『Beyond the Blueprint - Better Healthtech By Design』のカバーアート

Beyond the Blueprint - Better Healthtech By Design

Beyond the Blueprint - Better Healthtech By Design

著者： Beyond the Blueprint - Health Series
無料で聴く

概要

 Redefining Healthcare Through Design Thinking Dialogues with clinicians & HIT professionals, clinical leadership, and industry innovators on integrating healthcare design into technology deployments to tackle complexity, drive innovation, improve patient care, & foment transformative change.2025 生物科学 科学 衛生・健康的な生活 身体的病い・疾患
エピソード
  • EP45 - AMDIS Roundtable - Data Governance at the Point of Care

    EP45 - AMDIS Roundtable - Data Governance at the Point of Care
    2026/02/15

    In this AMDIS collaboration, Dr. Mark Pierce (former Parkview Health), Dr. Howard Landa (Adventist Health), and Dr. John Lee (HIT Peak Advisors) examine why data governance is ultimately a patient-care issue, not just an IT function. Drawing on real bedside decisions, EHR transitions, and conflicting metrics, they show how unclear definitions and hidden data create hesitation, workarounds, and loss of clinician trust. Together, they discuss the leadership commitment and investment required to improve data quality, and why clean data is the prerequisite for safe and meaningful AI in healthcare.

    Key Takeaways
    • Unclear data definitions slow care — clinicians pause, double-check, or guess at the bedside.
    • Data governance is a patient-safety function, not an IT committee exercise.
    • Most data problems are silent — staff create workarounds instead of reporting issues.
    • Different departments define the same metric differently, eroding organizational trust.
    • Leadership wants fast ROI, but governance requires long-term investment and persistence.
    • AI magnifies bad data — clean inputs matter more than advanced algorithms.
    • Use AI first to clean and structure data before deploying clinical AI tools.
    • Start governance with visible problems (e.g., length-of-stay definitions, data sharing).
    • Tie governance efforts to active initiatives to gain momentum and participation.
    • Organizations rarely advertise good governance — you see it in outcomes, not org charts.
    • Clinician trust is fragile; one bad data-driven decision can last for years.
    • Accessible, synthesized data enables faster decisions and real improvement cycles.
    Episode Highlights

    00:00 | Why Data Governance Gets Ignored
    02:01 | Data Governance as a Patient-Safety Issue
    04:25 | When Data Helps — and When It Slows Care
    06:29 | Too Much Information, Not Enough Clarity
    09:14 | The "Raiders of the Lost Ark" Data Warehouse Problem
    11:04 | Why Leaders Delay Governance Work
    13:06 | The Real Investment Required
    14:28 | The PD-Not-PDSA Cycle in Healthcare
    15:16 | AI Fails Without Clean Data
    16:55 | What Breaks When Definitions Differ
    18:05 | Bad Data at the Bedside: A Stroke Decision
    20:19 | How Trust in Data Is Lost
    23:13 | Silent Workarounds Across Hospitals
    25:18 | Where Organizations Should Start
    27:15 | Making Data Actionable for Clinicians
    29:26 | Governance as Organizational DNA
    31:24 | Aligning AI Governance With Data Governance
    32:13 | Use AI to Clean Data First
    34:15 | Bias, Training Data, and Clinical Risk
    36:29 | Final Message: When Rules Are Unclear, Care Suffers

    Guests: Dr. Mark Pierce, Dr. Howard Landa, Dr. John Lee
    Host:     Gregg Malkary - Lighthouse Healthtech
    Cohost:     Keith Washington - Companions in Courage Foundation
    Sponsored by:     Simplifi Medical & Storage Systems Unlimited
    Audio/Video:     Tim Jones - Health Nuts Media
    Marketing:     Josh Troop - Troop-Creative
    Learn More at:     www.beyond-blueprint.com
    続きを読む 一部表示
    37 分
  • EP44 - Beyond the Pilot: Scaling Ambient Listening at Sutter Health - Dr. Veena Jones and Stephanie Driscoll

    EP44 - Beyond the Pilot: Scaling Ambient Listening at Sutter Health - Dr. Veena Jones and Stephanie Driscoll
    2026/02/01

    In this episode, we're joined by two leaders from Sutter Health who are scaling ambient listening across their enterprise: Dr. Veena (Goel) Jones, Chief Medical Informatics Officer, and Stephanie Driscoll, Vice President of Digital Implementation.

    In 2025 alone, Sutter onboarded more than 3,100 clinicians to ambient listening—moving well beyond pilot programs to true system-wide adoption. Together, they share what it takes to make that scale possible, from EHR integration and workflow redesign to governance, training, and change management.

    Key Takeaways
    • Ambient listening only scales when the EHR foundation is ready. Workflow standardization and template cleanup made enterprise adoption possible.
    • In 2025, Sutter onboarded more than 3,100 clinicians—moving ambient listening beyond pilot and into system-wide infrastructure.
    • AI adoption is operational, not just technical. Governance, enrollment processes, and structured onboarding determined success.
    • Clinicians pulled the technology. Ambient listening spread because it reduced cognitive burden—not because it was mandated.
    • Full Epic integration eliminated friction and accelerated both ambulatory and inpatient adoption.
    • Ambient listening is a gateway. Documentation is just the beginning—queued orders and future AI workflows depend on foundational readiness.
    Episode Highlights

