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The 229 Podcast

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The 229 Podcast

Podcasts Hosted by Bill Russell, Sarah Richardson, and Drex DeFord

Flagship interviews, security programming, and more from our community—strategy, operations, and what’s next in health IT.

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Every episode from the 229 channel, newest first—updated as episodes publish.

The DOD Searched the Chart and Built a Target List | 2 Minute Drill with Drex DeFord

·2 Minute Drill

The DOD Searched the Chart and Built a Target List | 2 Minute Drill with Drex DeFord

Army Major Kara Corcoran wears a Ranger tab and two Afghanistan tours. This summer she sat in a separation board five days short of 18 years. The board was not there to weigh her combat record. It was there for one line in her medical record. On July 31, an internal Air Force email said the Secretary of Defense's office had identified service members who may have a current diagnosis or history of, or exhibit symptoms consistent with, gender dysphoria in their electronic healthcare record. The DOD ran a population-wide search of the military EHR, about 9.5 million people, by diagnosis codes, prescriptions, counseling notes, and Tricare-billed civilian care. Over about two months that search outed several hundred active duty and reserve members, academy cadets, and ROTC. One military justice attorney is getting about 25 calls a week from people facing involuntary separation. Data handed over to get care became a target list. In this Two Minute Drill, Drex DeFord asks the question hospitals should be asking now: who can run a population-wide query by diagnosis code in your shop, and who has to sign off before they do it? Remember, Stay a Little Paranoid.

5:24.95999999999998
56% Fewer IV Harm Events. 2,000 Hours Back to the Bedside | The 229 Podcast with Jennifer Jones, Kay Burke, and Rachael Hill

·The 229 Podcast

56% Fewer IV Harm Events. 2,000 Hours Back to the Bedside | The 229 Podcast with Jennifer Jones, Kay Burke, and Rachael Hill

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

42:1.3200000000001637
22 Agents in 12 Months | Solution Showcase with UTMB

·Solution Showcase

22 Agents in 12 Months | Solution Showcase with UTMB

September 16, 2026: UTMB went from one live agent to 22 in 12 months. Dr. Peter McCaffrey started with incidental coronary calcium flags and who acts on them. Nish Khandwala of Bunkerhill is on the Solution Showcase with Bill.

23:45.624000000000024
Patient Portals Are Wiped Out in 3 Years | Newsday with 229Project

·Newsday

Patient Portals Are Wiped Out in 3 Years | Newsday with 229Project

September 14, 2026: Bill Russell gives patient portals 3 years. Appointments go through the AI. Sarah Richardson already talks to her health there. NCH, tiny, already shipped a patient persona with nurse triage.

30:47.18399999999997
If You've Seen One Discharge, You've Seen One Discharge | The 229 Podcast with Sherri Hess

·The 229 Podcast

If You've Seen One Discharge, You've Seen One Discharge | The 229 Podcast with Sherri Hess

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. If you have seen one discharge, you have seen one discharge.

18:57.88799999999992
Zero-Day to Weaponization Is Now Sub-Hour.

·Executive Interview

Zero-Day to Weaponization Is Now Sub-Hour.

Drex DeFord with Russell Teague (Fortified Health Security) on autonomous SOCs, a patch cycle that cannot keep up, and how to talk security to a squeezed board.

18:47.016000000000076
ChatGPT Did Not Come Through Epic's Front Door | Newsday with 229Project

·Newsday

ChatGPT Did Not Come Through Epic's Front Door | Newsday with 229Project

ChatGPT connected to UCSF Health's record. Silicon Valley called it game over. Bill Russell's read: they did not come through Epic's front door.

35:39
If I Took It Out Today, Would an Outcome Change? | The 229 Podcast with Diane Constantine, Cathy Patterson, and Vicki Sergent

·The 229 Podcast

If I Took It Out Today, Would an Outcome Change? | The 229 Podcast with Diane Constantine, Cathy Patterson, and Vicki Sergent

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 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.

