EDITOR’S

LETTER

Modern Healthcare Model Demanding

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

The hour of need demands leaders that are capable of impacting the work of healthcare staff
and guide the organization through human resource, technological and service quality concerns,
and improvements. Finding such impeccable talent is a challenge for healthcare organizations.
In our latest issue of “Mirror Review’s Transformational Healthcare Leaders, 2020”, our
team has featured such transformational individuals who have mastered the complex
operational arenas to maintain service consistency and help organizations keep pace with
medical advancements.

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

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

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

VIDYA JOSHI
Editorial Coordinator
 PUBLISHER
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 Jim Cavan:
Building A Healthcare
Platform Beyond The
Language Or Social
Barriers
18

Kumar Subramaniam:
An Undisputed Frontrunner
Leading With Reputation And
Goodwill
20
Expert Opinion
30
NOW, More Than
EVER, Your
Mark Boyce: Organization
Needs Strong
Always At The Forefront
Authentication
Of Strategic Thinking

28

Nicole Latimer:
A Modern Age Leader
Gravitated Towards
Organizational Goal

34

Timothy Kelley:
Aiming To Become A
Specialist In Telehealth
Sector

36
 ARTICLES
38 22
DECADE OF DISAPPOINTMENT BREAKING HEALTHCARE BARRIERS
Is CO2 Really Impacting How Telehealth Is Improving Healthcare
Your Cognitive Ability? Efficiency And Breaking The Existing
Barriers

Cover Story
SATHYA KUMAR
Leading The Way To A Digitalized
Healthcare Service

10
 COVER STORY

R.Sathya
Kumar: Leading The Way To A Digitalized
Healthcare Service

T ransitions are never simple. Switching from

volume-based care to value-based care is putting
healthcare organizations under immense pressure.
To reduce costs while enhancing patient outcomes, quality
of care and overall population health are some of the
pressing matters these organizations are facing.
Furthermore, their incapability to take advantage of the
data-driven insights is barricading the healthcare industry
from significant changes in care delivery, administrative
efficiencies, new treatments, and medications. For these
healthcare organizations, the ideal solution is to use modern
technologies like artificial intelligence (AI), Data Analytics,
Machine learning (ML), etc. to transform the available pool
of information into actionable intelligence.
With more than two decades of experience, the President
and CEO of Techindia Infoway Pvt Ltd., Sathya Kumar
is transforming the healthcare sector by delivering scalable,
reliable and cost-effective knowledge-driven services to
meet the demands of this industry. Sathya is a multi-faceted
leader and under his leadership, Techindia is speedily
growing in the highly competitive landscape. To reach this
position, he struggled and faced a multitude of challenges.
With only $100 in his wallet, he started this business from
scratch. Reminiscing about the past, the CEO shares,
“Early days, I did multiple roles including HR, Operations,
Sales and marketing to keep our expenses low. Hence, I
know all the nuances and pain points of all the business
verticals that we run today and know how to effectively and
efficiently run them.” Along with his team, the versatile
leader now is developing an AI platform for arrythmia
detection and classification aside from disease predictions
like MI and cryptogenic stoke for real-time ICU EKG
feeds, wearable sensors, old age care homes and wellness
management of chronically ill population, etc.
Moving Towards a Healthy Future
As the healthcare industry is undergoing a transformation,
Sathya believes, “We operate in a niche, where there is no
room for anything other than 100 percent accuracy and
precision in healthcare delivery.” The dynamic leader
understands that a huge amount of knowledge, subject
matter experts and, especially, a reliable backend
infrastructure are needed to execute this. So, Sathya with
his team offers their clients a robust supporting structure in
an impressively personalized manner, thereby allowing
them to work more efficiently and collaboratively to deliver

‘‘ I like to sail against the wind; pickup only

challenging opportunities and projects. That
said, my professional journey has been
always challenging.

better healthcare. The proliferation of smartphones and
growing wireless network coverage offered Techindia an
opportunity to share information directly and securely to
patients seamlessly. By leveraging these aforesaid tools,
Sathya accompanied by his team is developing to offer
digital health systems with new possibilities. In parallel, is
tackling some of the pressing issues such as accessibility,
convenience, quality, effectiveness, efficiency, and cost of
healthcare.
When asked to share a thought about going back in the time
to change anything in his journey, Sathya says that rather
than going backward, he wants to move forward. He further
adds, “None of us can live life all over again, but we can
increase our overall happiness by choosing to make
changes in our career, goals, finances, health, and
relationships.”
Identifying Challenges and Addressing With
Customized Solutions
Being the Founder of a prominent organization, Saytha has
witnessed that there is number of challenges emerging for
healthcare providers to address. These challenges are vital
requirements for custom-made healthcare, delivery of high-
quality care at lower cost, increase in the costs of healthcare
delivery, and comply with the regulations established by the
governments globally. Also, ‘data’ is bringing a new
revolution in this sector. To stay relevant, healthcare
providers need to take advantage of data-driven insights
Mirror Review’s Transformational
Healthcare
2020
Leaders
toward proactive healthcare. Therefore, the team of
Techindia offers personalized solutions to healthcare
providers that are an ideal solution for aforesaid issues.
Sathya with his team is always ready to deliver best of
breed’s custom-made solutions. This solution includes
exceptional remote cardiac diagnostics, arrhythmia
interpretation, e-ICU monitoring solutions, and enterprise
healthcare management solutions. These solutions are
closing the gap between healthcare providers and
information technology by deploying its new-age
augmented intelligence (AI)/ML platform with a high
degree of customization.
Happy Employees Lead To Satisfied Clients
“When it comes to culture building, we say our people are
our greatest assets and the key to our success—and we truly
mean it,” says President Sathya. He ensures that all the
employees are happy and healthy while working, thereby
enabling them to be more successful and enhance their
growth. So while recruiting, he focuses on hiring
individuals who are remarkably talented, self-motivated,
and dedicated to achieving their customers’ success.
Striving To Be Better
To have continued success, a strong and dedicated team is
essential who is ready to go an extra mile for customers.
Similarly, the team of Techindia is a group of creative and
COVER STORY

