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Harnessing innovative neurotechnologies to provide better urgent care at Banner Health

For Banner Health, one of the largest non-profit health system in the United States, finding ways to make health care easier and better for our patients is at the root of everything we do. That’s why we are making significant investments into the digital health and neurotech space, trying to answer some common pain points.

Let me give you an example.

Last year, Banner Urgent Care turned to an innovative device, BrainScope One, to provide better care and to help save patients money and time, as it helps clinicians identify traumatic brain injuries and concussions.

This is an area of growing concern. Statistics by the Centers for Disease Control and Prevention (CDC) show that there were approximately 2.5 million visits to emergency departments for traumatic brain injuries in 2014—an increase of 54% from 2006. Of those, roughly 812,000 were for children.

AI Brain Device Reduces Need for CT Scans by Over 30 Percent

Traumatic brain injury (TBI) is a disturbance of normal brain functions due to a head injury that everyone is at risk. The Centers for Disease Control and Prevention (CDC) estimates that 138 people die each day in the U.S. due to injuries that include TBI. However, diagnosing TBI often involves unnecessary exposure to radiation from CT (computed tomography) scans. Recently published a few weeks ago in The American Journal of Emergency Medicine, a peer-reviewed publication, physicians at Washington University Barnes Jewish Medical Center in St. Louis found an over 30 percent reduction in unnecessary CT scans for TBI evaluations in emergency rooms using the recently FDA-approved medical device from BrainScope Company, Inc.—a medical neuro-technology company with various public sector and private sector funding, including venture capital from Revolution, founded by Steve Case, the co-founder of America Online (AOL).

Banner Health offers BrainScope in Northern Nevada

FERNLEY, Nev. (KOLO) Patients in northern Nevada can benefit from a new technology that allows for quicker assessments of head injuries, including concussions. Doctors at Banner Health Center in Fernley and Fallon are now offering BrainScope. The technology is a non-invasive, hand-held device used to make head injury assessments on site in non-emergency situations.

"It is a wonderful tool that will help us screen for the presence of concussions without necessarily having to send our patients for a cat scan or emergency room visit," Sharon Maxwell, a physician's assistant, says.

Jordan Valley Health Clinic Using New Device to Evaluate Brain Injuries

SPRINGFIELD. Mo.--Jordan Valley Health Clinic is leading the charge in Springfield when it comes to properly  evaluating head injuries. The clinic is the only health care provider in the city to use a brainscope. 
    
Dr. Rafael Santiago-medical director for express care at Jordan Valley Health Clinic had athletes in mind when introducing the brainscope to the clinic.

"Say you're at a game right now you have a brain injury, you come to the express care, within 20-30 minutes, we're able to give you an answer with the status of your cognitive status. If you do require a CT scan because the brainscope tells you that you need a CT scan, then we refer you over to one of the area hospitals," says Dr. Santiago.

Improved Assessment, Diagnosis and Management of Brain Injuries

Recent events have served as sad yet significant reminders of the seriousness of head injuries or traumatic brain injuries (TBIs).

As the football season ramped up, two tragic incidents took place in October alone. Christion Abercrombie, a linebacker for Tennessee State University, was rushed to the hospital and underwent life-saving emergency brain surgery after suffering a severe head injury. In Georgia, Pike County High School linebacker Dylan Thomas also sustained a severe head injury and was rushed to the hospital for surgery, but he tragically passed away soon afterwards.

The frequency and health risks of traumatic brain injuries, which include sports-related concussions, are increasingly being discussed and studied. As indicated in Table 1, there are close to 4 million sports-related concussions each year, with an additional 50% not being reported. The risks of not properly diagnosing and treating a brain injury are severe.

Health Beat: BrainScope test for concussion

University linebacker Zane Ventimiglia suffered not one, but two concussions last season. He didn't see either hit coming, but felt them after.

"I remember being pretty off-kilter, not able to balance well," recalled Ventimiglia, 21.

Athletic director Nathan Wilder said right after injury, trainers have to rely partly on subjective tests, like how an athlete looks or says he feels.

"These kids are pretty resilient. They'll take a hit, come off and say they're OK. Then, a couple of minutes later, they're not," Wilder said.

Now, there's a new, portable device designed to give an objective assessment. The BrainScope measures brain waves.

