healthcare

Rochester Home Infusion Seeking Ground in Destination Medical City- Part 2, The Ask

Missed Part 1 of this story? Click here for the first of this two part series on Rochester Home Infusion.

Rochester Home Infusion Founder Joselyn Raymundo. Photo courtesty of Rochester Home Infusion.

Rochester Home Infusion Founder Joselyn Raymundo. Photo courtesty of Rochester Home Infusion.

Rochester Home Infusion (RHI) Founder Joselyn Raymundo and her team strive to provide their patients with the best care possible so they can achieve some sense of normalcy.

“What matters is the patient," she tells her team. "They’re the ones who are sick. They’re the ones who may be having financial difficulties, medical crises, family crises. It touches so many aspects of their lives.”

RHI is currently licensed in Minnesota, South Dakota, Wisconsin, Iowa, Illinois, and Colorado. Raymundo hopes to soon move into markets in Nebraska, North Dakota, and Michigan to cover seventy percent of patients who travel to Rochester for the Mayo Clinic.

She says RHI has taken the time to understand the patient experience at Mayo and is well poised to deliver that final, positive impression.

“We can augment the Mayo experience. We can collaborate with [Mayo] and deliver something very special. Not just for the patient, but also for Mayo Clinic,”
 she stated.

RHI utilizes an extensive clinical monitoring program to extend medical expertise from the hospital to the home.

“We try to really, truly respect what the patient needs and what the hospital needs,” Raymundo said.

When a Mayo Clinic patient requires an infusion, they are given the option to use the clinic’s Infusion Therapy Center (ITC) or a home infusion service. RHI should be included on a list of in-home providers- alongside giants like CVS, BioFusion, and Option Care- which is then given to the patient.

RHI clean room. Photo courtesty of Rochester Home Infusion.

RHI clean room. Photo courtesty of Rochester Home Infusion.

If RHI is chosen as the provider, Clinical Nurse Manager Kris Gillard arrives at the hospital within an hour to instruct the patient about their medication and how to infuse at home. If the patient lives in Rochester, Gillard would then visit their home at least once a week to assess and monitor recovery with a carefully curated list of questions and measurements. Then, RHI pharmacist Steven Ly follows up with a phone call.

If a patient does not live in Rochester, RHI works with a local nursing agency provider and again supplies the attending nurse with list of questions to ask and measurements to take to ensure that patients are recovering and to address potential relapse as quickly as possible.

“That prevents rehospitalization and ER visits. It’s good, all around, for everybody,” Raymundo explained.

To launch RHI and fill a healthcare gap in southeastern Minnesota, Raymundo took a huge risk in relocating her entire family- three kids and a husband- to Rochester. RHI was the first and only medically-focused tenant in the BioBusiness Center with absolutely no ties to Mayo Clinic.

“Nobody ever asked me to come here. And I didn’t ask anyone’s permission,” she said. Raymundo self-funded the whole business, taking money from no one to launch her vision.

Now, she’s just asking for a fair shot and working to raise awareness that an alternative to the ITC exists in Rochester. She says RHI is not in competition with Mayo; it would be a major success to even get a small fraction of the clinic’s infusion patients.

“ITC is not for everybody. Some patients actually would want to go back to work sooner. Some patients cannot even drive to get there,” she explained.

Unfortunately, RHI does not always get presented to patients as a viable option.

“Awareness is big. Just being given a fair chance. We’re not asking for any special treatment from anybody. We just want to be presented to patients in a way that is objective so they are aware that they have options,” explained Raymundo.

She says that Mayo needs to create a more competitive environment for people following some of their patients, like RHI.

“If they make it competitive, then everybody will be trying to do their best to outdo each other,” she said.

The Destination Medical Center draw pulled Raymundo to Rochester in the first place. However, she says DMC needs local success stories to inspire other entrepreneurs, especially those without ties to Mayo, to pick up and move to Rochester.

She thinks DMC needs a homerun with a large company.

“But guess what? That’s not how it’s built. You need to hit a lot of singles. …You need a lot of people like me to hit the singles. That creates the entrepreneurial environment. And I’m trying to get the double. I’m sprinting for the double but I’m kind of in a pickle,” she said.

