Surgical robots are not a new name in the medical field. It has been serving the industry for years. But what’s new about it? It’s the latest iteration of robotic technology which has given impactful results in surgical solutions. The latest version of surgical robotics consists of a camera, monitor, extendable arms which are connected with the control console to give better precision, control, and flexibility to the operations. The robots contain four arms working simultaneously adding more accuracy to the work in minimal possible time. Willing to know more about the precision of robotic technology in the surgical area? Here are the answers to your question.
The pinpoint precision of robotics in the healthcare sector:
With the help of robots, high-end mapping of CT scans and MRI is possible. The robotic assistance can be directed with a single press of the button and it can operate severe operations flawlessly with more accuracy than the practitioner.
The word nano take us to the tiniest shapes but the measurement of nano is much smaller than what we expect. Nano can be defined as one billionth of something. The measuring scale of nano is recently been added to almost every business sector including medical sector. It is allowing the medical professionals to measure and study the tiniest particles like cell components, viruses, DNA, and more. With the help of nano technology, medical sector has developed sub microscopic labs, tools, tubes and robots. DNA is the most basic element of human body, with the manipulation of DNA a number of diseases can be treated effectively by having a great control over the growth of DNA. Use of nanotechnologies is done by using nanoparticles for the treatment for which nano-robots are developed in the form of medicines to revitalize the cellular parts of a body. There are certain diseases that require crucial substances for a particular cell development as a treatment of the disease, for example cancer. With the help of nanotechnology, particles are engineered which can effectively engage with the affected cells and repair it with a direct treatment.
Advancements in the medical sector is not hidden from anyone, every single eye in this world has witnessed a great transformation in the medical assistance and the medical professionals too. Innovation is sole reason for this excellent transformation of medical health sector. In the past few decades, medical industry has gone through several advancements, right from the scanning machines till remote medical assistance. A world technology is not a single element which is responsible for this giant change, but it has enclosed several innovations within this world. If compared to past decade, now we are answerable to a number of diseases which were unknown before a decade. Not only we have answers for those but also we have effective treatment for almost diseases. Technologies are not majorly developed for the medical sector, but with the help of great professionals and technological developments, now we are able to modify and utilize latest technologies in medical sector too, such as artificial intelligence, big data, virtual reality, augmented reality, sensors and many more. In the first view the above mentioned technologies take you to the gaming zone, finance department, or huge IT sectors.
If you take a survey then five out of every ten folk is struggling with some or other health disorder and two among those are at the critical stage due to late diagnosis of the disease. To put an end to this issue, a regular health checkup is required, so that you can understand your health condition and do the needful to get rid of it. But the question is “how many of us go to the medical practitioner for a routine healthcare checkup?” Answer will be very few. To avoid this condition, several scientists and inventors are trying to develop a device which will be handy and can be afforded by every single folk to practice their self-health checkup. The device is names as medical tricorder, a portable handheld device for diagnosing health conditions within seconds. The device is not available in the real world market but several brains are working for this great invention with an intension to upgrade the medical sector. Experts have developed a huge variety of devices to support the medical professionals diagnosing various types of diseases. Each type of disease has a distinct device and the operations of such device are known to the practitioners only. There is no such device which is capable enough to diagnose distinct types of health conditions.
A new era of telemedicine has been emerged with the advancements of technology and its use in the healthcare industry. Evolution of technology has enabled health care professionals to provide more promising treatments to the patients regardless of their location and situation. If you talk about the impact of technology over the healthcare sector then it is countless, but few major transformation that has been brought by the technological growth are access to the best medical practitioner anywhere from the world, immediate medical assessment of a patient, latest treatment technologies and many more. Incorporation of digital platform is one of the best advancements in medical and also a great reason for the change of medical phase. Health records must be kept for years and years, because any further treatment may require the details of your health record or any type of treatment taken by the patient in his medical history for an effective and also safe treatment. Keeping such records manually is really a tough task for a folk. Now, technology has a solution for this problem as it have given an option to save health records along with the health checkup reports in the cloud system.
The allerguard device is the first airborne detection system that scans your entire plate of food, identifying an allergen in the parts per billion, down the safest allowable amount. Current technologies are limited and difficult. People don’t want additional hassle. For allergy sufferers, every social gathering, school trip, or even just to have a pizza with friends is a complex operation that involves detailed preparations from checking that the EpiPen is ready to use to quizzing the waitstaff about ingredients and food preparation. Current technologies are limited and difficult. People don’t want additional hassle. For allergy sufferers, every social gathering, school trip, or even just to have a pizza with friends is a complex operation that involves detailed preparations from checking that the EpiPen is ready to use to quizzing the waitstaff about ingredients and food preparation. Current offerings do little to improve the experience. The last thing allergy sufferers want is to start dissecting their food, taking samples, and then waiting for an analysis as the food gets cold, friends look on, and then secretly hope that the sample represents the whole meal. The main problem with the current allergen detection sensors is that they only detect presence of an allergen in a given sample. At allerguard, our focus is on safety, detection efficiency, and user experience.
As a visionary and a strategic leader, Dr. Waqas Ahmed (a Nephrologist based in Jacksonville, Florida) takes his mission very seriously. Paving a way for a patient-focused connected care, Dr. Ahmed focuses on improving the lives of millions of patients. Combining his healthcare expertise and passion for immersive technology, he along with his co-founders, founded American TelePhysicians Group of Companies (ATP), a digital healthcare organization led by physicians, to help both patients and healthcare providers. “In a highly fragmented and regulated industry like healthcare, high cost, lack of price transparency, poor patient access as well as education and ineffective integration of healthcare services are some of the major challenges that exist,” points out Dr. Ahmed. ATP utilizes technology to focus on integration of healthcare services to address their key issues, which are Access, Affordability and Awareness (the 3As). Inspired from being involved in his parents’ care (in Pakistan), Dr. Ahmed says, “I envisioned a marketplace platform to schedule healthcare services for our loved ones remotely as well as get second opinion services from expert physicians in America.” In 2016, Dr. Ahmed along with his co-founders established their own IT team in Pakistan.
