YouTube teams up with providers, healthcare groups to combat health misinformation

The video-sharing giant is partnering with providers and groups, like Mayo Clinic and the American Public Health Association, to create evidence-based health content. YouTube has also added CVS Health’s former chief community health officer to lead those efforts.

Why healthcare orgs are joining an effort to create 1M jobs for Black Americans

jobs, job seeking, job, job finding

The newly created organization, dubbed OneTen, aims to create 1 million jobs for Black people over the next decade. Its founders include some big names in healthcare, such as Cleveland Clinic, Intermountain Healthcare and Humana.

Cleveland Clinic to help bring affordable broadband to city neighborhood

The Ohio-based health system is working with three organizations to provide residents of Cleveland’s Fairfax neighborhood with access to high-speed internet at affordable prices. The collaboration aims to alleviate health disparities that arise from a lack of reliable access to the internet.

Recent Executive Hires: CVS Health New President, Cleveland Clinic/Amwell Joint Venture Leadership, Others

Neela Montgomery, EVP & President at CVS Pharmacy/Retail

CVS Health Corporation names Neela Montgomery Executive Vice President and President of CVS Pharmacy/Retail, effective November 30, 2020. Montgomery will oversee the company’s 10,000 pharmacies across the United States. Montgomery, currently a Board Partner at venture capital firm Greycroft, most recently served as chief executive officer of furniture retailer Crate & Barrel and has nearly 20 years of global retail experience.


The Cleveland Clinic and Amwell joint venture appoint Egbert van Acht as Executive Vice Chairman to the Board of Directors and Frank McGillin as CEO. Formed one year ago as a first-of-its-kind company to provide broad access to comprehensive, high-acuity care via telehealth, the company has made great progress scaling digital care through its MyConsult® offering. With an initial focus on clinical second opinions, the organization also offers health information and diagnosis on more than 2,000 different types of conditions including cancer, cardiac, and neuroscience issues.


Dana Gelb Safran, Sc.D., SVP at WELL Health

Healthcare industry veteran Dana Gelb Safran, Sc.D. has joined Well Health Inc. as Senior Vice President, Value-Based Care, and Population Health. In her new role, Dr. Safran will expand WELL’s uses to improve healthcare quality, outcomes, and affordability through partnerships with payers and Accountable Care Organization (ACO) providers.


Talkdesk®, Inc., the cloud contact center for innovative enterprises appoints Cory Haynes to lead Talkdesk’s strategy for the financial service industry and Greg Miller to lead the strategy for healthcare and life sciences. Haynes and Miller are key members of the Talkdesk industries team led by Andrew Flynn, senior vice president of industries strategy for Talkdesk.


Mark McArdle, SVP Products & Design at Imprivata

Imprivata appoints Mark McArdle to Senior Vice President of Products and Design. Mr. McArdle has more than two decades of experience in software development, Software-as-a-Service (Saas), in Cybersecurity, and advanced products for the enterprise, SMB, and consumer markets.


Jack Stoddard, Executive Chairman at Eden Health

Eden Health names Jack Stoddard as executive chairman of its board of directors. Formerly serving in COO roles for Accolade and Haven, Stoddard brings two decades of healthcare innovation and operating experience to the board position, providing leadership, wisdom, and counsel during a time of monumental growth and adoption for the company. 


Saurav Chatterjee, PhD., CTO at Augmedix

Augmedix names Saurav Chatterjee Chief Technology Officer. Prior to joining Augmedix, he most recently served as Vice President of Engineering at Lumiata, Inc., where he led the engineering team that built a leading AI platform, focusing specifically on transforming, cleaning, enriching, featurizing, and visualizing healthcare data, and on building, deploying and operationalizing machine learning and deep-learning models at scale.


Philip Vecchiolli, Chief Growth & Strategy Officer, Tridiuum

Tridiuum, the nation’s premier provider of digital behavioral health solutions names Philip Vecchiolli has joined the company as Chief Growth and Strategy Officer. Vecchiolli, who brings over 30 years of experience to the new role, has a successful track record of leading business development for large and mid-size healthcare companies.


Janet Dillione, CEO of Connect America

Connect America appoints Janet Dillione as its new chief executive officer (CEO). Prior to joining Connect America, Dillione worked in the healthcare information services industry as CEO of Bernoulli Enterprise, Inc., GM of Nuance Healthcare, and CEO of Siemens Healthcare IT.


Health Catalyst, Inc. announces that current Chief Financial Officer Patrick Nelli has been named President, effective January 1, 2021. Following Nelli’s promotion to the President role, Health Catalyst has named Bryan Hunt, current Senior Vice President of Financial Planning & Analysis, Chief Financial Officer, also effective January 1, 2021.

Two additional promotions, also effective January 1, 2021, include Jason Alger, Senior Vice President of Finance, to Chief Accounting Officer, and Adam Brown, Senior Vice President of Investor Relations, to Senior Vice President of Investor Relations and Financial Planning & Analysis. 


Rick Howard, Chief Product Officer at Apervita

Apervita hires health IT veteran Rick Howard as Chief Product Officer. In his role, Rick will oversee product vision, innovation, design, and delivery of Apervita’s digital platform, which enables digital quality measurement, clinical intelligence, as well as value-based contract monitoring and performance measurement.

Roberto Simon

Conversion Labs, Inc. appoints Roberto Simon to its board of directors and as the chair of its audit committee. Following his appointment, the board now has eight members, with six serving as independent directors. Mr. Simon currently serves as CFO of WEX (NYSE: WEX), a $6+ billion fintech services provider.


Dr. Isaac Rodriguez-Chavez, Ph.D., MHS, MS.

PRA Health Sciences, Inc. appoints senior FDA official Isaac Rodriguez-Chavez, Ph.D., MHS, MS, as Senior Vice President, Scientific and Clinical Affairs. He will lead the company’s Global Center of Excellence for Decentralized Clinical Trial (DCT) Strategy. Dr. Rodriguez-Chavez’s responsibilities will involve the continued growth and development of PRA’s industry-leading decentralized clinical trial strategy, regulatory framework creation, and clinical trial modernization.


Proprio appoints three global thought leaders to its Medical Advisory Board. Dr. Sigurd Berven, Orthopedic Surgeon and Professor at the University of California, San Francisco, Dr. Charles Fisher, Professor and Head of the Combined Neurosurgical & Orthopedic Spine Program at Vancouver General Hospital and the University of British Columbia, and Dr. Ziya Gokaslan, Professor and Chair of the Department of Neurosurgery at Brown University and Neurosurgeon-in-Chief at Rhode Island Hospital and The Miriam Hospital will apply their globally respected surgical and research expertise to the development of the Proprio navigation platform.


Andrew Bindman, MD, EVP & Chief Medical Officer at Kaiser Permanente

Kaiser Permanente names Andrew Bindman, MD Executive Vice President and Chief Medical Officer.  In this role, Dr. Bindman will collaborate with clinical and operational leaders throughout the enterprise to help lead the organization’s efforts to continue improving the high-quality care provided to members and patients throughout Kaiser Permanente. Dr. Bindman will report directly to Kaiser Permanente chairman and CEO Greg A. Adams.

Dr. Michael Blackman, Chief Medical Officer at Greenway

Greenway names Dr. Michael Blackman Chief Medical Officer at Greenway. Dr. Blackman will further support the company’s ambulatory care customers, ensuring providers are equipped with the solutions and services they need to improve patient outcomes and succeed in value-based care.


