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If you want to learn more about the fashion industry, there are many schools you can attend. One of the most famous is the Fashion Institute of Technology (FIT), a public college in New York City. This college focuses on design, art, and business, and it is a member of the State University of New York. Founded in 1944, the FIT is considered a top school for anyone interested in the fashion industry. This institution offers bachelor's degrees, graduate programs, and professional certificates. The Genroku period (1603-1867) was marked by flashy displays of wealth, and the Edo period, from 1603 to 1867, was characterized by subdued displays of wealth. However, there is still a lot of room for innovation. For instance, a trendy skinny knit with jeans is the perfect solution to an old-fashioned problem. It makes sense for fashion to evolve, but we need to make sure that we embrace the opportunities it provides. AI is changing the way we interact with fashion and brands. Brands are already using AI technology to improve customer experiences and boost sales. These technologies are even making their way into stores, where they use chatbots and touchscreens to provide the best experience for customers. In addition to the new technology, fashion brands are using machine learning and AI chat technology to match customers with the right products. The new AI tech has been called 'fake-free fashion' and is set to revolutionize the way we shop.

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In the latest episode of Exchanges at Goldman Sachs, Sharmin Mossavar-Rahmani, Head of the Investment Strategy Group and Chief Investment Officer for the Consumer and Wealth Management Division discusses the investment themes outlined in ISGҳ 14th annual investment outlook and explains why investors should continue to stay invested. For more episodes of Ӆxchanges at Goldman SachsԠplease visit us athttps://www.goldmansachs.com/exchanges/ or subscribe on iTuneshttps://podcasts.apple.com/us/podca21 or on Spotifyhttps://open.spotify.com/show/1T6xOGR.... Recorded on January 25, 2022. This podcast should not be copied, distributed, published or reproduced, in whole or in part. The information contained in this recording was obtained from publicly available sources, has not been independently verified by Goldman Sachs, may not be current, and Goldman Sachs has no obligation to provide any updates or changes. All price references and market forecasts are as of the date of recording. This podcast is not a product of Goldman Sachs Global Investment Research and the information contained in this podcast is not financial research. The views and opinions expressed in this podcast are not necessarily those of Goldman Sachs and may differ from the views and opinions of other departments or divisions of Goldman Sachs and its affiliates. Goldman Sachs is not providing any financial, economic, legal, accounting, or tax advice or recommendations in this podcast. The information contained in this podcast does not constitute investment advice or an offer to buy or sell securities from any Goldman Sachs entity to the listener and should not be relied upon to evaluate any potential transaction. In addition, the receipt of this podcast by any listener is not to be taken to constitute such person a client of any Goldman Sachs entity. Neither Goldman Sachs nor any of its affiliates makes any representation or warranty, express or implied, as to the accuracy or completeness of the statements or any information contained in this podcast and any liability therefore (including in respect of direct, indirect or consequential loss or damage) is expressly disclaimed. --------------------------------- By: Goldman Sachs Title: Piloting Through: Why Investors Should Stay the Course Sourced From: www.youtube.com/watch?v=Kgz_nOnIVNg Read More Did you miss our previous article... https://smbs.solutions/business-videos/4-passive-income-ideas-in-50-seconds
Multiple sclerosis is a complex neurologic disease affecting the central nervous system, spinal cord, and vision pathways. Multiple sclerosis is caused by the immune system attacking the myelin sheath of nerve fibers and causing demyelination. This results in scar tissue known as lesions and sclerosis. The condition often causes relapses. Thankfully, there are treatments available, as well as several cures. Multiple sclerosis MS is a degenerative disease caused by damage to the nerve fibres of the central nervous system. Damage to the nerve fibres can result in the slowing down of messages, the dispersion of the signals, or even complete loss of messages. Symptoms vary from person to person. Multiple sclerosis can also lead to remission, a period of less severe symptoms. Despite the severity of this disease, treatment options for this condition are available. MS comes in two different types. The first type is relapsing-remitting, which is the most common form. In this form, patients experience relapses every few months. The second type is known as secondary progressive, which means that symptoms continue to worsen over time and that