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Learn. Teach. Collaborate. Influence. Earn Medical conferences occur only once a year. They can be expensive. Presentations, while interesting, are typically of little practical value to everyday practices. As a result, many practitioners turn to social media for education, training and collaboration. Others have become “influencers” on such platforms. While they are “always-on” and low-cost, social media suffer from several shortcomings for practitioners. These include questionable content reliability, privacy concerns, and an overwhelming volume of episodic, disconnected and irrelevant content. Circle Academies combine the best of conferences and social media, while eliminating the shortcomings. The user experience is designed so that Academy Members easily and securely observe, present, post, comment, collaborate, teach and otherwise advance their personal and practice-related goals. Also, Academy content is built around real-world evidence – observations, datasets and correlations which are verifiable, transparent and clinically-useful to Academy Members. Finally, Academies also allow thought leaders to capture the value represented by their influence in multiple ways that are unavailable on other platforms.Characteristics of Each Circle AcademyAll the power, convenience and functionality of modern social media platforms. But without the disadvantagesBuilt around a major clinical themeMembership limited to credentialed healthcare practitionersModerated, secure, private. Communicate with all Academy members, or only those you selectContent categories include clinical, scientific, patient engagement, legal/regulatory and practice growthContent comprises video, multimedia presentations, posts, threaded comments, other. New content is regularly addedMulti-lingual Low-cost. First three months complimentary with full functionality. Thereafter, only US$10 per month per member per Academy Benefits for Practitioner Ability to participate at any level from merely observing and learning, to serving as a thought-leader For thought leaders, expansion of followers and supplemental monetization opportunities For all Members, genuine value-added. Training, education, questions/answers, secure peer-to-peer collaboration “Industry Corner” offering opportunities for product discounts, sponsored studies and trials, thought-leader honoraria, otherAutomatic integration with Circles, inCytes™ and Benchmarc™. Low-cost, clinical-grade platforms for formal trials and informal studies, reimbursement support, legal/regulatory compliance, registries, journal articles, conference presentations, patient compliance and engagementAccess to protocols, standards of care, patient education, legal/regulatory and other resourcesFor more information, contact us.

AbstractPatient Reported Outcomes Measures (PROMs) have been used since the 1960’s, with some of the earliest in the field of mental illness. Today, there is a large and increasing number of PROMs across virtually all medical specialties.PROMs continue to be used principally for research purposes. However, there is growing recognition of their potential to assist in clinical decision making, value-based medicine and sustained patient engagement. PROMs can thus be a useful vehicle for addressing some of the larger challenges in modern healthcare.However, the design and use of PROMs present serious challenges for the busy clinician. These include selecting or designing the PROMs most relevant to a specific practice, execution, cost, personal health information protection, patient enrollment and continuing engagement, data verification and audit trail, adequate data to generate statistically significant correlations.Fortunately, modern tools now allow clinical groups of any size to generate clinical and financial value from PROMs.PROMs: The Theory And The RealityCapturing longitudinal outcomes data is essential to evidence-based medicine. Thus, standardizing PROMs constructs and scoring systems for all categories of clinical interventions and patient cohorts is a worthy goal. Many medical societies, for example, develop PROMs in the context of their registries. Other organizations publish free and licensed PROM’s. Other groups analyze the strengths and weaknesses of various PROMs.On the one hand, there typically exist multiple PROMs for any pathology. On the other hand, the busy clinician will find it daunting to select PROMs which drive clinical and other value in his particular context. Moreover, PROMs for the same condition can be in part contradictory, duplicative, incomplete and/or confusing. Well intentioned attempts at standardization of PROMs have been unavailing.PROMs As Tools In The Clinical SettingPROMs can play an important role in two major trends in modern healthcare — value-based medicine and clinical decision-making.Value-Based MedicineAs stated in the New England Journal of Medicine:Value-based healthcare is a healthcare delivery model in which providers, including hospitals and physicians, are paid based on patient health outcomes. Under value-based care agreements, providers are rewarded for helping patients improve their health, reduce the effects and incidence of chronic disease, and live healthier lives in an evidence-based way.This approach is found in accountable care organizations, narrow networks, and many other clinical intervention revenue models. Capturing and analyzing outcomes in a systematic, longitudinal manner are essential elements of value-based medicine.However, efforts to derive useful correlations for value-based medicine from EMRs, claims databases, patient registries, and other traditional data sources have been disappointing. These sources often reflect only partial data, poor clinical context, challenges in verifiability, and other weaknesses. Of particular note, there is usually a paucity of outcomes data, and wide variation and discrepancies in what little exists.Meeting these challenges with respect to PROMs begins at the clinic. The treating clinician must select/design the proper PROM construct for each patient cohort. For example, what exactly is the PROM intended to measure – pain, function, quality of life etc. – in the context of a particular class of clinical intervention? Only then, will the outcomes data truly support value-based medicine.Clinical Decision MakingMedical science is advancing ever more quickly. Clinicians must learn to deal with concepts not even mentioned during medical school, as well as new equipment, medications, and diagnostic tests. Modern communications channels offer practitioners and their patients good and bad information on any topic – both good and bad.Despite these oceans of information, or perhaps because of them, the informed judgment of the experienced clinician remains central to accurate diagnoses and safe, efficacious treatment protocols.PROMs As The Foundation of Patient-EngagementAn attractive website, efficient front office, well-lit reception area, testimonials and five-star reviews are only the beginning of patient engagement in the 21st century.Yes, patients are consumers; but they are first and foremost patients. They have a patient story, one or more specific conditions, outcomes objectives, perhaps disappointments with past treatments. Patients have often already researched their conditions and options. They want to be heard, and to be a part of their recovery. Moreover, listening to patients from the initial consult and then throughout their treatment journey can be critical to successful outcomes.PROMs can represent an excellent tool for intermediating the respective “languages” of the patient and the clinician. Properly designed and executed, they make clear to the patient that her doctor is genuinely interested in the success of the long-term outcomes they both are seeking.Removing The Burden; Generating The ValueAs indicated, PROMs have significant potential clinical, patient engagement and financial value. For them to be a realistic part of the active clinician’s armamentarium, however, they must have several key characteristics:Impose minimal burden on the clinician, her staff, and patients.Conform in their constructs to the indications, treatment protocols and other aspects of the clinician’s everyday practice.Comply with patient data privacy and security laws.Real-time mapping of outcomes against a variety of clinician-selected treatment factors.Generate statistically and clinically significant correlations.Allow easy collaboration within peers within and across institutional and national boundaries.Circles enable all of the foregoing. Start or join one today. Or contact us to find out more.

