The 10 Most Advanced Healthcare Solution Providers Of 2020 by Mirror Review

™ www.mirrorreview.com December 2020

THE

Most Advanced

HEAL HCARE Solution Providers of 2020

HEALTHCARE POST-COVID-19 HEALTHCARE INDUSTRY IN 2021: 6 TRENDS IN THE HEALTHCARE SECTOR

A GUIDE TO PCOS ALL YOU NEED TO KNOW ABOUT POLYCYSTIC OVARIAN SYNDROME

Timothy Kelley,CEO

NAUTILUS

MEDICAL Industry Leader In Telehealth And Image Exchange

EDITOR’S LETTER

Prepared B

Beyond the Pandemic ealthcare was highly challenged in the crucial times of COVID-19. The whole industry was forced to work single-mindedly to focus on combating the COVID-19 outbreak while mitigating the risks. Consequently, this health emergency managed to put other issues related to public health on the back-burner. It is true that the healthcare industry was exceptional in these challenging times. But, what we need to see is how the industry shapes itself post-pandemic.

Crises are unpredictable. We are unsure about the next global emergency, so consequently, watching from the lenses of the COVID-19 outbreak may not be a viable solution. We need to shape our healthcare infrastructure in a way that—it may not overcome, but at least sustain any emergencies. Our latest issue of “The 10 Most Advanced Healthcare Solution Providers Of 2020” revolves around the same theme, where we discuss with the proficient leaders about how the world will be reimagined in the post-pandemic era. Featured on our cover is Nautilus Medical, which is aiming to transform the healthcare sector with its telehealth and image exchange solutions. The company is fully prepared for the transitions in the future and strives to continue to serve the customers with unparalleled service. Along the pages, you will also discover the journeys of Caserta Concepts, Origin Integrated Studios, and WorldCare International. These healthcare solution providers are offering advanced tech solutions and are preparing us for the future of healthcare. A future where telehealth will be utilized to its full potential. Not only telehealth but also technologies integrating with healthcare will provide a more reliable and efficient healthcare model. Focusing on our magazine theme, the section “Healthcare Post-COVID” will enlighten you about the anticipated trends that will dominate the industry. Also, we have covered myths and facts surrounding the most underlying health issue PCOS in the section “A Guide to PCOS”.

Vidya Joshi Editorial Coordinator

PUBLISHER

ARCHANA GHULE

EDITOR-IN-CHIEF

VIKRAM SURYAWANSHI

EDITORIAL COORDINATOR VIDYA JOSHI SHUBHAM BIRADAR UTKARSH DESHPANDE SANYUKTA MULEY

PROJECT MANAGERS MARK JOHNSON AKSHAY KAMBLE

ART DIRECTOR VINOD ALHAT

VISUALIZER

MARK DAVIS

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HEAD OF OPERATIONS ROBERT SMITH

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CONTENTS NAUTILUS MEDICAL

INDUSTRY LEADER IN TELEHEALTH AND IMAGE EXCHANGE

CASERTA HELPING WEAPONIZE DATA IN THE FIGHT AGAINST CANCER

ORIGIN INTEGRATED STUDIOS INSPIRING ASPIRANTS TO MAKE A POSITIVE DIFFERENCE

WORLDCARE PROVIDING THE GOLD-STANDARD OF MEDICAL SECOND OPINIONS AROUND THE WORLD

COVER STORY

CONTENTS

ARTICLES

A GUIDE TO PCOS ALL YOU NEED TO KNOW ABOUT POLYCYSTIC OVARIAN SYNDROME (PCOS)

HEALTHCARE POST-COVID-19 HEALTHCARE INDUSTRY IN 2021: 6 TRENDS IN THE HEALTHCARE SECTOR

COVER STORY

NAUTILUS MEDICAL Industry Leader in Telehealth and Image Exchange

THE

Most Advanced

HEAL HCARE Solution Providers of 2020

Timothy Kelley CEO

“

At Nautilus Medical, We Strive To Provide The Most Complete Healthcare Platforms At A Value, And Consistently Work To Improve Our Products To Deliver This Promise.

n the past few months, signiﬁcant ineﬃciencies in the healthcare landscape have been highlighted due to the COVID-19 pandemic. During these times, several existing technologies such as telehealth were not being utilized to their potential. Telehealth has been around for over 100 years since the arrival of telephones. Though the technology advanced to smartphones, smart TVs, monitors with cameras, and laptops with cameras, the growth was stagnant in telehealth utilization. Restrictions on distance and bad policies of reimbursement

were the main reasons behind the stagnant growth. Nautilus Medical is one company that has revolutionized the healthcare sector with its telehealth and image exchange solutions. The company was incepted in 2006 with an aim to provide a complete communication and information exchange platform. Comprehensive Portfolio of Services Nautilus Medical strives to provide the most complete healthcare platform at a value and consistently works to

