Frontida Electronic Health Record and Research Tools

According to the World Health Organization, there were 80 million displaced persons worldwide in 2021. This is a part of a growing trend in humanitarian crises, hiking from 13 to 31 crises in the past 15 years. Over 10 million new people were displaced this past year by conflicts in Afghanistan and Ukraine. Despite location, crisis, or background, all refugees and people in low resource settings alike suffer from the same inequality: a lack of basic healthcare. Without medical record information, treatment cannot be planned and executed. The financial burden for healthcare is great both for host nations and for non-government organizations (NGO) that are trying to provide aid to refugees. Given the high cost of medical care and the limitation of resources in low-resource settings, it is essential to gather data for evaluating adverse health and primary care treatment outcomes. Unfortunately, there is little data available for analysis in these settings. Therefore, Frontida Records seeks to become the EHR designed to support care in underserved and refugee communities.

Our mission began back in the fall of 2019, when the founders of Frontida Records volunteered at Camp Moria, Europe’s largest refugee camp. There, they discovered that paper patient charts were difficult to use, easily lost and disorganized, misinterpreted due to language barriers and poor handwriting, and rarely shared among different health groups. Due to the unpredictable nature of refugee camps, we designed our EHR to operate regardless of internet connectivity. Utilizing cloud computing, the software can either be automatically uploaded with service or the data can be collected and stored offline on a local server to be later uploaded to the cloud. Our EHR is also designed to be user-friendly, efficient, and adaptable for all electronic devices including cell phones.   

Although Frontida was developed to help providers working in low-resource settings, it also has an added benefit: data analysis. Currently, there is a lack of tools to measure primary healthcare performance in LMIC. Without data analysis software to assess the success of medical aid, health workers, administrators, and funders, there is little understanding on how to effectively support primary health care. Thus, the problem we wish to address is how to measure improvement in primary care in low-resource settings. 

In particular, we would like to pilot study with our current partner, Floating Doctors (FD), a medical organization providing primary health care to indigenous villages in Panama. They operate in the Bocas Del Toro region of Panama which is composed of rural, island villages with little access to healthcare. Floating Doctors regularly dispatch medical teams on canoes to care for these villagers. The Frontida EHR is employed to document care for FD, which has reduced documentation time by over 70%. However, the medical team from FD have expressed a need to produce meaningful and actionable data insights on the performance of primary health care. We would like to test our data analytics functions in Panama. We believe our data analysis function will help address the SOLVE challenge of measuring primary healthcare outcomes and the critical question of whether global spending has any impact on the health of patients in LMIC.

Panama Data: https://www.dropbox.com/s/w9clxxy8coqaf79/Floating%20Doctors%20Timekeeping%20Results%20%281%29.pdf?dl=0)

Frontida Records provides easy-to-use, scalable, customizable EHR, for low-resource and high-density clinics operating in extremely challenging environments. Existing EHRs are not designed for the unique needs of these fast-paced and multicultural environments. They fall into what the Bill and Melinda Gates Foundation describes as “one-size-fits-all” systems. Westernized applications are designed for insurance and billing. Hence, they are too expensive and time-consuming to be practical in a high-volume, low-resource medical clinic. Confusing data entry menus found in Western EHRs and limited varieties of  data fields in our competition yield poor data collection for analysis. Lack of collaboration with users from these settings lies at the heart of these issues. 

Our EHR is specifically and uniquely designed for medical nonprofits working in underserved, rural, low-resource, or crisis-responding environments. Through regular online meetings and testing of the software onsite at local NGOs and clinics, we build applications that are adapted to the language and culture of frontline teams and their patients. We also speak directly with affected communities concerning medical conditions and other pieces of information relevant to their identities. Our simple, navigable user interface designs bridges the technological gap, guaranteeing physicians learn and apply our system painlessly. Given that the data is searchable and retrievable in a spreadsheet format, our databases can be used in studies that describe LMIC patient populations, research trends in patient diagnoses, treatments, and outcomes, compare health outcomes vs. resource allocations, test clinical efficacy of therapeutics and preventative health interventions, and examine demographic differences in population data vs. health outcomes. For prospective studies, Frontida Records can easily add researcher-defined questions, such as whether the treatment improved, resolved, had no effect, or worsened during follow-up visits.  Most importantly, our software is built on low-code development platforms, which means we are able to develop our applications faster and cheaper than any EHR company.

