Sofia and David, AI hosts, discuss the inefficiencies of credential-focused systems in healthcare and their impact on the workforce and patient care. They explore competency-based models, drawing on examples like scenario-based assessments and condensed residencies, and address the barriers to implementation. Together, they propose actionable steps to create a more adaptable and effective system for healthcare professionals.

There are many reasons to celebrate the health ecosystem in the state of Utah. In this episode of It’s Time, our AI hosts dive into how Utah could take things to a new level, by leading the charge in revolutionizing community health systems. Inspired by six converging forces shaping the state’s future, we explore a bold vision: shifting healthcare from episodic treatments and profit-driven models to a competency-based, efficient, and fair system. Those forces are: the current national political environment with the new Trump administration; the rapidly accelerating relevance of artificial intelligence in health and medicine; the new medical school announced at Brigham Young University; a burgeoning culture of entrepreneurship, disruption, and innovation, including "Silicon Slopes"; Intermountain, Select Health, and the University of Utah; and a trans-sectoral collaboration called the "One Health Collaboration." From rethinking professional pathways for clinicians to fostering flexibility and embracing AI, this conversation is about how transformative change could ripple across the entire healthcare landscape. Could Utah become the model for community health systems of the future? Tune in to find out how it could happen!

In this episode, AI hosts unpack the significance of GLP-1 receptor agonists in managing metabolic health and their broader societal impacts. From issues of inequitable access and profit-driven motives to envisioning systemic healthcare reforms, we analyze how these drugs highlight systemic gaps and opportunities for a prevention-focused, equitable healthcare framework.

In this episode, the AI-hosts dive into topics ranging from personal health choices to systemic healthcare challenges. The conversation highlights the transformative work of organizations like Ochsner Health, which achieved significant cost savings and improved outcomes through value-based care and chronic disease management. The hosts also address alarming developments, such as the recent federal gag order on public health agencies, which limits critical data sharing during peak virus season, and explore the interconnected roles of politicians, healthcare professionals, and citizens in shaping the health system. They discuss the importance of individual actions like diet, exercise, and social connections, noting that only 5-20% of health outcomes are influenced by clinical care. Ultimately, they emphasize collaboration and accountability as key to driving meaningful change.

In this episode of "It's Time to Transform our Health System," the AI hosts explore the concept of "mid-level managers as stealth innovators" in transforming the health system. They highlight the unique power of hospital department leaders, academic chairs, and public health managers to challenge the status quo by hiring visionary staff, fostering innovation, and shaping team culture. The discussion also expands to community-driven efforts, such as the Camden Coalition, demonstrating how addressing social determinants of health can lead to better outcomes and lower costs. Ultimately, the episode emphasizes that meaningful change in the health system is possible when individuals at all levels—managers, academics, and community leaders—align their efforts toward a shared vision of equity and better health for all.

RFK Jr. AI. WHO Withdrawal. Chronic disease management. We're on the edge of chaos in our health system. Right now. And that's not necessarily all bad.

David and Sofia, AI hosts, discuss a Linkedin post by Dr. Graham Walker, and a blog post by Mark Cuban: inefficiencies in the $5 trillion U.S. healthcare system caused by administrative overhead, pricing opacity, and profit-driven motives. They examine how simpler models like cash pay and public financing could create more equitable care and transparency. The conversation highlights proposals for reform, advocating for transparency, collective advocacy, and lessons from global healthcare systems.

Mark Cuban's blog post, "A Few Words on Healthcare": https://blogmaverick.com/2025/01/09/a-few-words-on-healthcare/

Graham Walker's Linkedin Post on the subject: https://www.linkedin.com/posts/graham-walker-md_how-much-money-could-we-save-if-we-eliminated-activity-7286400697502179328-Juim?utm_source=share&utm_medium=member_desktop

What can - and should - our health system learn from tech entrepreneurs? This is a daily health systems transformation podcast with AI hosts, created, managed, and edited by Dr. Chad Swanson. chadswanson.com