Insights success the 10 most valuable healthcare solution provider companies march 2017

The way of business solutions

www.insightssuccess.com March 2017

The

10

Most Valuable

HEALTHCARE Solution Provider Companies

In Focus

Exclusive

Ayurveda ‘A Medical Boon for Mankind’

A Snapshot of Epilepsy

Dr. Hsing-Hen Chen Founder & CEO

CereSoft Energizes Healthcare Cashflow Contemporary Predictive Analytics in Healthcare Jonathan M. Prince DataSmart Solutions

Hospital Logistics – Accelerating the Patient Flow in Danish Hospitals Hans Erik Henriksen Healthcare Denmark

Editorial

A

s the infiltration of technology and connectivity continues in the healthcare landscape, advancement and integration of connected healthcare hinges on cyber security. There is no doubt that the use of mobile technology helps us to improve communication and enhances access to needed clinical and non-clinical data that enhances care quality and workflow efficiencies, but it also associates the dark side of technology making healthcare, a lucrative target for hackers.

Healthcare, A New Playground For Hackers: Are We Prepared

IBM in its Cyber Security Intelligence Index mentioned that the healthcare industry was the most attacked industry by cyber criminals, comprising over 100 million health records from more than 8000 devices in more than 100 countries. Ponemon Institute released the Sixth Annual Benchmark Study on Privacy & Security of Healthcare Data revealing more disturbing realities about data breaches in the healthcare industry. The report revealed that data breaches had cost the healthcare sector $6.2 billion, and 8 out of 10 healthcare companies were hammered with two or more data breaches in 2014 and 2015.

Washington University School of Medicine on Dec 2, 2016, faced a phishing attack that may have compromised more than 80K patients’ record. On Dec. 28, Brand New Day discovered a potential breach of electronic protected health information where an unlawful user accessed the ePHI of 14,005 patients. On Dec. 30, MacKeeper Security Research Center found a misconfigured MongoDB database that contained data from over 200,000 patients and other sensitive information. The database which belonged to Atlanta-based Emory Healthcare was affected by the Harak1r1 the 0.2 Bitcoin Ransomware.

These alarming statistics and incidents are attributed to the cyber security risks whom the healthcare industry should address immediately and adequately. Healthcare organizations, hospitals, and clinics should educate their staff and train them for handling confidential information, particularly patients’ data. IT professionals associated with the healthcare institutions need to stay educated on the top affairs peculiar to the industry and adapt their security strategies as attacks are getting more complex.

It’s time to embrace new ideas and employ them to combat these new and very real threats facing the modern healthcare industry.

Sugandha Sharma

Editor-in-Chief Pooja M. Bansal Senior Editor Ariana Lawrence Managing Editor Sugandha Sharma Co-Editors David Smith Pooja Jain Stephanie Andrews Abhijeet Parade Visualiser David King Art & Design Director Amol Kamble Co-designer Alex Noel Picture Editor Shaila Buchade Art Editor Vijaykumar Dudhbhate Business Development Manager Mike Thomas Mary D’ Souza Marketing Manager Richard Davis Business Development Executives Andy, David, Peter, Chris, John, Brian Research Analyst Jennifer Circulation Manager Robert Database Management Steve Technology Consultant Vishal More sales@insightssuccess.com

March, 2017 Corporate Ofces: Insights Success Media Tech LLC 555 Metro Place North, Suite 100, Dublin, OH 43017, United States Phone - (614)-602-1754 Email: info@insightssuccess.com For Subscription: Visit www.insightssuccess.com 7

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CONTENTS

cover story

CereSoft Energizes Healthcare Cashow

10

28 Exclusive 22 In Focus A Snapshot of Epilepsy

Ayurveda 'A Medical Boon for Mankind'

CXO Standpoint

38 Hospital Logistics – Accelerating the Patient Flow in Danish Hospitals

26

Contemporary Predictive Analytics in Healthcare

Aerogen:

20

18

Cleveland Medical Devices:

Offering High Performance Aerosol Drug Delivery Technology

Improving the Delivery of Sleep Care

32

34

CloudMedx:

InXite Health Systems:

Serving Patients with Visual Insights & Predictive Analytics

Perfect Partner to Operationalize Value-Based Care

0

4 ITSourceTEK:

An Award-Winning Leader in the Information Security Industry

MaxMD:

42

Scalable Sustainable Healthcare Information Exchange

Disruptive Technologies Set to Transform Healthcare

2

017 is the year where emanated technologies will disrupt most industries and business. Healthcare is no stranger as these emerging technologies are beginning to reshape healthcare operations and become an integral part of everyone’s lives. Like Cognitive Computing, Health Wearables and Health Care bots, there are many innovative and exciting technology trends on the horizon, promising to leave an impression on healthcare delivery. Embracing this technological shift will not only revolutionize the healthcare but also allow institutions to transform into value-based care provider. As these technologies pave their way into the industry, organizations will need to prepare for the impacts on health care operations, existing models, workforce needs and most important: cybersecurity risks.

The importance and usefulness of the healthcare industries have made us to shortlist “The 10 Most Valuable Healthcare Solution Provider Companies.” Our Cover Story ‘CereSoft’, is one of a leading global Healthcare solutions provider, it stands alone in the Healthcare Industry to provide revenue cycle management that enables healthcare providers to streamline their cash receipts process and drastically improve their financial operation strategy and planning. Dr. Hsing-Hen Chen, Founder and CEO of CereSoft, is the pioneer behind the success of the company, he has been extremely active in Healthcare and more specifically with the Revenue Cycle Management (RCM) services for the past two decades. Their aim is to develop Revenue Cycle Transformation works with healthcare providers, of all types, to help them recognize the ways to boost their net income, accelerate cash flow, and decrease costs by addressing people, process, and technology components across the revenue cycle spectrum.

It is always interesting to know the story of every company we have listed. Insights Success Magazine, after in-depth research and studies, have come up with; Abivax: An Innovative Biotechnology Hub, Aerogen: Offering High performance Aerosol Drug Delivery Technology, Cleveland Medical Devices: Improving the Delivery of Sleep Care, CloudMedx: Serving Patients with Visual Insights & Predictive Analytics, GSI Health: A Healthcare Payers and Care Providers, InXite Health Systems: Perfect Partner to Operationalize Value-Based Care, ITSource TEK: An Award-Winning Leader in the Information Security Industry, MaxMD: Scalable Sustainable Healthcare Information Exchange, Well Nation: Your Company’s Wellness is Our Responsibility, considering the companies that are in the forefront to recognizing their best innovative healthcare solutions with excellence while setting the industry standards.

While flipping the pages of Insights Success Magazine, do not miss out scholarly articles on ‘A Snapshot of Epilepsy’ and ‘Ayurveda - ‘A Medical Boon for Mankind’ from the editorial desk. Also included are insights on Hospital Logistics: Accelerating the Patient Flow in Danish Hospitals, By - Hans Erik Henriksen, Chief Executive Officer of Healthcare Denmark, and Contemporary Predictive Analytics in Healthcare, By - Jonathan M. Prince, Chief Executive Officer of DataSmart Solutions from the Thought Leaders.

Hope you are ready to start off!

Cover Story

CereSoft Energizes Healthcare Cashflow

Dr. Hsing-Hen Chen Founder & CEO

‘‘

‘‘

We offer time-efficient ways to balance and post patient payments

Cover Story

T

oday, healthcare is constantly changing, and institutions are under tremendous pressure for delivering high-quality patient results and converted profit margins while adhering to a growing array of regulatory specifications and other dynamic forces.

Maintaining financial stability is a challenging but indispensable task.

Hospitals and healthcare systems are recognized for treating patients and saving lives; every healthcare organization is also required to develop favorable processes and strategies for staying financially stable. To operate efficiently and to use the money healthcare institutions earn to improve the health of the community, they must manage their revenue well. That is where healthcare revenue cycle management

For driving success attributes, we are

communicating,

listening, developing, delivering solutions and

in a timely fashion

plays a crucial role. Healthcare revenue cycle management is the financial process that facilities use to control the administrative and clinical functions connected with processing claims, cyclic payment, and income generation.

The process encompasses the identification, management, and collection of patient service revenue.

CereSoft’s Revenue Cycle Transformation works with healthcare providers, of all types, to help them recognize

the ways to boost their net income, accelerate cash flow, and decrease costs by addressing people, process, and technology components across the revenue cycle spectrum.