patients can experience attacks and partial recovery episodes throughout the disease's progression. The progression from RRMS to SPMS is difficult to predict, and it can take years or decades to complete. Drugs that treat MS are currently available, and they can be used for a variety of purposes. For instance, the use of drugs like interferons can reduce relapses and decrease new lesions on an MRI. However, these drugs are not without side effects, such as injection site reactions. The administration of these drugs is also monitored regularly, and the dosages depend on the type of MS a patient has. In addition, patients may also require regular blood tests. Treatments for multiple sclerosis may include drugs, physical therapy, and neurorehabilitation. These treatments are designed to help patients maintain maximum movement, reduce relapses, and slow the disease's progression. Neurorehabilitation and medication can also help patients with specific symptoms, like bladder spasticity. Patients can also participate in various groups online, such as MS Healthline. However, a doctor's advice is essential in managing MS symptoms. Some symptoms of MS include numbness, weakness, and pain in the legs. Additionally, MS can affect the nerves in the brain and spinal cord, and this can cause problems with bowel and bladder function, sexual dysfunction, and muscle coordination. Many MS symptoms increase a person's risk of falling. These falls can lead to injuries and can limit their activity. Further, fear of falling can cause a person to withdraw from physical activities, reducing their quality of life. Risk factors Risk factors for sclerosis are a key component of the disease. Environmental and lifestyle factors may affect disease severity and outcome. These include obesity during adolescence, high consumption of caffeine, and exposure to organic solvents. Increasing awareness of risk factors may help determine if certain lifestyle or environmental factors contribute to sclerosis. A thorough understanding of risk factors may help develop early interventional studies to decrease disability associated with sclerosis after HCT. In a Cox regression analysis, the presence of chronic GVHD-related risk factors increased the likelihood of developing sclerosis in patients with HLA-mismatching, major ABO-mismatch, or a previous acute GVHD. A similar procedure was used to assess risk factors for mortality. Patients who had a history of GVHD were more likely to develop sclerosis after transplantation. Although there is no single cause of MS, researchers believe that a combination of environmental and genetic factors increase a person's risk. Environmental factors aren't the sole cause of MS, but they do increase the overall risk. Some people with MS also develop autoimmune diseases, which are another major cause of MS. Nevertheless, researchers are still working to identify additional risk factors that can help individuals manage their disease. Increasingly, people living with MS are living full and productive lives, thanks to new treatment options and changes in their lifestyle and health choices. They also believe that future research could help find ways to prevent the progression of the disease. Low vitamin D and sunlight exposure are considered moderate environmental risk factors for MS. Low vitamin D levels are associated with an increased risk of developing MS, while air pollution and organic solvents have little or no association with MS. While sun exposure and vitamin D levels are the two most important natural sources of vitamin D, the body can get vitamin D from diet and supplements. While MS is not a hereditary disease, the risk of MS is higher in countries far from the equator. Treatments Treatments for sclerosis are aimed at slowing or preventing the progression of the disease and disability. These are guided by new neurologic symptoms and progression of disability, as well as presence of new lesions on brain magnetic resonance imaging. Most treatments target the adaptive immune response system and cause a decrease in relapse rates. These treatments have significant side effects and have not been proven effective in all patients. However, they may have some benefit in certain cases. Acupuncture is a traditional Chinese medicine treatment. Chinese people believe that the energy flowing through their bodies is called chi. Whenever this energy is out of balance, illnesses and pain result. Through acupuncture, a medical professional slides thin needles into certain points along the body's meridians to affect the flow of energy. Because of its positive effects on the energy flow, acupuncture may help people suffering from MS deal with symptoms including fatigue, spasticity, and pain. It also has potential for relieving bladder problems and spasticity. In addition to medication, a doctor may recommend physical therapy, which can help the affected person cope with the effects of multiple sclerosis. Cognitive therapy is an additional option that can improve cognitive functioning. Using techniques that improve mental state, the neuropsychologist can teach a patient to use compensatory strategies. This