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October 22, 2026: Lori Boisjoli has sat at 229 tables as a CIO. Now she is joining 229Project as a Principal, and this conversation with Bill Russell is her welcome to the community. She learned BASIC in high school, took a coding job at IDX in Burlington, Vermont, and soon decided she could not just sit in a cube. She later became CIO of the six-hospital University of Vermont Health system, which went through a cyber attack nearly five years ago. Other CIOs still ask her to share that experience with their executives, sometimes to "scare the hell out of our C-suite." Now she will host those tables, and she wants each room to leave with more than a takeaway: if a group agrees AI belongs in contract language, she wants that group to propose the language. That instinct goes back to Sharp HealthCare, where she spent the better part of nine months building the hospital side, and the team threw her a baby shower for her firstborn. "It is about the relationships," Lori said. For members, that means a host who was recently in their chair and wants every session to give them something they can use. Key Points: 0:00 Welcome, Lori 1:03 Atlanta and the resilience panel 3:52 Restore by service, not by tier 5:07 Sharing the story with other C-suites 7:01 AI before joining 229Project 9:25 Agents that work while you sleep 11:31 Carve out time for innovation 12:53 From IDX and Allscripts to the provider side 16:27 "It is about the relationships" 19:20 What she hopes to build with members 21:08 Hosting the room LinkedIn: 229Project Donate: Alex's Lemonade Stand: Foundation for Childhood Cancer

October 15, 2026: The same AI panel opened four 229 Regional Staff Roundtables in September: New Orleans (September 10), Portland (September 15), San Diego (September 17), and Atlanta (September 22). Health system IT leaders on stage. Their teams at the tables. This episode pulls the four rooms together by topic. Sarah Richardson opens it the way she opened Portland, with the Signal Check the room filled out before it walked in. In Portland, 65% named competing priorities and capacity as the top challenge. Shane Thielman at Scripps Health went after cost, not revenue. Autonomous coding on emergency department facility coding. About a 50% decrease in the cost per encounter. About 70% coverage in certain areas of that work. It has since moved into professional billing for radiology. A Piedmont physician built a mock ICU tracker on personal time. Fake patients, a personal AWS server, a GitHub account, so he could show what the tool should look like. He knew the governance. Lacy Knight: "something we can't support today." Takeaways: Julie Eastman (PeaceHealth) would defend the initiative that gives clinicians more time to be present with their patients, and that gives the evidence the time was truly returned. A lot of the value is still anecdotal. Lisa Johnson (Providence): about five minutes saved per patient contact on the provider side, before the workflow was refined. An operational leader had set aside four to five hours to compare policies. Copilot did it in about 10 minutes. Falyn Curtis (Ochsner Health) turned on Epic's billing assistant and saw fewer calls about bills, and more of those bills paid once patients could ask what the bill was for. Will Landry (FMOL Health) saw the same drop the day they turned it on. He put it at 60% fewer calls on