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.”
En ce qui concerne l’industrie pharmaceutique, les entreprises de fabrication de médicaments et de produits pharmaceutiques sont concernées par la convention collective nationale de l’industrie pharmaceutique, alors que les sociétés spécialisées dans la fabrication et le commerce de produits parapharmaceutiques et vétérinaires sont soumises à la convention collective nationale de la fabrication et du commerce des produits à usage pharmaceutique, parapharmaceutique et vétérinaire.

We realized that while bootstrapping a company gives you tremendous autonomy to do the right thing, it’s a rate limiter to growth. Building a network effects-enabled platform hasn’t been previously done at scale in healthcare. We raised capital to accelerate our growth across the country, to deepen our technical capability with significant R&D dollars, and to gain partners who can help us think through these things since this is our first rodeo.
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.
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So much remains ambiguous about the regulated future of legalized pot in California, even more so in the Central Valley. As some cities are still waiting to make their final decision, others have banned it outright, and Fresno is soon to embark on the unique challenge of writing new policies for medical marijuana businesses, from growing all the way to sales – but one thing is clear, and that it is going to make for a busy yet very interesting 2018.
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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“In 2013, President Barack Obama’s attorney general advised prosecutors not to waste money targeting pot growers and sellers that were abiding by state laws but to go after flagrant violations such as trafficking across state lines or selling to minors. Under this policy, several states legalized recreational pot, growers and sellers had begun to drop their guard over fears of a federal crackdown and the business blossomed into a sophisticated, multimillion-dollar industry feeding state government programs with tax dollars.”
The company has an intriguing startup story. Fifteen years ago, one of the founders’ mother, Patti Green, was an emergency department social worker in Boise, Idaho, and suspected that some patients were opioid seekers. She set up a rudimentary collaborative care plan for providers to use to identify and help these patients. “It is easy for us now to talk about the opioid epidemic. Nobody was really talking about it 15 years ago, but she was seeing it on the ground,” says Chris Klomp, Collective’s CEO, “and she did something about it.”
Both sides of the argument were present during the discussion as members of the public took to the dais. Law officials rebuked the statement made by pro-cannabis – that by allowing legal marijuana, the black market would disappear – arguing that the imposed taxes would raise costs significantly and drive those who could not afford legal cannabis back to the black market. However, they provided no counters to any claims made by the medical marijuana community which consisted of relief for symptoms of cancer, physical pain, anxiety, and insomnia to name a few. It is perhaps, the driving reason behind the City Council’s move to revisit the total ban.
The hospital quickly implemented the new pneumonia pathway by changing the order set in its Allscripts EHR system. As a result, for the pneumonia care path, Flagler Hospital saved $1,350 per patient and reduced the length of stay (LOS) for these patients by two days, on average. What’s more, the hospital reduced readmission by 7 times—the readmission rate dropped from 2.9 percent to 0.4 percent, hospital officials report. The initial work saved nearly $850,000 in unnecessary costs—the costs were trimmed by eliminating labs, X-rays and other processes that did not add value or resulted in a reduction in the lengths of stay or readmissions.

Anderson, who’s been practicing emergency medicine for 30 years, relies on Collective Medical for 40% of his patients. Recently, a 25-year-old woman showed up in the ER at Auburn Medical Center with abdominal pain. At check-in, an alert popped up next to her name. It was her fifth visit in a year. Her chart showed that she had also been to St. Francis Hospital, Highline Medical Center and Valley Medical Center—all within a 20-mile radius of Auburn. Her prescription drug history revealed that six doctors had ordered narcotics. Anderson contacted her primary care doctor, who was unaware of her ER visits, for a next day appointment, and started her on a treatment for opioid dependence.
Meanwhile, with regard to the new form of AI, and the inevitable hype cycle around emerging technologies, Dr. Chang said during his presentation that “When you’re going up the ride, you get excited. But then right at the top, before you are about to go down, you have that moment of clarity—‘What am I getting myself into?’—and that’s where we are now. We are upon that crest of magical hype and we are about to get the trench of disillusionment.” Still, he told his audience, “It is worth the rollercoaster of hype. But I’m here to tell you that it’s going to take longer than you think.”
“We’ve been able to do a lot of querying ourselves, and we have some sepsis predictive models that we’ve created and put into place. We do a lot of real-time monitoring for sepsis and central line-associated bloodstream infections,” he says. “Central line-associated bloodstream infections are a bane for all hospitals. In the past year and a half, since we’ve put in our predictive model, we’ve had zero bloodstream infections, and that’s just unheard of.”
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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