Suki expands its leadership team with six key hires to support the company’s rapid commercial growth. Tracy Rentz, formerly Vice President of Implementation at Evolent Health, joins Suki as the Vice President of Customer Success and Operations to lead all customer operations, with a particular focus around deploying new Suki customers. Brian Duffy brings over 20 years of sales experience to Suki, joining the team as Director of Sales-East, after having most recently served as Regional Director at Qventus, Inc. Brent Jarkowski will also join Suki’s sales team this November as the Director of Sales-West, bringing over 15 years of experience in strategic relationship management. Brent joins Suki after serving as Senior Client Development Director at Kyyrus. Together, Brian and Brent will head the company’s efforts in building new partnerships across the country. And Josh Margulies, who previously served as the Director of Integrated Brand Marketing for the Jacksonville Jaguars, will serve as Suki’s new Senior Director of Field Marketing.

Cleveland Clinic Develop COVID-19 Risk Prediction Model through Epic MyChart

Cleveland Clinic Develop COVID-19 Risk Prediction Model through Epic MyChart

What You Should Know:

– Cleveland Clinic develops the COVID-19 risk prediction model through Epic MyChart that is now available to health systems around the world.

– Healthcare organizations can present the clinically
validated model to patients in MyChart to assess their risk of having COVID-19.


Cleveland Clinic researchers have developed a COVID-19 risk prediction model that uses information from the patient’s comprehensive health records combined with patient-centered information in Epic’s patient-facing app, MyChart, to show an individual’s likelihood of testing positive for COVID-19. The COVID-19 risk prediction model is now available to health systems around the world through Epic.

 A COVID-19 risk prediction model designed by Cleveland Clinic researchers is
now available to health systems around the world through EpicDeveloped and tested using
clinical data from more than 11,000 Cleveland Clinic patients
, the model
uses information from patients’

COVID-19 Risk Prediction Model Development

Predicting positive COVID-19 tests could help direct limited healthcare resources, encourage those who are likely to have the virus to get tested, and tailor decision-making about care. Cleveland Clinic’s model was developed and validated using retrospective patient data from more than 11k patients tested for COVID-19 at Cleveland Clinic locations in Northeast Ohio and Florida. Data scientists used statistical algorithms to transform data from patients’ electronic medical records into the first-of-its-kind risk-prediction model. All data collected was housed in a secure database.

How It Works

Patients complete a short self-assessment in MyChart,
documenting information like symptoms they are experiencing and potential
exposure to COVID-19. The model uses that information, as well as clinical and
demographic data already in their electronic chart, to calculate their score.
Patients with high risk for having COVID-19 are advised to receive a test, and
their care team members can be automatically notified of a high-risk score.

Other healthcare providers around the country also have
developed risk prediction models, which they can integrate with Epic. For
organizations that want to use an existing model rather than developing their
own, they can quickly turn on the model designed, developed, and tested–and now
being shared–by Cleveland Clinic researchers.

“We have developed the first validated prediction model that can forecast an individual’s risk for testing positive with COVID-19 and then simplified this tool while retaining exceptional accuracy for easy adoption,” said Lara Jehi, M.D., Chief Research Information Officer at Cleveland Clinic. “We are excited to make this tool available to the 250 million patients around the world who have a record in Epic. The ability to accurately predict which patients are likely to test positive will be paramount in effectively managing a patient’s care as well as allocating our resources.”

New Covid-19 risk model available via Epic’s patient portal

A risk prediction model for Covid-19, developed by researchers at Cleveland Clinic, is now available to all health systems worldwide that use the Epic MyChart patient portal. The model will help clinicians estimate the likelihood of a patient testing positive for the disease.

FDA Grants AppliedVR Breakthrough Designation for Virtual Reality Chronic Pain Treatment

FDA Grants AppliedVR Breakthrough Designation for Virtual Reality Chronic Pain Treatment

What You Should Know:

– FDA awards AppliedVR Breakthrough Device designation for
treating treatment-resistant fibromyalgia and chronic intractable lower back
pain

– AppliedVR’s EaseVRx program helps patients learn self-management skills grounded in evidence-based cognitive-behavioral therapy (CBT) principles and other behavioral methods.


AppliedVR,
a pioneer advancing the next generation of digital medicine, today announced
its EaseVRx product received Breakthrough Device designation from the U.S. Food
and Drug Administration (FDA) for treating treatment-resistant fibromyalgia and
chronic intractable lower back pain. EaseVRx is now one of the first virtual
reality (VR) digital therapeutics to get breakthrough designation to treat
conditions related to chronic pain.

What is the FDA Breakthrough Device Program?

The FDA Breakthrough Device Program helps patients receive more timely access to breakthrough technologies that could provide more effective treatment or diagnosis for life-threatening or irreversibly debilitating diseases or conditions. 

Clinical Trial Results/Outcomes

AppliedVR achieved this milestone after successfully
completing the first randomized controlled trial (RCT), evaluating VR-based
therapy for self-management of chronic pain at home. The RCT, which was
published in JMIR-FR,
found that a self-administered, skills-based VR treatment program for treating
chronic pain was feasible, scalable and was effective at improving on multiple
chronic pain outcomes – each of which met or exceeded the 30-percent threshold
to be clinically meaningful. On average, participants noted:

– Pain intensity reduced 30 percent;

– Pain-related activity interference reduced 37 percent;

– Pain-related mood interference reduced 50 percent;

– Pain-related sleep interference reduced 40 percent; and

– Pain-related stress interference reduced 49 percent.

EaseVRX Program Background

AppliedVR’s EaseVRx program helps patients learn self-management skills grounded in evidence-based cognitive-behavioral therapy (CBT) principles and other behavioral methods. The program was designed by AppliedVR, in partnership with the top pain experts and researchers, to improve self-regulation of cognitive, emotional, and physiological responses to stress and pain. AppliedVR has already been shown to be an effective treatment for acute pain in hospital settings

Why Virtual Reality Is An Effective Approach for Pain
Management

Lower back pain is one of the most common
chronic conditions that people face worldwide and represents one of the top
reasons why people miss work. Additionally, it’s an extremely
costly problem for insurers, especially as they look to cut costs related to back surgery. Recent research indicated that, when combined with neck pain,
lower back pain costs nearly $77 billion to private insurance, $45 billion to
public insurance, and $12 billion in out-of-pocket costs for patients.

Chronic pain more broadly also is a difficult and costly
problem that has contributed to many other major health problems in the U.S.,
including the opioid epidemic. A previous Johns Hopkins study in the Journal of
Pain found that chronic pain can cumulatively cost as high as $635 billion a year — more than the annual costs of
cancer, heart disease and diabetes — and lower back pain has been one of the most common reasons for prescribing opioids.
Cognitive behavioral therapies like VR are now seen by many providers as an
effective alternative or complement to pharmacological interventions that can
support their larger treatment tool belts.

“Since 1980, the American Chronic Pain Association has advocated a multidisciplinary approach to pain management—using a combination of medical and behavioral techniques to address pain,” said Penny Cowan, founder and CEO of the American Chronic Pain Association. “Virtual reality has the potential to be an important resource in this approach, helping people with pain to think differently about their conditions and learn strategies to reduce suffering and improve quality of life.”

