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www.theenterpriseworld.com | America Edition | December 2020

The 10 most P r o m i s i n g

HEALTHCARE TECH

SOLUTION PROVIDERS

Onyx

Healthcare Inc. S M A R T H E A L T H C A R E

John Chuang CEO


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Healthcare Tech: Technologies that Enabling Businesses and Enhancing Life! Many such new revolutionary technologies have been born in medical science, which has not only added new dimensions to the world of healthcare but also saved the lives of millions. Mobile phone apps have made it easy for your doctor to provide treatment. New technology changed the world of medical science in the last decade.With the development of new technology, surgeries are getting finer day by day. X-rays can be considered the biggest scientific achievement of the last century that has raised diagnostic imaging to a new peak. This enchanting science, which started with divine rays of radiation, today can present a living picture of the inner world of humans. Some companies in the area of healthcare technologies have transmogrified the way of treatment and added pace to the growth of the whole sector. We call them The most promising healthcare tech solution providers! In this special issue of The Enterprise World magazine, The Most Promising Healthcare Tech Solution Providers, we bring to you the stories of such companies that have empowered the healthcare sector with their most innovative and cognitively ahead modern technology offerings. Featuring for the cover story is Onyx Healthcare Inc., a healthcare company that is helping with providing smart healthcare solutions. ONYX Healthcare USA, Inc., with 20+ years of medical design experience, leverages embedded computing technology to design and manufacture medical-grade (UL/EN60601) embedded boards and fanless medical AIO system platforms as the building block to medical device OEM and healthcare IT business. Read an Interview with Mark D. Boyce, President, and CEO of Scribe TeleCare. Scribe TeleCare is an innovative solution that is providing opportunities for healthcare providers to continue to service their clients AND have completed documentation to support the care of their patients and facilitate reimbursement with one easy-to-use tool. With all the industries leaning towards a technological perspective, the healthcare industry is not behind. Although the use of technology in the health care industry seems absurd, the healthcare industry needs skilled doctors to cure diseases, perform surgeries and deliver the best results. In our special editorial segment, read out such latest trends in the healthcare sector that have transformed the ways of treatment. MaxMD is a leader in secure healthcare information technology and interoperability solutions. MaxMD is committed to providing secure communications solutions that enable superior coordinated care for healthcare practices, organizations, hospital systems, and HIT application service providers. In an Interview with Mr. Scott Finlay, we discovered more about the company and his thoughts on the current industry scenario. There is much more inside Happy Reading!

Rushikesh Deshpande


INNOVATION, BEYOND IMAGINATION

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For Editorial Concerns: editor@theentetpriseworld.com For Sales & Branding Enquiries: sales@theenterpriseworld.com For Subscription: info@theenterpriseworld.com Publisher The Enterprise World Creative Content Editor Susanne J. Asst. Editor Rushikesh Marketing Coordinator(USA) Peter J. PR & Marketing Coordinator James H. Business Development Executive Ben Clarke Creative Design Head: V. Mittal Social Media Manager Avinash G. Digital Circulation Manager Amanda V. This list is NOT a ranking. The companies on listed in magazine serve different aspects of the market, making ranking them in any order except revenue impossible and unfair. We try to bring a perfect platform for business organization to showcase their valued products/ services. Copyrights © The Enterprise World | 2019. All Rights Reserved. The images and content included in this magazine should not be copied, transferred or reproduced in any form or by any means, electronics, mechanical, photocopying, recording, otherwise, without proper permission from The Enterprise World. The Enterprise World solely owns all the reprint rights.


In the Spotlight This issue of The Enterprise World magazine, The Most Promising Healthcare Tech Solutions Providers features, Featuring for the cover story is Onyx Healthcare Inc., a healthcare company that is helping with providing smart healthcare solutions. ONYX Healthcare USA, Inc., with 20+ years of medical design experience, leverages embedded computing technology to design and manufacture medicalgrade (UL/EN60601) embedded boards and fanless medical AIO system platforms as the building block to medical device OEM and healthcare IT business. MaxMD is a leader in secure healthcare information technology and interoperability solutions. MaxMD is committed to providing secure communications solutions that enable superior coordinated care for healthcare practices, organizations, hospital systems, and HIT application service providers. In an Interview with Mr. Scott Finlay, we discovered more about the company and his thoughts on the current industry scenario.

LiveProcess allows health systems to connect, coordinate and collaborate across departmental, organizational and geographic boundaries – consistently and in real time. Read an Interview with Terry Zysk, of LiveProcess and find out more about the company. Think Biosolution is an original design manufacturer (ODM) and technology provider, building customized Remote Patient Monitoring platforms for Telehealth enterprises and Provider organizations. Read an Interview with Shourjya Sanyal, CEO of the company and know what Think Biosolutions is all about. Scribe Technology Solutions is an innovative solution that is providing opportunities for healthcare providers to continue to service their clients AND have completed documentation to support the care of their patients and facilitate reimbursement with one easy to use tool. Read an Interview with Mark D. Boyce, President and CEO of the company, and know more about it.


08 LIVEPROCESS CORPORATION 16 BUSINESS ESSENTIALS 20 MAXMD 22 SCRIBE TECHNOLOGY SOLUTIONS 28 ONYX HEALTHCARE, INC. Smart Healthcare

Real-Time Management Purpose Built for Healthcare

If Learning is King then Engagement is Queen

IT Works Today

An Innovative Solution for Telehealth

CONTENTS


32 THINK BIOSOLUTION 34 ITS TRENDING 38 AT A GLANCE

Forbes - A History

Platforms for Telehealth Enterprises

Trends in The Healthcare Industry


Onyx

Healthcare Inc. S M A R T H E A L T H C A R E

John Ch

CEO

08 | December 2020


COVER STORY

huang

O

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| Cover Story

W

ith recent technological advances, the healthcare industry has evolved more than ever. New concepts like smart healthcare and other systematic changes, the services have been ever more efficient and faster. New generation of information technologies like that of, Internet of Things, artificial intelligence, big data and cloud computing are now being regularly used in the

10 | December 2020

healthcare sector, making it more convenient and personalized. One such technology that has made its way into the healthcare sector is the embedded IoT Solutions. These systems are a combination of computer hardware and software which together form a component of an electrical device that we use in our daily lives. These devices are more beneficial in the medical field because they are designed to perform a particular task and serve

a particular function. This helps in real time because they are very quick in performing the assigned tasks. This increases the efficiency and speed of the operations. Featuring for the Cover Story of The Enterprise World’s this issue of The Most Promising Healthcare Tech Solution Providers is Onyx, a healthcare company that is helping with providing smart healthcare solutions.


ensure efficiencies to all their partners. Cutting through the Complexities Venturing into an industry as strong as that if medical is usually a challenge. And to top it off with medical IT was surely a challenging part. With the kind of services Onyx provided, it was all a game of patience. There were or rather are certain projects that need a particular amount of time for development. One would think that product development was the hard, the harder part were the sales.

