Interoperability is the base layer. Then, how do we use data to coordinate human behavior? We make it easier for them by meeting them in their workflow, not making them go look up information. They can understand which of their patients are at a place of need and coordinate with others who can help meet the needs of that individual, to lift them up and catch them before they fall.

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In 2006, they tried to launch the solution as a company, but there were no customers. “No one was willing to take a chance,” Klomp recalls. “Total crickets.” So all three founders went on to other jobs. Klomp went to work for Bain & Co. But the website for the startup was still up, and in 2009 they were contacted by a hospital in Spokane, Wash., that was trying to do work in the high-utilizer space and couldn’t find any other solutions. So the three old friends from Boise resurrected the company.
Anderson, who’s been practicing emergency medicine for 30 years, relies on Collective Medical for 40% of his patients. Recently, a 25-year-old woman showed up in the ER at Auburn Medical Center with abdominal pain. At check-in, an alert popped up next to her name. It was her fifth visit in a year. Her chart showed that she had also been to St. Francis Hospital, Highline Medical Center and Valley Medical Center—all within a 20-mile radius of Auburn. Her prescription drug history revealed that six doctors had ordered narcotics. Anderson contacted her primary care doctor, who was unaware of her ER visits, for a next day appointment, and started her on a treatment for opioid dependence.
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.

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.

Les hôpitaux publics ne sont pas soumis à une convention collective, au contraire des établissements privés. En effet, la convention collective des établissements privés d’hospitalisation, de soins, de cure et de garde à but non lucratif doit être appliquée dans les établissements privés d’hospitalisation, de consultations et soins, de radiothérapie, de collecte de sang, etc. Les établissements privés de diagnostic, de services hospitaliers, d’hébergement médicalisé et social pour personnes âgées, sont concernés quant à eux par la convention collective de l’hospitalisation privée.
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.”
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.
Next, Providence drove usage across its five-state system, and Oregon adopted it. “All of a sudden, the world caught up as healthcare started paying for quality instead of just volume,” Klomp says. Growth was slow and methodical as the co-founders sought to understand clinical workflows. “We worked to get real demonstrable outcomes from a clinical and economic perspective,” he adds. “We are pretty conservative. This is a different story than raise a whole bunch of money and try to grow the business fast.”
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“We’re putting collaboration at the heart of the solution to a fragmented healthcare system,” Chris Klomp, CEO of Collective Medical, said in a statement. “Our job is to connect care teams. By arming providers and payers with real-time insights and a platform to seamlessly collaborate across organizations and care settings, we ensure patients don’t slip through the cracks. … We are beyond excited and grateful to be joined by such an extraordinary group of investors who share our vision for further enriching and expanding our network to help care teams provide the most effective care possible.”
Unfortunately, that's not the only message this raid sent. Thanks to decades of demonization, much of it fueled by alcohol and tobacco interests, marijuana still carries a stigma. Police actions like this only reinforce that stigma. That people who get their medicine from dispensaries instead of pharmacists are druggies, and the employees of such establishments can still get their mugs displayed like drug dealers.