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Richard Stannings
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 and I'm here at HIMSS 2026 in Las Vegas with Richard Stannings.
Richard Stannings
Good morning.
Ed Gaudette
Good morning, sir. Let's start off with telling our listeners a little bit about yourself, your role. You wear many hats, which is cool. And your organization or organizations, I should say.
Richard Stannings
Yeah, absolutely. So I've been in the healthcare CyberSecurity space for 30 plus years at this point. Yeah, it's been an interesting journey. I wear many hats, as you mentioned. I'm chief security strategist of Cylera, a innovative AI backed IoT security solution, particularly for medical device security. I'm also professor of healthcare cybersecurity at the University of Denver.
Ed Gaudette
Excellent.
Richard Stannings
I'm visiting professor at the University of Maryland.
Ed Gaudette
Okay.
Richard Stannings
So do a little bit of work there.
Ed Gaudette
Nice.
Richard Stannings
And I'm also recently joined a company out of Toronto, Canada by the name of ThreatIQ as an advisor to their organization which are changing the way that risk assessments are done in the space.
Ed Gaudette
Nice.
Ed Gaudet
Nice.
Ed Gaudette
And have you written a book yet? I have. Okay.
Richard Stannings
I wrote a book a couple of years ago or I contributed to a book a couple of years ago. Had to fly across the world to actually find a quiet island to sit down and to write my chapters. That was.
Ed Gaudette
What's the name of the book?
Richard Stannings
It's Digital Entrepreneurialship. So we look at what information is pertinent to digital entrepreneurs in the medical entrepreneurs in the space. So it's targeted a lot at innovation, AI innovation, IoT innovation for healthcare providers. Most of the. A lot of the contributors to the book were md, so they were coming to it from a clinical risk perspective. And. And I added a chapter on cyber security to kind of pull all that together.
Ed Gaudette
Get it on Amazon.
Richard Stannings
I'm assuming it's on Amazon. It's a Springer book, so you can find it.
Ed Gaudette
Okay.
Richard Stannings
Just about anywhere.
Ed Gaudette
So congrats. Get another one in the works.
Richard Stannings
Got another one in concept. Ideation, concept of a plan. Should we say?
Ed Gaudette
So you can't share it now or
Unidentified Guest or Participant
not at the moment
Ed Gaudette
Formulating it. Yeah. That's awesome.
Richard Stannings
The big question with a book is you've got to predict what's going to be top.
Ed Gaudette
Yes. By the time it gets out.
Richard Stannings
Exactly. To write these things. Yeah.
Ed Gaudette
It Does. It's so hard and everything's moving so quickly now.
Richard Stannings
Very much so. Particularly in the AI and the cyberspace, which is the, you know, the two areas that I focus upon.
Unidentified Guest or Participant
Yeah.
Richard Stannings
So.
Ed Gaudette
So let's talk prediction. 20 years from now, what does this all look like?
Richard Stannings
You and I will be a lot grayer if we're still kicking around.
Ed Gaudette
Or maybe dust.
Richard Stannings
Exactly. Dust in the wind.
Unidentified Guest or Participant
Yeah.
Richard Stannings
It'll be an interesting landscape, I think. You know, I've presented on Sunday at the Cyber Security, on Monday at the Cybersecurity Forum, and I presented again on Tuesday at the Hints Connect stage. I think a lot of the conversations this year have been about predicting. Is it predicting the future, what's going to happen?
Unidentified Guest or Participant
Yeah, yeah.
Richard Stannings
I think we're on the cusp of some fairly significant AI changes. The hype cycle this year is all talking about Agentix.
Unidentified Guest or Participant
Yeah.
Richard Stannings
But there's so much more in AI that we could do. But we need to do it safely. We need to ensure that there's not a maturity gap between the technology we're implementing and the cyber security necessary to secure that new technology. And that's one of the big messages I've been sharing around at him this week.
Ed Gaudette
You think we'll have robot nurses? 20 years.
