In this episode of Mavericks in Healthcare, we sit down with Dr. Todd Smith, Senior Vice President and Chief Physician Executive at Sutter Health, for a powerful conversation on transforming healthcare from the inside out. Dr. Smith shares how Sutter is addressing clinician burnout, workforce shortages, and access challenges by focusing on culture, operational partnerships, and technology that truly supports providers. He unpacks the value of dyadic leadership, the rollout of ambient AI to reduce administrative burden, and a bold plan to expand ambulatory care across Northern California. With a clear-eyed view of what keeps him up at night and what gives him hope, Dr. Smith offers a candid look at what it takes to build a system where clinicians can thrive and patients get the care they need - when and where they need it.