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Ask 10 strangers, and you’ll get 10 different answers inclusive of heart disease, hypothyroidism and anxiety, to endometriosis, postpartum depression  — and yes, abortion. In other words, things inclusive of but not limited to ovaries, uteri and reproduction."}],"markDefs":[{"_key":"daf1c29ce6d3","_type":"externalLink"}],"style":"large"},{"_key":"77d76329f604","_type":"block","children":[{"_key":"835f736f8ca3","_type":"span","marks":[],"text":"Four years ago, we started Tia with a vision to create a fundamentally new paradigm for modern women’s healthcare — one that didn’t reduce women to body parts, insurance CPT codes, or narrow reproductive life chapters. We believed then and we believe now that women’s health cannot be reduced to a single issue — any issue — and that to do so is a disservice to women’s "},{"_key":"33e74df1e1761","_type":"span","marks":["em"],"text":"whole health"},{"_key":"33e74df1e1762","_type":"span","marks":[],"text":" and livelihood. To give you a sense of both the depth and breadth of health problems facing women in America:"}],"markDefs":[],"style":"normal"},{"_key":"5f85d514cc75","_type":"block","children":[{"_key":"dfdd4b38e10e","_type":"span","marks":[],"text":"Heart disease is the "},{"_key":"dd33383641cc","_type":"span","marks":["179616ea802f"],"text":"number one killer"},{"_key":"20d44434277f","_type":"span","marks":[],"text":" of women"}],"level":1,"listItem":"bullet","markDefs":[{"_key":"179616ea802f","_type":"externalLink","linkType":"text","url":"https://www.cdc.gov/heartdisease/women.htm#:~:text=Learn%20more%20facts%20about%20women,in%20every%205%20female%20deaths."}],"style":"normal"},{"_key":"4c3dc2db1a17","_type":"block","children":[{"_key":"ecb3397e53e50","_type":"span","marks":[],"text":"Women are diagnosed with anxiety and depression at "},{"_key":"938983d2ec5a","_type":"span","marks":["5cd779e0f2f5"],"text":"2-3X the rate"},{"_key":"39ef0e13982d","_type":"span","marks":[],"text":" of men"}],"level":1,"listItem":"bullet","markDefs":[{"_key":"5cd779e0f2f5","_type":"externalLink","linkType":"text","url":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4890708/"}],"style":"normal"},{"_key":"664ba89a0ee7","_type":"block","children":[{"_key":"dcbc2ccfdbba0","_type":"span","marks":[],"text":"More women "},{"_key":"2cdd8cf81d18","_type":"span","marks":["f77681f711f2"],"text":"die in childbirth"},{"_key":"6578c7b6f19d","_type":"span","marks":[],"text":" in the U.S. than in any other developed country in the world"}],"level":1,"listItem":"bullet","markDefs":[{"_key":"f77681f711f2","_type":"externalLink","linkType":"text","url":"https://www.commonwealthfund.org/publications/issue-briefs/2020/nov/maternal-mortality-maternity-care-us-compared-10-countries#:~:text=In%202018%2C%20there%20were%2017,%2C%20Norway%2C%20and%20New%20Zealand."}],"style":"normal"},{"_key":"352d14fb8590","_type":"block","children":[{"_key":"9ebbd35807d00","_type":"span","marks":["3c88860f9091"],"text":"1 in 3 women have an autoimmune disease"},{"_key":"d7fdadf8f22c","_type":"span","marks":[],"text":", with rates climbing annually"}],"level":1,"listItem":"bullet","markDefs":[{"_key":"3c88860f9091","_type":"externalLink","linkType":"text","url":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7292717/#:~:text=Systemic%20sclerosis%2C%20an%20autoimmune%20disease,the%20course%20of%20their%20lifetime."}],"style":"normal"},{"_key":"1db3f33fa7f6","_type":"block","children":[{"_key":"8c39b2c14298","_type":"span","marks":[],"text":"If the (inexhaustive) list of problems above overwhelms you, you’re not alone — it overwhelms us, too, but it also motivates us every single day. When we founded the company, the question of "},{"_key":"47ecb2e2648a","_type":"span","marks":["em"],"text":"where to start "},{"_key":"d3cf3cb0f9c7","_type":"span","marks":[],"text":"— given all of these problems and shortcomings — was a big one. We were undoubtedly shaped by our own experiences as women and patients first, then founders and entrepreneurs second. We are women who have endured our own trials and tribulations with the U.S. healthcare system and its tendency to treat women as “small men with different parts,” and over-index on managing instead of preventing sickness. We recognize, too, that despite our own pitfalls getting quality care, we are nonetheless privileged white, cisgender women with health insurance. And, our experiences pale in comparison to those faced by BIPOC and LGBTQIA+ communities, who endure systemic discrimination and access barriers that engender disparities in health outcomes."}],"markDefs":[],"style":"normal"},{"_key":"9bca0b6a60a2","_type":"editorialImageCarousel","items":[{"_key":"8ce0113846da","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-3f64a8d0b0dcabff473e2abfa1c8d9dbc809f349-1400x672-png","_type":"reference"}}}}]},{"_key":"758dfa661228","_type":"sectionHeader","title":"A business with a mission"},{"_key":"24c7919961ae","_type":"block","children":[{"_key":"0fb78d1698ef0","_type":"span","marks":[],"text":"We believe that building a big business and positively impacting women’s health and well-being are not mutually exclusive, but rather, inextricably linked. Accordingly, we distilled our many aspirations down to this single mission statement:"}],"markDefs":[],"style":"normal"},{"_key":"6796c33b3940","_type":"editorialImageCarousel","items":[{"_key":"1879ac20a3f8","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-92b0313cf934b0c71a1c13630de17d81718ce45f-1400x742-png","_type":"reference"}}}}]},{"_key":"9f709550bfce","_type":"block","children":[{"_key":"c49a86e42c1d","_type":"span","marks":[],"text":"You might notice there’s no mention of clinics, services, body parts or even “healthcare” in this statement — that’s intentional. This mission statement is high level by design to afford us the opportunity to invest in "},{"_key":"14247e02a24f","_type":"span","marks":["em"],"text":"many different"},{"_key":"1742728b9116","_type":"span","marks":[],"text":" “what’s” and “how’s” — from clinics to apps for doctors to community education — that all serve our greater northstar “why.” Despite its breadth, each word or phrase has clear intention and purpose:\n\nEvery Woman"}],"markDefs":[],"style":"h4"},{"_key":"9c00058066c7","_type":"block","children":[{"_key":"519affe868be","_type":"span","marks":["strong"],"text":"Every woman"},{"_key":"65b0fd7eebac","_type":"span","marks":[],"text":" = We exist to improve the health of"},{"_key":"85555e9b9cf0","_type":"span","marks":["em"],"text":" all women"},{"_key":"99d8d1d8d96c","_type":"span","marks":[],"text":" and not just some — even if we aren’t there just yet. Committed to continuously investing in "},{"_key":"851aace1a3e4","_type":"span","marks":["5eaf097d9d7e"],"text":"diversity, equity and inclusion"},{"_key":"e5b33c402607","_type":"span","marks":[],"text":", we take an intersectional approach that recognizes the multitude of ways that age, sex, gender, race, ethnicity, religion, ability, sexual orientation, and economic status impact us — clinically, psychosocially and experientially."}],"markDefs":[{"_key":"5eaf097d9d7e","_type":"internalLink","linkType":"text","reference":{"_ref":"b0cc1191-358f-4639-b68c-f28aae31e8ee","_type":"reference"}}],"style":"normal"},{"_key":"100ccab18ba9","_type":"block","children":[{"_key":"94cf246fe703","_type":"span","marks":[],"text":"\nOptimal Health"}],"markDefs":[],"style":"h4"},{"_key":"f006fa0c9fe7","_type":"block","children":[{"_key":"072ae8cd373b","_type":"span","marks":["strong"],"text":"Optimal health"},{"_key":"537bef9a4d4f","_type":"span","marks":[],"text":" = The antidote to (just) treating sickness; we invest in healthcare that is physical, mental and emotional and helps you get and stay truly well."}],"markDefs":[],"style":"normal"},{"_key":"911614670efd","_type":"block","children":[{"_key":"98b6e9437e59","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"0aaf7e0743fa","_type":"block","children":[{"_key":"a2e98dd9985d","_type":"span","marks":["strong"],"text":"As defined by herself"}],"markDefs":[],"style":"h4"},{"_key":"64d9ef08be56","_type":"block","children":[{"_key":"75f7f91f694c","_type":"span","marks":["strong"],"text":"As defined by herself"},{"_key":"e11a89a316c1","_type":"span","marks":[],"text":" = Affirming and option-based to enable"},{"_key":"902bab724f0a3","_type":"span","marks":["em"],"text":" true choice "},{"_key":"902bab724f0a4","_type":"span","marks":[],"text":"— for decisions about your reproductive health *and* everything else."}],"markDefs":[],"style":"normal"},{"_key":"e213da1b3f85","_type":"sectionHeader","title":"On choice"},{"_key":"36e699704888","_type":"block","children":[{"_key":"66a13d672076","_type":"span","marks":[],"text":"We believed then and we believe now that "},{"_key":"002883b0b21e","_type":"span","marks":["strong"],"text":"choice"},{"_key":"8cac474f4e46","_type":"span","marks":[],"text":" — a notoriously triggering word in American healthcare and politics — is a critical part of our mission, both in philosophy and in practice. Yes, as applied to reproductive choices — the decision about if, when, how, and with whom a person should choose to get pregnant, stay pregnant or end a pregnancy — "},{"_key":"6a9951b150b2","_type":"span","marks":["em"],"text":"but also"},{"_key":"a25b54de4b40","_type":"span","marks":[],"text":" other choices women face day in and day out about their health, from her contraceptive method to endometriosis treatment, to birth plan.\n\nWhile choice in healthcare sounds really great, enabling it is actually quite difficult. We believe "},{"_key":"37e4c04aedd9","_type":"span","marks":["em"],"text":"true choice"},{"_key":"856e61f8b69a","_type":"span","marks":[],"text":" requires:"}],"markDefs":[],"style":"normal"},{"_key":"36120ce6a752","_type":"block","children":[{"_key":"99f8f8b04438","_type":"span","marks":["strong"],"text":"Information"},{"_key":"448d6cf9d6bc","_type":"span","marks":[],"text":" — evidence-backed facts; better when personalized to an individual’s health history and lived experience (e.g. culturally-informed care)"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"6b17449b4555","_type":"block","children":[{"_key":"41a69374de40","_type":"span","marks":["strong"],"text":"Counseling"},{"_key":"4f0cf5c55261","_type":"span","marks":[],"text":" — objective, non-coercive discussion about "},{"_key":"e0a8be21a616","_type":"span","marks":["em"],"text":"all"},{"_key":"71564b55990d","_type":"span","marks":[],"text":" of a woman’s options, with the support of a trusted provider"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"ee5dd67c3910","_type":"block","children":[{"_key":"a1e8bab2ab000","_type":"span","marks":["strong"],"text":"Access"},{"_key":"a1e8bab2ab001","_type":"span","marks":[],"text":" — the ability to act on that choice, logistically, financially etc. You can have all the information and counseling in the world, but if you don’t have access to those options, it’s a moot point"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"ec80317b8a72","_type":"sectionHeader","title":"On abortion"},{"_key":"885bfa3fbc49","_type":"block","children":[{"_key":"32a315851098","_type":"span","marks":[],"text":"The abortion question — specifically, is it "},{"_key":"2597db982ebe","_type":"span","marks":["strong","em"],"text":"the core issue"},{"_key":"1e81b1166148","_type":"span","marks":[],"text":" in women’s health, or "},{"_key":"13a10bae7f2d","_type":"span","marks":["strong","em"],"text":"one of many core "},{"_key":"c88735cf8f2b","_type":"span","marks":["strong"],"text":"issues "},{"_key":"b83c3de9c94c","_type":"span","marks":[],"text":"in women’s health"},{"_key":"6ce72ddeebc1","_type":"span","marks":["strong","em"],"text":" "},{"_key":"2b29bf13a469","_type":"span","marks":["em"],"text":"—"},{"_key":"58011d02a3cc","_type":"span","marks":[],"text":" has caused division within the healthcare industry and feminist movement for decades. While the abortion rate has been steadily declining for years, due in large part to increased access to contraception, nearly "},{"_key":"4cadadce1191","_type":"span","marks":["39ea170f6260"],"text":"1 in 4 women in America will have an abortion"},{"_key":"63d8eb32e952","_type":"span","marks":[],"text":" by age 45. Thus, abortion is not “niche,” or a rare experience, but relatively commonplace, despite the barriers to access and heightening restrictions (e.g. "},{"_key":"6f6fb400699b","_type":"span","marks":["715930e3b154"],"text":"TRAP laws"},{"_key":"81fb5f28c536","_type":"span","marks":[],"text":") in certain parts of the country."