Transformational Healthcare Leaders

EDITOR’S LETTER

Modern Healthcare Model Demanding Modern Leadership Strategies!

The constant upgrade in technology is proving to be a silver lining for the healthcare industries. The advancement in AI will also immensely contribute to the industry. However, these changes have given rise to a multitude of challenges due to factors like healthcare costs, increasing consumer expectations, changing patient demographics, and complex health and technology ecosystems. The pressure to overcome these challenges is on the healthcare leaders. Now the focus is not just on timely care but it should be cost-effective too.

The hour of need demands leaders that are capable of impacting the work of healthcare staff and guide the organization through human resource, technological and service quality concerns, and improvements. Finding such impeccable talent is a challenge for healthcare organizations.

In our latest issue of “Mirror Review’s Transformational Healthcare Leaders, 2020”, our team has featured such transformational individuals who have mastered the complex operational arenas to maintain service consistency and help organizations keep pace with medical advancements.

The modern healthcare model demands modern leadership strategies that can be applied to the healthcare setting. These leaders have leveraged their unique tactics to transform the healthcare arena. The readers will not just be open to new strategies but also have some valuable insights shared by the leaders.

Further, in the sections of ‘Decade of Disappointment’ and ‘Breaking Healthcare Barriers’, the writers have tried to enlighten us about the ill effects of carbon dioxide and how telehealth is breaking the set healthcare barriers.

The leadership development has clearly reached a critical crossroad, and the most important role of the leader could be described as ensuring a ready supply of replacement leaders to maintain organizational progress in the ever-changing healthcare environment!

VIDYA JOSHI Editorial Coordinator

PUBLISHER ARCHANA GHULE

EDITOR-IN-CHIEF VIKRAM SURYAWANSHI

EDITORIAL COORDINATOR DEEPALI SARWADE VIDYA JOSHI RAKESH MAHTO SHUBHAM BIRADAR

PROJECT MANAGERS ROGER JOHNSON RAHUL VISHWAKARMA

ART DIRECTOR VINOD ALHAT

VISUALIZER MARK DAVIS

GRAPHIC DESIGNER

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Jim Cavan: Building A Healthcare Platform Beyond The Language Or Social Barriers

18

Kumar Subramaniam: An Undisputed Frontrunner Leading With Reputation And Goodwill

20 Expert Opinion

Mark Boyce: Always At The Forefront Of Strategic Thinking

28

Nicole Latimer: A Modern Age Leader Gravitated Towards Organizational Goal

34

Timothy Kelley: Aiming To Become A Specialist In Telehealth Sector

36

NOW, More Than EVER, Your Organization Needs Strong Authentication

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ARTICLES

38 DECADE OF DISAPPOINTMENT Is CO2 Really Impacting Your Cognitive Ability?

BREAKING HEALTHCARE BARRIERS How Telehealth Is Improving Healthcare EfямБciency And Breaking The Existing Barriers

Cover Story

SATHYA KUMAR Leading The Way To A Digitalized Healthcare Service

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COVER STORY

R.Sathya Kumar:

Leading The Way To A Digitalized Healthcare Service

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ransitions are never simple. Switching from volume-based care to value-based care is putting healthcare organizations under immense pressure.

To reduce costs while enhancing patient outcomes, quality of care and overall population health are some of the pressing matters these organizations are facing.

Furthermore, their incapability to take advantage of the data-driven insights is barricading the healthcare industry from significant changes in care delivery, administrative efficiencies, new treatments, and medications. For these healthcare organizations, the ideal solution is to use modern technologies like artificial intelligence (AI), Data Analytics, Machine learning (ML), etc. to transform the available pool of information into actionable intelligence.

With more than two decades of experience, the President and CEO of Techindia Infoway Pvt Ltd., Sathya Kumar is transforming the healthcare sector by delivering scalable, reliable and cost-effective knowledge-driven services to meet the demands of this industry. Sathya is a multi-faceted leader and under his leadership, Techindia is speedily growing in the highly competitive landscape. To reach this position, he struggled and faced a multitude of challenges.

With only $100 in his wallet, he started this business from

‘‘

scratch. Reminiscing about the past, the CEO shares, “Early days, I did multiple roles including HR, Operations, Sales and marketing to keep our expenses low. Hence, I know all the nuances and pain points of all the business verticals that we run today and know how to effectively and efficiently run them.” Along with his team, the versatile leader now is developing an AI platform for arrythmia detection and classification aside from disease predictions like MI and cryptogenic stoke for real-time ICU EKG feeds, wearable sensors, old age care homes and wellness management of chronically ill population, etc.

Moving Towards a Healthy Future As the healthcare industry is undergoing a transformation, Sathya believes, “We operate in a niche, where there is no room for anything other than 100 percent accuracy and precision in healthcare delivery.” The dynamic leader understands that a huge amount of knowledge, subject matter experts and, especially, a reliable backend infrastructure are needed to execute this. So, Sathya with his team offers their clients a robust supporting structure in an impressively personalized manner, thereby allowing them to work more efficiently and collaboratively to deliver

I like to sail against the wind; pickup only challenging opportunities and projects. That said, my professional journey has been always challenging.

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better healthcare. The proliferation of smartphones and growing wireless network coverage offered Techindia an opportunity to share information directly and securely to patients seamlessly. By leveraging these aforesaid tools, Sathya accompanied by his team is developing to offer digital health systems with new possibilities. In parallel, is tackling some of the pressing issues such as accessibility, convenience, quality, effectiveness, efficiency, and cost of healthcare.

When asked to share a thought about going back in the time to change anything in his journey, Sathya says that rather than going backward, he wants to move forward. He further adds, “None of us can live life all over again, but we can increase our overall happiness by choosing to make changes in our career, goals, finances, health, and relationships.”

