Podcasts about EHR

Is your practice generating more revenue while leaving you with less money? Are the team members you hired to create freedom actually increasing overhead, creating bottlenecks, and draining your profit? Dr. Lauryn sits down with Dr. Mark Mouw to examine why growing a practice does not automatically mean building a profitable or sustainable business.Dr. Mark shares lessons from more than 24 years of hiring associates, replacing himself in patient care, expanding services, and developing a high-performing team. They discuss compensation models, meaningful KPIs, transitioning away from a personality-based practice, and using virtual chiropractic assistants for insurance verification, lead follow-up, scheduling, and administrative work. This conversation will help clinic owners reduce payroll bloat, protect their in-office teams from burnout, and build practices that provide greater financial and personal freedom.Key TakeawaysPractice growth must be measured by profitability, not revenue alone. Clinic owners need to understand their payroll, cost per visit, average collections, profit margins, and meaningful KPIs before adding more people or services.An associate doctor cannot succeed without the right positioning, systems, and compensation model. Patients should be introduced to another qualified doctor, not “the associate,” while the owner remains responsible for creating demand and transferring trust.Expanded services can improve both patient outcomes and practice profitability. Laser therapy, decompression, supplements, and other offerings must remain congruent with the clinic's philosophy while helping patients receive better results.Virtual chiropractic assistants can reduce payroll bloat and employee burnout. Insurance verification, lead follow-up, scheduling, administrative work, and other non-patient-facing responsibilities can be delegated so the in-office team can focus on relationships, leadership, and patient care.Guest BioDr. Mark Mouw is a chiropractor, practice owner, and business leader with more than 24 years of clinical and entrepreneurial experience. After building a successful patient-centered practice alongside his wife, Dr. Mark developed extensive experience hiring associate doctors, creating scalable systems, expanding services, and building teams that allow a clinic to grow beyond its owner. As a co-owner of Chiro Matchmakers, he helps chiropractic practices find the right associate doctors, chiropractic assistants, and virtual chiropractic assistants for their specific needs. His mission is to help chiropractors build winning teams, serve more patients, improve profitability, and create greater freedom within their practices.Real People, Real Affordable: Hire a High-Caliber Virtual CA from $9.87/hr. Check out Chiro Match Makers now!Follow Dr. Mark on InstagramResources:Rich Doc Summer Series: A FREE summer training lineup for docs ready to use AI, systems, and strategy to create more freedom from the clinic. Register for one, two, or all three. Add 30-day replay access for $47 for all 3.Find all things Dr. Lauryn B including ways to work with herFollow Dr. Lauryn: Instagram | Facebook | LinkedInFollow She Slays on YouTubeMentioned in this episode:Holistic Marketing HubThis episode is sponsored by Holistic Marketing Hub. Created by marketing strategist Molly Cahill, it's a proven Instagram system with a 500+ caption content library and a step-by-step curriculum that's helped 400+ chiropractors, acupuncturists, and other health pros fill their practices with right-fit patients. Enroll Now!Holistic Marketing HubINSiGHT CLAThis episode is brought to you by the INSiGHT scanning system from CLA, the tool that helps chiropractors show patients objective neurological data so the value of care becomes clear, fueling conversion, retention, and growth. She Slays listeners get preferred pricing, affordable financing, and a free Getting Into Scanning guide.CLA (Current)Clinic MindClinic Mind is the all-in-one EHR and practice management platform built for chiropractors — billing, documentation, scheduling, and patient follow-up in one place, whether you run a cash practice, take insurance, or are scaling to multiple locations. She Slays the Day listeners get an exclusive offer.Clinic Mind

As healthcare continues its transition toward value-based care, clinical decision support (CDS) is becoming an essential tool for improving appropriate utilization while reducing administrative burden. On this episode, guest hosts Dr Sandy Rolfe (Optum, WEDI Genomics Workgroup) and Julie Brown-Georgi (AMA, WEDI's Value-Based Care Workgroup) interview Rachael Hulshizer from Mayo Clinic and Elizabeth Zobel from CareSelect® Lab to discuss how EHR-integrated, point-of-order CDS is transforming laboratory and genomic test ordering through evidence-based guidance, interoperability standards, and actionable analytics. The conversation explores how structured data, FHIR-enabled exchange, and clinician-centered workflows can help advance stewardship, improve patient care, and support the future of precision medicine

Sign up for my FREE Masterclass- How to Build a 7-Figure Group Practice and earn 1 CE Hour → https://mccancemethod.com/webinar-free-masterclass-from-solo-to-superteam/In this episode, I explain why every group practice needs a CRM in 2026 and how it can stop valuable inquiries from slipping through the cracks. I also share how a CRM can improve your response time, automate your follow-ups and help you understand which marketing strategies are actually bringing qualified clients into your practice.Make sure to bring your paper and pen because this episode is full of actionable tips!Here are some key points in this episode:[01:42] CRM vs. EHR.[03:20] Why leads get lost.[05:07] The importance of fast follow-ups.[06:29] Automating texts and follow-ups.[08:35] Introducing ClinicMonk™[16:35] Tracking qualified leads.Links From The Episode:Join the ClinicMonk™ waitlist →https://clinicmonk.com/Here is the Janeapp link for TWO free months on us! https://janesoftware.partnerlinks.io/ytg4vn Use Coupon: MCCANCE2MO

CMS-0057 and HTI-4 are reshaping prior authorization from both sides of the workflow: payer requirements and certified EHR readiness. This Office Hours session will break down what these regulations mean for providers, how they may change day-to-day prior authorization operations, and what questions organizations should be asking their vendors now. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/

What if the fastest way to make an extra $50,000 isn't generating more revenue—but keeping more of what your practice already earns? In the final episode of the summer From the Vault series, Dr. Lauryn revisits her conversation with tax strategist Barbara Schreihans to explore why proactive tax planning belongs in every profitable practice owner's wealth strategy.Barbara breaks down how entity selection, S corporation elections, home office and vehicle deductions, business travel, content creation expenses, and real estate can affect your tax liability. She also explains why receipts, mileage logs, board minutes, and real-time documentation matter, how to evaluate whether your accountant is actually saving you money, and why quarterly CPA conversations should replace the annual tax-season scramble. Tax laws change, so use these principles to ask better questions of your own licensed tax professional.Key Takeaways:Tax strategy begins with profitability and proactive planning. Once your business is consistently profitable, taxes should become part of your year-round wealth strategy—not a problem you address after December 31.Your business entity can significantly affect your tax burden. Barbara explains why practice owners should regularly evaluate whether their LLC, sole proprietorship, or S corporation structure still supports their income and long-term goals.Legitimate deductions require legitimate documentation. Home offices, mileage, business travel, content creation, board meetings, and other expenses need a clear business purpose supported by receipts, calendars, logs, and timely records.The right accountant should create measurable value. A low-cost accountant may ultimately cost you more when they fail to identify legal planning opportunities, educate you throughout the year, or help you make strategic decisions before tax season.About the Guest:Barbara Schreihans is the founder and CEO of Your Tax Coach, creator of the Write Off Your Life and Write Off Your Real Estate courses, and host of the Life-Changing Money podcast. After earning her master's degree in tax and beginning her career at one of the world's largest accounting firms, Barbara built a tax strategy company focused on helping entrepreneurs and high-income business owners understand their finances, legally reduce their tax burden, and keep more of what they earn. Through proactive planning and practical education, she helps business owners make taxes part of their broader wealth-building strategy.Find all things Your Tax CoachFollow Barbara on InstagramResources:Rich Doc Summer Series: A FREE summer training lineup for docs ready to use AI, systems, and strategy to create more freedom from the clinic. Register for one, two, or all three. Add 30-day replay access for $47 for all 3.Find all things Dr. Lauryn B including ways to work with herFollow Dr. Lauryn: Instagram | Facebook | LinkedInFollow She Slays on YouTubeMentioned in this episode:Clinic MindClinic Mind is the all-in-one EHR and practice management platform built for chiropractors — billing, documentation, scheduling, and patient follow-up in one place, whether you run a cash practice, take insurance, or are scaling to multiple locations. She Slays the Day listeners get an exclusive offer.Clinic MindINSiGHT CLAThis episode is brought to you by the INSiGHT scanning system from CLA, the tool that helps chiropractors show patients objective neurological data so the value of care becomes clear, fueling conversion, retention, and growth. She Slays listeners get preferred pricing, affordable financing, and a free Getting Into Scanning guide.CLA (Current)Holistic Marketing HubThis episode is sponsored by Holistic Marketing Hub. Created by marketing strategist Molly Cahill, it's a proven Instagram system with a 500+ caption content library and a step-by-step curriculum that's helped 400+ chiropractors, acupuncturists, and other health pros fill their practices with right-fit patients. Enroll Now!Holistic Marketing Hub

Recorded LIVE on the floor at the AAFP Co-sponsored DPC Summit in New Orleans, Dr. Angela Andrews of Direct Primary Care of West Michigan and Dr. Nicholas Jones of Clear Health Direct Primary Care in Eugene, Oregon sit down with Dr. Maryal Concepcion for an honest roundtable on what changes between year one and year three of direct primary care practice ownership.Both opened in November 2023. Both came to New Orleans with a list. What they say out loud is what most physicians only think: the workflows you built on day one and never revisited, the boundaries you are usually the first to cross, and the succession question this movement has not solved yet.IN THIS EPISODEPhysician owned regional DPC networks, and using them for call coverage, internal locums, and physician funded startup loans instead of banksWhy you do not need a nonprofit to do nonprofit workRevisiting the workflows you built when you were solo, and what to automate, eliminate, or documentEmployers as the next phase of DPC growth, and the arrival of employed DPC positionsBoundaries, moral injury, and why the physician is usually the first one to violate the boundaryHow to handle one star reviews and trolls without losing your weekendSuccession planning, and what happens to patients when a DPC physician gets sick or closesOregon's corporate practice of medicine law, the non compete ban, and what advocacy looks like when you own your practiceGetting onto your state chapter committees, and why DPC needs representation at AAFP and state academiesSpouses, kids, and the family roles that quietly keep practices runningChoosing an EHR you will not have to leave in three yearsMENTIONED IN THIS EPISODEDr. Emily Holt, Dr. Esther Khatibi, Dr. Julie Gunther, Dr. Timothy Blain, Dr. Phil Eskew, Dr. Jill Scherer, Dr. Clodagh Ryan, Dr. Neil Douglas, Dr. Hailey Miller, Dr. Amy Tressan, and Shaunna SandersRESOURCESThe Toolkit Magazine, including this year's Battle of the Support Stack and last year's Battle of the EHRs: toolkit.mydpcstory.comThe Physician Owner's Planner Limited First Edition Bundle: mydpcstory.com/shopPHYSICIAN OWNER'S PLANNER BUNDLEFifteen available. Each one includes the printed Physician Owner's Planner in a binder, the digital bundle with our Medicare and Medicare Advantage Open Enrollment Guide, the yellow "Insurance is not healthcare" T-shirt, and a personal website review from Dr. Maryal Concepcion and Nathalia Hyland, head of marketing and strategy at My DPC Story. Limited shirt sizes remain. mydpcstory.com/shopCooperative of American Physicians or CAP. Learn more about the medical malpractice company used by Dr. Maryal Concepcion since 2021 at capphysicians.com or by calling 800-356-5672.Guava Health. A premium patient experience, pulling data from EHRs and wearables, helping  see the full picture and uncover root causes to deliver personalized care. ZION HealthShare. Get peace of mind for major medical events without going back into the insurance maze.  Hint AI helps you move faster through every stage of the patient visit. Hint AI Chat lets you ask questions about a patient's chart and instantly surface relevant notes, labs, and clinical history. Learn more at hint.com/ai.Support the showGET your FREE MONTHLY BUSINESS TOOL DOWNLOADBecome A My DPC Story PATREON MEMBER! SPONSOR THE PODMy DPC Story VOICEMAIL! DPC SWAG!FACEBOOK * INSTAGRAM * LinkedIn * TWITTER * TIKTOK * YouTube