A Visionary Leader who is Transforming Thoughts into Reality Dr. Hsing-Hen Chen, Founder, and CEO of CereSoft, has been extremely active in Healthcare and more specifically with the Revenue Cycle Management (RCM) services for the past two decades. He has served as professor in Physics and Computer Sciences at the University of Maryland for more than thirty years where he has excelled and specialized in complex systems analysis.

“Our cloud-based platform that anyone with an internet connection anywhere in the world can access, monitor and work will provide significant cost reductions in the years to come,” says Hsing-Hen. The Inception Story CereSoft, a technology pioneer and forward thinking company, based in Silver Spring, Maryland, was founded in 1995 after Adobe Systems acquired Chen’s previous company “Nonlinear Technologies” which helped Adobe to build their Acrobat Capture product. For over 20 years, the organization has been a leader in a feature rich, real-time digital exchange with its clients in the healthcare industry, while demonstrating thought leadership in both healthcare knowledge and technology services throughout the United States. With over 200 employees worldwide, CereSoft maintains a workforce that can handle all of the revenue cycle needs of both large hospital systems and physician networks while providing the same platform for rural hospitals and small physician practices.

Total Healthcare Revenue Cycle Management Solutions CereSoft provides claims presentment to the payer gateway and accepts both ERAs and Paper EOBs for processing.

The company matches and balances that information with ACH/EFT payments and paper checks. CereSoft’s online portal processes both co-pays and the patient pays, which are integrated into the CereSoft Desktop Navigation System. The company provides a SingleTOUCH

“CereSoft is a Single View System that allows your entire healthcare billing information to be visible on a single digital stream” Methodology under a SingleVIEW. The MedAR financial management On-Line Navigation System reduces the hours required to process manual posting to billing systems, denial processing days, manual keying of transactions and time needed in balancing. MedAR On-line Navigation System allows the provider to view any electronic document with a single touch.

CereSoft’s great references, functionality, and ability to turn the paper processing in less than 24 hours allows them to be the fastest growing healthcare revenue cycle management services company in the United States.

Nowadays, CereSoft partners with many large banks’ lockbox operations for providing RCM services to the

healthcare provider clients for receiving, storing, balancing and posting all their daily receipts from insurance payers and patient payments in the form of paper EOBs and electronic remittances. Their flagship product and web portal, MedAR, allows users to handle correspondences, denials, underpayments, refunds, dependent claims, re-associations, etc. online within one single system.

Translating Vision into Reality CereSoft transforms healthcare revenue cycle into a cash accelerating single digital stream of information.

CereSoft vision is to have all the information at the healthcare provider’s fingertips for all areas of the A/R process.

Hsing-Hen says, “We want to work with healthcare providers to energize their cash flow by implementing forward-thinking technology and best practices methodology. Our astounding 12 step process transforms healthcare providers’ billing office A/R process.

In turn, the 12 step process reduces A/R days from 5 to 15 days which creates the environment where productivity is at an all-time high.”

Our Strategies for Your Success For the company, each project is as important as the other, and their approach for every project is the same.

They have a proven methodology for successfully implementing their plans

Cover Story

“

WE PROVIDE VARIOUS VIRTUAL FORMATS FOR YOUR DOCUMENTS FOR EASY PROCESSING, NAVIGATION, AND DATA ACCESS”

and one that their clients have been successful with.

CereSoft shares five cardinal steps for success: ● Say what you are going to do and do what you say. ● Support customer special requirements with the use of customized business rules. ● Support system performance with high speed, accuracy, reliability, and efficiency. ● Listen to your customer and respond quickly to customers’ feedback and wishes. ● Support integration of all fragmented components in one, deal with all document types in one and allow the searching, retrieval, and viewing of all data and file sources in one single system.

“In the beginning, customers are skeptical; the most difficult thing is to convince your clients that your system will indeed perform and provide the benefits you claim. You have to build your credibility slowly, and that takes time and patience,” says Hsing-Hen. CereSoft is always ready to provide technology to read, understand, interpret and extract useful data from documents of all kinds, paper and electronic, structured and unstructured. Currently, the company is focused on the healthcare industry as their primary target due to the urgency of needs and the size of the market.

Road to Future “Currently over 80% of our portal touch and feel design is directly inspired from inputs from our clients. We want a single system that can handle all kinds of file formats, paper and electronic, structured and unstructured data in one single application,” assures Hsing-Hen. CereSoft is always working on new ways of automation, new modules and for improving product efficiencies. A new denial management system that incorporates all ERA/EOB/Correspondence denials will be rolled out this spring. Financial forecasting for Accounts Receivable will also be enabled providing health care provider management a better understanding of cash on hand for the short-term and into the future. The company will also push out a general “AR-direct” product line that will help businesses in all industries to deal with their AR/AP needs online integrated with their bank accounts and procurement and payment systems.

The Apollo World of Care Assuring. Advanced. Accessible WHEN IT COMES TO THE HEART TRUST APOLLO www.apollohospitals.com

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Company Name

Management

Brief

Abivax abivax.com

Hartmut J. Ehrlich CEO

ABIVAX is an innovative biotechnology company focused on the discovery and development of anti-viral drugs and immunotherapeutics for prophylaxis and/or treatment of some of the world’s most life-threatening viral diseases.

Aerogen aerogen.com

John Power CEO

Galway firm Aerogen is the world leader in the design and manufacturer of high-performance aerosol drug delivery technology for hospitals and clinics.

CereSoft, Inc. ceresoft.com

Dr. Hsing-Hen Chen Founder & CEO

CereSoft’s MedAR platform for revenue cycle management enables healthcare providers to streamline their cash receipts process and drastically improve their financial operation strategy and planning.

Cleveland Medical Devices Inc. clevemed.com

Hani Kayyali President

CleveMed is a leader in medical technology and services for portable sleep testing, from monitors and cloud-based software for home sleep testing to full polysomnography. Their services and devices are based on clinical guidelines, are easy for patients to use, streamline workflow for healthcare providers, and lower costs for payers.

CloudMedx cloudmedxhealth.com

Tashfeen Suleman CEO

CloudMedx has a platform that leverages the latest clinical algorithms, machine learning technology, advanced natural language processing, and a proprietary clinical contextual ontology to improve clinical outcomes and lower cost.

GSI Health, LLC gsihealth.com

LeRoy Jones CEO

GSI Health’s a cloud-based software solution unite patients, health care payers and care providers of all kinds, enabling “whole person” care through efficient communication, workflow, information sharing, and built-in analytics and reporting-all in a single integrated platform.

InXite Health Systems inxitehealth.com

James Paat President, & CEO

InXite Health Systems is a healthcare innovation company committed to improving the health of the nation by operationalizing and optimizing patient-centered care coordination and value-based care.

ITSourceTek itsourcetek.com

Brian Arellanes Chairman, Founder & CEO

ITSourceTEK is an award-winning leader in the Information Security industry, providing strategic business and technology based cyber security solutions that leverage enterprise investments and improve efficiency to meet stringent compliance standards.

MaxMD max.md

Scott A. Finlay Co-founder, President & CEO

MaxMD is a leader in secure healthcare information technology and interoperability solutions.

Well Nation, Ltd. wellnation.com

Patrick J. Trotter CEO

Well Nation embraces technology to provide a wellness solution that is robust, comprehensive, inexpensive, and easy to set up.

Aerogen:

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Offering High Performance Aerosol Drug Delivery Technology

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Our aim is to offer superior clinical solutions in both drug and device to a global market

G

alway, Ireland firm Aerogen is the world leader in the design and manufacture of high-performance aerosol drug delivery technology for hospitals and clinics. Their products are used in emergency departments and intensive care units in over 75 countries.

Aerogen’s products are all based on a unique piece of technology called the Aerogen Vibronic; a palladium vibrating mesh just 5mm in diameter and perforated with 1,000 holes that vibrate at 128,000 times per second. The vibrating mesh creates a mini-pump effect, and the tiny holes produce a fine spray of medicinal particles that penetrate deeper into the patients’ lungs.

Aerogen’s technology can effectively aerosolize a vast range of proteins, peptides, suspensions and solutions, and this has paved the way for targeted drug delivery to the lungs for millions of patients worldwide.

