From Biomedical Engineer to Baby-Feeding Startup CEO


Becoming a parent is a seismic pivot in itself. Add the societal pressure to breastfeed — with virtually no support and sleepless nights — and you have a rocky six months. But it doesn’t need to be this way. 

 Andrea Ippolito, CEO of SimpliFed, created a community to help women navigate everything from finding an insurance-covered lactation consultant to exploring different formulas to scoring the best-quality breast pump. Ippolito offers free classes and directories of allies and providers and works with workplaces and insurers to help parents get the support they need. 

As a mom herself, Ippolito knows firsthand the paucity of resources for parents who need support to do what’s best for their new baby and her nutrition. With her background working with the Department of Veteran Affairs and launching and selling her first product (an AI-driven health appointment scheduler), Ippolito has the track record to make a difference.


HIGHLIGHTS

  • How Ippolito pivoted from biomedical engineering to creating her first product, an AI-driven scheduler, which she successfully sold to a healthcare company

  • The arc of Ippolito’s entrepreneurial journey and how engineering and healthcare intersect

  • Ipollito recalls her experience as a new mother and how it informed her decision to create SimpliFed.

  • Ippolito’s crusade for workplace support for parents and breastfeeding working moms

  • Why it’s essential to challenge gender biases that stand in the way of women providing nutrients to their babies. Yes, really!

  • How her past experiences in healthcare and understanding systems helped Ippolito conceive SimpliFed

  • Why support should start well before the baby is born

  • What challenges breastfeeding working mothers continue to face

  • Why access to networks and supportive infrastructures are essential for women entrepreneurs

  • Ippolito on motherhood: “Moms are often discarded as the wrapper and moms deserve more help and care.” How the SimpliFed platform helps individuals, companies, and insurers work together.

  • Why it matters to not only be a visionary but also a doer, one willing to execute tedious tasks integral to startup success.

  • Why should every family educate themselves about their rights under the Affordable Healthcare Act?

  • How to find out what your insurance covers in terms of postpartum care and baby-feeding assistance

  • Telehealth can play a key role in supporting new parents and/or those seeking treatment for mental health.

  • Ippolito suggests everyone stay informed about healthcare innovation and transformation efforts by following the White House Office of Science and Technology Policy and the General Services Administration.

  • Why it is essential for healthcare to continue to innovate — and our role as consumers.

  • How to find out more about Ippolito and SimpliFed


If you enjoyed the show, we would love your support!


 

Check out Andrea Ippolito online!


Note: This is an original transcript–edited for sense, length, and clarity.  If you have any questions or concerns, please email our host, Doria Lavagnino, at doria@sheventurespodcast.com.

Intro:

Doria Lavagnino: Today SheVentures is about the leadership of a serial entrepreneur. This woman co-founded her first startup while earning her two master’s — one in biomedical engineering from Cornell and the other in engineering and management from MIT. The startup, named Smart Scheduling, is an intelligent app that improves access to healthcare, appointments, and medical care. 
She decided to apply for the Presidential Innovation Fellow. This is where she led the design research and implementation of Veterans Affairs, a $10.5 million innovative network. This was to empower Veterans Affairs employees to see and solve problems on the ground by using one of the 33 medical centers countrywide. 

Today, in addition to being a parent, showing up on the podcast 39 weeks pregnant, she is the co-founder of SimpliFed, a company that supports new mothers in feeding their newborns: a process that may sound simple, but it is anything but. It doesn’t have to be that way and she’s going to tell us why. Andrea Ippolito, welcome to SheVentures!

Andrea Ippolito: Thanks so much for having me. I’m excited to be here!
Doria:
I always love having a fellow Italian!

Smart Scheduling

Doria: I was really interested in your journey. Your first startup was while you were in graduate school. How did you identify the need for the Smart Scheduling tool in telemedicine before such a product existed in any form?

Andrea: I was very lucky to be part of a founding team that had great clinical depth. How Smart Scheduling got started is a physician, Dr. Gabriel Belfort, whose wife also happened to be a physician. He pitched the problem at a Hacking Medicine hackathon of one in five patients [being a] no-show. That’s a huge issue in healthcare because it impacts access to care and revenue with razor-thin profit margins in healthcare. It’s so important that you can improve access to care but also keep healthcare systems afloat. 