CardioNerds (Drs. Apoorva Gangavelli, Jenna Skowronski, and Hannah Every) discuss the continuum of prevention and heart failure with Drs. Anu Lala and Martha Gulati. Grounded in a clinical case of a 55-year-old woman with uncontrolled hypertension, type 2 diabetes, and obesity who is on the trajectory toward heart failure, this episode unpacks a paradigm-shifting framework from a joint HFSA/ASPC Scientific Statement. The discussion explores how prevention should not be siloed from heart failure management but rather integrated across a patient’s lifespan—from primary prevention in at-risk individuals, to secondary prevention in those with established heart failure, to tertiary prevention in patients with advanced therapies such as LVADs and heart transplantation. The experts highlight the importance of aggressive risk factor management, biomarker-guided screening, the AHA’s Life’s Essential 8, and the need for multidisciplinary collaboration and systems-level change to shift heart failure care from reactive to proactive. Audio editing for this episode was performed by CardioNerds Intern, Dr. Julia Marques Fernandes. Enjoy this Circulation 2022 Paths to Discovery article to learn about the CardioNerds story, mission, and values. US Cardiology Review is now the official journal of CardioNerds! Submit your manuscript here. CardioNerds Prevention PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls Systemic inflammatory diseases are associated with an elevated CVD risk that has significant implications for early detection, risk Heart failure prevention is a continuum, not a checkpoint. Prevention applies at every stage—from at-risk (Stage A) through advanced/post-transplant care—and every clinical encounter is an opportunity to intervene. The AHA’s Life’s Essential 8 (diet, physical activity, nicotine exposure, sleep, BMI, blood lipids, blood glucose, blood pressure) forms the foundation at every stage. Hypertension carries the highest population-attributable risk for heart failure of any modifiable risk factor. In the Framingham Heart Study, 91% of patients with newly diagnosed HF had pre-existing hypertension. The SPRINT trial demonstrated a 38% reduction in HF incidence with intensive blood pressure targets (30 ng/L or NT-proBNP >125 ng/L) identify individuals at heightened risk for progression to symptomatic HF. The ACC/AHA/HFSA guidelines give a Class IIa recommendation for natriuretic peptide screening in at-risk patients. Urine albumin-to-creatinine ratio (UACR) is an underutilized screening tool that provides additional insight into CKM risk. The heart failure label does not close the prevention window—it accentuates it. Secondary prevention through GDMT optimization (quadruple therapy in HFrEF) and continued risk factor management remains critical. Tertiary prevention extends to post-LVAD and post-transplant patients, where hypertension, diabetes, obesity, and CKD management remain essential to long-term outcomes. Show notes For a comprehensive review, please review the full HFSA/ASPC Joint Scientific Statement: Lala A, Beavers C, Blumer V, et al. The Continuum of Prevention and Heart Failure in Cardiovascular Medicine. J Card Fail. 2026;32:75-105. doi:10.1016/j.cardfail.2025.06.013 1. What is the “continuum of prevention” framework, and how does it differ from traditional approaches to heart failure prevention? Historically, prevention and heart failure management have been treated as separate disciplines—primary prevention handled by preventive cardiologists and treatment managed by heart failure specialists. This joint HFSA/ASPC Scientific Statement reframes prevention as a dynamic, continuous process that spans a patient’s entire lifespan, regardless of HF stage or ejection fraction. The framework maps onto the ACC/AHA HF staging system: Primary prevention targets Stage A (“at risk”) and Stage B (“pre-HF”) patients to reduce the burden of incident HF. Secondary prevention targets Stage C (symptomatic) and Stage D (advanced) patients to reduce the impact of established HF through GDMT optimization and ongoing risk factor management. Tertiary prevention encompasses risk factor management in patients with LVADs or heart transplants—populations where hypertension, diabetes, and obesity still drive outcomes. The Central Figure of the statement illustrates that Life’s Essential 8 (blood pressure and lipid control, diabetes management, exercise, sleep, smoking cessation, weight management, and diet/nutrition counseling) forms the foundation at every stage, with pharmacologic and device-based therapies layered on top as disease progresses (Figure) 2. How do traditional risk factors drive heart failure, and what should clinicians prioritize? Hypertension carries the greatest population-attributable risk for HF. In the Framingham Heart Study (N=5,143), HTN was associated with a 2- to 3-fold increased risk of HF, with a population-attributable risk of 39% in men and 59% in women. The SPRINT trial showed a 38% reduction in HF incidence and 25% reduction in the primary composite outcome with intensive BP targets (30 ng/L or NT-proBNP >125 ng/L) are associated with heightened risk for progression to symptomatic HF. In the ARIC study, incorporating NT-proBNP reclassified 20% of older adults without HF into Stage B. Factors that affect interpretation include age, sex, obesity (lower values), and CKD (higher values). High-sensitivity cardiac troponin (hs-cTn): Concentrations above the 99th percentile are now included in the definition of Stage B HF. Troponin testing may complement natriuretic peptides, particularly when BNP/NT-proBNP values are ambiguous. Risk scores: The PCP-HF equation predicts 10-year HF risk using traditional risk factors plus QRS duration. The AHA PREVENT score incorporates HF risk calculation and includes markers of kidney function (albuminuria, eGFR), though it may underestimate risk in men and Black adults. The CKM syndrome staging framework (Stages 0–4) provides a holistic approach to assessing systemic cardiovascular-kidney-metabolic risk. 4. What are the key nontraditional risk factors and cross-cutting themes in heart failure prevention? Genetics: Pathogenic cardiomyopathy variants exist in ~1 in 200 individuals in the general population. The HFSA and ACMG recommend cascade testing to identify at-risk family members. Polygenic risk scores for dilated cardiomyopathy show a 3.8-fold risk for DCM in the top 10th percentile compared with the median. Sex-specific considerations: Women have 2.8 times the odds of developing HFpEF, while men have similarly increased odds of HFrEF. A complete obstetric/gynecologic history is essential—preeclampsia is associated with a 4-fold increased risk of HF. Peripartum cardiomyopathy requires intentional screening in high-risk populations. Cardiotoxic exposures: Clinicians should be aware of medications that cause direct myocardial toxicity (e.g., anthracyclines, trastuzumab, tyrosine kinase inhibitors). A team-based approach with pharmacists can help optimize medication selection and risk factor modification. Social determinants of health: Environmental exposures (air pollution, arsenic, lead, cadmium), food insecurity, financial instability, and limited healthcare access contribute to HF risk and progression. Equity-focused, risk-based prevention strategies are needed. Psychological health: Depression is common in HF and independently associated with worse outcomes. Screening with brief questionnaires (e.g., PHQ-2) is recommended. Meditation, spirituality, and holistic wellness approaches remain underutilized. 5. What systems-level and policy changes are needed to move the needle on heart failure prevention? Multidisciplinary HF prevention clinics that bring together preventive cardiologists, HF specialists, endocrinologists, nephrologists, dietitians, pharmacists, exercise physiologists, and genetic counselors are advocated by the statement. EHR-embedded risk stratification could proactively flag patients on a trajectory toward HF—analogous to sepsis alerts or fall risk flags—enabling earlier intervention, particularly for patients who may not reach a cardiologist. Cardiac rehabilitation remains underutilized, particularly in HFrEF (Class 2b recommendation) and HFpEF (not yet covered by Medicare). The HF-ACTION trial showed quality-of-life benefits, and the REHAB-HF trial showed particular benefit in older patients with HFpEF. Policy priorities include expanding insurance coverage for preventive screening and novel therapies (SGLT2i, GLP-1 RAs, nsMRAs), reducing clinical inertia through team-based care models with closer follow-up intervals, and ensuring equitable access to evidence-based therapies across diverse populations. Digital health and AI hold promise for personalized risk prediction, remote monitoring (e.g., wearable devices, implantable PA pressure monitors), and virtual cardiac rehabilitation to overcome access barriers. Figure  Lala A, Beavers C, Blumer V, et al. The continuum of prevention and heart failure in cardiovascular medicine: a joint scientific statement from the Heart Failure Society of America and the American Society for Preventive Cardiology. J Card Fail. 2026;32(1):75-105. doi:10.1016/j.cardfail.2025.06.013) References Key references are bolded. Lala A, Beavers C, Blumer V, et al. The continuum of prevention and heart failure in cardiovascular medicine: a joint scientific statement from the Heart Failure Society of America and the American Society for Preventive Cardiology. J Card Fail. 2026;32(1):75-105. doi:10.1016/j.cardfail.2025.06.013 Heidenreich PA, Bozkurt B, Aguilar D, et al. 2022 AHA/ACC/HFSA guideline for the management of heart failure: a report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation. 2022;145(18):e895-e1032. doi:10.1161/CIR.0000000000001063 Lloyd-Jones DM, Allen NB, Anderson CAM, et al. Life’s Essential 8: updating and enhancing the American Heart Association’s construct of cardiovascular health: a presidential advisory from the American Heart Association. Circulation. 2022;146(5):e18-e43. doi:10.1161/CIR.0000000000001078 SPRINT Research Group, Wright JT Jr, Williamson JD, et al. A randomized trial of intensive versus standard blood-pressure control. N Engl J Med. 2015;373(22):2103-2116. doi:10.1056/NEJMoa1511939 Levy D, Larson MG, Vasan RS, Kannel WB, Ho KK. The progression from hypertension to congestive heart failure. JAMA. 1996;275(20):1557-1562. doi:10.1001/jama.1996.03530440037034 Major outcomes in high-risk hypertensive patients randomized to angiotensin-converting enzyme inhibitor or calcium channel blocker vs diuretic: the Antihypertensive and Lipid-Lowering Treatment to Prevent Heart Attack Trial (ALLHAT). JAMA. 2002;288(23):2981-2997. doi:10.1001/jama.288.23.2981 Yusuf S, Sleight P, Pogue J, et al. Effects of an angiotensin-converting-enzyme inhibitor, ramipril, on cardiovascular events in high-risk patients. N Engl J Med. 2000;342(3):145-153. doi:10.1056/NEJM200001203420301 Zinman B, Wanner C, Lachin JM, et al. Empagliflozin, cardiovascular outcomes, and mortality in type 2 diabetes. N Engl J Med. 2015;373(22):2117-2128. doi:10.1056/NEJMoa1504720 Anker SD, Butler J, Filippatos G, et al. Empagliflozin in heart failure with a preserved ejection fraction. N Engl J Med. 2021;385(16):1451-1461. doi:10.1056/NEJMoa2107038 Solomon SD, McMurray JJV, Claggett B, et al. Dapagliflozin in heart failure with mildly reduced or preserved ejection fraction. N Engl J Med. 2022;387(12):1089-1098. doi:10.1056/NEJMoa2206286 Filippatos G, Anker SD, Agarwal R, et al. Finerenone reduces risk of incident heart failure in patients with chronic kidney disease and type 2 diabetes: analyses from the FIGARO-DKD trial. Circulation. 2022;145(6):437-447. doi:10.1161/CIRCULATIONAHA.121.057983 Solomon SD, McMurray JJV, Vaduganathan M, et al. Finerenone in heart failure with mildly reduced or preserved ejection fraction. N Engl J Med. 2024;391(16):1475-1485. doi:10.1056/NEJMoa2407107 Lincoff AM, Brown-Frandsen K, Colhoun HM, et al. Semaglutide and cardiovascular outcomes in obesity without diabetes. N Engl J Med. 2023;389(24):2221-2232. doi:10.1056/NEJMoa2307563 Deanfield J, Verma S, Scirica BM, et al. Semaglutide and cardiovascular outcomes in patients with obesity and prevalent heart failure: a prespecified analysis of the SELECT trial. Lancet. 2024;404(10454):773-786. doi:10.1016/S0140-6736(24)01498-3  Kosiborod MN, Abildstrøm SZ, Borlaug BA, et al. Semaglutide in patients with heart failure with preserved ejection fraction and obesity. N Engl J Med. 2023;389(12):1069-1084. doi:10.1056/NEJMoa2306963 Ndumele CE, Neeland IJ, Tuttle KR, et al. A synopsis of the evidence for the science and clinical management of cardiovascular-kidney-metabolic (CKM) syndrome: a scientific statement from the American Heart Association. Circulation. 2023;148(20):1636-1664. doi:10.1161/CIR.0000000000001175 Khan SS, Matsushita K, Sang Y, et al. Development and validation of the American Heart Association’s PREVENT equations. Circulation. 2024;149(6):430-449. doi:10.1161/CIRCULATIONAHA.123.067626 Khan SS, Ning H, Shah SJ, et al. 10-year risk equations for incident heart failure in the general population. J Am Coll Cardiol. 2019;73(19):2388-2397. doi:10.1016/j.jacc.2019.02.057 Bozkurt B, Fonarow GC, Goldberg LR, et al. Cardiac rehabilitation for patients with heart failure: JACC expert panel. J Am Coll Cardiol. 2021;77(11):1454-1469. doi:10.1016/j.jacc.2021.01.030 Packer M. Leptin-aldosterone-neprilysin axis: identification of its distinctive role in the pathogenesis of the three phenotypes of heart failure in people with obesity. Circulation. 2018;137(15):1614-1631. doi:10.1161/CIRCULATIONAHA.117.032474 Lala A, Tayal U, Hamo CE, et al. Sex differences in heart failure. J Card Fail. 2022;28(3):477-498. doi:10.1016/j.cardfail.2021.10.006 Bozkurt B, Coats AJS, Tsutsui H, et al. Universal definition and classification of heart failure. Eur J Heart Fail. 2021;23(3):352-380. doi:10.1002/ejhf.2115 Hershberger RE, Givertz MM, Ho CY, et al. Genetic evaluation of cardiomyopathy—a Heart Failure Society of America practice guideline. J Card Fail. 2018;24(5):281-302. doi:10.1016/j.cardfail.2018.03.004 Levine GN, Cohen BE, Commodore-Mensah Y, et al. Psychological health, well-being, and the mind-heart-body connection: a scientific statement from the American Heart Association. Circulation. 2021;143(10):e763-e783. doi:10.1161/CIR.0000000000000947 Ezekowitz JA, Colin-Ramirez E, Ross H, et al. Reduction of dietary sodium to less than 100 mmol in heart failure (SODIUM-HF): an international, open-label, randomised, controlled trial. Lancet. 2022;399(10333):1391-1400. doi:10.1016/S0140-6736(22)00369-5

How AI Tools for Therapists Are Built: Trust, Data Privacy, and Choosing What to Adopt - An Interview with Ian Knox and Megan Toomey Ian Knox and Megan Toomey of SimplePractice take therapists behind the scenes of how AI tools for mental health are actually built, trained, and kept secure. We're in the middle of AI month, and Curt and Katie wanted to move past the buzzwords and talk with the people who actually engineer this technology. As part of the show's partnership with SimplePractice, they sit down with Ian Knox, Chief Product Officer, and Megan Toomey, Sr. Director of Clinical Support AI Product Management, to pull back the curtain on how AI tools for therapists get designed, what "training the model" really means, and how client data is handled. They get specific about what to evaluate before adopting any AI tool, from vendor trust and HIPAA compliance to data practices, and why note taking is the most mature use case while insurance, scheduling, intake, and referral matching are still emerging. Ian and Megan also take on the fear that AI-first companies want to replace therapists, and explain why clinicians have to stay at the center of care and review anything they put their name on. This is a grounded, practical conversation for any therapist trying to decide what AI belongs in their practice, and what to be cautious about, without panic or hype. In this episode, we discuss: - How an EHR decides which clinician tasks AI is mature enough to help with - What to evaluate before trusting an AI vendor with client data - Why "HIPAA compliant" is a floor, not proof of strong security - What "training the model" does and does not mean, and why SimplePractice says it is not training an LLM on your data - How transcripts are retained, and the new opt-in for de-identified data - Why you remain responsible for every AI-assisted note you sign - How to talk with clients about AI and get meaningful consent Timestamps: 00:16 - AI month, and why we wanted to talk to people who build AI 01:33 - Who Ian and Megan are 03:21 - SimplePractice's history with AI tools 05:38 - What therapists should know when adding AI to a practice 08:44 - Where clinicians can streamline with AI 12:23 - How to choose which AI features to adopt 16:10 - Why you can't fully trust AI, and best practices 19:29 - What clinicians should know about their data 21:13 - The Trust Center, and "are you here to replace therapists?" 23:55 - How AI systems are trained (the puppy analogy) 27:00 - White-label LLMs and the "golden data set" 29:11 - De-identified transcripts and the opt-in 31:40 - Current tools and the product roadmap Guest bios: Ian Knox is Chief Product Officer at SimplePractice, with prior product leadership at Expedia and Microsoft. Megan Toomey is Sr. Director of Clinical Support AI Product Management at SimplePractice, leading the team building AI tools for behavioral health clinicians, with prior experience at Microsoft and Amazon. Full show notes and transcript: mtsgpodcast.com Join the Modern Therapist Community Facebook Group: https://www.facebook.com/groups/therapyreimagined Modern Therapist's Survival Guide Creative Credits Voice Over by DW McCann: https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano: https://groomsymusic.com/

Mike McSherry is the CEO of Xealth, the digital health orchestration company now operating inside Samsung Electronics. Xealth gives clinicians a way to prescribe and recommend far more than medication—including digital health apps, connected devices, remote-monitoring programs, transportation, meal delivery, and other services that increasingly shape a patient's care journey.The Samsung acquisition puts Xealth inside a company with a healthcare footprint far larger than most Americans realize. Samsung operates major hospitals, manufactures biologic medicines and medical equipment, develops healthcare robotics, and already has televisions, appliances, phones, watches, and other connected devices inside millions of American homes. Mike's bet is that this existing footprint can become the infrastructure for aging in place, chronic-care management, fall detection, medication support, and earlier intervention—without making patients feel constantly watched or turning the home into a hospital.That opportunity is becoming more immediate through the CMS ACCESS Model, a ten-year effort to bring technology-enabled, outcomes-based care to Medicare patients with chronic conditions. The model could allow companies offering services such as weight management, diabetes support, mental healthcare, wearable monitoring, and AI coaching to participate more directly in Medicare care delivery. Xealth can serve as the connective layer between health systems, clinicians, patients, and these new programs, while Samsung's devices and consumer reach could support both monitoring and distribution.Mike's larger argument is that healthcare is approaching a data reset. Consumer technology companies and AI platforms are beginning to combine medical records, laboratory results, wearable signals, and patient-reported information into a more complete picture than many hospitals currently possess. Health systems and EHR companies that cannot absorb wearable data may lose relevance—but simply dumping more information on clinicians will make the problem worse. The real breakthrough will come from AI systems that filter continuous data, identify what actually matters, and surface only the moments that require human attention.We discuss:Why Samsung may have a better chance in home-based healthcare than Amazon, Walmart, Best Buy, and other major companies that struggled to turn consumer reach into sustained healthcare adoptionHow Samsung's hospitals, medical equipment, biologics manufacturing, robotics, wearables, smartphones, televisions, and connected appliances could become infrastructure for aging in place and chronic-care managementWhy big technology companies repeatedly bounce off healthcare—and why the industry rewards trust, patience, integration, and long-term investment rather than quick wins and software-like marginsWhat the ten-year CMS ACCESS Model could change for Medicare patients with chronic conditions—and why companies such as Noom, WHOOP, Headspace, Lark, and Welldoc could begin operating more like technology-enabled care providersHow Xealth could connect clinicians and health systems with covered digital-health programs, while Samsung's devices and consumer reach support patient monitoring, engagement, and distributionWhy EHRs that cannot absorb wearable data risk falling behind AI platforms and consumer-health companies that already combine medical records, laboratory results, and continuous biometric informationHow AI could prevent physicians from drowning in streams of heart rate, temperature, oxygen, sleep, stress, and activity data by identifying the signals that actually require human interventionWhere wearables and connected care go next—from patches, earbuds, glasses, and implantables to household devices and robots that help patients remain independent without making their homes feel like hospitals—Brought to you by: Sage Growth Partners — Value-focused strategy and marketing for growth-driven healthcare organizations. — Where to find Jared: • X: https://x.com/jaredstaylor • LinkedIn: https://www.linkedin.com/in/jaredstaylor/

Hallucination is not the biggest risk in clinical AI. Omission is — and it is far harder to detect. John Laursen, SVP at IMO Health, has spent his career on the layer of healthcare AI that gets the least attention: clinical terminology and the semantic data infrastructure underneath every model deployed in a hospital. IMO Health's terminology has been built and curated since 1994 and now sits behind roughly 12 billion terminology search transactions a year across US provider organisations and every major EHR. In this interview with Tjaša Zajc, Laursen makes the case that structured data was necessary but is no longer sufficient. AI reasoning across a thirty-year patient chart needs semantic continuity — an understanding that clinical language recorded in the 1990s and language recorded today can mean the same thing. Without it, health systems are investing in models that cannot reliably interpret their own records. The conversation also covers what happens when ambient AI scribes get it wrong, why accumulated clinical data has become a computational cost rather than an asset, and why clinician trust is the constraint that determines how fast clinical AI can move. Guest: John Laursen — Senior Vice President, IMO Health (Chicago, US) Host: Tjaša Zajc — Faces of Digital Health What the conversation covers: - Why omissions, not hallucinations, are the underrated risk in clinical AI - What a semantic layer does that structured data alone cannot - How clinical terminology maps to SNOMED CT and ICD-10 — and why those code sets were built for different purposes - Ambient AI scribes: what happens when a model mishears or over-infers a diagnosis - The billing and clinical consequences of an error entering the patient record - Why problem lists hundreds of entries long now cost money in token burn - Patient-generated and AI-generated content entering the EHR, and why health systems resist it - Translating lay language into clinical terminology without losing specificity - Ambient documentation, billing intensity and friction with payers - How data quality expectations differ between the US, the NHS, the Gulf states and Singapore - Who governs clinical data as coding complexity increases - Why AI performance breaks down on rare disease and the difficult 20% of cases - Knowledge graphs as a grounding source for clinical AI models - What health systems should require from AI vendors before clinical deployment Chapters: 02:20 Why the data layer decides what clinical AI can do 03:27 Inside IMO Health: 12 billion terminology searches a year 05:36 Keeping terminology current: SNOMED, ICD-10 and clinical governance 07:35 The semantic bridge: why structured data alone is not enough 10:17 Patient language versus clinical language in the record 12:23 When an ambient scribe mishears: clinical and billing consequences 14:53 Omissions, bloated problem lists and unnecessary token burn 19:12 Outside the US: the NHS, the Gulf, Singapore and coding complexity 20:46 Who governs clinical data as complexity increases 23:35 Patient-side AI recorders and resistance to external data 26:08 Ambient documentation, billing intensity and payer friction 29:21 The last 20%: rare disease, model limits and AI governance 33:38 Grounding, clinician trust and the cost of misfiring Faces of Digital Health: Website: https://www.facesofdigitalhealth.com Newsletter: https://fodh.substack.com Spotify: https://open.spotify.com/show/4cElKJHrauyP6QJQaCkvdY Apple Podcasts: https://podcasts.apple.com/gb/podcast/faces-of-digital-health/id1194284040 LinkedIn: https://www.linkedin.com/company/faces-of-digital-health #digitalhealth #healthcareAI #clinicalinformatics #EHR #ambientAI #interoperability #healthdata #SNOMED #healthIT #medicalcoding

In part 2, the discussion shifts to the future, as Dr. Gerhart outlines Epic's vision for the broader health tech ecosystem and its philosophy on integrating with partners. Discover how the role of EHR is evolving into the future of care, powered by data from wearables, community sources, and real-world evidence. A key focus is the transformative power of AI and large medical models (LMMs), which aim to predict the "next medical event" and accelerate diagnoses and cures. Northwell is New York State's largest healthcare provider and private employer, with 28 hospitals, 890 outpatient facilities and more than 16,600 affiliated physicians. We're making breakthroughs in medicine at the Feinstein Institutes for Medical Research. We're training the next generation of medical professionals at the visionary Donald and Barbara Zucker School of Medicine at Hofstra/Northwell and the Hofstra Northwell School of Nursing and Physician Assistant Studies. Get the latest news and insights from our experts in the Northwell Newsroom: Press releases Insights Podcasts Publications Interested in a career at Northwell Health? Visit our career site and explore our many opportunities. Watch episodes of 20-Minute Health Talk on YouTube.  For information on our more than 100 medical specialties, visit Northwell.edu and follow us @NorthwellHealth on Facebook, Instagram, X and LinkedIn.

