Aug 11

Seattle as a Healthcare Hub: Finding Talent

According to a study from the University of Washington, “Humans get smart by being around other smart people.” The study describes this trait as the way in which Seattle is currently transforming itself into a hub of human capital, as educated individuals with talent and creativity have been moving into the city for decades. This influx of knowledgeable and skilled individuals is an absolute plus for those interested in achieving innovation and change.

This is the third in a series of blog posts in which we are contrasting Seattle’s health startup environment with other leading hubs for health and life science innovation. Each of these posts focuses on a different location evaluation criterion, including the cost of doing business, the availability of investment, and  this week it’s about the availability of talent-  the human capital of startups.

The purpose of this series is personal, rather than to create yet one more “top 5” lists. We’re both working on our digital health startups and we are open to locating anywhere in the world that helps us be more successful. While we’re fond of Seattle, our mission is not to promote Seattle. It’s about succeeding in our startups, both of which have co-founders in other major health hubs.

IMG_7319 2(Pictured: Sean Bell of Arrivale discusses scientific wellness at the Seattle Health Innovation Forum on Precision Medicine, July 2015)

Innovation Happens at the Edges

Just as sparks fly between positive and negatively charged bodies, the juxtaposition of disciplines and industries can produce new insights leading to innovative breakthroughs. The Pacific Northwest in the past 20 years has attracted talent to fuel its need for highly skilled, creative people in these sectors:

  • Life sciences
  • Software development
  • eCommerce and Cloud services
  • Aerospace

Seattle is listed  as one of the top 10 life sciences clusters in the United States, according to the 2014 survey by JLL’s Life Sciences group. According to the Washington Biotechnical and Biomedical Association, 567 life science companies and over 34,000 individuals are directly employed in this segment averaging over $83,000 in salaries (compared with an average $53k in WA).

While that is good news for Seattle, it is worth observing that Boston is #1,  San Francisco is #2, and San Diego is #3, Raleigh/Durahm 4th, and the New York/NewJersey megalopolis 5th in that same list of life science clusters. Seattle ranks only 10th on that list. The industrial diversity in Seattle is competitive with these cities, but is not unique. Seattle has unique qualities that we’ll get to in subsequent posts, and is competitive, if not leading, in accessibility of world-class human talent.

Washington state has 90,000 software developers, which are some of the highest paid jobs in the state. Tech employees have a median salary between $100,000 and $140,000 per year, according to the a recent study by the Washington Technology Industry Association.

The Seattle tech knowledge-base has been growing via significant hiring by such new economy leaders as Amazon, Facebook, Google, Tableau, Expedia, Juno Therapeutics, and others. The major players in the rapidly growing cloud computing industry are concentrated in the Pacific Northwest, with Microsoft, Google, and Amazon’s cloud technologists all located in the metro Seattle area, and with low-cost, clean hydro-electric powered data centers in Eastern Washington. Greg Gottesman, of the Madrona Venture Group was quoted in Geekwire as saying “the Pacific Northwest has had an incredible influx of engineers, some to startups and many to bolster the engineering offices of companies that aren’t headquartered here like Google and Facebook,” said Gottesman. “If you believe as I do that top technical talent is the lifeblood of successful startups, I think the trends are very favorable for our region over the next decade.”

The Aerospace industry is a long-time anchor of Pacific Northwest industry. While Boeing has moved its headquarters to Chicago and many of its manufacturing and engineering functions to other parts of the world, others are stepping in, such as Esterline Technologies, Crane Aerospace, Aerojet, Electropact, and others. While the relevance of these industries to health innovation may at first appear remote, the presence of such advanced high-tech companies creates a population of well-insured and educated patients. Healthcare delivery systems in most metro areas must compete to improve quality and reduce costs for self-insured employers.In Seattle this results in fierce competition among delivery systems to maintain an edge. Greg Marchand, Director of Benefits Policy and Strategy for the Boeing Company at a Health Collaborative forum in December 2014. He described their efforts to better manage their $2 billion in annual employee healthcare expenses. The Boeing Accountable Care Organization has created a more competitive model and Boeing has also invested in their own health analytics group to measure improvements.

