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.

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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.


“It turned out that little hospital was part of what would become Providence St. Joseph Health, the second-largest nonprofit health system in the country,” Klomp says. Eventually use of their Emergency Department Information Exchange (EDIE) solution started to spread across the state of Washington. The Washington State Health Care Authority reported that use of EDIE by hospital EDs had helped save the state $34 million in Medicaid spending and there was a 9.9 percent reduction in total Medicaid ED visits across the state. “That was big,” Klomp says. “There were compelling results around opioid utilization, in terms of visits resulting in opioid prescriptions and related deaths.”

The AI tools from Ayasdi revealed new, improved care pathways for pneumonia after analyzing thousands of patient records from the hospital and identifying the commonalities between those with the best outcomes. The application uses unsupervised machine learning and supervised prediction to optimally align the sequence and timing of care with the goal of optimizing for patient outcomes, cost, readmissions, mortality rate, provider adherence, and other variables.
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.
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.

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.
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.

The state of Virginia had phenomenal leadership and vision. They didn’t just talk about interoperability that could move data from A to B. They’re goal was real coordination. It’s called the EDCC — Emergency Department Care Coordination — initiative because it starts in the emergency department, the front door of the healthcare continuum for so many vulnerable patients. Virginia is seeking to instantiate workflow broadly out into the rest of the community. Not just through interoperability, but by actually prompting coordinated sequences of engagement of various providers across specific patient archetypes to drive resolution.


As of January 1st, medical and recreational (adult use) marijuana became legal in the state of California. Per the Prop 64 measure, adults over the age of 21 can now consume, purchase, possess, and grow cannabis without the fear of prosecution so long as they are within the regulation of the new law… and in accordance with any other policies put in place by the city in which they reside.
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