Insights Success is The Best Business Magazine in the world for enterprises.It is being a best platform, to growing healthcare solutions provider companies in 2017.

1. The way of business solutionsThe way of business solutionswww.insightssuccess.comwww.insightssuccess.comwww.insightssuccess.com
Scott W. Thomas
CEO
July 2017SEPTEMBER 2017
RMS
Revolutionizing Your Revenue
T
H
E10FASTESTGROWING
HEALTHCARE
SOLUTIONSPROVIDER
C O M P A N I E S 2 0 1 7
Exclusive
Artificial Intelligence:
A Game Changer
for Healthcare
Tech-N-Trends
Upcoming Trends that
will Change the Face
of Pharma Industry

4. ith the inauguration of the Internet of Things, we can say
Wthat everything and everyone is connected. The
technological shift of this dimension is felt by every
division of the economy, every human being and every sector
including Healthcare. Internet of Healthy Things (IoHT) bridges
interoperability hurdles to transform radically the way in which
healthcare is delivered, driving high-grade results, increasing
efficiency and making healthcare affordable to all.
Wearable devices and home health monitoring devices assisting
patients is a common thing now. Whether data comes from
electrocardiograms or temperature monitors, tracking health
information is vital for all patients. Connected smart devices
facilitate real-time data reporting with the capability to transmit
critical data from a patient’s home to the hospital. It allows doctors
and hospital staff to have a real-time monitoring of patient’s
wellness. Increase in computing power is also a reason behind this
disruption. Our smartphones now hold more processing power than
entire rooms of early computers, and nowhere is that truer than in the
world of medical monitoring. The leaps and bounds that
technological progress has taken in the past few decades showcases
that whereas once you'd have to go to a medical professional to get
more information about.
This disruption made possible by IoHT is also creating an
opportunity to reduce the cost of healthcare delivery and allowing
healthcare to transform into value-based healthcare. Recently
published research shows that with remote patient monitoring for the
heart, asthma and diabetes patients will enable a total saving of
$200+ billion mainly due to the elimination of unnecessary and
redundant expenditures. The future is converging more on
interconnected devices, and all these methods will help to build
products that involve enough with patients to support them in
crafting health goals which are relevant to their life. Adopters of the
Internet of Things in Healthcare are rising steadily which delivers
very compelling messaging, sustain engagement and provide
powerful motivators to make health and wellness a part of our
everyday lives.
Editorial
Modern Technology
Transcending the
Healthcare into
Value-based
Collaborative Care
Sugandha Sharma

5. ,7
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Corporate Ofces:
September, 2017
Editor-in-Chief Pooja M. Bansal
Ariana LawrenceSenior Editor
Co-Editors
Database Management Steve
Technology Consultant Swapnil Patil
Circulation Manager Robert
Research Analyst Jennifer
Art Design Director Amol Kamble
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Contributors
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Sagar Bhattacharjee
Poonam Yadav
David, Joseph,
John, Mary
Business Development Manager Mathew Smith

6. Contents
8
Articles
16
20
28 34
RMS:
Revolutionizing
Your Revenue
How Innovation in
healthcare means going
against entrenched
beliefs about the
nature of charting
Top 5 Best
Practices that
Denes a Successful
Wellness Program
Cover Story
Exclusive
Articial Intelligence:
A Game Changer
for Healthcare
Tech-N-Trends
Upcoming Trends that
will Change the Face
of Pharma Industry
Health Talk Medical Pioneer

7. 18
24
32
38
26
Caring Together
Care3:
Establishing the Dynamic
Methodologies towards
Healthcare Era
Hi3 Solutions:
Enabling Healthcare
Providers to Focus on
What Matters Most
- Patient Care
Scribe:
Providing a Unique
Healthcare Communication
and Content Sharing
Platform
Simplicity Health Systems:
Re-imagining Healthcare
Mile High
Healthcare Analytics:

8. onstant and competitive advances in areas ranging from wearables to blood testing as well as artificial
Cintelligence have shaped the conventional healthcare market into a digitized and more competitive healthcare
giant. The ageing population across the world and rising incidences of chronic diseases ─ which continue
burden the healthcare system ─ has impelled us to innovate and evolve our healthcare methods. Over the years of big
disruptions, transformations and innovations, the healthcare industry continues to overhaul outmoded business models
and experts look up for innovative organizations which strive thrive to stay competent.
The dire need for proficient healthcare solution providers has made us look out for “The 10 Fastest Growing
Healthcare Solution Provider Companies 2017”. On our cover page we have Scott W. Thomas, the CEO of RMS,
featured for revolutionizing your revenue by providing ardent revenue management solutions. Revenue Management
Solutions (RMS) has accelerated electronic revenue management for healthcare providers, banks and health plans;
solves revenue problems and turns data into power with proven workflow automation tools that interface with existing
practice management systems.
Furthermore, we have Care3, which is the world’s first team collaboration platform for care delivered outside of the
hospital. Hi3 Solutions is being listed for providing HIT products, education, and consulting services that enable its
clients to engage effectively in health information exchange, health data integration, and healthcare quality
measurement required to establish and comply with evidence-based best practices in healthcare. Listed for providing a
practical approach towards population-oriented healthcare data analysis to insurance plans, exchange issuers, ACOs,
and risk-bearing provider groups is Mile High Healthcare Analytics. In addition, Scribe is empowering healthcare
providers to create and manage medical records and gives you the freedom to focus on what matters most – patient
care. Lastly, listed for breaking the systemic barriers to content sharing and cooperation in the care of patients is
Simplicity Health Systems (SHS). It was founded in response to the federal government's Health Information
Technology for Economic and Clinical Health Act (HITECH Act), which was a call for the advancement of healthcare
technology.
So, flip through the amazing folios for insights on organizations striving hard to keep-up with the technological
disruption in the healthcare industry. Do not miss out on some important executive acumen on “How Innovation in
healthcare means going against entrenched beliefs about the nature of charting” by Richard Low, MD of Praxis®
Electronic Medical Records and “Top 5 Best Practices that Defines a Successful Wellness Program” by Dr. Gary Tho,
Owner of Chiropractic Works.
Find out more about the trends in the industry through articles on ‘Artificial Intelligence: A Game Changer for
Healthcare’ and ‘Upcoming Trends that will Change the Face of Pharma Industry’ drafted by our in-house editors for
this special issue.
Revolution in Healthcare Industry
Overhauling Outmoded Business Models
HEALTHCARE
THE10 FASTEST GROWING
SOLUTIONS PROVIDER COMPANIES 2017

