key":"58f1af6c0b71","_type":"span","marks":[],"text":"-- by creating time for providers to focus on understanding the patient's health history & goals, they were given the space to work collaboratively with their patients to create a truly holistic plan for how to get or keep their patients healthy."}],"markDefs":[],"style":"normal"},{"_key":"6f7bd104dbc4","_type":"editorialImageCarousel","items":[{"_key":"b853a4833da9","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-dbb5b118af5b0396af69731bdca8ffdf71f68095-1644x424-gif","_type":"reference"}}}}]},{"_key":"4010ec4cbdc8","_type":"block","children":[{"_key":"8449a1d1f88b","_type":"span","marks":[],"text":"Launching the Tia Well-Woman 2.0 experience was a huge step forward in delivering on the Tia Care Model. 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We’re excited to continue to develop the Well-Woman — keep an eye out for what’s to come!"}],"markDefs":[],"style":"normal"}],"image":{"_type":"image","asset":{"_id":"image-6c7f71ce375c28a495d8c6759003c874e728e7f0-2500x866-png","_type":"sanity.imageAsset","_createdAt":"2022-12-26T09:33:20Z","_rev":"Pf6WA3QqVnnbHhbAQVn48Q","_updatedAt":"2022-12-26T09:33:20Z","assetId":"6c7f71ce375c28a495d8c6759003c874e728e7f0","extension":"png","metadata":{"_type":"sanity.imageMetadata","blurHash":"DAQln1IUxu-pWB~WxaM|Rjjs","dimensions":{"_type":"sanity.imageDimensions","aspectRatio":2.886836027713626,"height":866,"width":2500},"hasAlpha":true,"isOpaque":true,"lqip":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABQAAAAHCAYAAAAIy204AAAACXBIWXMAAAsTAAALEwEAmpwYAAABBklEQVQokY1RW27CMBDk/vdJiwophFCo4zwLJbGdkqoCFOJwhql2HfpSP/gYzc7aGo93R9bE6LREpySovhV9/V8vwYjM9skcaj3BYbvi5i3gIFWEdifQlhGsHgzPKoISUxSBhyYLQPqsJHNLqAYMmvqcSEu0pcDhVeJYJehM+p3wLZ1juxpDSx/7LGBt4kfWxA4z1MkM70XID9CIiI86xclksPUfw5flPWPzNGYuQg/5wkMR3n31d+sHNHnASa2R6E3kvq8T9Ip07Aw/NktOoyIfSvqulj4qMUUpJlxTuiZf4FQ+uwXwEiQuJsZFS/QEMrxu2c3uN9z8BDNpunfdpq0H0x+gs0+PxOqGZXY12AAAAABJRU5ErkJggg==","palette":{"_type":"sanity.imagePalette","darkMuted":{"_type":"sanity.imagePaletteSwatch","background":"#52463a","foreground":"#fff","population":1.99,"title":"#fff"},"darkVibrant":{"_type":"sanity.imagePaletteSwatch","background":"#861f43","foreground":"#fff","population":0.05,"title":"#fff"},"dominant":{"_type":"sanity.imagePaletteSwatch","background":"#52463a","foreground":"#fff","population":1.99,"title":"#fff"},"lightMuted":{"_type":"sanity.imagePaletteSwatch","background":"#d1c1b2","foreground":"#000","population":0.7,"title":"#fff"},"lightVibrant":{"_type":"sanity.imagePaletteSwatch","background":"#fcdacd","foreground":"#000","population":0.4,"title":"#000"},"muted":{"_type":"sanity.imagePaletteSwatch","background":"#976568","foreground":"#fff","population":0.22,"title":"#fff"},"vibrant":{"_type":"sanity.imagePaletteSwatch","background":"#e9b446","foreground":"#000","population":0.05,"title":"#fff"}}},"mimeType":"image/png","originalFilename":"TWW2.0_Header.png","path":"images/8qqycr4y/production/6c7f71ce375c28a495d8c6759003c874e728e7f0-2500x866.png","sha1hash":"6c7f71ce375c28a495d8c6759003c874e728e7f0","size":84403,"uploadId":"2IUutzIbMfrQ4no7WltE3M8javXFI6t9","url":"https://cdn.sanity.io/images/8qqycr4y/production/6c7f71ce375c28a495d8c6759003c874e728e7f0-2500x866.png","id":"image-6c7f71ce375c28a495d8c6759003c874e728e7f0-2500x866-png","parent":null,"children":["10e009b3-a56a-59b4-b598-98988b474342"],"internal":{"type":"SanityImageAsset","contentDigest":"bf887f2ea09ce68377d0dcacf43ff563","counter":5948,"owner":"gatsby-source-sanity"}}},"modules":[{"_key":"b1cf32f46939","_type":"furtherReading","articles":[{"_id":"f36cb660-77d9-4884-8573-ace868af5508","_type":"editorial","_createdAt":"2021-02-01T01:56:52Z","_rev":"0M2LCpn9YBC8caJe5bglpz","_updatedAt":"2025-05-23T19:20:06Z","content":{"_type":"articleTabs","main":{"_type":"articleContent","articleColor":"bcraspberry","articleType":{"_ref":"012c972c-f201-415f-9805-7d9369c158b8","_type":"reference"},"authors":[{"_key":"53caaf02a97b","_ref":"d605a4ae-a1d2-446f-a95f-6d1466e06a40","_type":"reference"}],"cardImage":{"_type":"image","asset":{"_ref":"image-eb28ada4b8cb093d247bcf6cf3a02f2a6c0162f2-1366x800-png","_type":"reference"}},"editorialText":[{"_key":"6db51f0eb559","_type":"block","children":[{"_key":"11b1899586a2","_type":"span","marks":[],"text":"I am co-founder and Tia’s chief product and operating officer — a unique title that foreshadows this post, and our differentiated perspective on successfully building product in healthcare. Prior to Tia I “cut my teeth” at Bridgewater and Owler, where I worked as a “traditional” product manager in very non-traditional company cultures. These experiences shaped my entree to Tia with deep regard for the impact structure and culture of a team can have on the end product."}],"markDefs":[],"style":"normal"},{"_key":"4ce7773d91da","_type":"block","children":[{"_key":"133d987bd06a","_type":"span","marks":[],"text":"As the incarnating blog post, I seek to describe what "},{"_key":"2afa3234b575","_type":"span","marks":["em"],"text":"Product"},{"_key":"d5026bdca791","_type":"span","marks":[],"text":" is at Tia. For, it’s something it’s not at most other places, or it’s not something it is at most other places. ;)"}],"markDefs":[],"style":"large"},{"_key":"15a236000d8b","_type":"block","children":[{"_key":"a4cac281e844","_type":"span","marks":[],"text":"Below I describe in a narrative fashion, how we’ve arrived at the product-centric approach to development at Tia. Immediately below (if you’re not prone to prose) I also summarize the key differentiators/takeaways."}],"markDefs":[],"style":"normal"},{"_key":"86edf8e48df8","_type":"block","children":[{"_key":"48e0d0698cf40","_type":"span","marks":[],"text":"In one phrase, though, "},{"_key":"48e0d0698cf41","_type":"span","marks":["em","strong"],"text":"we are different because we aren’t limiting the traditional product development principles to one tool kit (code) but, instead, liberally applying them across our various users and their needs in ways that healthcare has never seen before."}],"markDefs":[],"style":"normal"},{"_key":"127698635ed1","_type":"sectionHeader","headerLevel":"h2","title":"The Summary"},{"_key":"d9b885f32a77","_type":"block","children":[{"_key":"15ac3a565ad2","_type":"span","marks":[],"text":"Our approach is different in the following ways:"}],"markDefs":[],"style":"normal"},{"_key":"5ad0fe017438","_type":"block","children":[{"_key":"4dba881e17d70","_type":"span","marks":[],"text":"We believe that a massive contributor to the issues plaguing healthcare is the technology systems that have been incalculably thrust upon the industry, and the way we’ve operationally and technically shifted from relationships and longitudinal health and wellness to transactional, moment in time visits and care. As our core insight, we strive to build a system that is explicitly oriented around supporting the many people participating in a patient’s care community, as well as acknowledging that health and wellness are ongoing activities through life, necessitating more than just a visit."}],"markDefs":[],"style":"normal"},{"_key":"53f86ff36f70","_type":"block","children":[{"_key":"192b7036f6230","_type":"span","marks":[],"text":"In order to effectuate our core thesis into a system, we have taken two differentiated steps in building our products: we’ve greatly expanded our notion of “user” and we’ve greatly expanded how we think about product."}],"markDefs":[],"style":"normal"},{"_key":"d0cd88ac4105","_type":"block","children":[{"_key":"83170518b0aa","_type":"span","marks":["strong"],"text":"We have multiple users, we’re building for the patient, we’re also building for the provider."},{"_key":"ae6a12178830","_type":"span","marks":[],"text":" This means our gynecologists, Primary Care Physicians (PCPs), Licensed Clinical Social Workers (LCSWs) — but it also means the Medical Assistant, care team, the front desk associate, and the ultrasound tech (traditionally forgotten)… we’re building for each individual on our team, and for the team collectively.\n"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"f51d3c838c8b","_type":"block","children":[{"_key":"dc22fbcf25ba0","_type":"span","marks":["strong"],"text":"We view product more expansively than our tech platform, product is our service line, it is our community support, it’s our content."},{"_key":"0a20bdaef09b","_type":"span","marks":[],"text":" With this perspective, we apply the traditional “user-centered thinking” to every problem/issue we encounter (there’s many, we’ve no shortage of “TODOS”), and design solutions under traditional product management strategies (cult of WWUD, or what would the user do?”). This is surprisingly differentiated in healthcare, a space that is still run by the “bottom line”. We take the belief that, if we do what’s best for our users, the needed behavior and the right bottom line will fall into place.