“Data is not an asset that companies should have the right to own, health data is personal and should be accessible to the person it matters most to, the individual”, says Kristen Valdes, Founder & CEO, b.well. In the health care world, each company like providers, payers, point solutions, employers have their portal and they try to engage consumers in that individual aspect of their health care experience. It is then up to the customer to browse through numerous apps and find relevant information. As a health care expert, Kristen Valdes observed that lack of transparency of data between the stakeholders has made it difficult for the individuals to manage their health care needs. She was a health care consumer that struggled as her daughter, Bailey, endured a seven year long journey of misdiagnose, expensive procedures, and a near-fatal incident due to non-availability of collated data before Kristen was able to advocate and find her diagnosis. She says, “What I needed – was a place to manage all of her healthcare information and needs in one location. So, I started b.well”. b.well serves the health care industry by offering employers, payers and health systems an all-in-one integrated platform for consumer engagement, holistic health management, and cost containment.
Focusing on a specific niche market can often be the best business strategy to better establish a brand and “know your customers.” With decades of entrepreneurial experience, Yaron Rappaport believes the secret sauce of his business success is in identifying the “riches in niches.” This helped him in understanding thoroughly the market needs, knowing the competitors, learning what service providers want, and on the whole, gaining a decent perspective of the industry. “I’ve found that unless you are a ‘super-manager’ (I’m not), you’d better gain domain expertise in the narrowest field you plan to work in,” says Yaron, CEO and Founder of Bone Sci. Bio Ltd. Having built four successful ventures in different fields, Yaron has in fact cultivated a remarkable ability to overlook a project strategically to understand the “big picture” and make decisions in real time. “Once I identify a core factor that is key to success at a certain point, I’d spend much of my time and resources to become as much as an expert in it as I could be.” Being an avid learner by nature, Yaron first made it a point to explore the life science market before founding Bone Sci. Bio Ltd—an Israeli biomed company that develops novel bone therapy solutions for unmet needs in dentistry, orthopedics, osteoporosis and oncology. “I was relatively a ‘new comer’ to the life science sector.
“To be successful, focus on a need or problem that is within your area of expertise, that you understand, and supplement your abilities with experts with complementary skills,” says Dr. Barbara Howard, President, Total Child Health, Inc. (TCH). Dr. Howard and her husband, Dr. Raymond Sturner, shared the same vision and had similar backgrounds in Developmental-Behavioral Pediatrics. Their passions resulted in a powerful partnership for the company with its goals of facilitating evidence-based health and mental health care. The Journey : “I, along with my husband/partner, saw the advent of the internet nearly 2 decades ago as presenting a possible solution to several of the problems we saw in health care,” says Dr. Howard. The CHADIS system (www.CHADIS.com) we created, by collecting patient entered data online using a variety of questionnaires before visits then linking results to clinician decision support, addressed the problems of clinicians having inadequate time, knowledge and tools for evidence-based care. Through this system patients have the chance to carefully consider their concerns in advance, and prioritize them before their in-person visit and view individualized patient education and resources in their CHADIS portal.
“The older I get, the more I realize how much I have to learn,” says Gerry Miller, Founder & CEO, Cloudticity. He keeps an open mind, listens and surrounds himself with people who he can learn from. Miller is a responsible person who understands what is important and beautifully manages every aspect of his life in the right way. He gives his team the right amount of support, his family enough time and his company generous amounts of care. According to Miller, self-awareness and good decision making are inevitable to success. “I know the buck stops with me, so I work hard to present a clear vision and make the hard decisions as quickly as possible,” he says. The inquisitive leader also gives his team the freedom of decision making with the right blend of support. In the initial stages, he takes the responsibility of setting up the team for success and ensures everyone is equipped enough to work towards the mission. Once everything is set, he lets his people free to make their own decisions and execute their ideas independently. Miller starts his day by planning his agenda followed by answering emails. He also answers all the emails before going to bed. “I am an inbox-zero guy,” says Miller. Most of his days are spent on meetings, and he closes each day with a review and self-reflection.
With industry 4.0 revolutionizing the automation of healthcare particularly with regards to medical device manufacturing, the segment is seeing a substantial drip in the cost of technology. Andreas Hogg, an experienced medical device technologist and the CEO of Coat-X, opines this to be the right time for biomedical companies to integrate novel fabrication methods into the production to increase effectiveness and quality control of the fabrication processes and to achieve further prices reduction of medical devices and other components. Injecting the very “smart strategy” into Coat-X, Hogg and his team of biomedical experts started to integrate the industry 4.0 concept into their production lines to increase the quality of medical devices. The beginning of Coat-X was a joined collaboration between the company, Johnson & Johnson, and the University of Applied Sciences in Neuchatel. The output of this project was a an innovative encapsulation technology using ultrathin layers to protect against corrosion of devices across industries. “We use a combination of ultrathin layers of ceramic and polymer to protect jewelry, watch components, electronics, sensors, or medical devices against water ingress and corrosion caused by harsh environmental conditions,” says Hogg. Their innovative barrier coating works also for aggressive liquids like solvents, acids or gases and can therefore be applied in many sectors.
For Benedikt Brueckle, “Know Your Customer” is not just a procedure to assess and monitor customer risk. Simply put, it is to understand the needs of the customers by interacting and building a relationship with them. Brueckle believes knowing your customers and being persistent in doing that are the two core principles of organizational success. Being a technology expert and strategic leader, he embraces this principle to steer CompuGroup Medical US with the mission to improve health and the quality of life. CompuGroup is a global eHealth provider that design a portfolio of cutting-edge IT solutions. The Pain of Interoperability: Brueckle identifies the core issue persisting in the healthcare industry as interoperability. Today’s healthcare providers are constantly challenged with the critical issue of collect data from across the care continuum. “There are more than 1,000 vendors that could each have a small piece of someone’s medical history and the major issue is to bring this all together to one Personal Health Record,” notes Brueckle. CompuGroup makes this possible by connecting all major entities of the care continuum.
Little did Anne Marie Kirby know that her “one-track mind” would contribute greatly to her entrepreneurial success. With a focused approach, she used “prevention” as an underrated solution to all medical problems. “Prevention could save billions of taxpayer dollars when people take the personal initiative and have the right programs at their disposal to make the best decisions regarding their health. “Our Wellness Platform enables the creation and delivery of preventive health programs,” says Anne Marie, Founder & CEO, CoreHealth Technologies. In an effort to thwart the growth and burden of Non-Communicable Diseases or NCDs, Anne Marie’s company wants to reverse the trend through prevention. “Two-thirds of all deaths in the world can be attributed to NCDs, however, these chronic diseases are highly preventable. Unfortunately, the biggest challenge is that prevention is not very profitable,” notes Anne Marie. As a technologist with over two decades of combined preventive health and hospital information system experience, Anne Marie and her team developed a comprehensive wellness platform that simplifies and accelerates the delivery of corporate wellness programs.