A Visionary Exuberant behind Aerogen John Power, CEO of Aerogen, holds an MBA degree from Oxford Brookes University. As a Chartered Engineer, John is accredited with many commercialized International patents in areas ranging from robotics to life support ventilation. As an adjunct lecturer at the National University of Ireland, Galway, John gives guest lectures on his core business interests of Innovation Strategies and Technology Entrepreneurship. In 2016, in recognition of his contribution to the development of the Irish Medical Device sector John was conferred with an Honorary Doctorate by the National University of Ireland, Galway. Also, John is a

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salient member of the Board of the Irish Medical Device Association.

John’s vision to transform the technology John following his career focused on technology development in aerospace, robotics, automation, and medical devices, founded Aerogen (originally Cerus Medical) in 1997. “I left school at 16 and trained originally as a draughtsman, gaining my Design, Engineering qualification and later an MBA from night school. So, my passion for new product development and innovation developed from the ground floor up,” says John.

While working on the development of life-support ventilators for a global medical device company, John realized that existing methods of delivering drugs to critically ill patients on life support were destitute. While a vast amount of technology had gone into the design of ventilators, methods of drug delivery had not changed much since the 1960s.

The vision for the technology was to transform Aerosol Drug Delivery for the most vulnerable patients in an acute care setting.

Roughly, one in three people in Intensive Care Units (ICU) anywhere in the world is there because of respiratoryrelated conditions. Air is pumped into their lungs through a ventilator, and the challenge was how to get drugs into that airflow. Aerogen looked at all the technologies available and licensed an early stage technology out of Silicon Valley.

February 2017

offering to engage with ever larger sectors within your market always ensuring that you continue to delight your customer regarding performance quality and service.

John Power CEO Eventually, Aerogen perfected an optimum way of turning liquid drugs into aerosols, and Aerogen became the first company in the world to develop an Aerosol System that could deliver drugs effectively to respirators and neonates and pre-terms.

John’s Contribution towards Awards and Achievements John has been a founder of several technology start-ups and has held executive level positions in R&D, Operations, Sales and General Management in both SME’s and MNC’s. In recognition of his career in developing successful technologybased businesses, the European Business Awards declared John the European Entrepreneur of The Year 2015/16.

Aerogen has been recognized as the global leader in Aerosol Drug Delivery in the Acute Care setting, recording February 2017

over 30% CAGR 2008-16. Its products have been pivotal in treating more than 4million critically ill patients in over 70 countries around the world. This year for the third time in the last four years, Aerogen again received the prestigious Zenith Award from the American Association of Respiratory Care. In prior years the company has been awarded both the Irish Exporter of The Year and the Irish Medical Device Technology Company of The Year.

Aerogen’s classic way to handle successful customers and businesses The classic way to build a market for a new technology-based business such as Aerogen is to find Key Opinion Leaders and early adopters within a sector of our market where you truly offer the superior competitive advantage. Once you secure this market base, you can adapt your marketing message and product

Aerogen continues to allocate resources to R&D and Marketing well above industry norms, and this is the key to it’s continued success. Within marketing strong brand management is crucial, and John sees Aerogen product users as their best marketers. “The day you see your customer enthusiastically recommending your products to their peers is the day you know you have got this right. It is then essential that you continuously innovate and delight these customers while always protecting and reinforcing your brand equity,” assures John.

Flourishing Future of Aerogen The company created a Blue Ocean market in high-performance aerosol delivery within the acute care market and intended to drive that advantage broadly and profoundly to the hospital so that anywhere an aerosol drug is required Aerogen can reach be there.

John says that this drive for market dominance extends past medical devices alone as the Aerogen has been working on the development of its own proprietary specialty pharmaceutics platforms. Power stated that by 2021 Aerogen will have two of its own drugs on the market, one of which will be the first nebulisation of life-saving surfactant to the lungs of premature babies. “I really believe we have the people and technologies that can offer a huge clinical advancement and in doing so make Aerogen a truly great Irish company,” John assured.

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Cleveland Medical Devices:

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Improving the Delivery of Sleep Care

Our bodies are designed to sleep 1/3 of our lives; yet, millions of sleep apnea sufferers lack that basic need. But healthcare is changing. Patients have now access to faster and more affordable solutions to restore their natural sleep and we are glad to be part of that change

“ “

S

leep is the golden chain that binds health and our bodies together,” written by Thomas Dekker. Sleep apnea is a chronic condition that interrupts patient’s breathing during the night repeatedly, which exerts significant stress on the heart, lungs, and other organs not to mention hundreds of thousands of serious vehicle accidents each year due to daytime sleepiness. It affects over 20 million patients in the U.S and more than double that number worldwide. In the U.S, 80% of those patients remained undiagnosed and untreated due to cost and encumbered access to sleep diagnosis which requires multiple visits to doctors’ offices and sleep testing facilities.

Cleveland Medical Devices (CleveMed) manufactures and markets small patient monitors and associated services that allow healthcare providers to test sleep apnea patients in their homes. If there is one medical condition that can benefit from diagnosis in the home, it would be a sleep disorder because patients remain in familiar surroundings that are conducive to natural sleep.

In addition to convenience, recent technology improvements have lowered the cost of home-based sleep testing to become one-fourth that of facility-based testing.

The result is a dramatic growth in home-based diagnosis.

Annual home sleep studies that used their system have grown from a few tests in 2011 to nearly 20,000 last year.

Although, market timing was critical for their success, their technology and business model are just as important.

Quality of service makes CleveMed unique CleveMed offers the smallest and lightest home sleep

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monitor that exceeds clinical guidelines; yet, it requires a very simple sensor hookup. Therefore, they can achieve high-quality recordings in a very easy-to-use process. In addition to testing simplification, CleveMed offer services that are unique to monitor manufacturers in this market space. These services range from scoring and interpretation of sleep studies by qualified specialists to fulfillment capabilities that many healthcare providers lack, such as mailing monitors to patients’ homes, replenishing supplies, and patient phone support. This multitude of offerings allows customers to pick and choose the solution that best fits their needs, especially with regards to practice workflow, local sleep specialty availability, and insurance contracts.

Therefore CleveMed is coming with a unique business model. Unlike competitors who handle the testing process through a virtual national provider, they improve access to sleep care by keeping it local and by expanding the number of healthcare practitioners who participate in sleep care.

Whether it is to expand services of existing sleep facilities to outlying clinics, start a new outreach program, or engage primary care providers, their products and services make sleep testing more accessible. Not only will this method maintain the local patient-doctor relationship during diagnosis, but during treatment as well. To succeed, business models need to maintain continuity of care.

A shrewd leader behind CleveMed Hani Kayyali, President of CleveMed has over 25 years of medical device experience and has been president of February 2017

Hani Kayyali President CleveMed since 2005. Prior to joining CleveMed, Hani held managerial positions in two startups, Biomec and Axon Engineering, and played critical roles in their technology growth and ultimate successful exits. Hani received his masters in biomedical engineering and MBA from Case Western Reserve University (CWRU), has 13 issued patents, and more than 25 publications. He also sits on the Industrial Advisory Board for the BME dept. at CWRU. Hani’s greatest contribution to building a winning team Hani successfully transitioned the company from a research firm to a fast growing company by spinning off three companies, building a highly talented team focused on sleep disorders, establishing strategic partnerships, and securing significant investments in CleveMed. As a result, CleveMed developed a wide array of sleep products and web-based solutions that February 2017

are leading the market with consistent double-digit growth rates.

Hani says, “We can offer a number of products and services because we are the original designers and manufacturers of the technology. In addition to allowing us more control over costs, customer support, and speed of upgrades, our technical capabilities generated an unparalleled Intellectual Property (IP) position (we have over 20 issued patents and another 25 patents pending). Our patents cover current products and new technologies under development. One area of focus for future development that mustered four issued patents and many more pending patents relates to continuity of care; namely, conducting cost-effective home studies to assess therapy efficacy. I believe we are the only home sleep testing company that offers this kind of product flexibility with such patent strength.”

Successful Clients, Successful Business, Successful Future Sleep apnea care will be better, faster, and cheaper. However, it will not be easy due to declining reimbursement.

One area that can save costs without compromising quality is stronger engagement of First Encounter Providers; healthcare providers who first see the patient like family doctors, nurse practitioners, and many others.

Uncomplicated sleep apnea patients are commonly referred to a sleep physician; however, as many research studies have shown, First Encounter Providers, under the purview of sleep specialists, can effectively screen those patients and order the sleep study during the initial patient encounter; thus saving time and money. This is especially true for patients who are unable or unwilling to go to a sleep facility. So, as long as sleep expertise supervision is afforded, there are certain steps that can improve access to care without compromising it.

