Collective Medical builds collaborative care networks. We help disparate stakeholders across the continuum — emergency, inpatient, skilled nursing facilities, mental health stakeholders, and even health plans and ACOs with their care managers – become aware when a patient needs them, particularly those vulnerable members who have figuratively fallen. We then unify their records collectively and help pick that person up.
Klomp, who helped out with strategy while working in private equity at Bain Capital in Boston, quit in 2014 to join Collective Medical. And last year, Benjamin Zaniello, who was a chief medical information officer at Providence Health & Services in Washington, joined as chief medical officer. Zaniello helped implement Collective Medical at Providence. He was impressed. “They did this alone for many years,” he says. “It wasn’t just a bunch of people with a power point and a dream, or someone from Google with a personal story in healthcare who wants to fix the system.”
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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.”
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.

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.”

He can thank Patti Green, a former emergency department social worker at St. Luke’s Regional Medical Center in Boise. In 2000, she started tracking frequent ER visits on a Word document, which allowed her to address underlying causes—the reason behind an opioid addiction, or unawareness a patient qualified for Medicaid. Although rivals, she shared information with nearby Saint Alphonsus Regional Medical Center on patients who bounced between the two ERs. Doctors loved it.
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Besides EDIE, Collective now has other software it licenses to payers and accountable care organizations, but it does not charge post-acute operators, ambulatory providers and others who don't have risk. “Our model is that we license our software to those who could see economic benefit through improving coordination of their members, which makes sense,” he says. “Others may not benefit economically, so we don’t charge them.”

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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.

While California government’s encroachment on local authority is nothing new, cities typically have more than 60 days to respond to legislation. Author of AB 243, Assemblyman Jim Wood who’s bill it was that set the deadline by mistake, has since issued an urgent legislation that is expected to pass the legislature for Governor Brown to sign. However the bill does not replace the March 1 deadline with another. Nonetheless cities around the foothills are taking the matter seriously so as to not fall under any type of State control on the matter.
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