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Oliver Glicky
Foreign.
Ed Gaudet
Welcome to Risk Never Sleeps, where we meet and get to know the people delivering patient care and protecting patient safety. I'm your host, Ed Gaudet.
Ed Gaudette
Welcome to the Risk Never Sleeps podcast in which we learn about the people that are on the front lines protecting patient safety and delivering patient care. I'm Ed Gaudette, the host of the program, and I'm here with. With Oliver Glicky.
Oliver Glicky
That's right.
Ed Gaudette
Did I get that right?
Oliver Glicky
All right.
Ed Gaudette
Memorial Herman Health System, where are you based?
Oliver Glicky
So I based in Houston. Our health system covers the greater Houston area, so we are all pretty centrally located across a very large metro.
Ed Gaudette
Let's start off with sharing a little bit about your role and your organization for listeners.
Oliver Glicky
Sure, absolutely. So my role, I am one of our vice presidents of IT with a focus on our clinical applications. So the name is very broad and there are quite a large breadth of clinical applications that we support. Most of my focus area is on our diagnostic and procedural areas. So think enterprise imaging, radiology, cardiology, surgery, as well as our laboratory and all of our interfaces. So HL7 fire, and then our overall EPIC platform and how we do release, management and upgrades within that.
Ed Gaudette
Only the stuff that really matters.
Oliver Glicky
You know, in this world, there's a lot that matter. So we have a lot of hands in the pot.
Ed Gaudette
Yeah. That's great. How long you been there?
Oliver Glicky
Actually five years this month. Wow.
Ed Gaudette
Congrats.
Oliver Glicky
Thank you. It's gone by very fast. A lot of transformation over the five years I've been there.
Ed Gaudette
Where were you before?
Oliver Glicky
Previously it was with Carilion Clinic in Roanoke.
Ed Gaudette
Carillion. Yeah.
Oliver Glicky
Before that I was at Slidell Memorial and the New Orleans area. Yeah.
Ed Gaudette
Are you from New Orleans?
Oliver Glicky
Mississippi.
Ed Gaudette
Mississippi.
Oliver Glicky
All right.
Ed Gaudette
Yeah.
Oliver Glicky
It's been a little while since I lived there, but it was my home for 22 years. On the water or. No, no, inland. Inland Central Mississippi. Yeah. Still exciting, but not that exciting. Yeah.
Ed Gaudette
Over the next couple years, what are some of your core initiatives?
Oliver Glicky
I think so. As an organization, we have gone through our epic transformation, which really culminated in our go live in October of 24. So, yes, it's over a year in the rearview mirror now, but I think we are starting to mature into the next phase of all of our strategy. So as an organization, we are implementing a new ERP solution. We are replatforming our entire enterprise imaging portfolio, which will be one of my major focus areas. And then as probably everyone and every guest on the show would say, how does AI play into all of the different parts? How are we using AI internally to it, how are our customers using it? How can we help them achieve the outcomes for our patients? It's top of mind but also not losing sight of the foundation foundation that makes all of this work.
Ed Gaudette
I've heard the ERP replacement theme quite often here at the show. Why do you think that is?
Oliver Glicky
Yeah, I have started to say there's three big buckets that I think health systems are in various phases of One is that EMR transformation, so either moving or consolidating your EHR platform. Two is the ERP space. So legacy and disparate systems, some of which have been around in our case, 20 plus years. Yeah. And then the enterprise imaging is the other where there's a trend of do you need a radiology packs, a cardiology pack? Are people really embracing that? So I think between those three big buckets we've checked off the EHR transformation and now we're really simultaneously looking at these other two. And so I think it's rebuilding some of the house while you're still living in it, which is challenging, but it's necessary.
Ed Gaudette
Are you also an EPIC Connect provider? Do you?
Oliver Glicky
We are. We have somewhere around 100 or so independent practices that went live with us and we've added some since our go live, but it actually was a program we did with the different EHR pre EPIC and have now we brought them over with us and have expanded since then.