}],"markDefs":[{"_key":"39ea170f6260","_type":"externalLink","linkType":"text","url":"https://www.guttmacher.org/news-release/2017/abortion-common-experience-us-women-despite-dramatic-declines-rates"},{"_key":"715930e3b154","_type":"externalLink","linkType":"text","url":"https://www.guttmacher.org/evidence-you-can-use/targeted-regulation-abortion-providers-trap-laws"}],"style":"normal"},{"_key":"25457b295423","_type":"editorialImageCarousel","items":[{"_key":"e17e557b4664","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-d20bc0d72fdb5d0d1d937f44a0eb66d3b7a09699-1400x677-png","_type":"reference"}}}}]},{"_key":"f54ade81717a","_type":"sectionHeader","title":"Given our strong and explicit pro-choice beliefs, why then does Tia not provide abortion services ourselves?"},{"_key":"be67e1fc6209","_type":"block","children":[{"_key":"8aa9c9f10989","_type":"span","marks":[],"text":"Put simply, Tia is not equipped to provide abortion services in a manner that supports quality and choice in full, inclusive of surgical options and backup. Tia is a female primary care provider — not a surgical practice — focused on outpatient or “clinic-based” care. We put an extra emphasis on prevention through our core offerings like "},{"_key":"834ea4563e6b","_type":"span","marks":["8b28e12f13e1"],"text":"the Tia Well-Woman Exam"},{"_key":"05b2e4e61315","_type":"span","marks":[],"text":", which goes far beyond the you’re-in-and-you’re-out cervical cancer screenings that most of us think about as “preventive health.” Given the "},{"_key":"4fa2baa4ebee","_type":"span","marks":["2bcd83b05af2"],"text":"massive female primary gaps"},{"_key":"ecbd2d7819f0","_type":"span","marks":[],"text":" plaguing the U.S. healthcare system, and the delays in preventive care that result when women "},{"_key":"bc7e0597cd51","_type":"span","marks":["fee5af3a2df2"],"text":"lack a primary care provider"},{"_key":"f76326173ca7","_type":"span","marks":[],"text":", we explicitly chose to invest here by creating a new type of medical home model that recognizes the importance of sex-specific difference in the diagnosis and treatment of people assigned female at birth. By becoming the go-to sex-specific primary care provider for the modern healthcare system, Tia can change the trajectory of health outcomes and cost of care across a woman’s lifespan — a notable feat unto itself.\n\nWhile Tia provides many services that a typical primary care practice does not — from acupuncture to mental health to ultrasound and IUD insertions — we are not a surgical practice. There are many, many services we are not equipped to provide ourselves, clinically or operationally, and thus refer out to high-quality providers who can."}],"markDefs":[{"_key":"8b28e12f13e1","_type":"externalLink","linkType":"text","url":"https://asktia.com/appointments/the-tia-well-woman"},{"_key":"2bcd83b05af2","_type":"externalLink","linkType":"text","url":"https://www.commonwealthfund.org/publications/fund-reports/2020/jul/transforming-primary-health-care-women-part-1-framework"},{"_key":"fee5af3a2df2","_type":"externalLink","linkType":"text","url":"https://www.americanprogress.org/issues/women/reports/2012/04/16/11429/the-health-insurance-compensation-gap/"}],"style":"normal"},{"_key":"f827eeccd184","_type":"block","children":[{"_key":"84b23019160b0","_type":"span","marks":[],"text":"For example, if a Tia patient needs fertility treatments (IVF or egg freezing), we refer her to a reproductive endocrinologist. After the first trimester, we refer our patients to an obstetrician. If a patient has appendicitis, a surgeon at an affiliated hospital will operate.\n\nReferring a patient to a safe, trusted abortion provider who is better equipped than we are to enable access to “all options” — both medication and surgical abortion — is no different than referring a patient for other care Tia does not provide within our four walls. First and foremost, our role as a primary care provider is to be the go-to front door to healthcare for women — the "},{"_key":"4dc80568b25e1","_type":"span","marks":["em"],"text":"first place"},{"_key":"4dc80568b25e2","_type":"span","marks":[],"text":" a woman turns to for information, counseling, and yes, routing, to enable access. And, that is exactly what we do.\n\nToday in New York City and Los Angeles — and soon, Phoenix — Tia adheres to a four-part abortion care model that upholds our definition of"},{"_key":"8843b6f52d2b1","_type":"span","marks":["em"],"text":" true choice"},{"_key":"8843b6f52d2b2","_type":"span","marks":[],"text":": one that encompasses information, counseling and access. Tia provides the exact same services to women across these markets, which includes:"}],"markDefs":[],"style":"normal"},{"_key":"970d1bc94842","_type":"editorialImageCarousel","items":[{"_key":"75b459f25244","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-adf4a62394632553b91fb2935f6450f91583e232-1400x398-png","_type":"reference"}}},"mobileImageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-a13d0f02db212277f49f70025a18f4af01ac6743-1470x1664-png","_type":"reference"}}}}]},{"_key":"7e98bbbe4939","_type":"block","children":[{"_key":"1e158481ba62","_type":"span","marks":["strong"],"text":"#1: All-options counseling "},{"_key":"7fa98ef0bdb1","_type":"span","marks":[],"text":"— a private, judgement-free discussion between a patient and provider about her pregnancy, health factors and “all-options” in the context of her legal rights in a given state (parenting, adoption, termination), and without coercion or limitation."}],"markDefs":[],"style":"normal"},{"_key":"75b7066a6800","_type":"block","children":[{"_key":"d5a18160f0070","_type":"span","marks":["strong"],"text":"#2: Mental health support"},{"_key":"d5a18160f0071","_type":"span","marks":[],"text":" — Tia provides 1:1 talk therapy to support patients throughout their care journey for both episodic and ongoing mental health needs. We also offer “Support Circles” for patients who may want to connect with other women going through similar health journeys."}],"markDefs":[],"style":"normal"},{"_key":"b75397afc9b3","_type":"block","children":[{"_key":"5c8e7259d83a0","_type":"span","marks":["strong"],"text":"#3: Referrals to safe, high-quality abortion providers who can offer both medication and surgical options "},{"_key":"5c8e7259d83a1","_type":"span","marks":[],"text":"— Pregnancy termination is a highly local issue, which necessitates local considerations and partners. If and when termination is chosen by a patient, referrals are made with the support of Tia Care Coordinators, just like any other referral.\n"},{"_key":"07a646f189d80","_type":"span","marks":["strong"],"text":"\n#4: Follow-up preventive care "},{"_key":"07a646f189d81","_type":"span","marks":[],"text":"— To prevent repeated unintended pregnancies, we provide post-termination contraceptive counseling unique to a patient’s needs and circumstances as well as postpartum care."}],"markDefs":[],"style":"normal"},{"_key":"0dffe97c22ec","_type":"block","children":[{"_key":"19885a36d439","_type":"span","marks":[],"text":"Tia’s abortion care model was developed by our NYC Medical Director, Dr. Jacque Moritz, a renowned OB/GYN with extensive experience providing abortion care himself when he worked in a hospital setting — a very different environment from Tia’s outpatient, “retail-style” clinics. Tia’s model prioritizes quality and safety above all else, while upholding our commitment to patient choice in Tia’s comprehensive definition of this word. "}],"markDefs":[],"style":"normal"},{"_key":"004a9dcdad61","_type":"block","children":[{"_key":"ff4bc6dbd8f40","_type":"span","marks":[],"text":"We are (just) four years into Tia’s journey and mission: "},{"_key":"ff4bc6dbd8f41","_type":"span","marks":["em"],"text":"to enable every woman to achieve optimal health, as defined by herself"},{"_key":"ff4bc6dbd8f42","_type":"span","marks":[],"text":". While we have not achieved this mission in full yet and recognize the extensive mountains we still have to climb to get there, the essence of choice shine brights in everything we make and do — from enabling our patients to choose the gender of their provider (and soon race) when booking appointments, to the multiple tools in the toolkit discussion of both pharmacological and nonpharmacological interventions in patient’s Care Plans, to the unhindered, objective support and counseling we provide every patient with respect to her reproductive health decisions, both proactively and 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Tia’s trajectory from digital to physical, and from a pure tech company to a tech-enabled clinical services business, there’s been one unifying thread that’s guided our approach throughout: relationships. We believed then and we believe now that women want "},{"_key":"c1f0c37c0e551","_type":"span","marks":["em"],"text":"someone"},{"_key":"c1f0c37c0e552","_type":"span","marks":[],"text":", not "},{"_key":"c1f0c37c0e553","_type":"span","marks":["em"],"text":"something"},{"_key":"c1f0c37c0e554","_type":"span","marks":[],"text":" to manage their health. That for women, quality healthcare means a real face and a safe space that makes you feel seen, heard and compassionately cared for — online and offline. And that Tia’s mission and foremost innovation is building a relationship-based care model at a time when “relationships” in healthcare are evermore rare."}],"markDefs":[],"style":"large"},{"_key":"065627a2bee0","_type":"block","children":[{"_key":"065627a2bee00","_type":"span","marks":[],"text":"Eight weeks since opening our first brick-and-mortar Tia Clinic, we’ve proven that women really, "},{"_key":"065627a2bee01","_type":"span","marks":["em"],"text":"really"},{"_key":"065627a2bee02","_type":"span","marks":[],"text":" want a differentiated relationship with the healthcare system, and that they are excited about Tia’s potential to deliver it to them. Despite the influx in demand and pressure to rapidly grow to service more members, we recently made the call to deliberately slow down before scaling up. We continue to believe that changing women’s healthcare is a marathon, and not a sprint, and that unchecked “hockey stick growth” cannot be applied to clinical care delivery when real human lives are at play. Instead, we are taking the approach that growth must be deliberate, thoughtful, and obsessively monitored to ensure care quality is never — not even for a second — sacrificed because of startup “growing pains.”"}],"markDefs":[],"style":"normal"},{"_key":"77d4ce896f7f","_type":"sectionHeader","title":"Clarifying the role of technology"},{"_key":"07a3803de386","_type":"block","children":[{"_key":"07a3803de3860","_type":"span","marks":[],"text":"In this explosive era of direct to consumer healthcare companies, we are repeatedly asked — "},{"_key":"07a3803de3861","_type":"span","marks":["em"],"text":"what is Tia?"},{"_key":"07a3803de3862","_type":"span","marks":[],"text":" — a technology company, a direct to consumer brand, or a healthcare services business? To this, we say we are not one, but all three — or more accurately, a relationship company above all else."}],"markDefs":[],"style":"normal"},{"_key":"adb43c883ca6","_type":"block","children":[{"_key":"adb43c883ca60","_type":"span","marks":[],"text":"More tactically, our approach rests on amplifying best-in-class clinical care with innovations in technology and experience design to strengthen — not replace — the canonical patient <> provider relationship. More than an Instagrammable waiting room, or “tech for tech’s sake”, we are laser-focused on interweaving technology and design into the patient and provider experience — not as a “wrapper around,” but in service of clinical care."}],"markDefs":[],"style":"normal"},{"_key":"f21dd6fa9620","_type":"block","children":[{"_key":"f21dd6fa96200","_type":"span","marks":[],"text":"In the words of our users, there’s an intangible, emotional quality that results from the interwoven-ness of technology, brand and "},{"_key":"f21dd6fa96201","_type":"span","marks":["em"],"text":"amazing"},{"_key":"f21dd6fa96202","_type":"span","marks":[],"text":" clinicians all-in-one:"}],"markDefs":[],"style":"normal"},{"_key":"8715a2b4ffa8","_type":"editorialImageCarousel","items":[{"_key":"5b15ac30b18b","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-8342e73a37f0f415f7e3f9d0eafa2c8c563b9a82-1644x1096-png","_type":"reference"}}},"text":[{"_key":"3f73ba6b8003","_type":"block","children":[{"_key":"3f73ba6b80030","_type":"span","marks":[],"text":"Tia patient reviews"}],"markDefs":[],"style":"normal"}]}]},{"_key":"44ba4663cf57","_type":"block","children":[{"_key":"44ba4663cf570","_type":"span","marks":[],"text":"In short, Tia’s model is about a sum greater than its individual parts. Remove the tech, remove the brand, or remove the care, and the whole thing disintegrates."