Enabling Collabora,on in Healthcare Enabling Collaboration in HealthCare. A physician-centric platform for advanced healthcare case creation and discovery, and enhanced professional collaboration.
Enabling Collabora,on in Healthcare
Enabling Collaboration in HealthCare.
A physician-centric platform for advanced healthcare case creation and discovery, and enhanced professional collaboration.
Enabling Collabora,on in Healthcare
Introduction 3
Clinical Applications 6
The NetworksMD Public Community 8
Integrated NetworksMD Institutional and Enterprise Solutions 23
Security and Privacy 29
Key Team Member Profiles 31
Table of contents
Enabling Collabora,on in Healthcare
Introduction
Enabling Collabora,on in Healthcare
NetworksMD was created to facilitate the free-‐flow of communica8on between prac88oners. NetworksMD has developed intui,ve, secure, and collabora,ve pla?orms which integrate effortlessly into the clinical prac,ce, educa,on, and research workflows of life science professionals facilita,ng effec,ve communica,on in order to deliver comprehensive and competent pa,ent care.
Integrate disparate geographic loca8ons and departments. Conven,onal technologies from associated vendors have segregated users into disparate ins,tu,ons, departments, loca,ons, and geographies -‐ all of which restrict communica,on. NetworksMD is a collabora,on layer that exists integrated on top of exis,ng systems and infrastructure to power case collabora,on and workflow enhancements with real-‐,me health care data delivery and treatment and outcomes collabora,on between hospitals, laboratories, diagnos,c imaging centers, clinics, and physicians.
Introduction
Enabling Collabora,on in Healthcare
New paradigms of So?ware as a Service (SAAS) and Cloud Compu8ng; allows for contextual case crea,on while using a system that ensures HIPAA requirements related to pa,ent data are met or exceeded u,lizing a centralized pa,ent record and document repository.
Enable informa8on con8nuity with access from any internet browser; Direct integra,on with disparate data sources allows contextual pa,ent overview which can be accessed around the clock using any standard internet browser. A centrally available overview of a pa,ent’s history allows for a more cohesive and intui,ve evalua,on of diagnosis and treatment.
Introduction
Enabling Collabora,on in Healthcare 6
Clinical Applica,ons
Enabling Collabora,on in Healthcare
Clinical Applications
Clinical consulta8on and collabora8on: Improve pa8ent care. Providing a sophis,cated macro overview as well as detailed drill down micro view of a pa,ent’s health history over ,me, NetworksMD facilitates consults by allowing imaging, laboratory, clinical and related report data to be easily permissioned, accessed, and deliberated upon by various health care professionals.
Teaching and educa8on. Current educa,onal content or teaching files are limited in context; files are sta,c and don’t evolve with a pa,ent’s treatment: pathology, diagnos,c imaging, in-‐vitro diagnos,c laboratory results, PDFs, and other informa,on is not integrated in real ,me, and accessibility and mul,pla?orm compa,bility is restricted. NetworksMD provides a single point of access for medical informa,on that can be aggregated from mul,ple exis,ng systems, transforming disparate content into knowledge.
Coordinate clinical research. Time series evalua,ons of images or laboratory results such as tumor markers from mul,ple years can be archived and made available to mul,ple teams of researchers in NetworksMD and used to understand how disease progresses or responds to treatment.
Enabling Collabora,on in Healthcare 8
The NetworksMD Public Community
Enabling Collabora,on in Healthcare 9
NetworksMD Public Community is a freely available web-‐based applica8on dedicated to Healthcare professionals. The Pla?orm enables detailed pa,ent case crea,on as well as discovery of related healthcare cases from a shared global repository, indexed by similar aQributes such as diagnosis, modality and other professional tags or keywords -‐ not only from your colleagues, but from a variety of authors, including key opinion leaders, collabora,ng within a global community of physicians.
Expand your network of healthcare professionals for clinical referral, research or other educa8onal purposes. Physicians can discuss cases with one or mul,ple colleagues or even custom private groups enabling unprecedented distribu,on of an authored pa,ent case crea,ng instant mul,threaded collabora,ve communi,es.
Cloud based and accessible from any internet enabled device with no plug-‐ins, installa8ons, or download necessary. NetworksMD delivers complete flexibility in accessing case or discussion data from anywhere in the world.