Health Meetups Compared

We’re seeing this cross-industry innovation interest in the membership growth of the Seattle Health Innovation Meetup, founded two years ago.  The group has experienced net growth of 63% in the last 7 months, currently around 850 members, with event attendance between 80-100.

Screen Shot 2015-08-11 at 11.07.43 AM

The membership growth in the Seattle Health Innovators can be a useful proxy for the engagement of the community supporting health innovation. While larger than the Boston Health 2.0 chapter, we are still smaller than similar groups in other cities in absolute numbers.  The San Francisco-based Health Technology Forum is 2 years older and has 3,439 members, of whom around 150 attend the meetings. The New York City Health 2.0 chapter, founded 7 years ago, has 4,542 members (events draw 73-150).

High in Education Capital

Seattle is also one of the top ten US cities with the largest population of college graduates, making it a destination for educated individuals who are more likely to produce new ideas in every field (CityLab). The city also has a considerable community of individuals going to school in health-related fields The  University of Washington’s Seattle campus had an enrollment of 44,158 in 2014, with 240 new students admitted to its reputable medical program every year, and “the Department of Medicine is comprised of 14 Divisions” for hundreds of students working to receive degrees in the field (University of Washington). We also have Seattle University (7,560 students), Seattle Pacific University (3,891) and a variety of community colleges offering health and technology related training.

City-wide Analysis: Seattle and Health Care

Seattle may not yet be at the level of some the other major cities that have become innovation centers for health and medical care, but it is on its way. Advisors and educated individuals inhabit the city while a large population of young, health-conscious people also flock there. It is beneficial to remember Seattle’s potential and for those who are hoping to create and invent new possibilities in the field to consider making Seattle their creative nucleus. More than anything else, the city’s human capital is especially well suited for this type of work, making it a perfect place for innovators, dreamers, and hard workers to create the next big change in healthcare.

IMG_6982

Density matters.  Seattle is compressed between Lake Washington on the east and Puget Sound, making it a walkable downtown, similar in that respect to San Francisco and New York City, only smaller. The high technology companies east-of-Lake-Washington in the communities of Bellevue, Kirkland and Redmond are within a 30-40 minute bus ride from downtown Seattle of the U District.

Considering Making a Move to a Health Innovation Capital?

Seattle’s health startup community has access to world-class human talent in one of the major hubs of technology and health innovation. If you are looking for a way to share new and big ideas with other like-minded individuals, consider the Emerald City. Our next blog posts in this series will compare the health institutions in the area with other cities, and the culture of innovation.

Authors:

Angela Hong, CEO Healthy Beeps

Angela Hong

Ed Butler, CEO, Videris Health

FullSizeRender

Jul 24

Seattle Health Innovation Forum on Precision Medicine July 29th

In the July 29th Health Innovation Forum we’ll hear from leaders from two Seattle-based firms on the forefront of this revolutionary approach to health.  Precision Medicine is defined by the NIH as “ an emerging approach for disease treatment and prevention that takes into account individual variability in genes, environment, and lifestyle for each person. “ 

This is the summer networking event of the Seattle Health Innovators, an independent grass-roots community of people interested in transforming health and health care. RSVP here. There is a $10 registration fee to cover the catering of hors d’oeuvres and beverages.

Our speakers will describe their work, followed by an interactive dialog with the audience. We will talk about opportunities at the intersection of life sciences with educated and engaged citizens/patients.

Sean Bell, MBA, is the Chief Business Officer for Arivale, a startup founded by Lee Hood. As reported in Geekwire, Arivale describes itself as “a revolutionary new wellness company combining cutting-edge science, an intimate and unprecedented view of your body, and personalized coaching to help you achieve your unique wellness potential”.

Sean managed the day to day operations of the 100K Project of the Institute of Systems Biology until it became Arivale. It creates an “N-of-1” health data cloud based on an individual’s genomics, metabolomics, microbiome, and “quantified self” metrics. Prior to working with ISB Sean held a senior leadership role in Alere Wellbeing.

Michael Kellen, PhD., leads the technology development team for Sage Bionetworks, a non-profit biomedical research organization founded by Stephen Friend.  Sage Bionetworks is dedicated to developing data-driven methods to improve human health, and has a strong focus on building open systems and networks of individuals that can collaboratively solve complex scientific problems.  They have recently established a program to gather real-time medical information from citizen/patient communities through mobile devices, participating as a launch partner for Research Kit with Apple and other medical centers.