technique is known as cognitive rehabilitation therapy. Cognitive rehabilitation therapy is essential for people with MS, as it can help them maintain their mobility and live fulfilling lives. One treatment for MS is the use of immunosuppressants called aHSCT, which resets the patient's immune system. These drugs are given to people with relapsing forms of the disease. However, these treatments do have side effects. Therefore, it is imperative to discuss them with your physician and your healthcare team before beginning any medication. For those suffering from relapsing forms of MS, there are several drugs that are effective. Other treatments for MS include acupuncture and herbal therapies. Apart from improving your overall wellbeing, exercise also has many benefits. It improves mobility and boosts your mental state. Relaxation techniques are also effective in managing the symptoms of MS. Various techniques, such as aromatherapy, reflexology and massage, may be effective in easing the pain and discomfort associated with MS. However, it is crucial to choose a suitable treatment option after assessing the severity of your symptoms and understanding the best course of action. Relapses Relapses in sclerosis are frequently associated with changes in the underlying structure of the CNS. Although the underlying mechanisms are still unknown, it is suspected that phenotypic relapses are associated with recurrences in areas of structural CNS damage similar to previous episodes. Generally, areas of demyelination occur within previously remyelinated regions. However, many polygenic factors may influence recurrence of demyelination. Genetic factors may be associated with MS susceptibility, as genes may control myelin or neural growth. Relapses in sclerosis are not always accompanied by any specific underlying cause. Many relapses can be triggered by certain circumstances or triggers. However, some people may be able to predict when a relapse is imminent. While relapses are unpredictable, there are several things a person can do to reduce the chances of recurrences. For example, maintaining general health is important, both physical and mental. Recurrences are much less likely if an individual is in good health. A relapse in MS can be scary, but they will generally settle down by themselves. If the symptoms persist or worsen, contact your health team and discuss whether or not you should start treatment with disease-modifying drugs or switch to another drug. Relapses do not always require treatment, but the time to take medication and monitor your progress is crucial to managing the condition. A relapse in MS can be very stressful, but don't worry. Most relapses insclerosis will subside on their own, with a little patience and attention. While most relapses in sclerosis occur in the first years after diagnosis, the frequency and severity of each relapse are different. One study in the UK found that people with RRMS experienced one relapse every two years. However, some people may go years without experiencing any relapses at all. Relapses in sclerosis are rare in women during pregnancy, but increase after birth. This is thought to be due to changes in hormones. A relapse in sclerosis can occur in either form. 85% of people with MS start with relapses, which are triggered by neuro-inflammation. In primary progressive MS, however, relapses do not occur, and symptoms often improve in this form. Symptoms of MS may be sudden and unpredictable. However, a sudden worsening of symptoms may be a relapse and may be the result of physical or emotional stress.
Marketing is a process of creating value and discovering the needs of a target market. The activities may include choosing a target audience, operating advertising campaigns, attending trade shows, and public events. Other marketing activities include designing products and services, defining terms and conditions of sale, and negotiating agreements with retailers. Typically, the process is performed by the seller. Here are some examples of the different forms of marketing. Let's look at some of the most common types. Small and medium businesses (SMBs) marketers create a marketing mix for their companies. This plan addresses the product, price, place of sale, and promotion. Before developing the marketing strategy, the SMB must identify their target market and business type. For example, a public relations firm targeting independent doctors would create a product to meet the niche needs of doctors. An SEO company targeting law firms would go to trade shows, gather testimonials from companies in the industry, and attend conferences. Marketing can be done by various methods. For example, you can use print, television, radio, email, and Internet marketing to promote your products. You can also use articles, newsletters, press releases, and web design to promote your business. Some companies also use referral marketing, which is a great way to get more customers. This type of marketing involves sharing content and soliciting testimonials from satisfied customers. Once a customer becomes a loyal customer, the business can reap the benefits of these efforts.
