The 229 Podcast

Some conversations are too important to stay in the room. The 229 Podcast, hosted by Bill Russell, Sarah Richardson, and Drex DeFord, continues the dynamic discussions from our community events, bringing together healthcare leaders who are actively transforming the industry.

The 229 Podcast is a technology podcast hosted by 229Project, with 200 episodes on record and a Required Pod Score of 80.

229Project hosts The 229 Podcast, a technology show with 200 episodes published.

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  Episode #58

  The First Acute System on Epic Orchard | The 229 Podcast with John McDaniel

  Sep 30, 202622 minS3

  October 1, 2026: John McDaniel , CIO at Trinity Health in Minot, North Dakota, sits down with Sarah Richardson. Trinity is the first acute system on Epic Orchard. The region is rural, about a 120-mile radius, and recruiting and educating an implementation team was the hard part. Epic handles the third-party contracts and the upgrades. Discovery replaced an RFP. More than 300 people, about 10 percent of the organization, took part. John says 97.9 percent chose Epic. He also says undercoded care was about $36 million a year. He chairs the AI council and can say no. Key Points: 0:00 The first acute system on Orchard 4:16 Luma Health 5:32 Epic handles the contracts and the upgrades 7:38 Clearsense 8:26 Discovery instead of an RFP 10:02 A 10-year case approaches a billion dollars 10:29 About $36 million a year undercoded 13:06 Data owners sign off 13:58 The AI council can say no 16:03 $5 to $10 per encounter 19:43 Use the enterprise as an extension of DTG LinkedIn: 229 Project Donate: Alex's Lemonade Stand: Foundation for Childhood Cancer

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  Episode #57

  $2.8 Billion. Then Check If the Fire Is Still Going

  Sep 29, 202617 minS3

  September 30, 2026: Christopher Tyne, Chief Engineering Officer at Health Catalyst, sits with Bill Russell. Health systems are being sold AI that demos well and does not move an outcome. Chris puts $2.8 billion in validated outcomes on the table, then the test: do not just shine a flashlight at the fire. Hand them the extinguisher. Then check whether it is still burning. Guest: Christopher Tyne ( Health Catalyst ) Key Points: 0:00 $2.8 billion. Did it do anything 0:06 Chris Tyne, Health Catalyst 2:04 AI without the healthcare lexicon 4:03 Health Catalyst 4:34 100 million Americans without primary care 6:10 Mix of experts 7:44 Coumadin 10:00 The medical record starts giving back 12:08 Clients, exploration, trained models 13:48 Don't just shine a flashlight 15:52 Close Donate: Alex's Lemonade Stand: Foundation for Childhood Cancer Keep up to date on the latest in health IT: https://thisweekhealth.com/news/

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  Episode #57

  We Got Over 600 Ideas in a Week | The 229 Podcast with Derek De Young

  Sep 23, 202655 minS3

  September 24, 2026: Bill Russell sits down with Derek De Young of Epic, the research and development lead Judy named as owner of Agent Factory at UGM. What CIOs keep calling a low-code builder is still a development preview. Epic staff are building alongside the sites. Early adopter is a checklist at the end of October. GA is a Q1/Q2 goal. One webinar produced over 600 ideas in a week. Inova ran measles chart reviews 15 times faster and asked to share the agent. Two teams at the first build-a-thon built the same job: $1.10 a run vs 10 cents. Key Points: 0:00 Agent Factory is still early 7:45 What's actually available 11:18 A code-status agent in production 20:13 Chart reviews 15 times faster 22:17 Take it, shape it, make it 24:14 Who should build 26:49 Cost, traces, kill switches 45:29 600 ideas in a week 48:53 What to do in the next 90 days LinkedIn: 229 Project Donate: Alex's Lemonade Stand: Foundation for Childhood Cancer

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  Episode #56

  They Thought They Had 25 AI Tools. They Had 250

  Sep 22, 202626 minS3

  September 23, 2026: Christian Boucher (Healthcare CTO, Island) sits down with Sarah Richardson. He came into healthcare because his wife is a nurse. He watched clinical systems move to the browser while security got bolted on around them, and the workflows broke. One customer said they had 25 AI tools locked down. Island looked at every browser in the shop. 250. A remote clinical analyst team was waiting a minute to reach a usable EHR. On Island: 20 seconds. Guest: Christian Boucher ( Island ) Key Points: 0:00 They thought they had 25 AI tools 0:06 Welcome 0:56 Why the browser had to be rethought 5:09 Island 6:31 Browser as a control point 11:53 A minute became 20 seconds 16:21 25 tools were 250 20:17 What to ask an enterprise browser 21:20 Security that improves the experience 25:08 Close Donate: Alex's Lemonade Stand: Foundation for Childhood Cancer Keep up to date on the latest in health IT: https://thisweekhealth.com/news/

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  Episode #55

  Burning Man and the Tardigrade: When the Bad Thing Happens | Unhack the Podcast with Sarah Richardson

  Sep 21, 202619 minS3

  September 22, 2026: Sarah Richardson sits down with Drex DeFord for a special UnHack. No CISO guest this month. Drex is 24 hours off the Black Rock Desert and into the New Orleans regional staff roundtable, where three people told him they were there for the Burning Man stories. He answers how the city actually works. Then the picture he sent Sarah: a tardigrade on the playa. Heather Costa made that microscopic survivor the mascot for healthcare IT resilience. Same question the RSR afternoon is built on: what do you do when the bad thing happens, so patients, families, and staff still get care. Key Points: 00:06 A Special UnHack 02:56 Fortified Health 03:30 How the City Works 08:38 Art, the Man, and the Temple 12:42 The Tardigrade 15:03 When the Bad Thing Happens Keep up to date on the latest in health IT: https://thisweekhealth.com/news/ X : This Week Health LinkedIn: This Week Health Donate: Alex’s Lemonade Stand: Foundation for Childhood Cancer

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