Raymundo could easily move her family back to the Twin Cities and commute to Rochester for her business. But she wants to be part of the community, including all the ups and downs.

“Because if you’re part of the community, then you’re invested. And if you’re invested, then you really take it to heart what your community’s trying to establish,” she explained.

Press Release: Ambient Clinical Analytics Announces the Close of a $5.4M Series A Funding Round to Drive Growth in its Clinical Decision Support and Control Tower Software Platform

Posted by Ambient Clinical Analytics  on April 27th, 2017

ROCHESTER, MN – Ambient Clinical Analytics announces today that it has completed a $5.4M Series A Funding Round led by Waterline Ventures and Bluestem Capital, with participation from Social Capital. Founded by a Mayo Clinic academic clinical team and seasoned technology entrepreneurs, Ambient Clinical Analytics’ software enhances the way critical care providers operate. The company sells clinical decision support and alerting tools to hospitals which result in reduced errors, lower health care costs, and better patient outcomes

“With FDA Class II Clearance, and the collaboration with Philips on AWARE® for their IntelliSpace Console Critical Care product, Ambient Clinical is in a great positon to grow the market for our Mayo Clinic developed analytics based clinical decision support tools,” explains Al Berning, CEO, Ambient Clinical Analytics. “We’re excited to be starting a partnership with Waterline Ventures and Bluestem Capital, both with extensive experience in Health IT. With the Series A funding, Ambient Clinical is in the process of expanding its sales, marketing and product development activities.”

“We are excited to be working with a highly experienced team at Ambient,” said Robbie Greenglass, Managing Director, Waterline Ventures. “They have positioned the company to be extremely impactful in changing the way emergency departments and intensive care units visualize important information about patients in real time. Ambient pulls data from the EMR and displays it in intuitive, easy to read ways, so that clinicians can focus on patients’ needs.”

“Ambient Clinical Analytics’ clinical decision support software solves a key problem for all critical and emergency care units,” said Tyler Stowater, Partner and Vice President, Bluestem. “Mayo Clinics’ extensive research and Ambient Clinicals ability to support FDA Class II clearance and launch products to the market, is a powerful combination.”

Ambient Clinical uses licensed Mayo Clinic technologieswhich include over 1,000 rules and algorithms, to give critical care providers real-time access to vital process-of-care information and analytics at the point-of-care, as well as from a central Clinical Control Tower.  Bedside based alerts for conditions like Sepsis allow physicians and medical personnel to spend more time with patients instead of reviewing information.  Ambient Clinicals’ products are designed to support a hospital’s Lean Quality and Six Sigma initiatives. Ambient Clinical has achieved FDA Class II Clearance for the AWAR and Sepsis DART software platform.

Ambient Clinical Analytics’ core offerings include:

AWARE is a clinical software tool that reduces information overload by using analytics to filter relevant patient data and provide timely, actionable information. Created by clinicians for clinicians, AWARE clearly and concisely presents actionable information to all care team members to improve patient outcomes, reduce the cost of care, and support best-care practices for ICUs and other critical care areas.

Sepsis DART uses customer-defined sepsis detection and support rules to indicate that sepsis may be present or developing. With algorithms created in conjunction with Mayo Clinic clinicians to comply with CMS requirements, DART alerts caregivers that sepsis may be present or developing and monitors treatment progression during the critical first six hours of care. The solution also supports quality and CMS reporting requirements.

Mayo Clinic YES Board® is a multi-patient management tool that provides real-time situational awareness for Emergency Departments and hospital Pediatric departments. The solution provides real-time patient information in an at-a-glance overview format that ensures care teams have ready access to clinically relevant information.

To learn more about Ambient Clinicals’ transformational products visit:     www.ambientclinical.com

Prior to the Series A funding round, Ambient Clinical received $2.9 million in seed funding from Social Capital, Mayo Clinic, Rock Health, Rochester Area Economic Development Inc., Southern Minnesota Initiative Foundation, Gopher Angels and angel investors. The seed funding was converted to Series A preferred stock at the closing.