The Company ONYX Healthcare USA, Inc., with 20+ years of medical design experiences, leverages embedded computing technology to design and manufacture medical grade (UL/EN60601) embedded boards and fanless medical AIO system platforms as the building block to medical device OEM and healthcare IT business. Onyx is an ISO13485 and FDA

registered device manufacturer and deliver customizable medical grade (UL/EN60601-1 | CE/FCC Class B) computer products for various FDA device designs.

And through all this, client victories were the most sure things, which gave the company an impetus to keep going on and move forward. Onyx partnered with their clients for long term solution development. The challenges that came in later were not as big as kick starting the company and gathering the first revenue. Because that is also when you can figure out what changes you need to make in order to proceed or which services make up the strength of your company. The Products and Services

Their product portfolio focuses on mobile nursing, patient engagement, and telemedicine turnkey solutions in various clinical applications. With a capability of global supply, the company is committed to uncompromising quality and exceptional service to

The company caters exclusively to the healthcare industry and differentiates themselves by targeting the pain points that hospitals face. By taking on the client’s perspective we have developed products for targeted www.theenterpriseworld.com |11


| Cover Story

segments (mobile nursing, telehealth, patient engagement), making our products applicable to a variety of challenges. Each customer has different needs and our solutions can be integrated and adapted to achieve improvement in workflow and ultimately patient care.

Our commitment to our customers is to provide reliable and high quality Medical PC solutions.

Onyx provides a range of products to their clients catering to almost all the requirements of their clients. In short it can be described as a one stop shop for all your healthcare technology devices. Medical Tablets Onyx Medical Tablets are especially designed to streamline data exchange for EMS and hospitals. With rugged features, high brightness LCD and high performance CPU, these tablets can be operated in harsh environments while delivering superb performance and a crystal clear image. Onyx Medical Tablets help 12 | December 2020

eliminate medical paperwork by automating EMS and hospital workflows allowing paramedics and nurse to instantly access and document patient records. Medical AIO with Batteries Onyx Medical Tablets are especially designed to streamline data exchange for EMS and hospitals. With rugged features, high brightness LCD and high performance CPU, these tablets can be operated in harsh environments while delivering superb performance and a crystal clear image. Onyx Medical Tablets help eliminate medical paperwork by automating EMS and hospital workflows allowing paramedics and nurse to instantly access and document patient records. Bedside Terminal With the technology so advanced, bedside terminals today are widely used. They function as a hub between the patient, the family and the care staff. This becomes a centralized system where the doctors can get the updates of the patent. It can sometimes also be an entertainment for the patient and family members. But more importantly, nurses can get the realtime data without having to check up o their patients every few minutes. This helps save time and with the kind of advanced technology used in designing, the real-time updates of the patients

make it even more reliable. With these and other products like medical AIO, medical box PC, medical display, Onyx Healthcare provides all the medical technology to their partners. AI in imaging diagnostic has been exciting and in development telehealth is also taken off because of the shift in the industry. Although the company has had the solution available prior to COVID the recent pandemic has really emphasized home health and they are excited to see how this sector grows. Why do medical device companies select ONYX? • One Stop Shop Design Manufacturing Service : Embedded Board > Open Frame Platform > Fanless Medical All-in-One System • Competitive Design Cost & Shorter Design Cycle: CE/FCC Class B, EN/UL60601 Certified Medical Computing Prototype Platform • OEM/ODM Customizable CPU, HDD, SSD, Memory, LCD, Touchscreen, WIFI, Private Label, Unit Color, BIOS, Buttons, Form Factor • Customer Service & Technical Support: Local Product Development Center & RMA Support (Turnaround Time: ~ 10


Business Days) • Deal Registration Protection: Yes • Product Longevity: 5 ~ 7 Year • Standard Warranty: 2 Years • Extended Warranty: 5+ Years • PACS Image Processing: Hardware/Software DICOM Compliant • Infection Control: Fanless Design, IP65 (Front), IPX1 (Whole) • Safety Certification: CCC, CSA, RoHS, EN/UL60601, CE/FCC Class B • IoT Ready: Windows/Linux/Wind River OS + McAfee Encryption Control Leading the Way

“As an entrepreneur it is important that you bring innovation to the table and identify every realistic ad profitable opportunity and carry out the operations with consistency and persistence.” Before Onyx, Mr. Chuang started off as a product manager and consultant in many IT companies. www.theenterpriseworld.com | 13


| Cover Story

14 | December 2020


His role in Onyx began at the Taiwan branch where he worked in business and project development. After working closely with management he was tasked to spearhead USA initiatives as President. The Team The workforce forms one of the most important parts of an organization. At Onyx, the team is full of entrepreneurial passion. Every team member operates individually and is constantly able to adapt to the changes and contribute to the development of the company. This is what makes the company strong. As the leader, it is essential that you understand your team and maintain an environment of transparency among all. Mr. Chuang says he always strives to do his best to understand each employees’ personal and career goals and accordingly align their aspirations with business opportunities.

