Despite the fact that marijuana is illegal under federal law, ten states, as well as the District of Columbia, have legalized its recreational use. And while several other states have passed laws that broadly decriminalize pot, legal marijuana use is still nearly impossible for over one-third of the country. This confusing patchwork of laws helps explain the recent popularity of Cannabidiol (CBD) oil and other related products, which are, for the most part, legal to obtain and use throughout the U.S.
Our goal now is to invest in the platform and to grow networks. Building network effect-enabled platforms is capital intensive because you need to reach critical density in a given geography to create value for the constituents there. We’ve done a pretty good job of that. We’re live in 17 states, not just with one or two hospitals, but penetrated broadly to 100 percent of acute hospitals. We’ve got a bunch more in the hopper.
The AI tools from Ayasdi revealed new, improved care pathways for pneumonia after analyzing thousands of patient records from the hospital and identifying the commonalities between those with the best outcomes. The application uses unsupervised machine learning and supervised prediction to optimally align the sequence and timing of care with the goal of optimizing for patient outcomes, cost, readmissions, mortality rate, provider adherence, and other variables.
Applications for a Medical Cannabis Delivery Permit must comply fully with Hesperia Municipal Code Chapter 5.50 and Chapter 16.16, in addition to all other state and local laws. Failure to submit a complete application package will result in denial by the City and will require re-submittal of the application, along with all applicable fees. Please review the Medical Cannabis Delivery Business Permit checklist carefully and submit all required documents to the City as a complete application package.
Although our location on the Strip is convenient and open until midnight, Las Vegas ReLeaf’s online ordering is one of the easiest, fastest, and safest ways to get your marijuana legally.From your favorite pre-rolls and edibles to medical-grade tinctures and topicals, our Nevada marijuana dispensary is stocked full of dynamic marijuana products that are updated daily online.

Similar results have been experienced across the country. “Collective Medical has been an integral part of our hospital system’s efforts to coordinate care for patients with complex needs,” says Dr. Maria Raven, MPH, MSc, a practicing emergency medicine physician and health services researcher and an associate professor of emergency medicine at UCSF. “With our partnership, we’re collaborating on our at-risk patients’ social determinants as well as curbing the opioid epidemic.”
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To help fund Collective Medical, Green and van den Akker entered business plan competitions, with the motto “Save lives through better technology in healthcare,” and won a total of $15,000. “We didn’t try to raise money, we were more focused on making sure we can drive value for hospitals,” says van den Akker, who developed the technology using HL7 standards to connect different electronic health records. Green tried to drum up more customers, while holding jobs at National Instruments and later Dell in Austin, Texas.
Collective seeks to close provider communication gaps that undermine patient care. It uses data feeds, risk analytics, notifications, and shared care guidelines to reduce emergency department (ED) utilization, inpatient readmissions and downstream care transitions, including to post-acute operators. After collecting data from all EDs visited by a patient, its solution packages that data into actionable insights, and delivers them to clinicians via real-time notifications. Collective is currently partnered with more than a dozen state hospital associations, and recently added the Florida Hospital Association to its network of partners.

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You can either throw a tremendous number of expensive, scarce bodies at the problem, which isn’t scalable, or you can use technology. I’m not talking about mere notifications that an encounter has occurred, which we do, but a deeper level of collaboration. A mental health provider in the emergency department creates a crisis plan for the patient at 3:00 in the morning that involves a primary care provider who is affiliated with a multi-specialty clinic that is not connected to the health system and a Medicaid managed care manager. How do you help those individuals get on the same page and interact with the patient in sequence so that we’re not wasting resources or missing opportunities to help the patient navigate across the continuum, efficiently using the existing technology infrastructure of each organization? That’s the set of problems that we’re focused on.

Collective Medical will use the funding to expand and advance its network with the goal of empowering care teams across the country to provide patients with the most effective care. As a part of this effort, Collective Medical plans to expand its leadership team and scale its engineering, clinical support, sales and marketing organizations. The company anticipates hiring more than 100 additional team members in the next 12 – 18 months, with the majority based in its Salt Lake City headquarters.


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.