Identifying Challenges and Addressing With Customized Solutions Being the Founder of a prominent organization, Saytha has witnessed that there is number of challenges emerging for healthcare providers to address. These challenges are vital requirements for custom-made healthcare, delivery of highquality care at lower cost, increase in the costs of healthcare delivery, and comply with the regulations established by the governments globally. Also, ‘data’ is bringing a new revolution in this sector. To stay relevant, healthcare providers need to take advantage of data-driven insights

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toward proactive healthcare. Therefore, the team of Techindia offers personalized solutions to healthcare providers that are an ideal solution for aforesaid issues.

Sathya with his team is always ready to deliver best of breed’s custom-made solutions. This solution includes exceptional remote cardiac diagnostics, arrhythmia interpretation, e-ICU monitoring solutions, and enterprise healthcare management solutions. These solutions are closing the gap between healthcare providers and information technology by deploying its new-age augmented intelligence (AI)/ML platform with a high degree of customization.

Happy Employees Lead To Satisfied Clients “When it comes to culture building, we say our people are our greatest assets and the key to our success—and we truly mean it,” says President Sathya. He ensures that all the employees are happy and healthy while working, thereby enabling them to be more successful and enhance their growth. So while recruiting, he focuses on hiring individuals who are remarkably talented, self-motivated, and dedicated to achieving their customers’ success.

Striving To Be Better To have continued success, a strong and dedicated team is essential who is ready to go an extra mile for customers.

Similarly, the team of Techindia is a group of creative and

COVER STORY

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My professional life was not peaches and cream, I struggled tremendously with a lot of challenges.

R. SATHYA KUMAR President & CEO | Techindia Infoway Pvt Ltd.

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COVER STORY

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We combine the best technical minds, deep healthcare knowledge and smart technology to create a tangible, positive impact on cash-ows. client-focused individuals and amongst the best and brightest in the industry, bringing a broad range of relevant expertise to the table. To maintain this status, Sathya ensures that all employees have the proper tools and resources to accomplish their assignments.

addition to this, peer-to-peer personal health management, educating people about health, emergency response systems, HR management and supervision also plays a significant role.

AI is the Future Technology

Because of this, he doesn’t have micromanage everything.

Instead, the members are assigned with an attainable goal and enough autonomy to complete it and monitor progress.

“We allow the team members feel empowered enough to embrace responsibilities and enjoy a sense of ownership.

And always the senior management is available if anyone needs a consultation,” says the CEO Sathya.

The Rise in the Adoption Of mHealth As customers are becoming more health-conscious, the demands for healthy options are increasing. Techindia CEO Sathya believes that there is going to be a large adoption of mHealth for different markets. He further says, “To remain relevant, the industry needs to adapt fast and uncover new ways to meet changing consumer expectations, while also tackling competition from aggressive and nimble new market entrants across the OTC medicines, nutritional supplements, care plan, tracking vitals with predictive alerts and personal care sectors.” Foreseeing such scenario, Techindia’s products are designed to deliver personalized wellness tracking for chronically ill patients. Initially, these products will be launched and deployed for 50,000 registered patient populations. Sathya also predicts that following areas in mHealth will lead the market in the coming years such as training development, health extension services, remote monitoring for patients and clinical care, health promotion and community mobilization, pharmaceutical supply chain integrity. In

The transformational healthcare leader foresees that AI technology is going to stay for the long term. Sathya believes that AI can deliver the insight needed to make positive changes across the board. Since the healthcare industry is shifting towards bespoke medicine and valuebased care, AI technology has the potential to deliver the analytical speed, scalability, and precision needed to extract valuable intelligence from health data. For healthcare providers, leveraging this powerful technology can bring a reduction in the cost, improvement in quality and vital for enhancing healthcare all over the world.

A Piece of Advice No advance technologies like Bionic eyes, wireless brain sensors, artificial organs can replace the original creation.

Hence, prevention is better than cure, holds good for all ages. Maintain a work life balance, regular fitness that suites people, connect with nature, night sleep, make necessary life style changes to stay active.

Patients and physicians to adopt mHealth to the maximum and ensure such platforms are secure before transmitting PHI data. Embrace large-scale smart applications and telemedicine for health management and remote consultation.

Business Leader

Info

Jim Cavan President & CEO Backpack Health

Backpack Health provides a platform for organizations to engage patients, collect upto-date data and build communities across the globe. www.backpackhealth.com

Jonathan Lewin Emory Healthcare President, CEO, and Chairman of the Board Emory Healthcare

Emory Healthcare is an integrated academic healthcare system committed to providing the best care for the patients, educating health professionals and leaders for the future, pursuing discovery research in all of its forms, including basic, clinical, and population-based research, and serving the community. www.emoryhealthcare.org

Kumar Subramaniam Co-Founder & CEO Kaaspro

Kaaspro Inc designs and implements practice-specific medical information systems, which assists medical organizations and healthcare providers to improve their efficiency and productivity. www.kaaspro.com

Mark Boyce President & CEO Scribe Technology Solutions

Scribe Technology Solutions, is comprised of solutions, which offer the healthcare organizations the medical information of patients at their fingertips. www.marketing.scribe.com

Michelle Longmire MD, Co-founder & CEO Medable

Medable is a privately held, venture-backed company headquartered in Palo Alto, California. www.medable.com

Nicole Latimer CEO StayWell

Incepted in 1980, StayWell is eager to play a central role in putting efforts to address all the changes and drive 30 percent of all the health care costs. Over the last 40 years, health issues such as sleep, stress, and weight are being amongst the prime concerns. www.staywell.com

Robert Grossman MD Dean & Chief Executive Officer NYU Langone Health

NYU Langone Health is one of the nation’s premier academic medical centers. www.nyulangone.org

Sathya Kumar President & CEO Techindia Infoway Pvt Ltd.

