Success in Chaos

AI is not going to replace radiologists. But it is going to transform how they work — and most health systems have no idea how to govern that transformation responsibly. Dr. Shlomit Stein, Professor of Radiology at Hofstra Northwell and Director of AI for Enterprise Imaging at Northwell Health, has built the governance model that actually works. In this episode, she explains why she replaced &quot...

What do you do when you know what your patients need, but no one will pay for it? Josh Gregoire, DNP, RN, AVP of Quality and Population Health at Valley Health System, has built programs the system was not ready to fund. His work includes a Food as Medicine program, an LGBTQ primary care center, and an IRB-approved maternal health trial. In this episode, Josh shares how he uses community support,...

In the special episode, we ask, "What if the chaos you're leading through isn't actually chaos at all?"  Kandice Garcia, RN — CEO of Tungsten QI Partners and Quality Improvement Director for the ACR Learning Network — and co-host of Success in Chaos shares why healthcare leaders keep hitting walls: we're applying linear, manufacturing-style management to a complex, human s...

What happens when your most critical imaging system is held together by workarounds and tip sheets? Oliver Galicki, VP of Information Services at Memorial Hermann, reveals how he led a 12-month enterprise imaging overhaul — from eight vendors to a signed contract — while balancing technical debt, physician alignment, and scarce dollars.  His guiding philosophy: if your house is on fire, you cannot...

Electronic health records were supposed to transform healthcare—but instead, they digitized broken workflows. In this episode of After the Chaos , the conversation explores why EHRs increased complexity instead of reducing it, and what healthcare can learn moving forward. Key topics include: Why EHRs failed to improve care coordination The disconnect between technology and clinical workflows The i...

What happens when healthcare technology is built without the people who use it most? In this episode of Success in Chaos , Angela and Kandice sit down with Dr. Melinda Kidder, DHA, MSN, RN, CENP, MPHC, Chief Nursing Officer for the Office of the National Coordinator for Health IT, to unpack one of the most overlooked drivers of success in healthcare innovation: frontline clinician involvement. Fro...

What happens after we detect disease? In this episode of After the Chaos , Angela and Kandice reflect on their conversation with Dr. Dan Durand of Prenuvo and unpack a critical shift in healthcare. As whole-body imaging and AI accelerate early detection, healthcare is facing a new challenge: managing the explosion of data and ensuring it leads to action. They explore: The future of preventative ca...

What does it take to rethink healthcare from the inside out? In this episode of Success & Chaos , hosts Angela Adams, RN (CEO, Inflo Health) and Kandice Garcia, RN (Owner, Tungsten QI Partners) sit down with Dr. Dan Durand , radiologist, physician executive, and President & Chief Medical Officer of Prenuvo . Dr. Durand shares his journey from Johns Hopkins and McKinsey to leading one of th...

Crista Durand, President and CEO of Hospital for Special Care, shares how leaders can disrupt process—not purpose—by turning strategy into a living, breathing part of culture. From trust and transparency to listening first, this episode offers practical guidance for leading through healthcare’s toughest moments. 02:39 Unique Aspects of Hospital for Special Care 05:28 The Plan on a Page Methodology...

In this episode of After the Chaos , Angela and Kandice break down their conversation with David Facchini, Director of Radiology at Yale. From starting as a transporter to building a fully manual follow-up program before technology existed, David brings hard-earned lessons on creating—and sustaining—high-reliability care. Angela and Kandice explore the real cost of “just building it internally,” t...

This Success in Chaos episode, The Front-Lines of Chaos, explores what it truly takes to lead in today’s healthcare system. Yale New Haven Hospital’s David Facchini, MBA joins Angela and Kandice to discuss culture change, incidental findings, and building trust in high-pressure environments.  From his journey as a transporter to becoming a system executive, David shares how authenticity, connectio...

RSNA marked a turning point for radiology AI. For years, the exhibit hall was filled with impressive algorithms and flashy demos. This year, the focus shifted to something far more important: workflows, interoperability, and follow-up . Radiology leaders are no longer asking, “Is this cool?” They are asking:  Can it integrate?  Can we measure outcomes?  What happens after a finding is detected? As...