10. Scott W. Thomas
Chief Executive Ofcer
Cover Story

11. Revolutionizing
Your
Revenue
HEALTHCARE
THE10 FASTEST GROWING
SOLUTIONS PROVIDER COMPANIES 2017

12. owadays, healthcare institutions find
themselves bound to ever-changing
regulatory specifications and dynamic
market forces. All the while, they’re
striving to deliver best-possible outcomes
to their patients while still adding to their
bottom lines and maintaining their own financial health.
Financial stability goes a long way in allowing these
institutions to operate at peak efficiency, which translates to
a stronger, healthier community.
What we’re seeing now is a complex relationship between
healthcare providers, patients and third-party payers
working to maintain solvency. As costs continue to
increase, so have the complexities of supporting
reimbursement systems, changing the face of Revenue
Cycle Management (hereafter: RCM).
Revenue cycle management (RCM) is currently undergoing
an unprecedented transformation. The processes governing
the flow of funds must be continuously streamlined and
improved. Healthcare providers, insurers and the banks they
work with will look to dexterous and innovative partners,
like Oklahoma City-based RMS (Revenue Management
Solutions), to revolutionize their electronic revenue
management. With their proven workflow automation tools,
they work directly with the HCP, providing tailored
software solutions that work within the existing framework
of their clients’ practice management systems.
Here are some of the insights RMS CEO Scott W. Thomas
shared with us:
The Journey
Founded in 2006, RMS focused solely on paper-to-EDI
conversion. We quickly grew beyond that. Now we’re
working in every facet of the healthcare remittance
processing and reconciliation process. Over the years, we
began developing proprietary software for each of the
audiences and sectors we serve. We don’t create off-the-
shelf products or components because those kinds of
products, offered by our competitors, can’t perform the
service required in our niche and don’t operate at the
standard to which we hold ourselves.
Today, more than half of our monthly transactional volume
originates as EDI without ever being reduced to paper.
Now, we’re not only able to ingest and process all
remittance types (paper, EDI, secondary payments, online
and return mail patient payments, etc.), we also turn that
data into action, helping give our clients a more holistic
view of their revenue cycle health. It’s these value-added
services that continue to drive business our way.
We are currently focused on building out more analytics
offerings and facilitating a stronger financial connection
between providers and patients/guarantors. With better
visibility into payment trends we can work toward
meaningfully reducing DSOs for healthcare providers.
Challenges Faced by RMS
I’ve said a thousand times: “We were either too tenacious or
too stupid to quit.” We were privately funded and singularly
focused on remittance. We had to succeed in this niche or
the entire company was a failure. Driven by our
commitment to investors and our own underlying belief in
our team members, we continued to push forward and find
success by delivering a solution that no one else can.
Turning Obstacles into Achievements
Building the technology platform was an arduous path. We
didn’t anticipate having to build all of the individual
components we have. As we encountered barriers, we
looked at available options, and usually found none were
suitable for our application. So, we would build our own
“ “
N
We don’t have to
predict the future;
we just have to
listen to clients’ needs
and work towards it

13. solution. Now that we’ve delivered dozens of proprietary
applications, we’re comfortably separated from the
competition.
No one else has used technology to create scalable solutions
like this. Where others simply employ offshore manual
labor to capture data, we deliver a much more
comprehensive solution and workflow. The real challenge
now, however, is convincing potential customers to
embrace the value-added services we can also provide,
services that no one else can.
Distinctive Strategies Services that Assure Success
Our success is based on a solid understanding of the issues
our customers face. They just want someone to provide
solutions to their daily struggles. Once we understand their
challenges, we’re able to develop the solution that’s tailored
to their needs.
We work with some of the nation’s most prestigious and
advanced healthcare systems and provider groups, as well
as some of the top healthcare banks in the country. We don’t
have to predict the future, we just have to listen. Our clients
and partners know what they need and what we’re
positioned to offer them. All we must focus on is delivering
what they ask for.
Innovations of RMS as Narrated by Scott
Our payment splitting and payment merging services are
something we haven’t seen anyone else offer. Payment
reconciliation tools and industry-leading data lift and match
capabilities drive a layer of value that our perceived
competitors are generally failing to provide.
“The Greatest Project”
As our platform continues to expand, choosing a single
“great” project is tough. We performed a mass migration at
one of the largest banks in the nation, a bank that had
previously been working with a competitor solution.
Migrating their portfolio of healthcare providers from their
platform to ours was a huge success story, one that was only
made possible through the committed focus on both our
own team and the bank’s.
Growth Plans to Expand
Our growth has been extraordinary and, due to the success
of our bank partners and their sales successes, continues to
We listen to
the market and
specically our
clients. RMS
works with some
of the nation’s
most prestigious
and advanced
healthcare systems
and provider
groups, as well as
some of the top
healthcare banks
in the country
“

14. increase. We don’t see this slowing down at all as we continue to onboard new banks and other partners with
significant distribution channels.
Key Elements for a Successful Customer Base and a Successful Business
Historically our customers have been banks, with the end users of our solution being the healthcare providers. We
have to build strong relationships with both groups by understanding their needs and their perspectives in this
continuum. The banks want to serve their healthcare clients with thorough subject matter expertise and
meaningful solutions. We provide both without interfering with their existing customer relationship. For the
healthcare provider, it comes down to an efficient service that becomes part of their daily workflow. Our solutions
supplant a lot of labor costs and supplement their processes to maximize the expertise and time of their workforce.
The DNA of our team is focused on more subject matter expertise. This includes the Project Management,
Account Management, Business Analysis, and Software Development teams. By continuing to add depth to these
groups, we are expanding our focus to lowering the technical and informational hurdles that come with
implementation and service adoption.
Igniting the Future by Revolutionizing Data
While it sounds a bit cliché, people are what make our company great. There is great commitment, pride in what
we do and a driving desire for excellence that keeps us focused. As we expand our team, our sense of who we are
and what helped us get here is always at the front of our minds.
While introducing himself, Scott Shared:
I have been in healthcare for my entire career, and focused on technology solutions for more than 20 years now.
Over time, I noticed a gap in innovation between the claims side of the revenue cycle and the remittance/payments
side. Technology has been well-employed on the claims side and insurance companies have done an excellent job
promoting market adoption of EDI there. The remittance and payments side continues to lag. We have built a
platform that focuses on employing technology and business logic to improve this process, creating efficiencies
that have been lacking for decades.
Golden Words by Scott for The Younger Generation Dreaming of Entrepreneurship
Building something from nothing is harder than it looks. A masterful idea isn’t enough. It requires resources,
drive, commitment and an unwavering belief in the objective. There will be dozens, if not hundreds, of setbacks.
Each one should be accepted as an obstacle, not a barrier. Surround yourself with people you trust, people who
know they can trust you. The path will be difficult, but it's certainly navigable.
Learning to set aside my timing expectations and accept that outcomes are more important than deadlines was
probably one of the most difficult lessons for me. As an entrepreneur, I wanted the outcome and I wanted it on my
schedule. Realizing and accepting that sometimes I couldn’t control the timing, but only stay the course until the
result was achieved, was an invaluable lesson.

15. YOUR RECOVERY IS ALL
THE REWARD WE NEED
www.sanchetihospital.org

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17. ManagementCompany Name
Care3
care3.co
David S. Williams III
Founder and CEO
Care3 is the world’s first team collaboration platform for care
delivered outside of the hospital.
Compliancy Group LLC.
compliancy-group.com
Marc Haskelson
President CEO
Compliancy Group is simplifying compliance, and allowing
small mid-size organizations ability to Achieve, Illustrate,
and Maintain compliance with confidence.
GeoDimensional Decision
Group, LLC
geoddgroup.com
Greg Reinecke
President Co-founder
HealthEdge
healthedge.com
Stephen Krupa
CEO
HealthEdge is a cutting edge software company focused on
providing next-generation technology products to the health
insurance market.
Mile High Healthcare
Analytics
healthcareanalytics.expert
Richard Lieberman
Chief Data Scientist
Mile High Healthcare Analytics helps health plans, financial
risk-bearing provider groups, and vendors tackle the challenges
of a constantly evolving payments landscape.
Quammen Health Care
Consultants
quammengroup.com
Becky Quammen
CEO Founder
Quammen Health Care Consultants is a different type of global
medical communications agency with a very unique business
model; act as trusted advisors by constantly and consistently
delivering excellence.
RMS
rmsweb.com
Scott W. Thomas
CEO
Revenue Management Solutions (RMS) has accelerated
electronic revenue management for healthcare providers, banks
and health plans; solves revenue problems and turns data into
power with proven workflow automation tools that interface
with existing practice management systems.
Scribe, Inc.
scribe.com
Mark D. Boyce
CEO and President
Simplicity Health Systems
docflock.com
Chad Zerangue
Founder and President
Simplicity Health Systems’ docflock is a HIPAA compliant,
healthcare workflow and communication platform. Docflock
provides healthcare professionals and institutions with a
powerful tool for content sharing, document
management/storage, data analysis, and reporting.
GeoDD Group is a team of management and technical
professionals who utilize a holistic, global multidimensional
approach to help clients solve seemingly Intractable Problems®.
Scribe empowers healthcare providers in creating and managing
medical records.
Hi3 Solutions
hi3solutions.com
Abdul Malik Shakir
Co-founder
Hi3 Solutions provides HIT products, education, and consulting
services that enable its clients to engage effectively in health
information exchange, health data integration, and healthcare
quality measurement required to establish and comply with
evidence-based best practices in healthcare.
Brief
HEALTHCARE
THE10 FASTEST GROWING
SOLUTIONS PROVIDER COMPANIES 2017