Established in 2002, Techindia delivers world-class, enterprise healthcare management solutions that bridges the Intersection of Healthcare & Information technology to work more efficiently and collaboratively to deliver better health. www.techindia.com

Steven Edwards President & CEO CoxHealth

CoxHealth is the area leader in health care and community involvement, with six hospitals, more than 80 clinics, five ERs and nearly 12,000 employees throughout southwest Missouri. www.coxhealth.com

Timothy Kelley President & CEO Nautilus Medical

Since its inception, Nautilus’s mission is to deliver high-value services that meet medical professional and patient/ consumer requirements with full regulatory compliance. www.nautilusmedical.com

Jim Cavan: Building A Healthcare Platform Beyond The Language Or Social Barriers tech company. “We’re making it easy for everyone to access, own and control all of their health information to support better health for themselves, their loved ones, their communities, and for us all,” said Jim. A Transformational Leader, Avid Traveler and Amateur Chef “Being fully informed by specific personal information is the best way to participate in your own healthcare, even if you are just making decisions about lifestyle changes or something,” said Jim. He is a very passionate healthcare leader, he believes that the opportunities to have individuals take advantage of technology and access of technology to improve their healthcare by being a true health historian is achievable and real. He has been in the healthcare industry for more than two decades and has a great passion for helping healthcare companies tackle systemic problems.

President & CEO Backpack Health

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nformation is power. Having the information about patients’ health can make their families feel safe and allow them to monitor their health status. The inspiration behind the company establishment of Backpack Health was the share of similar problems and the way to solve them. It all started with Diane and Mark Goldman (Chairman of the Board and Co-Founder, Backpack Health), who were struggling to manage documents of their son suffering from a chronic condition. They met Jim Cavan (President and CEO, Backpack Health), an avid leader with a background in emergency medicine and medical research.

Jim and the Goldman duo wasted no time and gathered a team of people as dedicated to the cause and laid the foundation of Backpack Health. It is a health tech company building tools to help people manage their health details, care, and communication. The journey had its ups and downs, its hurdles and successes. But the team did not give up and today the company is amongst the leading health

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In addition to this, the development of Backpack Health is the result of several key goals of his, including improved access to and control of medical information, and less obtrusive collection of research data. Jim terms his journey as amazing. He has been constantly motivated by great people along the way to becoming one of the transformational leaders. He started his career in emergency medicine, understanding the basics of compassion for patients, calm under fire, teamwork and fairness. Today, he leads the team of Backpack Health to assist patients with their records.

Apart from being an exceptional healthcare leader, he is an avid traveler and amateur chef. He is closely involved in hobbies like fishing and he is a dedicated bibliophile. “As we all hear often, I learned more from the failures than the successes,” concludes Jim. For the coming years, he plans to adjust his focus on coaching startups and working on foundation boards or advocacy groups.

Precisely Focusing On Key Issues The roles and responsibilities of the leader are numerous; every leader has to be on the foot to take charge of any role

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Explaining his tasks further, Jim says, “Most of our users don’t actually know what our obligations are to them, but they DO know what they are worried about. So, we focus on those key issues; security of their data, privacy, adaptability to an individual’s reality or choice of expression.”

Teammates Performing Beyond Expectations Challenges and obstacles can never be avoided by companies. However, culture is the key to resolve the evitable challenges that arise. Jim gives credit to the team and culture for tackling challenges. “Our culture has been a key to our ability to resolve the evitable challenges that arise,” proudly asserts Jim. The Backpack’s team of professionals is empowered to make decisions and solve problems collaboratively.

A great team leads to great success. Understanding the same, Backpack invests a lot of time in hiring and selecting the candidates for the company. People are the most important asset to the company and the key and foundation to the business. When these teammates are engaged to their responsibilities and the other priorities are well addressed the results are generally beyond expectations.

Flattering Client and Community Support Backpack health is extremely thankful for the client’s feedback it receives. The support of the community and clients is always very flattering for the company. Clients have described Jim to be a consistent collaborator with them. Expressing his gratitude Jim concludes by saying, “We are very thankful for the unsolicited comments that are out there. I hope that they say I have their best interest at heart and have been a consistent collaborator with them.”

Upgrading the platform with the changes The healthcare market is highly impacted by globalization and will continue to be affected by it in the coming years.

Due to the cross border access of care and knowledge sharing, the best practices are getting into universal adoption. It is also anticipated that there will be platforms with enhanced language and cultural variability that will

open up access for research and commercialization to populations despite the language or social barriers. Apart from globalization, technology is also effectively influencing the industry. The smartphones are allowing individuals to keep track of their healthcare records.

The emerging trends can only prove to be beneficial when individuals can easily access them. The company is looking forward to 2020 as a big year in terms of upgrading the platform. It will be making significant moves to add languages, requested services, and unique functionality.

According to Jim, the necessity of including the voice of the patients in every aspect of the industry should be at the center of these new trends and upgrades.

“Institutions like to limit access to information and many patients don’t realize the power and importance of having access. Don’t ignore the voice of the patient, it is getting louder.

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at any given time. Being in the healthcare industry, Jim has to perform different responsibilities every day. He did highlight that the key areas that he precisely focuses on are ethics, privacy, and security of data.

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Kumar Subramaniam: An Undisputed Frontrunner Leading With Reputation And Goodwill industry that thirsts for simplification. Electronic Health Records presented by Kaaspro is not to be regarded just as software but a culture that can be instilled in each and every clinic that aims at augmenting its services.

The Leading Health Information Technology Company Kaaspro Inc designs and implements practice-specific medical information systems, which assists medical organizations and healthcare providers to improve their efficiency and productivity. The products are aimed at ensuring quick and timely access to crucial, accurate medical information, and reducing the efforts and time taken by medical professionals for managing and updating health information of patients.

Co-Founder & CEO

Kaaspro

The leading health information technology company is presently working on various medical information software, similarly, it is coming up with different systems that streamline and enhance the workflows of healthcare facilities and clinicians. Kaaspro plans to reach the top-slot as the most reliable and effective healthcare technology provider within the next few years.