\n"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"4044ab598dce","_type":"block","children":[{"_key":"3b4800b1ca790","_type":"span","marks":["strong"],"text":"Expanding our view of product beyond tech alone has necessitated our “architects” to deploy more than code to stand up our differentiated systems. "},{"_key":"a6149a7bdbf0","_type":"span","marks":[],"text":"Our product teams use technology, process, protocols, norms, principles, and culture to build our system. The toolkit is far more expansive, but enables us to not only deploy new service lines, and do the much more challenging (and in my book innovative) which is to deploy tech features that don’t just ladder up to and support clinical processes, but actually help promote/reinforce our clinical model.\n"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"3e044e5cd656","_type":"block","children":[{"_key":"571f4fcab75f0","_type":"span","marks":[],"text":"In order to do this, "},{"_key":"0db4e76cfd06","_type":"span","marks":["strong"],"text":"we elevate engineers, designers, and clinical operators alike into the role of “builders”, and employ them all under the umbrella of the “product organization”."},{"_key":"41a8a65c30ca","_type":"span","marks":[],"text":" Given our platform is not just tech, it necessitates builders of all different skills and licenses to bring our interdisciplinary vision to fruition."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"8904519af8dc","_type":"editorialImageCarousel","items":[{"_key":"8aa8e64f316e","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-744becbbd3aa4a93740f80b3acf17062c74a3e0a-2103x562-png","_type":"reference"}}}}]},{"_key":"ce38dfd8863c","_type":"sectionHeader","headerLevel":"h2","title":"The story version: Our early days set up our differentiated approach"},{"_key":"9edfe4cf7568","_type":"block","children":[{"_key":"8d00f6568720","_type":"span","marks":[],"text":"When we first set out to build Tia, we were on a journey to “de-fragmentize” healthcare, and also to “democratize” access to reliable healthcare information so that women could make better decisions. We knew that this system must leverage technology — but in our early days — we hadn’t fully found what our product needed to be. In silicon valley terms, we hadn’t arrived at product-market fit. "}],"markDefs":[],"style":"normal"},{"_key":"4ee4bf48d6d0","_type":"block","children":[{"_key":"fe75a925d6dd","_type":"span","marks":[],"text":"For the first 9 months of Tia’s life, we were really focused on building a 1-to-1 personal health assistant. It was part human and part bot, and provided personalized and largely instantaneous answers to common women’s health questions such as “I forgot my birth control pill” or “my period is late, should I be concerned?”. Our sweet spot was urgent/anxiety-provoking questions requiring more personalization than a blog post. While this experience gave us an unparalleled front-row seat to over 200,000 different conversations with women about their health, we quickly learned that we needed to supply more than just digital answers on an iPhone to meet women’s needs. Women really wanted Tia to actually deliver their healthcare, not just advice on what and where to get it. We learned that our superpower was not only providing women information but a trusted relationship — one that made women feel seen heard and cared for in outsized ways. We had cracked one of the hardest things to do in healthcare — cultivate trust. "}],"markDefs":[],"style":"normal"},{"_key":"9b66809c5330","_type":"editorialImageCarousel","items":[{"_key":"f49d1bd31725","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-3d60fdc3083e7c9cd9e7acc97c2133910454b789-2103x549-png","_type":"reference"}}}}]},{"_key":"44c1774f77eb","_type":"block","children":[{"_key":"eeeb961d1555","_type":"span","marks":[],"text":"Why then, would we refer women into the healthcare system then for actual healthcare, which they more often than not, distrusted so much? Women wanted real “hardcore” care from Tia, a place to get pelvic exams, STI tests, ultrasounds, breast exams, Pap smears, and phlebotomy. Unlike many of the virtual care platforms that were taking off that the moment, we saw that to bring our women what they needed from Tia required physical sites for care. So, like any good product organization, we bent to our users’ demands."}],"markDefs":[],"style":"normal"},{"_key":"0c105e655eee","_type":"block","children":[{"_key":"0ef80267e55a0","_type":"span","marks":[],"text":"It was at this turning point that we had to face ourselves in the mirror and say: if we are going to become a brick and mortar healthcare delivery organization, what role does technology play in our business? Are we even a tech company? Do we even need a product team? In brief, Carolyn and I would reiterate to ourselves the existential question: “Are we an app with a clinic? Or, a clinic with an app?”"}],"markDefs":[],"style":"normal"},{"_key":"a3c6c42db9ef","_type":"block","children":[{"_key":"33cf1b6052510","_type":"span","marks":[],"text":"I knew we didn’t want to be either. Both sounded small. Not to mention, either way of looking at our future completely missed what we surmised as the core issues in healthcare: information fragmentation, bad patient AND provider experience lacking orientation around cost, a paucity of creative design to make it easy and convenient to use, tawdry technology that belabored simple actions."}],"markDefs":[],"style":"normal"},{"_key":"bdcdb493534e","_type":"sectionHeader","headerLevel":"h2","title":"We couldn’t follow the path of least resistance"},{"_key":"f254b98f9a3b","_type":"block","children":[{"_key":"ca0da4b65ef3","_type":"span","marks":[],"text":"If I am being honest, it probably would’ve been easy to say that “a clinic with an app” alone would solve the problem (it at least would’ve definitely been easier to sell to investors). The problems in healthcare technology are rampant, and most everyone knows this. For example, I’ve never heard a single provider rave about their tech. The brunt of provider complaints arise from the stone-age era Electronic Medical Records (EMR) systems they’re required to use every day, systems that were designed more around the success of the medical biller than the clinician themself. These truths are best described in the poignant article, "},{"_key":"0318a480b2b8","_type":"span","marks":["3b2369a73d90"],"text":"Death by 10,000 Clicks"},{"_key":"049c33b94b91","_type":"span","marks":[],"text":"; an article that every modern-day clinician and “health tech” industry worker has imprinted into their memory."}],"markDefs":[{"_key":"3b2369a73d90","_type":"externalLink","linkType":"text","url":"https://khn.org/news/death-by-a-thousand-clicks/"}],"style":"normal"},{"_key":"0bbeadd0b071","_type":"editorialImageCarousel","items":[{"_key":"081ca21fcc57","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-819cd80d214e48bcdd2133263ca6368afcf64b8a-2466x1644-png","_type":"reference"}}}}]},{"_key":"aab74a44f11b","_type":"block","children":[{"_key":"fa7cbf952e92","_type":"span","marks":[],"text":"That these technology systems inadvertently and advertently shape modern medicine is a critical vector of our problems. EMRs are no longer just data receptacles, they are actually dictating standard of care — "},{"_key":"162be1e80a24","_type":"span","marks":["em"],"text":"driving,"},{"_key":"6353b6556625","_type":"span","marks":[],"text":" not documenting, clinical actions. And, because of the ways that the systems prevent providers from “progressing” a patient through care if they don’t tap the right button, providers focus more on clicking than actually consulting. Who could blame them, for a standard primary care checkup there can be over "},{"_key":"631f1f84f3a9","_type":"span","marks":["dd265e5e3560"],"text":"400 required actions if the EMR is CMS Medicaid compliant"},{"_key":"f93979047b86","_type":"span","marks":[],"text":". This impacts our patients too — provider eye contact is drawn away from the patient in the visit, focused on the buttons not explaining the recommendations. But, worst of all, these "},{"_key":"e21f3f7c63ae","_type":"span","marks":["em"],"text":"buttons"},{"_key":"b565b465e375","_type":"span","marks":[],"text":" distract the provider from the very reason they got into medicine and spent years obtaining a medical degree. In lieu of medical decision making, providers, via these EMRs, are shoved into a draconian technology system that takes as slim a perspective on the merits and possible vertices of human existence and disease as a 1999 version of The Sims. (like versions pre-dating rosebud!;!;!;!;)"}],"markDefs":[{"_key":"dd265e5e3560","_type":"externalLink","linkType":"text","url":"https://pubmed.ncbi.nlm.nih.gov/240603"}],"style":"normal"},{"_key":"8cf8f66d5bbc","_type":"block","children":[{"_key":"5a0720bbafe4","_type":"span","marks":[],"text":"Just as limited as you might feel like a real human in a Sim life, providers are limited in the seemingly two-dimensional matrix of common EMRs. These collections of 1’s and 0’s have uprooted the art of medicine, the practice of wellness, and healing. The art supplanted not by science, but by code. Code that has been lobbed haphazardly on top of more antiquated code, to form a “system”. With each subsequent CMS guideline, another piece falls into a previously unrecognized crack. This mass of bad tech is a very large nodule on the rhizome of the issues in healthcare (I had to go with rhizome, as the panoply of issues in the healthcare system is certainly so large as to require its own glucose supply)."