Meanwhile, Dr. Whitfill said, “At the same time, people are realizing that coming up with the algorithm is one piece, but that there are surprising complications. So you develop an algorithm on Siemens equipment, but when you to Fuji, the algorithm fails—it no longer reliably identifies pathology, because it turns out you have to train the algorithm not just on examples form just one manufacturer, but form lots of manufacturers. We continue to find that these algorithms are not as consistent as identifying yourself on Facebook, for example. It’s turning out that radiology is way more complex. We take images on lots of different machines. So huge strides are being made,” he said. “But it’s very clear that human and machine learning together will create the breakthroughs. We talk about physician burnout, and even physicians leaving. I think that machine learning offers a good chance of removing a lot of the drudgery in healthcare. If we can automate some processes, then it will free up our time for quality judgment, and also to spend time talking to patients, not just staring at the screen.”

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.
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.
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One day in March 2012, two hospitals emailed him requesting the software. “I remember thinking ‘this is odd,’” says Green. Then, a nurse from Olympia, Washington called. “How do you guys like being mandated?” she asked. Unbeknownst to them, doctors had proposed Collective Medical to the state to curtail ER visits. Says van den Akker: “If you want providers to be advocates of your software, it takes time and effort. Anyone trying to sell a quick solution to something is in for a lot of pain.”

If you’re looking to make the leap from cannabis consumer to pot producer, Home Grown Academy in Carver can help. Owners Jason Cullinan and Paul Brennan offer classes for all levels, from the aspiring cultivator to the experienced producer. Learn the fundamentals in Intro to Growing Cannabis or discover how to tackle a bigger project with Grow Room Design & Construction. The four-hour classes cost $150; a series of five goes for $500.


Of course, inevitably, there was talk around the talk of the hype cycle involving artificial intelligence. One of those engaging in that discussion was Paul Chang, M.D.., a practicing radiologist and medical director of enterprise imaging at the University of Chicago. Dr. Chang gave a presentation on Tuesday about AI. According a report by Michael Walter in Radiology Business, Dr. Chang said, “AI is not new or spooky. It’s been around for decades. So why the hype?” He described computer-aided detection (CAD) as a form of artificial intelligence, one that radiologists have been making use of for years.


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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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?
The fast-growing pot industry not only raked in $2.7 billion in sales this last year, it’s also produced quite a few ganja-based startups. It’s legal to light up a bowl for recreation or medical reasons in 23 of these 50 United States now and soon as there’s a growing industry, there are technological innovations to support it. We’ve counted at least 8 on-demand delivery apps out there that will bring medicinal grade weed varietals right to your door.
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Collective Medical will use the funding to expand and advance its network with the goal of empowering care teams across the country to provide patients with the most effective care. As a part of this effort, Collective Medical plans to expand its leadership team and scale its engineering, clinical support, sales and marketing organizations. The company anticipates hiring more than 100 additional team members in the next 12 – 18 months, with the majority based in its Salt Lake City headquarters.
“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.”
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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.”
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Sanders says having the data generated by the AI software is critical to getting physicians on board with the project. “When we deployed the tool for the pneumonia care pathway, our physicians were saying, ‘Oh no, not another tool’,” Sanders says. “I brought in a PIT Crew (physician IT crew) and we went through our data with them. I had physicians in the group going through the analysis and they saw that the data was real. We went into the EMR to make sure the data was in fact valid, and after they realized that, then they began to look at the outcomes, the length of stay, the drop in readmissions and how the costs dropped, and they were on board right away.”
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As a general rule, the lower the grade of the product the less pain relief you will get. Using medium grade products, it will take 5-6 months for you to see relief. The same is true for the process of rehabilitating cartilage. On the other hand, a high-quality product will usually end your pain in 10-25 days, depending on the extent of your disease. As well, the healing and rehabilitation process begins nearly immediately. When choosing among glucosamine products a pharmaceutical grade liquid formula in liquid form will bring the maximum relief and protection. In addition, a high quality liquid glucosamine formula will do wonders for those recovering from orthopedic surgery.
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.
Similar results have been experienced across the country. “Collective Medical has been an integral part of our hospital system’s efforts to coordinate care for patients with complex needs,” says Dr. Maria Raven, MPH, MSc, a practicing emergency medicine physician and health services researcher and an associate professor of emergency medicine at UCSF. “With our partnership, we’re collaborating on our at-risk patients’ social determinants as well as curbing the opioid epidemic.”

Klomp, who helped out with strategy while working in private equity at Bain Capital in Boston, quit in 2014 to join Collective Medical. And last year, Benjamin Zaniello, who was a chief medical information officer at Providence Health & Services in Washington, joined as chief medical officer. Zaniello helped implement Collective Medical at Providence. He was impressed. “They did this alone for many years,” he says. “It wasn’t just a bunch of people with a power point and a dream, or someone from Google with a personal story in healthcare who wants to fix the system.”
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.
Collective seeks to close provider communication gaps that undermine patient care. It uses data feeds, risk analytics, notifications, and shared care guidelines to reduce emergency department (ED) utilization, inpatient readmissions and downstream care transitions, including to post-acute operators. After collecting data from all EDs visited by a patient, its solution packages that data into actionable insights, and delivers them to clinicians via real-time notifications. Collective is currently partnered with more than a dozen state hospital associations, and recently added the Florida Hospital Association to its network of partners.
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.
Of course, inevitably, there was talk around the talk of the hype cycle involving artificial intelligence. One of those engaging in that discussion was Paul Chang, M.D.., a practicing radiologist and medical director of enterprise imaging at the University of Chicago. Dr. Chang gave a presentation on Tuesday about AI. According a report by Michael Walter in Radiology Business, Dr. Chang said, “AI is not new or spooky. It’s been around for decades. So why the hype?” He described computer-aided detection (CAD) as a form of artificial intelligence, one that radiologists have been making use of for years.
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.
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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.”
“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.”
Baumgartner’s relationship with cannabis started in her teens, around the same time she was diagnosed with anxiety. Refusing to take pills to deal with her nerves, she took on a move natural approach that included surfing and smoking weed. “My Italian-Catholic mother was horrified,” Baumgartner joked, but clearly her system worked. Now, at age 49, she’s staying ahead of her anxiety in a similar way, with smoking, surfing, meditation and eating right, she’s able to live a successful and productive life.
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.”
Spok researchers were curious whether their predictions became reality, so they analyzed several industry reports and asked a handful of CIOs to recap their experiences from 2018. The most up-to-date responses revealed that compared to last year when just 40 percent of CIOs said they were deploying an enterprise analytics platform in 2018, harnessing data analytics looks to be a huge priority in 2019: 100 percent of the CIOs reported this as top of mind.
This leads us full circle back to some of the other methods of successfully beating arthritis pain. Namely, that diet in general also plays a significant role in the overall picture. If we eat less saturated fats, we are in effect taking away one of our body’s means of producing inflammation. Conversely, by increasing our intake of Omega-3 and Omega-6 we are assisting and encouraging our body to produce anti-inflammatory defense mechanisms.
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.
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