Multi-Tasking and Keeping an Update on All Domains

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n the year 2010, Kumar Subramaniam (Co-Founder and CEO) envisioned Kaaspro with an aim to create a futuristic organization that believes web apps are destined to make the world more communicative and easier to access. With exceptional clinical skills, business competencies, and interpersonal or soft skills, Kumar is guiding his organization towards success. The company plans new forays into the field of IT and ITes with the revolutionary cloud-based technology, venturing into the untested waters of the health and education industries.

Having opened itself as a modest company in Chennai’s OMR district, the organization has grown over the past 5 years to a more productive and aggressive team, which is committed to quality, research and development of the web application framework involving Electronic Health Record (EHR) Software Systems. The EHR usage and maintenance is relatively a new concept, which Kumar has introduced in the global market—a unique method of cutting costs in an

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Managing the finest health information technology service involves multiple tasks and stay updated about all domains in the organization. As Kaaspro is the healthcare industry based service sector, it naturally requires an increased caution and a warrant that all the legal and industry standards are met. In an industry where privacy and security of personal medical information is of paramount importance, adherence to the norms and fulfilling compliance needs is not an easy task. Initially, Kumar was apprehensive about such high responsibilities, but with a completely infallible system in place, he and his team managed to ensure data security and privacy of sensitive data.

Every Employee is Instrumental In an organization, the success rate also depends on the contribution and efforts of the teammates; hence, an

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empowered team is important. Kaaspro strongly believes that every employee is instrumental in an organization’s performance. “I have been working personally on improving employee engagement, organizational culture, and the work environment in the company. These factors, when given due diligence, contribute to business success,” said Kumar on his approach towards his employees.

In order to, achieve a healthy organizational culture and enhancing participation of every team member, Kumar personally takes the responsibility to instill confidence amongst employees and kindle their enthusiasm. To promote this approach, the company offers education and training programs, encourage employees to involve in decision-making, and have adequate reward systems.

Emphasizing On Innovative and Unprecedented Health IT Products The healthcare industry is globally evolving on a regular basis; however, this healthcare system in advanced countries is complex. There is an increasing demand from governments as well as individuals regarding care quality.

Considering all these factors, there is uncertainty about the dominant role that will be played by electronic health information systems in the future. The global healthcare is anticipated to undergo a major transformation, with emphasis on innovative and unprecedented health information technology products. Kaaspro plans to contribute to this transformation through robust medical information systems that enable efficient implementation and smooth enforcement of the intended changes in the healthcare ecosystem.

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expected to be filled with opportunities as well as challenges to be prepared for.

Ensuring Security and Confidentiality to Improve Care Quality The hospitals and clinicians are expected to understand and be proficient with the nuances of electronic medical information management systems. This will help improve care quality while increasing patients’ confidence. Kumar sheds light on some of the common mistakes that can be avoided by healthcare organizations, which will not only ensure the security and confidentiality of data but also improve their efficiencies and care quality.

Some of the mistakes to be avoided by medical facilities are: Ÿ Ÿ Ÿ Ÿ Ÿ Ÿ

Not providing sufficient training to physicians and staff Not updating the hardware and software regularly Underutilization of social media Inadequate use of cloud computing Unencrypted communication means Failure to assure controlled access

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Anticipating Revolutionary Changes in the Medical Industry

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The introduction of several unprecedented and innovative technologies such as the Internet of Medical Things (IoMT), application of AR/VR, and increased use of cloud technology in healthcare is anticipated to bring out revolutionary changes in the medical industry. Kumar further adds, “We at Kaaspro have been working in tandem with the advancement in technology to ensure that the purpose of serving the medical fraternity with ample and reliable information assistance is being extensively achieved.” The technologies like wearable’s, virtual care, and telemedicine will take new forms and satiate the necessities of patients and healthcare providers in the most effective way. The overall healthcare environment is

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Breaking Healthcare Barriers

Today, people are becoming more tech-savvy and even more aware of their health thanks to the internet and a variety of health care apps. Their demand to deliver quality care at lower cost is putting healthcare professionals and organizations under tremendous pressure. Furthermore, the shift from volume-based care to value-based care is pushing them to ďŹ nd new ways. In the midst of these conditions, Telehealth is emerging as one of the viable solutions for them to opt for. This solution holds the promise to signiďŹ cantly impact some of the most challenging issues of the current healthcare system that involve access to care, cost-eective delivery, and distribution of limited providers.

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What is Telehealth?

Communication between Doctors and Specialists

According to WHO, telehealth involves the use of telecommunications and virtual technology to deliver health care outside of traditional health-care facilities. It is the most basic element of “eHealth,” which uses a wider range of information and communication technologies (ICTs). Meanwhile, the federal Health Resources and Services Administration (HRSA) defines it as “The use of electronic information and telecommunications technologies to support longdistance clinical health care, patient and professional health-related education, public health and health administration.”

The obstacle: Doctors sometimes need input from specialists, regarding patient's disease and treatment.

However, the existing healthcare system does not allow this as both doctors and specialists do not have the right tool to share information and time to travel.

The viable tactic: Through mHealth, the doctor can send the test reports, history reports, x-rays, or other things related to the patient to the specialist to review. The specialist might respond electronically, conduct a virtual appointment with patient at their doctor's office, or request a face-to-face meeting. As a result, it reduces the wait time for specialist input and eliminates unnecessary travel.

Foreseeing the future, technology has the power to not only enhance the quality of healthcare but also make it more accessible to people. It is going to become a collection of means to enhance care and education delivery.

Comprehensive Services Related To Healthcare One of the key aims of telehealth is to enhance the existing trusted relationship between provider and patient. The services offered by it can be delivered through a variety of methods including telecommunications, remote patient monitoring tools such as wearable technology, live video chatting, electronic record transmittal, and mobile health (mHealth) apps for mobile devices. Through these services, the healthcare of the patients can be taken care of properly. Some of these services are mentioned below: Personal Health Records Management The obstacle: To manage personal health records (PHR) is quite difficult for patients.

