As each city is in different stages of deciding how they’ll handle commercial marijuana, recreational dispensaries may not yet be either approved or available to consumers. Although adult use is now legal, finding a recreational dispensary will be difficult for Central Valley residents as many cities have moved to ban recreational operations, Fresno, Clovis, and Visalia among them.
Collective Medical improves outcomes and lowers costs on an impressive scale. In a Brookings Institution review of Medicaid patients who visited emergency rooms in Washington State, Collective Medical’s network and EDIE application—allowing actionable, real-time coordination across organizations—was one of the core strategies for lowering the number of ED visits by patients with patterns of high ED utilization. By partnering with Collective Medical to focus on these patients, Washington State reported $34 million in savings in emergency costs and a decline of 9.9 percent in emergency department visits in its first year of use in 2013.
Sanders says having the data generated by the AI software is critical to getting physicians on board with the project. “When we deployed the tool for the pneumonia care pathway, our physicians were saying, ‘Oh no, not another tool’,” Sanders says. “I brought in a PIT Crew (physician IT crew) and we went through our data with them. I had physicians in the group going through the analysis and they saw that the data was real. We went into the EMR to make sure the data was in fact valid, and after they realized that, then they began to look at the outcomes, the length of stay, the drop in readmissions and how the costs dropped, and they were on board right away.”
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Health information exchange has made tremendous advancements, particularly in the last several years, in linking communities together to unify a care record. There’s a lot more work still to be done, but they’re making great strides. You have the networks like CommonWell and Carequality that are doing that with CCDs and certainly have ambitions to do more. You have platforms like Epic Care Everywhere that are, in some regards, even more advanced in how they link data from Point A to Point B and unify that into a single patient record.
The survey from one year ago found that across hospitals, 40 percent of CIO respondents said deploying an enterprise analytics platform is a top priority in 2018. Seventy-one percent of respondents cited integrating with the EHR is a top priority, and 62 percent said physician adoption and buy-in for securing messaging was a top priority in the next 18 months. What’s more, 38 percent said optimizing EHR integration with other hospital systems with a key focus for 2018.
La convention collective contient les règles particulières du droit du travail applicable à un secteur donné (contrat de travail, hygiène, congés, salaires, classification, licenciement, etc.). Elle est conclue par les organisations syndicales représentatives des salariés et les organisations ou groupements d'employeurs. Son champ d'application est variable. L'employeur doit l'appliquer, sauf cas particulier.
“Event notification systems (ENS) and care coordination applications have historically struggled to provide actionable information to providers at the point-of-care,” says Noah Knauf, partner at Kleiner Perkins. “Collective Medical is the first technology we’ve seen that allows the providers and payers in a local healthcare system to efficiently collaborate, delivering significantly better outcomes through risk analytics, real-time notifications, and shared care planning tools. Supporting this team is a rare opportunity to be a part of something that is meaningfully changing the way care is delivered in this country.”
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With the shift in federal policy, some investors are skirting the cannabis industry by either choosing to wait out the storm or by leaving it altogether for fear of increased marijuana prosecutions. However, members of Congress – both Democrats and Republicans – are pushing back with the claim that the turnover not only violates states’ rights but it is also destructive and backward.

Baumgartner’s relationship with cannabis started in her teens, around the same time she was diagnosed with anxiety. Refusing to take pills to deal with her nerves, she took on a move natural approach that included surfing and smoking weed. “My Italian-Catholic mother was horrified,” Baumgartner joked, but clearly her system worked. Now, at age 49, she’s staying ahead of her anxiety in a similar way, with smoking, surfing, meditation and eating right, she’s able to live a successful and productive life.


Situations like these make Baumgartner stand out in a state packed with anonymous delivery services. Whatever condition or ailment you suffer from, Carla Baumgartner and her team of doctors and professionals will find a product to give you relief, thus improving the quality of your life. So many dispensaries in California only focus on the percent of THC in their products, rather than the quality and characteristics of the high certain strains and products give. At Ganja Runner, they carry strains developed to help people in need, like 2:1 CBD:THC flower. Recently, Hmbldt metered dose pens have become very popular due to their simplicity. “I love them [Hmbldt pens] because it’s easy to pick the right medicine. If you’re anxious, use the Calm pen… If you’re in pain, use Relief. The simplicity is what Ganja Runner is all about.”
Businesses may begin their application process with the Bureau of Cannabis Control in Sacramento so long as they have received a permit from the city they plan to operate in. Each municipality can determine their own rules and regulations as to how commercial cannabis will coexist in their communities, if at all. Cities still hold the final ruling on whether or not marijuana businesses can operate within their jurisdiction.
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