Ed Gaudette
Oh, interesting. And what are some of the use cases from an AI perspective? Are you beginning to either have deployed and then looking at deploying the next couple years?
Oliver Glicky
So I think some of the, I don't want to say table stakes, but everyone is talking about ambient listening in the provider space. So like many, we have deployed that in the ambulatory and the ED and starting in the hospital space. So that's an ongoing effort. We are definitely taking the EHR provider first initiatives where it makes sense. We are paying for and want to leverage the EPIC functions that make sense for us as an organization. So we're, we're really leaning into hey, can we turn on chart summary in my area, Radiologists specifically, they have always long complained about having to poke around the chart for finding clinical information that's relevant to the study that they are reading. And so something that's relatively simple is summarizing that and being able to put that in their display for them to read with no integration. They're all working out of EPIC and also in the imaging space having the we have a tool called Smart Impressions, so they're doing their normal narrative report with their voice recognition software. But then the impression is a statement that is almost restating things that are already in the report. So we have a feature that's been enabled to help generate the impression and it's a satisfier and it creates efficiency and consistency for them as they turn out the report. So those are some, I hate to say low hanging fruit, but those are some of the straightforward ones we are now looking at in the imaging space. In particular to how do we start to leverage some tools that are truly helping improve diagnosis or alert on conditions downstream.
Ed Gaudette
Okay. And will you extend the ambient listening to nurses?
Oliver Glicky
It's certainly on the roadmap. I think we're having conversations directionally where we go from an overall strategy perspective. But yes, it's very different from very different. I had the opportunity, certainly not specific to this vendor, but we were actually at Microsoft's customers Experience center learning about some of the radiology work that they're doing post nuance acquisition and the nursing ambient listening came up and just how nurses work versus how providers work I think has never been more apparent. I've never thought about it. I've been in this industry my entire career. It's just different. But when you take a technology that's gone provider first and is now going to nursing.
Ed Gaudette
Yeah, it's different.
Oliver Glicky
And it's. That's many more people to train to do their jobs differently as well.
Ed Gaudette
Yeah.
Oliver Glicky
And to narrate and to speak. You're not used to doing the kind of notes. So nursing. And then we have a really. I've heard the feedback from a therapy perspective as well. How long get into physical occupational therapy, speech therapy, doing more ambient listening documentation. Yeah. With the hope of getting it to be more concurrent. But that's another field that they don't narrate while they do their assessments and treatment.
Ed Gaudette
So any key takeaways from the show for you?
Oliver Glicky
Oh, the show has been great. This is my first five.
Ed Gaudette
Okay.
Oliver Glicky
So I'm. Well, I've been to Chime fall forums and I'm recurring hymns participants.
Ed Gaudette
You going to Vegas?
Oliver Glicky
No, I. I had to choose this year so I just. Physically, mentally. No, it's been great. I feel like it's a good atmosphere. I texted someone back at the office. I'm still surprised by the number of fax vendors that are out there.
Ed Gaudette
Yeah, I noticed that too.
Oliver Glicky
But it is unfortunately. I mean I've probably been in the industry 17 years and we've been killing the fax for 17 years and it's not dead I don't even think it's dying necessarily. So seeing that we're obviously that's one of our challenges. How can we take a frontline provider and make them not be the fax indexer? Also from a nursing perspective, especially in our pre admission testing area. So I've seen that, I've talked to some of them. I mean I think the problem to solve is way upstream of why are we faxing how to create a better solution? So that's been surprising to see the diversity there. And then I think also the number of startups that I've never heard of and maybe not all startups but smaller companies that are, I think you don't, at least in my inbox or in my normal course of the day I don't get a chance to actually interact and see what someone's thinking, what niche product might be out there to solve a problem. And yes, we usually prioritize enterprise wide solutions but sometimes the key is right there. So I've taken the chance to go and talk to some of the vendors here, otherwise I might not have so
Ed Gaudette
how'd you get into health care?
