Health + Wellness

CCM Link coordinates patient care on the cloud

So, you’ve put on a few pounds.  At first it was a little extra chub here and there, and then a new pants size and now your annual physical always comes with a reminder that you could use to lose a few pounds.  You expect to walk away from the appointment with a slap on the wrist, at worst and, predictably, don’t lose weight. But what if your employer offered you an incentive to lose weight?  How much information would you be willing to share? Perhaps more than you think, according to Jerry Felix and Bill Nadler, co-founders of the Connected Care Management Link, or CCM Link. The duo developed this cloud-based program to cut costs and help patients manage chronic conditions, by, for example, tackling obesity or monitoring an elderly parent with dementia. “It seemed that everyone that we talked to who had struggled caring for an aging parent or a chronic patient agreed that communication and tracking was an issue,” Felix says. The product is timely, with Medicaid getting ready to cut reimbursements to hospitals for patients readmitted within 30 days. Frequent readmissions can be a symptom of poor follow-up or inadequate at-home care. CCM Link allows patients, medical practitioners and family members to maintain separate accounts and log-in from any computer to access and add information about medication schedules, physician orders, progress reports and even data tracking for, say, blood pressure readings. Each user can set up a notification schedule. For example, adult children might receive a message if a diabetic parent fails to log blood sugar levels, or if medications are changed. The company is currently focused on its business-to-business product, which is targeted to businesses looking to cut healthcare expenses by encouraging health lifestyles. A business-to-consumer model is set to launch in July. Our first customer group was a local hospital group. They’re working with a set of employees. They also provide insurance for other employers. They’ve identified their high-cost users. These might be employees or family of employees. They’ve put case managers working with these employees to try to impact their health care to cut down costs. CCM Link has already received funding from start-up accelerator Innov8 for Health and employs 10 people full time. Felix and Nadler have leveraged resources from their IT management company, EC Link, to get CCM Link running, and say they have spoken with approximately 500 potential clients to date. By Robin Donovan

Latest in Health + Wellness
New ‘Groundwork Cincinnati’ joins elite national network

Cincinnati's own "community charity with a green heart" enters into a new phase of growth and development as the city and the Mill Creek Restoration Project launch Groundwork Cincinnati/Mill Creek. The initiative is dedicated to making the improvements along the Mill Creek sustainable as the group joins a network of Groundwork Trusts, which are chosen by the National Park Service via a competitive process. In order to be declared a Groundwork Trust, a local group must demonstrate access to national and regional funding and training resources and agree to participate in a network of like-minded groups. Now that the local Trust has been approved, Mill Creek will join 20 other Trusts around the country that can use the Groundwork USA name, identity, national profile, reputation and influence. There is no other Groundwork Trust in Ohio or Kentucky. Community-driven restoration, fueled by countless collaborations and dogged determination of advocates led often by the MCRP's Robin Carothers, has continued to change not just the health, but the image of the long-beleaguered Mill Creek. Once a polluted dumping ground for factories and sewers, the Mill Creek now boasts wetlands and a biking/hiking that connects neighborhoods and neighbors. Hundreds of volunteers of all ages, from school groups to neighbors, have cleared trailways and planted trees and gardens to soften the concrete walls that surround the Mill Creek as it winds its way toward the Ohio River. As the city and the MCRP announce the creation of the Groundwork Cincinnati/Mill Creek Trust, officials also confirm a new Audubon/Toyota grant that will allow the restoration of a three-acre wetland and continued work on the edible forest garden along the Mill Creek trail.

