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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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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.
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.
In terms of strains they usually have... don't quote me but I remember seeing Skywalker OG, Liquid Coke and Charlie Sheen. I've bought King Louis XIII here, Master OG, Purple Widow, Mega Wellness, Bubble Yum, Velvet Purps, etc. They also have Korova Edibles, weed Hot Cheetos, LOL edibles brownies, weed sour belts, weed lemonade, weed syrup, weed chocolate and Cali Fresh Knockout Punches. Obviously didn't list all of it but that's just off the top of my head.
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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.”
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.
Kleiner Perkins partners with the brightest entrepreneurs to turn disruptive ideas into world-changing businesses. With $10 billion raised through 20 venture funds and four growth funds, the firm has invested in over 850 companies including pioneers such as Google, App Dynamics, Amazon, Flexus Biosciences, Nest, Waze, Twitter, JD.com and Square. Kleiner Perkins offers entrepreneurs years of operating experience, puts them at the center of an influential network, and accelerates their companies from success to significance. For more information, visit http://www.kpcb.com and follow us @kpcb.

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“We’ve been able to do a lot of querying ourselves, and we have some sepsis predictive models that we’ve created and put into place. We do a lot of real-time monitoring for sepsis and central line-associated bloodstream infections,” he says. “Central line-associated bloodstream infections are a bane for all hospitals. In the past year and a half, since we’ve put in our predictive model, we’ve had zero bloodstream infections, and that’s just unheard of.”

Each year, to accompany our Healthcare Informatics 100 list of the largest companies in U.S. health information technology, we profile fast-growing companies that could very well make the list in the future. Below, a write-up of the fourth company that made this year’s Up-and-Comers rendition. The remaining two write-ups will be published throughout this week.

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.


CHCF is investing in Collective Medical to help providers serving Medicaid patients with complex needs to better share and act on data about those patients in real time. Successfully coordinating a patient’s care, especially if it is complex and involves numerous providers both inside and outside of the health care system, requires effective data sharing. When providers fail to share data, a patient’s care can fall through the cracks or be needlessly duplicated, both of which can result in higher costs and poorer outcomes.
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.
The AI tools from Ayasdi revealed new, improved care pathways for pneumonia after analyzing thousands of patient records from the hospital and identifying the commonalities between those with the best outcomes. The application uses unsupervised machine learning and supervised prediction to optimally align the sequence and timing of care with the goal of optimizing for patient outcomes, cost, readmissions, mortality rate, provider adherence, and other variables.

There continues to be growing interest, and also some hype, around AI tools, but Sanders notes that AI and machine learning are simply another tool. “Historically, what we’ve done is that we had an idea of what we wanted to do, conducted a clinical trial and then proved or disproved the hypothesis, based on the data that we collected. We have a tool with AI which can basically show us relationships that we didn’t know even existed and answer questions that we didn’t know to ask. I think it’s going to open up a tremendous pathway in medicine for us to both reduce cost, improve care and really take better care of our patients,” he says, adding, “When you can say that to physicians, they are on board. They respond to the data.”
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