The viable tactic: Using PHR application, patients can store their healthcare reports and access it from anywhere at any time via web-enabled devices such as computers, laptops, tablet or smartphones. In case of emergency, retrieving the patient's record quickly can provide vital information, such as current diagnoses, medications, drug allergies, and doctor's contact information.

Remote Monitoring Management The obstacle: People who are diagnosed with chronic diseases need proper care and medical attention. They are kept under surveillance so that their family members can monitor their health.

The viable tactic: Through RPM, the task of monitoring these people becomes very convenient. The wearable devices play a vital role in transmitting information such as heart rate, blood glucose, gait, posture control, tremors, physical activity, or sleep patterns. In this way, the families of the patients can make right- move if there is a need for medical care.

Using Virtual Appointments The obstacle: For every doctor visit, the patient has to book an appointment beforehand and then wait for their turn. The meeting with doctor take only 10-15 minutes but the entire visit may take 2-3 hours, which is a total waste of time for them.

The viable tactic: To overcome this flaw, the virtual appointment is the best option and can be utilized through tablets, computers, and smartphones. Through this, patients can communicate with doctors without leaving the comfort of their homes. In addition, they can receive on-going care from their regular doctor when an in-person visit is not required or possible. In this way, they can share their health status with the doctors.

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Breaking Healthcare Barriers The Benefits of Telehealth in Today's Healthcare Industry According to mobihealthnews, the number of households using video consultations with physicians will grow, from 900,000 in 2013 to 22.6 million in 2018. The report generated by Health IT Outcomesreveals that telemedicine usage is on the upswing; televisits have increased by 340% in the past five years. The new study called Global Digital Health Outlook of Health Data Management predicts that digital health will have a compound annual growth rate (CAGR) of 12% through 2023. These statistics indicate that usage of telehealth services is going to increase manifold in the future.

Witnessing such a scenario, the benefits provided by it will be very useful for patients, doctors, and healthcare providers.

efficiently. Telehealth not only saves time but also reduces the gap to deliver the best health care to remote patients.

Doctors can also increase capacity through less travel/weather condition schedule disruptions. Furthermore, patients can feel more confident in an opinion validated by another doctor.

For healthcare systems: Factors such as eliminating travel costs, cost reduction, minimize ambulance and medical taxi costs and eliminate unnecessary and duplicate tests, are helping in reducing the burden on the healthcare providers to deliver care fast and timely. Moreover, realizing the benefits of telehealth, governments, and other organizations started investing in it. It is clear that this technology will have a strong return on investment across the entire healthcare ecosystem. In the upcoming years, it is going to change the way healthcare is delivered and viewed.

Present Challenges

For patients: Through telehealth, the doctor can reach their patients more frequently for their follow-ups. As a result, patients do not have to wait for doctor's appointments and stand in the long queue. The main point here is that the patients get the best possible care with the least inconvenience.

For doctors: For specialists, this is a big chance to reach patients who aren't local or who are unable to travel. By breaking the barrier of reach, they can treat their patients

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Despite such a promising future, telehealth has to face numerous challenges. These challenges include misdiagnosis a person's disease or treatment, widespread implementation of services, payment parity, and lastly, using telemedical technologies on an extended scale.

Because of these factors, patients may not receive the right treatment, at the right time. One of the ways for telehealth to address this is by adopting latest trends and technologies.

Mark Boyce: Always At The Forefront Of Strategic Thinking

Scribe’s mission of simplifying healthcare through innovative technologies evolved from entrepreneur Mark’s past success in the management of organizations. Mark D. Boyce (President and CEO) is the force behind Scribe’s vision. He quotes the company’s mission, “Overall, our intent is to remove the burden of clerical work and allow healthcare providers to focus on the patient while improving productivity, revenue, and quality of care.”

Scribe adapts to a provider’s unique way of working enabling them to focus on what matters most – patient care.

Delivering High-Quality Innovative Solutions

President & CEO

Scribe

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Scribe Technology Solutions is a back-office solutions provider that focuses on the three P’s—productivity, profitability, and patient care. It enables the capture, creation, communication, monetization, and analysis of healthcare information.

n the healthcare industry, change and evolution are constant. In the coming years, the transformation may lead healthcare providers to reconsider their profession, due to high burnout. Artificial Intelligence (AI) technology is also very much likely to advance and contribute more to the industry. And having portable information to take care of patients wherever they are - in person or remotely - is going to be key to achieving cost reductions and improved care.

Scribe is continuously striving to deliver high-quality innovative solutions for providers building on its current foundation and platform. It is continually providing more technology to remove labor from the back end of a healthcare workflow process, streamline workflows, and providing more AI tools to have better information to make practice decisions. In addition, it offers technology-based methods to help providers speak and let technology do the heavy lifting to get information where it needs to go, whether that is an EHR, a referring provider, or a patient.

The emerging healthcare company, Scribe, Scribe Technology Solutions, is comprised of solutions, which offer the healthcare organizations the medical information of patients at their fingertips. Its innovative technologies incorporate AI and therefore free up healthcare professionals to spend time with patients and spend their time on what they are trained to do rather than engaging in the paperwork. Leveraging technology minimizes the burden of documentation and can have a significant impact on the burnout.

Currently, ScribeMobile is the key focus for Scribe. Scribe predicts that the adaption of the mobile app will grow as more and more providers are comfortable using mobile devices in all areas of work and it adds more productivity modules to the app. LiveScribe is the latest solution and will be a solid part of the company portfolio. Professionals simply log into ScribeMobile and then connect to its available queue of virtual medical scribes during the patient encounter.

