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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

Facilitating Clinical Trials

Facilitating Clinical Trials

Bethany Bray and Ryan Jones talk Facilitating Clinical Trials

Facilitating Clinical Trials

Since we started Health Connect South Radio we have featured several research organizations who are doing research to uncover solutions to several illnesses such as Ebola, HIV, mitochondral diseases, diabetes, and others.

This week we featured two companies who are facilitating clinical trials through their respective solutions.  Bethany Bray, CEO of AutoCruitment and Ryan Jones, CEO of Florence Healthcare joined us to share how they are working to help new medicines and devices become available more quickly to the community.

AutoCruitment is a technology platform that interacts with a variety of internet search platforms to acquire particular analytics data.  The platform is able to identify internet users who are seeking clinical trials or even ones who appear to be seeking new physicians.

Bethany shared that as much as 40% of the cost of a trial comes from efforts to put out information about the study and recruit appropriate patients for it.

Once a potential patient is identified who might be a match for a clinical trial, AutoCruitment is able to display ads on healthcare related sites that individual visits that will alert them to the availability of the trial.  The algorithms work to position the advertisements in what would be contextually-relevant places to avoid the “stalker” feel some cookie driven ads take on.

From the point the patient follows the ad, the process of providing their information and getting linked up with the prospective trial is straight-forward and elegant, making it simple for the patient and the respective trial.

Many clinical trials involve multiple sites for data collection as well as analysis.  In spite of the technological advancements around patient data over the past decade, in clinical trials, much of the research data is collected or reported on paper documents.

The process of transmitting this data to the other sites that need to access it to move the study forward is cumbersome at best.  In some cases it means analysts and study overseers must physically travel to the study locations to get access to or evaluate the data. In others it means shipping literally truckloads of paper documents to another site.

This logistical logjam is one of the greatest reasons why it can take as long as it does to complete a study, as Ryan explained.  Florence Healthcare is working to tackle this problem by developing a secure technology platform that uses existing hardware such as faxes and scanners to be able to quickly and securely convert the paper data to digital forms that can be readily transmitted to the other study sites or evaluated by study reviewers.

Special Guests:

Bethany Bray, CEO of AutoCruitment  linkedin_small1

Autocruitment

  • Master’s, Translational Medicine & Neuroscience, Merit, Imperial College–London
  • MBA, Georgia Institute of Technology
  • Previous Scientific Consultant, Protokinetix
  • Former Oncology Research Specialist, Winship Cancer Institute, Emory University

Ryan Jones, CEO of Florence Healthcare  twitter_logo_small  linkedin_small1

Florence Healthcare

  • MBA, Berkeley Haas School of Business
  • Young Leaders Council, Atlanta Beltline
  • Mentor, ATDC
  • Former President, Pubget

 

 

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

Alii Healthcare

Alii Healthcare

On this week’s show we hosted experts from the telehealth platform, Alii Healthcare.  Dr. Sylvan Waller, Founder/CEO of Alii Healthcare, Dr. Reginald Nesbitt, Christie Sherman, RN, and Alii client, Jennifer Smith joined us to talk about how the technology solution works.  They have created a mobile app called, “Bond”, which uses a mobile device’s camera to allow a patient to engage face-to-face with an ER physician to determine best course of action with minor, but time-sensitive complaints.

Sylvan shared how today, the average wait time for patients to be seen by a doctor from time of request for appointment is as much as 18 days.  We also talked about the fact that it is not uncommon for less acute complaints such as respiratory infections, minor cuts, sprains, etc, to wait in an ER for 2-4 hours (or more).

Having been an ER physician for a number of years, he saw first hand how these patients can become dissatisfied with their experience due to the fact that they’ve had to wait so long before being seen.  He felt there must be a better way.

He and his partners set out to take advantage of telehealth technology to create an application that uses a mobile device’s camera to allow a patient to request to speak with a physician, and within seconds or a few minutes at most, they can “Facetime” with a qualified ER physician.  Using the mobile device’s camera, the doctor can view a patient’s throat, swollen ankle, minor cut, etc.  From there he/she can make recommendations for medical prescriptions or treatments, or recommend the patient is seen in an urgent care or ER.

The team brought with them, Alii Healthcare client, Jennifer Smith.  She talked about her experiences using the Bond app to get diagnosis and prescriptions for minor injuries suffered while running and a respiratory infection.

Jennifer talked about how intuitive the application’s interface is and how quickly she was able to speak directly with a physician without having to leave her home.

Special guests:

Dr. Sylvan Waller, MD, CEO/Founder of Alii Healthcare

Alii Healthcare

  • Doctor of Medicine, Boston University School of Medicine
  • Residency, Emergency Medicine, Emory University School of Medicine
  • Former Assistant Professor, Emory University School of Medicine
  • Previous Entrepreneur-in-Residence, ATDC

Dr. Reginald Nesbitt, MD, President, Bond House

Alii Healthcare

  • Doctor of Medicine, University of Texas, Galvaston
  • Residency, ER, University of Chicago Hospitals
  • Board Certified, Emergency Medicine

Christie Sherman, RN, Director of Physician Engagement, Alii Healthcare

Alii Healthcare

  • RN Diploma, George Brown College
  • BSN, University of Phoenix
  • MSN, Nursing Science, University of Phoenix
  • Previous VP of Client Operations, Schumacher Group

Jennifer Smith, Alii Healthcare client

Ken David & Associates

  • Juris Doctor, Georgia State University College of Law
  • Previous Director of Reimbursement, Resurgens Orthopedics
  • Senior Associate, Ken David & Associates LLP

 

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

Made possible in part by:

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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

This show brought to you by:

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Hospital Acquired Conditions

IMG_7648

Hospital Acquired Conditions

According to CDC, there were over 700,000 hospital acquired conditions in 2011 (in this case, infections).  When you add those numbers to other preventable situations such as falls, wrong drug/dose/patient, and others, it’s clear that hospitals can be potentially-dangerous places.  This week, Diana and I sat down with two experts from companies that are tackling this problem from different directions.