Another physician, an informaticist, came up and said, “You can use these tools called machine learning algorithms to predict who’s likely to no-show, which includes the type of appoint, time of day, or age.” One thing that’s probably not surprising is that males in their 20s are more likely to no-show, especially if they’re for follow-up appointments in general.

Doria: Well, that’s interesting. I’m not surprised.

Andrea: We also know that folks have no-show appointments due to transportation issues separately. With Smart Scheduling, we predicted who was likely to no-show.
After several years, we were eventually acquired by AthenaHealth. That was led by Chris Moses, who was the CEO and an incredible human being and leader in healthcare technology.

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Interest in Healthcare

Doria: Your interest in healthcare from the get-go, like how you married engineering and healthcare, seemed to always be an interest. Was that true all your life?

Andrea: I’m incredibly lucky that I am the daughter of two engineers. My dad is a quality engineer and my mom is an electrical engineer. They’re both very much retired now. My parents both started their careers in spacesuit design. In particular, my mom was part of the team that helped design how female shuttle astronauts go to the bathroom in space. It’s always been a part of my upbringing. I was very lucky to have two engineering parents. 

I was always fascinated by healthcare. I went into biomedical engineering as an undergrad and master’s. I got really into tissue engineering, cell biology, and cell engineering. I worked in medical devices and looked at the interface of our devices with the surrounding cells. While I loved that, I was a pretty average mediocre scientist. I liked it but it wasn’t what was keeping me up at night. 

I was infatuated with the system surrounding devices. You can have this amazing technology, but if it doesn’t get adopted, reimbursed, or integrated into workflows in healthcare settings… I was obsessed with, “Well, if we can figure out the system surrounding healthcare technology, then we can better accelerate the pace of healthcare transformation to tackle some of the large, medium, but also small challenges impacting healthcare that we’d desperately need.” That’s what motivated me to go back to school to study engineering and management in healthcare. That’s when I started tackling some systems-level issues and got introduced to telehealth. 

During my graduate research at MIT, I was part of a group for the chairman of the Joint Chiefs of Staff in the military health system on how we might use telehealth to improve access to care for service members faced with post-traumatic stress.

This was back in 2010, before the day of telehealth. I had a front-row seat to some of the early adopters and leaders of telehealth. I took that with me for the rest of my career. Ultimately, that was a huge instrumental factor in founding SimpliFed.

Doria: Absolutely. A couple of things that I hear from what you’re saying is that you’re an engineer and scientist, but while it interests you what’s done in the lab, you are interested more so in how can we get this to be practically applied to everyday life, whether it’s through the legislative process or whatever.

The second thing, I understand better how you got involved with the White House. 

Presidential Innovation Fellowship

Doria: My understanding is with this Presidential Fellowship, you worked a bit longer [and] became aware of how big this opportunity is. You led the design and implementation of 33 VA innovator networks. Correct me if I’m wrong, but I believe that’s the largest medical network in the county, is that right?

Andrea: Correct, I was lucky. I applied on a whim for the Presidential Innovation Fellowship, which was based out of the White House Office of Science and Technology Policy and General Service Administration. I was lucky that my appointment was at the Department of Veterans Affairs, which is the largest healthcare system in the country. Not a lot of people realize that. I’m very biased, but I think it has the best mission of serving our nation’s veterans, their families, and their caregivers. This was back in 2014 when some bad actors at the VA were engaged in some activities that were hiring veterans on “secret waitlists.” 

What was happening is there was a lot of pressure at VA to meet metrics. When you have such a metrics-focused culture but not looking at things from a systems perspective — that drove some pretty bad behaviors and veterans were getting lost in healthcare. This became a crisis at VA — leadership transition. I was part of a team that was brought in by the new secretary as part of this fellowship to go across the country [and] listen to the needs of our customers, which are veterans, families, and caregivers, which I always think is the very best way to start any job — to go out and listen to the needs of your customers and stakeholders. That work helped the VA launch this transformation effort that no doubt is still ongoing. 