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| Interview with The Enterprise World

LiveProcess Corporation Real-Time Situation Management Purpose Built for Healthcare

L

iveProcess allows health systems to connect, coordinate and collaborate across departmental, organizational and geographic boundaries – consistently and in real time. Through a single platform, clinical, operational and environmental staff is able to manage any situation from any device, and dynamically rebalance business and clinical operations for the best outcomes

during routine, emergent and emergency situations. In this Interview with Terry Zysk, let us find out more about LiveProcess. The Company Tell us about the company. Founded in the aftermath of Hurricane Katrina, LiveProcess is known as the market leader in healthcare emergency solutions. Its offerings ensure that critical healthcare resources are delivered to the right people and the right time during emergencies and natural disasters. As the company grew, it expanded its offerings to include real-time situation management tools that hospitals use daily to connect information, people and resources. Running complementary to the EMR, LiveProcess allows health systems to act in real-time to the dynamics of running today’s everexpanding health system. LiveProcess is based in Chelmsford, Mass., and supports more than 500 US-based healthcare

16 | December 2020

organizations. What were the initial challenges you faced? While the company is well known and valued in the crisis and incident management space, the early challenge was how to grow the business. How could LiveProcess reposition itself from being seen as an extremely valuable insurance policy to a critical solution that could be used daily to help health systems innovate, adapt and thrive in an ever-changing landscape? Which was that point that triggered the growth of the company? The growth of the company was prompted by the need to make our solution part of the everyday operation of a health system. Once we shifted the strategy and expanded our capabilities to engage with key departments and medical personnel, our usage blossomed. We went from selling to a single hospital to selling to larger health systems, coalitions and regional agencies.


Elyse Familant


| Interview with The Enterprise World

What is the reason behind your company’s long-standing success?

foundational information is used to determine how we should grow, shift and evolve our offerings.

We are committed to creating long term value for our customers. We become immersed in their business and how they use our product. We listen to their goals and changing requirements and adapt to support those new needs. It’s that level of commitment, service, and support that keeps our retention rate high, while also providing new and valuable ideas for our product.

Cultivating strong customer relationships-We nurture our customer relationships and are committed to making sure they get continued value from our offerings. As a result, most are willing to share their insights about what they need, what they use, and what they don’t use. This feedback is invaluable and we use it as we develop our product strategy.

Products/Services

Is there any new addition to the list of products/services? Anything exciting you would like to share?

What are the products/services the company focuses on? How are your services different from those in the market? LiveProcess focuses on providing real-time situation management for health systems to best control the impact that events will have on their operations. Operating at the edge of the EMR, LiveProcess serves as a hub that allows health systems to connect, coordinate and collaborate across departmental, organizational and geographic boundaries – consistently and in real time. Through a single platform, clinical, operational and environmental staff are able to manage any situation from any device, and dynamically rebalance business and clinical operations for the best outcomes during routine, emergent and emergency situations.

Earlier this year the company announced LiveProcess Aware, a secure, real-time virtual situation management platform that helps healthcare systems be more effective through active vigilance gained from awareness and connectivity across the enterprise.

How do you decide to take the company a step further in terms of your products/services?

As we saw with the COVID-19 pandemic, health systems need to be better prepared to innovate and rapidly adapt to changing situations in order to thrive. To do this successfully requires real-time situational awareness and close collaboration across clinical, operational and business domains. While the EMR is central to hospitals and health systems, LiveProcess manages the critical information that resides outside of an EMR, complementary to the EMR, that allows hospitals to have real-time insight.

Constant vigilance-As a company, we are continually evaluating where we are and what’s going on in the marketplace. This

By uniting clinical, operational, and environmental staff into a virtual situation center, health systems can connect, coordinate and collaborate

18 | December 2020

across departmental, organizational and geographic boundaries – consistently and in real time for proactive situation management across the enterprise. Accessible from any device, Aware allows users to understand what’s going on at every moment and use that information to mitigate risk, transforming how health systems respond to diverse event triggers. Can you please brief us about your professional experience? Terry Zysk is CEO of Live Process and has extensive experience leading healthcare businesses. She is a results-driven senior executive


access management solutions to the healthcare industry. Terry holds a bachelor's degree in organizational management from Daniel Webster College. What are the key achievements of your entrepreneurial journey? In each entrepreneurial situation over the last 20+ years, I’ve taken on the challenge of bringing a founder’s concept to market as a revenue producing solution. Some ideas were wildly successful and ultimately acquired by Fortune 100 companies. Others were attempting to enter a market long before the market was ready or weren’t complemented by favorable market conditions for the idea to take root and grow. I understand the importance of: • Creating value for the customers/market served • Developing professional growth opportunities for my team • Providing security for the investors/owners

with proven abilities to facilitate sustainable business growth through innovative leadership. She has seen three startups acquired, two by Fortune 100 companies. Prior to LiveProcess, Terry was the senior vice president of operations at MedVentive, which was acquired by McKesson; CTO at Health Dialog where she oversaw corporate technology operations for the $250M care management, healthcare analytics, decision support, and health coaching provider; and vice president provisioning business operations at Sentillion, Inc. (now Caradigm), a leading provider of identity and

The feedback I receive consistently is that I am quietly competent. I know how to get things done and take action without drama. How do you look after your employees? What makes your team unique? I give my trust, respect and whatever else my team needs to be successful. I always treat my teams as professionals. This ultimately provides a great environment for relationships to develop and fosters innovation. What makes our team unique is that we like each other and we enjoy working together. Many of us have worked together off and on over the last 20 years,

that just makes the bond stronger. Going through the tough stuff has bolstered our relationships and benefited the company. Constant vigilance- a need or a strategy? Please share your views. Constant vigilance is both a need and a strategy as together they offer the recipe for long-term success. As a strategy, it is an adaption that serves to help you achieve your desired outcome. As a need, it is the foundational behavior that keeps you on a path, and if you are not constantly vigilant, you're going to fail. It’s a rat-race out there. How do you cope with that? In today’s crazy world what brings me peace is being with my dogs, practicing yoga and experiencing the outdoors. My dogs remind me to be in the present and enjoy life. They just wag their tails happily embracing each moment, never stressing about the past or worrying about the future. Yoga has taught me how to empty my brain and to reach a more peaceful way of living. The breathing, clearing of the mind and the practice of being in the moment all have lessened my stress “off the mat”. I make sure I go outside everyday as it is the ultimate de-stressor for me. It doesn’t matter whether I am experiencing the sun, mountains, oceans, wilderness, snow or even just the simple wildlife in my backyard. All of it gives me energy and improves my mood. www.theenterpriseworld.com | 19


| Business Essentials

If LEARNING is King Then ENGAGEMENT is Queen

20 | December 2020


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quote by Ben Franklin is still relevant today: “Tell me and I forget. Teach me and I remember. Involve me and I learn.” As technology continues to allow more efficiencies and its effectiveness continues to be confirmed, companies are adopting the digital world as an alternative to being held hostage to real estate investments. Many companies have committed to continuing virtual work and learning environments because they saw performance increase by as much as 47%. Other companies have taken notice of the significant environmental impact, as proven during the initial COVID pandemic that shut world travel down, creating an 11% decline in CO2 emissions.