I wrote about a leadership framework that has helped me in a post I called “Shepherds vs. Sheepherders.” While a simple perspective, I think it has profound implications for any kind of leader. What I have learned from leading individuals and teams is that people want to be part of a great cause, they want to work with other people who share their values, and they want to grow and progress based on honest, constructive feedback and stretch opportunities. The Journey: We shared a belief that healthcare has to be radically transformed and we knew this change was not going to come quickly through the government, provider organizations, or payers. We believed that the self-funded employer was the entity who best understood the urgency to change healthcare and was also in the best position to catalyze the change. We have had the great privilege of being the trusted partner of many of the world’s most progressive self-funded employers — health activists as we call them — that are deeply motivated to redesign the healthcare supply chain. We began with primary care as we knew that it was the key place to drive trust and to navigate patients through the rest of the complex, confusing, and the costly healthcare system. Over time, we have introduced additional capabilities to impact more and more of our employer partners healthcare spending.
A born fighter may not realize the power in him until he is sent to the battlefield. So was the case of Naheed Kurji when he was asked to take the reigns as President and CEO of Cyclica—an AI-driven biotechnology and drug discovery company. “Many early prospective investors made it clear that they were looking for someone with a PhD to lead Cyclica without really getting to know me or how the company was set up. Fortunately, my team and many others believed in me, our vision, and the broader team, and have supported us for a long time – I am truly grateful to them.” When he was asked to move from CFO and take the role of CEO in April 2016, he quickly embraced the leader in him and began to take charge. His passion for AI and life sciences served as a transformative success factor for Cyclica. Exploring the “deep how” of his success, Kurji credits his team for investing their time and knowledge in him, and for continuing to believe in his leadership. He explained that an unwavering commitment, persistence, and tenacity to acquire new knowledge helped him, overcame his self-induced “imposter syndrome”.
“Access and efficiency, stemming from misalignment of interests between Providers and Consumers are two of the biggest challenges that exist in the current healthcare market,” says Shelby Sanderford, Founder of DOCPACE. Providers aim to see more patients and patients would like to be seen on time. “The two interests work against each other, so what DOCPACE is doing is allowing Providers to see X number of patients per a day by providing a platform to notify patients of delays in appointment start time. It’s a win-win.” When working with a Hospital in Dallas, Sanderford came across plenty of patient complaints, hospital struggles, and provider frustrations which made her brain spin with ideas to improve the situation for everyone. She realized that communicating wait times with patients to improve patient satisfaction was necessary and eventually DOCPACE was born. Healthcare is incredibly fragmented which makes it very difficult to implement impactful changes on a larger scale. To take full advantage of the technological advancements in AI, analytics and machine learning, comprehensive access across EMRs is required. DOPCPACE makes this a breeze with its HIPAA Compliant software translation that can access multiple EMR platforms, and thus have a more general informed analysis.
I’ve always been easily bored, and what bores or annoys me most is when things are done in unnecessarily complicated ways. When I run into something that in my opinion doesn’t work right, I automatically start thinking about why something is done the way it is and how this could be done smarter, better or faster. So, for me everything starts with “why” and this is also why I think helping people to understand “why” is one of the most important things in leadership. Understanding gives everything a purpose and that inspires people and help them align with the goals. The Challenge in Healthcare: Healthcare is lagging behind other sectors in terms of adapting to technical possibilities, i.e., seizing opportunities. There are several good reasons for this; patient safety, information security, and regulations are among the most defendable ones. The future hurts only once but resisting it hurts forever. And if you resist, you are not among the ones shaping the future so resisting leaves you worse off when the future catches up. This is especially true with AI and machine learning. Don’t be scared of technology and the future but be realistic. Don’t plan too much in detail—start small but start somewhere—for example supporting current operations with new technology.
John Serri has worn glasses nearly his entire life and has spent an enormous amount of time at check-ups and fittings. Visiting the eye doctor’s office can cause anxiety for some. “I always found all of the big machinery in the eye doctor’s office interesting, but a bit intimidating,” says John Serri, PhD. As someone who has worn eyeglasses from an early age, Serri used to spend an enormous amount of time at the eye doctor’s for check-ups and fittings. One morning while searching for his eyeglasses, as he couldn’t find the time to visit the doctor, he stopped and thought to himself, ‘there has to be an easier way to test my vision and get new glasses’. Not very long after that he met Tibor Laczay, an eye care innovator, and discussed a technology that uses a smartphone to measure refraction error. “We both realized this was a fantastic opportunity that could help millions around the world by combining advanced optical technology with the modern capabilities of smartphones. With that, EyeQue was born. Serri has a vision for the at-home vision wellness market and is driving the product direction for EyeQue. To meet such a vision, one of Serri’s main goals is to make all EyeQue employees smarter, more effective, and richer—professionally and financially.
When there’s a creative idea lingering in the corner of his mind, Dr. Tsafrir Kolatt has never had a second’s hesitation in transforming it into a reality. Besides being an accomplished entrepreneur, Dr. Tsafrir firmly believes in the power of creativity coupled with having the courage of his convictions to establish and grow a business, which rivals or outmatches the competitors. A Unique Approach to Personalized IVF Treatments: With his landmark achievement in the biosciences/healthcare industry, Dr. Tsafrir set out to put theory into practice. Along with a team of experts, he identified a significant gap in the IVF (In-vitro Fertilization) treatment market, and co-founded Fertigo Medical in 2014. Along with three other co-founders, their mission was clear cut—to increase the success rate of IVF treatments. Fertigo’s proprietary technology provides an evidence-based, personalized approach to calculating the optimal timing for the transfer of the embryo into the uterus. The timing co-ordinate is a crucial factor for successful embryo implantation. “We are able to monitor the evolution of the uterus in real-time, allowing us to determine its optimal readiness for implantation, which is unique to each individual patient.” explains Dr. Tsafrir.