It’s the largest healthcare system. It’s very complex. Our secretary, Secretary Bob McDonald, used to always say, “We have no hope of improving the veteran experience unless we improve the VA employee experience.” A lot of people don’t know this, but 40 percent of VA employees are veterans themselves. It’s just an incredibly mission-driven culture. 

My role at the VA was starting this thing all about empowering frontline employees with tools and investments to better improve the experience for veterans to improve access to care [and] design the new set of innovations that could get innovated and diffused. To your point, it was across 33 VA medical centers. Then, we had a whole investment mechanism called Spark-Seed-Spread. We invested in different tiers of funding and huge portfolios of efforts. The goal was to take something that was working well — say one VA — and scale it to other VAs. That’s the best way they were going to be able to take advantage of their scale. 

There is an Institute of Medicine report that shows that it takes 17 years or more for something once it’s been deemed by say medical literature or journals as best practice. It takes 17 years for it to get diffused. That is insane. A big part of our work with the VA was about: how might we accelerate that diffusion of innovation?

Doria: I wanted to reflect on a couple of things. Firstly, the idea of having frontline workers be involved in solving what they’re experiencing — I think that’s a great retention tool. One of the things that’s very difficult for many people who work for others is they feel that they’re a cog in the wheel. It sounds like you were bringing a sense of entrepreneurship to the front lines. 

Part two: Is there a particular innovation that really struck you? Do you want to mention the result of this program?

Inspiring Innovation Results

Andrea: There are many but there was one that struck me because I got to see the innovator recently. Her name is Dr. April Maa. She’s based out of Atlanta VA and is an ophthalmologist. She was noticing that veterans were traveling two, three, four, or five hours to come to the Atlanta VA, which was a major hub. She designed this tele-ophthalmology program. Again, this was back before the heyday of telehealth. [She was] doing some pretty amazing screenings that were tackling pretty large pain points for veterans impacting their sight. She designed this program and it had incredible outcomes. It improved access to care dramatically [and] saw tremendous health outcomes. 

Now, it’s scaling across the U.S. Veterans who previously didn’t have access to this type of care now do. There were other innovations surrounding how we integrate veteran stories within their electronic medical record. Too often in healthcare, you’re treated as a patient. [It’s] what you technically are but your healthcare is tied to your life, especially with veterans and their families.

There was this other amazing project that was all about bringing veterans’ stories into their medical records so that providers and care teams could treat a veteran with whole health approaches. There are just countless examples of that. It was a really exciting program to be a part of and it’s still around today. That’s something I’m excited to share because too often in the innovation space a lot of things are spun up [and] innovation initiatives die. It’s truly embedded as part of the VA care and employee experience, as well.

Doria: That is fantastic and a lot to be proud of. One of the things that strikes me about you is you’re modest and hardworking, but always a leader in pretty much everything that you’ve done. That’s remarkable. I want to get to that a little bit later. 

SimpliFed

Doria: At some point during all that you’ve achieved, you got married and started to have children. You’ve [said] that the idea for SimpliFed was the result of you having trouble feeding your first daughter. I wondered how did that experience scale from that to a company?

Andrea: At the tail end of my time at VA, I was pregnant with my first daughter. We decided to move to Ithaca, New York. I joined the faculty at Cornell, had my first daughter, and saw how hard baby feeding was. Ithaca has the highest breastfeeding rates actually in the state of New York. [There was] support [and] an incredible community here. With all that being said, I had tremendous difficulties with breastfeeding and baby feeding.

Doria: Me too!

Andrea: I didn’t know what to expect. I learned that it was so deeply connected, not just to my baby’s health, but to my physical and importantly mental health. As an entrepreneur and healthcare systems person, I learned that health plans, commercial and Medicaid, are required under the Affordable Care Act (ACA) [and] federal law to cover breastfeeding support starting during pregnancy at no cost to families without any prior authorization.

Doria: What should that look like? I had children 19 and 14 years ago or something. I did end up breastfeeding because it was important to me, but it was hard. I heard people say this to me — my father, for example — “Mammals do it all the time in nature. What’s the big deal?” 

