Podcast
Practical AI in Healthcare
Hosted by Steven Labkoff, MD and Leon Rozenblit, JD, PhD · EN
AI promises to transform healthcare—but real, scalable impact remains rare. Practical AI in Healthcare cuts through the noise to showcase real-world use cases delivering business value today. Hosted by senior leaders— former VPs of life science technology groups, clinical informatics professionals from top-tier organizations, and a former Big Four consultant—each episode features candid conversations with the people making AI work inside the healthcare enterprise
39episodes
Episodes
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S1, E44 - Reflections #6: After Five Episodes, What Still Has to Be Human?
5d ago00:48:44Summary readyIn their sixth Reflections episode, Steve and Leon look back across five conversations (Sarah Rossetti, Jeff Smith of ONC, Hugo Campos, Fred Bennett, and Zak Kohane) and decide, deliberately, not to force a single grand theme. What surfaces anyway is one question asked five ways: as AI gets genuinely capable, what still has to be human, and what makes it trustworthy? They cover Rossetti's CONCERN system that models the nurse instead of the patient, ONC giving AI agents patient-like data rights, the tension between patient empowerment and black boxes you don't understand, the Minimum Trustable Product, and Kohane's method for measuring the values a healthcare AI actually acts on. A practical tour of where good is starting to look real.
SummaryS1, E43 - Isaac "Zak" Kohane, MD, PhD (Chair, Biomedical Informatics, Harvard Medical School; founding Editor-in-Chief, NEJM AI)
2w ago00:57:44Summary readyA quiet war is underway over who controls your health data in the age of AI, and the front-runners aren't the usual suspects. Dr. Isaac "Zak" Kohane, Chair of Biomedical Informatics at Harvard Medical School and founding editor of NEJM AI, traces the line from SMART on FHIR (the accidental standard he helped create in 2009) to today's battle for the doctor-facing AI layer, where companies like OpenEvidence are outrunning the EHR incumbents. He also unveils his Human Values Project, which measures the values embedded inside clinical AI models, and warns how easily payers and pharma could tune them. A two-act conversation about freeing data and guarding values.
SummaryS1, E42 - Live with Fred Bennett, Founder & CEO, PatientTalker
3w ago00:58:32Summary readyFor its first-ever live episode, recorded before an audience at New York Tech Week, Practical AI in Healthcare sits down with Fred Bennett, founder and CEO of PatientTalker — an ambient-AI app built for the patient rather than the clinician. (Steve Labkoff is a disclosed advisor to the company.) Bennett traces the idea to his father's cardiology visit, where three family members left with three different memories of the same conversation. The discussion covers why patients are the forgotten end-user of clinical AI, how to build a "minimum trustable product," the honest question of who pays for patient-first tools, and why the technology is rarely the hard part.
SummaryS1, E41 - Hugo Campos: Patient-Directed AI
4w ago00:51:37Summary readyPatient advocate Hugo Campos spent more than a decade fighting for access to the data from his own implanted defibrillator. When the system wouldn't budge, he stopped trying to reform it and started building around it. In this episode, Hugo shows how he used agentic AI coding tools to create OpenKP, an open-source app that liberates his records from inside Kaiser Permanente, despite calling himself a non-coder. He and the hosts unpack the line between institutional AI and patient-directed AI, the discipline of having two AIs check each other, and why he believes "critical AI health literacy" now matters more than knowing how to code.https://practicalaiinhealthcare.com/
SummaryS1, E40 - Jeff Smith — AI Regulation, Transparency & Innovation from the Government Perspective
Jun 700:43:40Summary readyWhat happens when the rules for getting AI into clinical care are written by someone who has spent his career inside both the advocacy world and the government? In this episode, we talk with Jeff Smith of ONC at HHS, the first government official on Practical AI in Healthcare. Smith walks us through ONC's proposed HTI-5 rule, including a striking move to treat AI agents as "users" with the same data-access rights as clinicians, and a new question about whether blocking data from being written back into the EHR is itself information blocking. We also dig into the limits of what a regulator can actually do, and why the real work is coordination across agencies rather than control from any one of them.https://practicalaiinhealthcare.com/https://www.youtube.com/@PracticalAIinHealthcare
SummaryS1, E39 - Sarah Rossetti, RN, PhD: Nursing Informatics & the CONCERN Early Warning System
May 3100:53:05Summary readyOn National Nurses Day, Practical AI in Healthcare welcomes its first nurse: Sarah Rossetti, RN, PhD, of Columbia University. Her CONCERN early warning system takes an unusual approach to predicting patient deterioration. Instead of modeling a patient's vital signs and labs, it models the nurse's documentation behavior, since the frequency and timing of charting reflect clinical concern long before the numbers move. In a 74-unit randomized trial of more than 60,000 patients, published in Nature Medicine, CONCERN was associated with a 35.6% reduction in instantaneous mortality risk. Rossetti and the hosts unpack the method, the counterintuitive rise in ICU transfers, equity safeguards, and what ambient AI means for the signal.https://practicalaiinhealthcare.com/episodes/#S1E39More on Sarah Rossetti's work: https://www.dbmi.columbia.edu/profile/sarah-collins-rossetti/
SummaryS1, E38 - Reflections 5: How Specialized Does AI Have to Be to Actually Work?
