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Jeff Pfaff, Senior Director of Business Operations at Inova Health Systems, joins host Erik Sunset to share hard-won lessons from scaling one of Northern Virginia's most active ASC networks — from a single center to five thriving multi-specialty locations with a additional growth planned.

Jeff breaks down how Inova approaches the relentless pace of digital transformation, why throwing FTEs at operational problems is no longer an option, and how his team vets and implements new technology without burning out the people who actually have to use it every day. They dig into the real barriers to technology adoption — resistant physicians, stretched administrators, and the hidden time cost of implementation — and why building a "we" culture is the foundation everything else has to sit on.

Jeff also shares his candid take on AI in the ASC space: what's genuinely exciting, what's being wildly oversold, and why a site visit in a live production environment is worth more than any demo. He wraps with glowing feedback for DocBuddy's team and solution!