18. The pharmaceutical manufacturing market is flourishing, and is predicted to reach 1.3 trillion US
Dollars by 2020. Technological innovations like mobile applications, cloud-based data storage,
advanced analytics, and IoT are transforming the healthcare industry. It is also affecting the market,
government policies, and forcing the industry to change their business practices. To sustain in the digital
market several pharma investors are experimenting with digital initiatives. These trends will help in
changing the face of the pharma industry and bring advancement to the industry.
Patient Empowerment Shaping the Pharma Industry
Patient empowerment helps people gain control over their lives and increases their ability to act on
important issues. The empowerment of patient emerged as a new method that can help improve medical
outcomes by lowering the treatment costs. This concept seems promising in the management of chronic
diseases. According to a survey, 60% of the US population are educating themselves on healthcare and
monitoring their health by using apps and websites. Today, empowered people are shaping the healthcare
industry. There are several companies that have started an empowerment program to educate the people.
Augmented and Virtual Reality Improving Interaction of Customers and Company
Augmented Reality and Virtual Reality have great potential to change the current scenario of the medical field by making
complicated things such as remote surgery, easier. Augmented Reality and Virtual Reality both are specially designed as
apps that are operated through mobile phones and give a fresh perspective of the world through digital information. It acts
as an effective tool to grab customer attention.
This technology offers the easiest way to understand the mechanism of drug action in 3D instead of reading the descriptions
given on the bottle. Additionally, it also helps the scientists and lab technicians to observe their experiments. This
technology provides the manufacturing guidelines to industry workers, so that they can perform their task without having
hands-on training. The advancement in augmentation technology is a simple way to communicate with doctors and
customers; it lowers the cost of pharmaceuticals that are wasted on marketing.
Tailored Medicine Overwhelms Traditional Medicine
Before introducing any new drug into the market, it is mandatory to take its clinical trial which is a lengthy and time-
consuming process. Personalized medicines open the gateway for pharma industries to produce drugs according to person’s
genetic constitution. These medicines are more beneficial as compared to the traditional blockbuster drugs.
Upcoming Trends
that will Change
the Face of
PHARMA INDUSTRY
Tech-N-Trends
16 |September 2017|

19. Tailored medicines lower the chances of getting side effects, it prevents and targets the disease instead of reacting on it, and
it also reduces the treatment cost. Many scientists and physicians are working on personalized medicine to make advances
rapidly. Recently, several pharmaceuticals have their own personalized medicine programs and are performing basic
clinical studies.
Genetic Medicines, a Powerful Tool
In this era of genomics, we are living in dynamic times. Sometimes genes are the only reason for illness and at such times
doctor uses genes to plan a proper treatment. Genomic medicines are different from that of the personalized medicines.
Genomic medicines have been used to tackle complex diseases such as cancer, heart disease, and diabetes.
3D Printing, the way of Drug Delivery
3D printing technology produces biodegradable drugs, and hence is becoming a popular trend in the healthcare industry.
This system opens new door for many pharmaceuticals to develop innovative solid dosage forms which are well-known
and distinct products. 3D printing is the essential tool that reduces both time and cost of the manufacturing process. This
helps the industry to get an accurate, cheap, structured and tailored drug delivery system. In the future, 3D printing will be
useful to fabricate and engineer a variety of dosage forms.
Body Sensors
The wireless systems of wearable computing devices that have been implanted in the body are known as body sensors. Use
of body sensors in therapeutics is an emerging trend in pharmaceuticals. The embedded microchips, wearables, robots and
other body sensors receive patient’s information and send it to the health experts. This information helps the physicians to
tackle the disease. Pharma industry is using this technique for clinical trials and patient monitoring.
Artificial Intelligence, Time Conserving Technology
The Artificial Intelligence (AI) and super computers help in collecting large or extensive data within a fraction of seconds.
With the invention of AI, it is possible for pharmaceuticals to take clinical trials within a few seconds than spending years
for that. This method ultimately reduces the time as well as drug pricing. Cognitive computers like IBM Watson have been
used in genomic research and biotechnology. The need is rising for such research to enhance the growth in healthcare.
Now it is necessary to understand the actual benefits from these evolving trends. The way how they manage with these
trends affects not only their future, but also the future direction of patient care, provider decisions, and payment
mechanisms.
|September 2017| 17

20. It is said that all you have is your health, but healthcare
is neither equally accessible nor delivered at equal
levels for all. Disparities in healthcare access, quality,
and delivery are some of the global problems. With a motto
to serve the underserved, Care3 is passionately addressing
the needs of society’s most vulnerable people. The world’s
first team collaboration technology platform for care
delivered outside of hospitals, Care3’s goal is to keep
seniors and others living independently and comfortably in
their homes.
The company is called Care3 because it focuses on the three
things that together, can drive measurable improvement in
global healthcare: Community, Care and Collaboration
(C3). The company’s C3 model supports care programs that
require interdisciplinary providers to work together with
patients and family caregivers to implement a unified care
plan to drive the best outcomes.
Care3 serves collaborative care programs (e.g. PACE) that
deploy interdisciplinary teams to care for each patient in the
home and community. Care3 alerts care managers when
care tasks are not complete so that providers can intervene
BEFORE hospitalizations and emergency visits occur. And
finally, Care3 can integrate with any electronic health
record system to help track the patient’s care.
David S. Williams III, A person for whom Care is the
highest priority
Care3 is the dream of David S. Williams III, Founder and
CEO of Care3. “I was inspired by both my experience
caring for my mother for ten years prior to her passing and
the ongoing care for my special needs son. My mother had
COPD, CHF, ulcerative colitis, and survived multiple
cancers – she almost died having me. She ended up living
for 28 years after the FIRST time she was told she would
‘die soon.’ My son’s autism diagnosis set in motion a
process that required meticulous coordination among
multiple care providers in order to help him develop and
thrive. In both cases, there was no technology that allowed
my family to collaborate with the teams of providers we
had to deal with nor could providers easily communicate
with each other.”
Each of the Care3 founders has a similar story. When they
realized that there were millions of families who experience
this pain and frustration everyday while interacting with the
healthcare system—and that the healthcare system didn’t
have a solution to their collaboration shortcomings – they
knew there was an opportunity to build a groundbreaking
company.
“The most vulnerable members of our society include
seniors, the poor, and the disabled and they do not have
equal access to healthcare and receive woefully inadequate
quality of care in their homes and communities. Care3 is
built to fix these unacceptable and unnecessary inequities,”
adds David.
Care3 Empowering Healthcare
Because Care3 must engage consumers while providing the
power for the healthcare enterprise users, the founding team
has a natural tension between its enterprise healthcare
leader and its consumer product leader. Care3 assembled
the team with both specialties because typical enterprise
healthcare technology isn’t designed for consumer usage;
and without consumer engagement, care providers have
very little chance at materially changing behavior and
outcomes. David reveals Care3’s strategy, “Our aim is to
reduce cost of care for the most costly patients by solving
two industry problems at once.”
Caring Together
Care3:
18 |September 2017|

