Why great technology still fails without trust

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/