What should people be expecting? The only thing that I got after my C-section was a nurse who came to me and encourage me to breastfeed. [They] showed me how to hold the baby, but after that it was nothing. How much help should people be getting?

Andrea: Under federal law, it’s your right to start getting prenatal baby feeding education during pregnancy, in the hospital, after a baby is born [and] for as long as you’re breastfeeding and baby feeding in any capacity. You should be getting access to insurance-covered support at no cost to you, whether you’re on a commercial health plan or Medicaid health plan. 

What that care experience should look like and what we have developed via SimpliFed is that we meet you where you’re at during pregnancy, do a lot of listening to [and] understand your goals for baby feeding. If you have no idea what to expect, we set expectations on what that looks like based on what your goals are and do education on what you’d like to accomplish. After the baby’s born, we continue to work with you in an ongoing virtual way. 

Let’s be real — and I’m 39 weeks pregnant with my third daughter — adding another appointment is hard. It’s hard to get the time away from work. It’s hard to get transportation. Often, you need care at weird hours like nights and weekends. They don’t fit a clinic schedule. Babies don’t sleep, as we all know. We provide access to ongoing virtual care, surrounding everything from latching, positioning, undersupply, oversupply, pain, sleeping, and feeding. 

Something really important about SimpliFed is no matter how you feed your baby, we think you deserve choices that work for you. An important part of the care pathway with SimpliFed is that we improve access to baby feeding support covered by your health plan, whether you’re breastfeeding, pumping, formula feeding, G-tube feeding, or whatever that looks like to you. Most parents start off breastfeeding and then most transition to formula at some point. That’s okay!

We need to talk about it in a way that is inclusive so that folks don’t feel judged [or] pressured. It’s not just about the baby’s health. It’s about mom’s physical and mental health. Whether you’re breastfeeding, formula feeding, or pumping, it is so deeply connected to the mom’s health. Mom is often the discarded wrapper in this maternal healthcare journey. 

We do a lot of listening and validating of your needs, but we also have a national network of evidence-based providers that you can trust that we’ve vetted and are experts in it so you get the most evidence-based, but non-judgment along the way.

Doria: You’re giving people science and saying, “Here’s what the science says. Decide which one works for you.” I think that is very important. 

I did breastfeed, and it was very important to me to do so. I do remember at that time there was a lot of judgment around women who either chose not to, couldn’t, or decided after a week, it wasn’t for them. That is not helpful after having a baby, to feel on top of it like, “I’m failing at this.” I love that SimpliFed is supporting women and meeting them where they’re at.

Andrea: Exactly, and having that lived experience helped me see this as a pain point. I was living in a community that was incredibly supportive of baby feeding and had lots of access to support. I still faced tremendous difficulties and felt incredibly broken and lost in the process. When I spoke with folks across the country, I learned that I wasn’t alone. In other areas, in particular maternal health deserts, there was less access to care. 

The key with SimpliFed is we see ourselves as the leader in the baby feeding category. We improve access to baby feeding care surrounding this big pain point, which we believe barring any medical issues which are unfortunately pervasive in the current state of maternal health in the U.S. We think that the two biggest pain points of folks that have postpartum are feeding and sleeping. We would argue the reason you’re not sleeping is because of feeding. 

We have this longitudinal relationship with the families that we have the privilege to serve. We can move the needle on some of these other maternal health outcomes [and] remind them to attend their six-week postpartum visit, which only 60 percent of women are attending. We remind them to attend their baby visits. We do postpartum depression screening. We provide ongoing access to care. Though we’re baby feeding and breastfeeding specialists, we see signs that we’re also moving the needle with these broader maternal health outcomes along the way.

Postpartum Depression

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Doria: Do you have any idea, based on the women that you’ve served, how many of them have had some level of postpartum depression?

Andrea: Yeah. Unfortunately, postpartum depression, postpartum anxieties, and perinatal mood disorders more broadly are just massively underdiagnosed. Similar to what I was saying, Mom is often discarded as the wrapper. Moms deserve more help and care. There’s even more research that shows that a lot of maternal deaths are happening one year postpartum. Unfortunately, many of those maternal deaths are due to perinatal mood disorders, suicides, and not being there for moms in their postpartum journey. 