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A Tactical Leader Formulating the Strategy for Growth As the healthcare environment expanded with a greater amount of data being collected but not utilized, it became evident that there was an opportunity to become a change agent. Mark has always been at the forefront of strategic thinking, so he decided to use this data in a positive way to make changes for the better and founded Scribe with this innovative approach. He has more than three decades of management experience in finance, operations, marketing and technology with companies such as IBM where he helped to start the IBM PC division and later at Anixter where he helped formulate the strategy that fuelled their growth from a $500 million company to $1.5 billion company. Mark founded Scribe almost 18 years ago and is leading the operations as the CEO ever since. Apart from leadership, he also takes a part in designing the technology for the solutions. “One area that I enjoy working on—though not typically done by a CEO— is to continue working on architecting the technology for our solutions.

My roots are in computer science and I still enjoy getting into the core of the programs,” said Mark.

Scribe works simply by building collaboration with healthcare professionals for friction-free use.

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unique culture Mark says, “By not limiting our pool to one geographic area, we can attract the best of the best.”

Evade the Traditional Style and Be More Flexible & Nimbler Mark believes that the healthcare industry is always open to changes. Often, most healthcare institutions, including those affiliated with universities become entrenched in the traditional way of doing business. In the ever-changing world of healthcare, institutions need to be more flexible and nimbler. In addition, these institutions need to develop a better understanding of technology. AI can help them to understand data, simplify workflows, and allow providers to focus on the patients and thereby improve patient care.

Anticipating the Changes in the Healthcare Industry In citing the changes he expects to see in 2020, Mark says, “I don’t expect to see any major changes in the industry in 2020, in part due to the US presidential election in November unless there are significant changes to the ACA in 2020. Meanwhile, Scribe will continue to work on improving our current solutions and developing new ways that providers can improve their productivity, profitability, and patient care.”

Mark holds a B.A. in Economics and Computer Science from Colgate University and an M.B.A. from Tuck School of Business at Dartmouth College. He also is currently the Chairman of the Board of Trustees of Dean College in Franklin, MA. He pens down his entrepreneurial journey by saying, “I accept the choices I’ve made in life for good or bad. They make me who I am today. But I would go back and continue to remind myself to not be afraid to be bold and to take chances. I’ve done that throughout my career - but it’s always good to be reminded!”

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A Unique Blend of Talent

Scribe practices a unique company culture, as the employees work from remote locations. In explaining this

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A majority of Scribe’s staff is a blend of employees from other companies that have merged with Scribe. Mark counts on the expertise each employee brings to make the best choices within the framework of the company’s goals and missions.

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Expert Opinion

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Nicole Latimer: A Modern Age Leader Gravitated Towards Organizational Goal such as technological advancement, change in government policies, funding, and financial regulations all play a huge role in shaping the healthcare industry.

Addressing Health Issues since Ages Both health systems and employers are assuming more risk to control and reduce health care costs. Addressing such lifestyle behaviors is one of the prime concerns in today’s time. Incepted in 1980, StayWell is eager to play a central role in putting efforts to address all the changes and drive 30 percent of all the health care costs. Over the last 40 years, health issues such as sleep, stress, and weight are being amongst the prime concerns. Being a healthcare transformational leader, Nicole Latimer, CEO of StayWell, has effectively managed these issues through proven behavioral science principles.

CEO StayWell

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n today’s fast-moving life, the term healthcare has also evolved with time. Today, it is more about fighting against issues such as obesity, mental health, along with issues related to physical activity and nutrition and several other. Previously, these issues were less talked about in the healthcare industry. But, with changing priorities and lifestyle patterns, these health issues have risen. Concurrently, some similar changes can also be seen in the healthcare industry. Many standard practices are replaced with more advanced ones. Similarly, the healthcare facilities are becoming much accessible as compared to earlier.

Healthcare is more accessible but at the same time it is also one of the most costly engagements. The organizations today are taking initiatives to make healthcare cost-effective. Healthcare is a big industry that is complex and well-funded, which means staying abreast of the rapid changes that are likely to impact it. Factors

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On an everyday basis, the company helps people address lifestyle behaviors that impact individuals’ health. Using proven experience and clinical research, it guides patients, employees, and plan members with engaging programs to improve health journeys. Issues such as smoking, sleeping, stress management, dietary choices, and physical fitness are continuously impacting peoples’ life.

StayWell provides individuals with important coping skills to develop happier and healthier lives. It has developed proven programs and expert educations in formats and delivery channels that are most accessible.

Encouraging People to Pursue Their Own Well Being Nicole actively encourages people to pursue their own well-being and spend time investing in areas of life that help them feel renewed and recharged. For her, that comes in the form of daily exercise and mediation. For others, it may be getting outdoors, prayer, yoga classes or spending with their children. She believes in promoting fitness. As a company in the healthcare industry, StayWell instituted a daily 30 minutes wellness break during the middle of the workday named “Bean Time.” Nicole wants to create a

Healthcare

Leaders

healthy environment where all the employees are living up to the company’s value. Furthermore, she wants each and every individual to feel supported, respected, engaged, and passionate in their roles.

Nicole enlightens on company values, she says, “More employees are gauging potential employers with how the company’s values align with their own, and if a company’s culture isn’t one that respects its own employees, recruiting and retaining top talent will always be a challenge, which in turn affects all other aspects of the business.” She believes that her journey has always been about working with people that she admires and respects.

Through elements such as bean time, participating in a culture advancement committee, conducting quarterly employee engagement surveys and taking time to connect with people at all levels throughout the company. She has always gravitated towards organizations that had a strong and positive culture, and those are typically the result of great people.

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Analyzing the Common Mistakes Addressing the common mistakes done by the patients and healthcare institutes, Nicole asserts, “A missed opportunity that I have made myself is not asking for clarification so that I can truly understand the information shared by physicians and nurses.”

