The 229 Podcast

January 15, 2026: How do you lead 120,000 caregivers across seven states while maintaining a relationship-first philosophy? Providence CIDO, Cherodeep Goswami, reveals how his health system reduced patient wait times by seven days through disciplined innovation and the power of asking "why". From the unique practice of reflections in faith-based healthcare to navigating AI governance at scale, Cherodeep shares candid insights on what separates successful digital transformation from "lipstick on a pig." He discusses the challenges of training the next generation in a remote work era, why standards might be overused in healthcare, and his three-word framework for driving change: empathy, innovation, and impact.Golf Tournament Registration: https://carahevents.carahsoft.com/Event/Details/686801-ThisWeekHealthKey Points:03:26 Scaling Personal Touch in Large Healthcare Systems12:55 The Importance of Empathy in Healthcare19:35 The Role of Standardization and Respecting Variations22:09 Challenges and Strategies in AI Adoption37:06 Lightning Round: Personal InsightsX: This Week HealthLinkedIn: This Week HealthDonate: Alex’s Lemonade Stand: Foundation for Childhood Cancer

January 14, 2026: When 50% of your urgent care patients walk in with zero medical history, how do you deliver quality care? Mike Cordeiro, Senior Director of Interoperability Market and Product Strategy at MEDITECH, and Joe Diver, Signature Healthcare’s CIO, discuss how they transformed fragmented records into a unified view that nearly 400 clinicians adopted in record time. One physician called it "the best technical change in years." Learn why interoperability isn't just about regulatory compliance anymore—it's becoming the lifeline that allows independent hospitals to survive, compete, and deliver coordinated care without sacrificing their autonomy.Golf Tournament Registration: https://carahevents.carahsoft.com/Event/Details/686801-ThisWeekHealthKey Points:01:27 Signature Healthcare's Core Challenges03:58 MEDITECH's Impact on Clinicians06:25 Adoption and Advanced Features12:18 Future of Interoperability and ConclusionX: This Week HealthLinkedIn: This Week HealthDonate: Alex’s Lemonade Stand: Foundation for Childhood Cancer

January 12, 2026: Epic is defending three simultaneous lawsuits while CIOs grapple with vendors imposing staggering price increases—some as high as 600%. Bill, Sarah, and Drex tackle the uncomfortable truth about AI leadership: it's time to figure it out or risk getting left behind. They explore why AI with context is transformative while AI without it looks foolish, discuss whether board members know how to hire AI-savvy CIOs, and predict a major shift in how healthcare organizations approach their EHR relationships. Could we see a return to building custom solutions powered by modern AI?Key Points:02:44 Predictions for 202614:18 Staffing and Workforce Implications21:10 Epic's Legal TroublesX: This Week HealthLinkedIn: This Week HealthDonate: Alex’s Lemonade Stand: Foundation for Childhood Cancer

January 8, 2026: Dr. Michael Pfeffer, SVP and CIDO at Stanford Medicine, reveals how his team built a secure AI sandbox in just six weeks—and what they learned from analyzing thousands of user prompts. From ambient scribes that actually work to ChatEHR transforming clinical workflows in real-time, Michael shares the practical wins and honest challenges of deploying AI across an academic medical center. Discover why different AI models excel at different tasks, how Stanford approaches governance without slowing innovation, and why the future of healthcare might finally match the vision we've been promised for decades.Golf Tournament Registration: https://carahevents.carahsoft.com/Event/Details/686801-ThisWeekHealthKey Points:05:14 The Green Button Initiative09:29 Ambient Listening in Clinical Settings15:32 Stanford's Unique Approach to Innovation26:03 ChatEHR: A Game Changer34:09 Capturing Patient Stories with TechnologyX: This Week HealthLinkedIn: This Week HealthDonate: Alex’s Lemonade Stand: Foundation for Childhood Cancer

January 7, 2026: Chuck Christian, CTO of Franciscan Health, and Charles Anastos, Senior Partner at Chartis, share the unfiltered story of migrating a 12-hospital Epic environment to Microsoft Azure—including the moment their hosting partner suddenly exited the business mid-contract. Chuck reveals why they rejected the "easy button" of Epic hosting, how they navigated a complex RFP with six vendors, and the non-negotiables that made or broke partnerships. From building a dedicated cloud cost analyst role to running production in their DR site for 30 days, this conversation delivers hard-won lessons on treating cloud migration as a strategic transformation, not just infrastructure relocation. Learn what happens when you demand trust and integrity over vendor promises.Key Points:03:11 Choosing the Right Cloud Partner08:50 The RFP Process and Vendor Evaluation13:33 Security and Resilience in Cloud Migration22:13 Lessons Learned and Future PlansX: This Week HealthLinkedIn: This Week HealthDonate: Alex’s Lemonade Stand: Foundation for Childhood Cancer