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.”
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.

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.
Since its founding eight years ago, Collective Medical (not to be confused with employee benefits company Collective Health) has produced a software platform comprised of two main products. EDIE, designed for emergency departments, connects emergency teams across multiple facilities to identify high-risk, complex needs patients and immediately access care history upon admittance. The PreManage product is intended for a wider population of patients, and is marketed to health plans and providers. It also identifies and tracks high-risk patients upon admittance and discharge from inpatient or emergency care, while allowing teams to easily communicate and coordinate throughout a patient’s care.
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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.
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Still, Marion noted, even the concept of AI, as applied to imaging informatics, remains an area with some areas lacking in clarity. “The reality, he said, “is that I think it means different things to different people. The difference between last year and this year is that some things are coming to fruition; it’s more real. And so some vendors are offering viable solutions. The message I’m hearing from vendors this year is, I have this platform, and if a third party wants to develop an application or I develop an application, or even an academic institution develops a solution, I can run it on my platform. They’re trying to become as vendor-agnostic as possible.”

Scanning the exhibit floor on Monday, Glenn Galloway, CIO of the Center for Diagnostic Imaging, an ambulatory imaging center in the Minneapolis suburb of St. Louis Park, Minn., noted that “There’s a lot of focus on AI this year. We’re still trying to figure out exactly what it is; I think a lot of people are doing the same, with AI.” In terms of whether what’s being pitched is authentic solutions, vaporware, or something in between, Galloway said, “I think it’s all that. I think there will be some solutions that live and survive. There are some interesting concepts of how to deliver it. We’ve been talking to a few folks. But the successful solutions are going to be very focused; not just AI for a lung, but for a lung and some very specific diagnoses, for example.” And what will be most useful? According to Galloway, “Two things: AI for the workflow and the quality. And there’ll be some interesting things for what it will do for the quality and the workflow.”


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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.”
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The state evaluated a number of different paths and vendors and ultimately partnered with us. In five months, we connected 100 percent of the state’s acute care hospitals. We brought on all of the managed Medicaid organizations. In the next wave, we’re onboarding skilled nursing facilities and non-Medicare and other ACOs. We’re beginning to bring on ambulatory providers as well.
“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.”
The New Mexico Department of Health’s Medical Cannabis Program is not affiliated with any third-party businesses that sign patient certifications or complete patient applications. If you have paid a third party to complete your patient application, we advise that you call them first to check when they mailed or delivered your application to the Department of Health.
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