Podcasts about hipaa

⬥EPISODE NOTES⬥ The healthcare system is, by some measures, the most targeted sector in cybersecurity. Patient records get lifted, hospitals get held for ransom, and the supposed protections often look more like antiquated friction than modern defense. Gil Bashe, Chair of Global Health and Purpose at FINN Partners, joins Sean Martin to explore why the systems meant to protect people's most sensitive information are, in many cases, the same systems holding back better care. A former combat medic, agency CEO, private equity operator, and now author of Healing the Sick Care System: Why People Matter, Gil Bashe brings a rare composite view of how information, technology, and human judgment collide in healthcare. The conversation moves quickly from ransomware and HIPAA-covered entities into the harder questions about AI. With an estimated 80 percent of doctors already using OpenAI tools to assist with diagnosis or treatment patterns, the line between "in the zone" and "precision" information has become a clinical safety issue. Gil Bashe reframes hallucinations as what they really are in his world: wrong facts. And wrong facts, fed back into a system that increasingly trusts the output, create a feedback loop that no one is accountable for. The machine doesn't sleep, doesn't worry, doesn't carry responsibility. The humans on either side of it do. That accountability gap is where the cybersecurity audience comes in. Gil Bashe draws a direct parallel between great coders and great clinicians: both work inside-out and outside-in, interviewing the people who use the system and the people the system serves. He argues that the cybersecurity professional protecting an EMT's routing system, a hospital's power grid, or an MRI data pipeline is saving lives on the same continuum as the paramedic. The skillset is different. The stakes are not. Sean Martin and Gil Bashe also press on the leadership question raised by AI. If clinicians are freed up by 15 percent of their day, what does the system ask them to do with that time? See two more patients on the conveyor belt of sick care, or actually treat the underlying cause of disease? With 18.7 percent of U.S. GDP going to healthcare and 35 percent of that consumed by administration, the answer is not technical. It is a leadership decision about what the technology is for. This conversation asks cybersecurity practitioners, CISOs, and technology leaders to widen the frame. Protecting data is the floor. Protecting the human relationships, the clinical judgment, and the dignity of the patient on the other end of the system is the work. ⬥GUEST⬥ Gil Bashe, Chair, Global Health and Purpose at FINN Partners | On LinkedIn: https://www.linkedin.com/in/gilbashe/ ⬥HOST⬥ Sean Martin, Co-Founder at ITSPmagazine, Studio C60, and Host of Redefining CyberSecurity Podcast & Music Evolves Podcast | Website: https://www.seanmartin.com/ ⬥RESOURCES⬥ Healing the Sick Care System: Why People Matter (book by Gil Bashe) | https://www.finnpartners.com/news-insights/healing-the-sick-care-system-why-people-matter/ FINN Partners | https://www.finnpartners.com/ The Future of Cybersecurity Newsletter | https://www.linkedin.com/newsletters/7108625890296614912/ More Redefining CyberSecurity Podcast episodes | https://www.seanmartin.com/redefining-cybersecurity-podcast Redefining CyberSecurity Podcast on YouTube | https://www.youtube.com/playlist?list=PLnYu0psdcllS9aVGdiakVss9u7xgYDKYq ⬥ADDITIONAL INFORMATION⬥ Redefining CyberSecurity Podcast | https://www.seanmartin.com/redefining-cybersecurity-podcast Redefining CyberSecurity on YouTube | https://www.youtube.com/playlist?list=PLnYu0psdcllS9aVGdiakVss9u7xgYDKYq The Future of Cybersecurity Newsletter | https://itspm.ag/future-of-cybersecurity Connect with Sean Martin | https://www.seanmartin.com/ ⬥KEYWORDS⬥ gil bashe, finn partners, sean martin, healthcare cybersecurity, hospital ransomware, ai in medicine, chatgpt clinical use, patient data protection, hipaa business associates, health information leadership, sick care system, non-communicable diseases, human leadership in ai, medical misinformation, prompt accountability, redefining cybersecurity, cybersecurity podcast, redefining cybersecurity podcast Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

 #surrogacy #ivf #surrogate Sara's Instagram: https://www.instagram.com/surrornsara?igsh=NTc4MTIwNjQ2YQ==  Sophia's Instagram: https://www.instagram.com/sophiaawohl?igsh=NTc4MTIwNjQ2YQ== A surrogacy journey can look perfect on paper and still fall apart in real life if nobody talks about boundaries. We're Kenedi and Ellen, and we're joined by repeat guests Sophia (experienced surrogate and agency owner) and Sara (currently on her second journey) to get brutally practical about what boundaries actually mean when you're living it: match calls with strangers, vulnerable medical appointments, emotional setbacks like failed transfers, and the high-stakes intensity of delivery day.We compare how “old school” surrogacy often treated carriers like a vessel with little control, then move into what healthy boundaries look like now, especially in the hospital. Sara shares what it means to be the patient first, how labor and delivery teams protect the birthing space, and why simple consent practices like introductions and limiting observers matter. We also talk about ongoing communication, how to leave room for expectations to change, and how mutual respect makes boundaries easier because you aren't constantly policing basic decency.Then we get into the modern headache nobody can ignore: social media. Do you follow each other, post bump updates, share ultrasounds, or keep everything offline? We cover oversharing risks, accidental privacy leaks (names, DOB, clinic info), and how to ask for consent without making it awkward. Finally, we address agency boundaries, HIPAA and medical record access, and the questions every surrogate should ask before signing anything, including how much an agency is involved and who they're really representing.If you found this helpful, subscribe, share it with someone considering surrogacy, and leave a review so more intended parents and surrogates can find these real-world tips.Send us Fan Mailhttps://stopsitsurrogate.com

I recently reached out to a therapist for myself and realized how much the entire intake process sets the tone of the therapeutic alliance.In this episode, I share some suggestions for how we can hold a therapeutic frame with potential clients before the therapy starts. Not only will it improve the client experience, but setting accurate expectations can help clients make an accurate decision before consenting to therapy, and clients are less likely to cancel before the first session (like I did!). Thank you to Paubox for sponsoring this episode. Paubox makes HIPAA-secure email easy and streamlined. Check them out here:https://bit.ly/pps_paubox_spotify*Get $250 off your first year with Paubox with coupon code "SKILLS"*Bonus Deal:* If you add the Paubox badge to your website you get an extra $100 off your first year - that means you can get your whole first year free if you apply both deals!Links Mentioned:Article: "Premature discontinuation in adult psychotherapy: a meta-analysis"https://pubmed.ncbi.nlm.nih.gov/22506792/Article: “The Nature, Timing, and Symptom Trajectories of Dropout from Transdiagnostic and Single-Diagnosis Cognitive-Behavioral Therapy for Anxiety Disorders"https://pmc.ncbi.nlm.nih.gov/articles/PMC8531532/LINKS:*Some links are affiliate links. A percentage of purchases come back to me and help my channel immensely!

Ever hired someone who looked perfect on paper… only to realize a few weeks later they were the wrong fit? The truth is, most bad hires aren't caused by hiring the wrong person; they happen because there's no hiring process behind the decision. In this episode, I break down the three hiring mistakes that quietly cost wellness business owners time, money, energy, and team culture. You'll learn how to spot red flags before they become problems, avoid making decisions from a place of desperation, and create a simple hiring framework that helps you find therapists who align with your business, not just candidates with the best resume.   We'll get into: The three hiring mistakes that lead to costly team problems Why hiring based on "good vibes" isn't enough How to evaluate hard skills, soft skills, and culture fit The interview questions that reveal what resumes can't Why coachability often matters more than experience How to trust your instincts without relying on them alone If you're growing your team or thinking about making your next hire, this episode could save you from an expensive mistake.   ---   *Brought to you by GlossGenius.*   Are you dealing with gaps in your schedule? Clients who don't rebook? Low profits and high payment processing fees? When you're running your own practice, you don't have time to figure out where you're leaving money on the table especially when you're stitching together booking, payments, and clunky software that only makes things harder.   GlossGenius is the booking and business management platform built for massage therapists and wellness practitioners. It fills your calendar, automatically reBooks clients, upsells high-margin services, and has the lowest flat-rate payment processing fees in the industry. Plus all the HIPAA-compliant tools you need for charting, consents, and client records without the admin chaos.   More growth. Less busywork.   Use code **SCALING** at glossgenius.com/scalingwellness for 50% off your first two months of their Gold or Platinum plan.      Build a wellness business that gives you both time and income: www.scalingwellness.com Book a free strategy call: www.scalingwellness.com/chat Follow us on Instagram: www.instagram.com/scalingwellness

Why healthcare marketing? For many people in the industry, healthcare marketing is a deeply purposeful career path that allows them to positively impact others' lives and improve access to healthcare. In this week's episode, our CEO Jenny offers guidance for new grads and professionals on rising industry trends and important skills for success in healthcare marketing. Major Industry TrendsShifting Search Journeys: The percentage of patients using Google for traditional searches is shrinking, as people turn toward generative AI for pre-diagnostic research.Authenticity Beats High-Production Value: With the rise of deepfakes and AI-generated media, there is a growing demand for transparent, unpolished video content.Privacy and Measurement Challenges: Marketers need to get creative in order to prove ROI while maintaining compliance, as HIPAA and state-level privacy laws have made it more difficult to track campaign performance.Essential Skills for SuccessKeep a Human in the Loop: Use AI as a productivity tool, rather than a replacement for critical thinking. Be sure humans are in charge of the storytelling.Engage Audiences with Microlearning: Work on translating complex clinical topics into engaging, short, mobile-first videos that can quickly educate and build trust.Adopt a Privacy-First Analytics Mindset: Focus on downstream business outcomes, like patient appointments, while ensuring patient information remains secure and compliant.Proceed with Empathy and Health Literacy: Focus on writing copy that is easy to understand and empathetic, that AI cannot easily replicate.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.

A hybrid practice can feel flexible and efficient, until the lack of structure starts creating problems.When therapists move between telehealth and in-person sessions without a clear system, small decisions quickly turn into ethical, logistical, and clinical challenges. Questions about HIPAA, crisis management, informed consent, and scheduling all become harder when there is no defined default.In this episode, I walk through what therapists need to consider before offering a hybrid counseling model. We look at how to decide between virtual and in-person care, where clinicians often underestimate risk, and why your policies matter more than your preferences.This episode is less about technology and more about decision-making.In this episode, we cover:• How to create a clear default for telehealth versus in-person sessions• Why informed consent and crisis planning matter in hybrid practice• What therapists misunderstand about HIPAA, AI, and physical privacy• How cognitive load and scheduling affect sustainability in practiceIf your hybrid model currently depends on convenience or case-by-case decisions, this episode will help you build a structure that is easier to manage and easier to defend ethically.Want to learn more? Check out this month's free resource from Kate Walker Training. Want deeper support? Inside the Step It Up Membership, we work through policies, documentation systems, supervision structure, and private practice operations in a way that supports both clinical integrity and long-term sustainability.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. 

Modern Therapist's Consumer Guide: Paubox. HIPAA Compliant Email, Secure Communication, and Practice Privacy. An Interview with Hoala Greevy, Founder and CEO of Paubox Curt and Katie talk with Hoala Greevy, Founder and CEO of Paubox, about what HIPAA compliant email actually requires, where standard Google Workspace and Microsoft 365 Business Associate Agreements leave gaps, and why most secure-portal solutions fail at the inbox. Paubox is a HIPAA compliant email security platform built to deliver encrypted messages straight to the recipient's inbox, without portals, plugins, or extra clicks. Hoala explains how Paubox wraps around the email systems therapists already use, why domain ownership and TLS encryption matter, and how inbound threats like display-name spoofing affect small practices. The conversation also covers HITRUST certification, AI scraping, the Paubox Foundations, the Paubox Kahikina Scholarship supporting Native Hawaiian students in STEM, and how to evaluate a HIPAA compliant email vendor on security, reliability, and ease of use. This episode is part of our Modern Therapist's Consumer Guide series. While this interview is a paid partnership, our discussion and opinions are our own. In this episode, we discuss: - Where standard Google and Microsoft BAAs leave HIPAA compliant email gaps - Why most secure-portal solutions never get read on mobile - How TLS encryption and secure email delivery actually work - What domain ownership has to do with HIPAA compliance - How Paubox integrates with Google Workspace and Microsoft 365 - Inbound threats, display-name spoofing, and ExecProtect - HITRUST certification and how to evaluate a HIPAA compliant email vendor Timestamps: - 02:18 – What Paubox does and why it was created - 05:19 – Mission, vision, and the Paubox Foundations - 08:38 – What HIPAA compliant email actually requires - 10:26 – The Google and Microsoft BAA gray area - 14:48 – What the client experience looks like - 21:09 – Inbound email security and display-name spoofing - 24:32 – Data access, HITRUST certification, and trust - 34:05 – Pricing, value, and the referral program - 38:43 – Curt and Katie Chat: Our Review of Paubox Guest Bio: Hoala Greevy is the Founder and CEO of Paubox, a leading provider of HIPAA compliant email solutions for healthcare organizations. Born and raised in Honolulu, he founded Paubox after a meeting with the CEO of the Make-A-Wish Foundation of Hawai'i revealed a critical need for secure healthcare communication. Greevy supports Native Hawaiian students entering STEM and technology careers through the Paubox Kahikina Scholarship. Learn more at paubox.com. Special Offer for Modern Therapist Listeners: Get $250 off an annual Paubox plan. Visit paubox.com and use promo code MODERN. Full show notes and transcript: mtsgpodcast.com Join the Modern Therapist Community Patreon: https://www.patreon.com/c/mtsgpodcast 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/

Retired agent Larry Guerin reviews a health care fraud investigation involving an emergency medical technician (EMT) who stole Health Insurance Portability and Accountability Act (HIPAA) protected patient information, such as Social Security numbers, dates of birth, addresses, and phone numbers, and then tried to sell it back to managers of private ambulance companies. The case would have been only the second prosecution against an individual under the new statute. However, the case ended tragically before the subject was officially charged. Larry Guerin served in the FBI for 28 years.  Check out episode show notes, photos, and related articles: Join my Reader Team to get the FBI Reading Resource - Books about the FBI, written by FBI agents, the 20 clichés about the FBI Reality Checklist, and keep up to date on the FBI in books, TV, and movies via my monthly email. Join here. http://eepurl.com/dzCCmL    Buy me a coffee - https://www.buymeacoffee.com/JerriWilliams   Check out my FBI books, non-fiction and crime fiction, available as audiobooks, ebooks and paperbacks wherever books are sold. https://jerriwilliams.com/books/

Sean Yang, founder of Practices.fyi, joins the podcast to talk about the business numbers therapists often ignore and why tracking the right metrics can change everything. The conversation covers the difference between reacting to problems versus actually understanding your practice, which data points matter most for growth, and how better visibility leads to better decisions. Sean also shares how therapists can use AI tools like Claude and ChatGPT to analyze data, streamline tasks, and improve systems while still protecting client privacy and staying HIPAA compliant. A practical conversation for practice owners who want to stop guessing and start running their business with more clarity and confidence.  Sponsored by TherapyNotes®: Looking to switch EHRs? Try TherapyNotes® for 2 months free by using promo code ABUNDANT at therapynotes.com. Links You'll Love: Need help building & filling your practice? Check out the Abundance Party (only $345!). Members have access to monthly hour-long group calls with me and opportunities to snag a 30-minute 1:1 at no additional charge: https://www.abundancepracticebuilding.com/party  Want website copy that actually sounds like you and makes the right clients feel seen? Referral Ready Website Copy is done-for-you copy for your homepage, about page, and up to three specialty pages — built around your voice, your niche, and your people, for just $2,000: www.abundancepracticebuilding.com/referralreadywebsitecopy 