In this episode of Success in Chaos , Angela and Kandice talk with Dawn Davison, MPH, FACHE, a nationally recognized innovation and quality improvement leader and President of the ACHE Upstate New York Chapter. Dawn shares how curiosity and human connection fuel transformation across complex health systems. From optimizing workflows to building cultures of trust, she reveals how clarity and creati...

Angela Adams, RN, and Kandice Garcia, RN, reflect on their conversation with Dr. Kernesha Weatherly, who reminds us that “what looks like resistance is often misunderstanding.” Through stories of travel, leadership, and balance, they explore how empathy and listening can transform tense moments into connection. From gardens to pottery wheels, the hosts share how stepping away from work helps them...

When everything feels loud, how do leaders decide what truly matters? In this episode of Success in Chaos , Dr. Kernesha Weatherly, Vice President of Imaging at Ochsner Health, joins hosts Angela Adams and Kandice Garcia to explore what it means to lead with clarity, humility, and calm in times of rapid change. From growing up in Alabama to guiding one of the nation’s most advanced imaging program...

In this After the Chaos bonus episode, Kandice and Angela discuss the insights gained from their conversation with Foster Mobley, Ed. D., focusing on the importance of authenticity, transparency, and honoring in leadership within the healthcare industry. They emphasize the need for leaders to model positive behaviors, assume positive intent, and foster trust among team members to create a collabor...

In this episode of Success in Chaos, Angela Adams and Kandice Garcia Tomkins engage with Dr. Foster Mobley, a seasoned leader in healthcare. They explore the essence of authentic leadership, the importance of self-awareness, and the challenges leaders face in chaotic environments. Dr. Mobley emphasizes the need for leaders to connect deeply with their teams, cut through the noise, and embrace chan...

In this episode of After the Chaos, Kandice and Angela discuss their conversation with Blair Childs, focusing on the macro and micro levels of healthcare, the implications of rural healthcare funding, and the challenges and opportunities presented by recent policy changes. They emphasize the importance of understanding the details of healthcare reforms and the need for proactive engagement from he...

Policy veteran Blair Childs, CEO of Childs and Associates, joins hosts Angela Adams, RN, and Kandice Garcia Tomkins, RN to make sense of D.C.’s latest “big beautiful bill” and the forces reshaping U.S. healthcare. Blair distills three defining shifts—market-based total-cost accountability, fixing perverse fee-for-service incentives, and true consumerism via interoperable data—and explains what lea...

In this "After the Chaos" episode, Angela and Kandice reflect on their conversation with Melonie Lagalante, FACHE—a powerhouse leader driving community-focused transformation at St. Tammany Health System. From her ability to fast-track the implementation of innovation to her deeply rooted leadership philosophy, Melonie exemplifies what it means to lead with urgency, purpose, and humility...

Melonie Lagalante, FACHE, shares how St. Tammany Health System turned rapid change into lasting progress. From post-COVID workforce recovery to high-reliability care and homegrown talent pipelines, she reveals how culture, community, and mission-driven leadership fuel innovation. This episode serves as a playbook for leaders navigating staffing challenges, operational pressures, and transformation...

In this "After the Chaos" episode, Kandice and Angela unpack their conversation with healthcare innovator Kara Trott. They delve into Kara's strategic approach to navigating and solving the complexities of healthcare through rigorous data analysis, patient-centric storytelling, and empathy-driven solutions. Kandice and Angela discuss Kara's visionary foresight, emphasizing the...

Angela and Kandice welcome healthcare innovator Kara Trott, founder and former CEO of Quantum Health. In this inspiring episode, Kara shares insights from her incredible journey of transforming consumer healthcare navigation into a billion-dollar business.  Kara’s new book, No One Alone: Humanizing Healthcare as an Outsider , explores how empathy, consumer-centric approaches, and strategic innovat...

In this episode of After the Chaos, Kandice and Angela reflect on their discussion with John Hill, emphasizing the importance of authenticity, clarity, and the balance between logistics and humanity in leadership. They explore how effective communication and a clear mission can drive success in organizations, particularly in healthcare. The conversation also touches on the potential for innovation...

In this episode of Success in Chaos, Angela Adams, RN, and Kandice Garcia Tomkins, RN, talk with John Hill, founder and principal of Healthcare Consensus Partners and a seasoned healthcare executive with over 25 years of leadership across for-profit, nonprofit, and faith-based health systems. They discuss the chaotic healthcare landscape and the essential qualities of effective leadership in such...