}],"markDefs":[],"style":"normal"},{"_key":"6b42f1072172","_type":"block","children":[{"_key":"0465b927a0d60","_type":"span","marks":[],"text":"So, it was clear that these issues we set out to solve: worsening outcomes, dissatisfied patients, demoralized providers, skyrocketing costs, layers and layers of institution/fragmentation could not be unearthed with a mere digital re-skinning of current tech. The Frankenstein needs to be put to rest and replaced with a new system more purposefully sewn together. This is why we couldn’t take the easy route — and couldn’t make a ‘clinic with an app’."}],"markDefs":[],"style":"normal"},{"_key":"205c89334b16","_type":"block","children":[{"_key":"bb52c346efa30","_type":"span","marks":[],"text":"Everything that I’ve said over the last 4 paragraphs is trite for someone in healthcare. The real difference is how Tia addresses this. A mini digression before I get to this (now you’re understanding why I wrote a summary!)"}],"markDefs":[],"style":"normal"},{"_key":"07b366d95710","_type":"sectionHeader","headerLevel":"h2","title":"Our society didn’t just have a break up with medicine, it lost all relationships in medicine"},{"_key":"98b982e41468","_type":"block","children":[{"_key":"f4283bdd0e65","_type":"span","marks":[],"text":"Long ago, art, science, medicine, pharmacology, botany, horticulture, spirituality and community were all linked, often tied to the same place, individual, or ritualistic practice. And, in more recent past (a mere decade ago), patients retained their doctor for life — allowing their care providers to amass a world of data about them, that while perhaps not all captured in a clinical note, was fertilizing the ground from which the physician drew clinical insights and took clinical decisions. While I am not insinuating we ought to return to bloodletting practices of the past, I do think that we’ve lost greatly in siloing medicine away from the acts of healing, wellness, and community. But required for those is an element that our society, and medicine, in particular, has waysided: time, continuity, cultivation, iteration, and evolution. The site of the modern medical marvel, the ER, is anything but a site for healing continuity. Instead, it’s a site of “transaction”, “one and done” and “take a pill to make it all go away”."}],"markDefs":[],"style":"normal"},{"_key":"d4098fdf9393","_type":"block","children":[{"_key":"1b24b4c949380","_type":"span","marks":[],"text":"What is elemental to “practice medicine”? Etymologically, practice is derived from the greek and means something that is constantly worked on. Medicine, the observation of what is natural. Both rely on this idea of ‘overtime’ — practice and observe "},{"_key":"9acab55604521","_type":"span","marks":["em"],"text":"over time"},{"_key":"9acab55604522","_type":"span","marks":[],"text":". We need a system that will more deeply support care for a patient through time."}],"markDefs":[],"style":"normal"},{"_key":"bfee497351b4","_type":"block","children":[{"_key":"6d4cc4f8623c0","_type":"span","marks":[],"text":"We want to shift our perspective back towards the ‘practice of medicine’ as longitudinal, as through time. How might we do this in a day where patients now expect to similarly command clinical care as they do Ubers? Where we’re promised “cures” to incurable diseases with symptom masking pills? Where providers are cornered into singular methods of treating patients, regardless of the patient's contextual complexities? And, where quite frankly, our clinicians are so burnt out they are constantly looking for ways to minimize patient-facing care hours?"}],"markDefs":[],"style":"normal"},{"_key":"435fe98da408","_type":"block","children":[{"_key":"ea16711fb45c0","_type":"span","marks":[],"text":"From our estimation the longitudinal shift comes down to two core elements that must be pursued: a focus on the spectrum between illness and health and cultivation of relationships as the core system in medicine. The former is at root Tia’s clinical model, our unique approach to delivering care. It is a topic for another, a stand-alone post. But the latter characterizes our perspective on the system that we need to build to enable success in medicine once again. Designing and building this system is my focus at Tia, I’ll aim to explain deeply yet tactically what we mean in the remainder of this post."}],"markDefs":[],"style":"normal"},{"_key":"ce247c3f8559","_type":"block","children":[{"_key":"1e90a900e5b70","_type":"span","marks":[],"text":"In healthcare, we often talk of the patient <> provider relationship — but, in fact that relationship barely exists today. We insinuated institutions between the patient and the provider (think: “I tried to call my doctor but I was on hold with a call center for nearly an hour”, or “I wouldn’t even know where to go to get my medical records”, or “I got a bill from someplace that I didn’t even know I went to for care”). And, of the other relationships critical to making care delivery “work”, we typically gloss them over: the relationship between the patient <> care team, the provider <> care team, the provider <> medical assistant, the provider <> radiologist … etc."}],"markDefs":[],"style":"normal"},{"_key":"3002460de716","_type":"block","children":[{"_key":"8d106fb7adce0","_type":"span","marks":[],"text":"The premise of a relationship, and how it separates from a transaction, is its specific design to have more interactions between the parties in the future. The intention of the design is to create trust between the parties, and per "},{"_key":"3b843a3b065b","_type":"span","marks":["b5cd7e108ae9"],"text":"Levi Strauss"},{"_key":"745f46dcdac8","_type":"span","marks":[],"text":", even a sense of indebtedness/anticipated return of something. In order to cultivate this, we need a sense of transparency, truthfulness, reliability — a sense of memory of the interaction, and most of all, a sense of reliability."}],"markDefs":[{"_key":"b5cd7e108ae9","_type":"externalLink","linkType":"text","url":"https://www.google.com/books/edition/Tristes_Tropiques/lfrk6HmuN7EC?hl=en&gbpv=1&printsec=frontcover"}],"style":"normal"},{"_key":"40fc13519791","_type":"block","children":[{"_key":"253e3a0602a3","_type":"span","marks":[],"text":"The transactional visits of today mystify these foundational elements of relationships (that EMRs have relabeled “encounters”, so as to truly absolve us of any misconception that there should be a string of interactions between that very patient and that very provider/health system ever again). The button clicking creates the effect of “pushing patients through” a string of digital checkpoints. The operating systems make healthcare point in time, one-off, and absolve it of the human-to-human relationship. It’s our thesis that in order to redesign a successful system, we must re-insert the effect of time on health. There’s that age-old adage “it takes a village” … to raise a child. It also takes a village to ensure health and wellness continuity across that child’s lifetime, through adulthood. We seemed to have lost that part of the phrase. Our healthcare is a lifetime journey, and it’s one that must be explored in concert with a band of supporters, namely a care team."}],"markDefs":[],"style":"normal"},{"_key":"f5902a4ca486","_type":"editorialImageCarousel","items":[{"_key":"0aa429cd63a5","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-a7d9359afcdf1ada0156014c08b7376fd2ccbad7-2103x740-png","_type":"reference"}}}}]},{"_key":"9adc9cb74c68","_type":"block","children":[{"_key":"29b01e1934070","_type":"span","marks":[],"text":"Our deepest insight is then: in order to transform healthcare we need to reorient our systems of delivery not around a single visit in a vacuum, but the healthcare journey of a patient. "},{"_key":"e1bf85cf92331","_type":"span","marks":["strong"],"text":"That journey must be supported through transparent, ongoing, collaborative relationships between patients and providers, providers and providers, and patients and patients, or the care community."