For this particular challenge,  we are focusing on our medical organization partner in Panama to conduct our first research study. We would like to measure improvement in primary care using two approaches.  First, we will identify the top twenty most common medical problems encountered in our EHR that is already deployed with the Floating Doctors organization in Panama. Then, we will seek advice from physicians working in these settings (i.e., members of the Floating Doctors medical team and local physicians) to define what is appropriate treatment and use this as a measure of success. Each year, we will query the database on what percentage of patients with these common conditions received appropriate care. An improvement would be marked by an upward trend in the percentage of patients receiving appropriate primary care. Our second approach is analyzing the demographics of a patient population served in our EHR’s database (patient age, ethnicity, and sex) and the improvement of the patient's medical conditions and symptoms through the EHR’s tracking of diagnosis, treatment, immunization records, vitals, and follow-up visits. Whenever the Frontida EHR is opened for a follow-up visit, it will query whether their medical conditions/symptoms improved, remain unchanged, or worsened.

We target our EHR to the needs of the physicians, nurses, pharmacists, administrators, and other professionals working to provide medical aid in LMIC and low-resource environments. We will conduct a study on our solution with our partners in Bocas, Del Toro Panama. The goal is to safeguard medical information for clinical care, monitor inventories of medical supplies, provide data that can be used for quality control feedback, and help these providers become more efficient. Frontida’s EHR can become a tool for analyzing and addressing problems in the delivery of care. Our primary care analysis will enable clinicians to receive feedback on which treatments are effective and compare alternative treatments in the future. 

 The patients receiving care at these clinics will be the direct beneficiaries of improved and efficient medical care. Our EHR design team strives to listen to patients by interviewing the local community and medical teams who work at the medical clinics. Since their records are stored in the Cloud, an authorized provider can sign into the system and retrieve their chart from any location. Our system can also be used offline, accommodating patients in the remote villages of Bocas del Toro, Panama. To ensure Frontida’s data security, the software was developed in consultation with Vanta and pro-bono lawyers from O'Melveny.  

 We expect that funding agencies will be important stakeholders in this grant challenge. Frontida’s EHR was designed to increase clinician efficiency and to build the infrastructure needed to collect and analyze the EHR data for improving primary health care. The data analysis from the Frontida EHR should provide trends on percent increases in primary care health indicators and inform what resources in a clinic’s inventory (such as medication, clinical consumables, etc.) are needed.

The Frontida team is well-positioned to deliver this solution due to our flexible, inclusive no-code platform and the diversity of our team. 

 Our flexible software is suited for refugee and LMIC communities because it allows us to seamlessly integrate each communities’ unique input, ideas, and workflows. The Frontida system is offered in multiple languages and can add specific diseases, diagnoses, and medical forms that are relevant and culturally important to the communities served. For our medical partner in rural Panamanian villages, we created an EHR with specific mental health assessments, drug lists, and treatment plans that are culturally relevant to these medical teams and patients. We have already deployed applications with organizations in Greece, Afghanistan, Panama, Poland, and, soon, Ukraine.

Further, we have a team composed of medical experts, engineers, and people experienced in humanitarian aid. Our Board of Directors are physicians, researchers, lawyers, CEOs, engineers, and business consultants who will advise us on our work.

Secondly, we take pride in the diversity of our team. Of the 25 team members, 19 are people of color. Additionally, we strive to maintain a 50/50 male to female ratio. Although we are based in Los Angeles, our team spans across the United States. Our various racial, gender, and geographic identities make us particularly equipped to work with underserved communities that, at times, look a lot like we do. Our team leaders all have experience working and volunteering in LMIC and always work closely with the local teams on the ground. The diversity of our team, combined with our vast and concerted effort to learn about these communities (including their native language and cultural customs) allow us to successfully plan and execute our work.

MIT SOLVE Challenge will provide Frontida with the financial support to fund a full-time leadership position and a research coordinator who will ensure the software is capturing appropriate research data. Our current team of 25 is composed primarily of volunteers. We believe a full-time leadership position for this project would allow for greater bandwidth to improve our data analytics and expand our technology to more clinics in LMIC. We plan to eventually hire a research coordinator to work with our faculty advisors and develop the data analysis portion of our EHR. We currently have 11 waitlisted clinics that are seeking our services. Since our team is small and composed primarily of volunteers, we can only serve four regions. We aim to onboard clinics in accordance with our mission statement, centered on diversity and inclusion. Moreover, Frontida has and will continue accepting clinics regardless of their ability to pay for our services. Thus, the SOLVE challenge award will bolster our Frontida Commitment Fund, our version of financial aid for our clients who need our support. Funding from this challenge will also support our general business operations, which currently are taxed as a small, non-profit startup. These operations include legal & insurance, research & development, and cloud storage support, etc. 