‘‘ My professional life
was not peaches
and cream, I struggled
tremendously
with a lot of challenges.
R. SATHYA KUMAR
President & CEO | Techindia Infoway Pvt Ltd.
Mirror Review’s Transformational

Healthcare

2020
Leaders
 COVER STORY
‘‘
We combine the best technical
minds, deep healthcare
knowledge and smart
technology to create a
tangible, positive impact on
cash-ows.
client-focused individuals and amongst the best and
brightest in the industry, bringing a broad range of relevant
expertise to the table. To maintain this status, Sathya
ensures that all employees have the proper tools and
resources to accomplish their assignments.
Because of this, he doesn’t have micromanage everything.
Instead, the members are assigned with an attainable goal
and enough autonomy to complete it and monitor progress.
“We allow the team members feel empowered enough to
embrace responsibilities and enjoy a sense of ownership.
And always the senior management is available if anyone
needs a consultation,” says the CEO Sathya.
The Rise in the Adoption Of mHealth
As customers are becoming more health-conscious, the
demands for healthy options are increasing. Techindia CEO
Sathya believes that there is going to be a large adoption of
mHealth for different markets. He further says, “To remain
relevant, the industry needs to adapt fast and uncover new
ways to meet changing consumer expectations, while also
tackling competition from aggressive and nimble new
market entrants across the OTC medicines, nutritional
supplements, care plan, tracking vitals with predictive
alerts and personal care sectors.” Foreseeing such scenario,
Techindia’s products are designed to deliver personalized
wellness tracking for chronically ill patients. Initially, these
products will be launched and deployed for 50,000
registered patient populations. Sathya also predicts that
following areas in mHealth will lead the market in the
coming years such as training development, health
extension services, remote monitoring for patients and
clinical care, health promotion and community
mobilization, pharmaceutical supply chain integrity. In
addition to this, peer-to-peer personal health management,
educating people about health, emergency response
systems, HR management and supervision also plays a
significant role.
AI is the Future Technology
The transformational healthcare leader foresees that AI
technology is going to stay for the long term. Sathya
believes that AI can deliver the insight needed to make
positive changes across the board. Since the healthcare
industry is shifting towards bespoke medicine and value-
based care, AI technology has the potential to deliver the
analytical speed, scalability, and precision needed to extract
valuable intelligence from health data. For healthcare
providers, leveraging this powerful technology can bring a
reduction in the cost, improvement in quality and vital for
enhancing healthcare all over the world.
A Piece of Advice
No advance technologies like Bionic eyes, wireless brain
sensors, artificial organs can replace the original creation.
Hence, prevention is better than cure, holds good for all
ages. Maintain a work life balance, regular fitness that
suites people, connect with nature, night sleep, make
necessary life style changes to stay active.
Patients and physicians to adopt mHealth to the maximum
and ensure such platforms are secure before transmitting
PHI data. Embrace large-scale smart applications and
telemedicine for health management and remote
consultation.
 Business Leader Info

Jim Cavan Backpack Health provides a platform for organizations to engage patients, collect up-
President & CEO to-date data and build communities across the globe.
Backpack Health www.backpackhealth.com

Jonathan Lewin Emory Healthcare is an integrated academic healthcare system committed to

Emory Healthcare President, providing the best care for the patients, educating health professionals and leaders for
CEO, and Chairman the future, pursuing discovery research in all of its forms, including basic, clinical,
of the Board and population-based research, and serving the community.
Emory Healthcare www.emoryhealthcare.org

Kaaspro Inc designs and implements practice-specific medical information

Kumar Subramaniam systems, which assists medical organizations and healthcare providers to
Co-Founder & CEO improve their efficiency and productivity.
Kaaspro
www.kaaspro.com

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

Michelle Longmire Medable is a privately held, venture-backed company headquartered in Palo

MD, Co-founder & CEO Alto, California.
Medable www.medable.com

Incepted in 1980, StayWell is eager to play a central role in putting efforts to

Nicole Latimer address all the changes and drive 30 percent of all the health care costs. Over
CEO the last 40 years, health issues such as sleep, stress, and weight are being
StayWell amongst the prime concerns.
www.staywell.com

Robert Grossman
NYU Langone Health is one of the nation’s premier academic medical
MD Dean & Chief
Executive Officer
centers.
NYU Langone Health www.nyulangone.org

Sathya Kumar Established in 2002, Techindia delivers world-class, enterprise healthcare

President & CEO management solutions that bridges the Intersection of Healthcare & Information
Techindia Infoway Pvt Ltd. technology to work more efficiently and collaboratively to deliver better health.
www.techindia.com

