A recent evaluation of Collective Medical’s impact throughout the state of Oregon, conducted by the Oregon Health Leadership Council, found a promising downward trend in ED visits by patients with history of high ED utilization during a three-year period. As a participant in this evaluation, Kaiser Permanente Northwest initially used Collective Medical’s EDIE application to identify and collaborate on care plans for a group of approximately 363 patients with complex clinical and social challenges who visited the ED more than six times in six months. Over the three years of this program Kaiser has seen a 42 percent reduction in ED visits and a 47 percent reduction in inpatient admissions for those individuals enrolled in this program.
Located in Fresno County, the city began as a humble stop on the San Joaquin Railroad. Land developers always arrive to do their thing, working land deals, about any new or proposed railway station. In 1890-2, a group of Fresno businessmen brought the railway to town and in doing so, purchased the right-of-way from Clovis farmers as well as the surrounding territory. Sadly, this is formula of how to make big money. Insiders use insider information and have access to cash to take advantage of the situation. All the while, good honest work that forms the real backbone of the country strong my not necessarily be rewarded. While these entrepreneurs and their financiers are the catalyst in making it all happen, too many low life gamers scoop off more than their fair share of the cream. Does capitalism equate to insider deals and foul play? No, cheaters cheat, to get more than their fair share, no matter what the system.