Better clinical decisions require more than evidence; they also require the right information inside the physician's workflow at the moment it matters. In this episode, Dr. Brian Fengler, Co-Founder and Chief Medical Officer of EvidenceCare, explains how clinical decision support helps health systems improve patient care while addressing operational and financial challenges. He discusses how EvidenceCare integrates directly into EHR workflows to guide physicians, reduce administrative burden, improve revenue capture, and increase visibility into utilization and costs. Brian also explores how the BetterCare platform supports the patient journey through AdmissionCare, CareGauge, and Care Insights by providing real-time feedback on care variation and performance. Finally, he shares his perspective on how AI and ambient documentation are reshaping physician workflows and enhancing the patient experience. Tune in to learn how actionable data, workflow integration, and physician engagement can help health systems deliver better care while improving efficiency and financial performance! Resources: Connect with and follow Dr. Brian Fengler on LinkedIn.  Follow EvidenceCare on LinkedIn and explore their website. Listen to the BetterCare Podcast here

See what the team at The Successful Bookkeeper has on right now → Andrew Seguin was already running a strong bookkeeping firm when he last appeared on this podcast — at $1 million in revenue with a team of eight. Two and a half years later, he's back with a $2 million firm and a team of fifteen. In Part 1 of this two-part conversation, Andrew walks through the real work behind that growth: the systems he built, the delegation habits he had to form, and the profitability metrics that changed how he runs everything. Chapters [00:00] Opening quote on delegation [00:42] Introducing Andrew Seguin [02:30] From $1M to $2M: the story [05:30] Getting out of the weeds [09:00] Building training systems that scale [13:00] Managing change without overwhelming the team [17:00] Introducing the effective hourly rate [23:00] Building the profitability dashboard [28:00] Time tracking: getting team buy-in [34:00] Pricing strategy and the 3-month clause Getting Out of the Weeds Even after hitting $1 million, Andrew was still deep in the day-to-day — doing bookkeeping, managing clients directly, and holding too much tax knowledge himself. The path to $2 million required him to deliberately reduce his own workload. "I was probably still doing a lot of day-to-day work," he says. "I knew I had some goals for '24 and '25, which was to reduce my own workload." That meant hiring a dedicated payroll team, bringing on a tax specialist, and doubling down on the pod structure — senior and junior team members working together as a unit. Delegation Starts With Systems, Not Just Trust One of Andrew's clearest lessons: delegation without a proper training system is just dumping work on people. He invested heavily in building a training package so that new hires could learn the firm's tools, standards, and workflows without having to figure things out from scratch. "You spend a little bit of time upfront — it's always hard because you have to find time to do it. But once you get over that hump, that's where things really start cascading into a really strong effect." He also cautions against piling on too much change in a single year, aiming instead for one meaningful improvement goal per year so the team isn't overwhelmed. The Effective Hourly Rate: A Metric That Changed Everything The single biggest profitability driver Andrew introduced was tracking each client's effective hourly rate (EHR) — revenue divided by hours worked on that file. His firm uses ClickUp for time tracking and QuickBooks Online for revenue data, feeding into a custom-built dashboard that shows the team exactly where they stand, client by client. "We essentially cut about 10% of our clients and then priced up about 40% of our clients to a rate that we wanted internally." The target range is $125–$150 per hour, minimum. Before this system, the firm's average was around $106–$108 per hour. After 18 months of using the data, it's closer to $250. Transparent Data, Aligned Teams Andrew doesn't hide this metric from his staff. The management team sees it. The bookkeepers who work on those files are aware of it. When a client's EHR falls short, the conversation isn't about poor performance — it's about scope creep, underestimated complexity, or pricing that needs revisiting. He also ties compensation growth directly to hitting those rates, so the team has a real reason to track their time accurately. "I'm very transparent — you guys wouldn't have these increases the way you have been getting for the last 3 years if we didn't have this data." Pricing, Minimums, and the 3-Month Revisit Clause Andrew's pricing approach is a hybrid of fixed and value-based: estimate the hours, multiply by the target EHR, then add complexity factors like multi-currency, e-commerce, or payroll. The firm's minimum for monthly engagements is $1,000, with an average around $1,600. Critically, every new engagement includes a clause allowing the firm to revisit pricing after three months — when actual time and complexity data is in hand. "We've had to do that a few times because there is no perfect system. A questionnaire and a quick conversation isn't going to tell you enough about the complexities and the volume of the file." Links Mentioned PureBookkeeping — episode sponsor The Successful Bookkeeper — resources and episode archive ClickUp — project and time-tracking tool used by Seguin Financial About the Guest Andrew Seguin is the founder of Seguin Financial, a virtual bookkeeping firm based in Canada with a team of fifteen full-time staff. Over eight and a half years, Andrew grew his firm from a solo side practice to a $2 million business, built around strong systems, transparent team culture, and data-driven client management. He is a frequent speaker and educator in the bookkeeping community. About the hostMichael PalmerMichael Palmer is the host of The Successful Bookkeeper podcast and co-founder of Pure Bookkeeping and The Successful Bookkeeper. He started this work because of his father — a brilliant electrical contractor who worked twice as hard as he should have had to, because nobody on the financial side was in his corner. That gap is what The Successful Bookkeeper exists to close. His view: bookkeepers are the most undervalued force in small business — and every bookkeeper who builds a real business changes two families: theirs, and their clients'.

CMS-0057 and HTI-4 are reshaping prior authorization from both sides of the workflow: payer requirements and certified EHR readiness. This episode will break down what these regulations mean for providers, how they may change day-to-day prior authorization operations, and what questions organizations should be asking their vendors now.Brought to you by www.infinx.com

You cannot make an extra $50,000 by guessing your way through the rest of the year. In part three of Dr. Lauryn's Summer From the Vault series, we move from mindset and sales into the numbers that reveal what is actually happening inside your practice—and where your next opportunity for growth may be hiding.Dr. Lauryn explains how to separate emotion and ego from your business metrics, determine which numbers deserve your attention, and use data to diagnose problems with marketing, conversion, retention, training, and practice systems. You'll learn why weekly visits and revenue never tell the whole story, how small improvements can produce meaningful growth, and why your numbers are information—not a judgment of your success.Key TakeawaysRevenue and weekly visits do not tell the entire story. Profitability, patient value, lead quality, and the context behind each metric provide a much clearer picture of your practice's financial health.Tracking the right KPIs reveals where revenue is leaking. New patient calls, booking rates, show rates, conversions, retention, breakups, and referrals can show you exactly where to focus your attention.Established practices usually grow through small improvements. Better training, stronger table talk, more qualified marketing leads, and 1–5% improvements across key systems can create significant financial results.Your numbers are tools, not a measure of your worth. They help you make non-emotional decisions, identify operational bottlenecks, and determine whether your practice needs better systems, renewed leadership, or intentional rest.Resources:Rich Doc Summer Series: A FREE summer training lineup for docs ready to use AI, systems, and strategy to create more freedom from the clinic. Register for one, two, or all three. Add 30-day replay access for $47 for all 3.Find all things Dr. Lauryn B including ways to work with herFollow Dr. Lauryn: Instagram | Facebook | LinkedInFollow She Slays on YouTubeMentioned in this episode:INSiGHT CLAThis episode is brought to you by the INSiGHT scanning system from CLA, the tool that helps chiropractors show patients objective neurological data so the value of care becomes clear, fueling conversion, retention, and growth. She Slays listeners get preferred pricing, affordable financing, and a free Getting Into Scanning guide.CLA (Current)Holistic Marketing HubThis episode is sponsored by Holistic Marketing Hub. Created by marketing strategist Molly Cahill, it's a proven Instagram system with a 500+ caption content library and a step-by-step curriculum that's helped 400+ chiropractors, acupuncturists, and other health pros fill their practices with right-fit patients. Enroll Now!Holistic Marketing HubClinic MindClinic Mind is the all-in-one EHR and practice management platform built for chiropractors — billing, documentation, scheduling, and patient follow-up in one place, whether you run a cash practice, take insurance, or are scaling to multiple locations. She Slays the Day listeners get an exclusive offer.Clinic Mind