Richard Stannings
I think we already have robot nurses. If you go to some of the better funded healthcare systems, you'll see robots that are delivering labs or delivering drugs to Pixis cabinets or taking paper files to and from different parts of the hospital. These robots will traverse the hallways, they will call elevators and they are prioritized on the elevator. So if you know where the robot's going, you just throw the tail of the robot into the elevator and you get directly to the floor that you need to. None of this waiting. Right. For other patients.
Ed Gaudette
So it's like these little Waymo wagon delivery in San San Francisco. Do you know who owns those?
Richard Stannings
Or Waymo.
Ed Gaudette
Is it Waymo?
Unidentified Guest or Participant
I have no idea.
Ed Gaudette
I see these little things running around the streets of LA in San Francisco.
Richard Stannings
What's interesting is when you see the videos of a traffic jam because all the way.
Ed Gaudette
Not only seen it, I was there watching one.
Richard Stannings
Oh yeah.
Ed Gaudette
Recently in la.
Unidentified Guest or Participant
Yeah.
Ed Gaudette
It just the person that was in got out of the car because it was like stuck in the middle of an intersection. Didn't know what to do.
Unidentified Guest or Participant
Yeah, yeah, yeah.
Richard Stannings
I think we could end up in a similar situation in our hospitals. Right. So a lot of the hospitals are now being rebuilt, built redesign with wider corridors to facilitate robotic systems passing one another without having to Crush patients in the process.
Ed Gaudette
Yeah, we don't want to do that.
Richard Stannings
We're rather unfortunate.
Ed Gaudette
Let's not do that. How did you get into this space?
Richard Stannings
So I was very fortunate. Many years ago I was in charge of a team that was trying to make HTTP stateful.
Ed Gaudette
Okay, Right.
Richard Stannings
So back in yonder years, HTTP is a stateless protocol and you make a request of a web page and it's a one off request. And then you click on a link and there' second request. But the second request has no idea about first request. Right. And that makes it very difficult for E commerce, for example. Right. So what we had to do is to build state into web browsers by URL extensions and various other mechanisms. And then taking on from that, we had to look at different technologies and how we combine different web rendering technologies so we can pass state. You know, from the Oracles to the Microsoft to the, you know. Where did you do that actually when. A compact computer, if you remember.
Ed Gaudette
I do, of course.
Richard Stannings
I was working on a team building out the early days of E commerce. Yeah, I used to have one of
Ed Gaudette
their 386, the Luggables. The luggable, yeah, like a sewing machine.
Richard Stannings
Is your arm recovered?
Ed Gaudette
No, it hasn't actually.
Richard Stannings
Those things were heavy.
Ed Gaudette
Those things are really heavy.
Unidentified Guest or Participant
Yeah, yeah.
Ed Gaudette
Interesting. And then they ended up buying digital equipment.
Richard Stannings
They bought digital equipment.
Ed Gaudette
We were there. Yeah, okay.
Richard Stannings
Yeah, I was there.
Unidentified Guest or Participant
Yeah.
Richard Stannings
And then of course HP ended up buying Compact. Yeah, I know, yeah. Big fishy little fish, you know.
Ed Gaudette
Two big companies getting destroyed.
Richard Stannings
Well, there were a whole heap of other companies that got sucked into Compact before I even got there. Remember the Himalayas? No, The Never Stop Himalaya Computer Systems?
Ed Gaudette
Oh, yeah, yeah. Sequence. That was, well, that was the early days of unix, right?
Unidentified Guest or Participant
Yeah, yeah, yeah.
Ed Gaudette
When they were Sun Microsystems.
Richard Stannings
Right.
Ed Gaudette
They were sort of the pilot fish of axes. They were trying to more performant, less money.
Richard Stannings
And Windows used to run on RISC chips and.
Ed Gaudette
That's right, Risk chip. Do you remember the Tadpole?
Richard Stannings
Yeah, yeah, you do. Oh my God.