Furthermore, she adds, “Patients are often intimidated by medical language because it is so different from our normal conversational language. Even those who work in the industry themselves, often forget to ask extra questions or clarify when we are patients, to ensure we understand the information and care directions.” As health settings can be intimidating for many people, but health education leads to health empowerment. She always tell friends, family, and colleagues to feel comfortable asking a physician or clinician to speak more slowly or to explain something in more simple terms, and to always ask more questions.

The Year of Introductions and Strategies for the Future

The future holds many uncertainties so it is important to plan ahead. In the next five years, Nicole hopes that StayWell becomes further integrated among employees and health systems, helping to close gaps in the digital health space to create a more connected patient journey.

Through these touchpoints in patient’s lives, it can supply the right guidance and support to make a significant impact on the health of others and a seismic shift in the culture.

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At Present, the year 2020 is a pivotal year for StayWell.

The company will be introducing some major advances in the digital delivery of patient education, as well as making advances to improve accessibility to more individuals.

Within the first month of 2020 it has more than doubled the number of users on its My StayWell platform, lifestyle risk management solution. On the road of uncertainties, the company expects that number to continually grow as it introduces advanced tools for participant engagement and education which will extend the reach among individuals, as well as various organizations.

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Timothy Kelley: Aiming To Become A Specialist In Telehealth Sector When asked Timothy to share about his journey so far, he said that his journey has been about learning from mistakes and to take full ownership of them.

Commenting on this, he says, “Some of the mistakes are funny and others are economic disasters! Building on experience is part of knowing what to do next.” For him, the process of getting better at what he can do from all professional elements such as hiring, management, and development becomes paramount to growth.

Contributing in the transformation of the Healthcare Industry

President & CEO Nautilus Medical

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he healthcare industry is facing a multitude of challenges due to factors such as rising health care costs, increasing consumer expectations, changing patient demographics, and complex health and technology ecosystems. These factors are putting pressure on healthcare leaders to provide adequate, timely care with lower healthcare costs. “Looking at the social conscience of the healthcare business, the concerns over cost, overprescribing, overexposure, and hidden costs, we feel our responsibility is to deliver innovation that meets the expectations of professionals and exceed expectations of patients”, says Timothy Kelley, the President and CEO of Nautilus Medical.

As a transformational healthcare leader, Timothy believes that the company’s products are meeting the requirements of healthcare professionals and patients.

Having experience in the healthcare sector, he has witnessed various events occurred over the years.

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Timothy has witnessed that factors such as patient responsibility, patient access to education, more transparency, and technological advancements are driving the transformation in the healthcare sector. He also observed that the need to manage health records safely and efficiently can become too much of a burden for many healthcare organizations. This is where Nautilus steps in and plays a significant role from a technology and service perspective. The company provides access to images and data for all disease states and make sure the data is in a universal format that can be read by any system. This resulted in having no delay in care or/and eliminating unnecessary duplicate rescans of patients.

The industrious leader with his team delivers a robust telehealth component tied to the distribution of data which allows patients & physicians to communicate and consult in a face to face e-visit along with the viewing of images and other pertinent data. In addition, he states, “We have begun educating patients through our platform as well starting with pregnant women seeking best of breed information about their experience. We deliver new moms their keepsake ultrasound with the most comprehensive educational resource online at BebeVue.com. Education, telehealth along with imaging and data will become a standard of care.”

Healthcare

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Since its inception, Nautilus’s mission is to deliver highvalue services that meet medical professional and patient/ consumer requirements with full regulatory compliance. Therefore, in the future, the company is going to become a major telehealth company that is a specialist in imaging, data, and how information can be transmitted to different systems. Whether it is professionals, patients, or clinicians speaking with each other, they’re going to expect data to be quickly moved.

The CEO Timothy proudly asserts, “No other telehealth company has our expertise in moving data- especially images.”

Assembling A Strong Team, Implementing A Transparent Culture Building a strong team is very crucial to an organization as it plays a vital role in the success and growth of it. To ensure the continued success of Nautilus, the CEO Timothy conducts weekly meetings where everything and anything is discussed. Also, the professional team of Nautilus follows Ray Dalio’s ‘Principles’ and maintains transparency at all levels. At Nautilus, employees are encouraged to share ideas, discuss any issues openly and given freedom to criticize the management. The versatile leader believes, “The company’s culture is to criticize anyone constructively, but there is no room for being mean or hurtful, just helpful.”

Expanding platform, Working towards Nautilus’ growth Timothy believes that the year 2020 will be a big year for them in regards to expanding their platform to underserved markets that need their services but do not have a budget for large OEM products. Moreover, he is expecting massive growth in telehealth for which their integrated platform will solve many problems for a technical and service delivery perspective at a price to satisfy major sectors of healthcare from independents to major institutions. These events and activities will play a major role in the development of Nautilus’ products and services.

Mistakes Made By Patients and Healthcare Professionals Both patients and healthcare professionals make the same mistake regarding the treatment of any disease.

Through Google, patients read misinformation leading them to self-diagnose which is dangerous. In parallel, healthcare professionals most of the time direct a patient’s care without all of the necessary information.

As a result, these actions are negatively impacting on humans’ health. Therefore, Timothy advices patients to educate themselves from accredited resources and not just anything they find on Google. He also recommends healthcare professionals to ask a lot about where the patient has been treated, what they liked, disliked and how they would like to proceed for the better treatment.

They should offer their approved materials to educate the patient about their state and possible treatments. When educated patient and thoughtful consultation with a professional come together, there will be better outcomes and results to see.

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A Pioneer In The Telehealth

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Decade of Disappointment

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he United Nations released the first emission gap report ten years ago. The report stated the detailing of the disparity between commitments made by nations to reduce greenhouse gases and the practices required to meet the global temperature target.

The estimation was that countries should be curbing emissions by 3% per year. However, the latest emissions gap analysis depicts that in the past decade the inaction has doubled the rate at which emission must fall. The percentage escalated from 3% each year to 7.6% each year, to meet the target global temperature. The last decade could be named as the decade of disappointment, as despite the awareness, pollution was at the peak and the natural calamities where witnessed globally.

