February 12, 2026: Most health systems run Epic downtimes at 3 AM when the hospital is slowest. Jim Feen, SVP and Chief Digital and Information Officer at Southcoast Health, did the opposite. He intentionally took Epic offline at 10 AM on a Wednesday morning without warning staff. Jim reveals why 100% of surveyed leadership wanted to repeat the exercise, how he consolidated 37 separate call centers into a single unified operation, and what he learned from spending a decade at MEDITECH before leading an Epic migration. This conversation challenges everything you thought you knew about downtime planning, business continuity, and building corporate muscle memory for the crises you can't predict.

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Key Points:

• 06:07 The Call Center Transformation
• 11:41 Epic Downtime During Business Hours
• 16:16 AI in Healthcare: Managing Innovations
• 21:16 Project Management and DevOps at South Coast Health
• 26:25 Closing Thoughts and Super Bowl Predictions

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Bill Russell, Drex DeFord, and Sarah Richardson dissect J.P. Morgan healthcare presentations to reveal what's really being asked of technology leaders in 2026. The era of transformation talk is over; executives want friction reduced, margins improved, and growth enabled. Bill shares insights from CMIO conversations showing leaders moving beyond EHR optimization to solve real business challenges around patient access and clinical workflows. Drex and Sarah debate whether the shift toward operational excellence means CIOs should prepare to run pharmacy and lab departments next.

Key Points:

04:26 Challenges and Opportunities in Healthcare IT

10:17 Cybersecurity and Operational Focus

17:17 EHR Systems and Operational Efficiency

23:11 Hostage Crisis and Final Thoughts

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February 5, 2026: Jennifer Goldman, VP, CMIO, and Chief of Primary Care at Memorial Healthcare System, reveals why most patient access initiatives fail before they start. The problem isn't technology; it's template management, physician engagement, and clinical escalation workflows that non-clinical call centers can't navigate. Jennifer shares how Memorial added 10,000 same-day access visits by standardizing primary care templates and creating bi-directional governance forums. But the real challenge? Specialty care operates differently, requiring clinical escalation tools and trust-building between operations teams and centralized scheduling. This conversation exposes the hidden operational complexities that determine whether access innovation succeeds or becomes another failed IT project.

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Key Points:

• 01:07 Challenges in Patient Access
• 05:28 The Evolving Role of the CMIO
• 06:57 Success Stories and Innovations

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