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

Since its inception, Nautilus’s mission is to deliver high-value services that

Timothy Kelley meet medical professional and patient/ consumer requirements with full
President & CEO regulatory compliance.
Nautilus Medical www.nautilusmedical.com
 Jim Cavan:
Building A Healthcare Platform Beyond The Language Or Social Barriers
President & CEO
Backpack Health
I nformation is power. Having the information about
patients’ health can make their families feel safe and
allow them to monitor their health status. The
inspiration behind the company establishment of Backpack
Health was the share of similar problems and the way to
solve them. It all started with Diane and Mark Goldman
(Chairman of the Board and Co-Founder, Backpack
Health), who were struggling to manage documents of their
son suffering from a chronic condition. They met Jim
Cavan (President and CEO, Backpack Health), an avid
leader with a background in emergency medicine and
medical research.
Jim and the Goldman duo wasted no time and gathered a
team of people as dedicated to the cause and laid the
foundation of Backpack Health. It is a health tech company
building tools to help people manage their health details,
care, and communication. The journey had its ups and
downs, its hurdles and successes. But the team did not give
up and today the company is amongst the leading health
18 / JANUARY 2020 / M I R R O R R E V I E W. C O M
tech company. “We’re making it easy for everyone to
access, own and control all of their health information to
support better health for themselves, their loved ones, their
communities, and for us all,” said Jim.
A Transformational Leader, Avid Traveler and Amateur
Chef
“Being fully informed by specific personal information is
the best way to participate in your own healthcare, even if
you are just making decisions about lifestyle changes or
something,” said Jim. He is a very passionate healthcare
leader, he believes that the opportunities to have individuals
take advantage of technology and access of technology to
improve their healthcare by being a true health historian is
achievable and real. He has been in the healthcare industry
for more than two decades and has a great passion for
helping healthcare companies tackle systemic problems.
In addition to this, the development of Backpack Health is
the result of several key goals of his, including improved
access to and control of medical information, and less
obtrusive collection of research data. Jim terms his journey
as amazing. He has been constantly motivated by great
people along the way to becoming one of the
transformational leaders. He started his career in emergency
medicine, understanding the basics of compassion for
patients, calm under fire, teamwork and fairness. Today, he
leads the team of Backpack Health to assist patients with
their records.
Apart from being an exceptional healthcare leader, he is an
avid traveler and amateur chef. He is closely involved in
hobbies like fishing and he is a dedicated bibliophile. “As
we all hear often, I learned more from the failures than the
successes,” concludes Jim. For the coming years, he plans
to adjust his focus on coaching startups and working on
foundation boards or advocacy groups.
Precisely Focusing On Key Issues
The roles and responsibilities of the leader are numerous;
every leader has to be on the foot to take charge of any role
 Mirror Review’s Transformational

Healthcare

2020
Leaders

at any given time. Being in the healthcare industry, Jim has
to perform different responsibilities every day. He did
highlight that the key areas that he precisely focuses on are
ethics, privacy, and security of data.
Explaining his tasks further, Jim says, “Most of our users
don’t actually know what our obligations are to them, but
they DO know what they are worried about. So, we focus on
those key issues; security of their data, privacy, adaptability
to an individual’s reality or choice of expression.”
Teammates Performing Beyond Expectations
Challenges and obstacles can never be avoided by
companies. However, culture is the key to resolve the
evitable challenges that arise. Jim gives credit to the team
and culture for tackling challenges. “Our culture has been a
key to our ability to resolve the evitable challenges that
arise,” proudly asserts Jim. The Backpack’s team of
professionals is empowered to make decisions and solve
problems collaboratively.
open up access for research and commercialization to
populations despite the language or social barriers. Apart
from globalization, technology is also effectively
influencing the industry. The smartphones are allowing
individuals to keep track of their healthcare records.
The emerging trends can only prove to be beneficial when
individuals can easily access them. The company is looking
forward to 2020 as a big year in terms of upgrading the
platform. It will be making significant moves to add
languages, requested services, and unique functionality.
According to Jim, the necessity of including the voice of
the patients in every aspect of the industry should be at the
center of these new trends and upgrades.

A great team leads to great success. Understanding the

same, Backpack invests a lot of time in hiring and selecting
the candidates for the company. People are the most
important asset to the company and the key and foundation

“Institutions like to limit

to the business. When these teammates are engaged to their
responsibilities and the other priorities are well addressed
the results are generally beyond expectations.

Flattering Client and Community Support

Backpack health is extremely thankful for the client’s

access to information
feedback it receives. The support of the community and
clients is always very flattering for the company. Clients
and many patients don’t
have described Jim to be a consistent collaborator with
them. Expressing his gratitude Jim concludes by saying,
realize the power and
“We are very thankful for the unsolicited comments that are
out there. I hope that they say I have their best interest at
importance of having
heart and have been a consistent collaborator with them.”
access. Don’t ignore the
Upgrading the platform with the changes
voice of the patient, it is “
The healthcare market is highly impacted by globalization
and will continue to be affected by it in the coming years.
getting louder.
Due to the cross border access of care and knowledge
sharing, the best practices are getting into universal
adoption. It is also anticipated that there will be platforms
with enhanced language and cultural variability that will

M I R R O R R E V I E W. C O M / JANUARY 2020 / 19
 Kumar Subramaniam:
An Undisputed Frontrunner Leading With Reputation And Goodwill
Co-Founder & CEO
Kaaspro
I n the year 2010, Kumar Subramaniam (Co-Founder
and CEO) envisioned Kaaspro with an aim to create a
futuristic organization that believes web apps are
destined to make the world more communicative and easier
to access. With exceptional clinical skills, business
competencies, and interpersonal or soft skills, Kumar is
guiding his organization towards success. The company
plans new forays into the field of IT and ITes with the
revolutionary cloud-based technology, venturing into the
untested waters of the health and education industries.
Having opened itself as a modest company in Chennai’s
OMR district, the organization has grown over the past 5
years to a more productive and aggressive team, which is
committed to quality, research and development of the web
application framework involving Electronic Health Record
(EHR) Software Systems. The EHR usage and maintenance
is relatively a new concept, which Kumar has introduced in
the global market—a unique method of cutting costs in an
20 / JANUARY 2020 / M I R R O R R E V I E W. C O M
industry that thirsts for simplification. Electronic Health
Records presented by Kaaspro is not to be regarded just as
software but a culture that can be instilled in each and every
clinic that aims at augmenting its services.
The Leading Health Information Technology Company
Kaaspro Inc designs and implements practice-specific
medical information systems, which assists medical
organizations and healthcare providers to improve their
efficiency and productivity. The products are aimed at
ensuring quick and timely access to crucial, accurate
medical information, and reducing the efforts and time
taken by medical professionals for managing and updating
health information of patients.
The leading health information technology company is
presently working on various medical information software,
similarly, it is coming up with different systems that
streamline and enhance the workflows of healthcare
facilities and clinicians. Kaaspro plans to reach the top-slot
as the most reliable and effective healthcare technology
provider within the next few years.
Multi-Tasking and Keeping an Update on All Domains
Managing the finest health information technology service
involves multiple tasks and stay updated about all domains
in the organization. As Kaaspro is the healthcare industry
based service sector, it naturally requires an increased
caution and a warrant that all the legal and industry
standards are met. In an industry where privacy and security
of personal medical information is of paramount
importance, adherence to the norms and fulfilling
compliance needs is not an easy task. Initially, Kumar was
apprehensive about such high responsibilities, but with a
completely infallible system in place, he and his team
managed to ensure data security and privacy of sensitive
data.
Every Employee is Instrumental
In an organization, the success rate also depends on the
contribution and efforts of the teammates; hence, an
 Mirror Review’s Transformational