Validated Community. All Healthcare professionals are validated before being welcomed into the Community.
The NetworksMD Public Community
Enabling Collabora,on in Healthcare
BENEFIT – ENHANCED PHYSICIAN PRODUCTIVITY PHYSICIAN/STUDENT
NetworksMD is free to physicians. þ
NetworksMD saves time and reduces effort þ
Streamlined communication and productivity between all practitioners, resulting in better patient care at a reduced cost.
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Improved access to disparate patient data in a standardized format, providing efficiencies and eliminating duplication of effort at the point-of-care.
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Real-time turnaround of information from point-of-care to the physician including laboratory results, diagnostic imaging, and hospital reports.
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Enhanced Physician Produc,vity
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Enabling Collabora,on in Healthcare
BENEFIT – ENHANCED PHYSICIAN COLLABORATION PHYSICIAN/STUDENT
Users can create collaborative communities and expand their network of healthcare professionals for education or second opinions either within the organization or from
anywhere in the world.
þ
NetworksMD messaging replaces non-compliant Email as the primary communication tool between allied health professionals. Simple, intuitive, and familiar messaging system allows
for secure, HIPAA compliant communication.
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Users can quickly configure who has access to their case files and modify the associated settings. Sharing can take place with just one or multiple individuals or groups, allowing
greater distribution of an authored case.
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Enhanced Physician Collabora,on
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Enabling Collabora,on in Healthcare
BENEFIT – ENHANCED CLINICAL AND EDUCATIONAL FEATURES PHYSICIAN/STUDENT
The patient timeline provides a bird’s-eye chronological view of all patient data in a stratified format - including imaging and laboratory information - on a single timeline.
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Extensive organizational tools such as book-marking to allow for creation of online case sets and saved search functionality allows for dynamic queries.
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NetworksMD automates the anonymization of case data for easy teaching file creation and distribution while retaining important patient demographics and report information; resulting in
a more contextual teaching file.
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NetworksMD automatically indexes cases with similar attributes - including diagnosis and symptoms - for reference or discovery. This allows greater exposure to a wider variety of
cases and related authors.
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One-click export to PowerPoint creates valuable resources for presentations for conferences or teaching.
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Enhanced Clinical and Educa,onal Features
12
Enabling Collabora,on in Healthcare
BENEFIT – ENHANCED TECHNOLOGY PHYSICIAN/STUDENT
Users can access NetworksMD using the proprietary iOS or Android applications on their smartphones or tablets. The web application is also optimized for mobile traffic.
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There are no plug-ins, installations, or downloads, and images can be manipulated using any standard internet browser.
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NetworksMD is provided as a Software as a Service (“SaaS”) thereby eliminating hardware costs and works with any network infrastructure thus ensuring enhanced ROI from existing
investment in systems and infrastructure.
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NetworksMD is vendor neutral and can be integrated with existing Radiology and Laboratory information systems to include results in real time. View patient information that has been
aggregated from many different real-time medical sources (HIS, PACS, RIS, LIS, PIN, EMR )
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NetworkMD is dynamic, scalable, and designed to grow with users. þ
NetworksMD has industry standard HL-7 support for communication with medical informatics systems.
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Network MD eliminates the need for third-party application support. þ
Enhanced Technology
13
Enabling Collabora,on in Healthcare
View daily activity in real time feeds Stay on top of new cases and comments from colleagues, members of your specialty, groups in which you participate, as well as the most discussed topics within the entire community
Enabling Collabora,on in Healthcare
Create and Manage Patient cases Create contextually dynamic patient case sets for patient rounds, teaching !les, journal clubs, conferences, or clinical research groups
Enabling Collabora,on in Healthcare
Case Viewer View all patient data along a single dynamic timeline - including relevant patient history and physical !ndings, diagnostic imagery from any modality, and associated laboratory results - all in an intuitive, easy to use interface.
Enabling Collabora,on in Healthcare
Case Viewer Content such as video clips and images can be uploaded directly from your smartphone for immediate discussion
Enabling Collabora,on in Healthcare
Add Context
Add suppor,ng documents or in a variety of supported formats including PDF and .AVI.
Annotate Annota,ons can be added to specific areas of interest on images or reports for precise, confusion-‐free communica,on.