"Favorite Things" is back! In this episode of ASCP Esty Talk, Ella and Maggie share the treatment-room staples they're currently loving. From multitasking skin care and collagen-supporting formulas to pro-level devices and regenerative innovations, they break down what's working, why it stands out, and how it can elevate both services and at-home routines. Plus, you'll have a chance to win some of their favorite things. ASCP Esty Talk with hosts Ella Cressman and Maggie Staszcuk   Produced by Associated Skin Care Professionals (ASCP) for licensed estheticians, ASCP Esty Talk is a weekly podcast, hosted by licensed estheticians, Ella Cressman, ASCP Skin Deep Magazine contributor, and Maggie Staszcuk, ASCP Program Director. We see your passion, innovation, and hard work and are here to support you by providing a platform for networking, advocacy, camaraderie, and education. We aim to inspire you to ask the right questions, find your motivation, and give you the courage to have the professional skin care career you desire.  Product Links: Dermaflash Website: Dermaflash Products: Dermaflash Cool & Dermaflash Pro   Viktoria DeAnn Website: Viktoria DeAnn Products: Pepti Eye Serum & VIO Hydra Firm Eye Cream   FarmHouse Fresh Website: FarmHouse Fresh Product: Full Moon Dip   IMAGE Website: IMAGE Product: Vol.U.Lift   Pevonia Website: Pevonia Product: Phyto-gel Cleanser   Osmosis Website: Osmosis (TriFusion Skin Ritual)   About Ella Cressman:  Ella Cressman is a licensed esthetician, certified organic formulator, and business owner with more than 20 years of experience in corrective skin care. Known as an "ingredient junkie" and industry cheerleader, she empowers professionals to think beyond products and develop a deeper understanding of skin function and formulation. In addition to her practice, Cressman is the founder of the HHP Collective, a practitioner-led community focused on strengthening clinical reasoning and advancing professional growth within the esthetics industry.   Connect with Ella Cressman:  Website: www.hhpcollective.com  LinkedIn: linkedin.com/in/ella-cressman-62aa46a    About Maggie Staszcuk:  Maggie Staszcuk serves as the Program Director for ASCP and is the cohost of ASCP Esty Talk podcast. With over 18 years' experience in the esthetics industry, her diverse background includes roles in spa management, spa and med-spa services, and esthetics education. Since becoming a licensed esthetician in 2006, she carries a range of certifications in basic and advanced esthetics. Maggie is dedicated to equipping estheticians with the knowledge and resources they need to thrive in their careers.   Connect with Maggie Staszcuk:  P: 800.789.0411 EXT 1636  E: MStaszcuk@ascpskincare.com    About our Sponsors: Massage Envy is a national franchisor and does not independently own or operate any of the Massage Envy franchised locations nationwide. The Massage Envy franchise network, through its franchise locations, is the leading provider of massage services. Founded in 2002, Massage Envy now has approximately 1,100 franchise locations in 49 states that have together delivered more than 200 million massages and skin care services. Website: www.massageenvy.com/careers/career-areas/esthetician  Facebook: @MassageEnvyCareers LinkedIn: @MassageEnvy   TiZO Mineral Sunscreens set the standard for aesthetic elegance with tinted and non-tinted formulas for use on virtually all skin types and tones. Our name reflects our commitment: TIZO = Titanium dioxide + Zinc Oxides. All TiZO products are reef-friendly and 100% free of chemical sunscreens, dyes, fragrances, gluten, phthalates, and parabens.  TiZO Photoceutical Skincare is the perfect partner to our sunscreens in the fight against photoaging. These silky, elegant products address tone, texture and hydration while helping to prevent further damage. From our flagship TiZO3 Primer/Sunscreen SPF 40 to our gentle Ultra Zinc formulations to our NEW Advanced Vitamin C+E Serum with Bakuchiol, TIZO has the ideal selection of products to Protect, Repair, and Revitalize skin.  Website: https://tizoskin.com/  Facebook: @tizoskin  Pinterest: @tizoskin  Instagram: @tizoskin  YouTube: @tizoskin     GlossGenius Gaps in your schedule. Clients who don't rebook. Tight margins. High payment processing fees. Sound familiar? When you're running your own practice, you don't have time to figure out where you could be making more money. Especially when you're stitching together booking, payments, and a clunky EMR that only makes things harder. That's why we love GlossGenius — the business management platform that does the work for you. It fills your calendar, rebooks clients automatically, upsells high-margin services, and has the lowest flat-rate payment processing fees. Plus, all the HIPAA-compliant tools you need for charting, consents, and client records — without the admin chaos. GlossGenius grows your revenue and handles the busywork, so you can focus on your clients. Use code ESTY at GlossGenius.com for 50% off your first two months of their Gold or Platinum plan. GlossGenius. More Growth. Less Busywork. Visit https://glossgenius.com/ascp for more details.   About Associated Skin Care Professionals (ASCP):    Associated Skin Care Professionals (ASCP) is the nation's largest association for skin care professionals and your ONLY all-inclusive source for professional liability insurance, education, community, and career support. For estheticians at every stage of the journey, ASCP is your essential partner. Get in touch with us today if you have any questions or would like to join and become an ASCP member.  Connect with ASCP:  Website: www.ascpskincare.com  Email: getconnected@ascpskincare.com  Phone: 800-789-0411  Facebook: facebook.com/ASCPskincare  Instagram: @ascpskincare 

Text messaging for communicating orders is not prohibited by CMS or The Joint Commission, but there are important HIPAA privacy and security considerations that healthcare organizations must understand before using this method of communication. According to guidance from the AMA, providers must evaluate compliance requirements and safeguards when using text messages in patient care workflows. In this episode, Terry explains the details of using text messaging for orders, what organizations need to know to remain compliant, and practical considerations for implementation. Plus, hear about a newly accepted AMA CPT Committee decision for 2027 that could impact future coding and reporting. Subscribe and Listen Find all of Terry’s official links in one place: https://www.terryfletcher.net/links The post Can Physicians and Clinicians Use Texting for Patient Care? appeared first on Terry Fletcher Consulting, Inc..

Ericka Adler is joined by Roetzel shareholder Christina Kuta to discuss the growing trend of patients recording medical visits and sharing health care interactions on social media, and what health care providers should consider before allowing recordings in their practices. The episode explores HIPAA and privacy concerns, consent requirements, reputational risks, and the legal challenges that can arise when patient recordings are shared online. Ericka and Christina also discuss why health care practices should consider implementing recording policies and what providers can do when unauthorized recordings or misleading social media posts impact their practice. 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/

The mid-market is where tech decisions get dangerous. You are big enough that uptime, security, and delivery speed matter every day, but you are not big enough to burn cash on massive consulting retainers or absorb the fallout from a shaky vendor. That “valley in the middle” is exactly where David Robinson lives, and it is why he built Stratos Development Group to offer right-fit technical leadership, managed services, and software development that feels structured without being out of reach. We walk through David's journey from building early electronic medical record software in healthcare to leading engineering at a venture-backed startup, and then into entrepreneurship. From there, we get practical about what mid-market teams actually struggle with: competitors using the same licensed infrastructure, product roadmaps hijacked by one or two big customers, and the need to own real intellectual property and architecture to keep a competitive edge. For payments, fintech, and ISO leaders, the conversation goes deep on what Stratos is seeing right now: consolidation, tougher differentiation, and the technical friction that can make or break net-new deals. David shares how ISOs can approach technology enablement and custom integrations, plus the bigger opportunity of moving from ISO to ISV. If you already have a book of business, you also have a built-in feedback loop, faster validation, and a clearer path to launching software that your clients will actually pay for. We also tackle AI and the “vibe coding” era, including why agentic development can boost productivity but cannot shortcut PCI, SOC, or HIPAA compliance. If you want to modernize safely and win in a more competitive market, this one is for you. 

Alan explores his recent deep dive into hardware-based AI recorders like the Plaud AI and HiDock P1. He details how he successfully utilized the HiDock to transcribe and organize a school chaperone meeting, before tackling the elephant in the room for medical professionals: the high cost of compliant AI scribing software. Alan breaks down why medical AI solutions carry a premium price tag, pointing directly to the legal and liability protections of Business Associate Agreements (BAAs) and the necessity of immediate data deletion for HIPAA compliance. He wraps up by encouraging listeners to look into offline hardware options like the Heidi Remote and invites the community to connect in the Very Dental Facebook group. Some links from the show: HiDock P1 AI recorder Plaud AI pin recorder Jabra Evolve2 earbuds Heidi and Heidi Remote AI medical scribe Overjet Voice Join the Very Dental Facebook Group using one of these passwords: Timmerman, Paul, Bioclear, Hornbrook, Gary, McWethy, Papa Randy, Frank or Lipscomb!  The Very Dental Podcast network is and will remain free to download. If you'd like to support the shows you love at Very Dental then show a little love to the people that support us! We're proud to be supported by the folks at Net32! I'm a big fan of the Bioclear Method! I think you should give it a try and I've got a great offer to help you get on board! Use the exclusive Very Dental Podcast code VERYDENTAL8TON for 15% OFF your total Bioclear purchase, including Core Anterior and Posterior Four day courses, Black Triangle Certification, and all Bioclear products. Crazy Dental has everything you need from cotton rolls to equipment and everything in between and the best prices you'll find anywhere! If you head over to verydentalpodcast.com/crazy and use coupon code "VERYSHIP" you'll get free shipping on your order! Go save yourself some money and support the show all at the same time! The Wonderist Agency is basically a one stop shop for marketing your practice and your brand. From logo redesign to a full service marketing plan, the folks at Wonderist have you covered! Go check them out at verydentalpodcast.com/wonderist! Enova Illumination makes the very best in loupes and headlights, including their new ergonomic angled prism loupes! They also distribute loupe mounted cameras and even the amazing line of Zumax microscopes! If you want to help out the podcast while upping your magnification and headlight game, you need to head over to verydentalpodcast.com/enova to see their whole line of products! CAD-Ray offers the best service on a wide variety of digital scanners, printers, mills and even  their very own browser based design software, Clinux! CAD-Ray has been a huge supporter of the Very Dental Podcast Network and I can tell you that you'll get no better service on everything digital dentistry than the folks from CAD-Ray. Go check them out at verydentalpodcast.com/CADRay!

Before You Refer to the Hospital: De-Escalation, Safety Planning, and Wraparound Care for Teens in Crisis When a suicidal teen is in crisis, is the hospital really the safest call? What outpatient therapists need to know. Curt Widhalm, LMFT, leads this episode from his work running a comprehensive DBT private practice in Los Angeles that specializes in higher-acuity adolescent cases, including teens with serious suicidality, self-harm, and emotional dysregulation. These are exactly the clients most often routed toward psychiatric hospitalization or platform-based care, and Curt argues the default-to-hospital reflex frequently makes things worse, not better. Drawing on recent research and his clinical experience, Curt walks through the iatrogenic harms of adolescent psychiatric inpatient care, why post-discharge is the highest-risk window for completed suicide, and how clinician anxiety can drive premature 5150 holds and crisis referrals. Katie Vernoy, LMFT, joins with years of LPS-designated assessment experience from community mental health, naming what really happens when a teen gets sent in, including the relational rupture that often starts the moment a crisis evaluation is requested. Together they show outpatient therapists, including solo practitioners, how to build the clinical infrastructure that makes hospital diversion a real option: standardized risk assessment, collaborative safety planning that starts at intake, verbal de-escalation, family-integrated care, and wraparound treatment teams that include both formal providers and informal natural supports. This is a continuing education podcourse. Therapists can earn 1 CE credit through the Modern Therapist Learning Community at moderntherapistcommunity.com. What you'll take away: - How to recognize when a teen client really needs inpatient care, and when escalation will cause more harm than help - How to use standardized risk assessment tools (C-SSRS, LRAMP) without losing the therapeutic relationship - How to build a safety plan that actually works, and what to leave out (hint: no-suicide contracts) - What to teach parents about verbal de-escalation and environmental modifications at home - How to construct a mini Intensive Outpatient Program inside a solo or small-group practice - Who belongs on a wraparound treatment team, and how to find informal supports that families often forget to mention - How systemic barriers and health disparities shape access and outcomes for Black, Hispanic, and lower-SES adolescents Timestamps: 00:15 - CE intro and how to earn 1 CE credit 05:17 - Why outpatient therapists need real de-escalation protocols 11:23 - What actually happens during a crisis evaluation, with Katie's LPS-designated insights 18:46 - Iatrogenic harm and post-discharge suicide risk in adolescents 26:27 - Distant admissions, capped beds, and reentry into school and community 30:43 - Building safety plans from the first session, not the first crisis 34:32 - What belongs in a comprehensive adolescent safety plan 41:05 - When a teen says "I want to die," and why language matters 47:27 - Family-integrated care in solo private practice 48:56 - Building a mini IOP without the institutional overhead 55:29 - Wraparound teams and the role of informal natural supports 59:51 - ROIs, HIPAA-compliant communication, and minor consent 1:01:00 - Health disparities and access for marginalized adolescents Earn 1 CE credit: Therapists can earn 1 CE credit for this episode through the Modern Therapist Learning Community. Register, purchase the course, pass the post-test, and complete the evaluation to receive your certificate. Therapy Reimagined is approved by the California Association of Marriage and Family Therapists (CAMFT CEPA #132270). Please check with your licensing board to confirm eligibility. Full show notes, references, and transcript: mtsgpodcast.com CE enrollment: moderntherapistcommunity.com Join the Modern Therapist Community: Patreon: https://www.patreon.com/c/mtsgpodcast 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/

What happens when the business you dreamed of building starts depending on you for everything? In this episode, DJ sits down with Katie Reschny of The Elm Body Co. to talk about the messy, emotional, and deeply human side of growing a wellness business beyond yourself. Katie shares the behind-the-scenes reality of building a multi-location massage and bodywork business with a team of 12+ practitioners including the identity shifts, leadership challenges, systems, emotional labor, and hard decisions that rarely get talked about publicly. This isn't one of those conversations that makes growth sound glamorous. It's a conversation about what actually happens after you become "successful." The pressure of being the one everyone depends on. The guilt of stepping away from hands-on work. The fear of becoming a "bad boss." The emotional weight of leading people while still trying to protect your own energy. Katie opens up about what it looked like to go from massage therapist to business owner… and eventually into a leadership role she never originally planned for. Together, DJ and Katie unpack: Why being fully booked is not the same thing as having freedom The surprising emotional challenges of leading a team How systems and structure actually create safety (not corporate coldness) The tension between wanting to help everyone and protecting your own capacity Why many wellness business owners accidentally build businesses that trap them The mindset shifts required to step out of the treatment room How leadership changes your relationship with time, money, and responsibility What it really takes to create a business that doesn't rely entirely on your hands This episode will especially resonate with massage therapists and wellness business owners who: feel overwhelmed by the weight of responsibility are struggling to get clients to book with their team instead of just them want to work less without feeling guilty are afraid of losing the heart of their business as they grow feel stuck between "I can't keep doing this forever" and "I don't know what comes next" There's also a powerful conversation in this episode around sustainability. Not just financial sustainability. Personal sustainability. Emotional sustainability. Physical sustainability. Because eventually, almost every massage therapist reaches a point where they quietly wonder: "Can I keep doing this the same way forever?" And this conversation is about what comes next.   ---   *Brought to you by GlossGenius.*   Are you dealing with gaps in your schedule? Clients who don't rebook? Low profits and high payment processing fees? When you're running your own practice, you don't have time to figure out where you're leaving money on the table especially when you're stitching together booking, payments, and clunky software that only makes things harder.   GlossGenius is the booking and business management platform built for massage therapists and wellness practitioners. It fills your calendar, automatically reBooks clients, upsells high-margin services, and has the lowest flat-rate payment processing fees in the industry. Plus all the HIPAA-compliant tools you need for charting, consents, and client records without the admin chaos.   More growth. Less busywork.   Use code **SCALING** at glossgenius.com/scalingwellness for 50% off your first two months of their Gold or Platinum plan.      Build a wellness business that gives you both time and income: www.scalingwellness.com Book a free strategy call: www.scalingwellness.com/chat Follow us on Instagram: www.instagram.com/scalingwellness      

Don Ho is the Co-founder and CEO of Kaizen AI Lab, where he helps mid-market businesses implement practical AI systems with built-in governance and measurable ROI. Under his leadership, Kaizen AI Lab has helped clients replace expensive, legacy software systems — such as a $300,000-per-year enterprise tool — with custom AI-driven solutions in a matter of weeks, while ensuring rigorous cybersecurity and compliance standards. Don is a recovering attorney, a former tea and coffee shop entrepreneur, and an early adopter of emerging technologies, having successfully navigated industries from retail to law to AI. In this episode… Companies do not always need another bloated software renewal to solve a recurring operational problem. Sometimes the bigger opportunity is asking what AI can rebuild, streamline, or replace entirely, but how far can that really go? For Don Ho, the answer is that AI is already practical enough to replace major enterprise tools when it is applied with the right strategy, governance, and technical oversight. Drawing from his experience as an attorney turned AI solutions builder, Don explains how his team helped a client replicate a $300,000-per-year software system in about five weeks while accounting for cybersecurity, PII, HIPAA concerns, and penetration testing. His perspective shows that AI is no longer just a productivity add-on; it can become a serious business infrastructure decision when leaders understand both the promise and the risks. Tune in to this episode of the Smart Business Revolution Podcast as John Corcoran interviews Don Ho, Co-founder and CEO of Kaizen AI Lab, about replacing expensive software with practical AI solutions. Don talks about building a $300K software alternative, using AI agents for implementation, and setting realistic expectations around AI adoption. He also shares advice on governance, compliance, and choosing the right use cases.

In this episode, Jen and Alex break down the surge in QR code phishing attacks, the cautionary tale of a ransomware negotiator who defrauded healthcare clients, and practical strategies for reducing security friction. They also cover new tools for HIPAA-compliant email automation and self-service archive exports that streamline compliance workflows.

It's the start of a new series: The Most Fundamental Therapy Skills Explained. Woo! Today we're kicking off the series by talking about active listening.Thank you to Paubox for sponsoring this episode. Paubox makes HIPAA-secure email easy and streamlined. Check them out here:https://bit.ly/pps_paubox_spotify*Get $250 off your first year with Paubox with coupon code "SKILLS"*Bonus Deal:* If you add the Paubox badge to your website you get an extra $100 off your first year - that means you can get your whole first year free if you apply both deals!Links Mentioned:Video: My Story of Sudden Hearing Loss:https://youtu.be/DYQJKKnbxFkAPA's Definition of Active Listening:https://dictionary.apa.org/active-listeningRogers, C. R., & Farson, R. E. (1987). Active listening. In R. G. Newman, M. A. Danzinger, & M. Cohen (Eds.), Communicating in business today (pp. 580–593). D. C. Heath & Company.https://books.google.com/books/about/Communicating_in_Business_Today.html?id=PJ24PAAACAAJArticle: “Active Listening”https://www.ncbi.nlm.nih.gov/books/NBK442015/Article: "Coregulation of therapist and client emotion during psychotherapy”https://pmc.ncbi.nlm.nih.gov/articles/PMC7233481/LINKS:*Some links are affiliate links. A percentage of purchases come back to me and help my channel immensely!