that topic. Glynis Cowart (Woman's Hospital): ambient listening has to be turned off for a phone call, or the conversation lands in the chart. Lacy Knight: the EHR made bad processes obvious, and "AI has done that a hundredfold." The value is in rethinking the work. Drex DeFord: take a train wreck of a process and it becomes a fast and efficient train wreck. Josh Glandorf (UC San Diego Health): the bottleneck is operational transformation time, not IT time, "with much bigger boulders." Bonnie Boles (Tanner Health) will not move a project until an EVP names the top three. Julie Eastman asks why AI is governed separately from the rest of the portfolio. Same tool, different result. Epic chart summarization in ambulatory was not helping at Tanner. Clinicians found it slow, mistrusted a miss, and could not turn it off. Lacy Knight called the same tool a home run at Piedmont. Her first Copilot rollout went the other way: access went to people who do not live in Microsoft tools, and adoption was poor. Will Landry chose not to block ChatGPT, so FMOL could see the traffic, including on guest Wi-Fi. Pete D'Addio (LCMC Health) is watching the token bill. Steve LeBlond (Prisma Health) treats shadow IT as a need IT did not meet. Jeremy Meller (Children's Healthcare of Atlanta) has hired more AI literacy specialists than AI engineers. On ambient listening for nursing, the more experienced nurses are having an easier time, because the tool requires them to talk to the patient. Lisa Johnson: this is the time to double down on clinical informatics. Will Landry is telling FMOL's 250 certified Epic analysts that he will not need 250 people building in Epic three years from now. At-the-elbow support on the floor is the work he tells them will last. John Henderson (Rady Children's Health) spent a Saturday coding a check-in app for a middle school running club, then stopped. He could not support it. The club uses a spreadsheet. Maili Boynay (Legacy Health): start with the people who have to deploy it. They need capacity, and they need to know what is in it for them. In this episode: Sarah Richardson, Principal, 229 Project Julie Eastman, SVP and CIO, PeaceHealth Lisa Johnson, VP, Clinical IT Solution Delivery, Providence Falyn Curtis, VP, IS Clinical Systems, Ochsner Health Will Landry, CIO, Franciscan Missionaries of Our Lady Health System (FMOL Health) Glynis Cowart, SVP and CIO, Woman's Hospital Shane Thielman, Corporate SVP, Chief Information and Digital Officer, Scripps Health Terri Couts, SVP and Chief Information and Digital Officer, Sharp HealthCare Drex DeFord, Principal, 229 Project Lacy Knight, VP and Chief Health Informatics Officer, Piedmont Healthcare Josh Glandorf, CIO, UC San Diego Health Bonnie Boles, SVP and CMIO, Tanner Health Pete D'Addio, CTO and VP, Technology, LCMC Health Steve LeBlond, Chief Information and Digital Officer, Prisma Health John Henderson, Chief Information and Digital Officer, Rady Children's Health Jeremy Meller, CIO, Children's Healthcare of Atlanta Maili Boynay, VP, IS Applications, Legacy Health Bill Russell, Founder and CEO, 229 Project Key Points: 0:00 Four cities, one panel 0:46 One initiative to defend 2:36 Where the value shows up 7:46 The bad process, a hundredfold 11:19 Capacity 16:06 What did not work 18:45 Shadow AI 23:36 The people 28:02 Why these rooms exist LinkedIn: 229Project Donate: Alex's Lemonade Stand: Foundation for Childhood Cancer

