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Les Trachtman, EE, JD, MBA

As Managing Director of Purview, Les Trachtman drives Purview’s shared mission to improve medical outcomes and access to quality medical expertise for millions of people, regardless of geography. Les is a seasoned entrepreneur, educator, and author with over four decades of experience in strategy, consulting, and start-ups. Les is also an adjunct instructor at the Johns Hopkins University Carey Business School, where he shares his years of experience and insights with the next generation of business leaders. He is a frequent guest lecturer at Harvard Business School, MIT and other academic institutions, as well as a board member of The Metro Group. Les is also known as the author of the Amazon bestseller "Don't F**K It Up, How Founders and Their Successors Can Avoid the Cliches that Inhibit Growth", and a blogger on founder succession and other topics. He is passionate about sailing, traveling, and challenging the status quo.

Preventing Catastrophic Outcomes at the Track - We Can Do Better

Even when Mage “placed” in the Florida Derby several weeks ago in an impressive run, no one would have imagined he’d win the run for the roses at Churchill Downs.  While 15-1 odds are sizable for a Derby winner, the odds of seven horses dying in the days leading up to the Kentucky Derby were more remote.  Both beat the odds. As of this week, there was an eighth death, as Rio Moon suffered a, “catastrophic injury to his left leg,” according to NBC News

While the insiders who make their livings on or around the racetrack know that injuries and even the death of a horse is not entirely preventable, Churchill Downs might want to take some lessons from other venues and racing associations who have gotten out in front of this issue.

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The Legal Reality of Issuing Second Opinions for Out of State Patients

The Legal Reality of Issuing Second Opinions for Out of State Patients

The following paper is intended for informational purposes only and should not be construed as legal advice. The information provided in this paper is not a substitute for professional legal advice and should not be relied upon as such. Readers should always consult with a licensed attorney or qualified legal professional for advice on specific legal issues. The author of this paper and any entities associated with the author are not responsible for any actions or decisions taken by readers based on the information provided in this paper.

In the United States, it is well established that individual states and territories, rather than the federal government, regulate the practice of medicine within their borders. That means that unless there is an exception, a provider must be licensed in the state in which the patient is located in order to deliver a medical diagnosis or to prescribe treatment to a patient in a specific jurisdiction. The licensure process is burdensome and expensive, effectively impeding all but the most determined physician from seeking this legal authority to practice beyond his or her state’s borders.

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Serving Out of State Patients? The 2023 Post-Pandemic, Post-PHE Update

Now that the dust is settling as we get accustomed to our post-pandemic world, those in the telemedicine world and organizations thinking about providing remote second opinions are still seeking clarity on what remote programs are possible. Has anything changed? Or, are we back to where we started before the pandemic?

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Why Children’s Hospitals Need a Remote Second Opinion Program Right Now

Pediatric health care workers are fearing the tripledemic. The RSV surge alone is overwhelming pediatric hospitals, according to the Advisory Board.[1] While today COVID seems to mostly be a retrospective, it still is a real threat. And the flu season is just beginning. Does that mean we are returning to pandemic-like conditions this winter?

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