So, which artificial intelligence-based solutions will end up going the distance? On a certain level, the answer to that question is simple, said Joe Marion, a principal in the Waukesha, Wis.-based Healthcare Integration Strategies LLC, and one of the imaging informatics industry’s most respected observers. “I think it’s going to be the value of the product,” said Marion, who has participated in 42 RSNA conferences; “and also the extent to which the vendors will make their products flexible in terms of being interfaced with others, so there’s this integration aspect, folding into vendor A, vendor B, vendor C, etc. So for a third party, the more they reach out and create relationships, the more successful they’ll be. A lot of it will come down to clinical value, though. Watson has had problems in that people have said, it’s great, but where’s the clinical value? So the ones that succeed will be the ones that find the most clinical value.”
Mitigating the opioid epidemic is a single but timely demonstration of the power of the Collective Medical network. Using the company’s partnership with Washington State as an example, care team collaboration and coordination through Collective Medical has reduced opioid prescriptions coming out of the ED by 24 percent since the program’s inception.
With the success of the pneumonia care pathway, Flagler Hospital leaders also deployed a new sepsis pathway. The hospital has expanded its plans for using Ayasdi to develop new care pathways, from the original plan of tackling 12 conditions over three years, to now tackling one condition per month. Future plans are to tackle heart failure, total hip replacement, chronic obstructive pulmonary disease (COPD), coronary artery bypass grafting (CABG), hysterectomy and diabetes, among other conditions. Flagler Hospital expects to save at least $20 million from this program in the next three years, according to officials.
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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.
Srinivas from Mysuru, Syed from Banashankari and Shivakumara from Bannerghatta, inspired by the food-delivery industry, developed a database of customers who would place an order for ganja (marijuana) on call. The trio delivered the order in 30 minutes using an auto-rickshaw.Srinivas was earlier caught with 26kg of ganja in January 2017 and arrested.

“We’re dedicated to supporting our 100 member hospitals and health systems as they improve the quality and safety of patient care,” says Thornton Kirby, FACHE, President and CEO of SCHA. “Our partnership with Collective is a testament to that dedication. The solution has been supporting the integration of behavioral and physical health in states like Washington, Oregon and California for several years and we’re excited to see how it can impact patient outcomes in South Carolina.”
“We’re dedicated to supporting our 100 member hospitals and health systems as they improve the quality and safety of patient care,” says Thornton Kirby, FACHE, President and CEO of SCHA. “Our partnership with Collective is a testament to that dedication. The solution has been supporting the integration of behavioral and physical health in states like Washington, Oregon and California for several years and we’re excited to see how it can impact patient outcomes in South Carolina.”

Scanning the exhibit floor on Monday, Glenn Galloway, CIO of the Center for Diagnostic Imaging, an ambulatory imaging center in the Minneapolis suburb of St. Louis Park, Minn., noted that “There’s a lot of focus on AI this year. We’re still trying to figure out exactly what it is; I think a lot of people are doing the same, with AI.” In terms of whether what’s being pitched is authentic solutions, vaporware, or something in between, Galloway said, “I think it’s all that. I think there will be some solutions that live and survive. There are some interesting concepts of how to deliver it. We’ve been talking to a few folks. But the successful solutions are going to be very focused; not just AI for a lung, but for a lung and some very specific diagnoses, for example.” And what will be most useful? According to Galloway, “Two things: AI for the workflow and the quality. And there’ll be some interesting things for what it will do for the quality and the workflow.”
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.”

Grab your marijuana and your mat to enjoy the mind-body benefits of weed-enhanced yoga. “I call it contemplative cannabis,” says Stacey Mulvey, owner of Marijuasana, a sort of traveling yoga studio that offers classes in states where the laws allow, including Massachusetts. Practicing yoga under the influence can help advance students’ abilities, Mulvey says. She believes the drug can alter the connection between mind and body just enough to break damaging or limiting patterns of movement.
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.
“We’re putting collaboration at the heart of the solution to a fragmented healthcare system,” Chris Klomp, CEO of Collective Medical, said in a statement. “Our job is to connect care teams. By arming providers and payers with real-time insights and a platform to seamlessly collaborate across organizations and care settings, we ensure patients don’t slip through the cracks. … We are beyond excited and grateful to be joined by such an extraordinary group of investors who share our vision for further enriching and expanding our network to help care teams provide the most effective care possible.”

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.
One of our moms, Patti, is a social worker in the emergency department. She had been working on complex patient care coordination, particularly for patients who move across emergency departments. She had hypothesized that not only was this happening, but that a subset of those patients was probably opioid-seeking. Nobody talked about that 15 or 20 years ago, so she was pretty prescient on the ground.
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.
Baran says that although automation of repetitive tasks is the ultimate goal, the first step in automation is delegation. “That means shifting the work from physician to staff and using technology to make that process as easy as possible. For the physicians it looks like automation because you are taking this work off their plates, and we use technology to make the process as easy as possible for the staff.”
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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.

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.
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.
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