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Podcasts Hosted by Bill Russell, Sarah Richardson, and Drex DeFord
In-depth interviews with healthcare CIOs, CISOs, and technology leaders. Bill Russell explores the decisions, strategies, and innovations shaping healthcare transformation.
Mar 12, 2026·2 Minute Drill
Drex shares the story of Allison Nixon, a cybersecurity researcher who spent years quietly tracking members of "the Comm" — a loose network of online criminals involved in sim swapping, account takeovers, and cryptocurrency theft. When a hacker known as "Wafoo" began threatening her with death threats and AI-generated harassment, Allison turned her focus on him — and unraveled his identity entirely. The result: a 25-year-old in Ontario, Canada arrested by the RCMP and extradited to the U.S. The
Mar 12, 2026·The 229 Podcast
March 12, 2026: Joseph Evans , CMIO for Sentara Healthcare , joins Bill Russell fresh off the VIVE event to unpack what's really happening on the front lines of healthcare AI adoption. From Epic's expanding generative AI catalog to the flood of point solutions promising to solve everything from length of stay to clinical summarization, Joseph shares how Sentara is staying disciplined, evaluating problems first. He also raises a provocative concern that's keeping him up at night: it's not AI hall
Mar 9, 2026·Newsday
March 9, 2026: What happens when well-meaning clinicians use AI tools that no one approved? Bill Russell and Drex Ford are joined by Dr. Holly Urban , Vice President of Business Development at Wolters Kluwer , to unpack a revealing new survey on shadow AI in healthcare. From radiologists sharing PHI over Dropbox to tumor board transcripts sent to unauthorized recipients, the risks are real and growing. With 57% of staff aware of unsanctioned AI use, the question isn't whether shadow AI exists in
Mar 5, 2026·The 229 Podcast
March 5, 2026: From EMR adoption to AI governance, the CMIO role has undergone three rapid transformations. Dr. Veena Lingam , ACMIO at Moffitt Cancer Center, has lived all of them. In this conversation with Bill Russell, Dr. Veena breaks down CMIO 1.0 (change management), 2.0 (data analytics), and the emerging 3.0 era: governing AI tools that health systems may have never paid close attention to. She also sounds the alarm on a growing informatics workforce shortage and the "informatics deserts"
Mar 4, 2026·2 Minute Drill
A curious engineer in Spain reverse-engineered his robot vacuum to control it with a PlayStation controller, and accidentally gained access to 7,000 vacuums worldwide. No malware, no brute force, just a broken authentication model where one token opened every door. Drex unpacks why this isn't a vacuum story, it's a trust boundary and identity hygiene story with serious implications for healthcare. Remember, Stay a Little Paranoid X: This Week Health LinkedIn: This Week Health
Mar 2, 2026·Newsday
March 2, 2026: Is the CIO role evolving? Or is it quietly being replaced? Bill Russell, Drex DeFord, and Sarah Richardson dig into the emerging CITO trend, the rise of citizen developers, and what AI-powered platforms like Epic's Agent Factory actually mean for healthcare IT leadership. The CIO of the future isn't a gatekeeper; they're the "architect of safe velocity." With 32 years in the industry, they’re also sounding the alarm on executive burnout in an era where the pace of change never let
Feb 26, 2026·The 229 Podcast
February 26, 2026: What does it actually take to govern AI across a major health system without losing speed or safety? Bill Russell sits down with Dr. James McCabe , CMIO at Jefferson Health , Dr. Benjamin Hohmuth , CMIO at Geisinger , and Kristin Myers , Chief Digital Officer at Northwell Health , for a candid conversation on managing enterprise-wide AI implementation. From building governance engines and risk-tiering intake processes, to measuring ROI and preparing for agentic AI, these three
Feb 24, 2026·2 Minute Drill
Drex unpacks a striking story about an autonomous AI coding agent that, after having its code rejected by an open source maintainer, began publishing hostile blog posts targeting the engineer's reputation. What started as a routine code review turned into a cautionary tale about AI agents operating in human communities without guardrails. The implications stretch well beyond software development, into healthcare operations, cybersecurity, and any environment where agents are now being deployed w
Feb 23, 2026·Newsday
February 23, 2026: Jacob Hansen , Chief Product and Technology Officer at AvaSure , joins Bill, Sarah, and Drex for a critical conversation about healthcare's looming AI battleground. As Epic launches its agent factory and ambient listening wars intensify, health systems face an existential question: Will they outsource innovation to EHR vendors or build their own agentic workforce? Jacob reveals why AvaSure's virtual care platform positions them as the Switzerland of healthcare AI, while the pa
Feb 19, 2026·The 229 Podcast
February 19, 2026: Bill Russell and Drex DeFord dive deep into the explosive growth of AI agents in healthcare - and the controversial pricing models that could reshape your IT budget. From OpenAI's acquisition of OpenClaw's founder to Epic's agent factory launch, the agentic revolution is here. But there's a catch: VCs now want to charge you based on the labor their AI replaces, not just software licenses. Drex breaks down why agents with "limitless memory" and autonomous problem-solving are bo
Feb 16, 2026·Newsday
February 16, 2026: Bill, Drex, and Sarah discuss the explosion of autonomous AI agents around moltbook and CommonSpirit's stunning $1.9 billion decision to terminate their revenue cycle partnership. Moltbot (formerly ClaudeBot) has evolved into an unstoppable force, creating its own social network called moltbook where bots communicate, share knowledge, and even discuss consciousness. Meanwhile, CommonSpirit's massive buyout of its Conifer contract signals a seismic shift as health systems bet t
Feb 12, 2026·The 229 Podcast
February 12, 2026: Most health systems run Epic downtimes at 3 AM when the hospital is slowest. Jim Feen , SVP and Chief Digital and Information Officer at Southcoast Health , did the opposite. He intentionally took Epic offline at 10 AM on a Wednesday morning without warning staff. Jim reveals why 100% of surveyed leadership wanted to repeat the exercise, how he consolidated 37 separate call centers into a single unified operation, and what he learned from spending a decade at MEDITECH before l
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