Healthcare

empowered team is important. Kaaspro strongly believes
that every employee is instrumental in an organization’s
performance. “I have been working personally on
improving employee engagement, organizational culture,
and the work environment in the company. These factors,
when given due diligence, contribute to business success,”
said Kumar on his approach towards his employees.
In order to, achieve a healthy organizational culture and
enhancing participation of every team member, Kumar
personally takes the responsibility to instill confidence
amongst employees and kindle their enthusiasm. To
promote this approach, the company offers education and
training programs, encourage employees to involve in
decision-making, and have adequate reward systems.
Emphasizing On Innovative and Unprecedented Health
IT Products
The healthcare industry is globally evolving on a regular
basis; however, this healthcare system in advanced
countries is complex. There is an increasing demand from
governments as well as individuals regarding care quality.
Considering all these factors, there is uncertainty about the
dominant role that will be played by electronic health
information systems in the future. The global healthcare is
anticipated to undergo a major transformation, with
emphasis on innovative and unprecedented health
information technology products. Kaaspro plans to
2020
Leaders
expected to be filled with opportunities as well as
challenges to be prepared for.
Ensuring Security and Confidentiality to Improve Care
Quality
The hospitals and clinicians are expected to understand and
be proficient with the nuances of electronic medical
information management systems. This will help improve
care quality while increasing patients’ confidence. Kumar
sheds light on some of the common mistakes that can be
avoided by healthcare organizations, which will not only
ensure the security and confidentiality of data but also
improve their efficiencies and care quality.
Some of the mistakes to be avoided by medical facilities
are:
Ÿ Not providing sufficient training to physicians and staff
Ÿ Not updating the hardware and software regularly
Ÿ Underutilization of social media
Ÿ Inadequate use of cloud computing
Ÿ Unencrypted communication means
Ÿ Failure to assure controlled access

“
contribute to this transformation through robust medical
information systems that enable efficient implementation
and smooth enforcement of the intended changes in the
healthcare ecosystem.