May 2400:34:55Summary readyIn their fifth Reflections episode, Steve and Leon look back across six conversations (Matt Truppo at Sanofi, Ted Shortliffe, Barry Chaiken, David Hidalgo-Gato, and Danny van Leeuwen) to ask a sharper question: how specialized does AI have to be to actually work? The throughline is depth. The LLM is a commodity, and so, increasingly, is the generalist agent. What stays scarce is specialization in a workflow, the revival of symbolic methods like knowledge graphs, the literacy that separates an AI's ~95% solo accuracy from the under-35% people get using it themselves, and leaders willing to use themselves as the test rig. After 37 episodes, the technology is no longer the question. The specificity of the work around it is.
SummaryS1, E37 - Danny van Leeuwen, MPH, RN, Health Hats: Patient's POV on AI Tools
May 1700:42:22Summary readyDanny van Leeuwen is a nurse of 50 years, a multiple sclerosis patient, host of the Health Hats podcast, and a serial member of national outcomes panels at CMS, AHRQ, PCORI, and the National Academy of Medicine. He has tried more than 100 health apps and uses five. In this episode, he explains how he uses AI to interrogate his own chart, surface symptom patterns, and prepare for clinical encounters, and he shares his Three T's and Two C's framework for evaluating any digital health technology: Time, Trust, Talk, Control, Connection. The conversation covers what patients want from AI, what they do not, and why pain, fear, and cognition still escape the data.
SummaryS1, E36 - David Hidalgo-Gato, Founder & CEO, Cleo Health: Going a Mile Deep on Emergency Medicine — Specialization, Design Partnerships, and the Acute Care OS
May 1000:49:33Summary readyDavid Hidalgo-Gato is the founder and CEO of Cleo Health. While more than 100 competitors were building generic ambient AI scribes, David's team chose emergency medicine and stayed with one design partner for nine months and roughly 50 product iterations before launching. The result: an average 54-minute time savings per shift, a patient-assignment tool that turned a four-hour process into 15 to 20 minutes, and use across 400+ hospitals nationwide. The conversation covers why ED workflow breaks generic ambient scribes, why generative AI fits patient assignment specifically, and David's argument that workflow understanding is the moat AI cannot commoditize.https://practicalaiinhealthcare.com/
SummaryS1, E35 - Barry P. Chaiken, MD, MPH: Physician-as-Patient Perspective on AI in Healthcare
May 300:53:30Summary readyWhen physician Barry Chaiken was diagnosed with prostate cancer, his clinical training gave way to fear. It took a friend asking, "What are you doing?" to snap him back into doctor-mode thinking. That experience reshaped how he sees AI in healthcare. In this episode, Chaiken draws on his dual perspective as physician and two-time cancer survivor to argue that consumer health AI is failing patients, not because the models are bad, but because patients don't know how to use them. He shares a practical framework for AI-assisted patient education, makes the case for an aviation-style safety reporting system for healthcare AI, and explains why interoperability is an incentive problem, not a technology problem.
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