}],"markDefs":[],"style":"normal"},{"_key":"82c702a83a9e","_type":"sectionHeader","title":"The necessity for innovation in women’s health"},{"_key":"ad5ebfbb5e05","_type":"block","children":[{"_key":"ad5ebfbb5e050","_type":"span","marks":[],"text":"While we believe that every woman "},{"_key":"ad5ebfbb5e051","_type":"span","marks":["em"],"text":"should"},{"_key":"ad5ebfbb5e052","_type":"span","marks":[],"text":" have a deep, loved and trusted 1:1 relationship with her provider, delivering this at scale and at an affordable price-point within the confines of the existing healthcare system is rife with challenges. Specifically, the dominant fee-for-service reimbursement models, women’s health provider shortages, and rapidly changing consumer demands make the historic 1:1 relationship with a provider a utopian concept of the past — increasingly limited to very expensive concierge medicine practices inaccessible to the mass market."}],"markDefs":[],"style":"normal"},{"_key":"ddbad4dac273","_type":"block","children":[{"_key":"ddbad4dac2730","_type":"span","marks":[],"text":"While we know Tia is not "},{"_key":"ddbad4dac2731","_type":"span","marks":["em"],"text":"yet"},{"_key":"ddbad4dac2732","_type":"span","marks":[],"text":" a universally-accessible solution that works for every woman with "},{"_key":"ddbad4dac2733","_type":"span","marks":["em"],"text":"any"},{"_key":"ddbad4dac2734","_type":"span","marks":[],"text":" health need across the socioeconomic spectrum, we are committed to building a best-in-class relationship-based care model where women don’t have to “choose” between the trifecta of care quality, convenience and insurance coverage. Instead at the Tia Clinic, women can get evidence-based integrative care in a non “speed dating” environment — for the price of what you pay for Netflix or Spotify each month. To deliver on this promise involves shifting the historic bi-directional patient <> provider relationship to a triangular one, with Tia as the bridge or liaison between a patient and her provider(s):"}],"markDefs":[],"style":"normal"},{"_key":"41cbaa51efcc","_type":"editorialImageCarousel","items":[{"_key":"1040cc0c11be","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-760c08c810d0f9be6570bfaf4adc76e714f4b30f-1644x1096-png","_type":"reference"}}}}]},{"_key":"aa9f939d7d63","_type":"sectionHeader","title":"Productizing this new care model"},{"_key":"fd462818416a","_type":"block","children":[{"_key":"fd462818416a0","_type":"span","marks":[],"text":"While Tia started out as the go-to “wing-woman” for women seeking health information before and after the doctor’s office, the move into real-world care delivery requires that Tia become the “wing-woman” for providers, too. In the words of Tia’s Chief Medical Officer, Dr. Stephanie McClellan:"}],"markDefs":[],"style":"normal"},{"_key":"724fca95e507","_type":"block","children":[{"_key":"724fca95e5070","_type":"span","marks":["em"],"text":"“Tia must become both healthcare translator, care navigator and research-obsessed thinker. For patients, Tia should act as ‘your best friend in medical school’ who explains things to you without dumbing things down. And for providers, Tia needs to be their ‘full-time research assistant,’ providing data-driven, evidence-based recommendations that at times, may be non-obvious, but clinically important. To create a meaningful patient <> provider relationship in the context of the pressures intrinsic to the modern medical system, Tia can’t just play one of these roles, Tia needs to excel at all of them.”"}],"markDefs":[],"style":"normal"},{"_key":"d77cf9d01341","_type":"block","children":[{"_key":"d77cf9d013410","_type":"span","marks":[],"text":"From a product perspective, this means building tools that:"}],"markDefs":[],"style":"normal"},{"_key":"1c6321fb73eb","_type":"block","children":[{"_key":"1c6321fb73eb0","_type":"span","marks":[],"text":"#1: Give the patient more control and agency over her healthcare:"}],"markDefs":[],"style":"h4"},{"_key":"39100e07fa7c","_type":"editorialImageCarousel","items":[{"_key":"53e2f33aa735","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-ad82fd76266e211f5c05fc94d48c93fd588012be-1644x1096-png","_type":"reference"}}},"text":[{"_key":"151a67289f84","_type":"block","children":[{"_key":"151a67289f840","_type":"span","marks":[],"text":"Tia patients control their own health record & can share their cycle, health & wellness data with their Care Team to personalize their experience."}],"markDefs":[],"style":"normal"}]}]},{"_key":"8a3226505eb5","_type":"block","children":[{"_key":"8a3226505eb50","_type":"span","marks":[],"text":"#2: Equip providers to spend more time interfacing with patients (and less time interfacing with the EHR)"}],"markDefs":[],"style":"h4"},{"_key":"c0e125353b94","_type":"editorialImageCarousel","items":[{"_key":"ec08df1b6f07","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-54f6353aa3bb9ff89dc1bfc1c1dddb311b8dca5d-1644x1096-png","_type":"reference"}}},"text":[{"_key":"217b7f58f542","_type":"block","children":[{"_key":"217b7f58f5420","_type":"span","marks":[],"text":"TiaMD (Tia’s “doctor facing” iPad app) flags relevant health data to providers ahead of a patient visit. During Tia appointments, this information is visualized on a “third screen” for the patient & provider to view in tandem."}],"markDefs":[],"style":"normal"}]}]},{"_key":"96e182439508","_type":"block","children":[{"_key":"96e1824395080","_type":"span","marks":[],"text":"#3: Facilitate transparency and collaborative care"}],"markDefs":[],"style":"h4"},{"_key":"3c3722037bfe","_type":"editorialImageCarousel","items":[{"_key":"b7c5dd8fe8e2","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-bfd9610c83e23525e5390724a7c105312170acba-1644x1096-png","_type":"reference"}}},"text":[{"_key":"5b806cb6d384","_type":"block","children":[{"_key":"5b806cb6d3840","_type":"span","marks":[],"text":"During Tia appointments, patients & providers build a collaborative care plan personalized to the patient’s goal."}],"markDefs":[],"style":"normal"}]}]},{"_key":"7e3b82183a27","_type":"sectionHeader","title":"Why people + tech > tech alone"},{"_key":"d736bca4ad48","_type":"block","children":[{"_key":"d736bca4ad480","_type":"span","marks":[],"text":"Patient reviews like these reinforce our belief that the reimagined patient <> provider relationship of the future is at the nexus of technology, design and clinical care."}],"markDefs":[],"style":"normal"},{"_key":"0c7ca848e3eb","_type":"editorialImageCarousel","items":[{"_key":"b2696cd27b00","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-8c0541e54f41ddb78b02eb522111ef604329c688-1644x1096-png","_type":"reference"}}}}]},{"_key":"768e7a58d64a","_type":"block","children":[{"_key":"768e7a58d64a0","_type":"span","marks":[],"text":"But, we’ve also learned that we need to make further investments in the underlying service model to support this new paradigm — particularly outside of Tia exam room walls. We know that technology alone can’t cut it as an effective bridge between the patient and provider. Instead, successful solutions involve both people "},{"_key":"768e7a58d64a1","_type":"span","marks":["em"],"text":"and"},{"_key":"768e7a58d64a2","_type":"span","marks":[],"text":" technology paired together."}],"markDefs":[],"style":"normal"},{"_key":"4fdd1a3660da","_type":"block","children":[{"_key":"4fdd1a3660da0","_type":"span","marks":[],"text":"As a patient-first company who believes that transparency is the foundation of trust, here are the chief points of feedback we’ve heard from our members the past eight weeks, and the ways we are working to address these wants and needs before releasing new memberships:"}],"markDefs":[],"style":"normal"},{"_key":"de86683b3fd8","_type":"block","children":[{"_key":"de86683b3fd80","_type":"span","marks":[],"text":"#1: “I want more appointment times that work with my schedule!”"}],"markDefs":[],"style":"h4"},{"_key":"1f1fd38225f1","_type":"block","children":[{"_key":"1f1fd38225f10","_type":"span","marks":[],"text":"While non-traditional doctor’s office hours optimized for the working woman have always been part of our care promise, we opened with limited availability for early morning, evening and weekend gynecology appointments, which booked up far more quickly than we anticipated."}],"markDefs":[],"style":"normal"},{"_key":"ad57109fffd2","_type":"block","children":[{"_key":"ad57109fffd20","_type":"span","marks":[],"text":"To address the demand for these hours, and the higher-than-expected utilization we’ve seen amongst our patient population, we have hired two additional women’s health nurse practitioners to our Care Team to support an expanded schedule. Starting this week, the Tia Clinic has:"}],"markDefs":[],"style":"normal"},{"_key":"ceaade647fea","_type":"block","children":[{"_key":"ceaade647fea0","_type":"span","marks":[],"text":"“Pre-Work” morning appointments starting at 7:40AM Monday — Friday"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"811904a3de18","_type":"block","children":[{"_key":"811904a3de180","_type":"span","marks":[],"text":"“Post-Work” evening appointments ‘till 8PM Mondays, Tuesdays & Thursdays"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"62bf68defb67","_type":"block","children":[{"_key":"62bf68defb670","_type":"span","marks":[],"text":"Saturday gynecology appointments 9AM — 3PM once a month starting May 11th (and acupuncture every Saturday!)"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"e204429b4f4f","_type":"block","children":[{"_key":"e204429b4f4f0","_type":"span","marks":[],"text":"Designated same and next day appointments for time-sensitive issues (such as UTIs or strep throat) that are released 24 hours ahead of time"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"1d681c32676b","_type":"editorialImageCarousel","items":[{"_key":"4cf14b2459c7","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-229563ce46ccc651888517dd388a3caec1d77cbc-1644x1096-png","_type":"reference"}}}}]},{"_key":"d9919ab32fc3","_type":"block","children":[{"_key":"d9919ab32fc30","_type":"span","marks":[],"text":"As we further expand our Care Team with an additional MD hire over the coming weeks, we will continue to expand our appointment availability, upholding our commitment to convenience and accessibility without compromising care quality or overloading our providers."}],"markDefs":[],"style":"normal"},{"_key":"78b0171933ff","_type":"block","children":[{"_key":"78b0171933ff0","_type":"span","marks":[],"text":"#2: “I love the experience I get at the Tia Clinic, but want that personalized care to extend before and after my visit.”"}],"markDefs":[],"style":"h4"},{"_key":"de01311c9296","_type":"block","children":[{"_key":"de01311c92960","_type":"span","marks":[],"text":"To date, we’ve struggled to ensure patients get the timely communication they desire, "},{"_key":"de01311c92961","_type":"span","marks":["em"],"text":"while also "},{"_key":"de01311c92962","_type":"span","marks":[],"text":"allowing our providers to stay focused on patient care in our exam rooms. To address this, we’re making significant changes to both our staffing model and supporting tech products to improve patient communications pre and post-Tia appointments:"}],"markDefs":[],"style":"normal"},{"_key":"8cb7522f634a","_type":"block","children":[{"_key":"8cb7522f634a0","_type":"span","marks":[],"text":"Specifically, we are introducing:"}],"markDefs":[],"style":"normal"},{"_key":"a167cf6eab7f","_type":"block","children":[{"_key":"a167cf6eab7f0","_type":"span","marks":["strong"],"text":"Care Coordinators"},{"_key":"a167cf6eab7f1","_type":"span","marks":[],"text":" "},{"_key":"a167cf6eab7f2","_type":"span","marks":["em"],"text":"— "},{"_key":"a167cf6eab7f3","_type":"span","marks":[],"text":"a dedicated human face assigned to members when they join to help them navigate every touch point of Tia Care. From questions about scheduling and billing, to referrals and labs, this person will act as our members’ “personal concierge” to streamline all communications between a patient and her provider team at Tia. We believe the addition of Care Coordinators will facilitate higher touch communications, faster response times, and enable continuity of care — without overburdening our providers."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"00ec77ccc726","_type":"editorialImageCarousel","items":[{"_key":"28d66f72a3b1","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-c42b6075306e8790ef7e2326161e52c3ab763e74-1644x1096-png","_type":"reference"}}}}]},{"_key":"f9c02c957190","_type":"block","children":[{"_key":"f9c02c9571900","_type":"span","marks":["strong"],"text":"Chat with the Care Team"},{"_key":"f9c02c9571901","_type":"span","marks":[],"text":" — and in a few weeks, we are launching a private, secure inbox for ALL communications with the Tia Clinic. These past few weeks, we’ve seen that administrative questions (“I need to reschedule my appointment”) can quickly become clinical (“Do I need an ultrasound?”), and clinical questions can quickly become administrative. 