In this final episode of Season 3 of Tech It to the Limit, hosts Sarah Harper and Elliott Wilson go global and get grounded with a very special guest. After sharing travel tales from Germany and the HLTH conference, Sarah and Elliott debut their new game, “Trust-O-Meter,” rating real-world health tech scandals and solutions on a scale from “hospital stairwell cell signal” to “grandma’s green bean casserole.”

Then, they sit down with Dr. David Rhew, Global Chief Medical Officer at Microsoft, for a wide-ranging, surprisingly personal conversation on everything from his pivot from academia to industry ( a VA grant pushed him out) to the future of oculomics, voice biomarkers, and responsible AI. Dr. Rhew breaks down the three layers of bias, explains why implementation is everything, and doesn’t shy away from the hard truth about AI and the future of the healthcare workforce. It’s a deep, funny, and profoundly human conversation to close out the season.

The episode wraps with Wise Nugs and a final health tech haiku, leaving listeners hopeful and ready for Season 4.

Key Takeaways

• Trust needs humans in the loop :AI earns credibility when it supports clinical workflows, not replaces them.

• Bias hides in plain sight :Data, model design, and deployment all carry bias. Responsible AI means addressing all three.

• Implementation eats innovation for breakfast: Technology does not change healthcare; adoption and usability do.

• Your eyes and voice are the new vital signs :Oculomics and voice biomarkers are turning everyday signals into early detection tools.

• Equity must be built in, not bolted on:“Neutral AI” does not exist. Fairness and transparency have to be engineered from the start.

• Automation is not the enemy; stagnation is :AI will replace tasks, not purpose. The key is reskilling and redefining human work.

In this episode:

• [00:00:13] Welcome to the season 3 finale
• [00:01:19] Host travel log
• [00:05:24] Game debut: Trust-o-meter
• [00:22:01] Interview: Dr. David Rhew
• [00:23:34] Dad jokes and Korean BBQ regrets
• [00:25:27] From white coat to cloud
• [00:30:52] Bridging the hype-reality gap
• [00:34:50] Oculomics: The 2-minute eye scan
• [00:38:02] The DMA of bias
• [00:45:27] The TRAIN consortium
• [00:48:45] Cloud consolidation and data stewardship
• [00:58:29] Call to action: Operationalizing trust
• [01:05:32] Spicy nugs: Key takeaways
• [01:14:09] Health tech haiku and sign-off

Resources:

Tech It To The Limit Podcast

• Website
• Apple Podcast

Dr. David Rhew

• LinkedIn -https://www.linkedin.com/in/david-rhew-m-d-1832764/

Sarah Harper

• LinkedIn -https://www.linkedin.com/in/sarahbethharper

Elliott Wilson

• LinkedIn - https://www.linkedin.com/in/matthewelliottwilson

In this episode of Tech It To The Limit, hosts Sarah Harper and Elliot Wilson revisit generational myths in digital health and reveal why age isn’t the real barrier to adoption. Through their new game, Fact Check Fever, and a deep dive into the Capability-Motivation-Context (CMC) framework, they show how design, usability, and trust matter far more than birth year. From busting stereotypes to exploring how health systems can design with users, not for them, it’s a witty, insightful look at the future of inclusive, human-centered innovation.

Key Takeaways

• Generational myths don’t hold up: Boomers use portals, Gen Z cares about privacy, and every group struggles with clunky design, not just “digital natives.”

• Design trumps demographics: Adoption isn’t about age, it’s about usability, accessibility, and human-centered design.

• Follow the CMC framework: Capability, motivation, and context, not birth year, to predict whether people engage with health tech.

• Health equity requires intention: Neutral AI does not exist; equity has to be actively built into technology.

• The biggest unifier isn’t age: A diagnosis, condition, or shared health journey brings people together across generations more than labels like Boomer or Gen Z.

In this episode:

• [00:00:13] Welcome & episode introduction
• [00:00:55] Recap of Mayo Clinic live show
• [00:02:36] Looking ahead to HLTH: speakers, tracks, and the health tech “fashion week” vibe
• [00:05:08] Conference tracks & awards
• 00:07:13] Launching Fact Check Fever: busting myths on portals, EHR burnout, Gen Z TikTok habits, and more
• [00:07:37] Fact Check Fever: generational myths & data
• [00:19:24] Break for fake sponsor: Patient Portal Plus Plus
• [00:20:44] Sincere segment: CMC framework for health tech adoption
• [00:22:24] Deep dive: CMC framework explained
• [00:31:17] Designing with, not for, users
• [00:35:31] Break for fake sponsor: Bias Focals
• [00:37:14] Spicy Nugs: co-host lightning round
• [00:46:41] Closing thoughts, HLTH call-to-action, and Elliot’s health tech haiku

Resources

Tech It To The Limit Podcast

• Website
• Apple Podcast

Sarah Harper

• LinkedIn -https://www.linkedin.com/in/sarahbethharper

Elliott Wilson

LinkedIn - https://www.linkedin.com/in/matthewelliottwilson

In this episode of Tech it to the Limit, Dr. Rachel Harrington (NCQA) joins hosts Sarah Harper and Elliott Wilson to unpack how digital tools are reshaping healthcare—and why equity must be part of the equation. From fixing biased data to evolving HEDIS and designing with communities, it’s a sharp look at the future of human-centered, tech-powered care.

Key Takeaways

• Start with the right data: If we don’t ask the right questions and reflect real diversity, we’re guessing, not solving.
• Co-create with communities: Don’t design for people—design with them to build solutions that actually work.
• Go beyond broad stats: Break down the data to see what different groups really need.
• Tackle the root causes: Health isn’t just about doctors—it’s about housing, food, transport, and more.
• Act, don’t just assess: Finding problems is easy. Solving them takes real action.

In this episode:

• [00:00:00] Welcome to Tech it to the Limit
• [00:01:43] Insights from the Mayo Clinic AI Summit
• [00:04:05] Segment spotlight – “Guess That Quality Data Acronym”:
• [00:11:05] Conversation with Dr. Rachel Harrington, NCQA: advancing equity through data and measurement
• [00:26:15] Collaborating across sectors: the importance of community-based partnerships
• [00:27:12] Stratification and the role of data transparency in identifying quality gaps
• [00:27:44] Transitioning to HEDIS: why equity must be embedded in quality measurement
• [00:29:15] The impact of race and ethnicity stratification in performance metrics
• [00:32:13] Aligning incentives across payers, providers, and systems for greater accountability
• [00:39:12] Designing for equity: avoiding bias in digital health tools through inclusive development
• [00:42:57] A call to action: how digital health leaders can make equity core to their strategy
• [00:46:02] Final reflections and key insights

Our Guest

Dr. Rachel Harrington is the Assistant Vice President of Health Equity at the NCQA, where she leads the Equity and HEDIS initiative. With a Ph.D. in pharmacy systems and a background in regulatory science, health economics, and public policy, Rachel has a wealth of experience in healthcare data, quality improvement, and social determinants of health. Her work ensures that healthcare systems deliver equitable, effective care for all communities.

Resources

Dr. Rachel Harrington

• NCQA
• Dr. Rachel Harrington
• We Ask Because We Care campaign

Tech It To The Limit Podcast

• Website
• Apple Podcast