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Vitamin C and OBMedical Company

Vitamin C

Osama Hashmi of Vitamin C

 Vitamin C and OBMedical Company

On this episode of Health Connect South Radio we hosted the CEO and co-founder of Vitamin C and President/CEO of OB Medical Company.  These two companies are creating technology innovations that help two distinct groups, physician practices and expectant mothers in the birthing process, respectively.

Vitamin C’s Osama Hashmi realized that increasing focus on population health management measures meant a need for greater engagement with particular patient groups.  In order to effectively manage chronic diseases such as diabetes or even regular wellness follow up, practices often need to interact with patients to get these visits scheduled.  In many cases, patients won’t take initiative to schedule them themselves.

Hashmi and his colleagues decided to create a platform that interfaces with existing EMR’s that allows providers to ID target populations and create a variety of pre-created content for distribution to patients.  In some cases, it’s a pre-recorded automated phone call that can encourage the scheduling of a follow up visit.  In others, it may be an automated call that queries the patient for particular data such as vitals or blood sugars, quantity of exercise, etc.

In still others, it may be a text or email generated that goes to the patient.  In this way, the providers are able to more effectively “scale” their resources to be able to reach what is often hundreds or even thousands of patients with necessary contact to facilitate follow up.  The end result is better patient outcomes as well as increased revenue for the practice due to scheduling of necessary, yet high-Revenue visits (based on time/acuity).

OBMedical Company saw an opportunity to improve upon monitoring technology used in the OB delivery room.  As I spoke with President/CEO, Weaver Gaines, he explained the technology for the fetal heart rate, contraction frequency/intensity, etc. have not really changed in roughly 40 years.

Today, mothers are tethered to a monitor by wires leading to sensors that are held in place by elastic velcro straps that encircle the mother’s abdomen.  They are challenging to keep in position and can provide limited accuracy in cases where the mother is particularly obese.

OBMedical Company has designed a monitoring device that uses wireless electrodes that measure electrical current through the patient’s skin rather than having to rely on skin tension.  This allows the mother to be able to ambulate in the room during labor while continuing to be monitored.  Additionally, it allows for greater accuracy when the mother is obese.

Osama Hashmi, CEO/Chief Product Officer, of VitaminC  github  linkedin_small1  twitter_logo_small-e1403698475314  facebook_logo_small3

VitaminC

  • Doctor of Medicine, College of Georgia, Georgia Regents University
  • Master of Public Health, University of Georgia
  • Previous Policy Director, Roosevelt Institute, University of Georgia
  • Former Research Assistant, Stanford University

Weaver Gaines, President/CEO of OBMedical Company  linkedin_small1

OBMedical Company

  • Juris Doctor, University of Virginia School of Law
  • Director and Treasurer, Dance Alive National Ballet
  • Chairman, Board of Directors, Florida Research Consortium
  • Adjunct Professor, University of Virginia School of Law

Center for Health Transformation

Center for Health Transformation

Steve Fraime of WellStar’s Center for Health Transformation

Center for Health Transformation

I hosted Steve Fraime, Director of WellStar’s Center for Health Transformation on this episode.  WellStar is rather unique in its investment in an internal center for health innovation—that’s a department typically seen at academic medical centers.  The WellStar health system engages with their providers to uncover ideas for opportunities to innovate that will improve patient outcomes and patient experience, as well as ideas that will improve work environment for the system.

Steve explained how the Center for Health Transformation initially got its start as a think tank designed to pull together leaders from 20 health systems to identify best practices and facilitate innovation among them.  As the initiative got going, it became evident that often, participants were reticent to share information that was perceived to give a particular organization some measure of market advantage.

Ultimately, WellStar decided they would pull the concept within their borders to focus on internal innovations that will improve their overall performance.  From there, the organization worked to regularly interface with physicians within the system, along with folks in leadership roles to get suggestions for processes that could be improved upon.

Steve talked about two projects that were suggested by providers.  One project that was brought by orthopedic surgeons was to explore the possibility of developing a more reliable means of producing a cast for fractured extremities.  Another was to address the challenge for patients to navigate the large, multi-site, multi-building campuses that constitute the WellStar health system.