We see this all the time, especially because we’re a telehealth service. We have national contracts with Aetna commercially. We have state Medicaid health plan contracts. We serve all military families across the U.S. via TRICARE. We’re going to be serving women veterans in the eastern half of the U.S. with VA Optum Health Plan Care. What we see is a lot of families that aren’t in a community, are in more rural areas, or aren’t able to attend their healthcare appointments due to transportation issues, are left in isolation to figure things out by themselves. It is sadly very pervasive. 

A lot of what our providers do — of course, within their scope of practices — is a lot of listening. Then, because we’re meeting parents where they’re at, we can then refer them to mental health professionals that are trained in this arena. We’re identifying folks that feel isolated and making sure they get better access to the care that they deserve with mental health care.

Improving the Healthcare Community

Doria: Two questions there. The first is, I wondered if at some point you might consider creating a community for women who are in SimpliFed to support one another for those that are geographically isolated or isolated in any way.

Then, this is a related question to mental health care. For mental health care, to find a provider, it’s very difficult to have it covered for a very long period of time. You have very little say, quite frankly, in who you go to. Has that been your experience? Are you working to make it a better experience, as well?

Andrea: SimpliFed does a couple of things as part of our care experience. The first is that we have an online community that we invite patients to join, anyone that’s part of our experience, newsletter, etc. We invite them to join that online community because we know that folks are feeling isolated and need peers to turn to.

Secondly, we partner with healthcare systems [and] health provider networks to refer to them. Our providers are amazing. They’re internationally board-certified lactation consultants, many of whom are nurse practitioners. They’re baby feeding experts, whether you’re breastfeeding, formula feeding, or pumping. They’re not mental health professionals. It’s really important that we partner with mental health professional networks. We partner with all sorts of networks depending on where the parent lives, because we want to make sure that they’re getting culturally competent and culturally. 

Let me give an example. We work with the military population via TRICARE. The military, while still not perfect, has come a long way in mental health and behavioral health care. We refer to resources within the military community, whether that’s Military OneSource or other telemental health networks that are available to them. We partner with healthcare systems in certain regions. We have tight closed-loop referral protocols for folks that need access to mental healthcare. We’re a baby feeding company, yet we are improving access to care and identifying folks in these isolated settings — by the way, not just rural, urban [and] suburban.

Doria: Could be New York City.

Andrea: It could be New York City, exactly! [We’re] making sure that they have access to the care and services they need, deserve, and are entitled to.

Doria: Absolutely, that makes so much sense to me. 

The Formula Shortage


Doria: How is the formula shortage affecting women? Do you have any thoughts in that regard?

Andrea: I think the formula shortage just increases the stress on parents. Unfortunately, it’s a symptom of a larger systems-level issue and a complete discard of mom and baby health, right? Most parents breastfeed and use formula at some point. We are very supportive of however you want to feed your baby.

The fact [is] that in the U.S. we are facing a maternal health crisis and an infant formula shortage — which by the way is still ongoing in many areas. They still have the three biggest players that caused this issue and the oligopoly surrounding this. There hasn’t been any systems-level change and transformation to happen despite that being our most vulnerable, human citizens. Of course, that had incredible impacts on moms’ mental health, as well as increasing stress. It just shows you that we need systems-level change. What does that look like? We need to improve access to baby feeding support covered by health plans as required under the Affordable Care Act. 

That’s why SimpliFed is excited to be part of the systems level. We need more entrance into baby formula. We need the FDA to get more resources to identify issues, such as the corynebacteria issue from last year. We need an entire system redesign integrating baby feeding into the perinatal care pathway. That’s starting with education during pregnancy, setting expectations on what baby feeding looks like, and designing a plan that works for each parent. 


The U.S. is declining in population, yet we don’t actually invest in supporting American families, in particular American women. This is just one of my many examples of the systems-level changes we need surrounding paid maternity leave, universal childcare support, baby feeding resilient systems, insurance-covered breastfeeding support, better access to formula, and more stakeholders. This is all part of the systems-level change that’s needed in the U.S.