And, most employees prefer working from home. We know that happy employees are more productive and engaged. A survey by Owl Labs found that the overwhelming majority of employees prefer working from home. Why wouldn't they? They save between $2,000 and $6,000 per year in work-based expenses, the frustration of rush hour traffic, and the loss of several hours from their day is significantly reduced. In fact, employees gained back an average of 8.5 hours of personal time per week. However, using a blended or virtual learning approach is not without its challenges when it comes to ensuring training has the same impact virtually that it does when you have people in a training room. Technology designed specifically for virtual training can actually

provide more tools than a conference room or a training room. When you include the ability to “quiz” the group real-time and get immediate results back, along with automatically capturing engagement analytics, technology can significantly assist in understanding your training program results. Social interaction is a huge component to successful training. This is often more important for participants than for trainers. Engagement and activity-based learning can be viewed as difficult using many of the online products that everyone is familiar with. While these web-conferencing systems offer the ability to get people together in a session, the ability to get the type and quality of engagement and social learning is often overlooked. Virtual training requires specialized skills. Trainers should be trained and coached so they are comfortable managing a virtual training program. They also need to be trained on the technology that is being used. The biggest failure of virtual (online) trainers is just not knowing the tools they are using. Proficiency and comfort using the technology is as important as knowing the subject matter being covered. This happens when proper training on the platform is done and the trainers spend time familiarizing themselves with it, practicing in it, and becoming proficient in it. In most online training, the presenter is in control of “all things”. Short of a chat board, traditional online solutions puts 100% control in the hands of the trainer. This leaves participants

isolated, with little to nothing to do. Boredom quickly sets in. Using technology that gives participants an opportunity to review information and own their learning experience is much more powerful. These tools that encourage participation and helps trainers get everyone engaged are a natural part of technologies that were built specifically for training and learning. A strategy that works well for engagement is small group projectbased programs. Using virtual breakout rooms that move participants into small groups encourages engagement and learning. Having participants “own their learning experience by working during training” increases attention, engagement, knowledge transfer, and retention. As you're looking at the best solution for small group learning, be sure to evaluate the technology that gives you the easiest and most robust options. Not all breakout rooms are created equal. It's difficult to get everyone engaged in a face-to-face setting, and even more difficult in a virtual world. Using different tools and tactics to encourage participation can mean the difference between a well-trained team producing excellent results or one that's producing just enough to get by. “An organization's ability to learn and translate that learning into action rapidly is the ultimate competitive advantage.” —Jack Welch (former CEO of General Electric) If learning is King, engagement is Queen. You cannot have one without the other. www.theenterpriseworld.com | 21


| Interview with The Enterprise World

Scott finlay 22 | December 2020


MaxMD IT Works Today

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axMD is a leader in secure healthcare information technology and interoperability solutions. MaxMD is committed to providing secure communications solutions that enable superior coordinated care for healthcare practices, organizations, hospital systems and HIT application service providers.

In this Interview with Mr. Scott Finlay, let us know more about the company. The Company Tell us about the company. From its inception, MaxMD’s mission has been to create scalable, affordable clinical data liquidity. By providing customers with technology that improves the coordination of patient care and enables better healthcare outcomes, MaxMD has earned the trust of healthcare customers across the industry. Today, MaxMD prides itself on its ability to provide value

by making it safer, easier, and more cost-effective to handle inputs and outputs to or from any new or legacy edge system at scale. MaxMD maximizes our technical capabilities and knowledge of healthcare information technology standards to dramatically improve the value proposition beyond simple data transport offered by many of our industry competitors. We believe reliance on a single technology standard isn’t optimal or feasible given the fragmented nature of the healthcare market. MaxMD leverages what works today while positioning for what's coming tomorrow. MaxMD stands out in the market, owing to its ability to innovate for customers. Unlike other HISPs that focus solely on secure and trusted data transport, MaxMD offers solutions with more significant features that improve workflows and leverage both emerging and widely adopted HIT standards. The company’s services include

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| Interview with The Enterprise World

features such as a sophisticated integration engine that transforms data from one format to another, converting proprietary outputs to standards-based HL7 C-CDA or FHIR formats. While the company has added a data validation engine to manage data quality and a robust rules engine to control the flow, it also has a Natural Language Processing engine to make better use of narrative data too. As a result, the company's services enable clients to receive information in a format that is compatible with their existing technology and current workflows or convert to new formats supporting a transition toward new technology and new improved workflows. Our vision is that of an “interoperability solution provider” that creates scalable and affordable clinical data liquidity without the need to abandon legacy systems or relinquish control. It’s about offering “instant interoperability” by providing technology solutions that make it easier for other organizations to make use of emerging capabilities like mobile apps, digital devices, and webbased solutions poised to improve healthcare communications and outcomes. Our approach allows data to be more widely distributed as opposed to creating redundant consolidated data repositories, which we believe is a superior approach to security. Perhaps most important, MaxMD makes no claim to our client’s data for the purposes of monetizing people’s private information. It is

24 | December 2020

one thing to provide technology in exchange for free use of an application; it is entirely something else to usurp the data flowing through that “free” technology for monetary gain. Our HISP roots run deep. As a trusted steward of protected health information, our business model isn’t based around monetizing other people’s data. We leave decisions about how data will be used to the rightful owners. Our clients can verify and trust that we don’t aggregate and sell their data. That’s not what we built our business to do. Administering ethical data privacy and consent policies is an important part of what MaxMD believes. What were the initial challenges you faced? Healthcare interoperability challenges have been compounded by longstanding industry dynamics such as reliance on outdated siloed systems, lack of uniform data standards and an incredibly fragmented healthcare market place. However these are also the market dynamics that our solutions are ideally suited to tackle. MaxMD builds standards-based, scalable solutions designed to create cost effective clinical data liquidity. While Progress on exchanging interoperable health information has been slow it is improving and the pace of change is poised to accelerate with the passing of the 21st Century Cures Act. There’s complexity to overcome in multiple areas. MaxMD provides easily accessible tools and services that interface with virtually any existing Healthcare Information Technology system. Our technology supports