}],"markDefs":[],"style":"normal"},{"_key":"19260d742d85","_type":"sectionHeader","headerLevel":"h2","title":"To put relationships back in medicine, we had to put the people back in medicine; to put the people back in medicine, we had to understand our people"},{"_key":"b18dcfa9e2b7","_type":"block","children":[{"_key":"07b6ec17a448","_type":"span","marks":[],"text":"How to do this — my first inclination came on strong, as it would for anyone steeped in Paul Graham's product thinking: user-centric design. But, as differentiated from our compatriots in healthcare, we certainly were not going to start with the medical biller (we don’t even employ a medical biller). But, we wouldn’t end with the patient and the provider either. Each member of the care community needs to be treated as a “user”, and so did the collective community. When designing and building our system, therefore, we dually consider each role in our organization (PCPs to front desk staff) and the interactions between each role type as a “user” itself. How might a patient use this feature? How would the way they use it to impact the provider on the other side? What might the provider need to do with the information? When would they need to involve a Medical Assistant or another provider?"}],"markDefs":[],"style":"normal"},{"_key":"6c8f326fcbea","_type":"block","children":[{"_key":"2879a59e28080","_type":"span","marks":[],"text":"And, we needed to refashion the success of care away from a focus on encounters, visit duration, and button clicks towards a longitudinal care journey rooted in a relationship with the patient. Meaning, based on patient need, we should prepare the patient for multiple appointments, and how the insights about their condition would unravel across those steps; we required a choreographed understanding across the team of the various touchpoints each role would have with the patient."}],"markDefs":[],"style":"normal"},{"_key":"96baf9413b89","_type":"block","children":[{"_key":"3b9514baadde0","_type":"span","marks":[],"text":"But, in order to do this successfully, we could not just depend on our technology system alone. It was clear that if we fell into the same trap as those around us, of thinking tech, could devise a solution that characterized the clinical operations or medical decision making, we’d end up down the same road as so many others, death by clicks."}],"markDefs":[],"style":"normal"},{"_key":"cb743db17c18","_type":"block","children":[{"_key":"bee018296b040","_type":"span","marks":[],"text":"Clinical operations, service line design, clinical research, patient experience, provider documentation, patient registration … even down to that “breath in, breath out” moment at blood draw needed to be redesigned with this altered perspective in mind. We had a long list, to name a few:"}],"markDefs":[],"style":"normal"},{"_key":"f12cf2b928cb","_type":"block","children":[{"_key":"404b35a78537","_type":"span","marks":["strong"],"text":"We need a service line redesign to change the concept of a “once a year preventive healthcare check-up” to “a daily engagement with my health and wellness”."},{"_key":"b3c3f6863066","_type":"span","marks":[],"text":" How can we help our patients translate “eat more fiber” from their digital care plan into a living and breathing action they take every day?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"e63e710ae414","_type":"block","children":[{"_key":"d6fa15a5fd950","_type":"span","marks":["strong"],"text":"We needed altered clinical operations, guidelines, and procedures to support such a longitudinal view"},{"_key":"4012b26922a5","_type":"span","marks":[],"text":" — how might a provider dig into different questions during different visits? How might we recommend different modalities of wellness (acupuncture, nutrition, mental support) given certain conditions?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"2ed3aeb13b9d","_type":"block","children":[{"_key":"00b5799e97be0","_type":"span","marks":["strong"],"text":"We needed patient education initiatives to engage and explain our different ways of doing things"},{"_key":"a2a6ee26bea9","_type":"span","marks":[],"text":". This education needs to extend beyond informational, to curational. It needs to break the long endured stigmas in women’s care, and building community in the experience of our bodies, of our health, of our lives — rehumanize healthcare through and through."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"b2eb0d0b02bd","_type":"block","children":[{"_key":"e66fad2e95eb0","_type":"span","marks":["strong"],"text":"We needed differentiated staff and personnel"},{"_key":"1dd9bc596723","_type":"span","marks":[],"text":" who would thrive in the high volume of communication that we are doing between our team and out to patients. We needed training modules on how to speak the language of patients, not the foreboding language of healthcare."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"cdca5180da06","_type":"block","children":[{"_key":"59488a7252f20","_type":"span","marks":["strong"],"text":"We even needed alternate clinical space design"},{"_key":"f726d5fd342b","_type":"span","marks":[],"text":" to support the cross-team collaboration and make “the doctor’s office” a place women wanted to go to — not just when something was wrong but to proactively invest in their health."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"351cde871b67","_type":"block","children":[{"_key":"3779c75984c70","_type":"span","marks":["strong"],"text":"We needed to establish an organizational culture"},{"_key":"6ab074c3d457","_type":"span","marks":[],"text":" that supported our core norms, principles, and philosophies around the critical elements of success in patient-care (longitudinal thinking/the health journey and relationships). This necessitated more than just technologists working on this “product”. This essentially requires our entire organization, from software developers to clinical operators, to NPs and MDs, to designers, to the brand team. Decisions couldn’t be siloed but must be made and executed horizontally across all these functional areas."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"558c73c02c20","_type":"block","children":[{"_key":"ad0cd20227cd","_type":"span","marks":[],"text":"To bring these various minds together, the right org structure became tantamount. As anyone familiar with matrixed decision making, the underbelly of the interdisciplinary team is decision paralysis. In an effort to avoid this, we took the role of the product manager, or the ambassador of the user, and said: you have many tools in your tool kit, use them all to impress your user. PMs at Tia use tech, service line design, patient education, clinical modeling, process/procedures, cultural development and training, and much more to deliver on their goal."}],"markDefs":[],"style":"normal"},{"_key":"59aaa16ce9ad","_type":"sectionHeader","headerLevel":"h2","title":"And, we had to revolutionize the way we organize our people to ensure the best possible collaborative outcomes."},{"_key":"2ec2ca7a695c","_type":"block","children":[{"_key":"c9d791fdc07a","_type":"span","marks":[],"text":"The role of the PM is much expanded from the traditional that typically works across engineering, design, and marketing. And, as is much in vogue at the moment in technical organizations, we’re pulling the “technical design” conversations earlier into the development process. But, we’ve expanded our definition of technical design to include clinical ops, clinical research, and care. After all, we’re in a world where much of our product is actually the care, and the ops are the delivery vessel (akin to businesses where content is the product, and the platform is the delivery vessel aka Instagram). Engineers and operators are our builders, they just have different building blocks. We treat the design and implementation process across the two much the same — and most importantly, the test/iterate cycle much the same. Our operational feature performance is measured and ‘bug fixed’ in much the same way our technical features are."}],"markDefs":[],"style":"normal"},{"_key":"ddc48aa57be0","_type":"block","children":[{"_key":"6725889768f00","_type":"span","marks":[],"text":"One of the most important elements of how we’ve thought about this design is that we cut a PM’s responsibility not by tools in the tool kit but by the user, we don’t have operator PMs and tech PMs, just PMs. Our PMs are focused on the patients or the providers or the administrative staff. This means, in order to develop end value for the user, they may / must have to traverse all tools in the tool kit. Take a recent feature we released, an online check-in for patients which allows them to validate their insurance coverage, the card on file for copays, and complete their intakes ahead of their visit. While a substantial portion of this feature was a technical build (and quite a complex one at that), this implicated both our administrative and clinician teams. This information is critical to the workflows of both. So, before even setting out to design or build tech, we said to them, “what are the ways in which you use this information? What are your biggest pain points around it? What do you wish you could do?”. These answers factored directly into the systems that we designed — both technical and operational."