Future Clinical Trials

AppliedVR is currently engaged in many other trials,
including feasibility studies with multiple well-known payers and with the
University of California at San Francisco (UCSF) to study how digital therapeutic platforms, including
virtual and augmented reality, can be used to improve care access for
underserved populations. AppliedVR also is advancing two clinical trials with
Geisinger and Cleveland Clinic to study VR as an opioid-sparing tool for acute
and chronic pain – specifically the company’s RelieVRx and EaseVRx platforms.
The National Institute on Drug Abuse (NIDA), part of the National Institutes of
Health (NIH), recently awarded $2.9 million grants to fund the trials.

Cleveland Clinic Names Top 10 Medical Innovations For 2021

Cleveland Clinic Names Top 10 Medical Innovations For 2021

Cleveland Clinic’s top clinicians and researchers present the top 10 medical innovations transforming medical advancements and new awards to recognize healthcare innovation.


The list of breakthrough technologies was selected by a committee of Cleveland Clinic subject matter experts, led by Will Morris, M.D., executive medical director for Cleveland Clinic Innovations, and Akhil Saklecha, M.D., managing director of Cleveland Clinic Ventures.

Here is a look at the top 10 medical innovations for 2021 with the power to transform healthcare in the next year:

1. Gene Therapy for Hemoglobinopathies

2. Novel Drug for Primary-Progressive Multiple Sclerosis

3. Smartphone-Connected Pacemaker Devices

4. New Medication for Cystic Fibrosis   

5. Universal Hepatitis C Treatment   

6. Bubble CPAP for Increased Lung Function in Premature Babies   

7. Increased Access to Telemedicine through Novel Practice and Policy Changes  

8. Vacuum-Induced Uterine Tamponade Device for Postpartum Hemorrhage   

9. PARP Inhibitors for Prostate Cancer   

10. Immunologics for Migraine Prophylaxis   

[Podcast] How Cleveland Clinic Helps Employers Create a Safer Workplace During COVID-19

Photo of James Merlino, MD

Dr. Jim Merlino, Chief Clinical Transformation Officer, Cleveland Clinic

Despite having entered the US eight months ago, COVID-19 remains a topic enshrouded in confusion, conflicting information, hyperbole, and even conspiracy theories. Everyone, informed or not, seems to have an opinion about the coronavirus pandemic.

Fortunately, health systems, hospitals, and medical providers are  uniquely qualified to fill the educational void and assert a leadership position within their communities. 

In this week’s podcast, my friend and frequent guest, Dr. Jim Merlino shares how Cleveland Clinic’s free advisory service, COVID-19: Creating a Safe Workplace, helps employers and employees, “return to work, safely and confidently during the coronavirus pandemic.” 

Listen to the podcast or read the transcript to discover:

  • Why educating the public is such a vital responsibility for providers to embrace
  • How Cleveland Clinic was able to leverage its expertise and preparation for COVID-19 into an effective educational program for employers
  • Why executive leadership is essential for larger missions like these
  • Surprising new insights about how the coronavirus spreads
  • How large and small institutions can take similar leadership positions within their communities

Finally, please help educate the public by sharing COVID-19: Creating a Safe Workplace website with employers, patients, coworkers, colleagues, friends, family, and social media. 

Other streaming services: This and other episodes of the Healthcare Success podcast are also available…
iTunes | Spotify | iHeartRadio | Google Play | Pod Bean | Tunein | Radio Public | Stitcher


Podcast Transcript

Note: The following ‘How Cleveland Clinic Helps Employers Create a Safer Workplace During COVID-19′ podcast transcript is computer generated and edited for clarity.

Stewart Gandolf, MBA:
Hi everybody, Stewart Gandolf here with another podcast featuring absolutely one of my favorite guests and personal friend, Dr. Jim Merlino. He is Chief Clinical Transformation Officer with Cleveland Clinic, now back at the Clinic after some excellent time with Press Ganey. Welcome Jim, first of all.

Dr. Jim Merlino:
Thanks Stewart. Always great to talk with you.

Stewart Gandolf, MBA:
In preparation for this meeting, we spent some time talking about, catching up how the world is very different than the last time Jim and I spoke. Last time we talked was pre COVID, pre Jim moving over to Cleveland Clinic. Things have changed quite a bit since then, obviously. And I think today we’re going to talk about a topic that I think is really, really important, which is getting the word out, leveraging the pulpit of healthcare providers. As the most trusted people in America, doctors, hospitals, health systems have a unique opportunity to educate the public. And I was talking offline with Jim prior to doing this, how during the very, very early days of the pandemic, some of our blog posts were about this topic. Back when everything was absolutely uncertain, and the world was going crazy. Our firm went virtual about a week or two ahead of everybody else, right about the same time that Stanford went virtual, before it became mandatory.

Stewart Gandolf, MBA:
I was telling Jim, we have some friends that sent us predictions on what this pandemic was going to look like. So we went virtual really mostly for public good at that stage, even though some of my employees thought I was crazy, and we spent a lot of time writing in our blogs of how you can, as a provider, be part of the solution, get the word out. Can you post on social media? Can you talk to your patients? Can you send emails? How can you be a voice? And that was before any of this stuff had widely happened within our surrounding communities. We just had a sense there’d be a need for authoritative information to supplement what’s happening in the more official channels.

Stewart Gandolf, MBA:
So anyway, Jim and I were talking about this and in true fashion with Cleveland Clinic, with the leadership role that the clinic takes in terms of public health, began an advisory service. And so that’s what we’re going to talk about today. And Jim, I’d love to hear from you, how this all began, the mission. This is your format. Let’s just talk. Tell me about the advisory service and maybe the history of it to start.

Dr. Jim Merlino:
Sure Stewart. Well, again, it’s really great to be doing a podcast with you again, and I really always enjoy our conversations and the insights that you bring to the industry through your work as well. It’s interesting. Healthcare obviously is on the front lines with the pandemic response and taking care of people who are affected by COVID. But we actually, I think, have a bigger responsibility and that is to help society reactivate and also function safely in the era of COVID because we clearly are in an environment now where COVID is with us. Whether you believe it or not, it’s here. It’s not going away until there’s a treatment or an effective vaccine. It’s just going to be a part of what we do.

Dr. Jim Merlino:
I think one of the things that we’ve learned in healthcare, and it’s not just true for Cleveland Clinic, it’s true for healthcare across the world, is that we understand how to keep people safe. And for the most part, I think healthcare has done that and you see different statistics on healthcare worker infectivity, but there are a lot of organizations across the country that have kept their workers safe. We had over 1100 caregivers infected with COVID. We’re confident, because of the contact tracing that we’ve put in place, that we can say we don’t believe any of those caregivers received COVID from taking care of a COVID positive patient, but that’s not without effort. It’s because of the safety measures that we’ve put in place, the teams of people that we’ve had together since the beginning of this pandemic that have really studied these issues and really debated about what are the best things that we need to do, or the safest things that we need to do.

Dr. Jim Merlino:
So with all of that in mind and understanding that the tsunami was coming towards us very quickly, we did a lot of preparation. We were very fortunate, in Northeast Ohio, that the tsunami didn’t hit us like it did in other parts of the country like New York or Washington. But nevertheless, we did see COVID, we did take care of a lot of patients, we’re still taking care of a lot of patients, but we learned a lot.