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Yet, in healthcare — one of the most complicated, but important systems we interact with — we leave patients to figure things out on their own, and all-too-often, not until a crisis strikes."}],"markDefs":[],"style":"normal"},{"_key":"79e7ab468ad7","_type":"block","children":[{"_key":"79e7ab468ad70","_type":"span","marks":[],"text":"To address this, we are introducing a program, free for all Tia members, called “Well-Woman Orientation” — quite literally, an orientation to the Tia Clinic, our care philosophy, Care Team, and service offering."}],"markDefs":[],"style":"normal"},{"_key":"bd6482834631","_type":"block","children":[{"_key":"bd64828346310","_type":"span","marks":[],"text":"Starting Wednesday, May 8th, Tia members can sign up for a 90-minute Well-Woman Orientation, during which they will meet our Care Team and other members, set individualized health goals, and design a plan to achieve them with the support of Tia and our community."}],"markDefs":[],"style":"normal"},{"_key":"f63d957178bb","_type":"editorialImageCarousel","items":[{"_key":"b292610dbcfb","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-391e2490ff8af2c433d01cf867602f98824a21da-1644x1096-png","_type":"reference"}}}}]},{"_key":"b5d163974e6b","_type":"block","children":[{"_key":"b5d163974e6b0","_type":"span","marks":[],"text":"While the past eight weeks have reinforced that women want, need and deserve better care, we are dually humbled and evermore motivated by the challenge inherent to delivering that experience — first and foremost to our current members, and slowly and sustainably, to future members in NYC and around the country. 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Here’s why we need a new model of women’s care now, more than ever."}],"markDefs":[],"style":"large"},{"_key":"8a659e458a26","_type":"block","children":[{"_key":"8a659e458a260","_type":"span","marks":[],"text":"The U.S. healthcare system was designed to be one-size-fits-all and to treat sickness instead of prevent it. Despite decades of tech-enabled everything, up until two months ago, the iconic image of “healthcare” in the minds of most Americans remained a red cross on a building and a doctor in a white lab coat — a physical place you go to when something bad happens, and to otherwise be avoided at all costs. And then, Covid-19 hit."}],"markDefs":[],"style":"normal"},{"_key":"7bbb98e90506","_type":"block","children":[{"_key":"7bbb98e905060","_type":"span","marks":[],"text":"While we deeply admire the heroic healthcare workers fighting Covid on the frontlines, this epidemic has also revealed just how broken our healthcare system is. We believe that now, more than ever, there is an imminent need to build a new model of care —one that is "},{"_key":"7bbb98e905061","_type":"span","marks":["em"],"text":"personalized"},{"_key":"7bbb98e905062","_type":"span","marks":[],"text":" and "},{"_key":"7bbb98e905063","_type":"span","marks":["em"],"text":"people-based, connects online and offline"},{"_key":"7bbb98e905064","_type":"span","marks":[],"text":", and orients patients and providers alike towards "},{"_key":"7bbb98e905065","_type":"span","marks":["em"],"text":"prevention"},{"_key":"7bbb98e905066","_type":"span","marks":[],"text":"."}],"markDefs":[],"style":"normal"},{"_key":"4e5dcb0196c8","_type":"block","children":[{"_key":"4e5dcb0196c80","_type":"span","marks":[],"text":"With $24.275 million in fresh Series A capital — the largest Series A financing led by a female CEO in 2020 — we’re doing just that: building the personalized care delivery model of the future for the most valuable customer in healthcare: women."}],"markDefs":[],"style":"normal"},{"_key":"fae0e0baa574","_type":"sectionHeader","title":"The Future is Personalized and People-Based"},{"_key":"005b73bd0695","_type":"block","children":[{"_key":"005b73bd06950","_type":"span","marks":[],"text":"The Tectonic Shift"}],"markDefs":[],"style":"h3"},{"_key":"e1490c1f96bf","_type":"block","children":[{"_key":"e1490c1f96bf0","_type":"span","marks":[],"text":"Before Covid, the healthcare system was amidst a tectonic shift from specialty-based care to people-based care, with new verticals being built to serve the distinct needs of different populations."}],"markDefs":[],"style":"normal"},{"_key":"dcfd84745a96","_type":"editorialImageCarousel","items":[{"_key":"42f71a538c4c","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-21f0c76e84f6547d13336a0b7b1a347c0ae52313-1379x730-png","_type":"reference"}}}}],"layoutStyle":"inline","spacing":"pys"},{"_key":"445520634682","_type":"block","children":[{"_key":"4455206346820","_type":"span","marks":[],"text":"As we adjust to our “new normal” — not a post-Covid world per se, but an honest recognition that we will never really go back to the “old way” of doing things — it’s clear that this tectonic shift to people-based care is only accelerating, and with it, the “unbundling” of primary care and the hospital system as we know it."}],"markDefs":[],"style":"normal"},{"_key":"638bbc761ec9","_type":"block","children":[{"_key":"638bbc761ec90","_type":"span","marks":[],"text":"So, what is people-based care?"}],"markDefs":[],"style":"h4"},{"_key":"67fa876590ca","_type":"block","children":[{"_key":"67fa876590ca0","_type":"span","marks":[],"text":"People-based care is the recognition that different populations have different healthcare needs — not just clinically, but experientially and psychosocially — and that successful care models must be designed to serve their unique wants and needs. When we as healthcare entrepreneurs build for people instead of specialties, we are given a wider lens to approach how to deliver healthcare in a way that personalizes the experience, drives higher satisfaction, and leads to better outcomes."}],"markDefs":[],"style":"normal"},{"_key":"56e642e6e4dd","_type":"block","children":[{"_key":"56e642e6e4dd0","_type":"span","marks":[],"text":"To date, we’ve seen the most innovation in people-based care models with the elderly population — a vertical that houses a multitude of full-stack care delivery companies, from ChenMed to Oak Street Health, built to address the specific needs of the 65+ cohort. By focusing on chronic disease management and the social determinants of health that impact access and outcomes, these companies have pushed the boundaries of where and how care is delivered for the elderly (online, offline, and at-home), inclusive of payment models that incentivize outcomes over volume."}],"markDefs":[],"style":"normal"},{"_key":"22e15af49a79","_type":"block","children":[{"_key":"22e15af49a790","_type":"span","marks":[],"text":"We believe reproductive-aged women deserve a similar focus, and a new model of care designed end-to-end, just for us."}],"markDefs":[],"style":"normal"},{"_key":"86b6125dc4be","_type":"block","children":[{"_key":"86b6125dc4be0","_type":"span","marks":[],"text":"So, why women?"}],"markDefs":[],"style":"h4"},{"_key":"60f8488a5b7c","_type":"block","children":[{"_key":"60f8488a5b7c0","_type":"span","marks":[],"text":"Women control more than 80% of U.S. healthcare dollars. 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It’s time for that to change."}],"markDefs":[],"style":"normal"},{"_key":"1c18cbdd689b","_type":"block","children":[{"_key":"1c18cbdd689b0","_type":"span","marks":[],"text":"As dual female founders and female patients, we recognize, deeply, the nuanced ways in which females are "},{"_key":"1c18cbdd689b1","_type":"span","marks":["em"],"text":"different"},{"_key":"1c18cbdd689b2","_type":"span","marks":[],"text":", and that difference doesn’t mean inferiority. By fusing technology, experience design, and the highest quality clinical research and practice, Tia has created a new and distinctly female model of care that’s convenient, collaborative, and connected — one that women don’t just “like,” but love and trust. Through the success of our first brick-and-mortar Tia Clinic in NYC — an integrated gynecology, primary care and evidence-based wellness practice — we’ve shown that the magic formula for people-based care is not "},{"_key":"1c18cbdd689b3","_type":"span","marks":["em"],"text":"just"},{"_key":"1c18cbdd689b4","_type":"span","marks":[],"text":" tech, "},{"_key":"1c18cbdd689b5","_type":"span","marks":["em"],"text":"just"},{"_key":"1c18cbdd689b6","_type":"span","marks":[],"text":" care, or "},{"_key":"1c18cbdd689b7","_type":"span","marks":["em"],"text":"just"},{"_key":"1c18cbdd689b8","_type":"span","marks":[],"text":" brand, but "},{"_key":"1c18cbdd689b9","_type":"span","marks":["em"],"text":"all of it"},{"_key":"1c18cbdd689b10","_type":"span","marks":[],"text":", melded together in a single, unified you-know-it-when-you-feel-it experience."}],"markDefs":[],"style":"normal"},{"_key":"044d558a912d","_type":"editorialImageCarousel","items":[{"_key":"771196ba64c1","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-6ec8d663226273107319a5f90124f1f63e5726bc-1379x618-png","_type":"reference"}}}}],"layoutStyle":"inline","spacing":"pym"},{"_key":"ce2bfd5221a0","_type":"block","children":[{"_key":"ce2bfd5221a00","_type":"span","marks":[],"text":"We’ve proven that the “Tia Way” really, "},{"_key":"ce2bfd5221a01","_type":"span","marks":["em"],"text":"really"},{"_key":"ce2bfd5221a02","_type":"span","marks":[],"text":" works. We have a consistent patient Net Promoter Score of 95, which increased to 100 week-over-week since the Covid crisis began. And, with a collaborative care model that empowers Care Teams and not just MDs, we reduce our costs by 40% per service. A tech-enabled care model rooted in trusted relationships and connectivity between providers is "},{"_key":"ce2bfd5221a03","_type":"span","marks":["em"],"text":"where “the magic” happens"},{"_key":"ce2bfd5221a04","_type":"span","marks":[],"text":", and is what makes us ready, now, to scale the “Tia Way” to women everywhere."}],"markDefs":[],"style":"normal"},{"_key":"6d3fba2586f9","_type":"block","children":[{"_key":"6d3fba2586f90","_type":"span","marks":[],"text":"The Covid Stress-Test"}],"markDefs":[],"style":"h4"},{"_key":"38d61118ed7a","_type":"block","children":[{"_key":"38d61118ed7a0","_type":"span","marks":["em"],"text":"On March 17th — two days before Shelter-in-Place was instituted in New York, and one day after we chose to temporarily shut the physical doors of the Tia Clinic — we closed our Series A financing, led by Emily Melton at Threshold Ventures with participation from Define Ventures, ACME, Torch Capital, John Doerr, Homebrew and Compound."}],"markDefs":[],"style":"normal"},{"_key":"004a449c0606","_type":"block","children":[{"_key":"004a449c06060","_type":"span","marks":["em"],"text":"As female founders responsible for 3,000 patient lives in NYC, a team of will-do-anything-for-patient-care frontline providers, 50 employees, and a new (amazing) group of investors and board members, the past 90 days have been a rapid-fire stress-test of our vision for people-based care, our values, and our bottom line. We’ve been required to toe-the-line of responding to the crisis while making bets on the future with imperfect information. By necessity, we evolved our service model in-real-time to meet our patients’ needs and questioned many of our core hypotheses, including the unbundling of primary care, and what it means to be the “front door” to the healthcare system. Choosing what to do — and more importantly, what not to do — was the theme of our time in quarantine together as co-founders. As we gear up to reopen the physical Tia Clinic and connect it to our expanded virtual Tia Care offering, we have more conviction than ever on what’s next for Tia, women’s health, and the future of personalized care delivery. 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These findings reinforced a long-held belief we’ve had that women and the healthcare system do not see eye-to-eye on the definition of “women’s health.”"}],"markDefs":[],"style":"normal"},{"_key":"caec834a59e5","_type":"block","children":[{"_key":"caec834a59e50","_type":"span","marks":[],"text":"With an infinitely wide mandate to deliver “healthcare for women” vs. “women’s health” as conventionally defined, it’s not surprising that as soon as the epidemic hit, women turned to Tia in droves for "},{"_key":"caec834a59e51","_type":"span","marks":["em"],"text":"all"},{"_key":"caec834a59e52","_type":"span","marks":[],"text":" of their disparate needs — Covid-related and otherwise — which fell far outside the bounds of a traditional OB/GYN. 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In response to panicked messages about job losses, we equipped women in our community — in NYC and beyond — with the changing-in-real-time policies on "},{"_key":"caec834a59e59","_type":"span","marks":["6046ad2bb065"],"text":"health insurance"},{"_key":"caec834a59e510","_type":"span","marks":[],"text":", helping them get and stay insured during the worst economic crisis since the Great Depression."