Michael hosts Aditi Joshi, an emergency medicine physician turned digital health leader, to discuss the evolution and adoption challenges of telemedicine and broader healthcare technology. Aditi recounts entering telemedicine in 2013, scaling programs through the pandemic, and now consulting on digital health adoption and scaling. They cover why patients generally like telehealth, why many health tech startups fail due to slow health-system implementation and clinician behavior change, and how required usage plus department-level ownership helped scale telemedicine at Jefferson. They also discuss AI in healthcare, distinguishing administrative “back-end” uses from clinical “front-end” advice, and why confidence, trust, and messaging affect adoption. Aditi shares her book, “Telehealth Success,” and key takeaways on implementation strategy and understanding end users.

Timestamps:
00:24 Welcome and Setup
01:24 Aditi's Telehealth Journey
02:46 Telemedicine Then to Now
04:56 What Patients Really Want
07:07 Why Health Tech Fails
10:40 Clinician Adoption Barriers
16:34 Scaling Across Hospitals
21:02 AI Hype vs Reality
27:19 AI Telehealth Agents
29:01 Book and Consulting Work
31:37 Cost Savings and Incentives
34:00 Key Takeaways and Closing

Connect with Aditi:
https://draditiujoshi.com
https://www.linkedin.com/in/dr-aditi-joshi/

Aditis book:
https://a.co/d/08473ukY

Michael's National Workforce Study on Change Management: https://www.michaeljlopez.coach/research