}],"markDefs":[],"style":"normal"},{"_key":"12714dd8295a","_type":"block","children":[{"_key":"c43acfa5d3d50","_type":"span","marks":[],"text":"A different, more clinical example is how we redesigned the use of the patient care plan to support our longitudinal care structure. Providers traditionally document the treatments and next steps for patients in the care plan section of the EMR. Similar to others, we use this opportunity to prompt providers to think about our particular care model (eg if a patient is in for a UTI, consider immune support, not just antibiotics). Yet, we also heard from patients and care teams alike that a document to remind the patient post appointment of the plan would be useful, and even more useful would be to have recommendations for how they might secure items in the care plan, or have the opportunity to discuss in more detail the recommendations. While we’re still building out this feature (it’s currently in the MVP phase), this was a perfect example of insights from a trifecta of users coming together to influence both technical features (digitally displaying the care plan to a patient and provider in their respective portals) as well as operations (training our care team on how to chat with patients about this document). Only when paired together does the vision become successful."}],"markDefs":[],"style":"normal"},{"_key":"c4263718e9f2","_type":"editorialImageCarousel","items":[{"_key":"6f7ed55aac4c","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-cb7098945684d174a607b3cf3a966d79bcc7bb46-2466x1644-png","_type":"reference"}}}}]},{"_key":"a86712270ecc","_type":"block","children":[{"_key":"f5934f87c170","_type":"span","marks":[],"text":"By explicitly defining the systemic principles that we believe need be upheld to deliver on clinical success, and explicitly choosing to design for how our core “users” (all of them!) must interrelate to engender success within it we believe we can avoid the Frankenstein systems all their negative tertiary consequences that balloon into the “problems of our healthcare system today” (worsening outcomes, dissatisfied patients, demoralized providers, skyrocketing costs, layers and layers of institution/fragmentation)."}],"markDefs":[],"style":"normal"},{"_key":"7af718a58699","_type":"block","children":[{"_key":"15bee01d138d0","_type":"span","marks":[],"text":"For details on how what, when we bring these philosophical practices into our making process, take a deeper dive into the content of this blog. 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We’ve done our research and scoured the data, and we would never encourage you to do something we weren’t willing to do ourselves."}],"markDefs":[],"style":"normal"},{"_key":"3c1fbe087bff","_type":"editorialImageCarousel","items":[{"_key":"119f960914dc","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-35612920b2c14cd492255c430162360722a3c211-7200x4302-png","_type":"reference"},"crop":{"_type":"sanity.imageCrop","bottom":0,"left":0,"right":0,"top":0},"hotspot":{"_type":"sanity.imageHotspot","height":1,"width":0.9139344262295082,"x":0.5430327868852459,"y":0.5}}}}]},{"_key":"6d79f4f19d24","_type":"block","children":[{"_key":"ce95c74c8fc2","_type":"span","marks":[],"text":"As an infectious disease specialist and Internal Medicine doctor with more than two decades of experience designing complex care delivery models, I am proud to be at the helm of Tia's Covid vaccine efforts. 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So we immediately shifted into resolve mode, which meant solving the immediate things like virtual care. On the surface this looked like a quick and important pivot, but behind the curtain, we were simultaneously evolving many of our systems (like our updated "},{"_key":"b85979391ea7","_type":"span","marks":["97517374ddc2"],"text":"health record"},{"_key":"a57439b57185","_type":"span","marks":[],"text":") and processes in real time...during a global pandemic! Let’s take a peek behind the curtain at how we shifted gears, got curious, and used the moment to make technology that makes things more collaborative and meaningful for both patients and providers."}],"markDefs":[{"_key":"97517374ddc2","_type":"annotation","text":[{"_key":"fcd7d5a2212b","_type":"block","children":[{"_key":"87c89faaeda1","_type":"span","marks":[],"text":"The health record is our patient intake form, also known as all of those questions we ask you when you join Tia."}],"markDefs":[],"style":"normal"},{"_key":"466dbb1a3766","_type":"block","children":[{"_key":"091cecbfd7990","_type":"span","marks":[],"text":"\n"}],"markDefs":[],"style":"normal"}]}],"style":"normal"},{"_key":"847d19f904c6","_type":"sectionHeader","title":"The Set Up: how we got here "},{"_key":"2c795a32cf74","_type":"block","children":[{"_key":"94a7bef90706","_type":"span","marks":[],"text":"Testing and learning is at the heart of everything we do at Tia. Case in point: Our first NYC clinic, which was a physical manifestation of our ideas about the future of healthcare."}],"markDefs":[],"style":"normal"},{"_key":"3efe1dfa6fd9","_type":"editorialImageCarousel","items":[{"_key":"364b266e0e07","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-bb10e4a5442a9e89a3e8259ca86594d61eb5461c-7200x4008-png","_type":"reference"}}}}]},{"_key":"b5afdb070cee","_type":"block","children":[{"_key":"3ad289e28d25","_type":"span","marks":[],"text":"With tech-powered interventions like our Health Record 1.0 and our in-room "},{"_key":"04108fa22946","_type":"span","marks":["74eedc79e420"],"text":"\"third screen\""},{"_key":"df656a8b803d","_type":"span","marks":[],"text":", we proved the model worked and was really unique, so we set out to refine and update it. Then Covid hit. In a matter of days, we went from rolling out updates to creating an entirely new service line — virtual care. One year later, we know virtual care is here to stay. Now that we can safely think about what comes after Covid, we’ve started asking if it has to stay the way it is (which is better, but not perfect). 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Naturally, many of our most important products and tech upgrades result from the relationships among different teams who work together to solve pain points in your healthcare journey."}],"markDefs":[],"style":"normal"},{"_key":"47875fbf2b2e","_type":"editorialImageCarousel","items":[{"_key":"660af39ccd82","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-9a6c306c0ecee19542f0e2d0a1f1e17a28246338-7200x4008-png","_type":"reference"}}}},{"_key":"bf2457b2a7b9","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-bd82fe1614c48bf23073c5e9c8b8c0b5f9a673f5-7200x4008-png","_type":"reference"}}}}]},{"_key":"f9af072820f4","_type":"sectionHeader","title":"Virtual Care by the Numbers"},{"_key":"3c2b26c5be27","_type":"block","children":[{"_key":"aeff006697b6","_type":"span","marks":[],"text":"True story: Our new health record originated from a 300 page document, based on our care model and designed to help Tia providers access a patients' allostatic load. But a lot more facts, figures, and freakishly long spreadsheets went into creating our newest tech products."}],"markDefs":[],"style":"normal"},{"_key":"2a93459c3914","_type":"editorialImageCarousel","items":[{"_key":"58397ef145a5","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-243e5f3d650d22d3625f6ab50190384deae0d8ae-4800x2672-png","_type":"reference"}}},"mobileImageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-243e5f3d650d22d3625f6ab50190384deae0d8ae-4800x2672-png","_type":"reference"}}}}]},{"_key":"552c85707ced","_type":"sectionHeader","title":"The Making Of: Virtual Care"},{"_key":"c5cbbaf2fc43","_type":"block","children":[{"_key":"c0868ff6f948","_type":"span","marks":[],"text":"Pre-Covid, 100% of Tia's services we're delivered IRL. That all changed overnight with Covid, when we launched virtual care to help our community navigate the crisis remotely. We very quickly learned that e can do more virtually than we ever imagined — primary care, mental health and even many GYN consults! And then when done right, virtual does not need to be a lesser than version of in person care, but a powerful form factor that can make care more convenient. Swipe through to see how we made virtual care feel intentional and distinctly Tia."}],"markDefs":[],"style":"normal"},{"_key":"80b4095b04f5","_type":"editorialImageCarousel","items":[{"_key":"660af39ccd82","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-a289f71c6d1c94cb7c3b3f975eadf62dbd0837ce-7200x4008-png","_type":"reference"}}}},{"_key":"bf2457b2a7b9","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-9f70435a195848b7bcdae1eeea289f76ced30b82-7200x4008-png","_type":"reference"}}},"text":[{"_key":"4aa936998205","_type":"block","children":[{"_key":"fb084050b922","_type":"span","marks":[],"text":"\"Virtual care is here to stay. I am not 100% sure what is next, but I am excited to find out. I think we will really see virtual care evolve over the next few years. Maybe we will start seeing home testing that can be incorporated with virtual visits.