Michael completed a PhD at the UW in 2002 with a focus on computational biology and helped start local bioinformatics company Teranode before joining Sage Bionetworks. His work centers on how technological advances in technology areas such as smartphones and cloud computing can accelerate biomedical research.

Agenda

5:30-6:00 Networking, food and beverages

6:00-6:15 Community Announcements

6:15-7:00 Precision Medicine Speakers and Discussion

7:00-7:30 Networking, individual Q&A with speakers

 

The venue is at the Cambia Grove, 1800 9th Avenue, 2nd floor, Seattle, WA 98101.

To RSVP please click here: http://www.meetup.com/Seattle-Health-Innovation-Forum/events/223664522/

 

Jun 29

Where are the best cities for health startups to get financial capital?

 

 

Angela Hong

 

By Angela Hong, June 29, 2015

This post is part of a series that compares Seattle with other cites using these criteria for what it takes for an area to become a health innovation hub:

  • Cost of doing business / regulatory complexity
  • Talent availability
  • Financial capital
  • Health institutions one might work with
  • Regional culture / quality of life

Our last post compared the relative cost of doing business in Seattle. Seattle falls squarely in the middle compared to the other cities in our sample (Boston, Chicago, NYC, and SF). In this article, we’ll explore how Seattle fares in financial prowess.

In 2012, Seattle was ranked 9th in the top 10 best U.S. cities for business by ThinkAdvisor and also named the “29th most competitive city in the world.” In 2014, it jumped to 4th on Forbes‘ list of “best places to launch a startup.” While many factors make a city favorable to entrepreneurs looking to invest in new health products, financial capital is one of the most important. Its presence in Seattle is helping to make the city an up-and-coming hub for innovation, especially in the field of health.

Who’s Investing?

Compared to other large cities, Seattle is becoming more well-known for its ability to draw ingenuity through financial capital. Exhibit A below shows that the number of angel investors in the city rival those of other major metropolitan areas: such as New York City, San Francisco, Chicago, and Boston. While New York and San Francisco currently outnumber most cities in local angels—at 1221 and 2163, respectively—Boston’s 397 seems reachable for Seattle. The Emerald City, as shown in this Angel List report, has 277 individuals who provide start-up capital for businesses, and this number is even greater than that of Chicago, which currently stands at 271.

This places Seattle in the running with major healthcare innovation hubs. And if the city’s number of investors begins to increase, a rise in healthcare-specific investors at the current rate would put Seattle level with well-established cities in terms of financial capital available for healthcare-related businesses.

Angel compare

Exhibit A: Angel Investor Comparison

Follow the Money

According to this Angel List data, eighty million dollars were invested by Seattle’s angels investing in health startups.This is lower than the other cities in our survey. The highest amount is spent in San Francisco at $1.04 billion and the second lowest is Chicago at $150 million.

Seattle: Financial Capital Overview

While Seattle has many fine qualities which make it an ideal business start-up city, it may not be thought of as a top health innovation hub in the way New York City, San Francisco, Boston, and Chicago are currently perceived. However, with rising numbers of angel investors interested in funding health-related businesses and the amount of financial capital for healthcare innovations already in motion, the city and its resources should be considered by those looking to make a difference in the medical field via creating new products, ideas, and business.

 

About the author

Angela Hong is a co-founder and CEO of Healthy Beeps She moved to Seattle from Boston in 2014 and is leading the Health Startup Location Attractiveness project.

Jun 17

Where are the best cities for Health Startups?

Deciding where to locate a health startup company often comes down to one question: where are you? Yes, there’s no place like home, but is this the best way to geographically locate your fledgling enterprise? With the odds of founding a successful health startup already stacked against you, why not pick a place where your chances are a little better than they might otherwise be?

As described in our January 2015 and March 2015 posts, the Health Innovators are conducting a quick, unscientific, but structured comparison of 5 cities: Seattle, San Francisco, Chicago, New York City, and Boston along several variables:

  1. Cost of doing business / regulatory complexity
  2. Talent availability
  3. Financial capital
  4. Health institutions one might work with
  5. Regional culture / quality of life

Please participate in this study by taking our Health Innovation Location Attractiveness survey.