As a nurse with MS, I’m interviewed about AI’s real role in care: pattern recognition, human-in-the-loop skepticism, and the Three T’s and Two C’s framework. Click here to view the printable newsletter. More readable than a transcript. Click here for a verbatim transcript Summary I sit in the guest chair on Practical AI in Healthcare with Steve Labkoff. I walk through my experience feeding my own symptom logs, lab results, and ten years of clinician notes into an AI LLM: a physical therapy referral I needed and hadn’t scheduled, a medication side effect my neurologist later confirmed, and a rating scale buried in my chart that no one had surfaced. I describe the less impressive side: the four-pound box of unsorted paper my primary care practice mailed me and the 296 pages of unsearchable PDFs I got back from another system in fifteen minutes. Along the way, I lay out my framework for judging any digital health tool, the Three T’s and Two C’s: time, trust, talk, control, and connection, and explain why I insist on keeping humans in the loop even though the research on that is more complicated than people assume. This isn’t a pitch for AI in healthcare. It’s a working nurse and patient’s honest field report. What’s your experience been feeding your own health data into an AI LLM? Tell us in the comments. Episode Transcript Proem I usually ask the questions. This time I'm the guest. I met Drs. Steve Labkoff and Leon Rozenblit a couple of years ago at a DCI Network conference. They host Practical AI in Healthcare, a show I've listened to steadily, though it creates more tension for me than any other podcast I keep coming back to. Usually, I jettison podcasts that do that. I stay with this one because I approach AI in healthcare the way I approach best health; I'm an N of one and resist generalizing, while most guests do a fair amount of it. I bristle at most of them, wanting the shades of gray that reflect deep understanding. In four of 33 episodes, the guest has had lived experience: ePatient Dave DeBronkart, Amy Price, Hugo Campos, and me. I invited Steve and Leon to join my virtual Reckoning group, which I've hosted since 2019. We give podcasters warm critiques of selected episodes: the kind of feedback you give when you've made a hundred mistakes yourself, can spot them quickly in someone else's cut, and have endless thoughts about production, audience, dissemination, and life. They took the critique well. When Steve later asked me to come on his show to talk about how I use AI, not the theory but the daily grind, I readily agreed. They let me publish it here unchanged, apart from this Proem and Reflection. I struggled to prepare for this conversation. I wanted to wear all my hats, but had to narrow my focus to two. I chose my lived experience and nurse hats. Underneath it all was the question I keep circling back to. Not a cure. Best health, the most function, and Hello, and welcome to this week’s edition of Practical AI in Healthcare. My name is Dr. Steven Lapcoff, and this week I’m actually on my own because my partner, Dr. Leon Rosenblatt, is actually on spring break with his kids, so I am covering for him and he’ll be back in the next week. This week we have a guest who we met at a conference in Boston a few months ago at the Beth Israel at the DCI network. Steven Labkoff: We have Danny van Leeuwen. Danny is a nurse. He has background in giving actual physical care to patients. He actually runs his own podcast called Health Hats, the Podcast, and he’s been using AI in both his personal life and in his professional life very extensively. Also, Danny has a significant medical condition, and I’ll let him explain that in the course of the discussion because it’s with that lens that we got introduced at our patient-centric AI conference, and that’s why we thought it’d be a good idea to have Danny come and have a chat with us. So welcome to the podcast, Danny. How are you today? Health Hats: I’m good. Thank you. Thanks for having me. I appreciate it. Steven Labkoff: So Danny, as you probably have heard because you’ve helped us with our podcast, and for that I want to say thank you. For those who are listening in, Danny runs actually a group that actually helps folks running podcasts improve their podcasts, and he’s had Leon and I on many times to listen to critiques and feedback, and it’s been very, very helpful. Danny, we often start our podcast with asking for folks’ origin stories, like how did they get their cape and their superhero tights. What did you do to get you to this point in your life? And just tell us the background of what brought you here. Health Hats: Oh, thanks. So I’m a child of Holocaust survivors, and my parents– when I was young, my parents were active in the civil rights and fair housing movement in the ’60s. And when I was 16 and I was thinking about the war in Vietnam and worried about getting drafted, I wanted to learn what I could learn about the draft and how I could protect myself and manage. And I went to a church in downtown Detroit, and I went for a session of draft counseling as, you know, a little precocious at 16, and I found it fascinating, and they found me fascinating, and they encouraged me to become a draft counselor. And so I, uh, I actually took their course and became a draft counselor, and what I learned is that you change systems from the inside, not the outside. And I learned how the sausage was made, and that, uh, really pointed me in a direction. The way I got into nursing is really because I didn’t want to cut my hair I had an opportunity for a job at one point, and I could have read water meters or become an aide at the Detroit Psychiatric Institute. And reading water meters paid more, but I didn’t wanna cut my hair, so I got the job as, as nurse’s aide. And while I was there, they introduced me to the idea of going to nursing school, which was amazing. Steven Labkoff: It was more– You got paid more to read meters, water meters, than you did- Health Hats: Yes. Steven Labkoff: That’s unbelievable. Life gives you some real interesting turns and twists, doesn’t it? Health Hats: It does. And I was really fortunate because my first jobs in nursing were in physical rehabilitation and home care. I just happened to be in a place where the Holyoke Visiting Nurses was dying to hire a guy, and I was a brand-new nurse, and they ended up hiring me. And so my first introduction to nursing was not in acute care. It was in home care, and actually, I was the first male public health nurse in Western Massachusetts in 1976. And really, what I learned there was that most healthcare does not occur in the medical system. It occurs outside the medical system. And so when I ended up getting into medical care, it was always so interesting to me that everybody there thought this is where, you know, health happened, which it doesn’t. So over the 20 years of working as a nurse, I’ve worked in, other than the rehab and home care, I’ve worked in the emergency department, I’ve worked in ICU, I worked in pediatrics, behavioral health. And after about 15, 20 years, I shifted from becoming a student of individual health to a student o- of organizational health. And what I mean by that is I got into performance improvement. I led a couple of electronic health record implementations. I had a couple of gigs in the C-suite. I did some consulting. Now, in 2009, I was diagnosed with multiple sclerosis, and when I was diagnosed, I learned that I had had it for 25 years. And since my father died young, he died at 45 when I was 19 of his second heart attack, and so every time I would have some kind of episode, I would get a cardiac workup. And by the time the cardiac workup was done, you know, the episode was over, and this went on two, three, four times a year for a long time. And there was a pattern there, and nobody was connecting the dots for 25 years. That’s very important to me because the pattern of what was going on was in my records for 25 years, but nobody had synthesized it. Steven Labkoff: Yeah, they may have been biased, right? Because of your family history and having these episodes, you know, as a clinician, you get very biased by family history, and that can actually lead you down roads which may not be correct, and it sounds like that’s precisely what happened with you. Health Hats: So I’ve– I wanna bring in the caregiver role because I have been a caregiver for my grandmother, my mother, and a son in their end-of-life journeys. So I’ve been on many sides of very difficult decisions. As you said, that my shtick is health hats, and I’m health hats because I’m a patient, I’m a caregiver, I’m a nurse, I’m an advocate, I’m an informaticist, I’m a podcast host. I wear a lot of hats. And wearing many hats has gotten me a seat at many tables because they can check off boxes. When it was really different to be bringing patients o-on board, I was an easy choice. Uh, I was at the table for technical expert panels at CMS, at National Academy of Medicine, at AHRQ, National Quality Forum, PCORI, Patient-Centered Outcomes Research Institute. But really, I wasn’t really there in it for the seat itself. My goal was always to open seats for people who weren’t there yet Now let’s build the bridge, since this is a podcast about AI, let’s build that little bit of that bridge. So my first, like, serious experience with– Well, I don’t know about my first. I was involved in something that you probably are familiar with, which was the Blue Button Plus program, and my goal in that, I was there both as a patient and as somebody who was working with people with disabilities. I, I was VP of quality for an organization that supported about 40,000 people with disabilities. And my goal for that couple of years of weekly or every other week, I can’t remember, calls was, uh, to add a f- a caregiver field to the data set, and to also introduce the idea that what people needed was information that would be able to say what works for me when I’m in pain and what works for me when I’m afraid, which was an issue for me, and it was an issue for the organization that I was working with at the time. Now, I have to say that the caregiver field got added, so I felt some success in that. But as a nurse leader in the informatics group I was part of, really they were only interested in putting a name in the field, not doing anything with that information, which I- Just collecting, so just collecting the data. Steven Labkoff: They didn’t care what the data was used for? Is that what you’re saying? Health Hats: Correct. Yeah. And I couldn’t– got no traction on the pain and fear, which now that I’m older, I understand why, how difficult that is. Nevertheless, it’s something that’s important to patients and caregivers. So I think I would close this section with that I am both an early adopter of technology and a rapid skeptic, that I’m kinda making this number up, but I’ve probably tried over 100 health apps, and I would say that I’ve used five more than three times. And so I think there’s a gap between what’s promised with digital technology and what’s useful for people. So that’s really why I’m here and what’s guiding for me in this. Steven Labkoff: So let’s take it to the next step. In our prequel, I didn’t even know about your personal background to that degree. Mm-hmm. We can take that one offline later about the Holocaust survivor issues. We, we have family, I have family in that same situation, frankly. Let’s change gears and talk about the challenges that you’ve seen. You opened the door a little bit on that a few minutes ago- Yeah … in terms of people wanting to collect data but not necessarily doing much with the data, not being able to understand the true value of the data to some degree. And you said it yourself, people weren’t connecting the dots. Medical records have always been complicated. They’ve always been bulky. They’ve always been full of information, some of which is really relevant, a lot of which is not so relevant, and connecting the dots to making that a, uh, an important information source is not always an obvious task. So what, what was the particular angle on that challenge that you were trying to gun at? Health Hats: Well, I think we have to take a step back- and think about what is– Well, I’m just gonna speak for myself, okay? I know that I often, you know, as I said, I get asked to sit at the table because people can, you know, check boxes, like is that I’m a patient. I wanna be clear that I’m a privileged white old man with MS living in Boston, but I’m an N of one, and I don’t represent other patients. I’m representing myself here and my perspectives. My goal in terms of my health is best health, and what I mean by best health is optimal health and function, physical, mental, spiritual. Not a cure, but best health for where I am, what I have right now. And to get there, I need my own health data, not just what’s in my clinician’s chart, but what I know about myself, my circumstances, my environment, my history, my habits. Not just my medical history, my life history, my treatment responses. And so that’s like patient-reported data, and that’s stuff that’s only exists because I observe it and sometimes I record it And that’s where it falls apart right away. You were just alluding to some of it, that there’s all this medical data and what’s useful about that. I think Dave DeBronkart was a guest on your show. And when he launched his Gimme My Damn Data campaign, I responded to him with, “Watch what you wish for. You’ll be trying to drink dirty water from a fire hose.” And, and that was years ago, and it’s still true. So six months ago, I, I’d been on a mission to gather my medical data, and my– I’d been with my, uh, primary care practice since 2011, and I wanted all that data from 2011 to 2025. This was, like, in December I started on this crusade of trying to get my data. And actually, two months later, I got a box, a four-pound box of paper, and it was paper that was not in chronological order. And it’s just sitting right here. I’ve scanned it in. It’s not, um- Was it in– Steven Labkoff: Was it a printout of Epic or something, or was it actual- Health Hats: It’s a computer printout. It seems like it’s a vendor that they use to- Steven Labkoff: It wasn’t digital. They sent you, literally sent you a box of paper. Health Hats: Yeah, it was a box of paper. Oh. And then I use a lot the, the Beth Israel Lahey Mount Auburn system, and I asked for the last three months of my records, and I got 296 pages of redundant, non-searchable PDFs, and I got that in 15 minutes. Uh, I see a lot of doctors, so maybe I had seen Hmm. I think I had maybe eight or nine visits, and it just happened to be a three-month period that was busy for me, but I got s- 296 pages. And so that really adds to your comment, which is that access to data and access to usable data are really different. Steven Labkoff: Oh, absolutely. And yeah, I’ll tell you, in my world, I think you know that I’ve worked in the life sciences for many, many years, and we are consumers of healthcare data on many levels. We consume medical claims, we consume electronic medical records, and one of the hardest things about using medical records for research or for outcome studies and things like that is the very fact you’re describing, which is the data tends to be sparse, it tends to be poorly organized. It doesn’t always come in an encoded fashion. Thank God most of what we get these days is at least digital. No boxes of paper for us these days, but it wasn’t so long ago that when it was all paper, we couldn’t get that data in the first place. It just wasn’t even gettable. So at least you’ve made some progress. And- Yeah … yeah, I know that you sit on some national level boards, uh, around outcomes, and you can talk about that in a moment. But those are, you know, those boards are trying very hard to come up with outcome studies and ways of– Let me back that up. They’re coming up with ways of using data to perform outcome studies by harmonizing and, and distilling down to usable forms of this EHR data, which is so challenging. Health Hats: I think what’s key, I– like I, I think I w- I’d like to focus on my data. And so what I wanna do is I wanna see patterns. I wanna see patterns that takes my circumstances, my environment, my habits, my treatment over time, and because I think that these patterns are how I formulate the right questions, so the right questions before I go into a clinical encounter. They’re how I track when something is actually working, and it helps me to coordinate across care teams that don’t talk to each other and make decisions that I can live with that help me attain this goal of best health. So that’s the job, formulate better questions, g- seek better answers, make better decisions. And AI is the tool that I try to use to do it. Now, whether it’s up to the task or not is different. I wanna stick in the nursing angle, if you don’t mind- You know, one of the things that I learned the way I got started in nursing is that my goal as a nurse was to put myself out of a job. Steven Labkoff: So that sounds counterintuitive, but what I mean is from minute one with a patient and family, I’m planning my exit. Like, and to do that, I need maximum face time. I need real present, real conversation, real relationships, not less charting. I was gonna say not charting, not documentation, so that’s just ridiculous. Health Hats: But less, you know. The way you do that, I think, is, you know, less charting, less documentation, you know, not hunting through information you can’t find. And that’s where nursing, that’s a genuine promise. So pattern recognition across specific cohorts of patients. So as a nurse, even though I worked a lot of different places, in each place I worked, there was commonalities. In– When I lived in West Virginia and I was an ER nurse in a super rural hospital, if I had had more information about my patients, their families, I could get– an AI could help me surface those patterns that exist for the people that I’m taking care of, I think I could get time back as a nurse. And if the nurse gets time back, then the patient and family gets the presence of the clinician. So that’s the trade that I’m interested in I wanna go back to that thing about pain and fear. I wanna add what I’ve learned working on the blue button, plus I wanna add cognition. So when you think about it, the data almost never captures the variability of pain, fear, and cognition, and those things are really important because pain changes what you can do and what you can decide. Fear closes your heart. It closes your mind. And so when you’re scared in a clinical encounter, you’re not making good decisions. You’re just saying yes to end it. And cognition is, you know, it varies. Like I can absorb better at 10 in the morning on a good day compared to 3:00 in the afternoon when I’m spent. You know, you could extrapolate this to other people. They have their own particular patterns and circumstances. But I think What I’m trying to get at in all of this is it isn’t first about the data, it’s first about what about life and what about the things that are important to people, uh, patients, caregivers, and the clinicians that they partner with, and how can AI help them? Steven Labkoff: So you’ve explained to me in the pre-call that you’re doing some of this work, so maybe you can unpack a little bit about what it is you’re actually doing with it and how it’s helping or, in some cases, not helping those efforts. Health Hats: Well, what have I done? I, I’ve done different things. One of the things that, that I’ve done is to try to build my toolkit. You know? So when I say build my toolkit, I’m a, I’m a, a conglomeration of symptoms. I mean, you know, I’m, I’m not MS, I’m not my symptoms, but they’re big and they’re there, and I feel like I’m trying to, I’m trying to figure out for anything that I have to deal with, whether it’s any of the different kinds of pains I have, my, my anxiety, my bladder, you know, my mobility, I have challenges, and I, I need a toolbox. I need a toolbox, and the way I think is I need at least three things that will work so that when they happen, I got something I can go do, and pretty much the most common thing is drink water. Drink water is by far the most successful intervention across all of my symptoms. It’s kind of amazing. It’s so cheap, so easy. It isn’t the drugs. Okay, but so how do I do that? Well, for me, I’ve done that partially just in my head. Partially I’ve done that by keeping lists. Like, I keep track of the steps I take. I keep track of the amount of time I play music. I keep track of my falls. I keep track of my weight. And so I use digital tools to do that when I can. Steven Labkoff: I also record my clinician visits because- When you say record, do you mean like audio record or dig- Health Hats: Yeah. Yeah, audio record, right. And, uh, until recently I used Abridge, which is a company that, um- Steven Labkoff: How did you get to use Abridge? You– I thought Abridge was only selling basically into doctor’s offices, uh, from the clinician side. Do you- Health Hats: So I was before that. Ah. And they started as a patient-facing product, and actually they sponsored my podcast for three years. So I was pre that. So putting all that together, so I play with, you know, trying to put into Claude There’s nothing magic or special. You know, it’s me playing, just trying stuff. You know, some of it, you know, my wife will say, “Hey,” she sees a pattern. My kids will see a pattern, or I’ll- Steven Labkoff: Give, give, give us an example of what, of what this looks like. I mean, you’re saying you’re giving Claude or another LLM- Yeah … a series of symptoms, or you’re giving it a series of, plus your data. Like, unpack it and let us know. Yeah. What have you did- Okay, so what- … with the system, and how is it working for you? Health Hats: I’ve done a couple of different things. One is, you know, I have a spreadsheet, and I just put the spreadsheet in, you know, as a document or whatever you call it when you have a project and, you know, you load. I load my spreadsheet. I keep a annual summary, and I keep the year that I’m working on. And I will have fits of journaling. You know, I, this is not something that I am, like, super consistent on, but I’ll, especially when I’m struggling with something, if I’m struggling with my blood pressure or I’m struggling with my mood. I have a progressive mobility thing going on, and I’ll put that in and I’ll prompt. I’ll say, “Can you– do you see a pattern in this?” You know, and I’ve gotten, you know, that there’s- Steven Labkoff: Has it given you some insights? Is it… Like, give me an example of some of the insights it’s actually given you that you didn’t see yourself. Health Hats: Well, I’ve gotten, like, uh, it’s kind of humorous. But, but I’ve gotten, like, you know, “Have you thought about seeing a physical therapist?” And I, I have. You know, I have a physical therapist, uh, that I don’t go to very often. You know, my relationship with her is I go for a tune-up. But they’ll– I, I want– It’ll show, like, I’ll do my sort of things are clearly, you know, I’m not walking as far, I’ve fell on a few times, you know, and I’ll get this suggestion, you know. I also– What else have I done? Oh, oh, uh, once I had a medication that I was taking for neuropathy, and I was– my mood had, like, changed considerably and, you know, I got a thing on that might be a side effect. You know, “Have you talked to your doctor about this?” Steven Labkoff: And I- And you got that out of the LLM? You fed that to the LLM? Health Hats: I did. Yeah. Steven Labkoff: And it suggested it was a side effect, which you didn’t figure out. Health Hats: I didn’t. A neurologist said that he thought– He said, “It sounds like you have an allergy to it.” And, you know, he wanted it to be listed as an allergy because he thought it was very possible that he’s had people that have had a problem. Steven Labkoff: When you tell me that you’ve loaded your data, you give the LLM your signs, your symptoms, you give it your labs, you give it what’s in, in the system, and it comes up with a recommendation that you hadn’t thought– Now, you’re a clinician. You’re a nurse. Yeah. You’ve been a nurse for many, many decades. Health Hats: 50 years. Steven Labkoff: 50 years. And does it surprise you that it comes up with stuff that you didn’t see? Health Hats: No. Steven Labkoff: Cause I, to be honest with you- I- … if I, if I did what you just said and it came up with something completely radical that I’d never thought of and it was right- I would be scratching my head and thinking, “Okay, that’s in- that’s beyond interesting. I better pay more attention to this, and maybe I wanna use it differently.” Because not, it’s not just yous using it. Like, people around everywhere are starting to use it for the same, in the same sim- in the same exact way. So that’s the simplification of the medical system, right? Health Hats: It does. I mean, like when I tell my neurologist, he laughs, and he’s like a whatever works kinda guy, you know? That he feels like he doesn’t have all the answers, and that he likes- those stories. I feel like I’ve learned, I think you know Amy Price, right? Steven Labkoff: Yeah, very well. Health Hats: Yeah. We’re buddies. And so one of the things that I’ve learned from her is how to query and how to be skeptical and how to ask questions from different angles, from different perspectives so that you– And that’s why I think that’s where the unexpected comes up. Steven Labkoff: Well, you’re describing something that we did at the conference. I don’t know if you were in the room in the working group that we did this on, but you’re describing, and actually we’re submitting a paper on it very shortly, on AI literacy. Yeah. And you, you didn’t label it as such, but you’re describing yourself as being AI literate and understanding how to use the tools, most importantly, how to be skeptical of the answers, how to interpret the information that’s being presented to you. Health Hats: A- and that, those are all components of literacy, of AI literacy specifically. One of the things I’m finding in my world is that painfully few people are indeed AI literate. Even the folks in IT departments in large life science companies or hospitals who even work in the space and think that they’re good at it and are literate sometimes are not. That has other implications, which are if people are taking on these really impressively powerful tools and they don’t quite know how to use them as well as they should, and if they query them incorrectly, to your point earlier about making good queries, the responses that come out may or may not be the point. And if patients use that information inappropriately because they didn’t know how to ask the right questions to start with, that could have deep implications to the healthcare system. You could say that same thing about doctors. Steven Labkoff: I will say it about doctors. I mean, not about AI, about the advice that doctors give. Health Hats: There’s a, a tremendous variation, and it is very different. When I am feeling good enough to be organized and to be directive in the conversation with a clinician, I get a very different output than when I’m not. And I still have to be skeptical of what doctors tell me, and until I build some trust. And, and then I, you know, then there’s just too many decisions to make when you’re a person with chronic illness. It’s like putting in a kitchen. There’s so many decisions to make, and I’m happy for the doctors that I trust to make the decisions for me. But there are certain decisions I don’t want to give to the doctor or to AI, like I don’t wanna mess with my pathological optimism. I wanna progress as slowly as possible, and I wanna keep playing my horn. These are really important things to me, and I don’t give those decisions that affect that, I don’t give up. But all the rest of it I do, and, and I’ve worked really hard to build the team that I have that appreciates me and my strangeness and my assertiveness, and, you know, they’re not threatened by it. Steven Labkoff: Is your team AI literate? Do they also use the, these same tools in your care? Health Hats: Uh, like I don’t know. I mean, AI literate is like, is huge. You know? I mean, that’s just such a big thing. Do they use AI? Yes. Do I know how they use AI? Well, you know, they use what’s attached to Epic. I know that. Uh, I mean, look, my neurologist, who I just love, he thinks like he uses, he uses the portal well because he takes– he just keeps adding things to the end of the, a note. Yeah. And so he feels like… Well, I don’t find his notes at all useful, and I tell him that. I tell him, “What I really wanna know is, how am I doing? Am I getting better? Am I getting worse? Am I stable? What should I be paying attention to in the next six months till I see you again?” And I can’t find that in his note. That’s true. Yeah. Now, on the other hand, I’ve taken his note and asked Claude and say, “Here’s the note. How am I doing? You know, have I progressed? H-how is he measuring it?” Oh, well, then I find he’s using this scale, right? And it’ll come up with looking through this note, which is like 10 years running, and it’ll find, I can’t remember the name of it, but there’s a scale that he uses. And then we go back and I’ll say to him, “Oh, you’re using this scale.” And he goes, “Yeah.” And I say, “Well, why don’t you like put that at the top of your note?” You know, so that I can find it. You know, so we have that kind of conversation- Yeah … that AI has helped. Steven Labkoff: Well, that’s actually an interesting perspective that AI is helping to reorganize things, ’cause one of the use cases that has been discussed at, at length actually, and it was discussed at our conference, is using AI to digest medical records. Health Hats: And when I say digest, it’s not about like ingesting them, which is slightly different, but digesting, which means find all the different pieces, put them together, come up with a narrative that summarizes perhaps 300 pages of information which may be sparse and may be poorly organized, and bring it all together. And that’s actually a task that AI is actually turning out to be pretty darn good at. And that again changes the nature of the healthcare system and the healthcare journey. You know- And it does a fair job. You say it’s really good at it. So- It’s better than I could do. It’s better than I could do. Well, yes. Well, you’re not– First of all, that’s not your training, and you don’t have the time for it. And you still have to review it. Yeah, of course. Because I have never used AI that gave me a, “Oh, this is great.” I mean, the first time I read it pretty much every time I think it’s amazing. And then, you know, my rule is sleep on it and check it again. And then it’s like, oh my God, this, first of all, it either just said nothing very fancy or it got some very basic things wrong. And then I’ll say, “Oh, you know, you missed this and you missed that.” And it’ll go, “Oh, you’re right, I did.” You know? Steven Labkoff: Well, that also speaks to the concept of keeping a human in the loop- Yeah which is something that you espouse and many folks in the healthcare aisle- I do … espouse. Ironically, you know Adam Rodman, I think. He was at our conference, he spoke. Yeah. Uh, he’s done a study which shows actually having a human in the loop in some cases actually makes the conclusions worse, believe it or not. Ah. Which is w- a non-intuitive finding. You would think that the two together would be better than either one alone, but so that’s, that’s now relatively n- well, it’s not even that new anymore. That information came out about a year ago. So I, we gotta start wrapping up in a few minutes here. Yeah. You know, we didn’t cover the concept around outcomes around your three T’s and two C’s. Maybe we can cover that in the last bit here, and then we can get to closing. Health Hats: Okay. So I feel like one of the questions that you’ve asked is how AI helped, right? And so what I need to tell you is the framework that I’ve developed over the years, which I’ve actually shared in my AI Claude project that’s Danny’s Health, what I call the three T’s and the two C’s, and this is like the framework I use to evaluate any digital health technology. And so they are time, trust, talk, control, and connection. What I mean by that is time is, you know, you need time to learn, to plan, to talk, to build trust. So I say the clock isn’t the enemy, it’s the, the wrong things filling the time, so the, the time. The second is trust. You know, trust can take a really long time. It can happen really quickly. Sometimes you never have it, and you know in your gut when you don’t have it. And most digital health tools, AI, have a trust deficit, I think, not because they’re untru- untrustworthy, which maybe they are, but it’s really because the people who use them, use the tools, don’t, don’t trust them, and I think it’s really important. You c- you can’t shortcut trust in the use of any tool. I think talk is really important. It’s woven through all of it, real conversation. There is nothing like actual conversation that is making decisions together, which is a lot of what healthcare is about, is making decisions. AI can help you prepare for it, and it can help process it. And then control. I trust more when I have power in a situation. So if I’m feeling like an ant ready to be crushed, I’m not making good decisions. And finally, I would say connection is, it’s the human lifeline. You know, when somebody greets you when you cross a threshold, that’s a connection. When someone’s been where you’re going and they can say, “Oh, that helped me.” AI can extend that connection. They can help people find communities that are available at 3:00 in the morning, but you can’t manufacture it. I, I think that connection is really important, so that’s where I g- you know, time, talk, trust, control, and connection, and I use that framework when I’m evaluating. Steven Labkoff: And that framework gives you a better, you know, a how do I say this right? It gives you a, like a rubric, if you will, to go- Yes … through, uh, the information that’s coming out of it. Danny- Yeah … we’re gonna have to wrap up here in a second. Sure. Are there any last comments you wanna make that, that will, you know, help other patients in the, in the space in terms of how they might wanna think about adopting- an AI tool in their world? Health Hats: I think that I would say use it, use AI, keep using it, experiment with it. That, that i- i- just like anything else, it takes time to learn. It takes time to be comfortable with it. Use it. I would say advocate for humans in the loop. I don’t care what the study says. It’s about humans. We are human. Keep it humans in the loop. I would say find a buddy, you know. Do this with somebody else. Find a buddy- That’s good advice … and experiment. I would say, yeah, talk to your clinician about it. It’s a good barometer of a physician. If they don’t wanna talk or blow you off, that tells you something. Absolutely right. And I would say if you’re comfortable with it, mentor. You know- That’s a good idea … be the buddy. And for clinicians and for systems and developers, I would say you need to have patients, caregivers, and practicing partner clinicians in the design. They need to be there from the beginning. And, you know, so i- it solves the problems people have, not the problems that the developers think are there or the venture capitalists thinks are gonna make money. You know, y- and if you have an opportunity, join, you know, participate. Steven Labkoff: All good advice. Well, Danny, I wanna thank you very much for your participation in, in today’s discussion. Hopefully that there are other patients out there who listen to the podcast, they’ll take something away. For the clinicians out there who are listening, you know, you’ve heard it straight out from a patient who happens to be a healthcare provider himself, and he’s got very strong perspectives on how this can be used in a positive and productive way, and I think the framework that he’s put together is very useful. Danny, I wanna just say thank you for all the help that you’ve provided helping this podcast get off the ground. That’s been really incredibly generous of you and your friends who have helped us a lot, and a lot of the things that have happened on our podcast, uh, for improvement’s sake, have come directly from those conversations, so thank you for that. I wanna thank you for being a guest and sharing your journey and sharing your experiences here. And for the rest of us, I’m gonna say thank you for joining us, and we will see you again next time on another episode of Practical AI in Healthcare. Thank you for listening. Thank you for joining us this week on Practical AI in Healthcare. If you’re ready to go beyond buzzwords and hype and explore how AI is truly transforming healthcare, stay tuned for more conversations that get us to what works. Until next time, stay practical Reflection When Steve interviewed me, he didn't know that everything I told him is the origin story of TrustMyOwn.Health. The box of paper. The 296 pages that were technically my data and practically useless. Twenty-five years of a pattern that sat in my chart the whole time, that it took a person, my PCP, a year to put together. Could AI have done it in an afternoon?  I got tired of that being the normal experience instead of the exception. [Add: what specifically prompted starting TMOH, and when.] TMOH starts from a premise I didn't have language for until I said it out loud to Steve: trust isn't a feature you bolt onto a health platform after the engineering is done. It's the whole structure, or the whole thing fails. The three T's and two C's I use to size up any digital health tool turn out to be close to a design spec. Time, because a vault of your whole health history takes patience to build, not a single import. Trust, built into governance rather than promised in marketing; TMOH's Data Sovereignty Covenant binds the board and investors to the same terms as everyone else, which is the only version of trust I believe in. Talk, because the point was never to replace the conversation with my clinician, it was to walk in more prepared for it. Control, because I decide what goes in the vault and who sees it, the same way I decide which of my own decisions I hand to a doctor or an AI and which ones I keep for myself. Connection, which no vault can manufacture, but a good one can make room for. I told Steve that AI found a pattern in my chart that twenty-five years of clinicians missed. That's not really a story about AI being smart. It's a story about who owned the data long enough to ask the question. That's the whole bet behind TMOH: put the owner at the center, and let the rest of the ecosystem, the networks, the vendors, the AI, earn its place around that. See you around the block. Practical AI in Healthcare Episodes https://open.spotify.com/episode/4wA4ltjmZfIZ5VpmTeTTOF?si=KbEvc2_ERNWakJ3JeP2Ddg https://open.spotify.com/episode/0LDetUFJJrSV1cy6LtpGFx?si=qAqoqKBBSNm9PiwPjSIXYA https://open.spotify.com/episode/0wXEm1KnnGorOvTt9GTh7o?si=K_DKXzGyThusBPA6KoVkCg https://open.spotify.com/episode/6krV94ob6Lcv7VNo0qahZ5?si=B6lZDkvsQ9y2Z2FhkXzQGQ Referenced in episode Patient data access history: “Introducing Blue Button Plus: The Next Generation in PHRs” — HealthIT.gov (Office of the National Coordinator for Health IT) — https://www.healthit.gov/blog/consumer/introducing-blue-button/ The “Gimme My Damn Data” campaign Danny references: “Gimme My Damn Data (and Let Patients Help!): The #GimmeMyDamnData Manifesto” — Dave deBronkart, Journal of Medical Internet Research — https://www.jmir.org/2019/11/e17045/ Amy Price, mentioned as a mentor in questioning and skepticism: “Welcoming Dr. Amy Price as Editor-in-Chief” — Society for Participatory Medicine — https://participatorymedicine.org/2024/welcoming-dr-amy-price-dphil-as-the-editor-in-chief-for-the-journal-of-participatory-medicine/ AI literacy for patients, the concept Steve names in the episode: “Critical AI Health Literacy as Liberation Technology: A New Skill for Patient Empowerment” — National Academy of Medicine — https://nam.edu/perspectives/critical-ai-health-literacy-as-liberation-technology-a-new-skill-for-patient-empowerment/ Human-in-the-loop research Danny and Steve discuss (Adam Rodman): “AI and the Evolution of Medical Thought with Dr. Adam Rodman” — NEJM AI Grand Rounds (podcast) — https://ai-podcast.nejm.org/e/ai-and-the-evolution-of-medical-thought-with-dr-adam-rodman/ Abridge, the ambient AI scribe tool Danny mentions using: “Pioneers in Generative AI for Healthcare” — Abridge — https://www.abridge.com/about The DCI Network conference where Danny met the hosts: “About DCI Network” — DCI Network, Beth Israel Deaconess Medical Center — https://www.dcinetwork.org/about-us Please comment and ask questions: at the comment section at the bottom of the show notes on LinkedIn  via email YouTube channel  DM on Instagram, TikTok to @healthhats Substack Patreon Production Team Kayla Nelson: Web and Social Media Coach, Dissemination, Help Desk  Leon van Leeuwen: editing and site management Oscar van Leeuwen: video editing Julia Higgins: Digital marketing therapy Steve Heatherington: Help Desk and podcast production counseling Joey van Leeuwen, Drummer, Composer, and Arranger, provided the music for the intro, outro, proem, and reflection Claude, Perplexity, Auphonic, Descript, Grammarly, DaVinci Resolve, DaVinci AI Art Generator, OpenArt AI Creator Studio Inspired by and Grateful to: Steve Labkoff, Leon Rosenbilt, Amy Price, Leon and Oscar van Leeuwen, Laura Marcial Artificial Intelligence in Podcast Production Health Hats, the Podcast, utilizes AI tools for production tasks such as editing, transcription, and content suggestions. While AI assists with various aspects, including image creation, most AI suggestions are modified. All creative decisions remain my own, with AI sources referenced as usual. Questions are welcome. Creative Commons Licensing CC BY-NC-SA This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator. If you remix, adapt, or build upon the material, you must license the modified material under identical terms. CC BY-NC-SA includes the following elements:    BY: credit must be given to the creator.   NC: Only noncommercial uses of the work are permitted.    SA: Adaptations must be shared under the same terms. Please let me know. dannyhealthhats@gmail.com  Material on this site created by others is theirs, and use follows their guidelines. Disclaimer The views and opinions presented in this podcast and publication are solely my responsibility and do not necessarily represent the views of the Patient-Centered Outcomes Research Institute®  (PCORI®), its Board of Governors, or Methodology Committee. Danny van Leeuwen (Health Hats)

