In this week’s Monday News Drop, co-hosts Bo Brabo and Luke Carignan dive into one of healthcare’s most persistent and pressing issues — the national nursing shortage. But this time, they go deeper than headlines to ask the hard question: Is it really a “trend,” or just a long-term problem we keep failing to solve?

Bo and Luke trace the roots of the shortage through decades of reports and research, revealing that the so-called “hot topic” isn’t new — it’s been part of America’s healthcare conversation for years. Together, they unpack why solutions haven’t stuck and explore how operations, education, and compensation must all evolve to make a real difference.

💡 In This Episode You’ll Learn:

🩺 Why the Nurse Shortage Isn’t New:
Bo uncovers 15 years of headlines proving this workforce crisis has been ongoing, highlighting how awareness alone doesn’t equal progress.

⚙️ The 28% Problem:
Luke references a past guest’s insight — only 28% of a nurse’s time is spent on direct patient care — and discusses how operational inefficiencies continue to drive burnout and turnover.

🎓 Workforce Innovation at VCU Health:
A spotlight on Virginia Commonwealth University’s proactive model for workforce development, where over 90% of nursing graduates stay and work in-state. Bo and Luke explore how academia and healthcare systems can collaborate to close workforce gaps.

🤖 The Role of AI in Talent Strategy:
The hosts discuss how artificial intelligence can accelerate recruitment, improve retention, and help hospitals compete for top nursing talent — if used strategically.

💬 A Thought-Provoking Takeaway:
“You can’t fix the national nurse shortage alone, but you can control your organization’s piece of the puzzle.”

And because it’s Thanksgiving week, the duo keeps it light too — reflecting on gratitude, football rivalries, and what the world might look like if humans really could live 200 years. 

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We're thrilled to share the highlights from a mind-expanding episode featuring Cliff Jurkiewicz, VP of Global Strategy at Phenom, alongside our hosts Luke and Bo. 

Dive Into Reality: Are We Living in a Simulation?

The episode kicks off with a wild question: What if there’s a 50% chance we’re living in a simulation, according to Columbia astronomer David Kipping? Cliff explores quantum physics, simulation theory, and how particles defy our ability to understand reality—making us ponder humanity’s limits and possibilities.

AI, Quantum Computing, and the Race for Supremacy

You’ll hear about the jaw-dropping advances in quantum computing: Microsoft’s major leap with their Marjoram chip and how whoever wins the “quantum race” could reshape economies, healthcare, and society itself. Cliff notes that China is currently outpacing everyone due to its aggressive, regulation-free approach. What does this mean for global healthcare? The stakes couldn’t be higher.

Healthcare HR Transformation: Tech Is Here to Help

Forget the fear of robots taking jobs—AI is here to streamline tasks, not replace our humanity. The hosts and Cliff walk through how ambient listening, virtual nursing, and AI-driven medical coding are set to eliminate administrative “bloat” and free up clinicians to focus on meaningful patient care. Expect drastic reductions in cost and a move toward decentralized, personalized healthcare.

Curiosity Is Your Superpower

If you’re wondering how to keep up, Cliff offers sage advice: stay curious, ask questions, and don’t be afraid to admit what you don’t know. Whether you’re an HR leader shopping for new tech or a clinician adjusting to AI-powered tools, an “elementary school mindset” is key—embrace curiosity, set your ego aside, and actively participate in this transformation.

The Future of Work and Life: Shorter Workweeks, Longer Lives

Imagine working 20 hours a week—productively—and living for 200 years! With AI and medical innovation, the podcast explores how future generations may move past industrial-age thinking, toward more leisure and true human enlightenment. It’s a bold, optimistic vision for what comes next.

Listener Takeaways:

• AI and Tech are not science fiction—they’re here, now, and reshaping healthcare HR.
• Embrace change and be part of the conversation, or risk being left behind.
• Think big. The possibilities for improving patient care, operational efficiency, and even personal longevity are staggering.
• Be curious. The next era starts with asking the right questions.