Link out to leading resources such as PubMed, Elsevier, and UptoDate.
Enabling Collabora,on in Healthcare
Manage Colleagues
Easily manage and expand professional networks from the NetworksMD colleagues interface.
Enabling Collabora,on in Healthcare
Distribute
One or Mul8ple Colleagues: collaborate and communicate with like-‐minded prac,,oners anywhere in the world.
Groups: case data can be shared with a group of residents, specialists, or any other user defined group of users.
Organiza8ons: communicate case data with relevant treatment providers under one roof. Users can also create organiza,onal teaching files.
NetworksMD can be used to distribute informa,on within an organiza,on between mul,ple users or communi,es – both clinically and for teaching purposes. Users benefit from aggregated data from mul,ple authors, controlled access and distribu,on, and real-‐,me communica,on and collabora,on.
Enabling Collabora,on in Healthcare
Sharing is Caring
Cases can be shared according to the authors’ preferences with one or multiple colleagues, groups, or published for the entire NetworksMD community.
Enabling Collabora,on in Healthcare
Enabled Case Discussions Discuss through effortless sharing, patient case data for immediate review with selected Medical colleagues at your discretion. Here we see a threaded conversation thread around a treatment question.
Enabling Collabora,on in Healthcare
Create dedicated private or public groups Topics or case data can be shared with a group of residents, specialists, or any other administrator de!ned group of users.
Enabling Collabora,on in Healthcare
Secure Messaging
Secure, intuitive, and web-mail like messaging replace non-compliant e-mail as a means of private messaging between physicians.
Enabling Collabora,on in Healthcare
View Dynamic Content Discover relevant healthcare cases from a variety of authors collaborating within a global community of Medical professionals who are leaders in their respective !elds.
Enabling Collabora,on in Healthcare
Anywhere Access Users can access NetworksMD using the proprietary iOS or Android applications on their smartphones or tablets. The web application is also optimized for mobile traffic.
Enabling Collabora,on in Healthcare 27
Integrated NetworksMD Ins,tu,onal and Enterprise Solu,ons
Enabling Collabora,on in Healthcare 28
NetworksMD is a collabora,on layer that exists integrated on top of exis,ng and infrastructure, systems within clinics, hospitals, diagnos,c imaging, and laboratory providers to power case collabora,on and workflow enhancements. Enterprises and Ins,tu,ons can leverage exis,ng infrastructure and create cost-‐effec,ve purpose built medical communi,es, instantly expor,ng exis,ng case informa,on to our pla?orm and collabora,ng in minutes.
Integrated Ins,tu,onal and Enterprise Solu,ons: Collabora,on as a Service.
NetworksMD can be integrated with leading equipment manufacturers solu,ons including:
Laboratory Informa,on Systems (LIS)
Radiology Informa,on Systems (RIS)
Hospital Informa,on Systems (HIS)
Health Informa,on Exchanges (HIE)
Electronic Medical Records (EMR)
Enabling Collabora,on in Healthcare
BENEFIT – CLINICS, HOSPITALS, RADIOLOGY, AND LABORATORY PROVIDERS
INSTITUTION
NetworksMD is vendor neutral and can be integrated with existing Radiology and Laboratory information systems to include results in real time.
þ
Proven integrations with several Picture Archive and Communication Systems (PACS), Laboratory Information Systems (LIS), Radiology Information Systems
(RIS), and Electronic Medical Records (EMR).
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Proven large-scale architecture built to distribute more than 45 million radiology and laboratory cases annually with zero downloads, installs, or maintenance by the
physician.
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Data can be exported from an NetworksMD-powered PACS workstation with one click. All of the associated DICOM and patient report data (if available) is instantly
available on the NetworksMD platform.
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Reduce IT and operational costs by integrating disparate sites to create a centralized cloud-based PACS and report archive.
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Real-time turnaround of information from point-of-care to the physician including laboratory results, diagnostic imaging, and hospital reports increases treatment
velocity and avoids scheduling delays.
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Facilitate consults easily with patients benefiting from better coordination of care between multiple practitioners and health care teams.
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Improved quality and completeness of records with auditing mechanisms for a consistent level of quality and service.