Dr. Jim Merlino:
And as we saw that the tsunami wasn’t going to hit us as hard as we thought it was going to, we were able to now take the information that we’d prepared for our organization and actually retune it or reformat it so that we could push it out to the public; to businesses, to churches, to educational institutions, so that others could use it. We started getting a lot of incoming early from different businesses and other organizations that needed help, and we wanted to be helpful. Cleveland Clinic has four cares, care for community, care for organization, care for caregivers and care for patients, and we very much see this as part of our responsibility to help care for the community.

Dr. Jim Merlino:
And I’ll just add one more thing, and that is that it’s interesting that if you think about managing diseases, for most diseases, we’ve had decades to study them. For COVID, everything we know about this disease has really come in the last six months or less, and we’re learning new things every day. We’re clarifying things every day. And so the most important resource that we’ve been able to provide to partners outside of healthcare is really interpreting what’s going on and translating that information to what they do every day so they can keep their employees, their customers safe. It’s been interesting work. It’s been fascinating to be a part of, it’s been an honor to be a part of it, to help others. We think it’s really meaningful and impactful.

Stewart Gandolf, MBA:
The Cleveland Clinic, as I mentioned earlier, the idea of being in your community, a thought leader, a healthcare thought leader, and Cleveland Clinic clearly does that not just in its community, but from a world scope. Is that part of the clinic’s DNA? How has that evolved, this idea of we’re trying to be something more than just the provider? We want to really be a thought leader. How did that evolve and how does that sustain?

Dr. Jim Merlino:
Cleveland Clinic has always prided itself on being an organization that’s innovative and trying to do things that benefit others, and that’s just part of our DNA. We’re actually coming up on a 100 year anniversary this year. It’s interesting the last pandemic was 100 years ago. We’re 100 years old, but it is really in our DNA, and it’s also part of the focus of our CEO, Dr. Tom Mihaljevic. He believes that we should be doing things as much as we can to really push hard and trying to figure out ways to evolve healthcare. And I think the work we’re doing with COVID response is part of that. And again, we don’t have the license on best practices. I think one of the benefits of COVID, if there’s any benefit, because there aren’t many for sure, is how people have worked together across the country. Other healthcare organizations across the world have come together to share information. And what we’ve been able to do is really just help package that so that we can help others understand what to do and be safe.

Dr. Jim Merlino:
It is interesting, one thing about the Cleveland Clinic, one of the things I think that makes the Cleveland Clinic unique, there’s a lot, I’m certainly biased, is that we have a network of hospitals and healthcare institutions across the world. And what was striking about COVID … And we were meeting every day. During the heart of the pandemic, we were meeting twice a day, and all of our sites were dialed in. It was the ability to learn from each other. So a truly integrated network where you’re getting information from Abu Dhabi, you’re getting information from London, from Florida, from Las Vegas, from Toronto, and all of that’s feeding into your decision making. And what was most fascinating is everybody was experiencing this a little differently. So for instance, our operations overseas was able to give us some early warning into some of the things that they were seeing and also how they were responding to it, and that directly impacted our responses in the States, both in Cleveland and Florida. So it was a very interesting time to be a part of such an important integrated delivery system.

Stewart Gandolf, MBA:
Jim that totally makes sense. I feel like obviously Cleveland Clinic has some amazing resources with multiple locations and a hundred year history and an incredible medical team and support teams. At the level of maybe a community hospital or a group practice or any level, but let’s maybe take a step, just one step down, a single hospital or a couple of hospitals, or just a large group, what would be important if they too feel like, “Okay, we’re not Cleveland Clinic. We can’t be, but we want to be that kind of a thought leader here in Topeka or Poughkeepsie or wherever.” What kind of recommendations, before we get into the specifics of your advisory service, but what have you learned they can use to … What would be the couple of things that you’d really want to have in place so that yes, raise your hand, be a colleague with us, help us get the word out. What kinds of things do you think would be important for that?

Dr. Jim Merlino:
I don’t think you have to be Cleveland Clinic to be helpful to your community. I think if you likely look across the nation and talk to healthcare providers in other systems, I’ve certainly talked to many of my colleagues around the country. For the most part, we’re all coordinating. We’re all driving the same things. When we think about changing a policy, for instance, around visitors, we reach out to our colleagues, my friends. I reach out to my colleagues, reach out to their friends. We really are trying to bring information together. I think that’s probably true for a lot of providers.

Dr. Jim Merlino:
But what I would say to smaller organizations, regardless of where they are and whether they’re a hospital or a practice, or a couple doc or a provider group that’s providing care, you know what to do. Likely you’ve been delivering care in COVID, and the information that you have available to you, how you think about this, the clarity that you bring to that process will be helpful to partners that are in your community, because this is complicated and it really requires a thoughtful approach to keep people safe, but an approach we know we can do.

Dr. Jim Merlino:
And I think that what I would say to anybody that’s listening that may be practicing in a smaller environment is talk to people in your community and ask them how you can be helpful, ask them how you can translate what’s going on around COVID to impact how they can keep themselves, their employees and their customers safe. They need us. They don’t just need us to take care of sick people. They need us to provide guidance. And this is such an opportunity for healthcare in the United States and across the world to really step into a role, to do much more than we’ve probably done in the past, relative to things going on in the community.

Stewart Gandolf, MBA:
You mentioned your CEO, and that’s so often the case, the idea of … Because I could see how you’re a busy hospital located in whichever town you are and you may not have the resources, but I think it’s more than just resources. It’s more of your vision of how you fit in the community because it’d be really easy and certainly forgivable. We’re just treating patients here. We don’t have time to do this high fluid and visionary stuff. We just have to take care of patients and I totally get it. But I guess it comes down to maybe the vision of the CEO and the leadership of what role, maybe a larger role than just treating patients. Does that makes sense Jim?

Dr. Jim Merlino:
Absolutely, and it also comes to getting back to the role of your hospital. If you think about the history of healthcare in the United States and how it evolved, a big part of it was community centric and most hospitals are community hospitals. And they were formed by municipalities coming together, putting money in to build a hospital to take care of people in the community. So it really is getting back to the roots. I remember one of my first roles in healthcare, I was a board member in a community hospital in the city that I grew up in, actually where I was born. And it was a hospital that was built in early sixties by seven communities coming together. One donated the land, everybody threw in some money and before you know it, you had a hospital. And today, that’s part of a big healthcare system in Cleveland. It’s doing amazing stuff, but that’s what we’re about in healthcare. So taking care of our neighbors, caring for the sick, but also providing information to the community on how to stay healthy, which is just, when you think about it, that’s noble.

Stewart Gandolf, MBA:
We’ve talked about in some of the other relevant webinars and podcasts I’ve been doing surrounding this topic. If you haven’t, first of all, it’s for the good, to get the word out, but also that’s the primary reason. We’re in this for healthcare. We’re in this to serve our community. But from a business standpoint too, it’s to take the leadership because if there’s a void in the marketplace to be a positive force, we’re not doing it for that, but that’s a good thing too. We want to be more than just that big building that people fear or may have had … Everybody has their own relationship with the community hospital. They’ve typically been part of the community for years, but to be that kind of thought leader, I think is important. And all the things we’ve talked about in the past like, and I’m going to dive into the advisory service in a moment here, but the social media, the emails, and talking to patients, the safety videos, showing them how you care, showing them how the heroes, the everyday stories, showing them how they’re going to be safe are all important.

Stewart Gandolf, MBA:
So from there, I’d love to segue to more about the advisor service. Tell me about how do you deliver it and what is it? How much does it cost, if anything? How do they deliver it? What the purpose is, all that. I’m fascinated.