THE

Most Advanced

HEAL HCARE Solution Providers of 2020

built a powerful and compliant real-time video communication platform that goes beyond face to face communication. This platform enables providers to view modalities and point-of-care exams in real-time, including multiple room viewing options for qualiﬁed physicians. Nautilus oﬀers cellular connectivity for remote locations and other hardware options such as carts and all-in-one TV set-top boxes. As a majority of telehealth visits involve a discussion about a radiology exam that has been done, the physicians are enabled to view and share the images and results while talking with the patients through the platform. "Telehealth and radiology belong together, not as separate and disparate systems," asserts Timothy Kelley, the CEO at Nautilus Medical. Moreover, Nautilus is the only company that has a strong telehealth platform with underlying radiology expertise and management. This platform is used by more than 70% of the top 50 medical centers in the US, including Cleveland Clinic, UPMC, UPENN, NY Presbyterian, Harvard, Columbia, Cornell, Northwestern, etc. For the widespread portfolio of services and solutions, Nautilus Medical has been rewarded with numerous awards and recognitions. The company was recognized among the Top 10 Medical Imaging Providers by Healthcare Tech Outlook, 10 Best Healthcare Companies by the CIO Bulletin Magazine, and Top 10 Fastest-Growing Healthcare Companies by The Silicon Review. Moreover, it was also the Clinical Information Finalist of the Fierce Health Innovation Awards and Top 10 Innovation Finalist of the Chicago Innovation Awards. A Zealous and Resolute Leader

improve its products. The Nautilus platform combines features to give a complete and holistic view of the patient. The network comprises the largest peer-to-peer network for exchanging medical images, reports, and EMR data. The service can eliminate the ongoing costs of compact discs, ink cartridges, disc publishers, etc. It can be used wherever it is needed, either it be a lab, home, or departments across the hospital. Security is underlined with a $1 Million dollar breach policy per instance, not oﬀered by other platforms. Alongside information exchange, Nautilus Medical has

Healthcare technology is a difficult path to navigate due to its compliance, security, long sales cycles, and the technology itself. Thus, the leaders in the industry need to understand the tech, clinical workflow environment, and how to build a business. Nautilus Medical is fortunate to be spearheaded by a passionate and enthusiastic leader in Mr. Kelley. He always wanted to have a significant impact on healthcare by providing a service or product that helps all stakeholders. "When that is accomplished, the value will be created naturally," he added. Being the CEO of Nautilus Medical, his primary roles and responsibilities are to project a clear vision of the company's roadmap and manage personalities. Over the years, he has been one of the key assets behind the company's growth.

Empowering Patients and Doctors in the Time of Crisis The pandemic has created a new normal in telehealth communication, which is expected to become the standard of care. Being considered the essential workers supporting the mission-critical systems in hospitals and other healthcare facilities, Nautilus Medical's team has been relentlessly working throughout the crisis. Remote service, demos, and training can be done from anywhere on any device. Nautilus Medical's platform is proving to be instrumental in helping both patients and doctors during this trying time. The platform allows doctors to work from home, and many doctors use the company's carts or TVs to talk with patients at home or patients visiting their oﬃce. During a face to

face consultation, providers may consolidate data, show images, and give guided tours of procedures. This is critical in the new normal for patient consent, patient understanding, and overall better outcomes by inoculating patients against ignorance. Furthermore, the platform also normalizes data and images so they can be shared and restored on any system regardless of the manufacturer. This prevents unnecessary rescans and billions of expenses to providers from duplicate CTs, MRIs, and other expensive high tech procedures. Nautilus Medical's platform allows patients to store their images and share their data at no cost, which is empowering patients everywhere.

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THE MOST SECURE PLATFORM FOR TELEHEALTH AND IMAGE EXCHANGE

Importance of Education and Resources to Patients During COVID Having led a successful healthcare ﬁrm for more than a decade, Timothy believes that providing proper education and resources to patients is important –so that they can make qualiﬁed decisions based upon their current health, understanding co-morbidities, how and where they can work, how much risk they are willing to take in a social setting, and an understanding of the disease. "Most people don't understand how this disease is unique and how ill you may get based upon the level of exposure, contact, and comparative health. At the end of the day, we can make good decisions with good information. The information has been mishandled and misguided for the wrong reasons," he added.

Transition to Performance-based Care The healthcare landscape is slowly moving to performancebased care and patients rating the care they receive. For healthcare providers, being more eﬃcient and oﬀering options to patients while educating them about the process they are going through will be tantamount to future success. The industry will have more consumer-driven tech to better serve professionals and their patients in the near future. Smart TVs, phones, and social devices will have a role to play. Moreover, the post-COVID world will run better as a result of understanding that people don't always need to be present to get good care at a low cost. Nautilus Medical is fully prepared for these transitions in the future and strives to continue to serve the customers with unparalleled service.

THE 10 MOST ADVANCED HEALTHCARE SOLUTION PROVIDERS OF 2020 COMPANY NAMES

INFO

75Health, Kumar Subramaniam Co-Founder & CEO

75Health application oﬀers the full spectrum of EHR services to help medical providers and organizations work eﬃciently. https://www.75health.com

AMC Health, Nesim Bildirici, CEO

AMC Health oﬀers continuous visibility into an individual patient’s health status by connecting patients to their clinical team on a real-time basis. www.amchealth.com

Apollo Enterprise Imaging Corp, Mark Newburge, Founder, President & CEO

Apollo Enterprise Imaging Corp is the image-based platform with integrated applications that provide every specialist throughout the a health system the ability to view the Comprehensive Health Record. www.apolloei.com

Avadyne Health, Jayson Yardley, CEO

Avadyne Health is providing a complete solution to address the needs of patients who prefer a self-service experience or the assistance of a concierge call center. www.avadynehealth.com

Caserta Concepts, Joe Caserta, Founder

Caserta Concepts is the leading provider of transformational cloud computing, data strategy and data architecture solutions in the Healthcare sector. www.caserta.com