Anticipating Revolutionary Changes in the Medical

Industry

The introduction of several unprecedented and innovative

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

M I R R O R R E V I E W. C O M / JANUARY 2020 / 21
 Breaking Healthcare Barriers

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

22 / JANUARY 2020 / M I R R O R R E V I E W. C O M
What is Telehealth?
According to WHO, telehealth involves the use of
telecommunications and virtual technology to deliver
health care outside of traditional health-care facilities. It
is the most basic element of “eHealth,” which uses a
wider range of information and communication
technologies (ICTs). Meanwhile, the federal Health
Resources and Services Administration (HRSA) defines
it as “The use of electronic information and
telecommunications technologies to support long-
distance clinical health care, patient and professional
health-related education, public health and health
administration.”
Foreseeing the future, technology has the power to not
only enhance the quality of healthcare but also make it
more accessible to people. It is going to become a
collection of means to enhance care and education
delivery.
Comprehensive Services Related To Healthcare
One of the key aims of telehealth is to enhance the
existing trusted relationship between provider and
patient. The services offered by it can be delivered
through a variety of methods including
telecommunications, remote patient monitoring tools
such as wearable technology, live video chatting,
electronic record transmittal, and mobile health
(mHealth) apps for mobile devices. Through these
services, the healthcare of the patients can be taken care
of properly. Some of these services are mentioned below:
Personal Health Records Management
The obstacle: To manage personal health records (PHR)
is quite difficult for patients.
The viable tactic: Using PHR application, patients can
store their healthcare reports and access it from
anywhere at any time via web-enabled devices such as
computers, laptops, tablet or smartphones. In case of
emergency, retrieving the patient's record quickly can
provide vital information, such as current diagnoses,
medications, drug allergies, and doctor's contact
information.
Communication between Doctors and Specialists
The obstacle: Doctors sometimes need input from
specialists, regarding patient's disease and treatment.
However, the existing healthcare system does not allow
this as both doctors and specialists do not have the right
tool to share information and time to travel.
The viable tactic: Through mHealth, the doctor can send
the test reports, history reports, x-rays, or other things
related to the patient to the specialist to review. The
specialist might respond electronically, conduct a virtual
appointment with patient at their doctor's office, or
request a face-to-face meeting. As a result, it reduces the
wait time for specialist input and eliminates unnecessary
travel.
Remote Monitoring Management
The obstacle: People who are diagnosed with chronic
diseases need proper care and medical attention. They
are kept under surveillance so that their family members
can monitor their health.
The viable tactic: Through RPM, the task of monitoring
these people becomes very convenient. The wearable
devices play a vital role in transmitting information such
as heart rate, blood glucose, gait, posture control,
tremors, physical activity, or sleep patterns. In this way,
the families of the patients can make right- move if there
is a need for medical care.
Using Virtual Appointments
The obstacle: For every doctor visit, the patient has to
book an appointment beforehand and then wait for their
turn. The meeting with doctor take only 10-15 minutes
but the entire visit may take 2-3 hours, which is a total
waste of time for them.
The viable tactic: To overcome this flaw, the virtual
appointment is the best option and can be utilized
through tablets, computers, and smartphones. Through
this, patients can communicate with doctors without
leaving the comfort of their homes. In addition, they can
receive on-going care from their regular doctor when an
in-person visit is not required or possible. In this way,
they can share their health status with the doctors.
M I R R O R R E V I E W. C O M / JANUARY 2020 / 23
 Breaking Healthcare Barriers
The Benefits of Telehealth in Today's Healthcare
Industry
According to mobihealthnews, the number of households
using video consultations with physicians will grow, from
900,000 in 2013 to 22.6 million in 2018. The report
generated by Health IT Outcomesreveals that telemedicine
usage is on the upswing; televisits have increased by 340%
in the past five years. The new study called Global Digital
Health Outlook of Health Data Management predicts that
digital health will have a compound annual growth rate
(CAGR) of 12% through 2023. These statistics indicate that
usage of telehealth services is going to increase manifold in
the future.
Witnessing such a scenario, the benefits provided by it will
be very useful for patients, doctors, and healthcare
providers.
For patients: Through telehealth, the doctor can reach their
patients more frequently for their follow-ups. As a result,
patients do not have to wait for doctor's appointments and
stand in the long queue. The main point here is that the
patients get the best possible care with the least
inconvenience.
For doctors: For specialists, this is a big chance to reach
patients who aren't local or who are unable to travel. By
breaking the barrier of reach, they can treat their patients
24 / JANUARY 2020 / M I R R O R R E V I E W. C O M
efficiently. Telehealth not only saves time but also reduces
the gap to deliver the best health care to remote patients.
Doctors can also increase capacity through less
travel/weather condition schedule disruptions. Furthermore,
patients can feel more confident in an opinion validated by
another doctor.
For healthcare systems: Factors such as eliminating travel
costs, cost reduction, minimize ambulance and medical taxi
costs and eliminate unnecessary and duplicate tests, are
helping in reducing the burden on the healthcare providers
to deliver care fast and timely. Moreover, realizing the
benefits of telehealth, governments, and other organizations
started investing in it. It is clear that this technology will
have a strong return on investment across the entire
healthcare ecosystem. In the upcoming years, it is going to
change the way healthcare is delivered and viewed.
Present Challenges
Despite such a promising future, telehealth has to face
numerous challenges. These challenges include
misdiagnosis a person's disease or treatment, widespread
implementation of services, payment parity, and lastly,
using telemedical technologies on an extended scale.
Because of these factors, patients may not receive the right
treatment, at the right time. One of the ways for telehealth
to address this is by adopting latest trends and technologies.
 Mark Boyce:
Always At The Forefront Of Strategic Thinking
President & CEO
Scribe
I n the healthcare industry, change and evolution are
constant. In the coming years, the transformation may
lead healthcare providers to reconsider their
profession, due to high burnout. Artificial Intelligence (AI)
technology is also very much likely to advance and
contribute more to the industry. And having portable
information to take care of patients wherever they are - in
person or remotely - is going to be key to achieving cost
reductions and improved care.
The emerging healthcare company, Scribe, Scribe
Technology Solutions, is comprised of solutions, which
offer the healthcare organizations the medical information
of patients at their fingertips. Its innovative technologies
incorporate AI and therefore free up healthcare
professionals to spend time with patients and spend their
time on what they are trained to do rather than engaging in
the paperwork. Leveraging technology minimizes the
burden of documentation and can have a significant impact
on the burnout.
28 / JANUARY 2020 / M I R R O R R E V I E W. C O M
Scribe’s mission of simplifying healthcare through
innovative technologies evolved from entrepreneur Mark’s
past success in the management of organizations. Mark D.
Boyce (President and CEO) is the force behind Scribe’s
vision. He quotes the company’s mission, “Overall, our
intent is to remove the burden of clerical work and allow
healthcare providers to focus on the patient while
improving productivity, revenue, and quality of care.”
Scribe adapts to a provider’s unique way of working
enabling them to focus on what matters most –
patient care.
Delivering High-Quality Innovative Solutions
Scribe Technology Solutions is a back-office solutions
provider that focuses on the three P’s—productivity,
profitability, and patient care. It enables the capture,
creation, communication, monetization, and analysis of
healthcare information.
Scribe is continuously striving to deliver high-quality
innovative solutions for providers building on its current
foundation and platform. It is continually providing more
technology to remove labor from the back end of a
healthcare workflow process, streamline workflows, and
providing more AI tools to have better information to make
practice decisions. In addition, it offers technology-based
methods to help providers speak and let technology do the
heavy lifting to get information where it needs to go,
whether that is an EHR, a referring provider, or a patient.
Currently, ScribeMobile is the key focus for Scribe. Scribe
predicts that the adaption of the mobile app will grow as
more and more providers are comfortable using mobile
devices in all areas of work and it adds more productivity
modules to the app. LiveScribe is the latest solution and
will be a solid part of the company portfolio. Professionals
simply log into ScribeMobile and then connect to its
available queue of virtual medical scribes during the patient
encounter.
 Mirror Review’s Transformational