21. Over time, Care3 will have the largest repository of real-
world outcomes data from care delivered in the home and
community. Care3 will have a comprehensive dataset of
documented care processes correlated with health outcomes
generating actionable best practices for home and
community-based care. Caring for others is an intrinsically
human action. Care3 will make it easier for all of us to care
anywhere and everywhere.
Care3’s enterprise customers operate collaborative care
programs for patients outside of hospitals. The key elements
of Care3’s success are their customer service and a world-
class platform that enables easy communication and
generates structured care data that currently doesn’t exist. It
sounds simple, but this balance has been difficult for Care3
to achieve.
For Care3, there is one more success factor: fast onboarding
of customers. Today, most enterprise health software
requires a lengthy setup and onboarding process. Care3’s
customers can create accounts and onboard staff online with
no long onboarding timelines or setup fees. This will be a
major part of company’s ability to scale growth and provide
better services to the customers, patients, and families.
David’s Future Plan for Care3
Collaborative care has emerged as a leading model for
managing patients outside of health facilities, but the
technology hasn’t kept pace. “Once care can be delivered
using the ‘gold standard’ for technology, it will generate
efficiencies and data, and we will see better outcomes at
lower cost,” explains David. Care3 is leading this
movement for improving community-based care by
enabling better operational efficiency and family
engagement for interdisciplinary teams.
The business case will be clear with the major investments
taking place in technology leading to reduced overall costs
of care for the most needy and expensive populations. As
Care3 grows, the team must balance the rigid compliance
and regulatory requirements of its enterprise partners with
the beauty and delight consumers demand while using
mobile apps. Care3 is proving its hypothesis that when
providers and consumers collaborate on care, it increases
the probability that patients will live longer and at their
highest possible level.
“Our clients will benefit from our balanced approach
because they have to deliver the same to their patients. For
too long, healthcare has focused on the needs of
professionals and billing requirements and not the
satisfaction of patients and their families. Care3 makes
achieving both possible so that everyone can achieve their
collective goal: patients living longer and better lives,”
concluded David.
“
“
HEALTHCARE
THE10 FASTEST GROWING
SOLUTIONS PROVIDER COMPANIES 2017
Our aim is to reduce
cost of care for the
most costly patients by
solving two industry
problems at once
David S. Williams III,
Founder CEO
|September 2017| 19

22. ARTIFICIAL
INTELLIGENCE
A Game Changer for Healthcare
Think about all the inefficiencies in
your daily life; traffic jams, snail
mails, long queues, and so on.
These inadequacies though annoying are not a
matter of life and death. Such is not the case in
healthcare. The requirement for efficiency in
healthcare is distinct and the potential for
applied sciences especially computerization is
enormous. Healthcare has a big data opportunity
opposed to a big data problem, thanks to artificial
intelligence.
Initially, Artificial Intelligence (AI) was introduced as
a notion to imitate human brain and explore the real-
world problems with a wholesome approach.
Researchers all around the world are thrilled about the
upcoming development of technologies which will help
in facilitating the mankind to deliver outside their stature.
The implementation of AI in healthcare is escalating and
deciphering a variety of issues for patients, hospital and
healthcare industries.
Take a closer look at how AI is resolving problems and what's
on the horizon for the industry.
Maintaining Health
One of the major advantages of AI is the ability to assist people in
staying healthy. Mobile applications are already encouraging
instilment of healthy habits in individuals and assisting in the
proactive management of a healthier lifestyle. It also increases
the ability of healthcare professionals in understanding the
needs of the people they serve and enables them to provide
a better direction and assistance for maintaining health.
Furthermore, AI chatbots are being used in
addressing cases like helping customers select a
benefit plan, providing customer service and
guiding consumers to resources. Though it
is early in the espousal of AI chatbots,
indicators of requisite and fulfillment
are encouraging. “Chat-bots will
continue to get more intelligent
over time, thanks to AI and
machine learning
techniques that will
make them
Exclusive
20 |September 2017|

23. very efficient, and of course, more timely than a human can ever be,” says Khal
Rai, an AI expert at SRS Health.
Early Detection
Cerebrovascular Accident or Stroke, for a maximum number of times is caused
by blockage in the supply of oxygen and blood to the brain. However due to
the lack of detection of early symptoms, very few patients are able to receive
timely treatment. Other conditions like Cancer and Alzheimer’s face similar
consequences. The utilization of AI is enabling review and analysis of lab
reports much faster and with better accuracy.
Recently developed AI software at Houston, Texas claims to detect
cancer risk 30 times faster than any doctor and with 99 percent
accuracy. Moreover, researchers are training AI to detect Tuberculosis
on chest X-Rays which could help in screening and evaluation in TB-
susceptible zones which lack access to radiologists.
The increase of wearable and other medical devices used in
accordance with AI are also assisting in detecting early-stage heart
diseases and enabling doctors to monitor potentially life
threatening events at an early and treatable stage.
Medical Diagnosis
Numerous healthcare organizations are applying cognitive
technology to unlock enormous amounts of data and
promote diagnosis. The ability to store more medical
information containing journals, treatments and symptoms
is much faster than any human competency. Earlier,
diagnostic programs regarding disease specific features
were written using predefined assumptions. Now with
the development of AI, a wider variety of conditions
and diseases can be easily handled.
AI is particularly used to improve imaging modalities which
include reading X-Rays, CT scans and doubtful nodules and
lesions in cancer patients. This technology combines machine
learning and neuroscience to generate powerful learning algorithms
into a neural network which mimics a human brain.
Treatment
Beyond scanning records, AI can help take a more comprehensive approach
towards disease management, assist in better coordination of healthcare programs
and help patients in managing their long-term treatment plans. Using AI, doctors are
able to gather collective information on patient’s visits and analyze which treatment works
best for them.
|September 2017| 21

24. For more than 30 years, robots have been used in medicine. From simple laboratory robots to highly advanced surgical
robots that can assist a human surgeon or execute it themselves. Furthermore, they are used in labs and healthcare
organizations for repetitive tasks and in support of those with long-term conditions.
Customer Service
Healthcare providers are using healthcare bots to tackle challenges in this area of medicine. Patients can now interact with
AI through phones, or a website for all their medical queries and requests. Virtual assistants are replacing humans in
booking appointments, scheduling visits, medication and even billing requirements. They offer 24/7 medical assistance
and improve service for any basic requests. Moreover it leads to the decrease in administrative costs for healthcare
providers.
End-of-Life Care
Life today is much longer than the previous generations, and we are dying in a different and slower fashion from
conditions like dementia and osteoporosis. It is also a phase of life which is often lonely. Robots have the potential to
modernize the end of life care and help people in remaining independent for longer periods of time and reducing the need
for hospitalization and care homes.
Eventually, all of us will be a patient. We have family and friends who will also be patients. Machine learning and
Artificial Intelligence is about improving the lives of individuals so that all the acquired data from lab tests, genomics and
so on, can be analyzed and used in real time for the highest quality and most efficient delivery of healthcare needs.
22 |September 2017|