CureMD, Bilal Hashmat, Co-Founder & CEO

CureMD is oﬀering innovative health information systems and services that transform the administrative and clinical operations of healthcare organizations of all sizes. www.curemd.com

Nautilus Medical, Timothy Kelly, CEO

Nautilus Medical strives to provide the most complete healthcare platform at a value and consistently works to improve its products. www.nautilusmedical.com

NextGen, Rusty Frantz President & CEO

NextGen's comprehensive, integrated technology and services platform supports ambulatory and specialty practices of all sizes. www.nextgen.com

Origin Integrated Studios, Kenneth Kee, CEO

Origin Integrated Studios is one of the excelling private healthcare technology provider for developing innovative and creative software solutions for Malaysia and its regions. www.originistudios.com

WorldCare International, Dr. Hassan Sharif, Founder & CEO

WorldCare International has expanded its eﬀorts to provide expert medical second opinions (MSOs) to members with critical and life-threatening conditions around the world. www.worldcare.com

Caserta

Helping Weaponize Data In The Fight Against Cancer aserta is helping Moﬃtt Cancer Center use data on the front lines of cancer research and treatment.

and technology strategy, MCC turned to the experts in modern big-data and cloud computing architectures Caserta.

The Moffitt Cancer Center, based in Tampa FL, has one singular mission: to contribute to the prevention and cure of cancer. Opening in 1996, Moffitt Cancer center became an NCI Comprehensive Cancer Center in 2001, and today operates a 200+ bed fullservice hospital alongside it's core research mission. The Moffitt Cancer Center is busy - publishing over 800 publications each year and performing over 300 open treatment trials with approximately 1000 therapeutic accruals. As productive as Moffitt Cancer Center is, it knows there is much more work to be done and also knows that work must be fueled by “weaponizing” the use of technology and data against cancer.

Storming Through the Challenges

MCC, like most large enterprises, has experienced a tremendous growth in the accumulation of data from a variety of sources including national registry sources, internal patient care systems, multiple billing systems, laboratory results, as well as advanced genomic processing equipment generating enormous volumes of data. But despite an abundance of data sources, MCC has struggled to get the right data in the hands of the researchers who can do the most with it. Seeking a new data

Caserta is the leading provider of transformational cloud computing, data strategy and data architecture solutions in the Healthcare sector. Caserta has guided leading healthcare organizations through a range of technology challenges from data maturity and technology assessments, to building customized cloud and data technology strategic roadmaps, to fullfledged cloud-based high-performance data pipeline architecture implementations and deployments. Founded in 2001 by Joe Caserta, who co-authored “The Data Warehouse ETL Toolkit” with Ralph Kimball, Caserta has established itself as the premier firm enterprises trust to conceptualize and implement the cloud and data strategies designed to maximize value from ever-growing data resources. In MCC's case, their situation suffered from a “perfect storm” of tough technology and data challenges. First, MCC has data being produced by a variety of disparate sources from all over the organization: live patient care system (running the hospital), national cancer data registries, lab data, patient survey data, and not to mention the

tremendous amount of data produced from modern genomic sequencing equipment. Separately, MCC had to contend with their aging and troubleprone on-premise infrastructure. And yet another dimension of challenge is properly and safely handling Personal Health Information (PHI), which some regard as the most private information there is. A Modern and Experienced Perspective When Caserta ﬁrst began to work with MCC, one thing became clear - the brilliant researchers on staﬀ at MCC were utterly data starved. Due to a combination of PHI data handling policies, knowledge gaps with the source data, and outdated and overburdened tooling for access and distribution of data, Researchers may submit research requests then wait anywhere from 3 to 6 months to receive a spreadsheet of data for cases related to their research criteria and goals. Caserta brought a modern and experienced perspective. Caserta started brainstorming with MCC research leaders about what their ideal data analytics scenario would look like. Getting the right data in the right hands would need to be fast, accurate, scalable and above all PHI-safe. (The Google Project Nightingale scandal

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Comprehensive Transformational Vision With MCC excited about a vision that provides them exactly what they need to accelerate their research, now came the hard part - making it all happen. The ﬁrst problem to get over was MCC's historical on-premise infrastructure. The new architecture vision would never have a chance with on-premise infrastructure - new equipment would be far too costly and take too long to put in place. A cloudbased approach was clearly the best choice, but MCC had no footprint with any cloud vendor thus far. Caserta began a process of educating MCC IT and research staﬀ on the range of cloud vendors, products, and technologies. Caserta eventually proposed a comprehensive transformational vision for a cloud-based high-performance highly elastic data architecture including a phased detailed implementation roadmap. Despite being hampered by institutional contracting red tape, MCC and Caserta pushed forward with the ambitious implementation. Initially, Caserta pursued two simultaneous

work streams: 1. Start understanding MCC's source data in detail and begin conceptually reshaping the core data repository; 2. Onboard MCC with a cloud vendor and start integrating network infrastructure. Caserta brought in deep experts both in data architecture and cloud-based infrastructure to handle both work streams. MCC data architecture issues were typical but enormous in scale disparate data sources, but common topic areas like “patient”, “diagnosis”, and “medication” all needing integration. Most Ideal Vision for Weaponizing Data While the complex task of unraveling source data and assembling a new and better organized common repository was underway, the infrastructure team was planning for MCC's first ever presence in the cloud. Establishing a hierarchical network security model, setting up designed cloud resources, secure network connectivity with onpremise infrastructure, and more. Caserta also had to tackle the challenge of architecting how on-premise data would be transferred reliably to the cloud, collaborating with MCC staff on a simple and sustainable pipeline requiring minimal additional onpremise resources. Drawing on years of data pipeline experience, Caserta designed a modern, scalable, cloudbased data transformation platform that will handle their current and aspirational workloads but also be straightforward enough for existing MCC staff to take over and operate themselves. Today, not only is the first phase of the vision nearly complete, but with Caserta's mentorship,

“

At Caserta Concepts, We Provide You With A Step-by-step Roadmap That Will Give You All The InformationYou Need To Accomplish Your Data A nd Analytics Goals.

