The Next Orbit Podcast

If we asked Henry Ford to apply his famous adage to healthcare today, he'd likely say that most health systems aren't building cars. They're breeding faster horses.

Leah Rosengaus, Executive Director of Digital Health at Stanford Health Care, joined Ben Wade and Mike Hunter to talk about what it actually takes to transform a care model, not just digitize the one you already have.

We get into the four-layer framework her team uses to build AI-enabled care that's modular, scalable, and designed to evolve as the technology does. We also talk about where most organizations go wrong when they bolt AI onto broken workflows, why remote patient monitoring is still largely untapped, and how Stanford cut behavioral health wait times from 66 days to 13 days through interoperable virtual care partnerships.

If you're a health system leader trying to figure out where to invest your limited resources right now while also preparing for the care model of the future, this one is worth your time.

Topics covered:

0:00 Introduction

1:46 The "cars vs. faster horses" framework for healthcare AI

5:28 Why data quality is the real prerequisite for AI transformation

13:16 The four-layer care model stack: knowledge, intelligence, application, and workflow

22:52 No-regrets moves for resource-constrained health systems

29:26 Remote patient monitoring and the new demand curve AI will create

40:10 How to vet and integrate virtual care partners without fragmenting care

42:55 Reimbursement as the missing lever in AI adoption

Learn more about Leap Orbit: leaporbit.com

Most healthcare organizations are deploying AI right now. Very few are asking who owns the data it generates, where it's stored, how it's audited, or what patients are actually consenting to. R

obert Colin-Torres has been in the room where those conversations didn't happen. As a Chief Compliance Officer with deep roots in federally qualified health centers and PACE programs, he's seen what it looks like when AI adoption moves faster than the questions that should come first.

In this episode, Robert makes a case that might surprise you: compliance isn't the enemy of AI adoption. It's what makes adoption sustainable. From ending physician "pajama time" to building internal audit tools for ambient AI, he walks through what responsible implementation actually looks like on the ground, including at under-resourced community health centers that most people assume can't afford these tools.

If you're a healthcare leader, compliance officer, or anyone building technology for clinical settings, this one is worth your time.

00:00 Introduction & Robert's Background

01:19 The CCO Who Said "Yes, And" to AI

02:08 Why Compliance Gets Left Out of AI Conversations

05:20 Pajama Time: Why Physician Burnout Is a Compliance Risk

07:57 Who Owns the Data? The Questions Nobody Was Asking

13:23 AI Is Not Just for Large Health Systems

15:36 How to Script the Patient Consent Conversation

19:56 Building an AI Audit Tool That Actually Works

36:26 Always Keep a Human in the Loop

40:21 The Next Frontier: Smart Glucometers and Real-Time Care

Subscribe for more content

AI is moving fast in healthcare. But is it moving responsibly?

In this episode of The Next Orbit Podcast, host Ben Wade and co-host Mike Hunter sit down with nationally recognized CMO and author Dr. Mark Olszyk to explore one of healthcare's most pressing questions: How do we deploy AI ethically when the stakes are life and death?

Drawing on the classic Beauchamp and Childress principles of biomedical ethics, Dr. Olszyk makes the case that the four pillars of principlism, autonomy, beneficence, non-maleficence, and justice, aren't relics of a philosophy classroom. They're the most practical framework available for evaluating AI tools in clinical settings today. And he argues a fifth pillar is urgently needed: governance and accountability.

This conversation covers the ground most AI discussions in healthcare avoid:

• Why ambient AI scribes are winning patient trust while broader governance lags far behind
• How 26% of AI-generated clinical summaries omit something, and what compounds from there
• The direct line from the Tuskegee experiments and Henrietta Lacks to questions of patient data ownership today
• Why hospital credentialing committees govern new surgical techniques rigorously but have no framework for the AI tools providers use on their phones
• The concept of algorithmovigilance and what antibiotic stewardship can teach us about governing AI
• Which hospital roles are most at risk of displacement and what healthcare systems owe those workers
• Why generative AI's probabilistic nature means a human in the loop isn't optional

Dr. Olszyk also shares insights from his book, The Chief Medical Officer's Essential Guide, and why a second edition may be overdue. If you work in healthcare technology, clinical leadership, health policy, or anywhere data touches patient care, this episode is essential listening.

🎧 Subscribe for more conversations at the intersection of healthcare, data, and the systems that connect them.