Healthcare providers need not create completely different solutions to lower costs; rather they need to retool current workflows. Their solutions allow for those new workflows to happen.

The best part of the company is its people. Future projects will hire likeminded resources that will be trained and empowered by the current team.

“The upcoming years will be transformative,” says Hani.

Hani’s attribute for success Hani attributes his success to perseverance and surrounding himself with the right team. Perseverance and relying on talented, caring resources seem like a cliché answer, but it is the right one.

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In Focus

A

yurveda, Ayur is ‘Life’ and Veda is ‘Science’ so Ayurveda is the ‘The Science of a Life’ the traditional medicinal practices of India and the oldest Healthcare system in the world, having lots of benefits of Ayurvedic medicines over modern medicine.

Evolved with the profound understanding of the universe and its creation, a system of both preventive and curative medications, Ayurveda has been used for at least 5000 years or 10, 000 years. Ayurveda realizes that everyone is distinctive and consequently, each person’s path towards ultimate health is unique. Halpern, Founder and President of the California College of Ayurveda frequently say, “Nothing is right for everybody, everything is just right for someone.” Ayurveda is just a way of understanding what is right for you. Ayurveda helps people to know just what types of food, colors, aromas, sounds and touch will make a state of equilibrium and harmony inside the head and body, and it's a boon for mankind.

When the body and brain are in harmony, the regular structure is restored, and healing takes place. Ayurveda defines physiology with regards to 3 forces called Doshas.

Each person has all 3 of those doshas with them. The equilibrium of these three doshas in the moment of pregnancy defines what Ayurveda calls one’s structure or Prakruti. These doshas also fluctuate by exactly how we live our lives and as they decrease or increase they cause different conditions inside the head and body. The goal of Ayurveda is to bring back the right balance of those physiological powers. This is accomplished by using one’s senses properly and living a healthy lifestyle. Ayurveda uses diet, colors, aromas, sounds and touch to restore equilibrium. Ayurveda is among the most advanced herbal sciences in the world and herbal medicine plays a huge role in Ayurveda.

A Natural Gift to the World!

Ayurveda advocates optimum health with whole natural science. Ayurveda teaches us to synchronize our body,

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mind, and soul with the rhythms of nature. Also suggest that if we follow good morning startup with the natural routines with proper diet and aromas that heal our body, mind, and soul, and it gives disease free uncomplicated life. We need to strive towards achieving this perfect balance because balance is health while an imbalance is what is known as illness or an ailment.

Ayurveda balances all the doshas like; Vata, Pitta, and Kapha which is the solution to bring most of the diseases to termination, even before they destroy the operations of the human body or inhibit with the smooth functioning of the internal organs. Not only does Ayurveda gives best detox therapy, but Detox as an ideology is also something that can happen in our body with peace in the heart and calmness in our minds. With this practice, there is a total match of the process to excrete impurities and surges health and wellbeing.

The Big Question “Is Ayurveda an Alternative to Modern Medicine?”

It is important to realize that Ayurvedic medicine and western medicine are not competing, but sometimes western medicines are appropriate, or at other times, Ayurvedic medicines can be the key. However, Ayurvedic herbal medicine has been demonstrated to be far more effective than western medicine when dealing with chronic conditions.

As the name suggests, Ayurveda has a very detailed description of every aspect of not only health but of life.

Modern medicines are responding admirably to crises which require quick, intensive, invasive intervention and deals far less effectively with slowly progressing degenerative diseases. For that, drugs as panacea gives us relief from the sickness and pains or painkillers give temporary relief for the pain, but cause serious side effects too in our body, drugs can be a panacea or poison too.

Those side effects generate other diseases, and the chain is

February 2017

In Focus

the healing that gives physical and mental benefits, naturally. People are struggling with excess fat, calories, joint pains, mental disorders, etc. It helps in healing a patient’s whole mind, body, and soul, improving the overall quality of life. Ayurveda helps to treat in different ways: going on. So, it will be better than cure further, go with natural treatment and live healthy.

In Ayurveda, from the ancient times ‘Yoga’ and ‘Holistic Healing’ is the major part of the natural treatment and has been a part of the people’s life, not only in India but the world also, western culture also grasps it. Holistic healing is

February 2017

Immunity Boosting: The immune system is the natural defense mechanism of the body, it contributes to fighting with disease-causing bacteria and virus. Ayurvedic medicines, home remedies for treatment, made by the multitude of herbs and oils mixed to produce a tonic that increases appetite and strengthens the body’s immunity.

Heals Completely: The Ayurvedic treatment involves

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In Focus

changing the peoples lifestyle and increasing physical activities. Herbs preparations administered by the Ayurvedic practitioner which helps in treating the diseases and it’s symptoms along its root.

Stress Relieving: Stress is one of the significant causes of poor health and the tonics, therapies, and massages included in Ayurvedic treatment supports in reducing stress and improving physical well-being by restoring the state of mood and bringing about a harmony between the soul and the body.

Body Purification: Purging the body of toxins and prolonging it at the proper balance is the core aim of Ayurveda. The Ayurvedic drugs and tonics promote thorough cleansing from within to increase overall health.

Panchakarma is the most effective cleansing Ayurvedic treatment.

Important Ayurvedic Healing Treatments Nowadays, everyone refers to Ayurveda as an alternative and some extent lower level or poor science and is frowned upon, just because western reasoning doesn’t accept or know any other science doesn’t make it less necessary. The advantages of Ayurveda are so powerful that even in the 21st Century; these practices are extremely popular for living healthy.

Abhyangam: ‘Rheumatic complaints, stiffness of joints, spondylosis, spondylitis, back pain, sports injuries, and frozen shoulders’ Abhyangam is the general full body hot oil massage with medicated herbal oil in the dosha according to the medical condition of the patient using medicated oils on a daily basis as a part of the lifestyle to ease pain and reduce fluid accumulation, aiding the removal of toxic accumulation. It is a very effective rejuvenation therapy which improves cellular regeneration, circulation, immuno-modulation, and sound sleep. It is an effective treatment for rheumatic complaints, the stiffness of joints, spondylosis, spondylitis, back pain, sports injuries, frozen shoulders, etc.

ElaKizhi (PatraPotaliSwedan) or Swedana: ‘Chronic Back Pain, Rheumatic, Arthritis, and Paralysis’ ElaKizhi (PatraPotaliSwedan) or Swedana also called as sweating, is an effective method to treat the patients of Arthritis, paralysis, chronic back pain, rheumatic complaints, pain and swelling in the joints and the emaciation of limbs. This treatment is done by the

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Medicinal leaves, herbs bundle, are processed or dipped into the medicated oils. This Ayurvedic dose is also effective to stimulate and strengthens the nervous and muscular systems, reduces stiffness and pain, increases the circulation and metabolic rate, and improves the skin tone.

NjavaraKizhi or Pinda swedam: ‘Treating to strengthen nerves and muscular pain, arthritis, sciatica, paralysis, sore muscles weakness, blood pressure and cholesterol levels’ Njavara Kizhi or Pinda swedam is one of the effective massage therapy, which follows the process of perspiration induced body scrub followed by a rejuvenating bath. It is very effective special Kizhi therapy that helps to treat muscular pain arthritis, sore muscles, and general weakness, and paralysis, also helpful for regulating high blood pressure and cholesterol levels. It improves and render strengths of muscles, nerves, and purifies blood and is beneficial for all types of joint pain, rheumatism, and emaciation of limbs, sciatica, and certain kinds of skin diseases. Also, this therapy improves the general body weakness, the skin color, and complexion.

Sirovasthi: ‘Deafness, degenerative brain, Parkinson’s, and insomnia’ Sirovasthi Ayurvedic treatment includes retaining of medicated oils over the head for a given period. The medicated lukewarm oil is allowed to retain over the head for about an hour within a leather cap fitted around the head. This effective treatment helps to cure a chronic headache, psychosomatic stress, facial paralysis, cataract, earache, deafness, insomnia, and other diseases that afflict the cranial nerves, degenerative brain diseases like Parkinson’s, insomnia, stress and rheumatic diseases.

Sirovasthi stimulates the nervous system and promotes mental concentration.

“Ayurveda gives us back both responsibilities for our wellbeing as well as the power to create our state of health.

