Join hosts Keith Washington and Kris Baird for a conversation with Michelle Lingner, FNP-C, RN-BSN, RNFA—a trauma nurse practitioner at ECU Health who's redefining what it means to lead without formal authority. Michelle shares how intentional mindset shifts transformed her from burned out to energized, and how that shift rippled through her entire team. Drawing on her experience in a 1,000-bed Level 1 trauma center, she reveals practical strategies for peer-to-peer influence, closing communication gaps that delay patient care, and choosing positivity even in high-pressure environments.

Kris Baird, nurse executive, author, and CEO of the Baird Group, guides the conversation with coaching insights on self-management, creating cultures of feedback, and knowing when toxic team members need to be coached up or moved out. Together, they explore how self-awareness, consistent micro-habits, and simple handoffs can shift culture from the bedside. Whether you're in nursing leadership, healthcare operations, or healthtech innovation, this conversation offers a blueprint for becoming an influencer in your organization—no title required.

Key Takeaways

• You don't need a formal leadership role to positively influence those around you
• Intentionally showing up with positivity takes less energy than being negative
• Leading yourself first gives others permission to do the same
• Simple communication handoffs can reduce patient care delays by hours
• Small acts of follow-up build your "influencer bank account"
• Positivity spreads through teams when practiced consistently as a routine
• Staying curious about what triggers negativity helps shift toxic dynamics
• Dead weight employees can be influencers too—just in the wrong direction
• Taking ownership and closing communication loops improves ED throughput
• Culture change starts with self-awareness and one repeated action

Episode Highlights

00:00 Introduction: Leading Without a Title
02:00 Michelle's Role at ECU Health's Level 1 Trauma Center
03:48 Who to Follow: Positivity, Problem-Solvers, and Bridge Builders
04:54 Managing Your Own Mindset: From Burnout to Intentional Leadership
06:48 The Power of Routine: Making Positivity a Practice
08:14 Staying Present in High-Stress Trauma Care
10:25 How One Person's Attitude Shifts an Entire Culture
13:16 Dealing with Toxic Team Members: When to Coach, When to Let Go
17:00 The Communication Gap That Delays Patient Care
20:14 Building Your Influencer Bank Account Through Small Acts
23:29 How Communication Impacts ED Throughput and Bed Availability
25:26 Closing Thoughts: Self-Awareness and Repeated Action
26:00 "When You Lead Yourself First, You Give Others Permission to Do the Same"

Guest: Michelle Lingner, FNP-C, RN-BSN, RNFA - ECU Health
Host: Keith Washington - Companions in Courage Foundation
Cohost: Kris Baird - Baird Group
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

Join us for a conversation with nurse executive and healthtech innovator Patrick Baker shares the story behind Palarum’s smart sock—an advanced wearable that’s dramatically reducing patient falls without adding to clinical workload. With insights shaped by decades on the frontlines, Baker walks us through how alarm fatigue, design thinking, and data transparency inspired a smarter approach to patient safety. We explore how real-time mobility tracking, clinical workflow integration, and human-centered innovation are shifting the paradigm in hospital care. Whether you're in nursing leadership, patient safety, or digital health innovation, this conversation offers a blueprint for rethinking fall prevention and mobility as a strategic advantage.

Key Takeaways

• Our goal was to reduce patient falls by 20-25%.
• We've exceeded 40,000 patient days with our socks.
• We had zero patient falls at Ohio State during the trial.
• The smart sock alerts nurses when patients get up.
• We aim to document patient mobility accurately.
• Every patient gets a pair of socks for safety.
• The technology helps mitigate hospital costs from falls.
• Remote monitoring is the future of patient safety.
• We need to address alarm fatigue in hospitals.
• Effective fall prevention requires a strategic approach.

