Health systems are entering a new frontier, one where innovation isn’t optional, and meaningful change requires creativity, flexibility, and the willingness to rethink how care is delivered. Across the country, forward-thinking organizations are experimenting, adapting, and building new models inside some of the most complex environments imaginable.

Join moderator Chrissy Farr, CEO, Second Opinion in conversations with Dr. Rima Shah, Chief Medical Officer of Ambulatory Care/Population Health, Corewell Health; Tom Jackiewicz, President, University of Chicago Health System; and Cadence’s Chief Medical Officer and host of Cadence Conversations, Dr. Eve Cunningham.

This conversation spotlights what that kind of leadership actually looks like on the ground and what others can learn from it:

• Build vs. buy: When it makes sense to develop in-house, and when partnering is the faster, more durable path
• The unglamorous work: What real clinical, technical, and operational infrastructure is required to support change at scale
• Change agents: Who inside health systems actually drives transformation and why influence often matters more than title
• Signal vs. noise: How to tell which organizations are truly evolving versus experimenting at the margins
• The road ahead: What the future of healthcare delivery looks like and how AI may expand, support, or reshape care models

Cadence was a sponsor of this conversation. Dr. Rima Shah is a partner of Cadence and not compensated for this podcast.

For more information on Cadence, visit

https://www.cadence.care/

Join host Eve Cunningham, MD, Chief Medical Officer at Cadence, in conversation with Sunita Koshy-Nesbitt, MD, MBA, Chief Medical and Quality Officer for Texas Health Physicians Group and Chief Quality Officer for the hospital channel at Texas Health Resources.

Texas Health Resources is one of the largest and fastest-growing health systems in the country, serving a diverse and rapidly expanding population across North Texas. In this episode, Eve and Sunita explore what it really takes to lead clinical quality at scale in an environment overflowing with data, constrained by workforce realities, and under increasing pressure to deliver better outcomes without adding burden to clinicians.

Their conversation focuses on:

• How clinical training in electrophysiology shapes a leadership mindset built around signal, noise, and actionable data
• Why health systems must prioritize clinical credibility, workflow simplicity, and scalability when evaluating remote care and digital health solutions
• What frontline physicians actually need from new technology
• How quality, safety, patient experience, equity, and cost are deeply interconnected
• Where AI is already delivering real value by reducing administrative burden and improving clinician experience
• Why operational design is often the root cause of burnout and system failure
• What it looks like to lead systemwide transformation while staying grounded in evidence, outcomes, and day-to-day clinical realities

Dr. Koshy-Nesbitt is a partner of Cadence and not compensated for this podcast.

For more information on Cadence, visit https://www.cadence.care/

Join host Eve Cunningham, MD, Chief Medical Officer at Cadence, in conversation with Dave Newman, MD, Chief Medical Officer of Virtual Care at Sanford Health.

Sanford Health is the largest rural health system in the United States, serving more than two million patients across a multi-state region in the upper Midwest. In this episode, Eve and Dave explore what rural healthcare reveals about innovation that actually scales, and why some of the most advanced care models in the country are being built far from major urban centers.

Their conversation focuses on:

• Why rural health systems are often the best environments for scaling innovation
• How Sanford has leveraged virtual care to extend specialist access across vast geographies and address workforce shortages
• What it looks like to lead digital transformation while continuing to practice medicine, and why staying close to the bedside matters
• How technologies like ambient documentation and AI-enabled workflows are changing clinician experience and patient connection
• Why innovation without workforce strategy fails, and what sustainable virtual care actually requires
• The myths the industry still gets wrong about rural patients, technology adoption, and access

Patient examples in this episode are anonymized or illustrative. Metrics discussed may be internal.

For more information on Cadence, visit

https://www.cadence.care/