Marion expressed surprise at the seemingly all-encompassing focus on artificial intelligence this year, given the steady march towards value-based healthcare-driven mandates. “Outside of one vendor, I’m not really seeing a whole lot of emphasis this year on value-based care; that’s disappointing,” Marion said. “I don’t know whether people don’t get it or not about value-based care, but the vendors are clearly more focused on AI right now.”
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“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 “By the time you finish, it’s out of date,” Sanders says.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.”
“Smoke in the Kitchen” with Merry Jane. After I was taken down, I got back up. One of our amazing patients is a producer and asked me to come on with Merry Jane. They wanted a food and cannabis experience. Because of my catering experience, and I’m a foodie, they came to my house and shot in my kitchen. They gave me the name Mama Sailene. I’m like your mom, you can come to me. I’m a mother to all. I encapsulate that feeling, you can come to me.
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.
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.”
The idea started with Miss Bliss, a very successful edible line in the Bay Area. She just had a baby and was going through some depression. Her edible line was doing really well, but she felt a disconnect from the cannabis community and what she was going through as a mother. A lot of women hold stigma and shame around cannabis use, so she wanted to build a community around that. Miss Bliss connected with an administrator at Oaksterdam. They reached out and asked me to not only attend a Ganja Goddess retreat, but also speak on a panel. I arrived to the most beautiful property. It’s like summer camp — a girls’ summer camp with weed! Women from all over the world have started to see this. We’re calling this medicine but we’re still afraid to pull out a vape pen in front of our kids instead of a cocktail. Let’s change that.
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.
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Each year, to accompany our Healthcare Informatics 100 list of the largest companies in U.S. health information technology, we profile fast-growing companies that could very well make the list in the future. Below are write-ups of the third and fourth companies that made this year’s Up-and-Comers rendition. The remaining two write-ups will be published later this week.

Since its founding eight years ago, Collective Medical (not to be confused with employee benefits company Collective Health) has produced a software platform comprised of two main products. EDIE, designed for emergency departments, connects emergency teams across multiple facilities to identify high-risk, complex needs patients and immediately access care history upon admittance. The PreManage product is intended for a wider population of patients, and is marketed to health plans and providers. It also identifies and tracks high-risk patients upon admittance and discharge from inpatient or emergency care, while allowing teams to easily communicate and coordinate throughout a patient’s care.
Mulvey’s standard class costs $29 and lasts 90 minutes, about 50 of which is spent stretching and posing. Before instruction begins, students are given time to mingle, offered hemp tea, and encouraged to smoke and share weed. A break during class allows more socializing and consumption. The communal periods are essential to her goal of helping cannabis lovers connect without judgment or stigma, Mulvey says. “My mission is to bring it to the community and remove the shame.”
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.
Each year, to accompany our Healthcare Informatics 100 list of the largest companies in U.S. health information technology, we profile fast-growing companies that could very well make the list in the future. Below, a write-up of the fourth company that made this year’s Up-and-Comers rendition. The remaining two write-ups will be published throughout this week.
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.”
The idea started with Miss Bliss, a very successful edible line in the Bay Area. She just had a baby and was going through some depression. Her edible line was doing really well, but she felt a disconnect from the cannabis community and what she was going through as a mother. A lot of women hold stigma and shame around cannabis use, so she wanted to build a community around that. Miss Bliss connected with an administrator at Oaksterdam. They reached out and asked me to not only attend a Ganja Goddess retreat, but also speak on a panel. I arrived to the most beautiful property. It’s like summer camp — a girls’ summer camp with weed! Women from all over the world have started to see this. We’re calling this medicine but we’re still afraid to pull out a vape pen in front of our kids instead of a cocktail. Let’s change that.
“We had a guillotine over our head,” says Stephen Anderson, an emergency medicine doctor at MultiCare Auburn Medical Center, which operates eight hospitals in and around Tacoma and Spokane, Washington. Hospitals pleaded for their own solution. “[We said] instead of blocking access, let us coordinate care of high utilizers.” The governor gave them three months.
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One day in March 2012, two hospitals emailed him requesting the software. “I remember thinking ‘this is odd,’” says Green. Then, a nurse from Olympia, Washington called. “How do you guys like being mandated?” she asked. Unbeknownst to them, doctors had proposed Collective Medical to the state to curtail ER visits. Says van den Akker: “If you want providers to be advocates of your software, it takes time and effort. Anyone trying to sell a quick solution to something is in for a lot of pain.”
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As of January 1st, medical and recreational (adult use) marijuana became legal in the state of California. Per the Prop 64 measure, adults over the age of 21 can now consume, purchase, possess, and grow cannabis without the fear of prosecution so long as they are within the regulation of the new law… and in accordance with any other policies put in place by the city in which they reside.
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