The 229 Podcast

2025 wasn't just another year in healthcare IT—it was a year of constant change. Leaders stopped waiting for permission and started building the future themselves. From AI implementations that deliver results in weeks instead of years, to cybersecurity boundaries that actually hold, to predictive care models that flip the reactive healthcare script entirely. This rewind captures the breakthrough moments, the honest struggles, and the conversations that made room after room go silent before someone said, "We should be recording this." These aren't predictions about what's coming. These are the moves that already happened—and the leaders who made them possible.X: This Week HealthLinkedIn: This Week HealthDonate: Alex’s Lemonade Stand: Foundation for Childhood Cancer

December 17, 2025: Real-time location data is revolutionizing hospital operations, but most executives haven't grasped the full magnitude of what's now possible with AI. Philipp von Gilsa, CEO of Kontakt.io, reveals how combining RTLS with AI agents enables immediate interventions when operations break down - no more dashboards, just actionable intelligence in the moment. From predicting equipment needs to optimizing patient flow, health systems are achieving real operating margin improvements by rethinking core operations. Discover why leading health systems are consolidating their point solutions onto next-generation platforms, and learn about an innovative AI hackathon model that helps executives experience these capabilities firsthand rather than just reading about them.Key Points:05:02 Real-Time Data and Its Impact10:38 Pandemic Response and Operational Efficiency13:50 Executive Engagement with AIX: This Week HealthLinkedIn: This Week HealthDonate: Alex’s Lemonade Stand: Foundation for Childhood Cancer

December 15, 2025: What if healthcare's biggest breakthroughs require throwing out the playbook? Joined by Daniel Schubert, CEO and Co-Founder of Revuud, this episode explores how AI is fundamentally reshaping healthcare IT strategy, from deploying countless virtual PhD-level agents across operations to rethinking patient access and workflow automation. Healthcare leaders discuss the challenge of prioritizing AI initiatives amid competing demands, the importance of creating organizational margin for creative problem-solving, and why divergent thinking beats linear logic in digital transformation. The conversation tackles talent deployment, the dangers of "we've always done it this way" mentality, and a critical question every CIO must answer: how resilient are your systems when AI becomes mission-critical infrastructure?Key Points:01:40 AI in Healthcare: A LinkedIn Post Discussion04:18 Challenges and Opportunities with AI08:38 Future of AI in Healthcare10:55 Organizational Impact and Talent Management20:05 Resilience and Final ThoughtsX: This Week HealthLinkedIn: This Week HealthDonate: Alex’s Lemonade Stand: Foundation for Childhood Cancer

December 12, 2025: When cloud platforms like AWS and Azure experience outages, hospitals across the country feel the impact. But are healthcare organizations truly prepared for these disruptions? Charles Knight, Founder of EHC Consulting, explores the critical gaps in healthcare's cloud resilience strategies. From understanding single points of failure to running actual failover tests, this conversation reveals why documentation and operational readiness matter just as much as technical redundancy.Key Points:04:09 Challenges in Disaster Recovery and Documentation16:14 Phishing and Cybersecurity Concerns21:30 Thanksgiving Food FavoritesX: This Week HealthLinkedIn: This Week HealthDonate: Alex’s Lemonade Stand: Foundation for Childhood Cancer

December 11, 2025: Medical imaging is undergoing a massive transformation, and the innovations unveiled at RSNA 2025 reveal just how profound these changes will be. Dr. Lee David Milligan, Managing Partner at Asbury HealthTech Partners, takes us inside the conference floor to explore groundbreaking advances that are reshaping radiology workflows. Discover how companies are revolutionizing cardiac care by replacing invasive procedures with advanced imaging that costs 90% less, why radiologists finally have the workflow tools they've needed for a decade, and how 3D visualization technology is transforming the way surgeons communicate with patients.Key Points:01:16 RSNA Conference Insights05:46 Operational Improvements in MRI18:08 HeartFlow and Cardiac Imaging Innovations22:12 Challenges and Solutions in Radiology25:23 Avatar Medical and Patient CommunicationX: This Week HealthLinkedIn: This Week HealthDonate: Alex’s Lemonade Stand: Foundation for Childhood Cancer