What is cerebral palsy? What are the symptoms? What can you do to prevent it? We'll discuss the causes, symptoms, treatments, and prevention below. Learn more about cerebral palsy from the resources below! Here are some tips to help you recognize your child's symptoms and make the best decision for your child's future. Read on to find out what you can do to prevent cerebral palsy. Here are some causes, symptoms, treatments, and prevention for cerebral palsy. Symptoms Symptoms of cerebral palsy may be similar to symptoms of other conditions. For example, children with CP may have exaggerated reflexes or floppiness in the trunk, and uncontrolled movements in their arms and legs. Their speech may be difficult to understand due to the difficulty controlling the tongue or vocal cords. Some of these symptoms may be temporary and disappear while the child is sleeping. Children with CP may also have abnormal reflexes in both arms and legs, such as hyperreflexia and spasticity. The muscles of these limbs are underdeveloped and may not develop properly. While many people have heard of the symptoms of cerebral palsy, they may not be as obvious as the ones that are observable to others. Some of these symptoms can be soreness in the arm or leg, a tendency to not hold one's head up, and a baby's inability to hold his or her head up. However, some signs of cerebral palsy may not be apparent right away, and the diagnosis may be based on clinical signs or developmental delays. When a child is diagnosed with cerebral palsy, a doctor will examine the child thoroughly. During this examination, they will check the child's muscle tone and voluntary movements. They will also check for signs of spasticity, including unusual postures. CT scans, which use X-rays to take pictures of the brain, may also be used to confirm the condition. The resulting images can reveal damage to the body's movement and balance areas. While symptoms of cerebral palsy vary from baby to child, early signs may be observable. Parents should watch for any developmental delays, unusual postures, or muscle tone. Early detection is key to preventing the loss of function. Early detection is the key to preventing the condition from progressing to the stage where it is difficult to reverse. In addition to abnormal postures, a baby may be slow to develop and may even not reach the milestones at all. While the majority of cases of cerebral palsy cannot be prevented, parents should be prepared for the inevitable complications of the condition. Vaccinations can prevent fetal damage by preventing German measles or rubella from developing in the womb. Additionally, proper prenatal care can help prevent low birth weight and other health problems. A child with cerebral palsy may also have problems swallowing. If a child experiences problems swallowing, speech and language therapy can help. Causes There are various causes of cerebral palsy, including genetics, prematurity, and injury to the brain. Although it is possible to develop the disorder without any of the above risk factors, cerebral palsy is most often a result of birth trauma. The fetal brain is deprived of oxygen and develops abnormalities during pregnancy and delivery. Some children are also injured during birth or later in life from accidents. Cerebral palsy causes are divided into two main types - congenital and acquired. Spastic cerebral palsy is the most common type, which is characterized by permanent muscle contraction. The condition causes joint paralysis and can affect all four limbs. Affected children may have extremely small limbs and walk with a scissors gait, with their knees almost touching. Some sufferers also have difficulty with depth perception, and can display signs of tremors and shakiness. Another common cause of cerebral palsy is oxygen deprivation. The baby should receive adequate oxygen during pregnancy, so doctors must monitor the placenta to ensure it does not detach during delivery. Another cause is negligent use of vacuum extractors and forceps by doctors. Similarly, infections during pregnancy may lead to cerebral palsy. Genetic mutations have also been linked to cerebral palsy. Birth injury is another common cause of cerebral palsy. Infant brains are often damaged during delivery, when oxygen supply is interrupted. While cerebral palsy is a life-long condition, it can be prevented. Some of the most common causes include infections during pregnancy and trauma during labor and delivery. Some factors can even be prevented, such as high fevers and low birth weight. In addition to infection, other risks ofcerebral palsy are high due to premature birth. Other causes of cerebral palsy include malnutrition, which can affect growth and cause the bones to weaken. Some patients may also develop depression. This can be exacerbated by social isolation. Additionally, some people with cerebral palsy have breathing and heart problems. Because of the constant wear and tear on the body, they can also