EP40 - AMDIS Roundtable - Why Hospital Pilots Fail and What It Takes to Actually Scale
Beyond the Blueprint - Health Series
Release Date: 11/22/2025
EP44 - Beyond the Pilot: Scaling Ambient Listening at Sutter Health - Dr. Veena Jones and Stephanie Driscoll
Beyond the Blueprint - Health Series
In this episode, we’re joined by two leaders from Sutter Health who are scaling ambient listening across their enterprise: Dr. Veena (Goel) Jones, Chief Medical Informatics Officer, and Stephanie Driscoll, Vice President of Digital Implementation. In 2025 alone, Sutter onboarded more than 3,100 clinicians to ambient listening—moving well beyond pilot programs to true system-wide adoption. Together, they share what it takes to make that scale possible, from EHR integration and workflow redesign to governance, training, and change management. Key Takeaways Ambient listening only scales when...
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EP43 - Cybersecurity as Patient Safety: A 2026 CMIO Playbook - Dr. Christian Dameff, Steven Ramirez, Dr. Sean Kelly
Beyond the Blueprint - Health Series
In this episode we’re joined by Dr. Sean Kelly (Imprivata), Dr. Christian Dameff (UC San Diego Health), and Steven Ramirez (Renown Health) to explore a critical yet often misunderstood frontier: the intersection of cybersecurity and patient safety. Together, we unpack how clinical leaders can prepare for digital outages, ransomware attacks, and the escalating threat landscape—not as isolated IT events, but as high-stakes clinical disruptions. From real-time decision-making to cultural readiness, this conversation is a practical playbook for CMIOs navigating care delivery in an age...
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EP42 - Why RTLS Is Core Infrastructure in Healthcare - Todd Frantz, Ali Youssef, Paul Zieske
Beyond the Blueprint - Health Series
In this episode we’re joined by Todd Frantz (AdventHealth), Ali Youssef (Henry Ford Health), and Paul Zieske (Why Where Matters) to explore how next-gen real-time location systems are reshaping care delivery. Together, we dive into the evolution from dots-on-a-map asset tracking to intelligent platforms that drive staff safety, streamline workflows, and generate high-fidelity data for AI. From ED duress alerts to ambient analytics and digital wayfinding, this conversation is a roadmap for health leaders rethinking how hospitals move, sense, and respond in real time. Whether you’re...
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EP41 - From Mannequins to Metaverse: The Future of Nursing Simulation - Dr. William Scott Erdley (
Beyond the Blueprint - Health Series
What if the future of nurse training didn’t just include mannequins—but holograms, AI conversations, and full-on metaverse environments? In this episode of Beyond the Blueprint, we’re joined by Dr. William Scott Erdley, a retired simulation pioneer and former Director of Simulation & Clinical Skills Labs. With decades of experience in nursing education, Dr. Erdley unpacks the evolution of clinical simulation—from standardized patients and mannequin drills to immersive technologies like VR, AI, and even wetware. Together, we explore how simulation builds confidence, strengthens care...
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EP40 - AMDIS Roundtable - Why Hospital Pilots Fail and What It Takes to Actually Scale
Beyond the Blueprint - Health Series
What happens when pilots become more than experiments? In this AMDIS collaboration, Dr. Eve Cunningham (Cadence, formerly Providence), Kaitlyn Torrence (WellSpan, formerly MUSC), and Dr. Camille Bradley (Baylor Scott & White) reveal what separates failed pilots from scalable innovation. Drawing on real-world deployments of virtual care, ambient listening, and decision support tools, this episode dives deep into the operational, cultural, and clinical realities behind adoption. From rebranding “pilots” to building internal trust, the panel offers a blueprint for moving from spark to...
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EP39 - AMDIS Roundtable - Beyond the digital front door: Empowering Pediatric Families in the Digital Age
Beyond the Blueprint - Health Series
What happens beyond the digital front door? In this AMDIS collaboration, Dr. Yaa Kumah-Crystal, Dr. Natalie Pageler, and Dr. Sarah Rush unpack the complex realities of digital family engagement in pediatric care. From patient portals and teen privacy laws to ambient documentation and AI-enabled translation, this panel explores how hospitals can rebuild trust, reduce barriers, and design systems that truly work for families. Together, they examine cultural readiness, access equity, and why health systems must treat family engagement as both a design challenge and a clinical imperative. Key...
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EP38 Why AI in Healthcare Fails Without Nurses at the Table - Athena Fernandez, Jing Wang, Troy Seagondollar
Beyond the Blueprint - Health Series
In this episode we explore why so many AI initiatives in healthcare stall—and how nursing leaders can change that. Dr. Jing Wang (FSU Nursing), Athena Fernandez (Penn Medicine), and Troy Seagondollar (formerly Kaiser Permanente) reflect on the current AI landscape and what it takes to make tools truly work for nurses at the bedside. From sepsis prediction models to staffing automation, they share hard-won lessons in AI governance, change management, and clinical trust. Our panel dives into the growing gap between innovation and implementation—and how nurse-led strategies can help...