Chapters

0:00 Introduction

1:25 The Belmont Report and the origins of principlism

5:27 The four pillars: autonomy, beneficence, non-maleficence, justice

6:55 Why generative AI may need a fifth principle

8:27 Applying the four pillars to AI in clinical settings

13:03 Governance and accountability: the missing umbrella

16:27 The black box problem and how biases re-enter trained models

20:01 Algorithmovigilance: lessons from Henrietta Lacks and Tuskegee

26:00 Patient data ownership and the consent conversation we're not having

27:09 "Move fast and break things" vs. first do no harm

29:39 Patients using AI on their own data: benefits and risks

31:33 Mental health patients and chatbots: a vulnerable population

35:41 Organizations leading responsible AI in healthcare

37:20 Practical guidance for providers and health systems

42:21 AI and the healthcare workforce

44:35 Which roles are most at risk in the next five years

48:11 Why generative AI will always need a human in the loop

54:02 Insights from The Chief Medical Officer's Essential Guide 

The 2026 ASTP Annual Meeting just wrapped in Washington, DC, and the energy in the room felt different this year. 

Host Ben Wade sits down with Leap Orbit founding partner, David Finney, and co-host turned guest, Mike Hunter, to unpack what they actually heard on the ground at the Omni Shoreham, beyond the press releases and official sessions.

This one is for anyone working at the intersection of health data policy, interoperability, and public health.

🎧 Subscribe to The Next Orbit for more conversations at the intersection of healthcare, technology, and policy.

 

sLrciJQTNBA641S8bhIF

In this episode of The Next Orbit Podcast, host Ben Wade sits down with Dr. Peter Antevy, a pioneer in pediatric and EMS care, to discuss how he turned a critical medication error into a life-saving innovation: Handtevy.

Handtevy is a revolutionary system designed to provide accurate medication dosing, equipment sizing, and protocol guidance during pediatric emergencies—helping clinicians act fast, reduce errors, and save lives.

Dr. Antevy shares his journey from working in children’s hospital ERs to overseeing EMS for millions of people, the challenges of introducing new medical protocols, and the impact of technology in high-pressure emergency situations.

In this episode, you’ll learn about:

• Dr. Antevy’s pivotal early career experiences and the medication error that inspired Handtevy
• How Handtevy simplifies pediatric dosing and preparation in real-time emergencies
• The emotional and psychological impact of pediatric care on healthcare professionals
• Transitioning from hospital emergency medicine to EMS oversight and innovation
• Implementing new protocols and overcoming resistance in healthcare systems
• The future of EMS innovation and integration with EMR systems

Whether you’re a healthcare professional, EMS provider, or simply interested in medical innovation, this conversation highlights how preparation, technology, and innovative thinking are saving lives every day.

Timestamps:
00:00 A Tragic Mistake and Realization
00:35 Introduction to The Next Orbit Podcast
01:12 Meet Dr. Peter Antevy: Pioneer in Pediatric and EMS Care
01:32 Revolutionizing EMS
02:40 Challenges in Pediatric Emergency Care
03:45 The Critical Need for Accurate Dosing
05:26 The Birth of Handtevy
12:09 The Evolution of Handtevy
21:32 The Importance of Preparation in Emergency Situations
26:46 Understanding Pediatric Weight Concerns
27:28 Analogies in Medicine: Wrestling and Two-Minute Drills
29:52 The Emotional Toll of Pediatric Care
30:37 Transitioning from ER to EMS
32:50 Innovations in EMS: Blood on Ambulances
36:39 Challenges in Healthcare Innovation
39:59 Proving the Efficacy of New Methods
51:27 Integration with EMR Systems
54:14 Future Goals and Contact Information

🎧 Listen and subscribe

#PediatricCare #EMS #EmergencyMedicine #HealthcareInnovation #PatientSafety #Handtevy #TheNextOrbitPodcast

Innovating Nephrology: Dr. Shannon Beardsley on Extending Dialysis Access Lifespan

 

In this episode of The Next Orbit podcast, host Ben Wade discusses the challenges and innovations in the field of nephrology, which accounts for a significant portion of Medicare spending annually. Dr. Shannon Beardsley, an interventional radiologist and innovator, shares his personal motivation and experiences in managing dialysis access. He introduces Ristra, a software product designed to map and improve the cannulation record, enhancing patient care and reducing complications. The conversation covers the barriers to innovation, the intricacies of the dialysis payment system, and potential cost savings from improved practices. Dr. Beardsley also delves into the potential impact of Ristra on patient outcomes, quality of life, and the importance of collaboration among healthcare teams in adopting new technologies.