What Are You Paying a Marketing Agency For in 2026 (When AI Can Do 60% of Marketing)? | Part 1 On this solo episode of the Beacon Way Podcast, host Adrienne Wilkerson (CEO and co-founder of Beacon Media and Marketing) tackles the question of what businesses are paying for in marketing as AI now handles up to 60% of marketing tasks, citing a 2025 Anthropic study showing roughly 65% observed AI usage in marketing research and production. She argues AI is primarily a production layer, while agencies provide strategy, judgment, specificity, compliance, and cross-discipline coordination—especially critical for mental and behavioral health practices. Adrianne outlines what AI does well (first drafts, SEO/structure, variations, research synthesis, analytics, production scaling, and workflow automation) and where it consistently fails without humans (positioning, audience nuance, clinical accuracy, HIPAA/compliance judgment, brand voice consistency, cross-channel coordination, stakeholder relationships, and strategic prioritization). 00:00 Welcome to Beacon Way00:58 The AI Agency Question01:32 What You Pay For Now03:17 Anthropic Study Findings05:35 AI Wins in Marketing08:29 Where AI Falls Short14:17 Human Judgment Matters15:42 Wrap Up and Part Two

Being the driver of the appointment is about shifting from simply performing services to intentionally guiding the client experience with confidence, clarity, and presence. In this episode of ASCP Esty Talk, Maggie and Ella are joined by guest Claudia Wyatt, an "enthusiasm igniter" and "self-doubt eraser", to explore what it means to lead the appointment, elevate client interactions, and take ownership of the treatment room experience. ASCP Esty Talk with hosts Ella Cressman and Maggie Staszcuk   Produced by Associated Skin Care Professionals (ASCP) for licensed estheticians, ASCP Esty Talk is a weekly podcast, hosted by licensed estheticians, Ella Cressman, ASCP Skin Deep Magazine contributor, and Maggie Staszcuk, ASCP Program Director. We see your passion, innovation, and hard work and are here to support you by providing a platform for networking, advocacy, camaraderie, and education. We aim to inspire you to ask the right questions, find your motivation, and give you the courage to have the professional skin care career you desire.  About Claudia Wyatt: Claudia Wyatt is a confidence and leadership coach, international speaker, and founder of Claudia Wyatt Coaching LLC. With over 25 years in the spa industry, she began as a makeup artist and esthetician and advanced into executive leadership, becoming a pioneer in esthetics education in her region. Claudia now helps individuals and teams overcome self-doubt, communicate with confidence, and lead with purpose through her signature Walkabout Method™. Her work is rooted in real industry experience and personal resilience, bringing authenticity and energy to every stage. Recognized as a top leadership coach in 2025, she is passionate about empowering others to trust themselves, step into their voice, and create meaningful impact. Connect with Claudia: Website: claudiawyatt.com About Ella Cressman:  Ella Cressman is a licensed esthetician, certified organic formulator, and business owner with more than 20 years of experience in corrective skin care. Known as an "ingredient junkie" and industry cheerleader, she empowers professionals to think beyond products and develop a deeper understanding of skin function and formulation. In addition to her practice, Cressman is the founder of the HHP Collective, a practitioner-led community focused on strengthening clinical reasoning and advancing professional growth within the esthetics industry.   Connect with Ella Cressman:  Website: www.hhpcollective.com  LinkedIn: linkedin.com/in/ella-cressman-62aa46a    About Maggie Staszcuk:  Maggie Staszcuk serves as the Program Director for ASCP and is the cohost of ASCP Esty Talk podcast. With over 18 years' experience in the esthetics industry, her diverse background includes roles in spa management, spa and med-spa services, and esthetics education. Since becoming a licensed esthetician in 2006, she carries a range of certifications in basic and advanced esthetics. Maggie is dedicated to equipping estheticians with the knowledge and resources they need to thrive in their careers.   Connect with Maggie Staszcuk:  P: 800.789.0411 EXT 1636  E: MStaszcuk@ascpskincare.com    About our Sponsors: Massage Envy is a national franchisor and does not independently own or operate any of the Massage Envy franchised locations nationwide. The Massage Envy franchise network, through its franchise locations, is the leading provider of massage services. Founded in 2002, Massage Envy now has approximately 1,100 franchise locations in 49 states that have together delivered more than 200 million massages and skin care services. Website: www.massageenvy.com/careers/career-areas/esthetician  Facebook: @MassageEnvyCareers LinkedIn: @MassageEnvy   TiZO Mineral Sunscreens set the standard for aesthetic elegance with tinted and non-tinted formulas for use on virtually all skin types and tones. Our name reflects our commitment: TIZO = Titanium dioxide + Zinc Oxides. All TiZO products are reef-friendly and 100% free of chemical sunscreens, dyes, fragrances, gluten, phthalates, and parabens.  TiZO Photoceutical Skincare is the perfect partner to our sunscreens in the fight against photoaging. These silky, elegant products address tone, texture and hydration while helping to prevent further damage. From our flagship TiZO3 Primer/Sunscreen SPF 40 to our gentle Ultra Zinc formulations to our NEW Advanced Vitamin C+E Serum with Bakuchiol, TIZO has the ideal selection of products to Protect, Repair, and Revitalize skin.  Website: https://tizoskin.com/  Facebook: @tizoskin  Pinterest: @tizoskin  Instagram: @tizoskin  YouTube: @tizoskin     GlossGenius Gaps in your schedule. Clients who don't rebook. Tight margins. High payment processing fees. Sound familiar? When you're running your own practice, you don't have time to figure out where you could be making more money. Especially when you're stitching together booking, payments, and a clunky EMR that only makes things harder. That's why we love GlossGenius — the business management platform that does the work for you. It fills your calendar, rebooks clients automatically, upsells high-margin services, and has the lowest flat-rate payment processing fees. Plus, all the HIPAA-compliant tools you need for charting, consents, and client records — without the admin chaos. GlossGenius grows your revenue and handles the busywork, so you can focus on your clients. Use code ESTY at GlossGenius.com for 50% off your first two months of their Gold or Platinum plan. GlossGenius. More Growth. Less Busywork. Visit glossgenius.com/ascp for more details.   About Associated Skin Care Professionals (ASCP):    Associated Skin Care Professionals (ASCP) is the nation's largest association for skin care professionals and your ONLY all-inclusive source for professional liability insurance, education, community, and career support. For estheticians at every stage of the journey, ASCP is your essential partner. Get in touch with us today if you have any questions or would like to join and become an ASCP member.  Connect with ASCP:  Website: www.ascpskincare.com  Email: getconnected@ascpskincare.com  Phone: 800-789-0411  Facebook: facebook.com/ASCPskincare  Instagram: @ascpskincare   

Episode Summary Particle Health CEO Jason Prestinario joins MedCity Pivot to assess the state of U.S. healthcare interoperability with clear-eyed candor. He grades the technical infrastructure a B — data can move — but gives access governance a C, because the rules around who uses data, and how, remain murky and poorly enforced. Jason draws a direct line between true interoperability and the viability of value-based care: without frictionless data access, accountability for patient outcomes is impossible. The conversation also covers Particle's antitrust lawsuit against Epic, now past its first major legal hurdle, and the broader wave of litigation challenging Epic's market dominance. Jason urges nuance: there's a meaningful difference between patients authorizing their own data use and bad actors harvesting records without consent — and conflating the two risks setting back the entire data-sharing ecosystem. Key Takeaways The data infrastructure gets a B — but access governance is still a C. The technical pipes for moving health records exist, but who can use them, when, and for what purpose remains the critical unsolved problem. Interoperability is a 'nice to have' in fee-for-service care — but it's a hard requirement for value-based care. When a provider is accountable for outcomes that happen outside their four walls, they need data from outside those walls. Information blocking penalties need teeth. Until healthcare organizations believe violations will result in real consequences, the rules won't change behavior — just like speed limits only work when drivers believe tickets are real. There's a critical distinction between patients authorizing their own data use and third parties accessing data without consent. The current Epic lawsuit debate conflates two very different scenarios that deserve separate legal and regulatory treatment. True patient data ownership is still largely a myth. Despite portals and progress, patients still face significant barriers — forgotten logins, provider-controlled systems — to accessing their own medical records programmatically. Links and Resources Connect with Arundhati Parmar aparmar@medcitynews.com Arundhati Parmar (@aparmarbb) on X MedCity News Keywords healthcare interoperability, Particle Health, Jason Prestinario, Epic lawsuit, antitrust healthcare, value-based care, CMS interoperability, TEFCA, Carequality, health data access, information blocking, 21st Century Cures Act, patient data ownership, HIPAA compliance, health information exchange, payer interoperability, digital health data, EHR data sharing, CommonWell, ONC rules Episode Highlights [00:04:22 - 00:05:16] Jason grades the interoperability 'pipes' a B-plus but gives data access governance a C at best. [00:10:56 - 00:12:37] Interoperability shifts from 'nice to have' in fee-for-service to a hard requirement in value-based care. [00:17:05 - 00:19:27] Jason explains why Particle sued Epic and what the case means for the broader healthcare data ecosystem. [00:25:11 - 00:27:11] A key distinction: patient-authorized data use versus unauthorized third-party data harvesting. [00:28:34 - 00:32:44] Why patients still can't easily access their own records — and what it would take to change that. [00:29:02 - 00:29:41] Information blocking penalties only work when organizations believe the consequences are real.

HHS recently released updated Notices of Privacy Practices (NPPs), introducing changes that go far beyond standard template revisions. The update includes new requirements for health care providers, health plans, and Part 2 patient notices related to sensitive protected health information. While many in health care associate “NPP” with Non-Physician Practitioner, in this case it refers to patient privacy notice requirements involving highly sensitive health information, including substance use disorders (SUD), reproductive health information, and mental health records. These updated privacy notice requirements became effective February 16, 2026, and covered entities must comply by July 1, 2026. In this episode, Terry breaks down what has changed, what practices need to update immediately, and how to ensure your organization remains compliant with both HIPAA and the new federal privacy requirements surrounding sensitive PHI. Subscribe and Listen Find all of Terry’s official links in one place: https://www.terryfletcher.net/links The post Notice of Privacy Practices 2026 appeared first on Terry Fletcher Consulting, Inc..

Cority has been quietly building environmental, health, and safety software for forty years, and Amanda Smith runs the strategy keeping up with AI that changes every six months. She and Chuck get into why a system of record beats raw AI on life or death calls, how a 600 page permit went from months to minutes, the stat that 95 percent of employees are already using shadow AI, and the PDF problem that has every energy company stuck.Click here to watch a video of this episode.Join the conversation shaping the future of energy.Collide is the community where oil & gas professionals connect, share insights, and solve real-world problems together. No noise. No fluff. Just the discussions that move our industry forward.Apply today at collide.ioClick here to view the episode transcript. 0:00 The Cority story and 40 years in EHS software2:30 How the software shows up on a rig and in the office5:45 The SaaS apocalypse question and why context beats raw AI9:30 Amanda's family mining history and why this work is personal11:00 Recruiting AI talent to Houston and the six month change cycle15:00 Shiny objects versus solving real problems18:00 Auditability, HIPAA, and the black box problem19:30 Where Collide is heading as an operating system23:00 Employee resistance and the friction point playbook27:30 Six hundred page permits, 3000 filings, zero mistakes30:00 Agentic workflows as the new source of record34:30 Correlation, causation, and the shale revolution lesson37:30 The PDF problem and using 2 percent of energy data41:30 Learning to drive as the AI adoption analogy43:00 What we are not talking about today that we will be in five years48:30 Ninety-five percent of employees are using shadow AIhttps://twitter.com/collide_aihttps://www.tiktok.com/@collide.iohttps://www.facebook.com/collide.iohttps://www.instagram.com/collide.iohttps://www.youtube.com/@collide_iohttps://bsky.app/profile/collide-ai.bsky.socialhttps://www.linkedin.com/company/collideai

SEASON: 6 EPISODE: 27Episode Overview:Welcome to another episode of Becoming Preferred, the show where we dive deep into the strategies that help you level up your game and stay relevant in an ever-shifting marketplace.I am happy to introduce our guest today, a man who sits at the intersection of high-level software innovation and human-centric design. Ghazenfer Mansoor is the CEO of Technology Rivers, a powerhouse firm known for building everything from HIPAA-compliant healthcare tech to cutting-edge AI solutions.But Ghazenfer doesn't just build software; he understands the psychology of why we use it. He is the author of Beyond the Download, where he breaks down the alchemy of creating mobile apps that people actually love and share. Beyond his technical expertise, he's a fellow storyteller as the host of the Lessons from the Leap podcast, uncovering the raw failures and bold breakthroughs that define the entrepreneurial journey.Whether you're looking to scale your startup, automate your processes, or simply build a brand that resonates, you're going to want to take notes. Join me for my conversation with Ghazenfer Mansoor!Guest Bio: Ghazenfer Mansoor is the CEO of Technology Rivers, a software development firm recognized in Washington, D.C. for creating AI-powered solutions, innovative SaaS products, and HIPAA-compliant healthcare technologies. He helps startups and service businesses scale faster, automate processes, and build technology that drives real-world impact.As the author of Beyond the Download: How to Build Mobile Apps That People Love, Use, and Share Every Day, he shares practical insights and proven strategies to help app developers and entrepreneurs build mobile apps that not only acquire users but keep them engaged and growing.In addition to being a thought leader and speaker, Ghazenfer hosts the Lessons from the Leap podcast, where he uncovers the bold decisions, failures, and breakthroughs that shape entrepreneurial success.Resource Links:Website: https://ghazenfer.com/Business Website: https://technologyrivers.com/Product Link: https://www.amazon.com/Beyond-Download-Build-Mobile-People/dp/B0GP9T86DZ/Insight Gold Timestamps:03:17 Technology's changing with amazing speed04:58 To your point, it can be disruptive if we don't evolve05:07 In your latest book, Beyond the Download...08:03 How are you competing? Are you competing on people? Are you competing on pricing?09:21 You want to look at what are the bottlenecks in your business?13:44 I think security ought to be a feature, not a footnote16:02 The focus has to be building the product the right way the first time, so that you can focus on growing your business17:45 You build the foundation, you have the sketch, and then you gradually scale21:00 It's not easy for existing users of other products to just switch to your product22:56 So it's about what is missing in the industry26:04 Everybody is trying to get into the AI race, which is exciting, but at the same time, some people are scared to take that leap26:15 On our Lessons from the Leap (podcast)28:11 So I think as a society, we have to evolve our EQ...32:19 There's something called RAG, (Retrieval Augmented Generation)34:20 It's ghazenfer.com and technologyrivers.com is your company34:33 Beyond the Download: How to Build Mobile Apps that People Love, Use, and Share Every DayConnect Socially:LinkedIn: https://www.linkedin.com/in/gmansoor/Facebook: https://www.facebook.com/techriversYouTube: https://www.youtube.com/@technologyriversInstagram: https://www.instagram.com/techrivers/Lessons from the Leap Podcast: https://ghazenfer.com/lessons-from-the-leap/Email: GMansoor@TechnologyRivers.comSponsors: Rainmaker LeadGen Platform Demo: https://calendar.summit-learning.com/widget/booking/JKItVP7WErmCBjU2cCIxRainmaker Digital Solutions: https://www.rainmakerdigitalsolutions.com/

Send us Fan MailFire calls may have built the modern fire service, but EMS calls now define it and that demands a different kind of leader. We walk through why the EMS Officer 1 is not a “nice to have” title, but a practical response to how fire based EMS really operates today, where medical responses can make up 80% of the workload and outcomes depend on more than individual clinical skill.We break down what an EMS Officer 1 owns day to day: clinical oversight, crew support, and system performance. That includes standards and professional expectations tied to NFPA 450 and NFPA 1021, plus the real work behind the paperwork like coaching leadership, emotionally intelligent debriefs after high impact calls, and building a culture where critical thinking thrives. We also dig into clinical quality improvement done the right way, using data to spot trends and fix training, equipment, or workflow problems before they become patient harm.The conversation goes beyond medicine into the areas that can make or break public trust: HIPAA compliance, consent law, end of life ethics, and the organizational risk that follows a bad decision on a chaotic night shift. We also talk about the EMS Officer 1 as the first responder to the responders, watching for burnout and PTSD, advocating for peer support, and protecting the workforce. Add in financial stewardship, supply and medication logistics, smarter unit placement, hospital partnerships, scene safety, and the coming growth of community paramedicine and mobile integrated health care, and the case becomes clear.If your department still promotes based mostly on seniority, this will challenge you to rethink what competence means in clinical leadership. Subscribe for more, share this with an EMS leader in your circle, and leave a review with your take: what's the hardest part of building strong EMS leadership where you work?DISCLAIMERThe views, information, or opinions expressed by guests during this podcast are solely those of the individuals involved and do not necessarily represent those of AFSO21's Weekend Wrap-up Podcast and its hosts. Furthermore, any views or opinions expressed by guests are their own alone and do not reflect the opinions, beliefs, or official policies of any organization, institution, or employer they may be associated with or employed by.  Support the showContact AFSO21's Weekend Wrap-up Podcast - Email us at podcast@afso21.comAs always, keep supporting your local fire and emergency services, stay safe, and keep on listening!

Microsoft sounds the alarm on a critical Exchange zero-day, OpenAI and Mistral AI deal with fallout from a widening supply-chain attack campaign, and researchers uncover a thriving underground market for unlocking stolen iPhones. A stealthy macOS infostealer spreads through ClickFix scams, healthcare braces for major HIPAA security changes, and hackers cash in big at Pwn2Own Berlin after burning through two dozen zero-days. Maria Varmazis joins us with the latest from the T-Minus space cyber podcast. Researchers roll their eyes at ransomware reassurances. Remember to leave us a 5-star rating and review in your favorite podcast app. Miss an episode? Sign-up for our daily intelligence roundup, ⁠Daily Briefing⁠, and you'll never miss a beat. And be sure to follow CyberWire Daily on ⁠LinkedIn⁠. CyberWire Guest Today we are joined by Maria Varmazis, host of T-Minus: Space-Cyber Briefing, talking about the evolution of the show. Join us on Sunday, May 17th for the first episode of T-Minus and tune in each Sunday for new episodes.  Selected Reading ⁠Microsoft Reports Severe Zero-Day Flaw in On-Prem Exchange Servers⁠ (Infosecurity Magazine) ⁠OpenAI Hit by TanStack Supply Chain Attack⁠ (SecurityWeek) ⁠Mustang Panda Linked to New Modular FDMTP Backdoor⁠ (BankInfo Security) ⁠TeamPCP hackers advertise Mistral AI code repos for sale⁠ (Bleeping Computer) ⁠What's Next for the Proposed HIPAA Security Rule Overhaul?⁠ (GovInfo Security) ⁠American Lending Center Data Breach Affects 123,000 Individuals⁠ (SecurityWeek) ⁠Why AMOS matters: The macOS malware stealing data at scale⁠ (SOPHOS) ⁠Inside the Underground Market That Unlocks Stolen iPhones⁠ (Infoblox) ⁠Windows 11 and Microsoft Edge hacked at Pwn2Own Berlin 2026⁠ (Bleeping Computer) ⁠Nobody believes the 'criminals and scumbags' who hacked Canvas really deleted stolen student data⁠ (The Register) Share your feedback. What do you think about CyberWire Daily? Please take a few minutes to share your thoughts with us by completing our ⁠brief listener survey⁠. Thank you for helping us continue to improve our show. Want to hear your company in the show? N2K CyberWire helps you reach the industry's most influential leaders and operators, while building visibility, authority, and connectivity across the cybersecurity community. Learn more at ⁠sponsor.thecyberwire.com⁠. The CyberWire is a production of N2K Networks, your source for strategic workforce intelligence. © N2K Networks, Inc. Learn more about your ad choices. Visit megaphone.fm/adchoices

You didn't start your practice because you love spreadsheets. You started it because you wanted to help people. In this episode, I sit down with James Childress, CPA, and founder of CAC Advisors, a financial advisory firm built specifically for therapy practice owners. James's perspective is one I hadn't heard framed this way before: the revenue cycle starts at the inquiry, not the invoice. That first phone call, that first contact form; that's already a financial decision. Most practices are treating it like admin, and it's costing them. He breaks down his wish list vs. strategy filter, three green lights you can check today even if your books aren't perfect, and why the financial decisions that matter most happen before you ever send a bill. Links: CAC Advisors, financial guidance built for mental health practice owners SimpleIntake, all-in-one mental health CRM with a 24/7 AI receptionist Therapy Intake Pro, done-for-you intake coordination with US-based, HIPAA-trained specialists

We all know that social media is messy. In this episode, we explore two questions that have been taking up space in my brain lately:How much pseudoscience is spread by respected therapists with HUGE platforms, even amongst fellow therapists (think: psychologists with longstanding bestsellers)How harmful we are to each other in the comments. Why do we dogpile on each other so hard? Why are therapists just as culpable of piling on each other? Is speaking to each other this way online effective? And importantly: is there a better way?Thank you to Loretta J. Ross' for her work on Calling In - links to her work referenced below!Thank you to Paubox for sponsoring this episode. Paubox makes HIPAA-secure email easy and streamlined. Check them out here:https://bit.ly/pps_paubox_spotify*Get $250 off your first year with Paubox with coupon code "SKILLS"*Bonus Deal:* If you add the Paubox badge to your website you get an extra $100 off your first year - that means you can get your whole first year free if you apply both deals!Links Mentioned:Loretta J. Ross' TED Talk: "Don't call people out -- call them in”https://www.youtube.com/watch?v=xw_720iQDss&t=850sLoretta's book: "Calling In: How to Start Making Change with Those You'd Rather Cancel"https://amzn.to/439WHfC(this is an affiliate link)Article: "Addressing misinformation about mental health with patients”https://www.apa.org/topics/journalism-facts/misinformation-mental-healthArticle: "An experimental online study on the impact of negative social media comments on anxiety and mood”https://www.nature.com/articles/s41598-025-10810-8Article: "Online disinhibition mediates the relationship between emotion regulation difficulties and uncivil communication"https://www.nature.com/articles/s41598-024-81086-7Article: "The online disinhibition effect”https://pubmed.ncbi.nlm.nih.gov/15257832/Article: "Calling IN: A Less Disposable Way of Holding Each Other Accountable”https://www.bgdblog.org/2013/12/calling-less-disposable-way-holding-accountable/LINKS:*Some links are affiliate links. A percentage of purchases come back to me and help my channel immensely!