The natural disasters have led to millions at risk of losing their livelihoods, homes, and lives. Many countries are threatened by mass migrations. On the other hand, the increased atmospheric carbon dioxide levels are estimated to lower the nutritional quality of crops and raise grain prices. Pollution is not just affecting health but also having adverse effects on food and natural habitat. Air pollution is highly contributing to health hazards.

According to research, the air is having adverse neuroplasticity effect on human, in other words making humans downward spiral stupid.

Environment Affecting Thinking Ability

According to the research, the rising carbon dioxide emission can lead to the decline of thinking ability. The increased greenhouse gases would highly affect thinking, concentration and decision-making abilities. The results were derived from a practice where it was observed what happens in an environment where CO2 levels are increased. In school environments,

increased CO2 levels caused a decline in student attention, vigilance, and memory. Correspondingly, in work environments, the increased levels affected the decisionmaking, strategic, and crisis response abilities.

Apart from these observations, there is also a scientific explanation for CO2 affecting thinking ability. The alveoli in the lungs exchange oxygen from the air one inhales with the carbon dioxide in the blood. If the air one breathes' has more CO2 and less oxygen, then blood will not get the same amount of oxygen. Oxygen helps the cells to function normally including the one inside the skull. If brain cells are deprived of oxygen, they may not function properly also resulting that many of these cells may die. This would directly affect cognitive function.

The data were collectively used to create a mathematical model to predict how the future would be affected if the current trends of rising CO2 in the environment were maintained. The study concluded that by about 80 years i.e. by 2100, there would be about 25% reduction in basic human decision-making ability and a 50% drop in complex human strategic thinking.

“2+2=?”

Researchers have long believed that CO2 does affect thinking ability. In Apollo 13, there was a moment when the gauge monitor reported dangerous gas levels in the cabin. The gauge was monitoring CO2 levels. One of the NASA engineers remarked that if the CO2 levels rise too high, one could get an impaired judgement, blackouts, and the beginning of brain asphyxia. This rise in CO2 levels could affect the brain so severely that one might not be able to answer 2+2. Looking at the rise in air pollution, the same principle would soon affect the people on earth. For two centuries, there has been an extensive burning of fossil fuels and the rise of the Industrial Revolution has contributed to the rise of CO2 in the atmosphere. Today, the number has spiked from 280 parts per million to about 410 parts per million.

There was a survey conducted in 162

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Decade Of Disappointment random regions throughout China between 2010 and 2014, to examine the air quality data. The researchers concluded to the result that, over the years polluted times affected the verbal and maths test scores.

Overall, it was observed that verbal skills were more affected than the math test scores, although both had significant effects. The researchers also estimated that if the residents were shifted to a place with better standards of air quality, it would improve the test results.

Theoretically, someone who scored at median 50% levels would score to 58% on maths test and 63% in verbal test scores.

Although the study was conducted in China, there are many other developing countries, which have serious air quality problems. Reports have suggested that there are 98% of cities with populations above 100,000 in low and middle-income countries fail to meet World Health Organization air quality guidelines. This makes the findings pertinent to cities with pollution problems globally.

Pollution Health Hazards Are Gender Bias Everyone knows pollution health hazards, however, there are researches suggesting that it has a bigger effect on men than on a woman. As earlier explained, air pollution tends to have a bigger effect on the areas of the brain that relied on verbal tests, which according to the researchers is better-developed in women. They found that the longer humans are exposed to toxic air, the bigger will be the damage to the intelligence, leading to more harm to language skills than math skills and also men more harmed than women. The effect is estimated to be worse for elderly people i.e. people over 64, for men, and those with low education. To calculate the loss of thinking ability due to exposure to toxic air, it may be a few years of education.

In general, men perform worse than women when exposed to the same dose of air pollution. The gender difference is more salient among the old and less educated in both tests. The situation is also worrisome for people suffering from Dementia and Alzheimer's.

Mortality Due To Air Pollution The environmental factors contribute to 40% of deaths

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worldwide each year. Air pollution let alone contributes to 3 million deaths each year through diseases such as pneumonia, chronic bronchitis, and lung cancer.

According to WHO, air pollution ranks as the eighth most important risk in the burden of disease.

The increased level of CO2 trap heat, which in turn contributes to global warming. The greenhouse gases also harmfully effect on human health. With the decline in the flow of greenhouse gases, global warming rates would improve and also help reduce the number of premature deaths. By the year 2030, reducing greenhouse gas emissions would prevent 300,000 to 700,000 premature deaths annually, according to researchers. Likewise, such reductions will prevent 800,000 to 1.8 million premature deaths by 2050. Moreover, by 2100, 1.4 million to 3 million premature deaths could be forestalled annually.

Studies Trying To Prove How CO2 Is Affecting the Brain A new study by academics at University College London (UCL) found that higher amounts of greenhouse gas in the atmosphere could affect our memory, concentration and decision-making abilities. There are research papers

by Kristopher Karnauskas and Shelly Miller from the University of Colorado and Anna Schapiro from the University of Pennsylvania that are trying to prove that there is a relationship between CO2 levels and thinking ability. The Yale scientist Xi Chen has also put forth his insights and theories on the same. “Polluted air can cause everyone to reduce their level of education by one year, which is huge,” said Yale scientist Xi Chen.

In 2016, researchers at Harvard and Syracuse University found that human cognitive function declined by about 15% when indoor CO₂ reached 945 parts per million and crashed by 50% when indoor CO₂ reached 1,400 parts per million. A research paper also mentions the study of juvenile rats that were tested to record the behavior of brain cells when CO2 levels in the air that they breathed were raised. As the outcome, the levels of a neuroprotective growth factor went down, which in turn impaired brain development.

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