EP45 - AMDIS Roundtable - Data Governance at the Point of Care
Beyond the Blueprint - Health Series
Release Date: 02/15/2026
EP51 - AMDIS Roundtable - The AI Decisions Missing From the Medical Record
Beyond the Blueprint - Health Series
AI is already influencing clinical decision-making, but what happens when those decisions occur outside the systems hospitals can monitor? In this AMDIS Roundtable, Gregg Malkary is joined by Dr. John Lee, Dr. Paul Sutton, and Dr. Stephon Proctor to examine the growing use of consumer AI tools like ChatGPT, Claude, and Gemini at the point of care. As physicians increasingly turn to these tools for clinical questions, documentation, differential diagnoses, and workflow support, health systems are facing a new challenge: understanding how AI is shaping care when those interactions never appear...
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EP50 - Treat the Patient, Not the Alert: AI, Alert Fatigue, and Nursing Decision Support
Beyond the Blueprint - Health Series
AI can identify a patient at risk. But what happens when the nurse receiving the alert is already caring for another patient? As hospitals continue adopting AI-powered clinical decision support tools, nursing leaders face a practical challenge: identifying risk is only part of the equation. Acting on it requires people, workflows, communication, and clinical judgment. In this episode of Beyond the Blueprint, Gregg Malkary is joined by Daniel Gracie, Carolyn S. Harmon, and Troy Seagondollar to explore how AI-driven alerts intersect with the realities of nursing practice. The conversation...
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EP49 - Leadership by Design: Creating Cultures Where Caregivers Thrive - Elizabeth Jeanes
Beyond the Blueprint - Health Series
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EP48 - Healthcare Doesn't Have a Staffing Problem: Rethinking Workforce Design - Elizabeth Jeanes
Beyond the Blueprint - Health Series
What if healthcare's staffing crisis isn't really about staffing at all? In this episode, Elizabeth Jeanes, founder of Jeanes Strategic Consulting and a healthcare leader with more than 20 years of experience in nursing, leadership development, and organizational strategy, challenges one of healthcare's biggest assumptions: that workforce shortages are purely a numbers problem. Instead, Elizabeth makes the case for rethinking workforce design from the ground up, starting with preceptors, frontline influencers, and the leadership systems that shape culture from day one. Her take? The people...
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EP47 - Teaching Doctors in the Age of AI: Trust, Risk, and the Future of Clinical Thinking
Beyond the Blueprint - Health Series
In this episode, we explore how AI is reshaping physician training — and what medical educators must do now to keep pace. Dr. May Lin (Touro University), Dr. Saroj Misra (A.T. Still University), Dr. Renu Agnihotri (A.T. Still University), and Dr. Shivam Vedak (Stanford University) share what's working and what isn't when it comes to preparing residents and medical students to use AI responsibly. From faculty development and inconsistent guidance across clinical sites, to automation bias and the pressure to see more patients faster, the panel examines the hard tradeoffs facing medical...
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EP46 - AMDIS Roundtable - Restoring Clinical Cognition in the AI-Ready EHR
Beyond the Blueprint - Health Series
In this AMDIS Roundtable, Dr. Eve Cunningham (Cadence), Dr. Howard Landa (Adventist Health), and Dr. Deepti Pandita (UCI Health) explore what it really means to build an AI-ready EHR. Moving beyond features and vendor roadmaps, they examine how data governance, workflow design, and clinical validation shape the physician’s day — from inbox overload to exam-room disconnect. Together, they discuss shadow AI, cognitive burden, and the hard tradeoffs between optimizing legacy workflows and redesigning care. Their message is clear: the next generation EHR isn’t about adding more technology...
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EP45 - AMDIS Roundtable - Data Governance at the Point of Care
Beyond the Blueprint - Health Series
In this AMDIS collaboration, Dr. Mark Pierce (former Parkview Health), Dr. Howard Landa (Adventist Health), and Dr. John Lee (HIT Peak Advisors) examine why data governance is ultimately a patient-care issue, not just an IT function. Drawing on real bedside decisions, EHR transitions, and conflicting metrics, they show how unclear definitions and hidden data create hesitation, workarounds, and loss of clinician trust. Together, they discuss the leadership commitment and investment required to improve data quality, and why clean data is the prerequisite for safe and meaningful AI in healthcare....
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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...
info_outlineIn this AMDIS collaboration, Dr. Mark Pierce (former Parkview Health), Dr. Howard Landa (Adventist Health), and Dr. John Lee (HIT Peak Advisors) examine why data governance is ultimately a patient-care issue, not just an IT function. Drawing on real bedside decisions, EHR transitions, and conflicting metrics, they show how unclear definitions and hidden data create hesitation, workarounds, and loss of clinician trust. Together, they discuss the leadership commitment and investment required to improve data quality, and why clean data is the prerequisite for safe and meaningful AI in healthcare.
Key Takeaways
- Unclear data definitions slow care — clinicians pause, double-check, or guess at the bedside.
- Data governance is a patient-safety function, not an IT committee exercise.
- Most data problems are silent — staff create workarounds instead of reporting issues.
- Different departments define the same metric differently, eroding organizational trust.
- Leadership wants fast ROI, but governance requires long-term investment and persistence.
- AI magnifies bad data — clean inputs matter more than advanced algorithms.
- Use AI first to clean and structure data before deploying clinical AI tools.
- Start governance with visible problems (e.g., length-of-stay definitions, data sharing).
- Tie governance efforts to active initiatives to gain momentum and participation.
- Organizations rarely advertise good governance — you see it in outcomes, not org charts.
- Clinician trust is fragile; one bad data-driven decision can last for years.
- Accessible, synthesized data enables faster decisions and real improvement cycles.
Episode Highlights
00:00 | Why Data Governance Gets Ignored
02:01 | Data Governance as a Patient-Safety Issue
04:25 | When Data Helps — and When It Slows Care
06:29 | Too Much Information, Not Enough Clarity
09:14 | The “Raiders of the Lost Ark” Data Warehouse Problem
11:04 | Why Leaders Delay Governance Work
13:06 | The Real Investment Required
14:28 | The PD-Not-PDSA Cycle in Healthcare
15:16 | AI Fails Without Clean Data
16:55 | What Breaks When Definitions Differ
18:05 | Bad Data at the Bedside: A Stroke Decision
20:19 | How Trust in Data Is Lost
23:13 | Silent Workarounds Across Hospitals
25:18 | Where Organizations Should Start
27:15 | Making Data Actionable for Clinicians
29:26 | Governance as Organizational DNA
31:24 | Aligning AI Governance With Data Governance
32:13 | Use AI to Clean Data First
34:15 | Bias, Training Data, and Clinical Risk
36:29 | Final Message: When Rules Are Unclear, Care Suffers
Guests: Dr. Mark Pierce, Dr. Howard Landa, Dr. John Lee
Host: Gregg Malkary - Lighthouse Healthtech
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