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Artwork for healthsystemCIO – Strategies for Hospital IT Leaders

healthsystemCIO – Strategies for Hospital IT Leaders

Anthony Guerra | Veteran Healthcare IT Journalist
Artificial Intelligence
Healthcare IT
Cybersecurity
Healthcare
Patient Care
Epic
Epic Systems
AI In Healthcare
Healthcare Technology
AI Governance
Data Governance
Patient Engagement
Governance
Change Management
Ambient AI
Digital Transformation
Patient Experience
Health Systems
Mayo Clinic
Clinical Informatics

Candid journalism and leadership insights for the modern Hospital CIO. healthsystemCIO is the definitive resource for Health System executives navigating Cybersecurity, AI Governance, and Digital Transformation. Hosted by Anthony Guerra, a veteran Healthcare IT Journalist.

PublishesTwice weeklyEpisodes1000Founded12 years ago
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Artwork for healthsystemCIO – Strategies for Hospital IT Leaders

Latest Episodes

Kory Hudson, MBA, CHCIO, CIO of Baptist Health Care, discusses the Pensacola, Fla., system's move from Sunrise to Epic, approved in June with go-live planned for 2028. Hudson explains why a late start lets Baptist build on Epic's standard content and... more

Chuck Christian, VP of Technology/CTO at Franciscan Health, discusses why the cost controls health systems built for the cloud do not extend to AI. He describes the Cloud Cost Analyst role he created in 2023, the weekly report it produces, and a work... more

Matthew Kull, EVP, Chief Information and Digital Officer at Inova Health, discusses why walling scheduling data off from large language models costs health systems appointments. He reports API calls from ChatGPT into Inova's Epic environment have sky... more

Chris Tyberg, chief information security officer at Abbott and chair of the Health Sector Coordinating Council Cybersecurity Working Group, explains why polling application owners produces unusable downtime plans and what business process owners answ... more

Hugo Lai, Chief Information Security Officer at Temple Health – Temple University Health System, discusses why frontier AI collapsed the 30-day patch window and what changes when defense has to run at machine speed. He details the limits and monitori... more

Stephen O'Mahony, MD, SVP and Chief Medical Information Officer at RWJBarnabas Health, discusses the clinical adoption work behind an AI deterioration warning tied to an 18% reduction in the risk-adjusted odds of in-hospital death. He details the con... more

Tinu Tadese, MD, System VP/CMIO at Boston Medical Center Health System, discusses Project Unite, the six-month integration that brought two former Steward Health Care hospitals onto a mature Epic build. She explains the MVP+ approach that lifted an a... more

Julie Demaree, VP, Chief Technology and Digital Innovation Officer at St. Mary's Healthcare, Corey Zeigler, CIO at Helio Health, and Carrie Weigand, MD, clinical advisor at Heidi Health, discuss how a lean IT department gets ambient AI into clinician... more

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Recent Guests

Chuck Christian
VP of Technology and CTO, Franciscan Health
Franciscan Health
Episode: Franciscan Health’s Christian Says AI Spend Stays Unpredictable Until the Bill Arrives
Matthew Kull
EVP, Chief Information and Digital Officer, Inova Health
Inova Health
Episode: Inova’s Kull Says a Data Moat Is a Losing Strategy as LLMs Become the Front Door
Chris Tyberg
Chief Information Security Officer at Abbott
Abbott
Episode: Abbott’s Tyberg Says the Minimum Viable Company Is the Right Starting Point for Downtime Planning
Hugo Lai
CISO at Temple Health and Temple University Health System
Temple Health / Temple University Health System
Episode: Temple Health’s Lai Says Machine-Speed Attacks Leave CISOs No Choice on Automated Defense
Stephen O'Mahony
Senior Vice President and Chief Health Information Officer, RWJBarnabas Health
RWJBarnabas Health
Episode: RWJBarnabas Health’s O’Mahony Says Clinician Questions Made AI Deterioration Alerts Better
Dr. Tinu Tadese
System VP and CMIO, Boston Medical Center Health System
Boston Medical Center Health System
Episode: Boston Medical Center’s Tadese Says Data Migration Time Governs Every Acquisition Timeline
Chris Paravate
EVP, Chief Digital and Information Officer
Northeast Georgia Health System
Episode: Northeast Georgia’s Paravate Says Ambient AI for Nurses Doesn’t Need the Legacy Go-Live Process
Lisa Stephenson
CNIO, Cedars-Sinai
Cedars-Sinai
Episode: Health System CNIOs Say Nursing Workflow Differences Make Ambient AI a Steeper Climb
Marc Perkins-Carrillo
CNIO, Moffitt Cancer Center
Moffitt Cancer Center
Episode: Health System CNIOs Say Nursing Workflow Differences Make Ambient AI a Steeper Climb

