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May 2019
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H e a l t h c a r e
C o m p a n i e s
Tim Hammond, CEO
Redefining Eldercare
Technology
Investor’s Guide to the Healthcare Industry / Pg No - 08
Best,
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Managing Editor, The Silicon Review
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Anusha
Take care of the patient and
everything else will follow!
Healthcare industry is getting a rapid makeover,
from surgical robots to smart hospitals; the
digital transformation is revolutionizing health
care in new and exciting ways. Companies in
the healthcare industry are all pumped up, and
current trends promise further big changes for
professionals in the healthcare business.
On the other hand, when thinking about
technology in the healthcare industry, and more
specifically medical technology, there are several
crucial factors to consider. With its government-
mandated need for security, massive amounts of
sensitive data and rapidly changing technological
environment, healthcare is among the economic
sectors facing the most significant challenges in
implementing effective IT solutions and main
concern being growing flood of data and cost.
From small doctor’s offices to major hospitals,
the healthcare IT environment is increasingly
complex and, if not managed appropriately,
can negatively impact patient care. What are
the major technology challenges in healthcare
industry in the modern environment? And how to
overcome those challenges? Answer is right here!.
Here is the list, the answer for every healthcare
technology challenge. The Silicon Review “10
Fastest Growing Healthcare Companies
2019.” These companies are not only the
exceptional innovators, but are striving to make
the society a better place to live. The companies
that are enlisted are well-known for their ability
to fight against healthcare complexities.
Success recognized to the fullest!
Editor’s Note
ContentsContentsContents
Creating a Healthier
and Safer World
10
Offering Behavioral
Health and Addiction
Services to Its Patients
in a Variety of Settings
Challenging the
Shape of Medical
Research and Practice
A Highly Innovative
Approach to Treating and
Supporting Individuals
with Developmental
Disabilities
Providing Pregnant
Women with their
Own Personalized
Report
14 26 30 34
Feature Articles
Investor’s Guide to the Healthcare Industry
Artificial Intelligence: The ultimate game changer in healthcare
Understanding Immunotherapy, a New Form of Cancer Treatment
Yet another Reason to Sleep: Researchers Say that Sleep Increases Chromosomes Dynamics
Technology can alleviate the shocking scarcity of healthcare in India
Telehealth: Defining a New Episode of Patient Care
World Gets its First baby Born with Robot-assisted Uterus Transplant
Healthcare Is Getting Smarter With AI and Robotics Revolution
There Could Soon Be a Smartphone App to Help Detect Early Onset of Mild Cognitive Impairment
The Importance of Transporting Sensitive Healthcare Medications
8
12
16
24
28
32
36
40
46
52
Vol - 1.4 | ISSUE - 2 | May 2019 (Monthly Edition)
Rethink Autism
Daniel Etra
Co-founder & CEO
STERIS
Kevin Holder
Managing Director Acadia Healthcare
Debbie Osteen, CEO
Organovo
Taylor J. Crouch
CEO & President
Univfy
Mylene Yao
M.D., Co-founder & CEO
Redefining Eldercare
Four Season Care
Homes
38 42 44 48 50
COVER STORY / 18
Tim Hammond, CEO
The global standardization
organization for
international recognition
Black Book Market
Tailored Made
Solutions as Per
Each Cancer Patient
Requirement
The Patient
Blockchain
that Solves the
Healthcare Puzzle
Giving Surgeons
the Data They
Need to Make
Evidence-Based
Care Decisions
Transforming
Diagnosis and
Treatment of
Cancer - PAIGE
Research
Doug Brown
Founder, President &
Managing Partner
Onkos Surgical
Patrick Treacy, Co-founder
President, & CEO
Embleema
Robert Chu, CEO Empiric health
Rick Adam, CEO
Leo Grady, CEO
8 May - 2019
Investor’s Guide to the
Healthcare Industry
T
he healthcare market is one such market that will
exist until humanity is alive. For now, startups
are coming up with tech that will surely change
the game and even take over the market. Big players
in the industry need to watch out for such startups
since the innovation level is really high. Each startup is
specializing in certain verticals within the healthcare
industry. Tagging with physicians and other medical
officials these startups have started experimenting
and improving various technologies for various people
across the globe.
Many have had a discussion on the matter and very few
have given the solution to it. Investors will obviously
look for the right investment and they would want to
invest in a company that can bring them better returns
in the future along with improving the lives of those
who are currently suffering from an illness or find a
cure for certain diseases and health problems.
The Tech you should be Focusing on
To be honest there is no particular tech or vertical of
healthcare you need to be focusing on. In the past print
was everything, now it is replaced by digital tools and
other media products. The same goes with vehicles
where the electric powered cars are bikes will take over
the fuel vehicles. Healthcare is the same; there are many
tools and software that has allowed patients to consult
a doctor sitting at home. But sometimes there is a need
to go to the doctor and that can’t be avoided.
But the question here is; what is the right tech to
focus on? Well, the answer is simple; there is no
“right tech”. Every now and then you see new and
innovative tech that pops up in the market. Artificial
Intelligence, Blockchain, machine learning, robotics
and now photography are some of the examples. But it
is important to first ask yourself this question what is
the vertical you have decided to focus on, later see if the
tech involved in it has some potential growth. Consult
your team and other experts and you will get the right
answer.
Whom to Consult
Keep in mind your investment plan, how much you
are ready to invest and what is the vertical you are
focusing on healthcare. The people whom you should
be contacting are the business owners who want to
improve the environment. Sometimes it is better to
invest in people who are seeking to do better in the
healthcare industry since it will give you a positive
result. Sometimes doing good to others won’t do
good to you, that is where you need the right business
consultant, so pick the one who can understand the
vertical and provide accurate solutions for you.
The Change of Healthcare Market
The major change which has been observed by many
experts is the significant evolution in consumer-
directed healthcare. In the present scenario patients
thinking about the money, they spend on their
8 May - 2019
9May - 2019
healthcare.
Many are
observing
the change in the
benefit designs. Along
with more copays and higher
deductible plans, factors have grabbed
the attention of healthcare professionals. For the
sake of customers or patients, innovators have really
invested a lot of time.
Experts feel without regulatory catalyst there won’t be
any rapid change in the healthcare market. So, if you
are someone who is already in the regulatory catalyst
environment, you should really make a decision on
which side of the bed you’re taking. Many feel they
should be on the side that is giving a lot of growth and
also provides better security. Many think this is the
only winning strategy for a long term plan. But if you’re
in an area where you’re evaluating an investment that
is in terms of expansion and better results you need
to be smart. The area where there is no clear near
term, regulatory catalyst positively or negatively it
becomes important that you focus on betting on the
right occurrence. It’s really about when is this change is
happening and how you react to this change. Many are
in the future you might be called right or you might be
called wrong. It all depends on how you invest and plan
for the future in the healthcare industry.
SR
9May - 2019
10 May - 2019
S
teris combines engineering,
data and healthcare expertise
to empower its customers
to make smarter and more cost-
effective decisions across their:
sterile departments, surgical
theatres, and surgical inventory
procurement and biomedical
engineering teams.
The company assists the customers
in identifying opportunities for
improvement and cost savings. It
also helps surgeons and healthcare
professionals to improve patient
care pathways by being: more
resilient, more responsive, more
cost-effective and more agile and
highlighting quality improvements
where they can be made.
The Four Core Services:
Sterilisation &
Decontamination
The company has gained extensive
experience and consistently
impressive records for improving
quality for its Customers.
The company achieves this via its
comprehensive and fully serviced
solutions which include: surgical
instrument sterilisation, device
decontamination and endoscope
processing. All of this, combined
with its unique track and trace
system SynergyTrak®
which offers
the customers an intuitive platform
providing them with oversight of
their whole surgical instrument
inventory in real-time.
The firm also has been able to
regularly provide contingency
services to healthcare providers,
who may be experiencing technical
difficulties in their own sterile units,
or are undergoing refurbishment
or increased demand. Steris knows
that great service solutions are
never “off the shelf”, every Customer
need is different.
Endoscope Repairs
The firm’s UK based repair centres
offer swift turn-around times and
the teams are on hand to answer
any questions you may have.
Steris repairs rigid and flexible
endoscopes, orthopaedic power
tools, phaco handpieces and dental
handpieces.
The quality of the parts it uses for
the endoscope repairs ensures that
the device life will be extended
and continues to perform at OEM
operating standards. This also
includes equipment that is no
longer supported by the original
manufacturer.
By choosing STERIS Instrument
Management Services for your
instrument repairs you can save
up to 50% compared to OEM*. The
experienced repair technicians
take the life cycle of each individual
device into consideration,
guaranteeing a reliable and safe
service with consistent, prompt
turnarounds.
Surgical Instrument Repair
Steris repairs surgical instruments
to the highest standards with
ISO13485 accreditation. The
standard turnaround times are
prompt and for more urgent repairs,
“We at STERIS Instrument Management Services believe in supporting
our Customers to deliver the best in patient care. Today through a
series of strategic combinations and continual innovation of new
products, we hold one of the strongest portfolios of products and
services in the industry.”
Creating a Healthier and Safer World – STERIS
Instrument Management Services
11May - 2019
it can provide a rapid repair service.
It offers flexible and comprehensive
repair solutions including a rapid
repair service. It is dedicated to
enabling patient safety and driving
improvements in quality outcomes
and efficiency across all its services.
The Customer Service
Representatives offer a free
collection and delivery service
across the UK*. In the instance
this service is not available in
your area; it works closely with its
partner courier networks so that
your instruments are always in safe
hands.
Surgical Instrument Sales
The company also provides an
exclusive micro-surgical range and
a range of single-use instruments.
Its online store offers Customers
access to over 4000 surgical
instruments including reliable
single-use options. The firm is
continually expanding its product
range (based on the needs of its
Customers). For the Customers
peace of mind, it manufactures
all the surgical instruments to
British Standards (BSI) and is
accredited under ISO13485, with
these internationally recognized
standards you can be assured of the
highest level of quality and service
at all times.
Initially specializing in the
manufacture of handmade
tracheotomy tubes (over twenty
years ago) the firm has gradually
expanded its product lines, which
it now offer to its Customers.
This extended range of surgical
instruments is still based on
the same principles of quality,
durability and value which it
founded its business on over twenty
years ago.
Animal Health Services
The company has combined its
expertise in the health care market
with its passion for animals to
create STERIS Animal Health
Services. The extensive experience
within the medical device industry
offers it the opportunity to supply
high-quality surgical instruments
to the UK Veterinary market. At
STERIS it believes that the animals
deserve the same level of care as
humans.
The Experienced Leader
Kevin Holder | Managing Director
Kevin is the Managing Director of the STERIS
Instrument Management Services business
for Europe and the Middle East, focused
on the sterilization and repair of surgical
devices; he joined the business in 2013 as
Business Development Director.
Appointed in various CEO positions within
the independent healthcare provider sector,
Kevin is an advocate for talent progression
within the business and promoting the
benefits devices from true partnership
working with customers in the NHS and other
clinical settings.
Kevin Holder, Managing Director
SR
12 May - 2019
Artificial Intelligence: The ultimate
game changer in healthcare
A
rtificial Intelligence is
nothing but intelligence that
is synthetic and which is
developed by humans for machines.
The debate about autonomous
machines has been going on for the
better part of the last half a century.
However, Artificial Intelligence
(AI) now implies machines that
are able to carry out specific
tasks with very little to no human
intervention. AI is undoubtedly the
next big technological revolution
that will transform the world and
it has already found numerous
applications in a wide array of
industries, some of which include
cyber security, manufacturing,
software development, robotics,
automobiles, not to mention,
healthcare.
It is in healthcare perhaps that
Artificial Intelligence can have the
biggest direct impact on human
life. AI is not only making machines
better at tasks than humans, it
is also making them faster and
exponentially more efficient.
When someone uses the word
healthcare, most people tend to
think of diseases and their cures.
As the old saying goes, “prevention
is better than cure”, healthcare also
encompasses wellness. Artificial
Intelligence has the potential to
provide the coveted edge to
doctors and patients alike in
making informed decisions
about health and well-being.
Early diagnosis
Data analysis is one of the
things that Artificial Intelligence
algorithms do best and patient data
is what the healthcare industry
has in abundance. By applying
sophisticated AI constructs to years
and years of patient data, surprising
deductions are reached. Simply
13May - 2019
put, AI powered systems can sift
through several terabytes of patient
information several times faster
and with far greater accuracy than
the most qualified and experienced
human being. This technique allows
doctors to review patient history
and determine which ones are
at the highest risk of contracting
which types of diseases. Such a
predictive method is consistently
shown to have produced accurate
and dependable results, not to
mention, saved a lot of money on
medical bills for several people.
One of the most important factors
that predictive analytical techniques
need is real time patient data.
The Internet of Things (IoT) is a
very promising way of procuring
patient information on a regular
basis in order for AI to work its
magic. IoT consists of a network
of interconnected devices that
exchange data. Wearable devices
collect patient vitals like heart rate,
blood pressure, amount of activity,
etc. This information is highly useful
to determine a patient’s general
health and formulate reliable
prognoses.
Treatments
A treatment can range from
prescribing mediation to
performing complex surgery.
Analysis of health information
using advanced AI algorithms
allows doctors to formulate care
plans and vary their treatments
for longer and more permanent
solutions. Additionally, machine
learning techniques have even
demonstrated considerable success
in predicting chronic illnesses
before they affect patients by
doing a better job of analyzing the
medical history of the said patients.
Robots have had an increasing role
in surgeries since the previous
decade. Robots have evolved
from being just helping hands to
surgeons to being able to perform
surgery themselves. Once again,
Artificial Intelligence has allowed
these robots to get progressively
better at their job. Some robots
have gotten good enough to
perform successful surgeries
themselves.
Clinical research
The research and development
of new drugs is an integral part
of the global healthcare industry.
This industry spends hundreds of
millions of dollars each year on
research for newer and better cures
for a wide range of illnesses. The
most important ingredient for any
drug related research is once again,
information about the disease as
well as the patients that suffer from
it. This information includes patient
medical history, symptoms, family
history, general stats, and so on. All
of this information about hundreds
or even thousands of patients is
required to conduct an in-depth
research about a particular bacteria,
virus or diseases like diabetes, heart
disease, Alzheimer’s disease, etc.
Artificial Intelligence can process
this information and churn out
results that are far more accurate
than the ones that are achieved
by other conventional means of
analysis. Moreover, the results are
achieved significantly faster after
assessment of data sets of several
patients simultaneously. In other
words, AI has the ability to bolster
the pace of research and reduce the
time required for a drug to progress
from its conception stage to being
available commercially.
Artificial Intelligence is making
itself known in many fields and
has helped us make giant leaps
in technology. Healthcare is the
next big arena for this marvel
of technology to enter and
revolutionize how people
deal with diseases.
SR
H
eadquartered in Franklin,
Tennessee, Acadia Healthcare
was established in January
2005 to develop and operate a
network of behavioral health
facilities across the country. Acadia
provides psychiatric and chemical
dependency services to its patients
in a variety of settings, including
inpatient psychiatric hospitals,
specialty treatment facilities,
residential treatment centers,
outpatient clinics and therapeutic
school-based programs.
Acadia’s management style and
philosophy is one of collaboration
and flexibility as it creates an
energetic and team oriented service
delivery system. Its organization
values input from employees,
physicians, and all strategic
alliances. Acadia Healthcare puts
its best efforts to create behavioral
health centers where people receive
care that enables them to regain
hope in a supportive and caring
environment. “We want Acadia to
be synonymous with excellent care,
phenomenal customer service and
an unparalleled commitment to
our patients, staff, physicians, and
community”, says Debbie Osteen,
CEO.
Behavioral Health
Treatment Facilities &
Clinics
Acadia Healthcare is familiar with
the impact of mental health and
behavioral health disorders and
with the various types and levels
of treatment that have proven to
be most effective. At the programs
that are members of the Acadia
Healthcare network, individuals
and families whose lives have been
affected by behavioral health and
mental health concerns can receive
the comprehensive care that will
provide maximum relief from
their symptoms and help make the
greatest possible improvements in
their quality of life.
At Acadia Healthcare, experienced
and compassionate professionals
are dedicated to providing superior
personalized care in an atmosphere
of dignity and respect to individuals
who have been struggling with one
or more mental health or behavioral
health disorders. At Acadia
programs, adolescents and adults
can expect to work with experts
who are dedicated to providing
evidence-based, research-supported
services that are designed to meet
their specific needs and put them in
the best position to experience long-
term success.
Substance Abuse
Treatment Facilities &
Clinics
Substance abuse can devastate
individuals and families. Acadia
Healthcare is dedicated to
developing innovative and effective
programming that can help
adolescents and adults overcome
their dependence upon alcohol
and/or other drugs and learn to
live healthier and more satisfying
lives, free from the limitations of
addiction. At programs throughout
the Acadia Healthcare network,
experienced and dedicated
professionals provide the life-
changing therapeutic interventions
and other clinical services that
help individuals emerge from the
darkness of substance abuse and
addiction and take their first steps
along the path toward a brighter,
drug-free future.
Each program in the Acadia
Healthcare network provides a
unique opportunity for individuals
“Our mission is to
create a world-class
organization that sets the
standard of excellence in
the treatment of specialty
behavioral health and
addiction disorders.”
Offering Behavioral Health and Addiction Services to
Its Patients in a Variety of Settings: Acadia Healthcare
Debbie Osteen, CEO
14 May - 2019
15May - 2019
to receive superior personalized
care in an atmosphere of
dignity and respect. No two
Acadia-affiliated programs are
identical, but all of its programs
are unified by its commitment
to providing individualized
treatment that is based upon
a thorough assessment to
determine the strengths, needs,
and treatment objectives of each
person who chooses to heal with
Acadia. At Acadia programs,
adolescents and adults can
expect to work with experienced
professionals who are dedicated
to providing evidence-based,
research-supported services
that are designed to meet each
individual’s specific needs.
Eating Disorder
Treatment Facilities &
Clinics
Acadia Healthcare understands
the dramatic impact that
eating disorders can have on
individuals, and how difficult
these disorders can be to
overcome. At the programs
within the Acadia treatment
network that provide care
for individuals with eating
disorders, supremely talented
and dedicated professionals
work diligently to provide
comprehensive programming
that is designed to empower
adolescents, men, and women
to overcome the compulsion
to engage in disordered eating
behaviors, to achieve long-term
recovery, and to learn how to
live healthier, more productive,
and more satisfying lives.
Several programs within the
Acadia Healthcare network have
helped many adolescents and
adults to escape the despair and
devastation of eating disorders.
At Acadia’s eating disorder
treatment programs, individuals
receive world-class care
featuring comprehensive clinical
and therapeutic services that
are provided with unparalleled
personalization and that are
delivered with the utmost
respect and dignity. When an
individual enters an Acadia
program for the treatment of
an eating disorder, he or she
will work in close collaboration
with dedicated professionals to
complete a customized course
of treatment that is designed
according to his or her unique
strengths, needs, and treatment
objectives.
Post-Traumatic Stress
Disorder & Trauma
Treatment Facilities &
Clinics
Acadia Healthcare recognizes
the impact that trauma and
trauma-related concerns
can have on an individual. It
also understands that while
some individuals are able to
recuperate from the emotional
effects of their experiences,
others will suffer from ongoing
distress that can hinder their
ability to continue functioning
appropriately on a daily
basis. When this is the case,
individuals may feel at a loss as
to what they can do or where
they can turn in order to find
relief from their suffering.
