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While payers (whether Medicare, Medicaid or private health insurance companies) are justified in denying claims with inherent errors, it is physicians who are responsible for not pursuing with resubmission and intensified efforts. This is where Denial Management becomes significant.
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Example of high-ROI data science project I did from start to finish. Please contact me if you are a hiring manager at GOOG, AMZN, McKinsey/BCG/Bain, or Booz Allen Hamilton and need someone who can do something like this!
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2) a sandbox
3) a set of discovery tools
4) the right kind of direction.
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It can be confusing to know whether or not your health system needs to add a data warehouse unless you understand how it’s different from a clinical data repository. A clinical data repository consolidates data from various clinical sources, such as an EMR, to provide a clinical view of patients. A data warehouse, in comparison, provides a single source of truth for all types of data pulled in from the many source systems across the enterprise. The data warehouse also has these benefits: a faster time to value, flexible architecture to make easy adjustments, reduction in waste and inefficiencies, reduced errors, standardized reports, decreased wait times for reports, data governance and security.
Denial management-integral-to-physicians-conquering-reimbursement-challenges-...Medical Billers and Coders
While payers (whether Medicare, Medicaid or private health insurance companies) are justified in denying claims with inherent errors, it is physicians who are responsible for not pursuing with resubmission and intensified efforts. This is where Denial Management becomes significant.
Late Binding in Data Warehouses: Desiging for Analytic AgilityHealth Catalyst
Listen to Part 2 of the Late-Binding (TM) Data Warehouse webinar, a separate webinar focused on answering detailed follow-up questions generated from the first Late-Binding (TM) Data Warehouse webinar.
Example of high-ROI data science project I did from start to finish. Please contact me if you are a hiring manager at GOOG, AMZN, McKinsey/BCG/Bain, or Booz Allen Hamilton and need someone who can do something like this!
4 Best Practices for Analyzing Healthcare DataHealth Catalyst
Meaningful healthcare analytics today generally need data from multiple source systems to help address the triple aim cost, quality, and patient satisfaction. Once appropriate data has been captured, pulled into a single place, and tied together, then data analysis can begin. In this article I share 4 ways to enable your analyst including providing them with
1) a data warehouse
2) a sandbox
3) a set of discovery tools
4) the right kind of direction.
Clinical Data Repository vs. A Data Warehouse - Which Do You Need?Health Catalyst
It can be confusing to know whether or not your health system needs to add a data warehouse unless you understand how it’s different from a clinical data repository. A clinical data repository consolidates data from various clinical sources, such as an EMR, to provide a clinical view of patients. A data warehouse, in comparison, provides a single source of truth for all types of data pulled in from the many source systems across the enterprise. The data warehouse also has these benefits: a faster time to value, flexible architecture to make easy adjustments, reduction in waste and inefficiencies, reduced errors, standardized reports, decreased wait times for reports, data governance and security.
Introduction to CliniCast and how our risk scores, cost scores and workflow tools enable providers to optimize outcomes for patients and reduce unnecessary costs.
Precision medicine has profound implications for patient care and clinical outcomes, and is already beginning to impact everyday medical practice. However, implementation faces several obstacles, including overstated claims, resistance among clinical medicine thought leaders and providers, and concerns about costs, data overload, and interoperability. This webinar will address five key concerns, challenges, and barriers among clinicians and IT professionals struggling to determine the value and limitations of implementing precision medicine, and offer tangible recommendations to help drive toward precision medicine adoption.
Learning Objectives:
Identify obstacles that impede the implementation of precision medicine in clinical practice.
Contrast population-based medicine and precision medicine.
Demonstrate the real world benefits of precision medicine in today's healthcare setting.
The Pegwin Insights software platform is used by caregivers at the point of care to measure and monitor a patient’s risk profile and receive early insight into a patient’s deterioration so that timely intervention and preventive action can be taken to avoid post-operative complications. Pegwin Insights is the only evidence-based Machine Learning and AI solution to assist caregivers with better-than-human accuracy in real-time.
Introduction to CliniCast and how our risk scores, cost scores and workflow tools enable providers to optimize outcomes for patients and reduce unnecessary costs.
Precision medicine has profound implications for patient care and clinical outcomes, and is already beginning to impact everyday medical practice. However, implementation faces several obstacles, including overstated claims, resistance among clinical medicine thought leaders and providers, and concerns about costs, data overload, and interoperability. This webinar will address five key concerns, challenges, and barriers among clinicians and IT professionals struggling to determine the value and limitations of implementing precision medicine, and offer tangible recommendations to help drive toward precision medicine adoption.
Learning Objectives:
Identify obstacles that impede the implementation of precision medicine in clinical practice.
Contrast population-based medicine and precision medicine.
Demonstrate the real world benefits of precision medicine in today's healthcare setting.
The Pegwin Insights software platform is used by caregivers at the point of care to measure and monitor a patient’s risk profile and receive early insight into a patient’s deterioration so that timely intervention and preventive action can be taken to avoid post-operative complications. Pegwin Insights is the only evidence-based Machine Learning and AI solution to assist caregivers with better-than-human accuracy in real-time.
“Innovation Levers in Precision Medicine”
Colleen Chien
Professor, Santa Clara University Law School
November 5, 2015
White & Case Digital Health: Rethinking Healthcare in a
Digital World Conference
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With exponential innovation in digital medicine and mobile health, what is utterly lacking is evidence generation and implementation science to help transform health systems into learning healthcare systems. This talk was given at Connected Health Conference, Dec 2016 as part of NODE Health Initiative.
