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“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.”


With Vireo Health’s New York medical marijuana delivery service, we aim to make medical marijuana more accessible to those who can’t visit one of our dispensaries, or who desire the convenience of home delivery. We currently offer our specialized cannabis home delivery service in New York City, Westchester, Rockland, Nassau, and parts of Suffolk County. You’ll receive the same high-quality cannabis products available in our New York dispensaries, right at your home. That’s just one way that Vireo Health is improving the medical marijuana system in New York.
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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.”
After being fed data of past pneumonia treatments, the software automatically created cohorts of patients who had similar outcomes accompanied by the treatments they received at particular times and in what sequence. The program also calculated the direct variable costs, average lengths of stay, readmission and mortality rates for each of those cohorts, along with the statistical significance of its conclusions. Each group had different comorbidities, such as diabetes, COPD and heart failure, which was factored into the application's calculations. At the push of a button, the application created a care path based on the treatment given to the patients in each cohort.
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In the most states now a cannabis delivery service is legal as a part of dispensing (B2C) or between licensed premises by a licensee or licensee representative. For example, a cannabis retailer may deliver a cannabis item to a residence in Oregon, however the retailer must receive written approval from the Commission prior to making any deliveries and may not carry or transport at any one time more than a total of $3000 in retail value worth of marijuana items designated for retail delivery.
Collective Medical improves outcomes and lowers costs on an impressive scale. In a Brookings Institution review of Medicaid patients who visited emergency rooms in Washington State, Collective Medical’s network and EDIE application—allowing actionable, real-time coordination across organizations—was one of the core strategies for lowering the number of ED visits by patients with patterns of high ED utilization. By partnering with Collective Medical to focus on these patients, Washington State reported $34 million in savings in emergency costs and a decline of 9.9 percent in emergency department visits in its first year of use in 2013.
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.
“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.”
To help fund Collective Medical, Green and van den Akker entered business plan competitions, with the motto “Save lives through better technology in healthcare,” and won a total of $15,000. “We didn’t try to raise money, we were more focused on making sure we can drive value for hospitals,” says van den Akker, who developed the technology using HL7 standards to connect different electronic health records. Green tried to drum up more customers, while holding jobs at National Instruments and later Dell in Austin, Texas.

Looking back, Klomp sees a huge element of luck in their success story. “We work hard and try to be smart, but entrepreneurs chronically underestimate how much they get lucky or kind breaks from others,” he says. “I look back at the people willing to take a chance on a couple of unsophisticated kids from BYU who didn’t know a lot about healthcare but were trying to solve one of our mom’s problems. They gave us a chance and indulged us when we made mistakes. You look at Washington and it was just a stroke of luck.”
Collective Medical Technologies (http://www.collectivemedical.com) empowers care teams to improve patient outcomes by closing the communication gaps that undermine patient care through seamless collaboration. With a nationwide network engaged with every national health plan in the country, hundreds of hospitals and health systems and tens of thousands of providers—including hospitals, emergency departments, skilled nursing facilities, primary care providers, mental and behavioral health clinics, and others—Collective Medical’s system-agnostic platform is trusted by healthcare organizations and payers to identify at-risk and complex patients and facilitate actionable collaboration to make better care decisions and improve outcomes. Based in Salt Lake City, Collective Medical is proven to streamline transitions of care, improve coordination across diverse care teams, and reduce unnecessary hospital admissions.
Collective Medical addresses those challenges by mining data universally available in all EHRs and filtering those data, displaying directly within a clinician’s workflow only what is relevant to a particular care decision. Furthermore, Collective immediately alerts a patient’s entire care team when an event, such as an ER admission, occurs, thereby accelerating care coordination.
One of the ex-ganja peddlers from Fateh Nagar said, `the area is under complete surveillance and many have left such illegal businesses in the locality. However, few of the peddlers continue to sell ganja as they own a vehicle which helps them deliver the drug at a different and preferably safe spot in the city. ``The buyers have the contact details and everything is planned over a phone call”, he said. 
To help them draft the ordinances, the city has set aside a budget to hire a consulting firm to “sit with professional city staff, our professional city planners and determine how many dispensaries are needed by this community, where should they go, who should the operators be, [and] how we select the operators,” said Olivier during the 12/14 City Council meeting.
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