EP43 - Cybersecurity as Patient Safety: A 2026 CMIO Playbook - Dr. Christian Dameff, Steven Ramirez, Dr. Sean Kelly
Beyond the Blueprint - Health Series
Release Date: 01/19/2026
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...
info_outlineBeyond 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...
info_outlineBeyond 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...
info_outlineBeyond 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...
info_outlineBeyond 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...
info_outlineBeyond 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...
info_outlineBeyond 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...
info_outlineBeyond 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...
info_outlineBeyond 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...
info_outlineBeyond 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_outlineIn 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 where system failures can mean delayed diagnoses, canceled surgeries, and compromised outcomes.
Whether you lead tech, safety, or care teams, this episode offers a bold call to reframe cybersecurity as a core component of clinical resilience—and why every hospital needs a downtime plan that actually works.
Key Takeaways
- Cybersecurity is clinical safety. Outages impact real patients—diverting ambulances, delaying chemo, and compromising care at the bedside.
- Generic downtime plans don’t cut it. Too often, they’re dusty binders with vague bullet points. Real preparedness requires clinical playbooks tailored to workflows, not just systems.
- Clinician training must go beyond checkbox compliance. Studies show most phishing training has minimal impact. Real-time, workflow-based education is more effective.
- Paper downtime isn’t intuitive anymore. Many clinicians—especially newer ones—have never documented without digital tools. Drill-based preparedness is critical.
- Security and speed can coexist. With adaptive tools, it’s possible to embed safeguards that protect systems without blocking care delivery.
- Every department responds differently to cyber events. Cross-functional coordination—especially between IT and clinical ops—is key for effective triage and recovery.
- Identity is the new perimeter. Over 80% of cyber events stem from compromised credentials. Guardrails and behavior-based analytics are essential.
- We need to measure what works. Cyber tools should be held to the same evidence-based standards as clinical interventions.
- CMIOs must bridge the gap. As translators between the boardroom, command center, and bedside, they’re uniquely positioned to lead a new model of digital resilience.
Episode Highlights
00:00 | Cybersecurity Is Now a Clinical Crisis
01:53 | Welcome to Beyond the Blueprint
02:30 | Why Cyber Threats Are Patient Safety Threats
03:09 | Meet the Panel: Imprivata, UCSD, and Renown Health
04:00 | From IT Problem to Bedside Risk
05:20 | Building Cyber Resilience into Daily Workflow
07:00 | Downtime Plans: Why Most Are Useless
09:30 | Clinical Ransomware Playbooks: A New Standard
11:16 | Preventative Cyber Hygiene and Workflow Mapping
13:10 | Supporting ICU, Dialysis, and Cancer Care During Outages
14:43 | Chain of Command in the First 5 Minutes of a Breach
16:00 | Frontline Leadership: Silos or Shared Command?
17:10 | Why Mid-Acuity Patients Are the Hidden Risk
18:00 | Friction vs. Safety: Rethinking MFA and Access
20:00 | Cross-Functional Models for Risk Escalation
22:00 | Eliminating Email to Reduce Phishing Risk
23:15 | Biometric Access, Passkeys & Adaptive Controls
24:00 | Why You Must Drill Downtime Workflows
26:00 | When to Trigger Paper-Based Systems
27:30 | Cultural Inertia vs. Clinical Necessity
28:45 | Scaling Resilience Across Diverse Hospitals
29:15 | AI Guardrails and Workflow Protections
30:22 | CMIO Challenge Question: Is Training Worth It?
31:55 | Rethinking Evidence in Cyber Tools
33:00 | Training Doesn’t Work—But This Might
35:00 | Four Steps to Take in the Next 30 Days
36:15 | Final Takeaway: Don’t Be the Dept. of No
38:00 | Closing Thoughts: Cybersecurity Is Patient Care