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™
December 2020
HEAL HCARE
Most Advanced
THE
Solution Providers of 2020
Industry Leader In Telehealth
And Image Exchange
NAUTILUS
MEDICAL
ALL YOU NEED TO KNOW
ABOUT POLYCYSTIC
OVARIAN SYNDROME
A GUIDE
TO PCOS
HEALTHCARE INDUSTRY
IN 2021: 6 TRENDS IN THE
HEALTHCARE SECTOR
HEALTHCARE
POST-COVID-19
Timothy Kelley,CEO
Prepared B
EDITOR’S
LETTER
Beyond the Pandemic
ealthcare was highly challenged in the crucial times of COVID-19. The whole industry
was forced to work single-mindedly to focus on combating the COVID-19 outbreak
while mitigating the risks. Consequently, this health emergency managed to put other
issues related to public health on the back-burner. It is true that the healthcare industry was
exceptional in these challenging times. But, what we need to see is how the industry shapes itself
post-pandemic.
Crises are unpredictable. We are unsure about the next global emergency, so consequently,
watching from the lenses of the COVID-19 outbreak may not be a viable solution. We need to
shape our healthcare infrastructure in a way that—it may not overcome, but at least sustain any
emergencies.
Our latest issue of “The 10 Most Advanced Healthcare Solution Providers Of 2020” revolves
around the same theme, where we discuss with the proficient leaders about how the world will be
reimagined in the post-pandemic era. Featured on our cover is Nautilus Medical, which is
aiming to transform the healthcare sector with its telehealth and image exchange solutions. The
company is fully prepared for the transitions in the future and strives to continue to serve the
customers with unparalleled service.
Along the pages, you will also discover the journeys of Caserta Concepts, Origin Integrated
Studios, and WorldCare International. These healthcare solution providers are offering
advanced tech solutions and are preparing us for the future of healthcare. A future where
telehealth will be utilized to its full potential. Not only telehealth but also technologies
integrating with healthcare will provide a more reliable and efficient healthcare model.
Focusing on our magazine theme, the section “Healthcare Post-COVID” will enlighten you
about the anticipated trends that will dominate the industry. Also, we have covered myths and
facts surrounding the most underlying health issue PCOS in the section “A Guide to PCOS”.
H
Vidya Joshi
Editorial Coordinator
PUBLISHER
ARCHANA GHULE
EDITOR-IN-CHIEF
VIKRAM SURYAWANSHI
EDITORIAL COORDINATOR
VIDYA JOSHI
SHUBHAM BIRADAR
UTKARSH DESHPANDE
SANYUKTA MULEY
PROJECT MANAGERS
MARK JOHNSON
AKSHAY KAMBLE
ART DIRECTOR
VINOD ALHAT
VISUALIZER
MARK DAVIS
HEAD OF DISTRIBUTION
& PRODUCTION
AAKASH MAHAJAN
HEAD OF OPERATIONS
ROBERT SMITH
RESEARCH ANALYSTS
JAMES ADAMS
ADVERTISING
MARIA SMITH
GRAPHIC DESIGNERS
SUSHANT KAMBLE
SHUBHAM GHODKE
F O L L O W U S
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CONTENTS
NAUTILUS MEDICAL 12
INDUSTRY LEADER IN TELEHEALTH
AND IMAGE EXCHANGE
ORIGIN INTEGRATED
STUDIOS
30
INSPIRING ASPIRANTS TO
MAKE A POSITIVE DIFFERENCE
CASERTA
22
HELPING WEAPONIZE DATA
IN THE FIGHT AGAINST CANCER
WORLDCARE
34
PROVIDING THE GOLD-STANDARD OF
MEDICAL SECOND OPINIONS
AROUND THE WORLD
COVER STORY
12
24
ALL YOU NEED TO KNOW ABOUT POLYCYSTIC
OVARIAN SYNDROME (PCOS)
36
HEALTHCARE INDUSTRY IN 2021:
6 TRENDS IN THE HEALTHCARE SECTOR
A GUIDE
TO PCOS
HEALTHCARE
POST-COVID-19
CONTENTS ARTICLES
Industry Leader in Telehealth
and Image Exchange
NAUTILUS
MEDICAL
NAUTILUS
MEDICAL
C O V E R S T O R Y
12
S
S
Timothy Kelley
CEO
HEAL HCARE
Most Advanced
THE
Solution Providers of 2020
13
In the past few months, significant inefficiencies in the
healthcare landscape have been highlighted due to the
COVID-19 pandemic. During these times, several
existing technologies such as telehealth were not being
utilized to their potential. Telehealth has been around for
over 100 years since the arrival of telephones. Though the
technology advanced to smartphones, smart TVs, monitors
with cameras, and laptops with cameras, the growth was
stagnant in telehealth utilization.
Restrictions on distance and bad policies of reimbursement
were the main reasons behind the stagnant growth. Nautilus
Medical is one company that has revolutionized the
healthcare sector with its telehealth and image exchange
solutions. The company was incepted in 2006 with an aim
to provide a complete communication and information
exchange platform.
Comprehensive Portfolio of Services
Nautilus Medical strives to provide the most complete
healthcare platform at a value and consistently works to
“At Nautilus Medical, We Strive To Provide
The Most Complete Healthcare Platforms
At A Value, And Consistently Work To
Improve Our Products To Deliver This Promise.
14
improve its products. The Nautilus platform combines
features to give a complete and holistic view of the patient.
The network comprises the largest peer-to-peer network for
exchanging medical images, reports, and EMR data. The
service can eliminate the ongoing costs of compact discs,
ink cartridges, disc publishers, etc. It can be used wherever
it is needed, either it be a lab, home, or departments across
the hospital. Security is underlined with a $1 Million dollar
breach policy per instance, not offered by other platforms.
Alongside information exchange, Nautilus Medical has
built a powerful and compliant real-time video
communication platform that goes beyond face to face
communication. This platform enables providers to view
modalities and point-of-care exams in real-time, including
multiple room viewing options for qualified physicians.
Nautilus offers cellular connectivity for remote locations
and other hardware options such as carts and all-in-one TV
set-top boxes. As a majority of telehealth visits involve a
discussion about a radiology exam that has been done, the
physicians are enabled to view and share the images and
results while talking with the patients through the platform.
"Telehealth and radiology belong together, not as separate
and disparate systems," asserts Timothy Kelley, the CEO
at Nautilus Medical.
Moreover, Nautilus is the only company that has a strong
telehealth platform with underlying radiology expertise and
management. This platform is used by more than 70% of
the top 50 medical centers in the US, including Cleveland
Clinic, UPMC, UPENN, NY Presbyterian, Harvard,
Columbia, Cornell, Northwestern, etc.
For the widespread portfolio of services and solutions,
Nautilus Medical has been rewarded with numerous awards
and recognitions. The company was recognized among the
Top 10 Medical Imaging Providers by Healthcare Tech
Outlook, 10 Best Healthcare Companies by the CIO
Bulletin Magazine, and Top 10 Fastest-Growing Healthcare
Companies by The Silicon Review. Moreover, it was also
the Clinical Information Finalist of the Fierce Health
Innovation Awards and Top 10 Innovation Finalist of the
Chicago Innovation Awards.
A Zealous and Resolute Leader
Healthcare technology is a difficult path to navigate due to
its compliance, security, long sales cycles, and the
technology itself. Thus, the leaders in the industry need to
understand the tech, clinical workflow environment, and
how to build a business. Nautilus Medical is fortunate to be
spearheaded by a passionate and enthusiastic leader in Mr.
Kelley.
He always wanted to have a significant impact on
healthcare by providing a service or product that helps all
stakeholders. "When that is accomplished, the value will be
created naturally," he added. Being the CEO of Nautilus
Medical, his primary roles and responsibilities are to project
a clear vision of the company's roadmap and manage
personalities. Over the years, he has been one of the key
assets behind the company's growth.
HEAL HCARE
Most Advanced
THE
Solution Providers of 2020
15
Empowering Patients and Doctors in the Time of Crisis
The pandemic has created a new normal in telehealth
communication, which is expected to become the standard
of care. Being considered the essential workers supporting
the mission-critical systems in hospitals and other
healthcare facilities, Nautilus Medical's team has been
relentlessly working throughout the crisis. Remote service,
demos, and training can be done from anywhere on any
device.
Nautilus Medical's platform is proving to be instrumental in
helping both patients and doctors during this trying time.
The platform allows doctors to work from home, and many
doctors use the company's carts or TVs to talk with patients
at home or patients visiting their office. During a face to
face consultation, providers may consolidate data, show
images, and give guided tours of procedures. This is critical
in the new normal for patient consent, patient
understanding, and overall better outcomes by inoculating
patients against ignorance.
Furthermore, the platform also normalizes data and images
so they can be shared and restored on any system regardless
of the manufacturer. This prevents unnecessary rescans and
billions of expenses to providers from duplicate CTs, MRIs,
and other expensive high tech procedures. Nautilus
Medical's platform allows patients to store their images and
share their data at no cost, which is empowering patients
everywhere.
16
Importance of Education and Resources to Patients
During COVID
Having led a successful healthcare firm for more than a
decade, Timothy believes that providing proper education
and resources to patients is important –so that they can
make qualified decisions based upon their current health,
understanding co-morbidities, how and where they can
work, how much risk they are willing to take in a social
setting, and an understanding of the disease. "Most people
don't understand how this disease is unique and how ill you
may get based upon the level of exposure, contact, and
comparative health. At the end of the day, we can make
good decisions with good information. The information has
been mishandled and misguided for the wrong reasons," he
added.
Transition to Performance-based Care
The healthcare landscape is slowly moving to performance-
based care and patients rating the care they receive. For
healthcare providers, being more efficient and offering
options to patients while educating them about the process
they are going through will be tantamount to future success.
The industry will have more consumer-driven tech to better
serve professionals and their patients in the near future.
Smart TVs, phones, and social devices will have a role to
play. Moreover, the post-COVID world will run better as a
result of understanding that people don't always need to be
present to get good care at a low cost. Nautilus Medical is
fully prepared for these transitions in the future and strives
to continue to serve the customers with unparalleled
service.
