healthsystemCIO – Strategies for Hospital IT Leaders

Ramandeep Singh, MD, Associate Chief Health Information Officer and Director of Imaging Informatics at University of Iowa Health Care, breaks down the radiologist shortage equilibrium and the workforce, volume, and reimbursement trends driving it. He details a four-pillar governance model, the scalability case for cloud PACS, an on-prem backup strategy for business continuity, and how his team wen...

Colleen Mallozzi, MBA, RN, SVP and Chief Nursing Informatics Officer at Jefferson Health, explains why ambient AI documentation succeeds only when nurses help build the rationale, why newer nurses hesitate more than seasoned ones, and how the health system keeps its Abridge and Microsoft Dragon pilots flexible while the nursing ambient market matures.

Craig Richardville, SVP and Chief Digital and Information Officer at UF Health, explains why soft ROI now rivals hard return, how multi-lens governance gates technology spending, and why bringing shadow AI work into a documented sandbox beats blocking it.

Your downtime plan says go to paper. But what if no one on the floor has ever charted that way, and the warehouse ran dry years ago? A CISO explains what resilience really takes. Source: Cyber Resilience Is an Organization-Wide Discipline, Michigan Health’s Sieg Says on healthsystemcio.com - Interviews & Webinars with Health System IT Leaders

Brian Dilcher, MD, Associate CMIO and Director of Emergency Medicine Clinical Informatics at WVU Medicine, breaks down what he saw at Epic's Agent Factory build-a-thon: token costs that vary wildly between builders, governance that has to run continuously, and the data discipline that keeps fixed-field tools from pulling the wrong information.

John Halamka, MD, president of Mayo Clinic Platform, and Melek Somai, MD, VP and chief technology and product officer at Inception Health, examine why AI-assisted development is reopening the build option for new application requests. They weigh build against buying in-suite or niche, the integration tax that sinks third-party tools, and how abstraction layers and multi-cloud strategy help health...

Most cyber plans assume your own defenses are the whole battle. McLaren’s Sam Jacques makes the case that survival now turns on how the entire sector moves together when a shared dependency suddenly fails. Source: Resilience Is a Team Sport: McLaren’s Sam Jacques on Operation Vital Signs on healthsystemcio.com - Interviews & Webinars with Health System IT Leaders

Sahan Fernando, CISO at Rady Children's Hospital-San Diego, explains why understanding hospital operations is the foundation of cyber resilience, covering clinician outreach, executive participation, the IT-operations divide, shadow IT, and downtime planning.

Beth Lindsay-Wood, Chief Informatics and Technology Officer at Moffitt Cancer Center, explains how a breast imaging system that would not scale set off a three-year enterprise imaging consolidation onto one cloud-based platform. She covers how imaging problems surface, getting IT close to operations, governance at the EVP level, streamlining intake as AI floods the request pipeline, and why clean,...

John Riggi of the American Hospital Association and William Walders of The Joint Commission explain why cyber resilience depends on a single accountable executive, board-level priority, and treating clinical continuity as the mission. They walk through the new Cyber Resilience Readiness program and a 30-day planning benchmark drawn from hundreds of real attacks.

Jason Hill, MD, of Ochsner Health explains how the system treats patient throughput as an end-to-end process, why front-end access matters as much as length of stay, the CMIO-CIO dyad, and how Epic's Cosmos Median Length of Stay tool predicts stays accurately at admission.

Helen Oscislawski, Esq., of Attorneys at Oscislawski LLC, explains what the Epic, Health Gorilla lawsuit means for health system CIOs, why a contract breach differs from an unlawful disclosure, why TEFCA participation remains voluntary, and how to coordinate breach-notification decisions across legal, compliance, and IT.

CISOs Anahi Santiago of ChristianaCare, Krista Arndt of St. Luke’s University Health Network, and Antonio Davis of Northeast Georgia Health System, join Robert Butler from Netskope and healthsystemCIO's Anthony Guerra to examine how to secure AI as it spreads through health systems via shadow tools and vendor upgrades. They argue that visibility, not blocking, lets security permit AI responsibly —...