Host

Anthony Guerra
Host of Health System CIO Show; veteran healthcare IT journalist

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Talking Points

Recent interactions between the hosts and their guests.

Boston Medical Center’s Tadese Says Data Migration Time Governs Every Acquisition Timeline
Q: What role did Epic play in guiding the migration under tight time constraints?
Epic provided a framework and executives who helped set what must be live for safe care, while acknowledging that additional systems and data feeds outside Epic also needed careful handling.
Boston Medical Center’s Tadese Says Data Migration Time Governs Every Acquisition Timeline
Q: How did you approach training and onboarding for two hospitals onto Epic so rapidly?
We used an MVP Plus strategy, lifting and shifting core workflows first, then adjusting for community needs, with hands-on boots-on-the-ground support to ensure clinicians could practice safely on day one.
Boston Medical Center’s Tadese Says Data Migration Time Governs Every Acquisition Timeline
Q: When did IT get involved in the acquisition process, and how early was that compared to traditional M&A timelines?
IT was at the table from the start, and we moved quickly due to distressed hospitals; the goal was to preserve access to care and safety, even if due diligence was limited given the urgency.
RWJBarnabas Health’s O’Mahony Says Clinician Questions Made AI Deterioration Alerts Better
Q: What are the first steps for another Epic shop to implement a deterioration-index-based alert system?
Ensure you have at least a minimum Epic foundation, leverage Cogito or the Epic deterioration index tools, and study the Epic UGM materials. Work with Epic to leverage turbocharger packages for quicker setup, and align with existing governance and clinical partners to drive adoption.
Abbott’s Tyberg Says the Minimum Viable Company Is the Right Starting Point for Downtime Planning
Q: Could you walk us through Operation Vital Signs and what the team hoped to learn from it?
Operation Vital Signs was a sector-wide cybersecurity tabletop exercise designed to simulate cross-organizational coordination during a cyber incident. It involved hundreds of participants from many organizations and government partners, tested communication, and aimed to gather data on how well the sector could respond and what improvements were needed.

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Frequently Asked Questions About This Podcast

What is This Podcast about and what kind of topics does it cover?

The show focuses on leadership, cybersecurity, AI governance, and digital transformation within large health systems, often featuring CIOs, CMIOs, CISOs, and other senior IT executives. Episodes typically center on practical governance, vendor strategies, and the real-world impact of technology decisions on clinical workflows, interoperability, and patient care—covering topics from enterprise imaging, EHR optimization, and cloud adoption to ransomware readiness and AI-enabled analytics. Unique angles include governance-first approaches to Epic tooling, open API strategies, and cross-functional collaboration that breaks down silos to accelerate care delivery. Potential listeners will likely find actionable frameworks, vendor and platform ins... more

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Recent guests on this podcast include:

1. Chuck Christian
2. Matthew Kull
3. Chris Tyberg
4. Hugo Lai
5. Stephen O'Mahony
6. Dr. Tinu Tadese
7. Chris Paravate
8. Lisa Stephenson

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