Ayurveda teaches us that we are all unique individuals and that each individual’s path toward perfect health is equally unique. Ayurveda is not a dogma of “how to”; rather it is a system that illuminates our unique journey and helps to guide us to our destination,” says Dr. Marc Halpern.

February 2017

CXO Standpoint

CONTEMPORARY PREDICTIVE ANALYTICS IN HEALTHCARE

Jonathan M. Prince CEO DataSmart Solu ons

CXO Standpoint

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echnology in healthcare has never been more important than is today, and its role is growing by the hour. The industry has moved from lab screen analysis, record keeping, and claims processing into the realm of ‘Big Data’, machine learning, predictive analytics, and far beyond. Rapidly-evolving technology is contributing in significant ways to measure and reduce healthcare costs and improve care quality. Let me illustrate with an example from one company, DataSmart Solutions.

DataSmart aggregates and analyzes medical and pharmacy claims data (and other important supplemental types of data outlined below) to create a statistically-reliable risk score for individuals that belong to employer health plans. These risk scores, produced in conjunction with the Johns Hopkins University ACG® system, are forward-looking, or predictive, in nature. The goal of the analysis is to spot emerging high-cost claimants well before their condition deteriorates and becomes advanced or life-threatening.

Once risk scores are assigned to each plan participants, nurse clinicians and population risk managers prioritize the participants and deploy intervention resources in descending order, addressing the highest risk plan participants. In this manner, health care professionals prevent higher risk cases from escalating into major crises and higher expenses for the plan.

Lastly, a careful study of the data enables important refinements to be made to benefit plans to encourage higher utilization of the highest-value medications, the best facilities, and the best providers.

Interestingly, Pareto’s Law (also known as the ‘80/20 Rule’) appears in dramatic fashion in population risk management and healthcare. In short, a small percentage of the covered lives accounts for a disproportionate share of plan expenses.

Most wellness programs focus efforts upon the masses (i.e. the 80%). However, in actuality, most of a plan’s expenses originate with a small number of plan participants (i.e. the 20%). In fact, as few as 3-5% of plan participants routinely account for one-half of a health plan’s expenses, somewhat regardless of the plan, the geography, or the demographics of the population. Imagine the impact on health that could be realized if the 3-5% could prevent their condition from deteriorating. Early detection of this small percentage also presents a great opportunity to lower the overall cost of care.

Diabetes, cardiac conditions, and even some cancers can be readily identified in early states by the pro-active use of predictive analytics.

A similar statistic of similar importance relates to the non-repetitive nature of high cost claimants. Approximately 60% of those appearing on list of highest-cost claimants in a given plan year appear on this list for the first time. In short, the majority of the highest-cost claimants from year-to-year are new to the list. This creates a challenge, because medical and pharmacy claims data does not exist for many lives on the plan, and even if it did, it would not provide sufficient data to predict future risk. Further, approximately 20% of plan participants will not enter the medical system in any given year, and within that group, there are many ticking time bombs.

To address this problem, plan managers often include financial incentives to participants to encourage them to engage in activities that generate usable, statistically-significant data. Valuable sources of data include blood screens, biometric information, vision tests and special health risk questionnaires. As this data is collected and analyzed, it can serve as a surrogate for medical claims. Today, leading edge analytics companies have found that many non-claims elements are less-expensive, more accessible, and more statistically-valuable than claims records. In short, the more relevant data available, the better.

As a final thought, the actions taken [upon analytically-derived findings] are at least as important as the findings themselves. Those who lay these risk markers aside are no better off than a person who fails to follow his own advice.

The scientist James E. Talmage once told an unconfirmed, but illustrative, story involving “…an epidemic of cholera in a great city in which a scientific man proved to his own satisfaction, by chemical and microscopic tests, that the water supply was infected, and that through it contagion was being spread. He proclaimed the fact throughout the city, and warned all against the use of un-boiled water. Many of the people, although incapable of comprehending his methods of investigation, far less of repeating such for themselves, had faith in his warning words, followed his instructions, and escaped the death to which their careless and unbelieving fellows succumbed. Nevertheless, in a moment of forgetfulness he drank of the unsterilized water, and soon thereafter died, a victim to the plague.”

The moral to the story is that information is only as valuable as the measures taken to act upon it. Nowhere is this more true and applicable than in healthcare.

February 2017

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pileptic patient’s brain gets choppy in their minds, and suddenly they are faint and fall down on the floor. When they wake up, they were lost or unconscious, and they don’t know what they did before and what happened to them.

During unconsciousness, they were suffering from an abnormal activity in their brain cells and were affected with seizures. They are suffering from the neurological disease called ‘Epilepsy.’ A person with epilepsy will tend to have the same type of seizure each time so that the symptoms will be similar from episode to episode. But the duration of the time of the seizures are undetectable and episode’s time durations varies from patient to patients, as some patients also feel the stigma.

Symptoms The basic symptoms of epilepsy are abnormal activities in the brain cells, and the patient feels temporary confusions, a staring spell, psychic symptoms, uncontrollable jerking movements of the arms and legs, and loss of consciousness or awareness. Seizures can affect any process in the patient’s brain, and symptoms will be similar from episode to episode.

According to the doctor’s classification, seizures classify as Focal or Partial Seizures, and Generalized Seizures based on the abnormal brain activity begins.

Focal or Partial Seizures Focal or Partial Seizures are those seizures that appear as a result from the abnormal activity in just one area of the brain, categorized into two parts:

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February 2017

Exclusive

Focal Seizures: Without loss of consciousness or the simple partial seizures, these seizures don’t cause a loss of consciousness. A patient may alter emotions or change the way things look or feel. They may also result in automatic jerking of a body part, such as the legs or arms, and spontaneous sensory symptoms such as dizziness, tingling, and flashing lights.

Focal Dyscognitive Seizures or Complex Partial Seizures: These seizures involve a change or loss of awareness or consciousness. During a Focal Dyscognitive seizure, a patient may stare into space and not usually respond to the environment and perform constant repetitive movements, such as hand rubbing, chewing, swallowing or walking in the circles.

Generalized Seizures Seizures that appear to affect all areas of the brain are called generalized seizures. Six types of generalized seizures that exist are: Absence Seizures: These seizures generally occur in children and are characterized by staring into space, with patients having subtle body movements such as lip smacking or eye blinking. These may also occur in clusters and cause a brief loss of awareness.

Tonic Seizures: These seizures generate stiffening of the muscles, usually affecting muscles of the back, arms, and legs and may cause patient to collapse.

Atonic or Drop Seizures: These seizures cause a loss of muscle control, which may cause a patient to fall suddenly.

Clonic Seizures: These seizures are February 2017

associated with repeated or rhythmic, jerking muscle movements, and usually affect the neck, face, and arms of the patient.

Developmental Disorders: Disorders such as autism and neurofibromatosis can sometimes be associated with epilepsy.

Myoclonic Seizures: These seizures usually appear as sudden brief jerks or twitches of arms and legs.

Head Trauma: In head trauma, car accident or traumatic injury is the result of epilepsy.

Tonic-Clonic Seizures: These seizures cause an abrupt loss of consciousness, shaking and body stiffening. This category of seizures is the most dramatic type of epileptic seizure.

Sometimes a patient can bite their tongue and may lose control over urinary bladder.

Infectious Diseases: Infectious diseases like AIDS, viral encephalitis, and meningitis can generate epilepsy.

General Causes Epilepsy’s 60% of cases are unknown or unidentifiable, although some people have epilepsy as the result of some brain conditions such as brain stroke, brain injury, brain tumors, brain infections, blood clot, congenital disabilities, genetic mutations, abnormal nerve cell activity, and development disorders. Seizures may also occur as a consequence of other health problems; if they occur right around a particular cause, like toxic ingestion or metabolic problem, stroke, and head injury. These seizures are identified as Acute Symptomatic Seizures, having a wider classification of seizure-related disorders rather than the epilepsy itself. Causes of epilepsy are identifiable and are related to various factors: Genetic Influence: Researchers have combined some sorts of epilepsy to specific genes, though it’s measured that up to 500 genes could be attached to the condition. For most people, genes are only a part of the cause of epilepsy that runs in their families.

Several genes may make a person more sensitive to environmental conditions that trigger seizures.

Prenatal Injury: Babies are too sensitive to brain damage before birth.

Hence, epilepsy could be caused by some factors like poor nutrition, infection in the mother, and oxygen deficiencies, as the part of brain damage also can create cerebral palsy.

