In this AMDIS collaboration, Dr. Eve Cunningham (Cadence, formerly Providence), Kaitlyn Torrence (WellSpan, formerly MUSC), and Dr. Camille Bradley (Baylor Scott & White) reveal what separates failed pilots from scalable innovation. Drawing on real-world deployments of virtual care, ambient listening, and decision support tools, this episode dives deep into the operational, cultural, and clinical realities behind adoption. From rebranding "pilots" to building internal trust, the panel offers a blueprint for moving from spark to scale in health system innovation.

Together, they explore why scaling digital care requires more than good tech—it demands strong partnerships, clinician champions, and a relentless focus on solving real problems.

• Most pilots fail because they aren't designed for scale—think phased deployment, not one-off testing.

• Rebranding "pilots" as experiments or phase-one initiatives improves credibility and staff buy-in.

• Clinician champions ("entrepreneurial weirdos") are key to real-world feedback and viral adoption.

• Operational leaders help navigate workflows, align stakeholders, and ensure accountability at scale.

• Innovation labs must be tied to informatics and operational realities—not siloed showcases.

• Health systems need platform partners, not point solutions, to meet long-term strategic goals.

• Trust, process clarity, and iterative design drive clinical adoption—especially post-EMR trauma.

• Change management resources are essential; adoption is emotional, not just technical.

• Prioritization must follow clear goals (e.g., "cut 400,000 admin hours"), not shiny tech trends.

• Vendors succeed when they understand the system's priorities—and show up ready to co-develop.

00:00 | Why So Many Pilots Fail
01:14 | Meet the Leaders Scaling Innovation
02:30 | The Pilot Graveyard: When Good Ideas Die
04:17 | Rebranding Pilots as Experiments
06:08 | Finding Your "Weirdos": The Power of Clinical Champions
07:56 | Designing for Process, Not Just Technology
09:34 | Defining the Problem Before Testing a Solution
10:23 | From Frustration to Trust: Winning Clinician Buy-In
12:14 | How Ambient Scribes Went Viral
13:58 | Socializing Tools with Frontline Feedback
15:27 | Why Operational Champions Matter
17:00 | The Role of Communication in Scaling
18:20 | Are Innovation Labs Working—or Just Expensive Showrooms?
20:37 | Partnerships Over Products: Building the Right Ecosystem
22:37 | Creating Safe Spaces to Fail and Pivot
24:10 | Aligning IT, Clinical, and Finance Around a North Star
26:00 | Strategic Prioritization: What Moves Forward and Why
27:44 | Attacking Admin Waste with AI and Clear Goals
29:34 | From Point Solutions to Platform Partners
31:11 | Vendor Advice: Do Your Homework, Bring Specific Value
33:20 | Three Takeaways for Innovation Leaders

Guests: Dr. Eve Cunningham, Dr. Camille Bradley, Kaitlyn Torrence
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

What happens beyond the digital front door? In this AMDIS collaboration, Dr. Yaa Kumah-Crystal, Dr. Natalie Pageler, and Dr. Sarah Rush unpack the complex realities of digital family engagement in pediatric care. From patient portals and teen privacy laws to ambient documentation and AI-enabled translation, this panel explores how hospitals can rebuild trust, reduce barriers, and design systems that truly work for families. Together, they examine cultural readiness, access equity, and why health systems must treat family engagement as both a design challenge and a clinical imperative.

• Pediatric digital tools must account for evolving autonomy and privacy needs.
• Teen portal adoption is still widely misunderstood by patients and staff.
• Telehealth and virtual quick care reduce burden and boost access.
• AI tools like ambient scribes and LLMs are reshaping provider-patient connection.
• Language and literacy remain persistent access barriers.
• Even tech-savvy families fall through the cracks due to system complexity.
• Consumer tools and sports analytics offer inspiration for pediatric innovation.
• True patient-centered care requires redesigning care around family workflows.
• Success metrics should include trust, connection, and clinical relief—not just logins.

00:00 | Intro
00:41 | A Mom Uses the Portal—and Reshapes the Encounter
02:25 | ChatGPT in the Stanford ER
04:17 | When Confidential Care Becomes a Privacy Risk
06:09 | Rethinking Telehealth and Access for Families
07:56 | Extending Specialist Reach through Virtual Care
09:34 | Building Digital Trust
13:34 | The Case for Anonymity in Sensitive Teen Encounters
15:10 | ChatGPT vs. Truancy Policies
16:17 | Designing Tech for Younger, Digitally Native Families
18:19 | Change Management Across Literacy and Trust Barriers
21:41 | Why Spanish-Language Portals Still Miss the Mark
23:39 | Legal, Cultural, and Logistical Gaps in Teen Consent
26:30 | Are Providers Ready for Empowered Families?
27:35 | Humanizing Tech: Ambient Scribes and Burnout
29:51 | How to Measure Success Beyond the Click
33:00 | Peer Challenge: Consumer Tools We Should Steal
38:11 | Three Takeaways for Pediatric Hospital Leaders

Guests: Dr. Natalie Pageler, Dr. Yaa Kumah-Crystal, Dr. Sarah Rush
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 we explore why so many AI initiatives in healthcare stall—and how nursing leaders can change that. Dr. Jing Wang (FSU Nursing), Athena Fernandez (Penn Medicine), and Troy Seagondollar (formerly Kaiser Permanente) reflect on the current AI landscape and what it takes to make tools truly work for nurses at the bedside. From sepsis prediction models to staffing automation, they share hard-won lessons in AI governance, change management, and clinical trust. Our panel dives into the growing gap between innovation and implementation—and how nurse-led strategies can help close it.

• AI projects often fail when nurses are excluded from planning and implementation.
• Augmented intelligence offers more clinical value than full automation.
• Nurse informaticists are essential to bridging IT and frontline workflows.
• Change management begins with bedside relevance, not just executive strategy.
• Sepsis prediction models reveal the risks of misaligned AI tools.
• AI should enhance—not replace—clinical judgment.
• National frameworks can help standardize and scale ethical AI use.
• Transparency and education are key to building trust in AI systems.
• Governance structures must include frontline feedback loops.
• Empowering nurses helps ensure AI improves care, not burdens it.

00:00 Welcome & Framing the Episode
01:55 Nursing's Role in AI Adoption
04:16 Lessons from Sepsis Prediction Tools
07:41 When Nurses Are Left Out of the Process
09:13 Hidden Costs: Workflow Disruption and Trust Erosion
11:23 Building a Feedback-Driven Governance Model
13:01 National Nursing + AI Framework
15:52 Bridging Academia and Clinical Reality
20:06 Traits of an AI-Savvy Nurse Leader
21:26 How Nurse Leaders Can Get Started
24:46 Artificial vs. Augmented Intelligence in Practice
28:28 The Tsunami of Tools: Change Management in Action
31:15 Building Clinical Trust in AI
34:22 Final Thoughts & Call to Action

Guests: Aretha Fernandez Jing Wang Troy Seagondollar
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 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