HEAL HCARE
Most Advanced
THE
Solution Providers of 2020
THE MOST
SECURE
PLATFORM FOR
TELEHEALTH
AND IMAGE
EXCHANGE
17
COMPANY NAMES INFO
75Health,
Kumar Subramaniam
Co-Founder & CEO
AMC Health,
Nesim Bildirici,
CEO
Apollo Enterprise
Imaging Corp,
Mark Newburge,
Founder, President & CEO
Avadyne Health,
Jayson Yardley,
CEO
Caserta Concepts,
Joe Caserta,
Founder
CureMD,
Bilal Hashmat,
Co-Founder & CEO
Origin Integrated Studios,
Kenneth Kee,
CEO
WorldCare International,
Dr. Hassan Sharif,
Founder & CEO
AMC Health offers continuous visibility into an individual patient’s health
status by connecting patients to their clinical team on a real-time basis.
www.amchealth.com
Apollo Enterprise Imaging Corp is the image-based platform with integrated
applications that provide every specialist throughout the a health system the
ability to view the Comprehensive Health Record.
www.apolloei.com
Avadyne Health is providing a complete solution to address the needs of patients
who prefer a self-service experience or the assistance of a concierge call center.
www.avadynehealth.com
Caserta Concepts is the leading provider of transformational cloud computing,
data strategy and data architecture solutions in the Healthcare sector.
www.caserta.com
CureMD is offering innovative health information systems and services that
transform the administrative and clinical operations of healthcare
organizations of all sizes.
www.curemd.com
Nautilus Medical strives to provide the most complete healthcare
platform at a value and consistently works to improve its products.
www.nautilusmedical.com
NextGen's comprehensive, integrated technology and services platform
supports ambulatory and specialty practices of all sizes.
www.nextgen.com
Origin Integrated Studios is one of the excelling private healthcare
technology provider for developing innovative and creative software
solutions for Malaysia and its regions.
www.originistudios.com
WorldCare International has expanded its efforts to provide expert medical
second opinions (MSOs) to members with critical and life-threatening
conditions around the world.
www.worldcare.com
75Health application offers the full spectrum of EHR services to help
medical providers and organizations work efficiently.
https://www.75health.com
THE 10 MOST ADVANCED HEALTHCARE SOLUTION PROVIDERS OF 2020
Nautilus Medical,
Timothy Kelly,
CEO
NextGen,
Rusty Frantz
President & CEO
C
aserta is helping Moffitt
Cancer Center use data on the
front lines of cancer research
and treatment.
The Moffitt Cancer Center, based in
Tampa FL, has one singular mission:
to contribute to the prevention and cure
of cancer. Opening in 1996, Moffitt
Cancer center became an NCI
Comprehensive Cancer Center in 2001,
and today operates a 200+ bed full-
service hospital alongside it's core
research mission. The Moffitt Cancer
Center is busy - publishing over 800
publications each year and performing
over 300 open treatment trials with
approximately 1000 therapeutic
accruals. As productive as Moffitt
Cancer Center is, it knows there is
much more work to be done and also
knows that work must be fueled by
“weaponizing” the use of technology
and data against cancer.
MCC, like most large enterprises, has
experienced a tremendous growth in
the accumulation of data from a variety
of sources including national registry
sources, internal patient care systems,
multiple billing systems, laboratory
results, as well as advanced genomic
processing equipment generating
enormous volumes of data. But despite
an abundance of data sources, MCC
has struggled to get the right data in the
hands of the researchers who can do
the most with it. Seeking a new data
tremendous amount of data produced
from modern genomic sequencing
equipment. Separately, MCC had to
contend with their aging and trouble-
prone on-premise infrastructure. And
yet another dimension of challenge is
properly and safely handling Personal
Health Information (PHI), which some
regard as the most private information
there is.
A Modern and Experienced
Perspective
When Caserta first began to work with
MCC, one thing became clear - the
brilliant researchers on staff at MCC
were utterly data starved. Due to a
combination of PHI data handling
policies, knowledge gaps with the
source data, and outdated and
overburdened tooling for access and
distribution of data, Researchers may
submit research requests then wait
anywhere from 3 to 6 months to
receive a spreadsheet of data for cases
related to their research criteria and
goals.
Caserta brought a modern and
experienced perspective. Caserta
started brainstorming with MCC
research leaders about what their ideal
data analytics scenario would look like.
Getting the right data in the right hands
would need to be fast, accurate,
scalable and above all PHI-safe. (The
Google Project Nightingale scandal
and technology strategy, MCC turned
to the experts in modern big-data and
cloud computing architectures -
Caserta.
Storming Through the Challenges
Caserta is the leading provider of
transformational cloud computing, data
strategy and data architecture solutions
in the Healthcare sector. Caserta has
guided leading healthcare
organizations through a range of
technology challenges from data
maturity and technology assessments,
to building customized cloud and data
technology strategic roadmaps, to full-
fledged cloud-based high-performance
data pipeline architecture
implementations and deployments.
Founded in 2001 by Joe Caserta, who
co-authored “The Data Warehouse ETL
Toolkit” with Ralph Kimball, Caserta
has established itself as the premier
firm enterprises trust to conceptualize
and implement the cloud and data
strategies designed to maximize value
from ever-growing data resources.
In MCC's case, their situation suffered
from a “perfect storm” of tough
technology and data challenges. First,
MCC has data being produced by a
variety of disparate sources from all
over the organization: live patient care
system (running the hospital), national
cancer data registries, lab data, patient
survey data, and not to mention the
Caserta
Helping Weaponize Data In
The Fight Against Cancer
22
had recently been exposed and was a
looming issue with MCC and the rest
of the industry.) Bringing nearly 20
years of real-world data architecture
experience, the Caserta team started
talking about a future state whereby all
data sources were collected to a single
consolidated data repository daily,
supplemented by a process for peeling
offspecialized curated data sets for
unique data topic areas and research
goals. Additionally, Researcher data
requests would be satisfied within days
(not months) and Researchers would be
given a powerful “sandbox” of tools
and resources to perform a previously
unthinkable range of analytic
capabilities.
Comprehensive Transformational
Vision
With MCC excited about a vision that
provides them exactly what they need
to accelerate their research, now came
the hard part - making it all happen.
The first problem to get over was
MCC's historical on-premise
infrastructure. The new architecture
vision would never have a chance with
on-premise infrastructure - new
equipment would be far too costly and
take too long to put in place. A cloud-
based approach was clearly the best
choice, but MCC had no footprint with
any cloud vendor thus far. Caserta
began a process of educating MCC IT
and research staff on the range of cloud
vendors, products, and technologies.
Caserta eventually proposed a
comprehensive transformational vision
for a cloud-based high-performance
highly elastic data architecture
including a phased detailed
implementation roadmap.
Despite being hampered by
institutional contracting red tape, MCC
and Caserta pushed forward with the
ambitious implementation. Initially,
Caserta pursued two simultaneous
work streams: 1. Start understanding
MCC's source data in detail and begin
conceptually reshaping the core data
repository; 2. Onboard MCC with a
cloud vendor and start integrating
network infrastructure. Caserta
brought in deep experts both in data
architecture and cloud-based
infrastructure to handle both work
streams. MCC data architecture issues
were typical but enormous in scale -
disparate data sources, but common
topic areas like “patient”, “diagnosis”,
and “medication” all needing
integration.
Most Ideal Vision for Weaponizing
Data
While the complex task of unraveling
source data and assembling a new and
better organized common repository
was underway, the infrastructure team
was planning for MCC's first ever
presence in the cloud. Establishing a
hierarchical network security model,
setting up designed cloud resources,
secure network connectivity with on-
premise infrastructure, and more.
Caserta also had to tackle the challenge
of architecting how on-premise data
would be transferred reliably to the
cloud, collaborating with MCC staff on
a simple and sustainable pipeline
requiring minimal additional on-
premise resources. Drawing on years
of data pipeline experience, Caserta
designed a modern, scalable, cloud-
based data transformation platform that
will handle their current and
aspirational workloads but also be
straightforward enough for existing
MCC staff to take over and
operate themselves.
Today, not only is the
first phase of the
vision nearly
complete, but
with Caserta's
mentorship,
MCC's own staff is leading the way
with the remainder of the build-out.
MCC is poised to start reaping the
rewards of the new platform and
supercharging the output of its talented
Research teams. Caserta's leadership
in healthcare data analytics has enabled
MCC to realize its most ideal vision for
weaponizing data in the fight against
cancer.
At Caserta Concepts, We Provide
You With A Step-by-step
Roadmap That Will Give You
All The InformationYou Need
To Accomplish Your Data A
nd Analytics Goals.
“
“
HEAL HCARE
Most Advanced
THE
Solution Providers of 2020
Joe Caserta
(Founder)
23
POLYCYSTIC OVARIAN
What does PolycysticOvarianSyndrome(PCOS) mean?
Polycystic Ovarian Syndrome (PCOS) is a hormonal disorder
prevalent amongst women of reproductive age. Women with
PCOS may have infrequent or delayed menstrual periods or
excess male hormone (androgen) levels. The ovaries may
evolve many small collections of fluid (follicles) and fail to
routinelyreleaseeggs.
The exact cause of PCOS is still not known. Early treatment
and diagnosis along with weight loss may lower the risk of
long-term complexities such as heart diseases and type-2
diabetes.
Common signs and symptoms of Polycystic Ovarian
Syndrome(PCOS)
1. Menstrual complications: PCOS leads to
amenorrhea (complete absence of monthly period
cycles), oligomenorrhea (less than the normal
number of monthly cycles), and both types of
complicationsmayoccurwiththesamewoman.
2. Highlevelofmasculinehormones
(hyperandrogenism): Familiar signs are acne,
hirsutism (male pattern of hair growth on chin or
chest), hypermenorrhea, androgenic alopecia
(diffused hair loss or hair thinning), and
hyperandrogenemia.
3. Metabolic disorder: It emerges as a tendency
towards central obesity and other symptoms
correlated with insulin resistance, tripled appetite,
and an inclination towards junk foods such as chips,
burgers, pizza,fries,etc.
Other familiar symptoms consist of skin tags, oily skin, acne,
dandruff, pelvic pain, hair loss, male pattern balding, high
levelsof triglyceridesintheblood,andinfertility.
Causes ofPolycysticOvarianSyndrome(PCOS)
The specific cause of PCOS isn't yet known. Factors that
mightplayaroleinthesameinclude:
A GUIDE TO PCOS
24
N SYNDROME (PCOS)
1. Low-grade inflammation:Thistermisused to
depict white blood cells' production of substances
resist infection. Women with PCOS have a type of
low-grade inflammation that prompts polycystic
ovaries to make androgens, which can lead to heart
andbloodvesselcomplications.
2. Heredity: Doctors indicate that certain genes might
beassociatedwithPCOS.
3. Excess androgen: The ovaries form abnormally
high levels of androgen, which results in hirsutism
andacne.
4. Inordinate insulin: Insulin is a hormone formed in
the pancreas that permits cells to use sugar, your
body's prime energy supply. If your cells become
resistant to the reaction of insulin, then your blood
sugar levels can surge and your body might form
moreinsulin.
Complications faced in Polycystic Ovarian Syndrome
(PCOS)
1. Pregnancy-induced high blood pressure or
Gestationaldiabetes.
2. Serious liver inflammation is known as
Nonalcoholic steatohepatitis induced by fat
accumulationintheliver.
3. Metabolic syndrome: A chunk of conditions
incorporating high blood sugar, high blood pressure,
and unnatural cholesterol or triglyceride levels that
significantly increase your risk of cardiovascular
disease
4. Type2diabetesorprediabetes
5. Prematurebirthor Miscarriage
6. Anxiety, Depression, andeatingdisorders
7. Abnormaluterinebleeding
8. Sleepapnea
9. Infertility
10. Endometrialcancer(canceroftheuterinelining)
11. Obesity is correlated with PCOS and can aggravate
thecomplexitiesof thedisorder.
25
TreatmentforPolycysticOvarianSyndrome(PCOS)
The primary treatment focuses on reforming lifestyle and
eatinghabits.
Aims of treatmentcanbeclassifiedas follows:
1. Reducingtheinsulinresistancelevel
2. Reclamation of monthly cycles and normal
reproductiveactivity.
3. Preventionofendometrialhyperplasia
4. Cureofacneandhirsutism
5. Rehabilitationof fertility
6. Preventionofendometrialhyperplasia
7. To lowertherisk elementsof endometrialcancer
There is still no precise and guaranteed cure or treatment for
PCOS. But a balanced diet, weight loss, yoga, and exercise
canmakethesymptomsbetter.