A doctor detects epilepsy with an Electroencephalogram (EEG) test, with this test doctor find out the activity of the brain with electrical activity. In EEG test, small metal discs with thin wires (electrodes) are placed on the scalp, and then send signals to a computer to record the results.

Life-threatening Complications & Risks The most common risks for epileptic patients are collapsing during the seizures, wherein patients can get injured themselves anywhere on their body (from tip to toe). Car accidents are common during seizure due to patient’s loss of awareness. Drowning can be another cause of death for the epilepsy patient because of the possibility of having a seizure in water.

Seizure during pregnancy can cause Pregnancy Complications, posing dangers to mother and baby. During pregnancy, anti-epileptic medications increase congenital disabilities and can have serious side-effects.

For epileptic patients, the risk is

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everywhere, and it makes ‘Life-Threatening Complications’ in their lives. Epileptic patients may have the risk of Sudden Unexplained Death in Epilepsy (SUDEP). According to the research, the cause is unknown, but it may occur due to the heart or respiratory conditions. People with regular tonic-clonic seizures or people whose seizures aren’t managed by medications will be at greater risk of SUDEP. Overall, about 1 percent of patients with epilepsy die of SUDEP.

Status Epilepticus is a condition where the patient is in a state of continuous seizure activity lasting more than six minutes, and a patient has frequent recurrent seizures without regaining full consciousness. In that case, patient’s status epilepticus have an increased risk of permanent brain damage and death.

Persons with epilepsy are expected to have more psychological problems, especially anxiety, and depression, in extreme cases, suicide. Problems may be a result of complications dealing with the condition itself as well as having medication side effects.

“No seizures, no side effects” is the slogan for epilepsy treatment. Not every person will reach that goal right now, but research getting the “right care at the right time” can help more people achieve it each year.

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February 2017

YOUR RECOVERY IS ALL THE REWARD WE NEED www.sanchetihospital.org

CloudMedx:

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Serving Patients with Visual Insights & Predictive Analytics

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Building a world class clinical artificial intelligence platform

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he healthcare system in the US is one of the most advanced in the world. However, healthcare professionals are overburdened with an aging and increasingly sick patient population and a hodgepodge of health IT systems. The utopian goal for these systems was to help alleviate this burden and make healthcare providers more efficient. However, that is not the case. In fact, it is further adding work to the already overextended healthcare provider.

To handle data properly, CloudMedx provides real-time visual insights and predictive analytics on a per-patient level as well as around population clinical risk and outcomes based on machine learning, natural language processing, latest clinical algorithms and a clinical contextual ontology.

The CloudMedx analytics platform can process both structured and unstructured data from healthcare workflows to capture all relevant clinical and financial information for each patient. Using this data, CloudMedx generates outcomes insights and allows care providers to make take actions that may reduce readmissions, close gaps in care, ensure accurate medical coding and appropriate treatment based on evidence-based guidelines.

Lend a Hand to Healthcare with CloudMedx Tashfeen Suleman is the CEO of CloudMedx. His mission is to save lives through technology by early disease

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detection and prevention. Tashfeen has over 13 years of technical, entrepreneurship and executive management experience with companies such as Microsoft. He is a CS major with industry experience in big data, technology product design, development, and commercialization Tashfeen’s father was mis-diagnosed at the ER that resulted in a subdural hematoma. This motivated him and his Co-founder, Sahar Arshad, to build this business by asking the fundamental question: “What can be done to prevent misdiagnoses and help doctors make better decisions faster, and lead to improve outcomes for the patient?” Electronic medical records (EMRs) capture large amounts of patient data ―vital statistics, medical history, symptoms, medications, test results and reports, etc. ―but this data is not readily available in an intelligent, usable way. With the power of the smart clinical platform that uses machine learning and natural language processing it can help doctors to surface the right insights at the right time to help doctors make time critical decisions and save lives.

Overcome the crux of the matter There is a lot of fragmentation in healthcare, which has resulted in silos. Most healthcare organizations have been used to use multiple software solutions to achieve their goals, which CloudMedx believe is not optimal. So they provide a one-box solution and one point of contact to their customers for all their data needs. They are also open to partnerships and offer their features and products as

February 2017

we must change the entire model around the EHR and make it a conduit for empowerment, not burnout.

Clinical analytics tools that are more focused on predictive analytics will allow doctors to see key trends in large patient populations that can be applied to individual patients, thereby allowing doctors to make informed decisions at the point of care and not be flooded with information that is not insightful or non-useful.

Tashfeen Suleman CEO modules or APIs that 3rd party players can use to augment their offerings.

To improve care, it is essential to have complete information about the patient with useful insights. This can be done when all relevant patient information is available in one place with the ability to read through all data and algorithms to generate insights which can help in better treatment, early detection and/or prevention. CloudMedx makes integration seamless, can read through structured and unstructured data (80% of all medical data is unstructured) and provides insights beyond basic business intelligence.

Documentation: A boon or a bane!

In the post EHR deployment world, clinicians have become glorified data entry staff struggling with the nuances of lengthy documentation, multiple

February 2017

forms and templates.

The introduction and continuous update of EHRs has been both a boon and a bane for healthcare professionals.

A boon because we now have a huge opportunity to document health electronically and therefore, link observable clinical patterns with up to the minute research and insights on the population as a whole. A bane because data entry comes at the cost of patients not getting critical face time with their doctors. Instead, this encounter becomes documentation driven rather than patient centered. These collective workloads combined with perverse productivity can result in unnecessarily tragic outcomes or a high cost intervention when a well-timed, low cost treatment would have sufficed.

Unfortunately, the patient has the most to lose in either scenario. That is why

Served the Purpose of Customers Enterprise sales are hard and enterprise healthcare is even harder and slower than many other industries and therefore being personal with contacts really helps as people buy from people.

It is vital to have a great product but there are other factors that are equally important such as great customer service, consistent communication, influential partners etc.

CloudMedx will get right on Technology CloudMedx help with streamlining workflows – presenting the right information to the right person at the right time; help with improving patient outcomes – using population level data to move towards each individual and help with reducing costs.

The technology that they have built is very powerful and is not only useful for care providers but can be extended to many other kind of users. Some of their future projects will utilize the underlying technology with specialized use cases for these new users.

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InXite Health Systems:

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Perfect Partner to Operationalize Value-Based Care

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We are committed to improve the health of the nation, through better healthcare coordination

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he healthcare industry is evolving swiftly, with pressure coming from new regulations and changing demographics. The healthcare landscape is in a near continual state of reinvention, and getting to the right approach to demonstrate the value of care is essential for healthcare institutions. Healthcare providers and public health experts aim to enhance quality while staying nimble and adapting to the value-based care models: maximizing value for patients and delivering the best outcomes at the lowest cost. The transformation from fee-for-service model to patient-centered coordinated care is well under way; the challenge in embracing value-based care model should not be underestimated, given the entrenched interests and practices of many decades.

Columbus, Ohio-based InXite Health Systems is a healthcare innovation company, acting as a catalyst, expediting the transformation of all stakeholders including payers, health systems and providers in the U.S. healthcare system providing the technology, services, and expertise needed to operationalize and optimize patient-centered coordinated care.

InXite Health Systems’ mission is leading the way in delivering a truly effective and cost-efficient value-based care solution for health care industry participants. The company leverages proven technologies, techniques, approaches and business models to help overcome the main challenges payors and providers face in moving from the fragmented, “Pay-for-Service” model to the desired patientcentered, team oriented “Value-based Care Model.”

Meet the Maestro behind InXite James Paat, CEO of InXite Health Systems is a serial

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entrepreneur and recognized industry expert in the fields of data integration, information sharing, collaboration, and innovation. James brings 30 years of experience with Global 1000 companies, government agencies, payers and healthcare providers to identify, build, implement, and manage effective data sharing strategies.

Under James leadership, InXite stays intensely occupied with the industry’s current challenges and ahead of the opportunities to ensure that the value-based care solution they provide address the most pressing issues and opportunities in the fast changing health care landscape.

James assures, “Through our Managed Services offering; we are responsible for operationalizing and optimizing value-based care on behalf of our Customer. InXite becomes an extension of our Customer’s staff responsible for providing the expertise, technology and patient navigation resources required to capture new value-based care related incentives and avoid potential penalties associated with poor patient outcomes.”

