Jordan Taylor: Welcome back to the podcast. I'm Chanon Voice. Today we have a very special episode where our Chief Technology Officer Corey Urkenbrack will be joining us to give a presentation that he recently gave at the Hymns Conference in Las Vegas. We hope you enjoy. ⁓ That is to convince you that the most overlooked infrastructure in your hospital is also your biggest opportunity. Now, whether you're focused on AI or you're focused on cybersecurity or you're focused on digital transformation, which are all very hot topics today, there's one piece of infrastructure that all three rely upon. And nobody is even looking at that infrastructure today. It's your print infrastructure. And I know, I know what you're gonna say is like, ⁓ no, the the thing that seems to be working okay for us. But here's the truth. Every time a clinician prints a lab report, a nurse prints a medical label, or a billing specialist prints a compliance document, intelligence stops. No audit trail, no workflow trigger, no routing logic, just paper sitting on a tray. Print is dead. Well, I want to say print used to be dead. And here's the extraordinary thing. The ear print infrastructure is actually the largest unstructured data pipeline in your environment. A 1500-bed hospital produces 96 million documents every year. Everyone containing clinical data, patient information, operational signals, critical data and information. And what do you do with that data? You print it to a piece of paper, you hand it to somebody, and it disappears. That's not a print problem. That's a data problem. And there's three forces that's been converging over the last six months that made this problem too expensive for you to ignore any longer. But there's opportunities in each one of these forces if you will reimagine your print infrastructure with me. Let's walk through these forces. Force one. Windows 10 is dead. In October, Microsoft announced that the Windows 10 operating system is no longer supported, completely end of life. And you're now into extended support usage, which is costing you $61 a node today. And next year it's gonna be double that. And here's the kicker. If you look at the healthcare industry as a whole, only 41% of the devices have actually been migrated off Windows 10. Into Windows 11. And we know, you know, that every time you do a migration from one operating system to another, guess what breaks? It's your print infrastructure. It's a natural trigger. And whether now, if you're considering like your EHR systems and if you're running Epic, Oracle, or MetaTech or any other EHR system, typically in a migration, if your print breaks, your print breaks also for those EHR systems. It's the same infrastructure underneath. And guess what? your print server is next. In fact, in January this year, Microsoft announced that they no longer will sign and distribute third-party print drivers, forcing you to actually focus on and leverage the print driver that comes with Microsoft, which is an IPP driver. So the opportunity here is actually to modernize. The opportunity is not to migrate during the migration process your print servers, but to actually eliminate them. Replacing them with a cloud native SaaS solution that centrally managed to provide you direct IP printing, vendor agnostic, whether it's OS for the client side or it's printer on the MFP side, and it enables zero trust. To modernize that print infrastructure is the opportunity. And if you think about it for just a minute, We know that every one of those print servers that you're maintaining today where for the cost of the license, the maintenance, the security, the constant care when things break, the help desk take. We know that those things are costing on average about $4,000 a print server. So just do the math. If do you have 10? Do you have 50? Do you have 400? If you do the math, you'll immediately recognize that there's a massive ROI in replacing those solutions with a more modern. Infrastructure. Force two, the biggest HIPAA security rule overhaul in the last 25 years. It's a 393-page proposed rule that audits every PHI access. It requires you to do annual pen testing, and it requires real-time monitoring. And OCR is already auditing 50 organizations right now without even the rule completely passed. And here's the big kicker: that if you have a security breach on the healthcare, it's an average cost of $7.42 million to clean that breach up. That happens to be the highest of any industry. Every document sitting uncollected on an opened tray is a documentable security incident. Every print job without an audit trial is a compliancy gap. Your CISO's probably asking. Where is every document that left the hospital today? And who can answer that today? Not very many people. You have no idea where those documents went. So this is a big force that's impacting the healthcare industry today. Now, when you think about this, the reason this is problematic is because your print infrastructure is fragmented over six different, ten different vendors and solutions and systems. And that's why you can't answer that question. Where has every document gone that was printed today? So let me just describe for you what I mean when it when I talk about fragmented layers. First, your EHR system is one vendor, probably a different team, all printing to the printer. Along comes all your VDI environments, which is yet another system with another print vendor all printing to the same print infrastructure. Your third, your end user printing, that file print is yet another vendor, another system, still printing to the same print infrastructure. Your scan capabilities, your form capabilities are all various vendors that result in output to the same system. Maybe it's not physical printing output, but now it's digital output. And your signature, whether you're printing for white signature or you're printing for e-signature, yet another vendor. Another system. And finally, how do you enable mobile capture so that you can enhance the experience and the speed in which people are printing and capturing data? All of these systems output data into a common print infrastructure. Highly fragmented systems delivering into one print infrastructure. Wouldn't it be nice if you could take all of that and consolidate it into a single intelligent print automation platform? And that's really The second step in intelligent print automation is consolidation. Taking print, output, capture, form, signature, and powerful workflow capabilities, and one audit trail and one compliance posture. Remember, I talked a lot about your infrastructure being your focus or your biggest unstructured data pipeline. Imagine if you could all of a sudden start seeing all the data, all the documents flowing through that pipeline. Getting visibility