For these reasons, within its vast
network of treatment providers,
Acadia Healthcare is proud to
offer a number of options for
care that are designed to help
those who are battling trauma-
related concerns so that they
can learn to manage their
symptoms and alleviate their
distress.
Acadia Healthcare
Leadership
Debbie Osteen, Chief
Executive Officer
Prior to joining Acadia in December
2018, Ms. Osteen served as Executive
Vice President of Universal Health
Services, Inc. (NYSE: UHS) and
President of UHS’s behavioral health
division since 1999. Ms. Osteen led
UHS’s behavioral health division
to become the largest system of
freestanding behavioral healthcare
facilities in the United States.
Under Ms. Osteen’s leadership, UHS
acquired Cygnet Health Care and the
adult services division of Cambian
Group in the United Kingdom.
Ms. Osteen served as past President
of the National Association of
Psychiatric Health Systems (now
known as the National Association
of Behavioral Healthcare). She also
served on the Executive Committee
of the National Action Alliance for
Suicide Prevention, a public-private
partnership advancing the national
strategy for suicide prevention.
Ms. Osteen has been named multiple
times among the “Top 25 Women in
Healthcare” by Modern Healthcare
magazine, most recently in 2015.
SR
Understanding
Immunotherapy, a New
Form of Cancer Treatment
I
mmunotherapy is a type of
biological therapy that is
very prevalent these days to
cure cancer patients. It basically
empowers one’s own immune
system to fight cancer. The immune
system, as we know can combat
certain pathogens that cause
infections and other diseases.
The therapy has become an
increasingly vital cancer treatment
option over the years. It can be
given alone or in combination with
other treatments. The potential
of the human’s immune system
is something that cannot be
underestimated. Our body already
has a strong and smart immune
system; immunotherapy enhances
it to battle with the cancerous cells.
This form of therapy sees cancer
treatment in a whole new light.
The technology received praise
from the world and it came into
the limelight when the 2018 Nobel
Prize in Physiology or Medicine
was awarded jointly to two
researchers oceans apart, James
P. Allison, Ph.D., of The University
of Texas MD Anderson Cancer
Center, and Dr. Tasuku Honjo
of Kyoto University in Japan to
acknowledge their efforts to bring
immunotherapy: a breakthrough
treatment that turned the body’s
own immune system against
cancer. Both worked separately
during their careers to study a
protein called T cell protein
CTLA-4. When this protein
attaches to another protein found
on the surface of cancerous cells,
the immune system recognizes and
attacks cancer cells by blocking
the CTLA-4 protein. Their research
eventually led to the drug Yervoy
(ipilimumab) which was found
helpful in treating certain types of
cancer. Their years of hardwork
have finally begun to pay off; it has
ushered a new hope for cancer
patients.
So, how is this new form of
cancer treatment different
from the traditional forms of
cancer treatment, particularly,
chemotherapy? Unlike
chemotherapy that attacks
the carcinoid tumors directly,
immunotherapy treats the immune
system. Immunotherapy makes the
immune system more robust to
improve immune response. They
also teach the immune system to
spot cancerous cells and destroy
them. While chemo works as long
as the effect of the drug is there
in the body, immunotherapy
has a long-lasting effect on the
patients. Other differences are
how both the form of treatments
affects the patients’ overall health.
Chemotherapy attacks all kinds
of rapidly dividing cells, whether
healthy or cancerous, which causes
side effects like hair loss and
nausea. However, immunotherapy
isn’t completely free of side effects;
it can probably cause skin rashes,
diarrhea, or other health issues
depending on how the immune
system responds. On one hand,
where chemo has a faster result,
immunotherapy takes a longer
time to shrink tumors.
There are, however, several hurdles
that are pushing back this next-
gen technology to be the forefront
of cancer treatment. There are
various challenges that doctors are
dealing with. Firstly, the treatment
is very costly, and secondly, it is
very slow. After investing so much
time and money, if the patients
realize that the treatment is not
working, it would be extremely
heartbreaking considering the
unnecessary expenses, severe side
effects like infections, hormone
or gland problems, inflammation
in internal organs, and further
slowing down the treatment.
As the technology is still in its
nascent stage and it still pretty
much relies on primitive tools,
the real challenge right now is
to understand who will respond
well to the treatment and who will
reject it.
Immunotherapy is already a
standard of treatment for some
type of cancers. It has even
proved effective at an advanced
stage of cancers. More and more
immunotherapies are available
at an ongoing clinical trial. Every
patient is unique: and the goal
of the medical care team is to
find the right treatment for the
patient, whether chemotherapy,
immunotherapy, or combination
of both. Immunotherapy is a
16 May - 2019
pathbreaking discovery in the era
of cutting-edge technology. “As we
become more adept at treating and
preventing cancers, the disease will
no longer be a life-ending tragedy
for so many patients. Rather, cancer
will become a chronic condition that
can be effectively managed
without limiting a person’s
vitality or lifespan,” quoted
Jeff Balser, MD, Ph.D., President
and Chief Executive Officer of
Vanderbilt University Medical
Center, and Dean of Vanderbilt
University School of Medicine. The
technology has not been exploited
to its fullest capacity and it has an
immense scope to change the lives
of people suffering the hardships
of dealing with cancer. It is just the
beginning!
SR
17May - 2019
C
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Tim Hammond, CEO
Redefining Eldercare
Four Season Care Homes
19May - 2019
A
ssisted living and long
term nursing for the
elderly is one of the
rapidly growing issues
in various countries. As
people grow old and retire, children
are not always able to care for them,
especially in light of hectic work
schedules, the need for migration,
increasing prices of healthcare, and so
on. In such cases, it is best for senior
citizens to live in their own little
community. That is where retirement
homes come into the picture. These
places provide a way for the aged to
form a social circle and live amongst
people of their own age group. Being
socially active and keeping one’s mind
sharp and alert in old age has proven
to have numerous health benefits and
are shown to promote an overall state
of mental and physical wellness.
Four Season Health care offers
community homes for the elderly, a
place for them to spend their twilight
years leading quality and dignified life.
Its homes are more than just places
of care and everyday living support.
They’re also thriving communities in
which each person feels part of the
life of the home. Listening to residents
is one of the most important things
that caregivers at Four Seasons Health
Care do each day so that the company
can truly get to know them. The
staff always pays special attention to
people’s stories ─ because places filled
with stories and warmth are places
that everyone is happy to call home.
Four Seasons has a national network
of more than 250 care homes with
20,000 staff providing specialist
dementia and nursing care to
more than 14,000 people. It is an
international leader in dementia care
and a major contributor to advances
in best practice. Its specialist
Dementia Care Framework
significantly improves the well-
being of people living with
dementia while reducing their
requirement for medications.
Four Seasons provides long-term
nursing care; intermediate care
to avoid admission to hospital
or enable speedier discharge;
respite care and palliative nursing.
Everyone living in a Four Seasons
home has a personalized care plan
designed to meet their individual
health and social care needs that
are based on an understanding of
their unique life story and takes
account of their interests and
preferences.
Four Seasons also offers
rehabilitation and re-ablement
for those who have a health
setback and just need time to
recover. Its mental health and
learning disability communities
also support individuals to
lead independent lives through
empowering environments,
understanding teams and holistic
care plans.
The staff is also trained to
use exclusive technology to
continuously improve residents’
day-to-day experiences through
the Quality of Life Programme.
As well as medication dosage,
dietary needs, and mobility, the
system also captures residents’
wants, wishes, and preferences,
alongside feedback from
relatives and professionals.
This information is immediately
available to Home Managers and
their teams, complementing the
normal face-to-face conversations
of each day.
Through its Home to Home
Promise, the company supports
new residents and their families to
make the move into a care home
as relaxed and easy as possible.
After all, feeling well looked after,
comfortable and ready to start
a new chapter in life is as much
about creating a sense of home as
it is about providing good quality
care.
Life at a Four Seasons
Care Home
Life is all about relationships. And
they remain just as important
in our later years, helping to
enrich each day and make it more
rewarding.
When each new resident arrives in
one of Four Season’s care homes
they become part of a new circle
that includes not only their own
family and friends but also other
residents, nurses, careers and
support team. It’s the blending
of all these relationships that
helps to fill each resident’s daily
experience with new friendships,
good company and a sense of
family.
Retire Homes filled
with stories
Listening to residents is one of the
most important things about the
staff’s daily efforts so that they
can truly get to know patients. The
nurses explore people’s different
characters, likes and dislikes and
always pay special attention to
people’s stories ─ because places
filled with stories and warmth are
places that everyone is happy to
call home.
All homes offer a choice of lively
communal areas and quieter rooms
for a spot of reading or following
a hobby. Most also have secure
and attractive gardens with patio
seating areas where residents
can enjoy time with their visitors
during the warmer months. The
more green-fingered among the
staff are also encouraged to help
out with the planting when the
mood takes them.
Another way to help residents
to feel at home is for them to do
familiar things. So the dedicated
Activities Leaders at Four Seasons
gently encourage residents to
carry on doing things they enjoy. If
someone had a hobby or pastime
they did before they arrived, they’ll
be encouraged to continue it with.
Or perhaps they may like to learn
something new.
The important thing is that every
resident is treated as an individual.
If they enjoy sharing time with
others, either at the home or on an
organized trip out, they’re most
welcome. Or, if they prefer quiet
time alone, we’ll respect that too.
Healthy and
scrumptious food
There’s nothing quite like
traditional home cooking to give
everyone a lift.
Four seasons always asks residents
and their families about their
food preferences and dietary
requirements. The chef and
catering team then work with
dieticians to create meals that are
nutritious and tasty, using fresh
seasonal ingredients.
To add more variety, the company
also makes a point of celebrating
with special meals and events
throughout the year. Residents can
be served in a pleasant restaurant-
style dining room or, if they prefer,
they can take their meals in the
privacy of their own rooms.
Additionally, all homes have
in-house hair salons or visiting
hairdressers while some also have
their own nail bars. Caregivers
would also be pleased to arrange
chiropody and a range of other
therapies ─ all to help add a little
more of the feel-good factor.
Quality and Regulation
One of the company’s core
beliefs is that care is something
they do with and for people, not
“to” them. The staff properly
assesses the needs of each person
before they come to stay and
continue to assess their needs
on a regular basis so they
can always provide the most
appropriate care.
The most important measure of
any home is feedback from
residents, their families and
visiting health professionals.
That’s why Four Seasons has
introduced its unique Quality
of Life Programme to enable it
to listen to residents every day,
and help deliver the type of care
experience they want. This system
notifies if the home is meeting
desired expectations, and allows
professionals to immediately
respond to any issues that may
crop up.
Moreover, there are regulatory
bodies in the UK that conduct
inspections and give care homes
quality ratings. In England, Four
Season’s homes are inspected by
the Care Quality Commission, in
Scotland by the Care Inspectorate,
in Wales by the Care and Social
Services Inspectorate Wales, and in
Northern Ireland by the Regulation
and Quality Improvement
Authority.
Neurological Care and
Rehabilitation
At Four Seasons Health Care
support is offered for adults with
complex physical disabilities or
health needs resulting from a
range of neurological conditions.
The services include short or
long-term rehabilitation options,
20 May - 2019
respite breaks, or long-term home
environments.
Each individual is supported by a
key worker to help review their
therapeutic goals, independence
skills, and ‘whole life’ aspirations.
Through services and supportive
environments, Four Seasons
empowers people to reach their
potential and be involved in their
community.
Supportive living
environments
All the homes have been specially
designed to promote independence
and enable people to live full lives
through:
•	 Rehabilitation rooms equipped
for physiotherapy and
occupational therapies
•	 Robust surroundings suitable for
people who use wheelchairs with
accessible outdoor gardens and
patios
•	 Dedicated dining, living and
activity areas with variable
height seating to prevent
pressure ulcers
•	 Stairs with grab handrails,
electric profiling beds with
adjustable heights and at least
one room with a Jacuzzi bath
•	 Support for patients with
bariatric care needs
Specialist teams
All of the professionals in each of
the homes with neurological care
and rehabilitation services have
completed specialist training,
including understanding neurological
conditions and the promotion of
independence.
The teams at each home also have
access to in-reach nurses who will
provide best practice guidance and
advice for specific neurological
conditions and neuropsychiatry,
offering additional support.
Four Seasons also works closely
with local health and social care
community teams to arrange
assessments and plan for appropriate
and timely hospital discharges.
Physiotherapy, Occupational Therapy,
and Pharmacology services are
regularly available through proactive
partnerships working with NHS
Trust and Independent, third sector,
providers.
Learning Disabilities
Four Seasons’ learning disability
communities are set within a separate
residential and nursing care homes
in a relaxed, welcoming and safe
environment. This allows specially
trained teams to give the right amount
of support and create a responsive,
empowering service.
The programmes at Four Seasons
provide opportunities for individuals
to engage in meaningful activity,
lifelong learning and develop skills for
work to help build their confidence
and self-esteem. Residents are further
encouraged independence through
building social networks in the service
and the local community. Where
individuals experience distressed
reactions to the environment or other
people, the nursing staff at each of the
homes use positive behavioral support
techniques to understand their
challenges and reduce the intensity
and duration of their distress.
The professionals at Four Seasons
are always listening to ways in which
they can improve services. The
individuals supported can use best
practice forums to inform how the
service is run while family and friends
can give feedback to teams using
freely available iPads in each of the
homes.
Four Seasons advocates on resident’s
behalf support self-advocacy and
have created health passports that
accompany each individual to hospital
appointments to ensure continuity of
care. The door is always open to give
friendly advice and provides you with
the opportunity to look around so you
can get peace of mind and feel more
prepared for the next steps.
21May - 2019
Meet the pioneering leader behind Four Seasons
Health Care, Tim Hammond
Tim has a track record in both healthcare and the service and hospitality
sectors. He was formerly Chief Executive of Elior UK and prior to
that, managing director of Barchester Healthcare. His career has also
included senior management positions at Unilever, the consumer goods
manufacturer; McKinsey & Co, management consultants and Whitbread
the hospitality group, where he was Managing Director of TGI Fridays.
He is a trustee of Age UK and a member of the Malnutrition Task Force,
a group of experts who have joined together to address the problem of
malnutrition in older people.
Tim Hammond delivered a successful growth strategy at Elior UK which
led to it being recognized as one of the “Sunday Times Top 25 Best Big
Companies To Work For”.
“Four Seasons is the largest
independent social-care
provider in the United
Kingdom.”
SR
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22 May - 2019
Yet another Reason to Sleep: Researchers Say that
24 May - 2019
W
hy sleep
is such an
important
part of our daily
activities? Why
humans spend a
major portion (about
one-third) of their lives
just sleeping? Sleep is
as important for the body
as food or exercise. Sleep has
been crucial to living beings with
a nervous system. Even files,
worms, and fishes sleep. But
it has always been a curiosity
about why do organisms have
a wake-sleep cycle. Sleeping
reduces stress, repairs wear and
tear of cells during the daytime,
reduces inflammation, improves
memory etc.
Well, researchers have found
yet another reason to take a good
night sleep. The research could
explain how important sleep is
and how sleep disturbance can
actually hamper brain performance,
affect aging, and lead to various
brain disorders. As per the study
published in the journal Nature
Communications, scientists at
Bar-Ilan University in Israel
revealed how sleep is related to
chromosomes. They experimented
on live zebrafish using 3D time-lapse
imaging tech and demonstrated that
how sleep is required on neuron
level.
It was the first time in the history
of scientific explorations that
researchers were able to define
sleep in a single chromosome
resolution, an experiment that put
the importance of sleep again on the
map. Each neuron needs sleep to
boost nuclear performance. During
the hours of living beings being
awake, their chromosome dynamics
are low. DNA damage is caused by
many day-to-day processes such
as oxidative stress, radiation, and
neuronal activity. The damage is
a natural process; however, DNA
damage is consistently accumulated
in the case of lack of sleep and can
reach an unsafe level which can lead
to serious health hazards.
As per the research, sleep increases
chromosome dynamics and also
fixes the DNA damage caused in each
neuronduring the hourswe spend
being awake. The balance between
sleeping and being awake must
be maintained for nervous system
health as the DNA maintenance
process is not efficient enough
during the hours of being awake.
Hence the body requires a sleep
period with least body activities
so that DNA maintenance can take
place.
“It’s like potholes in the road,” says
Prof. Lior Appelbaum, of Bar-Ilan
University who led the study.
“Roads accumulate wear and tear,
especially during daytime rush
hours, and it is most convenient
and efficient to fix them at night
when there is light traffic.” Calling
DNA damage as the “price of
wakefulness”, Appelbaum and his
fellow researchers hypothesized
Sleep Increases Chromosomes Dynamics
z
z
z
that sleep synchronizes nuclear maintenance
within individual neurons.
The discovery was carried upon zebrafish
as it has a brain similar to humans. Since
many years, this breed of fish has been
used for research purpose due to having
many characteristics that make it perfect
for studying human genetics. Due to its
transparent body, nuclear proteins within
the cells and the DNA movement inside the
body can be observed using a high-resolution
microscope. The fish was observed when it
was both awake and asleep. And, the results
were surprising! The researchers observed
that the chromosomes were more active at
night compared to the day-time when the body
is performing various other tasks. Due to this,
as they conclude, they are more efficient at
DNA repair at night or when the body is at rest.
The experiment proposes that the
restorative function of sleep is nuclear
maintenance. Appelbaum and his team
of researchers explain the link between
chromosome dynamics, sleep, DNA
damage, and neuronal activity in the
research paper they published.
Sleeping patterns have always been
the center of research in the field of life
sciences. People have always been curious
about why different organisms have
different sleep cycles. However, no matter
what is ones sleep cycle, it is important for
almost every creature to take rest! Sleeping
is a time when the body is at repair mode.
So next time when you cut on your sleep to
do “rather” important work, remember that
it is affecting your chromosome dynamics.
z
z
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25May - 2019
SR
26 May - 2019
O
rganovo designs and
creates functional human
tissues using its proprietary
three-dimensional bioprinting
technology. With reproducible
3D tissues that accurately
represent human biology, it
is enabling ground-breaking
therapies by partnering with
biopharmaceutical companies
and academic medical centers to
design, build, and validate more
predictive in vitro tissues for
disease modeling and toxicology.
It gives researchers something
they have never had before – the
opportunity to test drugs on
functional human tissues before
ever administering the drug to
a living person; bridging the
gulf between preclinical testing
and clinical trials. It is known
for creating functional, three-
dimensional tissues that can be
implanted or delivered into the
human body to repair or replace
damaged or diseased tissues.
Trademark Technology
Bioprinted Human
Tissue: Organovo’s proprietary
bioprinting platform captures the
unique synergistic potential of
engineering and biology to enable
the reproducible, automated
creation of living human tissues
that mimic the form and function
of native tissues in the body.
Genomics and proteomics
have revolutionized research
through the creation of highly
reproducible tools for studying
the genome and proteome.
Its goal is to build living human
tissues that are proven to function
like native tissues for in vitro
and therapeutic applications.
Its 3D bioprinted human tissues
are constructed with precision
from tiny building blocks made
of living human cells, using a
process that translates tissue-
specific geometries and cellular
components utilizing the NovoGen
Bioprinter®
Platform. These
bioprinted tissues share many
key features with native tissue,
including tissue-like cellular
density, presence of multiple cell
types, and the development of
key architectural and functional
features associated with the
target native tissue.