Today’s post focuses on the cost of doing business in each of these comparison cities. Future articles will explore the other 4 criteria.

After reviewing state and local government websites for the costs of setting up new companies, we found minor differences in the fee schedules for business licenses and formation of business entities. We found that the complexity of the corporate registration process and business licensing did vary significantly, with Seattle as the easiest, and New York City and San Francisco as the most baffling. California’s $800/year tax on LLC’s is certainly a disincentive, and New York’s antiquated requirement to publish professional LLC formation announcements in 2 newspapers can cost upwards to $2,000.

Office space is another area where we found some differences in our benchmark cities. Using the monthly rate for a private office in a co-working space as a proxy for office space generally we found that an office in Seattle was $100 to $200/month less costly than the comparison cities. A private office at We-Work in Seattle is $500/month, and is $700/month in New York City and San Francisco.

cowork cost

That, of course, raises a more personal question- how much income does one need to live in these cities? As a proxy for cost of living we used the CNN Money Cost of Living Calculator.

cost of living

For the ease of comparison, let’s assume we pay a software engineer $100,000 in Seattle. For an equivalent lifestyle in Chicago, that would only require $92,000. In Boston, $108,000, San Francisco it takes $131,000, and in New York City it would require $175,000 for the same lifestyle that $100,000 affords in Seattle.

Finally, we looked at the KPMG 2014 Competitive Alternatives Study index for comparing the overall cost of doing business. All 5 of our benchmark cities are in the top 10 most expensive cities in which to do business.

codb

According to this analysis, Seattle (101.4) is right in the middle, roughly tied with Boston (101.1), and significantly more than Chicago (99.1). Not surprisingly, New York City (103.6) and San Francisco (104.2) are nearly tied for the most expensive places to do business not only of these 5 comparison cities, but of all 31 US cities over 2 million in population. For comparison, the least expensive city for doing business in this KPMG report was Atlanta (94.7). Perhaps in future comparisons we could include Atlanta, Washington/Baltimore, and San Diego as contenders.

So who wins? It’s not just about the cost of doing business or the hassles of setting up a company. The other factors- human talent, financial resources, startup culture/quality of life, and health institutions with whom startups can collaborate and pilot their innovations will all be reviewed in upcoming posts. Stay tuned! Let us know what you think in the Health Innovation Startup Location Survey!

 

FullSizeRender

Ed Butler

CEO, Videris Health LLC

May 06

Population Health Management Innovation Forum

The June 2, 2015 Seattle Health Innovation Meetup will focus on Population Health Management Innovation and will be held at the Cambia Grove in downtown Seattle from 5:30-8:00.

So what is Population Health Management (PHM), and how is innovation driving improvements in its practice?

PHM can be defined as managing the health outcomes of a group of individuals, where medical care is only one of many factors that affect those outcomes. Other factors include public health interventions, aspects of the social environment (income, education, employment, social support, and culture) and of the physical environment (urban design, clean air and water), genetics, and individual behavior.

At the provider level, the Care Continuum Alliance has proposed defining PHM as having three core components:

  1. Central care delivery and leadership roles of the primary care physician
  2. Critical importance of patient activation, involvement and personal responsibility
  3. Patient focus and capacity expansion of care coordination provided through wellness, disease and chronic care management programs.

The Institute for Health Technology Transformation (iHT2) outlines PHM principles and best practices as:

  • Planning for population health
  • Data collection, storage, and management
  • Population monitoring and stratification
  • Patient engagement
  • Team-based interventions
  • Outcomes measurement

Agenda:

5:30 – 6:00                Networking, food, refreshments

6:00 – 6:15                Community announcements

6:15 – 6:30                Key Note: PHM and Innovation

Speaker: Wellesley Chapman, MD, Group Health Medical Director, Innovation & Development

 6:15 – 7:30                Moderated Panel discussion and audience Q&A

Panelists:

  • Wellesley Chapman, MD, Group Health Medical Director, Innovation & Development
  • Angela Marith, Group Health Director, Population Health Management
  • Martin Levine, MD, Iora Primary Care Medical Director
  • Shawn West, MD, Premera Medical Director of Provider Engagement

Topic: How is PHM being performed and what innovations, current or prospective, are needed to improve its practice?

