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Quture Announces Kim Halvorson Chief Operating Officer

Quture International

Quture International

Quture Enlists a Seasoned Healthcare Executive as COO for Transition to the QualOptima Health Informatics Platform for Optimal Performance and Outcomes to Transform Payment & Delivery Systems and Personalized Precision Health

DAYTONA BEACH, FL–(Marketwired – Jul 27, 2017) – Quture International, Inc. (OTC PINK: QUTR) the proven and experienced clinical performance and outcome analytics and solutions company in American healthcare, now with global capability, today announced the appointment of Kim Halvorson, CHAM, as Chief Operating Officer (COO).

Ms. Halvorson’s extraordinary and distinguished expertise and experience uniquely matches the opportunities of Quture. She is a seasoned executive, entrepreneur and problem solver with CEO experience in all aspects of a start up from taking a company public to managing the process of overseeing a public company. Her vast proven skills include managing all aspects of public fillings, shareholder relations, and managed audits. Simultaneously, sales and marketing are her passion, especially applied to every aspect of managing a growing venture or part of a large organization. Ms. Halvorson’s extensive networking relationships and skills stem from handling corporate development of large corporate accounts, such as her previous position with Dell Computer Corporation as Strategic Alliance Manager, to successful startup corporate development.

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QualOptima Health Informatics Platform

QualOptima Health Informatics Platform



Quture is a health informatics company that empowers patients, providers and payers (P³) for data-driven decisions (D³).  The complexity and inherent competing interests of all constituents of health care for the health, well-being and economic future of America will be solved by Quture’s free-enterprise QualOptima Health Informatics Platform.


A trusted and extraordinarily accomplished business colleague recently met with me to discuss a specific application of our QualOptima software system for medical errors and risk management.  After reviewing extensive materials and an hour of discussion, he observed “you are a technology company.”  “No,” I responded, “we are an informatics company.”

To succeed, a business endeavor must clearly understand its vision, revenue model and value proposition.  When we invented QualOptima back in 2011, we saw our invention as the then popular change from licensing software for local (LAN) or wide area network (WAN) installation and licensing to licensing in the cloud – “Software as a System” (SaaS).  The rapid acceleration of business and technology changes.  These changes and the uncertainties of the healthcare market have necessitated our strategies.

Quture International (QUTR) (“Q”) is now transforming not only our thinking but our QualOptima product to “Platform as a System,” (PaaS) as our revenue model.  The following discussion explains Q’s QualOptima Health Informatics Platform.

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HIMSS 2017 at the InterSystems Booth


Quture’s investors often wonder why Quture attends the HIMSS (Healthcare Information and Management Systems Society) conferences.  Those we work with know the answer, because the rapidly accelerating changes in healthcare information systems demand constant attention to where the market is going, who are the dominant and emerging players, pricing and revenue structures, revenue and investment capital opportunities, IT technology needs for QualOptima, and promoting our presence in this massive market.  Of course, we focus primarily on our existing relationships with customers, potential customers, potential strategic partners or alliances, and, especially, our application and strategic partners.

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The QualOptima Universal Informatics Platform


Congress and the President struggle to “repeal and replace” the Affordable Care Act (“Obamacare”). What Americans need for their health and healthcare, as well as those who provide and pay for it, seem lost in rhetoric. This is not a political debate but vague unscientific dialogue centered on words like “access” rather than what that means to patients seeking health care.  It is painfully clear that there are too many pressures for all the wrong reasons to achieve the legislative solutions so urgently needed.  Fundamental to our dilemma is the failure to understand and acknowledge the problems, without which there will be no successful solutions.

While the central issue is whether quality health care is a right or a privilege, the underlying considerations are simply financial.  A basic tenet of business to achieve a solution is to identify the problem, the need of the market.  One of the reasons that health care and health are such enigmas to identify the solution is that the problem is multifactorial and complex with competing constituencies.  Unraveling the ACA is difficult because it addresses this complexity and the linkages in its provisions.  ACA provisions do not merely focus on insurance coverage and finance; remarkably they had begun to solve the costs, quality and outcomes of care.

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Quture named one of 50 most promising healthcare providers 2016

“The omnipresence of mobile devices and their applications have ushered a paradigm shift in healthcare settings. The infusion of novel technologies and new participants in the market

Quture CIOReview Award 2016

Quture CIOReview Award 2016

re introducing better ways to assimilate knowledge from disparate fields for delivering unparalleled care experience.

Technologies like big data, cloud computing and Internet of Things are facilitating better communication and collaboration across the entire care continuum and are enhancing care delivery. Along the same lines, healthcare industry is gearing towards a more value-based business approach, building analytics competency to accelerate care quality and drive  perational and clinical developments. From smart algorithms, wearables to smart sensors and innovative practices, the new technology entrants are making big strides in the world of overwhelming data to improve management of chronic diseases as well as to contribute efficiency and productivity in diverse operations. Few other big components at the forefront of this transformation are electronic health records, drug dose calculators and digital medical records, paving way for enhanced care delivery with better, holistic and real-time view of a  patient’s health.”…

Download PDF: quture-cioreview-2016

or Download PDF: quture-cio-review-profile   

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HFACS value for Healthcare

Quture Medical Malpractice Claims Model: (HFACS 9 install)

Quture embeds HFACS in QualOptima as an integral classification and causation nanocodes system.  QualOptima is available to healthcare providers to integrate quality management, risk management and credentialing on its unified database with analytics technology as Quture’s innovative and transformative Value Data Center.  QualOptima is an extraordinary experiential learning platform, designed for organizational, clinician and patient learning to achieve optimal outcomes.