Special discounts up for AIE Melbourne (LS discount) and AIE World's Fair (group discounts up to 25% - CFPs still open for Autoresearch and Vertical AI) Cya there!Abridge did not start as an “GPT wrapper”. It was founded in 2018, years before the Cambrian explosion of AI application layer companies. OpenAI launched ChatGPT publicly on November 30, 2022 and by then, Abridge had already spent years doing the unglamorous work of building trust for one of the highest context, most important workflows in healthcare: the conversation between a patient and a clinician.Abridge's original wedge was clinical documentation. Listen to the visit, generate the note, reduce the clerical burden, and let clinicians spend more time with patients instead of the EHR. By focusing on how doctors actually document, how health systems actually buy, how EHR integration actually works, how clinicians verify outputs, and how missing context during a visit turns into downstream friction across billing, prior authorization, quality, and follow-up, the adoption of LLMs became a force multiplier on a workflow already optimized for sensitive context gathering.The company has scaled fast: Abridge says it is projected to support 80M+ patient-clinician conversations this year across 250 large and complex U.S. health systems, with support for 28+ languages and 50+ specialties. It raised $300M at a $5.3B valuation in June 2025, after a $250M round earlier that year.Today, Janie Lee and Chaitanya “Chai” Asawa of Abridge join us for another crossover pod with Redpoint's Jacob Effron (who is on the board of Abridge) to dive into how Abridge is building the clinical intelligence layer for healthcare starting with ambient documentation, then expanding into clinical decision support, prior authorization, payer/provider/pharma workflows, and eventually real-time agents that act before, during, and after the patient conversation. We go inside the product, data, infra, evals, workflow, privacy, and org design choices behind bringing AI into one of the highest-stakes enterprise environments from 100M+ medical conversations and specialty-specific evals to real-time alerts, EHR integration, de-identification, clinician-scientist teams, and why healthcare may solve some of the hardest AI problems first.We discuss:* Why Abridge started with clinical documentation, “pajama time,” and saving clinicians 10–20 hours a week* The transition from ambient scribe to clinical intelligence layer: save time, save money, and save lives* Why conversations between patients and clinicians may be the most important workflow in healthcare (patient visit summary feature)* Chai's “healthcare-coded Glean” framing: context is king, but healthcare raises the stakes on safety, evals, and rollout* Why Abridge wants AI to feel like “air conditioning”: always in the background, but only interrupting when it truly matters* The prior authorization example: turning a denied MRI weeks later into real-time guidance while the patient is still in the room* Why payer policies, EHR data, medical literature, and hospital-specific guidelines make the problem hard, and also create the moat* How Abridge thinks about ambient form factors: mobile, desktop, in-room devices, nursing workflows, multimodality, and future AR* The multi-sided healthcare customer: CMIOs, CFOs, CIOs, clinicians, patients, payers, and pharma* The hardest AI problem at Abridge: high-quality, low-latency, low-cost real-time support in a high-stakes clinical setting* When Abridge uses frontier models vs proprietary models, and why its unique data from medical conversations matters* Why “every agent is a coding agent underneath,” and how the EHR can be thought of as a filesystem for healthcare agents* How Abridge approaches personalization across individual doctors, specialties, and health systems* Why “AI slop” is AI without context, and how edits, memories, and clinician preferences create a data flywheel* Abridge's eval stack: LFDs, LLM judges, in-house clinicians, third-party evaluators, specialty-specific evals, and progressive rollout* HIPAA, PHI, de-identification, one-way anonymization, customer contracts, and learning from healthcare data safely* What changes when you operate at 100M+ conversations: reliability, cost, post-training, model routing, and infrastructure optimization* Why the same clinical conversation can serve doctors, patients, payers, pharma, and future clinical-trial workflows* How Abridge works with EHRs, and why deep interoperability is table stakes for clinician adoption* Why healthcare AI has regulatory tailwinds, why 80/20 does not work here, and why high-stakes domains may drive AI forward* Why Abridge embeds “clinician scientists” into product and eval teams* What Chai learned from Glean about search, quality, and durable AI infrastructure* Why the future of AI infra may look like context layers, event-driven systems, Kafka, Temporal, sockets, CRDTs, and tools built for humans* Why Janie changed her mind on “PRDs are dead,” and why crisp written clarity matters more in complex AI products* How Abridge uses Claude Code, Cursor, and coding agents internallyAbridge:* Website: https://www.abridge.com/* X: https://x.com/AbridgeHQJanie Lee:* LinkedIn: https://www.linkedin.com/in/janiejleeChaitanya “Chai” Asawa:* LinkedIn: https://www.linkedin.com/in/casawaTimestamps00:00:00 Introduction and what Abridge does00:02:05 From ambient documentation to clinical intelligence00:04:04 Clinical decision support and context as king00:06:57 Alert fatigue, proactive intelligence, and prior authorization00:12:36 Ambient AI form factors and healthcare customers00:16:59 The hardest AI problems in healthcare00:18:26 Frontier models, proprietary data, and model strategy00:21:07 The EHR as a filesystem for agents00:24:03 Personalization, memory, and clinician preferences00:30:40 Evals, LLM judges, and progressive rollout00:36:47 HIPAA, de-identification, and privacy00:39:21 100M conversations and operating at scale00:44:10 EHR integration and the clinical intelligence layer00:46:39 Healthcare regulation, latency, and high-stakes AI00:50:11 Clinician scientists and long-tail quality00:53:04 Lessons from Glean and durable AI infrastructure00:57:03 The future of agentic healthcare workflows00:57:34 PRDs, product clarity, and building serious AI products01:03:11 AI coding tools at Abridge01:04:06 OutroTranscriptIntroduction: Abridge, Clinical Intelligence, and the Latent Space x Unsupervised Learning CrossoverSwyx [00:00:00]: Okay. This is a special crossover Latent Space Unsupervised Learning pod.Jacob [00:00:07]: Very excited to do this.Jacob [00:00:08]: At this point, we get together once a year.Swyx [00:00:10]: Once a yearJacob [00:00:11]: And this is a fun occasion to get to do it on.Swyx [00:00:13]: I really wanted to talk to Abridge but I felt very underqualified because healthcare is not something we cover very intensely. It just so happens that Redpoint's our big investors and supporters of Abridge.Jacob [00:00:27]: Anytime you want to have a portfolio company on your podcastJacob [00:00:29]: Please, by all means.Swyx [00:00:31]: So we'll introduce our guests. Chai and Janie, welcome to the pod.Janie [00:00:34]: Thanks for having us.Chai [00:00:35]: Thank you.Janie [00:00:35]: We're excited to be here.Chai [00:00:36]: Thank you.Swyx [00:00:36]: So for listeners, what do you guys do, just to situate you guys in the company?Janie [00:00:42]: Abridge is a clinical intelligence layer for health systems. We really started with documentation and building for clinicians and as we think about reducing the burden that clinicians have, they're spending 10 to 20 hours a week on documentation. There's a massive doctor shortage in the country. We also think that conversations between patients and clinicians are probably the most important workflow in healthcare. It's where care is given and received but if you think about the 20% of our GDP that goes towards healthcare, almost everything is a derivative of that conversation, whether it's the claim, the payment, the actual diagnosis given, the treatment. And we've started with a conversation to reduce the burden for doctors on documentation but we're really excited about the path ahead as we become this broader clinical intelligence layer.Chai [00:01:34]: I'm Chai. I work on clinical decision support at Abridge.Swyx [00:01:37]: Yes.Chai [00:01:37]: And so as Janie said, we're uniquely situated where we started off with the clinical note. What I'm really excited about and where we're expanding towards is what are all the things you can do before the conversation, during the conversation and after the conversation if you did have access to all the context about patients, payer guidelines, medical literature and put that together and to serve, how healthcare could look fundamentally different.Swyx [00:02:01]: And that's the context engine that you guys have?Chai [00:02:04]: Yes.Swyx [00:02:04]: Is that what it's called? Okay.Swyx [00:02:05]: So historically, as I understand it, the company started in 2018. A lot of people would be familiar with the AI voice notes form factor that doctors would be “Well, do you consent to being recorded?” It replaces handwriting and what have you. But it sounds like more recently there's been a big transition in the company. Tell me about the broader transition.From Documentation to Clinical Intelligence: Save Time, Save Money, Save LivesJanie [00:02:26]: So from a transition perspective, we really think about our journey as The first act was: how do we help save time? And that's where a lot of that original product was.Swyx [00:02:37]: By the way, one of those interesting statsSwyx [00:02:39]: On your landing page was, doctors spend time after hours.Janie [00:02:43]: They call it pajama time.Swyx [00:02:44]: Why is that pajama time?Janie [00:02:46]: Doctors after work in their pajamasSwyx [00:02:48]: In their pajamas. OhJanie [00:02:49]: At home are just writing and catching up on their notes every day.Janie [00:02:53]: Some of our favorite customer love stories, we have a Slack channel called Love Stories. We have clinicians telling us, “Abridge has helped us, from retiring early or we're now finally able toJanie [00:03:06]: go home and eat dinner with our kids for the first time.”Chai [00:03:08]: Save the marriage in some cases.Swyx [00:03:10]: One of the quotes was “We're not divorcing anymore.”Swyx [00:03:12]: I'm asking, “Why?”Swyx [00:03:14]: Because they're working too much.Janie [00:03:16]: But, in terms of where we're going and where we're expanding, we really think about our second and third acts around how do we help health systems save and make more money. Health systems are operating with record-low operating margins. It's getting harder and harder to serve patients and they have regulatory, some tailwinds but also a lot of headwinds coming their way and AI is ripe for helping on the saving and make-more-money piece. And then ultimately, how do we help save lives? The fact that our software and our product is open millions of times a week before, during and after a patient walks in the room, gives us massive opportunity with products like clinical decision support, which Chai is building but so many others to improve patient outcomes and probably one of the most important workflows and problems to be going after right now.From Glean to Healthcare: Context Is KingJacob [00:04:04]: One thing that's interesting, Chai, is you came over to Abridge from Glean and clinical decision support, which for our listeners is, in the context of a visit, helping a doctor figure out the right type of care. It's really a search problem in many ways, going through lots of different data sources. Very analogous to your previous role as one of the earliest engineers over at Glean. I'm sure a lot of our listeners are curious what's similar about the problems that you're going after now and what feels different, now that you're in healthcare.Chai [00:04:33]: Very similar. Taking a step back, with every wave, there's a lot of very similar patterns that happen across different products. A lot of social networking products look the same. A lot of credit-based products look the same. And we're seeing that very similar in the agent era with many companies, of course, in Redpoint's portfolio and so forth. And the key insight between both companies is that you have amazing models but context is king. Context is what puts them to work. So I see it in a lot of ways, a lot of similarities in this is a healthcare-coded version of Glean but the differences are really interesting. A couple things that come to mind. First and foremost, the rigor of the setting we're in. The downside risk is extremely high here in healthcare. It can be fatal in some cases. You prescribe something that the patient is allergic to for example. Whereas at Glean, it's “Oh, you got the question wrong.” It wasn't the end of the world in most cases. And so what does that mean? That shapes our evaluation strategy, both offline evaluation, progressive rollout and there's a lot more we could go into there. Second thing that comes to mind is, vertical versus horizontal. In both cases, there's a large variance but when Glean is, it's a much more horizontal company, there's a variance of personas, companies that you're working with. We also have a variance of personas, different types of specialties, different hospital systems. But the variance is a little more narrow. So from a product perspective, you're able to focus far more, especially when you have a maturing technology and you're building new products that never existed before. It lets you go after them much more easily and especially in healthcare where so many problems were solved with labor and process, that it's extremely ripe for AI to keep helping augment and enable. And the final thing that's really interesting, Abridge specifically compared to many other companies in the AI area, is the modality we started with where we're ambient and we're always listening in the background. And many more AI products will go that way but it's how we started. And that's the greatest form of AI we can create, AI that's seamless. You're not looking at your screen. It's always there. It's always helping you out and being proactive. The Jarvis vision that, every hackathon I went to over the past decade, there was always a Jarvis competitor. But Abridge very much started from the opportunity and continues to go that way.Ambient AI and Alert Fatigue: When Should the Product Interrupt?Jacob [00:06:57]: One thing that is super interesting then from a product perspective is you have this always-on seamless in the background and then you have to decide when you break the wall almost and say, “Hey, clinician, you might not have thought about X,” or whatever it is that you want to do. And in healthcare traditionally there's been this idea of alert fatigue and a million pop-ups and then a doctor just ignores all of them. It's probably a pattern that a lot of builders are thinking through now. How do you think about the right way to intervene or to pop up in a doctor visit?Janie [00:07:26]: It's such a good question. Alerts are notorious in healthcare specifically. Over 90% of alerts are ignored. The first and most important thing is context is everything, as Chai alluded to and I also think about how do we go from being reactive alerting to really proactive intelligence at the point at which it matters most. One thing we like to say is we want our product to feel like air conditioning. It should be in the background just making things better and if there is something that has great clinical risk and we're acutely aware that intervening now and not later is incredibly important, we should decide to act. But if you think about proactive versus reactive, instead of alerting a clinician during a visit when they're with their patient having a pretty serious and sensitive conversation, how do we prep a clinician before they walk into the room with that patient? And so historically, clinicians might have to manually go through charts with a patient that they've had over the course of months or years and they'll try to suss out what are the things they should be doing. You can imagine a world with Abridge. We'll summarize all of the most recent context for you, tell you based on the reason for a visit the patient is coming in for the types of things you should be discussing. And so you're going into that conversation prepped rather than walking in cold to that patient visit and then having this product interrupt you five or 10 times throughout the visit. And there might be times where it's really important to interrupt. We have a product called Prior Authorization and so this is when you may go into a doctor's office with knee pain. They'll prescribe you an MRI and so many of us have had this experience before, where in four weeks you'll get a call saying, “Hey, Sean, that MRI that you were prescribed wasn't approved and why don't you come back in? We'll figure it out.” In a world with Abridge, we might choose to quietly but still alert a doctor in that visit. And alert is probably not even the word we would want to use. Before a patient leaves, we would want to tell the doctor, “Hey, Doctor, before Sean leaves, you should ask him, has he had physical therapy and has his pain lasted for more than six weeks? Because the Aetna plan that he's on in California requires six things. We've already confirmed four of them have been met ‘cause we have all the context. But these two last criteria, if you can address with Sean before he leaves the room, we could guarantee that your MRI is approved before you leave.” And so when you think about clinical usefulness, impact to the patient, there are instances in which if we can catch a doctor while the patient is still in the room, as we think about save time, save money, save lives, we get to check all of those boxes. But when doctors have 15 minutes between visits, we have to be really thoughtful about when it matters.Prior Authorization: Reducing Latency in CareChai [00:10:23]: There's this interesting product opportunity AI has is reducing latency in the world. For example, prior authorization is an example of where care gets delayed and so great AI can reduce that. And the problem with alerts before partially is a technical problem: the quality of your alerts really matters. They're going to get ignored if you get alerts that... Similarly in engineering, where they're noisy alerts that you can't act on. But if you can make really high-quality alerts with both the context, as Janie said, and really high-quality models, then you can create a whole other game.Janie [00:10:53]: And I really like that experience because it starts to tease apart, what makes this so hard and unique. One, to make that prior authorization example possible, think about all the data that you need to have. You need to integrate with the electronic health record to know all of the patient context. Do we have access to your previous labs, previous imaging? And then to match you and to know that you're on Aetna, we have to collect all of the different payer policies and they vary by state. Some of these payer policies live on websites. Some of them live in unstructured 50-page PDF files.Jacob [00:11:31]: I thought this episode wasJacob [00:11:31]: To make sure we didn't scare people from healthcare.Janie [00:11:34]: But when you think about the things that make it hard, it also gives you the moat.Janie [00:11:39]: And then the second is the AI and the model quality we need to be able to hang our hat on. And so the bar, similarly when I worked at Opendoor, I worked on pricing models. Every outlier wiped out the margins of 30 and so similarly here in healthcare, the bar for accuracy is so high. And then I'd say the last is workflow is everything. If insurance companies deploy AI, it typically happens too late and this is when you have the notorious comical examples of AI just fighting each other when it's too late. But if we can pull forward the use of both the AI but also the ability to solve problems when the patient's in the room, you can start to collapse what typically takes weeks or months after your visit, ideally down to minutes or real-time. And it's where healthcare is both very difficult but also extremely rewarding if you can crack it.Product Form Factors: Mobile, Desktop, In-Room Devices, and ARSwyx [00:12:36]: Just to get some baseline on the form factors, because I've seen some videos on your website and stuff. You guys talk a lot about ambient AI. Is it primarily on the phone? Is there any other form factor that people get Abridge in? Is there an Abridge room setup where it's always on? I don't know.Jacob [00:12:55]: An Abridge podcast studio.Janie [00:12:58]: Primary form factor is mobile and desktop. UsuallyJanie [00:13:00]: Clinicians are walking in and out of rooms with mobile but at the end of the day, when they're closing out their notes or wanting to prep for the day ahead, they might use desktop. We have been having a lot of really interesting partnership conversations with a lot of these in-room device companies as you think about the power of multimodality and even more data, as you think about all of what is not captured today. It is fascinating to think about, especially even as we go into building and scaling our nursing product. It's one where nurses constantly, as they're walking in to check in on a patient for two minutes or maybe even 30 seconds,Janie [00:13:43]: Starting an Abridge experience is probably going to take longer than the visit. And so what can we do with in-room devices that are always on starts to raise really interesting and fun product questions.Swyx [00:13:54]: I was thinking, the way in tech companies we have all these Google MeetSwyx [00:13:58]: And other things, we might as well set up entire rooms with just Abridge tech.Chai [00:14:02]: Very much. AR glasses and related form factors are also relevant: how do we bring the information to the clinician in real-time without a screen, while still letting them focus on the patient?Swyx [00:14:18]: Do you think they want that? I'm skeptical of AR, but I'm curious what you've tried.Chai [00:14:26]: Admittedly, it's not a near-term product roadmapChai [00:14:29]: By any means. I'm being far-fetched.Jacob [00:14:31]: There's some sick AR stuff for surgeries.Swyx [00:14:33]: Really?Jacob [00:14:33]: When people are trying to visualize, you're about to make an incision but you want to see, what the cut might look or what the body might look like inside and they can layer in imaging.Swyx [00:14:43]: That's cool.Chai [00:14:45]: At some point in the future.Janie [00:14:46]: But there are a lot of our largest customers and at the largest health systems integrating already and so even as we think about building into it, unlocks a lot of product capabilities.Swyx [00:14:57]: And just to establish the terminology. Sorry, and I know I'm asking basic questions somewhat for myself but also for the audience who might beHealth Systems, Buyers, Clinicians, Patients, and PayersSwyx [00:15:05]: Less integrated. When you say health systems, it's like the Johns Hopkins, the Kaiser Permanentes.Janie [00:15:09]: Mayos, the Kaisers of the world.Swyx [00:15:10]: These are your customers, right? And the outcome that you deliver for them is happier doctors, reduced cost of processing, reduced mistakes. It's weird in a sense that I feel like there's also, a secondary customer, the customer of the customer and I don't know if you — do you think about it that way?Janie [00:15:28]: The other interesting and complex part of building product is we have our buyers, who are the chief medical information officersJanie [00:15:39]: The chief financial officers, the CIOs of these large health systems. Our users today are clinicians but if you think about who downstream is impacted, it's patients. And so as we build, with every product in mind, we think about who we're building for, who the secondary user is and what does that mean either in terms of experience, security compliance, ROI that we have to make tangible. And so like you said, time savings is one of them. But for CFOs, they care a lot more than just time savings. We have to show for every dollar you put into Abridge, because you have more compliant documentation or because you have fewer queries coming from your billing team, we save or add real dollars to your bottom line or top line, are things that we're constantly thinking about because of the dynamic across all three sets of users.Chai [00:16:32]: There's a whole other axis too with the payers and pharmaChai [00:16:35]: as well. Connecting all these three big stakeholders in healthcare isSwyx [00:16:39]: Do the payers ever see your data? Sorry, the payers meaning the insurers, right?Chai [00:16:44]: Yes.Swyx [00:16:44]: They also see Abridge data?Chai [00:16:47]: NoSwyx [00:16:47]: Like the direct integration to you guysChai [00:16:48]: They wouldn't see the raw Abridge data but when you're working together on something like prior authorization, whatever information they need, we'd communicate to them.Jacob [00:16:59]: That's cool. I would love to dig into the AI side. You still have a lot of problems on the AI side. And so maybe to start at the highest level, what's one of the hardest problems you have to solve in AI at Abridge today?The Hardest AI Problems: Quality, Latency, and CostChai [00:17:11]: To make things simple, let's take, building off the prior auth example. So one thing Janie talked about is okay, this data is all over the place and there's this combinatorial explosion of procedures, payer policies and even sometimes different health systems. There can be some cross-product of all of these different considerations you have to take into account. But what's really hard about this problem is doing it real-time in the conversation. So, in any AI product, usually the three KPIs you care about are quality, latency and cost. Now, what we're saying is we want you to do this real-time in the conversation, guiding the clinician. How do we do it in a way that does not break the bank? But we're using — But we also need very intelligent models because you're working with this cross-product of data and this, all this context layer as well. So you need high intelligence and high-quality because you don't want the alert fatigue but you also need to be fast and cost-effective. And so that's where a lot of clever engineering goes. It's okay, without getting into all the details here, can you model these policies in some intermediate representation or other things that you can do that can make this problem tractable? And of course, the Pareto frontier is always changing but we are also trying to do this now.Model Strategy: Third-Party Models, Proprietary Data, and Medical ConversationsJacob [00:18:26]: What implications has that had for what you take off-the-shelf and say, “ what? We don't need to be world-class at X. We'll just take this from the model providers or from some infrastructure player,” and what you're “No, this is where we spend most of our time focused on”?Chai [00:18:38]: This is, the fun challenge in AI?Jacob [00:18:42]: It changes every three months? SoChai [00:18:42]: Of course, with the shifting landscape, we try to be extremely thoughtful on predicting the trends of where third-party models are going and where we can uniquely go. And, sometimes when you talk about AI models, we're the models are just going to get infinitely better. But I don't think... It may be in the grandness of time you could say that but, within every month, every quarter, there's specific ways they're getting better. They're training on a lot more, coding data to be better coding agents, for example. And soChai [00:19:14]: We have to think about where are the things that won't — unique data that we're uniquely training on or to step back a little, where is a proprietary model bringing advantage to us is if it can give higher quality or lower cost and latency for similar quality, very similar to many other companies. And when we can do that is when we have proprietary data. So, for example, we have on the order of eighty million or hundreds of millions now getting close to of medical conversations.Jacob [00:19:44]: It's insane.Chai [00:19:45]: This is a unique data set. And this data set, it's very interesting because this data set is effectively a large part of the trace between the patient and the provider. That's where the quote-unquote debugging happens in healthcare. We have these traces at scale, as in as, our CEOs even called it, an exhaust that comes out of our product. And so when you have these traces, that's how you can train better agents on certain use cases, whether it's your transcription diarization use cases or so on or like note generation models and we can do that much cheaper and faster. But we're always also working with these third-party model providers. We closely collaborate with them and that's how we predict where the trends are going. The thing that I think about a lot is that, I know that the model providers are going to train much more on agentic workflows and so forth, so that's great, so that you have a better agentic harness. But the other thing that's interesting is that the model providers, because a large class of the consumer model providers is healthcare queries, that they might, optimize to train a lot of healthcare data to encode the knowledge in its weights. And this is just a great thing for us as well, where the off-the-shelf models can keep bett-getting better at general healthcare information, such that what our strategy is, we have a constellation of models, we can use something for this, that and, we only care about, at the end of the day, the best product experience.EHR as File System: Agentic Workflows and Real-Time InterfacesJacob [00:21:07]: And, you have, overall capabilities improving. I'm curious, as these models get better, is there something you look at and you're “, three months ago, we really couldn't do that but God, the the latest models really allow us to do it”?Chai [00:21:19]: So here's something interesting that I've, been toying with. So all models are... This wasn't super obvious a year ago but now it's become clear and clear that almost every agent is a coding agent underneath the hood? So you give it whatever file system, it can write its own code and so forth. So when you think about within healthcare and the use case that we have, you can think of the EHR effectively like a file system. It's just — it's a storage of all this information. It's a lot of information there that cannot fit into the context window, at least of today's models and you want to use that context effectively for all these product use cases we're talking about. And so if you have better agents that can, manipulate data, read that data, treat it as a file system as we see they're going and we know model companies are investing this way, then that very directly benefits us.Swyx [00:22:09]: Yeah. Okay, cool. Again, just establishing basic things. But we're going back to the model stuff. I'm really interested in double-clicking more on the real-time, element, which is pretty important for both of you. Is it — Is real-time just batches of every one minute, every five minutes? Is that how we do it? Or is there some more native, genuinely real-time in the sense that OpenAI has a real-time API or Gemini has a real-time API?Chai [00:22:35]: Yeah. Yeah. So today it is more on the on the batch basis but there's interestingChai [00:22:41]: Prototypes that we have that we're still not fully, full time, voice in text out or in that sense. But, can you trigger your models, your agents or agentic workflows, depending on the right times in the conversation?Chai [00:22:58]: And so you can imagine, different techniques to bring this latency down and, you want to bring the feedback loop down as much as you can. And so a lot of clever engineering there without fully... Maybe one day we'll do full voice in and text out, train a model to do something like that.Swyx [00:23:15]: You do — People don't want voice in voice out?Chai [00:23:18]: Now we aren't creating experiences that are, during the conversation, inter — It's almost likeSwyx [00:23:25]: Might be too disruptiveChai [00:23:26]: Too disruptive until, who knows, maybe eventually you could have full voice agents once we — the quality and we improve the comfort of the technology. But right now gra — that change is much more gradual and it's more text focus, text out.Janie [00:23:42]: And so much of currently what our product is trying to do is allow a clinician to focus on their patient and maybe at some point but right now patients, clinicians don't want a third voice, at least in a literal voice in that room. And so how do we be there with all the contacts and information ready at hand when there's the right moment?Personalization: Individual Doctors, Specialties, and Health SystemsJacob [00:24:03]: Jenny, one thing I'm curious about is how you think about, personalization in the product. I imagine, every doctor is a special snowflake in their own way, has their own way they like to do things. There are probably a bunch of different approaches you could take to doing that, both within the model layer itself but then also just with clever prompting or engineering. How do youJacob [00:24:20]: Deliver on that?Janie [00:24:21]: It's such a good question. Personalization is massive for us. We think about personalization at three levels. The first is at the individual, the second is at the specialty level and then the third is at the health system or the organization level. To your point, there are a lot of individual preferences. You-When a note is produced, it almost is a reflection that is so deeply personal of a doctor's work and how they give care. And so do they have preferences on things like style? They might want bullets versus paragraphs, really concise versus comprehensive. They also might have phrases that they really like to use or the templates that they want every note to be structured. And, we see it in our feedback all the time. We want two spaces in between sentences or I refuse to use this tool. And so that's something that we've had to build in. And the tricky part is how do you make sure that stylistic preferences don't interrupt accuracy and quality and that's something that we've really had to refine and hone over time. Second is at the specialty level. A cardiologist note or workflow is going to look very different from a dermatologist workflow.Jacob [00:25:32]: I assume cardiology notes are the highest stakes for you guys, given your CEO is a cardiologist.Jacob [00:25:36]: It's “Oh my God, make sure we get this one.”Janie [00:25:37]: Shiv, our CEO, is still a practicing cardiologist. He rounds once a month. And so, first call when we want just quick and easy user feedback too.Janie [00:25:46]: But, specialties require a lot of personalization, both in terms of what does the product look and so we make sure that as new users onboard, we catch that and the product proportionally reflects that. But also on the back end, evals at the specialty level, they are hard-earned to calibrate and get. What does a really great dermatology note look like? What makes it complete? What makes it compliant and billable is very different than a primary care doctor. And so it's not just about what does the product experience look but on the back end tuning and really deepening our understanding for the specialists. What does great output look like? And that's, a problem that we need to calibrate internally, externally, online, offline but, takes lots of cycles but is necessary in a high-stakes environment. And then at the health system level, for products like clinical decision support, you have health systems who've spent years or decades refining their best practices and they want to know, “Hey, we love your clinical decision support product but how do we embed our own hospital guidelines into them to inform clinicians before, during or after a visit what brest — best practices should look like?” And as you think about, deepening moats as well, when health systems, trust us with that data, allow us to productize it and directly into the clinical workflow, makes us a really great partner to health systems who want to build something that truly meets their needs, their practicing guidelines.AI Slop, Memory, and Product Data FlywheelsChai [00:27:23]: And I want to add onto that. The for the clinical documentation problem, it's very similar to AI writing that doesn't feel like your own and then we call that slop. But the way I describe one framing of slop is like AI without context. But we have all that context and both the clinicians, can have it and can guide it. And so part of the other interesting exhaust for us is, memory is, one of these new systems recordsChai [00:27:49]: Almost.Janie [00:27:50]: And we also have all the edits people make on our product and when you think about a data flywheel and how we get better over time becomes really powerful as a mechanism to just going deeper in personalization.Jacob [00:28:04]: It's interesting. I love this idea of working with systems on the guidelines they built up over a long time. I feel like so many of the best AI app companies today are... The question is: How do you take the expertise that a law firm or a bank has built up over many years and then add that as context and also a special sauce over, a an AI tool? And so seems like y'all are really doing that very effectively.Janie [00:28:24]: We're now starting to have our customers ask, “What are other customers doing?”Janie [00:28:28]: “And how are they doing it?”Janie [00:28:30]: And as we think about having visibility across such a large set of care being delivered right now, a really interesting place we could also partner.Swyx [00:28:40]: I'm just curious. I — This may be a nothing question but, how different are health system guidelines from each other? Don't they all converge to the same thing? And if not, where do they differ?Chai [00:28:52]: At a really high level, they're going to talk about very similar things but the difference is probably in some more of the details. “Oh, you should refer to specialists only when XYZ conditions are met,” or so forth and maybe different organizations have different practices and guidelines around that. But high level, talking about similar things but the details are what, of course, that shapes the context and the decisions you make.Swyx [00:29:15]: And this all goes into the context engine and it might affect the notes but maybe not.Chai [00:29:21]: The — For these local pathways, we're definitely thinking about it a little more for our clinical decision support product.Chai [00:29:26]: So yeah.Swyx [00:29:27]: Which is your stuff, yeah.Swyx [00:29:28]: And then the memory which you raised, let's just tell us more about that. What have you tried in memory? What's the structure of the memory? What works? What doesn't work?Chai [00:29:38]: There's, of course, many different ways you could do memory, where it's okay, can you bake it into the model weights or can you do it in some external store? For us, what's interesting is, of course, when you think the models are rapidly changing, whether it's in-house or third-party, baking into the model weights, sometimes you worry that it could be a little throwaway. And so, how do you... You need to find a way that you decompose the problem, the preferences from the underlying models and so forth. The thing we're right now most both that's easiest to start with and we're excited about is having, a separate store for memory, where you have, for example, a memory sub-agent that's, working in the background, figuring out what are the important parts of the clinician's actions that we want to remember for the long term. And then you can also imagine, other things where in the — you have background jobs that are running that are collating these, memories similar to Sleep, of course and what other pattern, patterns products do as well. Learning over all these action, all the action data we have, again, note edits, the conversations they did and the actual transcripts.Evals: LFD, LLM Judges, and Clinical SafetyJacob [00:30:40]: What about evals? How in the world do you... It is such a complex product surface area. We would love to hear you riff on that and also how has that evolved? I'm sure you've gotten better at it, so any learnings along the way.Janie [00:30:50]: From an evals perspective, we, from day one when we build any new product or feature, we think about, what does good look like? And there are table stakes things like clinical safety but then you start to get deeper into what does good quality look like. And when you go into something like our core product, there's stuff like style and completeness and there's things like does this note become something that can be billable, which is very high stakes for a health system. We have a number of ways in which we get confidence for this. We have, internal in-house clinicians who do what we call an LFD process to give us our very first pass at is this or isn't this a good enough output, look at the effing data.Jacob [00:31:41]: LFD?Chai [00:31:42]: That's why I was smiling. I was “Is Janie going to mention what it stands for?”Jacob [00:31:46]: I was not... There's like a million acronyms.Jacob [00:31:48]: How am I supposed to know that I don't? So “Oh yeah, of course, an LFD.”Swyx [00:31:51]: I've never heard of LFDs.Chai [00:31:53]: It's a bridge for sure.Janie [00:31:55]: I got through three days and then I had to ask someone.Janie [00:31:58]: I thought it was just me that didn't knowJanie [00:32:01]: It's our internal process.Swyx [00:32:02]: But look at the data as a meme in ML, ‘cause you tend to not look at it. You just want to look at number go up.Chai [00:32:06]: Exactly.Swyx [00:32:07]: But yes.Janie [00:32:08]: But so, we make sure we look at the data and then as we think about all of the components of good output, we, one, create LLM judges across all of these and we make sure with annotated data and either internal or external evaluators, we feel like these judges are calibrated. And then depending on the stakes, we also work with in-house and third-party evaluators across all of these before we ship any big change. And the goal is, in terms of evolution, how do you go from this process taking months, down to weeks, down to days? Some of it is, a true science and ML problem. A lot of it's also just, hard operational work. Have you planned ahead in terms of what you need? Have you really optimized the capacity that you need across all of the different specialties you need? Have you gotten a really good sense of which third parties are great to work with for what use cases? This takes a lot of domain, expertise and, lots of mistakes and errors in figuring that out. And so as much of it is an ML problem, so much of it has also been operational gains that are hugely important, where domain-specific expertise is everything.Specialty-Level Evaluation and Progressive RolloutsJacob [00:33:23]: But it's funny, ‘cause I feel like people talk about healthcare like it's one giant market and the reality isJacob [00:33:26]: It's, dozens and dozens of sub-markets. And so it feels like in your evals you have to build that up across the board, probably.Swyx [00:33:34]: And is specialization the primary cardinality at... That's the word that comes to mind.Janie [00:33:40]: Sometimes, depending on the product or the use case. And so if we're making a note improvement or feature for a particular specialty, definitely but we have products that are for nurses. We have products that, are really aimed at making the document or the output a lot more billable. And so we'll want to work with coding teams and not necessary clinicians. And so likeJacob [00:34:05]: Coding meaning healthcare coding.Janie [00:34:06]: Yes. Yes.Jacob [00:34:07]: NotChai [00:34:07]: Yes. I see you.Swyx [00:34:07]: Other kinds.Janie [00:34:09]: But is this output proportional to the work that was delivered? Is there sufficient documentation to justify the amount that a health system may end up charging? And so, specialty sometimes but also domain, very different across all of the different products that we're working for. And building out that network is, not easy and is where a lot of our operational investments have gone into.Chai [00:34:35]: And I view a lot of analogies to self-driving cars here, where, part of it is we really want progressive rollout of features to test in the real world is this useful? Is this going to work? One big difference compared to past lives is before I'd build a product, maybe I'd alpha it and then I'd like GA it the next week, ‘cause I'm “Go, move fast, ship,” and whatnot. But the mentality is like you... I want to make contact with the reality as quick as possible but I want a progressive rollout. Because as much as I get as large of an offline eval set, I want the distribution of that to match real-life distribution. And over time, by rolling out early, similar to Waymo has a tagline, “The world's most experienced driver,” another thing that can, at least linearly increase for us is, both the size of our evaluation offline and online, that and it all feeds back.Janie [00:35:25]: Something that's been earned over time, speaking of evolution, is just the trust we've gotten with customers. Historically, a lot of these health systems, when they bring on new vendors, their release cycles are quarters, sometimes twice a year. We've gotten our customers onto monthly release cycles, which is pretty fast for health systems but what is more exciting over the last, call it, few quarters, has been, a subset of our customers have said, “We want to innovate with you. We trust you,” and we have a pretty, decent chunk of our customers who say, “We'll develop with you outside of these monthly release cycles. We have a higher tolerance. We know that the stakes are very high but we want to be the first ones using these products, giving you feedback.” And so for a pretty substantial set of our customers, we've been able to convince them to be able to ship, in this gradual way before GA. Something we talk about a lot internally is, trust is earned in drops, earned in buckets and so we still can't do what I used to do when I worked at Loom. We had 30 million users. I'd just be, rolling out experiments left and. The bar is still quite high for iterative rollout but because of the trust we've earned, we're able to learn at pretty high volume very quickly.Privacy, HIPAA, and De-IdentificationSwyx [00:36:45]: Your scale is still pretty huge.Swyx [00:36:47]: One thing I want to... We were going to go into scale? In a sec. One thing I wanted to call up, follow up on evals, which, again, just coming from a generalist engineer point of view, just thinking through what would people be scared of in doing this, the privacy and HIPAAJacob [00:37:00]: Elements of this. I have zero experience in that. What do you have to do? What is surprisingly not that bad?Chai [00:37:06]: So one thing that's really important here from a compliance perspective is very much that any of the data we use needs to be de-identified, any real-world data we use as a basis of online eval sets we're learning from. And so you have to — And there's, very clear, government guidelines, what counts as PHI. And so we've even have built models that can take, for example, a clinical transcript and remove all the key PHI indicators and so you have a scrubbed/de-identified version. And then once you... And so one thing that's important is first you've got to get confidence in that model in the first place? And prove that out. Because, now you have, multiple probabilistic systems on top of each other.Chai [00:37:46]: But once you have that, then you can train on it use it for evaluation and so forth, provided one of the cool things also that you can do from a business side is the right data contracting as well with your partners.Jacob [00:37:57]: Is the anonymization one way? Once it's done, you cannot undo it? Or is there someoneChai [00:38:01]: YesJacob [00:38:02]: Who holds the master key that can... Yeah, okay. So it's one way.Chai [00:38:05]: It's one way. Yeah.Jacob [00:38:06]: That's how it works. I just wanted to... Because, there's a lot of this, learning from feedback and everything that, you would want to debug more but you can't because you just physically don't allow yourself to.Janie [00:38:17]: Some of it's also written in our customer contracts in terms of who can or can't access PHI data, how long do we retain it,Jacob [00:38:27]: Very goodJanie [00:38:27]: Before it gets de-identified. And so we have a pretty high bar for who can access that PHI data, just to make sure that we always respect our customer data and privacy. But that's something that we partner with our customers on too, to make sure that as we want full, as close to precision as possible in that qualityJanie [00:38:48]: We can still use it.Jacob [00:38:50]: But it'll be fascinating to see how that space evolves? Because you think about, I used to work at a company that, did a lot of healthcare data in the cancer space and if you asked, the average cancer patient, “Hey, do you want people, do you want other patients to be able to learn-”Chai [00:39:03]: Take it.Jacob [00:39:03]: “... Learn from your experience?”Chai [00:39:04]: Take it all.Jacob [00:39:05]: They're “Please.”Jacob [00:39:06]: “I'd love, nothing more than for other people to be able to learn fromJacob [00:39:10]: The experience that I had.” And so in the past it was a lot harder to do that learning. But with this technology, that might really be practical and so it'll be fascinating to see how that continues to evolve.Chai [00:39:21]: There's so much in our data set of 100 million conversations.Chai [00:39:26]: You can imagine things like insights that you can give to the clinician. How could you, oh, how could you have reacted to this? In coaching or insights around, which treatments are effective or, like... Because you have this, again, this data source that was never captured before but that's, where, intuition or experience is created from, going back to this idea that the conversation is the agent of truth.Operating at Scale: Reliability, Cost, and Token EfficiencyJacob [00:39:46]: Back to the 100 million conversations, I feel like you have this insane scale that maybe only a few other AI app companies have and everyone else dreams of. So not everyone has had to confront this yet but maybe just talk about some of the challenges of operating at that scale and what, our listeners have to look forward to if they ever get to this level of scale.Chai [00:40:05]: At large and larger in scale, so of course there's a general, infrastructure reliability. When you... In any given startup, you're building the plane while it's flying. So there's some notion of that. But what gets interesting on the AI and ML side for sure is this, as you get at more and more scale, so one, you have the data to first and foremost do this. But, you start thinking about costs or infrastructure in a whole different way at scale versus, a prototype.Chai [00:40:34]: You can use the most expensive model, you can burn as many tokens as you want but when you're doing 100 million conversationsJacob [00:40:41]: Token max on leaderboards are less upsetting than that context.Chai [00:40:45]: . When you're doing that and so that comes for we have the data and we also have the team that's able to post-train based on this and you can optimize for efficiency, especially in areas where you believe that maybe a lot of the quality headroom is less so and you don't expect the other off-the-shelf models to go that way, such that you want to do, efficiency maximization, in terms of compute and tokens.Jacob [00:41:08]: I feel like you guys live in the future in some way where most use cases today are really just in use case discovery mode, where it's “God, I really hope I can find something that can get to scale,” and so you're always going to use the most powerful model. And then the few things that do get to this level of scale, you start to do those optimizations.Chai [00:41:22]: It's a natural trajectory where it's like zero-to-one, we're not talking about any of these optimizations.Chai [00:41:26]: But when maybe we're in the one-to-100 or so forth, then we're in optimization mode and, what works out really well is you've got all this data from zero-to-one that lets you do this.What Comes Next: The Conversation as the Shared Healthcare PlatformJacob [00:41:36]: That's fascinating. I feel like one thing that's so interesting about the Abridge footprint is that you're in the doctor-patient visit in real-time. I always like to say, there's like probably 50 years' worth of product you could build on top of that. What gets each of you, I don't know, what are you most excited about building, either in the short term or medium term or even, long down the line?Janie [00:41:53]: Something that I get really excited about is that the same conversation can serve so many stakeholders. If you think about the conversation, a doctor needs to know what is the documentation, how do I make sure that this fully represent the care I gave? A patient needs to know, “What the heck just happened? This was really overwhelming. What are my next steps?” A payer needs to know, was this the proper and appropriate care given? A pharma company might want to know why isn't this drug being properly used or is there a good candidate for this clinical trial that I'm about to run? And where I get excited is that our product and our platform and our infrastructure can be the same product across all of those things and start to what's today, separate, very expensive, complex systems that serve each one of these stakeholders in very different ways, start to collapse all of that into a singular platform that enables not just more efficiency across the board but also better outcomes for everyone. And, all of us experience healthcare in probably very painful ways and knowing that there is a world in which we can simplify a lot is really exciting to me and it all starts with the conversation.Chai [00:43:15]: It's interesting. Of it very similar to going back to the KPIs that any AI product cares about. How do you increase quality of care? How do you reduce latency to care? And how do you reduce costs? Which is a huge, in healthcareJacob [00:43:28]: They call it the triple aim in healthcare.Chai [00:43:30]: But very similar to building AI products and the thing that really excites me is when we talk about that latency piece, we talked about one example earlier of prior authorization, can you reduce the latency to care? But you can imagine so much more. Oh, as soon as the lab value gets updated, do you have like a background agent that, kicks off and uses all the context to be “Oh, hey, the patient should do this next,” for example. And of flagging that to the clinician who's always in the loop but reducing that latency, to care. And then you can imagine this is much further down the road but it's like even connecting that to the direct patient and the consumer. And so how can you, how can you build a bridge to all of these things?EHR Partnerships and the Clinical Intelligence LayerJacob [00:44:10]: Very cool. The connections piece is just an ever-growing thing. And one of the key partners is the EHR and I wonder what that relationship is like. Will they, look at this as, something that is valuable enough that they want to own someday?Janie [00:44:29]: Our partnerships with the EHR is, we know that we have to be extremely close partners with all the EHRs who we partner with. Being able to not only pull and push all of the data into the right places is, not only table stakes, if we can't do that, health systems don't want to use us. The second and the reality of today is clinicians spend a lot of their days in the EHR. So much of what allowed us to win in the largest health systems was pretty direct and, very close partnerships with some of the largest electronic health records that allowed us to pull and push data with APIs that weren't ready out of the box. And clinicians want to save clicks. Anytime we introduce a new product that, adds two clicks for them in their day, they're “We're not going to use it.”Janie [00:45:21]: They have 15-minute back-to-back appointments with their patients. They're spending, hours during pajama time doing documentation. Every second and every minute counts and so we really think about being deeply integrated into the EHR as also table stakes to getting real usage and adoption. And anything that we build or introduce, we really talk about earn the right internally a lot, which is we have to provide so much value or save so much time that people will use us. But those are the two things that are close to us, is we know that the product won't be used unless it is deeply interoperable.Chai [00:46:01]: And strategically, to your point, it's like what does EHR want to own versus us? EHRs are really focused on the clinical workflows and so forth but some of the things that we're talking about here, I do these traditionally are outside of the domain where it's oh, connecting pairs and providers together with provider policies or the clinical trial matching, as Janie brought up. And so these are, entirely — we position ourselves as building this entirely new intelligence, clinical intelligence layer across, again, providers, pharma and, payers.Chai [00:46:33]: And so that's a it's a whole different ballgame that we try to playChai [00:46:36]: In combination with them.Jacob [00:46:37]: But it's like a different layer of scope.Healthcare AI Regulation, Technical Depth, and What Changed Their MindsJacob [00:46:39]: I'm curious, you are both relatively newcomers to healthcare. People have these, there's lots of futuristic healthcare AI takes of “Oh, everything will look different.”, now that you've been in healthcare for a bit, you live at the edge of AI, what have you, changed your mind on around this, as you think about what healthcare looks like in ten, 20 years? Any updates to your mental model from the time being close to the problems?Chai [00:47:02]: One thing that IChai [00:47:04]: Was hesitant about before and it's a common thing when I'm trying to recruit engineers that people ask me around, is definitely oh, healthcare, heavily regulated space. And it is, rightfully so. You want to keep, the patients at the end of the day safe. But one of the interesting things that, is a that surprised me how much it is coming to the company is there's a lot of really favorable regulatory tailwinds as well. Where you think about, government really wants interoperability between all these systems that we talked about and so agents can access this information. The government just in January, the FDA released updated guidance on clinical decision support, what I work on in such a way that they used to have guidance from like 2022 that required you to have, mention all these options and do all these other things but it's a very forward and forward-looking way. And so for me, what's been really cool to work on is this, there's this very special moment both in AI in general, we all know that but there's a special moment also regulatory in healthcare as well.Janie [00:48:05]: One thing I would call out is for the very reasons things are higher stakes or, potentially considered more difficult in healthcare, it's where some of the hardest AI problems will get solved first, just because the bar is so high. When I first joined, I was “Oh, this is where we'll be on the tail end of where, all of the AI innovation will be able to be applied.” But when you think about, zero error evals or multi-step workflows that have really low tolerance, a lot of the innovation will happen here just because we have to or else we can't ship.Jacob [00:48:42]: ‘Cause like in other domains, you'd much rather just solve the 80%-is-good-enough problems firstJanie [00:48:46]: 80/20 doesn't work hereChai [00:48:48]: And building off that, traditionally, there was a bit of stigma that, oh, healthcare companies are not that interesting from a technical perspective or I've seen that or faced that myself. But these are really hard and fun problems from a pure technical perspective beyond just the impact. How do you bring the latency of this thing down and make it really high-quality?Reducing Latency: Clinical Workflows, Agents, and Implementation RealityJacob [00:49:07]: How do you bring the latency of things down?Chai [00:49:10]: Yeah. Yeah. Yeah. So okay, let's answer the latency question. And maybe hopefully not too redundant with some of the things I've said earlier but some part of it is with any latency, you have to like what is, what is really your bottleneck. In a lot of workflows, it's sometimes it's the model itself. And so that's where like our data flywheel, our post-training team and so forth come in so that can you make the models far more efficient. So that's one aspect of latency. But there's whole other aspects of latency where it's okay, on top of that, if you use a constellation of different models, can you use — can you first use like a — it's like thinking fast and slow. Can you use a cheap, fast model that triages and hands it off to a larger model where you get more intelligence and so forth and so all theseChai [00:49:56]: Clever tricks to make it work.Chai [00:49:58]: And by the way, we are totally — we also realize that the parameter frontier is changing and so these tricks will — may not get us to where we want to be in five years but we need to if we want to build a useful product right now.Jacob [00:50:11]: Should we go to the quick-fire or you want to ask more about Abridge? We can stuff everything that's not Abridge into the quick-fireSwyx [00:50:16]: I don't mind. I was — I feel like Janie was on the topic of more long tail stuff, which isSwyx [00:50:21]: Not the eighty/twenty thing and that really matters. And I'll —, if you have any tips or cool stories or just general approaches that have worked for you that's interesting to dig into.Janie [00:50:32]: One of them is even just how we staff our teams looks different than a traditional software engineering team, I'd say.Swyx [00:50:40]: Let's go.Clinician Scientists, Edge Cases, and Evals at ScaleJanie [00:50:41]: We have a bunch of folks with different roles who are clinicians and so we have this role called the clinician scientist and I heard one of our leaders refer to them as mutants recently. But they are people who've had clinical backgrounds, so MDs typically, who are also deeply technical, somewhere, on the spectrum of like a full stack engineer all the way to like extremely scrappy prompter. But having each of these people embedded within our teams instantly raises the bar for everything that we build because not only are they determining, is this product clinically useful but they're deeply embedded in our whole evals process. And so when we talk about LFDs, when we talk about what is our actual evaluation criteria, you don't want Chai or me creating what those are because we don't have clinical background. But is probably unique to Abridge but has been game changing. And when you think about where the puck is going, you have people build with clinical backgrounds who are technical and where AI tools are going, they just becomeJanie [00:51:53]: More and more, critical and like the killers of the team. And so that's one. And then the second is just the scale at which we do evals to catch that long tail up front before anything ever gets into production is something that we've pretty much like really started to fine-tune, both from a scale but when do we know we need to get several hundred versus several thousand offline responses, what helps us make that quick decision and make this less of an art and as much of a science as possible. But that's also been something we've had to tune over time.Swyx [00:52:27]: And you have partners who opted in to give you those evals.Janie [00:52:31]: So we work either internally or with third-party for offline evals and then we have customers who also agree to give us, whether it's like thumbs up, thumbs down to like choose this or that, a lot of data to get us to what is as close to fully confident as possible.Swyx [00:52:51]: The term that comes to mind isSwyx [00:52:53]: Like active learning on things where you're weak. I feel like it's a lost artSwyx [00:52:58]: Is a lot of the polish that comes into doing something like this.Janie [00:53:02]: Really.Chai [00:53:03]: Hundred percent.Lessons from Glean: Technical Foundations and AI App InfrastructureJacob [00:53:04]: Maybe, on a totally unrelated note, Chai, you had a very, storied run at Glean b