Dr. Jim Merlino:
Thanks for asking. We are too in terms of how quickly it’s really grown into something. And first of all, it’s free so that makes it easy for people to consider it.

Stewart Gandolf, MBA:
You did it!

Dr. Jim Merlino:
Exactly.

Stewart Gandolf, MBA:
All of our listeners need to write this down, they can just write this down. Free is good. So yeah.

Dr. Jim Merlino:
Free is good. Well sometimes free is not good. You always wonder what the intent is or if there is something behind the curtain, but no, this is free. And it hasn’t costed us much because we really just take in what we do every day for our caregivers and repackaged it so it’s a little easier for people who are not in medicine to understand. So we have a website that on that website, we have multiple industry playbooks that we’ve assembled that break down in simple terms how to think about keeping people safe. So there’s one for restaurants, for instance, manufacturing, office environment. They’re on the website. They’re all free. They’re all downloadable. They’re all easy to read. They all have a basic template that talks about the basics of COVID and safety, and then that portion that deals with the specific environment. They’re not that long.

Dr. Jim Merlino:
We built a playbook around how to better communicate with people, your employees, customers during this time, how to communicate with empathy because certainly, healthcare workers aren’t the only ones that are being stressed. Everybody’s being stressed on something so we thought that would be important. We do weekly webinars with our experts. So infectious disease, epidemiology, testing, HR to provide insight, to help employers, organizations keep their employees mentally fit and exercising their minds and healthy at home. We have a long running list of frequently asked questions that are posted as new information becomes available. Again, translated into simple terms, what do you do if somebody in your office tests positive for COVID? What do you do if somebody has symptoms? What do you do if somebody has a family member? What do you do if somebody gets exposed? Again, it’s just breaking down on all the things that people worry about. And all of that’s on the website, which I’ll share with you. It’s clevelandclinic.org/covid19atwork. Once again, clevelandclinic.org/covid19atwork.

Dr. Jim Merlino:
And what’s interesting about the material and the reaction to it, as I said earlier, is that it’s been a service because people just want to know what is going on, what the information they need to be concerned about really is. Cutting through the media, the conflicting news reports, the things they read, and then translating it into what to do. And that’s been very rewarding because I think that’s the clarity that we’ve been able to bring in. And frankly Stewart, as you would suspect, in some cases we just don’t know and we say it, but everything is guided by CDC guidance, what the scientific evidence is demonstrating. And then if there’s no gold standard to go to, it’s the best clinical judgment based on a pool of experts. I’ll give you one example that’s very public, which is our relationship with United Airlines.

Dr. Jim Merlino:
So Cleveland Clinic’s had a long relationship with United and it’s been our corporate partner. And during the worst part of the pandemic, the darkest days of the pandemic when New York City was being clobbered, we sent a team of physicians and nurses to help out, and United was kind enough to fly them there and fly them back. And we got into a discussion about what they needed because they were asking, “We’re trying to figure out how to keep people safe while flying, how to keep our people safe. Would you be able to provide some input to us?” And then we said, “Absolutely. We’re here. Let’s talk about it.”

Dr. Jim Merlino:
And so, and again, sharing with permission and we started going through the material and they were very sophisticated. As you would expect, it’s a big company, the airlines. When it comes to safety, they all talk to each other. They think about this all the time. They’re very sophisticated and they had a lot of great material and we provided input based on what we saw as the science around what they were doing. They adapted some things that we suggested that they didn’t think about. They changed some things that they probably didn’t need to do. But that, I think, has probably made flying safer.

Dr. Jim Merlino:
And what’s interesting about flying right now is so certainly airline travel has significantly decreased, but planes never stopped flying and they didn’t put in the safety precautions. And yet, we don’t yet think we have a confirmed case of, there may be one we don’t know of, but we haven’t traced the case of COVID through airline transmissions. It’s probably coming as community spread increases and flying increases. But I think right now, we feel comfortable that we haven’t seen it. But the interesting thing is that, relative to United, is they were the first airline to mandate masks, and that was one piece of advice that we had given them, and they were very, very aggressive about it. They said, “Okay. If you tell us that that’s important, we will do it and we will enforce it.” And as you know now, all the airlines are doing it.

Dr. Jim Merlino:
So I think that’s a good partnership because the last thing I would say, and then I’ll shut up, is that it’s not just what the businesses or the hospitals need to be doing to keep us safe. This is a social contract. We have to be doing things to keep ourselves safe. If we go onto an airplane, we should need to wear a mask. We shouldn’t refuse to do that. We shouldn’t protest like, “We don’t have to do that.” No, you need to do that. That’s your responsibility. When you go to an environment where you’re working, like a hospital, where we know we can keep you safe. When you go home, you have to think about how to continue to keep you safe.

Dr. Jim Merlino:
I have a colleague, Dr. Steve Gordon, he’s our chair of infectious disease. He’s internationally renowned. He says, “Listen, COVID gets in healthcare, for healthcare workers, COVID gets into the back door, which is they come to work, they have all the precautions, they’re safe. They go home, they do something they shouldn’t have done. They drop their guard, they get infected.” That’s the backdoor and that’s the thing we have to close by being very mindful. We all have a role. COVID doesn’t discriminate and everybody in the world right now, everyone, and think about that. Everyone in the world is susceptible to it. So we all have a responsibility in this. We’re all in it together.

Stewart Gandolf, MBA:
It’s fascinating when I think about that and it’s interesting too, because the idea of airplanes, and I didn’t know that. I didn’t know there’s no documented cases for airlines having COVID. So there’s so much fear out there, misinformation and what I really like about the idea that you guys are doing this is beyond it’s helping me us all safer, but curating it, helping people understand what’s real, what’s not, how do you do that? Is there any secret to that? Because that’s very … Just that one little anecdote I think is really important.

Dr. Jim Merlino:
We have a big team and we talk about things, and so I’ll give you an example. During the heart of the pandemic, one of the biggest concerns … Well, during the start of the pandemic. We’re in the heart of the pandemic. There was a big concern about PPE, personal protective equipment. One of the top concerns was we’re going to run out. The tsunami is coming, we’re going to run out and what are we going to do? But yet you can’t ration it because you can’t cut corners. You can’t say to people, “You don’t need it there,” or, “Don’t use it this way.” It just wasn’t an option. So we had a team of people, of about 10 people, probably a little more, that really were meeting every day to talk about how do you manage PPE? What’s the best way to do it? How do you account for supply chain issues? How do you model out how much you have, and what’s your run rate on PPE?

Dr. Jim Merlino:
But it’s a statement of how experts come together to really tackle the smallest of problems that are really huge problems. That’s been our approach for everything, is we’ve had teams of professionals that are really experts in this space that have worked on these issues.

Dr. Jim Merlino:
Is my dog barking?

Stewart Gandolf, MBA:
That’s part of COVID. It’s perfectly OK to have dogs barking!

Dr. Jim Merlino:
Einstein my labradoodle.

Stewart Gandolf, MBA:
Oh my gosh. When we go offline, I’ll put my camera so you can see my dog. I have a labradoodle too. He’s enormous.

Dr. Jim Merlino:
Oh, I have a miniature. Oh yeah! We got to do it!