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had recently been exposed and was a looming issue with MCC and the rest of the industry.) Bringing nearly 20 years of real-world data architecture experience, the Caserta team started talking about a future state whereby all data sources were collected to a single consolidated data repository daily, supplemented by a process for peeling oﬀspecialized curated data sets for unique data topic areas and research goals. Additionally, Researcher data requests would be satisﬁed within days (not months) and Researchers would be given a powerful “sandbox” of tools and resources to perform a previously unthinkable range of analytic capabilities.

MCC's own staﬀ is leading the way with the remainder of the build-out. MCC is poised to start reaping the rewards of the new platform and supercharging the output of its talented Research teams. Caserta's leadership in healthcare data analytics has enabled MCC to realize its most ideal vision for weaponizing data in the ﬁght against cancer.

Joe Caserta (Founder)

A GUIDE TO PCOS

POLYCYSTIC OVARIAN What does Polycystic Ovarian Syndrome (PCOS) mean? 2. Polycystic Ovarian Syndrome (PCOS) is a hormonal disorder prevalent amongst women of reproductive age. Women with PCOS may have infrequent or delayed menstrual periods or excess male hormone (androgen) levels. The ovaries may evolve many small collections of ﬂuid (follicles) and fail to routinely release eggs. The exact cause of PCOS is still not known. Early treatment and diagnosis along with weight loss may lower the risk of long-term complexities such as heart diseases and type-2 diabetes. Common signs and symptoms of Polycystic Ovarian Syndrome (PCOS) 1.

Menstrual complications: PCOS leads to amenorrhea (complete absence of monthly period cycles), oligomenorrhea (less than the normal number of monthly cycles), and both types of

complications may occur with the same woman. High level of masculine hormones (hyperandrogenism): Familiar signs are acne, hirsutism (male pattern of hair growth on chin or chest), hypermenorrhea, androgenic alopecia (diﬀused hair loss or hair thinning), and hyperandrogenemia. Metabolic disorder: It emerges as a tendency towards central obesity and other symptoms correlated with insulin resistance, tripled appetite, and an inclination towards junk foods such as chips, burgers, pizza, fries, etc.

Other familiar symptoms consist of skin tags, oily skin, acne, dandruﬀ, pelvic pain, hair loss, male pattern balding, high levels of triglycerides in the blood, and infertility. Causes of Polycystic Ovarian Syndrome (PCOS) The speciﬁc cause of PCOS isn't yet known. Factors that might play a role in the same include:

N SYNDROME (PCOS) Low-grade inﬂammation: This term is used to depict white blood cells' production of substances resist infection. Women with PCOS have a type of low-grade inﬂammation that prompts polycystic ovaries to make androgens, which can lead to heart and blood vessel complications. 2. Heredity: Doctors indicate that certain genes might be associated with PCOS. 3. Excess androgen: The ovaries form abnormally high levels of androgen, which results in hirsutism and acne. 4. Inordinate insulin: Insulin is a hormone formed in the pancreas that permits cells to use sugar, your body's prime energy supply. If your cells become resistant to the reaction of insulin, then your blood sugar levels can surge and your body might form more insulin.

Complications faced in Polycystic Ovarian Syndrome (PCOS)

Pregnancy-induced high blood pressure or Gestational diabetes. 2. S e r i o u s l i v e r i n ﬂ a m m a t i o n i s k n o w n a s Nonalcoholic steatohepatitis induced by fat accumulation in the liver. 3. Metabolic syndrome: A chunk of conditions incorporating high blood sugar, high blood pressure, and unnatural cholesterol or triglyceride levels that signiﬁcantly increase your risk of cardiovascular disease 4. Type 2 diabetes or prediabetes 5. Premature birth or Miscarriage 6. Anxiety, Depression, and eating disorders 7. Abnormal uterine bleeding 8. Sleep apnea 9. Infertility 10. Endometrial cancer(cancer of the uterine lining) 11. Obesity is correlated with PCOS and can aggravate the complexities of the disorder. 1.

A GUIDE TO PCOS Treatment for Polycystic Ovarian Syndrome (PCOS) The primary treatment focuses on reforming lifestyle and eating habits. Aims of treatment can be classiﬁed as follows: 1. 2. 3. 4. 5. 6. 7.

Reducing the insulin resistance level Reclamation of monthly cycles and normal reproductive activity. Prevention of endometrial hyperplasia Cure of acne and hirsutism Rehabilitation of fertility Prevention of endometrial hyperplasia To lower the risk elements of endometrial cancer

There is still no precise and guaranteed cure or treatment for PCOS. But a balanced diet, weight loss, yoga, and exercise can make the symptoms better. Myths about Polycystic Ovarian Syndrome (PCOS)

segregate and can aﬀect women of all sizes and shapes. The connection between PCOS and weight has to do with the body's ineﬃciency to use insulin properly, leading to weight gain. That's why adopting the habit of eating healthy and exercising frequently is prescribed as part of most women's treatment plan. 3.