Ed Gaudette
That was like the first like really high powered laptop.
Richard Stannings
We're showing our age here, aren't we? I'm not sure. Where are you from originally? From the uk. Where from? Bath. Just outside. Yeah. Okay.
Ed Gaudette
Nice, nice.
Richard Stannings
Well, I've lived In I think 33 countries at this point.
Ed Gaudette
Really?
Richard Stannings
I've been in the States for the last 30 years.
Ed Gaudette
Where do you live in the states?
Richard Stannings
Colorado.
Ed Gaudette
Colorado?
Richard Stannings
Yeah. Boulder, Colorado. Yeah.
Ed Gaudette
I just talked to somebody from Longmont.
Richard Stannings
Oh, okay.
Unidentified Guest or Participant
Yeah.
Richard Stannings
Just up the road.
Unidentified Guest or Participant
Yeah, yeah. Yeah.
Ed Gaudette
Well, you've been to Red Rocks, I assume.
Richard Stannings
Of course, yeah.
Ed Gaudette
Favorite show at Red Rocks.
Richard Stannings
A couple years ago I sat in the front row to see Brit Floyd, which is a Pink Floyd.
Ed Gaudette
I know, briefly. Yeah, I know that show.
Unidentified Guest or Participant
Yeah.
Richard Stannings
It was probably the best concert of my life.
Ed Gaudette
Of your life?
Richard Stannings
Yeah. It was unbelievable for a cover band. It was.
Ed Gaudette
Yeah.
Richard Stannings
You know, I think Pink Floyd, they're impressive and they were better than Pink Floyd. I don't see that. I hate to say it on air, but, you know, it was quite a few years ago. You know, the Pink Floyd team, we're
Unidentified Guest or Participant
getting a little bit.
Ed Gaudette
You a Roger Waters fan?
Richard Stannings
Yeah, I like it. I like it all.
Ed Gaudette
Yeah.
Richard Stannings
Both sides.
Ed Gaudette
Okay. We'll get to music a little.
Richard Stannings
A little later.
Ed Gaudette
Go back in time and tell your 20 year old self something.
Richard Stannings
What would it be? Work harder. Study harder.
Ed Gaudette
Really?
Richard Stannings
Work smarter.
Ed Gaudette
Work smarter.
Richard Stannings
I think that's probably the critical thing.
Ed Gaudette
What were you doing at 20?
Richard Stannings
I was still in university.
Ed Gaudette
You were still in university?
Richard Stannings
I spent a lot of time in university.
Ed Gaudette
What did you study?
Richard Stannings
Undergrad was in government and public policy and I did some other degrees in business and eventually went and got some cybersecurity degrees as well. And we've been an entrepreneur.
Ed Gaudette
Have you started up companies?
Richard Stannings
I've worked in a lot of entrepreneurial companies. I've advised a lot of startups.
Unidentified Guest or Participant
Yeah.
Richard Stannings
But I've not been the guy to come up with a innovative idea and go raise the money and, you know, there's time. There's still time. Hey, well, we got the whole afternoon.
Ed Gaudette
We could figure out something right now on this show.
Richard Stannings
Exactly. Great.
Ed Gaudette
Something.
Richard Stannings
Exactly.
Ed Gaudette
What's something about you that many people don't know? One fun fact.
Richard Stannings
I think a lot of people know a lot of things about me because I tend to be very prolific on social media, to be honest.
Ed Gaudette
Okay, so tell us something we don't know.
Richard Stannings
Well, let's just say I travel an awful lot. Yeah. I've worked for some fairly big companies that have been with Cisco for a number of years.
Ed Gaudette
Oh, you're Cisco?
Richard Stannings
Yeah. So I ran the Healthcare Cybersecurity Services group within Cisco and they have me flying 200,000 miles a year, so.
Ed Gaudette
Oh my gosh.
Richard Stannings
That was kind of interesting.
Ed Gaudette
What's your favorite place in the world?