Dmitry Gurski, CEO & Co-Founder, Flo Health has been credited with developing a global app that helps women understand the meaning of their body signals, providing them with accurate cycle predictions, evidence-based health insights, self-assessment tools that identify the increased risk of certain medical conditions, and community section for anonymous discussions on health topics. Flo Health is the most popular FemTech Healthcare start-up in the USA and over 100 countries worldwide. Flo has more than 100M users, and was recognized by SensorTower as the most downloaded Health & Fitness app in Appstore in August. Flo Health’s signature product – Flo, is the fastest growing AI-driven women’s health product that encompasses solutions for girls and women at every stage of their life (start of menstruation, cycle tracking, and preparation for conception, pregnancy, early motherhood, and menopause). Quip Dmitry Gurski on the factors that led to the start of Flo, he says that the team first developed all women’s app called OW (Only Women) but had to shut it down within a year as it was too complicated. “At this point, we realized that the key thing is to make the user experience simple, even if you are trying to make a very complex product”, added Dmitry.
With over three decades of experience in the diagnostics business, Larry Cohen believes clear and direct communication is one of his strongest leadership strengths. “Soliciting input and listening carefully to professionals inside and outside the organization helps guide planning and decision-making” says Cohen, CEO of Glycotest Diagnostics. Known as one of the seminal leaders in the industry, Cohen has a large industry network to tap; he has led several companies in the healthcare arena over his 30-year career. His innovative approach to delivering better patient outcomes utilizing novel clinical testing has helped him steer Glycotest, a private liver disease diagnostics company, to early success. Meeting Challenges: “I believe the healthcare industry must do a better job in educating healthcare professionals and patients on the value delivered by new and innovative products,” says Cohen. When outcomes are measured and the quality of life is included in the equation, innovation can often be shown as a cost-saving tool. Especially, in the diagnostics sector, where products and services tend to be undervalued against the benefits they provide, we need greater emphasis and attention paid — this is usually a very small part of the overall financial cost of managing a patient’s condition. Early detection of disease allows patients to get the appropriate treatment faster and improve outcomes.
Medical imaging is a key diagnostic tool in the health care industry. Over the years the associated technology has witnessed tremendous growth, making it more affordable and efficient. An acclaimed business leader in the health care industry Cristin A. Dickerson, who is also an MD and the CEO and founder of Green Imaging, has participated in that growth, having spent 28 years in the industry. Her company’s primary aim is to help patients make the most informed decisions about MRIs, CT scans and other imaging procedures. Based out of Houston, Texas, Green Imaging is a full service virtual medical imaging network, offering cash-pay price to all its patients and direct contracting to innovative health plans ensuring they are charged a fair all-inclusive price for imaging procedures (the prices include the radiologist interpretation and any contrast or supply charges). The journey of Green Imaging began in 2012 when Cristin realized that there was a dearth of high quality, affordable medical imaging centers in Houston. “We had a 21% uninsured population in Houston in 2012. We had very few options for high quality, affordable medical imaging for those folks.
“Be passionate and have 100% belief in your mission. Be persistent, explore the unknown, be optimistic at all times, surround yourself with smarter people and don’t forget your ultimate goal regardless of any distractions along the way, ” says Ali Safavi – Founder & CEO – Grenova. The young entrepreneur is a natural risk-taker who gets uncomfortable with the comfort zone. He is a person who can’t hold back when he finds an opportunity to improve. “I cannot live with “What If,” I have to execute and find out myself, ” says Safavi. The journey : Safavi’s 8 years of experience in healthcare helped him discover a major hole in the market – unsustainable use of plastic consumables. He left his secure and well-paid job to pursue developing a technology to make labs more sustainable by reusing plastic consumables. He focused on pipette tips and after 14 months of hard work, he had a full working prototype and placed it in a clinical lab for testing. The prototype passed every single test throughout the validation protocols and proved that the pipette tip consumables could be safely reused multiple times without any carryover or impact on its performance.
Leadership, for Terry Rowinski, is passion-driven and consistent. His focus is to provide relatable leadership that engages, inspires, and encourages growth within all levels of an organization. Taking a people-centric approach, Terry yields positive bottom-line results by influencing hard-to-control costs such as turnover and productivity. Evidently, his engine of success is in creating a community culture within the organization, at the same time, giving an empathetic ear and voice to the customers that they serve. “The best thing we can provide is ease-of-use to our customers in the digital age, especially in the most complex environment, such as healthcare finance management,” claims Terry, President & CEO, Health Payment Systems (HPS). “The current healthcare landscape is not user friendly. In order to make it easy for people to pay bills, they need to understand what they are paying for and must be made digital.” HPS offers solutions to enhance the consumer healthcare billing and payments experience, while driving value to healthcare providers, health insurance companies and employers. “We intercede in the middle of the medical services provider, the employer who offers its employees health insurance through their benefit plan, the employee and their families who consume and pay for healthcare and the insurers,” notes Terry. HPS humanizes the entire way in which people are consuming and paying for healthcare.
“I am celebrating every step in this journey, and collecting success moments almost every week: our first prototype, pre-clinical trial, clinical trial kickoff, first American patient, fundraising, every time a new person is joining the team, every time we are presenting on stage, new office and many more, ” says Shani Toledano, Co-Founder & CEO at HT BioImaging. Success is a journey, not a destination and one can’t deny the Toledano has exactly got it right. As a leader, she believes that having a vision and being able to communicate her goals, persistence and responsibility are the most important factors that drove her personal and organizational success. She thinks that fostering creativity is a key trait to nurture innovation among the team. The passionate technologist has sports, communication and people in her list of interests outside of work. According to Toledano, the biggest challenge that exists in the current healthcare RCM is that the patient is not being the center. The problem gets worse in the case of fatal diseases like cancer. Early cancer detection is instrumental in saving lives because the prognosis and prospects of successful treatment are significantly improved. Yet, for many cancers and other deadly diseases, there is no current early detection examination.
“One thing I would change is to make the industry more consumer-centric: people over profits,” says Gil Blander, Founder & Chief Scientific Officer, Inside Tracker. He found the healthcare industry concentrating on profits more than the health of the people. He says their focus is not on targeted prevention but remediation of consequences. Instead of treating the root cause, they treat the symptoms. According to him, “this current ‘sick care’ industry is like a hotel and gym –– trying to fill hospital beds and use diagnostic machines for profit, instead of working to keep people away from those places and things”. As a child, Gil witnessed the death of a relative due to lack of preventive healthcare, and this resulted in his lifelong commitment to bring a change to this scenario. Being passionate about personalized nutrition, longevity research, and artificial intelligence, he tried to integrate these and provide a solution. Thus, he came up with the concept of InsideTracker as a personalized wellness application. The main motive of InsideTracker is to help people live better, for longer. . InsideTracker works by optimizing each individual body based on its own biometric data.