October 14, 2026: Jim Jacobs, President and CEO at MediQuant, sits with Bill Russell. Cold storage looks cheap until a team has to open the file. The last 3 years of MediQuant's own archive are greater than the previous 20-odd years, back to 1999. Bill asks what it costs a health system to leave an old system running. Jim has seen the monthly bill go up after too much data moved to the cheap tier. The use case has to be planned before the data moves. Older revenue-cycle data can sit for retention. Imaging, DICOM, and sleep studies are a different cost decision. Leaving an old system on has a second login, a repeated test, and unpatched software when a team stops paying maintenance. Guest: Jim Jacobs (MediQuant) Key Points: 0:00 Margin Pressure on Both Lines 2:46 Not All Data Is Equal 3:25 MediQuant 5:09 Get Out Your Checkbook 9:28 Last 3 Years 11:48 What It Costs to Leave a System On 14:14 Just Turn It Off 16:56 A Good Engagement 19:08 Close LinkedIn: 229Project Donate: Alex's Lemonade Stand: Foundation for Childhood Cancer

October 8, 2026: Michal Nedoszytko, Member of Clinical Staff at Abridge, sits down with Bill Russell. He is a cardiologist. He practiced in Belgium and Poland for 17 years. As an intern he was making 50 lab sheets a day. He says a PDF generator took that from 25 minutes to about 2 minutes, and the cardiology department started using it. In 2013 the Ministry of Health in Poland required reimbursement amounts on paper prescriptions, from a spreadsheet of about 15,000 medications. He built a site for that. He says about 100,000 doctors a month still use it, almost 15 years later. He says 13,000 people applied to an Anthropic hackathon and he finished third with a post-visit tool he built between patients. He says Abridge shipped real-time voice chart pull about a month before this recording, and he credits Eric Topol with the term Keyboard Liberation. He says the clerical work should leave the visit, and the decision stays with the patient and the doctor. Key Points: 0:00 Doctors who build 2:31 50 sheets a day 5:57 Between the STEMIs 7:33 15,000 medications 9:54 Still used, almost 15 years later 13:31 One hackathon, 13,000 applications 29:36 Keyboard Liberation 32:49 The patient and the note 35:35 The clerical work leaves the visit 37:29 The decision stays human LinkedIn: 229Project Donate: Alex's Lemonade Stand: Foundation for Childhood Cancer

October 7, 2026: Yaw Fellin, Senior Vice President and General Manager, Clinical Decision Support and Provider Solutions at Wolters Kluwer Health, sits with Bill Russell. Clinicians used to come to UpToDate for an answer. He is building that evidence into the workflow, including Epic's Art, with 7,500-plus expert contributors behind it. Bill asks what a CIO puts in place so every agent lands on one version of clinical truth. At Becker's, a clinician using one of the large AI suites thought she knew every medication that patient was on. The system found one in the chart that was not on her radar. She changed the care plan. Yaw's answer for a CIO is governance first, then room to experiment, as long as the experiments stay safe and get narrowed to the systems that can hold that layer. The closer is cognitive scaffolding: support a resident and a clinician who has been at it for 20 years, and leave the thinking with the person. Guest: Yaw Fellin (Wolters Kluwer) Key Points: 0:00 7,500+ Experts, One Clinical Truth 1:32 From a Destination to the Workflow 3:54 Wolters Kluwer 4:17 Evidence Inside Art 13:08 How the Clinician Knows 16:45 What a CIO Puts in Place 20:00 Translation in Five Years 22:50 Cognitive Scaffolding 25:17 Close LinkedIn: 229Project Donate: Alex's Lemonade Stand: Foundation for Childhood Cancer

October 1, 2026: John McDaniel, CIO at Trinity Health in Minot, North Dakota, sits down with Sarah Richardson. Trinity is the first acute system on Epic Orchard. The region is rural, about a 120-mile radius, and recruiting and educating an implementation team was the hard part. Epic handles the third-party contracts and the upgrades. Discovery replaced an RFP. More than 300 people, about 10 percent of the organization, took part. John says 97.9 percent chose Epic. He also says undercoded care was about $36 million a year. He chairs the AI council and can say no. Key Points: 0:00 The first acute system on Orchard 4:16 Luma Health 5:32 Epic handles the contracts and the upgrades 7:38 Clearsense 8:26 Discovery instead of an RFP 10:02 A 10-year case approaches a billion dollars 10:29 About $36 million a year undercoded 13:06 Data owners sign off 13:58 The AI council can say no 16:03 $5 to $10 per encounter 19:43 Use the enterprise as an extension of DTG LinkedIn: 229Project Donate: Alex's Lemonade Stand: Foundation for Childhood Cancer

September 30, 2026: Christopher Tyne, Chief Engineering Officer at Health Catalyst, sits with Bill Russell. Health systems are being sold AI that demos well and does not move an outcome. Chris puts $2.8 billion in validated outcomes on the table, then the test: do not just shine a flashlight at the fire. Hand them the extinguisher. Then check whether it is still burning. Guest: Christopher Tyne (Health Catalyst) Key Points: 0:00 $2.8 billion. Did it do anything 0:06 Chris Tyne, Health Catalyst 2:04 AI without the healthcare lexicon 4:03 Health Catalyst 4:34 100 million Americans without primary care 6:10 Mix of experts 7:44 Coumadin 10:00 The medical record starts giving back 12:08 Clients, exploration, trained models 13:48 Don't just shine a flashlight 15:52 Close Donate: Alex's Lemonade Stand: Foundation for Childhood Cancer Keep up to date on the latest in health IT: https://thisweekhealth.com/news/