PCOS is a Rare Condition

It is examined that between five to ten percent of women of childbearing age are suffering from PCOS, which makes PCOS one of the most usual hormonal endocrine disorders amongst women of reproductive age. According to the PCOS Foundation, less than half of all women with PCOS are diagnosed accurately, which means that millions of women are probably unaware of their condition. The PCOS Foundation evaluates that this condition is the cause of fertility problems in women who have difficulty with ovulation over 70 percent of the time.

1. You Did Something to Cause It 4. As the speciﬁc cause of PCOS is still unknown, one thing is sure that you are not to blame. However, considerable factors consisting of genetics are generally believed to play a role. Male hormones (Androgens) control the development of male traits. Although all women produce a small volume of androgen, women with PCOS have more androgen as compared to normal women. This can restrict ovulation and make it troublesome to have regular menstrual cycles. The follicles develop and build up ﬂuid, but the eggs don't get released. Hence, Ovulation does not occur, and the follicles might convert into cysts. If this happens, your body might fail to make the progesterone hormone, which is required to maintain your proper cycle. Hormone insulin may play a major part in the body's increased androgen formation. Several women facing PCOS have insulin resistance. This is more natural in women who are obese or overweight, have an unhealthy diet plan and no exercise habits, or have a type-2 diabetes family history.

2. Only Overweight Women face complications of PCOS It is accepted that several women who have PCOS are obese or overweight and it's also correct that obesity can make PCOS symptoms adverse. However, PCOS does not

If You Lose Weight, You Can Get Rid of PCOS

Unluckily, there is no accurate cure for PCOS, but obese and overweight women can help stabilize their hormone levels by dropping weight. Otherwise, treatment for PCOS is focused on managing symptoms. A wide spectrum of treatment options can help prevent any potential problems. Changes in lifestyle, such as regular exercise and healthy eating, reform the way your body utilizes insulin and, thus, regulates your hormone levels better. Fertility medicines also can help prompt ovulation if you are planning to get pregnant. In a few cases, that may be suﬃcient to spur the process for women with a lack of ovulation. A surgical procedure recognized as ovarian drilling can also broaden your chances of successful ovulation. While the operation can lower your androgen levels for a limited time, it does pose the risk of developing scar tissue. By disconnecting fact from myth, you can empower yourself to live a complete, healthy, and happy life with PCOS.

PCOS (Poly Cystic Ovarian Syndrome) vs PCOD (Poly Cystic Ovarian Disease) Are both of these same? Many women use both, PCOS (Poly Cystic Ovarian Syndrome) and PCOD (Poly Cystic Ovarian Disease) interchangeably where both are very contrasting conditions. While both the situations are associated with the ovaries and both create hormonal disturbances, there are many compelling diﬀerences.

What is PCOD? PCOD is a condition where the ovaries hold many partially mature or immature eggs. They, ultimately, convert into cysts. Being overweight, stressing a lot, consuming excessive junk food and hormonal disturbances give birth to this condition. Natural symptoms of PCOD are abnormal periods, infertility, abdominal weight gain, and male pattern hair loss. The ovaries commonly become swollen in this problem and secrete large amounts of androgens that create havoc with the woman's fertility and her body. What is PCOS? PCOS is a metabolic disturbance that is more complicated than PCOD. In this condition, the ovaries develop a larger quantity of the male hormone, which leads to the formation of more than ten follicular cysts in the ovary every month. This breaks the release of the egg causing anovulation. Symptoms consist of obesity, hair loss, and infertility. How Are They Diﬀerent? 1.

PCOS is a complicated condition. It is a metabolic disorder. PCOD is not been studied as a disease,

with regular exercise and the right diet, the situation recovers. PCOS has a less number of patients compared to PCOD. PCOD is more prevalent. Almost a third of the women across the world suffer from PCOD. PCOS has severe complications. Women who suffer from PCOS are at risk of developing diseases like cardiac-vascular issues, diabetes, obesity, high blood pressure, and even endometrial cancer. PCOS is noticeable early in life. Girls who suffer from PCOS start showing symptoms of the disease from their teenage years. Excessive hair growth, acne, and weight gain are apparent from a younger age because of metabolic disturbances. Women suffering from PCOD don't have compelling fertility issues. With a little medical assistance, they can conceive successfully. Women suffering from PCOS, on the other hand, face complexities with infertility. They even have higher chances of miscarriages. Women with PCOD can still ovulate in a routine. They may have identical symptoms as PCOS, but they retain the strength to ovulate periodically and therefore, can conceive successfully. However, women with PCOS do not ovulate because of a serious hormonal imbalance that disturbs the ovulation process.

In both cases, i.e., PCOD vs PCOS, taking a healthy diet that is free of processed and junk food, losing weight, and engaging in regular exercise, can show incredible improvements. It is imperative to catch the disease as early as possible to handle the damage with proper medication and lifestyle changes. If you are facing irregular periods, excessive facial hair growth, or acne it is advised to get yourself checked.