With a perfect blend of the right skill set and a passion to learn from real-world clinical experience, Michael Wang set out on a purpose-driven journey. As creative and strong-willed as he is, Wang and his team was seeking for a perfect solution that would help practicing clinicians to deliver the best patient care ever. “Our vision guided us with precision to look for those with experience and expertise to create a technology that the world had never seen before.” According to Wang, CEO of Inspiren, developing a care technology and then trying to backtrack its functionalities into solving real problems does not provide a seamless patient experience. Bridging this critical gap in technology that had resulted in preventable negative patient outcomes, Wang along with the team of Inspiren designed a wall-mounted IoT device called iN that uses computer vision, deep learning, and natural body-movement recognition to detect staff presence and monitor threats to patient safety while simultaneously collecting data from other medical devices such as EKGs and ventilators.
Lora Haddock, a self-described ‘anatomy geek’ was always fascinated with the psychological, physiological and anatomical aspects of orgasms. Drawing on years of research and anatomical data she had gathered from hundreds of women, she founded Lora DiCarlo in 2017, thus, creating a new page in the history of physiologically appropriate women’s health and wellness products. Lora has always been passionate about helping people find their voice and creating an environment of mutual respect and empowerment. She adds, “Inclusivity and true gender equity interests me. I want to make a positive impact on spaces and industries that have traditionally only been accessible to a select few. I want to find ways to make them more inclusive. With Lora DiCarlo, we have an opportunity to center the topic of women’s health, and by extension, gender equity, in everything we do.” Quizzing her on the factors that led to the launch of Lora DiCarlo, Lora explains that she always had a creative streak within her. “I have worked in various industries searching for the right space to express my inventive side. I’ve defied gender roles throughout my entire life from building structures by hand, performing as a singer and musician, sliding under cars in the shop, studying ballet and various forms of dance, running track, to joining junior ROTC Marine Corps.
In a highly disrupted industry like healthcare, “empowerment” is one of the key success factors to build and sustain a healthy patient-provider relationship. It is, in fact, a necessity not only for patients but for the providers as well. With a passion to impact lives, Carrie Chitsey and her team transformed this very insight into a simple and affordable telehealth platform for healthcare providers to acquire and retain patients in today’s digital landscape. “One Touch Telehealth was created after seeing a need for convenient, simple, affordable, and reliable video patient interactions for practice groups, hospitals, and facilities. We’ve kept both the patient and physician experiences in mind, allowing 2-click simplicity for ease of use on both sides to connect,” says Carrie Chitsey, CEO, and Co-Founder of One Touch Telehealth. Better Connect Made Possible: The team of One Touch Telehealth began their journey by developing mobile applications for video telehealth. “However, consumers (i.e. patients) do not want another mobile application on their phone for 2-3x/year usage,” recalls Carrie, “also, the Baby Boomer population is more comfortable on an internet browser. So we made a browser-only solution that could go right on the healthcare organizations’ website where patients are already at.”
Even if hospitals and physicians do everything right, treatments falter when patients don’t take the prescribed medications. Inability to afford medications is the major reason for non-adherence. Many patients don’t take advantage of prescription discounts just because they don’t know about them. “Billions of dollars in coupons and vouchers from pharmaceutical manufacturers go unused because physicians and patients simply lack knowledge of and access to these offerings.” says William J. Febbo, the CEO of OptimizeRx. This is where OptimizeRx® comes in. OptimizeRx’s platform integrates into EHRs and automatically provides prescription copay information at the point-of-prescribe, thus allowing providers and patients access to available discounts when it matters most. The OptimizeRx platform extends beyond the point-of-care. Its patient engagement module further improves the likelihood of treatment plan follow-through. Despite a complex healthcare ecosystem, the platform enhances connections between pharma, providers, patients, and payers.
“You wouldn’t rely on a doctor to manage your checkbook, why would you rely on a clinical system to manage your revenue cycle?” asks James Dudley – CEO, Parathon. He found that many health care providers were forfeiting millions in compensation because they were relying on their clinical system to manage their RCM. Being a software developer and technologist, he realized that the workflow of engineering clinical systems was not equipped to handle RCM. He resolved to develop the most robust and comprehensive RCM system for healthcare providers. Thus, Parathon was born. Parathon can manage the entire revenue cycle of even the largest providers as a single enterprise using the legacy EMR as a raw data warehouse. Dudley designed Parathon to be a middleware data aggregator that overarches legacy system EMRs. It enables the providers to control their entire financial desktop as a single enterprise even if it is comprised of many disparate facilities operating on multiple legacy EMRs. In this way, Parathon allows the providers to realize economies of scale and efficiencies from operating on a virtual single-enterprise system. Parathon is based on a proprietary first-to-market “Parallel Database,” or “PDB”.
After a morning of a productive reading on the latest developments in the healthcare industry, John Steele spends most of his time discovering new initiatives that will help him and his team make a positive impact on people’s lives. As a radical influencer, Steele constantly aims to “unlock the hidden insights in healthcare data” through developing new analytics solutions that treat the root cause of the issues which persist in the healthcare sector. “There is an ever-growing volume and velocity of data in healthcare that lacks standardization, making it difficult for organizations to gain any insight or make data-driven decisions,” opines Steele, CEO of Pareto Intelligence. “Pareto exists to overcome this challenge.” The Powerful Synergy: Creating a powerful synergy of cutting-edge technologies, robust analytics, and deep business expertise, Steele built Pareto Intelligence, a healthcare analytics and technology company with solutions to help healthcare organizations achieve complete and accurate revenue, communicate critical patient information seamlessly, activate clinical and claims data, and make more informed strategic decisions.
The pursuit of excellence for Luke Kervin began from a real-life experience that triggered his search for an effective healthcare solution. As an expectant father, Kervin was disappointed with the inconvenient long doctor waits, rushed visits, surprise bills, and in their case, an overlooked test result that could have been disastrous for his wife’s pregnancy. “As a father, I was very concerned, but the entrepreneur in me saw an opportunity,” recalls Kervin. He learned the key issue in healthcare is the increasing pressures of running a private practice, which distracts providers from doing what they do best—caring for patients. “This clearly required a solution that provides convenience, ridiculously good customer service, and incredible value.” From the e-commerce world that Kervin worked in previously, these things were already present. However, he saw that healthcare was not at all consumer-friendly. “With changing customer expectations, the existing technology solutions were not affordable to implement. This led me and my business partner to create a new category of software for healthcare providers called Practice Growth.