The ingenuity of our digital technology solution lies in its flexibility, affordability, and rapid development. Our applications are built on low-code which enables us to develop customizable health applications in days instead of months, incorporating feedback at little to no cost. Since Frontida's applications are made up of a series of forms and modules, clinics can choose the most suitable forms and request new features tailored to their needs. Frontida can modify all existing features, forms, dropdown menus, and workflows. For example, we integrated national refugee health surveys from the Greek Ministry of Health with questions specific to refugee culture and health risks into our EHR for Refugee Camp Moria; public health officials utilized our data for policy-making and COVID-19 monitoring. Furthermore, we can adapt our application to different language preferences and enable offline usage. We strongly believe in human-centered design, ensuring that Frontida’s applications work for local populations. As digital data-driven operations expand, we want to ensure that organizations serving low-resource, rural, and developing communities are not left behind.

Year 1: We will continue to customize our EHR to meet the specific needs of Panamanian patients and clinicians working with the Floating Doctors organization.  During the first year, we will focus on data collection and analysis in Bocas Del Toro, Panama. We want to use the funding to optimize the software for answering the SOLVE Challenge and build in the primary health indicators that this Challenge requires.  Our system will collect patient data regarding the health of the patients as well as document services received. To gauge primary care improvement, we require two time periods to compare. We will evaluate our software’s ability to collect data and analyze efficiency and quality of care measures that will be reported to the NGOs and funding agencies. We will use the  resulting data to begin annual or semi-annual performance analyses regarding the correlation between patient health over time and services received. This analysis will inform the clinic physicians and the funding agencies on the effectiveness of the care that is given in Panama.

 For the Challenge:

1. Identify 20 most common medical conditions in Bocas Del Toro, Panama.

2. Determine what is appropriate care for each of the 20 conditions in that setting.

3. Work on software so that it is research friendly, add research questions to the EHR in consultation with the funding agencies, healthcare administrators, medical school faculty, and local physicians, and improve back-end capability for searching and analysis.

4. Hire a data analyst to study the back-end data and the ability to generate reports.

Year 2:  We will compile the aggregate data collected throughout the first year of implementation and create a formal report on our findings in regards to global spending and patient health in rural Panama, as well as see this through over the next additional three years. The report is aimed to inform public health officials on policies and services that will best best serve these Panamanian villages. Ultimately, we aim to identify inefficient medical services and replace them with alternatives that can be tested by our software. Our goal is to employ optimal approaches and reallocate global spending to supply the most effective goods and services, greatly impacting patient health. Additionally, we plan to expand and onboard another clinic, ideally one that serves a different indigenous population to increase the generalizability of our reports. 

 For the Challenge:

1. Query at the end of the year, what % of patients received appropriate treatment. Determine what % of patients had follow-up visits.

2. Develop initial reports for clinics, patient communities, and funding agencies.  Evaluate the research capability of Frontida software and improve the software for back-end analysis.

Year 3-5:  Frontida will supply yearly reports on our findings to address the SOLVE challenge of measuring primary healthcare outcomes and the critical question of whether global spending has any impact on the health of Panamanian communities.

 For the Challenge:

1. Query difference between annual data on % of patients who received appropriate care, % of patients with improvement of their condition 

2. Work with clinics and funding agencies to determine which medical conditions are not being treated well, determine the cost of changing protocols, and incorporate vital signs or other forms of quantitative data to support qualitative data. 

3. Use Frontida Records to test changes in the protocol by comparing data before and after protocol change.

4. Optimize the software for evaluating care.

5. Compare differences between villages, examine demographic differences in outcomes, impact of funding level vs. quality of care.  Collaborate with medical school and engineering school faculty advisors to publish data in peer-reviewed journals.

Our Theory of Change:  Improve primary care in low and middle-income nations (LMIC).

 Goals:  To use data from the already-deployed Frontida EHR in Panama to create a research database that can be used to measure improvements in primary care at a clinic in a low-resource setting / LMIC country.