7:30 – 8:00          Networking

 

Event Registration

We hope you can attend and we encourage you to bring your colleagues. There is a $10 registration fee to cover our costs for food and beverages (refundable up to 1 day before the event). Please RSVP at this link if you can attend, so that we can place the catering order. We look forward to seeing you at the Cambia Grove!

Population Health Management Innovation Forum Planning Team:

  • Kathryn Brown
  • Scott Kennedy
  • Chelsea Steinborn
  • Randy Wise

 

 

Apr 08

Regulatory monsters like to eat new biotech companies

The April Seattle Health Innovation Forum features networking at the University of Washington’s CoMotion Incubator with recent UW biotech spin-off companies and members of the Seattle health innovation community.

Regulatory monsters like to eat new biotech companies

Thursday, Apr 16, 2015, 5:30 PM

CoMotion Incubator, Fluke Hall,Suite 300
4000 Mason Road Seattle, WA

59 Health Innovators Attending

Health startups increasingly combine digital health, wearable/implantable biotech devices, and pharmaceutical-relevant data. Having a regulatory strategy is no longer just a “nice-to-have” for people working to transform healthcare. Join University of Washington CoMotion (formerly known as the Center for Commercialization, or C4C) and UW Profession…

Check out this Meetup →

This is a great opportunity for Seattle-based health startups and others interested in health innovation to meet and connect with startups and other resources at the UW. We’re all trying to break down the silos, so please join us.

Panelists will include executives from 3 companies that recently spun out of UW’s CoMotion Incubator: Deurion, Stasys Medical, and M3 Biotechnology. It will also include regulatory experts who will provide insight and context for companies starting down that pathway.

The agenda will feature networking prior to and after the panel discussion.  There is no charge for this event but an RSVP is required at this link so that we know who to expect and can order refreshments.

 

Mar 12

Where are the hottest health innovation cities?

Angela Hong briefs the Seattle Telehealth Forum on the Location Attractiveness Survey, March 5 2015.

Angela_update

We, Angela Hong and Ed Butler, are co-founders of separate early-stage digital health startups and as a project of the Seattle Health Innovation meetup group, we are conducting a “location attractiveness” study to help determine where our new companies will be based. Yes, we love Seattle, but we want to be objective about it.

This is an exciting time to be in this field. The decision as to where to locate our early stage operations is not easy. We would like to take a systematic look at the most attractive metropolitan areas in the US for establishing and growing a new digital health startup. We have just begun this process and will provide updates via this blog on our progress. Where do you think the hottest health innovation cities are?  We intend to find out.

With digital health investments reaching $4.1 billion in 2014, there is no question that the healthcare sector is ripe with opportunity. Unlike the glacial pace of change in health reimbursement and big-iron electronic health record systems, the 2014 spike in digital health investment is new and it is rapid. The top six categories, representing 44% of 2014 digital health investment are analytics/big data, healthcare consumer engagement, digital medical devices, telemedicine, personalized medicine, and population health management.

This study is being conducted from the standpoint of early stage digital health startup entrepreneurs. While we have worked within large healthcare organizations, consulting firms, and health IT vendors, we’ve learned to appreciate the difference between what is relevant for a big company and a startup. One of the first tasks we set for ourselves was to identify the criteria to use for assessing whether a city would be a good place to start a digital health venture.

AngelaChelseaEdcropped

      Angela Hong, Chelsea Steinborn, Ed Butler at the Seattle Health Innovation Forum on Telehealth

The criteria we have decided to use to objectively assess different metro areas for suitability are as follows: regulatory environment, talent, financial capital, institutions and the regional culture.

Regulatory Environment: In order for entrepreneurs to want to incorporate or even set up shop in a particular location, the ease of forming the business is important. How hard and expensive is it to form a company? Are there any state or local laws that make it easier or harder to build a digital health product? Is this a location where we have to spend more of our precious startup funds on lawyers?

Talent: Startups cannot compete head to head with large companies on salaries, benefits, and, arguably, job security. It takes a certain mindset to offset the risks and low salaries of startups with the opportunities to work on something truly meaningful, and to have a chance of a windfall when the successful exit event occurs. It takes a certain population density to create a critical mass of  skilled designers, engineers, health professionals, behavioral and life science researchers, marketing, sales professionals who are ready for this kind of a ride. Diversity is also crucially important in building cohesive and productive teams.