UC Forward grants $140K for collaborative classes

What co-op was to the 20th century, UC Forward is to the 21st. So goes the theory, and practice, behind the latest iteration of experiential learning at the University of Cincinnati, birthplace of cooperative education. UC Forward, an initiative of UC’s Innovation Collaborative, describes a wide array of new and existing courses that combine students, and faculty, from multiple disciplines, across colleges and campuses, to work together to solve real-world problems. Some of these classes have existed for years. For example, the Niehoff Urban Studio has been tackling community problems, like increasing neighborhood green spaces and improving communities, with design-thinking since 2002. The Livewell Collaborative has been putting students on the frontline of product development for Baby Boomers—because of strict confidentiality agreements with potential manufacturers, the joke around campus is that participants can tell you all about the new ideas and products they have developed, but then they have to kill you. The Medical Device Innovation and Entrepreneurship Program has been creating partnerships between budding industrial designers and biomedical engineers and University doctors in need of new devices to address pressing needs in the emergency room and beyond. And those are just a few of the existing programs that now fall under the UC Forward umbrella. This school year, the office of the provost issued a call for proposals for new multi-disciplinary courses that include students and faculty from diverse disciplines, use collaborative teaching and learning methods and expand the educational model by focusing on real-life solutions—deliverables that not only help students learn and grow, but that can help them land jobs. Fourteen courses received first-year funding for a total of $140,000 in new funding, a significant investment in a new way of teaching, learning and preparing students for the future. It’s a move that fits with the Research 1 University’s new academic master plan, and aims at helping shift the higher education narrative to meet the needs of a new century. Look for stories about individual UC Forward initiatives, as well as new programs and certificates developed to foster creative problem-solving, in future issues of Soapbox. By Elissa Yancey Follow Elissa on Twitter.

Allostatix takes aim at chronic illness before symptoms appear

“I have no medical or scientific background at all,” says Gordon Horwitz, CEO and founder of Allostatix. “My background is entrepreneurial; I’ve built three or four successful companies in my life by looking for a need that needs to be fulfilled.” In this case, that need was his own. Horwitz, who was diagnosed with chronic fatigue syndrome in 1992 despite an active lifestyle – he’s even a spinning instructor – was feeling “just lousy.” Like many chronic fatigue patients, his blood work and physical exam were normal. Still, day-to-day his energy lagged. With the help of Robert Ludke, a public health expert from the University of Cincinnati, and statistician Ken Rothe, Horwitz fueled the creation of a simple blood test that may predict the development of chronic health issues and malaise in seemingly healthy people.  The test involves measuring biomarkers in a blood sample to measure allostatic load. Allostasis is the body’s adaptive response to stressors, and it’s driven by the nervous system. Exposure to constant stress threatens internal balance, and can wear on your body. Allostatix’s tool measures this wear and tear with the hopes of alerting even asymptomatic people that their body is under stress. By delivering a custom report to physicians, the tool helps identify which specific actions, such as meditation or dietary changes, might best address the specific biomarkers measured, lower the allostatic load and prevent trends from turning in to trouble. “We’re trying to drive costs out of the system by intervening early,” Horwitz says. His next goal? To make his company’s allostatic load testing as ubiquitous as cholesterol screenings, especially for people 65 and older, who often receive annual screenings. He also hopes to further partnerships with research universities – the company is already collaborating with scientists at the Ohio State University -- for ongoing product development.   By Robin Donovan

Two local architecture firms form wg:Architecture

A 30-year partnership between two local architecture firms, GBBN and WA, led the the creation of a new, specialized architecture firm, wg:Architecture.  wg:A was formed in December 2011, but officially launched March 1, after noting an opportunity for a minority-owned firm that specialized in healthcare architecture. Many healthcare organizations seek out minority-owned firms for many types of services, including architecture in their procurement processes--the rapidly evolving healthcare field requires constant change, which includes planning and designing new buildings as well as renovating old ones.  "Many local healthcare businesses were looking for local firms to hire, but since healthcare is such a specialized field, they were having to go outside the region to hire firms," says Kevin Holland, managing director of wg:A. "There was a void here and we took the opportunity to fill it."  GBBN is a large general architecture firm with offices in Cincinnati, Louisville, Pittsburgh and Beijing and has worked on dozens of projects with WA, a small, healthcare and education focused, minority-owned firm, and decided to form the co-own the new firm, with the majority of ownership belonging to WA, so wg:A can fulfill the minority-owned stipulation that is being requested by healthcare organizations in the area.  "The old model of working together with WA really only benefited GBBN," says Greg Otis, president of GBBN. "With wg:A it benefits both firms and gives us authentic leadership and that will recruit talent to Cincinnati." Holland moved to Cincinnati to take the job and will begin to working with employees from both WA and GBBN on projects and plans on growing to employ six or seven architects in the near future. Holland has begun to scout out the best healthcare architects in the country and will bring them to Cincinnati.  "We hope down the road wg:A will grow and eventually compete with the two parent companies for projects," Otis says. "Our definition of success would be to compete against this entity that we created. It's an effort to create something this city needs." By Evan Wallis