Origin Integrated Studios Inspiring Aspirants to Make a Positive Difference

alaysia has been popular for its healthcare tourism due to the aﬀordable quality care for the peace of mind of healthcare travelers. However, the COVID-19 outbreak did disrupt the Malaysian Healthcare market. Prior to lockdown, the healthcare industry was booming particularly healthcare tourism in Malaysia and its surrounding. After the lockdown, the industry witnessed almost 40-60% down in the revenue. “Most of our customers' revenues were aﬀected as patients were reluctant to go to hospitals and for those hospitals that their mainstream of income largely depends on foreign patients,” said Kenneth Kee, CEO at Origin Integrated Studios. Origin Integrated Studios is one of the excelling private healthcare technology provider for developing innovative and creative software solutions for Malaysia and its regions. It is one of the very few software development companies which focus on enterprise systems for the healthcare industry. Kenneth has leveraged his exceptional industry experience to craft the groundbreaking products along with a team of expert software developers.

Accurate and Efficient Product Portfolio Over the years, Origin has pioneered in its EMR services and gained popularity across the sector despite the competitors in the market. Origin Electronic Medical Record (Origin EMR) is the flagship product of Origin, along with the Origin Hospital Information System (Origin HIS). These two products have been crafted with over a decade of industry experience, and have high adoption rates amongst the doctors and nurses. The USP of these products has been its accuracy and efficiency. Origin's products are reliable and secure as they have been put on a stringent test by the hospital quality management team to be certified by an external auditor for hospital process flow. New Addition to the Product Range Apart from the flagship products, Origin did add few more services to its portfolio as the COVID-19 outbreak demanded a special approach. Due to the outbreak, several hospitals were forced to seek telehealth solutions to serve the patients from home which is reluctant to visits the hospital. Thus, Origin integrated its solutions to an

external mobile appointment system to facilitate the patients in direct online banking payment. Utilizing this exclusive oﬀering from their end, patients can now make payment after teleconsultation for consultation services and medication to be delivered at their doorsteps. In addition to this, Origin is looking forward to launching the new services comprising of specialized modules for 'home nursing' and 'nursing home,' also known as the Assisted Living concept. Home nursing is not a novel service in the market however, currently, the demand for nursing services at home has relatively augmented. Consequently, Kenneth also anticipates a relative growth in this market vertical because of the COVID-19 outbreak. Furthermore, because of the lockdown and movement restrictions, the team adapted to the new norm of remote working. Kenneth and his team not just adjusted to remote working but were successful in ﬁnalizing an overseas project. “Now we have done it and we believe that it is possible for our business to grow across the border even without being there physically,” asserts Kenneth.

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A notable trait of a healthcare leader is to be trustable wholesomely in thinking ahead for patient safety at all times. Being a customer-centric organization, Kenneth has always retained customer satisfaction with the utmost importance. Kenneth's primary role is to lead the team in solving customer's problems and concluding to satisfactory outcomes. Under his supervision the team works closely with the customers, providing costeﬀective solutions suitable for their needs. Likewise, oﬀer on-going technical and consultancy support. Kenneth has been successful in building a reliable team that continually aims to grow. He adds, “As

Kenneth Kee (CEO)

a team, we grow and face the challenges of modern times together.” Discovering New Strategies and Plans “As the COVID-19 situation was getting worse before the lockdown, I instructed all my staff not to come to the office and start working from home,” said Kenneth. However, few of the employees were still in the midst of implementing a project at the customer's site. Keeping the welfare of the team members as a priority, Kenneth halted all the on-site projects. Nevertheless, being an IT company remotely serving the clients—especially from the healthcare industry—was possible through the internet. The only challenge that the team encountered during the lockdown was the delay of the ongoing projects. “We were not able to conduct acceptance test and trial run in our preparation to go-live of our system as planned,” asserts Kenneth. After the lockdown was lifted, the company resumed its operations. Few of the personnel were reluctant to work given the fear and uncertainty. Thus, Kenneth gave these team members additional time to adjust to the new normal and be back to the office. Despite the lifted restrictions, the construction industry was still managing the effects of a slowdown which as a consequence affected the progress of building new hospitals, therefore, the team of Origin focused on R&D and clearing off backlogs. In the

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We are committed in delivering excellent quality healthcare technology solutions,we aim to become a household brand in the healthcare industry.

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A Wholesomely Trustable Leader

meantime, the team discovered new strategies and plans to adapt to the new normal. Kenneth believes that rather than mourning for the delayed projects and loss of business, it is better to catch up and move ahead of the competitors. He also adds a word of advice for the aspirants, “If you determine and resilient, you will find a way and get through it.” What could have been better? The healthcare industry has altered as compared to the traditional healthcare industry. Today, almost everyone is reachable using a smartphone. The developments in the mobile applications have been tremendous with each day thousands of app is being created across the globe. Reasoning these advancements', Kenneth believes that the mobile technology provider should have been more ready in assisting the government to fight the pandemic through introducing a national patient portal before even it turns into such a devastating state. Furthermore, he adds, “In the interest of national security and for the economy of the country, it makes economic sense for the government to enforce traceable movement of each mobile user and also lockdown only to those affected zones fast and effectively.”