Oliver Glicky
I stumbled into health care as an intern my freshman year of college. I was looking for something. I didn't know what I was majoring in yet. I had taken one computer science class, thought I might be a business major, I thought I might go to medical school. I was all over the place. And I started interning at a physician hospital organization in Mississippi. And their business model was repricing claims, which is still a very little interest to me personally. But they were trying to diversify what they did. And it was the early days of Relay Health and Patient Health Record. And so the CEO new to the organization wanted to start offering the Relay Health personal health record to the members of the physician hospital organization. And I was like, oh, this is cool. We want it to be just like banking, which we still talk about today also, which I don't know that it's always the right comparison.
Ed Gaudette
Banking wants to be like healthcare.
Oliver Glicky
Yeah. So it wants to be very personal. Yeah, we want to be. So that was an experience and I happened to meet a hospital CIO during that internship and ultimately as I matured in my computer science curriculum, I said I wanted to work in the hospital and got an internship there and fell in love with it. I mean I often my first job was touching every laptop in the organization and I fell in love with the different areas of care. The just the controlled chaos that was always happening and that shared mission too.
Ed Gaudette
You don't get outside of health care.
Oliver Glicky
You don't. And I've over the last 15 plus years, as I've thought about is there anything else I would rather be doing even within health care, leaving the provider side has been something it's hard for me to come to terms with. So I've been pretty stuck on the provider, health care and health system side for right now. And it's really because of that. I've always lived where my health systems are, in a patient there. It's part of the community that is important to nice.
Ed Gaudette
If you could go back in time and see your 20 year old self, what would you tell him?
Oliver Glicky
Probably if I could go back and talk to 20 year old Oliver. I think you can be ambitious and you can set goals, but you also have to be patient. Usually as painful as it is to hear, everything happens for a reason and the path will wind and there'll be good things and bad things and you will overcome those. So I think reminding myself that the patience is important and I think that's something that I probably could tell myself now too. But it's certainly over the course of my career that's been true where there's some sort of change that you're experiencing, whether you're part of the change or it's kind of being done to you, you navigate that and move on and things work. You keep your, keep the right attitude
Ed Gaudette
outside of work, outside of your day job. What are you most passionate about? What would you be doing if you weren't doing this?
Oliver Glicky
Well, I was at one point. I am a sports fan. I was a very passionate New Orleans Saints fan.
Ed Gaudette
Okay.
Oliver Glicky
In the last four years I have a four year old and a two and a half year old. So my passion, yes, my passions are really just survival, keeping them safe and keeping my wife and I safe. It's a controlled chaos at home. So uncontrolled. So that really does take. It's fun. I know it will go fast. I heard that. I believe it now. Some days I don't believe it, but
Ed Gaudette
that's really when you're in the middle of it, you don't believe it.
Oliver Glicky
There are moments, but seems to be. Monster Jam has become a big passion of mine lately with a house full of monster trucks and a perennial yearly visitor to Monster Jam in Houston. So that's really it. I mean we say we like to travel, but I think travel will come, will mean a little bit more when you bring the family and yeah, you gotta keep our hair.
Ed Gaudette
You got a bunch of priorities right Now?
Oliver Glicky
Yeah.
Ed Gaudette
Yes. Any hobbies outside of woodworking or anything?
Oliver Glicky
No, no, no woodworking. I mean, when I think about what do I do on the weekends? It's. It might be. We do, we like to get outside in Houston. That's not possible for three months out of the.
Ed Gaudette
Yeah.
Oliver Glicky
Five months out of the year, it feels like. But no, it's pretty much centered.
Ed Gaudette
Yeah.
Oliver Glicky
Around the kids and trying to find things to do with them. I mean, we do a lot of Legos. We like to ride bikes outside.
Ed Gaudette
Nice.
