, ▁Target , ▁Cost co , ▁and ▁others ). ▁ ▁The ▁company ▁claims ▁that ▁its ▁implementations ▁generally ▁pay ▁for ▁themselves ▁by ▁reducing ▁in fe ctions , ▁comp lications , ▁read m issions , ▁and ▁other ▁negative ▁out comes . ▁ ▁Services ▁can ▁be ▁accessed ▁by ▁phone , ▁web , ▁mobile ▁application , ▁and ▁text ▁chat . ▁ ▁Un like ▁ER - av oid ance ▁companies ▁like ▁Tel ad oc , ▁the ▁company ▁does ▁not ▁rem ot ely ▁pres cribe ▁medic ations ▁or ▁perform ▁treat ments . ▁ ▁Instead , ▁the ▁company ▁focus es ▁on ▁special ty ▁expert ise ▁in ▁the ▁high - acu ity ▁cases ▁that ▁drive ▁the ▁largest ▁change , ▁and ▁on ▁connecting ▁patients ▁to ▁the ▁right ▁local ▁exper ts . ▁ ▁The ▁company ▁also ▁powers ▁global ▁second / remote ▁opinion ▁services ▁for ▁US ▁academic ▁medical ▁cent ers ▁with ▁world wide ▁reach . ▁Hospital ▁partners ▁offering ▁world wide ▁services ▁power ed ▁by ▁Grand ▁R ounds ▁include ▁Boston ▁Children ' s ▁Hospital , ▁the ▁Hospital ▁for ▁Special ▁S urg ery , ▁U CS F ▁Medical ▁Center , ▁New ▁York ▁Pres by ter ian , ▁We ill ▁Corn ell ▁Medical ▁Center , ▁Columbia ▁Medical ▁Center , ▁and ▁others . ▁ ▁Through ▁its ▁partners hip ▁with ▁Grand ▁R ounds , ▁each ▁partner ▁has ▁made ▁available ▁expert ▁medical ▁opinions ▁on ▁a ▁world wide ▁basis , ▁bringing ▁expert ise ▁to ▁mark ets ▁around ▁the ▁world . ▁ ▁Grand ▁R ounds ▁performs ▁ful fill ment ▁and ▁each ▁hospital ▁provides ▁its ▁phys icians ▁and ▁performs ▁market ing ▁of ▁the