Banner Urgent Care to begin using new technology to assess brain injuries

Full Source

By: Luanne Kadlub | The Greeley Tribune

Starting this summer, Banner Health Urgent Care in Greeley will be among the first in the nation to begin using BrainScope, a new device that assesses the potential severity of brain injuries and likelihood of concussions. It also can save patients from unneeded testing and trips to the emergency room.

“Introducing a technology like this to Colorado is an incredible opportunity for providers and patients alike,” Devin Minior, chief medical officer of Banner Urgent Care services, said in a news release. “Residents are highly active in the region and spend a lot of time participating in activities such as hiking, biking, rock climbing, etc. where there is a good chance of incurring a head injury. Using BrainScope, providers can more easily diagnose patients, get them the proper treatment and help them return to their normal lives sooner.”

The device — backed by the NFL and Department of Defense — comes in two parts: a disposable electrode headset, which the patient dons for a brief test, and a military-grade smartphone with software that helps physicians make a clinical diagnosis, according to the release. The test takes about 20 minutes and will help providers determine whether a patient needs additional treatment in an emergency room.

The test doesn’t detect concussions but provides objective data to help medical experts diagnose.

Read the full story on greeleytribune.com.

BrainScope is an easy test for brain injuries; Banner Health offering student physicals

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By: John Trierweiler

Physicians and medical professionals at Banner Health say now is the time to have your son or daughter get a physical ahead of the school year.

This message is even more important if they're a student athlete and playing a sport this school year. 

Dr. Evan Werk and the team at the Banner Health Sports Medicine and Concussion Center say making sure young athletes are healthy before the season can give them important baseline information should they get injured during the season. It's also critical to their health and safety, allowing doctors to check for common and serious issues, like cardiac stress or problems with the heart.         

"It's certainly the worst thing that can happen which is why kind of we stress this so much, again in addition to some of the other things we can do at the same time with preventative health, making sure that those injuries and other medical problems are well controlled," said Werk. 

Although cardiac issues in young athletes are rare, if not identified during a physical before the athletic season, it can lead to serious injury -- even sudden death -- if a large amount of stress is placed on the heart. Concussions, knee/ankle injuries, elbow/shoulder injuries and fractures are the most common things physicians at Banner Health treat during the athletic season.   

Banner Health is also using a new product to identify concussions faster, called BrainScope, at some of their urgent care locations. BrainScope can be used for select patients who've experienced a minor head injury within the past three days. Electrodes placed on the head look for bleeding in the brain and provide the physician with a recommendation to seek further concussion or medical treatment, or give them the all clear.    

To make it easy on parents and students, Banner Health is offering $25 physicals at Banner Primary Care offices and the Banner Sports Medicine and Concussion Center, in addition to Banner Urgent Cares.

Economic Impact on the Healthcare System using an FDA-Cleared Mild Brain Injury/Concussion Assessment Device

Read full white paper here: BrainScope One Economic Analyzer Model White Paper

Abstract

Over 30% Cost Savings to Payers and Patients Calculated from the BrainScope One Economic Analyzer Model (BEAM)

Escalating awareness of the short and long-term consequences of traumatic head injury, even when mild, has resulted in an increasing burden to the health care system to the extent of $76.5 billion annually. This white paper demonstrates potential cost reductions as high as 32.2%, shared between payers and patients when the BrainScope® One medical device is integrated into the patient care pathway.

Adoption of BrainScope One expands care access points for head injury to Urgent Care Centers (UCC) and Physician offices, more cost efficient and accessible environments. It can also improve patient triage in the Emergency Department (ED) by diverting patients from unnecessary CT scans. BrainScope One has been demonstrated to aid in more objective, accurate, rapid, and safer diagnosis of mild Traumatic Brain injury (mTBI/concussion), resulting in significant benefits across the healthcare system. This paper assesses BrainScope One’s impact on the health care system and specifically examines the potential cost savings to patients and payers using the BrainScope Economic Analyzer Model (BEAM). Utilizing realistic inputs, this model illustrates the significant opportunity for cost savings (as high as 32%) through adoption of BrainScope One.

Rockville, Maryland Urgent Care Uses Revolutionary Brain Injury Assessment Device Backed By The NFL To Reduce CT Scan Recommendations

View Original Article on Digital Journal

ROCKVILLE, MARYLAND - Identifying and detecting brain injuries early is paramount for patients as brain damage associated with concussion, stroke, tumors and other illnesses can dramatically compromise a patient's quality of life.

