
Hosted by Anthony Guerra | Veteran Healthcare IT Journalist · EN

Craig Richardville, SVP and Chief Digital and Information Officer at UF Health, explains why soft ROI now rivals hard return, how multi-lens governance gates technology spending, and why bringing shadow AI work into a documented sandbox beats blocking it.

Your downtime plan says go to paper. But what if no one on the floor has ever charted that way, and the warehouse ran dry years ago? A CISO explains what resilience really takes. Source: Cyber Resilience Is an Organization-Wide Discipline, Michigan Health’s Sieg Says on healthsystemcio.com - Interviews & Webinars with Health System IT Leaders

Brian Dilcher, MD, Associate CMIO and Director of Emergency Medicine Clinical Informatics at WVU Medicine, breaks down what he saw at Epic's Agent Factory build-a-thon: token costs that vary wildly between builders, governance that has to run continuously, and the data discipline that keeps fixed-field tools from pulling the wrong information.

John Halamka, MD, president of Mayo Clinic Platform, and Melek Somai, MD, VP and chief technology and product officer at Inception Health, examine why AI-assisted development is reopening the build option for new application requests. They weigh build against buying in-suite or niche, the integration tax that sinks third-party tools, and how abstraction layers and multi-cloud strategy help health systems avoid vendor and LLM lock-in.

Most cyber plans assume your own defenses are the whole battle. McLaren’s Sam Jacques makes the case that survival now turns on how the entire sector moves together when a shared dependency suddenly fails. Source: Resilience Is a Team Sport: McLaren’s Sam Jacques on Operation Vital Signs on healthsystemcio.com - Interviews & Webinars with Health System IT Leaders

Sahan Fernando, CISO at Rady Children's Hospital-San Diego, explains why understanding hospital operations is the foundation of cyber resilience, covering clinician outreach, executive participation, the IT-operations divide, shadow IT, and downtime planning.

Beth Lindsay-Wood, Chief Informatics and Technology Officer at Moffitt Cancer Center, explains how a breast imaging system that would not scale set off a three-year enterprise imaging consolidation onto one cloud-based platform. She covers how imaging problems surface, getting IT close to operations, governance at the EVP level, streamlining intake as AI floods the request pipeline, and why clean, well-owned data is the foundation for everything that follows.

John Riggi of the American Hospital Association and William Walders of The Joint Commission explain why cyber resilience depends on a single accountable executive, board-level priority, and treating clinical continuity as the mission. They walk through the new Cyber Resilience Readiness program and a 30-day planning benchmark drawn from hundreds of real attacks.

Jason Hill, MD, of Ochsner Health explains how the system treats patient throughput as an end-to-end process, why front-end access matters as much as length of stay, the CMIO-CIO dyad, and how Epic's Cosmos Median Length of Stay tool predicts stays accurately at admission.

Helen Oscislawski, Esq., of Attorneys at Oscislawski LLC, explains what the Epic, Health Gorilla lawsuit means for health system CIOs, why a contract breach differs from an unlawful disclosure, why TEFCA participation remains voluntary, and how to coordinate breach-notification decisions across legal, compliance, and IT.