New loan funding helps property owners increase energy efficiency

A $3 million boost from a national foundation may soon help make local church pews and nonprofit offices a lot more comfortable, and a lot more energy-efficient. The innovative new approach to making energy-efficient upgrades profitable for both loan recipients and lenders combines the efforts of the Greater Cincinnati Energy Alliance, the Cincinnati Development Fund, and the Calvert Foundation, which typically invests in real-estate secured loans and has never before invested in Cincinnati. The new fund, the Better Buildings Performance Loan Fund, leverages federal and foundation money for loans at competitive interest rates that can help institutions renovate buildings and increase their energy efficiency at the same time, says Al Gaspari, GCEA finance director. While GCEA's focus has been on helping homeowners with energy-efficient upgrades, this new initiative expands its role in the region. "We're initially targeting nonprofit organizations and multi-family dwellings," Gaspari says. Churches, arts organizations and schools rank high on the list of prospective loan applicants. For example, an inner-city church with a 60-year-old furnace could apply for a loan, invest in a new energy-efficient furnace and save 20 percent on energy costs. Plus, the new system could make existing spaces accessible year-round--even during hot summer and cold winter months--thus allowing for expanded programs and services. "From our perspective, our grant is not dollar-in, dollar-out," Gaspari says. "The goal of our grant is to get people involved and lower their initial risks." For lenders flirting with the idea of investing in energy-efficiency, the new fund provides a potential sustainable model. "Our overall goal is to show that there is a market for these loans and show that they do perform," Gaspari says. While the new fund is not yet up and running, he says the GCEA expects to underwrite loans, which will be offered through the Cincinnati Development Fund, before the end of 2012. As part of the fund, the GCEA will track the energy savings that improvements allow. For investors at the Calvert Foundation, the forward-focused program offers a chance to invest in a program that ultimately conserves energy, reduces pollutants and saves money. By Elissa Yancey Follow Elissa on Twitter

Therapeutic riding center helps spur healing

The riding arena is state-of-the-art with its bright, airy space, insulated walls and comfortable and air-conditioned viewing area. If not for the wheelchair ramp, no one would guess this stable’s special mission. The Cincinnati Therapeutic Riding and Horsemanship (CTRH) facilities are east of Milford, nestled in the hilly land along State Route 50. Starting in 1985 with one pony and five riders, CTRH has grown into a riding center that offers therapy to 120 people of all ages and with disabilities ranging from autism, Down syndrome, cerebral palsy, multiple sclerosis, spina bifida, ADD and ADHD to mental health issues. An Aug. 4 horse show will highlight both the physical and emotional accomplishments of these riders when paired with kindly horses and dedicated healers. CTRH, a Premier Accredited Operating Center (PATH), has met international standards for therapeutic riding centers with diverse and personalized therapy. For adaptive recreational horseback riding, each rider is paired with a horse leader and up to two side-walkers who stay next to the rider at all times, providing a safe and supportive experience. A more intense physical, occupational and speech therapy treatment strategy, hippotherapy, uses the horse’s movements to encourage neurological function and sensory processing. “The benefits to the rider are so varied,” says Lauren Warm, one of the center’s licensed physical and occupational therapists who uses this one-on-one treatment. “Riding improves strength, range of motion, muscle tone, cognitive abilities, communication and function. I love the motivation and joy it brings to riderswhen they interact with the horses.” Evaluated for temperament and intensely trained, CTRH horses are at once essential to the program and an ongoing expense — $6,000 a year per animal. More than 2,000 hours of programming, at an hourly cost of around $145, are offered to riders for $35. The center subsidizes the rest. “We run such a lean operation,” says Linda Rubel, a CTRH board member and volunteer. “Program director Laura Benza is our only full-time employee. We rely on hundreds of volunteers,” who care for the horses, help in the office and work with the riders in their therapy. Recently, CTRH launched new programs, including Equine Services for Heroes, offering physical and emotional therapy to armed forces veterans. CTRH is also collaborating with Cincinnati Children’s Hospital Medical Center to offer Equine Facilitated Learning, a program that helps patients develop trusting relationships with animals on their journey to mental health healing. Do Good: • Attend: the CTRH Horse Show,  Aug. 4, 2012, an all-day event at the stables, for a free cookout-style lunch and the chance to support the program’s riders as they showcase their skills. • Volunteer: Submit a volunteer application online and sign up for the next training sessions, June 26 at 6:30 pm and June 28 at 10 am. By Becky Johnson

Ohio Innocence Project, at UC, promotes history of exoneration

More than 2,000 people in America in the past 23 years have been exonerated for serious crimes, according to a blog set up by Mark Godsey, professor at the University of Cincinnati School of Law and director of the Ohio Innocence Project and the Center for the Global Study of Wrongful Conviction. Read the full story here.

