MD to CEO: One Doctor's Mission ft. Zaman Shah

What happens when a physician with 15 years of frontline experience stops waiting for healthcare to fix itself, and builds the fix himself? In this episode of the Nurse Rosa's INsights Podcast, host Rosa Hart sits down with Zaman Shah, MD MBA, founder and CEO of Medway, a physician-led AI infrastructure company transforming EHRs into AI-first platforms. Dr. Shah brings a rare combination most health tech founders simply don't have: clinical credibility from 15 years of frontline practice, business training from an MBA at UAB, and specialized Harvard training in healthcare AI. His mission is direct : restore the human connection in healthcare by making every EHR intelligent, interoperable, and effortless through a clinician-designed, compliant AI layer. What Medway actually solves: Small-to-mid-size and specialty EHRs often lack the time, talent, or capital to build AI in-house. Medway provides plug-and-play AI infrastructure — delivered under the EHR vendor's own brand — that brings ambient documentation, smart data access, and validated order entry to market in weeks, not years. In this episode, you'll hear: How 15 years of frontline medicine shaped Dr. Shah's vision for Medway Why small and specialty EHRs are being left behind in the AI race — and how Medway closes that gap The real cost of fragmented data, redundant workflows, and manual administrative work on clinical care Why interoperability is still broken and what universal, standards-based access would actually look like How ambient documentation and conversational retrieval can give clinicians back their time with patients Dr. Shah's billion-dollar vision: a modern operating layer for healthcare that eliminates waste, closes care gaps in real time, and reduces friction for both clinicians and patients Dr. Shah's billion-dollar answer: If given a $1B grant, Dr. Shah would build and scale a modern operating layer for healthcare — starting with universal interoperability so clinicians and patients can access the right information instantly, without faxing or chasing records. He would embed ambient documentation and guided order entry directly into care delivery, invest in real-time quality and care-gap closure during the visit rather than after, and fund patient-facing access tools that reduce administrative burden. Across all of it: trust, transparent governance, measurable outcomes, and adoption incentives built for sustained ROI. Connect with Zaman Shah: On LinkedIn Find out more about Medway.ai Connect with Rosa Hart: https://nurserosaspeaks.com/ Follow Nurse Rosa's INsights Podcast in the Health Podcast Library.