Richard Stannings
Given.
Ed Gaudette
Given all the places I know. Oh, really?
Richard Stannings
So I think it depends on what the purpose is. Right. I mean, I love you could live anywhere. Well, live is different. I know. Visit. Yes. I would say Colorado. Right. I mean, it's great. Yeah, it's Lovely places.
Ed Gaudette
Okay. Visit. Let's go visit. Visit.
Richard Stannings
I love the Northern Territory of Australia. You can swim in the rivers, drink the water. I lived in Perth. You did a few? Yeah, yeah.
Ed Gaudette
You surf?
Richard Stannings
I've used to, yeah. Yeah. I don't quite have the balance that I used to swim with.
Ed Gaudette
Sharks.
Richard Stannings
I've swam with sharks.
Unidentified Guest or Participant
Yeah.
Richard Stannings
Yeah. Great Barrier Reef. 600 dives on the Great Barrier Reef.
Ed Gaudette
You're a Renaissance man.
Richard Stannings
Oh, well.
Ed Gaudette
Do you write?
Richard Stannings
Other than books, I write quite a lot of academic articles.
Ed Gaudette
You do?
Richard Stannings
So I'm in the middle of two or three different papers right now with some colleagues.
Ed Gaudette
Really?
Richard Stannings
For who? So one of the papers I'm on right now is working on disaster medicine.
Ed Gaudette
Okay.
Richard Stannings
For jama, or it's probably going to be in German. I don't know where we're going to. I'm not a primary author on it, but I think it may well be. I published stuff in jama before.
Ed Gaudette
You're working with Dumas, Dr. Demet?
Richard Stannings
Yes.
Ed Gaudette
Ah, okay.
Richard Stannings
Yeah.
Ed Gaudette
He's doing a lot in that area,
Richard Stannings
in fact, Christian and I and Jeff Tully. And Jeff, yeah, of course. Brian Hatter. Yeah. Who's another dm. He's head of DF out on the East Coast.
Ed Gaudette
That's great.
Unidentified Guest or Participant
Yeah.
Richard Stannings
We presented together in the Tokyo World association of Disaster and Emergency Medicine.
Ed Gaudette
Oh, interesting.
Richard Stannings
Last year.
Ed Gaudette
Oh, I can't wait to see it. When does it come out?
Richard Stannings
Well, it's not filmed. Right. It was a conference, but it was.
Ed Gaudette
No, no, I meant your paper. With the.
Richard Stannings
The paper that I'm working on right now. It's when it's finished.
Ed Gaudette
Yeah.
Richard Stannings
Okay. It's still in process.
Unidentified Guest or Participant
Yeah.
Ed Gaudette
That's great.
Richard Stannings
Yeah.
Ed Gaudette
Congrats.
Richard Stannings
Well, thank you. There's a lot of work goes into those things, you know. Yeah.
Ed Gaudette
What's the riskiest thing you've ever done?
Richard Stannings
Oh, God almighty. I jumped out of a plane parachute one time. Yeah.
Ed Gaudette
That's great.
Richard Stannings
That was considered pretty high risk at the time, you know. At least my mother thought it was.
Ed Gaudette
You did what?
Richard Stannings
This weekend I said I jumped out of a plane with a parachute one
Ed Gaudette
time or multiple times?
Richard Stannings
I did it multiple times.
Ed Gaudette
You did?
Unidentified Guest or Participant
Yeah, yeah, yeah.
Ed Gaudette
Bungee jump.
Richard Stannings
I bungee jump, too.
Ed Gaudette
New Zealand.
Richard Stannings
I've not done New Zealand. I've done Thailand.
Unidentified Guest or Participant
Oh, yeah.
Richard Stannings
The New Zealand one, I think, is the longest one in the world. I forget the height now.
Ed Gaudette
Yeah, that's right.
Richard Stannings
You jump off a bridge and.
Unidentified Guest or Participant
Yeah.