Healthcare

A Tactical Leader Formulating the Strategy for Growth
As the healthcare environment expanded with a greater
amount of data being collected but not utilized, it became
evident that there was an opportunity to become a change
agent. Mark has always been at the forefront of strategic
thinking, so he decided to use this data in a positive way to
make changes for the better and founded Scribe with this
innovative approach. He has more than three decades of
management experience in finance, operations, marketing
and technology with companies such as IBM where he
helped to start the IBM PC division and later at Anixter
where he helped formulate the strategy that fuelled their
growth from a $500 million company to $1.5 billion
company. Mark founded Scribe almost 18 years ago and is
leading the operations as the CEO ever since. Apart from
leadership, he also takes a part in designing the technology
for the solutions. “One area that I enjoy working
on—though not typically done by a CEO— is to continue
working on architecting the technology for our solutions.
My roots are in computer science and I still enjoy getting
into the core of the programs,” said Mark.
Scribe works simply by building collaboration with
healthcare professionals for friction-free use.
Mark holds a B.A. in Economics and Computer Science
from Colgate University and an M.B.A. from Tuck School
of Business at Dartmouth College. He also is currently the
Chairman of the Board of Trustees of Dean College in
Franklin, MA.
2020
Leaders
unique culture Mark says, “By not limiting our pool to one
geographic area, we can attract the best of the best.”
Evade the Traditional Style and Be More Flexible &
Nimbler
Mark believes that the healthcare industry is always open to
changes. Often, most healthcare institutions, including
those affiliated with universities become entrenched in the
traditional way of doing business. In the ever-changing
world of healthcare, institutions need to be more flexible
and nimbler. In addition, these institutions need to develop
a better understanding of technology. AI can help them to
understand data, simplify workflows, and allow providers to
focus on the patients and thereby improve patient care.
Anticipating the Changes in the Healthcare Industry
In citing the changes he expects to see in 2020, Mark says,
“I don’t expect to see any major changes in the industry in
2020, in part due to the US presidential election in
November unless there are significant changes to the ACA
in 2020. Meanwhile, Scribe will continue to work on
improving our current solutions and developing new ways
that providers can improve their productivity, profitability,
and patient care.”

He pens down his entrepreneurial journey by saying, “I

“
accept the choices I’ve made in life for good or bad. They
make me who I am today. But I would go back and continue
to remind myself to not be afraid to be bold and to take
chances. I’ve done that throughout my career - but it’s
always good to be reminded!”

A Unique Blend of Talent

A majority of Scribe’s staff is a blend of employees from

other companies that have merged with Scribe. Mark counts
on the expertise each employee brings to make the best
choices within the framework of the company’s goals and
“
missions.

Scribe practices a unique company culture, as the

employees work from remote locations. In explaining this

M I R R O R R E V I E W. C O M / JANUARY 2020 / 29
 Expert Opinion

30 / JANUARY 2020 / M I R R O R R E V I E W. C O M
M I R R O R R E V I E W. C O M / JANUARY 2020 / 31
 Nicole Latimer:
A Modern Age Leader Gravitated Towards Organizational Goal
CEO
StayWell
I n today’s fast-moving life, the term healthcare has
also evolved with time. Today, it is more about
fighting against issues such as obesity, mental health,
along with issues related to physical activity and nutrition
and several other. Previously, these issues were less talked
about in the healthcare industry. But, with changing
priorities and lifestyle patterns, these health issues have
risen. Concurrently, some similar changes can also be
seen in the healthcare industry. Many standard practices
are replaced with more advanced ones. Similarly, the
healthcare facilities are becoming much accessible as
compared to earlier.
Healthcare is more accessible but at the same time it is
also one of the most costly engagements. The
organizations today are taking initiatives to make
healthcare cost-effective. Healthcare is a big industry that
is complex and well-funded, which means staying abreast
of the rapid changes that are likely to impact it. Factors
34 / JANUARY 2020 / M I R R O R R E V I E W. C O M
such as technological advancement, change in
government policies, funding, and financial regulations all
play a huge role in shaping the healthcare industry.
Addressing Health Issues since Ages
Both health systems and employers are assuming more
risk to control and reduce health care costs. Addressing
such lifestyle behaviors is one of the prime concerns in
today’s time. Incepted in 1980, StayWell is eager to play
a central role in putting efforts to address all the changes
and drive 30 percent of all the health care costs. Over the
last 40 years, health issues such as sleep, stress, and
weight are being amongst the prime concerns. Being a
healthcare transformational leader, Nicole Latimer, CEO
of StayWell, has effectively managed these issues through
proven behavioral science principles.
On an everyday basis, the company helps people address
lifestyle behaviors that impact individuals’ health. Using
proven experience and clinical research, it guides patients,
employees, and plan members with engaging programs to
improve health journeys. Issues such as smoking,
sleeping, stress management, dietary choices, and
physical fitness are continuously impacting peoples’ life.
StayWell provides individuals with important coping
skills to develop happier and healthier lives. It has
developed proven programs and expert educations in
formats and delivery channels that are most accessible.
Encouraging People to Pursue Their Own Well Being
Nicole actively encourages people to pursue their own
well-being and spend time investing in areas of life that
help them feel renewed and recharged. For her, that comes
in the form of daily exercise and mediation. For others, it
may be getting outdoors, prayer, yoga classes or spending
with their children. She believes in promoting fitness. As a
company in the healthcare industry, StayWell instituted a
daily 30 minutes wellness break during the middle of the
workday named “Bean Time.” Nicole wants to create a
 Mirror Review’s Transformational

Healthcare

healthy environment where all the employees are living
up to the company’s value. Furthermore, she wants each
and every individual to feel supported, respected,
engaged, and passionate in their roles.
Nicole enlightens on company values, she says, “More
employees are gauging potential employers with how the
company’s values align with their own, and if a company’s
culture isn’t one that respects its own employees,
recruiting and retaining top talent will always be a
challenge, which in turn affects all other aspects of the
business.” She believes that her journey has always been
about working with people that she admires and respects.
Through elements such as bean time, participating in a
culture advancement committee, conducting quarterly
employee engagement surveys and taking time to connect
with people at all levels throughout the company. She has
always gravitated towards organizations that had a strong
and positive culture, and those are typically the result of
great people.
2020
Leaders
Analyzing the Common Mistakes
Addressing the common mistakes done by the patients
and healthcare institutes, Nicole asserts, “A missed
opportunity that I have made myself is not asking for
clarification so that I can truly understand the
information shared by physicians and nurses.”
Furthermore, she adds, “Patients are often intimidated by
medical language because it is so different from our
normal conversational language. Even those who work in
the industry themselves, often forget to ask extra questions
or clarify when we are patients, to ensure we understand
the information and care directions.” As health settings
can be intimidating for many people, but health education
leads to health empowerment. She always tell friends,
family, and colleagues to feel comfortable asking a
physician or clinician to speak more slowly or to explain
something in more simple terms, and to always ask more
questions.