\" - "},{"_key":"4543a958aa6b","_type":"span","marks":["strong"],"text":"Devon Klauck, Lead Nurse Practitioner"}],"markDefs":[],"style":"normal"}]}]},{"_key":"d138a25a4eb6","_type":"sectionHeader","title":"The Making Of: Our new, more inclusive and extensive health record"},{"_key":"1445a7039510","_type":"block","children":[{"_key":"9bac5fab79bf","_type":"span","marks":[],"text":"Can one 300 page document change your relationship to healthcare? Our hypothesis is: Yes. For two years, we’ve been working to update our “clipboard” otherwise known as the Health Record to both ground our care model and also model a more inclusive way of addressing the needs of our community. No small task! Real talk, the updates we’ve made will help our providers (and you!) connect and create a plan for your care, they’ll also require that you spend a little more time answering questions. 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A deep listener with a highly intentional process, Alda tells us about her #TheMakingOf the newest Tia clinic in Silver Lake. "}],"markDefs":[{"_key":"d06f8c307edc","_type":"externalLink","linkType":"text","url":"https://www.alda-ly.com/"}],"style":"large"},{"_key":"a62eeca66b30","_type":"block","children":[{"_key":"966b65200dcc","_type":"span","marks":["strong"],"text":"To be painfully obvious, it’s been a tough year for everyone and while we’re not out of the woods, we’d love to know what healing means to you? How do you define it?"}],"markDefs":[],"style":"h4"},{"_key":"f9d0500e2fcc","_type":"block","children":[{"_key":"d0fa8a83b5c70","_type":"span","marks":[],"text":"Healing to me means working towards getting back to the space and place where I feel inspired, strong, and energized. It’s not only a physical process, but a mental and "},{"_key":"6a4383e55612","_type":"span","marks":["fbcbbf1c59de"],"text":"emotional one as well"},{"_key":"8ff046216792","_type":"span","marks":[],"text":". During the pandemic, it’s been hard to feel accomplished or even motivated with all of the extra responsibilities at home and work, and having my home/work worlds colliding. What helps me heal is a combination of exercise, cooking, therapy, and being creative."}],"markDefs":[{"_key":"fbcbbf1c59de","_type":"annotation","text":[{"_key":"930ec769278b","_type":"block","children":[{"_key":"e8fc36f74565","_type":"span","marks":[],"text":"In our world whole-person healthcare is the concept that we treat the person not just the patient."}],"markDefs":[],"style":"normal"}]}],"style":"normal"},{"_key":"8ca3a151d4a1","_type":"block","children":[{"_key":"b40d09553f38","_type":"span","marks":["strong"],"text":"How does design play a role in healing and find optimal health on our terms?"}],"markDefs":[],"style":"h4"},{"_key":"23e5eb4d59b0","_type":"block","children":[{"_key":"3f615682b806","_type":"span","marks":[],"text":"Health and healing is as much about the mind as it is about the body, and design influences our minds, our moods and our feelings tremendously, whether or not we’re consciously thinking about it. I’m a big believer in healing through Biophilic Design in particular -- that nature, and in turn the patterns, sounds, light, smells that remind us of nature, "},{"_key":"d084cd378cbe","_type":"span","marks":["594d958857be"],"text":"heal and re-charge us"},{"_key":"a869589d655e","_type":"span","marks":[],"text":". "}],"markDefs":[{"_key":"594d958857be","_type":"annotation","text":[{"_key":"9daca6901ff8","_type":"block","children":[{"_key":"2c7ea551852c","_type":"span","marks":[],"text":"Taking a walk in a forest is amazing for the soul. It turns out that, even if you can’t do that, just inspiring similar feelings while indoors is also healthy."}],"markDefs":[],"style":"normal"}]}],"style":"normal"},{"_key":"c44016c10f15","_type":"editorialImageCarousel","items":[{"_key":"5d94891a39fd","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-fce28f3cc58c4212473e086b24bc97e980f713fe-7200x4008-png","_type":"reference"}}}}]},{"_key":"cc6c82b3ae7a","_type":"block","children":[{"_key":"d4df870dd2b5","_type":"span","marks":["strong"],"text":"How does being a woman (patient and mamma) shape your approach to design and your work with Tia?"}],"markDefs":[],"style":"h4"},{"_key":"9716e6ca8f48","_type":"block","children":[{"_key":"7e80b6556140","_type":"span","marks":[],"text":"At ALA, we always start our work thinking about the everyday experiences of the people who inhabit our spaces, so of course designing for Tia was tremendously personal for me (and my team of amazing women). Unfortunately we’re all too familiar with the kind of dreary experience that women’s health experiences often turn out to be. I gave birth twice in the past two years, which means LOTS of doctors visits--and while I’ve had amazing doctors, I’ve always received care in uninspiring, grey spaces. And everyone at ALA has had similar experiences. So designing Tia was almost a selfish exercise -- we wanted to design the experience we would want for ourselves."}],"markDefs":[],"style":"normal"},{"_key":"ff58e1c04ee0","_type":"block","children":[{"_key":"78c57d39b518","_type":"span","marks":["strong"],"text":"Let’s talk about the newest Tia clinic - Tia, LA - what was your big picture goal for the space?"}],"markDefs":[],"style":"h4"},{"_key":"f44fdf3a6be0","_type":"block","children":[{"_key":"4d53eb295f58","_type":"span","marks":[],"text":"While we’ve got a number of exciting projects in development with Tia, LA is particularly exciting for us. We see the LA clinic as a community hub for women’s health and the Silver Lake location couldn’t be a better fit. The LA space is also a dream from a design perspective because it has a beautiful back patio that looks over the Hollywood Hills. We knew outdoor space would be especially important to Tia’s community in the time of COVID, so we really leveraged it as an extension of the space for members and Tia’s staff."}],"markDefs":[],"style":"normal"},{"_key":"f13e05809193","_type":"block","children":[{"_key":"a0189bc716ff","_type":"span","marks":["strong"],"text":"What is your favorite design/architecture moment within the space?"}],"markDefs":[],"style":"h4"},{"_key":"f69fff0a7528","_type":"block","children":[{"_key":"ba2885302e19","_type":"span","marks":[],"text":"The view when arriving at the front desk is pretty epic… You’re blanketed with daylight from the skylights above and can peer down the arched corridor through the boldly-colored waiting area all the way to the lush garden in the back overlooking the hills -- it’s very Tia!"}],"markDefs":[],"style":"normal"},{"_key":"788c1e53c453","_type":"block","children":[{"_key":"24a41c14daeb","_type":"span","marks":["strong"],"text":"What’s something most people won’t notice, but they should?"}],"markDefs":[],"style":"h4"},{"_key":"59870829b1f7","_type":"block","children":[{"_key":"88330505a16f","_type":"span","marks":[],"text":"We made a point to designate personal space for members within the exam rooms so you’ve got a space to change, leave your belongings, and refresh after an exam that’s private and exclusively yours. We hope this blends in seamlessly with the rest of the Tia experience, but it was a space we really spent some time on. Also, in the exam rooms, we also made sure to hide as much of the clinical tools and implements as possible from view to create a calming experience."}],"markDefs":[],"style":"normal"},{"_key":"46c712512cb8","_type":"block","children":[{"_key":"9c4bc2feafb5","_type":"span","marks":["strong"],"text":"What do you hope people feel when they are able to spend time with us?"}],"markDefs":[],"style":"h4"},{"_key":"ff8dd588b3ee","_type":"block","children":[{"_key":"6bc873073a40","_type":"span","marks":[],"text":"Calm, comfortable, taken care of, and inspired."}],"markDefs":[],"style":"normal"},{"_key":"38ee626cb7b4","_type":"block","children":[{"_key":"c684579fcd47","_type":"span","marks":["strong"],"text":"One thing, we’d love to learn a little more about is biophilic design and how you worked those principles into our space?"}],"markDefs":[],"style":"h4"},{"_key":"001408813821","_type":"block","children":[{"_key":"725e30fb040a","_type":"span","marks":[],"text":"When people hear the term ‘biophilic design,’ they often think of lush plants, green walls, hanging planters, etc. While we love how greenery feels and makes a space come alive, our team prefers taking a deeper dive into how we can incorporate "},{"_key":"379e2530556f","_type":"span","marks":["3dba5f0ddd29"],"text":"biophilic design"},{"_key":"5dcd5a243539","_type":"span","marks":[],"text":" beyond just adding plants. "}],"markDefs":[{"_key":"3dba5f0ddd29","_type":"annotation","text":[{"_key":"ec5a2016f5e8","_type":"block","children":[{"_key":"0e110fdca392","_type":"span","marks":[],"text":"Biophilic design considers how humans connect with nature in physical spaces. It has proven health benefits like stress reduction and improved cognitive function!"