Richard Stannings
Pray to God if they get the weight just right, then you get to tip your forehead in the river. Down below. If they get the weight.
Ed Gaudette
Yeah.
Richard Stannings
If they don't have to make.
Ed Gaudette
You're drinking.
Richard Stannings
You're drinking.
Unidentified Guest or Participant
Yeah, yeah.
Richard Stannings
Or you're banging your head on the rocks at the bottom of the river, so.
Ed Gaudette
Well, that's great. You're on a desert island. You can bring five albums with you.
Richard Stannings
Oh, wow.
Ed Gaudette
What would you bring?
Richard Stannings
It definitely be some Zeppelin in there, I think. Yeah.
Unidentified Guest or Participant
Yeah.
Richard Stannings
Okay. Big Zeppelin fan.
Ed Gaudette
Me, too.
Richard Stannings
Some Floyd. Right?
Ed Gaudette
Okay. Yeah. Dark side or Wish you were here.
Richard Stannings
I think Animals is my favorite.
Ed Gaudette
Mine, too. I love Animals. That is the greatest thing I have.
Richard Stannings
I, I. When Animals came out. Yes. Remember, it was released in the winter and I.
Ed Gaudette
Yes.
Richard Stannings
I lived in a small town at the time, and I took the train into the city to go to the record store to get it. I think it was Virgin Records and Tapes at the time. Yeah. And I came back with this beautiful, you know, album cover.
Unidentified Guest or Participant
Yeah.
Richard Stannings
Of Animals. And I even bought a plastic cover for it to keep it protected.
Ed Gaudette
You still own it?
Richard Stannings
Well, I did. Sold all my albums when I. Oh, holy God. Overseas, unfortunately, no. But I still own a copy.
Ed Gaudette
It's so good, isn't it? It's my go to. I do, too.
Richard Stannings
But I listen to that thing in the snow. Whenever it's snowy outside. It's Animals is all.
Ed Gaudette
It's such a great. I think it's. It still holds up today. I think it's the greatest.
Richard Stannings
I think a lot of the Floyd stuff, particularly the latest stuff. Right. You know, the Wall is legendary.
Unidentified Guest or Participant
Yeah.
Richard Stannings
Legendary.
Ed Gaudette
Yeah. But Animals, though, especially. And a lot of people never. They won't say Animals. They'll say Dark side. Wish we're here. Yeah, that's great. What else would be on your pick?
Richard Stannings
I love Led Zeppelin. I probably take Presents. I think the Presence album.
Ed Gaudette
Okay. First of all. Did someone tell you?
Richard Stannings
No.
Ed Gaudette
So you picked my top two albums.
Richard Stannings
There we go.
Ed Gaudette
Animals and Prep.
Richard Stannings
I may invite you back again.
Ed Gaudette
No one says Presents.
Richard Stannings
No, no.
Ed Gaudette
That's like the most underrated album.
Unidentified Guest or Participant
Yeah.
Ed Gaudette
And I think it's probably some of his best work. Most complicated.
Richard Stannings
Oh, yeah. Yeah. The guitar changes in that album are phenomenal. Exactly.
Ed Gaudette
And there's like the most unique chord.
Richard Stannings
Yeah.
Ed Gaudette
Changes ever.
Richard Stannings
I think they were at their pinnacle. Right. I mean, Bonham was playing a different speed. Yes. The band.
Unidentified Guest or Participant
Yeah.
Richard Stannings
But it all fitted.
Ed Gaudette
It all fit in.
Richard Stannings
Just came together.
Ed Gaudette
Love that record.
Richard Stannings
Oh, my God. Okay.
Ed Gaudette
You got to keep going because, like, this is incredible.
Richard Stannings
Oh, my Lord. Just trying to think now you're a Doors fan. I listen to the Doors. I'M not a huge. Pulp. Pulp. No, not really. Okay. No.
Ed Gaudette
Any of the Joy Division.
Richard Stannings
I've seen Joy Division. Back in the.