HanGenix, an Atlanta-based start-up is developing an innovative technology that employs ultrasound transmitters/receivers on soap dispensers, on the clinicians’ badges, and in the patients’ rooms with the goal of increasing compliance with hand-washing standards.  CEO, Jeff Kline, talked about how each patient bed is “guarded” by an ultrasonic receiver that communicates with the clinician’s badge and soap dispenser in the room or nearby.

The system starts a clock that will alert the health worker that they need to re-wash their hands if too much time elapses between washing their hands and touching the patient.  The bed’s zone receiver also prompts an audible alert on the worker’s badge if they approach the patient’s bed without having registered a hand-washing event detected by the system.

Early returns from health systems that are participating in the testing of the prototype have shown that hand washing compliance is as low as 40% before implementing the technology and rises rapidly once it is deployed.  This is significant, as hand-washing has been identified as one of the most effective means to prevent spread of infections from patient-to-patient in a healthcare environment.

Synensis’s Chief Innovation Officer, Rick Stone, joined the conversation to talk about how their company works with their healthcare clients to assess the organization’s internal culture relating to behaviors that reduce hospital acquired conditions such as falls, infections, and other sentinel events.  Through an in-depth assessment at the outset of their engagement, Synensis’s team formulates a picture of how an organization prioritizes policies/procedures that can reduce/prevent those sentinel events.

The company then begins to interface with all levels of leadership and front-line providers to raise awareness and put in place actions such as debriefings after untoward events occur so that better team work can result.  Synensis also helps hospitals identify areas of their organization that have particularly low rates of sentinel events to draw from their localized culture/approach to prevention to the betterment of the organization as a whole.  As Rick stated, “Hospitals have teams of experts.  But, few have expert teams,” pointing out that in many industries, healthcare included, poor communication and/or teamwork is the primary culprit in accidents.

Special Guests:

Jeff Kline, CEO/Co-founder, HanGenix  linkedin_small1  twitter_logo_small

Kline

 

  • MBA, Goizueta Business School, Emory University
  • Previous Manager, Deloitte Consulting
  • Former Director of Marketing, BARD Urology Division
  • Previous VP Marketing, Genesis Biosciences

Rick Stone, Chief Innovation Officer, Synensis  twitter_logo_small  linkedin_small1  facebook_logo_small3  youtube-logo1

stone

  • MS Clinical Psychology, Vanderbilt University
  • Former President, StoryWork Institute
  • Previous StoryAnalytics Master, IDEAS
  • Fluent in Spanish

This program made possible by:

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Telemedicine

MedZed

Telemedicine

This week I sat down with the founder of MedZed, a hybrid telemedicine platform that enables parents with sick children to receive care for their child with an in-home RN who establishes a remote link with a physician.  Today, there are a growing number of urgent care centers available, along with after-hours pediatric care centers.  These care centers are typically better options than being seen in an emergency room where wait times and exposure to very ill patients are a concern.

However, urgent care centers also frequently come with a long wait and exposure to numerous sick persons in the waiting room as well.  Telemedicine is a health care delivery model where patients interface with a provider via phone and/or face-to-face video conferencing platform that allows patient and doctor to see each other.  This week’s guests joined us to talk about how they are innovating with this technology to deliver quality health care in a patient’s home.

With the MedZed platform (and soon a mobile app) parents with sick children can request an in-home examination of their children.  After a phone triage conversation, a registered nurse or nurse specialist is dispatched to the home to conduct the exam.  The in-home clinician links up with the patient’s physician (when that practice is a MedZed participant) or a thoroughly-vetted, experienced pediatrician on the MedZed medical staff (when the patient’s physician office is NOT a MedZed participant).

Once in the home the nurse establishes an internet connection using either the family’s connection if available or by cellular wi-fi if in-home internet is absent or inadequate.  Via the communications link, the physician is able to view the results of otoscopic exams, listen to their stethoscope, and see vitals all in real time.  This portal also gives the patient and family the ability to also see what is being visualized by the exam, offering educational opportunities and a decreased measure of anxiety.

We talked about the fact that as more diagnostic equipment such as radiographic devices become more mobile, the scope of care that will be able to be delivered in the home will expand dramatically.  This will serve to reduce use of ER and urgent care for more acute, complex complaints.  The service is offered as fee-for-service—patients pay using credit cards when the care is delivered.  In some cases third party insurors will reimburse for part or all of the visit, depending on plan.

Special Guests:

Scott Schnell, CEO, Co-founder of MedZed  Pinterest-logo  linkedin_small1  twitter_logo_small  instagram-logo-transparent-png-i11-16x16

MedZed

  • BGS, Accounting & History, University of Michigan
  • Former CPA
  • Previous SVP/ CFO of Simply Floored
  • Previous Chairman/CEO of Pike Family Nursing

Tiffany Holland, RN at MedZed

MedZed

Katarina Quinterno, Parent, MedZed client

Katerina