For most clinicians, medicine is a business as well as a calling. This is true for employed, as well as those with independent practices. Costs may include rent, staff, marketing, IT systems, capital equipment, consumables and/or continuing education. Income may include fees-for-service, RVU’s, salaries, grants, honoraria, investigator fees, and/or “value-based” payments.Unfortunately, neither medical school nor clinical practice prepares doctors for the business of medicine. Although U.S. healthcare expenditures are $4.3 trillion – over 18% of the country’s GDP – practicing physicians receive an ever-shrinking portion.Circles not only provide powerful clinical utility; they represent a substantial and transparent return on investment. That investment is only $500 for the first Circle, $35 per month and $5 per Case. Moreover, the Circles license can be terminated any time upon thirty days’ written notice.The return on that investment, with minimal clinical burden, includes:At least 12 months of physician-defined outcomes capture for each $5 Case: Make better clinical decisions. Identify potential adverse events early.At least 12 months of sustained and meaningful patient engagement for each $5 Case: Improve patient retention. Acquire new patients. Earn better reviews.Valuable aggregated datasets: Establish evidence-based approaches for new indications, protocols. Support reimbursement. Comply with legal/regulatory requirements. Support grant proposals.Better relationships with product manufacturers: Earn honoraria, investigator fees, study-based product discounts, conference support.Professional education: Collaborate with peers and experts within or across institutional and national boundaries. Test personal clinical hypotheses.Publication and Influence. Generate fresh and evidence-based content for articles, conference presentations, practice website, posts, journals, social media.Circles can convert the real-world data inherent in your everyday Cases into a sustainable profit center. Join A Circle today, or contact us to find out more.

All the power of modern social media channels, but with the security, focus and collegiality of medical conference break-out sessions. Present, discuss, teach and learn. Easily find clinical, scientific and professional topics of interest. Moderated "Spaces" open only to credentialed clinicians. Product-agnostic. Free.Private chats, livestream events, multimedia content. Content based on real-world evidence generated by your peers from their everyday practices.‍Each Space dedicated to a specific indication and/or clinical protocol. Create your own Space, or join others. Set access permissions for each Space.Access Industry Spaces for product information, training, investigator fees, honoraria, product discounts, other opportunities.‍RegenMed support: Multimedia content. Multi-channel distribution. Practice website pages. Engagement with industry. Technical. For more information, contact us at circleacademies@rgnmed.com.To join the Real-World Evidence Circle Academy,click here.

Collaborative clinical solutions for generating real-world data, evidence and value.The Clinical Value of Real-World EvidenceYour daily clinical interactions are a trove of real-world data which current systems fail to capture and exploit. Meanwhile, real-world evidence, derived from real-world data, is increasingly sought by regulators, manufacturers, payers, patients and your peers. Therefore, capturing and converting relevant real-world data into your real-world evidence represents an integral path towards achieving your personal, professional and academic goals, including:Patient Marketing and Engagement Presentations and PublicationsSponsored Studies and Trials Legal and Regulatory CompliancePractice Growth Clinical Decision-MakingReal-world data (RWD) and real-world evidence (RWE) are playing an increasing role in health care decisions.July 2021 FDA.gov‍The Solution in CirclesCircles, built by and for practitioners, combine clinical-grade electronic data capture technology with secure international and inter-institutional collaboration. They are simple, burden-free and engaging solutions for the generation and dissemination of clinically relevant real-world evidence. Practitioners from around the world entrust their studies, trials, registries, collaboratives, and more to Circles. Contact us to learn more about Circles.