The optimal events, sequence, and timing of care were presented to the physician team using an intuitive interface that allowed them to understand exactly why each step, and the timing of the action, was recommended. Upon approval, the team operationalized the new care path by revising the emergency-department and inpatient order sets in the hospital EHR.
Cool Collective Medical Technologies (CMT), the leader in network-driven collaborative care manageme...nt, today announced that it has, through its EDIE and PreManage applications, earned Certified Status for information security by the Health Information Trust (HITRUST) Alliance. With the HITRUST CSF Certified Status, CMT meets key healthcare regulations and requirements for protecting and securing sensitive private healthcare information. See More
“When we had conversations with physicians about the data, some would say, ‘My patient is sicker than yours,’ or ‘I have a different patient population.’ However, we can drill down to the physician’s patients and show the physician where things are. It’s not based on an ivory tower analysis, it’s based on our own data. And, yes, our patients, and our community, are unique—a little older than most, and we have a lot of Europeans here visiting. We have some challenges, but this tool is taking our data and showing us what we need to pursue. That’s pretty powerful.”
Collective Medical is engaged with every national health plan in the country, hundreds of hospitals and health systems, and tens of thousands of providers and care managers including those in emergency departments, primary care practices, skilled nursing facilities, home health agencies, emergency medical services, and mental and behavioral health organizations. Collective Medical’s network has visibility across 13 states, with an additional 10 states expected to go live in 2018.
In the most states now a cannabis delivery service is legal as a part of dispensing (B2C) or between licensed premises by a licensee or licensee representative. For example, a cannabis retailer may deliver a cannabis item to a residence in Oregon, however the retailer must receive written approval from the Commission prior to making any deliveries and may not carry or transport at any one time more than a total of $3000 in retail value worth of marijuana items designated for retail delivery.
In three months, he and his roommate van den Akker, also a computer science student, delivered a web-based application. It included documentation, such as demographics, social determinants, medical history highlights, ER visits and treatment plan. “We tried to minimize the effort hospitals had to expend,” says van den Akker. “If you go after a big data ask, you get pushback.” Still, St. Luke’s didn’t purchase the software. “Hospitals didn’t want to take a bet on two kids in college with no experience in healthcare,” says Green.
Both sides of the argument were present during the discussion as members of the public took to the dais. Law officials rebuked the statement made by pro-cannabis – that by allowing legal marijuana, the black market would disappear – arguing that the imposed taxes would raise costs significantly and drive those who could not afford legal cannabis back to the black market. However, they provided no counters to any claims made by the medical marijuana community which consisted of relief for symptoms of cancer, physical pain, anxiety, and insomnia to name a few. It is perhaps, the driving reason behind the City Council’s move to revisit the total ban.
“Every hospital has been struggling with this for decades, managing clinical variation,” he says, noting that traditional methods of addressing clinical variation management have been inefficient, as developing care pathways, which involves identifying best practices for high-cost procedures, often takes up to six months or even years to develop and implement. “By the time you finish, it’s out of date,” Sanders says. “There wasn’t a good way of doing this, other than picking your spots periodically, doing analysis and trying to make sense of the data.”
There continues to be growing interest, and also some hype, around AI tools, but Sanders notes that AI and machine learning are simply another tool. “Historically, what we’ve done is that we had an idea of what we wanted to do, conducted a clinical trial and then proved or disproved the hypothesis, based on the data that we collected. We have a tool with AI which can basically show us relationships that we didn’t know even existed and answer questions that we didn’t know to ask. I think it’s going to open up a tremendous pathway in medicine for us to both reduce cost, improve care and really take better care of our patients,” he says, adding, “When you can say that to physicians, they are on board. They respond to the data.”
Next, Providence drove usage across its five-state system, and Oregon adopted it. “All of a sudden, the world caught up as healthcare started paying for quality instead of just volume,” Klomp says. Growth was slow and methodical as the co-founders sought to understand clinical workflows. “We worked to get real demonstrable outcomes from a clinical and economic perspective,” he adds. “We are pretty conservative. This is a different story than raise a whole bunch of money and try to grow the business fast.”
The vote does not immediately translate to an open application process for those seeking a permit to open a dispensary, but rather to begin the conversation and research into creating the rules and regulations that will allow medical marijuana sales in the future. With the total ban in place, City Council would have been unable to approach the topic with any real meaning. At least with the new amendment, Fresno can move forward on deciding what medical marijuana operations could look like within city limits.
Clovis was incorporated as a city in February 1912. Sadly, the lumber mill burned down in 1914 and was never rebuilt.  Clovis still has remnants of its rich wild-west heritage, reflected in the slogan "Clovis – A Way of Life". The Clovis Rodeo is still in operation after 100 years.  The bronco-carnival features big hats with lots of cattle, farmer's market, and festival.  Recently "Old Town Clovis" was given a facelift of sorts to bring back its old charm and feeling - in a new (shiny) kind of way.
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