Thanks for listening, subscribing, and being curious with us!

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Welcome to The ASHHRA Podcast! In this episode, hosts Bo Brabo and Luke Carignan sit down with Keith Sorgius, a dedicated hospital advisor at RxBenefits, to dive deep into the world of pharmacy benefits and cost management for hospitals and health systems. With a rich background in pharmacy analytics, PBM consulting, and 340B in-house pharmacy management, Keith Sorgius shares his practical insights on using data-driven strategies to identify savings opportunities and maximize the value of in-house pharmacy operations.

Together, the trio explores the role of predictive analytics in pharmacy plan management, the critical relationship between HR and pharmacy teams, and the importance of transparent communication when rolling out new benefits strategies. You'll learn why benchmarks can be tricky to rely on, how leveraging your own hospital pharmacy can be a game-changer for costs and patient care, and best practices for getting buy-in from employees and their families.

Whether you're in HR, pharmacy operations, or just passionate about controlling healthcare costs, this episode is packed with actionable advice and real-world stories to help you navigate the ever-evolving pharmacy benefits landscape. Let's get started! 

From Our Sponsors...

Optimize Pharmacy Benefits with RxBenefits
Elevate your employee benefits while managing costs. Did you know hospital employees fill 25% more prescriptions annually than other industries? Ensure cost-effective, high-quality pharmacy plans by leveraging your hospital’s own pharmacies. Discover smarter strategies with RxBenefits.

Learn More here - https://rxbene.fit/3ZaurZN

Streamline HR Compliance with oneBADGEhealthcare
Simplify screening, credentialing, and compliance for healthcare HR. oneBADGEhealthcare from ISB Global offers a tailored solution to keep your workforce compliant and efficient. Built for healthcare leaders, it’s your all-in-one compliance tool.

Get Started here - https://isbglobalservices.com/onebadgeunitedstates/ashhra/

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In this week’s Monday News Drop, co-hosts Bo Brabo and Luke Carignan get real about the future of HR — and why the next evolution of workforce planning is already here.

From predictive analytics and skills ontologies to workplace flexibility and AI, Bo and Luke dig into what every HR leader should be thinking about as technology reshapes hiring, training, and team performance.

This episode isn’t just theory — it’s a candid conversation about how data can help HR move from reacting to predicting, and from managing to truly leading.

💡 In This Episode You’ll Learn:

1️. Predictive Analytics in Action
Bo and Luke break down how predictive analytics is being used to identify top candidates and strengthen workforce pipelines — even drawing parallels to the U.S. military’s use of data to predict Special Forces success rates.

2️. Skills Ontologies and Task Proficiency
The hosts discuss how modern HR systems are learning to measure performance at the task level, helping organizations understand what employees do best — and where their next role might be.

3️. Building Teams Around Strengths, Not Weaknesses
Forget the old “fix your flaws” model. Bo and Luke explain why high-performing teams are built by aligning complementary strengths, not trying to make everyone well-rounded.

4️. The Human Factor in AI
From age and adaptability to personality fit, the conversation explores what AI can (and can’t) measure — and why human intuition still matters in hiring and leadership decisions.

5️. Flexibility, Structure, and Leadership Styles
In one of the episode’s most relatable moments, Bo and Luke compare their own contrasting work styles — one thrives on structure, the other in chaos — proving that balance drives innovation when teams play to their strengths.

💬 “Predictive analytics helps leaders put the right people in the right roles — and that’s where engagement and retention really begin.”

🌟 Why Listen:
If you’ve ever wondered how AI, analytics, and human behavior intersect to shape better workplaces, this episode connects the dots in a way only Bo and Luke can — insightful, practical, and laugh-out-loud relatable.

From Our Sponsors...

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Simplify screening, credentialing, and compliance for healthcare HR. oneBADGEhealthcare from ISB Global offers a tailored solution to keep your workforce compliant and efficient. Built for healthcare leaders, it’s your all-in-one compliance tool.

