The hospital quickly implemented the new pneumonia pathway by changing the order set in its Allscripts EHR system. As a result, for the pneumonia care path, Flagler Hospital saved $1,350 per patient and reduced the length of stay (LOS) for these patients by two days, on average. What’s more, the hospital reduced readmission by 7 times—the readmission rate dropped from 2.9 percent to 0.4 percent, hospital officials report. The initial work saved nearly $850,000 in unnecessary costs—the costs were trimmed by eliminating labs, X-rays and other processes that did not add value or resulted in a reduction in the lengths of stay or readmissions.
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.
Outdoor personal cultivation is prohibited in all zoning districts. Personal indoor cultivation is allowed in compliance with State and City law inclusive of the number of plants allowed and the amount of processed cannabis possessed. Cultivation must take place within the residence, in a locked room or locked out-building. Notarized Property owner permission is required if the property is not owner-occupied. Registration of the address where cultivation will take place is required. The cost of registration is $100 per year. Failure to register can incur penalties and administrative citations. 

Might next year prove to be different? Yes, absolutely, especially given the coming mandates coming out of the Protecting Access to Medicare Act (PAMA), which will require referring providers to consult appropriate use criteria (AUC) prior to ordering advanced diagnostic imaging services—CT, MR, nuclear medicine and PET—for Medicare patients. The federal Centers for Medicare and Medicaid Services (CMS) will progress with a phased rollout of the CDS mandate, as the American College of Radiology (ACR) explains on its website, with voluntary reporting of the use of AUC taking place until December 2019, and mandatory reporting beginning in January 2020.


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.

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Applications for a Medical Cannabis Delivery Permit must comply fully with Hesperia Municipal Code Chapter 5.50 and Chapter 16.16, in addition to all other state and local laws. Failure to submit a complete application package will result in denial by the City and will require re-submittal of the application, along with all applicable fees. Please review the Medical Cannabis Delivery Business Permit checklist carefully and submit all required documents to the City as a complete application package.
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.
With cannabis such a strong and helpful force in Baumgartner’s life, she wanted to give back and help others. That’s why she started Ganjarunner, a cannabis delivery service that now operates throughout the entire state of California. Ganja Runner is different than your average delivery service in a number of ways. First of all, their website looks like Amazon; you can search for and browse all sorts of products, add things to your cart and voila, your order will be delivered the next day. You can even pay with a credit card when your order arrives.
With the shift in federal policy, some investors are skirting the cannabis industry by either choosing to wait out the storm or by leaving it altogether for fear of increased marijuana prosecutions. However, members of Congress – both Democrats and Republicans – are pushing back with the claim that the turnover not only violates states’ rights but it is also destructive and backward.
Connoisseurs of both cannabis and fine food can indulge both passions with a four-course supper-club experience from Mass Cannabis Chefs. Customers can peruse menus a few weeks ahead and buy tickets online — prices range from $100 to $150 per person — but they don’t learn the address of the event until the day before. The food is far from traditional stoner fare: Past menus have featured stuffed sea scallops, filet mignon, and cherry clafoutis with fresh whipped cream. And there are occasional vegetarian nights. The cannabis infusion in each course is customized to the individual’s preference.
Despite the fact that marijuana is illegal under federal law, ten states, as well as the District of Columbia, have legalized its recreational use. And while several other states have passed laws that broadly decriminalize pot, legal marijuana use is still nearly impossible for over one-third of the country. This confusing patchwork of laws helps explain the recent popularity of Cannabidiol (CBD) oil and other related products, which are, for the most part, legal to obtain and use throughout the U.S.
Hyderabad: Following the extra vigil by Excise and police sleuths, ganja peddlers in city are delivering ganja to a specific location by charging few extra hundreds. Most of the customers who opt for such services are found to be teenagers with a large peer groups amongst which contacts of these peddlers circulate. Psychiatrists believe that providing excessive cash to young kids may give them an opportunity to opt for such services too.
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?

CEO Jonathan Baran identifies two forces that have jump-started the company. Number one is that all sorts of routine tasks are piling up on physicians and staff, leading to high levels of burnout and negative consequences. “Health systems have really seen this problem and understand there has to be a better way to do this,” he says. Number two is a change in approach by the EHR vendors themselves. “When we started, it was a foreign concept to have an app store for the EHRs. None of them had one yet. But now we have seen widespread adoption of this model across all the major EHRs,” he says. “They now think about themselves as platforms and open marketplaces where people like us can build technology on top of APIs that allow us to integrate our technology into the workflow. That is a big piece. Without those two major forces—market awareness and enabling innovation by building on top of EHRs—this wouldn't be possible.”

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On November 15, representatives from the New Mexico Hospital Association, UnitedHealth Group, Molina Healthcare, Blue Cross Blue Shield and Presbyterian Healthcare Services gathered at the offices of the state’s hospital association in Albuquerque. Providers and payers weren’t meeting to negotiate contentious contracts, but to discuss monthly progress on a piece of software New Mexico hospitals had started implementing in their emergency department in June. It allowed them to flag patients who make five trips annually to multiple emergency rooms, often opioid addicts, notify their primary care doctor or a case manager and coordinate a care plan.
The survey from one year ago found that across hospitals, 40 percent of CIO respondents said deploying an enterprise analytics platform is a top priority in 2018. Seventy-one percent of respondents cited integrating with the EHR is a top priority, and 62 percent said physician adoption and buy-in for securing messaging was a top priority in the next 18 months. What’s more, 38 percent said optimizing EHR integration with other hospital systems with a key focus for 2018.
Businesses may begin their application process with the Bureau of Cannabis Control in Sacramento so long as they have received a permit from the city they plan to operate in. Each municipality can determine their own rules and regulations as to how commercial cannabis will coexist in their communities, if at all. Cities still hold the final ruling on whether or not marijuana businesses can operate within their jurisdiction.
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