Making Hospital Innovation Work: Patient Flow, People, and AI—with CMO Dr. Krishnaj Gourab
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Making Hospital Innovation Work: Patient Flow, People, and AI—with CMO Dr. Krishnaj Gourab
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How can hospitals reduce discharge delays, improve care coordination, and prepare their teams to use AI responsibly?
In this episode of The Hospital Playbook, Dane Nardi sits down with Dr. Krishnaj Gourab, a physician executive at the University of Maryland Medical System and University of Maryland Rehabilitation & Orthopedic Institute, to explore the people, processes, and leadership behind successful hospital innovation.
Dr. Gourab shares how his health system redesigned post-acute discharge coordination, centralized insurance authorizations, and improved visibility across the patient journey—helping case managers spend more time coordinating care. We then explore what responsible AI adoption looks like, from building workforce literacy to evaluating tools and monitoring their performance.
In this episode, we discuss:
- Reducing discharge delays: Moving from sequential handoffs to coordinated, parallel workflows.
- Improving patient flow: Giving care teams shared visibility into discharge readiness and barriers.
- Making change stick: Building clinician buy-in, demonstrating results, and scaling improvements.
- Building AI readiness: Helping staff understand AI’s capabilities, limitations, and risks.
- Establishing AI governance: Validating tools, protecting data, and maintaining oversight as conditions change.