Oliver Glicky
Potty training has become the final. Potty training will be good to get that one behind. That's not, not for me, that's not my hobby. But yes, very important, very important.
Ed Gaudette
What's the riskiest thing you've ever done?
Oliver Glicky
You know, the riskiest thing I've probably ever done and I don't know that it was, it's not a personal safety risk or anything like that, but I feel like when I, I moved from Mississippi to New Orleans and took a job that was out of the healthcare provider setting, it was a good organization, good mission, doing a health information exchange, connecting different providers in New Orleans. And I quickly realized that the pace coming from a hospital to this organization was not for me. It wasn't what I was used to for the previous four or five years of my career inside of a health system. And I was pretty panicked. I knew, like, hey, I just moved, you know, move, got a house, all of these things. And I felt like I was a little bit of a fish out of water. And so at the time, you know, all you hear is don't job hop. You can't do this, you can't do this. The position for applications manager came up at a community hospital in New Orleans and I said, I have to get this, this is perfect. For me, it was everything. It was probably a stretch just based on my age and never having managed more than one or two employees before. But that was the most important thing to me. So to me the risk was ultimately, yes, I got the position, but taking that because I could was just so afraid of leaving a job after, you know, a few months, really. Yet I look back and that risk paid off because it was really the most formative years of my career. So I had that dual hat. What you hear in college, you know, you need to just stick it out and do this and do this. And certainly I, I wouldn't go advise job hopping, but I clearly knew I had to make a change if I was going to ultimately achieve my long term goals and be satisfied with what I do every day.
Ed Gaudette
I love that.
Oliver Glicky
And I still go back the seven, eight years I spent there. At the community hospital level, when you are part of operations, there's no corporate versus the site. You're all physically there in the same buildings. Experience with everything from the H VAC system, the elevator system, to the clinical and analytics tools.
Ed Gaudette
Everyone's on the same team.
Oliver Glicky
Everyone's. Yes. Very clear. And everyone works. Which we do today too, but within very tight margins. Yeah. Especially if you're a single facility like I was. Time. Yeah.
Ed Gaudette
Okay. You're on a desert island. You could bring five records with you. What would you bring?
Oliver Glicky
You're asking the wrong person.
Ed Gaudette
You're not a music guy.
Oliver Glicky
No. No.
Ed Gaudette
Movies.
Oliver Glicky
Okay. Movies.
Ed Gaudette
How about movies? Movies, movies.
Oliver Glicky
I would probably go Happy Gilmore.
Ed Gaudette
That's a good one.
Oliver Glicky
Happy Gilmore. I haven't seen the second one yet. The recent. But I want to. Air Force One. Harrison Ford. Air Force One. First R rated movie I ever saw and I was hooked on it ever since. A good movie, I would say Star Wars. I couldn't pick one. I won't count them all. I won't count. But the original, I think the original three, maybe Episode one. I would pick one of those in there, in the mix, man. What's a recent one? I was a big Matrix guy.
Ed Gaudette
Yeah.
Oliver Glicky
Kind of a different end of the spectrum. And then lately this one's out of left field. But Varsity Blues has come up a lot recently.
Ed Gaudette
Good movie and local, right?
Oliver Glicky
Yeah, yeah, yeah. It's all the Texas. And then I got to butcher his name. But I know one of the lead actors passed away recently, so we've been talking about all of that. So. Yeah, that's an interesting. And I remember, like. Is it James Vanderbilt Van Der Beek?
Ed Gaudette
Yeah, yeah, yeah.
Oliver Glicky
So yeah, yeah. Johnny Moxie. Yeah.
Ed Gaudette
Johnny Moxie.
Oliver Glicky
Yeah. Quarterback. Yeah. So yeah, that would probably be the one to round it all out.
Ed Gaudette
Nice.
Oliver Glicky
And I remember that one on vhs, you know.
Ed Gaudette
Yeah.
Oliver Glicky
Watching it over and over again.