Financial Capital: Like most other types of startups, having access to financial capital whether it’s via venture capital or the angel community is extremely important. Unlike other industries, healthcare administration is inherently a harder industry to understand due to complex regulation and legacy institutions. The accessibility of investors whose investment strategies include the health industry is a rare resource and could make a difference in startup location attractiveness. It’s not just the money- we need savvy investors with whom we can gain market insights and key connections. Being 30 minutes away from a face to face meeting reduces friction and accelerates progress and accountability.

Institutions: Most healthcare startups need to form development partnerships and early adopter agreements with   large health organizations for testing or piloting their product. Such institutions may include hospitals, payer organizations, pharmaceuticals, and life science research institutions. This is a big opportunity but also can be a pain point for many startups because of the predilections of too many institutional decision-makers to work only with “safe” name-brand corporate suppliers.

Regional Culture: Perhaps one of the more important criteria is a startup-friendly culture. Being in a location where startups thrive and can support each other can be a powerful advantage. How open and friendly is the startup culture in the metro area?  Is it cut-throat competitive? How likely is it that other companies will poach your team? Typically startup entrepreneurs need help or advice when building their company and what better way to get help or advice if your neighbor sitting next to you at the coffee shop can provide that guidance. Quality of life for our teams is critical to being able to recruit the best people. Despite the hype around startups, it is not all about late night sprints and cold pizza. Living in a beautiful area with diverse cultural resources (museums, concerts, parks) and the ability to maintain a healthy lifestyle and to build relationships all contribute to building a sustainable team and an amazing company.

We are interested in what you think.  What do you consider important when determining what city you want to live in?  What do you think are the top health innovation cities in the US?

 

 

 

 

 

Feb 24

Meet the people behind your telehealth screen

Telehealth is a rapidly growing market opportunity that can improve the patient experience, lower costs, and improve quality of care on a global scale. The Seattle Health Innovation meetup, March 5, 2015 from 5:30pm-7:30pm, will feature a panel of experts on Telehealth implementation, including smartphone apps for patients with chronic diseases and video technology for primary care visits with medical providers. Hear from these innovators on how they work with care delivery systems to introduce new care models enabled by technology. Find out about the analytics they use to measure success and what they have found to be key issues.

Light food and beverages will be served to facilitate networking before and after the panel. This is a grassroots effort and there is a $10 registration fee. To register, please click here.

This meetup will be held at the Cambia Grove at 1800 9th Avenue, Seattle WA 98101 on the 2nd Floor.  Please arrive before 6:00pm because the doors lock. After 6:00pm you can only get in by walking down into the underground parking deck and take the elevator to the 2nd floor.

It is in the same building as Regence Blue Cross on the corner of 9th Ave and Howell Street.  For more information about this new hub for health innovation in Seattle see the Geekwire article from last October: “New ‘Cambia Grove’ health-care innovation center in Seattle will link tech startups with big players”.

The Seattle Heath Innovation Meetup is comprised of individuals interested transforming health and healthcare. It was started in 2013 by leaders from Seattle-based health startups and welcomes individuals from healthcare delivery systems, payers, research organizations, universities, investors, and the community at large.

The program will include brief presentations and a panel discussion with these health leaders:

Fareeha Siddiqui, MD, MPH is the Director of Research and Innovation, Global to Local, an innovative non-profit formed by Swedish Health Services, the Washington Global Health Alliance, HealthPoint, and Public Health Seattle & King County to serve residents in the SeaTac/Tukwilla area.  This area has more than 70 ethno-linguistic groups and twice as many people living below the federal poverty level and far higher mortality rates than the rest of King County. It offers a unique opportunity to work with populations relevant to Seattle’s global reach.

FareehaSiddiqui

Dr. Siddiqui directs the Global to Local Mobile Health Project, which focuses on the development of cost-effective remote monitoring, sustainable health promotion interventions, and improvement of healthcare delivery.  She will update us on a mobile health pilot to help people with diabetes.  She was one of 6 doctors to win Seattle Magazine’s Top Doctors: Community Service Award in 2013.