About Ambient Clinical Analytics

Ambient Clinical Analytics sells powerful real-time bedside healthcare data assimilation, communication, and analytics based clinical decision support tools that support the general hospital floor, Emergency Department, ICU and other critical care areas. Our business model is supported by software license fees, SaaS, Cloud and system integration revenue. Ambient Clinical Analytics has an MD and executive team with strong track records in medicine, clinical research and informatics, medical products and IT.   Additional information about Ambient Clinical Analytics and AWARE indications for use can be found by visiting: www.ambientclinical.com.

About Waterline Ventures

Waterline Ventures invests in the early stage healthcare technology and services companies that are improving the way care is delivered. Increasing costs, inconsistent quality, and inadequate access to healthcare create the need for innovation. Companies that address these issues stand to create tremendous value while improving people’s lives across the country and around the world. Waterline is based in Cambridge, MA.

About Bluestem

Bluestem is a Midwest private equity firm with over $360 million of cumulative committed capital. Bluestem’s 30-plus investment projects and funds have invested in more than 100 companies nationwide since its beginning 21 years ago. Bluestem strives to identify investments with attractive returns while helping talented management teams grow their companies and build significant value. Learn more about Bluestem here.

Rochester Home Infusion and Med City Football Club to Present at Next 1 Million Cups Rochester

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Join the entrepreneurial and small business community at the next 1 Million Cups Rochester on Wednesday May 3rd from 9-10AM. This month we’ll hear from two unique Rochester based businesses: Rochester Home Infusion and Med City Football Club.

 

About Rochester Home Infusion

Rochester Home Infusion (RHI) provides intravenous (IV) medications to patients in the comfort of their own home, allowing patients to take back control of their lives. RHI is the only home infusion provider in Southern Minnesota.

Launched in: 2013

Founder: Joselyn Raymundo

Industry: Healthcare

 

About Med City Football Club LLC

Med City FC is an expansion franchise in the National Premier Soccer League. Med City FC competes in the highest tier of amateur soccer. Med City FC’s first game is May 13th right here in Rochester.

 Launched: 2017

Industry: Sports

 

About 1 Million Cups

1 Million Cups is a free, national education program developed by the Kauffman Foundation. 1 Million Cups takes place every Wednesday at 9AM across 114 US communities to support and encourage entrepreneurs. The program is based on the idea that entrepreneurs connect and discover solutions over one million cups of coffee.

Rochester Innovation: Sonex Health

Local Entrepreneurial Experts Predict Momentous 2017

The doors have closed on another year and the blank slate of 2017 is laid out before us. As we slowly roll through January, we asked several Minnesota-based entrepreneurs or experts working closely with startups and emerging businesses what they think 2017 holds. All opinions indicate this year may be one for the books in terms of startup development and growth in Rochester.

The Intersection of Healthcare and AI: What Every Healthcare Entrepreneur should Know

Last week, the Rochester entrepreneurial community hosted Saint Paul-native Pete Kane and the Silicon Valley Artificial Intelligence (SVAI) meetup group to talk about artificial intelligence (AI) and healthcare. SVAI is the largest AI community in the Bay Area, creating a community of researchers working and passionate about AI. Cultivating a stronger relationship between their strong Silicon Valley-based AI hub and the engrained research and medical expertise here in Rochester is one of the major goals of SVAI this year.

AI is all around us, whether we recognize it or not. AI is used in video games, speech recognition tools, and autonomous cars. AI could potentially change healthcare as we know it.

For more information, listen in to the latest Rochester Rising podcast.

(Thumbnail image attribute: By Wei-Chung Allen Lee, Hayden Huang, Guoping Feng, Joshua R. Sanes, Emery N. Brown, Peter T. So, Elly Nedivi - Dynamic Remodeling of Dendritic Arbors in GABAergic Interneurons of Adult Visual Cortex. Lee WCA, Huang H, Feng G, Sanes JR, Brown EN, et al. PLoS Biology Vol. 4, No. 2, e29. doi:10.1371/journal.pbio.0040029, Figure 6f, slightly altered (plus scalebar, minus letter "f".), CC BY 2.5, https://commons.wikimedia.org/w/index.php?curid=3482256)

The First Night of Mayo Transform Involves Magic Forest Animals and Putting the Internet to Sleep

The three-day Mayo Clinic Transform Conference opened up yesterday in Rochester. The main purpose of Transform: to bring the leading minds in health and healthcare together to inspire and motivate change through action.