There's a reason marketing budgets are the first thing cut when a health system hits a hard quarter, and it's not because the work isn't valuable. It's because most marketing leaders are presenting their results in a language the C-suite doesn't speak.In this week's episode, Hedy & Hopp CEO & Founder Jenny Bristow gets into the specifics of how healthcare marketing leaders can walk into a board meeting and command the room — by ditching the marketing metrics and picking up the financial ones. Here's what's covered:The Three Financial Metrics the CFO Actually Cares About: Patient Acquisition Cost by service line replaces cost-per-lead with something the board can actually act on, like a precise price tag for bringing a new patient through the doors of a specific clinic. Contribution margin takes it a step further, showing the revenue generated by marketing-driven patients after accounting for the variable costs of their care. And service-line ROAS, broken down by high-margin procedures like cardiology, orthopedics, and neurology, replaces blended averages with numbers that actually mean something to a CFO. The shift in language is everything.Building the Executive-Ready Dashboard: The golden rule of board presentations: if a slide takes five minutes to explain, it's already lost. The three-column framework simplifies everything: the input (marketing spend by service line), the output (EHR-verified new patient encounters), and the impact (contribution margin and estimated lifetime value). Anchor it to your organization's current strategic plan and your dashboard becomes a strategic alignment tool.The Defensive Play — Framing the Cost of Inaction: The most powerful thing a marketing leader can do when budgets are on the table is reframe the conversation. A 20% budget cut isn't "saving money,” it's ceding market share to the competitor down the street. Show the historical correlation between reduced ad spend and the downstream drop in high-margin elective procedures, and give leadership a real choice: "We can reduce spend by 20% to hit this quarter's cost-cutting goal, but our models show this will result in a $150k drop in surgical contribution margin next quarter."Connect with Jenny:Email: jenny@hedyandhopp.comLinkedIn: https://www.linkedin.com/in/jennybristow/If you enjoyed this episode, we'd love to hear your feedback! Please consider leaving us a review on your preferred listening platform and sharing it with others.

What if your marketing budget isn't the real driver of high-value, loyal patients?When Dr. David Rominski looked back after selling one of the nation's largest physical medicine practices, a startling pattern emerged: their highest-value patients—the ones they loved serving and who boosted profitability—weren't coming from big ads or generic marketing efforts. They came almost exclusively through trusted relationships with other providers. In this episode, Dr. Rominski reveals exactly how that insight changed his entire approach to practice growth, leading him to create proven, repeatable systems for building a rock-solid referral network that reliably delivers ideal patients.Dr. Rominski breaks down the crucial steps specialists and practice owners need to take in their first 90 days to “own their numbers,” map current referral patterns using actual EHR data, and zero in on local providers who regularly see your best-fit cases. He shares practical tactics for becoming referral-worthy, including why real, in-person relationship-building outperforms emails, lunches, and flashy marketing folders every single time. You'll learn why connecting with everyone in the office matters (not just the doctors!), how to spot and nurture high-potential sources, and the simple but critical metrics that determine whether ongoing effort will pay off. If you're tired of chasing low-value leads and want steady, sustainable case growth, this episode will show you where to focus.What You'll Learn in This Episode:How to identify your most profitable diagnoses and patient types using EHR dataWhy the majority of top referrals come from specific provider relationships (not ads)The must-do steps for evaluating your current referral network in the first 90 daysPractical strategies for mapping your ideal market and building a consistent outreach planThe right way to approach referring offices (hint: it's not about you)The power of “full office” visits and why every staff member countsSimple, effective materials to leave behind on visits (and what to skip)How to track, evaluate, and grow your referral relationshipsWhen to keep pushing for more referrals and when to cut your lossesKey metrics to know if your efforts are really producing resultsReady to learn how to build a referral network that brings in your ideal patients without burning money on ineffective marketing? Listen to today's episode with Dr. Rominski!‍Sponsors:‍Oryx: All-In-One Cloud-Based Dental Software Created by Dentists for Dentists. Patient engagement, clinical, and practice management software that helps your dental practice grow without compromise. Click or copy and paste the link here for a special offer! https://thedentalmarketer.lpages.co/oryx/Click here for a special offer!Business Name: Referrals for DoctorsCheck out David's Media:Website: https://referralsfordoctors.com/LinkedIn: https://www.linkedin.com/company/doctor-referral-institute/Facebook: https://www.facebook.com/profile.php?id=100068507172045‍Host: Michael AriasJoin my newsletter: https://thedentalmarketer.lpages.co/newsletter/‍Join this podcast's Facebook Group: The Dental Marketer Society‍Love the Podcast? Follow on Your Favorite App! https://lnkfi.re/TDMPod

Healthcare organizations have more data than ever before, but turning that data into actionable insights remains one of the industry's biggest challenges. In this episode of The Beat AI in Healthcare Podcast, host Sandy Vance sits down with Nabil Jallouli, CEO and co-founder of Rollstack, to discuss how AI-powered reporting is helping healthcare organizations simplify value-based care reporting, improve decision-making, and scale personalized reporting without overwhelming their teams. Nabil shares why dashboards alone are no longer enough, why executives need trusted narratives instead of raw data, and how healthcare organizations can automate reporting while maintaining governance, security, and accuracy. Whether you work in healthcare leadership, data analytics, customer success, value-based care, or digital transformation, this conversation offers practical insights into using AI responsibly to improve reporting and business outcomes.  In this episode, they talk about: Why value-based care requires an entirely different approach to healthcare reporting The hidden "last mile" problem between business intelligence dashboards and executive decision-making Why healthcare organizations struggle with manual reporting despite major investments in analytics platforms How AI can automate repetitive reporting while keeping humans focused on strategy and relationships The importance of governance and trusted data in healthcare AI Why executives rarely spend more than a few seconds reviewing dashboards How personalized reporting improves payer, provider, and customer relationships The role of automation in scaling reporting across hundreds of healthcare partners Measuring ROI from AI reporting solutions and why reporting automation often delivers significant business value Why healthy skepticism around AI is actually helping healthcare adopt better long-term solutions How Rollstack protects sensitive healthcare data with enterprise-grade security and zero data retention policies What healthcare leaders should prioritize as AI adoption continues to accelerate A Little About Nabil: Nabil Jallouli is the co-founder and CEO of Rollstack, an enterprise platform helping companies like SoFi, Zillow, and Whirlpool automate their data-driven presentations and documents. Rollstack leverages deep integrations with leading business intelligence tools (Tableau, Power BI, Looker, and others) and AI to streamline reporting processes, including business reviews, EHR and HCP reporting, financial reporting, and client presentations. By eliminating manual copy-paste, reducing errors, and ensuring accuracy, Rollstack enables organizations to operate more efficiently and focus on decision-making rather than document preparation. The company is backed by Y Combinator and Insight Partners and is fully SOC 2 Type II and HIPAA compliant, meeting the highest standards of security and data protection for enterprise and healthcare customers. Before founding Rollstack, Nabil built his career leading data analytics and revenue strategy teams at Pinterest, Deel, and Groupon. Across these experiences, he observed a common problem: highly skilled professionals spending countless hours preparing slides and reports instead of focusing on high-value work and strategy. This recurring pain point ultimately inspired the creation of Rollstack. Nabil holds a Master of Engineering and dual Bachelor's degrees in Mathematics, Physics, and Computer Science from École Centrale Paris.