develop other health conditions. For example, they may experience breathing problems or heart disease, which are related to the weakened muscles and bones. Treatments The treatments for cerebral palsy are available through a number of different techniques. Physical therapies, such as exercise, can help patients learn to move their bodies in new ways. Neurosurgery is often used, and may be recommended if a patient has severe physical or cognitive problems. Vision correction therapies may improve an individual's vision, while gastroenterology may improve bowel and bladder movements. A team of doctors and specialists must coordinate these treatments to ensure that the most appropriate therapy is given to the child. In some severe cases of cerebral palsy, spasticity becomes apparent shortly after birth and never completely disappears. Interestingly, the deformities of the extremities are a result of spasticity, not birth deformities. Treatments for spasticity may include oral medication, botox injections, physical therapy, braces, or orthopedic surgery. While no single treatment works for every child, the use of braces and other medical equipment may be recommended for patients with varying degrees of spasticity. Orthopedic surgery is another treatment for cerebral palsy. This procedure allows a surgeon to lengthen muscles and realign bones. It helps children with CP improve their mobility and posture. Other procedures, like selective dorsal rhizotomy (SDR), may improve a child's mobility. SDR improves balance and motor control. Surgery can also improve the condition of children with severe muscle spasticity. Among the most common treatments for cerebral palsy, physical therapy involves exercises to improve flexibility, strength, and coordination. This therapy is designed to help children of all ages, as long as it's a part of the child's overall physical development. A physical therapist will consider the child's age and any current problems before recommending a therapy program. Early intervention is essential to prevent contracture and improve mobility in the future. Depending on the severity of the symptoms, your health care provider may recommend several different types of physical therapy. Physiotherapists are trained to evaluate and correct the kinematics of the body. They may also prescribe arm braces or leg braces. An occupational therapist specializes in human participation and can help improve the patient's ability to speak. Oral motor therapists can also help with eating problems. They can teach the child how to swallow food and practice oral motor skills. Prevention There are many preventative measures for cerebral palsy, such as early prenatal care and vaccinations. Premature birth is associated with high risk of cerebral palsy, but regular care during pregnancy helps to prevent complications, including infection and low birth weight. It is also important to avoid drinking alcohol and illegal drugs, as these are known to increase the risk of cerebral palsy. Furthermore, prevention of head injuries during childhood can be achieved by using car seats, bicycle helmets, safety rails, and appropriate supervision. There are a number of factors that can increase the risk for cerebral palsy, including infections during pregnancy and exposure to toxic chemicals. Infections can damage the developing brain through inflammation. German measles is an infection that can be prevented with a vaccine, while herpes can be transferred to an unborn child through the placenta and womb. Premature birth increases the risk for cerebral palsy. Despite being unable to prevent 100% of cases of Cerebral Palsy, expectant parents can help prevent it by being informed and requesting information. In the process of childbirth, parents must ask questions, learn about the various risks associated with cerebral palsy, and be advocates for their child. Parents are the biggest influence on the development of their child. Parents must ask questions and seek information about various risks, complications, and treatments to ensure their baby is healthy. The government's role in Cerebral Palsy prevention centers on funding research, collecting data, and examining causal factors. CDC and the National Institutes of Health both have been instrumental in this endeavor. These efforts have increased public knowledge and allocated funding for research. But the government has yet to find a cure for cerebral palsy. Therefore, prevention efforts are still ongoing. The government must do more to prevent the disease. Among the causes of cerebral palsy, preterm birth is one of the most significant. Preterm birth is the leading cause of death and disability in children worldwide. In developed countries, the prevalence of cerebral palsy is two to three per thousand live births. This risk rises exponentially with decreasing gestational age. For extremely preterm infants, the risk of cerebral palsy is as high as 100 percent greater than in term babies.