Inputs: 

1. Frontida EHR.

2. Frontida Records team that works to develop the technology and adapt the EHR to specific needs of patient and clinician.

3. Medical team in Panama (Floating Doctors organization) that is trained on how to use and analyze data collected from the EHR.

4. Materials such as input devices (computer, cellphone, ipad) and connectivity at clinic headquarters.

5. Frontida team working with NGO clinics by zoom to understand the site needs, train personnel, deploy test app version, and analyze how the EHR is used and identify problems for software improvements.

Actions and Activities: 

1.     Site specific EHR that is built from a core platform that can analyze data.

2.     Provide low-cost EHR for documenting health history for clinical care

3.     Data is stored on the cloud and on-site servers for future analysis.

4.     The entered data is stored in spreadsheets that are searchable for data analysis.

5.     Develop research team to search databases and analyze data, i.e.  search patient age, ethnicity, sex, diagnosis, treatment, immunization records, vitals, success rate based on appropriate treatment given for 20 most common medical problems, and follow-up visits rate.

6.  EHR automatically outputs actionable data that is updated to address needs of individual sites and the communities it serves.

7.     Build in research-related questions in consultation with Challenge, WHO and NGO stakeholders.

Specific Outputs for SOLVE Challenge:

1.     EHR is used for all patients at the test site and is scalable.

2.     Collect health data that can be used to measure the quality of primary care.

3.     Identify demographics of Panamanian communities in EHR

4.     Identify the 20 most common medical problems at that site in collaboration with the Panamanian community.

5.     Primary measure using no follow-up approach: Identify appropriate treatment for the 20 most common medical problems in that setting as a measure of success in collaboration with NGO doctors and patient communities.

6.     During follow-up visits,  identify % of patients who have follow-up visits and evaluate treatment outcomes based on whether symptoms and medical problems improved, worsened or stayed the same.

7.    Corroborate outcomes with stored low-tech quantitative measures, ie. height, weight, vital signs, immunization records, and notes.

8.    Data analysis to improve primary care.

a. Identify % of patients in primary care with successful outcomes (appropriate treatment as determined by local physician groups) in the 20 most common medical problems.

b. Identify % of patients who had follow-up appointments

c. Identify % of improvement of medical conditions and symptoms in medical appointments.

d. Annual Reports are made to NGO funding agencies, site clinics, and medical directors to help clinics allocate resources and funding agencies evaluate the impact on care.

e. Collect patient and physician feedback to help Frontida EHR improve the software to serve the needs of the clinicians and collect data for analysis.

Outcomes:

1. Change the behavior of clinicians to switch from paper records to EHR.

2. General customer satisfaction with the EHR in meeting the needs of the low-income clinics.

3. Data leads to changes in practice or protocols to make care more efficient and cost-effective.

4. Patient health information is searchable, secure, and backed up on the cloud.

5. Data analysis yields useful data to clinic and funding agencies on trends in quality of care.

6. Apply primary care measurement tools to all clinics using Frontida’s EHR system.

Impact:

1. Frontida continues its mission to serve clinics in low-income countries and low-resource settings.

2. Frontida Records creates a market for an affordable EHR for low-resource settings. Frontida is financially sustainable by selling and marketing the EHR to NGOs that can afford a fee to develop the EHR, and maintain and customize the EHR for their needs.  

3. Frontida creates financial aid to support NGOs that may not be able to afford the EHR.

4. Data is used by researchers to improve primary care in these low-resource settings.

For the theory of change described in the previous section, the important outcome is whether the Panama users of Frontida Records are satisfied and happy with the EHR product and services, which in turn, could create a market for affordable EHRs that are used in low-income countries or resource-poor settings. This outcome depends on deliverable outputs that have made our Panamanian partners happy to use our EHR. In this section, we will address why we believe we can achieve the link between outputs and outcomes. 

1. We meet regularly with Floating Doctors (FD), a medical organization providing healthcare to rural villages of Panama, and clients who are working in low-resource environments, and listen to the clinicians and the patient communities by zoom and in person. FD have enjoyed this personal and hands-on approach to developing its EHR version.

2. Our team will meet continuously with the Panamanian community it is serving. We field-test a first draft of the EHR and then work on improvements to make sure our customers are satisfied. with the product they use.

3. Frontida software is versatile and can be used in different global sites with different needs and demographics such as clinics serving indigenous populations living in remote areas of Panama.  