In this episode, host Sandy Vance chats with Timothy Bennett, the Director of Strategic Healthcare Initiatives at Drummond Group, LLC, for his second appearance on the show. With nearly 20 years at Drummond and deep roots in ONC certification testing dating back to 2010, Tim brings a rare long-view perspective to one of the most important questions facing healthcare interoperability today: how do you actually test whether FHIR works at scale in the real world, not just in a proof-of-concept connectathon? This episode introduces FHIRplace, Drummond's new community-driven testing ecosystem, and digs into why business process rules, not just technical standards, are the real challenge standing between FHIR's promise and its production reality.  In this episode, they talk about: FHIRplace brings together providers, payers, technology vendors, and intermediaries to test FHIR implementations at real-world scale Testing conformance to a standard is not the same as proving true interoperability between systems Business process rules, like what documentation a health plan requires for prior authorization, sit outside the technical standards but are critical to real-world success Intermediaries are central to FHIRplace's testing model because point-to-point FHIR exchange is not feasible across millions of providers and thousands of health plans FHIRplace captures raw transaction data flowing through intermediaries to evaluate real-world interoperability issues, not just lab conditions HIPAA currently requires X12 for prior authorization, meaning a full replacement by FHIR will take years and likely result in a long-term hybrid approach FHIRplace plans to integrate with conformance tools like Inferno so members can get interoperability testing and standards validation in one place Drummond intends FHIRplace to be a 20-year testing ecosystem, not a short-term solution built around a single regulatory deadline A Little About Timothy: Timothy Bennett serves as Drummond's Director of Strategic Healthcare Initiatives and leads the development of new testing and certification programs to benefit the national healthcare interoperability strategy. As the former director of the firm's ONC Accredited Test Lab (ATL), he has been involved in testing electronic health records (EHR) systems since the ONC program's inception in September 2010 and has additionally served as the test lab's lead technical adviser. Prior to healthcare compliance testing, Timothy facilitated numerous interoperability test programs, specifically the design of secure and private exchange of documents and information using internet and security standards. With a degree in nuclear engineering from the Georgia Institute of Technology, he has been instrumental in developing, architecting, and testing software systems for more than 30 years.  Timothy is a governing board member of Shift, a task force of industry stakeholders working through the barriers of equitable interoperability by addressing the obstacles of privatized patient health data exchange. He is actively developing testing and certification protocols for the Fast Healthcare Interoperability Resources (FHIR) standard in order to provide the market with comprehensive FHIR certification across the healthcare ecosystem. He also actively collaborates with industry leaders in the areas of testing and certifying healthcare compliance of pediatrics, patient safety and usability, FHIR and public health. Finally, Timothy was the principal author of the OASIS AS4 standard, a profile of the ebXML Messaging Services v3.0 specification for secure and private exchange of data using web services.

What happens when the founder of Mint.com takes on one of healthcare's most broken experiences—patient communication? In this episode of Bright Spots in Healthcare, Eric Glazer sits down with Aaron Patzer, Founder and CEO of Vital, to explore how simplicity, clarity, and human-centered design can drive real impact in healthcare. Drawing from his journey building Mint, Aaron shares why most healthcare technology misses the mark, how better communication improves outcomes and ROI, and what leaders must do to design experiences people actually use. The conversation goes deep on: Why simplifying complexity—not adding more tech—is the real innovation How better patient communication drives measurable ROI for hospitals What healthcare leaders can learn from consumer tech about trust, adoption, and engagement The leadership principles Aaron relies on when innovating inside highly regulated, slow-moving systems If you're a healthcare leader navigating digital transformation, AI investment decisions, or experience strategy, this episode offers clear thinking, hard-earned lessons, and proof that when you make it easier for people to understand what's happening, everything works better.   References: Book Reference - The Design of Everyday Things by Don Norman About Aaron: Aaron Patzer is a renowned entrepreneur, engineer, and innovator best known as the founder of Mint.com, the personal finance platform that revolutionized money management for millions of users. After launching Mint in 2007, Patzer led it to rapid success, growing the user base to over 25 million and overseeing its acquisition by Intuit in 2009. A passionate advocate for user-centered design and simplicity in complex systems, Patzer built Mint.com by combining his technical acumen with a deep understanding of user experience and behavioral finance. He holds degrees in Electrical Engineering, Computer Science, and a Master's from Princeton University. Following Mint, Patzer continued to push boundaries in tech and health innovation. He co-founded Vital, a healthcare startup focused on improving hospital emergency room, urgent care, and inpatient experiences using AI and design thinking. Ranked by KLAS as #1 in patient experience, Vital achieves concrete results: 30–50% fewer LWOBS/AMA, 10–15% higher NPS, stronger HCAHPS scores, reduced ED bounce- back, and 10% lower 30-day readmissions. Designed to integrate seamlessly with existing EHR systems, Vital provides a user-friendly interface that engages patients, resulting in 60%+ adoption rates, 5-10x higher than the competition. View our product overview. Partner with Bright Spots Ventures: If you are interested in speaking with the Bright Spots Ventures team to brainstorm how we can help you grow your business via content and relationships, email hkrish@brightspotsventures.com   About Bright Spots Ventures: Bright Spots Ventures is a healthcare strategy and engagement company that creates content, communities, and connections to accelerate innovation. We help healthcare leaders discover what's working, and how to scale it. By bringing together health plan, hospital, and solution leaders, we facilitate the exchange of ideas that lead to measurable impact. Through our podcast, executive councils, private events, and go-to-market strategy work, we surface and amplify the "bright spots" in healthcare—proven innovations others can learn from and replicate. At our core, we exist to create trusted relationships that make real progress possible. Visit our website at www.brightspotsinhealthcare.com. Visit our website:  www.brightspotsinhealthcare.com. Follow Bright Spots in Healthcare: https://www.linkedin.com/company/shared-purpose-connect/  

Every clinician knows food shapes health. The evidence has been there for decades. So why does nearly every food as medicine program in America still run on grant money with an expiration date? Dr. Yousuf Ahmad has spent 30 years inside the system, running hospitals, leading a health plan, building health tech, and he watched nutrition sit on the sidelines of care the entire time. Now, as President and CEO of AssureCare, he's behind NutraVance, a platform built to move nutrition out of the pilot graveyard and into real clinical workflows: screening, EHR integration, culturally personalized meal plans, outcome tracking, and the piece nobody wants to talk about, reimbursement.Corey and Yousuf get into the five things that were missing all along, how AI personalizes nutrition without leaving under-resourced communities behind, what this looks like inside an FQHC, why every hospital needs a chief affordability officer, and what has to change so a heart failure patient never again leaves a hospital without a nutrition plan.If you've ever watched a program your patients loved disappear when the funding ran out, this conversation is for you.☕ Tell us what you thought of this episode and get a Healthy Project coffee mug: https://forms.gle/W6fqYUcJPsuHYjad8What we cover:The moment Yousuf realized nutrition was never part of central caregiving across hospitals, health plans, and physician practices (00:59)Why a sick-care system that reimburses treatment can't see the value of prevention (04:01)The proof of value problem: the 3-to-1 ROI argument Yousuf makes to health plan CEOs (06:22)The five missing pieces that killed every food as medicine program: screening, workflow integration, personalization, measurement, and reimbursement (09:07)How AI personalizes nutrition to culture, budget, and multiple chronic conditions without deepening bias against already disadvantaged communities (12:32)What NutraVance looks like inside an FQHC, where 32 million Americans get their care (16:45)Why every hospital and health plan needs a chief affordability officer (18:13)Who pays for food as medicine today, and who should: Medicare, Medicaid, and the payers writing the checks (19:32)The 10-year vision: a healthcare system that asks for your nutrition plan the way it asks for your insurance card (22:12)Yousuf's leadership advice: the difference between motion and progress (34:11)About the guest:Dr. Yousuf J. Ahmad, DrPH, is President and CEO of AssureCare, a Cincinnati-based population health technology company. He previously served as President and CEO of Mercy Health in Cincinnati, leading a $3 billion integrated health system. AssureCare's newly launched NutraVance platform brings nutrition assessment, care planning, personalized meal planning, patient engagement, and reimbursement workflows into a single system embedded in clinical care.Links:Learn more about NutraVance and AssureCare: assurecare.comDiscover mission-driven podcasts on Goodfeed: goodfeed.coFollow The Healthy Project on all platforms and subscribe so you never miss an episode.Before you go, I want to put you on to something I'm excited about. GoodFeed is a curated discovery platform for mission-driven podcasts, built to connect shows like this one with the listeners, funders, and organizations who care about the same work. It's in private preview right now, and you can join the waitlist at goodfeed.co! Hosts, funders, nonprofits, and listeners are all welcome in the first cohort.  ★ Support this podcast ★

What if sales isn't about convincing people—but making it easier for the right patients to say yes? In part two of Dr. Lauryn's July From the Vault series, sales expert Nikki Rausch explains how better conversations, clearer invitations, and confident follow-up can help practice owners work toward making an extra $50,000 by the end of 2026—without becoming pushy, scripted, or fake.Nikki breaks down her five-step Selling Staircase, from creating curiosity and building rapport to discovery, proposal, and closing the sale. She shares how to ask better questions, recognize buying signals, gain permission before presenting a solution, reduce decision fatigue with clear closing language, and use circle-back calls when someone needs more time. This episode is a practical guide to treating sales as communication, leadership, and service.Key TakeawaysSuccessful sales begin with rapport. Adjusting your communication style, listening carefully, and asking thoughtful questions can make prospective patients feel understood instead of pressured.Follow the five-step Selling Staircase. Introduction, curiosity, discovery, proposal, and close provide a clear framework for moving conversations forward without prematurely jumping to the offer.Make the buying decision easier. Ask permission before presenting a solution, use direct closing language such as “Which do you prefer?” and give the other person space to process and respond.Follow up without chasing people. Scheduling a specific circle-back call can dramatically improve conversions, while a prospect who refuses the follow-up can be respectfully “blessed and released.”About the GuestNikki Rausch is the CEO of Sales Maven, a sales training and coaching company that helps entrepreneurs and service-based business owners sell with confidence, kindness, and credibility. With nearly 30 years of sales experience, Nikki began her career in the technology and audiovisual industries, becoming a top-producing sales representative and working with organizations including Hewlett-Packard, the Bill & Melinda Gates Foundation, and NASA. Since founding Sales Maven in 2013, she has become known for making the sales process simple, strategic, and authentic. Nikki is also an author and the host of the Sales Maven Podcast, where she shares practical strategies for improving sales conversations and closing more business without feeling pushy or fake.Follow Nikki: Facebook | Instagram | LinkedInListen to Nikki's podcast, Sales Maven: Apple | SpotifyClosing the Sale ebook for free: https://yoursalesmaven.com/slays Resources:Rich Doc Summer Series: A FREE summer training lineup for docs ready to use AI, systems, and strategy to create more freedom from the clinic. Register for one, two, or all three. Add 30-day replay access for $47 for all 3.Find all things Dr. Lauryn B including ways to work with herFollow Dr. Lauryn: Instagram | Facebook | LinkedInFollow She Slays on YouTubeMentioned in this episode:Clinic MindClinic Mind is the all-in-one EHR and practice management platform built for chiropractors — billing, documentation, scheduling, and patient follow-up in one place, whether you run a cash practice, take insurance, or are scaling to multiple locations. She Slays the Day listeners get an exclusive offer.Clinic MindHolistic Marketing HubThis episode is sponsored by Holistic Marketing Hub. Created by marketing strategist Molly Cahill, it's a proven Instagram system with a 500+ caption content library and a step-by-step curriculum that's helped 400+ chiropractors, acupuncturists, and other health pros fill their practices with right-fit patients. Enroll Now!Holistic Marketing HubINSiGHT CLAThis episode is brought to you by the INSiGHT scanning system from CLA, the tool that helps chiropractors show patients objective neurological data so the value of care becomes clear, fueling conversion, retention, and growth. She Slays listeners get preferred pricing, affordable financing, and a free Getting Into Scanning guide.CLA (Current)

Join host Eve Cunningham, MD, Chief Medical Officer at Cadence, in conversation with Dr. Stephanie Lahr, founder of Vital Thread Advisory and one of the earliest physician CIOs in the country. Stephanie's career has been anything but traditional – from internal medicine hospitalist to CMIO to CIO at Monument Health, then President of Artisight, and now running her own fractional executive advisory practice. In this episode, Drs. Eve and Stephanie trace that journey and dig into what it really takes for clinicians to make the leap into health tech leadership. Their conversation covers: Why the non-traditional physician career path is rarely planned and why that's okay How clinical skills like systems thinking, change management, and communication translate directly into health tech leadership What it feels like to cross from the provider side to the vendor side, including the isolation nobody talks about Why the health tech industry is hungry for physician experience, and what fractional and advisory work looks like in practice The gap in community and mentorship for physicians navigating non-traditional careers and what needs to come next Segments: Introduction – Eve welcomes Dr. Lahr and frames her non-traditional career arc Origin story – From OB-GYN to internal medicine, and building a hospitalist program in Coeur d'Alene The hand-raise moment – How a question to a CEO about EHR led to an informatics career CMIO to CIO – How Monument Health's CEO saw something different, and how Chime's CIO bootcamp filled the gaps Leading 200 people – What Stephanie misses most about being inside a health system Crossing to the vendor side – The pace, the loneliness, and learning to wear the buyer's lens The Artisight chapter – Smart hospital technology, startup culture, and what the commercial side taught her Speaking it into existence –  Why she's thinking about building a new community for physicians in industry - Vital Thread Advisory — Why fractional work was scarier than any previous pivot, and why it's working Closing advice — Be bold, think outside the box, and never stop learning

Kim Tzoumakas is the CEO of VytlOne, the nation's only independent, fully integrated total pharmacy solutions partner — the century-old company formerly known as Maxor, which she rebranded and merged with ProxsysRx in a fast-moving transformation after taking the helm in January 2025. VytlOne partners with mission-driven hospitals and health systems, combining pharmacy operations, 340B management, specialty pharmacy, pharmacy benefit management, and patient affordability solutions to help nonprofit providers unlock revenue and reinvest in their communities — work that generated $1.4 billion for its pharmacy partners in a single year. Its newest bet is VytlAIQ, an end-to-end intelligence platform built ground-up (not grafted onto a legacy system) that connects clinical, pharmacy, payer, and financial data into one real-time platform, surfacing next-best actions and checking every 340B claim for eligibility and documentation so problems get caught before they cost providers money. Kim came to pharmacy the long way around — two decades as a healthcare attorney embedded in hospitals and health systems, then CEO of RAYUS Radiology and 21st Century Oncology. Her core conviction is that 340B isn't a loophole to be abused or a relic on its way out; it's critical infrastructure that lets nonprofit health systems reinvest in patient care, and the real failure is that the tools serving it stayed reactive, fragmented, and manual. VytlOne's bet is that AI belongs in pharmacy not to replace clinical judgment or wipe out teams, but as an intelligent partner that tears down the administrative barriers — prior auth, denied claims, missing documentation — standing between a patient and their medication. The test of success: a patient who simply feels their care move faster and never once thinks about the software behind it.We discuss:Why the first thing Kim checks in any business isn't the P&L — it's the boards, the ownership model, and financial stability that determine whether a CEO can actually win — and what twenty years as a healthcare attorney inside hospitals taught her to seeThe real story on 340B: why the "it's going away" prediction has been wrong for thirty years, why the program is now evolving faster and getting more complex, and the one scenario where hospitals genuinely are in the wrong — double-dipping on rebatesHow you build a product when the rules might change next quarter — launching VytlAIQ right as the courts threw out the 340B rebate model, and why VytlOne built it from the ground up with pharmacists at the table instead of stitching together what already existedWhy most health-system dashboards get built and then ignored — and what makes a platform a pharmacist and a CFO will actually act on: one centralized, real-time source feeding the EHR that tracks every claim all the way through to payment receivedWhat you can't afford to break when you rebrand and merge a hundred-year-old company fast — protecting the culture and the people who gave decades to the organization while still turning the cornerThe uncomfortable truth for a CFO who's been burned by vendors — why pharmacy teams reflexively say "we already do that," where the skepticism about third parties really comes from, and how to turn a ten-million-dollar opportunity into a win-win instead of a threatWhere the line sits between what AI should decide versus only suggest in pharmacy — why it should never make a clinical or licensed decision — and the legal risks Kim sees as tech players rush into healthcare without understanding the guardrails, patient risks, or regulatory historyWhat Kim learned mentoring veterans through the Pat Tillman Foundation about fear of failure and hard choices — and the five-years-out test for VytlAIQ: a patient in specialty or chronic care who simply feels faster access to their medication and never connects it back to the software—Brought to you by: Sage Growth Partners — Value-focused strategy and marketing for growth-driven healthcare organizations. — Where to find Jared: • X: https://x.com/jaredstaylor • LinkedIn: https://www.linkedin.com/in/jaredstaylor/

The final episode in the series. Over eight episodes, you built a product, a platform, and four marketing funnels. Now: how do you grow without chasing every new trend?The answer is the Simple Six — six metrics that drive every business: client headcount (HEAD), average revenue per client (ARM), length of engagement (LEG), return on investment (ROI), effective hourly rate (EHR), and net owner benefit (NOB). These six multiply each other, creating compounding growth when improved systematically.The process: brainstorm tactics for each metric (the SixStorm), set a 6% improvement goal, focus on one metric at a time for a maximum of one month, execute, then move to the next. If you improve one metric by 6% every month, you double your business in a year — that's math, not motivation.For single-person businesses without staff, the "hold the gains" mechanism is systems and AI. When a tactic works, build it into a repeatable process and automate what you can. Your four marketing funnels are the foundation; the Simple Six is how you improve them, one lever at a time, forever.The episode emphasizes consistency over novelty. Ninety percent execution on what works, ten percent experimentation. Your business is limited by its leadership — you are the ceiling, not the floor.This episode includes three concrete examples across different industries, plus the SixStorm exercise you can complete immediately.This concludes the Starting A Single-Person Business series.Connect with Chris Cooper:Website - https://businessisgood.com/

Who should you network with depending on your ideal client base? Should you have a "meet the team" tab on the website? What criteria should you use for choosing your EHR? In this update on building Great Lakes Online Counseling, Joe Sanok and Jen share the latest progress as the practice prepares to welcome its first clients. While growth has slowed slightly in recent weeks, they focus on refining the client experience, strengthening the practice's brand, and planning strategic networking efforts. A major milestone is that Rachel, the practice's first clinician, is now fully onboarded and ready to begin seeing clients. With her availability added to the calendar, prospective clients can start booking appointments through the practice.  

