Dr. John Guha, Founder & CEO US Doctor Consult & LGBTQ.clinic

What results or outcomes were achieved by working with Christian? How do you know?

Our telehealth project involved testing multiple hypotheses including feasibility, logistics, start up costs, operational costs, quantifying market interest, legal considerations, telehealth platforms and HIPAA compliance. Each of these avenues was ultimately successfully systematically analyzed and results were available for discussion and to help plan moving the project forward, or pausing portions when deemed appropriate.

What contribution did Christian have in achieving those results or outcomes?

As physicians, we felt that we had a good handle on patient and physician expectations and needs but the additional perspective that Christian brought to the table was invaluable. Not only does Christian have years of experience working with physicians and therefore able to appreciate how our experiences mold our viewpoint, but he is able to also bring a business and technical operational savvy outlook to the project thus dovetailing and complimenting the background of all parties. His varied background in business startups, the technical and marketing aspects in telehealth as well as working within the medical field at the administrative level is all that one can ask for in a consultant within this complex field.

What did you enjoy about working with Christian?

Christian has an easygoing, pleasant yet determined personality making all encounters positive and productive. He was always available within a short time of any request. He made us feel like he was part of our team. We particularly were impressed with his ability to identify opportunities to spend less money on aspects of our project that didn’t require a substantial level of investment until certain predetermined intermediate hypotheses had been proven. This concept is very important, especially for physicians, who have a tendency, as they strive for excellence, to throw everything, including money, all at once into a project before it is even clear if that project ultimately can work, without revisions along the way.

Jennifer NeSmith, MBA CEO, Kentucky Health Center Network

What results or outcomes were achieved by working with Christian? How do you know?

Our network has 25 member organizations with over 350 sites in four states. Telehealth is one of our 20 grant initiatives and with a small staff, we don’t have the expertise in many of those areas. Our network finds experts to provide education and training and technical assistance to our member organizations in the areas that are needed.

Christian and his team filled that void for us in telehealth. He came highly recommended and I had heard him on a webinar he and his team did for the MGMA.

As a former health center CEO, I want to connect our member organizations with experts who can provide real practical help to the situations that they’re facing. After the webinar I knew that Christian could provide that practical advice and he and his team did and I really appreciate that.

Almost everybody of the 50% of attendees who responded to the survey identified at least one actionable take away to improve their telemedicine service.

What contribution did Christian have in achieving those results or outcomes?

Christian expertly prepared and led two 90-minute webinars two days apart, with a rich set of slides. He and his colleague Kathy delivered engaging, informative and highly pragmatic content and answered all of the 60 participants questions.

After the two webinars, Christian and Kathy led five 1-hour individual consulting sessions with some of our member organizations that were very well received.

What did you enjoy about working with Christian?

Christian is very pleasant and got things set up very quickly, which was really needed. Everything was professional and he was just easy to work with.

Trent Wilson, MD Orthopedic Surgeon | Albert Jay Savage IV, MD Orthopaedic Surgeon

What results or outcomes were achieved by working with Christian? How do you know?

As practicing surgeons with no telehealth experience but big vision, engaging Christian was invaluable in helping our team clearly define our goals, understand the roadmap to success and plan appropriately to take the first steps towards formalizing our business model.

What contribution did Christian have in achieving those results or outcomes?

Christian has incredible insight into the world of telehealth and a great business acumen which were both critical to get our idea off the ground.

What did you enjoy about working with Christian?

Christian embodies the “3 As” that make working with anyone more enjoyable and productive: Available, Affable, Able.

His personality is very warm and engaging and makes collaboration easy and fun. Working with Christian has been one of the most enjoyable interactions I have had in the business world.

Lisa Thompson, MD Emergency Medicine Hospice & Palliative Care

What results or outcomes were achieved by working with Christian? How do you know?

I was able to get my company’s budget back on track by following his recommendation about looking elsewhere for a telemedicine platform. I was able to make a deal with my previous platform company for free!

I have also spent more time and attention revamping my business goals/plan.

Even though this is still work in progress, I am able to approach this more intelligently and efficiently thanks to the advice of the healthcare lawyer who works with Christian.

What contribution did Christian have in achieving those results or outcomes?

He gave me a bird’s eye view of my company and my concerns about some issues with it ‐ in other words, he gave me a fresh, more objective perspective which I really needed.

The “mind‐mapping” he went through with me helped me to look at things differently, see the bigger picture and it also inspired me to use a similar technique to help me brainstorm and think through problems on my own.

Christian also has an excellent network of consultants and associates and just making that connection for me was very helpful.

What did you enjoy about working with Christian?