Big news in sunscreen regulation: For the first time since 1999, the US is seeing a new active ingredient approved, BEMT (Bemotrizinol), signaling an important shift in how sunscreens are formulated. In this episode of ASCP Esty Talk, Maggie and Ella discuss what FDA regulation of OTC sunscreens means, why new UV filters are significant, and how these changes impact both formulation and client education in the treatment room. ASCP Esty Talk with hosts Ella Cressman and Maggie Staszcuk   Produced by Associated Skin Care Professionals (ASCP) for licensed estheticians, ASCP Esty Talk is a weekly podcast, hosted by licensed estheticians, Ella Cressman, ASCP Skin Deep Magazine contributor, and Maggie Staszcuk, ASCP Program Director. We see your passion, innovation, and hard work and are here to support you by providing a platform for networking, advocacy, camaraderie, and education. We aim to inspire you to ask the right questions, find your motivation, and give you the courage to have the professional skin care career you desire.  About Ella Cressman:  Ella Cressman is a licensed esthetician, certified organic formulator, and business owner with more than 20 years of experience in corrective skin care. Known as an "ingredient junkie" and industry cheerleader, she empowers professionals to think beyond products and develop a deeper understanding of skin function and formulation. In addition to her practice, Cressman is the founder of the HHP Collective, a practitioner-led community focused on strengthening clinical reasoning and advancing professional growth within the esthetics industry. Connect with Ella Cressman:  Website: www.hhpcollective.com  LinkedIn: linkedin.com/in/ella-cressman-62aa46a    About Maggie Staszcuk:  Maggie Staszcuk serves as the Program Director for ASCP and is the cohost of ASCP Esty Talk podcast. With over 18 years' experience in the esthetics industry, her diverse background includes roles in spa management, spa and med-spa services, and esthetics education. Since becoming a licensed esthetician in 2006, she carries a range of certifications in basic and advanced esthetics. Maggie is dedicated to equipping estheticians with the knowledge and resources they need to thrive in their careers.   Connect with Maggie Staszcuk:  P: 800.789.0411 EXT 1636  E: MStaszcuk@ascpskincare.com    About our Sponsors: Massage Envy is a national franchisor and does not independently own or operate any of the Massage Envy franchised locations nationwide. The Massage Envy franchise network, through its franchise locations, is the leading provider of massage services. Founded in 2002, Massage Envy now has approximately 1,100 franchise locations in 49 states that have together delivered more than 200 million massages and skin care services. Website: www.massageenvy.com/careers/career-areas/esthetician  Facebook: @MassageEnvyCareers LinkedIn: @MassageEnvy   TiZO Mineral Sunscreens set the standard for aesthetic elegance with tinted and non-tinted formulas for use on virtually all skin types and tones. Our name reflects our commitment: TIZO = Titanium dioxide + Zinc Oxides. All TiZO products are reef-friendly and 100% free of chemical sunscreens, dyes, fragrances, gluten, phthalates, and parabens.  TiZO Photoceutical Skincare is the perfect partner to our sunscreens in the fight against photoaging. These silky, elegant products address tone, texture and hydration while helping to prevent further damage. From our flagship TiZO3 Primer/Sunscreen SPF 40 to our gentle Ultra Zinc formulations to our NEW Advanced Vitamin C+E Serum with Bakuchiol, TIZO has the ideal selection of products to Protect, Repair, and Revitalize skin.  Website: https://tizoskin.com/  Facebook: @tizoskin  Pinterest: @tizoskin  Instagram: @tizoskin  YouTube: @tizoskin     GlossGenius Gaps in your schedule. Clients who don't rebook. Tight margins. High payment processing fees. Sound familiar? When you're running your own practice, you don't have time to figure out where you could be making more money. Especially when you're stitching together booking, payments, and a clunky EMR that only makes things harder. That's why we love GlossGenius — the business management platform that does the work for you. It fills your calendar, rebooks clients automatically, upsells high-margin services, and has the lowest flat-rate payment processing fees. Plus, all the HIPAA-compliant tools you need for charting, consents, and client records — without the admin chaos. GlossGenius grows your revenue and handles the busywork, so you can focus on your clients. Use code ESTY at GlossGenius.com for 50% off your first two months of their Gold or Platinum plan. GlossGenius. More Growth. Less Busywork. Visit https://glossgenius.com/ for more details.   About Associated Skin Care Professionals (ASCP):    Associated Skin Care Professionals (ASCP) is the nation's largest association for skin care professionals and your ONLY all-inclusive source for professional liability insurance, education, community, and career support. For estheticians at every stage of the journey, ASCP is your essential partner. Get in touch with us today if you have any questions or would like to join and become an ASCP member.  Connect with ASCP:  Website: www.ascpskincare.com  Email: getconnected@ascpskincare.com  Phone: 800-789-0411  Facebook: facebook.com/ASCPskincare  Instagram: @ascpskincare 

