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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.
Aug 3, 2026·Newsday
August 3, 2026: Bill Russell, Drex DeFord, and Sarah Richardson are fresh off a run of academic medical center events in Chicago, and the number that kept coming up in every room was staggering: $900 million in projected revenue coming out of the healthcare system over the next three years. On this episode of Newsday, the trio unpacks what that pressure is doing to CIOs, CMIOs, and revenue cycle leaders alike, from Epic anxiety and AI idea overload to the physician who quietly found her health s
Jul 31, 2026·2 Minute Drill
An AI model was supposed to be locked inside a sandbox, working through hacking challenges to prove how good it was at finding software flaws. Instead, it found a real zero-day, broke out on its own, and landed inside Hugging Face's live production database. Nobody told it to escape. It just wanted to win. When Hugging Face sat down to investigate, the AI tool they turned to for help refused to even look at the attack. So they ended up trusting a Chinese open-weight model to clean up after an Am
Jul 31, 2026·UnHack the Podcast
June 31, 2026: David Finn has watched health IT security evolve from a compliance checkbox to an enterprise risk conversation, and now into an AI agentic era that's rewriting the rules again. Now teaching courses and advising across the industry, he unpacks what the recent OpenAI and Hugging Face breaches really exposed, and it wasn't a technology failure. It was a governance failure. David draws on decades of building security programs, including a stint as an "accidental CIO," to explain why h
Jul 30, 2026·The 229 Podcast
June 30, 2026: John Helvey , CEO of SacValley MedShare , has spent five-plus years building one of California's leading regional health information exchanges. He sits down with Sarah Richardson to unpack why national data networks still fall short: patient-matching gaps, geofencing blind spots, and the 60 to 90 seconds patients and providers spend waiting for data that should already be there. John explains how his team is turning raw interoperable data into something clinicians can actually use
Jul 29, 2026·Executive Interview
July 27, 2026: Clay Maddox , Healthcare Horizon Practice Manager at CrowdStrike , to unpack a threat that's quietly reshaping healthcare security: adversary-in-the-middle attacks. These aren't your old-school man-in-the-middle exploits. Adversaries are stealing session tokens after a legitimate login, then pivoting straight into SaaS applications and browsers, no credentials needed. Clay breaks down the increasing supply chain risk and the identity problem everyone's still fighting, and what Cro
Jul 27, 2026·Newsday
July 27, 2026: Bill Russell, Drex DeFord, and Sarah Richardson break down a week's worth of headlines, starting with Bill’s AI musings on the future "workhorse" models built for speed over depth. The conversation turns serious fast: healthcare doesn't own its AI platforms; it rents them, and that dependency carries real resilience risk. They dig into who's actually accountable when AI gets a clinical decision wrong, unpack the first fully autonomous ransomware attack, and revisit why CIOs keep reacting to agendas instead of setting them. Key Points: 05:16 Platform First and Shadow AI 13:13 Owning the Harness 15:57 Mayo AI Safety Lawsuit 18:33 Autonomous Ransomware Agents LinkedIn: 229 Project Donate: Alex’s Lemonade Stand: Foundation for Childhood Cancer
Jul 24, 2026·2 Minute Drill
Picture this. You're the CISO at one of the world's largest healthcare companies, and Monday morning brings a call about a cybersecurity incident in a legacy diagnostics environment. Before the briefing even wraps, someone walks in with news of a second incident. Different system, different root cause, same day. Drex breaks down why that scenario isn't hypothetical, using a recent real-world healthcare giant's dual cyber battles as the wake-up call. Between sprawling app portfolios, aging infrastructure, and an expanding web of AI-powered partners, the attack surface has changed and so has the shape of a breach. So here's the question for your team this week. If two incidents hit at once, could you actually handle both? Remember, Stay a Little Paranoid
Jul 24, 2026·Executive Interview
July 24, 2026: Dr. Jen McKay spent 20-plus years as an internal medicine hospitalist in rural South Dakota before becoming CMIO at a major Midwest health system, and now she's the Senior Clinical Specialist at Google for Health . Jen explains why so many AI governance efforts stall out, and it usually comes down to one missing ingredient: clinical leadership at the table from day one. She unpacks why physicians serve as the real "API" between fragmented healthcare data inputs, whether AI will ev
Jul 23, 2026·The 229 Podcast
July 23, 2026: Liz Scott is the co-executive director of Alex's Lemonade Stand Foundation , founded by her daughter, Alex, a four-year-old cancer patient who promised to raise money for kids "like her." What started as a single lemonade stand has grown into a movement with over 15,700 community fundraisers and hundreds of research grants funded every year. Bill Russell and Sarah Richardson sit down with Liz to explore how a pure, tragic story became a national movement, what a $100 donation actually funds a decade later, and why she still hasn't burned out after 20 years of building something bigger than grief. Key Points: 01:56 Alex Story Spark 12:06 Super Sibs Support 20:01 Research And Grants 25:10 Leadership And Future LinkedIn: 229 Project Donate: Alex’s Lemonade Stand: Foundation for Childhood Cancer
Jul 22, 2026·Executive Interview
July 22, 2026: Clay Maddux , Healthcare Horizon Practice Director at CrowdStrike , joins Drex DeFord to preview a free, live webinar on August 13th that tackles one of the fastest-growing threats in healthcare security: adversary-in-the-middle attacks on SaaS applications. Clay shares a preview of what's coming, including real cases of "payroll pirates" hijacking Workday accounts and rerouting employee paychecks, plus a live demo of browser-in-browser phishing in action. Open to the entire healthcare security community, no CrowdStrike account required. Register now and bring your team. Register for the Defending Against AiTM Attacks in Healthcare Webinar: https://go.crowdstrike.com/2026-08-aitm-healthcare.html?utm_campaign=stop_ai_accelerated_adversaries&utm_medium=evt&utm_source=prtn&utm_language=en-us Key Points: 01:10 Webinar Invitation 02:37 What Attendees Learn 04:31 Phishing And Browser Attacks 05:07 Live Demo And Token Theft 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
Jul 20, 2026·2 Minute Drill
In 2022, a furious insider leaked more than 300,000 internal messages from Conti, one of the most notorious ransomware gangs on the planet, and it read like the group chat from hell. Buried in the gossip and office politics was a message that stopped Drex cold, a gang member pushing to attack hundreds of American hospitals and laughing about who might die. But not everyone inside Conti agreed with him. What happened next in Ireland shows just how thin the line is between catastrophe and survival, and why you can never build a security program on the hope that the person attacking you has a conscience. Remember, stay a little paranoid. Linkedin: https://www.linkedin.com/company/229p Donate: Alex’s Lemonade Stand: Foundation for Childhood Cancer - https://www.alexslemonade.org/mypage/3173454
Jul 20, 2026·Newsday
July 20, 2026: A new Nature of Medicine study claims general-purpose LLMs outperform specialized clinical AI, but is that the right benchmark to begin with? Bill and Drex are joined by Yaw Fellin , General Manager of UpToDate at Wolters Kluwer , and Matt Troup , Clinical Strategy Principal at Abridge , to break down what those benchmarks actually measure, why shadow AI is already spreading through health systems, and what "clinical grade" really means. Plus: the first-ever look at UpToDate's new drug dosing feature in Expert AI, and why automaticity bias may be the next liability crisis hiding in plain sight. Key Points: 03:18 Nature Study Breakdown 10:25 Shadow AI Reality Check 18:37 Transparency and Provenance 23:40 Human in the Loop Wrap 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
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