The Center for Health Innovation chose to collaborate with the Georgia Tech Capstone project.

Special Guest:

Steve Fraime, BSN, Director of WellStar Center for Health Transformation  linkedin_small1  youtube-logo1  google-plus-logo-red-265px

WellStar Center for Health Innovation

  • Previous Assistant Manager, Emergency & Trauma Services, WellStar Paulding
  • MBA, Georgia State University J Mack Robinson School of Business
  • Masters of Healthcare Administration, Georgia State University
  • BSN, Georgia State University

Innovative Health Technology

innovative health technologies

Bailey Ernstes, Jake Kazlow, and Jim Sullivan talk innovative health technologies

Innovative Health Technology

On this episode of Health Connect South Radio we featured two Atlanta companies developing innovative health technology.  We hosted Monitor Med Solutions and HealPros to learn about the respective problems their solutions solve.

Monitor Med Solutions was founded by several Georgia Tech students to create a device that would use bluetooth technology to give hydrocephalus patients real-time monitoring data regarding their intracranial pressure via their mobile devices.  Bailey Ernstes and Jake Kazlow, two of the co-founders, joined us to talk about their project.

As Bailey shared, as many as 1:500 babies are born with hydrocephalus, an abnormally-high intracranial pressure caused by a disruption in the normal flow of cerebral spinal fluid.  These patients require that a shunt be implanted that will facilitate modulation of the intracranial pressure and prevent the numerous neurological problems and even death that can occur when pressure rises or falls beyond certain limits.

The challenge for these patients and their families is that the shunt technology itself has not evolved much since its inception.  And, the shunts fail at a rate of roughly 40% of the time, typically due to occlusion.  In most cases, the only way the patients discover there is a problem is when they begin to show symptoms of increased pressure.

Monitor Med Solutions, an Atlanta-based start-up has developed a device that interfaces with the intracranial shunt and contains a bluetooth transmitter.  This enables the user to get pressure readings via an app on their mobile device, potentially allowing them to seek care before neurologic symptoms occur and/or preventing unnecessary ER admissions to seek care.

Jim Sullivan is CEO of HealPros.  This company saw a need for closing the gap in preventive care for patients with diabetes.  The diabetic population is at risk for blindness due to retinal damage that is caused by chronically-elevated glucose levels.  It can take years of asymptomatic progression of the retinal damage for visual changes to occur.  Because of this, many patients do not bother to seek out the recommended annual exams that could identify problematic changes early enough to do something about it.

HealPros utilizes teleimaging capabilities coupled with on-site technologists who can do exams in a physician’s office or even a patient’s home.  The company partners with health plans and physician offices to coordinate visits with patients and conduct the necessary eye exam.

They then communicate results to patient, doctor, and health plan company and can help facilitate getting access to appropriate advanced care if an abnormality is found.

Special Guests

Bailey Ernstes, CEO of Monitor Med Solutions  linkedin_small1  facebook_logo_small3  twitter_logo_small

Monitor Med Solutions

  • BS Biomedical/Medical Engineering, Georgia Institute of Technology
  • National Merit Scholar
  • Campoamor Study Abroad Scholarship Recipient
  • Previous Research Assistant, Centers for Disease Control and Prevention

Jake Kaslow, Co-founder and CTO of Monitor Med Solutions  linkedin_small1

monitor med solutions

  •  BS Biomedical Engineering, Georgia Institute of Technology

Jim Sullivan, CEO of HealPros  linkedin_small1

healpros

  • BA, MA, Economics & Finance, State University of New York at Binghamton
  • Business Professionals Course, Linguistics and Business Philosophy, The Aji Network
  • Former Analyst, Goldman Sachs
  • Previous Owner, Medical Imaging Specialists

Prescription Medications

prescription medications

Jimmy Godwin, Diana Keough, Charles Stephenson, Dr. Sheila Woodhouse, CW Hall talk prescription medications

Prescription Medications

We talked about prescription medications on this week’s show.  It’s true, prescription medications are an important part of the care we need for a number of health-related issues.  It’s also true that many of these medications can be very expensive, particularly those that are not yet available as generic options.

