The 229 Podcast

25:44

7,500+ Experts. One Version of Clinical Truth |...

The 229 Podcast ·

2026/10/07

October 7, 2026: Yaw Fellin, Senior Vice President and General Manager, Clinical Decision Support and Provider Solutions at Wolters Kluwer Health, sits with Bill Russell. Clinicians used to come to UpToDate for an answer. He is building that evidence into the workflow, including Epic's Art, with 7,500-plus expert contributors behind it. Bill asks what a CIO puts in place so every agent lands on one version of clinical truth.At Becker's, a clinician using one of the large AI suites thought she knew

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21:58

The First Acute System on Epic Orchard | The 229...

The 229 Podcast ·

2026/10/01

October 1, 2026: John McDaniel, CIO at Trinity Health in Minot, North Dakota, sits down with Sarah Richardson. Trinity is the first acute system on Epic Orchard. The region is rural, about a 120-mile radius, and recruiting and educating an implementation team was the hard part. Epic handles the third-party contracts and the upgrades. Discovery replaced an RFP. More than 300 people, about 10 percent of the organization, took part. John says 97.9 percent chose Epic. He also says undercoded care was

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16:31

$2.8 Billion. Then Check If the Fire Is Still Going

The 229 Podcast ·

2026/09/30

September 30, 2026: Christopher Tyne, Chief Engineering Officer at Health Catalyst, sits with Bill Russell. Health systems are being sold AI that demos well and does not move an outcome. Chris puts $2.8 billion in validated outcomes on the table, then the test: do not just shine a flashlight at the fire. Hand them the extinguisher. Then check whether it is still burning.Guest: Christopher Tyne (Health Catalyst)Key Points:0:00 $2.8 billion. Did it do anything0:06 Chris Tyne, Health Catalyst2:04 AI

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54:36

We Got Over 600 Ideas in a Week | The 229 Podcast...

The 229 Podcast ·

2026/09/24

September 24, 2026: Bill Russell sits down with Derek De Young of Epic, the research and development lead Judy named as owner of Agent Factory at UGM. What CIOs keep calling a low-code builder is still a development preview. Epic staff are building alongside the sites. Early adopter is a checklist at the end of October. GA is a Q1/Q2 goal. One webinar produced over 600 ideas in a week. Inova ran measles chart reviews 15 times faster and asked to share the agent. Two teams at the first build-a-thon

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25:57

They Thought They Had 25 AI Tools. They Had 250

The 229 Podcast ·

2026/09/23

September 23, 2026: Christian Boucher (Healthcare CTO, Island) sits down with Sarah Richardson. He came into healthcare because his wife is a nurse. He watched clinical systems move to the browser while security got bolted on around them, and the workflows broke. One customer said they had 25 AI tools locked down. Island looked at every browser in the shop. 250. A remote clinical analyst team was waiting a minute to reach a usable EHR. On Island: 20 seconds.Guest: Christian Boucher (Island)Key

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18:50

Burning Man and the Tardigrade: When the Bad Thing...

The 229 Podcast ·

2026/09/22

September 22, 2026: Sarah Richardson sits down with Drex DeFord for a special UnHack. No CISO guest this month. Drex is 24 hours off the Black Rock Desert and into the New Orleans regional staff roundtable, where three people told him they were there for the Burning Man stories. He answers how the city actually works. Then the picture he sent Sarah: a tardigrade on the playa. Heather Costa made that microscopic survivor the mascot for healthcare IT resilience. Same question the RSR afternoon is

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42:01

56% Fewer IV Harm Events. 2,000 Hours Back to the...

The 229 Podcast ·

2026/09/17

September 17, 2026: Jennifer Jones (former system CNIO and VP, Integris Health), Kay Burke (VP and CNIO, UCSF Health), and Rachael Hill (CNIO and Director of Clinical Systems, North Mississippi Health Services) sit down with Sarah Richardson. What changes when clinical informatics helps shape enterprise strategy from the beginning, not after the technology is already chosen. Jennifer's IV pump work cut adverse infusion events 56%, returned 2,000 nursing hours, and avoided about $500,000 in harm

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23:46

22 Agents in 12 Months | Solution Showcase with UTMB

The 229 Podcast ·

2026/09/16

September 16, 2026: Nish Khandwala, Co-Founder and CEO of Bunkerhill Health, and Dr. Peter McCaffrey, Chief Digital and AI Officer at UTMB Health, join Bill Russell. UTMB started with an FDA-cleared incidental coronary artery calcium algorithm. The next question was the workflow: who sees the flag, who acts, do you hire a navigator. Agents now pull the image, the chart context, and the downstream tasks. In 12 months UTMB went from one live agent to 22 on a single instance: missed patients, prior

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18:58

If You've Seen One Discharge, You've Seen One...

The 229 Podcast ·

2026/09/10

September 10, 2026: Sherri Hess (former VP and Chief Nursing Informatics Officer, HCA Healthcare) sits down with Sarah Richardson. Not enough nurses on the acute-care floor. Too much admission and discharge work sitting on the people who were already there. Virtual nursing left the first unit in 3 to 4 months. The hard part was adding FTEs, not buying the cart. If you have seen one discharge, you have seen one discharge.Key Points: 0:00 One operational problem 2:22 Tegria 3:05 If you've seen one

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18:47

Zero-Day to Weaponization Is Now Sub-Hour.

The 229 Podcast ·

2026/09/09

September 9, 2026: Russell Teague (Chief Strategist and CISO, Fortified Health Security) sits down with Drex DeFord. Healthcare has been the number-one targeted industry for 13-plus years. Fortified only does healthcare, because no other industry has human life on a 24/7 stack. From there: 40-plus autonomous SOC vendors at Black Hat, a workstation that might be the CT scanner, 97 percent of breaches that never touch the EMR, and a board conversation that has to be about resiliency and patient care,

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33:12

If I Took It Out Today, Would an Outcome Change? |...