Navigating Insurance Companies

Doria: Let me ask you this, if I am pregnant [and] I start working with SimpliFed, will you work on behalf of me to deal with my insurance company? I ask that because I find it incredibly stressful. Once I had a baby, that was the last thing I wanted to do.

Andrea: Yes, and that is important. Navigating health plans and insurance is hard. That’s exactly what we do. You get a referral to us, say from your healthcare provider or you can come directly to our website

Again, what’s called prior authorization isn’t needed. What that means is you don’t need permission from your health plan, technically under federal law, to get access to the service. 

Folks, come to us via our website. Go to simplifed.com. You can text us, fill out a secure form or many healthcare providers start referring us during pregnancy. We’re part of many healthcare practices’ 28-week order set. Many folks get that 28-week glucose test where you chug that sugar drink — not the most enjoyable experience.

Doria: I failed it both times. I ended up not being diabetic but I had to do that super long test. 

Andrea: I also failed it recently with my latest pregnancy. It’s quite the chug.

Doria: Yes!

Andrea: We’re part of that 28-week order set that happens where we do that prenatal appointment. The good news is that we work with the health plan so you don’t have to. We know you already have a lot going on when you’re either pregnant or postpartum. You don’t have time to navigate that. We think it should be frictionless and a thoughtful experience for you so you can focus on your health and your baby’s health.

Doria: I love that! I think the fact that you experienced it yourself is part of why you’re so passionate about it. 

The PUMP Act

Doria: What do you think about the PUMP Act being passed? Do you think it will be a game changer for women in the workplace?

Andrea: The PUMP Act, for those that haven’t heard of it, is based on legislation that passed over a decade ago. [It] essentially gave parents the right to pump in the workplace. This is a classic example, unfortunately, of if a policy is not written and designed well, it can leave people out. The original policy from over a decade ago left out 25 percent of women in the workplace. The PUMP Act righted that wrong. What the PUMP Act does is it says the following: If you work for an employer with 50 or more employees — there are still disparities just based on what I said, but — it is your right to get access to a place to pump that is not a bathroom. It is your right to pump in the workplace and be compensated for that. It is part of your workday, being able to pump.

Doria: Yeah, it’s not your lunchtime.

Andrea: It’s not a lunch break. It is part of your workday. You are paid for that time. It cannot be a bathroom stall. It needs to be a dedicated space where someone cannot barge in. Employers have to be in compliance with it. 

The other thing that people don’t talk about enough with the PUMP Act is that it’s nuanced, but it’s such an important thing in legislation. It identified pumping as a physiological right. As someone who pumped, especially with my second kid, pumping is not something you can push off because — 

Doria: No, you have to do it at different times!

Andrea: You have to do it. Not pumping, baby feeding, and breastfeeding can cause milk to clog or cause infections. As someone who’s had mastitis, that is a very real healthcare issue. It’s one of the main reasons why women are presenting to the ER [and] getting readmitted. It can result in the formation of abscesses, which can require surgery. It’s not good. 

Pumping in federal legislation as a physiological right, which it is, is a huge game changer, in my opinion. We need to talk about it more. It recognizes the importance of breastfeeding as women’s health. Women’s health is health.

Doria: Women’s health is health. Yes, thank you! 

Being a Visionary and Process-Oriented

Doria: Sometimes I focus on female entrepreneurs, but we’re all entrepreneurs, yet we have very distinct and different issues that we’re facing. One of the things I’ve noticed that is unique to you is you are both a visionary and someone who’s process-oriented and able to execute. I don’t normally find that. I find that you usually have a visionary and then you have someone who’s the typical COO who executes it. I feel like your brain is able to do both. Is that an accurate assessment of who you are or what are your thoughts on that?

Andrea: Well, thanks for saying that! I have been very lucky to surround myself with an incredible team that probably makes me look better in that arena than I am. I think when you’re an entrepreneur, you do have to roll up your sleeves. What you can’t see here is I’m surrounded by paperwork, submitting to Medicaid, state Medicaid programs to get our providers licensed, and all that. We have an incredible team. We all have to roll up our sleeves to improve access to care. That’s what it takes. I’ve been very lucky to be part of this team that has committed to this vision and mission. I think you have to be a doer and not just someone who talks about it.

