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However, Ganjarunner is much more than an online platform. Baumgartner personally accepts calls for people looking for a custom cannabis regime to ease their suffering. Often, these calls are from cancer and MS patients, but she even receives calls from parents of children with AD(H)D. She works with a doctor to tailor the regimens accordingly. “It’s not about treating the disease, but treating the symptoms it causes,” Baumgartner said.

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.”


“Proposition 64 would allow the state to impose a 15% excise tax on the retail sale of marijuana. Also, the state would be able to levy a cultivation tax on growers of $9.25 per ounce for flowers and $2.75 per ounce for leaves. The ballot measure also would let cities and counties to impose their own taxes to cover costs of services, including enforcement.” (Patrick McGreevy, Los Angeles Times)
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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Despite the fact that marijuana is illegal under federal law, ten states, as well as the District of Columbia, have legalized its recreational use. And while several other states have passed laws that broadly decriminalize pot, legal marijuana use is still nearly impossible for over one-third of the country. This confusing patchwork of laws helps explain the recent popularity of Cannabidiol (CBD) oil and other related products, which are, for the most part, legal to obtain and use throughout the U.S.
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CEO Jonathan Baran identifies two forces that have jump-started the company. Number one is that all sorts of routine tasks are piling up on physicians and staff, leading to high levels of burnout and negative consequences. “Health systems have really seen this problem and understand there has to be a better way to do this,” he says. Number two is a change in approach by the EHR vendors themselves. “When we started, it was a foreign concept to have an app store for the EHRs. None of them had one yet. But now we have seen widespread adoption of this model across all the major EHRs,” he says. “They now think about themselves as platforms and open marketplaces where people like us can build technology on top of APIs that allow us to integrate our technology into the workflow. That is a big piece. Without those two major forces—market awareness and enabling innovation by building on top of EHRs—this wouldn't be possible.”
There is, however, something you can do now that will protect your joints and cartilage and end any pain you may currently be experiencing. Using liquid glucosamine and chondroitin your pain can be brought to a halt very quickly. With the recently released clinical studies indicating the power of these ingredients, the market is literally flooded with competing products. So how do you select the product that is right glucosamine for you?
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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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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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.
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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.
However, Ganjarunner is much more than an online platform. Baumgartner personally accepts calls for people looking for a custom cannabis regime to ease their suffering. Often, these calls are from cancer and MS patients, but she even receives calls from parents of children with AD(H)D. She works with a doctor to tailor the regimens accordingly. “It’s not about treating the disease, but treating the symptoms it causes,” Baumgartner said.
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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.
Collective seeks to close provider communication gaps that undermine patient care. It uses data feeds, risk analytics, notifications, and shared care guidelines to reduce emergency department (ED) utilization, inpatient readmissions and downstream care transitions, including to post-acute operators. After collecting data from all EDs visited by a patient, its solution packages that data into actionable insights, and delivers them to clinicians via real-time notifications. Collective is currently partnered with more than a dozen state hospital associations, and recently added the Florida Hospital Association to its network of partners.
Utah-based Collective Medical, which has been bootstrapped for eight years, has quietly developed the nation’s largest network for real-time care collaboration. Collective Medical’s technology addresses the full continuum of care in support of many of the country’s most vulnerable individuals—patients with complex needs that are not met at any single point of care. By unifying providers and payers through real-time information alerts, patient context, and collaborative care planning, Collective Medical empowers care teams to identify patients with complex needs and help them get the care they need, when they need it, from those best positioned to deliver it. Collective Medical’s approach has been proven to reduce avoidable emergency department (ED) visits and hospital readmissions, ease transitions of care, and eliminate unnecessary risk and friction from care delivery.

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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They found Collective Medical Technologies, a little company from Salt Lake City, Utah, belonging to Adam Green and Wylie van den Akker, childhood friends from Boise, Idaho. Between school and daytime jobs, they had managed to sell their software to 35% of hospitals in Washington. Emergency doctors raved about it and pushed for its adoption. The governor gave the go-ahead, but all 98 hospitals in the state had to comply. To be effective, they had to share patient information. “The value of the network is in participants,” says Chris Klomp, CEO of Collective Medical, and a childhood friend of the founders.
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Might next year prove to be different? Yes, absolutely, especially given the coming mandates coming out of the Protecting Access to Medicare Act (PAMA), which will require referring providers to consult appropriate use criteria (AUC) prior to ordering advanced diagnostic imaging services—CT, MR, nuclear medicine and PET—for Medicare patients. The federal Centers for Medicare and Medicaid Services (CMS) will progress with a phased rollout of the CDS mandate, as the American College of Radiology (ACR) explains on its website, with voluntary reporting of the use of AUC taking place until December 2019, and mandatory reporting beginning in January 2020.
“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.”

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The state of California now allows for adults over the age of 21 to possess up to 1 oz of marijuana for personal consumption. Each household (not person) may contain up to 6 plants. However, the rules of growing are likely to differ between cities. As a general rule, plants are to be grown indoors, and they should not be visible to others outside your household. Smoking in public is prohibited under the ballot measure of Prop 64 unless allowed by a local ordinance – in other words, don’t smoke it just anywhere, fines may occur.

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