Get Started here - https://isbglobalservices.com/onebadgeunitedstates/ashhra/

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In this episode of The ASHHRA Podcast, co-hosts Bo Brabo and Luke Carignan sit down with Darlene Stone, Senior Vice President and Chief Human Resources Officer at Bayhealth, for a powerful conversation about the past, present, and future of healthcare HR.

Darlene has seen it all, from the days of typewriters and paper timecards to today’s AI-driven workflows. With over 30 years in healthcare, she’s done every job in HR and brings a uniquely grounded perspective on what truly matters: people.

💡 In This Episode You’ll Learn:

✅ AI as a Partner, Not a Threat:
Darlene shares how artificial intelligence is transforming HR operations, eliminating tedious tasks while enhancing human connection and efficiency. From summarizing reports in seconds to improving candidate and patient experiences, AI is redefining how HR delivers value.

✅ Redeploying Talent, Not Replacing It:
Rather than fearing automation, Darlene explains how HR leaders can retrain and redeploy employees into higher-impact roles, filling gaps in healthcare’s critical workforce shortages.

✅ Bridging the Education Gap:
The conversation explores how hospitals and universities must rethink workforce development, from early healthcare academies in high schools to leadership training that replaces rigid degree requirements with real-world skills.

✅ The Human Element of HR:
No algorithm can replace empathy. Darlene reminds listeners that investigations, coaching, and team connection require compassion… the essence of leadership in healthcare.

✅ Building Tomorrow’s Leaders Today:
From Bayhealth’s “Emerging Leader” programs to physician leadership development, Darlene shares actionable strategies for succession planning and cultivating informal leaders who drive cultural transformation.

💬 “You can’t take the human out of HR — no matter how advanced technology gets.”

Whether you’re an HR executive, educator, or healthcare leader navigating transformation, this episode is a reminder that the future of HR isn’t about replacing people — it’s about empowering them. 

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Learn More here - https://rxbene.fit/3ZaurZN

Streamline HR Compliance with oneBADGEhealthcare
Simplify screening, credentialing, and compliance for healthcare HR. oneBADGEhealthcare from ISB Global offers a tailored solution to keep your workforce compliant and efficient. Built for healthcare leaders, it’s your all-in-one compliance tool.

Get Started here - https://isbglobalservices.com/onebadgeunitedstates/ashhra/

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🎙️ Episode 190 – Veterans Day Special: Honoring Service, Saving Lives, and Building Pathways for Veterans

In this special Veterans Day episode of The ASHHRA Podcast, co-hosts Bo Brabo and Luke Carignan pause to honor those who’ve served — and to spotlight a powerful mission that could change the future for Veterans and the healthcare industry alike.

This episode is filled with reflection, laughter, and a deep sense of purpose as Bo shares stories from his Army career and the lessons that continue to shape his life and leadership today. From marching cadences and camaraderie to gratitude and sacrifice, the conversation blends warmth and humor with heartfelt appreciation for those who’ve worn the uniform.

But it doesn’t stop there. Bo and Luke turn the focus to action — exploring how healthcare organizations can become stronger by tapping into the Veteran talent pool and supporting meaningful post-service transitions.

💡 In This Episode You’ll Learn:

1️. The True Meaning of Veterans Day
Bo reflects on the origins of Veterans Day and the importance of gratitude — not just in words, but in action.

2️. Why Healthcare and the Military Have More in Common Than You Think
From logistics and leadership to operations and HR, Veterans possess transferable skills that align closely with hospital and health system needs.

3️.A Hidden Solution to the Labor Shortage
With millions of Veterans in the civilian workforce — and thousands seeking purpose after service — the opportunity for healthcare employers is enormous. Luke and Bo challenge organizations to stop overlooking this highly skilled population.

4️. Introducing Valor Path
Inspired by the story of Veteran Jon Snider, who transformed his life after nearly losing hope, Bo and Luke share the creation of Valor Path — a nonprofit dedicated to reducing Veteran suicide by supporting successful career transitions. In partnership with Dallas College, Valor Path is developing the first-ever Veteran Success Partner Certification, a national effort to standardize care, training, and support for transitioning service members.