To effectively treat adult patients with a suspected brain injury one urgent care in Rockville, Maryland, Physicians Now, added a groundbreaking medical technology called BrainScope One to their arsenal of diagnostic tools. BrainScope One provides their providers and staff with greater assurance to objectively diagnosis the full spectrum of brain injuries, including concussions.

Medics start using scanner that could detect TBI earlier

By J.P. LAWRENCE | STARS AND STRIPES
Published: May 27, 2018
Full Source

AP LIGHTNING, Afghanistan -- Soldiers are trying out a high-tech brain scanner that tests for mild traumatic brain injuries.

The 1st Security Force Assistance Brigade is the first unit to use the smartphone-sized BrainScope device in the field.

Capt. Nicholas Koreerat, a physical therapist in the 1st SFAB, trained newly-arrived medics from the 2nd Squadron (Armored), 1st Cavalry, 4th Infantry Division on the device Saturday at Advising Post Lightning near Gardez.

Prevacus Partners with BrainScope for Upcoming Drug Study on Concussion

TALLAHASSEE, Fla., May 18, 2018 /PRNewswire/ -- Prevacus, Inc., a leading biopharmaceutical company focused on developing treatments for concussion (mild traumatic brain injury (mTBI)) and other neurological disorders today announced a partnership with BrainScope for use of their FDA-cleared BrainScope One device in Prevacus' upcoming Phase 1b clinical research study as an objective biomarker of brain function. Prevacus and BrainScope are supported in their efforts to find a solution to concussions for youth and professional athletes by 3 Super Bowl MVP quarterbacks including Brett Favre, Kurt Warner and Mark Rypien.

Potential to Reduce Emergency Department Referrals From Urgent Care Centers By Up To 75% for Mildly Presenting Head Injured Patients

Read full white paper here: BrainScope One Urgent Care ED Diversion White Paper – May 2018

Abstract
The standard of care today for assessment of traumatic brain injury (TBI) in the Emergency Department (ED) remains the head CT scan, despite the fact that 91% of those scanned are reported to be negative for structural brain injury. Since approximately 95% of head injured patients present as mild, there are a very large number of unnecessary CT scans performed for the mTBI/concussion population. Urgent Care Centers (UCC) have the potential to significantly impact on initial triage and assessment of mild head injured patients, yet today standard clinical assessment capabilities in UCC result in a large percentage of such patients being referred to the ED for CT imaging, most often found to be negative. The ability to objectively assess these patients at the UCC could greatly improve evaluation and care of the mTBI/concussion population. BrainScope One is a novel handheld, rapid, easy to use, FDA cleared medical device to aid in the objective assessment of full spectrum of brain injury, including the likelihood of a structural brain injury visible on CT, with high accuracy shown in a prospective independent FDA validation trial. This White Paper evaluates the reduction of unnecessary UCC referrals to the ED for CTs when BrainScope One was integrated into the clinical decision pathway, based on 196 patients whose data was entered data into the BrainScope One Registry by 12 UCC. Significant reductions in ED referrals were realized (as high as 75%) when BrainScope One was used to aid in referral decisions across a wide range (100% to 50%) of prior clinical practice referral rates, supporting the potential to significantly impact on ED diversion and reduction of unnecessary CT scans in the mild brain injury population, benefiting the patient and reducing costs to the healthcare system.

Potential Significant Reduction in Unnecessary CT Scans in Emergency Departments Using an FDA Cleared Medical Device for Brain Injury Assessment

Read full white paper here: Washington University Emergency Department White Paper

Abstract:
Despite the fact that most CT scans performed on head injured patients are negative, CT remains the “gold standard” for evaluation of head injury in the Emergency Department.  This study investigates the utility of the BrainScope One EEG based classification algorithm to aid in the reduction of unnecessary CT scans in the mild head injured population.  Evaluations were performed on 64 patients (mean age 43.5, 58% male, 98% GCS=15), enrolled in the BrainScope One Registry, who sustained closed head injury and were evaluated in the ED at Washington University (mean time since injury 10.1 hours) and were referred for CT scans by standard clinical site practice pathway. Results were compared with those from BrainScope One evaluation. In this population of ED patients, the BrainScope One decision pathway would have resulted in a 32.8% reduction in the overall number of CT scans referrals compared to the clinical site practice decision pathway.  Importantly, this reduction in CTs was achieved without incurring any false negative cases (100% sensitivity). 

 

New Tool Takes On Early Detection Of Brain Injuries

Source: http://baltimore.cbslocal.com/2017/09/12/brainscope-brain-injury-tool/

By Alex DeMetrick

BALTIMORE (WJZ) — When it comes to looking for the first signs of concussion or other brain injuries, a new tool is available from a Maryland company — and it’s being backed by the NFL and the Department of Defense.