The first day of Transform was capped off with an “Evening Powered by PechaKucha,” which, by the way, is very unlike the Pokémon Pichu. Eight speakers ignited the stage during this event, laying out their ideas for the future of health.

PechaKucha is a presentation style in which twenty slides are automatically advanced through at twenty second intervals. The speaker just has to keep up. PechaKucha is meant to inspire creatives to share their ideas, but also rapidly get to the point.

Here are some highlights from last evening.

 

“Healing through Positive Distraction”- Matthew McNerney

Matthew McNerney is an experience designer who has worked with clients like LEGO and the William J. Clinton Foundation. McNerney currently calls New York City home.

McNerney began his talk by recalling visits to the dentist as a 6-year-old. At this time in his life, dentist visits were terrifying and involved a lot of distress. There were bright lights, machines, and people picking at your mouth. It was not great.

But what made the experience better? At the end of the visit, he got to choose a toy from a cardboard chest of goodies. You know exactly what I’m talking about.

This small gesture took little effort on the part of the dentist. But it made a world of difference to a 6-year-old child.

Let’s raise the stakes a little bit. That same child is no longer at the dentist, but now at the hospital. There are even bigger lights and scarier machines. That child is in physical and emotional discomfort. Maybe his parents are even crying.

A toy is just not going to do it this time. The hospital needs to develop some way to lower the child’s anxiety so he can actually be treated.

The Ohio State Wexner Center has found a solution. The hospital used technology to construct a magical forest in the children’s waiting room. When a child is admitted to the hospital, he receives a medical bracelet and is allowed to adopt a forest animal as a pet. The pet stays with the child during their entire hospital stay. The pet follows the child from room to room. It waves. It falls asleep when the child is put under anesthesia. It is right there when the child wakes up from surgery.

The pet allows the child to exert at least some control over his environment and situation. This magic forest animal relieves that child’s stress level, allowing care givers to just focus on providing the best patient care.

In a sense, the forest pet is a sort of positive distraction for the young patient; it takes his mind away from the circumstances for just a bit. But McNerney suggests that the pet is something more: digital compassion.

 

“The Importance of Community Response in Catalyzing Social Change”- Tori Utley

Tori Utley is a Rochester-based entrepreneur. She is Product Manager at the Mayo Clinic Center for Connected Care and Founder at the non-profit More than an Addict and the tech startup Tinua.

Utley began by asking the room how we, as a community, respond to those facing social adversity. Utley questioned how each person in the audience would respond to someone who was homeless, or suffered from addiction, or was a victim of sex trafficking. These issues plague thousands of people in our communities and their victims are often isolated geographically from centers of healthcare. But we also segregate these people in need by placing labels and stigmatizing them.

Sometimes the community slings hateful words at these people or protests their presence in the community with hurtful signs, only further pushing them away and diminishing any remaining sense of hope they possess.

Utley says we can make change possible by responding appropriately to people in our communities suffering social adversities. She said that initiatives are not enough; the community is a catalyst that can change lives. But that change is in our hands and is rooted in the way in which we choose to respond.

 

“night night everyone/Improving World Health by Putting the Web to Sleep”- J. Paul Neeley

J. Paul Neeley is a service and speculative design specialist who lives in London.

Neeley was fascinated with optimizing his personal health and happiness at one time. He experimented with several different methods to optimize his happiness, including changing his diet and trying various breathing techniques. The whole experience revolutionized the way he thought about optimizing happiness.

He discovered that happiness is a very complex issue. But, if he had to isolate one factor to focus on to optimize happiness, it was sleep.

The U.S. is sleep deprived, which has a detrimental effect on our health and well-being. Neeley came up with a crazy idea. He wondered if it was possible to improve world health by putting the Internet to sleep at night.

He created a project called night night everyone, a single line of code which is now open sourced. The code sets a sleep/wake cycle for a website. The site operates normally during the day. But then when it gets late at night, the website is put to sleep by night night.

Neeley received a range of reactions to night night everyone. Some people thought it was poetic, while others believed it to be idiotic and a terrible idea.

