In this episode, Julie Demaree, Vice President and Chief Technology and Digital Innovation Officer at St. Mary’s Healthcare, shares a pragmatic approach to digital transformation in rural healthcare, where innovation is driven by operational realities rather than technology hype. A former physician assistant turned technology executive, Julie argues that successful innovation begins with culture, governance, and clinician engagement, not new tools.

She discusses how St. Mary’s has improved patient safety and clinician experience by rethinking clinical decision support, reducing alert fatigue through careful curation, and involving frontline clinicians in governance decisions. Julie also highlights the importance of optimizing existing technology before investing in new solutions, noting that many organizations overlook capabilities already available within their EHRs.

Julie sees significant potential for automation and agentic AI to reduce administrative burden, improve patient access, and help lean teams operate more effectively. She emphasizes that AI adoption must be accompanied by strong governance, user education, and critical thinking. Her message is clear: innovation is not about adding more technology, it’s about solving the right problems, eliminating unnecessary work, and building systems that better support patients, clinicians, and communities. Take a listen.