Stewart Gandolf, MBA:
Going back to the curation and United in that, again, thought leadership, I fly on a different airline. I have about three million miles. As you know, I travel a lot as you do too. And at the beginning of the pandemic, there was news reports about them being very spotty with requiring masks. So they lost me for a long time because I’m not getting on a plane if this has become a political statement with the person sitting next to me. I want to be safe and that whole idea of we’re all responsible, I think is really important. And it’s great that you guys are doing that. I think also, I want to ask about this. You mentioned restaurants and I don’t know if you guys do bars, but even offices. So this is very real to me today.

Stewart Gandolf, MBA:
So literally last night, I mentioned we went virtual earlier and I’ve just been very conservative about this. And people who know me know I’m not doing this from a fear standpoint, I’m doing it from a public health standpoint. So we shut down early, not because I was paranoid about getting COVID, but more you don’t know who you’re impacting. And I have a bunch of a team and it turned out actually we could have had a near miss with COVID had we stayed open very much longer, which I won’t go into.

Stewart Gandolf, MBA:
What kind of response have you gotten? Because I know from our standpoint, that’s going to be fantastically helpful to have an authority because again, we’re not experts at this. Yeah, I market healthcare, doesn’t mean I’m a doctor. It doesn’t mean I don’t have any expertise in COVID. I read a lot, but I don’t feel comfortable with my employees safety and their relatives’ safety by making these decisions. So by guiding, having a sense of trusted authority to go to makes me feel a whole lot better. I don’t know if you have anything to add to that, and certainly what kind of reaction have you gotten from doing this?

Dr. Jim Merlino:
A good reaction. I think one of the biggest concerns of patients is coming back to healthcare for elective procedures or not urgent procedures is will they be safe? And the answer is yes, they will be. And I think that that’s the same thing that employees want to know coming back to work or staying working. Will they be safe? And the answer is, yes, you will. However, and it’s a but, and that is you have to follow the rules. You have to be thoughtful. When your employer executes on a mask policy, you should follow the rules and wear the mask. When you have the ability to sanitize your hands, you should sanitize your hands.

Dr. Jim Merlino:
Look, the way we talk about these protections, these layers of protection, is that there’s something called the Swiss cheese model. In safety science for the military, for the airlines or healthcare, we assume that events are trying to hurt people and we enact barriers, and each barrier is like a piece of Swiss cheese. It blocks some things, but it has holes and it lets some things through. But the more pieces of Swiss cheese, the more barriers you line up, the better protective screen you can build to prevent those things from hurting people. And so when we think about precautions that employers put together; masking, social distancing, hand-washing, disinfecting commonly touched surfaces, education about how to keep yourself safe at home. None of those are perfect. Some are better than others, but collectively, they create a pretty strong barrier.

Dr. Jim Merlino:
And again, going back to healthcare experience, we know that we can keep people safe if they follow the rules and they have to be mindful about it. Again, I think the message is that if we do the right thing and we execute on what we know works, we can keep people safe and that should be the message. But again, part of that message needs to be that you have a responsibility as well. So when you leave the workplace, you want to be concerned about what you’re doing, who you’re interacting with, how you’re behaving, because you want to keep yourself safe at home as equally as much as you want to keep yourself safe at work.

Stewart Gandolf, MBA:
My wife went through a procedure right when things started to open up again and I told her, “Hey, this is a window. It’s probably going to bad again pretty quickly. Jump on now.” So she got her elective procedure done whenever that was. And so she went through it and it was amazing. They really had thought it through the whole, from the start to finish, how they greeted her in the parking lot, how they did all the way through. And then my wife said, “But the one thing is one nurse looked down and said, “This mask is just stupid. We don’t really need this.” And so that one, and fortunately, she kept her mask on, but obviously, didn’t have total buy in at an individual level. And that’s really what this requires, is a bunch of individuals doing stuff right, and even it’s … Maybe I’ll just argue, okay, you don’t believe it, but just suspend disbelief for me. Would you please? Because at the end of the day, that’s what we need.

Stewart Gandolf, MBA:
And I think the other point that you bring up is the importance of responsibility because, okay, great. This is so insightful to me, the idea of, okay, we have all this PPE. Who thought that your most dangerous experiences are not at the hospital, it’s when you go home? If you’re not being careful? Is that what you’re saying essentially, that the most dangerous part of your day, if you were treating COVID patients, is if you’re going home and being irresponsible?

Dr. Jim Merlino:
Well, I think that the biggest opening for risk is that. I wouldn’t say it’s the most dangerous. If you’re an ICU physician or a nurse taking care of COVID positive patients, that’s dangerous work. But I think if you’re following the precautions and you’re using them, you can keep yourself safe. So you have to be very mindful about that. It’s no different than any other environment where the risk of getting hurt is real if you’re not following safety precautions.

Dr. Jim Merlino:
But the need to be paying attention to safety doesn’t stop when you leave. And you don’t need to wear an N95 mask and gown at home, but you do need to be thinking about potential exposure opportunities, who you’re communicating with, making sure you’re avoiding large groups, quarantining yourself if you’re exposed to somebody. So that continuum of safety really stretches everywhere, not just where you’re working, regardless of what you do for a living.

Stewart Gandolf, MBA:
As we come into the home stretch here, I’d love to get any final comments you have, but I guess maybe starting with that would be to give you a place to start is what is the advice you would give to pastor of a church or the owner of a bar, or an office? All of us say to you with exasperation, “Dr. Merlino, I’m a pastor. I don’t know anything about this stuff.” What would you tell them? Obviously go to your side, but what’s maybe the philosophy or?

Dr. Jim Merlino:
I think the philosophy is to be cautiously optimistic. Number one, we will get through this. It’s not going to be without costs and it’s not going to be easy, but we will get through this. And I think it’s really important that as my boss, Dr. Tom Mihaljevic says, you have to keep perspective because we will get through this. The second thing I would say is to educate yourself and learn as much as you can. Pay attention to sites that are reputable. Don’t make your decisions based on what you’re hearing or what you’re reading on news outlets. Pay attention to medical sites and use that as your guidance. And stay up to date because the information changes. We’ve evolved a lot of our thinking on COVID. When the pandemic first started here in the United States, my wife and I were wiping down our groceries. You don’t need to do that.

Dr. Jim Merlino:
So pay attention to what’s changing and use common sense and be diligent about the procedures. A mask needs to cover your nose and mouth. It can’t just cover your mouth. It can’t be worn at your neck. It has to be worn the right way. You have to have precautions in place, or I’m sorry, protocols in place to think about what you do if somebody gets COVID in the workplace. Don’t wait for it to happen. Plan ahead. So those are the things that I would tell businesses. Those are the things that I tell businesses.

Stewart Gandolf, MBA:
There’s been times where I’ve been in situations here in California, which was at the beginning, was in the leadership position. Now, not so much, where nobody’s wearing a mask and it’s even me knowing what I know, there’s that social pressure to not wear a mask and I wear it anyway. And so I think that’s important to recognize there’ll be times that are probably challenging and do what the experts telling you. Not just because everybody else is not wearing it does not mean, “Well, they’re doing it.” It’s not safe.

Dr. Jim Merlino:
That’s right.

Stewart Gandolf, MBA:
Because that’s really what I think happens. They just said, “Well, nobody’s doing it. I guess it’s okay. It’s a sunny day and nobody’s sick.” And on the other hand, to not freak out and not be paralyzed because we have to go through life. And it sounds like, which is very heartening to hear the optimism in there that there are ways to get through this. And if we’re following the basics and I love, again, the Swiss cheese model, because that’s where I think … Maybe my last comment and then if you have anything else you can add up is perfection is the enemy of good. So in this case, if you’re thinking it’s just overwhelming. If I want to be 100% safe, I’d be lying in the sun, by myself with an N95 mask on, with the wind blowing at 100 miles an hour. It’s like, well, so then if you’re paralyzed and you’re afraid to do anything.

