In this episode of After the Chaos, Angela and Kandice break down their conversation with David Facchini, Director of Radiology at Yale. From starting as a transporter to building a fully manual follow-up program before technology existed, David brings hard-earned lessons on creating—and sustaining—high-reliability care. Angela and Kandice explore the real cost of “just building it internally,” the hidden resource burden behind manual worklists, and why leaders must think long-term when choosing technology partners. This debrief offers candid insights for any radiology or quality leader navigating Epic-first pressures, limited FTEs, and rising expectations for follow-up care.

This Success in Chaos episode, The Front-Lines of Chaos, explores what it truly takes to lead in today’s healthcare system. Yale New Haven Hospital’s David Facchini, MBA joins Angela and Kandice to discuss culture change, incidental findings, and building trust in high-pressure environments.

From his journey as a transporter to becoming a system executive, David shares how authenticity, connection, and persistence can transform patient safety and follow-up reliability. Through real cases and real leadership lessons, this episode shows why solving care gaps requires more than technology—it requires people willing to lead from the front lines.

Episode Chapter Guide

04:02 Understanding Incidental Findings in Healthcare

10:11 Building a Quality Improvement Program

15:42 The Role of Culture in Healthcare Initiatives

20:43 David's Journey from Technologist to Executive

24:43 Inspiration and Leadership in Healthcare

David's Resource Recommendations

Not Impossible Labs

ACR Learning Network

RSNA marked a turning point for radiology AI.

For years, the exhibit hall was filled with impressive algorithms and flashy demos. This year, the focus shifted to something far more important: workflows, interoperability, and follow-up.

Radiology leaders are no longer asking, “Is this cool?” They are asking:
Can it integrate?
Can we measure outcomes?
What happens after a finding is detected?

As shared on After the Chaos, one of the biggest risks in today’s AI adoption is turning on detection without a plan for care. A worklist is not a follow-up. Without orchestration, AI can actually increase liability instead of improving outcomes.

Another major shift is the demand for proof over hype. Leaders want real clients, real workflows, and real results—not marketing promises.

The future of radiology AI isn’t about one-off algorithms or closed platforms. It’s about interoperable, end-to-end workflows that ensure patients actually receive the care their images identify.

At RSNA, the message was loud and clear: Interoperability is now the competitive advantage.

Episode chapter guide:

01:50 Insights from RSNA: Technology and Quality Improvement
04:41 Navigating Technology Selection in Radiology
08:39 The Evolution of AI in Radiology
12:23 Interoperability and Workflow Integration
17:59 Demand for Proof: Moving Beyond Hype
20:33 Care Orchestration and Follow-Up Challenges

In this episode of Success in Chaos, Angela and Kandice talk with Dawn Davison, MPH, FACHE, a nationally recognized innovation and quality improvement leader and President of the ACHE Upstate New York Chapter. Dawn shares how curiosity and human connection fuel transformation across complex health systems. From optimizing workflows to building cultures of trust, she reveals how clarity and creativity can thrive amid healthcare’s chaos—and why mastering focus amid chaos begins with people.

Episode chapter guide:

02:55 The Importance of Relationships in Healthcare
07:55 Empowering Teams and Leadership Development
12:48 Navigating Technology in Healthcare
19:53 Success Amidst Chaos: Lessons Learned
23:49 Balancing Leadership and Personal Life
29:20 Cultural Insights from International Experience

Dawn's book recommendations:

• Make Your Bed: Little Things That Can Change Your Life...And Maybe the World by Admiral William H. McRaven
• Talking to Strangers: What We Should Know About the People We Don't Know by Malcolm Gladwell
• River Town: Two Years on the Yangtze by Peter Hessler

Angela Adams, RN, and Kandice Garcia, RN, reflect on their conversation with Dr. Kernesha Weatherly, who reminds us that “what looks like resistance is often misunderstanding.” Through stories of travel, leadership, and balance, they explore how empathy and listening can transform tense moments into connection. From gardens to pottery wheels, the hosts share how stepping away from work helps them return with clarity and creativity. This episode is a reminder that great leadership isn’t about control—it’s about curiosity, compassion, and the courage to slow down and truly understand.

When everything feels loud, how do leaders decide what truly matters?
In this episode of Success in Chaos, Dr. Kernesha Weatherly, Vice President of Imaging at Ochsner Health, joins hosts Angela Adams and Kandice Garcia to explore what it means to lead with clarity, humility, and calm in times of rapid change. From growing up in Alabama to guiding one of the nation’s most advanced imaging programs, Dr. Weatherly shares how travel shaped her worldview, why she believes in “connection before correction,” and how to tell the difference between what’s loud and what’s important.

Listeners will learn how to ground teams in purpose, navigate uncertainty, and lead transformation without losing sight of what matters most.

Episode chapters:

04:41 Kernesha's Journey in Healthcare

07:07 The Impact of Travel on Leadership

12:51 Navigating Chaos in Healthcare

15:51 Integrating AI in Healthcare Leadership

21:39 Empowering Teams Through Chaos

28:29 Recommended Reads for Leaders

In this After the Chaos bonus episode, Kandice and Angela discuss the insights gained from their conversation with Foster Mobley, Ed.D., focusing on the importance of authenticity, transparency, and honoring in leadership within the healthcare industry. They emphasize the need for leaders to model positive behaviors, assume positive intent, and foster trust among team members to create a collaborative and effective work environment. The discussion highlights the challenges faced in healthcare leadership and emphasizes the importance of genuine connections in improving organizational culture and patient care.

Episode Chapter Guide:
00:00 Introduction to Leadership Insights
02:01 Authenticity in Leadership
05:02 The Concept of Honoring in Leadership
09:46 Building Trust and Positive Intent
14:01 The Joy of Authentic Collaboration

In this episode of Success in Chaos, Angela Adams and Kandice Garcia Tomkins engage with Dr. Foster Mobley, a seasoned leader in healthcare. They explore the essence of authentic leadership, the importance of self-awareness, and the challenges leaders face in chaotic environments. Dr. Mobley emphasizes the need for leaders to connect deeply with their teams, cut through the noise, and embrace change, especially in the context of AI's growing influence in healthcare. The conversation also highlights the significance of honoring oneself and others in leadership roles, and the continuous journey of self-discovery and growth.

Episode chapter guide:
06:13 Foster Mobley's Journey in Healthcare Leadership
11:24 The Essence of Authentic Leadership
13:39 Leading in Chaos: Insights from Experience
16:33 The Importance of Connection in Leadership
18:29 The Importance of People in Leadership
21:42 The Concept of Honoring in Relationships
24:54 Navigating Leadership Styles
27:51 The Role of AI in Leadership
32:55 Leadership Lessons from Experience

Foster's book recommendations:
Master of Change: How to Excel When Everything Is Changing – Including You: Brad Stulberg
How to Know a Person: The Art of Seeing Others Deeply and Being Deeply Seen: David Brooks
Lead with Your Heart . . . Lessons from a Life with Horses: Allan J. Hamilton MD
Leadersh*t: Rethinking the True Path to Great Leading: Foster Mobley, Ed.D.

And check out Foster's Podcast "Step Wise: Conversations with Inspiring Leaders"