Bioprinting Process:
Organovo’s bioprinting process
centers on the identification
of key architectural and
compositional elements of the
target tissue, and the creation
of a design that can be utilized
by a bioprinter to generate
that tissue in the laboratory
environment. Once a tissue design
is established, the first step is to
develop the bioprocess protocols
required to generate the multi-
cellular building blocks also called
bio-ink from the cells that will be
used to build the target tissue.
The bio-ink building blocks are
then dispensed from a bioprinter,
using a layer-by-layer approach
that is scaled for the target output.
Bio-inert hydrogel components
may be utilized as supports, as
tissues are built up vertically to
achieve three-dimensionality,
or as fillers to create channels
or void spaces within tissues to
mimic features of native tissue.
The bioprinting process can
be tailored to produce tissues
in a variety of formats, from
micro-scale tissues contained
in standard multi-well tissue
culture plates, to larger structures
suitable for placement onto
bioreactors for biomechanical
conditioning prior to use.
Services
ExVive™ Human Tissue
Models & Services for
Research: Organovo’s
Bioprinted Human Tissue Models
are multi-cellular, dynamic, and
functional 3D human tissue
models for preclinical testing
and drug discovery research.
Created using a proprietary 3D
bioprinting process, the tissues
remain viable and dynamic for
an extended time in vitro and
exhibit key architectural and
functional features that mimic
key aspects of the natural 3D
tissue environment. Biochemical,
genomic, proteomic and unique
histologic endpoints can be
assessed over time.
ExVive™ 3D Bioprinted
Human Tissues enable the
capture of human tissue-specific
data to support better predictive
outcomes, de-risking total
development time and
resources.
Challenging the Shape of Medical
Research and Practice: Organovo
27May - 2019
•	 Preclinical in Vitro Testing Services:
Organovo offers preclinical in vitro
testing services utilizing ExVive™ 3D
Bioprinted Liver Tissue Models. Testing
will be performed and coordinated by
experienced staff at Organovo’s testing
laboratories
•	 Custom ExVive™ 3D Bioprinted
Tissue Models: Compositionally- and
architecturally-defined living human
tissues are compelling tools for
understanding the effects of a particular
pathogen or treatment, enabling
scientists to interpret traditional
biochemical or genetic data in a context
that more closely approximates the in
vivo environment. Organovo entertains
the creation of 3D tissues customized to
clients’ research needs
3D human tissues for medical
research & therapeutics: Organovo
believes that engineered tissues will someday
be a routine source of therapy for patients
with damaged or diseased tissue. Today, the
company is working, both internally and
with selected partners, to fulfillits vision
of building human tissues for surgical
therapy and transplantation. The flexibility
of its tissue engineering technology and its
proven application across a wide variety
of cells allows the company to target many
different tissues. The cell source can be either
allogeneic or autologous (using the patient’s
own cells), which could allow the company
to avoid transplant rejection and the need for
life-long immunosuppressant drugs.
Meet the Leader
Taylor J. Crouch, CEO, and
President: Crouch has been Organovo’s
CEO and President since 2017 and has over
25 years of experience building and leading
technology, expertise and product-based
companies in the life sciences and biotech
industries. Prior to Organovo, for more
than seven years, he managed and served
as an operational investor in a group of
leading clinical research site companies.
Specifically, Crouch served as Chief
Executive Officer at eStudySite, a position
he held from January 2009 to June 2016; as
Executive Chairman of Meridien Research
from December 2013 to September 2016,
and as a Director of the National Research
Institute from September 2011 through July
2016. Prior to this, Crouch served as Senior
Vice President of Operations/President
International at Ligand Pharmaceuticals from
2005 to 2007, with responsibilities for new
business development, technical operations,
international sales, and clinical research.
Prior to Ligand, he was President and Chief
Operating Officer of Discovery Partners
International.
Crouch holds a BSE in chemical engineering,
cum laude, from Princeton University and an
MBA in international marketing and finance
from the University of Chicago.
Our goal is to build living
human tissues that are
proven to function like native
tissues.”
“
Taylor J. Crouch, CEO & President
SR
28 May - 2019
Technology can alleviate the
healthcare in India
I
ndia is the world’s largest
democracy with over 1.3
billion people. It is one of
the world’s fastest emerging
markets for a plethora of
goods and services in a wide
range of sectors that includes
internet services, healthcare,
telecommunication, hospitality,
manufacturing, and so on.
But in spite of its impressive
growth rate, India suffers from
extreme inequality in terms
of median income, education,
food and most importantly,
healthcare. Access to adequate
healthcare is a basic universal
right, but a large portion of
India’s population doesn’t even
have access to basic medical
facilities. One of the major
reasons for this is the dearth of
qualified doctors. The ratio of
doctors to people is a shocking
1 per 1000. What it means
is that for every thousand
individuals in India, there is
only a single qualified doctor
available.
While government
programs, charitable
foundations, and NGOs try
their best to improve access to
healthcare, most subject matter
experts concur that
technology is the only
solution to improve India’s
deplorable healthcare
scenario.
Telemedicine
As the name indicates,
telemedicine is the integration
of telecommunications and
information technology to
improve access to healthcare.
It is an excellent way to
shorten the distance between
patient and doctor. There are
various tools and methods to
implement this technology in
places where it is most needed.
A major problem plaguing
rural India is the lack of means
of diagnosis. Laboratories to
conduct blood tests, X-rays,
dental scans, etc. need to be
integrated with remote data
gathering capabilities for
physicians to make an accurate
diagnosis and prescribe
appropriate treatments.
There is a huge need in rural
India for reliable medical tests
to be interpreted by doctors
within a suitable time frame in
order for the treatment to have
the required effect.
Another aspect that is being
considered are pods that can
carry out a wide range of
medical tests and transmit
the results to physicians
who are situated at a remote
location. By placing these
pods in strategic locations in
rural areas, the problem of
an accurate diagnosis can be
alleviated not only in India but
all across the developing world.
Data analysis and
wearable devices
Wearable devices are widely
used to monitor health vitals
29May - 2019
shocking scarcity of
like heart rate, blood pressure,
EEG (electroencephalogram),
body temperature, and so on.
These devices could gather health
information about millions of
people. This information, in turn,
can be processed using advanced
data analytics techniques to
identify which individuals are at
a greater risk of contracting what
disease, based on a number of
variables. Even though this would
not be a form of treatment, it
would definitely help in prevention
through early prognosis, as
prevention better than cure.
These are some examples where
existing technology can be
leveraged to improve access to
healthcare for the underprivileged.
For developing third world
countries, technology is the only
means of bridging the wide gap
between necessity and availability,
in light of the acute shortage of
trained professionals. However,
it will require significant impetus
from the government and a sizable
investment from the private sector.
SR
30 May - 2019
T
he first several years in
the life of a child are the
most important. It is when
children learn how to talk, read,
write, form friendships, develop
bonds with their or family and
begin to form a perception of the
world around them. This is a
period in their lives when they
are most impressionable.
However, certain children are
unfortunate enough to be born
with developmental disabilities
that hamper their overall
development. One of them is
autism. It is mainly characterized
by difficulties in socializing,
communication, learning, and
certain repetitive behaviors. Signs
of autism usually surface in the
first three years of a child’s life,
with some cases being diagnosed
in later years. Developmental
disabilities such as autism affect
hundreds of millions of children all
across the globe each year.
Applied Behaviour Analysis (ABA)
is one of the only treatments for
this population recommended by
the medical community. However,
there are too few caregivers trained
in ABA, which leaves a massive
burden on the families of children
suffering from developmental
disabilities, given the severe
shortage of experts to treat it.
Rethink Autism
A company named Rethink Autism
Inc. has come up with an ingenious
way to extend help to the millions
suffering from a developmental
disability by providing a simple way
to train their family caregivers as
well as teachers and others in ways
to deliver best practice behavioral
intervention. In light of the fact that
there are only about 30,000 certified
Behaviour therapists worldwide, the
need for a way to scalably treat and
support children with special needs
was urgently needed. Moreover,
public and mainstream education
and healthcare systems are grossly
inadequate to address the growing
need of specially-abled children.
The American Centres for Disease
Control (CDC) reports that 1 in 6
children will be diagnosed with
some developmental disability or
the other, making it statistically
more prevalent than pediatric
cancer, diabetes and AIDS
combined. One might be forgiven
to think that this is an epidemic,
with hundreds of millions of
children with developmental
disabilities posing a significant
challenge for the economy as a whole.
The unique system developed by
Rethink Autism entails involving
all people who are in the lives of
individuals with a developmental
disability, i.e. parents, siblings,
teachers, social workers, etc. by
leveraging technology. Rethink
noted extensive research on the
effectiveness of video modeling for
training in fields such as medicine
and the military and decided to
combine this proven method of
instruction with the proven and
medically-recommended ABA
treatment methodology, creating
an online training and support
system for individuals with a
developmental disability and
their caregivers worldwide.
Motivation for Rethink
Recognizing that there was a
significant dearth of trained
professionals (only 30,000 Board
Certified Behavioral Therapists
globally) to cater to the needs of
a growing population of dependents,
Rethink set out to create a scalable
solution that would make clinical
best practice treatment tools and
support available to the individual
and their caregivers no matter
where they are located. Providing
research-based teaching strategies
grounded in the principles of
Applied Behavior Analysis (ABA),
the award-winning Rethink program
includes a comprehensive online
individualized treatment program
with over 1,500 video-based
We inspire and empower individuals with developmental
disabilities and those who support them.
“ ”
A Highly Innovative Approach to Treating and
Supporting Individuals with Developmental
Disabilities: Rethink Autism
demonstrations - developed
by internationally-recognized
experts in the field - to train
caregivers, parents, professional
and paraprofessional staff how
to manage problem behaviors as
well as teach an individual with a
developmental disability critical
skills. Automated data-based
reports track progress in real
time, facilitate coordination across
care team members, and allow for
robust data analytics on outcomes.
Rethink’s practice management
offering allows for the tracking
of service authorizations and
cost of treatment as it relates to
clinical outcomes. The company
serves individuals at all levels of
development and ages ranging
from point of diagnosis through
early adulthood.
Rethink has a clientele that
includes employers with under
1000 employees to over 500,000
employees, and across its book
of business, Rethink covers over
7 million lives. Research clearly
demonstrates the impact of
caring for a dependent with a
developmental disability – from
over twice the rates of anxiety
and depression to thousands
of dollars annually in lost
productivity. Indeed, over
half of caregivers work fewer
hours or leave the workforce to
accommodate the needs of their
child. The Rethink program helps
support these employees. The
program is also used by hundreds
of public school districts in all
50 states, ranging from large
urban systems like New York City,
San Francisco, Dallas, Denver
and others, down to small rural
districts. It allows districts to fully
meet Federal IDEA requirements
as well as a variety of state-based
legislative mandates to provide an
adequate education to students
with a special need. The program
also helps districts train staff and
accurately measure the progress of
a student population not subject to
mainstream standardized testing.
Daniel Etra, Co-founder & CEO
Meet the visionary behind
Rethink Autism, Daniel Etra,
Co-founder and CEO
Mr. Etra currently serves as Co-founder
& Chief Executive Officer of Rethink.
With over two decades of successful
international business experience, including
15 years as a serial entrepreneur, Mr. Etra
was Co-founder & CEO of R.E.R. International,
a global supplier of printed materials to
the retail industry. He was a Consultant at
Bain & Company, helping establish their
NY office and also served as a Managing
Director of Promodex Ltd., an importer, and
distributor of consumer appliances and
industrial equipment in the Middle East. In
addition, Mr. Etra served in the Israel Defense
Forces and worked at Wasserstein, Perella
& Co., specializing in M&A in the fields of
healthcare, technology, and natural resources.
Mr. Etra has won numerous awards including
the Inc. 500, the Deloitte Technology Fast
500, the SmartCEO Future 50, and CEO of the
Year from Industry Era and Corporate Vision
Magazines. He is also a member of the Young
Presidents’ Organization (YPO). Mr. Etra has
an MBA from Harvard Business School and a
BA in Economics from Yale University. Born
and raised in New York City, he is active in a
variety of children’s causes and volunteers
with organizations such as NY Cares and
Memorial Sloan-Kettering Cancer Center.
SR
Telehealth: Defining a New
Episode of Patient Care
M
odern technology is a
friend; no doubt it has
upped the standard
of living. From Virtual Reality,
Artificial Intelligence to Augmented
Reality, every new aspect of modern
technology offers extra-ordinary
perks to businesses and people
in general. 3-D Visualization and
Augmented Reality for surgery,
for instance, is paving the way
for an era that will unleash a
whole new level of patient care.
Surgeons have relied on microscope
oculars and other camera systems
to operate. However, surgeons
also typically depend on their
own eyes and interpretations to
execute the most precise tasks.
Two of the most intricate surgical
practices; neurosurgery and
retnomicrosurgery, have
been experimenting with new
technology in the past year. The new
technology – Stereoscopic Systems
– not only keep a surgeon’s head
32 May - 2019
Extending the healthcare environment to the patients’ home has been a goal for decades. After years of trials, experiments, and
modest growth, distance health technologies are about to become a widely accepted standard of care.” – Cleveland Clinic
up but it immerses the surgeon
into a high-resolution 3-D visual
representation of their subject.
Experts and surgeons believe
the added comfort and visual
information will allow surgeries
to operate more efficiently and
effectively. A growing number of
hospitals will be adopting these
systems, pushing the boundaries of
surgical reality as we know it.
Similarly, Virtual Reality is a
ground-breaking invention.
Imagine peering inside the human
body without an incision; turning
the heart without touching it.
Using a headset controller and
innovative technology, it’s possible
to navigate human anatomy
through Virtual and Mixed Reality.
These realities can revive medical
training, procedures, techniques,
and equipment use as well as
simulate patient interactions in
a more immersive and realistic
way. As this trend grows, private
programs involving these
technologies for the education
of medical students are being
implemented worldwide. They
are not a replacement for hands-
on practice. Virtual and Mixed
Reality is increasing situational
experience, giving students an
opportunity to practice with
computer simulation is a low-risk
alternative and in extreme cases
can prevent patient harm. The
technology’s new applications
have many dubbing Virtual and
Mixed Reality – the new reality.
Moreover, the emergence of
distance health technologies is
all set to define a new episode
of patient care. Removing
geographical barriers speaks
volumes about how information
technology has revolutionized
healthcare.
Extending the healthcare
environment to the patients’ home
has been a goal for decades. After
years of trials, experiments, and
modest growth, distance health
technologies are about to become
a widely accepted standard of
care. Why now? Experts point
to the preponderance of
connectivity: 80 percent of
Americans now own smartphones
and nearly 75 percent have
broadband service. Innovators
from many disciplines have
been removing demographic,
logistical, financial, regulatory,
and technological barriers. Today
more than 90 percent of healthcare
deliveries systems have or building
a telehealth program. Distance
health technologies are also
extending far beyond common
two-way video platforms. Over
90 million patients are projected
to use remote monitoring devices
that feed regular information to
their doctors in 2018. Platforms
are also being built that enable
more interaction between
patients and clinicians around
the world. With momentum
building, experts believe that the
emergence and acceleration of
distance health technologies and
services are assured in 2019.
According to ScienceDirect:
“Distance health technologies are
emerging in the management of
the arthroplasty episode of care
through the preponderance of
connectivity coupled with the
adoption of mobile technologies,
ushering in a new era of improved
efficiency, efficacy, satisfaction, and
outcomes while providing greater
value for our patients.”
Doctors’Take on
Telehealth
Doctors have switched to seeing
their patients via the internet
(telehealth) as the platform has
shot to fame owing to its flexible
nature of service offerings.
Joseph Lanotti, MD, Ph.D.,
Cleveland Clinic Orthopaedic
said: “Every clinician needs to
look at their practice and find out
how to take care of their patients.
The platform is outstanding and
it’s getting better every day.”
Jan Bautista, MD, Cleveland Clinic
Physician said: “Since I started at
‘Center for Connected Care’ in this
program, I see 100 percent of my
patients virtually. My team includes
myself and two paramedics. The
two paramedics go to the patient’s
house and I operate virtually via an
IPad. Distance healthcare services
platform is doctor-friendly and it’s
proving valuable for patients too.”
SR
33May - 2019
34 May - 2019
Providing Pregnant Women with their
Own Personalized Report – Univfy
IVF success that’s affordable for you
U
nivfy is dedicated to
helping women realize
their dream of having
a baby. It consists of IVF and
fertility analytics experts
passionate about providing
women with the tools to choose
IVF with greater confidence,
success and cost-success
transparency.
The Univfy platform enables
fertility doctors to provide
accurate, personalized IVF
treatment success prediction to
help more women qualify for
special pricing plans such as
refund programs. The company
was founded by Stanford
University researchers in 2009.
Personalized Financial
Options
The Univfy Platform supports
IVF centres in developing special
pricing programs that make
multiple IVF treatments more
affordable. Every woman has a
much higher chance of having a
baby from IVF if she could afford
to have at least 2 or 3 treatments.
The Univfy Platform — using
machine learning and AI — can
qualify 50-80% of patients for
a refund program offer, while
traditional refund programs
(or shared risk programs) are
limited to very few patients.
The Univfy® Pre IVF™
Report
The Report is personalized to
you and scientifically validated
using the centre’s data. Through
technology developed by
Stanford University researchers,
Univfy uses a rigorous scientific
process to develop and validate
a customized prediction model
for each centre in the Univfy
Network.
The Personalized Univfy Pre IVF
Report Will Show:
•	 The probability of
having a baby with IVF
in the first three cycles
•	 How the chances compare
with others like the
women at the IVF
centre.
•	 Individual factors impacting
the chances of success
•	 The Reproductive History
•	 The Financial Options
The Predictive Univfy®
Platform
Univfy makes predictions of
women’s chances of having a
baby with each IVF cycle based
on the analysis of dozens of
key factors in the health profile
together, including the age, body
mass index, ovarian reserve test
results, the reproductive history
and clinical diagnosis. Using
this personalized approach and
leveraging machine learning and
data modelling, Univfy is able to
predict the IVF success rate with
more than 95% accuracy.
Knowing the IVF success
probabilities can help the
women and the doctor choose
the best treatment plan. Many
Univfy Providers have set up
special financial programs to
help women afford more than
one cycle of treatment, including
refund programs and special
multi-cycle discount programs.
Univfy®-Powered IVF
Refund Program
IVF is one of the most effective
fertility treatments available
today. That’s why many patients
are considering it. Now, one can
feel confident about choosing
the best treatment plan and the
ability to afford it.
The Univfy Platform helps IVF
centres develop special pricing
programs that make multiple IVF
treatments more affordable.
Every woman has a much higher
chance of conceiving with IVF
if she could afford to have at
least 2 or 3 treatments. Unlike
traditional refund programs
(or shared risk programs)
that qualify very few patients,
The Univfy Platform — using
machine learning and AI — can
qualify 50-80% of patients for a
refund program offer.
Knowing the success probabilities can
help the patient and doctor better plan
for a course of treatment, rather than
thinking in terms of a single cycle at a
time, to maximize the chances of having
a baby and we provide the right solution
for all this.
Knowing the success probabilities can
help the patient and doctor better plan
for a course of treatment, rather than
thinking in terms of a single cycle at a
time, to maximize the chances of having
a baby and we provide the right solution
for all this.