Stewart Gandolf, MBA:
But maybe the odds are, and maybe you can tell me this clinically, all right, if you’re having dinner outside, you’re six feet away or 10 feet away, it becomes like you overreact and just don’t have life and it becomes undoable. Do you have any comments on that? Because it feels like that’s where people get into trouble. They either, well, this is just too hard, they do nothing, or they end up with no health issues because they’re trying to do absolute perfection, which is maybe not as necessary. Any comment on that?

Dr. Jim Merlino:
Yeah. It’s like people who have obsessive compulsive disorder. People who suffer from that, they have to do specifically sometimes over and over again. That’s not what this is about. This is about really just understanding what are the few things that are capable of keeping you safe when they’re done together and just being vigilant about it. You can go to a restaurant that’s appropriately set up for social distancing and where people are wearing masks. You can sit at the table with your spouse and take your masks off if servers are masked. Those things are safe. I’ve done it. I’ve flown. My wife and I flew to Florida the first two weeks of July and we wore our masks. Everybody on the plane had a mask on. We went out to eat but we went out to eat in restaurants that we knew were following the precautions. And we were very, very careful about observing our environment because we weren’t going to walk into a situation that would put us at risk.

Dr. Jim Merlino:
But the point is you can do things. You don’t have to live in a bubble. You just have to be vigilant. And I would add, one of my closing comments would be the biggest thing we worry about in healthcare with any safety precaution or process is fatigue. People forgetting it, or people getting comfortable with it. We have to be mindful. We have to stay vigilant because that’s how we’ll keep ourselves safe. So we can’t relax our guard, so to speak, as we’re continuing to live with this pandemic.

Stewart Gandolf, MBA:
That totally makes sense, and for obviously the vast majority of our audience here is in health care. They live this every day and hopefully, some of those insights will help you communicate with your patients or your constituents and your employees too. We haven’t talked about this, and maybe just a second before we close here, your own employees at the hospital, they’re still people too and there probably is still some fear there. So any comments to the providers that are listening here or one final comments of how to get the word out to employees or to your patients?

Dr. Jim Merlino:
Well, to the providers, thank you, because I know that everyone in the provider space is working very hard to do the right thing, to keep themselves safe, to take care of patients, and it’s hard, so thank you. Again, I think it just comes back to emphasizing safety. We have to keep talking about it. We have to remind people about it. We have to reinforce it. That’s the message.

Stewart Gandolf, MBA:
Very good. Jim, as always, it’s been fun and fantastic talking to you, insightful. Love your thought leadership, love what you and your team are doing. Thank you.

Dr. Jim Merlino:
My pleasure. Thank you, Stewart. It’s always great to talk with you about these issues.

The post [Podcast] How Cleveland Clinic Helps Employers Create a Safer Workplace During COVID-19 appeared first on Healthcare Success.

Cerner Invests in Xealth to Jointly Develop Digital Health Solutions for Clinicians

Digital Prescribing Platform Xealth Raises $11M to Expand Digital Health Tools

What You Should Know:

– Cerner and Xealth announce a collaboration to foster
tighter physician-patient relationships by giving patients easier access to
digital health tools.

– These assets will be prescribed directly within the physician’s EHR workflow to manage conditions including chronic diseases, behavioral health, maternity care, and surgery preparation.

– Cerner and LRVHealth have together invested $6 million
in Xealth as part of this agreement, with Cerner and Xealth planning to jointly
develop digital health solutions that extend the value of the EHR.

– Already integrated into Epic, the integration puts
Xealth in the EHR of record for more than half of the U.S. hospital systems.


Xealth, a Seattle, WA-based company enabling digital
health at scale, and Cerner
Corporation
, today announced a collaboration that will bring digital
health tools to clinicians and patients to improve the healthcare experience.
As part of this agreement, Cerner and Xealth plan to jointly develop digital health
solutions that extend the value of the electronic health record
(EHR).
Already integrated into Epic, this integration puts Xealth in
the EHR of record for more than half of the U.S. hospital systems.

In addition, Cerner
and LRVHealth have together invested $6M in Xealth. Cerner joins Xealth
investors including Atrium Health, Cleveland Clinic, Froedtert and the Medical College of Wisconsin, MemorialCare Innovation Fund, Providence
Ventures and UPMC as well as McKesson, Novartis, Philips, and ResMed.

Xealth/Cerner EHR
Integration Details

At its core, the
relationship between Xealth and Cerner aims to give patients their own digital
data so they can be more engaged in their treatment plans. The Xealth platform
is designed to help clinicians easily integrate, prescribe and monitor digital health
tools for patients from one location in the EHR. Care teams will be able to
order solutions directly from the EHR to manage conditions including chronic
diseases, behavioral health, maternity care and surgery preparation. Incorporating Xealth into Cerner’s technology and patient portal
provides easier access to personal health information and gives care teams the
ability to monitor patient engagement with the tools and analyze the effects of
increased engagement on their healthcare and recovery.

The collaboration
between Cerner and Xealth will provide care teams and patients convenience and
help improve care accessibility. Better communications and engagement with key
members of their care team will create an experience that is connected across
settings before, during and after a care encounter.

Why It Matters

During the recent
surge of COVID-19 across the world, tools that automate patient education,
deliver virtual care, support telehealth and offer remote patient monitoring
have become even more prominent, creating new methods to inform care decisions
and keep care teams and patients connected.

“Today, we have the unique opportunity to improve people’s lives by allowing active participation in their own treatment plans,” said David Bradshaw, Senior Vice President, Consumer and Employer Solutions, Cerner. “Patients want greater access to their health information and are motivated to help care teams find the most appropriate road to recovery. Xealth and Cerner are making it easier and more convenient for patients and clinicians to accelerate healthcare in a more consumer-centric experience.”

Incorporating Xealth’s
digital health platform with clinician recommendations has been shown to
increase patient engagement rates as compared to a direct to consumer approach.
The company powers more than 30 digital health solutions, connecting patients
with educational content, remote patient monitoring, virtual care platforms,
e-commerce product recommendations and other services needed to improve health
outcomes.

“In order for digital health to have lasting impact, it needs to show value and ease for both the care team and patient,” said Mike McSherry, CEO and Co-Founder of Xealth. “We strongly believe that technology should nurture deeper patient-provider relationships and facilitate information sharing across systems and the care settings. It is exciting work with Cerner to simplify meaningful digital health for its health partners.”

“Combining our expertise in developing interactive digital solutions that improve the patient experience with Cerner’s world-class platforms creates immense opportunity for our clients to better meet the needs of today’s highly connected healthcare consumer,” concluded McSherry.

GYANT Raises $13.6M for AI-Enabled Digital Front Door Solution to Drive Patient-Doctor Engagements

Cleveland Clinic, GYANT Partner to Drive Post-Discharge Engagement

What You Should Know:

– GYANT raises $13.6M in Series A funding for AI-enabled digital front door solutions to drive meaningful patient-doctor engagement.

– The investment will enable GYANT to scale up its product development to meet rapidly increasing market demand and support its exponential customer growth.