Neeley remains unperturbed. He says that night night addresses the issue of universal responsibility, the concept that you have an obligation to someone else’s health. Neeley says if we don’t ask questions around topics like universal responsibility, we will never see the change that we desire.

Techstars Companies visit Rochester Entrepreneurial Community for Techstars++ Partnership. Part Three: Solenica

Part One: Nebulab

Part Two: LiquidLandscape

 

Company: Solenica

Based in: Rome, Italy and San Diego, CA

Techstars Connection: First Class in the Qualcomm Robotics Accelerator (2015), San Diego

Tagline: Let the sun shine in.

 

THE PROBLEM

Most people spend 90% of their day indoors.  Shocking right?  You, me, and most people we know are inside, and out of the sunlight, for about twenty-one hours each day.

“We're hardwired to thrive in sunlight.  It's good for us, it makes us feel good.  So why wouldn't we want to spend more time in it,” explained Solenica CEO and Founder Diva Tommei.

It seems initiative that sunlight is good for our health.  I feel refreshed after spending time outdoors and feel a particular drop in productivity and general alertness during daylight savings.  Surprisingly, there are very few studies examining the science behind daylight and health.  This is exactly where Solenica plugs in.

 

THE SOLUTION

Solenica is a hardware startup, originally developed in Rome.  “We hope to be the daylighting company one day,” explained Diva.  Solenica is developing a product which Diva affectionately refers to as Lucy.  Lucy is technically a heliostat.  She’s a robot composed of a clear sphere and movable mirror to reflect sunlight.  Lucy’s brain is full of photosensors.

“She’s clever.  She’s intelligent.  She can figure out in the sky where the sun is and redirect it to where you point the sphere.  So through that sphere, you can tell the device where you want to have the sunlight redirected.  So you are effectively taking sunlight from somewhere it is falling to somewhere it’s shaded,” said Diva.  

Lucy can redirect sunlight from near a window or some other lit portion of a room to illuminate a dark corner or a long corridor.  Lucy brings more sunlight indoors.

Lucy is a pretty self-sufficient woman.  She’s solar powered.  She has no cables; she can easily be moved.  She’s lightweight and Wi-Fi enabled.  She works both in- and outdoors. 

Because Lucy is smart, she also serves as a sort of weather station.  When she’s working, she’s also collecting data about temperature, humidity, and environmental variables in all the geographical regions Lucy is placed in.  This data is uploaded anonymously into Solenica’s servers, where the data is clustered and analyzed.  Lucy is also equipped with humidity, temperature, ultraviolet, and carbon dioxide filters. 

Lucy can also reduce cost energy savings.  “Having Lucy redirecting sunlight into a room allows you to avoid switching artificial lights on, consuming electricity,” explained Diva.  There are just certain products and tools that can’t be cut off from electricity, like computers and medical ventilators.  Lucy can help buildings move towards net zero energy. 

Diva actually built the very first Lucy during her time as a PhD student at Cambridge.  She had relocated to Cambridge from Rome, and experienced quite a shocking change in the amount of sunny hours.  Her office only had one window, which was far away from her desk.  She developed seasonal affective disorder, or SAD, during her first year of PhD studies. 

But, Diva had a window, she had some sunlight, and she had a lot of creativity.

“I started building something that didn’t look this pretty, but kind of worked the same way.  It had this mirror that could figure out the sun in the sky and redirect it where I was sitting.  And that really helped me.  It helped me through the PhD,” Diva related.

The Lucy that Solenica brought to Rochester is still a minimal viable product, but she has come a long way since her Cambridge predecessor.

“We’re putting her into the hands of beta testers to understand how they use her, what they like, what they don’t like, what we can make better, before we finalize and crystallize, freeze if you will, the design for production,” Diva explained.

The team will launch an Indiegogo fundraising campaign in the fall.  Those interested can enter their email address on the Solenica website to be notified of the exact date of the campaign launch. 

