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

September 7, 2026: Bill Russell and Sarah Richardson take the ChatGPT-UCSF headline apart. Silicon Valley called it game over. Bill's read: they did not come through Epic's front door. Read-only USCDI over FHIR. No write-back. No warranty. A badly built agent can fire 75 API calls into production Epic and slow the EHR. Doctors want a predictable system.

Key Points:

• 0:00 Does it really change everything?

• 0:16 Newsday open

• 2:48 Tegria

• 3:17 ChatGPT at UCSF

• 6:51 75 calls into production Epic

• 12:54 UGM in CIO quotes

• 20:28 340,000 applicants and Rangers

• 31:23 An 8% margin on the backs of Orange County

• 34:38 Close: New Orleans, then San Diego

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