Episode Highlights

00:00 Introduction to Patrick Baker and Palarum
02:15 From CNO to Inventor: The Origins of the Smart Sock
05:48 Why Traditional Fall Prevention Methods Fail
07:33 The Epiphany Moment: Bed Alarms and Alarm Fatigue
10:45 Building a Smart Sock: Design, Sensors, and Accuracy
13:09 Real-World Results: 60%+ Reduction in Patient Falls
15:32 Clinical Trial Insights and Fall Rate Benchmarks
18:43 The ROI Conversation: Costs, Sitters, and FTEs
21:27 Rethinking Hospital Surveillance Strategies
23:15 The Power of Real-Time Staff Proximity Alerts
25:05 Future Vision: Patient Mobility and EMR Integration
27:18 How to Connect with Palarum and What’s Next

Guest: Patrick Baker - Palarum
Host: Gregg Malkary - Spyglass Consulting Group
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

In this episode of Beyond the Blueprint, emergency physician and health IT strategist Dr. John Lee unpacks the systemic failures slowing down our emergency departments—and why AI alone won’t fix them. With firsthand insights from the front lines and the boardroom, Dr. Lee makes the case for building data governance and transparency before jumping into artificial intelligence. We explore why foundational analytics matter, what most organizations get wrong about innovation, and how strategic design can reduce ED chaos. Whether you’re a CMIO, a health system leader, or innovating in clinical ops, this episode offers a blueprint for smarter, scalable change in acute care.

Key Takeaways

• Organizations often skip foundational analytics for AI.
• Emergency departments face systemic issues affecting patient care.
• Cost and care quality are often at odds in healthcare.
• Data governance is crucial for effective analytics.
• Change management is essential for technology adoption.
• Emerging technologies must be integrated into workflows.
• Strategic planning is often overlooked in healthcare organizations.
• Transparency in healthcare processes is lacking.
• Improving ED efficiency requires addressing upstream issues.
• The future of healthcare will involve augmented intelligence.

Episode Highlights

00:00 The Foundation of Healthcare Analytics
04:44 Challenges in Emergency Departments
13:06 The Role of AI in Healthcare
17:14 Future of Augmented Intelligence in Healthcare
23:21 Strategic Planning in Healthcare Organizations
30:04 Final Thoughts on Transformational Leadership

Guest: John Lee - HIT Peak Advisors
Host: Gregg Malkary - Spyglass Consulting Group
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

Join us for a candid retrospective on the Epic EHR, recorded in collaboration with AMDIS. In this episode, Dr. Yaa Kumah-Crystal, Dr. Roy Esaki, and Dr. John Lee share lessons learned from the frontlines of digital transformation, from navigating complex governance to managing integration debt and cloud migration risks. They explore why Epic rollouts often go off track, how to balance innovation with standardization, and where leadership must focus to support sustainable success. Our panelists unpack the realities of patient engagement, third-party tools, and cultural readiness—while imagining a more intuitive, voice-driven future for EHRs.

Key Takeaways

• Voice technology could revolutionize interactions with EHR systems.
• Effective leadership is crucial for successful Epic implementations.
• Change management is the biggest challenge in EHR deployment.
• Third-party applications can enhance functionality but introduce risks.
• Cloud migration offers flexibility but requires careful planning.
• Patient engagement tools are improving but still need enhancements.
• Learning from peers can prevent costly mistakes in implementation.
• Governance and data management are essential for operational success.
• The Epic community is supportive and collaborative among users.
• Future developments should focus on voice integration and user experience.

Episode Highlights

00:00 Epic Development Wishlist
02:49 Challenges of Epic EHR Implementations
05:01 Is Epic too Complex?
08:47 Integrating 3rd Party Apps with Epic
12:17 Cloud Migration: Opportunities and Risks
15:02 Patient Engagement and Digital Tools
18:02 Generational Attitudes towards Technology
21:09 Leadership Priorities for Epic Implementation
24:40 The Epic User Community
26:56 Future Development Directions for Epic
33:39 Closing Remarks

Guests: Dr. John Lee, Dr. Yaa Kumah-Crystal, Dr. Roy Esaki
Host: Gregg Malkary - Spyglass Consulting Group
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