Julie Maas, MBA  is the Director of Client Integration at CarenaMD. 

Carena is a new and growing Seattle-based company that provides telemedicine solutions including a Virtual Clinic staffed with employed 24/7 “Virtualists” and an operations team that can get a system live in 90 days or less. Carena has implemented its Virtual Clinic Offering with several leading healthcare delivery systems, including UW Medicine and Franciscan Health.

JulieMaas

Julie’s team implements the technical and operational aspects of these solutions. She works directly with healthcare delivery systems to include the Virtual Clinic.  Her career spans 10+ years of life sciences and non-profit experience in a wide range of projects and roles, including development of telemedicine initiatives while at the UW Center for Commercialization.

 

ChristiMcCarren

Christi McCarren, RN, MBA is the Multicare Vice President of Retail Health and Service Lines. Multicare is a not-for-profit integrated health system with more than 10,000 employees and a comprehensive network o services throughout Pierce, South King, and Kitsap Counties.

Poore

 

Steve Poore, MD is the Medical Director of the Multicare Women’s Service Line.

Christi and Dr. Poore will be speaking to us about MultiCare’s OB CareConnect program–where OB care alternates between virtual visits with a MultiCare nurse practitioner (ARNP) and scheduled visits with the patient’s MultiCare obstetrician at his or her office. The program conducted over 400 visits in 2014, including a patient in Mozambique.

 Chelsea Steinborn, a current graduate student at the University of Washington, is facilitating the panel discussion.  Chelsea has worked as Senior Product Engineer at Medtronic, a $27 billion medical technology and services company.

ChelseaSteinborn

Chelsea will complete her Masters in Health Administration at UW in May 2015. She has focused on telehealth and innovative care delivery throughout the program and during her current internship at Virginia Mason. Chelsea will get the conversation started with the panelists and then facilitate audience questions and answers.

The meetup starts at 5:30 with networking and refreshments. After community announcements will be the panel discussion and at the end will be an opportunity to talk with other meetup participants.

To register, please click here.

Posted by Ed Butler, digital health entrepreneur and co-founder of the Seattle Health Innovation Meetup.

Ed-at-meetup.png

To join this meetup group and get future event notices, click here: http://www.meetup.com/Seattle-Health-Innovation-Forum/

Jan 21

Seattle as a Health Innovation Hub: Why Not Us?

Seattle12a

In terms of healthcare innovation hubs, cities such as San Francisco, Boston, Chicago or NYC typically come to mind but rarely does Seattle break into the top 5 names in the list. Why not? Seattle (and Portland) has access to world-class academic institutions, top tier human capital talent and major powerhouses in the technology industry. The 2014 Rock Health Funding Report shows surprising news that Portland-based Cambia Health was becoming a major player in digital health investment. Having access to financial capital definitely helps to fuel the healthcare startup community.

As part of Health Innovator’s 2015 initiative, we plan to analyze and understand how certain cities became healthcare innovation hubs and determine how to help Seattle become a health innovation center as well. Our goal is not to imitate what other cities have done but to understand how they got there and also figure out what Seattle’s unique formula for becoming a healthcare innovation hub.

Therefore, in our next few series of blog articles, we plan to benchmark other cities’ resources and determine what contributed to their healthcare innovation hub status and then map out the current Seattle resources. After our series of analyses, we will recommend a concrete strategy and action plan of how to help Seattle become a healthcare innovation hub.

We need all members of the Seattle health community to join us to put Seattle on the map as a healthcare innovation hub. Our belief is that this is not a solo task but instead we should rally everyone in the community (e.g. students in life sciences, government sponsors, big corporations and healthcare entrepreneurs). Please join us and make 2015 the year that we push healthcare to the forefront of Seattle’s attention.

 

Angela Hong

Angela Hong is a healthcare entrepreneur and a Boston transplant to Seattle. She recently joined the Health Innovators Meetup and is excited to help Seattle become a healthcare innovation hub.

Nov 21

Progress and Unintended Consequences

The November Seattle Health Innovation meetup featured “Code Black”, a full length documentary on a busy emergency department at Los Angeles General Hospital, followed by a discussion. It wasIMG_6017  attended by about 55 people from around the Seattle and Eastside areas. It was sponsored by WebMD. Dave Chase, former CEO of Avado and now a Senior VP at WebMD welcomed the audience.

