The 229 Podcast

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

September 9, 2026: Russell Teague (Chief Strategist and CISO, Fortified Health Security) sits down with Drex DeFord. Healthcare has been the number-one targeted industry for 13-plus years. Fortified only does healthcare, because no other industry has human life on a 24/7 stack. From there: 40-plus autonomous SOC vendors at Black Hat, a workstation that might be the CT scanner, 97 percent of breaches that never touch the EMR, and a board conversation that has to be about resiliency and patient care, not fear. Zero-day to weaponization is now sub-hour. You will not patch at machine speed.
Guest: Russell Teague (Fortified Health)
Key Points:
01:35 Healthcare, Number One for 13 Years

05:06 Human in the Loop

09:08 97 Percent of Breaches Are Not the EMR

13:13 Zero-Day to Weaponization Is Sub-Hour

15:47 Talk to the Board About Patient Care

17:19 Fear Will Not Win You Money

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September 3, 2026: Diane Constantine (Children's Hospital of Philadelphia), Cathy Patterson (Banner Health), and Vicki Sergent (Froedtert ThedaCare Health) sit down with Sarah Richardson. If an innovation saves clinician time, prevents harm, and improves the patient experience, but cannot produce a clean 12-month ROI, does it deserve to scale? Cathy's test: if she took it out today, would an outcome change. Vicki's MyChart Bedside was supposed to take a year of phased rollouts. Innovation-unit nurses adopted it hard enough that the system was up in three months. Diane will not manufacture a dollar value for rare pediatric harm. She will measure it.
Key Points:
0:00 Does a 12-month ROI decide scale

1:30 Name the scorecard

6:10 UST

6:43 Set the thresholds before go-live

11:20 Value that never hits the P&L

16:19 Who owns the outcome after go-live

21:04 Adoption versus vanity

25:58 One decision they would copy

31:31 The question for tomorrow's scorecard

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