““
””
SR
35May - 2019
Mylene Yao, M.D., Co-founder and CEO
Dr. Yao has led Univfy®
from founding through stages of
technology invention and commercialization. She is now leading
the team to scale Univfy’s business. Her vision is to combine healthcare
AI, fintech, and scientific validation to power women’s access to fertility
treatments that are safe and highly effective.
Dr. Yao has over 20 years of experience in clinical and scientific research in
reproductive medicine. Prior to founding Univfy, she was on the faculty at Stanford
University, where she led NIH-funded fertility and embryo genetics research and
developed the Univfy®
technology with the academic founding team.
Dr. Yao graduated from medical school at the University of Toronto and completed her
obstetrics and gynaecology residency training at McGill University. She received her
clinical subspecialty training in reproductive endocrinology and infertility at Brigham
and Women’s Hospital at Harvard University. Dr. Yao received multiple research awards
for her fertility research work, including pre-implantation embryo development, the
role of stem cell genes in the embryo, and uterine receptivity at implantation. She is
a co-author of the chapter on Infertility in Berek and Novak’s Gynecology, the top
medical textbook for obstetricians and gynaecologists.
Dr. Yao has been honoured with The Bump - Moms: Movers and Makers (2016)
and MM&M’s Top 40 Healthcare Transformers (2017).
Wing H. Wong, PhD., Co-founder and Advisor
Professor Wong is the Stephen R. Pierce Family Goldman Sachs
Professor in Science and Human Health and Professor in the
Departments of Statistics (former chairman) and
Biomedical Data Science at Stanford
University.
Mylene Yao
M.D., Co-founder & CEO
The CEO and Advisor
36 May - 2019
World Gets its First
with Robot-assisted
Transplant
A
s per the statistics by a
government survey in
England, one in every three
women in the world is suffering
from reproductive-health issues.
While some woman long for
children, they can’t have them by
natural means as they might have
a weak uterus or can’t conceive
naturally or cannot have a normal
child delivery. Thanks to the
advancement in technology, many
women who have long yearned
for becoming a mother are finally
able to have children. Technologies
like In-vitro fertilization, uterine
transplantation, etc., are giving
infertile women the gift of a child.
The University of Gothenburg
has been doing its research on
uterine transplantation for more
than 15 years now, and under the
research, the world got its first baby
born with robot-assisted uterus
transplantation on April 8th, 2019;
a major technological breakthrough.
The baby boy was born completely
health weighing 2.9 kilograms
and was 48 centimeters tall. It
was a planned cesarean delivery
(C-section).
“It’s a fantastic feeling to deliver
such a special, longed-for child. To
have been part of the whole process,
from the first meeting with the couple
to the uterus transplant and now
to see everyone’s joy when what
we’ve hoped has become a reality,”
says Pernilla Dahm-Kähler, a
leading robot-assisted surgeon,
gynaecologist, and one of the
research scientist at Sahlgrenska
Academy, University of Gothenburg.
Under the research headed by Mats
Brännström, Professor of Obstetrics
and Gynecology at Sahlgrenska
Academy, the donor was operated
with robot-assisted keyhole surgery,
which was much less invasive for
the donor compared to traditional
open surgery. Considering the
complications and safety issues
involved in uterus transplant, this
research was extremely important
as it was the first time that the less
invasive robot-assisted surgery was
made possible.
The donor was operated with
robotic arms that performed the
surgery. The robots were guided by
two surgeons, sitting at a personal
workstation a few meters away with
a joystick-like tool and magnified
3D screen image. The operation
was performed with immense
precision. The donor was operated
through one-centimeter incisions
in the abdomen. Another incision
was made to remove the uterus and
then it was immediately inserted in
the recipient’s body through open
surgery.
This new technique is extremely
beneficial to the donors as the
process is less painful and helps
them to get back on their feet
faster. Presently, the uterus was
transplanted in the recipient using
the traditional method i.e. open
37May - 2019
baby Born
Uterus
surgery. “In the future, we’re also
going to be able to transplant the
uterus in the recipient using robot-
assisted keyhole technique,” said
Niclas Kvarnström, the in charge of
transplant surgery, who performed
the difficult task of connecting
vessels in the uterus recipient.
The transplantation was performed
at Sahlgrenska University Hospital
in October 2017. 10 months after
the transplant, an embryo formed
with the help of IVF (in vitro
fertilization) was inserted in the
transplanted uterus. Nine months
later, a healthy baby was born and
also the pregnancy was free from
any complications. It was also
recorded that the mother was in
good health throughout. The team
of surgeons believes that the project
was a great success and one of the
biggest milestones achieved in
medical history. It was one of the
most challenging cases performed
by them in 2017-18. However,
the team was also successful in
performing the first
uterine transplant
using an
organ from
a deceased
donor.
The
researchers
noted that it
was the first
baby of its
kind, and they
call it “the Robot
Project”. However, he
is the ninth baby born
with a uterus transplant
in Sweden. More pregnancies are
expected with this technology in the
coming years. Till date, a total of 15
babies are born from transplanted
uterus worldwide: 9 born within
the scope of Sahlgrenska Academy
research, two in the US, one each in
Brazil, India, Serbia, and China.
Since the robotic science and
technology got its momentum,
robots have been closely related to
medical science. The revolution it is
bringing in the field of gynecology
is tremendous as it is giving all
new hopes to women who are not
able to conceive or give birth. Such
projects are testimonials of the fact
that technology can do miracles to
mankind!
SR
The global standardization organization
for international recognition
Black Book Market Research
L
arge businesses need to have
a keen sense of the market
in which they operate. This
rule applies to companies in just
about every sector – real estate,
hospitality, healthcare, banking,
insurance, education, media,
and so on. Knowing the market
implies understanding the needs
of the customers and knowing
the development and strategies
of a major player in the market.
However, the constant changes
and evolving needs brought about
by the advancement of technology
has made market research all the
more difficult. Corporations need
to know which one of their
products or services are popular
and which ones are not. The only
way to know which way the winds
blow is to conduct comprehensive
market research taking in account
customer preference patterns,
market share, attitudes, opinions,
and so on. Black Book Market
Research is one of the world’s
leading companies involved in
market research.
Founded in 2002 and
headquartered in Florida,
Black Book is an international
technology client satisfaction
researcher, business services
market pollster, and opinion
research company. Additionally,
it offers quantitative and
qualitative research services for
a brand, product and service
awareness tracking. It boasts of
a clientele of over 12,000 that
consists of America’s top 100
financial institutions, 300 of
the largest hospitals, 50 of the
best insurers, 100 of the top
universities and 400 of the world’s
largest technology firms. The
company has gained recognition
as a top 25 international market
research niche firm, specializing
in the technology, healthcare,
pharmaceutical, procurement,
higher education, and finance and
business services sectors.
Black Book Market research
collects survey and ballot results
on 18 performance areas so
as to deliver a survey whose
results are thorough and cover
all possible criteria to serve as a
basis for ranking vendors. Some
of the areas emphasized include
software, systems, products,
equipment as well as outsourced
service lines. Client users submit
ballots per vendor per function
which are paired with client size,
functions outsourced, software
installed, systems employed,
services rendered, industry
affected, country of service origin
and overall service and/or product
line domain.
Healthcare research
Healthcare is one of the sectors
that Black Book has thoroughly
surveyed in order to compile a
conclusive data set which can be
used by leading industry experts,
medical professionals as well as
investors to base their professional
activities. The company analyzed
7,459 physicians, health
administrators, technology
developers and clinical experts
in ambulatory and inpatient
setups across 23 countries
to help global stakeholders
identify gaps, challenges, and
successes in healthcare IT
adoption and records systems
connectivity. Moreover, more
than two thousand three hundred
healthcare organizations also
responded to surveys.
Such a massive study was
conducted mainly to highlight
prevailing conditions in the
respective countries and to
rank them on the basis of
availability, mobility, and ease
of access to medical attention
and overall quality of the
healthcare infrastructure.
38 May - 2019
Electronic health records
and their interoperability is a
reliable indicator of the adoption
of information technology
by a country’s healthcare
infrastructure.
The criteria by which Black
Book rates all the respondents
is uniform, thereby providing a
justifiable framework through
stakeholders can make informed
decisions. Top-10-ranked
vendors and advisors must have
a minimum of five unique clients
represented. Broad categories
require a minimum of 20
unique client ballots. Vendors,
associates, consultants, and
advisors with over 20 unique
client votes are eligible for top
10 rankings and are assured to
have the highest confidence and
lowest variation. Confidence
increases as more organizations
report on their outsourcing
vendor. All data thus cultivated
and ratings subsequently
determined are demonstrated
with a 95% confidence level.
The company does not hold
any associations with any of
the corporations it surveys.
Moreover, its founding members,
staff or investors have no
financial ties with, nor any
stakes in any of the vendors
or service providers which it
considers for its surveys and
studies. In addition to this,
no member of Black Book’s
executive team is allowed to have
any financial ties nor own stakes
in the surveyed companies.
The company maintains such
high levels of ethics to ensure
complete integrity of its
rankings. The company also
has a special understanding
of the unique survey research
requirements for the industry’s
clinically, administratively,
and technologically diverse
stakeholders.
Awards and
recognition
For a company that has
built a reputation of
awarding and recognizing
leading corporations for their
market winning business
models and operations,
Black Book Market Research
itself has achieved some
awards of its own.
Testimonies
“It could be argued that the
single biggest challenge facing
research firms is not client
engagement or user excitement
but rather the evolution of
standards and practices.
Black Book is leading that
revolution in healthcare.”
Kantar article
“Black Book is the only
unbiased rating system. It
is honestly, vendor agnostic.
They independently survey
user groups, not just CIO’s
staff and they don’t engage
vendors until results are in.”
Healthcare Information Systems
blog
“Black book’s
independent
industry
benchmark
studies,
innovative data
and analytics
provide buyers
and consumers
with impartial
insights, and help
vendor companies
improve quality,
engagement
and business
performance.”
Doug Brown, Founder
President, & Managing Partner
SR
40 May - 2019
A
I is getting better day by day.
Currently, there is almost
nothing that could stop AI
from becoming sophisticated at
doing everything that humans do,
all in a more effective, efficient and
faster way. Thus, it can be said that
AI and robotics have immensely
huge potential in the healthcare
sector. Just like the way AI and
robotics have evolved to be an
integral part of our daily lives, they
will eventually become a critical
part of our healthcare eco-system.
The following ways describe
how this transformation is
underway.
Staying Healthy
One of the largest advantages that
AI can potentially bring is to help
individuals stay healthy so that they
don’t have to visit a doctor at all or
as often for any health condition.
AI integrated IoT devices, also
called as IoMT or the Internet of
Medical Things have already been
in application in consumer health
processes for the benefit of patients.
AI has enabled the development
of various apps that encourage
individuals to indulge in healthier
lifestyles as well as help in keeping
track of the proactive management
of their lifestyles. As a result, people
can be in control of their own health
and well-being. Moreover, with AI,
healthcare professionals have an
advantage of comprehending the
need patterns of the people they
are looking after in a better way. In
this way, they can offer enhanced
feedback, support and guidance for
staying healthy.
Accurate and Early
Identification of
Diseases
AI can be used to accurately
identify diseases like cancer in their
Healthcare Is Getting Smarter With
40 May - 2019
41May - 2019
early stages. As per the studies
by the American Cancer Society,
mammograms tend to yield false
results most of the times, leading
to the faulty diagnose of healthy
women. It’s estimated that one
in two healthy women are told
they have cancer. However, with
the use of AI, accurate review and
translation of mammograms can
be achieved with precision thereby
reducing the need for unnecessary
biopsies.
Consumer wearable and other
medical devices combined with AI
are widely been adopted to oversee
early-stage heart disease and
enable doctors and care takers to
monitor and detect potentially life-
threatening episodes at earlier and
more treatable stages.
Precision and Power
Diagnosis
Healthcare organizations have
been getting several benefits from
IBM’s Watson for Health which
enables the application of cognitive
technology to gain insights from the
huge volumes of health data and
power diagnosis. Watson is capable
of storing and reviewing far more
medical information exponentially
faster than humans that include
medical journals, symptoms
and case study of treatment and
response of various diseases from
around the world.
Google’s Deep Mind Health too has
been making efforts to address the
healthcare issues from around the
world. Working in collaboration
with patients, clinicians and
researchers, the technology makes
use of machine learning and systems
neuro science to develop powerful
and general purpose learning
algorithms into neural networks
that mimic the human brain.
Decision Making
For the improvement of healthcare,
the alignment of big health data with
adequate and on time decision is a
necessity. Clinical decision-making
and actions can be supported by
predictive analytics which can also
help to prioritize administrative
tasks. Predictive analytics uses
pattern recognition techniques to
detect patients who are at a risk
of developing a condition or see it
deteriorate due to environmental,
lifestyle, genomic or other factors.
This is another area in healthcare
which is being disrupted by AI.
Benefits of AI in
Long-Term Disease
Management
The potential of AI in healthcare
goes beyond just scanning through
health records and identify chronic
illness in patients who may be at
a risk of worse conditions. The
technology can help clinicians
work towards disease and
its management with a more
comprehensive approach that
involves better coordination of care
plans and assist patients to manage
and comply with their long-term
treatment programmes.
Healthcare organizations have been
using robots in medicines since
quite a long time now that include
simple laboratory robots as well
as highly sophisticated robots that
can either help a human or perform
surgery all by itself. Such robots are
also useful for performing repetitive
tasks in physical therapies,
rehabilitation and offering support
to those with long term and critical
conditions.
Support at the End Part
of Life Care
Though we have found ways around
to live longer than our earlier
generations, the way of our death is
quite different. It seems that as we
approach the end of our life, we die
in a slower way due to conditions
like heart failure, dementia and
osteoporosis. Researches have
also shown that in this phase of
life, people are often plagued by
loneliness. However, robots can
avoid that from happening. They are
enough capable of revolutionizing
the end part of life care by helping
people to stay independent for
longer times. This will reduce the
need for hospitals and care homes.
AI is also making headway in the
development of humanoid robots
that will pave the way for a future
where robots can do and achieve
much more, have conversations as
well as make social interactions with
aging people to make their minds
sharp.
AI and Robotics Revolution
SR
41May - 2019
B
ased in Parsippany
N.J., Onkos Surgical is a
privately held, speciality
MedTech company founded in
2015. It believes that individuals
with cancer requiring surgery
deserve solutions designed
specifically for them. This
principle is the driving force
behind the Precision Oncology
initiatives. Built on a digital
platform, the solutions are
rooted in unmatched expertise
in patient imaging analysis,
personalized surgical planning,
and the latest advancements
in 3D printing. Onkos Surgical
is passionate about reducing
complexity for the customers and
addressing the clinical challenges
associated with tumour surgery.
Patrick Treacy, Antony Koblish
and Adele Oliva saw a unique
opportunity for one company
to demonstrate leadership and
set the agenda for innovation in
surgical oncology. With best-in-
class innovation partners, Onkos
Surgical will deliver high-quality
implants and instruments that
meet the unique needs
of musculoskeletal tumour
patients. From modular
segmental systems to customized
solutions and patient-specific
products, Onkos Surgical will
partner with surgeons to
provide new innovations to
help address complex cases.
Onkos Surgical has capabilities to
increase the speed and delivery
of innovation. The company
The Mastermind of the Company
Patrick Treacy | Co-founder,
President and CEO
Patrick is passionate about leading a team
and organization dedicated to supporting
healthcare professionals in the area of
surgical oncology. Prior to Onkos Surgical,
Patrick was Executive Vice President
of PDI and President of PDI Healthcare
where he was responsible for oversight of
strategic initiatives as well as the financial
performance of the Healthcare Division.
Prior to joining PDI, Patrick developed a
passion for the advancement of surgical
oncology in multiple roles in R&D, Marketing
and General Management with Howmedica
(a division of Pfizer) and Stryker. In his
early days at Howmedica, Patrick was
responsible for the development of and
launch of the company’s first FDA cleared
product offering in orthopaedic oncology.
Patrick also holds implant and instrument
design patents in orthopaedic surgery.
Tailored
Made
Solutions
as Per Each
Cancer
Patient
Requirement
Onkos Surgical
Patrick Treacy, Co-founder, President, & CEO
43May - 2019
is leveraging new technologies,
such as 3D printing, to meet the
unique needs of the cancer patient
or surgeon. It develops products
for both hard and soft-tissue
applications while continuing to
explore strategic partnerships to
differentiate the firm’s product
portfolio. With great customer
responsiveness, manufacturing
lead-times and quality, its vision is
to be able to service and support the
needs of the surgical oncologist.
The company believes that
Individuals with cancer requiring
surgery deserve solutions designed
specifically for them. These
individuals, their caregivers and
their support network deserve
an organization passionately
championing their cause. It exists to
maintain a singular focus on surgical
oncology by looking at everything it
does through the lens of the cancer
surgeon and their patients.
Onkos Surgical is said to
do the following:
•	 Find solutions to its patients’
unmet clinical needs and
advocate for their cause
•	 Partner with surgical
oncologists through research,
education and innovation,
to treat their patients more
effectively and more efficiently
•	 Collaborate with regulatory
agencies to find pathways to
provide timely solutions while
upholding the highest standards
of quality or compliance
•	 Fulfil the employees’ desire
to make a difference in the
lives of the patients they serve
while achieving their own
professional growth
•	 Deliver value to the customers
and shareholders
Products Offered by the
Company
uDesign Patient Solutions:
uDesign Patient Solutions is a
consultative, concierge level
service provided by ONKOS
SURGICAL. uDesign brings the
level of expertise and surgical
planning you demand in complex
cases to each and every one of
your cases. The interactive
experience enables a personalized
planning approach for each patient
allowing you to better manage your
outcomes.
ELEOS™ Limb Salvage
System: ONKOS SURGICAL
has a singular commitment to
advancing innovation that will
dramatically impact the lives of your
patients. Introducing ELEOSTM,
the modular limb salvage system
that is indicated for procedures
where radical resection and
replacement of the distal femur,
proximal femur, proximal tibia or
total femur is required. The design
combines OPERATIVE SIMPLICITY
with a PROVEN DESIGN in one
comprehensive, interchangeable
system.
MyTray™: Current work-flow
in tumour and complex revision
cases can be challenging due to the
number of required instrument
trays. With uDesign, ONKOS’
advanced surgical planning
capabilities allow for a streamlined
procedural approach, delivered in
the convenience of personalized
instrument trays called MyTray.
GenVie™: It brings focus and
innovation to the musculoskeletal
oncology. GenVieTM Regenerative
Biologics includes a suite of biologic
products with applications specific
to musculoskeletal oncology and
healing.
My3D™: Every tumour, fracture,
and complex revision case
is different. Using My3DTM
technology, ONKOS SURGICAL
develops personalized implant,
instrument and anatomic model
designs to aid surgeons when
performing operative procedures.
Highly qualified image processors
segment CT scans to create 3D
computer models of the hard and
soft (tumour) tissue. The models
are then reviewed by the surgeon in
partnership with technical experts
to generate essential pre-operative
and intra-operative surgical
solutions, allowing the surgeon to
better manage individual patient
outcomes.
“We at ONKOS Surgical have a single commitment and
that is to create advance innovation that will dramatically
impact the lives of your patients.”
SR
44 May - 2019
The Patient
Blockchain that
Solves the Healthcare
Puzzle: Embleema
E
mleema is a patient
blockchain that lets
clients assemble, own,
and share their health data.