    00:00 | Enterprise Change Management and Ambient Listening
    01:30 | Welcome to Beyond the Blueprint
    02:30 | Why Ambient Listening Is More Than Hype
    03:25 | Meet the Leaders: Sutter Health's AI Scale Strategy
    05:00 | Early Physician Reactions: "This Changed My Life"
    06:05 | From Pilot to Enterprise Enrollment
    07:40 | Standardizing Epic to Prepare for AI
    09:20 | Governance, Safety, and Clinical Oversight
    11:00 | Integrating Ambient Listening Directly into Epic
    13:30 | The Role of the Digital Academy in Scaling Adoption
    15:45 | Reducing Cognitive Burden at the Bedside
    18:00 | Scaling Across Ambulatory and Inpatient Settings
    20:30 | Structured Intake and Monthly Onboarding Waves
    23:00 | Protecting Coding Integrity and Revenue Cycle
    27:15 | Beyond Documentation: Orders and Workflow Automation
    29:00 | Measuring Impact: Charting Time and Pajama Time
    31:45 | Why Clinicians Pulled the Technology
    34:00 | Preparing the EHR Foundation for Future AI
    36:30 | What It Really Takes to Move Beyond the Pilot
    38:50 | Closing Thoughts: Ambient Listening as Infrastructure

    Guests: Dr. Veena (Goel) Jones, Stephanie Driscoll Host: Gregg Malkary - Spyglass Consulting Group Cohost: Keith Washington - Companions in Courage Foundation Sponsored by: Simplifi Medical Audio/Video: Tim Jones - Health Nuts Media Marketing: Josh Troop - Troop-Creative Learn More at: www.beyond-blueprint.com

    続きを読む 一部表示
    39 分
  • EP43 - Cybersecurity as Patient Safety: A 2026 CMIO Playbook - Dr. Christian Dameff, Steven Ramirez, Dr. Sean Kelly

    EP43 - Cybersecurity as Patient Safety: A 2026 CMIO Playbook - Dr. Christian Dameff, Steven Ramirez, Dr. Sean Kelly
    2026/01/19
    In this episode we're joined by Dr. Sean Kelly (Imprivata), Dr. Christian Dameff (UC San Diego Health), and Steven Ramirez (Renown Health) to explore a critical yet often misunderstood frontier: the intersection of cybersecurity and patient safety. Together, we unpack how clinical leaders can prepare for digital outages, ransomware attacks, and the escalating threat landscape—not as isolated IT events, but as high-stakes clinical disruptions. From real-time decision-making to cultural readiness, this conversation is a practical playbook for CMIOs navigating care delivery in an age where system failures can mean delayed diagnoses, canceled surgeries, and compromised outcomes. Whether you lead tech, safety, or care teams, this episode offers a bold call to reframe cybersecurity as a core component of clinical resilience—and why every hospital needs a downtime plan that actually works. Key Takeaways Cybersecurity is clinical safety. Outages impact real patients—diverting ambulances, delaying chemo, and compromising care at the bedside.Generic downtime plans don't cut it. Too often, they're dusty binders with vague bullet points. Real preparedness requires clinical playbooks tailored to workflows, not just systems.Clinician training must go beyond checkbox compliance. Studies show most phishing training has minimal impact. Real-time, workflow-based education is more effective.Paper downtime isn't intuitive anymore. Many clinicians—especially newer ones—have never documented without digital tools. Drill-based preparedness is critical.Security and speed can coexist. With adaptive tools, it's possible to embed safeguards that protect systems without blocking care delivery.Every department responds differently to cyber events. Cross-functional coordination—especially between IT and clinical ops—is key for effective triage and recovery.Identity is the new perimeter. Over 80% of cyber events stem from compromised credentials. Guardrails and behavior-based analytics are essential.We need to measure what works. Cyber tools should be held to the same evidence-based standards as clinical interventions.CMIOs must bridge the gap. As translators between the boardroom, command center, and bedside, they're uniquely positioned to lead a new model of digital resilience. Episode Highlights 00:00 | Cybersecurity Is Now a Clinical Crisis 01:53 | Welcome to Beyond the Blueprint 02:30 | Why Cyber Threats Are Patient Safety Threats 03:09 | Meet the Panel: Imprivata, UCSD, and Renown Health 04:00 | From IT Problem to Bedside Risk 05:20 | Building Cyber Resilience into Daily Workflow 07:00 | Downtime Plans: Why Most Are Useless 09:30 | Clinical Ransomware Playbooks: A New Standard 11:16 | Preventative Cyber Hygiene and Workflow Mapping 13:10 | Supporting ICU, Dialysis, and Cancer Care During Outages 14:43 | Chain of Command in the First 5 Minutes of a Breach 16:00 | Frontline Leadership: Silos or Shared Command? 17:10 | Why Mid-Acuity Patients Are the Hidden Risk 18:00 | Friction vs. Safety: Rethinking MFA and Access 20:00 | Cross-Functional Models for Risk Escalation 22:00 | Eliminating Email to Reduce Phishing Risk 23:15 | Biometric Access, Passkeys & Adaptive Controls 24:00 | Why You Must Drill Downtime Workflows 26:00 | When to Trigger Paper-Based Systems 27:30 | Cultural Inertia vs. Clinical Necessity 28:45 | Scaling Resilience Across Diverse Hospitals 29:15 | AI Guardrails and Workflow Protections 30:22 | CMIO Challenge Question: Is Training Worth It? 31:55 | Rethinking Evidence in Cyber Tools 33:00 | Training Doesn't Work—But This Might 35:00 | Four Steps to Take in the Next 30 Days 36:15 | Final Takeaway: Don't Be the Dept. of No 38:00 | Closing Thoughts: Cybersecurity Is Patient Care Guests: Dr. Sean Kelly, Dr. Christian Dameff, Steven Ramirez Host: Gregg Malkary - Spyglass Consulting Group Cohost: Keith Washington - Companions in Courage Foundation Sponsored by: Simplifi Medical Audio/Video: Tim Jones - Health Nuts Media Marketing: Josh Troop - Troop-Creative Learn More at: www.beyond-blueprint.com
    続きを読む 一部表示
    40 分
まだレビューはありません