Myths about PolycysticOvarianSyndrome(PCOS)
1. You Did Something toCause It
As the specific cause of PCOS is still unknown, one thing is
sure that you are not to blame. However, considerable factors
consistingofgeneticsaregenerallybelievedtoplayarole.
Male hormones (Androgens) control the development of male
traits. Although all women produce a small volume of
androgen, women with PCOS have more androgen as
compared to normal women. This can restrict ovulation and
makeittroublesometohaveregularmenstrualcycles.
The follicles develop and build up fluid, but the eggs don't get
released. Hence, Ovulation does not occur, and the follicles
might convert into cysts. If this happens, your body might fail
to make the progesterone hormone, which is required to
maintainyour propercycle.
Hormone insulinmayplayamajorpartinthebody's increased
androgen formation. Several women facing PCOS have
insulin resistance. This is more natural in women who are
obese or overweight, have an unhealthy diet plan and no
exercisehabits,or haveatype-2diabetesfamilyhistory.
2. OnlyOverweightWomen facecomplicationsof
PCOS
It is accepted that several women who have PCOS are obese
or overweight and it's also correct that obesity can make
PCOS symptoms adverse. However, PCOS does not
segregate and can affect women of all sizes and shapes. The
connection between PCOS and weight has to do with the
body's inefficiency to use insulin properly, leading to weight
gain.
That's why adopting the habit of eating healthy and exercising
frequently is prescribed as part of most women's treatment
plan.
3. PCOS isaRareCondition
It is examined that between five to ten percent of women of
childbearing age are suffering from PCOS, which makes
PCOS one of the most usual hormonal endocrine disorders
amongst women of reproductive age.According to the PCOS
Foundation, less than half of all women with PCOS are
diagnosed accurately, which means that millions of women
areprobablyunawareof theircondition.
The PCOS Foundation evaluates that this condition is the
cause of fertility problems in women who have difficulty with
ovulationover70 percentofthetime.
4. If You LoseWeight,You Can GetRid of PCOS
Unluckily, there is no accurate cure for PCOS, but obese and
overweight women can help stabilize their hormone levels by
dropping weight. Otherwise, treatment for PCOS is focused
on managing symptoms. A wide spectrum of treatment
options can help prevent any potential problems. Changes in
lifestyle, such as regular exercise and healthy eating, reform
the way your body utilizes insulin and, thus, regulates your
hormonelevelsbetter.
Fertility medicines also can help prompt ovulation if you are
planning to get pregnant. In a few cases, that may be sufficient
tospur theprocess for womenwithalackof ovulation.
A surgical procedure recognized as ovarian drilling can also
broaden your chances of successful ovulation. While the
operation can lower your androgen levels for a limited time, it
does pose therisk of developingscartissue.
By disconnecting fact from myth, you can empower
yourself to live a complete, healthy, and happy life with
PCOS.
A GUIDE TO PCOS
26
PCOS (Poly Cystic Ovarian Syndrome) vs PCOD (Poly
Cystic OvarianDisease)
Are both of these same? Many women use both, PCOS (Poly
Cystic Ovarian Syndrome) and PCOD (Poly Cystic Ovarian
Disease) interchangeably where both are very contrasting
conditions. While both the situations are associated with the
ovaries and both create hormonal disturbances, there are
manycompellingdifferences.
What isPCOD?
PCOD is a condition where the ovaries hold many partially
mature or immature eggs.They, ultimately, convert into cysts.
Being overweight, stressing a lot, consuming excessive junk
food and hormonal disturbances give birth to this condition.
Natural symptoms of PCOD are abnormal periods, infertility,
abdominal weight gain, and male pattern hair loss. The
ovaries commonly become swollen in this problem and
secrete large amounts of androgens that create havoc with the
woman's fertilityandherbody.
What isPCOS?
PCOS is a metabolic disturbance that is more complicated
than PCOD. In this condition, the ovaries develop a larger
quantity of the male hormone, which leads to the formation of
more than ten follicular cysts in the ovary every month. This
breaks the release of the egg causing anovulation. Symptoms
consistofobesity, hairloss, andinfertility.
HowAreThey Different?
1. PCOS is a complicated condition. It is a metabolic
disorder. PCOD is not been studied as a disease,
with regular exercise and the right diet, the situation
recovers.
2. PCOS has a less number of patients compared to
PCOD. PCOD is more prevalent. Almost a third of
thewomenacross theworld suffer fromPCOD.
3. PCOS has severe complications. Women who suffer
from PCOS are at risk of developing diseases like
cardiac-vascular issues, diabetes, obesity, high
bloodpressure, andevenendometrialcancer.
4. PCOS is noticeable early in life. Girls who suffer
from PCOS start showing symptoms of the disease
from their teenage years. Excessive hair growth,
acne, and weight gain are apparent from a younger
agebecauseofmetabolicdisturbances.
5. Women suffering from PCOD don't have compelling
fertility issues. With a little medical assistance, they
can conceive successfully. Women suffering from
PCOS, on the other hand, face complexities with
infertility. They even have higher chances of
miscarriages.
6. Women with PCOD can still ovulate in a routine.
They may have identical symptoms as PCOS, but
they retain the strength to ovulate periodically and
therefore, can conceive successfully. However,
women with PCOS do not ovulate because of a
serious hormonal imbalance that disturbs the
ovulationprocess.
In both cases, i.e., PCOD vs PCOS, taking a healthy diet that is
free of processed and junk food, losing weight, and engaging
in regular exercise, can show incredible improvements. It is
imperative to catch the disease as early as possible to handle
the damage with proper medication and lifestyle changes. If
you are facing irregular periods, excessive facial hair growth,
or acneitis advisedtogetyourselfchecked.
27
Malaysia has been popular
for its healthcare tourism
due to the affordable
quality care for the peace of mind of
healthcare travelers. However, the
COVID-19 outbreak did disrupt the
Malaysian Healthcare market. Prior to
lockdown, the healthcare industry was
booming particularly healthcare
tourism in Malaysia and its
surrounding. After the lockdown, the
industry witnessed almost 40-60%
down in the revenue. “Most of our
customers' revenues were affected as
patients were reluctant to go to
hospitals and for those hospitals that
their mainstream of income largely
depends on foreign patients,” said
Kenneth Kee, CEO at Origin
Integrated Studios.
Origin Integrated Studios is one of the
excelling private healthcare technology
provider for developing innovative and
creative software solutions for
Malaysia and its regions. It is one of
the very few software development
companies which focus on enterprise
systems for the healthcare industry.
Kenneth has leveraged his exceptional
industry experience to craft the ground-
breaking products along with a team of
expert software developers.
external mobile appointment system
to facilitate the patients in direct online
banking payment. Utilizing this
exclusive offering from their end,
patients can now make payment after
teleconsultation for consultation
services and medication to be delivered
at their doorsteps.
In addition to this, Origin is looking
forward to launching the new services
comprising of specialized modules for
'home nursing' and 'nursing home,' also
known as the Assisted Living concept.
Home nursing is not a novel service in
the market however, currently, the
demand for nursing services at home
has relatively augmented.
Consequently, Kenneth also anticipates
a relative growth in this market vertical
because of the COVID-19 outbreak.
Furthermore, because of the lockdown
and movement restrictions, the team
adapted to the new norm of remote
working. Kenneth and his team not just
adjusted to remote working but were
successful in finalizing an overseas
project. “Now we have done it and we
believe that it is possible for our
business to grow across the border
even without being there physically,”
asserts Kenneth.
Accurate and Efficient Product
Portfolio
Over the years, Origin has pioneered in
its EMR services and gained popularity
across the sector despite the
competitors in the market. Origin
Electronic Medical Record (Origin
EMR) is the flagship product of Origin,
along with the Origin Hospital
Information System (Origin HIS).
These two products have been crafted
with over a decade of industry
experience, and have high adoption
rates amongst the doctors and nurses.
The USP of these products has been its
accuracy and efficiency. Origin's
products are reliable and secure as they
have been put on a stringent test by the
hospital quality management team to
be certified by an external auditor for
hospital process flow.
New Addition to the Product Range
Apart from the flagship products,
Origin did add few more services to its
portfolio as the COVID-19 outbreak
demanded a special approach. Due to
the outbreak, several hospitals were
forced to seek telehealth solutions to
serve the patients from home which is
reluctant to visits the hospital. Thus,
Origin integrated its solutions to an
Origin Integrated
Studios
Inspiring Aspirants to Make a Positive Difference
30
A Wholesomely Trustable Leader
A notable trait of a healthcare leader is
to be trustable wholesomely in thinking
ahead for patient safety at all times.
Being a customer-centric organization,
Kenneth has always retained customer
satisfaction with the utmost
importance. Kenneth's primary role is
to lead the team in solving customer's
problems and concluding to
satisfactory outcomes. Under his
supervision the team works closely
with the customers, providing cost-
effective solutions suitable for their
needs. Likewise, offer on-going
technical and consultancy support.
Kenneth has been successful in
building a reliable team that
continually aims to grow. He adds, “As
a team, we grow and face the
challenges of modern times together.”
Discovering New Strategies and
Plans
“As the COVID-19 situation was
getting worse before the lockdown, I
instructed all my staff not to come to
the office and start working from
home,” said Kenneth. However, few of
the employees were still in the midst of
implementing a project at the
customer's site. Keeping the welfare of
the team members as a priority,
Kenneth halted all the on-site projects.
Nevertheless, being an IT company
remotely serving the
clients—especially from the healthcare
industry—was possible through the
internet. The only challenge that the
team encountered during the lockdown
was the delay of the ongoing projects.
“We were not able to conduct
acceptance test and trial run in our
preparation to go-live of our system as
planned,” asserts Kenneth.
After the lockdown was lifted, the
company resumed its operations.
Few of the personnel were reluctant
to work given the fear and
uncertainty. Thus, Kenneth gave
these team members additional
time to adjust to the
new normal and be
back to the office.
Despite the lifted
restrictions, the
construction industry
was still managing
the effects of a
slowdown which as
a consequence
affected the
progress of building
new hospitals,
therefore, the team of
Origin focused on
R&D and clearing off
backlogs. In the
meantime, the team discovered new
strategies and plans to adapt to the new
normal. Kenneth believes that rather
than mourning for the delayed projects
and loss of business, it is better to catch
up and move ahead of the competitors.
He also adds a word of advice for the
aspirants, “If you determine and
resilient, you will find a way and get
through it.”
What could have been better?
The healthcare industry has altered as
compared to the traditional healthcare
industry. Today, almost everyone is
reachable using a smartphone. The
developments in the mobile
applications have been tremendous
with each day thousands of app is
being created across the globe.
Reasoning these advancements',
Kenneth believes that the mobile
technology provider should have been
more ready in assisting the government
to fight the pandemic through
introducing a national patient portal
before even it turns into such a
devastating state. Furthermore, he
adds, “In the interest of national
security and for the economy of the
country, it makes economic sense for
the government to enforce traceable
movement of each mobile user and also
lockdown only to those affected zones
fast and effectively.”
Kenneth Kee
(CEO)
We are committed
in delivering excellent
quality healthcare
technology
solutions,we aim to
become a household
brand in the
healthcare industry.