Ed Gaudette
What advice would you have to someone coming out of university now that wants to get into healthcare or it?
Oliver Glicky
I mean, I think it's an exciting time, I think understanding the fundamentals of healthcare. And if you're looking in the tech on the technology side, I love to tell people. I've talked to many of my analysts over the years about this follow where the data moves around. So if you go back and you think about. I think about my trajectory being an interface analyst for the first five years of my career, building interfaces that set me up for Understanding operational workflows, understanding different connected systems. So interesting. I really try to push everyone, if you can learn. And HL7 is another thing that I don't think will actually go away in my career. Fire is another compliment to that. But. But funneling that through to understanding how the different systems work and what the operational impact of that is will set you up to do really any part of it in the healthcare sector, in my opinion. So whether you're ultimately a client systems engineer or an application analyst, if you understand the workflows more, you'll become more valuable to your customers and your team and the organization.
Ed Gaudette
Yeah, data centered too, which I love. And especially with AI where so much focus now will be on the data, less about the infrastructure.
Oliver Glicky
I think the infrastructure piece is becoming a little more abstract. The average, especially on the application side. I think many of us who, you know, 15 years ago, if you were an application analyst, you were working hand in hand to configure the server to the different specs.
Ed Gaudette
That's right.
Oliver Glicky
That were needed. And now it's maybe a vpn, maybe no VPN at all. Maybe it's just a cloud website and they're doing Fire API calls to your hosted epic environment. And so you lose a little bit of context there. I also think the volume of solutions that are there. So if I look at my interface team or maybe even my one of my perioperative application teams, they don't have the full scope of this. They know their epic world. But there's a solution that's going to do some API calls to solve one business problem, and we don't necessarily have the bandwidth to pay attention to all of those. So it's still very important to rationalize. But understanding, even to this day, when someone wants to do a new solution, I immediately think, okay, how would we connect this? How does this fit in? Then? What questions do I ask? Because it doesn't make sense. X, Y, Z, go.
Ed Gaudette
So good. So good. Oliver, pleasure having you on the show. Thank you, sir.
Oliver Glicky
Absolutely.
Ed Gaudette
This is Ed Gaudette from the Risk Never Sleeps podcast. If you're on the front lines protecting patient safety and delivering patient care, remember to stay vigilant because Risk never sleeps.
Ed Gaudet
Thanks for listening to Risk Never Sleeps for the show, notes, resources and more information and how to transform the protection of patient safety. Visit us@SenseInet.com that's C E N S I N E T Com. I'm your host, Ed Gaudette. And until next time, stay vigilant because Risk never Sleeps.
If Data Doesn’t Flow, Nothing Works: The Unsexy Truth About Healthcare IT
Guest: Oliver Galicki, Vice President of Clinical Applications, Memorial Hermann Health System
Host: Ed Gaudet
Date: May 4, 2026
This episode explores the critical, but often overlooked, role of IT in healthcare systems. Focusing on the challenge of making healthcare data flow smoothly, guest Oliver Galicki discusses the “unsexy” foundational work that enables innovation—from massive tech transformations to contemporary applications of AI. The conversation also highlights the ongoing persistence of faxes in healthcare, strategies for future-proofing tech infrastructure, and career lessons from Oliver’s unique journey in health IT.
“Most of my focus area is on our diagnostic and procedural areas... and all of our interfaces. So HL7, FHIR, and then our overall EPIC platform and how we do release management and upgrades.” — Oliver Galicki (00:46)
Epic Transformation: Major digital transformation culminating in October 2024; now moving into a maturity phase.
Current priorities:
“We are implementing a new ERP solution. We are replatforming our entire enterprise imaging portfolio... And then, as probably everyone and every guest on the show would say, how does AI play into all of the different parts?” — Oliver Galicki (01:51)
Industry Trends: Most health systems are now in one of three “big buckets”: EHR transformation, ERP modernization, and enterprise imaging upgrades.