Embleema’ distributed ledgers
allow healthcare data to be
managed securely without a
central authority, but instead,
by a group of users. To protect
sensitive health data, only
selected healthcare stakeholders
are allowed to form nodes of this
private decentralized network:
patients, advocacy groups, life
sciences companies, payers,
authorities, and care centers.
Clients can join the Consortium by
hosting a node of the healthcare
blockchain and the company will
provide the code-base in
open-source.
Why Embleema
Embleema helps
in the situation
where patients
are kept out of
the loop in case
of breaches.
Decentralized
ledgers let the
company enforce the
security over its digital health
assets, making tampering
impossible, keeping track of
violations in real-time, without
no third party involved.
Decentralization as
Freedom: The promise of
the Internet has been broken.
Decentralization of information
was meant to promote free
speech, democratize knowledge,
abolish censorship, and expand
services remotely. But the
Internet is now centralized by a
handful of platforms. Users’ data
is nothing less than their digital
assets in the virtual world and
the same way their own and are
free to dispose of their assets
in the real-world;one should
own and dispose of their digital
assets.
The healthcare data is the most
valuable digital asset: it can save
lives in an emergency situation
and provides critical decision-
making information for the
providers to offer the best care.
However, its records are held
captive in protected silos for fear
of being singled out, for fear of
seeing its right to care violated.
A wealth of digital data is lost to
personalized medicine.
Power to the Patients:
Embleema wants to become the
steward of its health data, not
having to rely on third parties
to handle customers’ most
sensitive information. It has
the right to break information
silos, control where the data is
stored, who has access to it, who
Embleema shares it with. This
power can dramatically affect
how treatments are delivered,
moving away from a top-
down approach to an iterative
process where patients measure
the effectiveness of more
personalized treatments. This is
a paradigm for medical research
and changing lives.
“We help the
patients to be
empowered with
their health
information
in their fight
against the
disease.”
10 Fastest Growing Healthcare Companies 2019- The Silicon Review
10 Fastest Growing Healthcare Companies 2019- The Silicon Review
10 Fastest Growing Healthcare Companies 2019- The Silicon Review
10 Fastest Growing Healthcare Companies 2019- The Silicon Review
10 Fastest Growing Healthcare Companies 2019- The Silicon Review
10 Fastest Growing Healthcare Companies 2019- The Silicon Review
10 Fastest Growing Healthcare Companies 2019- The Silicon Review
10 Fastest Growing Healthcare Companies 2019- The Silicon Review
10 Fastest Growing Healthcare Companies 2019- The Silicon Review
10 Fastest Growing Healthcare Companies 2019- The Silicon Review
10 Fastest Growing Healthcare Companies 2019- The Silicon Review
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10 Fastest Growing Healthcare Companies 2019- The Silicon Review

  • 1. CEOs Business FeaturesLeadership CIOs May 2019 www.thesiliconreview.com Monthly Edition News Four Season Care Homes Fastest Growing 2 0 1 9SR 10 H e a l t h c a r e C o m p a n i e s Tim Hammond, CEO Redefining Eldercare Technology Investor’s Guide to the Healthcare Industry / Pg No - 08
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  • 4. Best, Vishnu Vardhan Kulkarni Managing Editor, The Silicon Review editor@thesiliconreview.com Copyright Silicon Review LLC. All rights reserved reproduction in any manner is prohibited. Silicon Review LLC. Does not accept responsibility for returning unsolicited manuscript and photographs. (CIN:-U72200KA2014PTC075778) (RNI REG. NO. KARENG/2017/75691) MAGAZINE SUBSCRIPTIONS To Subscribe with The Silicon Review and get 20% off on the Cover price Visit: www.thesiliconreview.com or Email us: subscription@thesiliconreview.com GET IN TOUCH The Silicon Review Silicon Review LLC, #3240 East State Street Ext Hamilton, NJ 08619 Sales: 510-400-4523 Corporate Office: The Silicon Review’s circulation is audited and certified by BPA International (Audit Pending) Editor-in-Chief Mira Sengupta G.Sai Pradeep S.Saipriyadarshini Shashi Kumar Vishwakarma Bodhaditya Mohanty Shashank Singh Subin Prakash.M Managing Editor VISUALISERS sales@thesiliconreview.com Sreshtha Banerjee: QUERIES editor@thesiliconreview.com Vishnu Vardhan Kulkarni: SALES & MARKETING Steven Rogers Brian Curry Jennifer Anderson Mark Jarman Joseph Girard Jeff Miller Eric Johnson Simon Richard Sarah Collins Rachael Martin Rakshitha Rai Avinash Nayak Javid Ali CORRESPONDENTS ADVERTISING BUSSINESS HEAD pavan@thesiliconreview.com EDITORIAL TEAM John Allen, Project Head john@thesiliconreview.com MANAGEMENT Pavan Kumar Kalla: Circulation Manager PUBLISHER Manish Pandey Printed & Published by Manish Pandey on behalf of Silicon Review LLC at Printo Document Services. #3240, East State Street, Ext Hamilton, NJ 08619 Michelle Williams: ART DIRECTOR Smriti Kumari Arjun Pandey, Project Coordinator arjun@thesiliconreview.com Co-Managing Editor Development Office: RELATIONSHIP MANAGER Kevin Martin Brendon Thompson Silicon Review LLC, 340 S Lemon AVE #7046 Walnut, CA 91789 PH: 510-400-4819 Rohit Baruah Kushal Kumar Anirudh Prasad Anusha Take care of the patient and everything else will follow! Healthcare industry is getting a rapid makeover, from surgical robots to smart hospitals; the digital transformation is revolutionizing health care in new and exciting ways. Companies in the healthcare industry are all pumped up, and current trends promise further big changes for professionals in the healthcare business. On the other hand, when thinking about technology in the healthcare industry, and more specifically medical technology, there are several crucial factors to consider. With its government- mandated need for security, massive amounts of sensitive data and rapidly changing technological environment, healthcare is among the economic sectors facing the most significant challenges in implementing effective IT solutions and main concern being growing flood of data and cost. From small doctor’s offices to major hospitals, the healthcare IT environment is increasingly complex and, if not managed appropriately, can negatively impact patient care. What are the major technology challenges in healthcare industry in the modern environment? And how to overcome those challenges? Answer is right here!. Here is the list, the answer for every healthcare technology challenge. The Silicon Review “10 Fastest Growing Healthcare Companies 2019.” These companies are not only the exceptional innovators, but are striving to make the society a better place to live. The companies that are enlisted are well-known for their ability to fight against healthcare complexities. Success recognized to the fullest! Editor’s Note
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  • 6. ContentsContentsContents Creating a Healthier and Safer World 10 Offering Behavioral Health and Addiction Services to Its Patients in a Variety of Settings Challenging the Shape of Medical Research and Practice A Highly Innovative Approach to Treating and Supporting Individuals with Developmental Disabilities Providing Pregnant Women with their Own Personalized Report 14 26 30 34 Feature Articles Investor’s Guide to the Healthcare Industry Artificial Intelligence: The ultimate game changer in healthcare Understanding Immunotherapy, a New Form of Cancer Treatment Yet another Reason to Sleep: Researchers Say that Sleep Increases Chromosomes Dynamics Technology can alleviate the shocking scarcity of healthcare in India Telehealth: Defining a New Episode of Patient Care World Gets its First baby Born with Robot-assisted Uterus Transplant Healthcare Is Getting Smarter With AI and Robotics Revolution There Could Soon Be a Smartphone App to Help Detect Early Onset of Mild Cognitive Impairment The Importance of Transporting Sensitive Healthcare Medications 8 12 16 24 28 32 36 40 46 52 Vol - 1.4 | ISSUE - 2 | May 2019 (Monthly Edition) Rethink Autism Daniel Etra Co-founder & CEO STERIS Kevin Holder Managing Director Acadia Healthcare Debbie Osteen, CEO Organovo Taylor J. Crouch CEO & President Univfy Mylene Yao M.D., Co-founder & CEO
  • 7. Redefining Eldercare Four Season Care Homes 38 42 44 48 50 COVER STORY / 18 Tim Hammond, CEO The global standardization organization for international recognition Black Book Market Tailored Made Solutions as Per Each Cancer Patient Requirement The Patient Blockchain that Solves the Healthcare Puzzle Giving Surgeons the Data They Need to Make Evidence-Based Care Decisions Transforming Diagnosis and Treatment of Cancer - PAIGE Research Doug Brown Founder, President & Managing Partner Onkos Surgical Patrick Treacy, Co-founder President, & CEO Embleema Robert Chu, CEO Empiric health Rick Adam, CEO Leo Grady, CEO
  • 8. 8 May - 2019 Investor’s Guide to the Healthcare Industry T he healthcare market is one such market that will exist until humanity is alive. For now, startups are coming up with tech that will surely change the game and even take over the market. Big players in the industry need to watch out for such startups since the innovation level is really high. Each startup is specializing in certain verticals within the healthcare industry. Tagging with physicians and other medical officials these startups have started experimenting and improving various technologies for various people across the globe. Many have had a discussion on the matter and very few have given the solution to it. Investors will obviously look for the right investment and they would want to invest in a company that can bring them better returns in the future along with improving the lives of those who are currently suffering from an illness or find a cure for certain diseases and health problems. The Tech you should be Focusing on To be honest there is no particular tech or vertical of healthcare you need to be focusing on. In the past print was everything, now it is replaced by digital tools and other media products. The same goes with vehicles where the electric powered cars are bikes will take over the fuel vehicles. Healthcare is the same; there are many tools and software that has allowed patients to consult a doctor sitting at home. But sometimes there is a need to go to the doctor and that can’t be avoided. But the question here is; what is the right tech to focus on? Well, the answer is simple; there is no “right tech”. Every now and then you see new and innovative tech that pops up in the market. Artificial Intelligence, Blockchain, machine learning, robotics and now photography are some of the examples. But it is important to first ask yourself this question what is the vertical you have decided to focus on, later see if the tech involved in it has some potential growth. Consult your team and other experts and you will get the right answer. Whom to Consult Keep in mind your investment plan, how much you are ready to invest and what is the vertical you are focusing on healthcare. The people whom you should be contacting are the business owners who want to improve the environment. Sometimes it is better to invest in people who are seeking to do better in the healthcare industry since it will give you a positive result. Sometimes doing good to others won’t do good to you, that is where you need the right business consultant, so pick the one who can understand the vertical and provide accurate solutions for you. The Change of Healthcare Market The major change which has been observed by many experts is the significant evolution in consumer- directed healthcare. In the present scenario patients thinking about the money, they spend on their 8 May - 2019
  • 9. 9May - 2019 healthcare. Many are observing the change in the benefit designs. Along with more copays and higher deductible plans, factors have grabbed the attention of healthcare professionals. For the sake of customers or patients, innovators have really invested a lot of time. Experts feel without regulatory catalyst there won’t be any rapid change in the healthcare market. So, if you are someone who is already in the regulatory catalyst environment, you should really make a decision on which side of the bed you’re taking. Many feel they should be on the side that is giving a lot of growth and also provides better security. Many think this is the only winning strategy for a long term plan. But if you’re in an area where you’re evaluating an investment that is in terms of expansion and better results you need to be smart. The area where there is no clear near term, regulatory catalyst positively or negatively it becomes important that you focus on betting on the right occurrence. It’s really about when is this change is happening and how you react to this change. Many are in the future you might be called right or you might be called wrong. It all depends on how you invest and plan for the future in the healthcare industry. SR 9May - 2019
  • 10. 10 May - 2019 S teris combines engineering, data and healthcare expertise to empower its customers to make smarter and more cost- effective decisions across their: sterile departments, surgical theatres, and surgical inventory procurement and biomedical engineering teams. The company assists the customers in identifying opportunities for improvement and cost savings. It also helps surgeons and healthcare professionals to improve patient care pathways by being: more resilient, more responsive, more cost-effective and more agile and highlighting quality improvements where they can be made. The Four Core Services: Sterilisation & Decontamination The company has gained extensive experience and consistently impressive records for improving quality for its Customers. The company achieves this via its comprehensive and fully serviced solutions which include: surgical instrument sterilisation, device decontamination and endoscope processing. All of this, combined with its unique track and trace system SynergyTrak® which offers the customers an intuitive platform providing them with oversight of their whole surgical instrument inventory in real-time. The firm also has been able to regularly provide contingency services to healthcare providers, who may be experiencing technical difficulties in their own sterile units, or are undergoing refurbishment or increased demand. Steris knows that great service solutions are never “off the shelf”, every Customer need is different. Endoscope Repairs The firm’s UK based repair centres offer swift turn-around times and the teams are on hand to answer any questions you may have. Steris repairs rigid and flexible endoscopes, orthopaedic power tools, phaco handpieces and dental handpieces. The quality of the parts it uses for the endoscope repairs ensures that the device life will be extended and continues to perform at OEM operating standards. This also includes equipment that is no longer supported by the original manufacturer. By choosing STERIS Instrument Management Services for your instrument repairs you can save up to 50% compared to OEM*. The experienced repair technicians take the life cycle of each individual device into consideration, guaranteeing a reliable and safe service with consistent, prompt turnarounds. Surgical Instrument Repair Steris repairs surgical instruments to the highest standards with ISO13485 accreditation. The standard turnaround times are prompt and for more urgent repairs, “We at STERIS Instrument Management Services believe in supporting our Customers to deliver the best in patient care. Today through a series of strategic combinations and continual innovation of new products, we hold one of the strongest portfolios of products and services in the industry.” Creating a Healthier and Safer World – STERIS Instrument Management Services
  • 11. 11May - 2019 it can provide a rapid repair service. It offers flexible and comprehensive repair solutions including a rapid repair service. It is dedicated to enabling patient safety and driving improvements in quality outcomes and efficiency across all its services. The Customer Service Representatives offer a free collection and delivery service across the UK*. In the instance this service is not available in your area; it works closely with its partner courier networks so that your instruments are always in safe hands. Surgical Instrument Sales The company also provides an exclusive micro-surgical range and a range of single-use instruments. Its online store offers Customers access to over 4000 surgical instruments including reliable single-use options. The firm is continually expanding its product range (based on the needs of its Customers). For the Customers peace of mind, it manufactures all the surgical instruments to British Standards (BSI) and is accredited under ISO13485, with these internationally recognized standards you can be assured of the highest level of quality and service at all times. Initially specializing in the manufacture of handmade tracheotomy tubes (over twenty years ago) the firm has gradually expanded its product lines, which it now offer to its Customers. This extended range of surgical instruments is still based on the same principles of quality, durability and value which it founded its business on over twenty years ago. Animal Health Services The company has combined its expertise in the health care market with its passion for animals to create STERIS Animal Health Services. The extensive experience within the medical device industry offers it the opportunity to supply high-quality surgical instruments to the UK Veterinary market. At STERIS it believes that the animals deserve the same level of care as humans. The Experienced Leader Kevin Holder | Managing Director Kevin is the Managing Director of the STERIS Instrument Management Services business for Europe and the Middle East, focused on the sterilization and repair of surgical devices; he joined the business in 2013 as Business Development Director. Appointed in various CEO positions within the independent healthcare provider sector, Kevin is an advocate for talent progression within the business and promoting the benefits devices from true partnership working with customers in the NHS and other clinical settings. Kevin Holder, Managing Director SR
  • 12. 12 May - 2019 Artificial Intelligence: The ultimate game changer in healthcare A rtificial Intelligence is nothing but intelligence that is synthetic and which is developed by humans for machines. The debate about autonomous machines has been going on for the better part of the last half a century. However, Artificial Intelligence (AI) now implies machines that are able to carry out specific tasks with very little to no human intervention. AI is undoubtedly the next big technological revolution that will transform the world and it has already found numerous applications in a wide array of industries, some of which include cyber security, manufacturing, software development, robotics, automobiles, not to mention, healthcare. It is in healthcare perhaps that Artificial Intelligence can have the biggest direct impact on human life. AI is not only making machines better at tasks than humans, it is also making them faster and exponentially more efficient. When someone uses the word healthcare, most people tend to think of diseases and their cures. As the old saying goes, “prevention is better than cure”, healthcare also encompasses wellness. Artificial Intelligence has the potential to provide the coveted edge to doctors and patients alike in making informed decisions about health and well-being. Early diagnosis Data analysis is one of the things that Artificial Intelligence algorithms do best and patient data is what the healthcare industry has in abundance. By applying sophisticated AI constructs to years and years of patient data, surprising deductions are reached. Simply
  • 13. 13May - 2019 put, AI powered systems can sift through several terabytes of patient information several times faster and with far greater accuracy than the most qualified and experienced human being. This technique allows doctors to review patient history and determine which ones are at the highest risk of contracting which types of diseases. Such a predictive method is consistently shown to have produced accurate and dependable results, not to mention, saved a lot of money on medical bills for several people. One of the most important factors that predictive analytical techniques need is real time patient data. The Internet of Things (IoT) is a very promising way of procuring patient information on a regular basis in order for AI to work its magic. IoT consists of a network of interconnected devices that exchange data. Wearable devices collect patient vitals like heart rate, blood pressure, amount of activity, etc. This information is highly useful to determine a patient’s general health and formulate reliable prognoses. Treatments A treatment can range from prescribing mediation to performing complex surgery. Analysis of health information using advanced AI algorithms allows doctors to formulate care plans and vary their treatments for longer and more permanent solutions. Additionally, machine learning techniques have even demonstrated considerable success in predicting chronic illnesses before they affect patients by doing a better job of analyzing the medical history of the said patients. Robots have had an increasing role in surgeries since the previous decade. Robots have evolved from being just helping hands to surgeons to being able to perform surgery themselves. Once again, Artificial Intelligence has allowed these robots to get progressively better at their job. Some robots have gotten good enough to perform successful surgeries themselves. Clinical research The research and development of new drugs is an integral part of the global healthcare industry. This industry spends hundreds of millions of dollars each year on research for newer and better cures for a wide range of illnesses. The most important ingredient for any drug related research is once again, information about the disease as well as the patients that suffer from it. This information includes patient medical history, symptoms, family history, general stats, and so on. All of this information about hundreds or even thousands of patients is required to conduct an in-depth research about a particular bacteria, virus or diseases like diabetes, heart disease, Alzheimer’s disease, etc. Artificial Intelligence can process this information and churn out results that are far more accurate than the ones that are achieved by other conventional means of analysis. Moreover, the results are achieved significantly faster after assessment of data sets of several patients simultaneously. In other words, AI has the ability to bolster the pace of research and reduce the time required for a drug to progress from its conception stage to being available commercially. Artificial Intelligence is making itself known in many fields and has helped us make giant leaps in technology. Healthcare is the next big arena for this marvel of technology to enter and revolutionize how people deal with diseases. SR
  • 14. H eadquartered in Franklin, Tennessee, Acadia Healthcare was established in January 2005 to develop and operate a network of behavioral health facilities across the country. Acadia provides psychiatric and chemical dependency services to its patients in a variety of settings, including inpatient psychiatric hospitals, specialty treatment facilities, residential treatment centers, outpatient clinics and therapeutic school-based programs. Acadia’s management style and philosophy is one of collaboration and flexibility as it creates an energetic and team oriented service delivery system. Its organization values input from employees, physicians, and all strategic alliances. Acadia Healthcare puts its best efforts to create behavioral health centers where people receive care that enables them to regain hope in a supportive and caring environment. “We want Acadia to be synonymous with excellent care, phenomenal customer service and an unparalleled commitment to our patients, staff, physicians, and community”, says Debbie Osteen, CEO. Behavioral Health Treatment Facilities & Clinics Acadia Healthcare is familiar with the impact of mental health and behavioral health disorders and with the various types and levels of treatment that have proven to be most effective. At the programs that are members of the Acadia Healthcare network, individuals and families whose lives have been affected by behavioral health and mental health concerns can receive the comprehensive care that will provide maximum relief from their symptoms and help make the greatest possible improvements in their quality of life. At Acadia Healthcare, experienced and compassionate professionals are dedicated to providing superior personalized care in an atmosphere of dignity and respect to individuals who have been struggling with one or more mental health or behavioral health disorders. At Acadia programs, adolescents and adults can expect to work with experts who are dedicated to providing evidence-based, research-supported services that are designed to meet their specific needs and put them in the best position to experience long- term success. Substance Abuse Treatment Facilities & Clinics Substance abuse can devastate individuals and families. Acadia Healthcare is dedicated to developing innovative and effective programming that can help adolescents and adults overcome their dependence upon alcohol and/or other drugs and learn to live healthier and more satisfying lives, free from the limitations of addiction. At programs throughout the Acadia Healthcare network, experienced and dedicated professionals provide the life- changing therapeutic interventions and other clinical services that help individuals emerge from the darkness of substance abuse and addiction and take their first steps along the path toward a brighter, drug-free future. Each program in the Acadia Healthcare network provides a unique opportunity for individuals “Our mission is to create a world-class organization that sets the standard of excellence in the treatment of specialty behavioral health and addiction disorders.” Offering Behavioral Health and Addiction Services to Its Patients in a Variety of Settings: Acadia Healthcare Debbie Osteen, CEO 14 May - 2019