“
“
HEAL HCARE
Most Advanced
THE
Solution Providers of 2020
31
WorldCare's
S
imply put,
mission is to save lives. Over
the past 26 years, the company
has expanded its efforts to provide
expert medical second opinions
(MSOs) to members with critical and
life threatening conditions around the
world. Managing care for individuals
with critical illnesses like cancer,
autoimmune disease, and
cardiovascular disease involves
complexity due to the manner in
which these diseases affect the human
body, and the variety of co-existing
conditions that can be involved. While
critical illness cases represent only 5%
of medical cases, they account for
nearly 95% of healthcare costs and
require highly specialized medical
care. Gaining access to an expert
medical opinion can be advantageous
for critically ill members who want
verification of their diagnosis, insights
on treatment plans, and more
information about their personal
condition before making medical care
decisions with their local physician
and family members.
According to Founder and CEO, Dr.
Hassan Sharif, dealing with chronic
and complex ailments such as cancer
requires a multidisciplinary approach
to bring all stakeholders together to
exchange insights and experience to
treat not just the disease or tumor, but
confirmation and more information.
Often, they will face lengthy wait
times or may have to travel significant
distances for appointments.
WorldCare connects these two worlds
for its millions of members around the
globe. The company pioneered the
usage of digital file sharing and
advanced telecommunication to
the whole patient. The WorldCare
®
Consortium teams review patient
cases including all medical records,
radiology images, pathology reports,
and diagnostic tests. Although the
patient is not physically in front of the
specialist team, the team has all the
information needed to review the
original diagnosis and treatment plan,
make necessary adjustments, and
provide a recommendation for the
patient's optimal course of action.
Availing an Expert Second Opinion
Dr. Sharif notes that the billions of
dollars spent annually on research to
improve care for critical illnesses has
created centers of highly specialized
knowledge within renowned medical
research institutions in the U.S., many
of which are part of The WorldCare
®
Consortium . Specialist teams at these
institutions see hundreds of cases a
year for their specialty and are best
equipped to review and opine on new
patient cases. Such insight and
research is not readily accessible for
most patients ― or their local
physicians ― in the U.S. or in other
countries.
When an individual receives a
devastating diagnosis for a critical
illness such as cancer, they are
typically referred to specialists for
WorldCare
Providing the Gold-Standard of Medical
Second Opinions Around the World
Dr. Sharif
On Leadership
“Future leaders
within healthcare need
to adopt innovative
technology continuously.
AI can harness the vast
array of healthcare
data, but the multi-disciplinary
teams and their expertise
can uniquely generate
tremendous value for patients,
physicians, and population
health when it
comes to effectively
addressing critical illnesses.”
34
enable members to get an expert
Medical Second Opinion (MSO) for
critical illnesses or life threatening
conditions within two weeks without
the need for travel. WorldCare's MSO
service covers over 100 chronic
illnesses across 15 categories
including neurology, immunology,
cardiovascular diseases,
musculoskeletal disorders and more.
Members interact directly with a
WorldCare Nurse Case Manager who
supports them throughout the process
with empathy and care. Upon
completion of the MSO, the member
and their local physician receive a
digital copy of their personalized
WorldCare MSO Report detailing
insights on their diagnosis, health
condition, and recommendations for
optimal treatment.
Saving Lives Globally
Dr. Sharif's passion to save lives by
improving access to highly specialized
medical experts for physicians and
patients across all seven continents
has fuelled WorldCare's growth.
Today, the WorldCare team includes
medical directors from around the
globe, 16 renowned institution
providers in The WorldCare
®
Consortium and a management team
focused on international growth.
He also emphasises the need to focus
on overall patient wellbeing as
opposed to focusing on just
symptoms, or a particular disease. He
also sees a greater role for nurses in
patient care of the future. According to
Dr. Sharif, building rapport,
understanding fears, and concerns of
patients will be essential for
supporting patient recovery. His views
are in line with recent FDA approvals
for therapy to support treatment of
critical illnesses like cancer. While
traditional healthcare continues to
focus on the treatments aimed at the
body, growing voices from experts
like him can help change the mind set
in the healthcare industry.
Operating Remotely during
COVID-19
During COVID-19, Dr. Sharif has
been bullish about the company's
future. He explains, “Today, our
operations span 5 continents, with
millions of members around the world.
We are adept at utilizing state-of-the-
art digital, and video-based tele-
health technologies to bring our
expertise to members and their
physicians wherever they live. So,
for us, this is business as usual.”
The future of WorldCare seems
promising as they build more
partnerships with corporations,
insurance companies and other
entities to grow membership and
save more lives. Recently they have
added additional specialty MSOs to
cover mental illness, disability, pain
management and in January 2020
they added MSO coverage for
complications of COVID-19 for its
members.
Our expert MSOs for critical
illnesses have helped
thousands of members
and their physicians
confidently initiate
treatment that saves lives.
“
“
HEAL HCARE
Most Advanced
THE
Solution Providers of 2020
Dr. Hassan
Sharif
(Founder & CEO)
www.worldcare.com
35
Trends In The
Healthcare Sector
6
he rage of the pandemic has considerably affected
industrial sectors in 2020. The impact being ranked
on a 5-point scale, one of the most disrupted in the
healthcare industry in 2021. A score of 4 spelling 'major
impact' has been given to the healthcare industry, where
technological advances are the most required in this
demanding age.
Mental health has also suffered a great toll during the
pandemic. According to a survey by PwC's Health Research
Institute (HRI), 32% of the surveyed Americans had
suffered from depression or anxiety due to the lockdown.
Key trends like artificial intelligence, augmented and virtual
reality, and smart medicine have all been diverted towards
fighting COVID-19. Technological innovations are
presently sought by increasing numbers of healthcare
personnel in view of preparing for more challenges to come
in the healthcare industry in 2021.
Below are the 6 trends in the healthcare
industry in 2021:
1. Virtual Health Care
The arrival of COVID-19 has boosted virtual
healthcare. The American Telemedicine
Association was founded in 1993. Yet prospects of
telemedicine becoming mainstream seem bright
only with the rise of the COVID-19 pandemic.
As of April 2020, 43.5% of primary healthcare
visits made use of telehealth methods rather than
in-person interaction. While monitoring patients'
health from a safe distance, doctors can also be
sure of preventing possible infection. It allows
medical professionals to accommodate several
appointments in their busy schedules.
The prospects of virtual healthcare seem
promising. In the United States, 71% of the
patients considered telemedicine at the beginning
of the pandemic, and 50% had already used virtual
appointments. The number of virtual visits has
skyrocketed during the pandemic and is estimated
by Forrester analysts to hit one billion by the end
of 2020. Business organizations have taken it well
with about 95% of US employers resorting to
virtual health care.
Telemedicine apps are the provider of strong
telehealth services. An important technology
operating behind these apps is WebRTC - an open-
source API based system to connect web browsers
with mobile applications. Patients are supported
by features like text and video chat, screen sharing,
and file transfer.
Electronic Health Records (EHR) aid in effective
communication between patients and health
workers through medical records in the app.
Doctors can send digital messages to patients via
the Interactive Voice Response (IVR). A patient's
health history is also tracked by applications like
Google Fit and Apple HealthKit.
T
HEALTHCARE POST-COVID-19
36
2. Artificial Intelligence against COVID-
19
The use of artificial intelligence has greatly helped
out in flattening the curve by aiding in crucial areas
like pandemic detection, vaccine development,
thermal screening, analyzing CT scans, and so on.
Tom Knight, CEO of Invistics, predicts that the
healthcare industry in 2021 will see the benefits of
machine learning.
In the detection of the coronavirus pandemic
BlueDot, a Toronto based AI application has
excelled. It consults over100, 000 media sources in
more than 65 languages. The AI was the first to
publish a paper that predicted the spread of
COVID-19. It makes use of a range of threat
vectors like insect and animal populations, global
and regional climatic conditions, flight data and
itineraries, and others.
The smartness component would be accelerated
with the growth of AI. Kimberly Powell, vice
president, and general manager of NVIDIA
Healthcare predict that hospitals will get
“smarter”. Activities can be regulated and tracked
by smart cameras and smart speakers.
Machine learning has made great strides in the
immunology field. With its help doctors can more
effectively identify viral fragments that can elicit a
response from the immune system, thus paving the
way for a good vaccine. Intelligent machines can
help in creating prediction tools for the effective
use of resources in the healthcare industry in 2021.
Artificial intelligence has brought efficiency in
swiftly screening several people all at once and
detecting those with high temperatures via non-
contact infrared thermometers. A similar efficacy is
visible in facial recognition technology and CT
scan analysis.
Robotic and autonomous healthcare is also on the
rise especially due to the pandemic. These
assistants would work in hospitals and also in
patients' homes. Companion robots are being
introduced in old age homes in the UK, and be
successful in alleviating symptoms of loneliness
and social isolation.
3. Genomics and Gene Editing
Gene editing is a phenomenon that allows experts
to manipulate traits that are inherited by new living
cells. These traits or phenotypes determine the
cell's survival factor. By influencing these
phenotypes through techniques like CRISPR-Cas9,
37
The art of medicine consists of amus
patient while nature cures the dise
“
scientists have advanced in treatments to some
deadly diseases including Duchenne muscular
dystrophy, heart disease, and cancer.
Further successful leaps in this field have led to
prospects of a form of treatment called “precision
medicine”. The drug would be made according to
the genetic profile of an individual, thus making it
more effective.
'The lab on a chip' is a handheld device that has
made detection of the infected more convenient. It
does not rely on precarious factors like
temperature changes or coughing.
The UK start-up Tropic Biosciences has come up
with a few innovative methods to ensure good
health. It has produced caffeine-free coffee beans
to cut down on the cost and effort spent on
decaffeinating normal beans. Bananas that are
resilient to diseases have also been turned out. This
could help the fruit industry keep more of the huge
amount it spends on fighting disease.
4. Securing Healthcare Industry in 2021
The Health Insurance Portability and
Accountability Act (HIPAA) acts to stem possible
breaches of secure and remote communication
between doctors and patients. Some telehealth
technologies do not entirely comply with this act
which compromises patient privacy. The
regulations to secure Protected Health Information
are very strict and abiding by them can be difficult.
As ePHI data must be transmitted in structured
formats, securing information shared through
remote doctor calls is not easy. Beyond the
HIPAA, the General Data Protection Regulation
must be considered in order to secure personal data
from European Union citizens.
Patient data will be shifted to cloud-based EHR
platforms for better care coordination in the
healthcare industry in 2021. Healthcare providers
would be able to reevaluate the overhead costs of
managing IT infrastructure.
5. Enhanced Forecasting Systems
Once medical professionals develop better
methods to foresee the future, the healthcare
industry in 2021 can effectively avert calamities.
Instead of analyzing medical claims or behavioral
trends in the last 30 days, health institutions need
real-time insights to create their forecasting
systems.
The pandemic has prompted health organizations
to draw clearer pictures instead of taking
advantage of existing data. The forecasting sensors
can be used to economize the routine of health
professionals, thereby saving both time and
money. Community enterprises will play a great
role in tracking the social determinants impacting
community health. Health information exchanges
can accelerate the generation of data for better
38
sing the
ease.”
forecasting technologies in the healthcare industry
in 2021.