One use of QualOptima is to reduce medical errors and transform patient safety processes.  Quture offers medical malpractice insurers and healthcare organization self-insured trusts the capability to:

  • learn from errors based on aggregated data;
  • embed proven intervention strategies into optimal clinical processes;
  • calculate, track and report accurate adverse events data;
  • coordinate risk management and insurer claims management processes;
  • devise and implement healthcare provider disclosures with patients;
  • report (transparent) errors as regulators’ requirements evolve;
  • manage claims and defense settlements and trials, and
  • achieve better measurement and data-driven decisions for granting clinical practitioner privileges based on current clinical competence, exceeding FPPE-OPPE standards.
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Quture International

Learning from Medical Malpractice Claims (HFACS,Part 8):

Martin Makary, in his recent article[1] “Medical error—the third leading cause of death in the US.”  He begins with his observations: “The science of safety has matured to describe how communication breakdowns, diagnostic errors, poor judgment, and inadequate skill can directly result in patient harm and death.”

Dr. Makary’s perspectives of human factors in medical errors mirrors the positions of learning from errors and scientific approach of Quture.  He observes: “Human error is inevitable. Although we cannot eliminate human error, we can better measure the problem to design safer systems mitigating its frequency, visibility, and consequences.”

Quture advocates the strategy for hospitals to carry out a rapid and efficient independent investigation into deaths to determine the potential contribution of error, the very same words as Dr. Makary. He proposes a root cause analysis approach medico-legal protections to maintain anonymity would enable local earning while using. QualOptima HFCAS introduces a standardized data collection and reporting processes; such a standardized and common database is essential to an accurate national picture of the problem, its causes and solutions.

Healthcare Science

Healthcare Science

Optimal outcomes, clinical, operational and financial, depend upon creating a culture of learning from mistakes.   The Institute of Medicine’s goal of creating learning health systems depends upon advancing the science of safety.  Dr. Makary concludes his article stating: “To achieve more reliable health care systems, the science of improving safety should benefit from sharing data nationally and internationally, in the same way as clinicians share research and innovation about coronary artery disease, melanoma, and influenza. Sound scientific methods, beginning with an assessment of the problem, are critical to approaching any health threat to patients. The problem of medical error should not be exempt from this scientific approach. More appropriate recognition of the role of medical error in patient death could heighten awareness and guide both collaborations and capital investments in research and prevention.”

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HFACS  Model

HFACS Strategies and Processes in Health Care and Med Mal Insurance (Part 7):

HFACS provides new methods to restructure design of analysis of adverse events, accidents, human and system errors.  In real-time settings, like hospitals and intake of medical malpractice claims, this is retrospective but with a prospective component. In real-time, methods involve the following seven (7) steps:

  • Identification and reporting of events in single incidents (cases), whether near misses or adverse event;
  • Triage of single incidents AND those single cases in the context of aggregated data for prioritization of further actions;
  • Investigation of single incidents in the context of identifying opportunities to improve:
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Quture International

Other Human Factors Classification Systems (Part 6):

International Classification Systems

International Classification Systems

The preceding Section HFACS in Health Care Internationally discusses the work of Bill Runciman, M.D., in Australia and the international human factors classification systems in the patient safety endeavors of the World Health Organization (WHO) and the World Alliance for Patient Safety.  In the United States, others groups have developed their own human factors classification systems based on the initial James Reason concepts, but without the expertise from the extensive meta-analysis for development of HFACS by Drs. Shappell and Wiegmann.

While Dr. Shappell was a Commander in the United States Navy, reporting to the Admiral of the Atlantic Fleet, he was tasked to reduce an alarming rate of aviation accidents.  Working with his associate, Doug Wiegmann, Ph.D., who was then at the Pensacola Air Station, they conducted a meta-analysis of over 16,000 accidents involving U.S. Navy/Marine Corps (1990-98), U.S. Air Force (1991-97), U.S. Army (1992-98).  Their collaborative human factors meta-analysis led to what is now the Human Factors Analysis & Classification System (HFACS).  Dr. Shappell continues to conduct studies of both civil and military accidents as part of an ongoing project with NASA and the U.S. Navy/Marine Corps.  Previously, he served as Chief, Human Factors Branch US Naval Safety Center, then Head, Aeromedical Department US Naval Safety Center Reserve Unit (1999-2004).

Healthcare organizations, without human factors expertise, have developed a variety of unsuccessful systems characterized as patient safety human factors classification systems

and taxonomies.  methods have been used to analyze medical malpractice claims data.  Despite excellent endeavors to date, these methods have not significantly impacted preventable medical errors and reduced patient harm from those efforts.  The most obvious include:

  • Joint Commission Patient Safety Event Taxonomy (PSET);
  • CRICO (Risk Management Foundation affiliated with Harvard); and
  • MedStar Health, National Center for Human Factors in Healthcare.
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Quture International

HFACS in Health Care Internationally (Part 5):

There is a significant experience internationally with human factors classification and taxonomy systems in healthcare organizations and liability insurance claims.  These systems and processes date back to the 1990’s, so the evidence is that these have had little or no impact on the rate of preventable medical errors in the United States and most other countries globally.

The study from Dr. Makary of Johns Hopkins University Medical School estimated that medical error is the third biggest cause of death in the US and therefore requires greater attention. “Medical error leading to patient death is under-recognized in many other countries, including the UK[i] and Canada[ii].”  The study recognizes the inherent problem in existing systems, similar to Quture’s experiences, that the International Classification of Diseases (ICD) codes established for billing limit effectiveness of human factors analysis and classification.

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