It’s well known that being a good listener makes a person more successful in any profession. In healthcare, it plays a particularly important role as hearing out patients helps clinicians better understand how to provide truly patient-centered care. Dr. Gregory Makoul strongly believes in the power of listening and aptly tagged ‘We hear you’ for his concept PatientWisdom – a solution that makes it easy for patients to share what matters to them and runs analytics to turn patient perspectives into actionable insights at the N=1 and population levels. The Founder and CEO of PatientWisdom, Inc. sees the practical combination of digital and personal communication as the key for turning transactions into relationships in the age of consumerism and value-based health care. The idea to start PatientWisdom roots back almost 30 years when Greg completed his Ph.D. in Communication at Northwestern University and joined the faculty at Northwestern University Feinberg School of Medicine. “It quickly became clear that most physicians-in-training and physicians-in-practice had very little understanding of how patients experienced health and illness.
Having conquered the business world, today, women leaders are making huge tech waves from multiple corners of the globe. Though the journey is riddled with full of hurdles, women entrepreneurs, like Eesha Sheikh, are becoming the transformative force in the technology world with the right blend of passion, persistence and expertise. Eesha’s zeal for innovation, her faith in herself and the universe, and her tenacious persistence to change the world has turned her vision of consolidating a health and fitness global technology platform to reality. Blending her scientific expertise with a passion to revolutionize health through technology, Eesha launched a one-stop-solution for better health—Playpal. With a mission to create the complete ecosystem of health, Playpal consolidates data from global IoT devices, apps, and stakeholders all under one banner. By using the power of Artificial Intelligence, Playpal transforms the influx of information into a comprehensive yet simple set of recommendations for users. Alongside, the company consolidates the market, integrates databases, and incentivizes users.
Equipped with the true grit and the right skills to succeed, Daniel Etra has always believed in the power of encouraging and inspiring others to achieve their goals. As a strategic leader and a business expert, he makes it a point to connect with his own team as well as his customers to improve care delivery and drive better patient outcomes. Etra’s innovative approach has in fact helped him to gain valuable insights and create the perfect solution for one of the most challenging issues in behavioral health today. “In the recent times, we’ve been seeing an explosion in the number of children diagnosed with an autism spectrum disorder—latest CDC statistics are 1 in 59 children, making it more common than pediatric AIDS, diabetes and cancer combined,” points out Etra, CEO of Rethink. However, there is a significant dearth of trained professionals to deliver clinical best practice treatment. Regrettably, this market problem affects all entities that revolve around the care of an autistic child, from families to school districts to social service agencies to corporate employee benefit plans, which are all seeking ways to deliver treatment in an effective, affordable, and ultimately scalable manner.
“I overcome fear [of loss, regret, etc.] by simply acknowledge the existence of failure. Fear is packaged into everything single thing in life, so the only rational thing to do is to accept it. And if you couple fear with a bit of reason, resilience and good luck [which only comes from persistent hard-work], anything is possible”, says Yasir Ali, CEO & Co-Founder, Rivews. The company leverages two-way SMS surveys to enable healthcare organizations in collecting real-time patient feedback immediately after check-out. Driven by self-conviction, perseverance, vision and belief, Yasir follows an interestingly productive routine. He starts his day with 15-minutes of self-reflection, followed by journaling along with setting up OKRs for the day. He then jumps into the most challenging and thought-provoking projects early in the day when his mind is in a flow-state. He feels daily reflection not only helps him plan with more efficacy, but enables him to always refresh his intention behind his purpose and more importantly allows him to think critically every single day in comparison to doing it just once a week or month.
“An organization will only be as great as the people you partner with,” says Benjamine Liu, CEO & Co-Founder, TrialSpark – a technology company that runs clinical trials for pharma and biotech companies. Ben believes in hiring the best talent, setting clear goals, and then empowering people with the autonomy they need to achieve these goals. The best organizations encourage people to partner with others from diverse backgrounds so they can assemble teams with different perspectives and insights. At the same time, it’s important that these teams are united by a common mission and values. For TrialSpark, the mission is to bring new treatments to patients faster and more efficiently by reimagining clinical trials. Passion taking the plunge: Ben’s work with Sir Simon Lovestone’s lab at Oxford helped him realize that long timelines and exuberant costs, which can add up to hundreds of millions of dollars per trial, are a huge bottleneck in bringing new treatments to patients. His passion to break this bottleneck propelled him to build TrialSpark is a technology company that runs end-to-end clinical trials more efficiently.
Having the foresight to see what’s doable and what’s not before investing time, the know-how and the track record of building phenomenal teams that can implement innovative ideas at a very high level, Oren Goldshtein, Vectorious CEO, proves to be a strategic leader in the making. The quality of a business depends on the choices you make and this is especially true when choosing your team. Goldshtein puts a lot of work into hiring the right people. A crucial part of his hiring strategy is to identify and map a prospective team member’s strengths and weaknesses. When the strength and weaknesses of the team members complement each other, the team would grow cohesively. Goldstein enjoys various interests outside of work to maintain a good work-life balance. Besides being a technology innovator, he enjoys reading novels, enjoys listening to classical music, and always up for fishing. Back in 2011, inspired by the idea of CardioMEMS Goldshtein along with Dr. Eyal Orion, tried to imagine the next stage of implantable hemodynamic monitoring, without limiting themselves with technological and medical constraints. The duo articulated a variety of advances that would be valued by both clinicians and patients dealing with heart failure, as well as technologies that might be harnessed for this purpose.
“I consider myself to be a pitbull that just won’t quit,” says Maximillian Jaffe, Co-Founder & COO WeRecover. The company provides a transparent search engine service for addiction treatment resources. Flaunting a blend of curiosity, tenacity, and stamina in the right proportions, Jaffe is a strategic leader in the making. Jaffe’s attitude towards leadership is profoundly inspiring as he believes in surrounding oneself with the most intelligent people who have the intense potential to breathe life into their ideas. He believes in paying equal attention to speed and direction as speed in the wrong direction is a killer for any early stage company. Nudged by personal dismay : WeRecover was born due to a visceral personal experience Jaffe had when he was trying to get his sister into rehab. “The process to get her admitted into the appropriate care was one of the most tumultuous nightmares of my life,” says Jaffe. The experience inspired him to build a platform to get the appropriate help with ease and hence WeRecover was born as a product of passion and tenacity. “Dealing with life and death situations is scary enough. The added stress of trying to deal with inefficient healthcare processes and confusing costs shouldn’t be an added stressor,” says Jaffe.
