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

What do you do when you know what your patients need, but no one will pay for it?

Josh Gregoire, DNP, RN, AVP of Quality and Population Health at Valley Health System, has built programs the system was not ready to fund. His work includes a Food as Medicine program, an LGBTQ primary care center, and an IRB-approved maternal health trial.

In this episode, Josh shares how he uses community support, proof of concept, and strong relationships to move ideas forward. He also explains what it means to lead by influence and how to create an "army of problem solvers" when your team is small, but your mission is big.

Episode Chapter Guide

01:38 Journey from Bedside to Leadership
06:16 Innovative Approaches in Population Health
09:24 Success of the Food is Medicine Program
11:29 Building an LGBTQ Primary Care Program
20:09 Expanding into Maternal Health
23:32 Leadership Wisdom and Advice

In the special episode, we ask, "What if the chaos you're leading through isn't actually chaos at all?"

Kandice Garcia, RN — CEO of Tungsten QI Partners and Quality Improvement Director for the ACR Learning Network — and co-host of Success in Chaos shares why healthcare leaders keep hitting walls: we're applying linear, manufacturing-style management to a complex, human system.

Discover the dual empowerment model behind 85+ improvement projects at Cleveland Clinic, Mayo, Stanford, and beyond — plus a grounded take on AI that every healthcare leader needs to hear.

1:00 From exercise physiology to radiology nursing
3:00 The Stanford story: RITE program & Dr. David Larson
7:00 Building the ACR Learning Network's Empower program
9:00 Why Tungsten QI Partners was born
13:30 Complex vs. complicated: why healthcare isn't chaos
17:30 Dual empowerment: connecting frontline knowledge to leadership
20:45 AI in healthcare: the cavalry isn't coming
26:30 Books shaping Kandice's thinking

What happens when your most critical imaging system is held together by workarounds and tip sheets? Oliver Galicki, VP of Information Services at Memorial Hermann, reveals how he led a 12-month enterprise imaging overhaul — from eight vendors to a signed contract — while balancing technical debt, physician alignment, and scarce dollars.

His guiding philosophy: if your house is on fire, you cannot innovate. Discover how pragmatic IT leadership turns infrastructure chaos into a foundation for the future.

~1:30 Oliver’s journey from intern to VP
~4:30 Technical debt explained — the 23-year-old PACS problem
~8:00 “If your house is on fire, you can’t innovate”
~11:00 Building governance and physician alignment
~17:00 Streamlining decisions — 8 vendors to 1 in 12 months
~22:00 The ROI challenge for foundational IT
~28:00 Leadership style — authenticity, transparency, and speaking both languages
~32:00 Upskilling IT teams for the AI era
~35:00 Book and podcast recommendations

Electronic health records were supposed to transform healthcare—but instead, they digitized broken workflows.

In this episode of After the Chaos, the conversation explores why EHRs increased complexity instead of reducing it, and what healthcare can learn moving forward.

Key topics include:

• Why EHRs failed to improve care coordination
• The disconnect between technology and clinical workflows
• The importance of clinician-led design
• How to avoid repeating the same mistakes with AI

AI presents a new opportunity—but only if healthcare moves beyond digitization and into true redesign.

What happens when healthcare technology is built without the people who use it most?

In this episode of Success in Chaos, Angela and Kandice sit down with Dr. Melinda Kidder, DHA, MSN, RN, CENP, MPHC, Chief Nursing Officer for the Office of the National Coordinator for Health IT, to unpack one of the most overlooked drivers of success in healthcare innovation: frontline clinician involvement.

From her journey as a CNA to shaping national health technology policy, Dr. Kidder shares hard-earned lessons from the early days of EHR adoption—and why those same mistakes are now being repeated in the age of AI.

You’ll learn:

• Why nurses must be involved from day one—not as an afterthought
• The biggest disconnect between tech design and real clinical workflows
• What most organizations get wrong about AI adoption
• How to build governance models that actually work
• Why “closing the loop” is the most overlooked step in implementation

If you’re a healthcare executive, operator, or innovator trying to make technology actually deliver outcomes—not just features—this episode is a must-listen.