The 229 Podcast

September 23, 2026: Christian Boucher (Healthcare CTO, Island) sits down with Sarah Richardson. He came into healthcare because his wife is a nurse. He watched clinical systems move to the browser while security got bolted on around them, and the workflows broke. One customer said they had 25 AI tools locked down. Island looked at every browser in the shop. 250. A remote clinical analyst team was waiting a minute to reach a usable EHR. On Island: 20 seconds.
Guest: Christian Boucher (Island)
Key Points:
0:00 They thought they had 25 AI tools

0:06 Welcome

0:56 Why the browser had to be rethought

5:09 Island

6:31 Browser as a control point

11:53 A minute became 20 seconds

16:21 25 tools were 250

20:17 What to ask an enterprise browser

21:20 Security that improves the experience

25:08 Close

Donate: Alex's Lemonade Stand: Foundation for Childhood Cancer
Keep up to date on the latest in health IT:
https://thisweekhealth.com/news/

September 22, 2026: Sarah Richardson sits down with Drex DeFord for a special UnHack. No CISO guest this month. Drex is 24 hours off the Black Rock Desert and into the New Orleans regional staff roundtable, where three people told him they were there for the Burning Man stories. He answers how the city actually works. Then the picture he sent Sarah: a tardigrade on the playa. Heather Costa made that microscopic survivor the mascot for healthcare IT resilience. Same question the RSR afternoon is built on: what do you do when the bad thing happens, so patients, families, and staff still get care.
Key Points:
00:06 A Special UnHack

02:56 Fortified Health

03:30 How the City Works

08:38 Art, the Man, and the Temple

12:42 The Tardigrade

15:03 When the Bad Thing Happens

Keep up to date on the latest in health IT:
https://thisweekhealth.com/news/
X: This Week Health
LinkedIn: This Week Health
Donate: Alex’s Lemonade Stand: Foundation for Childhood Cancer

September 17, 2026: Jennifer Jones (former system CNIO and VP, Integris Health), Kay Burke (VP and CNIO, UCSF Health), and Rachael Hill (CNIO and Director of Clinical Systems, North Mississippi Health Services) sit down with Sarah Richardson. What changes when clinical informatics helps shape enterprise strategy from the beginning, not after the technology is already chosen. Jennifer's IV pump work cut adverse infusion events 56%, returned 2,000 nursing hours, and avoided about $500,000 in harm cost.

Key Points:

0:00 Why the CNIO belongs at the strategy table

4:20 Harmony HIT

4:50 Informatics in from the start

8:12 Don't design the hospital as an island

16:08 If we were designing this today

20:13 There were no nurses in the room

28:26 56% fewer IV harm events

31:20 AI acceptance is not generational

36:02 Go-live is not the ROI

LinkedIn: 229Project

Donate: Alex's Lemonade Stand: Foundation for Childhood Cancer

September 16, 2026: Nish Khandwala, Co-Founder and CEO of Bunkerhill Health, and Dr. Peter McCaffrey, Chief Digital and AI Officer at UTMB Health, join Bill Russell. UTMB started with an FDA-cleared incidental coronary artery calcium algorithm. The next question was the workflow: who sees the flag, who acts, do you hire a navigator. Agents now pull the image, the chart context, and the downstream tasks. In 12 months UTMB went from one live agent to 22 on a single instance: missed patients, prior auth, care pathways, referral access.
Key Points:
0:00 Open

0:06 Solution Showcase

0:39 What Bunkerhill is

3:10 Incidental calcium, then what

5:56 Open systems vs Epic

9:10 What's this going to cost

11:25 22 agents in 12 months

13:29 You can also build expensive RPA

16:55 If the agent is a toy

20:05 Forward-deployed engineers

23:17 Close

LinkedIn: 229Project
Donate: Alex's Lemonade Stand: Foundation for Childhood Cancer

September 10, 2026: Sherri Hess (former VP and Chief Nursing Informatics Officer, HCA Healthcare) sits down with Sarah Richardson. Not enough nurses on the acute-care floor. Too much admission and discharge work sitting on the people who were already there. Virtual nursing left the first unit in 3 to 4 months. The hard part was adding FTEs, not buying the cart. If you have seen one discharge, you have seen one discharge.

Key Points:

0:00 One operational problem

2:22 Tegria

3:05 If you've seen one discharge

6:23 Start on one unit

8:14 Night nurses wanted 24 hours

9:53 SureTest

11:51 What the cart actually fixed

13:14 How they measured it

15:14 3 to 4 months off the pilot

18:21 Fail fast, fix fast

LinkedIn: 229Project

Donate: Alex's Lemonade Stand: Foundation for Childhood Cancer