26. Impetuous exchange of large amount of information is
crucial to the delivery of best healthcare solution on all
levels of the healthcare delivery system—the patient,
the care team, the healthcare organization, and the
encompassing political-economic environment.To integrate
these critical information streams, organizations need
training/education, decision-support, information
management, and communications tools. Healthcare
Information Integration Infrastructure Solutions (Hi3
Solutions) is leading healthcare information domain in Los
Angeles, California. Hi3 provides HIT products, education,
and consulting services that enable its clients to engage
effectively in health information exchange, health data
integration, and healthcare quality measurement required to
establish and comply with evidence-based best practices in
healthcare.
Hi3 Solutions accelerates the widespread adoption and
compliance with emerging HIT standards by offering the
information integration infrastructure necessary to enable
the use of health information exchange standards,
meaningful healthcare quality and performance measures,
and standardized clinical decision support capabilities.
In addition to Hi3’s extensive education and consulting
practices, they also bring software solutions to market that
are a value-add overall to the existing market leader
capabilities. The organization has partnerships with leading
interface engine vendors that enable them to deploy their
product with added capabilities related to transaction
validation, structural transformation, vocabulary translation,
and data content integration. They have an Integrated Data
Repository (IDR) logical data model derived from the
Health Level Seven Reference Information Model (RIM).
The IDR has been implemented in a variety of relational
database management systems, including Oracle, SQL
Server, and Teradata. The primary use of the IDR is to
serve as an Operational Data Store and function as the
single source of truth for data warehousing and business
intelligence. It also functions as an intermediate
normalizing data store to facilitate transaction
transformation, enrichment, and semantic harmonization.
About the Pioneer behind This Leading Enterprise
AbdulMalik Shakir, Co-founder, President Chief
Informatics Scientist of Hi3 solutions, has an extensive
experience of over 40 years in the field of healthcare
informatics. He has witnessed the multiple advances in
information management technologies including the
automation of administrative processes, electronic exchange
of healthcare information, and the digitizing of health
information in electronic medical record systems. His
lifetime pursuit is the establishment and effective use of
evidence-based medical practice and policies. He is
particularly interested in enabling translational research
enabling the discovery and deployment of the greatest
efficacies in medical interventions and preventive care.
AbdulMalik asserts, “The next revolution in healthcare is
the standardization and normalization of clinical data to
allow meaningful aggregation of data across domains to
enable data mining and clinical decision support.”
The Most Innovative Solutions which are Methodically
Beneficial for the Clients
The mission of Hi3 Solutions is to support continuous
improvements in the healthcare outcomes by providing
software solutions and professional services that enable
their clients to discover, share, and measure compliance
with evidence-based best practices in medicine. The
company continues to work with clients and industry
24 |September 2017|

27. groups to develop common data element definitions,
establish effective health information exchange standards,
and facilitate the meaningful acquisition, assimilation, and
application of healthcare data. The largest segment of their
business is in the United States, but they have been
privileged to work with nations throughout the world
including Canada, Israel, Switzerland, Kuwait, Saudi
Arabia, and Kenya.
The strength of Hi3 is in the diversity of their client base
and the experience they have gained as a result.
AbdulMalik acclaims, “Our clients are benefited from their
proven methodologies and they also get profit from their
unique problem space in which to apply their knowledge
and skills. Continuous learning and the constant quest for
information quality and reuse are in the DNA of each of us
at Hi3 Solutions.” He added further, “Products we are
working to bring to market include pre-defined clinical
decision support data marts focused on publically defined
clinical and administration performance measures, such as
those defined by ONC, JCAHO, and NCQA. The Hi3 data
marts will be fed via ETL processes from the HI3 IDR. We
also intend to collaborate with providers of software
solutions providing clinical dashboards and scorecards to
make use of our standards-based clinical decision support
infrastructure.”
Key Elements of Hi3 towards Success
Hi3 believes their foundational strength is the experience
and knowledge that they have accumulated in their 17+
years servicing the healthcare community. The company
has a lot to learn about also transitioning to be a product
company. “We are a learning organization; we will
continue to pivot, learn, and pivot again until we obtain the
right mixture of experience and expertise to grow beyond
our excellent consulting and educational offerings to
include IT product offerings as well,” says AbdulMalik.
A key distinguishing feature of Hi3 Solutions is the
inclusion of knowledge transfer to their clients in every
consulting engagement, enabling them to become
self-sufficient regarding the necessary skills and experience
to address their healthcare information management
challenges. “We never just give them a fish, we also teach
them to fish.”
Utmost Network Strength can make better Future
The best part of Hi3 is the relationships that they have
fostered over a long period of time. They have access to a
large network of skilled individuals, many of them leaders
in their field. The company’s openness, integrity, and
transparency have fostered trust with their clients, vendor
partners, and skilled resources that enable them to tackle
problems of any magnitude, large or small. They are willing
and able to subcontract when necessary and to be the sole
or prime contractor when necessary. The organizations is
the living proof of the adage “what goes around comes
around.” Their professional network is their greatest
strength, which helps them to make better future for their
organization.
“
“
HEALTHCARE
THE10 FASTEST GROWING
SOLUTIONS PROVIDER COMPANIES 2017
AbdulMalik Shakir
Co-founder, President
Chief Informatics Scientist
|September 2017| 25

28. The healthcare analytics industry is undergoing a
revolutionary change from volume to value
orientation. The sudden emphasis on an improved
quality healthcare, reduced length-of-stay at hospitals,
lower costs of healthcare, and fraud detection, are some of
the primary requirements of the customers. Accessibility is
a major concern for governments and organizations
working in this field. Hence, a better quality healthcare
facility accessible to each and every one is motivating the
public and private organization to adopt analytics.
Mile High Healthcare Analytics (MHHA) is one such
company which provides a practical approach towards
population-oriented healthcare data analysis to insurance
plans, exchange issuers, ACOs, and risk-bearing provider
groups. It is focused on helping clients optimize their
government-regulated programs; Medicare Advantage,
Medicaid and health insurance exchanges. It emphasizes on
providing business process assessments, data quality and
management support, and advanced analytics on risk
adjustment operations, quality improvement and value-
based payment designs to help clients best manage patient
care and ensure appropriate reimbursements. MHHA’s
focus is on ensuring that the data collected by these
initiatives is complete and totally compliant with all the
nuances of risk adjustment and quality improvement
systems.
The Mastermind Behind the Success
Richard Lieberman, the Chief Data Scientist at MHHA,
has dedicated the overwhelming majority of his career to
the design, development, and deployment of risk
adjustment systems and methodologies. He began his risk
adjustment foray in 1991 after becoming a consultant at the
Johns Hopkins Bloomberg School of Public Health. Over
subsequent years, Richard has supported a variety of health
plans, provider groups, and ACOs as they try to navigate
the nuances and complexities of risk adjustment to integrate
it into their operations.
Richard along with his partners chose to build a business
encompassing risk adjustment and quality because they saw
that most plans and provider groups did not adequately
grasp all the details for achieving adequate margins or
remaining compliant with the government’s regulations. As
a “data scientist” who writes algorithms and codes to
traverse enormous amounts of data, Richard serves as an
“artist-explorer”, navigating content and synthesizing
findings. With 20 plus years of experience as an
applications programmer, data warehouse designer, and
business intelligence system developer, he is able to
produce unique analytical work products as well as direct
the work of other analysts and programmers.
Exceptional Offerings
Mile High Healthcare Analytics builds and deploys
technology solutions for government-regulated health plans
struggling with risk adjustment, quality measurement, and
value-based payment operations.
Mile High Healthcare Analytics has formed Cortex Data
Analytics, the software division of Mile High, and has
recently announced the release of an entire suite of software
solutions. The Cortex-Data Warehouse is the central data
repository as well as the “brain” of all software suite
deliverables. It incorporates a vast array of clinical,
financial, and socioeconomic data into a fully normalized
data warehouse.
The Cortex Data Warehouse is designed to collect,
transform, and normalize EMR data, claims, pharmacy, lab,
and population-level geo-specific data from multiple
sources.
Connected to the Cortex Data Warehouse are the following
products:
26 |September 2017|