Raising Capital

Doria: Last question before we tell our listeners about where they can find SimpliFed and more about you, I wanted to ask about fundraising. I noticed that you have raised a couple of rounds. I know statistically 2.3 percent of women are successful at raising. For women of color, it’s even worse. What do you think you did that was effective that our listeners who might be getting ready to pitch could incorporate?

Andrea: I think it’s important to be transparent about what it took, and then I’ll talk about some of the systemic issues there. I raised a pre-seed round, mostly angels, and then raised a $6 million seed round, mostly from the venture. I have incredible investors. I feel lucky to be able to partner with them, learn from them, and their support of women’s health. What that took though, is I met with 140 unique venture capital firms. I entered due diligence with about 40 of them. The reason for that is I used DocSend to share decks in our data room so I could track all this.

Ultimately, six entered our funding round. To say that aloud, it wasn’t just like 140 conversations to get to due diligence. You had to have multiple conversations. I had 40 folks that I entered due diligence with. Then to go from due diligence to them investing was many, many, many conversations. You’re presenting at the investment committee meeting and have tons of conversations. It’s hugely important that you stay focused because it’s really easy to get told no 10 times and give up. I do like to share that. 

Now, all right, let’s talk about it. I’m very lucky that I’m part of some amazing networks from across my career. Unfortunately, if you don’t have access to networks, it’s very hard to get in with investors. That’s where one of the disparities comes from. Right off the bat, I’ve been very lucky and I worked hard to get in those networks. If you’re not in with those networks, that’s a huge place that folks get left behind. 

Secondly, where I think a lot of women get left behind is by the time you have enough experience, expertise, confidence, and passion in an arena that you’re willing to dedicate to something, you’re at a time in your life where you’re often having kids. The life of an entrepreneur — again, as a 39-week pregnant person, I can speak to this — is hard when you’re a parent, especially when you’re pregnant, postpartum, and navigating all that. 

This is why I think we need to take a step back and think about: What are the support infrastructures in place? What you don’t see behind me is that my parents are here right now with my kids. Thankfully we can afford a family daycare, but I have access to tremendous support that many folks do not have access to. If we want to improve the amount of women in entrepreneurship, some of these larger social infrastructure issues in the U.S. [need to change]. That is my strong hypothesis on why we see women lack access to networks. [We need] more support in and around founding companies for folks that are parents.

Doria: Do you think that it mattered that you had already exited once?

Andrea: I think track record is important as well, for sure. That helps build credibility. Again, it’s all part of being in a network. That’s why when I’m speaking with folks that are first interested in becoming an entrepreneur, I say, “Be part of another company first and see what it’s like. Build your network [and] track record there. It’s a great way to build your credibility, but also get a front-row seat to being in a company.” 

Before I did Smart Scheduling, my boss’s boss’s boss at Boston Scientific invited me to be the first employee at a company called Tephra Medical. Long story short, that experience gave me that front-row, educational experience to see what entrepreneurship was like. I did that during grad school as a nights and weekends thing. I was forever grateful for someone being that mentoring guide to me.


Doria: That’s incredible.

Find More about SimpliFed

Doria: I want to thank you so much for coming to the show. I would love it if you could tell our listeners where they can find out more about SimpliFed. I would like to check in with you a year from now and see how you’ve grown.

Andrea: I would love that! I encourage folks to check out our website, simplifed.com. You can text us at 888-458-1364 or fill out a secure form on our website, and we’ll start getting you access to care. Come check out our website if you have a friend or a family member that needs access to support. Share our website. Instagram is @simplifedbaby. We would be honored to serve and support you in your baby-feeding journey!

Doria: Thank you so much for sharing your vision and showing up so authentically today.

Andrea: Oh, thanks so much for having me! It’s been a true pleasure.

Doria: Good luck with baby number three!
Andrea: Oh, thanks. It should be fun!