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Integrated Ins,tu,onal and Enterprise Solu,ons – Clinics, Hospitals, Imaging and Lab
29
Enabling Collabora,on in Healthcare
BENEFIT – EDUCATIONAL INSITUTIONS INSTITUTION NetworksMD simplifies the anonymization of case data for easy teaching file creation
and distribution. Detailed health history, patient demographics, and report information result in a more complete indication. Teaching files can be updated with
a patient's future progress, resulting in a highly contextual and relevant case.
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Teaching files can be permissioned for specific users, locations, institutions or facilities; increasing access to critical decision support and mitigating costly
diagnostic errors.
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Streamlines workflow by providing practitioners with on-demand access to vast clinical knowledge and consult support. Users also have an efficient means to
publish and distribute clinical teaching files of their own.
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Supports improved staff training, conferences, rounds and diagnostic decisions with easy access to data.
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Integrated Ins,tu,onal and Enterprise Solu,ons -‐ Educa,onal Ins,tu,ons
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Enabling Collabora,on in Healthcare
BENEFIT – TELE-HEALTH INSITUTIONS INSTITUTION Disparity in the distribution of qualified physicians results in an overutilization of
urban-based public healthcare facilities while patients in rural areas have limited access to quality healthcare. NetworksMD can connect geographically disperse
populations or physical sites with access to qualified health professionals.
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Significantly reduce costs, patient waiting times, and travel all while increasing the timeliness and quality of care for remote populations.
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Eliminate unnecessary repeat diagnostic procedures and tests while improving early diagnostic capabilities, access to specialty services, and emergency triage.
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Enhance recruitment and retention of healthcare providers in rural or remote areas. þ
Integrated Ins,tu,onal and Enterprise Solu,ons -‐ TeleHealth
31
Enabling Collabora,on in Healthcare
Integrated Institutional and Enterprise Solutions: Deployment Models
Cloud-‐Based: collaborate and communicate with like-‐minded prac,,oners anywhere in the world. Users can access their case data from virtually any device, anywhere at any,me.
Hybrid: a behind-‐the-‐firewall deployment to restrict certain classes of data, with connec,vity to the NetworksMD cloud to allow collabora,on and communica,on outside of the organiza,on.
Behind-‐the-‐Firewall: a secure deployment restric,ng all data classes and sources. The NetworksMD applica,on servers can be installed in any data facility and configured to run in a secure LAN environment.
Enabling Collabora,on in Healthcare
Security and Privacy
33
Enabling Collabora,on in Healthcare 34
We maintain a clustered and fully redundant architecture that is hosted on SAS70 Type II cer,fied infrastructure and use 128-‐bit encryp,on between the browser and our servers.
Authors have complete control over how their cases are used. There are several different ways to share or discuss cases and discussions can be permanently deleted once complete. This means cases and discussions remain en,rely in the author’s control.
Because NetworksMD is cloud-‐based, we are able to easily and quickly deploy the latest security patches across our en,re pla?orm. We have an opera,ons team that con,nuously monitors the health and security of our applica,on around the clock.
The NetworksMD management team has extensive experience with cri,cal infrastructure and systems including; healthcare, pharmaceu,cals, banking and online payments. Security, compliance and longevity are the building blocks of our company.
Security and Privacy
Enabling Collabora,on in Healthcare
Key Team Member Profiles
35
Enabling Collabora,on in Healthcare
Key Team Member Profile
36
John Graham: Chairman of the Board
John, the Chairman of the Board of NetworksMD, is the current Chief Execu,ve Officer of Invida Group. John brings more than 25 years of execu,ve experience in biotech, pharmaceu,cals, and healthcare consul,ng to his role as Chief Execu,ve Officer at Invida. He has focused the company's business development and marke,ng efforts, while using his interna,onal experience to bring companies and products from around the world into the Asia Pacific arena. John has held senior management posi,ons in Europe, the United States, and La,n America. Prior to joining Invida, he was President of Paramount Corporate Development, a biotech venture firm in New York. Earlier he was a Principal at Ernst & Young, where he built the Life Sciences Advisory Prac,ce around business analy,cs and marke,ng effec,veness. Prior to his role at Ernst & Young, he was Managing Director of Genzyme's opera,ons in Germany and Switzerland, responsible for Genzyme's diversified business por?olio in those countries. John started his career with Aven,s, where he spent 18 years in global commercial leadership posi,ons including regional responsibili,es in La,n America, Head of Global Diabetes, and VP of New Products. John graduated from the Imperial College of Science and Technology in London with a BSc (Hons) in Biochemistry.