bi-directional exchange, which makes closed-loop communication possible and encourages patientprovider engagement. Which was that point that triggered the growth of the company? We’ve grown significantly over the past couple of years and we are expanding our services in response to client's needs. There is no single factor that has created growth ; rather it is an accumulation of factors such as the creation of the Office of the National Coordinator of Healthcare Information Technology, the development of standards such as Clinical Data Architecture (CDA) , the Direct Protocol (DSM), Fast Healthcare Interoperability Resources (FHIR) and the movement towards value based care and just as importantly legislation such as the 21st Century Cures Act that is driving both innovation and growth. We believe reliance on a single technology standard isn’t optimal or feasible given the fragmented nature of the healthcare market. MaxMD leverages what works today while positioning for what’s coming tomorrow. MaxMD has deep technical expertise and offers leadership in the application of standards such as HL7 Version 2 (V2), Clinical Document Architecture (CDA), and Fast Healthcare Interoperability Resources (FHIR). We enable our customers to leverage available standards and achieve the interoperability they require. Our solutions address a wide range of client types and customer needs. We automate event notifications for admissions, discharges and other


types of care coordination. We make it easy for health information technology (HIT) innovators to exchange standard Consolidated CDA (C-CDA) documents to and from legacy HIT systems. MaxMD is on the forefront of deploying information exchange solutions that bridges the use of existing C-CDA standards and newer FHIR-based technology. Our solutions support providers, payers and patients, and offer mobile app technology that can augment traditional EMR and edge-system user interfaces.” What is the reason behind your company’s long-standing success? Several factors separate MaxMD from peers in the industry. What really distinguishes the company is its commitment to the principle “best idea wins” and its competence in leveraging HIT Standards to accelerate creativity and innovation. A master of HIT standards, MaxMD offers compliant solutions that create market differentiation. MaxMD sees standardization as a catalyst that accelerates innovation and differentiation, not something that limits differentiation. Creating technology that does more than meet the compliance requirements of the 21st Century Cures Act is fueling growth for MaxMD. Powered by a multi-disciplinary team of experienced healthcare professionals with complementary skills and creative problem-solving natures, MaxMD is committed to creating scalable and affordable clinical data liquidity across a technology-dependent and fragmented healthcare ecosystem.

We brought together people with backgrounds in standards development, insurance, EHR systems, and clinical care. We have talented software engineers focused on the vision of creating solutions that leverage standards and scale. The Products/Services What are the products/services the company focuses on?How are your services different from those in the market? Although several factors separate MaxMD from peers in the industry, what really distinguishes the company is its commitment to the principle “best idea wins” and its competence in leveraging HIT Standards to accelerate creativity and innovation. A master of the standards, MaxMD offers compliant solutions that create market differentiation. We see standardization as a catalyst that accelerates innovation and differentiation, not something that limits differentiation. Creating technology that does more than meet the compliance requirements of the 21st Century Cures Act is fueling growth for MaxMD. Powered by a multi-disciplinary team of experienced healthcare professionals with complementary skills and creative problem-solving natures, MaxMD is committed to creating scalable and affordable clinical data liquidity across a technology-dependent and fragmented healthcare ecosystem. MaxMD brought together people with backgrounds in standards development, insurance, EHR systems, and clinical care. We have talented software engineers focused

on the vision of creating solutions that leverage standards and scale. Is there any new addition to the list of products/services? Anything exciting you would like to share? In light of the 21st Century Cures Act requirements MaxMD’s lightweight data transportation and transformation solutions provide customizable rule sets and real-time delivery of clinical data will be valuable to many Payer Organizations. The customizable rules engine and data validation capabilities can automate unique workflows and ease interoperability across the care ecosystem—delivering the right information in the right format at the right time. Additionally we are particularly excited about The MaxMD Patient App. The MaxMD App is already CMS Blue Button 2.0 Approved and compliant with CARIN Consumer-Directed Payer Data Exchange. It natively supports consumer access to Explanation of Benefits information from CMS and private payers and is compatible with Certified EHRs another FHIR Enabled Systems. The MaxMD mobile app is a patient-facing application available for Android and iOS devices to maximize communication efficiency. It provides a personal user interface that creates a secure bidirectional communication channel for any type of information that needs to be shared between payers, providers, and patients. It supports consumer-directed exchange with both query and push capabilities.

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www.atempo.com

preserving data ecosystems


www.royaleneld.com


| Interview with The Enterprise World

Scribe Technology Solutions An Innovative Solution for Telehealth

S

cribe TeleCare is an innovative solution that is providing opportunities for healthcare providers to continue to service their clients AND have completed documentation to support the care of their patients and facilitate reimbursement with one easy to use tool.

In this Interview with Mark D. Boyce, President and CEO of the company, let us know more about it. The Company Tell us about the company. Scribe Technology Solutions’ cloud-enabled platform provides tools for the capture, creation, communication, monetization, and analysis of healthcare information. Our depth of experience enables us to tailor our products and services to meet the unique challenges of each practice so that they will see higher productivity and capture more revenue while able to focus on what matters most - the patient. The platform returns flexibility, control, and productivity to healthcare providers. What were the initial challenges you faced? Mark D. Boyce, Founder and CEO, noticed that a very small amount of the information generated during a patient encounter was used to better the delivery and documentation of healthcare and recognized that both providers and patients would benefit by combining technology to capture and later to manipulate and analyze that information. 28 | December 2020


Mark D. Boyce President & CEO

www.theenterpriseworld.com | 29


| Interview with The Enterprise World

As technology was not solving the issues presented to the providers, the company first looked at better ways to complete clinical documentation focusing on Electronic Medical Records (EMRs) and patient encounters. Which was that point that triggered the growth of the company? The widespread adoption of mobile phones and devices provided a foundation for the company to connect its innovative technology to the providers–giving them a 'platform in their hands' that would improve their profitability, productivity, and patient care. ScribeMobile allowed providers access to documentation anywhere and anytime in an easy to use format. How have the company graphs changed since the foundation? Can you share a few statistics? (You can share the charts/graphs here). Scribe started from the ground up with no existing staff, software or clients. Through the subsequent years, we have processed over 50 million patient encounters. This is a result of building a base of medical providers and have supported more than 40,000 over this period. Our customers range from solo independent practitioners to university hospital systems and cover a range of specialties from primary care, orthopedic surgeons, and behavioral health throughout the United States. What is the reason behind your company’s long-standing success?