WorldCare

Providing the Gold-Standard of Medical Second Opinions Around the World

imply put, WorldCare's mission is to save lives. Over the past 26 years, the company has expanded its efforts to provide expert medical second opinions (MSOs) to members with critical and life threatening conditions around the world. Managing care for individuals with critical illnesses like cancer, autoimmune disease, and cardiovascular disease involves complexity due to the manner in which these diseases affect the human body, and the variety of co-existing conditions that can be involved. While critical illness cases represent only 5% of medical cases, they account for nearly 95% of healthcare costs and require highly specialized medical care. Gaining access to an expert medical opinion can be advantageous for critically ill members who want verification of their diagnosis, insights on treatment plans, and more information about their personal condition before making medical care decisions with their local physician and family members. According to Founder and CEO, Dr. Hassan Sharif, dealing with chronic and complex ailments such as cancer requires a multidisciplinary approach to bring all stakeholders together to exchange insights and experience to treat not just the disease or tumor, but

the whole patient. The WorldCare ® Consortium teams review patient cases including all medical records, radiology images, pathology reports, and diagnostic tests. Although the patient is not physically in front of the specialist team, the team has all the information needed to review the original diagnosis and treatment plan, make necessary adjustments, and provide a recommendation for the patient's optimal course of action. Availing an Expert Second Opinion Dr. Sharif notes that the billions of dollars spent annually on research to improve care for critical illnesses has created centers of highly specialized knowledge within renowned medical research institutions in the U.S., many of which are part of The WorldCare Consortium®. Specialist teams at these institutions see hundreds of cases a year for their specialty and are best equipped to review and opine on new patient cases. Such insight and research is not readily accessible for most patients ― or their local physicians ― in the U.S. or in other countries. When an individual receives a devastating diagnosis for a critical illness such as cancer, they are typically referred to specialists for

conﬁrmation and more information. Often, they will face lengthy wait times or may have to travel signiﬁcant distances for appointments. WorldCare connects these two worlds for its millions of members around the

Dr. Sharif On Leadership “Future leaders within healthcare need to adopt innovative technology continuously. AI can harness the vast array of healthcare data, but the multi-disciplinary teams and their expertise can uniquely generate tremendous value for patients, physicians, and population health when it comes to eﬀectively addressing critical illnesses.”

globe. The company pioneered the usage of digital ﬁle sharing and advanced telecommunication to

THE

Most Advanced

HEAL HCARE Solution Providers of 2020

providers in The WorldCare ® Consortium and a management team focused on international growth. He also emphasises the need to focus on overall patient wellbeing as opposed to focusing on just symptoms, or a particular disease. He also sees a greater role for nurses in patient care of the future. According to Dr. Sharif, building rapport, understanding fears, and concerns of patients will be essential for supporting patient recovery. His views are in line with recent FDA approvals for therapy to support treatment of critical illnesses like cancer. While traditional healthcare continues to focus on the treatments aimed at the body, growing voices from experts like him can help change the mind set in the healthcare industry.

Saving Lives Globally Dr. Sharif's passion to save lives by improving access to highly specialized medical experts for physicians and patients across all seven continents has fuelled WorldCare's growth. Today, the WorldCare team includes medical directors from around the globe, 16 renowned institution

Operating Remotely during COVID-19 During COVID-19, Dr. Sharif has been bullish about the company's future. He explains, “Today, our operations span 5 continents, with millions of members around the world. We are adept at utilizing state-of-the-

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Our expert MSOs for critical illnesses have helped thousands of members and their physicians conﬁdently initiate treatment that saves lives.

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enable members to get an expert Medical Second Opinion (MSO) for critical illnesses or life threatening conditions within two weeks without the need for travel. WorldCare's MSO service covers over 100 chronic illnesses across 15 categories including neurology, immunology, cardiovascular diseases, musculoskeletal disorders and more. Members interact directly with a WorldCare Nurse Case Manager who supports them throughout the process with empathy and care. Upon completion of the MSO, the member and their local physician receive a digital copy of their personalized WorldCare MSO Report detailing insights on their diagnosis, health condition, and recommendations for optimal treatment.

art digital, and video-based telehealth technologies to bring our expertise to members and their physicians wherever they live. So, for us, this is business as usual.” The future of WorldCare seems promising as they build more partnerships with corporations, insurance companies and other entities to grow membership and save more lives. Recently they have added additional specialty MSOs to cover mental illness, disability, pain management and in January 2020 they added MSO coverage for complications of COVID-19 for its members.

Dr. Hassan Sharif (Founder & CEO) www.worldcare.com

HEALTHCARE POST-COVID-19

Trends In The Healthcare Sector

he rage of the pandemic has considerably affected industrial sectors in 2020. The impact being ranked on a 5-point scale, one of the most disrupted in the healthcare industry in 2021. A score of 4 spelling 'major impact' has been given to the healthcare industry, where technological advances are the most required in this demanding age. Mental health has also suffered a great toll during the pandemic. According to a survey by PwC's Health Research Institute (HRI), 32% of the surveyed Americans had suffered from depression or anxiety due to the lockdown. Key trends like artificial intelligence, augmented and virtual reality, and smart medicine have all been diverted towards fighting COVID-19. Technological innovations are presently sought by increasing numbers of healthcare personnel in view of preparing for more challenges to come in the healthcare industry in 2021.

Below are the 6 trends in the healthcare industry in 2021: 1. Virtual Health Care The arrival of COVID-19 has boosted virtual healthcare. The American Telemedicine Association was founded in 1993. Yet prospects of telemedicine becoming mainstream seem bright only with the rise of the COVID-19 pandemic. As of April 2020, 43.5% of primary healthcare visits made use of telehealth methods rather than in-person interaction. While monitoring patients'

health from a safe distance, doctors can also be sure of preventing possible infection. It allows medical professionals to accommodate several appointments in their busy schedules. The prospects of virtual healthcare seem promising. In the United States, 71% of the patients considered telemedicine at the beginning of the pandemic, and 50% had already used virtual appointments. The number of virtual visits has skyrocketed during the pandemic and is estimated by Forrester analysts to hit one billion by the end of 2020. Business organizations have taken it well with about 95% of US employers resorting to virtual health care. Telemedicine apps are the provider of strong telehealth services. An important technology operating behind these apps is WebRTC - an opensource API based system to connect web browsers with mobile applications. Patients are supported by features like text and video chat, screen sharing, and ﬁle transfer. Electronic Health Records (EHR) aid in eﬀective communication between patients and health workers through medical records in the app. Doctors can send digital messages to patients via the Interactive Voice Response (IVR). A patient's health history is also tracked by applications like Google Fit and Apple HealthKit.