6. AR/VR/MR in Healthcare
Virtual and Augmented Reality seems to emerge
right out of a science fiction novel. With a purpose
to help people with motor deficiencies, it has great
potential to improve telehealth in the healthcare
industry in 2021. By putting patients in need of
physical therapy in simulated environments,
therapists can gather more data to create better
care plans for their patients.
Individuals who have dementia or cognitive
impairments have got access to VR headsets at
Maplewood Senior Living, Connecticut. They
enter environments otherwise almost impossible
for them to visit. It may help unlock memories or
improve one's emotional well-being.
Augmented reality has aided health workers by
making information available in 3D space in a
doctor's or surgeon's vision. Students can learn
about procedures through overlays and doctors can
swiftly compare data to make diagnoses. The
future of augmented reality depends strongly on its
use in the healthcare industry in 2021.
The Healthcare industry in 2021 will have to economically
balance virtual and in-person medical care. Medical
professionals have amped up their hopes for a less eventful
2021 with a healthcare industry geared towards better,
cheaper, and more equitable care.
39
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The 10 most advanced healthcare solution providers of 2020 final f ile

  • 1. www.mirrorreview.com ™ December 2020 HEAL HCARE Most Advanced THE Solution Providers of 2020 Industry Leader In Telehealth And Image Exchange NAUTILUS MEDICAL ALL YOU NEED TO KNOW ABOUT POLYCYSTIC OVARIAN SYNDROME A GUIDE TO PCOS HEALTHCARE INDUSTRY IN 2021: 6 TRENDS IN THE HEALTHCARE SECTOR HEALTHCARE POST-COVID-19 Timothy Kelley,CEO
  • 2.
  • 3.
  • 5. Beyond the Pandemic ealthcare was highly challenged in the crucial times of COVID-19. The whole industry was forced to work single-mindedly to focus on combating the COVID-19 outbreak while mitigating the risks. Consequently, this health emergency managed to put other issues related to public health on the back-burner. It is true that the healthcare industry was exceptional in these challenging times. But, what we need to see is how the industry shapes itself post-pandemic. Crises are unpredictable. We are unsure about the next global emergency, so consequently, watching from the lenses of the COVID-19 outbreak may not be a viable solution. We need to shape our healthcare infrastructure in a way that—it may not overcome, but at least sustain any emergencies. Our latest issue of “The 10 Most Advanced Healthcare Solution Providers Of 2020” revolves around the same theme, where we discuss with the proficient leaders about how the world will be reimagined in the post-pandemic era. Featured on our cover is Nautilus Medical, which is aiming to transform the healthcare sector with its telehealth and image exchange solutions. The company is fully prepared for the transitions in the future and strives to continue to serve the customers with unparalleled service. Along the pages, you will also discover the journeys of Caserta Concepts, Origin Integrated Studios, and WorldCare International. These healthcare solution providers are offering advanced tech solutions and are preparing us for the future of healthcare. A future where telehealth will be utilized to its full potential. Not only telehealth but also technologies integrating with healthcare will provide a more reliable and efficient healthcare model. Focusing on our magazine theme, the section “Healthcare Post-COVID” will enlighten you about the anticipated trends that will dominate the industry. Also, we have covered myths and facts surrounding the most underlying health issue PCOS in the section “A Guide to PCOS”. H Vidya Joshi Editorial Coordinator
  • 6. PUBLISHER ARCHANA GHULE EDITOR-IN-CHIEF VIKRAM SURYAWANSHI EDITORIAL COORDINATOR VIDYA JOSHI SHUBHAM BIRADAR UTKARSH DESHPANDE SANYUKTA MULEY PROJECT MANAGERS MARK JOHNSON AKSHAY KAMBLE ART DIRECTOR VINOD ALHAT VISUALIZER MARK DAVIS HEAD OF DISTRIBUTION & PRODUCTION AAKASH MAHAJAN HEAD OF OPERATIONS ROBERT SMITH RESEARCH ANALYSTS JAMES ADAMS ADVERTISING MARIA SMITH GRAPHIC DESIGNERS SUSHANT KAMBLE SHUBHAM GHODKE F O L L O W U S mirrorreviewofficial MirrorReview1 mirror-review mirrorreview Mirror Review Media & Tech C-206, Wisteriaa Fortune, Laxmi Chowk Rd, opp. Silver Spoon Hotel, Bhumkar Nagar, Wakad, Pimpri-Chinchwad, Maharashtra 411057 Mirror Review Magazine is published by Pericles Ventures Pvt Ltd. No part of Mirror Review magazine may be reproduced, published or used in any manner without prior written consent from the publisher. The team of Mirror Review Magazine has made every effort to ensure the accuracy of the content. The publisher assumes no responsibility of any part of the content of any advertisement in this publication, including any errors and omissions therein. +1 (850) 564-8517 info@mirrorreview.com www.mirrorreview.com mirrorreview
  • 7.
  • 8. CONTENTS NAUTILUS MEDICAL 12 INDUSTRY LEADER IN TELEHEALTH AND IMAGE EXCHANGE ORIGIN INTEGRATED STUDIOS 30 INSPIRING ASPIRANTS TO MAKE A POSITIVE DIFFERENCE CASERTA 22 HELPING WEAPONIZE DATA IN THE FIGHT AGAINST CANCER WORLDCARE 34 PROVIDING THE GOLD-STANDARD OF MEDICAL SECOND OPINIONS AROUND THE WORLD
  • 10. 24 ALL YOU NEED TO KNOW ABOUT POLYCYSTIC OVARIAN SYNDROME (PCOS) 36 HEALTHCARE INDUSTRY IN 2021: 6 TRENDS IN THE HEALTHCARE SECTOR A GUIDE TO PCOS HEALTHCARE POST-COVID-19 CONTENTS ARTICLES
  • 11.
  • 12. Industry Leader in Telehealth and Image Exchange NAUTILUS MEDICAL NAUTILUS MEDICAL C O V E R S T O R Y 12
  • 13. S S Timothy Kelley CEO HEAL HCARE Most Advanced THE Solution Providers of 2020 13
  • 14. In the past few months, significant inefficiencies in the healthcare landscape have been highlighted due to the COVID-19 pandemic. During these times, several existing technologies such as telehealth were not being utilized to their potential. Telehealth has been around for over 100 years since the arrival of telephones. Though the technology advanced to smartphones, smart TVs, monitors with cameras, and laptops with cameras, the growth was stagnant in telehealth utilization. Restrictions on distance and bad policies of reimbursement were the main reasons behind the stagnant growth. Nautilus Medical is one company that has revolutionized the healthcare sector with its telehealth and image exchange solutions. The company was incepted in 2006 with an aim to provide a complete communication and information exchange platform. Comprehensive Portfolio of Services Nautilus Medical strives to provide the most complete healthcare platform at a value and consistently works to “At Nautilus Medical, We Strive To Provide The Most Complete Healthcare Platforms At A Value, And Consistently Work To Improve Our Products To Deliver This Promise. 14
  • 15. improve its products. The Nautilus platform combines features to give a complete and holistic view of the patient. The network comprises the largest peer-to-peer network for exchanging medical images, reports, and EMR data. The service can eliminate the ongoing costs of compact discs, ink cartridges, disc publishers, etc. It can be used wherever it is needed, either it be a lab, home, or departments across the hospital. Security is underlined with a $1 Million dollar breach policy per instance, not offered by other platforms. Alongside information exchange, Nautilus Medical has built a powerful and compliant real-time video communication platform that goes beyond face to face communication. This platform enables providers to view modalities and point-of-care exams in real-time, including multiple room viewing options for qualified physicians. Nautilus offers cellular connectivity for remote locations and other hardware options such as carts and all-in-one TV set-top boxes. As a majority of telehealth visits involve a discussion about a radiology exam that has been done, the physicians are enabled to view and share the images and results while talking with the patients through the platform. "Telehealth and radiology belong together, not as separate and disparate systems," asserts Timothy Kelley, the CEO at Nautilus Medical. Moreover, Nautilus is the only company that has a strong telehealth platform with underlying radiology expertise and management. This platform is used by more than 70% of the top 50 medical centers in the US, including Cleveland Clinic, UPMC, UPENN, NY Presbyterian, Harvard, Columbia, Cornell, Northwestern, etc. For the widespread portfolio of services and solutions, Nautilus Medical has been rewarded with numerous awards and recognitions. The company was recognized among the Top 10 Medical Imaging Providers by Healthcare Tech Outlook, 10 Best Healthcare Companies by the CIO Bulletin Magazine, and Top 10 Fastest-Growing Healthcare Companies by The Silicon Review. Moreover, it was also the Clinical Information Finalist of the Fierce Health Innovation Awards and Top 10 Innovation Finalist of the Chicago Innovation Awards. A Zealous and Resolute Leader Healthcare technology is a difficult path to navigate due to its compliance, security, long sales cycles, and the technology itself. Thus, the leaders in the industry need to understand the tech, clinical workflow environment, and how to build a business. Nautilus Medical is fortunate to be spearheaded by a passionate and enthusiastic leader in Mr. Kelley. He always wanted to have a significant impact on healthcare by providing a service or product that helps all stakeholders. "When that is accomplished, the value will be created naturally," he added. Being the CEO of Nautilus Medical, his primary roles and responsibilities are to project a clear vision of the company's roadmap and manage personalities. Over the years, he has been one of the key assets behind the company's growth. HEAL HCARE Most Advanced THE Solution Providers of 2020 15
  • 16. Empowering Patients and Doctors in the Time of Crisis The pandemic has created a new normal in telehealth communication, which is expected to become the standard of care. Being considered the essential workers supporting the mission-critical systems in hospitals and other healthcare facilities, Nautilus Medical's team has been relentlessly working throughout the crisis. Remote service, demos, and training can be done from anywhere on any device. Nautilus Medical's platform is proving to be instrumental in helping both patients and doctors during this trying time. The platform allows doctors to work from home, and many doctors use the company's carts or TVs to talk with patients at home or patients visiting their office. During a face to face consultation, providers may consolidate data, show images, and give guided tours of procedures. This is critical in the new normal for patient consent, patient understanding, and overall better outcomes by inoculating patients against ignorance. Furthermore, the platform also normalizes data and images so they can be shared and restored on any system regardless of the manufacturer. This prevents unnecessary rescans and billions of expenses to providers from duplicate CTs, MRIs, and other expensive high tech procedures. Nautilus Medical's platform allows patients to store their images and share their data at no cost, which is empowering patients everywhere. 16
  • 17. Importance of Education and Resources to Patients During COVID Having led a successful healthcare firm for more than a decade, Timothy believes that providing proper education and resources to patients is important –so that they can make qualified decisions based upon their current health, understanding co-morbidities, how and where they can work, how much risk they are willing to take in a social setting, and an understanding of the disease. "Most people don't understand how this disease is unique and how ill you may get based upon the level of exposure, contact, and comparative health. At the end of the day, we can make good decisions with good information. The information has been mishandled and misguided for the wrong reasons," he added. Transition to Performance-based Care The healthcare landscape is slowly moving to performance- based care and patients rating the care they receive. For healthcare providers, being more efficient and offering options to patients while educating them about the process they are going through will be tantamount to future success. The industry will have more consumer-driven tech to better serve professionals and their patients in the near future. Smart TVs, phones, and social devices will have a role to play. Moreover, the post-COVID world will run better as a result of understanding that people don't always need to be present to get good care at a low cost. Nautilus Medical is fully prepared for these transitions in the future and strives to continue to serve the customers with unparalleled service. HEAL HCARE Most Advanced THE Solution Providers of 2020 THE MOST SECURE PLATFORM FOR TELEHEALTH AND IMAGE EXCHANGE 17
  • 18.
