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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.

May 21, 2026·Executive Interview

The Front Door Is Wide Open: Healthcare's IAM Wake-Up Call | Executive Interview with Mark Ferrari

May 20, 2026: Mark Ferrari , VP of Advisory Services at Fortified Health Security , joins Drex DeFord on UnHack for a candid conversation about the threat landscape keeping healthcare security leaders up at night. From asset inventory gaps to the explosion of identity-based attacks, Mark brings a rare perspective shaped by military service, 30 years as an EMT, and deep healthcare IT experience. He pulls no punches on why healthcare keeps buying tools before defining the problem, and what it actu

May 21, 2026·2 Minute Drill

The Hidden First Step in Healthcare Ransomware Attacks Revealed | 2 Minute Drill with Drex DeFord

Ransomware attacks don't always start with a ransomware gang. They start with someone who gets paid to find the door. Aleksey Volkov, known online as ChewbaccaCore, was an initial access broker. His job was identifying vulnerable companies, exploiting their networks, establishing a foothold, and selling that access on dark web marketplaces. Over 16 months in 2021-2022, his work enabled attacks on seven confirmed US businesses, resulting in $9M in confirmed losses and $24M in intended ransom dema

May 19, 2026·Flourish

Leadership Here, Near, and Far | Flourish Rerelease with Lisa Davis, Janet Malzone, and Kristine Jarvis

May 19, 2026: Three powerhouse executives tackle healthcare's most complex sourcing decisions in this essential conversation. Lisa Davis , Former CIO and Founder/CEO of Lisa Davis Advisory ; Janet Malzone , Former CEO and Board Member; and Kristine Jarvis , Organizational Transformation Leader, reveal what leaders get wrong about offshore, nearshore, and automation strategies. From the pre-mortem technique that prevents million-dollar failures to the cultural metrics most organizations ignore, t

May 18, 2026·Newsday

Why Refusing to Change Is Riskier Than Embracing Agentic AI | Newsday

May 18, 2026: Bill Russell, Drex DeFord, and Sarah Richardson dig into Stanford Health Care's bold agentic AI strategy, and what it means for every healthcare IT team right now. From naming the fear of job loss head-on to redefining what innovation actually means, the trio breaks down why standing still is the bigger risk. Drex reports from Utah on the Great Trust Recession and the deepfake dangers reshaping how we verify everything. Sarah brings leadership lessons from Nashville on EQ, distribu

May 15, 2026·2 Minute Drill

Scattered Spider's $27M Hacker Got Caught Reusing His Username | 2 Minute Drill With Drex DeFord

Tyler Buchanan grew up in Dundee, Scotland and became one of the most consequential cybercriminals in the English-speaking world. His method was almost insultingly simple: text messages. Posing as IT help desks, he sent phishing texts to employees at companies like Twilio, LastPass, Mailchimp, and DoorDash. Directing them to convincing fake login pages that captured credentials and 2FA codes in real time. Find out how he got caught in this 2 Minute Drill Remember, Stay a Little Paranoid

May 15, 2026

Same Show, New Home — UnHack Moves to 229 May 15th

May 15, 2026: Big news from Drex DeFord, starting May 15th, UnHack the Podcast and the Two-Minute Drill are moving to the 229 Project Podcast Channel. Same show, same mission, same Drex — just one unified home alongside Bill Russell and Sarah Richardson. The reason is simple: the This Week Health community was spread too thin across too many channels, making great content harder to find. Now everything lives in one place. Keep up to date on the latest in health IT: https://thisweekhealth.com/new

May 13, 2026·Executive Interview

Rethinking Global IT Delivery and Co-Sourcing | Executive Interview With Jake Morrison

May 13, 2026: Jake Morrison , Global Healthcare Practice Head at Infinite Computer Solutions , joins Bill Russell for a candid executive conversation about what's really driving healthcare IT today. From the promise of AI to the surge in managed services demand, Jake shares why the old "outsource your mess for less" mindset is failing health systems. With 28 global delivery centers and half of Infinite's work in healthcare, Jake brings a uniquely global perspective on where the industry is heade

May 11, 2026·Newsday

The Entry-Level Job Crisis, Consulting Collapse, and Shadow AI | Newsday

May 11, 2026: Bill Russell, Drex DeFord, and Sarah Richardson are back on Newsday, tackling the questions keeping healthcare IT leaders up at night. What happens when your own teams start building AI tools without permission, and why might that actually be a good thing? Plus, the big consulting firms have quietly gutted their old model and rebuilt around AI adoption. And as agents start doing the work of analyst ones and analyst twos, is there still a path into this industry for new graduates? K

May 8, 2026·2 Minute Drill

How North Korea's Fake Company Compromised Millions | 2 Minute Drill with Drex DeFord

North Korean threat actors didn't breach a firewall. They built a fake company. UNC1069 spent two weeks constructing a convincing Slack workspace, fake team members, and LinkedIn profiles to earn the trust of Jason Seaman -- lead maintainer of Axios, a JavaScript library downloaded over 100 million times a week. One Teams call. One file. Within hours, malicious code was live and reaching health systems everywhere. The attack skipped the $50M security stack entirely and went straight to the human

May 7, 2026·Flourish Soundbytes

26 Years, One Hospital: Gratitude and Agility | Flourish Sound Bytes with Laurie Wheeler

May 22, 2026: Laurie Wheeler , COO - IS&T of MultiCare Health System , is a leader whose philosophy centers on curiosity, humility, and genuine human connection. Laurie shares about her 26 years at MultiCare through listening tours, transforming employee engagement, and leading without ego. From teaching high-reliability courses to creating clinical super user groups, Laurie demonstrates how operational excellence and compassionate leadership create workplaces where people want to bui