Enabling Collabora,on in Healthcare
Key Team Member Profile
37
Tej Deol, M.D.: Chief Executive Officer, Board of Directors
Tej is a Member of the Board and the current Chief Execu,ve Officer of NetworksMD. From August 2006 -‐ April 2012, Tej was the Founder, CEO, and Chairman of the Board of Clearstate Pte. Ltd. Clearstate is a market intelligence firm commiQed to the Healthcare and Life Science domains specifically within the Asia Pacific region. The firm offers strategic advisory and customized primary research solu,ons to help healthcare firms understand their current and poten,al markets, and implement pragma,c and innova,ve growth strategies within these opaque and challenging markets. Clearstate was 100% acquired in March of 2012 by The Economist Group. The Economist Group is the leading source of analysis on interna,onal business and world affairs. The publica,ons and services delivered under the Economist brand include The Economist magazine, The Economist online, Economist Intelligence Unit and others. In 1995, Tej was a Founding angel investor and from 1996-‐2000 served as a Member of the Board of Directors in People.com Consultants Inc., a IT development and consul,ng firm with over 500 consultants serving many mul,na,onal firms. People.com was 100% acquired in 2000 by TMP Worldwide (a S&P 500 company currently rebranded Hudson Highland Group). Tej founded and ac,vely manages a blog site, Asia Healthspace (www.asiahealthspace.com) facilita,ng discussions on healthcare issues in Asia Pacific including global trends among industry observers, trade personnel and researchers. Tej holds a Medical Degree (M.D.) from the University of Western Ontario (1990) and Honors MBA from the University of Chicago Booth School Of Business (2005). Tej, a Canadian na,onal, now calls Singapore his home. He has been living in Singapore with his wife and two children since 2001.
Enabling Collabora,on in Healthcare
Key Team Member Profile
Deepak Kaura, M.D.: Founder and Chief Medical Officer, Board of Directors
Deepak is a Member of the Board and the current Chief Medical Officer of NetworksMD. Dr. Kaura is also currently the Chief of Diagnos,c Imaging at the Alberta Children's Hospital, a ter,ary care hospital, where he teaches and par,cipates in many administra,ve roles. Deepak graduated from University of Manitoba School of Medicine in 1997 and completed a residency in Diagnos,c Imaging followed by subspecialty training in Pediatric Radiology in 2003 at The University of Calgary. He subsequently joined the staff at Alberta Children's Hospital. He has been a Clinical Assistant Professor lecturing at the University of Calgary School of Medicine since 2003 and has been responsible for integra,ng Diagnos,c Imaging into the medical school curriculum (a first for Canadian medical schools). Deepak has also been a member of the College of Physicians and Surgeons Accredita,on team. This team sets standards for medical prac,ces and then implements and runs an extensive accredita,on program which includes detailed on-‐site reviews of all the medical facili,es in Alberta. He is currently a founding member of the Royal College of Physician's and Surgeons Pediatric subspecialty commiQee, which sets the standards for Pediatric sub-‐specializa,on in Radiology. In 2003 Deepak took over as Managing Director a mul,-‐physician radiology prac,ce (MYK Imaging) in Calgary and throughout the next three years, he ins,tuted several improvements including moderniza,on of equipment, digitaliza,on of images, crea,on of a paperless workflow, implementa,on of Open MRI, and establishment of a pediatric outpa,ent imaging service. The laQer three were a first in Canada. Revenues climbed from $4 million in 2003 to $10 million in 2006. MYK Imaging was then sold to CML Healthcare, a large healthcare income trust specializing in laboratory and imaging services. CML manages the health of over 9.5 million pa,ents across Canada annually. The firm is the largest provider of community-‐based medical imaging services in Canada, and among the three largest providers of community-‐based laboratory tes,ng services in Ontario. CML HealthCare then appointed Dr. Kaura as Medical Director of Imaging for their North American opera,ons from 2007 to 2010, where he was responsible for approximately 130 clinics in Canada and the USA along with 17 hospital contracts. Deepak is also a successful entrepreneur, having helped start mul,ple healthcare ini,a,ves including four soqware companies, and an innova,on company that has developed an MRI accessory for Open MRI, which helped posi,on pa,ents and caregivers. Dr. Kaura currently resides in Calgary, Alberta, Canada with his wife and three children.