The chief information officer (CIO) is a role that supports the goals of the enterprise by utilizing information technology and computer systems. Other terms for this role are chief digital information officer (CDIO), information technology director, or information technology director. As the head of information technology and information systems, the CIO's primary responsibility is to support the CTO in the strategic direction of the enterprise. A CIO should have expertise in technology as well as business savvy. CIO's knowledge of technology The CIO's job description must include knowledge of a wide range of technologies, from artificial intelligence to cloud computing. He must also be able to analyze the business impact of new technologies. In order to do this, the CIO must step back from strict IT management and consider customer behavior, sales, and new product lines. Unlike a traditional CIO, the CIO must have business acumen. This is because the role of a CIO is to influence the business and drive change. The role of the CIO dates back to the late 1950s, when businesses began integrating computing into their operations. The second half of the twentieth century saw the beginning of the mainframe era, a period of computing where the position grew increasingly technical. In fact, mainframe era was named after the mainframe computer systems used by large enterprises. A CIO's knowledge of technology is essential to successfully lead an IT organization, but they must also possess managerial skills and be calm under pressure. They must also have experience leading projects and software development. They must also be adept at managing technological change and creating strong security shields. The CIO's understanding of technology must be at least an inch deeper than the CFO's. This helps him provide more effective leadership. Having strong business and leadership skills should be a hygiene factor, but these should not be the key differentiator in a C-team. However, the CIO should have responsibility for technology. Knowledge of technology is the ultimate source of competitive advantage. A CIO who understands the industry, the organization, and the business will lead the way in advancing the business and improving its productivity. Business savvy Today, being a CIO does not require an IT background. In fact, a CIO can be a business savvy person with a strong IT background. In fact, modern C-Suite teams typically include both a Chief Technology Officer and a Chief Data Officer. So, what makes a good CIO? Read on to learn more about the qualities a good CIO should possess. We hope you will find this article helpful and informative. Relationship with CTO The relationship between a CIO and CTO can be a delicate one. In some companies, the roles are very similar, but the scope and day-to-day responsibilities differ. The CIO, on the other hand, is the highest ranking person reporting directly to the CEO. As such, the CIO and CTO are on the same level, and their goals should be aligned. To maintain a good relationship, the CIO and CTO should communicate often. Traditionally, the CIO and CTO have been a joint position, but as technology has evolved and the CIO role has become more important, the roles have been separated. In many companies, theCIO is responsible for internal business operations while the CTO oversees technology strategy and growth for the company. A CIO must be a technologically savvy and business savvy individual, and the relationship between the two roles is essential to a company's success. The Chief Technology Officer (CTO) is a technical person who oversees the technological needs and investments of the company. The CTO may report to the VP of Engineering or the Director of Technology. Often, a CTO is an experienced technical professional who builds technology solutions and lowers costs for vendors and customers. A CTO may oversee product owners, software architects, and project managers. The CTO may be the company's most talented executive. While many analysts predicted that the CIO role would shrink, CDOs have grown in budget and influence. According to Anil Cheriyan, former CIO at SunTrust and now deputy federal government's director of technology transformation services, CIOs should view CDOs as partners. They are more likely to share the same vision and values for the organization. This is because they are both equally important to the company's success. Responsibilities One of the major responsibilities of thechief information officer (CIO) is to provide business applications that meet the needs of the company within the budget. The CIO is often under pressure to reduce costs, while still providing the highest level of service to users. To address the need for cost-cutting measures, CIOs may opt to outsource or to rent out IT resources. To ensure the security and privacy of the personal data of employees, they should have thorough knowledge of the industry and the specific needs of the company. Another role of the chief information officer is to oversee the use of information technology within the organisation. In most cases, the CIO reports to the chief executive officer, but in some organisations, they report to the chief financial officer or even to the commanding officer. First defined in 1981 by William R. Synnott, a former executive vice president of the Bank of Boston, the CIO's role has expanded to include the management of enterprise information systems. In addition to managing the IT department, a CIO may serve on the board of directors and sometimes as a member of the management team. The Chief Information Officer is responsible for the procurement of information technology, telecommunications, and related peripherals. The CIO develops and implements policies and procedures related to procurement of information technology and telecommunications within state agencies. This includes setting and enforcing policies for procurement and ensuring that these procedures are followed throughout the state. The Chief Information Officer is responsible for all aspects of the state's information technology infrastructure. Compensation While salaries for chief information officers are typically higher than those for other executives, this is not the case with all positions. Compensation varies widely based on the company, location, and experience of the individual. While the average US salary for a CIO is $216,656, the amount of compensation can be much higher, ranging from $357,422 to $702,500. This compensation is inclusive of annual bonuses and base salary, which can make the job more lucrative than other positions. According to the SEC, the average annual pay for a CIO is $303,269, or $146/hour. This is significantly higher than the national average of $165,676. The higher the education, the more compensation a CIO can earn. In the United States, the average CIO salary is $23,13% higher than the national average. In other countries, the compensation for CIOs is even higher. The education required for a CIO job varies, but it's generally a bachelor's degree. Many employers prefer candidates with an MBA or graduate degree. College majors to pursue include computer information systems, management information systems, IT management, and project management. While this is the norm, many tech chiefs have varied backgrounds, including business, management, and IT. If you have relevant experience, you could also consider a degree in networking, databases, or related fields. The average compensation for a CIO is $147,000 a year, according to 834 TurboTax users. This average salary includes all taxable wages, bonuses, and tips. A CIO's compensation can range from $65,500 to $461,500, and can also depend on their level of education, experience, employer, and location. However, pay for CIOs can vary widely. The job of CIOs is very important, and the compensation for this position reflects this.