The device, called BrainScope, comes in two parts. It includes a disposable electrode headset, and a military-grade smartphone with specialized software.

The tool is designed to give an objective appraisal of possible brain injury as early as possible after an accident:

“So much of brain injury assessment is subjective, and so what we are adding is objectivity. You’re literally reading the brain electoral activity of the patient,” says Michael Singer, CEO of BrainScope.

“Close your eyes, relax and keep your feet flat on the floor.”

The software compares activities of an uninjured brain, like relaxing, with the readings of someone who suffered a concussion.

It also compares cognitive functions with tests taken by the patient, which could lead to a CT scan.

“We run multiple tests and that aggregation is what is then used by the clinicians for them to make a diagnosis,” says Singer.

Supporters of Bethesda-based BrainScope include the military, with the defense department providing funding, as well as the NFL, where brain injuries to players have gone from locker room secret to full-blown headlines:

“There’s just no denying a lot of guys out there like me dealing with the stage of brain injury,” says former NFL player Mitch White.

The portability of BrainScope means versatility with FDA approval.

“It’s meant to be anywhere a head injury might occur, so our markets are places like urgent care centers, emergency room departments in hospitals, the military, universities,” says Singer.

 

Capital Flows to Money-Making Brain Companies

Startups attract funding to expand sales of tests, tools to detect and
manage brain injuries and illnesses

By Brian Gormley

Sept. 11, 2017 7:30 a.m. ET

Original Article: https://www.wsj.com/articles/capital-flows-to-money-making-brain-companies-1505129401?tpl=venturecapital

Venture capitalists have money in the brain.

After years of research and development, many startups have introduced money-making products or services aimed at conditions of the brain, attracting more capital.

Brain startups with revenue closed 26 venture financing rounds in the first half of the year, on pace to pass the high reached in 2015 of 44 financing rounds for revenue-generating brain companies, according to Dow Jones VentureSource,

These private companies are gaining traction serving a range of conditions such as depression, anxiety and concussions.

The percentage of investments in those ringing up sales is rising. In 2008 the portion of brain investments in startups that were generating revenue was 13%. By 2012 that figure had risen to 40%. Last year, there were 38 financings in revenue-making startups in the brain category, or 42% of the total. In the first half it reached 50%.

BrainScope Nominated for the 2017 11th Annual Prix Galien USA Award for Best Medical Technology Product

NEW YORK, July 26, 2017 /PRNewswire/ -- The Galien Foundation announced today the 2017 11th Annual Prix Galien USAAward Nominees. Counted among the global health innovation industry's most prized honors, the Prix Galien Award recognizes outstanding biomedical and technology product achievement that improves the human condition.

To qualify, each candidate must be U.S. Food and Drug Administration (FDA) approved for market within the last five years and demonstrate tremendous potential to impact human health. Sales data are not considered by the nominating committee in their award nominee selection; only science and health impact.

Source

NFL: Advancing Concussion Diagnosis

In 2013, GE and the NFL teamed up to launch the GE-NFL Head Health Initiative, a four-year, $60 million collaboration to accelerate diagnosis and improve treatment for traumatic brain injury.

The initiative’s three-part Head Health Challenge open innovation program allocated $20 million for awarding grants to scientists, academics, entrepreneurs and other experts with leading ideas.

BrainScope used support from the Head Health Challenge to develop a new hand-held device that also has the potential to transform front-line care of head injuries.

BrainScope’s Ahead 300 headset and smartphone uses “sophisticated algorithms” to analyze patients with head injuries. It’s a quick test that is intended to provide “a rapid, objective assessment of the likelihood of the presence of traumatic brain injury (TBI) in patients who present with mild symptoms at the point of care.”

It was built in part through grant support from the GE-NFL Head Health Challenge. The U.S. Department of Defense also collaborated on the project.

In September 2016, the U.S. Food and Drug Administration gave the green light to BrainScope to begin marketing the Ahead 300.

 

Source: NFL Play Smart Play Safe (Click here to see NFL video with BrainScope)

NFL: New Handheld Device To Transform Front Line Care of Head Injuries

DISCLAIMER: The Ahead 300 is intended to be used in Emergency Departments, Urgent Care Centers, Clinics and other environments where trained medical professionals and practitioners practice medicine under the direction of a physician.