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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.

Five Reasons Why Your Hospital’s Second Opinion Program Is Not Growing

You may have heard the phrase ‘if you build it, they will come,’ popularized by the 1989 film, ‘The Field of Dreams.’ The problem is that this strategy only works in baseball fantasy. Launching a second opinion program is not so different from starting a new branch of business. Simply beginning to offer second opinions as a formalized service does not mean that patients will show up. In other words, if you build it - they will not necessarily come.

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Managing Risk in 'Curbside Consults': Systematize, Legalize & Monetize Your Second Opinion Program

Physician-to-physician consults are occurring in your hospital, potentially putting
your organization at risk, while lacking any direct financial benefits for the hospital.

Skilled and experienced physicians are your hospital’s most valuable asset. Their time and knowledge are in great demand. Yet, many regularly engage in a process of giving this away free of charge putting your organization at risk as they do.

Your best and most specialized physicians have unique knowledge and experience. When presented with a complicated diagnosis in your doctor’s subspeciality, colleagues and their patients, reach out for the opinion of your doctors. It’s an informal process and normally doesn’t have any material impact on your hospital. Or does it?

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Uniform Telehealth Act Provides Stunning Enablement of Consults Across State Lines

The Uniform Law Commission (ULC), a group comprised of distinguished lawyers across all states and several US territories, passed a new Act that simplifies and enables states who enact it to regulate and promote the practice of telemedicine across state lines. The law provides that physicians who are appropriately licensed and certified in their home state may apply to any other state that has adopted this Act to practice telemedicine consistent with that state’s current regulations for patients within that foreign state. The Act requires that the out-of-state physician must pay a fee and register in that state, removing most other impediments from the interstate practice of telemedicine.

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Attracting International Second Opinion Patients

The COVID-19 pandemic reshaped healthcare for patients and providers alike. Telemedicine, once a niche offering, has taken root in the global consciousness as an everyday solution. In the United States, 13-17% of all healthcare visits now take place remotely and patients are eager to explore other digital health solutions, including virtual second opinions.

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