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EP37 Healthcare Communications: Bridging Technology & Care - John Elms (JH Elms & Company)
Beyond the Blueprint - Health Series
Join us for a conversation with healthcare communications veteran John Elms as he breaks down what it really takes to design digital systems that frontline clinicians will actually use. Drawing on decades of leadership at TigerConnect, Critical Alert, and Spectralink, Elms shares hard-won lessons on user-centered design, project governance, and the hidden costs of fragmented communication tools. We explore a real-world case study that improved patient transport efficiency by 55%, and dive into strategies for aligning IT, operations, and clinical teams around change that sticks. Whether you're...
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EP36 How to Lead Without a Title: Nurse Influencer Secrets - Michelle Lingner (ECU Health)
Beyond the Blueprint - Health Series
Join hosts Keith Washington and Kris Baird for a conversation with Michelle Lingner, FNP-C, RN-BSN, RNFA—a trauma nurse practitioner at ECU Health who's redefining what it means to lead without formal authority. Michelle shares how intentional mindset shifts transformed her from burned out to energized, and how that shift rippled through her entire team. Drawing on her experience in a 1,000-bed Level 1 trauma center, she reveals practical strategies for peer-to-peer influence, closing communication gaps that delay patient care, and choosing positivity even in high-pressure environments. Kris...
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EP35 Revolutionizing Patient Safety: A Deep Dive Into Wearable Technology - Patrick Baker, RN (Palarum)
Beyond the Blueprint - Health Series
Join us for a conversation with nurse executive and healthtech innovator Patrick Baker shares the story behind Palarum’s smart sock—an advanced wearable that’s dramatically reducing patient falls without adding to clinical workload. With insights shaped by decades on the frontlines, Baker walks us through how alarm fatigue, design thinking, and data transparency inspired a smarter approach to patient safety. We explore how real-time mobility tracking, clinical workflow integration, and human-centered innovation are shifting the paradigm in hospital care. Whether you're in nursing...
info_outlineWhat happens when pilots become more than experiments?
In this AMDIS collaboration, Dr. Eve Cunningham (Cadence, formerly Providence), Kaitlyn Torrence (WellSpan, formerly MUSC), and Dr. Camille Bradley (Baylor Scott & White) reveal what separates failed pilots from scalable innovation. Drawing on real-world deployments of virtual care, ambient listening, and decision support tools, this episode dives deep into the operational, cultural, and clinical realities behind adoption. From rebranding “pilots” to building internal trust, the panel offers a blueprint for moving from spark to scale in health system innovation.
Together, they explore why scaling digital care requires more than good tech—it demands strong partnerships, clinician champions, and a relentless focus on solving real problems.
Key Takeaways
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Most pilots fail because they aren't designed for scale—think phased deployment, not one-off testing.
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Rebranding “pilots” as experiments or phase-one initiatives improves credibility and staff buy-in.
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Clinician champions (“entrepreneurial weirdos”) are key to real-world feedback and viral adoption.
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Operational leaders help navigate workflows, align stakeholders, and ensure accountability at scale.
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Innovation labs must be tied to informatics and operational realities—not siloed showcases.
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Health systems need platform partners, not point solutions, to meet long-term strategic goals.
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Trust, process clarity, and iterative design drive clinical adoption—especially post-EMR trauma.
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Change management resources are essential; adoption is emotional, not just technical.
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Prioritization must follow clear goals (e.g., “cut 400,000 admin hours”), not shiny tech trends.
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Vendors succeed when they understand the system's priorities—and show up ready to co-develop.
Episode Highlights
00:00 | Why So Many Pilots Fail
01:14 | Meet the Leaders Scaling Innovation
02:30 | The Pilot Graveyard: When Good Ideas Die
04:17 | Rebranding Pilots as Experiments
06:08 | Finding Your “Weirdos”: The Power of Clinical Champions
07:56 | Designing for Process, Not Just Technology
09:34 | Defining the Problem Before Testing a Solution
10:23 | From Frustration to Trust: Winning Clinician Buy-In
12:14 | How Ambient Scribes Went Viral
13:58 | Socializing Tools with Frontline Feedback
15:27 | Why Operational Champions Matter
17:00 | The Role of Communication in Scaling
18:20 | Are Innovation Labs Working—or Just Expensive Showrooms?
20:37 | Partnerships Over Products: Building the Right Ecosystem
22:37 | Creating Safe Spaces to Fail and Pivot
24:10 | Aligning IT, Clinical, and Finance Around a North Star
26:00 | Strategic Prioritization: What Moves Forward and Why
27:44 | Attacking Admin Waste with AI and Clear Goals
29:34 | From Point Solutions to Platform Partners
31:11 | Vendor Advice: Do Your Homework, Bring Specific Value
33:20 | Three Takeaways for Innovation Leaders
Guests: Dr. Eve Cunningham, Dr. Camille Bradley, Kaitlyn Torrence
Host: Gregg Malkary - Spyglass Consulting Group
Cohost: Keith Washington - Companions in Courage Foundation
Sponsored by: Simplifi Medical & Storage Systems Unlimited
Audio/Video: Tim Jones - Health Nuts Media
Marketing: Josh Troop - Troop-Creative
Learn More at: www.beyond-blueprint.com