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Feeling achy? Hit the massage table. At E-motion Sports Massage in Everett, clients can loosen up with a cannabis-infused ointment that many say boosts the impact of the treatment. Massage therapists use a cream infused with cannabinoids, compounds derived from the cannabis plant. They don’t cause a high, but they do have powerful anti-inflammatory and pain-killing effects, says E-motion owner Mercedes Diaz. And because the cream reduces pain, she says, therapists can work muscles more intensively — and effectively. “It is really great for muscle and joint pain, arthritis, sprains, strains,” Diaz says. “With cannabis, we can get in there and do so much more.” The ointment comes in different concentrations, so therapists can choose the right one for each patient’s needs. E-motion offers cannabis cream as a $25 upgrade to any of its regular massage services, which run $100 to $120.
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Les hôpitaux publics ne sont pas soumis à une convention collective, au contraire des établissements privés. En effet, la convention collective des établissements privés d’hospitalisation, de soins, de cure et de garde à but non lucratif doit être appliquée dans les établissements privés d’hospitalisation, de consultations et soins, de radiothérapie, de collecte de sang, etc. Les établissements privés de diagnostic, de services hospitaliers, d’hébergement médicalisé et social pour personnes âgées, sont concernés quant à eux par la convention collective de l’hospitalisation privée.
Les hôpitaux publics ne sont pas soumis à une convention collective, au contraire des établissements privés. En effet, la convention collective des établissements privés d’hospitalisation, de soins, de cure et de garde à but non lucratif doit être appliquée dans les établissements privés d’hospitalisation, de consultations et soins, de radiothérapie, de collecte de sang, etc. Les établissements privés de diagnostic, de services hospitaliers, d’hébergement médicalisé et social pour personnes âgées, sont concernés quant à eux par la convention collective de l’hospitalisation privée.

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“It turned out that little hospital was part of what would become Providence St. Joseph Health, the second-largest nonprofit health system in the country,” Klomp says. Eventually use of their Emergency Department Information Exchange (EDIE) solution started to spread across the state of Washington. The Washington State Health Care Authority reported that use of EDIE by hospital EDs had helped save the state $34 million in Medicaid spending and there was a 9.9 percent reduction in total Medicaid ED visits across the state. “That was big,” Klomp says. “There were compelling results around opioid utilization, in terms of visits resulting in opioid prescriptions and related deaths.”
Collective Medical is a Salt Lake City-based developer of collaboration software. I started working on the company with two of my best friends from Boise, Idaho. We grew up together and we all went to Brigham Young University together. Two of us studied computer science and I was the token business guy. I went off to Bain & Company and then Bain Capital for roughly a decade.
“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.”

On November 15, representatives from the New Mexico Hospital Association, UnitedHealth Group, Molina Healthcare, Blue Cross Blue Shield and Presbyterian Healthcare Services gathered at the offices of the state’s hospital association in Albuquerque. Providers and payers weren’t meeting to negotiate contentious contracts, but to discuss monthly progress on a piece of software New Mexico hospitals had started implementing in their emergency department in June. It allowed them to flag patients who make five trips annually to multiple emergency rooms, often opioid addicts, notify their primary care doctor or a case manager and coordinate a care plan.


They found Collective Medical Technologies, a little company from Salt Lake City, Utah, belonging to Adam Green and Wylie van den Akker, childhood friends from Boise, Idaho. Between school and daytime jobs, they had managed to sell their software to 35% of hospitals in Washington. Emergency doctors raved about it and pushed for its adoption. The governor gave the go-ahead, but all 98 hospitals in the state had to comply. To be effective, they had to share patient information. “The value of the network is in participants,” says Chris Klomp, CEO of Collective Medical, and a childhood friend of the founders.
“Proposition 64 would allow the state to impose a 15% excise tax on the retail sale of marijuana. Also, the state would be able to levy a cultivation tax on growers of $9.25 per ounce for flowers and $2.75 per ounce for leaves. The ballot measure also would let cities and counties to impose their own taxes to cover costs of services, including enforcement.” (Patrick McGreevy, Los Angeles Times)
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