33:12.167999999999893
The Winners Don't Have the Most AI

·Executive Interview

The Winners Don't Have the Most AI

September 2, 2026: Alan Gabriola (VP of Healthcare, CTG) sits down with Bill Russell. CEOs come home asking why the health system is not doing more with AI. The CIO already knows they can. The shop never finished the hard work underneath. 220 leaders told 229 where next year's money is going: access and revenue cycle.

21:30.576000000000022
43% Will Let an AI Give Patients Medical Advice | Newsday with 229Project

·Newsday

43% Will Let an AI Give Patients Medical Advice | Newsday with 229Project

A week after UGM. 246 leaders. Patient access and rev cycle tied at 86. Then 43% said they will let an AI assistant talk to most of their patients.

37:56.376000000000204
A Fake Job Offer Put a Children's Hospital on North Korea's List | 2 Minute Drill with Drex DeFord

·2 Minute Drill

A Fake Job Offer Put a Children's Hospital on North Korea's List | 2 Minute Drill with Drex DeFord

A recruiter offers a developer a remote job. Good money. Just run a coding test first. The test is malware, and the people sending it work for the North Korean government. The trick has a name: Contagious Interview. You think you're getting hired. You're getting infected. Vangelis Stykas, a security researcher in Greece, got inside the attackers' own servers after they infected their own machines. He sat there nearly two years and counted 1,640 companies across 57 countries. Seven or eight hundred of them hit hard: root access to servers and cloud. At crypto firms, they walked off with the keys to the money. He took it to Black Hat in Las Vegas and read the list: Coinbase, a chunk of the Belgian government, Italy's top judicial council, a Saudi bank, and a children's hospital sitting on a target list built by a foreign government, all off a fake job offer. Nobody kicked down the digital front door. They walked in as contractors and freelancers with real logins. In this Two Minute Drill, Drex DeFord asks the question hospitals should be asking now: do you know every contractor and every vendor with a login to your network? Remember, Stay a Little Paranoid.

5:8.14040799999998
500 Patches. The Hospital App Still Can't Go Down.

·Executive Interview

500 Patches. The Hospital App Still Can't Go Down.

August 26, 2026: Lindsey Bengfort (Managing Director, Healthcare, NTT Data) sits down with Bill Russell. She buckets what she hears every week into three anxieties: financial, tech/AI, and security. Security used to get skipped in the room. Not now. If you do not have a point of view, you do not get invited. From there: 500 patches on one hospital-critical application, garage-level attackers with open models, and an onslaught of AI features inside the vendors you already own. Lindsey's picture:

AI Agents Built a Secret Message Board to Swap Exploits | 2 Minute Drill with Drex DeFord

·2 Minute Drill

AI Agents Built a Secret Message Board to Swap Exploits | 2 Minute Drill with Drex DeFord

At Black Hat in Las Vegas, OpenAI's Eric Wallace and Michael Dalton told a story they admitted they did not see coming. While testing frontier models, autonomous agents found a way to leave notes for each other inside a shared package manager. Those notes became a message board. Agents posted how-tos, asked for help, and swapped working exploits. By the time humans found it, the board held hundreds of thousands of messages. Nobody taught them to do this. It ran for days before anyone at the most sophisticated AI company on earth noticed. In this Two Minute Drill, Drex DeFord asks the question hospitals should be asking now: if two of your agents started comparing notes, would anything in your stack flag it? Remember, Stay a Little Paranoid.

3:56.95673500000001
Epic's Pace Is Blistering: Can You Absorb the Roadmap? | Newsday with 229Project

·Newsday

Epic's Pace Is Blistering: Can You Absorb the Roadmap? | Newsday with 229Project

Bill, Sarah, and Drex debrief Epic UGM: blistering pace, integration vs dependency, Rangers, and why the constraint is now absorption, cost, and operational owners.