May 7, 2026·Flourish

Attorney Insights on Elite Data Protection | Flourish Re-Release with Helen Oscislawski

January 22, 2026: Healthcare privacy laws just got flipped on their head, and most leaders don't realize it. Privacy Law Attorney Helen Oscislawski , Founder and Managing Partner at Attorneys at Oscislawski , reveals how information blocking rules fundamentally changed the game. But here's the twist: this shift is creating massive unintentional risks. Helen shares why even she had to escalate to legal when trying to access her own mother's medical records as a proxy, exposing the gap between pol

May 7, 2026·Flourish

How to Work with Jerks in Healthcare IT | Flourish Rerelease with Eric Williamson

May 12, 2025: Ever wonder why empathy gets dismissed as a "soft skill" when it's actually your most powerful leadership tool? Eric Williamson went from being what he calls an expert jerk to becoming a jerk expert, and his transformation story will change how you think about workplace dynamics. From invisible disengagement in hybrid teams to managing star performers who steamroll everyone, Eric shares practical wisdom on navigating today's most challenging leadership scenarios. Discover his three

May 7, 2026·Flourish

From Healthcare Executive to Entrepreneur | Flourish Rerelease with Kim Garrett

May 5, 2026: When healthcare executive Kim Garrett left corporate America to launch Northern Skye Consulting, she discovered something unexpected: "Growth doesn't happen in the easy times. It happens when you don't know where that next step is, but you press on." In this candid conversation, Kim reveals why the initial leap wasn't the scariest part of her journey, how her Scottish grandfather's legacy shaped her company vision, and why building websites became a source of unexpected joy. Her adv

May 6, 2026·Executive Interview

The Cyber Attack No One Can Survive Alone | Executive Interview with Josh Howell

May 5, 2026: What happens when attackers don't just break into your systems, they become you? Josh Howell , Healthcare CTO at Rubrik , joins Drex DeFord to unpack Rubrik's newly announced partnership with the American Hospital Association, a rigorous vetting process that signals a new standard in cyber risk validation. Josh draws on hundreds of ransomware recovery experiences to challenge how health systems think about resilience, recovery sequencing, and the identity control plane. Learn why th

May 5, 2026·Flourish

Flourish Rerelease: Healthcare's Shocking Gap in Pain Data with Martha Lawrence

May 5, 2026: Pain is the number one reason patients access healthcare, yet objective pain data is virtually absent from claims systems and EHRs. Martha Lawrence , CEO and co-founder of AccendoWave , explores how her company is building benchmark databases that correlate brainwave activity with pain perception, addressing both the clinical and financial gaps that leave health systems exposed. They also dig into the changing vendor-to-health-system sales landscape, de-risking innovation adoption,

May 4, 2026·Newsday

Nurses Week Special on Florence Nightingale and the Future of Nursing | Newsday with Lisbeth Votruba

May 4, 2026: Lisbeth Votruba , Chief Clinical Officer at AvaSure , joins Bill Russell and Drex DeFord on Newsday to celebrate Nurses Week with a fascinating look at where nursing has been, and where it's going. From Florence's data-driven legacy to today's AI-powered virtual care, Lisbeth shares why nursing turnover is declining, why certification rates are rising, and why she sees technology not as a threat but as a path back to old-fashioned, human-centered nursing care. Key Points: 02:3

May 2, 2026·2 Minute Drill

2 Minute Drill: Building an Agentic AI Hacker with Drex DeFord

Drex unpacks a signal hiding across several recent stories: we may be deploying AI well ahead of our ability to secure it. From an autonomous AI agent that breached a consulting firm's internal chatbot in two hours, gaining access to 46 million employee messages, to a multi-agent experiment where AI systems escalated privileges, forged credentials, and disabled antivirus software entirely on their own, the pattern is unsettling. Add a publicly available AI prescribing tool in Utah that researche

May 1, 2026·Flourish

Flourish Rerelease: From 11 Data Centers to Zero with Healthcare IT Leader Tyler Barhydt

May 1, 2026: In this inaugural episode of Flourish Sound Bytes, Sarah Richardson sits down with Tyler Barhydt , a seasoned technology executive who led a remarkable cloud transformation journey. Tyler shares how his organization, Envision Healthcare , went from 11 data centers to nearly zero, the unexpected benefits of the Broadcom/VMware situation, and why he believes every cloud migration needs a dedicated FinOps team. Through candid discussion about getting board buy-in (spoiler: it took 12-2

Apr 30, 2026·2 Minute Drill

What Healthcare Can Learn From a 20 Year Old Hacker | 2 Minute Drill with Drex DeFord

Matthew Lane was 14 when he started probing the edges of online gaming systems. By 20, he had walked out of PowerSchool with data on nearly 70 million students and teachers using nothing but a contractor's stolen credentials he found on the dark web. Drex tells the full story and then lands the part that matters most for healthcare: Lane didn't exploit a sophisticated vulnerability. He used a username and password attached to someone who had legitimate access and simply walked through the front

Apr 29, 2026·Executive Interview

Data Liberation, Tech Debt, and the Road to AI-Ready | Executive Interview with Jim Jacobs

April 29, 2026: Bill Russell sits down with Jim Jacobs , President and CEO of MediQuant , to confront one of healthcare's most expensive and underappreciated problems: runaway application complexity. Jim makes the case that software rationalization isn't an IT to-do list item; it's a board-level imperative. With health systems carrying $60 million in unwanted software spend and cyber risks piling up in legacy systems that no one is maintaining, the urgency has never been higher. And with AI dema