🎯 Why This Episode Matters:
This episode is a heartfelt reminder that honoring Veterans goes beyond words. It’s about giving purpose, opportunity, and belonging — and about uniting communities, businesses, and healthcare organizations to make a tangible difference.

💬 “We don’t want Valor Path to be another Veteran program people forget. We want it to build legacy — to save lives, create opportunity, and strengthen organizations for generations.”

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Learn More here - https://rxbene.fit/3ZaurZN

Streamline HR Compliance with oneBADGEhealthcare
Simplify screening, credentialing, and compliance for healthcare HR. oneBADGEhealthcare from ISB Global offers a tailored solution to keep your workforce compliant and efficient. Built for healthcare leaders, it’s your all-in-one compliance tool.

Get Started here - https://isbglobalservices.com/onebadgeunitedstates/ashhra/

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In this week’s Monday News Drop, co-hosts Luke Carignan and Jeremy Sadlier dig into a treasure trove of 2025 healthcare HR data points, unpacking what’s really happening across the industry and what the numbers mean for the people on the front lines.

From anxiety and depression among nurses to workplace violence and the growing shortage of support staff, this episode shines a light on the challenges healthcare HR professionals must confront head-on. Luke and Jeremy keep it real with practical ideas, tough questions, and even a few laughs along the way.

💡 In This Episode You’ll Learn:

1️. The Mental Health Crisis in Nursing
Recent data shows 74% of nurses report anxiety and 71% report depression—a staggering reality with deep implications for patient care and retention. Luke and Jeremy discussed what HR leaders can do to better support caregivers beyond the shift, from expanding EAP access to creating cultures of genuine happiness.

2️. Workplace Violence: The Unspoken Epidemic
For every 100 nurses, there are 13 physical assaults and nearly 39 non-physical violent events each year. The hosts explore how hospitals can strengthen de-escalation training, improve safety protocols, and work with policymakers to ensure caregivers are legally protected.

3️. The Hidden Staffing Crisis No One’s Talking About
It’s not just about nurses and physicians. Hospitals are facing growing shortages in support and ancillary roles… from transporters to EVS techs. These entry-level jobs are often gateways into long-term healthcare careers, making their decline especially alarming.

4️. Education Bottlenecks and Workforce Pipelines
Despite 95% of hospitals offering tuition reimbursement, over 13,000 qualified nursing applicants were turned away in 2024 due to limited educational capacity. Luke and Jeremy unpack how the system’s “education choke point” is constraining the workforce pipeline, and what HR can do to bridge the gap.

5️. The Student Loan Advantage
Only 36% of hospitals currently offer student loan repayment. The hosts explain why this is a missed opportunity for recruitment and retention, and how even modest repayment programs could reduce stress, improve morale, and strengthen loyalty.

🎙 Quote to Remember:
"Reducing financial pressure reduces emotional pressure—and that changes everything for the people caring for others."

🌟 Why This Episode Matters:
Behind every data point is a story about burnout, resilience, and opportunity. This episode is a wake-up call for HR leaders and executives to think bigger—about mental health, safety, education, and the future of the workforce.

From Our Sponsors...

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Elevate your employee benefits while managing costs. Did you know hospital employees fill 25% more prescriptions annually than other industries? Ensure cost-effective, high-quality pharmacy plans by leveraging your hospital’s own pharmacies. Discover smarter strategies with RxBenefits.

Learn More here - https://rxbene.fit/3ZaurZN

Streamline HR Compliance with oneBADGEhealthcare
Simplify screening, credentialing, and compliance for healthcare HR. oneBADGEhealthcare from ISB Global offers a tailored solution to keep your workforce compliant and efficient. Built for healthcare leaders, it’s your all-in-one compliance tool.