“It’s rebuilding some of the house while you’re still living in it, which is challenging, but it’s necessary.” — Oliver Galicki (02:38)
AI in Action:
“Radiologists specifically ... have always long complained about having to poke around the chart ... So something that’s relatively simple is summarizing that and being able to put that in their display.” — Oliver Galicki (04:07) “We have a feature ... to help generate the impression and it’s a satisfier and it creates efficiency and consistency.” — Oliver Galicki (04:41)
On the Roadmap: Extending ambient listening/documentation to nursing and therapy, recognizing that workflows and documentation styles differ significantly between clinicians and nurses.
“How nurses work versus how providers work ... has never been more apparent.” — Oliver Galicki (05:16)
Persistence of Faxes: Despite years of predicted extinction, faxing remains deeply embedded in healthcare workflows, notably for pre-admission nursing.
“I’ve probably been in the industry 17 years and we’ve been killing the fax for 17 years and it’s not dead. I don’t even think it’s dying.” — Oliver Galicki (06:30)
Vendor Landscape: Surprised at the proliferation of new, often niche, tech startups—emphasizes that sometimes innovation comes from outside large enterprise solutions.
“Sometimes the key is right there. So I’ve taken the chance to go and talk to some of the vendors here...” — Oliver Galicki (07:15)
Origin Story: Started as an intern without a fixed major, gravitated to health IT through serendipitous work at a physician hospital organization and inspiration from a hospital CIO.
“I fell in love with the different areas of care... the controlled chaos that was always happening and that shared mission too.” — Oliver Galicki (08:34)
On Staying in Provider Healthcare: Values living in the communities served and being personally invested in the organization’s mission.
Advice to 20-Year-Old Self: Practice patience—good things and bad things in a career both serve a purpose.
“You can be ambitious and you can set goals, but you also have to be patient... things work. You keep the right attitude.” — Oliver Galicki (09:14)
Beyond Work: Father to young children, hobby time is mainly “controlled chaos”—Monster Jam, Legos, bike rides, and the realities of potty training.
“My passion ... is really just survival, keeping [my kids] safe ... controlled chaos at home.” — Oliver Galicki (10:00)
Favorite Movies: If stranded with five movies, he’d pick Happy Gilmore, Air Force One, Star Wars (original trilogy), The Matrix, and Varsity Blues.
“At the time ... all you hear is don’t job hop ... The position for applications manager came up at a community hospital ... it was probably a stretch just based on my age ... But ... that risk paid off ... it was really the most formative years of my career.” — Oliver Galicki (11:43)
“I love to tell people ... follow where the data moves ... that set me up for understanding operational workflows, understanding different connected systems.” — Oliver Galicki (14:39)
“Even to this day, when someone wants to do a new solution, I immediately think, okay, how would we connect this?” — Oliver Galicki (16:25)
On digital transformation:
“It’s rebuilding some of the house while you’re still living in it, which is challenging, but it’s necessary.” (02:38)
On the persistence of fax in healthcare:
“Killing the fax for 17 years and it’s not dead. I don’t even think it’s dying.” (06:30)
On career advice:
“Practice patience... Usually as painful as it is to hear, everything happens for a reason and the path will wind.” (09:14)
On data-centric health IT careers:
“If you understand the workflows more, you’ll become more valuable to your customers and your team and the organization.” (15:21)
On personal life with kids:
“My passion ... is really just survival, keeping [my kids] safe ... controlled chaos at home.” (10:00)
Conversational, approachable, and occasionally humorous (“controlled chaos” in work and parenting; movie talk). Oliver brings humility, practical wisdom, and a pragmatic view of health IT’s “unsexy” but vital realities. The discussion is candid about the persistence of legacy technologies, adaptive transformation, and the enduring importance of “knowing where the data moves.”
For show notes, resources, and more information about patient safety in healthcare IT, visit Censinet.com.