September 24, 2026: Bill Russell sits down with Derek De Young of Epic, the research and development lead Judy named as owner of Agent Factory at UGM. What CIOs keep calling a low-code builder is still a development preview. Epic staff are building alongside the sites. Early adopter is a checklist at the end of October. GA is a Q1/Q2 goal. One webinar produced over 600 ideas in a week. Inova ran measles chart reviews 15 times faster and asked to share the agent. Two teams at the first build-a-thon built the same job: $1.10 a run vs 10 cents. Key Points: 0:00 Agent Factory is still early 7:45 What's actually available 11:18 A code-status agent in production 20:13 Chart reviews 15 times faster 22:17 Take it, shape it, make it 24:14 Who should build 26:49 Cost, traces, kill switches 45:29 600 ideas in a week 48:53 What to do in the next 90 days LinkedIn: 229Project Donate: Alex's Lemonade Stand: Foundation for Childhood Cancer

September 23, 2026: Christian Boucher (Healthcare CTO, Island) sits down with Sarah Richardson. He came into healthcare because his wife is a nurse. He watched clinical systems move to the browser while security got bolted on around them, and the workflows broke. One customer said they had 25 AI tools locked down. Island looked at every browser in the shop. 250. A remote clinical analyst team was waiting a minute to reach a usable EHR. On Island: 20 seconds. Guest: Christian Boucher (Island) Key Points: 0:00 They thought they had 25 AI tools 0:06 Welcome 0:56 Why the browser had to be rethought 5:09 Island 6:31 Browser as a control point 11:53 A minute became 20 seconds 16:21 25 tools were 250 20:17 What to ask an enterprise browser 21:20 Security that improves the experience 25:08 Close Donate: Alex's Lemonade Stand: Foundation for Childhood Cancer Keep up to date on the latest in health IT: https://thisweekhealth.com/news/

September 22, 2026: Sarah Richardson sits down with Drex DeFord for a special UnHack. No CISO guest this month. Drex is 24 hours off the Black Rock Desert and into the New Orleans regional staff roundtable, where three people told him they were there for the Burning Man stories. He answers how the city actually works. Then the picture he sent Sarah: a tardigrade on the playa. Heather Costa made that microscopic survivor the mascot for healthcare IT resilience. Same question the RSR afternoon is built on: what do you do when the bad thing happens, so patients, families, and staff still get care. Key Points: 00:06 A Special UnHack 02:56 Fortified Health 03:30 How the City Works 08:38 Art, the Man, and the Temple 12:42 The Tardigrade 15:03 When the Bad Thing Happens Keep up to date on the latest in health IT: https://thisweekhealth.com/news/ X: This Week Health LinkedIn: This Week Health Donate: Alex’s Lemonade Stand: Foundation for Childhood Cancer

September 17, 2026: Jennifer Jones (former system CNIO and VP, Integris Health), Kay Burke (VP and CNIO, UCSF Health), and Rachael Hill (CNIO and Director of Clinical Systems, North Mississippi Health Services) sit down with Sarah Richardson. What changes when clinical informatics helps shape enterprise strategy from the beginning, not after the technology is already chosen. Jennifer's IV pump work cut adverse infusion events 56%, returned 2,000 nursing hours, and avoided about $500,000 in harm cost. Key Points: 0:00 Why the CNIO belongs at the strategy table 4:20 Harmony HIT 4:50 Informatics in from the start 8:12 Don't design the hospital as an island 16:08 If we were designing this today 20:13 There were no nurses in the room 28:26 56% fewer IV harm events 31:20 AI acceptance is not generational 36:02 Go-live is not the ROI LinkedIn: 229Project Donate: Alex's Lemonade Stand: Foundation for Childhood Cancer