– Current customers include Intermountain Healthcare, OSF
Healthcare, Adventist Health, Health First, Integris, etc.


GYANT, a San Francisco, CA-based care navigation company, today announced the close of a $13.6 million Series A financing round led by Wing Venture Capital. Wing VC is joined by Intermountain Ventures and existing investors Grazia Equity, Alpana Ventures, Techstars Ventures and Plug and Play Ventures. The financing will enable GYANT to continue providing best in class support and services for its fast-growing and high-profile customer base. In addition, GYANT will advance technology and interoperability to deliver the most user-friendly and personalized digital care navigation assistant on the market.

Connecting Patients & Managing Relationships

Patient expectations for a convenient and seamless healthcare experience continue to grow. As a result, health systems face an increasing need for digital health tools that improve patient experiences while optimizing workflow and reducing costs. Founded in 2016, GYANT has built the virtual front door to help health systems improve care utilization, cut costs through automation, and improve the patient experience. GYANT’s Front Door appears on a hospital system’s website or mobile app to chat with patients and guide them to the care and digital health tools they need, 24-7. GYANT is customizable to any organization’s branding, EHR, digital tools, and clinical endpoints.

RELATED: The
Digital Front Door: The Gateway to Empathetic Patient Navigation

GYANT ties together all of the digital tools a health system needs in a single interface, creating a seamless patient experience — increasing engagement, trust, and loyalty at each stage of the healthcare journey. GYANT’s unique combination of deep intelligence, physician oversight, and a human-driven, empathetic approach allows health systems to solve for traditional complex care issues, ensuring that patients receive the right care, anytime and anywhere.

GYANT’S AI-Driven Platform Increased Hospital’s Patient
Contact Rate by 39%

Cleveland Clinic first started working with GYANT to
virtualize patient outreach in 2018 to complement their existing post-discharge
call program. The combination of Cleveland Clinic’s care management processes
and GYANT’s AI-driven patient engagement platform has since fueled a 39 percent
increase in the hospital’s patient contact rate.

GYANT’s platform combined with live clinical engagement
helps patients stay in touch with their providers, while also offering a more
efficient patient and caregiver experience. This process allows more patients
to receive the support and resources they need following their hospital stay
and are escalated to a Cleveland Clinic caregiver should they require
additional assistance.

Recent Traction/Milestones

Demand for GYANT’s AI-enabled Front Door solution
skyrocketed this year, and was further accelerated
by COVID-19. The pandemic forced rapid,
widespread adoption
of digital access. The digital health market is valued
at over $106 billion and expected
to grow
significantly as providers innovate to meet the demands of
healthcare consumerization. Delivering on this need, GYANT’s financing follows
a period of remarkable growth, having expanded from 3 customers in July 2019 to
24 customers in July 2020 including Intermountain Healthcare, Geisinger, OSF
Healthcare, Adventist Health, Health First, Integris, etc.

“We are thrilled by the support of ambitious, successful investors who see the disruptive potential of AI in healthcare,” said Stefan Behrens, co-founder and chief executive officer, GYANT. “The need for digital access and care navigation has never been greater, especially with healthcare inequities and disparities in the spotlight today. This is the time for GYANT to continue growing and realize our vision of personalized patient experiences with digital navigation to the right, best possible care.”

What Meat and Eggs Do to Our Microbiome

As I’ve explored before, whether young or old, male or female, smoker or non-smoker, with high blood pressure or low blood pressure, high cholesterol or low, having high levels of a toxic compound called TMAO—trimethylamine oxide—in the bloodstream is associated with a significantly higher risk of having a heart attack, stroke, or dying over a three-year period. Where does TMAO come from? As I investigate in my video How to Develop a Healthy Gut Ecosystem, the choline in foods like eggs can be turned by gut bacteria into TMAO, which is then absorbed back into our system. And, the more eggs we eat, the higher the levels climb, as you can see at 0:41 in my video.

Given the similarity in structure between carnitine and choline, Cleveland Clinic researchers wondered if carnitine found in red meat, energy drinks, and supplements might also lead to TMAO production and put it to the test. As you can see at 1:00 in my video, if you feed omnivores, those who regularly eat meat, a steak, their TMAO levels shoot up. Those who eat strictly plant-based may start out with almost no TMAO in their system, presumably because they’re not eating any meat, eggs, or dairy. But, even if vegans eat a sirloin, still almost no TMAO is made. Why? Presumably, they don’t have steak-eating bacteria in their guts. Indeed, it was found that no TMAO is produced if you don’t have TMAO-producing bacteria in your gut. If you don’t regularly eat meat, then you’re not fostering the growth of the meat-eating microbes that produce TMAO.

This suggests that once we develop a plant-based gut ecosystem, our bacteria will not produce TMAO, even if we eat meat every once and awhile. However, we still don’t know how rapidly gut bacteria shift after a shift in our diet—but it does not appear to be all or nothing. If men eating the standard American diet are given two sausage, egg, and cheese biscuits before and after just five days of eating lots of similarly high-fat meals, their TMAO production boosts even higher, as you can see at 2:09 in my video. So, it’s not just whether we have the bad bugs or not. Apparently, we can breed more of them the more we feed them.

Meat-free diets, on the other hand, can also have been “demonstrated to have a profound influence on human metabolism.”Just by analyzing a urine sample, we can tell what kind of diet people eat, based on measurements like how low TMAO levels are in the urine of those eating egg-free vegetarian diets, as you can see at 2:26 in my video. At 2:43 in my video, you’ll see that we can even take the same people rotate them through three different diets, and determine who is on a high-meat diet, low-meat diet, or no-meat diet, based in part on the different compounds churned out by the different gut flora or different flora activity after just about two weeks on the different diets. It’s possible that some of the beneficial effects of whole plant foods may be mediated by the effects they have on our gut bacteria. At the same time, the standard American diet may increase the relative abundance of undesirables that produce toxic compounds including TMAO (as you can see at 3:07 in my video).

Strictly plant-based diets have gained acceptance as a dietary strategy for preventing and managing disease. Perhaps, in part, this is because of their rather unique gut flora, with less of the disease-causing bacteria and more of the protective species. So, all along, we thought the reason those eating plant-based had lower heart disease rates was because they were eating less saturated fat and cholesterol, but maybe their lower TMAO levels may also be contributing to their benefits, thanks to their reduced ingestion of carnitine and choline.

I talked about the egg industry response to the choline revelation in Egg Industry Response to Choline and TMAO. How has the carnitine supplement industry reacted? In response to the research implicating carnitine in TMAO production, the former vice president of AdvoCare—a multilevel marketing company that sells carnitine supplements like AdvoCare Slam while getting slammed with lawsuits finding them guilty of being “engaged in false, misleading or deceptive acts or practices” and forced to pay more than a million dollars—questioned whether there was a secret vegan conspiracy at the Cleveland Clinic. Restricting our intake of meat or carnitine supplements to prevent our gut bacteria from making TMAO, he argued, is like trying to prevent car accidents by restricting the sale of fuel.

Okay…but there are benefits to transportation. We’re talking about TMAO, which may be fueling our epidemic of heart disease, the number-one killer of men and women in this country. As far as I’m concerned, the more we can cut the fuel for that, the better.


For more background on TMAO, see Carnitine, Choline, Cancer, and Cholesterol: The TMAO Connection, then find out How to Reduce Your TMAO Levels.

Our gut flora are what we eat. Check out:

In health,
Michael Greger, M.D.

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