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En ce qui concerne le domaine de la médecine, les salariés des cabinets médicaux et des médecins libéraux (assistants médicaux ou secrétaires par exemple) sont concernés par la convention collective du personnel des cabinets médicaux. En revanche, les cabinets inter-entreprises de médecine du travail sont soumis à la convention collective du personnel des services interentreprises de médecine du travail.
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.
The state of Virginia had phenomenal leadership and vision. They didn’t just talk about interoperability that could move data from A to B. They’re goal was real coordination. It’s called the EDCC — Emergency Department Care Coordination — initiative because it starts in the emergency department, the front door of the healthcare continuum for so many vulnerable patients. Virginia is seeking to instantiate workflow broadly out into the rest of the community. Not just through interoperability, but by actually prompting coordinated sequences of engagement of various providers across specific patient archetypes to drive resolution.
“Certainly, this is another year where machine learning is absolutely dominating the conversation,” said James Whitfill, M.D., CMO at Innovation Care Partners in Scottsdale, Ariz., on Monday. “In radiology, we continue to be aware of how the hype of machine learning is giving way to the reality; that it’s not a wholesale replacement of physicians. There have already been tremendous advances in, for example, interpreting chest x-rays; some of the work that Stanford’s done. They’ve got algorithms that can diagnose 15 different pathological findings. So there is true material advancement taking place.”
“Event notification systems (ENS) and care coordination applications have historically struggled to provide actionable information to providers at the point-of-care,” says Noah Knauf, partner at Kleiner Perkins. “Collective Medical is the first technology we’ve seen that allows the providers and payers in a local healthcare system to efficiently collaborate, delivering significantly better outcomes through risk analytics, real-time notifications, and shared care planning tools. Supporting this team is a rare opportunity to be a part of something that is meaningfully changing the way care is delivered in this country.”
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.”
Unfortunately, that's not the only message this raid sent. Thanks to decades of demonization, much of it fueled by alcohol and tobacco interests, marijuana still carries a stigma. Police actions like this only reinforce that stigma. That people who get their medicine from dispensaries instead of pharmacists are druggies, and the employees of such establishments can still get their mugs displayed like drug dealers.