}],"markDefs":[{"_key":"7b0d03603ce5","_type":"externalLink","url":"https://asktia.com/coronavirus/"},{"_key":"f232241c1d53","_type":"annotation","text":[{"_key":"f9ba97b6b749","_type":"block","children":[{"_key":"f9ba97b6b7490","_type":"span","marks":[],"text":"Tia is now offering "},{"_key":"f9ba97b6b7491","_type":"span","marks":["b6dbeae61f33"],"text":"antibody testing"},{"_key":"f9ba97b6b7492","_type":"span","marks":[],"text":"."}],"markDefs":[{"_key":"b6dbeae61f33","_type":"annotationLink","reference":{"_ref":"77b8f3ca-fcad-429d-925b-300c81340a38","_type":"reference"}}],"style":"normal"}]},{"_key":"9643b4409754","_type":"annotation","text":[{"_key":"9548e10ddb7b","_type":"block","children":[{"_key":"9548e10ddb7b0","_type":"span","marks":["strong"],"text":"Behavioral health program"}],"markDefs":[],"placeholder":true,"style":"normal"},{"_key":"bae94a5d387d","_type":"block","children":[{"_key":"bae94a5d387d0","_type":"span","marks":[],"text":"Tia has created a behavioral health care model tailored specifically to women. "}],"markDefs":[],"style":"normal"}]},{"_key":"6046ad2bb065","_type":"annotation","text":[{"_key":"838cf1c4ec6d","_type":"block","children":[{"_key":"838cf1c4ec6d0","_type":"span","marks":[],"text":""},{"_key":"838cf1c4ec6d1","_type":"span","marks":["7d1bca25c1d0"],"text":"Learn how"},{"_key":"838cf1c4ec6d2","_type":"span","marks":[],"text":" to get healthcare coverate in the Cororonavirus climate."}],"markDefs":[{"_key":"7d1bca25c1d0","_type":"annotationLink","reference":{"_ref":"825e42cf-8486-4b66-b605-2ac8f8778797","_type":"reference"}}],"style":"normal"}]}],"style":"normal"},{"_key":"1bcd2ce21349","_type":"block","children":[{"_key":"1bcd2ce213490","_type":"span","marks":[],"text":"Through Covid, Tia has continued to be there for women as their loyal and trusted “medical home,” both online and offline. Not "},{"_key":"1bcd2ce213491","_type":"span","marks":["em"],"text":"just"},{"_key":"1bcd2ce213492","_type":"span","marks":[],"text":" their OB/GYN or Primary Care Provider or acupuncturist or therapist, but their go-to confidante for care, coordination, translation, and support to make healthcare more human and less complicated. That — "},{"_key":"1bcd2ce213493","_type":"span","marks":["em"],"text":"all of that"},{"_key":"1bcd2ce213494","_type":"span","marks":[],"text":" — is people-based care."}],"markDefs":[],"style":"normal"},{"_key":"68e0cb2cdf28","_type":"block","children":[{"_key":"68e0cb2cdf280","_type":"span","marks":[],"text":"The Power of Trust"}],"markDefs":[],"style":"h4"},{"_key":"282c7ffa963e","_type":"block","children":[{"_key":"282c7ffa963e0","_type":"span","marks":[],"text":"In people-based care and healthcare more broadly, trust is the hardest thing to earn, and the easiest thing to lose. It’s the foundation of "},{"_key":"282c7ffa963e1","_type":"span","marks":["em"],"text":"everything"},{"_key":"282c7ffa963e2","_type":"span","marks":[],"text":" we do at Tia — past, current, and future. While we are not quite in a post-Covid world just yet, it’s clear that people — and women in particular — will seek to avoid the hospital at all costs, preferring smaller avenues of care that are safer, consumerized, and built “just for them.” While igniting the backlog of elective procedures will provide some revenue recapture for health systems, and for Primary Care Providers, the ability to Zoom with a patient (and get paid for it), it’s clear to us that a much more substantial shift to people-based care and a steadfast obsession with cultivating trust is essential to transforming these all-too-fragile business and service models for the long-haul. 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Accordingly, we’ve invested extensively in our Connected Care technology platform for patients and providers that seamlessly extends a woman’s care journey beyond our exam room walls through asynchronous chat, health tracking, care plans, educational content, and community."}],"markDefs":[],"style":"normal"},{"_key":"ffdd1134d30e","_type":"block","children":[{"_key":"ffdd1134d30e0","_type":"span","marks":[],"text":"However, until three months ago, the recognition that continuous, connected care was essential to both the experience women want and moving the needle on outcomes was stymied by a major financial constraint: commercial payers refused to pay for it. As a byproduct of this, doctor’s offices like Tia, faced a few options: adopt virtual care and eat the cost, keep doing things the old way and collect what you can of (already diminishing) insurance reimbursements, or find someone else to foot the virtual care bill (for example, consumers willing to pay cash or an innovative employer)."}],"markDefs":[],"style":"normal"},{"_key":"f2e659d58445","_type":"block","children":[{"_key":"f2e659d584450","_type":"span","marks":[],"text":"This all changed overnight as Covid-19 triggered a lax in regulation, parity for virtual care reimbursement by commercial payers, and a mass shift in consumer psychology, driving unprecedented utilization of healthcare on the Internet. While the degree to which virtual care reimbursement will hold post-Covid is still in question, it’s clear that the “genie is out of the bottle” and can’t be put back in."}],"markDefs":[],"style":"normal"},{"_key":"83aa6e7e9c0e","_type":"block","children":[{"_key":"83aa6e7e9c0e0","_type":"span","marks":[],"text":"As female entrepreneurs, we’re both excited by the rise of virtual care and the ways in which it unlocks new business and service models, and simultaneously wary of what it could mean for women’s health, "},{"_key":"83aa6e7e9c0e1","_type":"span","marks":["em"],"text":"if not executed thoughtfully"},{"_key":"83aa6e7e9c0e2","_type":"span","marks":[],"text":". While it’s rather obvious how we treat a rash or the flu virtually, how to deliver high-quality women’s healthcare — which is inherently more complex, more intimate, and, for obvious reasons, cannot all be done on the Internet — in this new world is less black and white and should not be constrained to a binary video or in-exam room option."}],"markDefs":[],"style":"normal"},{"_key":"8c90546b1570","_type":"block","children":[{"_key":"8c90546b15700","_type":"span","marks":[],"text":"At Tia, we’re committed to thinking beyond a singular form factor like a Zoom call or physical exam room. 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We’ve seen an enlightened recognition that virtual care does not have to be a “lesser-than” version of in-person care, or limited to “quick fixes” and prescription refills. When designed with intention to be relationship-based and not transactional, virtual care has the potential to facilitate deep dialogue and human connection — in some regards, more so than an in-person visit, during which an honest hold-up-the-mirror conversation to evaluate your health can be overshadowed by the exam tables, needles, and stirrups."}],"markDefs":[],"style":"normal"},{"_key":"67fdcc0798e8","_type":"block","children":[{"_key":"67fdcc0798e80","_type":"span","marks":[],"text":"As we reopen our first brick-and-mortar Tia Clinic on June 1st and expand Tia’s connected virtual and in-clinic care offerings to new markets later this year, we will be further investing in the ever-expanding continuum — a virtually-integrated care model that’s not online or offline-only, but all about delivering the "},{"_key":"67fdcc0798e81","_type":"span","marks":["em"],"text":"right service"},{"_key":"67fdcc0798e82","_type":"span","marks":[],"text":" in the "},{"_key":"67fdcc0798e83","_type":"span","marks":["em"],"text":"right place"},{"_key":"67fdcc0798e84","_type":"span","marks":[],"text":" at the "},{"_key":"67fdcc0798e85","_type":"span","marks":["em"],"text":"right time"},{"_key":"67fdcc0798e86","_type":"span","marks":[],"text":" by the "},{"_key":"67fdcc0798e87","_type":"span","marks":["em"],"text":"right provider"},{"_key":"67fdcc0798e88","_type":"span","marks":[],"text":" — and using Tia’s technology to connect all of those moments in-between."}],"markDefs":[],"style":"normal"},{"_key":"09c99b917e05","_type":"sectionHeader","title":"The Future is Preventive Care"},{"_key":"38079455e0f3","_type":"block","children":[{"_key":"38079455e0f30","_type":"span","marks":[],"text":"The Covid fatality data has reinforced a hard truth we’ve known for a long time, but have failed to properly act on: chronic conditions and a lack of focus on preventive care is killing Americans. What we do about it as part of a “Covid-correction” will be a telltale sign of the impact of this crisis on the healthcare system. Unlike with virtual care though, the fix here is not as simple as changing a few laws and billing codes; preventive care requires a fundamental redefinition of what it really means to “be well,” and investments in lifestyle and behavior change required to get and keep people well."}],"markDefs":[],"style":"normal"},{"_key":"21ddbd3ac91e","_type":"block","children":[{"_key":"21ddbd3ac91e0","_type":"span","marks":[],"text":"Being a healthy woman is all-too-often reduced to not having an STD or an abnormal Pap, but we know that the leading cause of death for women in America is cardiovascular disease. We also know that women are diagnosed with anxiety and depression at twice the rate of men, and that endocrine and autoimmune disorders are on the rise. In pregnancy, c-section and preterm birth rates continue to go up instead of down, as does maternal mortality, with the U.S. reporting more maternal deaths than any developed country in the world."}],"markDefs":[],"style":"normal"},{"_key":"fe6c9a37821f","_type":"block","children":[{"_key":"fe6c9a37821f0","_type":"span","marks":[],"text":"We believe that the solution is a preventive “whole women’s health” model that shifts:"}],"markDefs":[],"style":"normal"},{"_key":"a296e8b210bf","_type":"block","children":[{"_key":"a296e8b210bf0","_type":"span","marks":["em"],"text":"From siloed specialists trained in body parts → to integrative Care Teams, who work together to support a woman’s comprehensive physical, mental, and emotional wellbeing."}],"markDefs":[],"style":"normal"},{"_key":"28521e07b20d","_type":"block","children":[{"_key":"28521e07b20d0","_type":"span","marks":["em"],"text":"From cast-typing all women as “hormonal” → to considering, deeply, the implications of the hormonal state in which she is existing (natural cycle, synthetic hormones for contraception, pregnancy, or a period of hormonal deprivation such as postpartum or menopause) in the diagnosis and treatment of a female patient."}],"markDefs":[],"style":"normal"},{"_key":"36b218b7990e","_type":"block","children":[{"_key":"36b218b7990e0","_type":"span","marks":["em"],"text":"From treating symptoms → to “root cause” diagnosis that accounts for the well-studied impact of sleep, nutrition, stress, and other aspects of lifestyle on a woman’s body."}],"markDefs":[],"style":"normal"},{"_key":"62dbfa07f294","_type":"editorialImageCarousel","items":[{"_key":"3b1e7e4036fb","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-31a862ce2f126882c9e81f2dcf174f269a21662c-1379x730-png","_type":"reference"}}}}]},{"_key":"66be9f17ecf7","_type":"sectionHeader","title":"What's Next: Building Bridges, Not Walls"},{"_key":"4171b750381f","_type":"block","children":[{"_key":"4171b750381f0","_type":"span","marks":[],"text":"Equipped with more firepower, we are seizing this opportunity to bring Tia Care to new markets by expanding our virtual and brick-and-mortar footprint and broadening our scope of practice to serve women throughout their reproductive lives. Because every woman deserves healthcare that’s personalized, connects both virtual and in-person care, and helps her get and stay truly well."}],"markDefs":[],"style":"normal"},{"_key":"251151dc328a","_type":"block","children":[{"_key":"251151dc328a0","_type":"span","marks":[],"text":"We recognize that achieving this vision requires building bridges, not walls, and pushing for evolution within the confines of the current payment and delivery models that dictate access and costs. By partnering with leading health systems, employers, and provider networks to scale our Connected Care Platform, and open new physical and digital Tia doors, we can make “the Tia Way” the new standard of care for women and providers everywhere."}],"markDefs":[],"style":"normal"},{"_key":"208dc1e17d73","_type":"block","children":[{"_key":"208dc1e17d730","_type":"span","marks":[],"text":"With a laser focus on listening, forever and always, to what women want, we are committed to being a leader in the “Covid-correction” — shaping a new people-based healthcare system that "},{"_key":"208dc1e17d731","_type":"span","marks":["em"],"text":"just works"},{"_key":"208dc1e17d732","_type":"span","marks":[],"text":" and is simple as: “I’m a woman. I have a need. I turn to Tia to take care of the rest.”"