Revolutionary Spectrum of Products & Services The InXite system was designed to address the most critical challenges healthcare organizations face in moving to value-based care: 1) Getting the right and relevant data that helps better understanding of the risks and needs of the patient; 2) Effectively and cost-efficiently turning that data into information insights that are actionable for improving patient outcomes; and 3) Creating near real-time interactive views of the data to help payers and providers make the better decision for

February 2017

unique technology, resources, approaches and business models.

Specialized Apps optimized especially for clinical workflow are designed to integrate with InXite SmartCare Coordination platform to seamlessly help providers and organizations achieve quality standards, enhance reimbursements and simplify reporting.

James Paat President, & CEO continuously improving patient outcomes.

What especially makes the InXite value-based care platform unique is that the solution does not simply provide a point-solution for an individual stakeholder, but rather provides a system that enables all stakeholders including the payor, health system, and small-to-large providers to effectively coordinate care and better engage patients which will drive improved outcomes.

directed care plan, the InXite system alerts appropriate individuals so that a proactive intervention can be made.

The platform automatically records results and renders it into the InXite’s Patient Need Score and Health Score which allows the provider to understand the needs and risks of the patient better. InXite’s distinct features also deliver weekly reminders to the patient about appointments and medications, while sending alerts to Patient Navigator when items on the care plan are not adhered to.

InXite Smartcare System creates a single, unified, shared care plan for the patient and the patient’s care team. The advanced care coordination and patient engagement capabilities of the system enable the providers to better coordinate tasks and significantly improve on how they can engage the patient to follow the care plan. If a patient is not following provider-

Care Coordination Services & Consulting leverage advanced technology and care coordination expertise to help providers meet quality and service standards, without having to invest in infrastructure and personnel. The company significantly reduces the time, effort, resources and costs for a provider to implement any value-based care model by providing

February 2017

Continuous Innovation InXite continuously follows technologies and innovations that can help play a role in improving patient outcomes. That includes data interfacing and interoperability, mobile, video, messaging, wearable devices, cognitive thinking solutions, social media and analytic tools. The InXite System was designed as an open system so that they could easily add new functionality and third party apps as needed. “We are careful to select and implement new technologies and apps, so it is a seamless workflow,” says James He adds “At InXite, we use that same creative process to imagine how we can improve patient outcomes and overcome obstacles payors and providers face. We are always striving to be the best and deliver as much value as possible.”

InXite is positioned firmly to be the leading value-based care platform. The company project significant growth in overall patients served, provider and payor relationships. They are continuously improving technology, enhancing their partnerships, and expanding their reach.

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A PERSONAL TOUCH TO YOUR BETTER TOMORROW www.jehangirhospital.com

CXO Standpoint

HOSPITAL LOGISTICS: ACCELERATING THE PATIENT FLOW IN DANISH HOSPITALS

or more than a decade hospital productivity has been a priority in Denmark. A focus on quality and quality improvements has reduced the rate of re-admittance to Danish hospitals and a demand from central authorities on hospitals to increase their productivity by 2% every year, has during recent years resulted in a lot of new initiatives and innovations. With a re-organization of the Danish hospital structure, this has led to a total productivity increase of 30% since 2003.

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For more than a decade, Danish hospitals and companies have worked together on improving logistics in hospitals. The overall aim has been the creation of just-in-time solutions in order to optimize coordination and efficiency and reduce the patients’ length of stay.

The concept of Hospital Logistics and Solutions to improve logistics and create just-in-time scenarios in hospitals is another factor behind the productivity increase which is further explained in this article.

In Denmark, the focus on hospital logistics has played an important role in achieving a 30 pct. increase in hospital productivity since 2003. Optimizing hospital logistics within different areas of hospital services and needs, including supply logistics, clinical logistics, sterile goods and sample logistics can accelerate the patient flow and lead to increasing hospital productivity.

Healthcare systems around the world are challenged by an increased share of elderly citizens and chronically ill patients as well as more expensive forms of treatment.

These factors are causing a significant demand pull in terms of treatment needs as well as expectations, which accentuate the need for our healthcare systems to work smarter on all levels. Therefore, hospitals need to consider means to increase efficiency and productivity in order to be able to treat more patients without increasing costs.

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‘Just-in-time’ logistics Innovative hospital logistics solutions are already implemented in Danish hospitals in

February 2017

Hans Erik Henriksen Chief Executive Officer

Healthcare Denmark order to reduce delays and waiting in order to speed up the patient flow.

At the New Aarhus University Hospital, a fine-meshed IT system will enable real-time localization of people and equipment right down to room level.

At Aalborg University Hospital, the introduction of a similar and new solution has resulted in a close to 20 pct. efficiency increase.

Danish solutions for just-in-time logistics include systems for locating and tracking staff and equipment, solutions for automating basic and repetitive tasks, as well as solutions for guiding patients around the hospital, all of which help avoid delays and peak times in the hospital process.

Sample logistics Accelerating the patient flow is also about reducing the time from taking a lab test and until the result is ready at the point of care.

February 2017

At Hospital of Southern Jutland in Aabenraa, the number of patients has increased by 13 pct., but with the new sample logistics solution, the hospital has managed to cope and even reduce the average length of stay.

Intelligent solutions for handling samples help hospitals reduce their sample turnaround-time and subsequently speed up patient diagnostics. Fully automated laboratories improve sample flow by handling and sorting all blood samples without any manual handling, thereby minimizing the risk of errors and freeing up time for value-adding tasks such as patient related work.

Sterile goods and sample logistics The Capital Region in Denmark will centralize all handling of sterile goods at two departments at Rigs hospitalet and Herlev Hospital. With fully automated handling of sterile equipment, the two centers will improve hygiene and reduce the risk of infections. At the same time the budget

for purchasing and storing sterile equipment will be reduced because of the just-in-time solution.

The future Integrated logistics is the next step.

Automatic delivery of medicine from the hospital pharmacy directly to the wards and just-in-time housekeeping, based on the hospital discharge system, is already a reality in Danish hospitals.

Storage space, which is built directly into the hospital walls, will prioritize short walking distances, large coherent clinical areas and patient related functions.

Denmark is in the process of building 16 new highly specialized hospitals that are all constructed as hospitals of the future, taking into account the changing role of hospitals in our future healthcare system. While optimal hospital logistics is important for all existing hospitals, it is vital for the new, large and specialized hospitals.

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ITSourceTEK:

An Award-Winning Leader in the Information Security Industry

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We help our clients to protect their valuable data from multi-directional threats

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he business IT panorama is increasingly getting disrupted due to the onslaught of Cloud, Data Science, AI, and IoT adoptions on both consumer and enterprise side. Hence, the talent community is keen on securing their destiny by moving to Cloud and other latest techs to ensure their employability for a decade or even more. As more and more companies will embrace Cloud Technology and the number of connected IoT devices will multiply exponentially, security issues will also increase.

Hence, the security landscape is now changing because of this digital presence. Recent cyber attacks have demonstrated that more innovative hackers are adapting to unique ways to evade security. Since invaders are rapidly improving their IT knowledge, organizations should focus on custom solutions and pre-emptive approaches that can protect their data and integrity. The factuality of the current scenario is that businesses need an expert that can provide strategic business and technology based cyber security solutions that leverage enterprise investments and improve efficiency to meet stringent compliance standards.

ITSourceTEK is an award-winning leader in the Information Security Industry with extensive real-world experience in leading and supporting organizations spanning across many industries. The company is on a mission of shifting business security to high gears: ultimately driving productivity and innovation.

A Serial Entrepreneur Changing Security Landscape with Broader Vision Brian Arellanes, Chairman, Founder, and CEO of ITSourceTEK has drawn on more than 18 years of experience providing solutions and services for leading Fortune 500 companies as well as major government agencies. He is currently an Advisory Board Member of the International Consortium of Cybersecurity Professionals (ICMCP) and has received 2015, 2016, & 2017 HITEC 100 award for being one of the most influential Hispanic Executives in technology. He is an award-winning leader in

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the Information Security industry, specializing in data security from compliance through to the actual protection of the data.

Brian has served as Chairman on the boards of a renewable energy company, as well as, a water conservation technology company; setting the vision for and leading CEOs, reporting to shareholders, in addition to fundraising, governance, and other board-related duties.

He holds a Bachelor’s degree in Psychology with a minor in HR and Business Management from California State University, Chico, and completed the Advanced Management Executive Program at Northwestern University’s Kellogg School of Business as well as the Executive Management Program from the University of Washington Michael G. Foster School of Business.