The Year of Introductions and Strategies for the

Future

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

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

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

The future holds many uncertainties so it is important to

plan ahead. In the next five years, Nicole hopes that
StayWell becomes further integrated among employees
and health systems, helping to close gaps in the digital
health space to create a more connected patient journey. “
Through these touchpoints in patient’s lives, it can supply
the right guidance and support to make a significant
impact on the health of others and a seismic shift in the
culture.

M I R R O R R E V I E W. C O M / JANUARY 2020 / 35
 Timothy Kelley:
Aiming To Become A Specialist In Telehealth Sector
President & CEO
Nautilus Medical
T he healthcare industry is facing a multitude of
challenges due to factors such as rising health
care costs, increasing consumer expectations,
changing patient demographics, and complex health and
technology ecosystems. These factors are putting
pressure on healthcare leaders to provide adequate,
timely care with lower healthcare costs. “Looking at the
social conscience of the healthcare business, the
concerns over cost, overprescribing, overexposure, and
hidden costs, we feel our responsibility is to deliver
innovation that meets the expectations of professionals
and exceed expectations of patients”, says Timothy
Kelley, the President and CEO of Nautilus Medical.
As a transformational healthcare leader, Timothy
believes that the company’s products are meeting the
requirements of healthcare professionals and patients.
Having experience in the healthcare sector, he has
witnessed various events occurred over the years.
36 / JANUARY 2020 / M I R R O R R E V I E W. C O M
When asked Timothy to share about his journey so far,
he said that his journey has been about learning from
mistakes and to take full ownership of them.
Commenting on this, he says, “Some of the mistakes are
funny and others are economic disasters! Building on
experience is part of knowing what to do next.” For him,
the process of getting better at what he can do from all
professional elements such as hiring, management, and
development becomes paramount to growth.
Contributing in the transformation of the Healthcare
Industry
Timothy has witnessed that factors such as patient
responsibility, patient access to education, more
transparency, and technological advancements are
driving the transformation in the healthcare sector. He
also observed that the need to manage health records
safely and efficiently can become too much of a burden
for many healthcare organizations. This is where
Nautilus steps in and plays a significant role from a
technology and service perspective. The company
provides access to images and data for all disease states
and make sure the data is in a universal format that can
be read by any system. This resulted in having no delay
in care or/and eliminating unnecessary duplicate rescans
of patients.
The industrious leader with his team delivers a robust
telehealth component tied to the distribution of data
which allows patients & physicians to communicate and
consult in a face to face e-visit along with the viewing of
images and other pertinent data. In addition, he states,
“We have begun educating patients through our platform
as well starting with pregnant women seeking best of
breed information about their experience. We deliver
new moms their keepsake ultrasound with the most
comprehensive educational resource online at
BebeVue.com. Education, telehealth along with imaging
and data will become a standard of care.”
 Mirror Review’s Transformational

Healthcare

A Pioneer In The Telehealth
Since its inception, Nautilus’s mission is to deliver high-
value services that meet medical professional and
patient/ consumer requirements with full regulatory
compliance. Therefore, in the future, the company is
going to become a major telehealth company that is a
specialist in imaging, data, and how information can be
transmitted to different systems. Whether it is
professionals, patients, or clinicians speaking with each
other, they’re going to expect data to be quickly moved.
The CEO Timothy proudly asserts, “No other telehealth
company has our expertise in moving data- especially
images.”
Assembling A Strong Team, Implementing A
Transparent Culture
Building a strong team is very crucial to an organization
as it plays a vital role in the success and growth of it. To
ensure the continued success of Nautilus, the CEO
Timothy conducts weekly meetings where everything
and anything is discussed. Also, the professional team of
Nautilus follows Ray Dalio’s ‘Principles’ and maintains
transparency at all levels. At Nautilus, employees are
encouraged to share ideas, discuss any issues openly and
given freedom to criticize the management. The versatile
2020
Leaders
Mistakes Made By Patients and Healthcare
Professionals
Both patients and healthcare professionals make the
same mistake regarding the treatment of any disease.
Through Google, patients read misinformation leading
them to self-diagnose which is dangerous. In parallel,
healthcare professionals most of the time direct a
patient’s care without all of the necessary information.
As a result, these actions are negatively impacting on
humans’ health. Therefore, Timothy advices patients to
educate themselves from accredited resources and not
just anything they find on Google. He also recommends
healthcare professionals to ask a lot about where the
patient has been treated, what they liked, disliked and
how they would like to proceed for the better treatment.
They should offer their approved materials to educate the
patient about their state and possible treatments. When
educated patient and thoughtful consultation with a
professional come together, there will be better outcomes
and results to see.

“
leader believes, “The company’s culture is to criticize
anyone constructively, but there is no room for being
mean or hurtful, just helpful.”

Expanding platform, Working towards Nautilus’