}],"markDefs":[],"style":"normal"}],"image":{"_type":"image","asset":{"_ref":"image-4e6ea709734b4e93ef5ef00f3b244ac9a3bd0a87-2500x800-png","_type":"reference"}},"modules":[{"_key":"494ee978bba1","_type":"furtherReading","articles":[{"_key":"eb948ee44f53","_ref":"825e42cf-8486-4b66-b605-2ac8f8778797","_type":"reference"},{"_key":"39b64eafc283","_ref":"328f6f7f-3463-4a10-8ae4-18f69664019d","_type":"reference"}],"title":"More reads"}],"publishedAt":"2020-05-27T04:00:00.000Z","slug":{"_type":"slug","current":"a-new-and-distinctly-female-model-of-care-for-the-healthcare-system"},"status":"production","title":"A New and Distinctly Female Model of Care | The Tia Take","topics":[{"_key":"47a609890dd6","_ref":"52909ed4-6c00-4b08-bfee-cee50984c63b","_type":"reference"}]},"metaInformation":{"_type":"metaCard","metaDescription":"What does people-based care mean at Tia? 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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). "}],"markDefs":[{"_key":"74eedc79e420","_type":"annotation","text":[{"_key":"0f246442b3b7","_type":"block","children":[{"_key":"8e9ea2724b42","_type":"span","marks":[],"text":"Think: an interactive in-exam room white board that acts as a space for Tia patients and providers to collaborate and make a plan together.\n"}],"markDefs":[],"style":"normal"}]}],"style":"normal"},{"_key":"43046ee9965c","_type":"block","children":[{"_key":"bbf60e40de89","_type":"span","marks":[],"text":"How do the changes we made out of necessity (like video visits) evolve and get stronger, so there not a lesser than version of in-person care?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"101c2514cbc2","_type":"block","children":[{"_key":"93300a6d74dd0","_type":"span","marks":[],"text":"How can we connect the dots between virtual and in-person, so they’re in sync, but different? And most importantly, help us know you better?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"13b922cbb6a0","_type":"block","children":[{"_key":"bd56e415c88a0","_type":"span","marks":[],"text":"How can our "},{"_key":"2a57bdfe898d","_type":"span","marks":["81eee8914b79"],"text":"virtual care"},{"_key":"19db8680e2ea","_type":"span","marks":[],"text":" meet you before you’re sick, so we’re actually preventing illness vs. treating it?"}],"level":1,"listItem":"bullet","markDefs":[{"_key":"81eee8914b79","_type":"annotation","text":[{"_key":"aaf1fc4a0dba","_type":"block","children":[{"_key":"767a0c627eeb","_type":"span","marks":[],"text":"Not everything (in women’s health), can be done on the Internet, so with our new clinics, we needed to ask how we could make our technology in the service of our relationships with both patients and providers."}],"markDefs":[],"style":"normal"}]}],"style":"normal"},{"_key":"183b48304ccc","_type":"block","children":[{"_key":"b088c50e83050","_type":"span","marks":[],"text":"How can we reimagine the clipboard through a tech-driven lens, so it’s intuitive and inclusive?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"2e6dff43d1ce","_type":"sectionHeader","title":"Meet the Makers: Devon + Ari "},{"_key":"0f56c125e571","_type":"block","children":[{"_key":"f8f62efd4b41","_type":"span","marks":[],"text":"Tech at Tia is about relationships. 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. 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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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The news hit while I stood inside Tia’s newest clinic amongst some of the most prominent female leaders in San Francisco — Mayor London Breed, UCSF Health’s Department Chair of Obstetrics, Gynecology & Reproductive Sciences, Dr. Amy Murtha, Oasis for Girls’ Executive Director, Anu Menon, and the Director of the San Francisco Department on the Status of Women, Kimberly Ellis."}],"markDefs":[{"_key":"8a1a233511c9","_type":"externalLink","url":"https://www.fiercehealthcare.com/providers/tia-inks-partnership-ucsf-health-open-clinical-integrated-clinics-womens-health"}],"style":"normal"},{"_key":"1ed0e23ebabe","_type":"block","children":[{"_key":"9fae8cd6b1ed","_type":"span","marks":[],"text":"The stark contrast between the diverse coalition of women championing investments in women’s health and women-led businesses, and the heartbreaking news alert on my phone is not lost on me."}],"markDefs":[],"style":"normal"},{"_key":"eae0c3f5adde","_type":"block","children":[{"_key":"afc81b7b3e730","_type":"span","marks":["strong"],"text":"While devastated by this news and the likely outcome, I am, sadly, not surprised. Felicity and I, Tia’s leadership team, and our Board of Directors have been preparing since last year for a “post-Roe” America. We are ready — not only to support our patients with access to abortion services, but to do our part to amplify broader community efforts as a leader in women’s healthcare."}],"markDefs":[],"style":"normal"},{"_key":"c75b041f2ab9","_type":"block","children":[{"_key":"2f97305776bd0","_type":"span","marks":[],"text":"I want to provide transparency into Tia’s efforts underway over the last several months, and why I believe it’s imperative, now more than ever, that Tia and other primary care and women's healthcare organizations stand up to support abortion as healthcare, period."}],"markDefs":[],"style":"normal"},{"_key":"3995e5d07ac6","_type":"block","children":[{"_key":"f15fa4051d440","_type":"span","marks":[],"text":"What Tia is doing:"}],"markDefs":[],"style":"h3"},{"_key":"9b55d964f255","_type":"block","children":[{"_key":"765a8894b9160","_type":"span","marks":["strong"],"text":"#1: Tia is expanding our scope of practice to provide medication abortion through virtual visits —"},{"_key":"765a8894b9161","_type":"span","marks":[],"text":" "},{"_key":"765a8894b9162","_type":"span","marks":["em"],"text":"this service offering will open for booking shortly for patients in states in which we operate and where it's allowed by law, specifically in New York and California."}],"markDefs":[],"style":"normal"},{"_key":"e58718ec00cf","_type":"block","children":[{"_key":"5bc54df165bb0","_type":"span","marks":[],"text":"Since day one, Tia has not been shy about our views on reproductive rights, explicitly supporting abortion access by providing our patients with counseling covering any and all options (parenting, adoption, and termination), mental health support, and for patients who choose termination, well-coordinated care to trusted, high-quality abortion providers — just like a referral for fertility services or obstetrical care."}],"markDefs":[],"style":"normal"},{"_key":"991f9cc52559","_type":"block","children":[{"_key":"c3dcc154cf0b0","_type":"span","marks":[],"text":"While erosion of reproductive rights and access has been underway for decades, in December 2021, we witnessed a set of legal and regulatory “tailwinds” on the national stage that compelled us to re-address our scope of practice — (1) SCOTUS’ initial hearing of "},{"_key":"c3dcc154cf0b1","_type":"span","marks":["em"],"text":"Dobbs vs. Jackson"},{"_key":"c3dcc154cf0b2","_type":"span","marks":[],"text":", which we saw as the “canary in the coal mine” end of "},{"_key":"c3dcc154cf0b3","_type":"span","marks":["em"],"text":"Roe"},{"_key":"c3dcc154cf0b4","_type":"span","marks":[],"text":" to come; and (2) the FDA’s "},{"_key":"335e7d251368","_type":"span","marks":["cba2356a86dd"],"text":"decision"},{"_key":"9c544894c7a9","_type":"span","marks":[],"text":" to lift the medically-unnecessary in-person dispensing requirement for mifepristone, a drug used for medication abortion."}],"markDefs":[{"_key":"cba2356a86dd","_type":"externalLink","url":"https://www.nytimes.com/2021/12/16/health/abortion-pills-fda.html"}],"style":"normal"},{"_key":"bf7e8708a6ea","_type":"block","children":[{"_key":"3cd23c4c0b4c0","_type":"span","marks":[],"text":"Facing the dual possibility of both "},{"_key":"3cd23c4c0b4c1","_type":"span","marks":["em"],"text":"more restrictions"},{"_key":"3cd23c4c0b4c2","_type":"span","marks":[],"text":" and also potential for "},{"_key":"3cd23c4c0b4c3","_type":"span","marks":["em"],"text":"more access"},{"_key":"3cd23c4c0b4c4","_type":"span","marks":[],"text":" to medication abortion via telemedicine, Tia committed to expand our scope of practice to include medication abortion via our growing virtual care platform in states in which we operate and where it’s allowed by law, which today includes New York and California. "}],"markDefs":[],"style":"normal"},{"_key":"30d1d133f869","_type":"block","children":[{"_key":"eda9f5dcadc00","_type":"span","marks":["strong"],"text":"#2: In Arizona, where abortion via telemedicine is not permitted, we’re deepening our partnership with a local abortion clinic on the ground."}],"markDefs":[],"style":"normal"},{"_key":"d088adba09c5","_type":"block","children":[{"_key":"1f7f0bfd4a760","_type":"span","marks":[],"text":"Tia was motivated to enter Arizona due to its primary care and mental healthcare shortage — with only enough primary care providers to service "},{"_key":"13e11ea5d72c","_type":"span","marks":["98c878edbe7f"],"text":"40% of the state's population"},{"_key":"182acac77f65","_type":"span","marks":[],"text":", and ranking 49 out of 50 states in terms of access to mental health services."}],"markDefs":[{"_key":"98c878edbe7f","_type":"externalLink","url":"https://uahs.arizona.edu/sites/default/files/2019_az_primary_care_physician_workforce_report.pdf"}],"style":"normal"},{"_key":"ae484f17b95e","_type":"block","children":[{"_key":"350297775e130","_type":"span","marks":[],"text":"We established Tia with the belief that all women deserve access to comprehensive primary care, regardless of their political or religious affiliation. We recognize, too, that Arizona is a restrictive state when it comes to reproductive health services, with burdonsome barriers that limit access to "},{"_key":"350297775e131","_type":"span","marks":["em"],"text":"both"},{"_key":"350297775e132","_type":"span","marks":[],"text":" patients seeking abortions and "},{"_key":"350297775e133","_type":"span","marks":["em"],"text":"clinicians"},{"_key":"350297775e134","_type":"span","marks":[],"text":" motivated to deliver high quality and safe abortion services, including legal restrictions preventing abortion via telemedicine and special licenses that are nearly impossible to obtain in the current political environment. That’s why we chose to tailor our approach to the local context by partnering with an established and highly respected abortion provider with strong roots in the Phoenix community. Our trusted partner provides abortion services for Tia patients, and we, in turn, provide primary care services for their patients. "}],"markDefs":[],"style":"normal"},{"_key":"87f3eff7e8ea","_type":"block","children":[{"_key":"aa91fe68e6570","_type":"span","marks":["strong"],"text":"#3: We’re deepening our collaboration with leading health systems like UCSF who are leaders in reproductive healthcare."}],"markDefs":[],"style":"normal"},{"_key":"73eb8f543948","_type":"block","children":[{"_key":"d20fa761831a0","_type":"span","marks":[],"text":"Last night, Dr. Amy Murtha, UCSF Health’s Department Chair of Obstetrics, Gynecology & Reproductive Sciences, spoke to the values that UCSF and Tia share — clinical excellence, and a commitment to equity and access — and the work our organizations have been doing over the last 18 months to establish a one-of-a-kind primary <> speciality care collaboration that will raise the standard of women’s health for more than 40,000 women across the Bay Area. Foundational to our alignment is our shared belief that abortion is healthcare, period, and an integral part of women’s comprehensive primary care. Together, we’re committed to innovating within the confines of a post-Roe America — integrating our healthcare services in a way that upholds our values, and enhances access to whole person care that’s inclusive of but not limited to abortion."}],"markDefs":[],"style":"normal"},{"_key":"5336dd2b9f64","_type":"block","children":[{"_key":"78e7e066f8090","_type":"span","marks":[],"text":"Re-anchoring on abortion as healthcare, period."}],"markDefs":[],"style":"h3"},{"_key":"a4c410d58ef1","_type":"block","children":[{"_key":"e23be03e0aee0","_type":"span","marks":[],"text":"As a woman and citizen, I am still anxiously awaiting the final ruling from SCOTUS on "},{"_key":"e23be03e0aee1","_type":"span","marks":["em"],"text":"Dobbs vs. Jackson,"},{"_key":"e23be03e0aee2","_type":"span","marks":[],"text":" and sincerely hoping for an outcome that saves "},{"_key":"e23be03e0aee3","_type":"span","marks":["em"],"text":"Roe."