There are numerous healthcare portals giving information on all types of illness. However, most patients lack personalized resources, as each patient is different. “If I could change one thing within preexisting companies I would help beneficiaries by giving health system’s care delivery a personalization aspect”, says Amanda Zaremski, CEO, WinutRx. She believes an efficient healthcare platform is one which can give patient specific information. She personally felt the need for one as her grandmother Sueanne Coon or better known as “grams” had suffered from multiple diseases. Grams was always concerned whether the ingredients in her food was safe for consumption due to her medication’s dietary restrictions. Inspite of many precautions, her health status depleted mainly due to a lack of information with constantly changing medications resulting in adverse drug events. Amanda noticed, “ When being prescribed a new medication the restrictions are relevant to that specific medication therefore it does not take the multiple prescriptions that you may be on into account.” This led Amanda to start WinutRx. WinutRx is a mobile medication management tool for individuals with cardiovascular disease that aids in the prevention of Adverse Drug Events.
“At Workpath, all of our values deal with being open, transparent and direct. This allows us to build trust within our team and also allows collaboration as we can all contribute and help move the company forward,” says Eddie Peloke, CEO, Workpath. According to Peloke, openness is a key trait of becoming a strategic leader. Also, it is important to do some self-reflection now and then and be strongly aware of both your strengths and weaknesses. Besides surrounding yourself with talented people, it is crucial to support them and help them give their best which would eventually contribute to the growth of the organization. “I like to surround myself with incredibly smart people and it’s my job to remove the hurdles and get out of their way,” says Peloke. His interests outside of work are inspiring too. Peloke is an avid reader and contributor to business cases in the healthcare industry involving the use of technology to make organizations more efficient, transparent, and effective.. He also enjoys listening to podcasts, especially the ones related to business, technology, and startups.
“After 19 years of not knowing anything, and then just from spitting in a tube, I have a pile of information all about me.” “I am so grateful for the opportunity to finally have confirmation of my history.” “I have never had anyone look like me…It’s just great to find out who I am.” Well, as thrilling and amazing as these testimonies sound, understanding and decoding DNAs is the most exciting scientific discovery of all time. People have spent decades together trying to track down their lost genetic ancestry or loved ones for many years. Thanks to the “secret code” in all of us! Individuals can today get easy and affordable access to their genetic information and this is made possible by 23andMe. With an aim to help people access, understand, and benefit from the human genome, they generate the data that not only reveals ancestry insights but also enables groundbreaking research and innovative products. “For a little bit of spit and a few hundred dollars, we can check out genetic predictions for traits we already know we have—perhaps blonde hair or blue eyes—as well as susceptibilities for diseases we may have yet to develop, such as cancer or diabetes,” notes Anne Wojcicki, the pioneer woman renowned for bringing genome mapping to the common man for tracking linage as well as medical treatment.
A 67-year-old female was treated at the Nova Scotia Health Authority for mycosis fungoides of the forehead, eyelid, and nose with mycosis fungoides involving the upper face. As a part of her treatment plan, the application of bolus for Modulated Electron Radiation Therapy (MERT) was necessary to deliver the prescribed dose to the skin surface to treat her disease with two separate electron fields. This is where Adaptiiv’s 3D printing software solution proved phenomenal in creating a highly conformal bolus for MERT for the superior field, allowing modulation of the electron fluence to spare distal structures (Figures 1 and 2). The technology’s accuracy and high resolution made it best suited for MERT bolus and obtained 90 isodose to 92.5 percent of planning target volume (PTV). The treatment plan achieved relative sparing of all the organs at risk distal to the target volume. The 3D printed bolus was rigid and could be reproducibly placed at the times of planning a computed tomography and daily treatments, without causing discomfort (Figure 3). As a medical software and 3D printing technology solution provider, Adaptiiv takes a personalized patient care approach while helping the healthcare industry optimize 3D printing technology software.
Medical errors are as fatal as terminal diseases. Often numerous patients die due to the recurring medical errors in the healthcare systems. The modern healthcare sector is continuously challenged with this festering issue as they strive to deliver safe and higher quality care. “From approximately 7.5 billion human genomes, each one of them responds differently to drugs. As a result, incorrect medications are prescribed, leading to inefficient treatment and medicine side effects,” points out Dr. Josef Scheiber, Managing Director and Founder of BioVariance GmbH. This is especially true in the case of complex diseases, where patients experience difficulty to understand and follow the complicated medical instructions suggested by the physicians, thereby causing severe health issues. The need of the hour is to have a holistic approach to handle and manage large volumes of data and gain actionable insight out of it to remedy medical errors, improve patient health, and minimize medical cost. Enters BioVariance GmbH—a company that aims to personalize and improve patient health by generating relevant data insight and placing them in the right context.
Despite the upheaval that AI has created in the healthcare space, the lack of well-annotated data has been the biggest challenge in the development of disease detection AI engines. It slows the process and is very expensive. Moreover, annotation and labeling demand a heavy workload from medical doctors in the development stage of medical AI engines. Applying his extensive experience in objective recognition for medical image-based diagnosis using AI deep learning, Jacob Lee found the perfect solution to reduce the burden from this data annotation and labeling process. “Generating a revolutionary unsupervised learning idea and implementing an advanced annotation system, our deep learning packaged platform, m: Studio gets rid of the cumbersome labeling process,” says Lee, Founder and CEO of CAIDE Systems. Hence, the medical doctors’ intervention is not necessary during these processes as CAIDE’s advanced annotation enables consistent and reliable outlining of the abnormalities in the medical images. Apart from data annotation, they also specialize in smart data augmentation method to solve data scarcity issue to enable the explosive bulk development.
Digitization has crawled into every phase of healthcare. As consumers of healthcare are gaining more medical knowledge, the demand for better service and outcomes is increasing like never before; and the only means to meet this need is through technology. “The best way to deliver healthcare to all at high quality is to be preventative and reach the consumers early before they need it,” notes Tanveer Patel, Co-Founder and CEO of ConcertCare. Believing in the same principle, Tanveer founded ConcertCare with an aim to alleviate the pain of healthcare providers and efficiently improve their clinical and operational outcomes. Recognized as one of the nation’s Top 100 Influential Thinkers, Tanveer brings two decades of successful business ventures partnering healthcare and information technology. Injecting her experience and expertise into ConcertCare’s solutions, “Our goal is to simply restore the link between quality patient care, access to care, efficiency of care and provider profitability.” Their consulting services and integrated, user-friendly technology solutions streamline and automate the painstaking often redundant tasks involved in practice management. The solutions help healthcare providers practice, regain their focus and ensure the best possible patient outcomes.