  • 15. 15May - 2019 to receive superior personalized care in an atmosphere of dignity and respect. No two Acadia-affiliated programs are identical, but all of its programs are unified by its commitment to providing individualized treatment that is based upon a thorough assessment to determine the strengths, needs, and treatment objectives of each person who chooses to heal with Acadia. At Acadia programs, adolescents and adults can expect to work with experienced professionals who are dedicated to providing evidence-based, research-supported services that are designed to meet each individual’s specific needs. Eating Disorder Treatment Facilities & Clinics Acadia Healthcare understands the dramatic impact that eating disorders can have on individuals, and how difficult these disorders can be to overcome. At the programs within the Acadia treatment network that provide care for individuals with eating disorders, supremely talented and dedicated professionals work diligently to provide comprehensive programming that is designed to empower adolescents, men, and women to overcome the compulsion to engage in disordered eating behaviors, to achieve long-term recovery, and to learn how to live healthier, more productive, and more satisfying lives. Several programs within the Acadia Healthcare network have helped many adolescents and adults to escape the despair and devastation of eating disorders. At Acadia’s eating disorder treatment programs, individuals receive world-class care featuring comprehensive clinical and therapeutic services that are provided with unparalleled personalization and that are delivered with the utmost respect and dignity. When an individual enters an Acadia program for the treatment of an eating disorder, he or she will work in close collaboration with dedicated professionals to complete a customized course of treatment that is designed according to his or her unique strengths, needs, and treatment objectives. Post-Traumatic Stress Disorder & Trauma Treatment Facilities & Clinics Acadia Healthcare recognizes the impact that trauma and trauma-related concerns can have on an individual. It also understands that while some individuals are able to recuperate from the emotional effects of their experiences, others will suffer from ongoing distress that can hinder their ability to continue functioning appropriately on a daily basis. When this is the case, individuals may feel at a loss as to what they can do or where they can turn in order to find relief from their suffering. For these reasons, within its vast network of treatment providers, Acadia Healthcare is proud to offer a number of options for care that are designed to help those who are battling trauma- related concerns so that they can learn to manage their symptoms and alleviate their distress. Acadia Healthcare Leadership Debbie Osteen, Chief Executive Officer Prior to joining Acadia in December 2018, Ms. Osteen served as Executive Vice President of Universal Health Services, Inc. (NYSE: UHS) and President of UHS’s behavioral health division since 1999. Ms. Osteen led UHS’s behavioral health division to become the largest system of freestanding behavioral healthcare facilities in the United States. Under Ms. Osteen’s leadership, UHS acquired Cygnet Health Care and the adult services division of Cambian Group in the United Kingdom. Ms. Osteen served as past President of the National Association of Psychiatric Health Systems (now known as the National Association of Behavioral Healthcare). She also served on the Executive Committee of the National Action Alliance for Suicide Prevention, a public-private partnership advancing the national strategy for suicide prevention. Ms. Osteen has been named multiple times among the “Top 25 Women in Healthcare” by Modern Healthcare magazine, most recently in 2015. SR
  • 16. Understanding Immunotherapy, a New Form of Cancer Treatment I mmunotherapy is a type of biological therapy that is very prevalent these days to cure cancer patients. It basically empowers one’s own immune system to fight cancer. The immune system, as we know can combat certain pathogens that cause infections and other diseases. The therapy has become an increasingly vital cancer treatment option over the years. It can be given alone or in combination with other treatments. The potential of the human’s immune system is something that cannot be underestimated. Our body already has a strong and smart immune system; immunotherapy enhances it to battle with the cancerous cells. This form of therapy sees cancer treatment in a whole new light. The technology received praise from the world and it came into the limelight when the 2018 Nobel Prize in Physiology or Medicine was awarded jointly to two researchers oceans apart, James P. Allison, Ph.D., of The University of Texas MD Anderson Cancer Center, and Dr. Tasuku Honjo of Kyoto University in Japan to acknowledge their efforts to bring immunotherapy: a breakthrough treatment that turned the body’s own immune system against cancer. Both worked separately during their careers to study a protein called T cell protein CTLA-4. When this protein attaches to another protein found on the surface of cancerous cells, the immune system recognizes and attacks cancer cells by blocking the CTLA-4 protein. Their research eventually led to the drug Yervoy (ipilimumab) which was found helpful in treating certain types of cancer. Their years of hardwork have finally begun to pay off; it has ushered a new hope for cancer patients. So, how is this new form of cancer treatment different from the traditional forms of cancer treatment, particularly, chemotherapy? Unlike chemotherapy that attacks the carcinoid tumors directly, immunotherapy treats the immune system. Immunotherapy makes the immune system more robust to improve immune response. They also teach the immune system to spot cancerous cells and destroy them. While chemo works as long as the effect of the drug is there in the body, immunotherapy has a long-lasting effect on the patients. Other differences are how both the form of treatments affects the patients’ overall health. Chemotherapy attacks all kinds of rapidly dividing cells, whether healthy or cancerous, which causes side effects like hair loss and nausea. However, immunotherapy isn’t completely free of side effects; it can probably cause skin rashes, diarrhea, or other health issues depending on how the immune system responds. On one hand, where chemo has a faster result, immunotherapy takes a longer time to shrink tumors. There are, however, several hurdles that are pushing back this next- gen technology to be the forefront of cancer treatment. There are various challenges that doctors are dealing with. Firstly, the treatment is very costly, and secondly, it is very slow. After investing so much time and money, if the patients realize that the treatment is not working, it would be extremely heartbreaking considering the unnecessary expenses, severe side effects like infections, hormone or gland problems, inflammation in internal organs, and further slowing down the treatment. As the technology is still in its nascent stage and it still pretty much relies on primitive tools, the real challenge right now is to understand who will respond well to the treatment and who will reject it. Immunotherapy is already a standard of treatment for some type of cancers. It has even proved effective at an advanced stage of cancers. More and more immunotherapies are available at an ongoing clinical trial. Every patient is unique: and the goal of the medical care team is to find the right treatment for the patient, whether chemotherapy, immunotherapy, or combination of both. Immunotherapy is a 16 May - 2019
  • 17. pathbreaking discovery in the era of cutting-edge technology. “As we become more adept at treating and preventing cancers, the disease will no longer be a life-ending tragedy for so many patients. Rather, cancer will become a chronic condition that can be effectively managed without limiting a person’s vitality or lifespan,” quoted Jeff Balser, MD, Ph.D., President and Chief Executive Officer of Vanderbilt University Medical Center, and Dean of Vanderbilt University School of Medicine. The technology has not been exploited to its fullest capacity and it has an immense scope to change the lives of people suffering the hardships of dealing with cancer. It is just the beginning! SR 17May - 2019
  • 18. C O V E R S T O R Y Tim Hammond, CEO Redefining Eldercare Four Season Care Homes
  • 19. 19May - 2019 A ssisted living and long term nursing for the elderly is one of the rapidly growing issues in various countries. As people grow old and retire, children are not always able to care for them, especially in light of hectic work schedules, the need for migration, increasing prices of healthcare, and so on. In such cases, it is best for senior citizens to live in their own little community. That is where retirement homes come into the picture. These places provide a way for the aged to form a social circle and live amongst people of their own age group. Being socially active and keeping one’s mind sharp and alert in old age has proven to have numerous health benefits and are shown to promote an overall state of mental and physical wellness. Four Season Health care offers community homes for the elderly, a place for them to spend their twilight years leading quality and dignified life. Its homes are more than just places of care and everyday living support. They’re also thriving communities in which each person feels part of the life of the home. Listening to residents is one of the most important things that caregivers at Four Seasons Health Care do each day so that the company can truly get to know them. The staff always pays special attention to people’s stories ─ because places filled with stories and warmth are places that everyone is happy to call home. Four Seasons has a national network of more than 250 care homes with 20,000 staff providing specialist dementia and nursing care to more than 14,000 people. It is an international leader in dementia care and a major contributor to advances in best practice. Its specialist Dementia Care Framework significantly improves the well- being of people living with dementia while reducing their requirement for medications. Four Seasons provides long-term nursing care; intermediate care to avoid admission to hospital or enable speedier discharge; respite care and palliative nursing. Everyone living in a Four Seasons home has a personalized care plan designed to meet their individual health and social care needs that are based on an understanding of their unique life story and takes account of their interests and preferences. Four Seasons also offers rehabilitation and re-ablement for those who have a health setback and just need time to recover. Its mental health and learning disability communities also support individuals to lead independent lives through empowering environments, understanding teams and holistic care plans. The staff is also trained to use exclusive technology to continuously improve residents’ day-to-day experiences through the Quality of Life Programme. As well as medication dosage, dietary needs, and mobility, the system also captures residents’ wants, wishes, and preferences, alongside feedback from relatives and professionals. This information is immediately available to Home Managers and their teams, complementing the normal face-to-face conversations of each day. Through its Home to Home Promise, the company supports new residents and their families to make the move into a care home as relaxed and easy as possible. After all, feeling well looked after, comfortable and ready to start a new chapter in life is as much about creating a sense of home as it is about providing good quality care. Life at a Four Seasons Care Home Life is all about relationships. And they remain just as important in our later years, helping to enrich each day and make it more rewarding. When each new resident arrives in one of Four Season’s care homes they become part of a new circle that includes not only their own family and friends but also other residents, nurses, careers and support team. It’s the blending of all these relationships that helps to fill each resident’s daily experience with new friendships, good company and a sense of family. Retire Homes filled with stories Listening to residents is one of the most important things about the staff’s daily efforts so that they can truly get to know patients. The nurses explore people’s different characters, likes and dislikes and always pay special attention to people’s stories ─ because places filled with stories and warmth are places that everyone is happy to call home.
  • 20. All homes offer a choice of lively communal areas and quieter rooms for a spot of reading or following a hobby. Most also have secure and attractive gardens with patio seating areas where residents can enjoy time with their visitors during the warmer months. The more green-fingered among the staff are also encouraged to help out with the planting when the mood takes them. Another way to help residents to feel at home is for them to do familiar things. So the dedicated Activities Leaders at Four Seasons gently encourage residents to carry on doing things they enjoy. If someone had a hobby or pastime they did before they arrived, they’ll be encouraged to continue it with. Or perhaps they may like to learn something new. The important thing is that every resident is treated as an individual. If they enjoy sharing time with others, either at the home or on an organized trip out, they’re most welcome. Or, if they prefer quiet time alone, we’ll respect that too. Healthy and scrumptious food There’s nothing quite like traditional home cooking to give everyone a lift. Four seasons always asks residents and their families about their food preferences and dietary requirements. The chef and catering team then work with dieticians to create meals that are nutritious and tasty, using fresh seasonal ingredients. To add more variety, the company also makes a point of celebrating with special meals and events throughout the year. Residents can be served in a pleasant restaurant- style dining room or, if they prefer, they can take their meals in the privacy of their own rooms. Additionally, all homes have in-house hair salons or visiting hairdressers while some also have their own nail bars. Caregivers would also be pleased to arrange chiropody and a range of other therapies ─ all to help add a little more of the feel-good factor. Quality and Regulation One of the company’s core beliefs is that care is something they do with and for people, not “to” them. The staff properly assesses the needs of each person before they come to stay and continue to assess their needs on a regular basis so they can always provide the most appropriate care. The most important measure of any home is feedback from residents, their families and visiting health professionals. That’s why Four Seasons has introduced its unique Quality of Life Programme to enable it to listen to residents every day, and help deliver the type of care experience they want. This system notifies if the home is meeting desired expectations, and allows professionals to immediately respond to any issues that may crop up. Moreover, there are regulatory bodies in the UK that conduct inspections and give care homes quality ratings. In England, Four Season’s homes are inspected by the Care Quality Commission, in Scotland by the Care Inspectorate, in Wales by the Care and Social Services Inspectorate Wales, and in Northern Ireland by the Regulation and Quality Improvement Authority. Neurological Care and Rehabilitation At Four Seasons Health Care support is offered for adults with complex physical disabilities or health needs resulting from a range of neurological conditions. The services include short or long-term rehabilitation options, 20 May - 2019
  • 21. respite breaks, or long-term home environments. Each individual is supported by a key worker to help review their therapeutic goals, independence skills, and ‘whole life’ aspirations. Through services and supportive environments, Four Seasons empowers people to reach their potential and be involved in their community. Supportive living environments All the homes have been specially designed to promote independence and enable people to live full lives through: • Rehabilitation rooms equipped for physiotherapy and occupational therapies • Robust surroundings suitable for people who use wheelchairs with accessible outdoor gardens and patios • Dedicated dining, living and activity areas with variable height seating to prevent pressure ulcers • Stairs with grab handrails, electric profiling beds with adjustable heights and at least one room with a Jacuzzi bath • Support for patients with bariatric care needs Specialist teams All of the professionals in each of the homes with neurological care and rehabilitation services have completed specialist training, including understanding neurological conditions and the promotion of independence. The teams at each home also have access to in-reach nurses who will provide best practice guidance and advice for specific neurological conditions and neuropsychiatry, offering additional support. Four Seasons also works closely with local health and social care community teams to arrange assessments and plan for appropriate and timely hospital discharges. Physiotherapy, Occupational Therapy, and Pharmacology services are regularly available through proactive partnerships working with NHS Trust and Independent, third sector, providers. Learning Disabilities Four Seasons’ learning disability communities are set within a separate residential and nursing care homes in a relaxed, welcoming and safe environment. This allows specially trained teams to give the right amount of support and create a responsive, empowering service. The programmes at Four Seasons provide opportunities for individuals to engage in meaningful activity, lifelong learning and develop skills for work to help build their confidence and self-esteem. Residents are further encouraged independence through building social networks in the service and the local community. Where individuals experience distressed reactions to the environment or other people, the nursing staff at each of the homes use positive behavioral support techniques to understand their challenges and reduce the intensity and duration of their distress. The professionals at Four Seasons are always listening to ways in which they can improve services. The individuals supported can use best practice forums to inform how the service is run while family and friends can give feedback to teams using freely available iPads in each of the homes. Four Seasons advocates on resident’s behalf support self-advocacy and have created health passports that accompany each individual to hospital appointments to ensure continuity of care. The door is always open to give friendly advice and provides you with the opportunity to look around so you can get peace of mind and feel more prepared for the next steps. 21May - 2019
  • 22. Meet the pioneering leader behind Four Seasons Health Care, Tim Hammond Tim has a track record in both healthcare and the service and hospitality sectors. He was formerly Chief Executive of Elior UK and prior to that, managing director of Barchester Healthcare. His career has also included senior management positions at Unilever, the consumer goods manufacturer; McKinsey & Co, management consultants and Whitbread the hospitality group, where he was Managing Director of TGI Fridays. He is a trustee of Age UK and a member of the Malnutrition Task Force, a group of experts who have joined together to address the problem of malnutrition in older people. Tim Hammond delivered a successful growth strategy at Elior UK which led to it being recognized as one of the “Sunday Times Top 25 Best Big Companies To Work For”. “Four Seasons is the largest independent social-care provider in the United Kingdom.” SR C O V E R S T O R Y 22 May - 2019
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  • 24. Yet another Reason to Sleep: Researchers Say that 24 May - 2019 W hy sleep is such an important part of our daily activities? Why humans spend a major portion (about one-third) of their lives just sleeping? Sleep is as important for the body as food or exercise. Sleep has been crucial to living beings with a nervous system. Even files, worms, and fishes sleep. But it has always been a curiosity about why do organisms have a wake-sleep cycle. Sleeping reduces stress, repairs wear and tear of cells during the daytime, reduces inflammation, improves memory etc. Well, researchers have found yet another reason to take a good night sleep. The research could explain how important sleep is and how sleep disturbance can actually hamper brain performance, affect aging, and lead to various brain disorders. As per the study published in the journal Nature Communications, scientists at Bar-Ilan University in Israel revealed how sleep is related to chromosomes. They experimented on live zebrafish using 3D time-lapse imaging tech and demonstrated that how sleep is required on neuron level. It was the first time in the history of scientific explorations that researchers were able to define sleep in a single chromosome resolution, an experiment that put the importance of sleep again on the map. Each neuron needs sleep to boost nuclear performance. During the hours of living beings being awake, their chromosome dynamics are low. DNA damage is caused by many day-to-day processes such as oxidative stress, radiation, and neuronal activity. The damage is a natural process; however, DNA damage is consistently accumulated in the case of lack of sleep and can reach an unsafe level which can lead to serious health hazards. As per the research, sleep increases chromosome dynamics and also fixes the DNA damage caused in each neuronduring the hourswe spend being awake. The balance between sleeping and being awake must be maintained for nervous system health as the DNA maintenance process is not efficient enough during the hours of being awake. Hence the body requires a sleep period with least body activities so that DNA maintenance can take place. “It’s like potholes in the road,” says Prof. Lior Appelbaum, of Bar-Ilan University who led the study. “Roads accumulate wear and tear, especially during daytime rush hours, and it is most convenient and efficient to fix them at night when there is light traffic.” Calling DNA damage as the “price of wakefulness”, Appelbaum and his fellow researchers hypothesized
  • 25. Sleep Increases Chromosomes Dynamics z z z that sleep synchronizes nuclear maintenance within individual neurons. The discovery was carried upon zebrafish as it has a brain similar to humans. Since many years, this breed of fish has been used for research purpose due to having many characteristics that make it perfect for studying human genetics. Due to its transparent body, nuclear proteins within the cells and the DNA movement inside the body can be observed using a high-resolution microscope. The fish was observed when it was both awake and asleep. And, the results were surprising! The researchers observed that the chromosomes were more active at night compared to the day-time when the body is performing various other tasks. Due to this, as they conclude, they are more efficient at DNA repair at night or when the body is at rest. The experiment proposes that the restorative function of sleep is nuclear maintenance. Appelbaum and his team of researchers explain the link between chromosome dynamics, sleep, DNA damage, and neuronal activity in the research paper they published. Sleeping patterns have always been the center of research in the field of life sciences. People have always been curious about why different organisms have different sleep cycles. However, no matter what is ones sleep cycle, it is important for almost every creature to take rest! Sleeping is a time when the body is at repair mode. So next time when you cut on your sleep to do “rather” important work, remember that it is affecting your chromosome dynamics. z z z z z 25May - 2019 SR