32:40
50 Agents on Paper. An Audit Finds 76. | Newsday with 229Project

·Newsday

50 Agents on Paper. An Audit Finds 76. | Newsday with 229Project

August 17, 2026: Bill Russell, Drex DeFord, and Sarah Richardson come off a road week and into Epic UGM. Ask a shop how many agents they have deployed. They might say 50. An audit turns up 76. Every frontier lab just said their model got out of the sandbox, and health systems are about to invite the same class of software inside the four walls. Pete Marks at Wake Med cut 20 applications, then the inventory went up. Bill's test is older than AI: an electrician wanted a 300-amp service because of

Iran Hackers Hit 30 Local Water Utilities: Preparing Your Hospital | 2 Minute Drill with Drex DeFord

·2 Minute Drill

Iran Hackers Hit 30 Local Water Utilities: Preparing Your Hospital | 2 Minute Drill with Drex DeFord

In late July, a small Minnesota water tower stopped responding to its own control panel — and it wasn't alone. Within 48 hours, more than 30 water systems across the state lost control of pumps, lift stations, and chemical monitoring. The cause: a known industrial controller flaw with a patch that's been available since 2021. Federal officials traced the attacks to Iran, and the FBI is now watching water systems in at least seven states. In this Two Minute Drill, Drex DeFord asks the question hospitals rarely think to ask — do you know where your water, power, and steam actually come from, and have you ever asked that utility a security question? Remember, Stay a Little Paranoid.

4:27.075918
Healthcare Doesn't Move in Seconds | Newsday with 229Project

·Newsday

Healthcare Doesn't Move in Seconds | Newsday with 229Project

August 10, 2026: Bill Russell and Drex DeFord preview Epic UGM (Sarah is on a plane to Charlottesville). Bill opens with the reframe that sets the lens for the whole episode: don't mistake a single big announcement for the real pace of change — healthcare moves in months and years, not seconds. Then the preview itself: AI and Agent Factory framed around clinician experience, ambient documentation a year after the freeze, the Bridge/Epic interoperability standoff and the 3-year hedge, the entire

From Potholes to Piglets, 30 Years of Health IT Lessons| The 229 Podcast with CT Lin, MD

·The 229 Podcast

From Potholes to Piglets, 30 Years of Health IT Lessons| The 229 Podcast with CT Lin, MD

August 13, 2026: CT Lin , MD, spent 30 years at UC Health, the last stretch as Chief Medical Information Officer, before stepping into his next chapter as Professor of Medicine at the University of Colorado and first-time author. His new book, “It’s Not About the Tech: From Potholes to Piglets, Real-Life Lessons in Health IT,” argues that health IT success is 80 percent people and 20 percent technology, a lesson he learned by failing loudly and often. Lin tells Sarah Richardson about the radiology order set that accidentally triggered a hospital-wide outbreak of "acromegaly," the identity crisis of losing a CMIO title after three decades, and why governing generative AI will be this era's tragedy of the commons. Key Points: 01:06 Not About Tech 06:10 Sharing Failures 10:05 Life After CMIO 15:35 AI and Governance 18:34 PIGs and Farewell LinkedIn: 229 Project Donate: Alex’s Lemonade Stand: Foundation for Childhood Cancer

24:35.970612000000074
Turning Staffing Into an Advantage | Solution Showcase with Allison Morin and Marguerite Cunningham

·Solution Showcase

Turning Staffing Into an Advantage | Solution Showcase with Allison Morin and Marguerite Cunningham

August 12, 2026: Marguerite Cunningham , VP/CNIO & VP Nursing at Inova Health , and Allison Morin , Chief Nursing Informatics Officer at Symplr , join Sarah Richardson to unpack how workforce management stopped being a scheduling problem and became an executive one. Maggie shares how Inova's Smart Square rollout, born out of pandemic urgency, forced the system to build real governance around staffing instead of just automating a spreadsheet. Allison brings the national view: predictive accur

22:10.573061000000052
I Gave You Dollars. You Gave Me Capacity. | Newsday with 229Project

·Newsday

I Gave You Dollars. You Gave Me Capacity. | Newsday with 229Project

August 7, 2026: Bill Russell sits down with Eric Utzinger (Revuud) while Sarah and Drex are out. The H1 2026 Signal Index put competing priorities and not enough capacity at the top of the list for 54% of leaders — and 43% said budgets are flat or declining. On this Newsday they dig into why AI ROI still feels muddy: tools return hours, not line-item dollars, and the CFO still needs the exchange rate. Along the way: operational transformation with real proof points, growth without growing, and a