  • 19. COMPANY NAMES INFO 75Health, Kumar Subramaniam Co-Founder & CEO AMC Health, Nesim Bildirici, CEO Apollo Enterprise Imaging Corp, Mark Newburge, Founder, President & CEO Avadyne Health, Jayson Yardley, CEO Caserta Concepts, Joe Caserta, Founder CureMD, Bilal Hashmat, Co-Founder & CEO Origin Integrated Studios, Kenneth Kee, CEO WorldCare International, Dr. Hassan Sharif, Founder & CEO AMC Health offers continuous visibility into an individual patient’s health status by connecting patients to their clinical team on a real-time basis. www.amchealth.com Apollo Enterprise Imaging Corp is the image-based platform with integrated applications that provide every specialist throughout the a health system the ability to view the Comprehensive Health Record. www.apolloei.com Avadyne Health is providing a complete solution to address the needs of patients who prefer a self-service experience or the assistance of a concierge call center. www.avadynehealth.com Caserta Concepts is the leading provider of transformational cloud computing, data strategy and data architecture solutions in the Healthcare sector. www.caserta.com CureMD is offering innovative health information systems and services that transform the administrative and clinical operations of healthcare organizations of all sizes. www.curemd.com Nautilus Medical strives to provide the most complete healthcare platform at a value and consistently works to improve its products. www.nautilusmedical.com NextGen's comprehensive, integrated technology and services platform supports ambulatory and specialty practices of all sizes. www.nextgen.com Origin Integrated Studios is one of the excelling private healthcare technology provider for developing innovative and creative software solutions for Malaysia and its regions. www.originistudios.com WorldCare International has expanded its efforts to provide expert medical second opinions (MSOs) to members with critical and life-threatening conditions around the world. www.worldcare.com 75Health application offers the full spectrum of EHR services to help medical providers and organizations work efficiently. https://www.75health.com THE 10 MOST ADVANCED HEALTHCARE SOLUTION PROVIDERS OF 2020 Nautilus Medical, Timothy Kelly, CEO NextGen, Rusty Frantz President & CEO
  • 20.
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  • 22. C aserta is helping Moffitt Cancer Center use data on the front lines of cancer research and treatment. The Moffitt Cancer Center, based in Tampa FL, has one singular mission: to contribute to the prevention and cure of cancer. Opening in 1996, Moffitt Cancer center became an NCI Comprehensive Cancer Center in 2001, and today operates a 200+ bed full- service hospital alongside it's core research mission. The Moffitt Cancer Center is busy - publishing over 800 publications each year and performing over 300 open treatment trials with approximately 1000 therapeutic accruals. As productive as Moffitt Cancer Center is, it knows there is much more work to be done and also knows that work must be fueled by “weaponizing” the use of technology and data against cancer. MCC, like most large enterprises, has experienced a tremendous growth in the accumulation of data from a variety of sources including national registry sources, internal patient care systems, multiple billing systems, laboratory results, as well as advanced genomic processing equipment generating enormous volumes of data. But despite an abundance of data sources, MCC has struggled to get the right data in the hands of the researchers who can do the most with it. Seeking a new data tremendous amount of data produced from modern genomic sequencing equipment. Separately, MCC had to contend with their aging and trouble- prone on-premise infrastructure. And yet another dimension of challenge is properly and safely handling Personal Health Information (PHI), which some regard as the most private information there is. A Modern and Experienced Perspective When Caserta first began to work with MCC, one thing became clear - the brilliant researchers on staff at MCC were utterly data starved. Due to a combination of PHI data handling policies, knowledge gaps with the source data, and outdated and overburdened tooling for access and distribution of data, Researchers may submit research requests then wait anywhere from 3 to 6 months to receive a spreadsheet of data for cases related to their research criteria and goals. Caserta brought a modern and experienced perspective. Caserta started brainstorming with MCC research leaders about what their ideal data analytics scenario would look like. Getting the right data in the right hands would need to be fast, accurate, scalable and above all PHI-safe. (The Google Project Nightingale scandal and technology strategy, MCC turned to the experts in modern big-data and cloud computing architectures - Caserta. Storming Through the Challenges Caserta is the leading provider of transformational cloud computing, data strategy and data architecture solutions in the Healthcare sector. Caserta has guided leading healthcare organizations through a range of technology challenges from data maturity and technology assessments, to building customized cloud and data technology strategic roadmaps, to full- fledged cloud-based high-performance data pipeline architecture implementations and deployments. Founded in 2001 by Joe Caserta, who co-authored “The Data Warehouse ETL Toolkit” with Ralph Kimball, Caserta has established itself as the premier firm enterprises trust to conceptualize and implement the cloud and data strategies designed to maximize value from ever-growing data resources. In MCC's case, their situation suffered from a “perfect storm” of tough technology and data challenges. First, MCC has data being produced by a variety of disparate sources from all over the organization: live patient care system (running the hospital), national cancer data registries, lab data, patient survey data, and not to mention the Caserta Helping Weaponize Data In The Fight Against Cancer 22
  • 23. had recently been exposed and was a looming issue with MCC and the rest of the industry.) Bringing nearly 20 years of real-world data architecture experience, the Caserta team started talking about a future state whereby all data sources were collected to a single consolidated data repository daily, supplemented by a process for peeling offspecialized curated data sets for unique data topic areas and research goals. Additionally, Researcher data requests would be satisfied within days (not months) and Researchers would be given a powerful “sandbox” of tools and resources to perform a previously unthinkable range of analytic capabilities. Comprehensive Transformational Vision With MCC excited about a vision that provides them exactly what they need to accelerate their research, now came the hard part - making it all happen. The first problem to get over was MCC's historical on-premise infrastructure. The new architecture vision would never have a chance with on-premise infrastructure - new equipment would be far too costly and take too long to put in place. A cloud- based approach was clearly the best choice, but MCC had no footprint with any cloud vendor thus far. Caserta began a process of educating MCC IT and research staff on the range of cloud vendors, products, and technologies. Caserta eventually proposed a comprehensive transformational vision for a cloud-based high-performance highly elastic data architecture including a phased detailed implementation roadmap. Despite being hampered by institutional contracting red tape, MCC and Caserta pushed forward with the ambitious implementation. Initially, Caserta pursued two simultaneous work streams: 1. Start understanding MCC's source data in detail and begin conceptually reshaping the core data repository; 2. Onboard MCC with a cloud vendor and start integrating network infrastructure. Caserta brought in deep experts both in data architecture and cloud-based infrastructure to handle both work streams. MCC data architecture issues were typical but enormous in scale - disparate data sources, but common topic areas like “patient”, “diagnosis”, and “medication” all needing integration. Most Ideal Vision for Weaponizing Data While the complex task of unraveling source data and assembling a new and better organized common repository was underway, the infrastructure team was planning for MCC's first ever presence in the cloud. Establishing a hierarchical network security model, setting up designed cloud resources, secure network connectivity with on- premise infrastructure, and more. Caserta also had to tackle the challenge of architecting how on-premise data would be transferred reliably to the cloud, collaborating with MCC staff on a simple and sustainable pipeline requiring minimal additional on- premise resources. Drawing on years of data pipeline experience, Caserta designed a modern, scalable, cloud- based data transformation platform that will handle their current and aspirational workloads but also be straightforward enough for existing MCC staff to take over and operate themselves. Today, not only is the first phase of the vision nearly complete, but with Caserta's mentorship, MCC's own staff is leading the way with the remainder of the build-out. MCC is poised to start reaping the rewards of the new platform and supercharging the output of its talented Research teams. Caserta's leadership in healthcare data analytics has enabled MCC to realize its most ideal vision for weaponizing data in the fight against cancer. At Caserta Concepts, We Provide You With A Step-by-step Roadmap That Will Give You All The InformationYou Need To Accomplish Your Data A nd Analytics Goals. “ “ HEAL HCARE Most Advanced THE Solution Providers of 2020 Joe Caserta (Founder) 23
  • 24. POLYCYSTIC OVARIAN What does PolycysticOvarianSyndrome(PCOS) mean? Polycystic Ovarian Syndrome (PCOS) is a hormonal disorder prevalent amongst women of reproductive age. Women with PCOS may have infrequent or delayed menstrual periods or excess male hormone (androgen) levels. The ovaries may evolve many small collections of fluid (follicles) and fail to routinelyreleaseeggs. The exact cause of PCOS is still not known. Early treatment and diagnosis along with weight loss may lower the risk of long-term complexities such as heart diseases and type-2 diabetes. Common signs and symptoms of Polycystic Ovarian Syndrome(PCOS) 1. Menstrual complications: PCOS leads to amenorrhea (complete absence of monthly period cycles), oligomenorrhea (less than the normal number of monthly cycles), and both types of complicationsmayoccurwiththesamewoman. 2. Highlevelofmasculinehormones (hyperandrogenism): Familiar signs are acne, hirsutism (male pattern of hair growth on chin or chest), hypermenorrhea, androgenic alopecia (diffused hair loss or hair thinning), and hyperandrogenemia. 3. Metabolic disorder: It emerges as a tendency towards central obesity and other symptoms correlated with insulin resistance, tripled appetite, and an inclination towards junk foods such as chips, burgers, pizza,fries,etc. Other familiar symptoms consist of skin tags, oily skin, acne, dandruff, pelvic pain, hair loss, male pattern balding, high levelsof triglyceridesintheblood,andinfertility. Causes ofPolycysticOvarianSyndrome(PCOS) The specific cause of PCOS isn't yet known. Factors that mightplayaroleinthesameinclude: A GUIDE TO PCOS 24
  • 25. N SYNDROME (PCOS) 1. Low-grade inflammation:Thistermisused to depict white blood cells' production of substances resist infection. Women with PCOS have a type of low-grade inflammation that prompts polycystic ovaries to make androgens, which can lead to heart andbloodvesselcomplications. 2. Heredity: Doctors indicate that certain genes might beassociatedwithPCOS. 3. Excess androgen: The ovaries form abnormally high levels of androgen, which results in hirsutism andacne. 4. Inordinate insulin: Insulin is a hormone formed in the pancreas that permits cells to use sugar, your body's prime energy supply. If your cells become resistant to the reaction of insulin, then your blood sugar levels can surge and your body might form moreinsulin. Complications faced in Polycystic Ovarian Syndrome (PCOS) 1. Pregnancy-induced high blood pressure or Gestationaldiabetes. 2. Serious liver inflammation is known as Nonalcoholic steatohepatitis induced by fat accumulationintheliver. 3. Metabolic syndrome: A chunk of conditions incorporating high blood sugar, high blood pressure, and unnatural cholesterol or triglyceride levels that significantly increase your risk of cardiovascular disease 4. Type2diabetesorprediabetes 5. Prematurebirthor Miscarriage 6. Anxiety, Depression, andeatingdisorders 7. Abnormaluterinebleeding 8. Sleepapnea 9. Infertility 10. Endometrialcancer(canceroftheuterinelining) 11. Obesity is correlated with PCOS and can aggravate thecomplexitiesof thedisorder. 25