29. Cortex-Connect: Cortex-Connect is a smartphone
application that serves as a connection between the
member, their providers, and the health plan. It has real-
time data flowing from the Cortex Data Warehouse which
synthesize data transmitted by the health plan, provider
EMRs, and social determinants impacting patient
engagement. The app alerts the member of changes in their
medical record, chronic conditions, pharmacy usage, and
upcoming appointments.
Cortex-Scope: It provides visibility across any healthcare
data submission regardless of market. Cortex-Scope
addresses the key driver of risk adjustment and quality
measurement programs-the need for complete and accurate
data. It is the system that allows everyone who is
responsible for maintaining or overseeing the risk
adjustment process to see the contribution that is being
made to the final risk score at every step of the data
pipeline.
Cortex-Risk: Designed to identify and normalize claims,
pharmacy, lab, and population-level data from multiple
sources. After the data has been prepared Cortex-Risk
applies multiple analytic models to identify clinically
significant issues at either the member or the population
level. Further it applies various risk-based revenue models
giving a much more definitive view of member/population
disease profile for better management, reporting, and
financial view into the actual cost of care.
Cortex-QM: It is designed to simulate, plan, and track
multiple quality programs across multiple quality measures
for all lines of business. Cortex-QM provides comparisons
between multiple entities within a given organization,
comparison across multiple competitive organizations, and
multiple comparisons between past, present, and future
possibilities.
Cortex-Focus: It helps government-regulated health plans
and provider groups to increase visibility into the members
that need attention. Cortex-Focus identifies members
predicting their future possibility of an acute hospital
admission or ER encounter, assessing their compliance with
medication treatment routines and identifying
undocumented morbidities that render the enterprise’s risk
score to be inaccurate.
Forthcoming Intends
Mile High Healthcare Analytics has been successful
because they have the extensiveness of knowledge to serve
as an honest broker on behalf of government-regulated
health plans and provider groups. “We don’t just deploy
software and head off to the next prospect! We offer
operational consulting services that health plans rely on to
solve operational problems,” assures Richard. Clients
appreciate the fact that they are policy wonks, data geeks,
and operational experts all wrapped up in one company.
MHHA works with clients to identify and then solve their
operational pain points. Providing such service requires
them to be very active and consistent with their
performance which is valued by their clients.
“ “
HEALTHCARE
THE10 FASTEST GROWING
SOLUTIONS PROVIDER COMPANIES 2017
|September 2017| 27
Richard Lieberman
Chief Data Scientist

30. Over recent years, more companies
are incorporating wellness
initiatives into their office
environment. It’s mission critical in todays
competitive markets, to attracting and retain
the best talents. One crucial measurement is
the engagement levels of everyone in the
entire organisation. Presenteeism is at an all
time high. People are not motivated by
money alone, and wellness programs are part
of the strategy to improve job satisfaction
and productivity. However, only a few
companies actually have comprehensive
programs that produce better health
outcomes among employees. As a result,
improved engagement and performance at
work, naturally follows since employees are
healthier and happier.
Unfortunately not all health and wellness
programs are successful. The first one or two
initiatives may gain traction, but two years
on, and the participation rates decline. One
main problem is that the participants
themselves aren’t part of the creation. Their
needs and concerns aren’t addressed so
there’s less motivation for them to commit.
So what do employees want? Here are 5 best
practices that help create successful
corporate wellbeing programs that gain true
engagement.
1. Programs Are Doable, Accessible and
Sustainable
Imagine a wellness talk or fitness class is
About the Author
Dr. Gary Tho is the owner of Chiroprac c Works, a Family Sports and Wellness clinic in Orchard
Road, Singapore. He specialises in pain relief and preventa ve care and believes quality life is
essen al for happiness, success and peak performance. Dr Gary is also the author of The Pain-
Free Desk Warrior, Free yourself from aches and pains which is the defini ve guide for those
stuck at their desk for more than 2 hours a day.
Top 5Best Practices that Defines
a Successful Wellness Program
Health Talk
28 |September 2017|
Dr. Gary Tho
Owner of Chiroprac c Works

31. starting in 15 minutes. Many
employees easily dismiss it and think
“I’d love to go, but I really need to get
this work done.” Do programs run
when employees are most busy? Are
run after office hours? And if so, will
people stay back for it? Is the wellness
program a broad-based and holistic
approach? Or is it just yoga classes,
cooking demonstrations and nothing
else?
Is it easy for participants to learn?
What looks easy when a trained chef
prepares a healthy dinner in 20 minutes
could take the average person a lot
more time, energy and stress. Are steps
provided for one to implement the new
habit, accomplish their goal and sustain
the success?
A comprehensive wellness initiative
needs to offer a variety of scheduled
programs that are broken down into
achievable, sustainable habits that
create a valuable outcome. Equally
important is that employees can choose
what they are interested in, and easily
fit into their schedule.
2. The Work Environment Is Health-
Conscious
It’s no use having health and wellness
programs if the physical and
psychosocial environment within the
office does’t support to healthy habits.
Great office design that support
wellbeing has been the trend, since
Facebook and Google showed us how
to do it.
Creating creative spaces for smaller
pod meetings, having standing desks
and ensuring the cafeteria and vending
machines around the office offer
healthier food choices that can be
easily seen are some of the simple
ways to encourage good health.
Ensuring regulated noise, inspiring
music, good air quality and
temperature and adequate lighting are
also simple yet impactful features of a
great office space.
Allowing ‘down’ times, and work
breaks that are encouraged, is essential.
Most people don’t take breaks or chit-
chat because of its negative perception.
However this is absolutely necessary
as it create real interaction and real
friendships between co-workers that
satisfy the basic human need for social
connections. People need other people
to love, trust and support them, in both
business tasks as well as at a personal
level.
3. Wellness Is Integrated Into The
Company’s Structure
Further to point 2 above, choosing a
healthier lifestyle and doing well at
work shouldn’t feel like a tug-of-war.
I’ve heard of companies who pay for
gym memberships for their staff, which
is great. However, when an employee
is working out in the gym, they get a
phone call saying they need to get back
in the office because of … (some
reason). Therefore it’s important that a
company establishes wellness
programs that are valued and honored
in every aspect of the organization.
Otherwise, what’s the point? Another
example includes the holy grail of
“work-life balance”. If your company
wants employees to be healthy and
have better work-life integration, yet at
the same time silently imposes that
people must continue working beyond
standard office hours, it really does not
make any sense. One (partial) solution
to this is introducing flexi-hours as
well as remote working to allow people
to get errands and family engagements
done, as well as work from home, or a
cafe instead of being physically in the
office. It’s a partial solution because
giving someone the ability to run
errands and come to work later than
usual is great, though it does not
necessarily promote health, happiness
or wellbeing.
4. Wellness Is Linked To Continued
Support Programs
When a company is genuinely
concerned about their employees’
wellbeing, they will naturally ensure
that any wellness initiative, game or
workshop has some form of
continuation. Employee assistance
programs (EAP) are common for
mental health concerns, however there
needs to be other support systems in
place for other health concerns. In
2014, Apple’s Cupertino, Calif.-based
headquarters boasted a medical one-
stop-shop “wellness center” offering
in-house chiropractic care, dieticians
and more. Collective Works,
Singapore, the largest premium co-
working space in Asia, now also
houses an in-house chiropractor,
specializing in pain relief, peak
performance for both individual and
corporate health.
Gamification of corporate health
programs usually run for a certain
period of time. Workshops and classes
may run for 8 weeks or throughout the
entire year. Although participation
rates are high initially, continued
support programs are what sustains
engagement, and creates the change
both individuals and the CEO’s want to
see. Engagement is what creates long
term sustainable results.
5. Broad-based Approach
Wellness Programs aren’t all about
offering free gym membership or just
having smoking cessation programs.
Health is health - a complete state of
physical, mental, and social well-
being. Fitness is “the ability to perform
work (sports, occupations and daily
activities) satisfactorily”. Pilates is a
great way to exercise and strengthen
the core muscles, however it is not
equivalent to health.
A lot of people know they should quit
smoking but doesn’t because they
don’t realize how much damage it can
do to their body. They may not have a
strategy, nor enough motivation to
make those changes. One method of
offering voluntary health screenings
while giving sound education and
simple tasks from a variety of
professionals is the key. Helping
people realise that the company does
care, that their colleagues do care, that
they too should care about their own
health is of the greatest importance.
Digging deep, and creating a safe place
to improve their lifestyle choices on
multiple levels should be the basis of
every corporate wellbeing initiative.
|September 2017| 29

33. WHEN IT COMES TO THE HEART TRUST APOLLO
The Apollo World of Care
Assuring. Advanced. Accessible
www.apollohospitals.com