30 | December 2020

Scribe’s success is built on a foundation of : Customization: Scribe’s solutions are tailored to each practice. Our staff works with each new customer to understand that practice’s workflow, goals, and processes to develop the best user experience for our solutions. Experienced Workforce: Scribe’s team is composed of people who have long been in the healthcare technology industry. And as the entire workforce works remotely, there aren’t the constraints of geography; the best person for a position can live in any corner of the country. Flexibility and Ease of Use: Once our solutions are designed for each practice, the day-to-day use will be straightforward. The providers do not need to change any other systems, including their EMR. Scribe’s cloud-based solutions allow providers to work where and when they choose. The Products/Services What are the products/services the company focuses on? How are your services different from those in the market? Scribe provides a complete family of patient encounter workflow solutions to record, manage, complete, and communicate clinical documentation that can be combined in any way to solve the individual organization’s needs. The company works with each practice to learn about the providers’ workflow and goals to engineer the processes that fit best. It premiere solutions include,

• ScribeTeleCare: It is a telehealth solution designed and created by and for healthcare professionals. The flexible architecture allows for a virtual replication of a provider’s physical office workflow. This tool can be used with or without the documentation component. Moreover, providers can support the care of their patients and facilitate reimbursement with one tool. • ScribeMobile: It is an app for both Android and iOS devices that gives providers greater freedom to focus on their patients instead of being tied to their computers and keyboards. The application gives providers the ability to capture patient encounters quickly and efficiently, and the ability to review, approve, and access patient documents and schedules at any time, and any place. • LiveScribe: It gives providers the option of having a remote scribe to listen and record the patient encounter in realtime, resulting in more focus on the patient, faster, and accurate documentation as the EMR is completed by the scribe during the encounter. Moreover, with the addition of LiveScribe to ScribeMobile, providers can further extend the capabilities of their devices by connecting to a remote (virtual) scribe in real-time to complete encounters. How do you decide to take the company a step further in terms of your products/services? We monitor what trends and technologies are changing within


the industry and make adjustments accordingly. Is there any new addition to the list of products/services? Anything exciting you would like to share? Our most recent addition, Scribe TeleCare, was ready to be launched in Spring 2020. We had no idea that the introduction would happen at the same time as a pandemic surged and we are grateful for the opportunity to offer our providers a service they needed at such a time. Leadership What do you think are the responsibilities of an entrepreneur? I believe that entrepreneurs should set the vision, build an outstanding team, and never say no for a final answer - only “not yet.” Can you please brief us about your professional experience? Prior to founding Scribe, I had more than three decades of management experience in finance, operations, marketing, and technology. I have worked with companies such as IBM, where I helped to start the IBM PC division. Later at Anixter, I was instrumental in formulating the strategy that fueled their growth from a $500 million company to a $1.5 billion company. What are the key achievements of your entrepreneurial journey?

makes a positive difference for our providers is the exact reason that Scribe was founded. How do you look after your employees? What makes your team unique? Scribe’s team is unique in how it came to be -- it includes a combination of staff from companies that have merged with or been acquired by Scribe, as well as staff who Boyce has worked with in other endeavors. The entire staff works remotely, and much of the staff has the flexible work hours to meet their responsibilities to the company. Is there any special experience with your clients you would like to highlight? Scribe is successfully working with behavioral health clients. Traditionally, this specialty is not paid as well as others, but their case load is much higher and often includes traveling from location to location which cut into their time to complete documentation of their patient encounters. These behavioral health professionals began using ScribeMobile, which they can use anywhere or anytime. The encounter narratives are typically much longer than with other specialties and they can now complete this task while on the road. ScribeTeleCare has been a useful tool for behavioral health practitioners as face-to-face visits were severely limited during the COVID-19 pandemic. Personal Questions

Entering the healthcare industry is a daunting barrier - and creating a viable company to compete in this marketplace. Knowing Scribe

any)? After many years, my favorite book continues to be “Illusions” by Richard Bach, and this favorite quote from it: “You are never given a wish without the power to make it come true - you may however, have to work for it.” One person who you admire the most? My list of the most admired people include my father and Walt Disney, whose business story I find the most inspiring. Which is the most inspiring quote you have read? “It’s kind of fun to do the impossible.” - Walt Disney Constant vigilance- a need or a strategy? Please share your views. In an industry such as healthcare that is constantly changing, it is always necessary to keep up on the latest trends, technologies, and opportunities. Our technology is based on artificial intelligence another field that is evolving and requires continual upgrading. We need to always understand the environment where our solutions are used. It’s a rat-race out there. How do you cope with that? To cope with stress, I make sure to follow some practices that help merunning, meditation, spending time with friends, and his interest in culinary delights.

Can you tell us which your favourite book is? And your favourite part of the book (if www.theenterpriseworld.com | 31


| At a Glance

L

ocated in Jersey City, New Jersey, Forbes is an American business magazine. The magazine covers original articles on industry, finance, investing and other marketing topics.

B. C Forbes was initially a columnist for the Hearst papers and his partner, Walter Drey was the General Manager of the Magazine of Wall Street. The both of them founded the Forbes Magazine on September 15th 1917. This was a partnership where Forbes provided the money and Drey contributed with his publishing expertise. 32 | December 2020

Fun Fact- The original name of the magazine was Forbes- Devoted to Doers and Doings. Drey then became the vice president of the B. C Forbes Publishing Company while B. C Forbes became the editor-in-chief. Fun Fact- B. C Forbes held this post until his death in 1954. Throughout the 1920s, Forbes was the only business


magazine in the United States. However, by 1930s, two other business magazines, Business Week and Fortune joined the market which lowered Forbes’ circulation. In the year 1929, the market crash was not the only problem Forbes faced. With new competitors in the market whose news oriented approach and long, indepth analysis of the corporations beat Forbes’ subjective style of businessman-as-hero which was no more cutting-edge then. Fun Fact- Forbes’ advertising fell from 1216 pages in 1929 to 269 only. The 1940s saw an increase in the circulation of the magazine when Malcolm S. Forbes while working with his father initiated several changes that included hiring a staff of workers who would work exclusively for Forbes, and also started the Forbes Investors Advisory Institute. Fun Fact- As the new editors emphasized on factual details, Forbes became a reliable source of information among the businessmen.

most profitable magazine after Playboy. It could easily boast that “one is five of our readers is a millionaire”. In the 1990s, Forbes worked hard to keep up with the changing scenarios of technology. A Japanese edition was unveiled in March 1992; a Chinese edition was announced in 1993; and in 1998 Forbes Global Business and Finance, an English-language international edition, was launched under the leadership of former Canadian Prime Minister Brian Mulroney. However, the challenge of Internet remained, and with this, Forbes launched a new technology quarterly supplement Forbes ASAP in 1992, and then in the mid-1990s, Forbes moved on to an online presence, named “Forbes Digital Tool”. Fun Fact- Three years ago, Integrated Whale Media Investments, headed by T.C. Yam, bought a majority stake in Forbes, enabling the company to further expand on the digital side and to move into other areas. Today, Forbes editorial is stronger than ever.