 

00:00 Introduction to Dialysis Access

00:37 Welcome to the Next Orbit Podcast

01:14 The High Cost of Kidney Disease

02:47 Challenges in Nephrology Innovation

04:42 Dr. Shannon Beardsley's Journey

08:57 Innovative Solutions for Dialysis

12:15 Impact on Patient Quality of Life

20:20 Technology in Dialysis Management

22:39 Integrating New Tools into Dialysis Workflow

24:04 Challenges in Adoption Across Care Teams

25:09 Strategic Expansion and Integration

27:01 Cost Implications and Potential Savings

32:12 Government Programs and Reimbursement

35:02 Gathering Data and Partnering with Dialysis Centers

37:52 Engaging Technicians and Improving Workflow

43:43 Unexpected Benefits and Future Prospects

44:45 Conclusion and Future Invitations

In this episode of The Next Orbit Podcast, host Ben Wade unpacks the recently announced $50 billion federal initiative aimed at rural healthcare transformation, launched alongside significant Medicaid cuts.

Joined by Dr. Vincent J. Thompson, MD, President & CEO of the Community Health Clinical Research Corporation, the conversation goes beyond headlines to examine where the money actually flows, why frontline clinics continue to struggle, and how sustainable solutions can be built inside community health centers.

Dr. Thompson shares firsthand insights into funding misalignment, the unintended consequences of policy decisions, and how integrating clinical research into primary care can unlock new revenue streams, improve patient outcomes, and strengthen rural health systems for the long term.

This episode is essential listening for healthcare leaders, policymakers, community health executives, and innovators working to close gaps in access and care.

Episode Breakdown & Timestamps

00:00 – Why rural health funding is back in the spotlight

00:41 – Welcome to The Next Orbit Podcast

01:19 – Overview of the $50B rural health funding announcement

02:08 – Why rural health funding often fails at the ground level

03:35 – The real-world impact of Medicaid cuts on clinics

05:16 – How federal funds are distributed—and where they stall

09:03 – Preventive care vs. hospital-based care: a cost reality check

13:37 – The role of HRSA and its influence on community health centers

17:20 – What effective fund allocation should actually look like

23:03 – Innovative approaches to stabilizing rural healthcare

32:07 – Building sustainable funding pathways beyond grants

35:04 – Dr. Thompson’s journey into leadership in primary care

35:25 – The risks of over-reliance on Medicaid funding

35:52 – Using clinical research as a financial and care solution

37:37 – How policy changes ripple through health centers

38:51 – Founding the Community Health Clinical Research Corporation

39:49 – Realigning private-sector dollars for public health impact

40:21 – Addressing diversity gaps in clinical research

41:08 – Why research participation benefits health centers and patients

42:26 – Overcoming barriers to research adoption

42:57 – Training and support for health centers entering research

45:07 – Creating a national research cohort

48:00 – Sustaining community health centers through research models

51:12 – How health centers can get involved today

52:03 – Ethical, effective research practices explained

52:58 – Clearing misconceptions around clinical research

56:32 – Financial upside and long-term sustainability

01:02:37 – Call to action for community health leaders

In this episode of the Next Orbit Podcast, host Ben Wade is again joined by clinical pharmacists Shelly Fortner and Sing Ping Chow, specialists in managing complex pain syndromes, for an in-depth discussion on opioid prescribing and patient safety in today’s healthcare landscape.

Through four real-world patient cases, the conversation explores how clinicians use Prescription Drug Monitoring Programs (PDMPs) to guide safer, more effective pain management decisions. The episode breaks down best practices around opioid prescribing, urine drug screening, and the importance of transparent, non-judgmental communication with patients.

The pharmacists also address common misconceptions surrounding opioid use in patients receiving Suboxone or methadone, offering practical guidance for managing pain across inpatient and outpatient settings. This discussion provides clinicians with actionable insights rooted in evidence, empathy, and clinical experience.

Whether you’re a pharmacist, physician, nurse, or healthcare professional navigating pain management, this episode delivers thoughtful perspectives on balancing relief, safety, and patient trust.

#PainManagement #OpioidSafety #PDMP #ClinicalPharmacy #healthcareleadership

Timestamps -

00:00 Introduction and Welcome

01:14 Meet the Guests: Pain Management Experts

02:35 Case Study 1: Latasha Salazar's Hip Replacement

06:09 Case Study 2: Luke Sadler's Metastatic Cancer

17:03 Case Study 3: Raven Johnson's Acute Pain

24:16 Case Study 4: Peggy Carter's Shoulder Surgery

27:35 Addressing Myths and Misconceptions

37:38 Final Thoughts and Contact Information

39:07 Closing Remarks