Artificial Intelligence against COVID19 The use of artificial intelligence has greatly helped out in flattening the curve by aiding in crucial areas like pandemic detection, vaccine development, thermal screening, analyzing CT scans, and so on. Tom Knight, CEO of Invistics, predicts that the healthcare industry in 2021 will see the benefits of machine learning. In the detection of the coronavirus pandemic BlueDot, a Toronto based AI application has excelled. It consults over100, 000 media sources in more than 65 languages. The AI was the first to publish a paper that predicted the spread of COVID-19. It makes use of a range of threat vectors like insect and animal populations, global and regional climatic conditions, flight data and itineraries, and others. The smartness component would be accelerated with the growth of AI. Kimberly Powell, vice president, and general manager of NVIDIA Healthcare predict that hospitals will get “smarter”. Activities can be regulated and tracked by smart cameras and smart speakers. Machine learning has made great strides in the

immunology field. With its help doctors can more effectively identify viral fragments that can elicit a response from the immune system, thus paving the way for a good vaccine. Intelligent machines can help in creating prediction tools for the effective use of resources in the healthcare industry in 2021. Artificial intelligence has brought efficiency in swiftly screening several people all at once and detecting those with high temperatures via noncontact infrared thermometers. A similar efficacy is visible in facial recognition technology and CT scan analysis. Robotic and autonomous healthcare is also on the rise especially due to the pandemic. These assistants would work in hospitals and also in patients' homes. Companion robots are being introduced in old age homes in the UK, and be successful in alleviating symptoms of loneliness and social isolation.

3. Genomics and Gene Editing Gene editing is a phenomenon that allows experts to manipulate traits that are inherited by new living cells. These traits or phenotypes determine the cell's survival factor. By inﬂuencing these phenotypes through techniques like CRISPR-Cas9,

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The art of medicine consists of amus patient while nature cures the dise

scientists have advanced in treatments to some deadly diseases including Duchenne muscular dystrophy, heart disease, and cancer. Further successful leaps in this field have led to prospects of a form of treatment called “precision medicine”. The drug would be made according to the genetic profile of an individual, thus making it more effective. 'The lab on a chip' is a handheld device that has made detection of the infected more convenient. It does not rely on precarious factors like temperature changes or coughing. The UK start-up Tropic Biosciences has come up with a few innovative methods to ensure good health. It has produced caffeine-free coffee beans to cut down on the cost and effort spent on decaffeinating normal beans. Bananas that are resilient to diseases have also been turned out. This could help the fruit industry keep more of the huge amount it spends on fighting disease.

4. Securing Healthcare Industry in 2021 The Health Insurance Portability and Accountability Act (HIPAA) acts to stem possible breaches of secure and remote communication between doctors and patients. Some telehealth technologies do not entirely comply with this act which compromises patient privacy. The regulations to secure Protected Health Information

are very strict and abiding by them can be diﬃcult. As ePHI data must be transmitted in structured formats, securing information shared through remote doctor calls is not easy. Beyond the HIPAA, the General Data Protection Regulation must be considered in order to secure personal data from European Union citizens. Patient data will be shifted to cloud-based EHR platforms for better care coordination in the healthcare industry in 2021. Healthcare providers would be able to reevaluate the overhead costs of managing IT infrastructure.

5. Enhanced Forecasting Systems Once medical professionals develop better methods to foresee the future, the healthcare industry in 2021 can eﬀectively avert calamities. Instead of analyzing medical claims or behavioral trends in the last 30 days, health institutions need real-time insights to create their forecasting systems. The pandemic has prompted health organizations to draw clearer pictures instead of taking advantage of existing data. The forecasting sensors can be used to economize the routine of health professionals, thereby saving both time and money. Community enterprises will play a great role in tracking the social determinants impacting community health. Health information exchanges can accelerate the generation of data for better

sing the ease.”

forecasting technologies in the healthcare industry in 2021.

6. AR/VR/MR in Healthcare Virtual and Augmented Reality seems to emerge right out of a science ﬁction novel. With a purpose to help people with motor deﬁciencies, it has great potential to improve telehealth in the healthcare industry in 2021. By putting patients in need of physical therapy in simulated environments, therapists can gather more data to create better care plans for their patients.

The Healthcare industry in 2021 will have to economically balance virtual and in-person medical care. Medical professionals have amped up their hopes for a less eventful 2021 with a healthcare industry geared towards better, cheaper, and more equitable care.

Individuals who have dementia or cognitive impairments have got access to VR headsets at Maplewood Senior Living, Connecticut. They enter environments otherwise almost impossible for them to visit. It may help unlock memories or improve one's emotional well-being. Augmented reality has aided health workers by making information available in 3D space in a doctor's or surgeon's vision. Students can learn about procedures through overlays and doctors can swiftly compare data to make diagnoses. The future of augmented reality depends strongly on its use in the healthcare industry in 2021.

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