Throughout the 1970s, the magazine enjoyed success. With this, Forbes launched its popular “Forbes Richest 400” in 1982, which was a list of 400 wealthiest Americans. By the year 1972, Forbes’ magazine circulation had 625, 000, way more than that of Fortune. The subscriptions alone generated $4.5 million and the advertising brought in $20 million by the year 1976. Fun Fact- The first issue contained long profiles of--in a much used phrase of the time“big men” such as Charles Mitchell who would turn Citigroup forebears National City Bank and the National City Company into America’s first national financial services firms, and Jay Gould Jay Gould , the speculator and stock manipulator. In the following years, the competition for Forbes grew fiercer. In the year 1978, Fortune magazine applied a twice-monthly format which tripled its revenues for the next 6 years. Even with trailing revenue of $84 million, Forbes remained the second THE VERY FIRST ISSUE OF FORBES

www.theenterpriseworld.com | 33


| Interview with The Enterprise World

Shourjya Sanyal | CEO 34 | December 2020


Think Biosolution Platforms for Telehealth Enterprises

T

hink Biosolution is an original design manufacturer (ODM) and technology provider, building customized Remote Patient Monitoring platforms for Telehealth enterprises and Provider organizations. In this Interview with Shourjya Sanyal, CEO of the company, let us know more about it. The Company

conditions. The platform will decrease the number of hospital visits, and the length of hospital stays for patients. This marketcreating innovation will directly impact health insurance enterprises in the USA and national healthcare authorities in the EU, who will launch a new category of preventative care delivery with a significant reduction in insurance premiums. What were the initial challenges you faced?

Tell us about the company. Think Biosolution was founded in March 2016 in Dublin, Ireland, and is now a global innovation leader in building customized early warning score based triaging platforms for assisted living facilities and hospital groups in the USA. Our two current platforms are the Athome COVID-19 Monitoring Platform and the At-home Geriatric Care Platform. Think Biosolution currently uses third-party point of care medical devices like pulse oximeters and blood pressure monitors to predict the onset of a chronic condition for a given patient. Our future Chronic Disease Prevention platform is projected to be launched in early 2023 will help patients prevent the onset of new eighteen different chronic

Our biggest challenge was to find a good product-market fit for our technology. We knew from the getgo that our multiparameter wearable medical device QuasaR™ could have big impacts in multiple marketplaces, including regulated medical devices, smart apparel, and professional athlete monitoring. However, it took us two years to identify the correct market place, i.e., long-term care facilities in the USA. It then took us another two years to quantify our target customers’ impact on KPIs for patient outcomes, cost savings, and an increase in revenue.

savings, and revenue increase for long-term care facilities helped us trigger growth. Long term care facilities include assisted living, skilled nursing facilities, posthospitalization care, and at-home care. The other major factor was the COVID-19 pandemic. The pandemic ushered in a huge need for provider organizations to immediately deploy patient monitoring programs for at-risk, suspected, and confirmed COVID19 patients. How have the company graphs changed since the foundation? Can you share a few statistics? (You can share the charts/graphs here). We have already done pilot launches of our existing platforms with four healthcare facility partners and have achieved annual recurring revenue (ARR) of €408,012 in Q3 2020. We have payment orders in place with the existing commercial partners worth €3,412,200 to be fulfilled by Q3 2021.

Which was that point that triggered the growth of the company?

What is the reason behind your company’s long-standing success?

Understanding our platform’s impact on patient outcomes, cost

Our team has the right balance of engineering ingenuity combined www.theenterpriseworld.com | 35


| Interview with The Enterprise World

with sales and marketing experience. This balance has helped us to iteratively identify a niche yet scalable market need not addressed by any of our competitors. The USA physician to population ratio is 295:100,000. As a result, treatment is delivered in long term care facilities to patients with critical and severe symptoms. Our platforms help patients prevent the onset of new chronic conditions, manage escalation of existing chronic diseases, and therefore decrease the number of hospital visits and length of hospital stays. The Products/Services What are the products/services the company focuses on? How are your services different from those in the market? Our two current platforms are the At-home COVID-19 Monitoring Platform and the At-home Geriatric Care Platform. This platform is a virtual doctor that uses early warning score based triaging to provide long term care facility administrators real-time updates about capacity, condition, and overdue tasks. None of our competitors can predict that the onset of chronic conditions is focused on managing single chronic conditions. Examples - Propeller Health (Respiratory), Datos Health (Cardiology and Oncology), and Vivify (Health Cardiology and Hypertension). How do you decide to take the company a step further in terms of your products/services? We are now getting regulatory 36 | December 2020

approval for the QuasaR™ device. QuasaR™ device is a wearable medical device that can measure the maximum number of biometric parameters in the marketplace (heart rate, heart rate variability, respiratory rate, blood oxygen saturation, blood pressure, movement, location, and temperature). By combining these biometric parameters, the QuasaR™ device will be monitoring patients for the onset of new chronic conditions when patients start using QuasaR™ for managing a single chronic condition. Our future Chronic Disease Prevention platform uses the QuasaR™ device and is projected to be launched in early 2023. Is there any new addition to the list of products/services? Anything exciting you would like to share? Our disruptive innovation is our eighteen patented disease-specific early warning scores that can prevent the onset of half of all existing chronic conditions. Using these early warning scores, our Athome Chronic Disease Prevention platform will be able to provide automated triaging for high-risk patients in long term care facilities or at-home. This market-creating innovation will directly impact health insurance enterprises in the USA and national healthcare authorities in the EU, who will launch a new category of preventative care delivery with a significant reduction in insurance premiums. Leadership What do you think are the responsibilities of an

entrepreneur? The most important responsibility of an entrepreneur is to find a product-market fit. Secondary responsibilities include building a strong team that can deliver the product and ensuring that the team is always listening to the customer’s needs. Can you please brief us about your professional experience? I co-founded Digital Self Technology, Ireland, in 2013. I won the Deloitte Top Technology Award in 2016, Cruickshank High Achieving Merit Award by Enterprise Ireland in 2014, and CASL ACE Award in 2014. I was also one of the youngest fellows of the Lindau Nobel Laureate Students’ alumni meet held in Germany, 2009, and received the KVPY fellowship in 2007 from India's Government. I was also a lecturer in Data Science in Digital Skills Academy, Ireland, between 2016-2019. I currently serve as a Roster of Experts, Digital Health Technical Advisory Board, World


Awards in 2020, and “The 10 Most Disruptive AI Companies in Healthcare “by Analytics Insight in 2019. How do you look after your employees? What makes your team unique?