},{"_key":"e23be03e0aee4","_type":"span","marks":[],"text":" Yet, as a women’s healthcare founder and CEO, I am preparing for a more restrictive future that I anticipate to define a post-Roe America. I recognize that neither Tia nor any one company or organization can “fix this'' on their own. Yet, I also believe that primary care and women’s healthcare companies have a responsibility to step up, "},{"_key":"e23be03e0aee5","_type":"span","marks":["em"],"text":"now"},{"_key":"e23be03e0aee6","_type":"span","marks":[],"text":", ahead of a post-Roe America. By re-anchoring on abortion as healthcare, we can amplify the efforts led by community organizations who’ve been doing this work for decades, and help preserve access to essential abortion healthcare services in a post-Roe 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Remove the tech, remove the brand, or remove the care, and the whole thing disintegrates."}],"markDefs":[],"style":"normal"},{"_key":"82c702a83a9e","_type":"sectionHeader","title":"The necessity for innovation in women’s health"},{"_key":"ad5ebfbb5e05","_type":"block","children":[{"_key":"ad5ebfbb5e050","_type":"span","marks":[],"text":"While we believe that every woman "},{"_key":"ad5ebfbb5e051","_type":"span","marks":["em"],"text":"should"},{"_key":"ad5ebfbb5e052","_type":"span","marks":[],"text":" have a deep, loved and trusted 1:1 relationship with her provider, delivering this at scale and at an affordable price-point within the confines of the existing healthcare system is rife with challenges. Specifically, the dominant fee-for-service reimbursement models, women’s health provider shortages, and rapidly changing consumer demands make the historic 1:1 relationship with a provider a utopian concept of the past — increasingly limited to very expensive concierge medicine practices inaccessible to the mass market."}],"markDefs":[],"style":"normal"},{"_key":"ddbad4dac273","_type":"block","children":[{"_key":"ddbad4dac2730","_type":"span","marks":[],"text":"While we know Tia is not "},{"_key":"ddbad4dac2731","_type":"span","marks":["em"],"text":"yet"},{"_key":"ddbad4dac2732","_type":"span","marks":[],"text":" a universally-accessible solution that works for every woman with "},{"_key":"ddbad4dac2733","_type":"span","marks":["em"],"text":"any"},{"_key":"ddbad4dac2734","_type":"span","marks":[],"text":" health need across the socioeconomic spectrum, we are committed to building a best-in-class relationship-based care model where women don’t have to “choose” between the trifecta of care quality, convenience and insurance coverage. Instead at the Tia Clinic, women can get evidence-based integrative care in a non “speed dating” environment — for the price of what you pay for Netflix or Spotify each month. To deliver on this promise involves shifting the historic bi-directional patient <> provider relationship to a triangular one, with Tia as the bridge or liaison between a patient and her provider(s):"}],"markDefs":[],"style":"normal"},{"_key":"41cbaa51efcc","_type":"editorialImageCarousel","items":[{"_key":"1040cc0c11be","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-760c08c810d0f9be6570bfaf4adc76e714f4b30f-1644x1096-png","_type":"reference"}}}}]},{"_key":"aa9f939d7d63","_type":"sectionHeader","title":"Productizing this new care model"},{"_key":"fd462818416a","_type":"block","children":[{"_key":"fd462818416a0","_type":"span","marks":[],"text":"While Tia started out as the go-to “wing-woman” for women seeking health information before and after the doctor’s office, the move into real-world care delivery requires that Tia become the “wing-woman” for providers, too. In the words of Tia’s Chief Medical Officer, Dr. Stephanie McClellan:"}],"markDefs":[],"style":"normal"},{"_key":"724fca95e507","_type":"block","children":[{"_key":"724fca95e5070","_type":"span","marks":["em"],"text":"“Tia must become both healthcare translator, care navigator and research-obsessed thinker. For patients, Tia should act as ‘your best friend in medical school’ who explains things to you without dumbing things down. And for providers, Tia needs to be their ‘full-time research assistant,’ providing data-driven, evidence-based recommendations that at times, may be non-obvious, but clinically important. To create a meaningful patient <> provider relationship in the context of the pressures intrinsic to the modern medical system, Tia can’t just play one of these roles, Tia needs to excel at all of them.”"}],"markDefs":[],"style":"normal"},{"_key":"d77cf9d01341","_type":"block","children":[{"_key":"d77cf9d013410","_type":"span","marks":[],"text":"From a product perspective, this means building tools that:"}],"markDefs":[],"style":"normal"},{"_key":"1c6321fb73eb","_type":"block","children":[{"_key":"1c6321fb73eb0","_type":"span","marks":[],"text":"#1: Give the patient more control and agency over her healthcare:"}],"markDefs":[],"style":"h4"},{"_key":"39100e07fa7c","_type":"editorialImageCarousel","items":[{"_key":"53e2f33aa735","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-ad82fd76266e211f5c05fc94d48c93fd588012be-1644x1096-png","_type":"reference"}}},"text":[{"_key":"151a67289f84","_type":"block","children":[{"_key":"151a67289f840","_type":"span","marks":[],"text":"Tia patients control their own health record & can share their cycle, health & wellness data with their Care Team to personalize their experience."}],"markDefs":[],"style":"normal"}]}]},{"_key":"8a3226505eb5","_type":"block","children":[{"_key":"8a3226505eb50","_type":"span","marks":[],"text":"#2: Equip providers to spend more time interfacing with patients (and less time interfacing with the EHR)"}],"markDefs":[],"style":"h4"},{"_key":"c0e125353b94","_type":"editorialImageCarousel","items":[{"_key":"ec08df1b6f07","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-54f6353aa3bb9ff89dc1bfc1c1dddb311b8dca5d-1644x1096-png","_type":"reference"}}},"text":[{"_key":"217b7f58f542","_type":"block","children":[{"_key":"217b7f58f5420","_type":"span","marks":[],"text":"TiaMD (Tia’s “doctor facing” iPad app) flags relevant health data to providers ahead of a patient visit. During Tia appointments, this information is visualized on a “third screen” for the patient & provider to view in tandem."}],"markDefs":[],"style":"normal"}]}]},{"_key":"96e182439508","_type":"block","children":[{"_key":"96e1824395080","_type":"span","marks":[],"text":"#3: Facilitate transparency and collaborative care"}],"markDefs":[],"style":"h4"},{"_key":"3c3722037bfe","_type":"editorialImageCarousel","items":[{"_key":"b7c5dd8fe8e2","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-bfd9610c83e23525e5390724a7c105312170acba-1644x1096-png","_type":"reference"}}},"text":[{"_key":"5b806cb6d384","_type":"block","children":[{"_key":"5b806cb6d3840","_type":"span","marks":[],"text":"During Tia appointments, patients & providers build a collaborative care plan personalized to the patient’s goal."}],"markDefs":[],"style":"normal"}]}]},{"_key":"7e3b82183a27","_type":"sectionHeader","title":"Why people + tech > tech alone"},{"_key":"d736bca4ad48","_type":"block","children":[{"_key":"d736bca4ad480","_type":"span","marks":[],"text":"Patient reviews like these reinforce our belief that the reimagined patient <> provider relationship of the future is at the nexus of technology, design and clinical care."}],"markDefs":[],"style":"normal"},{"_key":"0c7ca848e3eb","_type":"editorialImageCarousel","items":[{"_key":"b2696cd27b00","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-8c0541e54f41ddb78b02eb522111ef604329c688-1644x1096-png","_type":"reference"}}}}]},{"_key":"768e7a58d64a","_type":"block","children":[{"_key":"768e7a58d64a0","_type":"span","marks":[],"text":"But, we’ve also learned that we need to make further investments in the underlying service model to support this new paradigm — particularly outside of Tia exam room walls. We know that technology alone can’t cut it as an effective bridge between the patient and provider. Instead, successful solutions involve both people "},{"_key":"768e7a58d64a1","_type":"span","marks":["em"],"text":"and"},{"_key":"768e7a58d64a2","_type":"span","marks":[],"text":" technology paired together."}],"markDefs":[],"style":"normal"},{"_key":"4fdd1a3660da","_type":"block","children":[{"_key":"4fdd1a3660da0","_type":"span","marks":[],"text":"As a patient-first company who believes that transparency is the foundation of trust, here are the chief points of feedback we’ve heard from our members the past eight weeks, and the ways we are working to address these wants and needs before releasing new memberships:"}],"markDefs":[],"style":"normal"},{"_key":"de86683b3fd8","_type":"block","children":[{"_key":"de86683b3fd80","_type":"span","marks":[],"text":"#1: “I want more appointment times that work with my schedule!”"}],"markDefs":[],"style":"h4"},{"_key":"1f1fd38225f1","_type":"block","children":[{"_key":"1f1fd38225f10","_type":"span","marks":[],"text":"While non-traditional doctor’s office hours optimized for the working woman have always been part of our care promise, we opened with limited availability for early morning, evening and weekend gynecology appointments, which booked up far more quickly than we anticipated."}],"markDefs":[],"style":"normal"},{"_key":"ad57109fffd2","_type":"block","children":[{"_key":"ad57109fffd20","_type":"span","marks":[],"text":"To address the demand for these hours, and the higher-than-expected utilization we’ve seen amongst our patient population, we have hired two additional women’s health nurse practitioners to our Care Team to support an expanded schedule. Starting this week, the Tia Clinic has:"}],"markDefs":[],"style":"normal"},{"_key":"ceaade647fea","_type":"block","children":[{"_key":"ceaade647fea0","_type":"span","marks":[],"text":"“Pre-Work” morning appointments starting at 7:40AM Monday — Friday"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"811904a3de18","_type":"block","children":[{"_key":"811904a3de180","_type":"span","marks":[],"text":"“Post-Work” evening appointments ‘till 8PM Mondays, Tuesdays & Thursdays"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"62bf68defb67","_type":"block","children":[{"_key":"62bf68defb670","_type":"span","marks":[],"text":"Saturday gynecology appointments 9AM — 3PM once a month starting May 11th (and acupuncture every Saturday!)"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"e204429b4f4f","_type":"block","children":[{"_key":"e204429b4f4f0","_type":"span","marks":[],"text":"Designated same and next day appointments for time-sensitive issues (such as UTIs or strep throat) that are released 24 hours ahead of time"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"1d681c32676b","_type":"editorialImageCarousel","items":[{"_key":"4cf14b2459c7","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-229563ce46ccc651888517dd388a3caec1d77cbc-1644x1096-png","_type":"reference"}}}}]},{"_key":"d9919ab32fc3","_type":"block","children":[{"_key":"d9919ab32fc30","_type":"span","marks":[],"text":"As we further expand our Care Team with an additional MD hire over the coming weeks, we will continue to expand our appointment availability, upholding our commitment to convenience and accessibility without compromising care quality or overloading our providers."}],"markDefs":[],"style":"normal"},{"_key":"78b0171933ff","_type":"block","children":[{"_key":"78b0171933ff0","_type":"span","marks":[],"text":"#2: “I love the experience I get at the Tia Clinic, but want that personalized care to extend before and after my visit.”"}],"markDefs":[],"style":"h4"},{"_key":"de01311c9296","_type":"block","children":[{"_key":"de01311c92960","_type":"span","marks":[],"text":"To date, we’ve struggled to ensure patients get the timely communication they desire, "},{"_key":"de01311c92961","_type":"span","marks":["em"],"text":"while also "},{"_key":"de01311c92962","_type":"span","marks":[],"text":"allowing our providers to stay focused on patient care in our exam rooms. To address this, we’re making significant changes to both our staffing model and supporting tech products to improve patient communications pre and post-Tia appointments:"}],"markDefs":[],"style":"normal"},{"_key":"8cb7522f634a","_type":"block","children":[{"_key":"8cb7522f634a0","_type":"span","marks":[],"text":"Specifically, we are introducing:"}],"markDefs":[],"style":"normal"},{"_key":"a167cf6eab7f","_type":"block","children":[{"_key":"a167cf6eab7f0","_type":"span","marks":["strong"],"text":"Care Coordinators"},{"_key":"a167cf6eab7f1","_type":"span","marks":[],"text":" "},{"_key":"a167cf6eab7f2","_type":"span","marks":["em"],"text":"— "},{"_key":"a167cf6eab7f3","_type":"span","marks":[],"text":"a dedicated human face assigned to members when they join to help them navigate every touch point of Tia Care. From questions about scheduling and billing, to referrals and labs, this person will act as our members’ “personal concierge” to streamline all communications between a patient and her provider team at Tia. We believe the addition of Care Coordinators will facilitate higher touch communications, faster response times, and enable continuity of care — without overburdening our providers."