This episode is sponsored by GoTo: If your practice is losing patients to missed calls and front-desk burnout, you're not alone. Most independent practices miss around 30% of incoming calls, that's 30% of your patient pipeline walking to the clinic across the street.  GoTo Connect consolidates your phones, patient messaging, video visits, and scheduling into one platform that helps you stay HIPAA-compliant. AI receptionist. EHR integration. No IT team required. Built specifically for physician-owned practices.  See how it works: goto.com/healthcare   ————————- In this episode of Bootstrap MD, Dr. Mike Woo-Ming sits down with Adam Peeler, Director of Product Management at GoTo Technologies, to unpack the communication challenges quietly draining revenue and efficiency from independent medical practices. From missed calls and overloaded front desks to AI receptionists and EHR-integrated workflows, Adam explains how small clinics can modernize patient communication without building an expensive IT department. Together, they explore how AI-powered communication tools are already reshaping healthcare operations for solo and small-group practices. Adam breaks down the real-world impact of missed calls, fragmented communication systems, and outdated workflows, while sharing practical ways physicians can automate scheduling, reduce staff burnout, improve patient engagement, and increase operational efficiency. The conversation also covers HIPAA compliance, the rise of AI receptionists, predictive staffing, and why communication systems should be viewed as a revenue-generating asset rather than just another utility bill. Whether you're starting a practice or trying to scale one, this episode offers a practical roadmap for leveraging AI and modern communication infrastructure to create a better patient experience and a more profitable clinic. Top 3 Key Takeaways: Missed Calls Are Missed Revenue: Many independent practices unknowingly lose thousands of dollars every month simply because calls go unanswered or patients abandon the scheduling process. Adam explains that some clinics miss up to 30% of inbound calls, creating significant financial leakage that most physicians never measure. AI in Healthcare Is Already Here: AI is no longer a future concept reserved for large hospital systems. Small practices are already using AI-powered communication tools to answer calls, summarize patient interactions, automate scheduling workflows, and reduce front-desk overload without hiring large IT teams. Technology Should Support, Not Replace Human Care: While AI can handle repetitive administrative tasks and FAQs, complex scheduling decisions, emotional conversations, and nuanced patient interactions still require human judgment. The most effective practices will combine AI efficiency with compassionate patient communication.   About the Show:   Bootstrap MD is the ultimate podcast for physician entrepreneurs looking to escape traditional healthcare and control their financial futures. Hosted by Dr. Mike Woo-Ming, a successful physician, entrepreneur, and investor, the show delivers actionable insights on starting businesses, creating passive income, and navigating healthcare entrepreneurship. Featuring interviews with industry leaders, physicians, and experts in telemedicine and digital health, it's your guide to building a profitable, fulfilling career.  Tune in weekly at  http://bootstrapmd.com     About the Guest: Adam Peeler is the Director of Product Management at GoTo Technologies, where he leads product strategy for cloud-based communication tools designed for healthcare practices and service-driven businesses. His work focuses on AI-powered communication systems, phone platforms, messaging, scheduling workflows, and EHR-integrated patient engagement solutions that help independent practices modernize without requiring enterprise-level IT resources. Website: goto.com/healthcare   About the Host: Dr. Mike Woo-Ming has over 20 years of experience as a physician entrepreneur. He's built and sold multiple seven-figure companies and now leads Executive Medical, a group of clinics specializing in age management and aesthetics. Through BootstrapMD, he mentors physicians in business, content creation, and autonomy. Let's Connect: www.https://www.bootstrapmd.com  Want to start a podcast? Check out the Doctor Podcast Network!