 

WHAT SOLENICA HOPED TO ACHIEVE IN THEIR ONE WEEK IN ROCHESTER

“We’re incredibly excited about the opportunity to work with an institution like the Mayo Clinic.  The breadth of research that the clinicians and physicians do is astounding. …So there’s the Well Living Lab downstairs.  And we’re big fans of what they’re doing, which is starting with the human being and then building the building out.  So how do we create indoor environments that are healthy, nurturing, and positive so that you have a better life or a better experience indoors?  And what challenges for installing these types of products, where within the clinical setting, or within the medical facility settings, could we do the most good?” asked Solenica COO Louis Huynh. 

Techstars Companies visit Rochester Entrepreneurial Community for Techstars++ Partnership. Part Two: LiquidLandscape.

Part 1: Nebulab

 

Company: LiquidLandscape

Based in: San Francisco, CA

Techstars connection: Barclays Accelerator, Cohort #2, London.

Tagline: Start a conversation with your data.

 

The Problem:

LiquidLandscape Cofounders Margit Zwemer and David Lin “were both what you would call in the financial world, quants,” explained Margit.  In other words, they dealt with very large sets of data.  Margit was an algorithmic trader and detected patterns to make money in the financial market.  David worked in risk management.  “He’s on one of the teams that are trying to look at the positions across the entire bank, understand the overall risk, and make sure people like me don’t bring the wrong thing crashing down,” Margit explained.

The pair met as they both were transitioning out of the finance world.  They realized there were major advancements in big data technology occurring in the San Francisco Bay Area, where they both were located at the time.  Big data technology was being used in things like retail and online dating. 

But Margit asked, “Why didn’t we have access to these tools in finance?  Why was it so hard for these technologies to penetrate into these big institutions?”

“So we decided to try and solve the problems we had had with data in our old jobs, which is what led to LiquidLandscape.”

 

The Solution:

LiquidLandscape is a general purpose data technology that allows people to better test their hypotheses.  The tool enables users to take a data set, ask questions of that data, and get real answers to those questions from this large coagulation of information.

“I’ve seen in a lot of industries is the first wave is just, how do we put the infrastructure in place?  How do we store this data?  How do we collect it, join these various silos together?  But then some organizations get stuck in that step.  They say, ‘Ok, we’re storing the data!  This is amazing!’.  But the next question is, how do you do something with it?” Margit explained.

Say you are a clinician and you want to know how to reduce sepsis risk in your patient population.

LiquidLandscape is “a tool that allows [clinicians] to ask those sorts of questions of the data without having to launch a multiyear IT app development process,” said Margit. 

LiquidLandscape was originally built to solve problems with big data sets in finance, but the team saw similar ways to apply the technology to healthcare.  Both fields saw large explosions of data at some point in their evolution.  In finance, this occurred when the markets became electronic and new regulations were added.  In healthcare, we’re now amassing massive quantities of data through processes like next generation sequencing. 

“In finance, we’re always talking about tradeoffs.  Risk and reward.  Here’s a distribution of potential outcomes and I’m trying to find a course of action that strikes the best balance,” described Margit.

This same risk/reward balance also exists in healthcare.  That’s exactly where the LiquidLandscape Notebook comes in handy.  The Notebook allows clinicians to pull in information from big data sets, examine data distribution, and determine how all the variables interact- things like test results, medications, and patient preferences- to define the best plan of action for the patient.

“It would have been a very hard transition to make [from finance to healthcare] if there weren’t programs like [Techstars++].  Because obviously if we were just two finance kids knocking on the door, it would be hard to get those introductions.  But being able to come in under the Techstars umbrella and work with the local entrepreneurial community, people like you and Jamie [Sundsbak].  It gives us that way to talk to people, understand their problems, realize there’s more parallels than we thought there were, and say, ‘Hey, maybe we can help one of these things’,” said Margit.

 

Goal for their one week in Rochester:

“I say I came here for data and doctors.  We’re looking for that early adopter that has a data set, has a problem they want to solve, but hasn’t been able to find the tools or the trained analytic experts to come in and solve it quickly,” Margit said.

 

“It’s often hard when you’re some of the first startups, coming in to interact with the big institutions.  So finding ways to streamline that process, to put people who understand how startups work, and help startups understand the cares and constraints of Mayo and its unique culture. I think keep doing that.  This is an amazing environment for stuff to spring up because there’s so many ideas sloshing around,” Margit concluded.

 

Part 3: Solenica