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.
The findings were then reviewed with the physician IT group, or what Sanders calls the PIT crew, to select what they refer to as the “Goldilocks” cohort. “This is a group of patients that had the combination of low cost, short length of stay, low readmissions and almost zero mortality rate. We then can publish the care path and then monitor adherence to that care path across our physicians,” Sanders says.
“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.”
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.
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When medical marijuana first became legal in Las Vegas and Greater Nevada, our marijuana dispensary wasn’t only one of the first to open its doors—it was also one of the first to make marijuana delivery available to eligible patients and customers. Now, with recreational marijuana sales in full swing across the state, marijuana delivery is one of the simplest and most convenient ways to buy your green.
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.
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“We’re dedicated to supporting our 100 member hospitals and health systems as they improve the quality and safety of patient care,” says Thornton Kirby, FACHE, President and CEO of SCHA. “Our partnership with Collective is a testament to that dedication. The solution has been supporting the integration of behavioral and physical health in states like Washington, Oregon and California for several years and we’re excited to see how it can impact patient outcomes in South Carolina.”
Closer to home, the Irving House and Harding House, in Cambridge, welcome guests to partake as long as they don’t smoke inside or create a ruckus, says owner and manager Rachael Solem. If you prefer homier accommodations, try searching budandbreakfast.com, an Airbnb-style online marketplace where people rent rooms, apartments, and even seaside cottages to those looking for a ganja-oriented getaway.
An interesting observation was made in some clinical studies in the mid-1990’s that is noted in Dr. Atkins’ Diet Revolution. (Avon books) The doctor suggests that a principal ingredient in the fight against all arthritis should be Omega-3 fatty acids. And why is that? Because this essential acid clearly demonstrates that Omega-3 relieves both pain and inflammation.
Baran says that although automation of repetitive tasks is the ultimate goal, the first step in automation is delegation. “That means shifting the work from physician to staff and using technology to make that process as easy as possible. For the physicians it looks like automation because you are taking this work off their plates, and we use technology to make the process as easy as possible for the staff.”
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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Collective Medical improves outcomes and lowers costs on an impressive scale. In a Brookings Institution review of Medicaid patients who visited emergency rooms in Washington State, Collective Medical’s network and EDIE application—allowing actionable, real-time coordination across organizations—was one of the core strategies for lowering the number of ED visits by patients with patterns of high ED utilization. By partnering with Collective Medical to focus on these patients, Washington State reported $34 million in savings in emergency costs and a decline of 9.9 percent in emergency department visits in its first year of use in 2013.
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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 of our moms, Patti, is a social worker in the emergency department. She had been working on complex patient care coordination, particularly for patients who move across emergency departments. She had hypothesized that not only was this happening, but that a subset of those patients was probably opioid-seeking. Nobody talked about that 15 or 20 years ago, so she was pretty prescient on the ground.
To help them draft the ordinances, the city has set aside a budget to hire a consulting firm to “sit with professional city staff, our professional city planners and determine how many dispensaries are needed by this community, where should they go, who should the operators be, [and] how we select the operators,” said Olivier during the 12/14 City Council meeting.