There are also some worrisome statistics related to prescription medications that are worth noting:

  • As much as 27% of ER visits are related to medication-related problems
  • Up to 69% of all hospital admissions are related to medication-related problems
  • ~11% of hospital re-admissions are related to medication-related problems
  • ~ $140 billion in hospitalization costs are related to medication-related problems
  • ~ 10% of all healthcare insurance expenditures are related to prescription medications

This week’s guests are using technology to address both the cost of these meds as well as working to reduce the amount of problems that can come from ineffective management of the medicines patients are taking.

Charles Stephenson is the founder of AuthentaScripts.  AuthentaScripts is a web-based platform that works much like travel bidding sites such as Priceline.  The user logs in, enters the name-brand medication they’ve been prescribedc, and, based on where they are geographically, the system displays the expected cost for that med at pharmacies within a 15 mile radius.

The patient has the ability to tell the system how much they’re willing to pay for the medicine and it will display places where it’s possible to find that price.

Dr. Sheila Woodhouse is a practicing Emory cardiologist and creator of DoxMed.  DoxMed is a technology platform that becomes a complete database of a patient’s medications, why they’re taking them, how much, etc.  The system allows patients to better understand what/why they’re taking what they are and better comply with the recommended regimen.

DoxMed also enables physicians to see the full gamut of meds a patient is taking and why, and make better decisions about what additions/changes should be made to avoid drug interactions, toxicity, etc., when prescribing for them.

Special Guests:

Dr. Sheila Woodhouse, MD, CEO/Founder of DoxMed  linkedin_small1  twitter_logo_small  facebook_logo_small3  google-plus-logo-red-265px

DoxMed

 

  • Doctor of Medicine, Temple University School of Medicine
  • MBA, Business Administration and Management, Georgia State University J. Mack Robinsons College of Business
  • Board Certified, Cardiology
  • CEO/Founder, Sentikon Technologies & Consulting

Charles Stephenson, CEO/Founder of AuthentaScripts  linkedin_small1  facebook_logo_small3  twitter_logo_small

Authentascripts

 

  • BA, Management, University of Phoenix
  • Former Phase Team Leader, US Army
  • Founder, RescuePigeon
  • Previous Field Engineer, Lockheed Martin

Jimmy Godwin, Pharmacy Intern  at Publix  linkedin_small1

jimmy godwin

  • Doctor of Pharmacy, Mercer University
  • Member, Georgia Pharmacy Association

Mobiquity

 Mobiquity

Nirav Desai, Principal Health Strategist for Mobiquity

Mobiquity

On this week’s show, Diana and I sat down with health technology strategist, Nirav Desai, of Mobiquity. Mobiquity is a professional services firm trusted by hundreds of companies to be their mobile engagement provider. On a global scale, the trends, strategy, users, platforms, technology, development, organizational issues of mobile are complicated. Mobiquity eliminates the complexity.

We talked about how important the Mobile component is for all enterprises today, including healthcare. The ACA has created requirements for providing patients with access to portals where they can connect with their health providers and get access to their health data. Mobiquity helps health enterprises create more effective applications and platforms for handling this requirement as well as better outcomes for population health management.

Nirav shared some troubling statistics (~125,000 people/year die due to incorrectly taking their medications). We discussed how mobile technology and applications can promote better adherence to prescribed care by notifying providers if patients are taking meds as directed as well as giving providers access to real time patient data remotely.

Additionally, technology platforms can facilitate making decisions about care plans by showing aggregate data across a practice’s patient population as a whole. In this way, trends may be identified that allow more proactive approaches with the care plan.

We talked about the way mHealth and teleHealth are overlapping now. Previously, telehealth was mainly a way to deliver care to a patient, particularly in mental health. Now, with mobile health, more data can flow from patient to provider and the patient can take a greater part in achieving positive outcomes through engaging with a mobile platform. These mobile platforms can push educational information and reminders to help facilitate care plan compliance. Some telehealth platforms now have mobile components to them that enhance the patient encounter and have more robust data.