}],"markDefs":[],"style":"normal"},{"_key":"a970bb37cfc2","_type":"block","children":[{"_key":"67a6cab7d7a50","_type":"span","marks":[],"text":"\n"}],"markDefs":[],"style":"normal"}]}],"style":"normal"},{"_key":"f3673b6daf13","_type":"editorialImageCarousel","items":[{"_key":"71f763782505","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-1e90068bdff08719f84036287e341b8ebea2cb5a-7200x4008-png","_type":"reference"}}}}]},{"_key":"73966f244c19","_type":"block","children":[{"_key":"b5b24ab75533","_type":"span","marks":[],"text":"Referencing a lot a really great research and guidelines by Terrapin Bright Green, some examples of how we incorporated biophilic design elements include using "},{"_key":"6e49c84eef70","_type":"span","marks":["69820f35fe0e"],"text":"dynamic and diffused light"},{"_key":"01f4f5fa3759","_type":"span","marks":[],"text":", visual connection with nature, and calming views."}],"markDefs":[{"_key":"69820f35fe0e","_type":"annotation","text":[{"_key":"616716f5ca41","_type":"block","children":[{"_key":"e18b3c41167f","_type":"span","marks":[],"text":"Light and shadow that change throughout the day from skylights"}],"markDefs":[],"style":"normal"}]}],"style":"normal"},{"_key":"f82e0df656b6","_type":"editorialImageCarousel","items":[{"_key":"71f763782505","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-efd401b9611187df5ebe2911ee03e6f47e5e82cc-7200x4008-png","_type":"reference"}}}}]},{"_key":"ecd31d2496da","_type":"block","children":[{"_key":"4d28f9071e92","_type":"span","marks":["strong"],"text":"How can we mimic the same lush plant-filled vibe in our own spaces?"}],"markDefs":[],"style":"h4"},{"_key":"882b276a50fe","_type":"block","children":[{"_key":"af7915520c0b","_type":"span","marks":[],"text":"There are very easy and inexpensive ways to bring biophilic design to your own spaces. 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Tia is now available in Los Angeles and coming to more cities in 2021. With virtual and in-person legs, Tia makes healthcare more convenient, collaborative and connected. And by making Tia available to women beyond New York City, we’re one step closer to making “the Tia Way,” the new standard of care for women everywhere."}],"markDefs":[],"style":"large"},{"_key":"f3f3831a8895","_type":"sectionHeader","title":"The perils of expansion: where, when, and how to scale!"},{"_key":"f11cfa5ce1d6","_type":"block","children":[{"_key":"28790e1ba893","_type":"span","marks":[],"text":"We started Tia with a grand vision to architect a fundamentally new and distinctly female model of care for the modern healthcare system. When we say “new model of care,” we mean reimagining everything (I mean everything) end-to-end — from the types of providers that work in a women’s health clinic, to the look, feel, and function of a doctor’s office, to the technology we use to connect patients and providers, to the questions we ask on our health record, to the gowns, the socks — and yes, even the temperature! Throughout Tia’s history, no detail has been too small in the making of the very first modern medical home for women"},{"_key":"196d30f084ee","_type":"span","marks":["strong"],"text":"."}],"markDefs":[],"style":"normal"},{"_key":"ba7fd8b31b75","_type":"editorialImageCarousel","items":[{"_key":"69c6d1af72c6","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-ad1d29de0ac80222745a024f8f1c1403f299fa33-1379x730-png","_type":"reference"}}}},{"_key":"5a7c93a963d1","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-4957c7bcd41804da574cef048b5a9c8adf9e24f2-1379x730-png","_type":"reference"}}}},{"_key":"a73673670c86","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-0d1e747bf75444e37ef7140f139fcda4e6fe8014-1379x730-png","_type":"reference"}}}}]},{"_key":"80b816e305c3","_type":"block","children":[{"_key":"d8056c2317990","_type":"span","marks":[],"text":"We were well on our way to bringing the Tia Way to more women when Covid-19 hit. First and foremost, we oriented our attention to the crisis in New York City. We temporarily closed our physical doors and went 100% virtual, serving as the first line of response for Covid mayhem to keep women out of NYC’s inundated ERs. And, we rolled out additional support including mental healthcare and "},{"_key":"4bc4851dbb7b","_type":"span","marks":["b76b64872bf1"],"text":"guides"},{"_key":"3f366a8cfcfe","_type":"span","marks":[],"text":" to navigating insurance coverage amidst changes to employment. The first three months of Covid were a stark reminder that Tia’s role as a healthcare provider was not limited to the traditional practice of medicine alone."}],"markDefs":[{"_key":"b76b64872bf1","_type":"internalLink","linkType":"text","reference":{"_ref":"825e42cf-8486-4b66-b605-2ac8f8778797","_type":"reference"}}],"style":"normal"},{"_key":"2fd46a27a66d","_type":"sectionHeader","title":"Despite the stressors inherent to the crisis, there were moments of light."},{"_key":"acbc714f37ab","_type":"block","children":[{"_key":"4190bf1e2162","_type":"span","marks":[],"text":"We learned that women wanted — and trusted — Tia to be their therapist and saw mental health as integral to, not separate from, their physical healthcare."}],"markDefs":[],"style":"normal"},{"_key":"aee6da5311f4","_type":"editorialImageCarousel","items":[{"_key":"69c6d1af72c6","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-e36d09edf7af6d322f3cb0fe0d5e2a34cf71e0d8-1379x544-png","_type":"reference"}}}}]},{"_key":"9b36c45cce9d","_type":"block","children":[{"_key":"aa07a801b6060","_type":"span","marks":[],"text":"We learned that virtual care does not have to be a lesser-than version of in-person care."}],"markDefs":[],"style":"normal"},{"_key":"c6c8dd2ed09a","_type":"editorialImageCarousel","items":[{"_key":"69c6d1af72c6","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-7fdc6ab6c049b4d9bb6cad8bcd49e287ae00aa2e-1379x544-png","_type":"reference"}}}}]},{"_key":"9a548174b23c","_type":"block","children":[{"_key":"fbcf4fc138e5","_type":"span","marks":[],"text":"We learned that Tia’s role as an information provider — a translational bridge between science and the layperson — was foundational at a time of rampant misinformation and confusion."}],"markDefs":[],"style":"normal"},{"_key":"10470d2fa9e5","_type":"editorialImageCarousel","items":[{"_key":"69c6d1af72c6","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-2f1ad37644bdaa4275d93fc4ef00531747887510-1379x544-png","_type":"reference"}}}}]},{"_key":"9d8554084b60","_type":"block","children":[{"_key":"07a1a4ed8c55","_type":"span","marks":[],"text":"Nine months into the most harrowing global pandemic of our lifetimes, Tia has never been stronger. We’ve made some hard decisions on what to do, and more importantly, what not to do — all while staying true to our north star — positioning us for thoughtful, intentional scale."}],"markDefs":[],"style":"normal"},{"_key":"67870a8d4c5e","_type":"sectionHeader","title":"So, why LA? What Angelenos can expect from Tia."},{"_key":"dc64a26cd429","_type":"block","children":[{"_key":"21e7908eb4b2","_type":"span","marks":[],"text":"We know that women around the country want Tia. And we have big plans to bring Tia Care to you! Choosing where to expand first was a tough call — so is scaling thoughtfully and at the appropriate velocity. With the launch of Tia in Los Angeles and more cities soon, we commit to being "},{"_key":"9e7c465d0da1","_type":"span","marks":["em"],"text":"forever the same, and always new "},{"_key":"97218db1236b","_type":"span","marks":[],"text":"— while never losing sight of those details that make the Tia Way one-of-a-kind. That means:\n"}],"markDefs":[],"style":"normal"},{"_key":"c388d256aa43","_type":"block","children":[{"_key":"3e3240552802","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"eb70f062695a","_type":"block","children":[{"_key":"438dbe349e3c","_type":"span","marks":[],"text":"1. Virtual-first, not virtual-only"}],"markDefs":[],"style":"h2"},{"_key":"f5c50204b271","_type":"block","children":[{"_key":"da3377e570dd","_type":"span","marks":[],"text":"We’ve been wowed by the ways in which the events of 2020 have enabled us to deliver more care on the Internet than ever before — all while improving, not compromising, quality. While we do not attempt to do Pap tests over Zoom (we promise!), we have cracked how to make healthcare"},{"_key":"777c1e18bb391","_type":"span","marks":["em"],"text":" even more"},{"_key":"777c1e18bb392","_type":"span","marks":[],"text":" convenient, accessible, and personalized than before by delivering care virtually "},{"_key":"777c1e18bb393","_type":"span","marks":["em"],"text":"and in-person"},{"_key":"777c1e18bb394","_type":"span","marks":[],"text":" when you need it."}],"markDefs":[],"style":"normal"},{"_key":"ed92b896c015","_type":"block","children":[{"_key":"6a1381a10fdf0","_type":"span","marks":[],"text":"Yes, we can prescribe birth control or treat a UTI virtually; but we can also diagnose or manage chronic conditions virtually, such as PCOS, endometriosis, or migraines. And most important to us, we can deliver more preventive health virtually than we ever could have imagined — and continue your care journey in person for physical exams, bloodwork, and ultrasounds when needed."}],"markDefs":[],"style":"normal"},{"_key":"465377a9f3c7","_type":"block","children":[{"_key":"efebc1d7664b","_type":"span","marks":["strong"],"text":"What this means for women in LA: You can get virtual Tia care today, and in-person Tia Care in early 2021!"