“ITSourceTEK embodies my vision of a diverse and creative solution to advisory services, one that stimulates innovative business concepts, models, and technologies, while promoting diversity in the workplace and giving back to the community,” says Brian.

Revolutionary Spectrum of Services ITSourceTEK services arsenal includes Data Governance, Risk, and Compliance (GRC) Support, Data Encryption, Masking, and Tokenization, Threat Detection and Policy Enforcement, DNS Security, and Cloud Security Strategies and Solutions.

ITSourceTEK provides data security and business optimization solutions centered on understanding what data is sensitive, creating data protection strategies with policies, and enforcing those policies via automation and technological advancements. It has compliance and data security solutions that range from Governance, Risk, & Compliance (GRC) to Finance & Accounting to Procurement to Operations. It helps organizations address a broad range of business challenges surrounding protection

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2017 Minority Cybersecurity Company of the Year.

Let Awards do the Talking ITSourceTEK has won numerous accolades on several prestigious lists.

The company has been recognized as one of the 10 Most Promising Healthcare Compliance Solution Providers by Healthcare Tech Outlook magazine.

Brian Arellanes Chairman, Founder & CEO of data, including the need to meet regulatory requirements of HIPAA, SOX, PCI-DSS, GDPR, and other challenges like using SaaS providers and moving to Hybrid and Cloud based systems.

“Our team has extensive real world experience in leading and supporting organizations spanning across many industries, especially ones with strict regulations, like healthcare,” asserts Brian.

The Talented Mindsets ‘Waging the waves of Excellence’ ITSourceTEK thrives on diversity and talent. Their employees come from a variety of diverse backgrounds and cultures. Embracing differences helps them to build an environment that stimulates original thinking and creative problem-solving. Their solutions have an eye for leveraging the best in data science and modernized approaches so that they can best arm for their clients with the highest impact solutions available. This leads to easier implementations of solutions along with significant ROI’s while solving their compliance and security requirements. Thus far, the company has exceeded their clients’ expectations with exceptional service while using success to give back to charities and the community.

Paving the way into Healthcare ITSourceTEK’s biggest challenge is helping their clients recognize that change in approach is required to be successful in today’s ever changing landscape. They’ve approached this by showing that the past way of solving compliance and security hasn’t been working, which has led to the compromise billions of sensitive records. Healthcare has the highest number of records that have been compromised through the end of 2016.

Their journey has been fun as they are focused on educating their clients on why a data-centric approach is necessary. Because of their unique style, they have been recognized as leaders in the space, like their 2016 Award as one of the Top 10 Healthcare Compliance Solution Providers and their most recent award for being the

February 2017

Minority Cybersecurity Company of the Year, 100 Fastest Asian American Businesses in the USA by USPAACC, Top 500/5000 Businesses in the USA

by Inc. 5000, 100 Fastest Growing Hispanic Businesses in the USA by Hispanic Business Mag, HP Supplier of the Year 2013 & 2015 by NMSDC are few among many jewels in the crown of ITSourceTEK. Successful Clients with FrontRunner Strategies The company has a long-term approach, not a quick deal mentality.

Therefore, they are truly interested in their clients’ success. Hence they take their time to ensure, and they only represent the best solutions while advising them. They listen to their customer’s top concerns and then guide them on how best to address them as well as provide advice on any areas that they may not have prioritized, but they feel are important. Taking this collaborative approach has been well received and leads to long-term success for their clients.

Future Insights “Our team, ecosystem of partners, and amazing clients are what I’d frame as being the best parts of ITSourceTEK. The sum of all the parts equals success: we will continue to succeed by keeping this mix of talent and thought leadership,” assures Brian.

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Scalable Sustainable Healthcare Information Exchange

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Our best asset is our people and our willingness to adapt or iterate to a positive outcome

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owadays, there are significant opportunities to improve how healthcare organizations exchange protected healthcare information which is generally accepted to be essential for improving care coordination, and patient outcomes. By challenging the healthcare industries heavy reliance on persistent point to point data interfaces and combining new protocols and techniques MaxMD is leveraging secure push technology via non-persistent connections to significantly lower costs associated with how data has typically been exchanged.

MaxMD suites of products are designed to leverage the Direct Protocol and the “Trust-in –Identity” policy infrastructure that supports sharing of protected health information to create lightweight, scalable and sustainable health information exchange. By leveraging the Direct Protocol, they can eliminate much of the overhead, and heavy reliance on persistent data interfaces commonly associated with other HIE approaches.

Brilliance behind MaxMD’s Approach MaxMD’s tools can be incorporated into both legacy systems as well as new applications. Their smart rules engine, MaxNLP™, and MaxIntegration™ can leverage the Direct Protocol to deliver different data payloads to or from various end points. MaxAlerts™ is an intelligent direct messaging solution leveraging customizable rule sets and real-time delivery of clinical data. Each Admission, Discharge, or Transfer (ADT) event from a participating ACO or IDN or the provision of a transition of care for a

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MaxMD:

designated patient population can trigger delivery of actionable alerts and patient records to the multiple care coordinators.

MaxAlerts™ moves interoperability beyond facilitating simple communication. The automated delivery of clinical data helps care coordinators manage medium to high-risk patients. Pushing data in real-time empowers proactive engagement with patients and helps minimize preventable readmissions. The flexible rules-based engine automates unique workflows and eases interoperability across the care ecosystem – delivering the right information to the right caregiver at the right time.

As the Direct Protocol is a secure “push” technology, with “secure push”, MaxMD can execute a “pull” or “query” transaction. The reverse is not true through; a pull cannot simulate a push. This further underscores the versatility of the Direct Protocol. So with that, they are excited about using the Direct Protocol to query an FHIR API to enable Query-Based Exchange to both “pull” or “push” data into an existing database without having to rely on persistent one to one data interfaces and their consequent costs of initiating and maintaining those interfaces.

Direct on Fire™ is a unique service that leverages two different technical protocols to increase interoperability and scale the exchange of electronic Protected Healthcare Information (ePHI) between disparate systems. Direct on Fire™ is designed to allow a user to send a query to a

February 2017

strategy, and can apply the tools to a particular client’s problem to solve a challenge.

Scott A. Finlay Co-founder, President & CEO Fast Healthcare Interoperability Resources (FHIR) API to pull data from a data repository. To provide authentication and authorization of an HL7 request to an FHIR API, MaxMD developed an approach that leverages the trust-in-identity assured by a Direct Address-level Certificate. The company has demonstrated this technology to members of the DirectTrust Community and recently participated in the FHIR Connectathon in San Antonio Texas with one of their clients. Also, they have uploaded a short video on their company’s website showing how a patient could use their Direct Address to pull their own data from an EHR that has an FHIR API simply by sending a Direct Message.

MaxMD can interface with both newly developed technology applications, regardless of the platform just as easily

February 2017

as legacy systems. By incorporating many of the same tools found in a “HIE” minus the overhead and massive cost footprint of these structures. They can transform data while it is in motion and customize the delivery of information to specific end points. This approach will enable organizations to begin to lower costs associated with the persistent point to point data interfaces.

Furthermore, they use their tools to allow a message to trigger multiple messages of varying payloads based on a customized set of rules. Essentially, they offer lean HIE capabilities without the overhead of standard HIE approaches. MaxMD has a series of tools that can be invoked in different combinations to solve problems. They bundle these tools into other applications which are clearly a

Attributes of Success In a few words “people and persistence” or “Grit.” MaxMD is a very productive team of talented engineers, sales and support staff with a very commercial orientation.

A solution does not have to be a radically new technology. It should be technology that fits into the client’s infrastructure or workflow that addresses the problem ideally with a minimum of disruption. Grit is probably the best one word for them as they are good at iterating and evolving solutions. They stay with things constantly working towards a positive outcome. The DNA of their team necessarily has a passion for solving clients' challenges and of course providing them with value by improving their operations without wholesale disruption to their current workflow.

“We reinforce the thought that every person talking to a client is part of the sales effort. Even if that is an engineer listening to a client’s technical challenge; and every sales person is part of engineering’s front line.

I believe that clients have problems that can be solved if we listen to them.

Having a flexible system infrastructure and a commitment to building scalable solutions that are easily implemented is how we grow our business,” assures Scott.

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LIFE IS

DIGITAL MOMENTS and we are on a mission to perfect them

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