Health Organization, and a Standard Committee for Remote Patient Monitoring Standard, CHQI. In 2016 right after my Ph.D. I cofounded Think Biosolution with my best friend from college. Our vision from the get-go was to reduce the cost of health care using innovation. What are the key achievements of your entrepreneurial journey? We raised a €1.2 Million seed round, of which €350,000 came from Luminate, the world's largest Optics Accelerator based in Rochester, NY, and €150,000 came from DIGI-B-CUBE, an EU funded digital health accelerator. We have also won multiple awards, including the Brain Catalyst Pitch organized by Roche in 2020, Open Data Engagement Fund by Data.gov.ie in 2020, “5 Top Telemedicine Startups Impacting The Healthcare Industry “by StartUs Insights in 2020, “Healthcare Laboratory of the Year Winner” by The Irish Laboratory

Our employees’ well-being is the number one priority for the management team. Besides providing them market-leading benefits such as stock options, Health Insurance plans, paid vacations, etc. we also focus on their personal growth through continuous training, certifications, and institute memberships in their respective fields. We are a diverse team of engineers, clinicians, and regulatory experts working together for four years in the medical device industry. Our management team has proven expertise in designing and deploying disease prevention platforms in the US and EU markets. Our CEO wrote the technical standard for Remote Patient Monitoring with CHQI in the USA. Our Director of Sales was SVP of Sales for a leading remote patient monitoring company for the last seventeen years. Our Board of Advisors has previously worked with senior board member level executives in private and public health insurance in the USA. Personal Questions Can you tell us what your favorite book is? And your favorite part of the book (if any)? My favorite books include I, Robot by Isaac Asimov, and What If? by Randall Munroe. I am an avid reader, and I read, on

average, a couple of books a week. Science fiction, business, and fiction are some of my favorite genres. I enjoy reading books since the process helps me understand different points so view about a given situation. One person, who you admire the most? I also look up to Larry Sanger and Jimmy Wales, the founders of the Wikimedia Foundation. Whose business story do you find the most inspiring? I find Elon Mask’s ability to translate technology towards impacting human lives inspiring. Which is the most inspiring quote you have read? “The art of medicine consists of amusing the patient while nature cures the disease.” ― Voltaire Constant vigilance- a need or a strategy? Please share your views. In my view, constant vigilance is a need for SMEs and a strategy for scale ups. Successful entrepreneurs are the ones who can make this switch happen at the right time. It’s a rat-race out there. How do you cope with that? A strong founding team is key to turning every little setback into a learning experience for growth. My co-founder and I have been working as a team for more than a decade, and I believe that is the most valuable asset contributing to my company’s growth story. www.theenterpriseworld.com | 37


| Its Trending

ith all the industries leaning towards a technological perspective, the healthcare industry is not behind. Although the use of technology in the health care industry seems absurd, as the healthcare industry needs skilled doctors to cure the diseases, perform surgeries and deliver best results. But despite of these beliefs, there has been an extensive use of technology in the healthcare

W

38 | December 2020

industry. There are some operations that the doctors cannot perform with the precision needed, if anything goes wrong, it is the life of a person they are dealing with. To remove such minor anomalies, robots are used for precision work. Here are some healthcare industry trends, helping the doctors and the patients equally. A Patient-centric approach in the diagnostics What with the less concentrated diagnostics, or the cost cutting, the

health care industry is turning towards a patient-centric approach in the diagnostics. This means that the industries are now investing heavily in the research and development of the medicines to cure diseases. This has led to a development in the field of genetics to produce medications for a few rare diseases, and even further prevent them. Development of Precision Medicine The ways of analysing a disease are


Trends In The

Healthcare Industry

transforming with the age. The way complex diseases are dealt with is changing and is focused more on patient-centricity rather than patient-engagement. In the previous years, the course of treatment was regular, bases on the clinical symptoms of the patient. But with the changing era, the course of treatment has also changed and it does not stick only to the pivotal medical care. The other medical attributes of the patient such as the genetic make-up, previous medical history are also checked when being diagnosed for a complex

disease.

cell diseases.

Advancements in the geneediting technologies

Digitalization to manage Health Care

With so much investment in the research and development in the medical field, the gene-editing technologies are advancing rapidly. These technologies have changed the face of disease detection, and on the other hand, these technologies are also proving to be helpful in the field of agriculture, where the genes of seeds prone to a particular disease are modified to get healthy seeds which results in a disease-free production.

The cloud technology is used everywhere, right from small scale industries to the education industry. The cloud storage helps the institutions to store large amounts of data and use it when required. Similar technology can be used in the health care industry to store the patients’ information and his medical history for any further references. So if the patient happens to visit the hospital with similar disease as the last time, you can easily lead the diagnosis.

Exosomes as the potential targeted therapy The exosomes are extra cellular bodies that form the communication bridge from one cell to another. The advance medical treatments have suggested the use of exosomes as a therapy for the diseases. As these exosomes are mediators for the communication between the cells, it would be easier to target them to supress cancer cell growth. Also they can be used as the nanocarriers for the treatment of other

These were some of the significant healthcare industry trends . These trends have helped transform the face of the health care industry. With a rapid and continuous research in the field, and the use of technology to detect, and cure diseases, the life expectancy of the people has increased. This has also improved the standard of living of the people and has also increased their focus on health.

www.theenterpriseworld.com | 39


Profile for The Enterprise World

The 10 Most Promising Healthcare Tech Solution Providers  

The 10 Most Promising Healthcare Tech Solution Providers  

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