Christian is honest, straightforward and efficient. He does not waste time. I feel like I can trust his feedback.

I also feel that Christian genuinely wants me and my company to succeed.

Jon Tammela, MD Gynecologic Oncology & Karen Tammela, MD Obstetrician‐Gynecologist

What results or outcomes were achieved by working with Christian? How do you know?

Our telehealth project involved testing multiple hypotheses including feasibility, logistics, start up costs, operational costs, quantifying market interest, legal considerations, telehealth platforms and HIPAA compliance.

Each of these avenues was ultimately successfully systematically analyzed and results were available for discussion and to help plan moving the project forward, or pausing portions when deemed appropriate.

What contribution did Christian have in achieving those results or outcomes?

As physicians, we felt that we had a good handle on patient and physician expectations and needs but the additional perspective that Christian brought to the table was invaluable.

Not only does Christian have years of experience working with physicians and therefore able to appreciate how our experiences mold our viewpoint, but he is able to also bring a business and technical operational savvy outlook to the project thus dovetailing and complementing the background of all parties.

His varied background in business startups, the technical and marketing aspects in telehealth as well as working within the medical field at the administrative level is all that one can ask for in a consultant within this complex field.

What did you enjoy about working with Christian?

Christian has an easygoing, pleasant yet determined personality making all encounters positive and productive. He was always available within a short time of any request. He made us feel like he was part of our team.

We particularly were impressed with his ability to identify opportunities to spend less money on aspects of our project that didn’t require a substantial level of investment until certain predetermined intermediate hypo‐ theses had been proven. This concept is very important, especially for physicians, who have a tendency ‐‐ as they strive for excellence ‐‐ to throw everything, including money, all at once into a project before it is even clear if that project ultimately can work, without revisions along the way.

Azriel Avezbadalov, DO Cardiologist

What results or outcomes were achieved by working with Christian? How do you know?

Christian helped me achieve a comprehen- sive understanding of the telemedicine field and what is required for starting up a telemedicine business.

What contribution did Christian have in achieving those results or outcomes?

Christian expertly layed out all the information and making it pertinent to my vision.

What did you enjoy about working with Christian?

I enjoyed how Christian prepared and how thorough he was with creating a plan and outline. He is knowledgeable and provided resources that were needed.

It was great working with Christian and I look forward to continuing our work.

Tim Weir, CEO, Olmsted Medical Center

“Christian brings a number of different aptitudes and skills to the organization. He is a very technically savvy person with good organizational skills that allows him to coordinate a lot of disparate groups and information and bring them into a cohesive message.

Christian has the technical expertise and the understanding of the healthcare delivery system to appreciate what the expectations would be for the patients and for the governance of an organization.

Christian is a very reliable, conscientious, dependable individual and has proven to be very attentive to our needs.

The world of telehealth and telemedicine is going to continually evolve. What every healthcare organization should look for is someone who brings not only a technical but a compassionate understanding of how that care needs to be delivered. And Christian marries those together very well.

We are fortunate that Christian spent some time with us and wish him good luck. Any organization that has a contract with Christian in the future will find that their needs are well served.”

Linda Williams, M.D., CMIO, Olmsted Medical Center

”Christian brings an enthusiasm for telemedicine and telehealth and he really wants to see this work for patients. Having a consultant who really has a passion for what it is you’re doing, makes all the difference. By bringing telemedicine back to focusing on the patient Christian really helps everybody stay on the same page.

The hard part about telehealth is understanding what should happen when a patient walks into one of our satellite clinics, which is a small clinic with limited staffing and limited space. Christian was very good at connecting the right people and asking the right questions, designing pilots so we could see how this could work. The secret sauce is in the process and in the communication and Christian is really good at both of those.

From the point of view of telemedicine and patient care Christian has a way of making it easy. And that has really been a gift to getting this going.

I think what I like most about Christian is, first of all he is very organized, which means he doesn’t waste anybody’s time. But he is not stuffy, he has a great sense of humor, he is just a nice person, and he always shows an interest in the people that he is working with. It makes it fun to be around him.”

Sue Schuett, CIO, Olmsted Medical Center

“Christian has a way of understanding physicians, nurses, and patients that have really helped us implement this type of technology in a way that is very easily adapted by our clinician staff.

It’s been really amazing to see Christian come in to our environment and very quickly establish credibility. He has a level of understanding of clinical practices and healthcare workflows that gave him credibility pretty quickly with our clinicians and our nursing staff. And once that credibility was established, it was easy for him to guide the way and they were very open to change. That doesn’t happen easily. But it really was something that I was very pleased to see.