During his service at the Brigham and Women’s Hospital in Boston, Dr. Christopher Ianelli noticed a software solution that orchestrated the distribution of leftover specimens to researchers developed within the clinical laboratory of the hospital. Acknowledging that these “clinical remnant” specimens held tremendous value for medical research, he quickly realized the power of this solution to reduce waste and accelerate research by connecting bench researchers to a steady supply of remnant clinical samples. This outstanding discovery made Dr. Ianelli shift his career to technology-based solutions, from the clinical side of medicine, and launch iSepcimen—a human biospecimen marketplace technology company. Procuring high-quality and richly annotated human biospecimens that represent an exact specimen match has always been a massive challenge for scientists who manage pressing timelines for R&D plans as well as regulatory and ethical constraints. “The time-consuming and complex process can be wrought with searches from one specimen supplier to another, resulting in cobbled-together specimen orders across numerous sources. This means multiple transactions and vendor contracts, disparate compliance management, numerous orders and shipments to track, and the delivery of specimen data sets from various contributors,” says Dr. Ianelli.
Cardiovascular disease or CVD is a global problem. Though typically viewed as a “rich-world disease”, it has now migrated to many developing countries. The rising prevalence of CVD, today, calls for cost-effective and intelligent patient-centric healthcare technology that empowers care teams and has a real impact on patients. This where Stone Three comes in. Harnessing the power of machine learning, the company enables and enhances virtual consults with computer assisted diagnostic solutions to help primary healthcare providers better diagnose and manage CVD. “We utilize machine learning to unlock the value of the health data related to cardiovascular health and derive insights that enable us to diagnose and prioritize patients who need urgent care. Our core technology focuses on medical visualization and precision telemedicine, built on our experience with medical device and data interoperability,” says Dirk Wagener, General Manager of Stone Three Healthcare. Clearly understanding the needs and pain points of their customers, the company provides innovative solutions that exceed customer expectations and add value to their businesses. Their professional stethoscope streaming solution, TeleSensi™, delivers superior out-of-band audio quality that is clinically appropriate for improved diagnosis, workflow integration with existing user management systems and complete business integration.
The value of AI has been accelerating the healthcare space at an increasing rate. In fact, AI-powered medical diagnostics is today driving the critical changes across the care continuum. However, AI technologies are not believed to replace doctors despite its transformative power. “We view AI only as a new medical device that allows doctors to ‘better see’ each case,” says Gabriela Fuentes, COO, Transmural Biotech or TMB. “For instance, doctors with different degrees of training reach different conclusions on a clinical diagnosis. Instead, if they have access to data-driven AI image processing technology to support their decision, objective results can be attained regardless of their training.” Upholding the same principle, TMB develops innovative clinical solutions and services using disruptive technologies based on AI. The company is formed by a group of experienced AI scientists and business developers with strong support from reputable clinical advisors who delivers image diagnosis and processing that helps clinicians to improve healthcare in a reliable, fast, and easy-to-use way, maintaining a worldwide and 24/7 service. We offer direct clinical prediction from ultrasound images by texture analysis and have the necessary robustness to ensure reliability in clinical environments,” notes Fuentes.
When Electronic Medical Records (EMRs) were introduced in the early 1970s the vision was clear: digitizing patient records would make healthcare more efficient, and better for the patient and provider. Fast forward to today—we’ve come a long way towards the goal of a better system, but we aren’t quite there. We’ve identified the industry’s pain points, and laid the groundwork for solutions. Widespread adoption of the three healthcare tech ideas below will be crucial to building a healthcare system that is better for patients and the clinicians alike. In 2018, the Centers for Medicare and Medicaid (CMS) renamed “Meaningful Use” to “Promoting Interoperability”, which is a good indicator that we are inching closer to greater efficiency in healthcare. Essentially, interoperability means the ability for health information systems and software apps to communicate, exchange data and use the data they’ve shared. “Digitizing healthcare” was initially driven by revenue optimization and then care standardization. Clinical efficiency seems to be the forgotten promise but will ultimately be one of the most meaningful outcomes. While EMRs have made huge strides in digitizing healthcare and allowing for data to lead the way, they haven’t always communicated well with each other or other technology. Enter Fast Healthcare Interoperability Resources, or ‘FHIR.
Apps, and their use for the promotion of health and wellbeing, are the subject of increasing interest and enquiry; particularly in light of the NHS’ Long Term Plan, and ever-increasing pressures on scarce NHS resources. But finding and downloading effective, engaging, and most importantly, safe health-apps, is a significant challenge. While many have suggested that health-apps could be a ‘silver-bullet’, aimed at quashing the woes that stem from decreasing funding and increasing demand for incumbent NHS services, it is important to tread with caution. Unlike pharmaceuticals, over the counter remedies, talking therapies, physiotherapy or surgery, health-apps can not only be sought, but readily obtained in absence of gatekeeping and safeguarding. The result is that you or I can download upwards of 200,000 health-apps today, with as little as a click of a button on the app-store. While this can be argued as the unique value-proposition of app-based health technologies, a lack of guarantees regarding the quality and content of such apps, means that this open-access feature of apps also represents the chief concern; and is likely limiting the enthusiasm with which healthcare professionals engage and promote their use.
In a properly functioning brain, both hemispheres communicate equally and at lightning speed, millions of times per minute. In a poorly functioning brain, the left and right sides of the brain only impart partial information, causing frequent miscommunication. This is called Functional Disconnection and is the root of many types of learning, behavioral and social problems found in children. The Brain Balance program puts the left and right brains back in sync using sensory motor exercises, academic skill building, and nutrition guidelines. The assessment consists of sensory, motor, and academic testing of more than 900 functions. The outcome of this assessment is a highly customized report providing parents with a complete understanding of their child’s behavioral, social, and academic skill levels. We use AI to determine which brain hemisphere we believe to be stronger or weaker. The Machine Learning algorithm used for the assessment is not always accurate, which we know based on the feedback from our staff—yes we let them disagree with the system, which is intended as a tool to help them support their own assessment, but not to necessarily force them into a decision they don’t agree with.