By JEFF GOLDSMITH These are grim days for innovative healthcare companies.ࠔhe health tech and care innovation firms mature enough to make it to public markets have been eviscerated in the ongoing market correction. As of January 29, 2022, high fliers like One Medical (down 83% from peak), Oscar (down 83%), Bright Healthcare (down 85%), Teladoc (down 77% but still selling at 6X revenues!), and AmWell (down 90%) are the tip of a much larger melting iceberg.ࠠ The dozens of digital health unicorns (e.g. pre-public companies valued at more than $1 billion) and their less mythical brethren, into which investors poured more than $45 billion during 2020-2021, are sheltering in the comparative safety of VC/Private Equity balance sheets. They are protected from investor wrath until those firmsҠlimited partners force a revaluation of their portfolios based on the market value of their publicly traded comparables.ࠠ Yet it is the next moves that these innovative firms and their equity holders make that will determine whether these firms realize their full transformative potential or fade into insignificance. The Gartner Group, which tracks the technology industry generally, popularized the notion of the Hype Cycle- a seemingly universal trajectory that tech innovations and the firms that produce them follow (see below). ࠠ ࠠ ࠠ ࠠ ࠠ ࠠ ࠠ ࠠ ࠠ ࠠ ࠠ ࠠ ࠠ The Gartner Hype Cycle Everyone seems to focus on the colorful first phase of this cycle- the inflating and deflating part- where an innovation rises on a wave of the adulatory press (and breathless futurist punditry), then crashes ignominiously into the Slough of Despond.ࠁ classic example was the Apple iPhoneҳ ill-starred great uncle, the Apple Newton, which launched in 1993 and crashed shortly thereafter. For founders and investors, as well as customers, however, it is the less visible succeeding phases that determine if the innovation survives and the firms that produce them become ubiquitous and indispensable parts of our lives.ࠔhe rising initial phase of Gartnerҳ Hype Cycle is driven by the question Ӽem>Is it coolԿ, mediated by hyperactive media and Internet buzz.ࠠ The inevitable crash, on the other hand, is almost always driven by the troublesome real-world question,ࠓDoes the product actually work as advertised?ԠAnalysts,ෲiters, and, most importantly, customers press uncomfortable questions about not only functionality, but also reliability, affordability, stickiness, and Ӷalue for moneyԮ How do firms survive the crash and climb Gartnerҳ ӓlope of EnlightenmentԿࠔhis is the unglamorous Ӱick and shovelԠpart.ࠉf the sticky Ӱroduct integrityԠissues (does the product actually work?) are resolved, then a host of important questions challenge the firm, its founders, and owners, which answers the crucial question:࠼em>whether it is a real business:ࠠ Product-market fit (e.g. how, precisely does the innovation create value for customers and for whom?) Who are the actual customers for the product? Does the product need to be modified to meet their needs? Business model (e.g. can we be paid adequately by those customers for what we produce?), Scalability (can we actually deliver the product at scale sufficiently to, at some magic point, return investorsҠcapital?) and, crucially, Management (do we have the right people in key positions?). Investor wisdom and judgment are the crucial ingredients here. At this point, if investors act decisively, the Adam Neumanns and Travis Kalanicks are ejected from the firms they founded, and more experienced and capable managements are recruited to manage this complex process. In the event that the owners cannot satisfactorily answer the ultimate existential question- is this a real business?- equity holders may decide to exit, and sell the business and its problems to others. Teladoc and AmWell began the rolling up process years ago, before the 2020/2021 explosion in digital market caps.ࠗhether they have cleaned up the problems they inherited with their acquisitions remains to be seen. ࠐrivate equity-funded startups are now aggressively competing to be dominant full-stack. multi-product platforms, a space that has gotten absurdly crowded very quickly.