Send us Fan MailQ1 2027 cash flow crisis. That is what is waiting for every OB practice that does not have a plan in motion by October. Not because the codes are hard. Because the time ran out to prepare for them. Knowing what is changing and being ready for it are two completely different things. In the OB Global Coding Series finale, Dr. Heather Signorelli walks through the exact ninety-day month-by-month plan to be ready on January 1, 2027 — payer contracts in July, EHR templates and workflows in August, provider training and shadow audits in September, refinement through Q4. Month 1 · July · Payer contracts: Your contracts reference specific CPT codes. When 59400 and 59510 disappear January 1, those contracted rates disappear with them. Identify your top five payers by maternity volume. Reach out to each provider rep with a written timeline question. Model your current revenue per episode before negotiating. Use the ACOG payer advocacy toolkit. Submit written notice of intent to renegotiate before July 31 to get into the Q4 queue. Month 2 · August · EHR + workflows: Systems first, people second. Rebuild prenatal, postpartum (inpatient and outpatient), and labor management templates. The labor management templates are built from scratch since 59080 – 59083 have no legacy. Build the multi-provider attribution protocol, the same-day postpartum hard stop, and the modifier TH automation. Month 3 · September · Provider training + shadow audits: Mandatory training for all clinical staff. Show providers their own notes and the dollar difference between what they wrote and what they could have written. Run shadow audits monthly: twenty prenatal notes, ten labor management, ten postpartum rounding. Track results by provider. Brief the front desk on the patient-facing talking points. September 1 is the ACOG testing date — NOT a payer compliance deadline. Submit test claims to your top three payers and watch what comes back. Q4 · Refinement, not crisis: October: follow up with payers for written fee schedule confirmations. November: CMS finalizes RVUs — update your revenue model with real numbers. December: billing team readiness check. January 1: go live. The practices that did the Q3 work transition smoothly. The ones that did not are scrambling. The reframe: The elimination of the global OB codes is not a threat to your practice. It is a correction. OB/GYN has been undercompensated for the complexity of maternity care for thirty years. That ends January 2027, if you are prepared.RESOURCES BLOCK Save your seat: Live OB/GYN Global Codes Update Webinar (July 7, 2026, 4:00 PM ET) · eligibility.natrevmd.com/obgyn-global-updates-webinar Book a 1:1 with Dr. Signorelli · calendly.com/heather-natrevmd/ Full series playlist: EP188 · EP189 · EP190 · EP191 · EP192 (https://natrevmd.com/podcast/#) Practice Revenue Leak Scorecard · eligibility.natrevmd.com/nrm-revenue-scorecard-v3 Payment Posting Audit Checklist · eligibility.natrevmd.com/payment-posting-checklist RECOVER Diagnostic Quiz · natrevmd.com/quiz 

Successful onboarding onto an EHR shapes everything that follows, from adoption to long-term performance. In this episode of the athenahealth podcast, we explore how thoughtful planning, workflow discovery, training, and change management help organizations prepare for a successful transition to athenaOne. We also discuss practical lessons for navigating implementation complexity, building internal confidence, and preparing for go-live with the right foundation in place.

What do doctors need to hear right now if they want to make an extra $50,000 by the end of 2026? To kick off this July series, Dr. Lauryn is pulling from the vault to revisit the conversations that answer that question from different angles. And before we get into strategy, sales, systems, or scaling, we have to start with the thing quietly driving all of it: your relationship with money.In this conversation, Dr. Lauryn sits down with financial expert Hilary Hendershott to unpack money mindset, scarcity, self-worth, pricing, profit, and the “money operating systems” that shape the way business owners earn, spend, save, and sell. They discuss why your practice numbers often reveal your beliefs about money, how guilt and shame can sabotage profit, and why becoming financially empowered requires both practical numbers and deeper emotional awareness.Key Takeaways:Your money mindset is not just personal—it shows up directly in your practice numbers, pricing, sales conversations, debt, profit, and ability to grow. If your money operating system is built on scarcity, guilt, or self-worth, your business will reflect it.Financial health requires both the technical side of money and the emotional side of money. Hilary explains why business owners need to understand their numbers while also healing the patterns that keep them undercharging, overspending, or avoiding money conversations.Profit matters more than appearances. Big revenue, high volume, and flashy success metrics mean very little if the practice is not actually creating savings, stability, and long-term financial independence.Your ability to receive more money often depends on your comfort level with pricing, selling, and being seen as successful. When docs detach their self-worth from their numbers, they can make clearer, more empowered business decisions.Guest Bio:Hilary Hendershott is an MBA, Certified Financial Planner, founder and chief advisor of Hendershott Wealth Management, a fee-only fiduciary financial advisory firm helping women and couples build, invest, and protect their wealth. With more than 20 years of experience, Hilary blends practical financial strategy with money mindset work to help clients reduce financial stress, grow long-term wealth, and feel more empowered in their financial lives. She is also the host of Love Your Money, where she shares honest conversations and actionable advice around investing, financial freedom, and creating a healthier relationship with money.To follow or find ways to work with Hilary, visit her LinktreeResources:Find all things Dr. Lauryn B including ways to work with herFollow Dr. Lauryn: Instagram | Facebook | LinkedInFollow She Slays on YouTubeMentioned in this episode:Clinic MindClinic Mind is the all-in-one EHR and practice management platform built for chiropractors — billing, documentation, scheduling, and patient follow-up in one place, whether you run a cash practice, take insurance, or are scaling to multiple locations. She Slays the Day listeners get an exclusive offer.Clinic MindHolistic Marketing HubThis episode is sponsored by Holistic Marketing Hub. Created by marketing strategist Molly Cahill, it's a proven Instagram system with a 500+ caption content library and a step-by-step curriculum that's helped 400+ chiropractors, acupuncturists, and other health pros fill their practices with right-fit patients. Enroll Now!Holistic Marketing HubINSiGHT CLAThis episode is brought to you by the INSiGHT scanning system from CLA, the tool that helps chiropractors show patients objective neurological data so the value of care becomes clear, fueling conversion, retention, and growth. She Slays listeners get preferred pricing, affordable financing, and a free Getting Into Scanning guide.CLA (Current)

Send us Fan MailYou've probably heard the phrase “Akashic Records” and immediately wondered one of two things: can it tell me the future, or is this pure woo? I'm Rachel Garrett, a registered nurse and Akashic Records practitioner, and I'm giving you a clean, grounded explanation that cuts through the internet noise. No crystal ball required, and I'm also very clear about what this work is not.I walk through why the Akashic Records aren't a psychic hotline and why any promise of lottery numbers, death dates, or guaranteed outcomes misses the point. Then I offer the most practical way I know to understand it: the Records as an energetic electronic health record for your soul. Just like an EHR tracks history and patterns without predicting what happens next, an Akashic Record reading can help you see why certain relationship dynamics, money patterns, confidence blocks, or visibility ceilings keep repeating.We also talk about what a reading can feel like (often quiet, precise, and deeply clarifying), how I access the Records through a structured prayer protocol, and who tends to benefit most, especially if you've already done therapy, journaling, and mindset work but still can't get traction. If you're craving spiritual guidance, soul-level clarity, and a fresh lens on root cause, this quick tip is for you.Subscribe so you don't miss the next Spiritual Spotlight quick tip, share this with a friend who feels stuck in a loop, and leave a review to help more people find the show. Support the showSpiritual Spotlight Series is hosted by Rachel Garrett, RN, CCH — Akashic Records Practitioner, Master Energy Healer, and Certified Crystal Healer.Conversations about the things we almost don't say out loud. For the ones who feel everything — but question it.Each episode features real stories of spiritual awakening, healing, and transformation from guests across all walks of life, alongside solo teachings on Akashic Records, crystal healing, nervous system support, and intuitive development.Healing doesn't have to be heavy.New: Join the monthly live Akashic reading → YouTube membership at $4.99/month → youtube.com/@rachelgarrett/membership✨ Explore More Spiritual Wisdom & Stay Connected

Access to care remains one of healthcare's biggest challenges—especially in physical therapy, where patients often travel hours for a single appointment. In this episode of Med Tech Gurus, we sit down with Dr. Ashok Gupta, founder and CEO of TheraNow, a rapidly growing virtual physical therapy platform that has treated more than 70,000 patients nationwide through a network of over 400 therapists. Ashok's journey began on the front lines as a physical therapist working in rural communities and VA hospitals, where he repeatedly saw patients abandon treatment simply because access to care was too difficult. That experience led him to ask a bold question: if mental health therapy can be delivered virtually, why not physical therapy? In this conversation, Ashok shares how TheraNow built a telehealth platform that works inside healthcare workflows—not outside them. We explore why many virtual care startups fail, how AI-powered clinical documentation can improve therapist productivity, and what it takes to scale a digital health company while partnering with major health systems. Ashok also discusses achieving Joint Commission accreditation, integrating with complex EHR environments, and building operational infrastructure that supports both clinicians and patients. If you're interested in telehealth innovation, digital health startups, AI in healthcare, physical therapy, or healthcare workflow design, this episode offers practical insights on building virtual care platforms that actually work.

The biggest choke on your growth probably isn't a lack of New Patients. It's the invisible money constraints hiding inside an otherwise successful practice. Dr. Pete and Dr. Stephen unpack how flawed pricing strategies, broken money beliefs, and ineffective money models quietly choke growth, reduce profitability, and limit impact. Through real-world examples, practical benchmarks, and a powerful reframe around value, conviction, and outcomes, they reveal how remarkable businesses create the resources needed to expand their mission. The payoff is a clear framework for identifying hidden revenue opportunities, strengthening confidence in recommendations, and building a business that can sustainably serve more people.   In This Episode You Will Discover: Why a seven-figure practice uncovered an additional six figures of annual revenue without adding a single new patient  The uncomfortable truth behind underpricing and the stories that keep doctors stuck there A powerful distinction between charging for services and charging for outcomes  How weak conviction silently shows up as poor conversion and inconsistent collections  The money mindset shift that transforms profit from a guilty topic into a mission multiplier Episode Highlights 03:27 - The breakthrough starts by identifying the single constraint that makes every other problem look bigger than it is.  05:13 - A thriving seven-figure practice discovers hidden revenue simply by delivering and charging for overlooked value.  08:24 - The difference between growth and profitability turns out to be smaller than most owners think.  09:40 - An industry-wide statistic exposes just how much untapped potential is sitting inside existing practices.  10:54 - Growth accelerates when attention shifts from solving five problems to eliminating one bottleneck.  17:14 - A common leadership habit quietly prevents owners from seeing money that's already available.  18:16 - The stories doctors tell themselves about pricing may be costing far more than they realize.  19:40 - A simple benchmark challenges whether value and fees are actually aligned.  22:15 - The real value gap isn't what is being delivered. It's what is never being communicated.  26:01 - One subtle shift in how recommendations are presented can completely change the response.  29:00 - A lesson about commitment, value, and human behavior reframes the entire money conversation.  30:27 - The distinction between selling a service and creating an outcome changes everything.  31:29 - A powerful distinction challenges the conventional relationship between service, value, and transformation. 33:23 - Dr. Lona sits down with Dr. Brian Capra from Success Partner ClinicMind to explore how chiropractic practices are evolving beyond traditional EHR systems into fully integrated growth platforms. They discuss how AI, automation, patient communication, and practice management are transforming attraction, retention, and scalability for modern clinics. Dr. Brian also shares how ClinicMind is helping practices simplify operations, improve patient experiences, and prepare for the future of chiropractic growth through one connected platform.   Resources Mentioned To learn more about the REM CEO Program, please visit:  http://www.theremarkablepractice.com/rem-ceo For more information about ClinicMind please visit: https://www.clinicmind.com/ Book a Strategy Session with Dr. Pete - https://go.oncehub.com/PodcastPC Prefer to watch? Catch the podcast on YouTube at: https://www.youtube.com/@TheRemarkablePractice1 To listen to more episodes, visit https://theremarkablepractice.com/podcast or follow on your favorite podcast app.

#238: 40 CIOs. 40 Different Missions. How LA County's CIO Holds IT Together — with Info-Tech Research GroupSummaryLos Angeles County is the largest county in the U.S. serving over 10 million people across 40+ different departments.They just passed a $46 billion budget. And their CIO, Peter Loo, has to coordinate with 40 other CIOs to get anything done.That's not a technology problem. That's one of the hardest leadership and governance challenges in all of public sector — and Peter has been doing it for over 30 years because, as he put it, “You can see the impact you make directly in the services being delivered.” That stayed with me. I coach high school basketball for the same reason.I sat down with Peter and Hannes Scheidegger, Chief Global Services Officer at Info-Tech Research Group, on-site at the 36th floor of The Gas Company Tower in downtown Los Angeles.Peter and Hannes have been working together since around 2010 — across an EHR implementation at five hospitals, a data center consolidation from 42 facilities down to one T5, a countywide voting system, and more. This is one of the longest, most tested partnerships I've seen in public sector. And the lessons transfer far beyond LA.Welcome to episode 238!GuestsPeter Loo, Chief Information Officer, Los Angeles County, CAHannes Scheidegger, Chief Global Services Officer, Info-Tech Research GroupTimestamps(0:00) Peter Loo introduces LA County — 40 departments, 40 CIOs, and a $46 billion budget(2:00) The EHR origin story — five hospitals, one system, five different implementations(4:00) What made it succeed — executive commitment, empowered steering committees, and a “not if but how” mindset(8:00) AI governance lessons — why principles beat prescriptive guidelines, and how LA County worked with GovAI Coalition(12:00) How Info-Tech engages — blueprints, guided implementations, workshops, and full consulting(16:00) The data center consolidation — 42 data centers, some were closets, some next to refrigerators(18:00) How to communicate with executives — the language of value, risk, and constituent services(22:00) The most contentious meeting of Hannes' career — CIOs in one room who thought they'd agreed. They hadn't.(28:30) “We want you to do what you did for DHS” — the moment that defined the partnership(33:00) Closing advice — commit to the mission, be patient and persistent, always do it as a “we”Listen now: YouTube x Apple x SpotifyWhenever you're ready, there are 3 ways you can connect with TechTables:1.

Are your brand colors actually helping people trust you, or are they just colors you happen to like? In this episode, Dr. Lauryn sits down with branding expert Nadine Hanafi to unpack why color choices are one of the most emotionally charged, overthought, and misunderstood parts of building a personal brand or business.Together, they discuss why branding is a strategic decision, not a stylistic one, how to choose colors based on brand energy instead of personal preference, and the difference between personality-driven and corporate-style brands. Nadine also breaks down common branding mistakes, when it makes sense to rebrand, why black-white-beige might be a safety move, and how “procrasti-branding” keeps entrepreneurs from actually putting themselves out there.Key Takeaways:Brand colors should be chosen strategically, not emotionally. Nadine explains why picking colors based only on personal preference can create misaligned branding that fails to communicate trust, confidence, authority, or the right brand energy.Personal brands and corporate brands need different color strategies. If you are the face of the business, your visual identity should reflect your personality while still sending the right signals to the clients, patients, or audience you want to attract.Rebranding is not a lifetime commitment. Nadine shares why branding is seasonal and may need to evolve when your audience, positioning, offers, business model, or personal identity shifts.“Procrasti-branding” is a real trap for entrepreneurs. Spending too long tweaking colors, logos, fonts, and photos can become a creative way to avoid launching, being visible, and telling the world what your brand is really about.Guest Bio:Nadine Hanafi is the founder of Digital Brand Kit and creator of Branded in a Day, a premium branding experience designed to help entrepreneurs develop a complete, strategic brand quickly and confidently. After more than a decade working with hundreds of personal brands, Nadine created her unique color consultation and branding process to help business owners avoid long, expensive, overwhelming branding projects and instead walk away with clear positioning, a cohesive visual identity, and the confidence to show up online. Her work has helped entrepreneurs, speakers, coaches, and industry leaders create brands that reflect the level they are operating at, attract aligned clients, and stand out with more clarity and confidence. Nadine's work has been featured in Fast Company, Entrepreneur, TED, Time Inc., and Harvard Business Review.To shop Nadine's Digital Brand Template and let her know She Slays sent you, visit here.To shop Nadine's Digital Branded In A Day Experience and let her know She Slays sent you, visit here. Follow Nadine on Instagram & LinkedInResources:Find all things Dr. Lauryn B including ways to work with herFollow Dr. Lauryn: Instagram | Facebook | LinkedInFollow She Slays on YouTubeMentioned in this episode:INSiGHT CLAThis episode is brought to you by the INSiGHT scanning system from CLA, the tool that helps chiropractors show patients objective neurological data so the value of care becomes clear, fueling conversion, retention, and growth. She Slays listeners get preferred pricing, affordable financing, and a free Getting Into Scanning guide.CLA (Current)Holistic Marketing HubThis episode is sponsored by Holistic Marketing Hub. Created by marketing strategist Molly Cahill, it's a proven Instagram system with a 500+ caption content library and a step-by-step curriculum that's helped 400+ chiropractors, acupuncturists, and other health pros fill their practices with right-fit patients. Enroll Now!Holistic Marketing HubClinic MindClinic Mind is the all-in-one EHR and practice management platform built for chiropractors — billing, documentation, scheduling, and patient follow-up in one place, whether you run a cash practice, take insurance, or are scaling to multiple locations. She Slays the Day listeners get an exclusive offer.Clinic Mind

Most supervisors worry about paperwork last. Licensing boards look at it first.In this episode, I sit down with Dr. Ashley Durbin to talk about the supervision paperwork that actually matters. We move beyond forms and checklists and look at the complete documentation system every supervisor needs. From contracts and evaluations to supervision notes, hour tracking, malpractice insurance, and employment records, we break down what belongs in your supervision file and why it matters.We also discuss one of the biggest mistakes supervisors make. They wait until the end of the supervision process to organize documentation. By then, records are missing, hours are difficult to verify, and everyone is stressed.Ashley shares how she uses her EHR to simplify supervision paperwork, automate evaluations, store contracts, and keep records organized. We also talk about external supervision agreements, supervision notes, state-specific requirements, and how documentation protects both supervisors and supervisees when questions arise.This conversation is about creating better systems. When your documentation is organized, supervision becomes easier, more defensible, and far less stressful.In this episode, you'll learn: Why supervision paperwork is much more than a contract and a few forms  How supervision notes and documentation protect both supervisors and supervisees  The easiest ways to track hours, evaluations, and compliance requirements  What records supervisors commonly forget until it is too late If paperwork has been the thing keeping you from becoming a supervisor, this episode is for you. Documentation does not have to be complicated. It just needs to be intentional.Want to learn more? Check out this month's free resource from Kate Walker Training. If this episode raised questions about supervision paperwork, documentation systems, hour tracking, or board compliance, those are exactly the conversations we continue inside the Step It Up Membership. You'll find tools, guidance, and a community of supervisors building supervision practices that are organized, compliant, and sustainable.Get your step by step guide to private practice. Because you are too important to lose to not knowing the rules, going broke, burning out, and giving up. #counselorsdontquit. 