Fitness guru offers bad backs a non-surgical way to heal

“People who are in pain are often afraid of making things worse, and that fear prevents them from really doing things on their own,” says Mary Beth Knight. The founder of Oakley-based Revolution Fitness and the newly launched Get Your Back on Track program, Knight was once “rescued” from a car-accident-induced back injury, and never forgot the favor. After losing 65 pounds and developing her strength and flexibility, she became an aerobics and fitness instructor, opening her health center in 1999. One of her clients was John Tew, a local neurosurgeon who came to the gym for personal training. After watching Mary Beth work with Revolution Fitness members suffering from low-back pain, Tew began referring his non-surgical patients to her. Soon, she was too busy to take new referrals. That's when she embarked on her second company, the Get Your Back on Track program. Designed to bring Mary Beth’s expertise to people she can’t squeeze into her training schedule, the program’s kit includes a foam roller, two massage balls, a yoga strap and a yoga mat, as well as an instructional DVD. Knight developed the program under Tew’s tutelage, joining him to observe patient consultations. “I’ve really had a spectacular education in a very hands-on manner,” she says. Knight’s program takes people through three levels of trigger point release, stretching and strengthening. She says releasing trigger points – small bundles of painfully knotted muscle fibers – are critical to a fixing painful backs. Her DVD provides 35- to 40-minute videos designed to make it easy for adherents to stay motivated and perform the exercises correctly. While the program is designed to be temporary, Knight cautions her clients to exercise regularly, and continue to practice the exercises once a week. By Robin Donovan

Chef concocts healthier feeding-tube recipe

“Something tells me that pouring high fructose corn syrup into someone who’s dying is not a good idea,” says Robin Gentry McGee, and it’s hard to disagree with her. Yet she says feeding chronically, even terminally ill people feeding-tube formulas high in sugars, oils and synthetic vitamins is a common practice. When McGee’s own father suffered a traumatic brain injury and required tube feeding, she thought little of the recommended products, despite her training as a whole foods chef. One day, out of sheer boredom, she read the ingredients on a can of feeding-tube formula and discovered it was high in sugar, oils and chemicals. “I was frantic,” she says. With the help of her father’s medical team, along with nutrition professionals, she poured over medical nutrition resources, eventually tailoring a recipe based on healing, whole foods for her father. He was able to stop taking all but one of his 17 medications after the dietary change. “Getting the texture right was the hardest part because my dad was also on fluid restriction,” McGee says. “He was only allowed to have four cups of food a day. The reason those [commercial] formulas are on the market, I think, is because almost the only way you’re going to get calories is from fat and sugar." Soon, she had a formula that worked. Inspired to offer others the same product, McGee returned to school, studying holistic nutrition, and developed a line of organic, nutraceutical products she describes as “food as medicine.” Her feeding-tube formulary project, dubbed “Functional Formularies,” won a $25,000 loan from Bad Girl Ventures, and was funded by the Innov8 for Health Business Concept Expo, among others. Today, McGee faces a number of hurdles: high shipping costs for the formula, the enormous expense of clinical trials (which will make it hard to ever take the product into mainstream medicine) and manufacturing headaches. Still, with her father’s memory in mind – he passed away three years after his injury – she feels that these are small challenges.   McGee’s not trying to replace commercial formulas. Instead, she points to 150 emails in her inbox at any given time from families looking for better nutrition for their loved ones, or people interested in her food-as-medicine concepts and products. After some final tweaks in the manufacturing process, such as ensuring proper consistency and texture, McGee will offer the formulary to patients and physicians willing to test it for 30 days, tracking the results through bloodwork. She continues to raise funding for an official product launch. By Robin Donovan

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