April 3, 2024: Sarah and Kate examine Sanford Health's successful implementation of ambient AI documentation tools. After an initial pilot with 100 clinicians, the South Dakota-based health system is now expanding to an additional 200 clinicians—with 100% of pilot participants reporting they would be "extremely disappointed" if the tool was taken away. Learn how this AI implementation is addressing physician burnout, streamlining documentation processes, and creating a model for successful clinical technology adoption that other health systems can follow.

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April 2, 2025: Kate and Sarah discuss RWJ Barnabas Health's innovative partnership with Uber Health to provide free transportation for underserved patients. They explore how this initiative significantly reduces no-show rates, improves care continuity, and addresses critical social determinants of health.

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Drex covers two separate Oracle security incidents affecting healthcare organizations. The Rose87168 hacking group claims to have stolen 6 million user records from Oracle Cloud, now for sale on the dark web. Oracle denies the breach, but independent researchers confirm data authenticity. A second breach on older Cerner servers (not yet migrated to Oracle Cloud) exposed patient medical information, with hackers attempting to extort several US healthcare organizations. The full scope of affected organizations and patients remains unknown but healthcare customers report dissatisfaction with Oracle's lack of transparency and response to these incidents.

Remember, Stay a Little Paranoid 

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April 1, 2025: Sarah and Kate explore the critical role trust plays in healthcare IT transformation. They discuss how trust accelerates adoption of new technologies, why leadership consistency builds credibility, and practical ways to measure trust within your organization. Learn why even the best digital initiatives can stall without proper stakeholder trust and how cybersecurity efforts depend on being seen as trusted protectors rather than just enforcers.

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Drex covers a major security breach where Trump administration officials shared classified military operation details via Signal chat with an unauthorized reporter, Broadcom's release of critical security updates for VMware tools addressing high-severity vulnerabilities, and a dramatic HHS restructuring that eliminates 10,000 positions, reduces divisions from 28 to 15, and transfers key healthcare security offices including ASPR to CDC and realigns the Office of Civil Rights overseeing HIPAA compliance.

Remember, Stay a Little Paranoid 

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March 31, 2025: Sarah Richardson and Drex DeFord of This Week Health explore the most impactful events in healthcare today. As cybersecurity regulations continue to advance, how do struggling systems keep up? They discuss the recent Johnson & Johnson investment of $55 billion in healthcare and what the current financial landscape means for innovation. Lastly, governance continues to be a complex issue for system leaders, but the solution could be as simple as saying “no”.

Key Points:

1. 02:56 Regulatory Security Challenges 
2. 07:03 J&J $55 Billion Investment
3. 13:07 AI and Health Tech Investments
4. 16:40 Learn to Say No

News Articles: 

1. Cyberattacks spark credit downgrades at 2 systems
2. Johnson & Johnson Announces $55 Billion Investment in U.S. Healthcare.
3. Venture Capitalists Focus on AI to Drive Healthtech Growth.

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March 28, 2025: Kate Gamble and Sarah Richardson explore an innovative approach to EHR training that uses escape rooms to engage nurses. They discuss how these interactive experiences improve engagement, promote teamwork, develop critical thinking skills under pressure, create a safe space for making mistakes, and offer cost-effective training solutions. The hosts highlight how this approach transforms traditional EHR training from passive learning to experiential learning, resulting in better knowledge retention and improved system adoption.

Remember, Stay a Little Paranoid 

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March 27, 2025: Sarah Richardson and Kate Gamble analyze the recent congressional funding bill's impact on healthcare. They discuss five key provisions: extended Medicare telehealth flexibilities, continued hospital-at-home programs, delayed Medicaid DSH payment cuts, financial relief for rural hospitals, and the lack of measures to avert physician pay cuts. The hosts provide actionable insights for healthcare IT leaders on adapting technology strategies and budgets to navigate these policy changes.

Remember, Stay a Little Paranoid 

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March 26, 2025: Sarah Richardson and Kate Gamble discuss the significant shift from volume-based to value-based physician compensation models and what this means for healthcare technology leaders. They explore how this reform requires enhanced data tracking capabilities, EHR evolution, AI integration, and cybersecurity protocols while addressing physician burnout concerns. The conversation highlights critical questions CIOs, CTOs, CMIOs, and CISOs should be asking to ensure their technology infrastructure supports these compensation changes effectively and equitably.

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Drex covers reports of an alleged Oracle Cloud security incident affecting login infrastructure with over 6 million records at risk across 140,000 tenants (though Oracle denies any breach), and 23andMe's bankruptcy filing. Security recommendations include rotating credentials, resetting passwords for Oracle Cloud users, and downloading then deleting personal genetic data from 23andMe as a precautionary measure.

Remember, Stay a Little Paranoid 

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