Mobiquity is also making available a behavior change platform called Delta IQ, aimed at helping to change patient behaviors such as smoking, alcohol consumption and other health behaviors. The platform “learns” as the user engages with the information, adapting what is displayed to the user to better facilitate effectiveness of suggested interventions.

Special Guest:

Nirav Desai, Principal Healthcare Strategist, Mobiquity  facebook_logo_small3  feed-logo  twitter_logo_small  youtube-logo1  linkedin_small1  vimeo logo

Mobiquity

  • MBA, General Management, University of Virgina Darden School of Business
  • Author of several publications on telehealth
  • Former Global Product Manager, GE Healthcare
  • Previous CEO, Hands On Telehealth

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Greenway Health

Greenway Health

Mark Janiszewski of Greenway Health and Diana Keough of ShareWIK

Greenway Health

A couple of topics that have come up repeatedly over the course of weeks since we started the Health Connect South Radio show:  Population Health and Interoperability.  On this week’s show we sat down with health IT expert, Mark Janiszewski, EVP of Product Management for Greenway Health.

Mark shared how the company has recently introduced new solutions that are aimed at facilitating better population health management initiatives.  Recent changes in the law are placing greater requirements for focus on preventive health and patient outcomes over the older disease-focused models that reimbursed on a fee-for-service basis.

Greenway’s platform gives providers access to data that empowers them to close gaps in care delivery and better manage a population’s high-cost problems such as diabetes, heart disease, and other chronic illnesses.  Additionally, the company is providing a portal called, Greenway Exchange, that gives patients ability to see their health data, schedule appointments, and even interact with their care providers.

We talked about how the company helps their clients prepare for the coming implementation of ICD-10 coding requirements that are currently set to go into effect in October 2015.  The new coding format will add a much greater degree of detail in documenting patient problems and treatments.

The goal of the ICD-10 changes is to facilitate research, improve outcomes through better case management, decrease medical errors, enhance public health, educate patients on costs/outcomes, and more.

Mark shared some of the challenges that health organizations face in meeting the expectations for the ICD-10 documentation.  The company is helping to prepare their clients for the upcoming changes in coding.

Greenway Health has always worked to empower our customers so they can deliver high-quality care while being financially sound,” said Tee Green, CEO of Greenway Health. “Never has that been more important given the rise of pay-for-performance, healthcare consumerism and a population with an increasing number of chronic conditions that requires coordination between multiple caregivers. Greenway Community enables providers to gain actionable insight into clinical and financial performance at all levels of the care continuum like never before.”

Greenway Health has been providing health IT solutions since 1977.  Over time, the company has grown significantly, both organically and through merger.  As an enterprise, the company delivers clinical, financial, and administrative information tools providers need to practice medicine the way they want to practice.

Greenway helps providers stay ahead of the complex regulatory requirements, maximize revenue and, most importantly, focus on their patients rather than on technology.  The company accomplishes this through intuitive user interfaces, interoperability leadership to exchange clinical data and facilitate connected care, and a grass-roots service culture.

Special Guest:

Mark Janiszewski, EVP, Product Management, Greenway Health  linkedin_small1  twitter_logo_small  facebook_logo_small3

Greenway Health

  • Bachelor of Commerce, Concordia
  • UniversityGraduate Diploma, Public Accountancy, McGill University
  • Previous Director, Account Marketing, Nortel Networks
  • Former VP, Product Management, Revenue Cycle Solutions

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Rimidi

Rimidi

Rimidi

This week we hosted the President and CEO of Rimidi, Dr. Luci Ide.  Rimidi is a healthcare technology company that is working to help patients and health providers better manage diabetes.  It’s an important endeavor—roughly 24 million Americans are diabetic and as many as 86 million more are pre-diabetic (slightly elevated fasting glucose levels).

Based on current trends, 1 in 3 persons will have diabetes by 2050.  And when you consider the costs associated with treating diabetes and the problems such as heart disease, stroke, and others that often come with it, as much as $.60 of every healthcare dollar are spent on this population.