34. S
cribe empowers healthcare providers in creating and
managing medical records, and more than 50,000
healthcare professionals use Scribe. Scribe is at the
point in healthcare where the “rubber meets the road.” It’s
where the patient sees the provider and a wealth of
important and useful data is collected. Scribe was created
with doctors, practice managers and administrators to mold
the latest technology and services to the way providers
work. The company’s cloud-enabled platform returns
flexibility, control, and productivity to healthcare providers.
It restores physician productivity through simplified and
easy to use apps and services. With an unrivaled dedication
to supporting its clients, Scribe gives its users more time to
focus on patients while meeting regulatory requirements
and improve back-office productivity. Its responsive
approach to meet challenges gives providers opportunity for
improved patient care and practice profitability.
In the ancient world, scribes were trusted professional
assistants and advisors. Like them, the organization
supports and advises, so healthcare providers are free to
focus on what matters the most.
The Man behind the Mission of Simplifying Healthcare
Mark D. Boyce is the CEO and President of Scribe.
Scribe’s mission of simplifying healthcare through
innovative technologies evolved from entrepreneur Mark’s
past success in the management of organizations large and
small. From founding his own Internet Company to helping
organizations get online in the early days of the Internet to
developing the winning dot.com strategy that led to
yesmail.com’s successful IPO and subsequent $770 million
acquisition, Mark has always been at the forefront of
strategic thinking. He has over 20 years of management
experience in finance, operations, marketing and technology
with companies such as IBM where he helped to start the
IBM PC division and later at Anixter where he helped
formulate the strategy that fueled their growth from a $500
million company to $1.5 billion Company. Mark holds a
B.A. in Economics and Computer Science from Colgate
University and an M.B.A. from Dartmouth College’s Tuck
School. He is also currently the Chair of the Board of
Trustees of Dean College in Franklin, MA.
When it’s All about Getting It Right the First Time
Scribe believes that the key to efficiently collecting and
analyzing data in healthcare is all about getting it right the
first time. That is precisely why Scribe designed the cloud-
enabled platform that can assist physicians in capturing,
creating, and managing appropriate healthcare
information—right from the first time a patient visits a
doctor. Scribe believes that the healthcare providers need to
focus on their patients and medical care, and not on the
paperwork and medical documentation. When a doctor
tends to a patient that is when the rubber meets the road. If
the collection of the patient encounter is not performed
properly the rest of the documentation process doesn’t work
efficiently.
Path Breaking Solutions
The Scribe team designed solutions that are customer-
32 |September 2017|

35. Weenablehealthcare
providerstofocuson
whatmattersmost-
patientcarethrough
ourdocumentationsolutions
thatimprovepro tability
andproductivity
centric, provide flexibility, control, and increased physician
productivity for documentation, coding, billing, and
analysis. In order to do all these, the company provides
path-breaking solutions including: Scribe Create is a
complete family of cloud-based solutions to create, manage,
complete, and communicate clinical documentation; Scribe
Mobile app is the most efficient way for providers to
capture patient encounters both quickly and efficiently and
then easily review, approve, and access patient documents
anytime and anywhere; Scribe Monetize enhances coding
and billing workflows to ensure the documentation is
optimized to clearly support the provider’s billing, resulting
in fewer denials and increased revenue; Scribe Analyze
improves efficiencies with innovative tools that use the
Next Generation of data and information management
technologies to help providers better understand their
productivity and profitability status.
It’s All about Tackling Turbulent Weather and Cruising
Comfortably
Sometimes Scribe has been the “pioneer” – getting out
ahead of the market. The company constantly suggests “not
to pave over the cow path” – don’t do things the same way
just because it’s easy. Scribe has created some new paths,
and now people are following the company to some
exciting new areas and solutions to reduce their pain
significantly.
Scribe expects to see explosive growth for technology
driven services that will take the pain out of capturing,
communicating, and analyzing healthcare information.
Scribe’s team is focused on solutions, not only products and
knows how to work effectively and efficiently in mixed
technology environments. Their vast experiences in making
the cost-effective solution for the clients are benefiting its
clients. Additionally, the company is not afraid to innovate
and to bring solutions that can be easily understood, driven
by technology, and supported by high-quality services.
People are the Best Asset
Scribe believes that its people are the best asset for them,
followed by their innovative technology. The organization
doesn’t stand still. Scribe works to continually be “fleet-
footed” and stay informed and ahead of the industry in
general its customers in particular. It has to be flexible to
rapidly adapt to changing needs and find technical solutions
to healthcare’s biggest challenges to keep costs down and to
improve the quality of care.
“
“
HEALTHCARE
THE10 FASTEST GROWING
SOLUTIONS PROVIDER COMPANIES 2017
|September 2017| 33
Mark D. Boyce
CEO and President

36. Medical Pioneer
34 |September 2017|

37. American Medicine is in an unprecedented crisis.
Doctors are not happy. A recent study by the AMA
shows that physicians are spending twice as much
time with their Electronic Healthcare Records (EHRs) as
they are in “direct clinical face-time” with their patients.
The study also revealed widespread career dissatisfaction
among physicians with 54% reporting “physician burnout.”
Doctors are wasting hours a day struggling with their
computers to document medicine and provide care to
patients with whom they spend less time every day.
Patients feel their doctor is more concerned with data on the
computer than listening to their problems and caring for
their needs. Meanwhile health care costs are climbing
while providers are getting progressively more frustrated at
playing data entry clerks.
Remarkably, computers were first introduced to the
examination room precisely to resolve the chaos that
clinicians faced with paper. Initially, computers promised to
make documentation easier and more effective. Instead,
EHRs severely worsened an admittedly a bad situation.
What is even stranger is that in all other fields of endeavor
except medicine, information technology has been highly
successful in streamlining paperwork and bureaucratic
congestion. Why has this not happened in healthcare?
One strange explanation propounded many in the IT field is
that doctors are “computer-phobic,” that physicians fear
technology and lack the adequate technical skills to handle
computers. Nothing could be further from the truth.
Physicians are highly-trained in the sciences and have used
every new technology appearing in the medical field
effectively for at least a hundred years. Other pundits argue
that physicians are reticent to change and are stuck in their
ways. That’s not true either. Doctors are more likely to
embrace new approaches than any other profession. The
answer must be looked for within the charting software
itself. Yet, EHR software precisely replicates the paper
charting methodology used for over a century. Maybe
that’s the problem. Innovation has not challenged
entrenched beliefs in the old paper method of charting. The
old paper paradigm remains bound to the past: an electronic
typewriter regurgitating text inside a dead record.
The problem seems to be not with the computer but with
the original paper record. Charting on paper never worked
well even before the first computer ever saw the light of day
in a doctor’s office. Indeed, the charting paradigm had been
malfunctioning for at least thirty years, ever since the old
three-by-five cards, used for more than a century to remind
clinicians of the patient conditions, were replaced by reams
paperwork as a response to the medical malpractice
litigation beginning in the sixties. Then, with stacks of
medical paper records filed and stacked up to the ceiling,
third-party payers, particularly the government, began to
use this paper as criteria for denial of payment for services
rendered. So what was written on the medical record
became more important than what was done. And no one
questioned the paper approach. As lawyers put it, “res ipsa
loquitor” (the thing speaks for itself), meaning: “if it’s not
written, it it’s not done!”. Sadly, today’s physician can earn
more by spending five minutes with the patient and twenty
minutes with the chart, than by spending twenty minutes
with the patient and five minutes with the chart. Clearly,
there is something profoundly wrong with this charting
approach.
So why did medical software developers maintained the old
charting paradigm in their EHRs instead of giving careful
thought to take advantage of the unique power of the
computer to handle routines better than humans can? The
answer is simple. No one wanted to challenge physicians’
entrenched beliefs that the current way of charting is the
only valid approach. Consequently, programmers worked
on the wrong premise from the start and, by porting it to the
computer, they made it far worse. The argument was
simple: “It had always been done this way.” Except it
wasn’t. Charting the essence of a clinical visit on a three-
by-five-card, as used by our forebears, is not the same as a
computer spitting out tons if complex computer codes to
explain a clinical encounter only because computers cannot
handle human language.
Indeed, after the initial CPT and ICD-9 codes developed by
|September 2017| 35