Cybersecurity in healthcare isn't just about keeping attackers out anymore. It's about what happens after they get in. In this episode, Chris Boehm, Field CTO of Zero Networks, breaks down how organizations can move toward “Zero Trust” without disrupting clinical operations. From legacy systems and third-party access to the growing risks of AI, Chris shares how visibility, identity-based segmentation, and smarter automation are helping healthcare organizations stay secure while keeping care moving.  As healthcare organizations struggle to secure complex environments and protect sensitive patient data, it's time to prioritize resilience over reactive strategies. Learn how healthcare teams can proactively reduce attack surfaces and build self-defending networks that keep critical operations running – even during active cyber incidents.  In this episode, they talk about: Traditional perimeter-based security is no longer enough to protect healthcare organizations from modern cyber threats. The industry is shifting from a focus on preventing breaches to a focus on containing them once they occur. “Zero Trust” in practice means continuously verifying identity and controlling access rather than assuming anyone inside the network is safe. Identity-based segmentation plays a critical role in reducing risk without disrupting day-to-day workflows. Healthcare organizations face a unique challenge in balancing strong security measures with the need to maintain seamless clinical operations. Most organizations achieve partial network segmentation, which leaves gaps that attackers can exploit. Solutions like those from Zero Networks enable full segmentation while still allowing normal business and clinical activities to continue. AI tools introduce new risks by potentially accessing more data than intended, especially without proper oversight. A lack of visibility into network activity remains one of the biggest gaps in modern cybersecurity strategies. Organizations must begin preparing now for upcoming regulatory changes, including evolving HIPAA requirements. Real-world challenges such as workforce turnover and limited IT resources make implementing and maintaining security even more complex. A Little About Chris: Chris is the Field Chief Technology Officer at Zero Networks, leading security strategy and revenue alignment globally. He drives enterprise growth by connecting customer realities to product, go-to-market, and executive decision-making across complex, high-value enterprise pursuits. Specialize in Zero Trust architecture, identity-based microsegmentation, and lateral movement prevention—helping organizations reduce risk while enabling scale and operational resilience. He's also held leadership roles at SentinelOne during its post-IPO growth to ~$800M ARR and at Microsoft, contributing to the early adoption and enterprise scaling of security platforms such as Azure Sentinel. Not to mention, Chris has advised CISOs and executive teams on security strategy, risk, and transformation—translating complex challenges into measurable business outcomes.

You passed the NBHWC exam — congratulations! Now what? In this episode of The Coaching Lab, Dr. Cooper and Leigh deliver the post-certification roadmap every new National Board Certified Health & Wellness Coach (NBC-HWC) needs. Whether you're aiming for a salaried role at a hospital, corporate wellness program, or insurance company, or you're ready to launch your own coaching practice, this episode walks you through every step.What you'll learn:How to leverage your NBHWC credential on LinkedIn, your resume, and professional bios to signal credibility to employersWhich professional associations are worth joining (National Wellness Alliance, American College of Lifestyle Medicine, and more)The real pros and cons of employment vs. contractor work vs. entrepreneurship — plus hybrid models that let you do bothWhere health and wellness coaches are actually getting hired right now (hospitals, corporate wellness, health insurance, gyms, EAPs) and what salary to expectHow to start your own coaching practice: business structure (LLC vs. sole proprietor), setting your rates, landing your first clients, and the tech stack you need (scheduling, payments, video, notes)Marketing that works for health coaches: niching down, building an online presence without burnout, content creation, in-person networking, referral partnerships, and Google Business ProfileScope of practice, liability insurance, client agreements, intake forms, and HIPAA basics for clinical settingsRecertification planning (36 CEs every 3 years), advanced credentials, mentorship, and peer supportMindset essentials: navigating imposter syndrome, setting boundaries early, and building a sustainable practice instead of burning out in year oneWhether you're a brand-new health coach, a wellness professional adding NBHWC to your credentials, or an aspiring coach planning your next move, this episode is the practical, no-fluff guide to turning your certification into a thriving career. Info re earning your health & wellness coaching certification, annual Rocky Mountain Coaching Retreat & Symposium & more via https://www.catalystcoachinginstitute.com/ Best-in-class coaching for Employers, EAPs & wellness providers https://catalystcoaching360.com/Tap into the home of the (freely available) Not Done Yet! articles on unlocking life's 2nd half here.YouTube Coaching Channel https://www.youtube.com/c/CoachingChannelContact us: Results@CatalystCoaching360.comTwitter: @Catalyst2ThriveWebsite: CatalystCoaching360.comIf you are a current or future health & wellness coach, please check out our Health & Wellness Coaching Community on Facebook: https://www.facebook.com/groups/278207545599218.  This is a wonderful group if you are looking for encouragement, ideas, resources and more. 

The thing that makes someone an incredible healer can also make the business fail to get traction.   The best massage therapists are often deeply caring, highly responsible, intuitive people. They notice everything. They step in quickly. They protect people. They fix problems before anyone else even notices them. Those traits create incredible client experiences. But in business? Those same instincts can slowly turn the owner into the bottleneck.   In this episode, I unpack why so many skilled healers struggle with leadership once they begin growing beyond themselves, and why the shift from practitioner to owner can feel surprisingly uncomfortable.   I talk about: Why healing and leadership often reward opposite behaviors How "being helpful" can accidentally create dependence in your team The hidden difference between empathy and conflict avoidance Why do many wellness owners avoid systems or swing too far into control How structure can actually protect your values instead of destroying them What "caring differently" really looks like as a leader The identity shift from hands-on healer to business builder This episode is especially for massage therapists and wellness practice owners who: feel like everything still depends on them struggle to step back without guilt feel emotionally exhausted by leadership want more freedom without becoming "corporate" are trying to grow beyond their own hands without losing the heart behind their work   ---   *Brought to you by GlossGenius.*   Are you dealing with gaps in your schedule? Clients who don't rebook? Low profits and high payment processing fees? When you're running your own practice, you don't have time to figure out where you're leaving money on the table especially when you're stitching together booking, payments, and clunky software that only makes things harder.   GlossGenius is the booking and business management platform built for massage therapists and wellness practitioners. It fills your calendar, automatically reBooks clients, upsells high-margin services, and has the lowest flat-rate payment processing fees in the industry. Plus all the HIPAA-compliant tools you need for charting, consents, and client records without the admin chaos.   More growth. Less busywork.   Use code **SCALING** at glossgenius.com/scalingwellness for 50% off your first two months of their Gold or Platinum plan.      Build a wellness business that gives you both time and income: www.scalingwellness.com Book a free strategy call: www.scalingwellness.com/chat Follow us on Instagram: www.instagram.com/scalingwellness

Tanner Applegate, Founder and CEO of Unify Dental He is passionate about two things: personal growth and using technology to create greater efficiency and innovation. He believes continuous learning and adaptability are essential for success, both personally and professionally. Tanner is driven by a desire to help others grow, embrace new ideas, and leverage technology to move their businesses and lives forward. ----

Send us Fan MailWe sit down with former Congressman and psychologist Tim Murphy to show how mental health laws really get made and why “good ideas” often get changed or stripped before they ever help families. We dig into Medicaid rules, treatment access, psychosis risks, and the hard truth that silence is how broken systems stay in place. • the real path of a bill from idea to compromise to final vote • why mental health policy creates intense conflict between groups • assisted outpatient treatment as an alternative to repeated hospitalization • how “gravely disabled” standards shape who can get care • Medicaid payment rules that discourage psychiatric beds and longer stays • why Congressional Budget Office scoring can derail reforms • what happens when severe mental illness is handled in jails • solitary confinement as a driver of worsening symptoms and suicide risk • high potency marijuana and the rising risk of psychosis • the estimated $340B to $380B annual cost of schizophrenia • families left holding the system together without guidance • HIPAA and confidentiality blocking parents from sharing critical history • why large organizations lose focus and stall action • how autism and schizophrenia advocacy can find common ground • practical steps to educate legislators through emails letters and visits If you know someone who has a story to you, tell them to contact us at why notme.world. One last time, spread the word about why not me. INTRO/OUTRO Music: T. WildMantor Music BMIhttps://tonymantor.comhttps://Facebook.com/tonymantorhttps://instagram.com/tonymantorhttps://twitter.com/tonymantorhttps://youtube.com/tonymantormusicintro/outro music bed written by T. WildWhy Not Me the World music published by Mantor Music (BMI)

Nic Laflin and Matt Glaman sit down to discuss Drupal caching and Matt's new Leanpub book, Understanding Drupal: A Complete Guide to Caching Layers. For show notes visit: https://www.talkingDrupal.com/cafe016 Topics New Book on Caching Why Drupal Caching Shines Cache Tags Explained Cache Context Variations What Caching Really Is Invalidation Across the Stack NGINX Layer Pitfalls What Drupal Can Cache Writing Cacheable Render Arrays Debugging Metadata Issues Testing Caching Strategies Researching the Book Variation Cache Deep Dive Access Policy and Performance Permissions Caching and Disk IO Extension Discovery Tangent File Cache Explained Clearing File Cache in Tests Updating the Book Over Time Leanpub Pricing and Royalties Publishing Workflow and Tools Writing Process and Editing Matt Glaman Matt Glaman is an experienced software engineer and a prominent member of the Drupal community. With over a decade of experience in web development, he has developed a wealth of knowledge and expertise. He is the author of several books, including "Drupal 8 Development Cookbook" and "Drupal 10 Development Cookbook," which provide a comprehensive guide to building and customizing Drupal sites. And recently, the book Understanding Drupal: A Complete Guide to Caching Layers. Nic Laflin Nic Laflin is an accomplished Drupal architect and the founder of nLightened Development LLC, a web development and design firm established in 2008 that leverages highly extensible CMS frameworks to solve complex business challenges. They've been working with Drupal since late 2008, delivering creative solutions for a diverse roster of clients—from government agencies and e-commerce platforms to higher-education institutions and HIPAA-compliant medical services. Recently, Nic has focused on Native Web Components for platform-agnostic design, and has deep experience integrating AWS and building mobile application back ends. A recognized Drupal guru, Nic speaks regularly at regional Drupal camps and co-hosts the Talking Drupal podcast, where they share best practices and innovations with the community. Outside of technology, Nic enjoys building with LEGO, experimenting in the kitchen, and designing home automation projects. You can learn more at www.nlightened.net. Resources Understanding Drupal: A Complete Guide to Caching Layers https://mglaman.dev/blog/leveraging-list-cache-tag-entity-types If you're using a reverse proxy then disable the internal page cache https://www.drupal.org/project/drupal/issues/3414825 Guests Nic Laflin - nLighteneddevelopment.com nicxvan Matt Glaman - mglaman.dev mglaman

Lots of private practice therapists are seeing a drop in referrals lately due to an array of factors, including the ongoing growth of big tech therapy and AI-based services. It raises the question: is private practice still sustainable?In this episode, I share my personal take: private practice isn't going anywhere. And, if we can stay grounded in our roots of offering specialized, individualized, dynamic therapy, we can differentiate ourselves from big tech therapy.I share my take on this in this episode. What do you think? What pieces did I miss?Thank you to Paubox for sponsoring this episode. Paubox makes HIPAA-secure email easy and streamlined. Check them out here:https://bit.ly/pps_paubox_spotify*Get $250 off your first year with Paubox with coupon code "SKILLS"*Bonus Deal:* If you add the Paubox badge to your website you get an extra $100 off your first year - that means you can get your whole first year free if you apply both deals!Related Episodes:"Trying AI Therapy (I'm a Psychologist)”https://www.youtube.com/watch?v=Jqpxi_oCpYc"Beat Big Tech Therapy by not Playing Their Game”https://www.youtube.com/watch?v=wKrlL6oxUX4LINKS:*Some links are affiliate links. A percentage of purchases come back to me and help my channel immensely!