The Rimidi platform is an application that allows patients to share sensor data from glucometers, fitness devices, and share nutritional data from apps such as My Fitness Pal with their providers via a portal link on the provider’s EMR.

The benefit of gathering real time health data and sharing it with the provider is that corrective measures can be taken sooner should trends show that glucose levels are not responding to the care plan as expected.  In this way the patient can more consistently maintain or improve their glucose levels and avoid damaging effects of high glucose such as neuropathy, renal failure, vascular disease, and others.

The company’s platform has been live for roughly a year and they are now actively looking for healthcare partners to deploy their Diabetes+Me application.

We also had a chance to speak with a patient ambassador, Joelle, for “Lights, Camera, Take Action On MS” by Genzyme.  This public awareness event/campaign is working to increase awareness about multiple sclerosis.  The event is coming to The Atlanta Marriott, Alpharetta, June 27, 2015, 11:00 AM – 2:00 PM ET.

At the event, guests will have the chance to engage with experts and hear tips on how to manage their MS. Beverly Layton, Registered Nurse, will be at each event to discuss the emotional impact of MS and techniques to help people alleviate feelings of guilt or depression. Alongside Beverly will be Certified Life Coach Caroline Craven, who lives with MS and is skilled in managing the stress that comes with the disease. Medical Exercise Specialist Monique Acton will also be at each event to share tips on how people living with MS can stay active and maintain energy.

Special Guest:

Luci Ide, MD, President and CEO of Rimidi  twitter_logo_small  linkedin_small1  facebook_logo_small3  vimeo logo

Rimidi Diabetes

  • MD/PhD Emory University
  • Residency, Obstetrics-Gynecology, Magee-Womens Hospital
  • 2014 Recipient, Ross Baird Award for Excellent, Village Capital
  • Former Associate, Monarch Capital Partners

Healthgrades

IMG_0018

Healthgrades

This week, Diana and I sat down with Dr. Brad Bowman and Nickey Scarborough, of Healthgrades.  They’re a healthcare IT company that provides several valuable services to the community at large as well as to the healthcare industry.  One of Healthgrades’ core offerings relates to transparency and healthcare consumerism.  When you need to find a physician to address a particular health need from primary care to a specialist, the company’s website allows the patient and/or their family to conduct a search of their database.

The Healthgrades platform utilizes a number of available data sources to compile a match score that gives a measure of confidence a particular physician has sufficient experience and positive outcomes to be considered as a viable option for providing your care.  You can search by provider name, specialty, condition, or procedure, along with location/radius.

Your results will give a list of possible providers, each with a rank for volume of this given procedure they’ve performed, along with a report of any sanctions or board actions that have been taken.  Similarly, Healthgrades provides prospective patients with access to outcomes and patient satisfaction data across the gamut of service lines and procedures they offer.  Patients can review a given hospital’s rank and compare it to the national average for that procedure.

But, these useful services are only scratching the surface for what Healthgrades is able to do for health systems and hospitals.  The company is able to use a wide array of readily-available health and consumer data for patients in a given service area to give valuable predictive insights around outcomes for a given health problem.  Things such as number of rooms in your home, whether it’s rented or mortgaged, how financially stable a family is, along with buying habits combined with numerous other data points can give surprisingly accurate pictures of what a given population’s tendency toward ER re-admissions or poor outcomes/compliance with care.

Through an engagement with Healthgrades, using their population analytics, a health system can be very strategic in their marketing efforts to help make that revenue spend be far more likely to help the system achieve its goals and deliver a higher level of care/outcomes.

Special Guests:

Brad Bowman, MD, Chief Medical Officer, of Healthgrades twitter_logo_small  linkedin_small1  Pinterest LOGO  google-plus-logo-red-265px  facebook_logo_small3

 

Nickey Scarborough, VP of Digital Editorial, Healthgrades  linkedin_small1

nickey

 

  • MHA, Health Administration, Xavier University
  • Former Director, Client Delivery Services, WebMD
  • Previous Content Director, PERFECT SENSE digital, LLC
  • Former Senior Consultant, Deloitte & Touche

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