4.  We problem-solved limited connectivity issues by creating offline versions of the software so that data can be stored on local devices and uploaded into the cloud at the base camp.  We also tested satellite internet service with the Frontida software in jungle locations.  These solutions will permit us to obtain the research data in remote regions.

7.  We have been collecting our data in excel format which is user-friendly and easy to search and group for data analysis.  We are already conducting preliminary studies on clinic efficiency using the Frontida EHR database for our Panama client. Our EHR saved 2.65 hours of documentation and transcription time by the Floating Doctors per day. (https://www.dropbox.com/s/w9clxxy8coqaf79/Floating%20Doctors%20Timekeeping%20Results%20%281%29.pdf?dl=0) 

8.  Our software is scalable as evidenced by its use in 20+ rural, indigenous Panama communities with the Floating Doctors organization.

9.  We have faculty advisors at the University of Southern California and other universities in the fields of medicine, dentistry, business, and engineering. We are building collaborations with NGO clients and hopefully with Challenge stakeholders to develop additional measures that are pertinent to supporting a clinic in a low-income nation or in a resource-limited setting. We have a professional board of directors to help us plan our financial sustainability.

Frontida Records is built with core database technology that uses low-code development and is based on a Google Appsheet for faster and cheaper development. This platform allows us to rapidly customize our EHR to the different needs of our partners. Additionally, our software saves data in Excel spreadsheet format for queries and data analysis.  

We leverage low-code and no-code application development platforms to rapidly create digital health documentation solutions for our customers. By using multiple tools, we ensure that we can implement all of our customer’s needs at a fraction of the cost compared to traditional development agencies. These tools allow us to develop our solutions rapidly, in a manner of days, which has also opened our applications to respond to emergency crises in Afghanistan and Ukraine. We can tailor solutions to complex deployments in a manner of hours or days instead of weeks and months.

To ensure Frontida’s data security, the software was developed in consultation with data security agencies and is continuously tested in order to provide data security feedback to our software engineers. 

Health providers, including physicians, dentists, nurses, administrators, and pharmacists collect and enter the health data into the Frontida Records EHR.  The Frontida user interface is available on computer laptops, tablets (ipads), or smartphones. In some instances, the patient may also input the information themselves onto pre-visit health questionnaires. The novelty of our software is its simple, user-friendly interface. 

The Frontida Records team believes in and supports MIT and Solve’s mission statement on diversity, equity, and inclusion.

Diversity: We appreciate and leverage the many differences between SOLVE staff and SOLVE’s larger community, and we involve and reflect the various communities we serve through partnership and open innovation. We believe that “everyone should have a seat at the problem-solving table,” as MIT President Reif states. Of our 25-person team, we are proud that over 75% are people of color, and over half are women. 

Equity: We design our policies, practices, and resources with the goal of providing people of all backgrounds a genuine opportunity to thrive. 

Inclusion: We strive to create an environment in which everyone feels valued and respected. Solve specifically seeks to support social entrepreneurs who use human-centered, inclusive technologies to solve world challenges. We know that when solutions are designed with the most underserved populations in mind, they benefit everyone. That’s why we tailor our platform to uniquely serve each community we work with. Our ultimate goal is to train our clients with the skills onsite to take on the responsibilities that currently our Frontida team of volunteers is carrying out. Doing so would allow members of marginalized communities to become stakeholders in the development of Frontida, gaining skills in software design and business that might be re-applied when they emigrate to another country.  Oncef Frontida is financially sustainable, our nonprofit could potentially provide the communities we serve with a source of income, bolstering our DEI mission.

These components are part of the linked Social Business Model in question.

 Key Resources: Our key resources include our applications and revenue from our low-cost licensing and development as well as from grants, donations, and foundations. Other resources include customer and donor relationships, security with Vanta, branding, marketing, and strong volunteer, leadership and Board of Directors.

Partners and Key Stakeholders: Our key partners and stakeholders include the medical and humanitarian aid NGOs, clinics, and governments who can use our technology. We also partner with universities such as the University of Southern California/Keck School of Medicine to help us develop our product. We use Google Appsheet and Workspace as our low-code development tool, AWS for file storage, Vanta for data security monitoring, O’Melveny for legal expertise, Notion and Slack for communication, and Oracle-Netsuite to manage our business operations.

Key Activities: Our key activities are to perform needs assessments to understand a clinic’s needs, build custom health applications for medical teams in LMIC, collect user feedback and iterate solutions to optimize product, deploy custom digital health application like EHRs with partners, provide training and support for applications, and analyze how the EHR is being used.

