Startup News

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

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Behind SEO success, a ‘knuckle down’ approach

“About every web company says they do search engine optimization,” says Allison Kulage, who is often the person these companies call when they need a subcontractor. As the founder of Bare Knuckle Marketing, she works with businesses directly, helping them identify and meet marketing goals with SEO. Kulage, who has a marketing communications background, looked for marketing jobs after graduating from college, but found that many of them were little more than commission-based sales positions. After leaping from one job to the next, she discovered a talent for search engine optimization, or SEO – a practice of organizing web content to be friendly to search tools like Google. After more than a decade working with SEO, Kulage grew tired of watching web marketing companies charge clients for search engine optimization that amounted to little more than adding tags to a WordPress site, to keywords to a meta header (part of a website that tells search engines what it’s about) or – at worst – nothing at all. With SEO, Kulage says, there are no immediate or automatic fixes. “One day, I just said to myself, ‘You gotta knuckle up and work hard at this stuff! The gloves are off. It's competitive and the only way to win is do honest, hard work by creating good content that users want.’ " With the help of Bad Girl Ventures, where she took classes in business management, a SCORE mentor and practical training from the American Small Business Centers, she was able to quit her full-time job to launch Bare Knuckle Marketing in just two months. These days, Kulage advises companies to diversify their online traffic sources, so that if and when Google changes its algorithm, they’re still getting website hits from other sources, such as other search engines, social media sites, blogs and more. “People focus too much on how they rank in search engines," she says. "For years, Google has personalized search results, which means you and I can search for the same thing, but get different results based on our search history. You may be number one [in a Google search], but you may only be number one on your own machine. There’s too much focus on rankings, and not enough focus on real metrics -- not just traffic, but traffic that’s converting.” By Robin Donovan

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

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

Place Workshop creates spaces where users can linger

Contrary to what you may think, a landscape architect is not a landscaper. Ken O’Dea, who is the primary environmental designer and landscape architect for the newly minted Place Workshop, specializes in creating parks (yes, some landscaping is included), planned communities, wayfinding systems, academic and business campuses, recreational areas and gathering spaces. In other words, he designs different kinds of connections between built structures. After 14 years of environmental design work for Vivian Llambi & Associates, Inc., O’Dea launched the Place Workshop to fulfill his dream of designing urban spaces that encourage visitors to stop, look and enjoy. “Sometimes with projects, there’s an emphasis on LEED certification or green infrastructure, or there’s a very specific budget you need to hit," O’Dea says. "I also think landscape is, at times, more at the forefront than the design of an exterior space. I want to make sure all those things come together, so that the final product is a space designed to be a comfortable place for people to linger.”   He weighs environmental, financial and aesthetic concerns, determined that no single aspect will tip the project’s scales. While his peers insist upon native species for greenery, O’Dea rejects such stipuations. “We can over-think these elements, and that can be a weak part of a design," O'Dea says. "If a plant is a beautiful addition to a space, then use it. This is really for the end user -- that’s where we came up with our name.” With his penchant for urban parks and plazas like Fountain Square, O’Dea calls downtown’s Lytle Park “a hidden gem," and has his eye on the new Smale Riverfront Park. The design pro also appreciates another local favorite. “This is kind of a cliché, but I think Findlay Market is fantastic," he says. "It’s a perfect example of a place a landscape architect or urban designer would design. It just really functions well.”   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

Roadtrippers’ curated tips take travelers off beaten paths

When James Fisher says his travel experience is rooted in road-based travel, he’s not talking about multi-day trips, but road trips spanning weeks and months. “My family used to organize huge road trips through Africa. We’d spend seven months in the back of a truck with a bunch of sweaty Australians, driving from Morocco to Cape Town, then fly back to England, build another truck and do it again,” he explains.   This newly minted Cincinnatian was born in England, but recently relocated to Cincinnati launch Roadtrippers, a curated, travel-planning website. His co-founder and fiancée, Tatiana Parent, is a history buff and the brains behind the site’s content strategy. Roadtrippers is a tablet-friendly website designed to be used first at a computer, where most travelers conduct the bulk of trip-planning these days. Fisher says a mobile version is in the works, so that travelers can plan trips at home, then download directions and points of interest for on-the-road reference.   After logging in, the website has a map interface similar to MapQuest or Google maps. Once endpoints are selected, further menus list attractions by type and distance from the route. The difference between this website and apps like Foursquare, however, is that Roadtrippers' content is hand-selected and curated for specific audiences. If you want to find wineries suitable for motorcyclists or the best drive-in diners, you can. The site only lists venues designed to delight, rather than the comprehensive listings compiled elsewhere. “It’s just the awesome places,” Fisher says. As former Lonely Planet aficionados, Fisher and Parent spent many long hours road tripping in the U.S., visiting friends and family. Faced with stacks of printouts, unwieldy guidebooks and impossible maps, the two grew frustrated during their search for one-of-a-kind hotspots and hideaways.   Finally, “we actually just hired a programmer who started building this thing for us because we needed a better tool,” Fisher says. “We were frustrated with trying to navigate around on our own.” Soon, they realized the tool they’d built for themselves could help other frazzled travelers, and they began looking for seed funding to launch the company. When they secured a spot at The Brandery, Over-the-Rhine’s startup engine, they moved to Cincinnati, which quickly became home. “I’ve never seen the momentum of community development that I’ve seen here,” Fisher says. “The seed of the tech community is sprouting here, and I’d rather be part of something growing than go somewhere like New York or San Francisco where the rules have already been written. Here, we get to define our own path a bit more.” Roadtrippers currently generates revenue through its hotel booking services, and recently expanded its team to five employees, including a marketer and two developers. By Robin Donovan

