The vote does not immediately translate to an open application process for those seeking a permit to open a dispensary, but rather to begin the conversation and research into creating the rules and regulations that will allow medical marijuana sales in the future. With the total ban in place, City Council would have been unable to approach the topic with any real meaning. At least with the new amendment, Fresno can move forward on deciding what medical marijuana operations could look like within city limits.
“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.”
Outdoor personal cultivation is prohibited in all zoning districts. Personal indoor cultivation is allowed in compliance with State and City law inclusive of the number of plants allowed and the amount of processed cannabis possessed. Cultivation must take place within the residence, in a locked room or locked out-building. Notarized Property owner permission is required if the property is not owner-occupied. Registration of the address where cultivation will take place is required. The cost of registration is $100 per year. Failure to register can incur penalties and administrative citations. 
The history of Collective Medical Technologies has had several twists and turns, but the Salt Lake City-based company that provides collaborative care management tools has doubled in size in the last six months to over 100 employees. Its platform is used in 15 states, and that number is expected to reach 25 by the end of 2018. The company recently secured $47.5 million in Series A funding to fuel the expansion.
As a young adult, I was in a very serious car accident. I broke a lot of bones — my second vertebrae, my neck, ribs, a compound fracture in my leg... It’s a miracle I’m not a quadriplegic. I was on a respirator and couldn’t breathe because there was fluid between my lung and ribcage. I couldn’t move because I had this thing holding up my head. A nurse around every few hours to help me cough so I wouldn’t get pneumonia. Eventually after getting off the respirator, one nurse came around and he mentioned cannabis. He said, “Did you know cannabis does the same type of thing to your lungs? It’s a bronchial dilator. The drug I’m pumping into your lungs is a bronchial dilator.” From that point on I realized I had a choice. I never took another pain pill. I just used cannabis for the next eleven months to recover. I always loved cannabis, but now I had an even more personal connection to the plant.
As a young adult, I was in a very serious car accident. I broke a lot of bones — my second vertebrae, my neck, ribs, a compound fracture in my leg... It’s a miracle I’m not a quadriplegic. I was on a respirator and couldn’t breathe because there was fluid between my lung and ribcage. I couldn’t move because I had this thing holding up my head. A nurse around every few hours to help me cough so I wouldn’t get pneumonia. Eventually after getting off the respirator, one nurse came around and he mentioned cannabis. He said, “Did you know cannabis does the same type of thing to your lungs? It’s a bronchial dilator. The drug I’m pumping into your lungs is a bronchial dilator.” From that point on I realized I had a choice. I never took another pain pill. I just used cannabis for the next eleven months to recover. I always loved cannabis, but now I had an even more personal connection to the plant.
“Event notification systems and care coordination applications have historically struggled to provide actionable information to providers at the point-of-care,” Noah Knauf, partner at Kleiner Perkins, said in a statement. “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.”
“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.”
“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.”
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Let’s say we have a low-income, low-acuity pediatric asthmatic patient who’s bouncing around emergency departments. Nobody’s looking to increase their volume by having that patient coming to their hospital. The health plan, the Medicaid ACO or MCO, and the pediatrician, pediatric pulmonologist, or emergency department physician all have a perfectly aligned set of incentives to get that patient into the most appropriate care channel, stabilize them, and help them lead a healthy life. What level of interoperability and coordination is required to restore that child to a point of health?
Artificial intelligence solutions—and certainly, the promotion of such solutions—were everywhere this year at the RSNA Conference, held this week at Chicago’s vast McCormick Place, where nearly 49,000 attendees attended clinical education sessions, viewed nearly 700 vendor exhibits. And AI and machine learning promotions, and discussions were everywhere.
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.
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.
Outdoor personal cultivation is prohibited in all zoning districts. Personal indoor cultivation is allowed in compliance with State and City law inclusive of the number of plants allowed and the amount of processed cannabis possessed. Cultivation must take place within the residence, in a locked room or locked out-building. Notarized Property owner permission is required if the property is not owner-occupied. Registration of the address where cultivation will take place is required. The cost of registration is $100 per year. Failure to register can incur penalties and administrative citations. 

“Smoke in the Kitchen” with Merry Jane. After I was taken down, I got back up. One of our amazing patients is a producer and asked me to come on with Merry Jane. They wanted a food and cannabis experience. Because of my catering experience, and I’m a foodie, they came to my house and shot in my kitchen. They gave me the name Mama Sailene. I’m like your mom, you can come to me. I’m a mother to all. I encapsulate that feeling, you can come to me.

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The world is focused on these opportunities for good reason, but it’s a necessary but insufficient condition of driving coordination across an otherwise highly fragmented set of providers in a landscape. We have data silos and we need to unify those. We should have a single patient record that isn’t replicated with duplicative tests or because a patient goes from one site of care to another. However, it’s highly unlikely that the entirety of the country is going to be comprised of organizations like Kaiser, Intermountain, and Geisinger. Even those organizations — and I can say this because Kaiser and Intermountain are among the owners of our company — still have affiliated providers that they don’t own and that aren’t on their same record of care. They still require collaboration and coordination across those disparate providers.
Workshops are generally a combination of classroom instruction and hands-on demonstrations, so students should be prepared to get their hands dirty — literally. Mixing soil is a key element of the Methods of Cultivation class. Smoking is prohibited in the classroom, though vape pens are allowed. Still, the focus is on instruction rather than consumption, the owners say.
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Closer to home, the Irving House and Harding House, in Cambridge, welcome guests to partake as long as they don’t smoke inside or create a ruckus, says owner and manager Rachael Solem. If you prefer homier accommodations, try searching budandbreakfast.com, an Airbnb-style online marketplace where people rent rooms, apartments, and even seaside cottages to those looking for a ganja-oriented getaway.

My good friend started it 24 years ago and needed help. He asked me to manage the coffee house for six months. I was doing massage therapy and just got back after studying in Thailand. I wanted to give back to the community. I agreed to six months and stayed for four years. I fell in love with an amazing artist community at Abbot’s Habit. A time that is long gone. This is a time before everyone had a personal computer. They came to the shop to grab the newspaper. They were never known for their coffee, they were known for the community. I really got to know this amazing community.
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.
Collective Medical currently has relationships with each US national health plan and hundreds of hospitals and health systems, according to a statement. There are 13 states currently on Collective's network, with plans to add another 10 states scheduled for 2018. In August, the company was featured for the first time on Inc. Magazine’s Inc 5,000 list of fastest growing companies in America, with $5.8 million in 2016 revenue and 561 percent growth over the last three years.
When medical marijuana first became legal in Las Vegas and Greater Nevada, our marijuana dispensary wasn’t only one of the first to open its doors—it was also one of the first to make marijuana delivery available to eligible patients and customers. Now, with recreational marijuana sales in full swing across the state, marijuana delivery is one of the simplest and most convenient ways to buy your green.
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