Part 2 of a 2-part episode From WEDI's Spring 2026 Conference, WEDI Board Member Pam Grosze (PNC Bank) concludes her conversation with leaders from several EHR platforms, discussing 0057 updates, ecosystem readiness—how providers should assess payer and vendor performance, what governance models actually drive outcomes, and where WEDI can help establish practical standards, metrics, and playbooks to move the market forward. The panel: Hans Buitendijk, Senior Director, Interoperability Strategy, Oracle Health Jason Vogt, Manager Development, APIs and Structured Documents, Meditech Sean Cotter, Software Developer, Epic Mohammad Chebli, VP of Interoperability, NextGen Gillian McCabe, Director of Product Management, Authorization Management, athenahealth

Embodiment and Trust: Why Human Connection Is Pediatrics' SuperpowerIn this Pediatric Lounge episode, hosts Herb and George welcome back Dr. Sian Jones-Jobst, MD, to discuss how, amid AI, misinformation, consolidation, and workforce shortages, the pediatrician–family relationship remains irreplaceable because pediatrics is “the embodiment business,” built on vulnerability, trust, and continuity over years. They explore how misinformation on social media drives parents to seek trusted voices, how limited visit time and EHR “mechanics” undermine relationship-building, and why adolescent care often requires more time. Dr. Sian contrasts relationship-based medical homes with transactional care, emphasizes team culture (staff introductions and continuity), and argues practices serve communities through leadership beyond the exam room. They discuss correcting misinformation through motivation, conversation, and shared decision-making, challenges around newborn vaccine consent and declining prenatal visits, burnout as broken relationships, gratitude as a leadership practice, and the need to invest in children and pediatrics for the country's future.00:00 Podcast Intro00:50 Why Embodiment Matters01:40 Misinformation And Trust04:14 Vulnerability In Care05:39 Time Versus Mechanics10:16 Adolescents Need Time11:30 Continuity Superpower14:33 When Care Turns Transactional15:51 Team Culture And Names18:43 Pediatrics In The Community21:27 MBAs And Practice Survival24:47 Rebuilding Real Community27:24 Relationships Beat Facts28:58 Online Echo Chambers30:56 Trust and Media Diet31:44 Correcting Misinformation33:37 Shared Decisions and HPV35:21 Personalizing Guidelines38:27 Vaccine Conversations That Work40:37 Newborn Consent and Humanity44:14 Prenatal Visits and Continuity48:05 Burnout and Broken Bonds49:18 Joyful Practice and Gratitude55:33 Investing in Children57:42 Closing Thanks and SignoffSupport the show

On this episode host Beth Friedman engages Bobby Reddy, Jr., PhD, Co-founder & CEO, Prenosis. Sepsis kills more people annually than all cancers combined - yet it receives a fraction of the research investment. Beth sits with Bobby Reddy Jr., leading Prenosis, a precision medicine company redefining how hospitals understand and treat their most critically ill patients. Reddy explains why decades of clinical trials for sepsis, acute heart failure, and pneumonia have failed and why the solution lies not in new drugs but in recognizing that these are not single diseases at all. Discover how Prenosis is using AI, deep biomarker data, and real-time EHR integration to characterize each patient's unique biology in under an hour, and what a landmark BARDA-funded trial could mean for the future of critical care.

How do you give your kids every advantage without raising kids who expect life to hand them everything? In this episode, Dr. Lauryn and Kirby unpack one of the biggest first-generation wealth parenting dilemmas: using money to create opportunity while still teaching work ethic, perspective, gratitude, and financial responsibility.Together, they talk through the money conversations they're having with their kids, from career choices and salary expectations to credit history, Roth IRAs, 529 plans, cars, jobs, chores, and college. They also share where they feel confident, where they still feel like they're figuring it out, and why the way you live may teach your children more about money than anything you say.Key Takeaways:Financial literacy starts with honest conversations. Lauryn and Kirby explain why kids need to understand the connection between career choices, income, lifestyle, debt, and the tradeoffs that come with every path.Wealth can create opportunity without creating entitlement. They discuss tools like building credit history, employing kids through the family business, Roth IRAs, 529 plans, and college planning while still keeping the bigger focus on responsibility.Work ethic is modeled more than it is preached. Kids are watching how you spend, save, work, repair, travel, and find joy, which means your everyday choices may shape their money mindset more than formal lessons.Parenting financially smart kids requires ongoing course correction. Lauryn and Kirby share why they're looking for signs of independence, gratitude, and initiative now, while their kids are still young enough to be guided.Resources:Find all things Dr. Lauryn B including ways to work with herFollow Dr. Lauryn: Instagram | Facebook | LinkedInFollow She Slays on YouTubeMentioned in this episode:Clinic MindClinic Mind is the all-in-one EHR and practice management platform built for chiropractors — billing, documentation, scheduling, and patient follow-up in one place, whether you run a cash practice, take insurance, or are scaling to multiple locations. She Slays the Day listeners get an exclusive offer.Clinic MindHolistic Marketing HubWant to attract ideal patients to your clinic? No time to utilize your clinic's social media pages? Holistic Marketing Hub teaches you (or one of your team members) exactly how to use your clinic's Instagram account to find and attract those patients in your community. Use code "SheSlays" to get $300 off!Holistic Marketing HubINSiGHT CLAThis episode is brought to you by the INSiGHT scanning system from CLA, the tool that helps chiropractors show patients objective neurological data so the value of care becomes clear, fueling conversion, retention, and growth. She Slays listeners get preferred pricing, affordable financing, and a free Getting Into Scanning guide.CLA (Current)

The Long View: Building a Health Organization Ready for the Next Decade of AI What does it take to build a health organization that will still be running on a strong digital and AI foundation in five years, ten years, or twenty? In this closing conversation, John Henderson, Vice President and Chief Information and Digital Officer at Rady Children's Health, takes the long view. Drawing on his work leading the digital integration of CHOC into Rady Children's Health, launching private generative AI platforms to support clinical and administrative work, and building an AI-ready data infrastructure that reaches beyond the EHR, John shares what it actually takes to align your organization around a multi-year digital vision. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/

Nicolás Abad, founder and CEO of Telepatía, joins a16z to discuss building AI-powered tools for healthcare in Latin America. Inspired by the loss of his father to a preventable medical error, Adbad set out to address one of the region's most significant challenges: a shortage of doctors, fragmented medical records, and limited healthcare infrastructure across a population of more than 700 million people. Telepatía's first product acts as a clinical copilot, helping physicians document visits, access patient context, and make more informed decisions. The conversation explores healthcare delivery in Latin America, AI-assisted medicine, medical errors, electronic health records, and why Abad believes AI can help expand access to care while improving outcomes. Along the way, he shares his vision for building an “AI doctor for doctors” and the long-term goal of transforming healthcare across the region.   Resources: Follow Nicolás on X: https://x.com/Nicobot01 Follow Gabriel on X: https://x.com/GEVS94 Follow Daisy on X: https://x.com/daisydwolf Follow Eva on X: https://x.com/evajsteinman Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

In this episode of the AAOS Now Podcast, host Stuart J. Fischer, MD, FAAOS, speaks with two leaders in orthopaedic data science about how physician-controlled registries are transforming outcomes measurement, implant evaluation, and clinical decision-making. From the early vision of a national joint replacement registry to a new real-time data partnership with Epic, the conversation traces how far the registries have come and where they are headed. Drs. James Huddleston and Steven Glassman share concrete examples of how registry data is driving practice change. They also address how the data supports Clinical Practice Guidelines and research, why surgeon and patient information is protected from outside access, and what the integration of AI and patient-reported outcomes means for the next generation of orthopaedic registries. Key Topics Covered in This Episode: Origins and goals of the AAOS registry portfolio: How orthopaedic surgeons built a physician-controlled data infrastructure to protect procedures and drive evidence-based care Data sources and infrastructure: AJRR's use of hospital and ASC submissions, Medicare claims for complete follow-up on Medicare patients, and a new Epic Community Registries partnership for real-time data capture Registry scale and participation gaps: Why AJRR has surpassed five million procedures while spine, shoulder and elbow, and musculoskeletal oncology registries are still building volume Real-world clinical impact: How AJRR data has influenced cementless knee adoption, robotics use in unicompartmental arthroplasty, and the growth of triple-tapered femoral stems in hip replacement Research and CPG applications: How the Registry Analytics Institute supports physician-led and industry-sponsored research, with strict controls on data dissemination Patient-reported outcomes: The longstanding role of PROMs in spine and the challenges of scaling PROM collection for hip and knee under new government mandates Data privacy: Why registry data remains de-identified and inaccessible to insurers and government agencies, and what individual surgeon dashboards can offer International comparisons and ISAR: How AJRR benchmarks against registries in England, Wales, and beyond, and why U.S.-specific data remains essential AI and the future of registries: How AJRR is piloting AI-powered EHR extraction to improve data completeness without human intervention About Our Guests: James Huddleston III, MD, FAAOS, is Professor of Orthopaedic Surgery at Stanford Hospital; Co-Chair of the AAOS Registry Oversight Committee; and Chair of the American Joint Replacement Registry Steering Committee Steven D. Glassman, MD, FAAOS, is Professor of Orthopaedic Surgery at the University of Louisville School of Medicine; Medical Director at the Norton Leatherman Spine Center; Chair of the AAOS Registry Oversight Committee; and past Chair of the American Spine Registry Executive Committee

Your ER doctor has about 25 minutes to figure out your medical history and decide what to do next. Hamed Husaini, an emergency physician and physician executive, explains why so much of that data never reaches the bedside and what AI can do about it. This episode is based on his article "AI in health care data management: Curing the EHR overload," published on KevinMD. You will hear why records from skilled nursing facilities, primary care, and home health rarely get read in time, why duplicate medications and missed end-of-life directives slip through, and how a one-page AI synopsis pushed into the native EHR before you walk into the room changes what the next 25 minutes look like. Hamed argues the bottleneck is not data volume; it is the pull model that asks busy clinicians to fetch records they never have time to read. If the system already feels like it should know your records and still doesn't, this episode names why and what changes when the data starts flowing the other direction. True team-based care starts with you. At ChenMed, we believe the best way to care for patients is to change the way we practice medicine. When you join our team, you are empowered to lead. We've moved beyond the traditional volume-heavy model to focus on true value-based care. Our model gives you the time and resources to manage complex cases and make a lasting impact on your community. Whether you are applying for a primary care physician, nurse practitioner, or medical director position, you will feel supported by a physician-led culture that understands your challenges. Your dedication doesn't go unnoticed here. You'll be rewarded with a career that offers both professional fulfillment and a better quality of life. Visit ChenMed.com/physicians-KevinMD to learn more. VISIT SPONSOR → https://ChenMed.com/physicians-KevinMD Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Why do so many chiropractors struggle to sell care plans they genuinely believe in? And why does every “no” from a patient feel so personal? In this episode, Dr. Lauryn sits down with Dr. Daniel Bai of Close for Chiro for a candid, hilarious, and unfiltered conversation about ethical sales, patient psychology, and why the best closers are often the ones who stop talking so much.Together, Lauryn and Dr. Dan break down what actually happens on day one and day two, why patients need to feel deeply heard before they'll trust your solution, and how confusion kills conversions. They also dive into pricing confidence, why doctors over-explain their recommendations, how to stop taking patient decisions personally, and why ethical sales might be one of the most important skills for reducing practice owner burnout.Key Takeaways:Ethical sales starts with understanding the patient's real want, need, or desire. When doctors lead with curiosity instead of explanation, patients feel heard and are more likely to trust the recommended solution.Day one and day two are not separate events; they are one connected sales process. The more curious and patient-centered you are on day one, the more authority you earn when presenting answers on day two.Confused minds don't buy, and time kills deals. Simplifying care plans, finances, and recommendations can increase conversions more than adding more explanation ever will.Practice owners burn out when every patient yes or no becomes personal. A strong sales system helps doctors stay confident, ethical, and consistent without constantly defending their value.Guest Bio:Dr. Daniel Bai is the CEO of Close for Chiro, a provocative and enterprising consulting company serving the chiropractic industry through sales training, communication strategy, and business development. An author, speaker, and thought leader on modern sales and marketing, Dr. Dan is known for challenging outdated ideas about selling in healthcare while helping doctors build practices rooted in confidence, clarity, and ethical patient communication. His lessons are designed for chiropractors, but his straight-from-the-hip teaching style and no-nonsense approach to sales apply far beyond the profession.Follow Daniel on InstagramBook a consulting call with DanielResources:Find all things Dr. Lauryn B including ways to work with herFollow Dr. Lauryn: Instagram | Facebook | LinkedInFollow She Slays on YouTubeMentioned in this episode:Holistic Marketing HubWant to attract ideal patients to your clinic? No time to utilize your clinic's social media pages? Holistic Marketing Hub teaches you (or one of your team members) exactly how to use your clinic's Instagram account to find and attract those patients in your community. Use code "SheSlays" to get $300 off!Holistic Marketing HubINSiGHT CLAThis episode is brought to you by the INSiGHT scanning system from CLA, the tool that helps chiropractors show patients objective neurological data so the value of care becomes clear, fueling conversion, retention, and growth. She Slays listeners get preferred pricing, affordable financing, and a free Getting Into Scanning guide.CLA (Current)Clinic MindClinic Mind is the all-in-one EHR and practice management platform built for chiropractors — billing, documentation, scheduling, and patient follow-up in one place, whether you run a cash practice, take insurance, or are scaling to multiple locations. She Slays the Day listeners get an exclusive offer.Clinic Mind

Are you still the bottleneck in your clinic even though you have a team? In this solo episode, Dr. Lauryn is back with part two of her conversation on owner dependency, and this time she is getting practical. If your team still needs constant hand-holding, your systems feel messy, and delegation feels harder than just doing it yourself, this episode is your next step.Dr. Lauryn walks through the SEAD framework: Simplify, Eliminate, Automate, and Delegate. She explains how to use team time audits, blank org charts, AI tools, VAs, software automation, and smarter delegation to create real bandwidth inside your practice. This is not about dumping more work onto your staff. It is about cleaning up chaos, freeing your best people for higher-level ownership, and helping you finally move from manager mode into CEO mode.Key Takeaways:Before you delegate more, you need to understand what your team is already carrying. A full team time audit helps reveal repeated tasks, interruptions, unnecessary approvals, manual work, and hidden capacity leaks.The SEAD framework gives clinic owners a practical way to clean up operations before adding more responsibility to the team. Simplify what is too complicated, eliminate what no longer matters, automate what software or AI can handle, and delegate work to the right person or resource.Delegation should not start by pushing your chaos onto an already overwhelmed employee. The first move is often delegating tasks away from your team to a VA, software, AI tool, outside service, or lower-level support role.Moving from manager to CEO requires patience, leadership, and a willingness to invest time now for freedom later. Your team needs clarity, authority, safety to make mistakes, and structured support as they take ownership of higher-value work.Resources:Find all things Dr. Lauryn B including ways to work with herFollow Dr. Lauryn: Instagram | Facebook | LinkedInFollow She Slays on YouTubeMentioned in this episode:INSiGHT CLAThis episode is brought to you by the INSiGHT scanning system from CLA, the tool that helps chiropractors show patients objective neurological data so the value of care becomes clear, fueling conversion, retention, and growth. She Slays listeners get preferred pricing, affordable financing, and a free Getting Into Scanning guide.CLA (Current)Holistic Marketing HubWant to attract ideal patients to your clinic? No time to utilize your clinic's social media pages? Holistic Marketing Hub teaches you (or one of your team members) exactly how to use your clinic's Instagram account to find and attract those patients in your community. Use code "SheSlays" to get $300 off!Holistic Marketing HubClinic MindClinic Mind is the all-in-one EHR and practice management platform built for chiropractors — billing, documentation, scheduling, and patient follow-up in one place, whether you run a cash practice, take insurance, or are scaling to multiple locations. She Slays the Day listeners get an exclusive offer.Clinic Mind