StoreFlix app helps retailers, designers track merchandising efforts

Shoppers who file purposefully down store aisles may think they’re on a personal mission: bread, juice, tissues, bananas.  In fact, retailers design their spaces to remind patrons that while they only need one thing, it wouldn’t hurt to grab a few extras along the way. So, visual merchandisers and store designers lay out grocery stores with essentials like produce and dairy along the perimeter; convenience stores line checkout lines with candy and gum; and clothing stores use mannequins to display the latest trends. The problem is, after a store is laid out – particularly stores with multiple brands available – it can be hard to monitor product presentation. The bright pyramid of oranges that was so enticing last week all too quickly becomes a haphazard pile. After more than two decades in the packaged goods industry, Phil Storage wanted a better way to help manufacturers, brokers and sales teams, and retailers monitor visual merchandising plans. “Historically, they wouldn’t be able to visually see anything,” he explains. “Brokers would go into stores … and they would get no visual verification that anything had actually been in compliance [after they left]. They would wait four weeks, and they’d get a report from Nielsen.” Storage’s company, StoreFlix, addresses this problem with a cloud-based, mobile-friendly app that works as well for retailers and designers as it does for brands themselves. Basically, brokers who visit stores or retailers themselves snap photos or videos of product displays on a smart phone or tablet, upload the photos and share them on team-based walls. Tagging allows photos to be sorted and categorized. “They love being able to share successes, big ideas and best practices with their teams in a millisecond,” Storage says. “Historically they wouldn’t be able to share any successes at all until they had a sales meeting a month later.”  In some cases, retail chains use StoreFlix to ensure compliance with company-wide visual display plans. In other cases, manufacturers check the app to make sure their products are on shelves. “Whenever you have folks capturing information for a manufacturer, they’re sharing it amongst themselves, but they’re also sharing it with retailers,” Storage says. “We’ve solved a huge problem in this business, which is visual verification for compliance issues and monitoring.” By Robin Donovan

Kennel-free Dogtown offers 24-hour care for local pets

"There’s a lot of people who, if I turned them away, would not have anywhere to take their dogs, and I would feel terrible turning them away," says Megan Gourlie, who runs Dogtown Cincinnati, a pet daycare and boarding facility in Mount Auburn. "I’m really close to my customers and for the most part know everybody by name." The facility already has plans for expansion, and its employees have cared for as many as 90 dogs at once, with about one handler per every 25 to 35 dogs. This number varies based on how many rooms are in use and the time of day. Because the Dogtown is a 24-hour facility, the business offers both daytime and night-hour staff. Gourlie’s pretty well-connected to her customer base.  After all, she was once a frustrated pet owner herself. After rescuing a dog who, it turned out, "couldn’t be left alone with having a total breakdown," Gourlie struggled to find care for him during the day. She didn’t want to leave the Weimaraner puppy in a doggie daycare that used kennels, kept dogs indoors most of the day or would drain her wallet with extra fees for walks or administering medications. Eventually, she sat down and did some research. It turned out that there were plenty of people looking for the same thing: a kennel-free, 24-hour facility where dogs would have plenty of time to roam freely, play and nap. When she opened Dogtown Cincinnati, second-shift workers finally had a place to leave their pets overnight in a "homelike environment," and Gourlie even worked out a way to introduce new dogs slowly to smaller packs so new dogs felt comfortable. These days, pet owners can watch their dogs and cats (there’s a separate area for felines at the facility) online through 15 live webcams, as well as periodic photos posted on Facebook. "We are the place that allows you to have a dog if you couldn’t have a dog before," Gourlie says. "A lot of people are actually getting dogs because we’re here. In college I could never have a dog because I didn’t have the time and resources. We cater to second shift. We love second shift people; we’ll do overnight; and we’re really good for business travelers who don’t want to kennel their dogs." By Robin Donovan

Mamadoc eases pregnancy, nursing pains with physician-approved products

Although most moms will say the discomforts of pregnancy are well worth a happy, cooing baby after nine months, the physical toll of having a child doesn’t end when the baby is born. Breastfeeding can cause skin irritation, such as cracking and bleeding. When new moms decide to wean their babies, the pain of engorgement (which occurs when milk is not expressed), can be, quite literally, a pain. While weaning her third child, Dr. Somi Javaid, a local obstetrician and gynecologist, knew there had to be a better way or prevent this discomfort. And on a walk around the soccer field with fellow mom Kim Howell, the pair realized they could combine Howell’s marketing prowess with Javaid’s medical know-how. Together, they launched Mamadoc. “In the past, there was a a pill that would make a mother’s milk milk dry up,” Howell says, but this medication is no longer FDA approved. Physicians like Javaid typically recommend breast binding, sports bras and even cabbage leaves to ease discomfort, but these methods leave a lot to be desired. Javaid began developing a lactation compression bra, which the pair named “Nox.” Along the way, the business partners fell in love with bamboo fabrics, whose antimicrobial and antifungal properties made them an ideal fabric for Mamadoc products. Today, Mamadoc-branded products include the Nox compression bra, Belly UpIt (a back support band designed to ease pain during pregnancy), PregHose compression stockings and ice/heat packs designed for use with the Nox bra. A dual-purpose hospital gown and nursing garment, the Blossom Gown, is in the works. The jersey garment looks like a dress, but opens in the back, is designed without metal closures for operating room compatibility and has shoulder snaps for easy-access nursing. So, if you’re a mom in need, Howell says Mamadoc products can be purchased locally at the Christ Hospital gift shop, Boutique 280 and Blue Cocoon, as well as online. By Robin Donovan

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