Get Started here - https://isbglobalservices.com/onebadgeunitedstates/ashhra/

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In this eye-opening episode of The ASHHRA Podcast, hosts Bo Brabo and Luke Carignan welcome Kinjal Patel and Brady Heiner from RxBenefits to demystify the complex world of pharmacy benefit management (PBMs). As costs skyrocket, driven by specialty drugs accounting for 50% of spend from just 2% of prescriptions, HR leaders face fiduciary risks, hidden contract clauses, and potential class-action lawsuits. Kinjal and Brady reveal how transparent PBMs differ from traditional models, why "transparency" claims often fall short, and how RxBenefits operates as a client-aligned Pharmacy Benefits Optimizer with 3 million members' negotiating power.

Discover actionable strategies for hospitals and health systems to leverage in-house pharmacies, avoid rebate pitfalls, and conduct essential market checks and audits. The duo emphasizes the critical fine print in PBM contracts (e.g., CVS, Express Scripts, OptumRx) that can erode savings if overlooked. RxBenefits offers free, comprehensive contract analyses to uncover hidden opportunities and protect your organization.

Key takeaways for healthcare HR professionals:

• Understand true PBM transparency vs. marketing hype… demand bias-free alignment.
• Specialty drugs dominate costs; optimize high-dollar prescriptions for massive savings.
• Hospital pharmacies are goldmines; structure contracts to maximize rebates and utilization.
• Fiduciary duty demands expertise; avoid legal risks with proactive audits.
• Don't DIY pharmacy benefits; partner with consultants for smarter plan design and pricing.

A must-listen for HR managing escalating drug spend and compliance. Take control… request your free RxBenefits analysis today!

From Our Sponsors...

Optimize Pharmacy Benefits with RxBenefits
Elevate your employee benefits while managing costs. Did you know hospital employees fill 25% more prescriptions annually than other industries? Ensure cost-effective, high-quality pharmacy plans by leveraging your hospital’s own pharmacies. Discover smarter strategies with RxBenefits.

Learn More here - https://rxbene.fit/3ZaurZN

Streamline HR Compliance with oneBADGEhealthcare
Simplify screening, credentialing, and compliance for healthcare HR. oneBADGEhealthcare from ISB Global offers a tailored solution to keep your workforce compliant and efficient. Built for healthcare leaders, it’s your all-in-one compliance tool.

Get Started here - https://isbglobalservices.com/onebadgeunitedstates/ashhra/

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Hosts Bo Brabo and Luke Carignan sit down with Heather Zarzycki, Director of Total Rewards at Adventist Health, for a candid conversation about what’s really changing in healthcare compensation, why transparency isn’t the enemy, and how HR leaders can adapt to the realities of wage compression, remote work, and AI.

💡 In This Episode You’ll Learn:

1️. Transparency Is the New Trust
Heather shares how public pay scales, wage laws, and cultural shifts are dismantling the old taboo around “talking money.” From pay equity and internal loyalty to the role of transparency in employee retention, she explains why openness is reshaping the employer-employee relationship.

2️. Wage Compression and Creativity in Compensation
With California’s healthcare minimum wage now at $24 and climbing, Heather walks listeners through the balancing act of raising pay for frontline teams while keeping leadership structures sustainable and why “flattening the top” may soon be unavoidable.

3️. The Remote Work Reality
Heather, Bo, and Luke tackle the return-to-office debate head-on. Does culture really require proximity, or can flexibility create a stronger sense of trust and productivity? The discussion reveals how outdated mindsets may be hurting recruitment and morale more than helping.

4️. Leadership Without Incentives
As more professionals shy away from management roles, the trio explores whether merit pay and performance-based compensation could reignite purpose and accountability, or risk driving burnout if not thoughtfully designed.

5️. AI, Automation & the Next Era of Comp Strategy
From digital twins to AI-driven HR service centers, the conversation turns futuristic. Heather imagines a world where compensation programs adapt in real time and HR leaders must answer the question, “Why shouldn’t AI do my job?”