}],"markDefs":[],"style":"large"},{"_key":"4a4e4fc244a5","_type":"block","children":[{"_key":"f8745ed1cfad0","_type":"span","marks":[],"text":"Become a Tia member and get virtual primary care, mental health, and gynecology, starting today. And in early 2021, continue your care journey with Tia in person — for pelvic exams, ultrasounds, acupuncture, the works — at our first LA location in Silver Lake. And if you need in-person care in the meantime, we’ll connect you with a Tia-vetted provider near you."}],"markDefs":[],"style":"normal"},{"_key":"83226a31654d","_type":"cta","text":[{"_key":"16c4e82cec86","_type":"block","children":[{"_key":"6118ee38fe09","_type":"span","marks":[],"text":"Finally, get virtual & in-person women's health that connect!"}],"markDefs":[],"style":"h4"},{"_key":"5153ed8d2705","_type":"buttonBlock","items":[{"_key":"0afa7be2618f","_type":"singleButton","linkCta":"Join Tia ","linkType":"join","reference":{"_ref":"6b861435-f6fe-4c96-893c-77732c7ab389","_type":"reference"}}]}]},{"_key":"82fdf8389345","_type":"block","children":[{"_key":"f165b68827b8","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"f574f18b2068","_type":"block","children":[{"_key":"510b519b15ac","_type":"span","marks":[],"text":"2. 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And primary care is close behind; the "},{"_key":"9287dc9cc745","_type":"span","marks":["1c2c9b96e9eb"],"text":"average wait time"},{"_key":"a49e9729f644","_type":"span","marks":[],"text":" to see a Primary Care Provider in Los Angeles is 42 days."}],"markDefs":[{"_key":"1c2c9b96e9eb","_type":"externalLink","linkType":"text","url":"https://www.merritthawkins.com/uploadedFiles/MerrittHawkins/Content/Pdf/mha2017waittimesurveyPDF.pdf"},{"_key":"02ff78476dda","_type":"externalLink","linkType":"text","url":"https://www.doximity.com/press_releases/new_study_reveals_growing_threat_of_obgyn_shortages"}],"style":"normal"},{"_key":"9447b58320a5","_type":"block","children":[{"_key":"67b28a8bccc10","_type":"span","marks":[],"text":"At Tia, affordability and accessibility are table stakes. That means accepting as many insurance plans as we can to reduce your cost of care, which is not the norm for integrative care providers. And, ensuring you can get healthcare on "},{"_key":"67b28a8bccc11","_type":"span","marks":["em"],"text":"your schedule"},{"_key":"67b28a8bccc12","_type":"span","marks":[],"text":" — same day, early AM, and evenings."}],"markDefs":[],"style":"normal"},{"_key":"9cdde793ab75","_type":"block","children":[{"_key":"c360ab05f9d3","_type":"span","marks":["strong"],"text":"What this means for women in LA:  Put your insurance to work for care at Tia!"}],"markDefs":[],"style":"large"},{"_key":"d8ca3865dac3","_type":"block","children":[{"_key":"e3cf0b62d2a6","_type":"span","marks":[],"text":"Once a member, you can use your insurance for primary care and gynecology services (and when we open our in-person location, acupuncture too!). As of today, we accept some plans from Aetna, Cigna, United, Anthem BCBS, Blue Shield of California, and are working to take more insurance plans soon. "}],"markDefs":[],"style":"normal"},{"_key":"c74082cd6335","_type":"block","children":[{"_key":"1275606001f5","_type":"span","marks":[],"text":"4. High-quality providers with the distinctly Tia sparkle"}],"markDefs":[],"style":"h2"},{"_key":"ff046b822117","_type":"block","children":[{"_key":"b6dbf2a1bcf90","_type":"span","marks":[],"text":"While we’re all about technology improving healthcare, we’ve recognized since day one that technology alone cannot fix healthcare. Good healthcare is about people — specifically, top-notch providers and care teams that yes, practice great medicine, but also make you feel seen, heard, and cared for in outsized ways."}],"markDefs":[],"style":"normal"},{"_key":"a6512c4278eb","_type":"block","children":[{"_key":"ca50a2e537de0","_type":"span","marks":[],"text":"To achieve this, we’ve invested heavily in building our own Care Team from scratch. This is intentional and means slower scale — a tradeoff we’re okay with, in service of quality. In practical terms, that means that everyone you interact with on the Tia platform from your Care Coordinator to an OB/GYN is employed, vetted, and trained by Tia. Unlike most virtual care offerings, we are not a network or a portal to random doctors via Zoom."}],"markDefs":[],"style":"normal"},{"_key":"787889939ba3","_type":"block","children":[{"_key":"e159e6279535","_type":"span","marks":["strong"],"text":"What this means for women in LA: Get high-quality care from Tia-vetted providers you trust."}],"markDefs":[],"style":"large"},{"_key":"68962a967d26","_type":"block","children":[{"_key":"580f4f09c616","_type":"span","marks":[],"text":"As a Tia member, you get more than a doctor; you get a highly-vetted integrative Care Team who works together — not against each other! — to manage your whole health virtually and in person. You can be confident in the quality, the information sharing (no need to repeat yourself!), and “baton passes” that make your healthcare, whether digital or physical, smooth and seamless."}],"markDefs":[],"style":"normal"},{"_key":"cd1cfef75144","_type":"cta","text":[{"_key":"16c4e82cec86","_type":"block","children":[{"_key":"d6d864580df1","_type":"span","marks":[],"text":"We believe in collaborative, relationship-based care."}],"markDefs":[],"style":"h4"},{"_key":"47af4cd1aa30","_type":"buttonBlock","items":[{"_key":"0afa7be2618f","_type":"singleButton","linkCta":"Meet the LA Care Team","linkType":"button","reference":{"_ref":"e377a479-e152-4105-bfd8-cd8af403f8d8","_type":"reference"}}]}]},{"_key":"a6dc6f2e3be5","_type":"sectionHeader","title":"What’s next?!"},{"_key":"c14faeaa62cf","_type":"block","children":[{"_key":"06ff20d73f2d","_type":"span","marks":[],"text":"In typical Tia style, we will continue to look to you, our community, to inform where we go next, and how to improve our products and services. You, the women "},{"_key":"b2a581956aac","_type":"span","marks":["1c163a5181b7"],"text":"who cast their votes"},{"_key":"fa5d5b629d93","_type":"span","marks":[],"text":" for Tia Clinics near them, track their cycle, health & wellness in our app, read & share our educational content, and send us their wants, needs & dreams are critical co-creators in shaping the future of women’s health. Our ask: continue to build and share along with us! One clinic, one city at a time, we can improve women’s healthcare for women everywhere."}],"markDefs":[{"_key":"1c163a5181b7","_type":"internalLink","linkType":"text","reference":{"_ref":"9b061bf7-f926-43be-8614-aa477d9eed59","_type":"reference"}}],"style":"normal"}],"image":{"_type":"image","asset":{"_ref":"image-7b375bc7635d5b37a3a46258915d8167946a49cf-2800x1600-png","_type":"reference"}},"publishedAt":"2020-11-17T05:00:00.000Z","slug":{"_type":"slug","current":"women-of-los-angeles-your-modern-medical-home-is-here"},"status":"production","title":"LA, Meet The Modern Medical Home | The Tia Take","topics":[{"_key":"b5228eee6d43","_ref":"52909ed4-6c00-4b08-bfee-cee50984c63b","_type":"reference"}]},"metaInformation":{"_type":"metaCard","metaDescription":"Tia is now available in LA, offering a new standard of care with gynecology, primary care,mental health care & acupuncture. 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But we aren't willing to sacrifice our 'special sauce,' moments of delight that energize our clinics and put the soul back in medicine. With #TheMakingOf our second clinic in L.A., the challenge was to find the just-right balance of high-function and form.\n\nWant to check out Tia's spaces? "},{"_key":"f67b4ab38260","_type":"span","marks":["f54acab31324"],"text":"Join Now"}],"markDefs":[{"_key":"f54acab31324","_type":"internalLink","linkType":"text","reference":{"_ref":"6b861435-f6fe-4c96-893c-77732c7ab389","_type":"reference"}}],"style":"large"},{"_key":"9b1b2e4ecdc9","_type":"sectionHeader","title":"The Set Up: how we got here "},{"_key":"34b087c3886a","_type":"block","children":[{"_key":"4c7ff583ff7e","_type":"span","marks":[],"text":"Pre-Covid, 100% of everything we did at Tia took place in our physical clinics, from exams to events. Then the world changed, and we did too. The rise of virtual care made us question the future of our IRL clinics…spoiler alert, we think physical spaces are still key to care. Saying no to virtual-only meant figuring out how to heal our physical spaces by asking:"}],"markDefs":[],"style":"normal"},{"_key":"b6e7ce5427f0","_type":"block","children":[{"_key":"082f6cf77c35","_type":"span","marks":["strong"],"text":"How does a "},{"_key":"7a9afc421ce1","_type":"span","marks":["strong","61a77680ca27"],"text":"waiting room work with social distancing"},{"_key":"3e7a07466a4f","_type":"span","marks":["strong"],"text":"? 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Now, that we’ve moved to LA, we’ve created a mural that will sit behind our front desk and greet you each time you’re in our clinic. 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