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"00ec77ccc726","_type":"editorialImageCarousel","items":[{"_key":"28d66f72a3b1","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-c42b6075306e8790ef7e2326161e52c3ab763e74-1644x1096-png","_type":"reference"}}}}]},{"_key":"f9c02c957190","_type":"block","children":[{"_key":"f9c02c9571900","_type":"span","marks":["strong"],"text":"Chat with the Care Team"},{"_key":"f9c02c9571901","_type":"span","marks":[],"text":" — and in a few weeks, we are launching a private, secure inbox for ALL communications with the Tia Clinic. These past few weeks, we’ve seen that administrative questions (“I need to reschedule my appointment”) can quickly become clinical (“Do I need an ultrasound?”), and clinical questions can quickly become administrative. We are streamlining communications with a single inbox, staffed by each member’s personal Care Coordinator."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"a8d08efdf8e2","_type":"editorialImageCarousel","items":[{"_key":"191d27b0fa04","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-eab4564bf89867c7a0ae624ce965bfe1736803f8-1644x1096-png","_type":"reference"}}}}]},{"_key":"c0784da2db82","_type":"block","children":[{"_key":"c0784da2db820","_type":"span","marks":["strong"],"text":"A single front door to the digital Tia Care experience"},{"_key":"c0784da2db821","_type":"span","marks":[],"text":" — from text messages to the app to the Tia Clinic Home on the web, we know it can be confusing to know where to go for information from Tia. To solve this, we are introducing a single doorway to all-things Tia Clinic where members can book appointments, edit their health record, find pre-appointment reminders (and soon, chat with the Care Team, too!) — accessible from "},{"_key":"c0784da2db822","_type":"span","marks":["c5f547860f98"],"text":"our iPhone app"},{"_key":"c0784da2db823","_type":"span","marks":[],"text":" or our website. We will continue to use text message as a notification and reminder system to ensure members don’t miss a beat."}],"level":1,"listItem":"bullet","markDefs":[{"_key":"c5f547860f98","_type":"externalLink","url":"https://apps.apple.com/us/app/ask-tia-your-personal-womens-health-assistant/id1184002073?ls=1"}],"style":"normal"},{"_key":"9060c6f80ebc","_type":"editorialImageCarousel","items":[{"_key":"4f56ce90f121","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-54f82cc444c31a96a08baf9ec8817c96eee0eeee-1644x1096-png","_type":"reference"}}}}]},{"_key":"caa151d7e9f2","_type":"block","children":[{"_key":"caa151d7e9f20","_type":"span","marks":[],"text":"#3: “There are so many different services at Tia from workshops to events to different types of gynecology and wellness appointments. But, what’s right for me?”"}],"markDefs":[],"style":"h4"},{"_key":"984d85bc7517","_type":"block","children":[{"_key":"984d85bc75170","_type":"span","marks":[],"text":"Today, orientation is commonplace in college, the workplace, conferences, you name it. We would never think about bringing on a new employee without “onboarding” he or she to our company’s values, processes, and workflows. Yet, in healthcare — one of the most complicated, but important systems we interact with — we leave patients to figure things out on their own, and all-too-often, not until a crisis strikes."}],"markDefs":[],"style":"normal"},{"_key":"79e7ab468ad7","_type":"block","children":[{"_key":"79e7ab468ad70","_type":"span","marks":[],"text":"To address this, we are introducing a program, free for all Tia members, called “Well-Woman Orientation” — quite literally, an orientation to the Tia Clinic, our care philosophy, Care Team, and service offering."}],"markDefs":[],"style":"normal"},{"_key":"bd6482834631","_type":"block","children":[{"_key":"bd64828346310","_type":"span","marks":[],"text":"Starting Wednesday, May 8th, Tia members can sign up for a 90-minute Well-Woman Orientation, during which they will meet our Care Team and other members, set individualized health goals, and design a plan to achieve them with the support of Tia and our community."}],"markDefs":[],"style":"normal"},{"_key":"f63d957178bb","_type":"editorialImageCarousel","items":[{"_key":"b292610dbcfb","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-391e2490ff8af2c433d01cf867602f98824a21da-1644x1096-png","_type":"reference"}}}}]},{"_key":"b5d163974e6b","_type":"block","children":[{"_key":"b5d163974e6b0","_type":"span","marks":[],"text":"While the past eight weeks have reinforced that women want, need and deserve better care, we are dually humbled and evermore motivated by the challenge inherent to delivering that experience — first and foremost to our current members, and slowly and sustainably, to future members in NYC and around the country. As founders, we are excited by the sheer "},{"_key":"b5d163974e6b1","_type":"span","marks":["em"],"text":"excitement"},{"_key":"b5d163974e6b2","_type":"span","marks":[],"text":" we’ve seen women express about engaging in their health in a new way. Most importantly though, we are keenly aware of the responsibility that comes along with that."}],"markDefs":[],"style":"normal"},{"_key":"a234ad0d93ab","_type":"block","children":[{"_key":"a234ad0d93ab0","_type":"span","marks":[],"text":"To us, the answer to translating an ambitious vision into action lies in the most sacred part of any relationship: "},{"_key":"a234ad0d93ab1","_type":"span","marks":["em"],"text":"listening"},{"_key":"a234ad0d93ab2","_type":"span","marks":[],"text":". To our members current and future — we pledge to always listen faster than we move, and evolve our interwoven web of technology, design and clinical operations with the utmost intention. 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This is known as "},{"_key":"5928646224d11","_type":"span","marks":["em"],"text":"allostatic load"},{"_key":"5928646224d12","_type":"span","marks":[],"text":"."}],"markDefs":[],"style":"normal"},{"_key":"4b0557270066","_type":"block","children":[{"_key":"4b05572700660","_type":"span","marks":[],"text":"How allostatic load presents itself in each individual woman depends on a multitude of complex, interactive factors: the nature, duration, and timing of the chronic stress, your genetics, epigenetics, and the cumulative effects of your lifestyle, good and bad."}],"markDefs":[],"style":"normal"},{"_key":"a50f02749723","_type":"block","children":[{"_key":"a50f027497230","_type":"span","marks":[],"text":"When your brain and body remain alert and activated longer than is healthy, you can become more vulnerable to infections, heart attacks, strokes, high blood pressure, fatigue, gut dysregulation, and accelerated aging. This is why in a very literal way, chronic stress can make you sick!"}],"markDefs":[],"style":"normal"},{"_key":"44bc40a9dd19","_type":"block","children":[{"_key":"44bc40a9dd190","_type":"span","marks":[],"text":"#4: Stress is more than cortisol — it involves the two separate axes of energy and arousal."}],"markDefs":[],"style":"h3"},{"_key":"4701d664db13","_type":"block","children":[{"_key":"4701d664db130","_type":"span","marks":[],"text":"Clinically, the burdens of chronic stress can be broadly grouped into four Stress Signatures:"}],"markDefs":[],"style":"normal"},{"_key":"beb1c3efc6d8","_type":"editorialImageCarousel","items":[{"_key":"9d612adb163c","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-743b4c299b0e9020c721b89fcc7e6993408a634a-1644x1096-jpg","_type":"reference"}}}}]},{"_key":"04acfd50ddf7","_type":"block","children":[{"_key":"04acfd50ddf70","_type":"span","marks":[],"text":"These four Stress Signatures focus on the dominant components of the stress response — primarily the cortisol released from your adrenal glands and your autonomic nervous system. 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You’re ready to go-go-go from the moment your alarm goes off. But too much eager energy is taxing on your body, sending every cell in your body into overdrive, and bugging friends who’d rather not receive a brunch itinerary at 7AM."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"2a0318854f72","_type":"block","children":[{"_key":"2a0318854f720","_type":"span","marks":["strong"],"text":"Pacer"},{"_key":"2a0318854f721","_type":"span","marks":[],"text":": In comparison to Sprinters, you’re slower and more gradual in the way you mobilize energy. Late nights equal Kryptonite. When your circadian rhythms are balanced, you’re able to win the slow and steady race. But when you’re out of sync, you’re really out of sync, from aches and pains to regretful outbursts."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"27aec6c6d660","_type":"block","children":[{"_key":"27aec6c6d6600","_type":"span","marks":[],"text":"Arousal"}],"markDefs":[],"style":"h4"},{"_key":"ebaa7503cc69","_type":"block","children":[{"_key":"ebaa7503cc690","_type":"span","marks":[],"text":"The other side of the chronic stress coin is your “Arousal Style” — we’re talking about how alert your nervous system is, that means both your brain and body — either Vigilant or Reluctant."}],"markDefs":[],"style":"normal"},{"_key":"2304b3c66276","_type":"editorialImageCarousel","items":[{"_key":"2d73d8b90fff","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-5b78ddfdcc06c137a0692216e8fb149d31a8e560-1644x1096-jpg","_type":"reference"}}}}]},{"_key":"39df5fc0c4cd","_type":"block","children":[{"_key":"39df5fc0c4cd0","_type":"span","marks":["strong"],"text":"Vigilant"},{"_key":"39df5fc0c4cd1","_type":"span","marks":[],"text":": In comparison to Reluctant types, you’re always on the alert. You’re beyond perceptive, which makes attention to detail under stress a strength. But imagine that your body is like a security guard who is always on watch — there’s only so many shifts your nerves can handle before it starts to breakdown."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"c7b9a9f403fd","_type":"block","children":[{"_key":"c7b9a9f403fd0","_type":"span","marks":["strong"],"text":"Reluctant"},{"_key":"c7b9a9f403fd1","_type":"span","marks":[],"text":": In comparison to Vigilant types, you’re more contained. You tend to be more inwardly focused and when stressed, that can mean you’re in your own world. Think: mindlessly watching reruns until Netflix shuts off. So imagine your body is like a turtle — you prefer to be in your shell and when stress strikes, you’re retreating even further."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"98534900c8e2","_type":"block","children":[{"_key":"98534900c8e20","_type":"span","marks":[],"text":"#5: Stress is a spectrum. Unlike your high school prom pics, you aren’t stuck!"}],"markDefs":[],"style":"h3"},{"_key":"c6ae88f9eadf","_type":"block","children":[{"_key":"c6ae88f9eadf0","_type":"span","marks":[],"text":"So first things first: whether you feel “stressed” day-to-day or not, everyone has a Stress Signature. And there’s no such thing as a bad, wrong, or weird Signature. How you modulate and manage your Stress Signature is the key."}],"markDefs":[],"style":"normal"},{"_key":"598030ba7856","_type":"block","children":[{"_key":"598030ba78560","_type":"span","marks":[],"text":"In a perfect world, we’d all want to be near the center of the grid, but our world is far from perfect."}],"markDefs":[],"style":"normal"},{"_key":"c6c8797a9ded","_type":"editorialImageCarousel","items":[{"_key":"b94978e2a0a0","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-d20ee2f3c49c2270c5b87d39d3b8b39cdc0a76b5-813x487-png","_type":"reference"}}}}]},{"_key":"ba9fe8b0e366","_type":"block","children":[{"_key":"ba9fe8b0e3660","_type":"span","marks":[],"text":"But unlike your high school prom pictures, you’re not stuck with your Stress Signature forever and with awareness and lifestyle, you can move towards the center and modulate its impact on your mind, body and longevity."}],"markDefs":[],"style":"normal"},{"_key":"bb8ac512546e","_type":"block","children":[{"_key":"bb8ac512546e0","_type":"span","marks":["strong"],"text":""},{"_key":"bb8ac512546e1","_type":"span","marks":["strong","f7524a472891"],"text":"Take the quiz"},{"_key":"bb8ac512546e2","_type":"span","marks":[],"text":" to find out where on the chronic stress spectrum you fall — and most important of all, what to do about it."}],"markDefs":[{"_key":"f7524a472891","_type":"externalLink","url":"https://stressquiz.asktia.com/"}],"style":"normal"},{"_key":"8cc5d13c90ea","_type":"sectionHeader","title":"Take the Stress Quiz"},{"_key":"e1c70f2f0ebe","_type":"block","children":[{"_key":"e1c70f2f0ebe0","_type":"span","marks":[],"text":"So, there you have a peek at Tia’s Female Stress Signatures. 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