Enabling Collabora,on in Healthcare
Sumeet Sud: Chief Marketing Officer, Board of Directors
Key Team Member Profile
39
Sumeet is the current Chief Marke,ng Officer of Invida Group. Sumeet brings over 18 years of global experience at leading pharmaceu,cal and biotech companies, including 10 years in the Asia Pacific Region. Most recently, he led the U.S. product management of the flagship biological at Talecris Biotherapeu,cs based in North Carolina. Prior to that, he was at Pfizer, Inc. based in New York, where he led the pre-‐launch ac,vi,es of a diabetes product in parts of Europe, La,n America, and Asia. Sumeet began his career at Merck & Co., Inc. (MSD), where he spent 11 years in roles of increasing responsibility based in New Jersey and in Hong Kong. He was a part of the aggressive expansion of Merck's presence in the Asia Pacific Region and led several highly successful pharmaceu,cal and vaccine product launches. Sumeet is a graduate of Duke University in the U.S. with a Bachelor of Science degree in Chemistry.
Enabling Collabora,on in Healthcare
Jeff Natland: Board of Directors
Key Team Member Profile
40
Jeff is a serial entrepreneur, investor and technologist. Jeff founded Arizona Bay Technology Ventures LLC in 2008, where he is a general partner in, and is responsible for iden,fying, evalua,ng, and execu,ng poten,al investment opportuni,es and managing rela,onships with many of ABTV's por?olio companies. Jeff is also the founder and a partner at Arizona Bay LLC, a management consul,ng and technology services firm based in San Francisco, CA. Arizona Bay has funded the development of many businesses, including Jumpstart Digital Marke,ng which was acquired by HacheQe Filipacchi Media for $120mm USD. Other Arizona Bay success stories include Phonetag.com, Pa,ent Safety Technologies, Innova,ve Air Quality and Higgins Purchasing Group. Prior to his ac,vi,es with Arizona Bay, Jeff was a founding shareholder and Chief Informa,on Officer of Neovia Financial PLC (formerly Neteller PLC), a leading independent, global provider of online payments. Started in 1998 with $100,000 in seed capital, Neovia Financial had a market capitaliza,on of over $2.5bn USD when Jeff leq the company at the end of 2005. Jeff has been ac,ve in the healthcare space for many years, and is very interested in con,nuing to develop products and services which can enhance healthcare through the use of advanced technologies. In addi,on to personally building the first prototype for the Safety Sponge System (now owned by Pa,ent Safety Technologies), he has a strong interest in providing low cost innova,ons to developing countries to help improve the quality of life of their ci,zens.
Enabling Collabora,on in Healthcare
Key Team Member Profile
41
Paul Natland: Chief Operating Officer
Paul is the current Chief Opera,ng Officer at NetworksMD. As Chief Opera,ng Officer Paul is responsible for the day-‐to-‐day opera,ons, long-‐term strategic execu,on, stakeholder management, resource alloca,on, project management, user management and overall pla?orm development. Formerly the Director of Strategy and Applica,on for Brightsquid Inc., Paul was charged with business development, strategic partnerships and deployments, long-‐term growth strategy, and overseeing the medical pla?orm development. Prior to Paul's involvement in the Healthcare technology industry he acted as a financial analyst at ArizonaBay, where he helped build and invest in technology start-‐ups. Investments Paul has been ac,vely involved include Quirky.com, Abine.com, Cloudsponge.com, Brightsquid.com, TrustMe.com, ProPlayerConnect.com, Phonetag.com, and Pa,ent Safety Technologies. Paul has also served as a sessional instructor at the University of Alberta’s School of Business teaching a seminar that covered cri,cal business topics including sta,s,cs, market research, accoun,ng principals, finance analysis, risk management, informa,on systems, marke,ng, opera,ons, and strategic management. Paul has earned a Bachelors of Commerce with a specializa,on in Finance from the University of Alberta and currently resides in Calgary, Alberta, Canada.
Enabling Collabora,on in Healthcare
Enabling Collaboration in HealthCare.