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.

Le domaine vétérinaire possède deux conventions collectives différentes, suivant le statut de l’entreprise. Les vétérinaires praticiens salariés, qu’ils exercent à domicile ou dans des associations, sont concernés par la convention collective nationale des vétérinaires praticiens salariés. Alors que le personnel des cabinets et cliniques vétérinaires est soumis à la convention collective nationale des cabinets et cliniques vétérinaires.
The optimal events, sequence, and timing of care were presented to the physician team using an intuitive interface that allowed them to understand exactly why each step, and the timing of the action, was recommended. Upon approval, the team operationalized the new care path by revising the emergency-department and inpatient order sets in the hospital EHR.
“That was a major effort, but some of us had been data scientists before we were physicians, and so we parameterized all these calls. The first pneumonia care path was completed in about nine weeks. We’ve turned around and did a second care path, for sepsis, which is much harder, and we’ve done that in two weeks. We’ve finished sepsis and have moved on to total hip and total knee replacements. We have about 18 or 19 care paths that we’re going to be doing over the next 18 months,” he says.
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.
One of our moms, Patti, is a social worker in the emergency department. She had been working on complex patient care coordination, particularly for patients who move across emergency departments. She had hypothesized that not only was this happening, but that a subset of those patients was probably opioid-seeking. Nobody talked about that 15 or 20 years ago, so she was pretty prescient on the ground.
Srinivas from Mysuru, Syed from Banashankari and Shivakumara from Bannerghatta, inspired by the food-delivery industry, developed a database of customers who would place an order for ganja (marijuana) on call. The trio delivered the order in 30 minutes using an auto-rickshaw.Srinivas was earlier caught with 26kg of ganja in January 2017 and arrested.
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“When we had conversations with physicians about the data, some would say, ‘My patient is sicker than yours,’ or ‘I have a different patient population.’ However, we can drill down to the physician’s patients and show the physician where things are. It’s not based on an ivory tower analysis, it’s based on our own data. And, yes, our patients, and our community, are unique—a little older than most, and we have a lot of Europeans here visiting. We have some challenges, but this tool is taking our data and showing us what we need to pursue. That’s pretty powerful.”

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.
In three months, he and his roommate van den Akker, also a computer science student, delivered a web-based application. It included documentation, such as demographics, social determinants, medical history highlights, ER visits and treatment plan. “We tried to minimize the effort hospitals had to expend,” says van den Akker. “If you go after a big data ask, you get pushback.” Still, St. Luke’s didn’t purchase the software. “Hospitals didn’t want to take a bet on two kids in college with no experience in healthcare,” says Green.
So much remains ambiguous about the regulated future of legalized pot in California, even more so in the Central Valley. As some cities are still waiting to make their final decision, others have banned it outright, and Fresno is soon to embark on the unique challenge of writing new policies for medical marijuana businesses, from growing all the way to sales – but one thing is clear, and that it is going to make for a busy yet very interesting 2018.
“Every hospital has been struggling with this for decades, managing clinical variation,” he says, noting that traditional methods of addressing clinical variation management have been inefficient, as developing care pathways, which involves identifying best practices for high-cost procedures, often takes up to six months or even years to develop and implement. “By the time you finish, it’s out of date,” Sanders says. “There wasn’t a good way of doing this, other than picking your spots periodically, doing analysis and trying to make sense of the data.”
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.”
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.
“When we had conversations with physicians about the data, some would say, ‘My patient is sicker than yours,’ or ‘I have a different patient population.’ However, we can drill down to the physician’s patients and show the physician where things are. It’s not based on an ivory tower analysis, it’s based on our own data. And, yes, our patients, and our community, are unique—a little older than most, and we have a lot of Europeans here visiting. We have some challenges, but this tool is taking our data and showing us what we need to pursue. That’s pretty powerful.”

Health information exchange has made tremendous advancements, particularly in the last several years, in linking communities together to unify a care record. There’s a lot more work still to be done, but they’re making great strides. You have the networks like CommonWell and Carequality that are doing that with CCDs and certainly have ambitions to do more. You have platforms like Epic Care Everywhere that are, in some regards, even more advanced in how they link data from Point A to Point B and unify that into a single patient record.

Despite this, the mail order marijuana is already alive and lucrative in Canada. Due to legal restrictions against Canada Post seizing mail, cannabis is already being delivered to customers in all provinces. As it becomes legal across Canada, these businesses will likely grow and gain more customers. In fact, it’s projected that marijuana sales will outsell liquor in Canada by 2020.
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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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.”
Her personal involvement doesn’t stop there. She often hand delivers the medicine and even works with a hospice center providing relief. “I worked with a woman, my age, who was dying of cancer. Her brother would call me and I would come over with a big bag of prerolled joints. We would smoke together, holding hands, me on the floor, and her laying on the couch.”
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.
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.
At HelloGanja.com we believe in goodwill and 420 celebration, and Mail Order Marijuana should be as widely available as possible. Starting with this simple and basically fail-proof principle, we have gathered together a fantastic range of our best marijuana strains that are low price and top quality – strains that we ourselves would buy; thus buy cheap weed online. We put a lot of thought into what our customers would want.
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.”

The AI application uncovered relationships and patterns that physicians either would not have identified or would have taken much longer to identify, Sanders says. For instance, the analysis revealed that for patients with pneumonia and COPD, beginning nebulizer treatments early in their hospital stays improved outcomes tremendously, hospital leaders report.


Can't believe I haven't found out about this place as I've been living in the area for quite some time now. A friend told me... read more about this place so I HAD to check it out. All you need is an California ID and 21+. No medical card required! All the workers are super chill and very helpful. As a first timer like myself, they give you a free joint after you purchase one or more of their products. Prices aren't bad either. I am definitely going back here whenever I need more goodies!! THANK YOU TORREY HOLISTICS!!!! read less
“That was a major effort, but some of us had been data scientists before we were physicians, and so we parameterized all these calls. The first pneumonia care path was completed in about nine weeks. We’ve turned around and did a second care path, for sepsis, which is much harder, and we’ve done that in two weeks. We’ve finished sepsis and have moved on to total hip and total knee replacements. We have about 18 or 19 care paths that we’re going to be doing over the next 18 months,” he says.

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You can either throw a tremendous number of expensive, scarce bodies at the problem, which isn’t scalable, or you can use technology. I’m not talking about mere notifications that an encounter has occurred, which we do, but a deeper level of collaboration. A mental health provider in the emergency department creates a crisis plan for the patient at 3:00 in the morning that involves a primary care provider who is affiliated with a multi-specialty clinic that is not connected to the health system and a Medicaid managed care manager. How do you help those individuals get on the same page and interact with the patient in sequence so that we’re not wasting resources or missing opportunities to help the patient navigate across the continuum, efficiently using the existing technology infrastructure of each organization? That’s the set of problems that we’re focused on.


“But Woodlake – a town of less than 8,000 people about 15 miles northeast of Visalia in Tulare County – has pushed forward at breakneck speed, going from idea to ordinance to the approval of two companies’ dispensary proposals in less than six months. City leaders hope to unlock a treasure trove of tax revenue, which can be used to beef up a thinning public service budget and attract customers to a blip on the map found well off the beaten path.” (Rory Appleton, The Fresno Bee)
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