The 229 Podcast ·

2026/09/03

September 3, 2026: Diane Constantine (Children's Hospital of Philadelphia), Cathy Patterson (Banner Health), and Vicki Sergent (Froedtert ThedaCare Health) sit down with Sarah Richardson. If an innovation saves clinician time, prevents harm, and improves the patient experience, but cannot produce a clean 12-month ROI, does it deserve to scale? Cathy's test: if she took it out today, would an outcome change. Vicki's MyChart Bedside was supposed to take a year of phased rollouts. Innovation-unit

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21:31

The Winners Don't Have the Most AI

The 229 Podcast ·

2026/09/02

September 2, 2026: Alan Gabriola (VP of Healthcare, CTG) sits down with Bill Russell. CEOs come home asking why the health system is not doing more with AI. The CIO already knows they can. The shop never finished the hard work underneath. 220 leaders told 229 where next year's money is going: access and revenue cycle. Alan's line for what actually wins: not the most AI. The operating model.Guest: Alan Gabriola (CTG)Key Points:0:00 The winners don't have the most AI0:06 Both sides of the table3:13

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19:33

500 Patches. The Hospital App Still Can't Go Down.

The 229 Podcast ·

2026/08/26

August 26, 2026: Lindsey Bengfort (Managing Director, Healthcare, NTT Data) sits down with Bill Russell. She buckets what she hears every week into three anxieties: financial, tech/AI, and security. Security used to get skipped in the room. Not now. If you do not have a point of view, you do not get invited. From there: 500 patches on one hospital-critical application, garage-level attackers with open models, and an onslaught of AI features inside the vendors you already own. Lindsey's picture: you

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32:40

Epic's Pace Is Blistering: Can You Absorb the...

The 229 Podcast ·

2026/08/24

August 24, 2026: Bill Russell, Sarah Richardson, and Drex DeFord debrief Epic UGM from the week they were in the room. Last year was aspirational. This year has a roadmap, and the pace is blistering enough to consume an entire IT shop. Drex's read: a lot of CIOs have already conceded technical innovation to Epic. What is left is implementation, scale, and governance. Sarah's test: distinguish integration from dependency. The constraint is not whether Epic can ship. It is how much you can absorb,

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25:17

50 Agents on Paper. An Audit Finds 76. | Newsday with...

The 229 Podcast ·

2026/08/17

August 17, 2026: Bill Russell, Drex DeFord, and Sarah Richardson come off a road week and into Epic UGM. Ask a shop how many agents they have deployed. They might say 50. An audit turns up 76. Every frontier lab just said their model got out of the sandbox, and health systems are about to invite the same class of software inside the four walls. Pete Marks at Wake Med cut 20 applications, then the inventory went up. Bill's test is older than AI: an electrician wanted a 300-amp service because of

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28:12

Healthcare Doesn't Move in Seconds | Newsday with...

The 229 Podcast ·

2026/08/14

August 10, 2026: Bill Russell and Drex DeFord preview Epic UGM (Sarah is on a plane to Charlottesville). Bill opens with the reframe that sets the lens for the whole episode: don't mistake a single big announcement for the real pace of change — healthcare moves in months and years, not seconds. Then the preview itself: AI and Agent Factory framed around clinician experience, ambient documentation a year after the freeze, the Bridge/Epic interoperability standoff and the 3-year hedge, the entire

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24:36

From Potholes to Piglets, 30 Years of Health IT...

The 229 Podcast ·

2026/08/13

August 13, 2026: CT Lin, MD, spent 30 years at UC Health, the last stretch as Chief Medical Information Officer, before stepping into his next chapter as Professor of Medicine at the University of Colorado and first-time author. His new book, “It’s Not About the Tech: From Potholes to Piglets, Real-Life Lessons in Health IT,” argues that health IT success is 80 percent people and 20 percent technology, a lesson he learned by failing loudly and often. Lin tells Sarah Richardson about the radiology

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22:11

Turning Staffing Into an Advantage | Solution...

The 229 Podcast ·

2026/08/12

August 12, 2026: Marguerite Cunningham, VP/CNIO & VP Nursing at Inova Health, and Allison Morin, Chief Nursing Informatics Officer at Symplr, join Sarah Richardson to unpack how workforce management stopped being a scheduling problem and became an executive one. Maggie shares how Inova's Smart Square rollout, born out of pandemic urgency, forced the system to build real governance around staffing instead of just automating a spreadsheet. Allison brings the national view: predictive accuracy up

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26:59

I Gave You Dollars. You Gave Me Capacity. | Newsday...

The 229 Podcast ·

2026/08/10

August 7, 2026: Bill Russell sits down with Eric Utzinger (Revuud) while Sarah and Drex are out. The H1 2026 Signal Index put competing priorities and not enough capacity at the top of the list for 54% of leaders — and 43% said budgets are flat or declining. On this Newsday they dig into why AI ROI still feels muddy: tools return hours, not line-item dollars, and the CFO still needs the exchange rate. Along the way: operational transformation with real proof points, growth without growing, and a

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19:37

Solving Radiology Screening Bias and Ignoring the...

The 229 Podcast ·

2026/08/06

August 8, 2026: Darren Bullock wears two titles at once, COO and CIO of Envision Sally Jobe Radiology Imaging Associates, a multi-state radiology practice, and neither role stayed in its lane for long. Darren tells Sarah Richardson how that dual seat let him fast-track one of radiology's most overdue fixes: a breast cancer risk model that finally works for women who aren't white. Together they also get into what it took to deploy it first, how he keeps his board from chasing every AI shiny object,

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