into that. That's the moment when you could actually turn to your CSIO and say, I can tell you where every document that left this hospital is. Now you have visibility into all of that data flowing through that pipeline. It enables you to now do the next step, which is to automate. When we think about Force 3, it's CMS documentation requirements tightening in 2026. New IDC 10 codes. Updated ⁓ guidelines, expanded quality reports, more data per instance means more documents, more workflow, more data flowing through that legacy, non-updated print infrastructure. That's a problem. The opportunity here is to make every document that passes through your print layer intelligent. This is where it gets super interesting. We've actually taken the time to build what we call a AI print driver. Now imagine this if you will. Typically when you go to do a file print or you have an action print inside an EMR, what happens is you usually choose file print, you select a printer, that job ends up in the printer. Our AI print driver, now what you have is an opportunity to instead of selecting a printer, you also now can select to Sentivasion Automate, which will trigger a workflow. And enable you to not only reduce a paper, but now also inject intelligence into that standard print infrastructure in a flow that people are very used to doing each and every day. Here's the biggest kicker. Remember that I said at the start, your print infrastructure is the largest unstructured data pipeline in your hospital. With IPA, every document that now flows through that becomes a data event. It gets captured. Data gets extracted, it gets classified, it can notify, it can store, it could then print, or then be archived off for compliance purposes. Every single piece of that document now flowing through that pipeline is intelligent, is valuable, and it is a piece of data that can be tracked. Now I want to take just a minute and talk a little bit about just a standard customer and give you a little bit of insights from that customer perspective. A major healthcare laboratory in the US, it's one of the largest clinical research laboratories across the entire US. When we met them, they had 1,100 printers, 700 plus zebra label printers, which by the way, they will tell you they had zero visibility into. They wouldn't know if they were working, if they weren't working, how much they were printing, no visibility into them. More often than not, get a call saying, hey, the Zebra printer's not working. And their only resolution was to send a new one out. They also had 10 Windows print servers. And if you remember, you back up a minute and you look at the slides, 10 at $4,000, they're spending $40,000 across these 10 Windows print servers. And what was really interesting is that they leverage the Oracle Healthcare EMR. And in order to configure their output across that legacy infrastructure, it required 1,500 NAT configurations. If you could imagine trying to set up and manage 1,500 different NAT configurations. A lot of effort, a lot of work. They implemented Vasion Print initially. That's our end user print solution, printer logic. And what they immediately identified is that they could eliminate all 10 of those print servers at $40,000 a year. They also noticed that 90% fewer help desk tickets. 95% less support overhead, server maintenance, all that cost recouped. And finally 75% faster onboarding new employees. They did some calculation, realized that in year one, the ROI, the platform more than paid for itself. And now I'm excited because they've been validating, they have active production in POC, our output solution. That's going to actually take the movement of adding a new Zebra printer, which typically would take about five days. And here's why it took five days. They first would be notified that a printer was bad. They would have to get a new printer, deploy that printer out to that lab, and then they would have to work with Oracle and the networking group to configure those NAT configurations, even to get that printer online. Five days worth of work. They can take that down to the same day, if not the same hour. We eliminate all of those NAT configurations. We make it visible to see actually what's happening in those Zebra printers, how they're getting printed, which equates to about 600 hours of savings per year. So massive improvement. It doesn't stop there. The IT manager says, look, we're never leaving VASIN. And what's really interesting about this health organization is they recently got a new CSIO who came from government, heavy government. And when he found out that we were FedRamp High authorized, he was like, look, no more questions about security. If those guys can achieve FedRamp High authorization, they have the most secure environment in the entire US. And in fact, I want to start holding my other vendors to that standard. Super exciting in the platform that you would be investing in and the security around that platform. And finally, That same IT manager is like, look, we're using your end user print stuff. We understand your output solution, but we're not using the full power of the platform yet. We're really interested in automating and how we automate and actually make that print infrastructure layer intelligent so we can track those documents and we can get visibility into them and we can provide unique automation capabilities. Let me just walk you through what that would look like. From an automation perspective for them. Today, if a clinician prints a lab results report, there's basically four things that may happen. They'll print it, they'll walk over, they'll retrieve it from the printer, they'll walk it to somebody, they'll file it, they'll send an email about it, they may fax it. They then record exactly what happened across the board. All kind of manual steps, no visibility, invisible. After the fact that it prints, you have no idea what happens to that document, you have no effort. All of this happens multiple times a day in multiple labs across the US. Here's the other thing that's really interesting when you think about this invisible problem. That we do know that for the last 20 years, the Joint Commission number one safety goal has been to protect PHI information. In the same vein, they've had 374,000 HIPAA complaints, all related to impermissible disclosures of PHI. That happens in these moments in this manual effort. So let's talk about what we can do. Coming in the spring, there's one click, six things happen. And I'm gonna walk you through that. So this is a lab result distribution report. The lab technician this time goes to print from the MR, he goes to print the document it immediately interacts with our AI print driver instead of choosing a print destination he chooses to send it to a workflow in that