ࠉt is possible that no one actually wins the platform wars presently underway.ࠔhere is tremendous dynamism and promise in digital health, not only in digital care provision, but also infrastructure that automates or simplifies payment transactions, facilitates hard connections to care systems, and coordinates different modalities, including AI-assisted chatbots, avatars, and other communication tools. It is not challenging to identify the consolidators of digital health that will emerge in this sorting and revaluation process. The first and most significant among them is UnitedHealth Groupҳ Optum subsidiary.ࠕnited has almost $70 billion in cash, piling up at the astonishing rate of $2 billion a month.ࠕnited/Optum has the management discipline to wait, select carefully and not overpay.ࠠ But other large incumbent healthcare actors will play a key role, includingࠃVS/Aetna, HCA, Anthem, CIGNA, AscensionHealth, Pittsburghҳ UPMC, Intermountain Healthcare, etc. all of which have made cautious forays into the sectors presently correcting- digital health, Medicare Advantage and at-risk primary care. In another promising approach,ࠉntermountain, in partnership with two other large care systems, has created a non-profit ӭarket-makingԠenterprise called Graphite Health (https://www.graphitehealth.io) that will act as an Ӂpp StoreԠfor digital health solutions.ࠇraphite is intended to fill a critical gap- the lack of digital health performance standards- efficacy, safety, and cost-effectiveness- that makes it difficult or impossible for institutional purchasers (not to mention patients) to make rational choices among a welter of competing options.ࠠ And of course, there will be the hungry outsiders that wish a larger healthcare presence- notably Amazon, Walmart, and Microsoft ֠that have made recent investments targeted at key health industry segments -pharma supply chain, urgent care, speech recognition, e.g. ࠔransaction costs and complexity of integration will create huge income streams for bankers, the legal community and consultants, who win regardless of the payoffs for founders and equity holders. The crash into Gartnerҳ Trough of Disillusionment is not the end of the game. The unglamorous but crucial Darwinian process of weeding out the opportunists and fabulists from the real businesses- the enterprises that will change our lives- is just beginning.ࠔhis process will stretch out over the remainder of this decade.ࠠ Jeff Goldsmith is the President ofȥalth Futures, Inc. --------------------------------------- By: Ryan Bose-Roy Title: After the Crash Sourced From: thehealthcareblog.com/blog/2022/02/03/after-the-crash/ Published Date: Thu, 03 Feb 2022 15:22:29 +0000 Read More
CRM is a management tool that is primarily used by companies to track and manage customer interactions. It has several benefits, including the ability to track customer data across all channels. It is also a powerful business tool for smaller companies. Here are some of the top benefits of CRM. Using it effectively can make your company more efficient and competitive. This is especially important for small businesses. Here are some of the top reasons why it is so effective for small businesses. - CRM increases efficiency. By reducing the number of emails sent, you can send personalized marketing messages to your customers. With the help of CRM, you can also improve your knowledge of your customers. Creating campaigns is a great way to achieve this. You can create a marketing message that focuses on your customers and the ones that are not. You can even personalize your customer service. Identify your customers by using customer segmentation. Then, use this information to tailor your messaging to them. - Customer engagement. CRMs help businesses increase customer loyalty and increase profitability. For example, if your company has a Facebook page, you can customize your social media posts to target those users. This way, you can increase engagement with your followers and get better feedback. Your customers will appreciate this. This type of interaction will help your business achieve its goals. So, if you want to see your website visitors come back to your website, you should implement CRM.