38. the AMA and the World Health Organization to describe acceptable treatments and diagnoses, an array of
new codes appeared on the scene: G-Codes, F-Codes, RxNorm codes, LOINC Codes, SNOMED codes, the
list seems endless. These codes created havoc for busy practitioners who have turned into data-entry clerks
of a sort, wasting time and creating stress and confusion, which can lead to clinical errors. SNOMED in
particular is meant to describe the entire medical exchange: the patient symptoms, the clinical findings, the
diagnoses and all the treatments in “computerese” rather than English, and drives doctors completely crazy
in the process. Even a new medical syndrome is being recognized as affecting healthcare providers called
the “Alert Fatigue Syndrome.” Now, the law of the land is that doctors are to search all these codes to
transmit clinical information to their peers. No one stopped this insanity and realized that we had the basics
wrong.
So then how should busy clinicians document their clinical exchanges if not the way they were taught for
the last two hundred years? We, at Praxis Electronic Medical Records, believe the answer is for the
computer to help the providers think and express themselves using their own thoughts and words by
retrieving them just in time from an artificial intelligence database so as to learn from their own past
encounters of similar patients. As we like to say: “It’s faster, easier, and better to do what you wrote than to
write what you did.” Charting backwards? You bet! This is not what physicians were taught to do, but then
again, our forebears did not have computers to assist them in the examining room, nor reams of data to fill
out, nor attorneys and third party payers to deal with. They did not need to chart up a storm to be able
practice medicine. The chart then becomes, not a silly compilation of what is being observed over and over
again, but an actual living checklist that ensures than nothing is forgotten or overlooked at the point of care,
that all the questions are being asked, all the relevant findings and studies are being evaluated, and yes, it
also charts instantly so saves about two hours a day.
It seems that doctors had the basics wrong from the start. If the goal is to practice higher quality medicine by
taking better care of patients, paperwork should not get in the way. On the contrary, documentation should
assist the thought process, guide it along, and not hinder it. The computer can do that if it is programmed
appropriately.
The concept processing solution works. It has been used for several years. Praxis EMR is consistently rated
number one in physician user satisfaction studies performed by the largest medical organizations today,
including the American Academy of Family Physicians the American College of Physicians, yet few know
why Praxis scores so highly. Indeed, this new charting approach goes against the grain. It fights against
entrenched beliefs about the nature of documenting medicine. Often for a major change to take place two
things are needed. Technology must represent disruptive innovation, and there has to be a lot of pain with
the way things had been done up to that point. The latter is already here among physicians. Doctors today
must heal themselves.
36 |September 2017|

40. S
implicity Health Systems (SHS) was founded by
three tech savvy entrepreneurs during 2009 in
response to the federal government’s Health
Information Technology for Economic and Clinical Health
Act (HITECH Act), which was a call for the advancement
of healthcare technology. Recognizing that the direction
taken by many IT solutions within healthcare was failing to
deliver the benefits normally associate with technology –
efficiency, quality, and cost – has allowed the team to
uniquely position their technology platform. Thus, SHS is
quickly establishing itself as the leader in next generation
interoperability solutions for the healthcare industry.
The company’s lead offering, the docflock platform, utilizes
modern technologies to normalize and index data to enable
content exchange and workflow continuity. Through the
docflock platform, SHS is focused on solving some of the
biggest problems within healthcare today. This goes well
beyond IT applications, addressing the core mission of
improving patient health outcomes. The suite of products
evidence themselves in the simplification of complex
workflows, delivering back-end infrastructure to be
leveraged in the pursuit of truly open, rules-based
information and patient data sharing. While docflock has
been used as a replacement for electronic fax and similar
technology, the true power of the platform is with the
synchronization of content.
Additionally, by embracing the critical role that the Health
Information Portability and Accountability Act (HIPAA)
plays in healthcare, the team has developed novel
communication solutions, which facilitate healthcare
cooperation.
SHS’ Voyage towards Success
In 2010, Simplicity launched its first solution for its
customers. This early effort sought to provide healthcare
organizations with a simple tool by which their legacy
paper-based medical charts could be made usable within an
electronic health records system.
In 2012, Simplicity Health Systems launched its lead
product, docflock, to address the issues of connectivity
resulting from the heterogeneous and fragmented approach
taken by the EMR/EHR manufacturers, Health Information
Exchanges (HIE), and Health IT Services Companies.
In 2014, the founders of the company made a crucial
decision to go “all in” on building a suite of docflock
products. As the products took shape, Simplicity gave it the
name docflock. The name docflock was derived from the
murmurations of large flocks of birds, particularly the
starling flocks outside of Rome. These murmurations
contained the attributes of a scale free dynamic network.
Each actor in such a dynamic network has the autonomy of
individual movement, it stays attached to the network based
off the value that that network provides. This is the same
mathematical formula used by Google at its inception
within the burgeoning Internet market. The challenge for
these docflock products was the lack of a market-defined
vernacular for the solutions provided. SHS set out to create
a new axis for healthcare IT communication that was, part
clinical documentation system (EHR), part information
sharing and distribution (HIE), and part financial
(performance) management system (PM). The main goal of
the team was to create a cloud based workflow centric
communication network that would simplify the
38 |September 2017|

41. simple reveals
clarity
communication and workflow between each step within the
distributed care continuum.
An Ardent Business Leader
Chad Zerangue, Founder and President of Simplicity
Health Systems, has led the team since SHS’ inception in
2009. Chad’s vision to improve patient care through a
seamless flow of information within a digital health
information infrastructure is paving the road to positive
change in the overall management of healthcare today.
Prior to Simplicity Health Systems, Chad specialized in
enterprise content management and workflow system
integration.
There are no shortcuts to building loyalty. We focus on
customer groups for which we can bring true value. We
deliver upon our promises. We do what is right for our
customers – first – believing that this will benefit the
company in the future. – Says Chad.
Leaving No Stones Unturned
Simplicity Health Systems’s biggest challenge is not
technology, it is cutting through the market clutter and
noise to communicate the brand’s story effectively.
Healthcare is increasingly complex and ever-changing,
which creates a whirlwind of activity and a sense of lost
control. To address this need / opportunity, SHS has become
disciplined at focusing on what matters most to customers.
This is done by understanding their true needs, which takes
commitment. The team has also narrowed their focus to
markets where inter-organization communication is
fundamental to success. This has not been a straight line
journey. SHS has delivered solutions for a broad range of
customers, but as the company has matured, the value in
specialization has been realized. SHS is confident that,
long-term, this approach will ensure deep customer
partnerships and sustainable excellence. – Asserts Chad.
Future Perspectives
Simplicity Health Systems is readying the launch of
docflock, Generation II. docflock Gen II is the evolution of
Health Information as Content, specifically addressing the
reality that the challenges of healthcare technology go
beyond the issues of interoperability between EHRs. The
goal with Gen. II is to add meaning and intelligence and to
contextualize data.
Simplicity Health Systems’ future plans focus on continuing
to break down the systemic barriers to content sharing and
cooperation in the care of patients. Growth will compound
over the next several years. SHS is on track to triple
revenue for the second straight year, with forecasts that
continue this trajectory. SHS’ team is also looking to
capture 30%+ share of market within the markets and
customer segments targeted by the end of 2018.
“ “
HEALTHCARE
THE10 FASTEST GROWING
SOLUTIONS PROVIDER COMPANIES 2017
Chad Zerangue
Founder President
|September 2017| 39

42. A PERSONAL TOUCH TO YOUR BETTER TOMORROW
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