growth

Timothy believes that the year 2020 will be a big year

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

M I R R O R R E V I E W. C O M / JANUARY 2020 / 37
 Decade of Disappointment

38 / JANUARY 2020 / M I R R O R R E V I E W. C O M
T he United Nations released the first emission gap
report ten years ago. The report stated the
detailing of the disparity between commitments
made by nations to reduce greenhouse gases and the
practices required to meet the global temperature target.
The estimation was that countries should be curbing
emissions by 3% per year. However, the latest emissions
gap analysis depicts that in the past decade the inaction
has doubled the rate at which emission must fall. The
percentage escalated from 3% each year to 7.6% each
year, to meet the target global temperature. The last
decade could be named as the decade of disappointment,
as despite the awareness, pollution was at the peak and the
natural calamities where witnessed globally.
The natural disasters have led to millions at risk of losing
their livelihoods, homes, and lives. Many countries are
threatened by mass migrations. On the other hand, the
increased atmospheric carbon dioxide levels are estimated
to lower the nutritional quality of crops and raise grain
prices. Pollution is not just affecting health but also
having adverse effects on food and natural habitat. Air
pollution is highly contributing to health hazards.
According to research, the air is having adverse
neuroplasticity effect on human, in other words making
humans downward spiral stupid.
Environment Affecting Thinking Ability
According to the research, the rising carbon dioxide
emission can lead to the decline of thinking ability. The
increased greenhouse gases would highly affect thinking,
concentration and decision-making abilities. The results
were derived from a practice where it was observed what
happens in an environment where CO2 levels are
increased. In school environments,
increased CO2 levels caused a decline in student attention,
vigilance, and memory. Correspondingly, in work
environments, the increased levels affected the decision-
making, strategic, and crisis response abilities.
Apart from these observations, there is also a scientific
explanation for CO2 affecting thinking ability. The alveoli
in the lungs exchange oxygen from the air one inhales
with the carbon dioxide in the blood. If the air one
breathes' has more CO2 and less oxygen, then blood will
not get the same amount of oxygen. Oxygen helps the
cells to function normally including the one inside the
skull. If brain cells are deprived of oxygen, they may not
function properly also resulting that many of these cells
may die. This would directly affect cognitive function.
The data were collectively used to create a mathematical
model to predict how the future would be affected if the
current trends of rising CO2 in the environment were
maintained. The study concluded that by about 80 years
i.e. by 2100, there would be about 25% reduction in basic
human decision-making ability and a 50% drop in
complex human strategic thinking.
“2+2=?”
Researchers have long believed that CO2 does affect
thinking ability. In Apollo 13, there was a moment when
the gauge monitor reported dangerous gas levels in the
cabin. The gauge was monitoring CO2 levels. One of the
NASA engineers remarked that if the CO2 levels rise too
high, one could get an impaired judgement, blackouts, and
the beginning of brain asphyxia. This rise in CO2 levels
could affect the brain so severely that one might not be
able to answer 2+2. Looking at the rise in air pollution,
the same principle would soon affect the people on
earth. For two centuries, there has been an
extensive burning of fossil fuels and the rise of
the Industrial Revolution has contributed to the
rise of CO2 in the atmosphere. Today, the
number has spiked from 280 parts per
million to about 410 parts per million.
There was a survey conducted in 162
M I R R O R R E V I E W. C O M / JANUARY 2020 / 39
 Decade Of Disappointment
random regions throughout China between 2010 and
2014, to examine the air quality data. The researchers
concluded to the result that, over the years polluted times
affected the verbal and maths test scores.
Overall, it was observed that verbal skills were more
affected than the math test scores, although both had
significant effects. The researchers also estimated that if
the residents were shifted to a place with better standards
of air quality, it would improve the test results.
Theoretically, someone who scored at median 50% levels
would score to 58% on maths test and 63% in verbal test
scores.
Although the study was conducted in China, there are
many other developing countries, which have serious air
quality problems. Reports have suggested that there are
98% of cities with populations above 100,000 in low and
middle-income countries fail to meet World Health
Organization air quality guidelines. This makes the
findings pertinent to cities with pollution problems
globally.
Pollution Health Hazards Are Gender Bias
Everyone knows pollution health hazards, however, there
are researches suggesting that it has a bigger effect on
men than on a woman. As earlier explained, air pollution
tends to have a bigger effect on the areas of the brain that
relied on verbal tests, which according to the researchers
is better-developed in women. They found that the longer
humans are exposed to toxic air, the bigger will be the
damage to the intelligence, leading to more harm to
language skills than math skills and also men more
harmed than women. The effect is estimated to be worse
for elderly people i.e. people over 64, for men, and those
with low education. To calculate the loss of thinking
ability due to exposure to toxic air, it may be a few years
of education.
In general, men perform worse than women when
exposed to the same dose of air pollution. The gender
difference is more salient among the old and less educated
in both tests. The situation is also worrisome for people
suffering from Dementia and Alzheimer's.
Mortality Due To Air Pollution
The environmental factors contribute to 40% of deaths
40 / JANUARY 2020 / M I R R O R R E V I E W. C O M
worldwide each year. Air pollution let alone contributes to
3 million deaths each year through diseases such as
pneumonia, chronic bronchitis, and lung cancer.
According to WHO, air pollution ranks as the eighth most
important risk in the burden of disease.
The increased level of CO2 trap heat, which in turn
contributes to global warming. The greenhouse gases also
harmfully effect on human health. With the decline in the
flow of greenhouse gases, global warming rates would
improve and also help reduce the number of premature
deaths. By the year 2030, reducing greenhouse gas
emissions would prevent 300,000 to 700,000 premature
deaths annually, according to researchers. Likewise, such
reductions will prevent 800,000 to 1.8 million premature
deaths by 2050. Moreover, by 2100, 1.4 million to 3
million premature deaths could be forestalled annually.
Studies Trying To Prove How CO2 Is Affecting the
Brain
A new study by academics at University College London
(UCL) found that higher amounts of greenhouse gas in
the atmosphere could affect our memory, concentration
and decision-making abilities. There are research papers
by Kristopher Karnauskas and Shelly Miller from the
University of Colorado and Anna Schapiro from the
University of Pennsylvania that are trying to prove that
there is a relationship between CO2 levels and thinking
ability. The Yale scientist Xi Chen has also put forth his
insights and theories on the same. “Polluted air can cause
everyone to reduce their level of education by one year,
which is huge,” said Yale scientist Xi Chen.
In 2016, researchers at Harvard and Syracuse
University found that human cognitive function declined
by about 15% when indoor CO₂ reached 945 parts per
million and crashed by 50% when indoor CO₂ reached
1,400 parts per million. A research paper also mentions
the study of juvenile rats that were tested to record the
behavior of brain cells when CO2 levels in the air that they
breathed were raised. As the outcome, the levels of a
neuroprotective growth factor went down, which in turn
impaired brain development.
M I R R O R R E V I E W. C O M / JANUARY 2020 / 41
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