Welcome solo and group practice owners! We are Liath Dalton and Evan Dumas, your co-hosts of Group Practice Tech. In our latest episode, we share a cautionary tale about a Talkspace client whose healthcare information was weaponized against them. We discuss: Venture capital firms buying therapy practices, monetizing, and weaponizing client data to make more money A recent case where a Talkspace client's data was read aloud in court Platforms using client communication to train LLMs and AI platforms How these platforms are profoundly detrimental to clients, therapists, and the profession Why when something seems too easy and convenient, you are often the product (and your clients are the product) How these companies operate outside of HIPAA Security Rule standards The importance of vetting platforms and having BAAs for safeguarding client information Listen here: https://personcenteredtech.com/group/podcast/ For more, visit our website. Resources Story referenced in episode re: employee termination and litigation using all their session data/content from Talkspace chatbot Story regarding AI models failing ethics standards and standards of care PCT Resources Live (and recorded) PCT CE Course: Beyond Hype and Anxiety: A Practical Framework for Ethical AI Use in Clinical Practice is a 4-hour legal-ethical CE training co-presented by Dr. Maelisa McCaffrey and Liath Dalton, designed to help clinicians move beyond fear and guesswork into confident, responsible AI use. The course provides a structured, real-world framework for integrating AI into clinical workflows while upholding HIPAA requirements, ethical standards, and clinical standards of care. Participants will learn how to evaluate AI tools, understand what constitutes PHI (and the limits of de-identification), implement appropriate policies and safeguards, and maintain documentation quality and clinical integrity. With practical tools, decision-making frameworks, and implementation strategies, this training supports clinicians in making informed, defensible decisions about AI use in practice. Live Webinar Presentation on May 8th, 2026 Registration for live training includes receiving ownership of and perpetual access to the on-demand self-study CE training produced from recording of live presentation. Get both the content *and* the CE, even if you can't join live. PCT's recommended/curated collection of role-based foundational and topical needs-based staff trainings, including HIPAA and Privacy Ethics for clinical staff, admins; leadership trainings; clinical staff teletherapy training; director/supervisor training; and topical trainings on documentation, rights of access, suicidality, accessibility, countertransference, and much more. Nationally respected, role-based HIPAA and privacy ethics and teletherapy training built for mental health staff On-demand trainings are accessible in perpetuity and do not expire. APA, NBCC, and multiple state licensing board CE provider approvals mean that CE courses count towards licensure renewal requirements for your clinical team. Group Practice Care Premium weekly (live & recorded) direct support & consultation service, Group Practice Office Hours — including monthly session with therapist attorney Eric Ström, JD PhD LMHC Device Security Suite: assignable staff HIPAA Security Awareness: Bring Your Own Device training + access to Device Security Center with step-by-step device-specific tutorials & registration forms for securing and documenting all personally owned & practice-provided devices (for *all* team members at no per-person cost) Remote Workspace Security Suite: assignable staff HIPAA Security Awareness: Remote Workspaces training for all team members + access to Remote Workspace Center with step-by-step tutorials & registration forms for securing and documenting Remote Workspaces (for *all* team members at no per-person cost) + more PCT's Comprehensive HIPAA Security Compliance Program (discounted) bundles: For Group Practices For Solo Practitioners Comprehensive HIPAA Security Policies & Procedures Forms & Logs for documenting implementation and maintenance of Policies & Procedures in practice Device & Workspace Security Suites Direct Support & Consultation from PCT team + therapist attorney Eric Ström, JD PhD LMHC (live & recorded + searchable library) Includes the Risk Analysis & Risk Mitigation Planning service + tool HIPAA Security & Privacy Ethics training

Send us Fan MailSend us Fan MailSchedule an Rx AssessmentAI is rapidly becoming part of the pharmacy workflow but when it comes to compliance, accuracy, and patient safety, there's far more to consider than just efficiency gains.In this episode of The Bottom Line Pharmacy Podcast, Austin Murray sits down with Josh Potter, Director of Compliance at PRS Pharmacy Services, to break down how AI is actually being used in pharmacy today.They cover:Common use cases including workflow automation, patient engagement, inventory management, and pricing optimizationThe critical importance of HIPAA compliance, business associate agreements, and protecting patient PHI when using AI toolsState-level considerations, including emerging regulations around AI-generated healthcare contentAnd more!Stay connected with PRS Pharmacy Services:PRS Website | PRS Facebook | PRS Instagram | PRS LinkedIn | PRS Twitter | PRS YouTubeCheck out all our social media:Facebook | Twitter | LinkedIn | YouTube | TikTok | Instagram More resources on this topic:Podcast - AI, Audits, & Advocacy: The Pharmacy Survival Guide

Send us Fan MailWe bring together seven voices to face the hardest question families live with: when severe mental illness and psychosis take over, what does “choice” really mean. We share what it looks like when schools, hospitals, and law enforcement treat brain illness like behavior, and we lay out concrete steps that can shorten the gap to real care.• capacity and consent when someone refuses help during psychosis• power of attorney and psychiatric advance directives plus where they fall short• anosognosia explained through dementia comparisons and street homelessness• the “10-year gap” to diagnosis and why mandatory care and AOT come up• early warning signs of psychosis and why peers and schools need training• privacy barriers and why HIPAA is often misread or over-restricted• CIT training realities and the need for the right officers• frustration with professional leadership and the call for more beds and workforce training• legislative paths including HR 4022 and ending the IMD exclusionBefore we jump in, if you haven't already, I invite you to tap follow.If you know someone who has a story to share, tell them to contact us at why notme.world.One last thing. Spread the word about why not me.Music INTRO?OUTRO: T. WildMantor Music BMIhttps://tonymantor.comhttps://Facebook.com/tonymantorhttps://instagram.com/tonymantorhttps://twitter.com/tonymantorhttps://youtube.com/tonymantormusicintro/outro music bed written by T. WildWhy Not Me the World music published by Mantor Music (BMI)

Text us your feedback or questions - we'd love to hear from you.What You Need to Know About Powers of Attorney, Wills & TrustsMost people going through divorce never think about this…What happens if something happens to YOU before the divorce is final? makes medical decisions for you?Who controls your business?Who can access your bank accounts?Who decides what happens if you're incapacitated?And here's the scary part: if you haven't updated your powers of attorney, the answer could still be your (soon-to-be-ex) spouse.In this episode of The Splitting Smart Podcast, Kelly Bennett sits down with her hubby of nearly 40 years, estate planning attorney Greg Bennett, to talk about one of the most overlooked legal issues during divorce: powers of attorney, wills, trusts, and what you absolutely should update before things go sideways.Because while most people are focused on custody schedules and dividing assets, almost nobody is thinking about who could legally step into their shoes during a medical emergency.And yes… this stuff matters way more than people realize.Kelly and Greg talk about: Can you change your will or trust during divorce?What happens if your spouse is still your medical power of attorney?Can your ex make medical decisions for you while you're separated?Who controls your business if you become incapacitated?What is a financial power of attorney during divorce?Do you need a trust before your divorce is finalized?What happens if you have no estate plan at all?temporary decision-making agreementsThis episode is practical, easy to understand, and full of the kinds of things nobody tells you when you start a divorce.Because protecting yourself during divorce isn't just about splitting assets.It's also about protecting your future if life takes an unexpected turn.About Greg BennettGreg Bennett is an estate planning attorney and partner at Sapere Law & Mediation in Temecula, California. He helps individuals, families, and business owners protect what matters most through expert legal planning. In this episode, he explains how wills, trusts, HIPAA releases, and powers of attorney can become incredibly important during separation and divorce.--RESOURCESMEDIATION STARTER GUIDE: https://mailchi.mp/2939c428981d/mediation-resourcesKELLY'S BOOK: Victim Is Not Your Name https://a.co/d/e4VguRkLEGAL & MEDIATION HELP: https://saperelawfirm.comINSTAGRAM: https://instagram.com/saperelawfirmFACEBOOK: https://facebook.com/saperelawfirm

The skin doesn't just need hydration and protection—it needs energy to repair, regulate, and function optimally. At the center of that energy system is NAD+ (nicotinamide adenine dinucleotide), a coenzyme essential for cellular metabolism, which naturally declines with age and stress. In this episode of ASCP Esty Talk, Maggie and Ella explore NAD+, its role in skin energy and repair, and how niacinamide supports NAD+ production, connecting cellular function to visible skin health. ASCP Esty Talk with hosts Ella Cressman and Maggie Staszcuk   Produced by Associated Skin Care Professionals (ASCP) for licensed estheticians, ASCP Esty Talk is a weekly podcast, hosted by licensed estheticians, Ella Cressman, ASCP Skin Deep Magazine contributor, and Maggie Staszcuk, ASCP Program Director. We see your passion, innovation, and hard work and are here to support you by providing a platform for networking, advocacy, camaraderie, and education. We aim to inspire you to ask the right questions, find your motivation, and give you the courage to have the professional skin care career you desire.  About Ella Cressman:  Ella Cressman is a licensed esthetician, certified organic formulator, and business owner with more than 20 years of experience in corrective skin care. Known as an "ingredient junkie" and industry cheerleader, she empowers professionals to think beyond products and develop a deeper understanding of skin function and formulation. In addition to her practice, Cressman is the founder of the HHP Collective, a practitioner-led community focused on strengthening clinical reasoning and advancing professional growth within the esthetics industry. Connect with Ella Cressman:  Website: www.hhpcollective.com  LinkedIn: linkedin.com/in/ella-cressman-62aa46a  About Maggie Staszcuk:  Maggie Staszcuk serves as the Program Director for ASCP and is the cohost of ASCP Esty Talk podcast. With over 18 years' experience in the esthetics industry, her diverse background includes roles in spa management, spa and med-spa services, and esthetics education. Since becoming a licensed esthetician in 2006, she carries a range of certifications in basic and advanced esthetics. Maggie is dedicated to equipping estheticians with the knowledge and resources they need to thrive in their careers. Connect with Maggie Staszcuk:  P: 800.789.0411 EXT 1636  E: MStaszcuk@ascpskincare.com    About our Sponsors: Massage Envy is a national franchisor and does not independently own or operate any of the Massage Envy franchised locations nationwide. The Massage Envy franchise network, through its franchise locations, is the leading provider of massage services. Founded in 2002, Massage Envy now has approximately 1,100 franchise locations in 49 states that have together delivered more than 200 million massages and skin care services. Website: www.massageenvy.com/careers/career-areas/esthetician  Facebook: @MassageEnvyCareers LinkedIn: @MassageEnvy   TiZO Mineral Sunscreens set the standard for aesthetic elegance with tinted and non-tinted formulas for use on virtually all skin types and tones. Our name reflects our commitment: TIZO = Titanium dioxide + Zinc Oxides. All TiZO products are reef-friendly and 100% free of chemical sunscreens, dyes, fragrances, gluten, phthalates, and parabens.  TiZO Photoceutical Skincare is the perfect partner to our sunscreens in the fight against photoaging. These silky, elegant products address tone, texture and hydration while helping to prevent further damage. From our flagship TiZO3 Primer/Sunscreen SPF 40 to our gentle Ultra Zinc formulations to our NEW Advanced Vitamin C+E Serum with Bakuchiol, TIZO has the ideal selection of products to Protect, Repair, and Revitalize skin.  Website: https://tizoskin.com/  Facebook: @tizoskin  Pinterest: @tizoskin  Instagram: @tizoskin  YouTube: @tizoskin     GlossGenius Gaps in your schedule. Clients who don't rebook. Tight margins. High payment processing fees. Sound familiar? When you're running your own practice, you don't have time to figure out where you could be making more money. Especially when you're stitching together booking, payments, and a clunky EMR that only makes things harder. That's why we love GlossGenius — the business management platform that does the work for you. It fills your calendar, rebooks clients automatically, upsells high-margin services, and has the lowest flat-rate payment processing fees. Plus, all the HIPAA-compliant tools you need for charting, consents, and client records — without the admin chaos. GlossGenius grows your revenue and handles the busywork, so you can focus on your clients. Use code ESTY at GlossGenius.com for 50% off your first two months of their Gold or Platinum plan. GlossGenius. More Growth. Less Busywork. Visit https://glossgenius.com/ for more details.   About Associated Skin Care Professionals (ASCP):    Associated Skin Care Professionals (ASCP) is the nation's largest association for skin care professionals and your ONLY all-inclusive source for professional liability insurance, education, community, and career support. For estheticians at every stage of the journey, ASCP is your essential partner. Get in touch with us today if you have any questions or would like to join and become an ASCP member.  Connect with ASCP: Website: www.ascpskincare.com  Email: getconnected@ascpskincare.com  Phone: 800-789-0411  Facebook: facebook.com/ASCPskincare  Instagram: @ascpskincare   

The Tenpenny Files – Twila Brase examines expanding newborn DNA sequencing programs that store lifelong genetic data beyond parental control. She reveals gaps in consent, rising false positives, and widespread data sharing under HIPAA. The discussion connects genomic tracking with identity systems, exposing growing risks to privacy, autonomy, and long-term health decision-making for families nationwide...

You wake up feeling rested, check your Oura Ring, and suddenly you're tired. In this episode, Jeff Krasno examines whether sleep trackers like Oura, Whoop, and Apple Watch are genuinely improving our health or actually creating a new kind of sleep anxiety. He explores: What sleep trackers actually measure versus what they only model Orthosomnia and the rise of tracker-induced sleep anxiety Where Oura, Whoop, and Apple Watch are reliable, and where they aren't HIPAA gaps, FDA clearance, and what your data is worth Who benefits from wearing one, and who probably shouldn't This episode is for anyone wearing a sleep tracker, considering one, or wondering whether the score on their wrist is making them healthier or just more anxious. This episode was made possible by: Bon Charge: Get 15% off when you order at boncharge.com and use promo code COMMUNE Beyond Biohacking: Save $400 on any ticket with code COMMUNE400 at beyondconference.com. LMNT: Get a free 8-count Sample Pack of LMNT's most popular drink mix flavors with any purchase at drinklmnt.com/commune. Sunlighten: Visit sunlighten.com/commune Up to 2,100 off saunas and $50 off Red Light Products with code “COMMUNE” Vivobarefoot: Try Vivobarefoot risk-free with a 100-day return guarantee, and get 15% off your order at vivobarefoot.com/commune.

We are officially entering the "Multi-AI Era." Much like the multi-cloud times, organizations are no longer just using a single AI tool like Microsoft Copilot, they are building custom, agentic workflows using diverse third-party models and MCP servers . In this episode, Ashish sits down with Shawn Hays from Varonis to discuss why the security market has over-pivoted on AISPM (AI Security Posture Management) . Shawn spoke about how having visibility and an inventory of your AI models is a great start, but it fails to secure the enterprise if you lack the guardrails to actually stop an agent from going off the rails and exfiltrating data . Shawn breaks down the components of a robust AI security platform (like Varonis Atlas) and explains why data security is inseparable from AI security. He spoke about why AI agents will blindly "read whatever is on the teleprompter," meaning your AI is only as secure as the data access and identity controls surrounding it . Tune in to learn how to apply Zero Trust across the entire AI chain from the prompter to the cloud infrastructure Guest Socials -⁠⁠ Shawn's Linkedin Podcast Twitter - ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@CloudSecPod⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠If you want to watch videos of this LIVE STREAMED episode and past episodes - Check out our other Cloud Security Social Channels:-⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Cloud Security Podcast- Youtube⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠- ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Cloud Security Newsletter ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠If you are interested in AI Security, you can check out our sister podcast -⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ AI Security Podcast⁠Questions asked:(00:00) Introduction(02:50) Shawn's Background: Microsoft, CMMC, and Varonis (03:50) The Biggest AI Security Challenges (Copilot to Agentic AI) (05:50) Third-Party AI Risk (Jira and Salesforce Agents) (08:40) The Connector Ecosystem Danger (Copilot + Salesforce) (11:50) 8 Distinct Areas of an AI Security Platform (Varonis Atlas) (14:00) Entering the "Multi-AI Era" (Analogies to Multi-Cloud) (16:00) The AI Bill of Materials (Athena AI & Grammarly) (20:50) Why Data Security and AI Security are Intertwined (22:00) Applying Zero Trust to the Entire AI Chain (24:50) The Role of Identity and ITDR in AI Systems (27:00) HIPAA, OCR, and Regulating AI Data Access (31:30) Creating a Governance Plan for Microsoft Copilot (33:50) Securing Pro-Code AI Systems (AWS Bedrock & MCP Servers) (38:30) Why the Security Market is Over-Pivoting on AISPM (44:10) The "Ron Burgundy" Analogy for AI Agents (45:50) Fun Questions: Crocodile & Caramel Tasting (47:20) The Ed Sheeran & Yelawolf Mixtape Connection (48:50) Hobbies & Pride: DJing Weddings and Playing Ice Hockey in Alabama (51:50) Favorite Food: Alabama White Sauce BBQ & Milo's BurgersResources spoken about during the episode:Varonis Atlas

Are you just a data point in a massive cloud-based surveillance system? From FISA 702 to "Ambient AI" in your doctor's office, the digital net is closing in. Today, I chronicle the terrifying expansion of the biomedical security state and the bipartisan push for domestic surveillance. I'm joined by Twila Brase of the Citizens' Council for Health Freedom, who exposes the reality behind HIPAA — a law that destroyed your privacy rather than protecting it. We dive deep into the deployment of "Ambient AI" listening devices in examining rooms, the transformation of electronic health records into government dossiers, and why the push for Real ID is the foundation for a digital domestic passport. Plus, I discuss the Orwellian push by Republican leadership and Donald Trump to reauthorize FISA Section 702. Learn more about your ad choices. Visit megaphone.fm/adchoices