  • 26. TreatmentforPolycysticOvarianSyndrome(PCOS) The primary treatment focuses on reforming lifestyle and eatinghabits. Aims of treatmentcanbeclassifiedas follows: 1. Reducingtheinsulinresistancelevel 2. Reclamation of monthly cycles and normal reproductiveactivity. 3. Preventionofendometrialhyperplasia 4. Cureofacneandhirsutism 5. Rehabilitationof fertility 6. Preventionofendometrialhyperplasia 7. To lowertherisk elementsof endometrialcancer There is still no precise and guaranteed cure or treatment for PCOS. But a balanced diet, weight loss, yoga, and exercise canmakethesymptomsbetter. Myths about PolycysticOvarianSyndrome(PCOS) 1. You Did Something toCause It As the specific cause of PCOS is still unknown, one thing is sure that you are not to blame. However, considerable factors consistingofgeneticsaregenerallybelievedtoplayarole. Male hormones (Androgens) control the development of male traits. Although all women produce a small volume of androgen, women with PCOS have more androgen as compared to normal women. This can restrict ovulation and makeittroublesometohaveregularmenstrualcycles. The follicles develop and build up fluid, but the eggs don't get released. Hence, Ovulation does not occur, and the follicles might convert into cysts. If this happens, your body might fail to make the progesterone hormone, which is required to maintainyour propercycle. Hormone insulinmayplayamajorpartinthebody's increased androgen formation. Several women facing PCOS have insulin resistance. This is more natural in women who are obese or overweight, have an unhealthy diet plan and no exercisehabits,or haveatype-2diabetesfamilyhistory. 2. OnlyOverweightWomen facecomplicationsof PCOS It is accepted that several women who have PCOS are obese or overweight and it's also correct that obesity can make PCOS symptoms adverse. However, PCOS does not segregate and can affect women of all sizes and shapes. The connection between PCOS and weight has to do with the body's inefficiency to use insulin properly, leading to weight gain. That's why adopting the habit of eating healthy and exercising frequently is prescribed as part of most women's treatment plan. 3. PCOS isaRareCondition It is examined that between five to ten percent of women of childbearing age are suffering from PCOS, which makes PCOS one of the most usual hormonal endocrine disorders amongst women of reproductive age.According to the PCOS Foundation, less than half of all women with PCOS are diagnosed accurately, which means that millions of women areprobablyunawareof theircondition. The PCOS Foundation evaluates that this condition is the cause of fertility problems in women who have difficulty with ovulationover70 percentofthetime. 4. If You LoseWeight,You Can GetRid of PCOS Unluckily, there is no accurate cure for PCOS, but obese and overweight women can help stabilize their hormone levels by dropping weight. Otherwise, treatment for PCOS is focused on managing symptoms. A wide spectrum of treatment options can help prevent any potential problems. Changes in lifestyle, such as regular exercise and healthy eating, reform the way your body utilizes insulin and, thus, regulates your hormonelevelsbetter. Fertility medicines also can help prompt ovulation if you are planning to get pregnant. In a few cases, that may be sufficient tospur theprocess for womenwithalackof ovulation. A surgical procedure recognized as ovarian drilling can also broaden your chances of successful ovulation. While the operation can lower your androgen levels for a limited time, it does pose therisk of developingscartissue. By disconnecting fact from myth, you can empower yourself to live a complete, healthy, and happy life with PCOS. A GUIDE TO PCOS 26
  • 27. PCOS (Poly Cystic Ovarian Syndrome) vs PCOD (Poly Cystic OvarianDisease) Are both of these same? Many women use both, PCOS (Poly Cystic Ovarian Syndrome) and PCOD (Poly Cystic Ovarian Disease) interchangeably where both are very contrasting conditions. While both the situations are associated with the ovaries and both create hormonal disturbances, there are manycompellingdifferences. What isPCOD? PCOD is a condition where the ovaries hold many partially mature or immature eggs.They, ultimately, convert into cysts. Being overweight, stressing a lot, consuming excessive junk food and hormonal disturbances give birth to this condition. Natural symptoms of PCOD are abnormal periods, infertility, abdominal weight gain, and male pattern hair loss. The ovaries commonly become swollen in this problem and secrete large amounts of androgens that create havoc with the woman's fertilityandherbody. What isPCOS? PCOS is a metabolic disturbance that is more complicated than PCOD. In this condition, the ovaries develop a larger quantity of the male hormone, which leads to the formation of more than ten follicular cysts in the ovary every month. This breaks the release of the egg causing anovulation. Symptoms consistofobesity, hairloss, andinfertility. HowAreThey Different? 1. PCOS is a complicated condition. It is a metabolic disorder. PCOD is not been studied as a disease, with regular exercise and the right diet, the situation recovers. 2. PCOS has a less number of patients compared to PCOD. PCOD is more prevalent. Almost a third of thewomenacross theworld suffer fromPCOD. 3. PCOS has severe complications. Women who suffer from PCOS are at risk of developing diseases like cardiac-vascular issues, diabetes, obesity, high bloodpressure, andevenendometrialcancer. 4. PCOS is noticeable early in life. Girls who suffer from PCOS start showing symptoms of the disease from their teenage years. Excessive hair growth, acne, and weight gain are apparent from a younger agebecauseofmetabolicdisturbances. 5. Women suffering from PCOD don't have compelling fertility issues. With a little medical assistance, they can conceive successfully. Women suffering from PCOS, on the other hand, face complexities with infertility. They even have higher chances of miscarriages. 6. Women with PCOD can still ovulate in a routine. They may have identical symptoms as PCOS, but they retain the strength to ovulate periodically and therefore, can conceive successfully. However, women with PCOS do not ovulate because of a serious hormonal imbalance that disturbs the ovulationprocess. In both cases, i.e., PCOD vs PCOS, taking a healthy diet that is free of processed and junk food, losing weight, and engaging in regular exercise, can show incredible improvements. It is imperative to catch the disease as early as possible to handle the damage with proper medication and lifestyle changes. If you are facing irregular periods, excessive facial hair growth, or acneitis advisedtogetyourselfchecked. 27
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  • 30. Malaysia has been popular for its healthcare tourism due to the affordable quality care for the peace of mind of healthcare travelers. However, the COVID-19 outbreak did disrupt the Malaysian Healthcare market. Prior to lockdown, the healthcare industry was booming particularly healthcare tourism in Malaysia and its surrounding. After the lockdown, the industry witnessed almost 40-60% down in the revenue. “Most of our customers' revenues were affected as patients were reluctant to go to hospitals and for those hospitals that their mainstream of income largely depends on foreign patients,” said Kenneth Kee, CEO at Origin Integrated Studios. Origin Integrated Studios is one of the excelling private healthcare technology provider for developing innovative and creative software solutions for Malaysia and its regions. It is one of the very few software development companies which focus on enterprise systems for the healthcare industry. Kenneth has leveraged his exceptional industry experience to craft the ground- breaking products along with a team of expert software developers. external mobile appointment system to facilitate the patients in direct online banking payment. Utilizing this exclusive offering from their end, patients can now make payment after teleconsultation for consultation services and medication to be delivered at their doorsteps. In addition to this, Origin is looking forward to launching the new services comprising of specialized modules for 'home nursing' and 'nursing home,' also known as the Assisted Living concept. Home nursing is not a novel service in the market however, currently, the demand for nursing services at home has relatively augmented. Consequently, Kenneth also anticipates a relative growth in this market vertical because of the COVID-19 outbreak. Furthermore, because of the lockdown and movement restrictions, the team adapted to the new norm of remote working. Kenneth and his team not just adjusted to remote working but were successful in finalizing an overseas project. “Now we have done it and we believe that it is possible for our business to grow across the border even without being there physically,” asserts Kenneth. Accurate and Efficient Product Portfolio Over the years, Origin has pioneered in its EMR services and gained popularity across the sector despite the competitors in the market. Origin Electronic Medical Record (Origin EMR) is the flagship product of Origin, along with the Origin Hospital Information System (Origin HIS). These two products have been crafted with over a decade of industry experience, and have high adoption rates amongst the doctors and nurses. The USP of these products has been its accuracy and efficiency. Origin's products are reliable and secure as they have been put on a stringent test by the hospital quality management team to be certified by an external auditor for hospital process flow. New Addition to the Product Range Apart from the flagship products, Origin did add few more services to its portfolio as the COVID-19 outbreak demanded a special approach. Due to the outbreak, several hospitals were forced to seek telehealth solutions to serve the patients from home which is reluctant to visits the hospital. Thus, Origin integrated its solutions to an Origin Integrated Studios Inspiring Aspirants to Make a Positive Difference 30
  • 31. A Wholesomely Trustable Leader A notable trait of a healthcare leader is to be trustable wholesomely in thinking ahead for patient safety at all times. Being a customer-centric organization, Kenneth has always retained customer satisfaction with the utmost importance. Kenneth's primary role is to lead the team in solving customer's problems and concluding to satisfactory outcomes. Under his supervision the team works closely with the customers, providing cost- effective solutions suitable for their needs. Likewise, offer on-going technical and consultancy support. Kenneth has been successful in building a reliable team that continually aims to grow. He adds, “As a team, we grow and face the challenges of modern times together.” Discovering New Strategies and Plans “As the COVID-19 situation was getting worse before the lockdown, I instructed all my staff not to come to the office and start working from home,” said Kenneth. However, few of the employees were still in the midst of implementing a project at the customer's site. Keeping the welfare of the team members as a priority, Kenneth halted all the on-site projects. Nevertheless, being an IT company remotely serving the clients—especially from the healthcare industry—was possible through the internet. The only challenge that the team encountered during the lockdown was the delay of the ongoing projects. “We were not able to conduct acceptance test and trial run in our preparation to go-live of our system as planned,” asserts Kenneth. After the lockdown was lifted, the company resumed its operations. Few of the personnel were reluctant to work given the fear and uncertainty. Thus, Kenneth gave these team members additional time to adjust to the new normal and be back to the office. Despite the lifted restrictions, the construction industry was still managing the effects of a slowdown which as a consequence affected the progress of building new hospitals, therefore, the team of Origin focused on R&D and clearing off backlogs. In the meantime, the team discovered new strategies and plans to adapt to the new normal. Kenneth believes that rather than mourning for the delayed projects and loss of business, it is better to catch up and move ahead of the competitors. He also adds a word of advice for the aspirants, “If you determine and resilient, you will find a way and get through it.” What could have been better? The healthcare industry has altered as compared to the traditional healthcare industry. Today, almost everyone is reachable using a smartphone. The developments in the mobile applications have been tremendous with each day thousands of app is being created across the globe. Reasoning these advancements', Kenneth believes that the mobile technology provider should have been more ready in assisting the government to fight the pandemic through introducing a national patient portal before even it turns into such a devastating state. Furthermore, he adds, “In the interest of national security and for the economy of the country, it makes economic sense for the government to enforce traceable movement of each mobile user and also lockdown only to those affected zones fast and effectively.” Kenneth Kee (CEO) We are committed in delivering excellent quality healthcare technology solutions,we aim to become a household brand in the healthcare industry. “ “ HEAL HCARE Most Advanced THE Solution Providers of 2020 31