Ed Gaudette
Back in the Manchester.
Richard Stannings
Yeah.
Ed Gaudette
Warehouse.
Richard Stannings
I don't forget where it was.
Ed Gaudette
Okay.
Richard Stannings
Yeah. Division.
Ed Gaudette
Oh, no, that's great. Happy Mondays.
Richard Stannings
Happy Mondays. Yeah, yeah, there's great. Great. Bad.
Unidentified Guest or Participant
Yeah.
Richard Stannings
From the early 90s. Yes.
Ed Gaudette
Happy Mondays, Manic Street.
Richard Stannings
Yep. No.
Ed Gaudette
All right, very good. If you were talking to someone coming out of school and they were asking you for advice about coming into healthcare, what would you say?
Richard Stannings
Don't do it. Really? Healthcare is a crazy place to be. Yeah, right. It's such a mess. There's so much churn. There's so many things changing. Right. Constantly. And the entire structural fabric of U. S. Healthcare, I think, faces some existential crisis in the very, very near future. Wow. The whole economic model is broken and continues to break. Doctors are leading the profession in droves. Physician suicides, particularly in Canada, are through the roof, as presented at a very number of physician conferences. We are not prepared for a disaster in any way, shape or form. And not just a pandemic like Covid, but some other kind of disaster that took out the power or the water, for example. Right. Or the breakdown of civil society. We don't have sufficient beds. We don't have any surplus capacity whatsoever. And our systems are held together with sticky tape. You know, many of our IT systems, I hate to say it, because, you know, I've worked in the healthcare space for a long time. You know, I've run it, I've run security, but it's glued together and it's underfunded. We have a fundamental gap between understanding or managing risk within a healthcare environment. Most CEOs of hospital systems will examine business risk and clinical risk. Right. They won't see the impact that cyber risk or IT resiliency, or lack thereof, actually places upon patient safety.
Unidentified Guest or Participant
Wow.
Richard Stannings
Which at the end of the day, is what hospitals are in or providers are in business to do.
Ed Gaudette
All right, well, let's wrap it up. I hear sheep playing the track sheep
Richard Stannings
playing right out of my head.
Ed Gaudette
Now,
Richard Stannings
I was going to quote some lyrics from it, but.
Unidentified Guest or Participant
Oh, there you go.
Ed Gaudette
From dogs or something.
Unidentified Guest or Participant
Yeah.
Ed Gaudette
Charade. Ed Gaudette from the Risk Never Sleeps podcast brought to you by Senseinet, the leader in risk management for healthcare. If you're on the front lines protecting patient safety or delivering patient care, remember to stay vigilant because risk never sleeps.
Ed Gaudet
Thanks for listening to Risk Never Sleep 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 dot com. I'm your host, Ed Gaudet. And until next time, stay vigilant because risk never sleeps.
Title: Before We Automate Everything… Should We Fix Anything?
Guest: Richard Staynings, Chief Security Strategist at Cylera
Host: Ed Gaudet (CEO & Founder of Censinet)
Date: June 8, 2026
Location: Recorded at HIMSS 2026, Las Vegas
In this engaging episode, Ed Gaudet sits down with healthcare cybersecurity veteran Richard Staynings for a candid and wide-ranging discussion at HIMSS 2026. The main theme centers around healthcare’s rapid adoption of automation and AI‒and the urgent question: are foundational issues being neglected in the rush to automate everything? The conversation moves from the future of AI in medicine and risk management to Richard’s journey, his advice for the next generation, and a surprising detour through classic rock nostalgia.
[00:31 – 02:26]
[02:34 – 04:53]
[04:58 – 07:43]
[07:48 – 10:41]
[10:43 – 13:27]
[14:05 – 15:45]
"We need to ensure that there’s not a maturity gap between the technology we’re implementing and the cybersecurity necessary to secure that new technology."
— Richard Staynings [03:16]
Visit censinet.com for best practices, show notes, and tools to protect patient safety in healthcare.