Ilo Romero, CHCIO, VP and associate CIO at WVU Medicine, explains why HIPAA-compliant frontier AI access now carries a seven-figure entry point, how his model-agnostic platform routes workloads across in-house GPUs and cloud endpoints, and why owning the integration layer beats betting on any single model.

Most leaders treat unsanctioned AI use as a compliance headache to stamp out. Heidi Health’s Simon Kos sees a free market signal hiding in plain sight, one that points straight to the tools your clinicians actually need. Source: Heidi Health’s Kos Says Shadow AI Signals a Tool Gap CIOs Can’t Ignore on healthsystemcio.com - Interviews & Webinars with Health System IT Leaders

Most EHR selection stories center on platform features. At one rural Indiana hospital, the deciding signals came from outside the platform demos themselves, and from the sponsor relationships that came with one option. Source: Schneck’s Rice: Clinician Scoring, Independence Drove Meditech Expanse Pick Over Epic on healthsystemcio.com - Interviews & Webinars with Health System IT Leaders

Most patient throughput tools underperform because health systems deploy them too early. A panel of healthcare IT leaders explain the operational disciplines that have to be in place first, and why skipping them costs months of progress. Source: Patient Throughput Improvement Demands Operational Clarity Before Technology on healthsystemcio.com - Interviews & Webinars with Health System IT Leaders

Most CIOs treat enterprise imaging as a back-burner project. Cincinnati Children’s Towbin lays out the math that changes the conversation, with 90% of healthcare data, 80% workflow gains, and the right champion all in play. Source: Cincinnati Children’s Towbin Says Imaging Is 90% of Medical Data, CIOs Must Lean In on healthsystemcio.com - Interviews & Webinars with Health System IT Leaders

Most healthcare CISOs handle pen testing and risk assessments routinely. Device inventory and PHI mapping fall into a tougher category, and the new HIPAA Security Rule will soon make both mandatory. Health-ISAC's Phil Englert explains where to focus first. Source: H-ISAC’s Englert Says Device Inventory and PHI Mapping Will Be the Heaviest Lifts When New HIPAA Drops on healthsystemcio.com - Intervi...

Most AI business cases get reduced to a financial spreadsheet. Two veteran health system leaders say clinician satisfaction belongs on the same line, and explain how to find the executive sponsors who will defend it. Source: Health System CIOs: Anecdotal ROI from Key Stakeholders Punches Above Its Weight on healthsystemcio.com - Interviews & Webinars with Health System IT Leaders

Third-party attacks against health systems jumped from monthly to weekly, outpacing how most cyber programs are built. Inside: how Providence redesigned the CISO role to absorb emergency management and what shifted when the team walked the NICU floor. Source: Providence’s Ratliff Says Merging Cybersecurity and Emergency Management Builds Stronger Cyber Resiliency on healthsystemcio.com - Interview...

Julia Adler-Milstein, PhD, Chief of UCSF's Division of Clinical Informatics and Digital Transformation, dissects the procurement and integration dynamics steering health systems toward their EHR vendor's in-suite AI tools at the expense of third-party innovators. Drawing on her recent JAMA viewpoint with Sara Murray and Robert Wachter, she explains why market forces alone will not loosen the EHR v...

Ken Kawamoto, MD, Chief Health AI Transformation Officer at University of Utah Health, describes how the AI Workbench lets clinicians build their own AI applications without one-off engineering. The standards-based tool sits inside Epic and uses SMART on FHIR to scale clinical AI across the enterprise. Source: University of Utah Health’s Kawamoto Says Workbench Approach Scales Clinical AI Across t...

Most health IT teams assume their SaaS providers built genuine multi-region resiliency. Mass General Brigham’s CTO discovered the truth is less reassuring. The fix starts with one missing habit nobody’s been practicing. Source: Mass General Brigham’s Sriraman Says SaaS Outages Expose Hidden Cloud Dependencies on healthsystemcio.com - Interviews & Webinars with Health System IT Leaders

Your EHR vendor’s product suite keeps things simple, but simplicity comes at a price. One health system CTO explains why building in-house opened doors he didn’t know existed. Source: Inception Health’s Somai Says Always Staying in Your EHR Suite Limits Differentiation; Building Easier Than Ever on healthsystemcio.com - Interviews & Webinars with Health System IT Leaders