IMG_6016

The documentary, as well as some of the discussion touched on something that we do not talk about very often- the unexpected and sometimes negative consequences of changes intended to be positive.

Spoiler alert, I’m going to talk about some elements of the story line of the movie. I doubt if that will matter if you do get a chance to see it because the documentary’s intensity stems not from the story line but from the subject matter itself.

The film begins in 2008 in the old hospital, built in the 1920’s as a modernistic cathedral of medicine and the only safety-net hospital in the region, and was completed in the new hospital in 2012. “C-Block” was the old emergency department where the intense life-saving activities were all done in a relatively open area, separated only by small curtains, with minimal privacy for patients. “Code Black” is a condition in the ED when the facility is desperately overwhelmed by patient volume, a situation that occurs too often. The sparkling new facility was updated to provide more room and more privacy for patients, as well as eliminate the need for waivers from some regulations.

In the documentary we follow a cohort of Emergency Medicine residents from their first year in the old hospital to their 4th year in the new facility. Accompanying their move to the new facility was the loss of various waivers from HIPAA and other regulations, so that in the new facility the staff had to contend with what they experienced as burdensome, “soul-crushing” paperwork. The film highlighted the sense of loss from the old system to the new, more private yet more isolated and bureaucratic. We learn some of the personal stories of these residents and come to admire their strong qualities and we empathize with their frustration. The story line evolves around their growing resolve to recreate the best features of C-Block within the new facility. The residents want to bring the most serious cases from the waiting room into the treatment area. The resistance comes from the nursing supervisor, concerned that this would dilute the ratio of nurses to patients,thus increasing liability to nurses from potential errors made under impossible conditions. Undeterred, our heroes (the resident physicians) are able to achieve this reorganization of the beds and waiting area and feel that they once again are able to monitor what’s happening visually.

The film exposes the brutal realities of the injuries and illnesses afflicting the poor and uninsured in a metropolitan area. It highlights unintended consequences of progress- such as the design of the new facility that disconnects the medical team from the patients. It also hits the cumbersome regulatory compliance and defensive clinical documentation workloads of clinicians. The modest victory achieved by these residents in making ED patient flow changes stood in stark contrast to the empty, but desperately needed, wing of the ED closed to maintain the statutory patient-nursing ratio.

After the film Nathan White, MD, of the Department of Emergency Medicine at the UW School of Medicine, and Linda Riggione,RN provided commentary and responded to audience questions. Dr White said that the film accurately captured many of the issues facing emergency medicine. Ms Riggione represented a nursing perspective and noted that the film could have shown more of the roles of nursing and the allied health professions. One question from the audience was about the impact of the Affordable Care Act on Emergency Departments. Dr. White said that while some had predicted that ED utilization would decrease as a result of greater access to primary care, that this has not occurred. He said that ED utilization has in fact increased because people now have health insurance. He pointed out that ED’s are open 24×7, you don’t have to have an appointment, and are often more convenient for some populations than going to the doctor’s office. ED utilization is going up.

In response to a question abut where the opportunities for innovation are in emergency medicine, Dr. White mentioned a UW startup company making a microfluidic device that will detect blood clots. Dave Chase also responded with the observation that many of the innovations needed are upstream from the ED, and pointed to Iora Health as a company that is innovating with a new patient-centered model that through preventive health can avoid some patients from having to go to Emergency Departments.

In the networking portion of the meetup I had a chance to speak with two nurses from a major ED in the Puget Sound area and asked for their response to the documentary. One of them responded with a very nuanced answer. She chose her words carefully. She said that for those things that it covered it was true. I sensed that there was a deeper answer and asked where the holes were in the documentary’s coverage. “There is a lot more that goes on in an ED than what the residents do”, she said. When I asked about the portrayal of the nursing staff as barriers they both weighed in. I sensed that there was a bit of sadness in their measured remarks about the missing other unsung heroic roles in the ED.

This was the 8th Seattle Health Innovators meetup. We’ve been holding community-building events since June 2013. To join the distribution list for the next Seattle Health Innovation Forum sign up here.

 

 

Older posts «