Everyone can launch an improvement initiative. But it takes a very special leader to keep one alive.

Dr. Prerna Singh Kahlon went from a dental surgeon in India to leading quality, process improvement, and patient safety at Grady Health System—a safety-net hospital on a high-reliability journey since 2022. She explains why sustainment is the hardest part, how Grady let 150+ staff pick their own error prevention tools, and where AI stops being useful. Discover the real test of any improvement.

Episode Chapter Guide:
00:33 Introduction to Dr. Prerna Singh Kah and her journey
02:11 From dentistry in India to healthcare quality in the US
07:39 Understanding high reliability organizations
09:05 Partnering for safety at Grady Hospital
12:57 Training leaders and staff in error prevention tools
15:15 Sustaining improvement through accountability and measures
19:26 The role of AI in healthcare quality and safety
22:50 The importance of human relationships in quality improvement
24:18 Leadership qualities for complex healthcare environments
28:30 The most important skill for future success

What happens when innovation outpaces implementation — and patients can't wait for Q3?

Dr. Clifton Watt is a practicing cardiologist, Executive Medical Director at UCSF, and former software engineer who has spent his career living at the intersection of those two worlds. In this episode, he shares where cardiology is ripe for disruption, why access to care is the real bottleneck technology needs to solve, and how wearables, remote monitoring, and pharmacist-led care teams could fundamentally redesign who delivers care, where, and when. Plus: why patients showing up with AI-generated diagnoses is making every clinical visit more complex.

Episode Chapter Guide:
00:40 The Intersection of Healthcare and Technology
09:35 Innovation vs. Quality in Healthcare
12:58 Disruption in Cardiology
19:20 Transforming Patient Care with Technology
25:45 The Role of Pharmacists in Patient Management
29:20 Navigating Patient Expectations in the Age of AI
35:03 Inspirations for Healthcare Reform

AI is not going to replace radiologists. But it is going to transform how they work — and most health systems have no idea how to govern that transformation responsibly.

Dr. Shlomit Stein, Professor of Radiology at Hofstra Northwell and Director of AI for Enterprise Imaging at Northwell Health, has built the governance model that actually works. In this episode, she explains why she replaced "AI governance" with "AI management and coordination," how agile working groups make faster and better decisions than top-down committees, and why withholding AI from radiology residents is the wrong call. A must-listen for any leader navigating AI at scale.

Episode Chapter Guide

02:11 Leadership Journey in Healthcare AI
05:00 Governance in AI Implementation
12:18 Radiology as a Leader in A
14:57 AI's Role in Supporting Radiology Workflows
19:59 Training the Next Generation of Radiologists
26:52 Recommended Resources for Understanding AI