Cost Structure: Our cost structures include team salaries (although, we also rely heavily on volunteers), platform development/storage/maintenance fees, legal/insurance/security fees, travel expenses when conducting in-person deployments, and the Frontida Fellowship ( Charitable Fund Allocated to Cover Costs of Clinics in Significant Financial Need).

Revenue: Our revenue comes from our low-cost licensing and development as well as from grants, donations, and foundations.

Channels: Channels for our nonprofit include Frontida member’s personal community and university network, word-of-mouth, referrals, news & article publishings, video marketing, social media platforms (blog, website, Instagram, Linked-In, Facebook), and online forums/community groups.

Segments: The people we are creating value for are the patients in LMIC and the medical teams (clinicians, administrators, etc.) that serve them. We are also creating value for the researchers and public health officials who need data to make health policies and decisions. We also create transparency and effective allocation of funds for funding agencies.

Value Proposition: Our value proposition lies in our ability to help healthcare teams, administrators, researchers, public health officials, and funding agencies improve primary health care in LMICs. For healthcare organizations, we improve their efficiency and efficacy through improved data collection, analysis, and interpretation. For healthcare providers, our technology saves time to document and organize operations, thereby reducing stress, improving resource allocation, and improving patient treatments, coordination with different providers, and continuity of care. We are also unique in that we provide an accessible, user-focused team that tailors our health applications to the clinic’s unique needs. Therefore, our systems reduce extraneous, clunky, and time-consuming data entry and analysis and enable rapidly customizable, simple user interfaces that are easy to learn. Our documentation has saved over 70% of time spent on record-keeping for our partner (Floating Doctors) in Panama. We also have a multicultural and multilingual platform with offline functionality for providers in remote areas without access to reliable internet. For researchers, our data analysis and tracking capabilities can measure primary health indicators. For funding agencies, our platform promotes transparency and legitimacy of work to funders. For donors, we create tax-right-offs for donations and cultivate a community of compassion and support for people in LMICs.

Financial Revenue Model: https://docs.google.com/presen...

Frontida has strong unit economics. 

• First — We build custom solutions AT COST: This locks customers into our solution and unlocks long-term subscription revenue. 

• Second – We acquire customers cheaply and have already acquired four paying customers with no marketing spend besides some travel expenses for beta testing. 

• Third — In year 1, we become profitable on a unit basis: we have almost a 50% margin from our subscription clients.

• And fourth – We can retain users at a high rate. Our churn rates are low because competitor products are expensive, complex, and have high switching costs. Because we offer custom solutions at-cost – our clients are invested in our product because it fits their needs perfectly. 

• All of this results in a high customer lifetime value at ~$13 thousand.

We are a social enterprise with a viable business model and a profitable financial structure which means we do not rely on donations. This will allow us to donate about half a million dollars of our services annually by year 5 to help even the most underserved communities. 

In 2020, Frontida received $5,000 from Blackstone/TechStar Investment Company, a fellowship committed to inspiring entrepreneurship globally; and $10,000 from the Iovine and Young Academy Social Impact Prize Competition, a USC competition showcasing innovations to improve society or revolutionize an industry. In 2021, we were granted $5,000 in legal fees from the Maseeh Engineering Prize Competition, a USC competition for engineers addressing challenges in energy, health, safety, education, and our environment. In 2022, we were awarded $40,000 from the Westly Prize Competition, a competition for social innovators in California, and $16,500 from the New Venture Seed Competition, USC's largest venture competition.  We also won a competition by the National Academy of Engineering which gave the winners access to NAE members for mentorship and National Science Foundation workshops for product development.  Our non-profit was granted a physical office space in Marina Del Rey from Viterbi Start-Up Garage. Our team has also won awards and recognition from the Lloyd Greif Center for Entrepreneurial Studies at the USC Marshall School of Business, 

We also established corporate partners with Google Appsheet to help us develop our low-code software, with Oracle/NetSuite to organize and manage our business software, and with Vanta to develop data security, monitoring, and protocols.

We have academic advisors at USC Viterbi School of  Engineering, Marshall School of Business, Ostrow School of Dentistry and Keck School of medicine.  Also, our Board of Directors include  CEOs, physicians, lawyers, engineers, and business consultants from PwC, EY, and Deloitte.