💬 Memorable Quotes:

• “Transparency isn’t dangerous; it builds loyalty.”
• “If you think you’re underpaid, you deserve to know the truth.”
• “AI isn’t coming—it’s already here. Learn it, or be left behind.”

🌟 Why Listen:
This episode blends humor, hard truths, and forward-thinking ideas to challenge how we view pay, performance, and purpose in the modern workforce. Whether you’re leading compensation strategy, managing talent, or simply rethinking what motivates people to stay, Heather’s insights deliver a masterclass in balancing heart, data, and innovation.

From Our Sponsors...

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Elevate your employee benefits while managing costs. Did you know hospital employees fill 25% more prescriptions annually than other industries? Ensure cost-effective, high-quality pharmacy plans by leveraging your hospital’s own pharmacies. Discover smarter strategies with RxBenefits.

Learn More here - https://rxbene.fit/3ZaurZN

Streamline HR Compliance with oneBADGEhealthcare
Simplify screening, credentialing, and compliance for healthcare HR. oneBADGEhealthcare from ISB Global offers a tailored solution to keep your workforce compliant and efficient. Built for healthcare leaders, it’s your all-in-one compliance tool.

Get Started here - https://isbglobalservices.com/onebadgeunitedstates/ashhra/

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In this lively and thought-provoking episode, co-hosts Bo Brabo and Luke Carignan sit down with Elizabeth Babb, System Director of Human Resources at Spartanburg Regional Healthcare System, for a conversation that blends humor, heart, and hard-hitting insights about modern HR leadership.

Elizabeth, a lifelong Spartanburg native and self-proclaimed “hilarious dog mom,” brings her infectious energy and wealth of experience across industries to the table as she dives into the art and science of total rewards. From introducing paid parental leave to strengthening benefits education and employee engagement, Elizabeth reveals how communication, not cost, is often the secret ingredient to driving employee satisfaction and retention.

💡 Key Takeaways:

• Strategy before benefits: How aligning HR and total rewards with organizational strategy ensures every initiative moves the mission forward.
• Educate before you elevate: Why employees often think a benefit is “bad” when it’s really just misunderstood and how leaders can fix that through consistent, creative communication.
• Analogies that stick: Elizabeth’s unforgettable “car dashboard” analogy for benefits education will forever change how you think about employee communication.
• The hidden cost of leaving: How total compensation statements help employees see the real value of their employment… beyond just the hourly rate.
• Healthcare’s benefits balancing act: Insights into managing self-insured plans, pharmacy programs, and the ever-changing PBM landscape while keeping employees informed and empowered.

The conversation takes a fascinating turn as Elizabeth, Bo, and Luke unpack the complexity of the pharmaceutical industry, transparency challenges in PBM contracting, and the growing movement toward more accountable, employee-first healthcare models. As always, expect laughter, candor, and moments of reflection on what it truly means to care for the people who care for patients.

🎧 Tune In If You’re:

• A healthcare HR leader navigating total rewards and benefits education.
• A communicator who wants to make your message stick.
• Curious about the intersection of healthcare, pharmaceuticals, and HR strategy.
• Just here for the laughs because Elizabeth’s analogies are legendary.

Listen now to learn how Spartanburg Regional is redefining employee engagement… one benefit, one conversation, and one brilliant analogy at a time. 

From Our Sponsors...

Optimize Pharmacy Benefits with RxBenefits
Elevate your employee benefits while managing costs. Did you know hospital employees fill 25% more prescriptions annually than other industries? Ensure cost-effective, high-quality pharmacy plans by leveraging your hospital’s own pharmacies. Discover smarter strategies with RxBenefits.

Learn More here - https://rxbene.fit/3ZaurZN

Streamline HR Compliance with oneBADGEhealthcare
Simplify screening, credentialing, and compliance for healthcare HR. oneBADGEhealthcare from ISB Global offers a tailored solution to keep your workforce compliant and efficient. Built for healthcare leaders, it’s your all-in-one compliance tool.

Get Started here - https://isbglobalservices.com/onebadgeunitedstates/ashhra/

Support the show