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  • 34. WorldCare's S imply put, mission is to save lives. Over the past 26 years, the company has expanded its efforts to provide expert medical second opinions (MSOs) to members with critical and life threatening conditions around the world. Managing care for individuals with critical illnesses like cancer, autoimmune disease, and cardiovascular disease involves complexity due to the manner in which these diseases affect the human body, and the variety of co-existing conditions that can be involved. While critical illness cases represent only 5% of medical cases, they account for nearly 95% of healthcare costs and require highly specialized medical care. Gaining access to an expert medical opinion can be advantageous for critically ill members who want verification of their diagnosis, insights on treatment plans, and more information about their personal condition before making medical care decisions with their local physician and family members. According to Founder and CEO, Dr. Hassan Sharif, dealing with chronic and complex ailments such as cancer requires a multidisciplinary approach to bring all stakeholders together to exchange insights and experience to treat not just the disease or tumor, but confirmation and more information. Often, they will face lengthy wait times or may have to travel significant distances for appointments. WorldCare connects these two worlds for its millions of members around the globe. The company pioneered the usage of digital file sharing and advanced telecommunication to the whole patient. The WorldCare ® Consortium teams review patient cases including all medical records, radiology images, pathology reports, and diagnostic tests. Although the patient is not physically in front of the specialist team, the team has all the information needed to review the original diagnosis and treatment plan, make necessary adjustments, and provide a recommendation for the patient's optimal course of action. Availing an Expert Second Opinion Dr. Sharif notes that the billions of dollars spent annually on research to improve care for critical illnesses has created centers of highly specialized knowledge within renowned medical research institutions in the U.S., many of which are part of The WorldCare ® Consortium . Specialist teams at these institutions see hundreds of cases a year for their specialty and are best equipped to review and opine on new patient cases. Such insight and research is not readily accessible for most patients ― or their local physicians ― in the U.S. or in other countries. When an individual receives a devastating diagnosis for a critical illness such as cancer, they are typically referred to specialists for WorldCare Providing the Gold-Standard of Medical Second Opinions Around the World Dr. Sharif On Leadership “Future leaders within healthcare need to adopt innovative technology continuously. AI can harness the vast array of healthcare data, but the multi-disciplinary teams and their expertise can uniquely generate tremendous value for patients, physicians, and population health when it comes to effectively addressing critical illnesses.” 34
  • 35. enable members to get an expert Medical Second Opinion (MSO) for critical illnesses or life threatening conditions within two weeks without the need for travel. WorldCare's MSO service covers over 100 chronic illnesses across 15 categories including neurology, immunology, cardiovascular diseases, musculoskeletal disorders and more. Members interact directly with a WorldCare Nurse Case Manager who supports them throughout the process with empathy and care. Upon completion of the MSO, the member and their local physician receive a digital copy of their personalized WorldCare MSO Report detailing insights on their diagnosis, health condition, and recommendations for optimal treatment. Saving Lives Globally Dr. Sharif's passion to save lives by improving access to highly specialized medical experts for physicians and patients across all seven continents has fuelled WorldCare's growth. Today, the WorldCare team includes medical directors from around the globe, 16 renowned institution providers in The WorldCare ® Consortium and a management team focused on international growth. He also emphasises the need to focus on overall patient wellbeing as opposed to focusing on just symptoms, or a particular disease. He also sees a greater role for nurses in patient care of the future. According to Dr. Sharif, building rapport, understanding fears, and concerns of patients will be essential for supporting patient recovery. His views are in line with recent FDA approvals for therapy to support treatment of critical illnesses like cancer. While traditional healthcare continues to focus on the treatments aimed at the body, growing voices from experts like him can help change the mind set in the healthcare industry. Operating Remotely during COVID-19 During COVID-19, Dr. Sharif has been bullish about the company's future. He explains, “Today, our operations span 5 continents, with millions of members around the world. We are adept at utilizing state-of-the- art digital, and video-based tele- health technologies to bring our expertise to members and their physicians wherever they live. So, for us, this is business as usual.” The future of WorldCare seems promising as they build more partnerships with corporations, insurance companies and other entities to grow membership and save more lives. Recently they have added additional specialty MSOs to cover mental illness, disability, pain management and in January 2020 they added MSO coverage for complications of COVID-19 for its members. Our expert MSOs for critical illnesses have helped thousands of members and their physicians confidently initiate treatment that saves lives. “ “ HEAL HCARE Most Advanced THE Solution Providers of 2020 Dr. Hassan Sharif (Founder & CEO) www.worldcare.com 35
  • 36. Trends In The Healthcare Sector 6 he rage of the pandemic has considerably affected industrial sectors in 2020. The impact being ranked on a 5-point scale, one of the most disrupted in the healthcare industry in 2021. A score of 4 spelling 'major impact' has been given to the healthcare industry, where technological advances are the most required in this demanding age. Mental health has also suffered a great toll during the pandemic. According to a survey by PwC's Health Research Institute (HRI), 32% of the surveyed Americans had suffered from depression or anxiety due to the lockdown. Key trends like artificial intelligence, augmented and virtual reality, and smart medicine have all been diverted towards fighting COVID-19. Technological innovations are presently sought by increasing numbers of healthcare personnel in view of preparing for more challenges to come in the healthcare industry in 2021. Below are the 6 trends in the healthcare industry in 2021: 1. Virtual Health Care The arrival of COVID-19 has boosted virtual healthcare. The American Telemedicine Association was founded in 1993. Yet prospects of telemedicine becoming mainstream seem bright only with the rise of the COVID-19 pandemic. As of April 2020, 43.5% of primary healthcare visits made use of telehealth methods rather than in-person interaction. While monitoring patients' health from a safe distance, doctors can also be sure of preventing possible infection. It allows medical professionals to accommodate several appointments in their busy schedules. The prospects of virtual healthcare seem promising. In the United States, 71% of the patients considered telemedicine at the beginning of the pandemic, and 50% had already used virtual appointments. The number of virtual visits has skyrocketed during the pandemic and is estimated by Forrester analysts to hit one billion by the end of 2020. Business organizations have taken it well with about 95% of US employers resorting to virtual health care. Telemedicine apps are the provider of strong telehealth services. An important technology operating behind these apps is WebRTC - an open- source API based system to connect web browsers with mobile applications. Patients are supported by features like text and video chat, screen sharing, and file transfer. Electronic Health Records (EHR) aid in effective communication between patients and health workers through medical records in the app. Doctors can send digital messages to patients via the Interactive Voice Response (IVR). A patient's health history is also tracked by applications like Google Fit and Apple HealthKit. T HEALTHCARE POST-COVID-19 36
  • 37. 2. Artificial Intelligence against COVID- 19 The use of artificial intelligence has greatly helped out in flattening the curve by aiding in crucial areas like pandemic detection, vaccine development, thermal screening, analyzing CT scans, and so on. Tom Knight, CEO of Invistics, predicts that the healthcare industry in 2021 will see the benefits of machine learning. In the detection of the coronavirus pandemic BlueDot, a Toronto based AI application has excelled. It consults over100, 000 media sources in more than 65 languages. The AI was the first to publish a paper that predicted the spread of COVID-19. It makes use of a range of threat vectors like insect and animal populations, global and regional climatic conditions, flight data and itineraries, and others. The smartness component would be accelerated with the growth of AI. Kimberly Powell, vice president, and general manager of NVIDIA Healthcare predict that hospitals will get “smarter”. Activities can be regulated and tracked by smart cameras and smart speakers. Machine learning has made great strides in the immunology field. With its help doctors can more effectively identify viral fragments that can elicit a response from the immune system, thus paving the way for a good vaccine. Intelligent machines can help in creating prediction tools for the effective use of resources in the healthcare industry in 2021. Artificial intelligence has brought efficiency in swiftly screening several people all at once and detecting those with high temperatures via non- contact infrared thermometers. A similar efficacy is visible in facial recognition technology and CT scan analysis. Robotic and autonomous healthcare is also on the rise especially due to the pandemic. These assistants would work in hospitals and also in patients' homes. Companion robots are being introduced in old age homes in the UK, and be successful in alleviating symptoms of loneliness and social isolation. 3. Genomics and Gene Editing Gene editing is a phenomenon that allows experts to manipulate traits that are inherited by new living cells. These traits or phenotypes determine the cell's survival factor. By influencing these phenotypes through techniques like CRISPR-Cas9, 37
  • 38. The art of medicine consists of amus patient while nature cures the dise “ scientists have advanced in treatments to some deadly diseases including Duchenne muscular dystrophy, heart disease, and cancer. Further successful leaps in this field have led to prospects of a form of treatment called “precision medicine”. The drug would be made according to the genetic profile of an individual, thus making it more effective. 'The lab on a chip' is a handheld device that has made detection of the infected more convenient. It does not rely on precarious factors like temperature changes or coughing. The UK start-up Tropic Biosciences has come up with a few innovative methods to ensure good health. It has produced caffeine-free coffee beans to cut down on the cost and effort spent on decaffeinating normal beans. Bananas that are resilient to diseases have also been turned out. This could help the fruit industry keep more of the huge amount it spends on fighting disease. 4. Securing Healthcare Industry in 2021 The Health Insurance Portability and Accountability Act (HIPAA) acts to stem possible breaches of secure and remote communication between doctors and patients. Some telehealth technologies do not entirely comply with this act which compromises patient privacy. The regulations to secure Protected Health Information are very strict and abiding by them can be difficult. As ePHI data must be transmitted in structured formats, securing information shared through remote doctor calls is not easy. Beyond the HIPAA, the General Data Protection Regulation must be considered in order to secure personal data from European Union citizens. Patient data will be shifted to cloud-based EHR platforms for better care coordination in the healthcare industry in 2021. Healthcare providers would be able to reevaluate the overhead costs of managing IT infrastructure. 5. Enhanced Forecasting Systems Once medical professionals develop better methods to foresee the future, the healthcare industry in 2021 can effectively avert calamities. Instead of analyzing medical claims or behavioral trends in the last 30 days, health institutions need real-time insights to create their forecasting systems. The pandemic has prompted health organizations to draw clearer pictures instead of taking advantage of existing data. The forecasting sensors can be used to economize the routine of health professionals, thereby saving both time and money. Community enterprises will play a great role in tracking the social determinants impacting community health. Health information exchanges can accelerate the generation of data for better 38
  • 39. sing the ease.” forecasting technologies in the healthcare industry in 2021. 6. AR/VR/MR in Healthcare Virtual and Augmented Reality seems to emerge right out of a science fiction novel. With a purpose to help people with motor deficiencies, it has great potential to improve telehealth in the healthcare industry in 2021. By putting patients in need of physical therapy in simulated environments, therapists can gather more data to create better care plans for their patients. Individuals who have dementia or cognitive impairments have got access to VR headsets at Maplewood Senior Living, Connecticut. They enter environments otherwise almost impossible for them to visit. It may help unlock memories or improve one's emotional well-being. Augmented reality has aided health workers by making information available in 3D space in a doctor's or surgeon's vision. Students can learn about procedures through overlays and doctors can swiftly compare data to make diagnoses. The future of augmented reality depends strongly on its use in the healthcare industry in 2021. The Healthcare industry in 2021 will have to economically balance virtual and in-person medical care. Medical professionals have amped up their hopes for a less eventful 2021 with a healthcare industry geared towards better, cheaper, and more equitable care. 39
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  • 43. OFESSION WITH BUSINESS SCAN & GET INSPIRED, STAY UPDATED WITH ALL THE BUSINESS WORLD BUZZ WITH MIRROR REVIEW MAGAZINE