One of Christian’s greatest skills is his ability to really listen and understand. He continually questions and has a thought-provoking style. When you have a conversation with Christian over half of that time you spend with him is Christian asking questions to understand.

Because of the plan and the road map that Christian has helped us establish, we’ll be able to take off and expand our use of telemedicine in a good way for our organization and our patients.

Christian has the skill set, the capabilities and abilities to successfully work in any healthcare organization to develop a telemedicine program. If an organization is looking at establishing a telemedicine program, it would be well worth their time to have a conversation with Christian about their project and about the results that they are hoping for.”

Edward C. Rosenow III, MD, Emeritus Professor of Medicine, Mayo Clinic

“Christian is one of the most organized persons I have ever met. If he has an assignment due in one week, it will probably be done in less than two days. On things he hasn’t been trained in, he reads intensively on the subject. He isn’t afraid of admitting what he doesn’t know, but he will probably know about it within a few days.

His skills in computer science add a tremendous advantage to his expertise. In some ways he is a polymath of information and he likes nothing better than the challenge of something that hasn’t been done before. He then constantly thinks about the challenge in his off hours.

Christian’s business acumen is very impressive, again mostly self taught. He has built a house that is energy saving; his monthly utility bill is about $10. He designed almost everything in the house. His combination of engineering and business, to me, are unique.

Integrity, diligence, respect for people are superb in Christian’s character. He relates well with people. I would trust him with anything.

In summary, if I had a problem, including especially in the area of medical application, and didn’t know where to start, I would want someone like Christian to advise me.”

Mark Wehde, Unit Head, Mayo Clinic Division of Engineering

There are very few people I recommend without reservation.

Christian Milaster is one of those people.

Christian is a problem solver who approaches problems the right way, by first asking what the problem really is. Too often engineers get wrapped up in the “how” and not the “what” and Christian never makes that mistake.

His abilities as a business analyst are without peer. Not only is he highly skilled at identifying needs and requirements, he is also exceptional (at least in my case) at teaching others how to follow a systematic process that leads to invention, innovation and a successful project conclusion. I follow the process Christian taught me on every project I work on.

As a business analyst, he is extremely effective leading process improvement efforts. One of the most telling examples was his work facilitating our last major strategic planning process. His carefully applied skills allowed a large and diverse group to identify dozens of improvement activities and more importantly, his abilities as a facilitator ensured that everyone felt valued and appreciated for their contributions.

Christian is also an exceptional project manager. He moves easily between project phases and project development methodologies. And he knows the deliverables that ensure a quality product.

Christian has many years of experience in the healthcare field and it shows in his insightful understanding of the challenges faced by the healthcare industry, in his intuitive understanding of the challenges faced by healthcare staff as they try to care for their patients each day, and in his ability to understand and clarify issues and then quickly move to effective solutions. This has allowed him to be successful in a number of significant initiatives that have improved clinical practice, including those in the fields of telemedicine and remote health monitoring.

Finally, no summary of Christian would be complete without mentioning his friendly and positive personality, his organization and attention to detail, and his commitment to his customers.

Christian is an exceptional individual.

April Horne, Director Product Development

“I’ve worked with Christian for nine years and have found him to be positive, hard-working, and insightful.

He brings tremendous focus and clarity to any work activity that he is associated with, engaging the team and customers fully to deliver solutions that meet the needs of the user. He immerses himself fully in any new endeavor, utilizing all resources to come up to speed quickly, frequently becoming the expert on any topic within weeks of getting a new assignment…

Few people in the organization had a clear vision of what a telemedicine unit should look like when Christian took over the team. His research included both a survey of the market landscape and a thorough analysis of internal usage scenarios, both current and potential. The flawless implementation and high user satisfaction is a testament to his skills at both planning and execution.

I’m confident that Christian would be equally successful in any environment.”

Peg Sherman, Telehealth Outreach Coordinator, Mayo Clinic

“In his role as Engineering Telemedicine Project Manager at the Mayo Clinic Christian has provided an amazing overview of all of Mayo’s telemedicine systems used for teleconsultations between patient and physician, list of stakeholders and interrelationships, taxonomy of terms, technical support strategies and much more.

He has organized meetings and provided follow up with appropriate team members to accomplish team goals and to implement smooth functioning systems/processes for our providers and patients. His computer and organizational skills are excellent in setting up systems to track data, issues, etc. He has provided colorful charts, graphs and diagrams that are easy to follow and eye catching. His work with Mayo IT and Media Video support teams as been instrumental in advancing reliable, efficient, low cost telemedicine systems used for live video consultations.

Christian seems driven by a desire to do what’s best for the patient and providers sharing his unique, creative approach with those who are open it. He is articulate, respectful and fun to work with.”