workflow that document's passed it's converted into a PDF passed into IDP so that it could extract and classify information about that document. From that that information is then sent off for approval to ensure that that document was classified correctly. It's routed To the right, locations across four different things. It's routed to storage, short-term storage, local storage, it's routed to long-term compliance storage, it's emailed from a notification perspective, and it's printed. Four items all happen automatically. And finally, the CSIO can actually open up and see exactly the audit log that that document went through. Let me just walk through to give you a little bit of visuals how this might work. So here we're in the Oracle Healthcare EMR. In here, I'm just choosing a lab result page, I'm choosing File Print. Up will spawn the lab report in a preview perspective. I look at it, I said, okay, that's the right one. I choose now to actually go and print that out. When I choose, I see that option of the AI print driver. Hey, send this to Vasion AI workflow. And what happens is when I make that selection, up will pop multiple lists of workflows. And what you'll see here is there's a lab distribution workflow. as well as a patient discharge approval workflow and whatever else has been built out and automated for that solution will show here. In this case I'm going to choose the lab results distribution workflow. So after they pick lab distribution workflow, what happens is is that AI driver takes that document, converts it into a PDF, sends it off into Vasion Automate to trigger a workflow. The first step of that workflow is actually to take that document. And send it to some of the best in class AI technology that's just a simple click in. Ability to add to that automation and have it classify, review, and extract data from that document. The first indication happens is that approval process now, or that review process of what was extracted from that document goes to a human so the human can actually look at it. Now, what's really unique about this is we can actually set the thresholds as to how confidence that AI came back of extracting data. And if it's a certain level, you could even ignore this step and just pass it on. Below a certain level, you could pass it to human in the loop. The human in the loop experience is just like a simple email. Hey, you got something you need to review, you see an email here, you click on saying let me review it, it opens up the document and on the document it shows, especially at the very top, what was the confidence level of that data being extracted and then all the fields that were extracted. And you can do a review on that when you feel like it looks good. If it doesn't look good, you can trigger it back or you can make some changes which would force it back into the process. And those changes would get put into the AI process for retraining. So the next time we get better and sharper and more intelligent. Or you just simply say, okay, yes, I'm ready. I'm gonna finish my review. You click the finish the review button, says thank you for doing the review. That process now moves on to an approval process. Okay, now we have the lab results. I want to send this off to the supervisor to make sure that everything is finalized and I'm okay to store and to send this document. So approval process is very similar. Takes them into a workflow, they review the information, looks great, they have an opportunity to reject it, but they go ahead and approve it. Thank you for approving it. Now those four things happen. And this is just an illustration of how simple it is to build out the workflow. You can see here it's a drag and drop card. First of all, there's You know, we send to storage, which is a local SharePoint storage. We then email that out to notify the right patient that that's available. We send it to a compliance storage, which is required from a hip from some of those HIPAA rules. And then finally we're gonna go ahead and print that document so that a copy can be taken. Four things all happen with one click. So now all of a sudden here comes that document saying, Hey, guess what? There's new lab results. That's the email that comes across. I can open it up. I can see those lab results. I can save those off. I can store them. When it gets ready to print, it actually sends to a printer. This is the experience. I walk up to that printer. You can set it up so it doesn't automatically come out. I walk up to that printer. I can neither pin code, I can scan a badge, I can do a QR code mobile release. And I just select that. In this case, I scan the badge, up will pop the list of documents that I want to print out. I select the documents. I go ahead and print, that document gets printed out right there. Now what happens is those documents that went into storage, the compliance storage, I just can go in and see exactly where that document was stored in storage. And what's super unique now is now that CSIO can come back and be like, okay, let me go look at that document. What happened? And if you can see the audit trail that happened, you can see that that document was initiated from a print, but actually didn't print, went into a workflow at a certain time. That workflow happened with the workflow details. What was the results that came forward, where was it stored? When was it stored? To whom was it emailed? When was it emailed? And finally, where was it printed and who printed it to what printer when. Full audit log for this. So remember, this is taking a six-step manual workflow and with just simple file print automating that entire process. That's what this lab is excited about. That's what we're excited about to bring to our customers with just a simple click of the button, file print, to inject intelligent into that print infrastructure that nobody's looking at today. Nobody cares about that. But it is the thing, it is the gateway into digital transformation. So as you think about moving forward, keep in mind three things. First, modernize. That print infrastructure is a powerhouse for you. Modernize it. Consolidate, get visibility into every document flowing across those. And third, now you consolidate, you have that visibility, automate. Put intelligent into the standard work process of every employee, every end user in your system can be easy to automate and digitize that work. And remember, all of that is wrapped around. The world's best in class security, FedRamp High authorized ISO 27001, ISO 42001 to protect you from AI runaways and AI problems, and SOC2 compliant. We have over 13,000 customers who experience and are leveraging this platform today. And it's incredible to understand how they've modernized, consolidated, and started to automate their environment.