  • 26. 26 May - 2019 O rganovo designs and creates functional human tissues using its proprietary three-dimensional bioprinting technology. With reproducible 3D tissues that accurately represent human biology, it is enabling ground-breaking therapies by partnering with biopharmaceutical companies and academic medical centers to design, build, and validate more predictive in vitro tissues for disease modeling and toxicology. It gives researchers something they have never had before – the opportunity to test drugs on functional human tissues before ever administering the drug to a living person; bridging the gulf between preclinical testing and clinical trials. It is known for creating functional, three- dimensional tissues that can be implanted or delivered into the human body to repair or replace damaged or diseased tissues. Trademark Technology Bioprinted Human Tissue: Organovo’s proprietary bioprinting platform captures the unique synergistic potential of engineering and biology to enable the reproducible, automated creation of living human tissues that mimic the form and function of native tissues in the body. Genomics and proteomics have revolutionized research through the creation of highly reproducible tools for studying the genome and proteome. Its goal is to build living human tissues that are proven to function like native tissues for in vitro and therapeutic applications. Its 3D bioprinted human tissues are constructed with precision from tiny building blocks made of living human cells, using a process that translates tissue- specific geometries and cellular components utilizing the NovoGen Bioprinter® Platform. These bioprinted tissues share many key features with native tissue, including tissue-like cellular density, presence of multiple cell types, and the development of key architectural and functional features associated with the target native tissue. Bioprinting Process: Organovo’s bioprinting process centers on the identification of key architectural and compositional elements of the target tissue, and the creation of a design that can be utilized by a bioprinter to generate that tissue in the laboratory environment. Once a tissue design is established, the first step is to develop the bioprocess protocols required to generate the multi- cellular building blocks also called bio-ink from the cells that will be used to build the target tissue. The bio-ink building blocks are then dispensed from a bioprinter, using a layer-by-layer approach that is scaled for the target output. Bio-inert hydrogel components may be utilized as supports, as tissues are built up vertically to achieve three-dimensionality, or as fillers to create channels or void spaces within tissues to mimic features of native tissue. The bioprinting process can be tailored to produce tissues in a variety of formats, from micro-scale tissues contained in standard multi-well tissue culture plates, to larger structures suitable for placement onto bioreactors for biomechanical conditioning prior to use. Services ExVive™ Human Tissue Models & Services for Research: Organovo’s Bioprinted Human Tissue Models are multi-cellular, dynamic, and functional 3D human tissue models for preclinical testing and drug discovery research. Created using a proprietary 3D bioprinting process, the tissues remain viable and dynamic for an extended time in vitro and exhibit key architectural and functional features that mimic key aspects of the natural 3D tissue environment. Biochemical, genomic, proteomic and unique histologic endpoints can be assessed over time. ExVive™ 3D Bioprinted Human Tissues enable the capture of human tissue-specific data to support better predictive outcomes, de-risking total development time and resources. Challenging the Shape of Medical Research and Practice: Organovo
  • 27. 27May - 2019 • Preclinical in Vitro Testing Services: Organovo offers preclinical in vitro testing services utilizing ExVive™ 3D Bioprinted Liver Tissue Models. Testing will be performed and coordinated by experienced staff at Organovo’s testing laboratories • Custom ExVive™ 3D Bioprinted Tissue Models: Compositionally- and architecturally-defined living human tissues are compelling tools for understanding the effects of a particular pathogen or treatment, enabling scientists to interpret traditional biochemical or genetic data in a context that more closely approximates the in vivo environment. Organovo entertains the creation of 3D tissues customized to clients’ research needs 3D human tissues for medical research & therapeutics: Organovo believes that engineered tissues will someday be a routine source of therapy for patients with damaged or diseased tissue. Today, the company is working, both internally and with selected partners, to fulfillits vision of building human tissues for surgical therapy and transplantation. The flexibility of its tissue engineering technology and its proven application across a wide variety of cells allows the company to target many different tissues. The cell source can be either allogeneic or autologous (using the patient’s own cells), which could allow the company to avoid transplant rejection and the need for life-long immunosuppressant drugs. Meet the Leader Taylor J. Crouch, CEO, and President: Crouch has been Organovo’s CEO and President since 2017 and has over 25 years of experience building and leading technology, expertise and product-based companies in the life sciences and biotech industries. Prior to Organovo, for more than seven years, he managed and served as an operational investor in a group of leading clinical research site companies. Specifically, Crouch served as Chief Executive Officer at eStudySite, a position he held from January 2009 to June 2016; as Executive Chairman of Meridien Research from December 2013 to September 2016, and as a Director of the National Research Institute from September 2011 through July 2016. Prior to this, Crouch served as Senior Vice President of Operations/President International at Ligand Pharmaceuticals from 2005 to 2007, with responsibilities for new business development, technical operations, international sales, and clinical research. Prior to Ligand, he was President and Chief Operating Officer of Discovery Partners International. Crouch holds a BSE in chemical engineering, cum laude, from Princeton University and an MBA in international marketing and finance from the University of Chicago. Our goal is to build living human tissues that are proven to function like native tissues.” “ Taylor J. Crouch, CEO & President SR
  • 28. 28 May - 2019 Technology can alleviate the healthcare in India I ndia is the world’s largest democracy with over 1.3 billion people. It is one of the world’s fastest emerging markets for a plethora of goods and services in a wide range of sectors that includes internet services, healthcare, telecommunication, hospitality, manufacturing, and so on. But in spite of its impressive growth rate, India suffers from extreme inequality in terms of median income, education, food and most importantly, healthcare. Access to adequate healthcare is a basic universal right, but a large portion of India’s population doesn’t even have access to basic medical facilities. One of the major reasons for this is the dearth of qualified doctors. The ratio of doctors to people is a shocking 1 per 1000. What it means is that for every thousand individuals in India, there is only a single qualified doctor available. While government programs, charitable foundations, and NGOs try their best to improve access to healthcare, most subject matter experts concur that technology is the only solution to improve India’s deplorable healthcare scenario. Telemedicine As the name indicates, telemedicine is the integration of telecommunications and information technology to improve access to healthcare. It is an excellent way to shorten the distance between patient and doctor. There are various tools and methods to implement this technology in places where it is most needed. A major problem plaguing rural India is the lack of means of diagnosis. Laboratories to conduct blood tests, X-rays, dental scans, etc. need to be integrated with remote data gathering capabilities for physicians to make an accurate diagnosis and prescribe appropriate treatments. There is a huge need in rural India for reliable medical tests to be interpreted by doctors within a suitable time frame in order for the treatment to have the required effect. Another aspect that is being considered are pods that can carry out a wide range of medical tests and transmit the results to physicians who are situated at a remote location. By placing these pods in strategic locations in rural areas, the problem of an accurate diagnosis can be alleviated not only in India but all across the developing world. Data analysis and wearable devices Wearable devices are widely used to monitor health vitals
  • 29. 29May - 2019 shocking scarcity of like heart rate, blood pressure, EEG (electroencephalogram), body temperature, and so on. These devices could gather health information about millions of people. This information, in turn, can be processed using advanced data analytics techniques to identify which individuals are at a greater risk of contracting what disease, based on a number of variables. Even though this would not be a form of treatment, it would definitely help in prevention through early prognosis, as prevention better than cure. These are some examples where existing technology can be leveraged to improve access to healthcare for the underprivileged. For developing third world countries, technology is the only means of bridging the wide gap between necessity and availability, in light of the acute shortage of trained professionals. However, it will require significant impetus from the government and a sizable investment from the private sector. SR
  • 30. 30 May - 2019 T he first several years in the life of a child are the most important. It is when children learn how to talk, read, write, form friendships, develop bonds with their or family and begin to form a perception of the world around them. This is a period in their lives when they are most impressionable. However, certain children are unfortunate enough to be born with developmental disabilities that hamper their overall development. One of them is autism. It is mainly characterized by difficulties in socializing, communication, learning, and certain repetitive behaviors. Signs of autism usually surface in the first three years of a child’s life, with some cases being diagnosed in later years. Developmental disabilities such as autism affect hundreds of millions of children all across the globe each year. Applied Behaviour Analysis (ABA) is one of the only treatments for this population recommended by the medical community. However, there are too few caregivers trained in ABA, which leaves a massive burden on the families of children suffering from developmental disabilities, given the severe shortage of experts to treat it. Rethink Autism A company named Rethink Autism Inc. has come up with an ingenious way to extend help to the millions suffering from a developmental disability by providing a simple way to train their family caregivers as well as teachers and others in ways to deliver best practice behavioral intervention. In light of the fact that there are only about 30,000 certified Behaviour therapists worldwide, the need for a way to scalably treat and support children with special needs was urgently needed. Moreover, public and mainstream education and healthcare systems are grossly inadequate to address the growing need of specially-abled children. The American Centres for Disease Control (CDC) reports that 1 in 6 children will be diagnosed with some developmental disability or the other, making it statistically more prevalent than pediatric cancer, diabetes and AIDS combined. One might be forgiven to think that this is an epidemic, with hundreds of millions of children with developmental disabilities posing a significant challenge for the economy as a whole. The unique system developed by Rethink Autism entails involving all people who are in the lives of individuals with a developmental disability, i.e. parents, siblings, teachers, social workers, etc. by leveraging technology. Rethink noted extensive research on the effectiveness of video modeling for training in fields such as medicine and the military and decided to combine this proven method of instruction with the proven and medically-recommended ABA treatment methodology, creating an online training and support system for individuals with a developmental disability and their caregivers worldwide. Motivation for Rethink Recognizing that there was a significant dearth of trained professionals (only 30,000 Board Certified Behavioral Therapists globally) to cater to the needs of a growing population of dependents, Rethink set out to create a scalable solution that would make clinical best practice treatment tools and support available to the individual and their caregivers no matter where they are located. Providing research-based teaching strategies grounded in the principles of Applied Behavior Analysis (ABA), the award-winning Rethink program includes a comprehensive online individualized treatment program with over 1,500 video-based We inspire and empower individuals with developmental disabilities and those who support them. “ ” A Highly Innovative Approach to Treating and Supporting Individuals with Developmental Disabilities: Rethink Autism
  • 31. demonstrations - developed by internationally-recognized experts in the field - to train caregivers, parents, professional and paraprofessional staff how to manage problem behaviors as well as teach an individual with a developmental disability critical skills. Automated data-based reports track progress in real time, facilitate coordination across care team members, and allow for robust data analytics on outcomes. Rethink’s practice management offering allows for the tracking of service authorizations and cost of treatment as it relates to clinical outcomes. The company serves individuals at all levels of development and ages ranging from point of diagnosis through early adulthood. Rethink has a clientele that includes employers with under 1000 employees to over 500,000 employees, and across its book of business, Rethink covers over 7 million lives. Research clearly demonstrates the impact of caring for a dependent with a developmental disability – from over twice the rates of anxiety and depression to thousands of dollars annually in lost productivity. Indeed, over half of caregivers work fewer hours or leave the workforce to accommodate the needs of their child. The Rethink program helps support these employees. The program is also used by hundreds of public school districts in all 50 states, ranging from large urban systems like New York City, San Francisco, Dallas, Denver and others, down to small rural districts. It allows districts to fully meet Federal IDEA requirements as well as a variety of state-based legislative mandates to provide an adequate education to students with a special need. The program also helps districts train staff and accurately measure the progress of a student population not subject to mainstream standardized testing. Daniel Etra, Co-founder & CEO Meet the visionary behind Rethink Autism, Daniel Etra, Co-founder and CEO Mr. Etra currently serves as Co-founder & Chief Executive Officer of Rethink. With over two decades of successful international business experience, including 15 years as a serial entrepreneur, Mr. Etra was Co-founder & CEO of R.E.R. International, a global supplier of printed materials to the retail industry. He was a Consultant at Bain & Company, helping establish their NY office and also served as a Managing Director of Promodex Ltd., an importer, and distributor of consumer appliances and industrial equipment in the Middle East. In addition, Mr. Etra served in the Israel Defense Forces and worked at Wasserstein, Perella & Co., specializing in M&A in the fields of healthcare, technology, and natural resources. Mr. Etra has won numerous awards including the Inc. 500, the Deloitte Technology Fast 500, the SmartCEO Future 50, and CEO of the Year from Industry Era and Corporate Vision Magazines. He is also a member of the Young Presidents’ Organization (YPO). Mr. Etra has an MBA from Harvard Business School and a BA in Economics from Yale University. Born and raised in New York City, he is active in a variety of children’s causes and volunteers with organizations such as NY Cares and Memorial Sloan-Kettering Cancer Center. SR
  • 32. Telehealth: Defining a New Episode of Patient Care M odern technology is a friend; no doubt it has upped the standard of living. From Virtual Reality, Artificial Intelligence to Augmented Reality, every new aspect of modern technology offers extra-ordinary perks to businesses and people in general. 3-D Visualization and Augmented Reality for surgery, for instance, is paving the way for an era that will unleash a whole new level of patient care. Surgeons have relied on microscope oculars and other camera systems to operate. However, surgeons also typically depend on their own eyes and interpretations to execute the most precise tasks. Two of the most intricate surgical practices; neurosurgery and retnomicrosurgery, have been experimenting with new technology in the past year. The new technology – Stereoscopic Systems – not only keep a surgeon’s head 32 May - 2019
  • 33. Extending the healthcare environment to the patients’ home has been a goal for decades. After years of trials, experiments, and modest growth, distance health technologies are about to become a widely accepted standard of care.” – Cleveland Clinic up but it immerses the surgeon into a high-resolution 3-D visual representation of their subject. Experts and surgeons believe the added comfort and visual information will allow surgeries to operate more efficiently and effectively. A growing number of hospitals will be adopting these systems, pushing the boundaries of surgical reality as we know it. Similarly, Virtual Reality is a ground-breaking invention. Imagine peering inside the human body without an incision; turning the heart without touching it. Using a headset controller and innovative technology, it’s possible to navigate human anatomy through Virtual and Mixed Reality. These realities can revive medical training, procedures, techniques, and equipment use as well as simulate patient interactions in a more immersive and realistic way. As this trend grows, private programs involving these technologies for the education of medical students are being implemented worldwide. They are not a replacement for hands- on practice. Virtual and Mixed Reality is increasing situational experience, giving students an opportunity to practice with computer simulation is a low-risk alternative and in extreme cases can prevent patient harm. The technology’s new applications have many dubbing Virtual and Mixed Reality – the new reality. Moreover, the emergence of distance health technologies is all set to define a new episode of patient care. Removing geographical barriers speaks volumes about how information technology has revolutionized healthcare. Extending the healthcare environment to the patients’ home has been a goal for decades. After years of trials, experiments, and modest growth, distance health technologies are about to become a widely accepted standard of care. Why now? Experts point to the preponderance of connectivity: 80 percent of Americans now own smartphones and nearly 75 percent have broadband service. Innovators from many disciplines have been removing demographic, logistical, financial, regulatory, and technological barriers. Today more than 90 percent of healthcare deliveries systems have or building a telehealth program. Distance health technologies are also extending far beyond common two-way video platforms. Over 90 million patients are projected to use remote monitoring devices that feed regular information to their doctors in 2018. Platforms are also being built that enable more interaction between patients and clinicians around the world. With momentum building, experts believe that the emergence and acceleration of distance health technologies and services are assured in 2019. According to ScienceDirect: “Distance health technologies are emerging in the management of the arthroplasty episode of care through the preponderance of connectivity coupled with the adoption of mobile technologies, ushering in a new era of improved efficiency, efficacy, satisfaction, and outcomes while providing greater value for our patients.” Doctors’Take on Telehealth Doctors have switched to seeing their patients via the internet (telehealth) as the platform has shot to fame owing to its flexible nature of service offerings. Joseph Lanotti, MD, Ph.D., Cleveland Clinic Orthopaedic said: “Every clinician needs to look at their practice and find out how to take care of their patients. The platform is outstanding and it’s getting better every day.” Jan Bautista, MD, Cleveland Clinic Physician said: “Since I started at ‘Center for Connected Care’ in this program, I see 100 percent of my patients virtually. My team includes myself and two paramedics. The two paramedics go to the patient’s house and I operate virtually via an IPad. Distance healthcare services platform is doctor-friendly and it’s proving valuable for patients too.” SR 33May - 2019
  • 34. 34 May - 2019 Providing Pregnant Women with their Own Personalized Report – Univfy IVF success that’s affordable for you U nivfy is dedicated to helping women realize their dream of having a baby. It consists of IVF and fertility analytics experts passionate about providing women with the tools to choose IVF with greater confidence, success and cost-success transparency. The Univfy platform enables fertility doctors to provide accurate, personalized IVF treatment success prediction to help more women qualify for special pricing plans such as refund programs. The company was founded by Stanford University researchers in 2009. Personalized Financial Options The Univfy Platform supports IVF centres in developing special pricing programs that make multiple IVF treatments more affordable. Every woman has a much higher chance of having a baby from IVF if she could afford to have at least 2 or 3 treatments. The Univfy Platform — using machine learning and AI — can qualify 50-80% of patients for a refund program offer, while traditional refund programs (or shared risk programs) are limited to very few patients. The Univfy® Pre IVF™ Report The Report is personalized to you and scientifically validated using the centre’s data. Through technology developed by Stanford University researchers, Univfy uses a rigorous scientific process to develop and validate a customized prediction model for each centre in the Univfy Network. The Personalized Univfy Pre IVF Report Will Show: • The probability of having a baby with IVF in the first three cycles • How the chances compare with others like the women at the IVF centre. • Individual factors impacting the chances of success • The Reproductive History • The Financial Options The Predictive Univfy® Platform Univfy makes predictions of women’s chances of having a baby with each IVF cycle based on the analysis of dozens of key factors in the health profile together, including the age, body mass index, ovarian reserve test results, the reproductive history and clinical diagnosis. Using this personalized approach and leveraging machine learning and data modelling, Univfy is able to predict the IVF success rate with more than 95% accuracy. Knowing the IVF success probabilities can help the women and the doctor choose the best treatment plan. Many Univfy Providers have set up special financial programs to help women afford more than one cycle of treatment, including refund programs and special multi-cycle discount programs. Univfy®-Powered IVF Refund Program IVF is one of the most effective fertility treatments available today. That’s why many patients are considering it. Now, one can feel confident about choosing the best treatment plan and the ability to afford it. The Univfy Platform helps IVF centres develop special pricing programs that make multiple IVF treatments more affordable. Every woman has a much higher chance of conceiving with IVF if she could afford to have at least 2 or 3 treatments. Unlike traditional refund programs (or shared risk programs) that qualify very few patients, The Univfy Platform — using machine learning and AI — can qualify 50-80% of patients for a refund program offer. Knowing the success probabilities can help the patient and doctor better plan for a course of treatment, rather than thinking in terms of a single cycle at a time, to maximize the chances of having a baby and we provide the right solution for all this. Knowing the success probabilities can help the patient and doctor better plan for a course of treatment, rather than thinking in terms of a single cycle at a time, to maximize the chances of having a baby and we provide the right solution for all this. ““ ”” SR