September 16, 2026: Nish Khandwala, Co-Founder and CEO of Bunkerhill Health, and Dr. Peter McCaffrey, Chief Digital and AI Officer at UTMB Health, join Bill Russell. UTMB started with an FDA-cleared incidental coronary artery calcium algorithm. The next question was the workflow: who sees the flag, who acts, do you hire a navigator. Agents now pull the image, the chart context, and the downstream tasks. In 12 months UTMB went from one live agent to 22 on a single instance: missed patients, prior auth, care pathways, referral access. Key Points: 0:00 Open 0:06 Solution Showcase 0:39 What Bunkerhill is 3:10 Incidental calcium, then what 5:56 Open systems vs Epic 9:10 What's this going to cost 11:25 22 agents in 12 months 13:29 You can also build expensive RPA 16:55 If the agent is a toy 20:05 Forward-deployed engineers 23:17 Close LinkedIn: 229Project Donate: Alex's Lemonade Stand: Foundation for Childhood Cancer

September 10, 2026: Sherri Hess (former VP and Chief Nursing Informatics Officer, HCA Healthcare) sits down with Sarah Richardson. Not enough nurses on the acute-care floor. Too much admission and discharge work sitting on the people who were already there. Virtual nursing left the first unit in 3 to 4 months. The hard part was adding FTEs, not buying the cart. If you have seen one discharge, you have seen one discharge. Key Points: 0:00 One operational problem 2:22 Tegria 3:05 If you've seen one discharge 6:23 Start on one unit 8:14 Night nurses wanted 24 hours 9:53 SureTest 11:51 What the cart actually fixed 13:14 How they measured it 15:14 3 to 4 months off the pilot 18:21 Fail fast, fix fast LinkedIn: 229Project Donate: Alex's Lemonade Stand: Foundation for Childhood Cancer

September 9, 2026: Russell Teague (Chief Strategist and CISO, Fortified Health Security) sits down with Drex DeFord. Healthcare has been the number-one targeted industry for 13-plus years. Fortified only does healthcare, because no other industry has human life on a 24/7 stack. From there: 40-plus autonomous SOC vendors at Black Hat, a workstation that might be the CT scanner, 97 percent of breaches that never touch the EMR, and a board conversation that has to be about resiliency and patient care, not fear. Zero-day to weaponization is now sub-hour. You will not patch at machine speed. Guest: Russell Teague (Fortified Health) Key Points: 01:35 Healthcare, Number One for 13 Years 05:06 Human in the Loop 09:08 97 Percent of Breaches Are Not the EMR 13:13 Zero-Day to Weaponization Is Sub-Hour 15:47 Talk to the Board About Patient Care 17:19 Fear Will Not Win You Money Bring color and joy to a child’s day: https://augustsartists.networkforgood.com/projects/166901-everyday-giving Keep up to date on the latest in health IT: https://thisweekhealth.com/news/

September 3, 2026: Diane Constantine (Children's Hospital of Philadelphia), Cathy Patterson (Banner Health), and Vicki Sergent (Froedtert ThedaCare Health) sit down with Sarah Richardson. If an innovation saves clinician time, prevents harm, and improves the patient experience, but cannot produce a clean 12-month ROI, does it deserve to scale? Cathy's test: if she took it out today, would an outcome change. Vicki's MyChart Bedside was supposed to take a year of phased rollouts. Innovation-unit nurses adopted it hard enough that the system was up in three months. Diane will not manufacture a dollar value for rare pediatric harm. She will measure it. Key Points: 0:00 Does a 12-month ROI decide scale 1:30 Name the scorecard 6:10 UST 6:43 Set the thresholds before go-live 11:20 Value that never hits the P&L 16:19 Who owns the outcome after go-live 21:04 Adoption versus vanity 25:58 One decision they would copy 31:31 The question for tomorrow's scorecard LinkedIn: 229Project Donate: Alex's Lemonade Stand: Foundation for Childhood Cancer