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Attendees will learn how to:
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- Triage Shadow IT and consolidate on the most enterprise-ready cloud services
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- Turn their business stakeholders into security champions
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Explore the profound impact of data literacy on healthcare organizations and how it shapes the utilization of data and technology for transformative outcomes. Understand the top technology priorities for healthcare organizations and learn how to navigate the digital landscape effectively. Furthermore, simplify industry jargon by defining common data elements, fostering clearer communication and collaboration across stakeholders.
Finally, uncover the transformative potentials of platforms in healthcare and how they can revolutionize scalability, interoperability, and innovation within your organization. Don't miss this opportunity to gain invaluable insights from industry experts and stay ahead in the ever-evolving healthcare landscape. Reserve your spot now for an enlightening journey into the future of healthcare technology!
The Accenture Life Sciences practice helps companies pivot to the patient for best outcomes. See how we can help you. Visit https://accntu.re/2l5mUGu to learn more.
Personal Brand Statement:
As an Army veteran dedicated to lifelong learning, I bring a disciplined, strategic mindset to my pursuits. I am constantly expanding my knowledge to innovate and lead effectively. My journey is driven by a commitment to excellence, and to make a meaningful impact in the world.
LA HUG - Video Testimonials with Chynna Morgan - June 2024Lital Barkan
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Understanding User Needs and Satisfying ThemAggregage
https://www.productmanagementtoday.com/frs/26903918/understanding-user-needs-and-satisfying-them
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In this webinar, we won't focus on the research methods for discovering user-needs. We will focus on synthesis of the needs we discover, communication and alignment tools, and how we operationalize addressing those needs.
Industry expert Scott Sehlhorst will:
• Introduce a taxonomy for user goals with real world examples
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• Illustrate how customer journey maps capture activity-level and task-level goals
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Organizational Change Leadership Agile Tour Geneve 2024
CliniCast: RockHealth
1. Enabling Better Care Processes
1 Contact: Jack Challis E-mail: jack@clinicast.net Phone: 415.857.2278
2. Summary
CliniCast builds tools that enable healthcare
providers to proactively manage risk
More Data More Powerful More
Sources Risk Models Savings
Team built health
risk software for Market opportunity Complete
Pilot within
Kaiser Permanente $4 B/yr 5 Months
subsidiary.
2 Contact: Jack Challis E-mail: jack@clinicast.net Phone: 415.857.2278
3. Problem
● Historically, healthcare providers could get away
without risk management.
● Now, healthcare is moving to fee-for-value where
this is necessary.
● Providers don't know how to do this and are looking
for solutions.
3 Contact: Jack Challis E-mail: jack@clinicast.net Phone: 415.857.2278
4. Solution
CliniCast finds the patients where providers can
intervene and save money.
● Identify patients at high risk of
developing heart failure, diabetes or
heart disease.
Potential
use cases ● Find patients who have discontinued
important medications.
● Highlight patients who overuse ERs.
4 Contact: Jack Challis E-mail: jack@clinicast.net Phone: 415.857.2278
5. Risk
Management
CliniCast software enables providers to manage risk through more
targeted prevention.
Combine
Diverse Data
Sources
Measure Results Risk Stratify
to Adjust Process Patients
Assign Tasks to Target Risk
Staff Interventions To
Reduce Risk
5 Contact: Jack Challis E-mail: jack@clinicast.net Phone: 415.857.2278
6. US Market
Breakdown
Roughly 75% of
Approximately 10%
healthcare spending is
healthcare dollars is
associated with chronic
wasted : ~$260 B/yr
disease: ~$190 B/yr
Kaiser Permanente
experience shows 25%
Software vendors can
of chronic disease cost
capture 10% of these
can be reduced with
savings : ~$4 B/yr
software like CliniCast:
~$40 B/yr
6 Contact: Jack Challis E-mail: jack@clinicast.net Phone: 415.857.2278
7. Business
Model
SaaS Subscription
Annual Revenue ~$20 per patient per year
Sales Channels
Channel ● Provide Value-Added Services
Partners ● Accelerate Time to Market
● Provide Integrated Solutions
Direct ○ Risk Stratification
Sales ○ Workflow
○ Measurement
7 Contact: Jack Challis E-mail: jack@clinicast.net Phone: 415.857.2278
8. CliniCast technology integrates more data sources,
enabling more powerful risk models.
Chart Text Integrate into Universal Data
Structure
Labs
Claims
Pharmacy Proprietary Risk Models for Healthcare:
Cost, Outcomes and Utilization
Risk Models Monitoring and
Workflow
API Service Reporting
8 Contact: Jack Challis E-mail: jack@clinicast.net Phone: 415.857.2278
10. Our Team
Team built health risk software for Archimedes,
Kaiser Permanente subsidiary.
Jack Challis, CEO
Yale Physics PhD.
Designs healthcare predictive models.
Krates Ng, CTO
15 Yrs Enterprise Software Experience.
Built health risk calculator solution.
Jason Rudy, Algorithms Lead
SDSU Bioinformatics MS.
Predictive modeling expert.
10 Contact: Jack Challis E-mail: jack@clinicast.net Phone: 415.857.2278
11. Company
Snapshot
Founded Q4 2011 in Millbrae, CA
● Completed Hospitalization Beta Model (Q2)
● Completed Workflow Beta Product (Q2)
● Completed Web API Beta (Q3)
Milestone Timeline
Land first customer 2 Months
First customer pilot 3 Months
Complete Pilot within 5 Months.
11 Contact: Jack Challis E-mail: jack@clinicast.net Phone: 415.857.2278
12. Contact Info
Contact Jack Challis
Address 475 El Camino Real, Ste 414
Millbrae, CA 94030
E-mail jack@clinicast.net
Tel +1.415.857.2278
Fax +1.650.648.0728
12 Contact: Jack Challis E-mail: jack@clinicast.net Phone: 415.857.2278