  • 35. 35May - 2019 Mylene Yao, M.D., Co-founder and CEO Dr. Yao has led Univfy® from founding through stages of technology invention and commercialization. She is now leading the team to scale Univfy’s business. Her vision is to combine healthcare AI, fintech, and scientific validation to power women’s access to fertility treatments that are safe and highly effective. Dr. Yao has over 20 years of experience in clinical and scientific research in reproductive medicine. Prior to founding Univfy, she was on the faculty at Stanford University, where she led NIH-funded fertility and embryo genetics research and developed the Univfy® technology with the academic founding team. Dr. Yao graduated from medical school at the University of Toronto and completed her obstetrics and gynaecology residency training at McGill University. She received her clinical subspecialty training in reproductive endocrinology and infertility at Brigham and Women’s Hospital at Harvard University. Dr. Yao received multiple research awards for her fertility research work, including pre-implantation embryo development, the role of stem cell genes in the embryo, and uterine receptivity at implantation. She is a co-author of the chapter on Infertility in Berek and Novak’s Gynecology, the top medical textbook for obstetricians and gynaecologists. Dr. Yao has been honoured with The Bump - Moms: Movers and Makers (2016) and MM&M’s Top 40 Healthcare Transformers (2017). Wing H. Wong, PhD., Co-founder and Advisor Professor Wong is the Stephen R. Pierce Family Goldman Sachs Professor in Science and Human Health and Professor in the Departments of Statistics (former chairman) and Biomedical Data Science at Stanford University. Mylene Yao M.D., Co-founder & CEO The CEO and Advisor
  • 36. 36 May - 2019 World Gets its First with Robot-assisted Transplant A s per the statistics by a government survey in England, one in every three women in the world is suffering from reproductive-health issues. While some woman long for children, they can’t have them by natural means as they might have a weak uterus or can’t conceive naturally or cannot have a normal child delivery. Thanks to the advancement in technology, many women who have long yearned for becoming a mother are finally able to have children. Technologies like In-vitro fertilization, uterine transplantation, etc., are giving infertile women the gift of a child. The University of Gothenburg has been doing its research on uterine transplantation for more than 15 years now, and under the research, the world got its first baby born with robot-assisted uterus transplantation on April 8th, 2019; a major technological breakthrough. The baby boy was born completely health weighing 2.9 kilograms and was 48 centimeters tall. It was a planned cesarean delivery (C-section). “It’s a fantastic feeling to deliver such a special, longed-for child. To have been part of the whole process, from the first meeting with the couple to the uterus transplant and now to see everyone’s joy when what we’ve hoped has become a reality,” says Pernilla Dahm-Kähler, a leading robot-assisted surgeon, gynaecologist, and one of the research scientist at Sahlgrenska Academy, University of Gothenburg. Under the research headed by Mats Brännström, Professor of Obstetrics and Gynecology at Sahlgrenska Academy, the donor was operated with robot-assisted keyhole surgery, which was much less invasive for the donor compared to traditional open surgery. Considering the complications and safety issues involved in uterus transplant, this research was extremely important as it was the first time that the less invasive robot-assisted surgery was made possible. The donor was operated with robotic arms that performed the surgery. The robots were guided by two surgeons, sitting at a personal workstation a few meters away with a joystick-like tool and magnified 3D screen image. The operation was performed with immense precision. The donor was operated through one-centimeter incisions in the abdomen. Another incision was made to remove the uterus and then it was immediately inserted in the recipient’s body through open surgery. This new technique is extremely beneficial to the donors as the process is less painful and helps them to get back on their feet faster. Presently, the uterus was transplanted in the recipient using the traditional method i.e. open
  • 37. 37May - 2019 baby Born Uterus surgery. “In the future, we’re also going to be able to transplant the uterus in the recipient using robot- assisted keyhole technique,” said Niclas Kvarnström, the in charge of transplant surgery, who performed the difficult task of connecting vessels in the uterus recipient. The transplantation was performed at Sahlgrenska University Hospital in October 2017. 10 months after the transplant, an embryo formed with the help of IVF (in vitro fertilization) was inserted in the transplanted uterus. Nine months later, a healthy baby was born and also the pregnancy was free from any complications. It was also recorded that the mother was in good health throughout. The team of surgeons believes that the project was a great success and one of the biggest milestones achieved in medical history. It was one of the most challenging cases performed by them in 2017-18. However, the team was also successful in performing the first uterine transplant using an organ from a deceased donor. The researchers noted that it was the first baby of its kind, and they call it “the Robot Project”. However, he is the ninth baby born with a uterus transplant in Sweden. More pregnancies are expected with this technology in the coming years. Till date, a total of 15 babies are born from transplanted uterus worldwide: 9 born within the scope of Sahlgrenska Academy research, two in the US, one each in Brazil, India, Serbia, and China. Since the robotic science and technology got its momentum, robots have been closely related to medical science. The revolution it is bringing in the field of gynecology is tremendous as it is giving all new hopes to women who are not able to conceive or give birth. Such projects are testimonials of the fact that technology can do miracles to mankind! SR
  • 38. The global standardization organization for international recognition Black Book Market Research L arge businesses need to have a keen sense of the market in which they operate. This rule applies to companies in just about every sector – real estate, hospitality, healthcare, banking, insurance, education, media, and so on. Knowing the market implies understanding the needs of the customers and knowing the development and strategies of a major player in the market. However, the constant changes and evolving needs brought about by the advancement of technology has made market research all the more difficult. Corporations need to know which one of their products or services are popular and which ones are not. The only way to know which way the winds blow is to conduct comprehensive market research taking in account customer preference patterns, market share, attitudes, opinions, and so on. Black Book Market Research is one of the world’s leading companies involved in market research. Founded in 2002 and headquartered in Florida, Black Book is an international technology client satisfaction researcher, business services market pollster, and opinion research company. Additionally, it offers quantitative and qualitative research services for a brand, product and service awareness tracking. It boasts of a clientele of over 12,000 that consists of America’s top 100 financial institutions, 300 of the largest hospitals, 50 of the best insurers, 100 of the top universities and 400 of the world’s largest technology firms. The company has gained recognition as a top 25 international market research niche firm, specializing in the technology, healthcare, pharmaceutical, procurement, higher education, and finance and business services sectors. Black Book Market research collects survey and ballot results on 18 performance areas so as to deliver a survey whose results are thorough and cover all possible criteria to serve as a basis for ranking vendors. Some of the areas emphasized include software, systems, products, equipment as well as outsourced service lines. Client users submit ballots per vendor per function which are paired with client size, functions outsourced, software installed, systems employed, services rendered, industry affected, country of service origin and overall service and/or product line domain. Healthcare research Healthcare is one of the sectors that Black Book has thoroughly surveyed in order to compile a conclusive data set which can be used by leading industry experts, medical professionals as well as investors to base their professional activities. The company analyzed 7,459 physicians, health administrators, technology developers and clinical experts in ambulatory and inpatient setups across 23 countries to help global stakeholders identify gaps, challenges, and successes in healthcare IT adoption and records systems connectivity. Moreover, more than two thousand three hundred healthcare organizations also responded to surveys. Such a massive study was conducted mainly to highlight prevailing conditions in the respective countries and to rank them on the basis of availability, mobility, and ease of access to medical attention and overall quality of the healthcare infrastructure. 38 May - 2019
  • 39. Electronic health records and their interoperability is a reliable indicator of the adoption of information technology by a country’s healthcare infrastructure. The criteria by which Black Book rates all the respondents is uniform, thereby providing a justifiable framework through stakeholders can make informed decisions. Top-10-ranked vendors and advisors must have a minimum of five unique clients represented. Broad categories require a minimum of 20 unique client ballots. Vendors, associates, consultants, and advisors with over 20 unique client votes are eligible for top 10 rankings and are assured to have the highest confidence and lowest variation. Confidence increases as more organizations report on their outsourcing vendor. All data thus cultivated and ratings subsequently determined are demonstrated with a 95% confidence level. The company does not hold any associations with any of the corporations it surveys. Moreover, its founding members, staff or investors have no financial ties with, nor any stakes in any of the vendors or service providers which it considers for its surveys and studies. In addition to this, no member of Black Book’s executive team is allowed to have any financial ties nor own stakes in the surveyed companies. The company maintains such high levels of ethics to ensure complete integrity of its rankings. The company also has a special understanding of the unique survey research requirements for the industry’s clinically, administratively, and technologically diverse stakeholders. Awards and recognition For a company that has built a reputation of awarding and recognizing leading corporations for their market winning business models and operations, Black Book Market Research itself has achieved some awards of its own. Testimonies “It could be argued that the single biggest challenge facing research firms is not client engagement or user excitement but rather the evolution of standards and practices. Black Book is leading that revolution in healthcare.” Kantar article “Black Book is the only unbiased rating system. It is honestly, vendor agnostic. They independently survey user groups, not just CIO’s staff and they don’t engage vendors until results are in.” Healthcare Information Systems blog “Black book’s independent industry benchmark studies, innovative data and analytics provide buyers and consumers with impartial insights, and help vendor companies improve quality, engagement and business performance.” Doug Brown, Founder President, & Managing Partner SR
  • 40. 40 May - 2019 A I is getting better day by day. Currently, there is almost nothing that could stop AI from becoming sophisticated at doing everything that humans do, all in a more effective, efficient and faster way. Thus, it can be said that AI and robotics have immensely huge potential in the healthcare sector. Just like the way AI and robotics have evolved to be an integral part of our daily lives, they will eventually become a critical part of our healthcare eco-system. The following ways describe how this transformation is underway. Staying Healthy One of the largest advantages that AI can potentially bring is to help individuals stay healthy so that they don’t have to visit a doctor at all or as often for any health condition. AI integrated IoT devices, also called as IoMT or the Internet of Medical Things have already been in application in consumer health processes for the benefit of patients. AI has enabled the development of various apps that encourage individuals to indulge in healthier lifestyles as well as help in keeping track of the proactive management of their lifestyles. As a result, people can be in control of their own health and well-being. Moreover, with AI, healthcare professionals have an advantage of comprehending the need patterns of the people they are looking after in a better way. In this way, they can offer enhanced feedback, support and guidance for staying healthy. Accurate and Early Identification of Diseases AI can be used to accurately identify diseases like cancer in their Healthcare Is Getting Smarter With 40 May - 2019
  • 41. 41May - 2019 early stages. As per the studies by the American Cancer Society, mammograms tend to yield false results most of the times, leading to the faulty diagnose of healthy women. It’s estimated that one in two healthy women are told they have cancer. However, with the use of AI, accurate review and translation of mammograms can be achieved with precision thereby reducing the need for unnecessary biopsies. Consumer wearable and other medical devices combined with AI are widely been adopted to oversee early-stage heart disease and enable doctors and care takers to monitor and detect potentially life- threatening episodes at earlier and more treatable stages. Precision and Power Diagnosis Healthcare organizations have been getting several benefits from IBM’s Watson for Health which enables the application of cognitive technology to gain insights from the huge volumes of health data and power diagnosis. Watson is capable of storing and reviewing far more medical information exponentially faster than humans that include medical journals, symptoms and case study of treatment and response of various diseases from around the world. Google’s Deep Mind Health too has been making efforts to address the healthcare issues from around the world. Working in collaboration with patients, clinicians and researchers, the technology makes use of machine learning and systems neuro science to develop powerful and general purpose learning algorithms into neural networks that mimic the human brain. Decision Making For the improvement of healthcare, the alignment of big health data with adequate and on time decision is a necessity. Clinical decision-making and actions can be supported by predictive analytics which can also help to prioritize administrative tasks. Predictive analytics uses pattern recognition techniques to detect patients who are at a risk of developing a condition or see it deteriorate due to environmental, lifestyle, genomic or other factors. This is another area in healthcare which is being disrupted by AI. Benefits of AI in Long-Term Disease Management The potential of AI in healthcare goes beyond just scanning through health records and identify chronic illness in patients who may be at a risk of worse conditions. The technology can help clinicians work towards disease and its management with a more comprehensive approach that involves better coordination of care plans and assist patients to manage and comply with their long-term treatment programmes. Healthcare organizations have been using robots in medicines since quite a long time now that include simple laboratory robots as well as highly sophisticated robots that can either help a human or perform surgery all by itself. Such robots are also useful for performing repetitive tasks in physical therapies, rehabilitation and offering support to those with long term and critical conditions. Support at the End Part of Life Care Though we have found ways around to live longer than our earlier generations, the way of our death is quite different. It seems that as we approach the end of our life, we die in a slower way due to conditions like heart failure, dementia and osteoporosis. Researches have also shown that in this phase of life, people are often plagued by loneliness. However, robots can avoid that from happening. They are enough capable of revolutionizing the end part of life care by helping people to stay independent for longer times. This will reduce the need for hospitals and care homes. AI is also making headway in the development of humanoid robots that will pave the way for a future where robots can do and achieve much more, have conversations as well as make social interactions with aging people to make their minds sharp. AI and Robotics Revolution SR 41May - 2019
  • 42. B ased in Parsippany N.J., Onkos Surgical is a privately held, speciality MedTech company founded in 2015. It believes that individuals with cancer requiring surgery deserve solutions designed specifically for them. This principle is the driving force behind the Precision Oncology initiatives. Built on a digital platform, the solutions are rooted in unmatched expertise in patient imaging analysis, personalized surgical planning, and the latest advancements in 3D printing. Onkos Surgical is passionate about reducing complexity for the customers and addressing the clinical challenges associated with tumour surgery. Patrick Treacy, Antony Koblish and Adele Oliva saw a unique opportunity for one company to demonstrate leadership and set the agenda for innovation in surgical oncology. With best-in- class innovation partners, Onkos Surgical will deliver high-quality implants and instruments that meet the unique needs of musculoskeletal tumour patients. From modular segmental systems to customized solutions and patient-specific products, Onkos Surgical will partner with surgeons to provide new innovations to help address complex cases. Onkos Surgical has capabilities to increase the speed and delivery of innovation. The company The Mastermind of the Company Patrick Treacy | Co-founder, President and CEO Patrick is passionate about leading a team and organization dedicated to supporting healthcare professionals in the area of surgical oncology. Prior to Onkos Surgical, Patrick was Executive Vice President of PDI and President of PDI Healthcare where he was responsible for oversight of strategic initiatives as well as the financial performance of the Healthcare Division. Prior to joining PDI, Patrick developed a passion for the advancement of surgical oncology in multiple roles in R&D, Marketing and General Management with Howmedica (a division of Pfizer) and Stryker. In his early days at Howmedica, Patrick was responsible for the development of and launch of the company’s first FDA cleared product offering in orthopaedic oncology. Patrick also holds implant and instrument design patents in orthopaedic surgery. Tailored Made Solutions as Per Each Cancer Patient Requirement Onkos Surgical Patrick Treacy, Co-founder, President, & CEO
  • 43. 43May - 2019 is leveraging new technologies, such as 3D printing, to meet the unique needs of the cancer patient or surgeon. It develops products for both hard and soft-tissue applications while continuing to explore strategic partnerships to differentiate the firm’s product portfolio. With great customer responsiveness, manufacturing lead-times and quality, its vision is to be able to service and support the needs of the surgical oncologist. The company believes that Individuals with cancer requiring surgery deserve solutions designed specifically for them. These individuals, their caregivers and their support network deserve an organization passionately championing their cause. It exists to maintain a singular focus on surgical oncology by looking at everything it does through the lens of the cancer surgeon and their patients. Onkos Surgical is said to do the following: • Find solutions to its patients’ unmet clinical needs and advocate for their cause • Partner with surgical oncologists through research, education and innovation, to treat their patients more effectively and more efficiently • Collaborate with regulatory agencies to find pathways to provide timely solutions while upholding the highest standards of quality or compliance • Fulfil the employees’ desire to make a difference in the lives of the patients they serve while achieving their own professional growth • Deliver value to the customers and shareholders Products Offered by the Company uDesign Patient Solutions: uDesign Patient Solutions is a consultative, concierge level service provided by ONKOS SURGICAL. uDesign brings the level of expertise and surgical planning you demand in complex cases to each and every one of your cases. The interactive experience enables a personalized planning approach for each patient allowing you to better manage your outcomes. ELEOS™ Limb Salvage System: ONKOS SURGICAL has a singular commitment to advancing innovation that will dramatically impact the lives of your patients. Introducing ELEOSTM, the modular limb salvage system that is indicated for procedures where radical resection and replacement of the distal femur, proximal femur, proximal tibia or total femur is required. The design combines OPERATIVE SIMPLICITY with a PROVEN DESIGN in one comprehensive, interchangeable system. MyTray™: Current work-flow in tumour and complex revision cases can be challenging due to the number of required instrument trays. With uDesign, ONKOS’ advanced surgical planning capabilities allow for a streamlined procedural approach, delivered in the convenience of personalized instrument trays called MyTray. GenVie™: It brings focus and innovation to the musculoskeletal oncology. GenVieTM Regenerative Biologics includes a suite of biologic products with applications specific to musculoskeletal oncology and healing. My3D™: Every tumour, fracture, and complex revision case is different. Using My3DTM technology, ONKOS SURGICAL develops personalized implant, instrument and anatomic model designs to aid surgeons when performing operative procedures. Highly qualified image processors segment CT scans to create 3D computer models of the hard and soft (tumour) tissue. The models are then reviewed by the surgeon in partnership with technical experts to generate essential pre-operative and intra-operative surgical solutions, allowing the surgeon to better manage individual patient outcomes. “We at ONKOS Surgical have a single commitment and that is to create advance innovation that will dramatically impact the lives of your patients.” SR
  • 44. 44 May - 2019 The Patient Blockchain that Solves the Healthcare Puzzle: Embleema E mleema is a patient blockchain that lets clients assemble, own, and share their health data. Embleema’ distributed ledgers allow healthcare data to be managed securely without a central authority, but instead, by a group of users. To protect sensitive health data, only selected healthcare stakeholders are allowed to form nodes of this private decentralized network: patients, advocacy groups, life sciences companies, payers, authorities, and care centers. Clients can join the Consortium by hosting a node of the healthcare blockchain and the company will provide the code-base in open-source. Why Embleema Embleema helps in the situation where patients are kept out of the loop in case of breaches. Decentralized ledgers let the company enforce the security over its digital health assets, making tampering impossible, keeping track of violations in real-time, without no third party involved. Decentralization as Freedom: The promise of the Internet has been broken. Decentralization of information was meant to promote free speech, democratize knowledge, abolish censorship, and expand services remotely. But the Internet is now centralized by a handful of platforms. Users’ data is nothing less than their digital assets in the virtual world and the same way their own and are free to dispose of their assets in the real-world;one should own and dispose of their digital assets. The healthcare data is the most valuable digital asset: it can save lives in an emergency situation and provides critical decision- making information for the providers to offer the best care. However, its records are held captive in protected silos for fear of being singled out, for fear of seeing its right to care violated. A wealth of digital data is lost to personalized medicine. Power to the Patients: Embleema wants to become the steward of its health data, not having to rely on third parties to handle customers’ most sensitive information. It has the right to break information silos, control where the data is stored, who has access to it, who Embleema shares it with. This power can dramatically affect how treatments are delivered, moving away from a top- down approach to an iterative process where patients measure the effectiveness of more personalized treatments. This is a paradigm for medical research and changing lives. “We help the patients to be empowered with their health information in their fight against the disease.”