
Many accuse health systems of not being willing to innovate. The truth? Lots of innovation is being explored all the time - you just don’t hear about them because most never make it to system-wide scale. For every 100 ideas that get explored within a health system: → 40 undergo lots of internal exploration but don’t achieve necessary buy-in to pilot. Maybe you have a clinical champion but lack buy-in from IT and leadership. Maybe you have top-down enthusiasm but no clinical champion. Lots of reasons ideas die here. → 30 pilots get launched but die off quick because of low user adoption. Maybe you couldn’t get it to fit the clinical workflow. Maybe there are too many competing priorities. Maybe the time to value is just too long. → 15 pilots have good user adoption but KPIs don’t improve. You figured out a way to successfully implement the innovation, but it doesn’t actually show a measurable improvement in clinical outcomes. It’s hard to create something that actually makes a difference on outcomes. → 10 pilots demonstrate improved clinical outcomes, but don’t translate to financial ROI from solving a real business problem - leading to no funding. There are lots of vitamins in healthcare, but only real painkillers tend to get sustainable funding. → 4 pilots demonstrate enough value and ROI to be operationally funded and sustained, BUT can’t grow beyond the initial use case or clinical area. It’s a niche innovation that only has executive sponsorship for a narrow area, but fails to reach escape velocity to justify system-wide transformation. → 1 innovation becomes operationally sustained enterprise-wide, leading to broad transformation across the health system. This is the innovation that the public catches wind of. Note that this isn’t specific to Health Tech - this is often the case for all types of innovation, including new models of care, clinical workflow innovations, AI models, etc. There is far more healthcare innovation being considered, tested and evaluated on an on-going basis than folks realize. It’s just honestly very difficult to earn the right to go from idea to pilot to local success to system-wide success. P.S. Please don’t hate me for there not being exactly 100 circles in the image. I just couldn’t convince the AI it to make the grid the way I wanted it to 😂

The market doesn’t care how long you’ve done it “the old way.” If AI can do it faster, cheaper, better — the switch will happen. https://t.co/zQCFnB0Dpd

By systematically assessing both DNA sequence variants and methylation, we're learning a lot more about risk of (and protection from) colon cancer @ScienceAdvances https://t.co/eA0Y0lrntr https://t.co/5iL4sg0rRC

We want Health Tech to be evidence-based, but the truth is that adoption is ultimately driven by stories - NOT data. Here’s what I’ve seen play out over the past 13+ years over and over again: → Health system execs will choose...
the overall experience for patients from booking health related appointments to waiting ++ is so bad that they will gladly use AI first to avoid frustration
"This is the first time where there's hope - there is a pathway to doing more with less. There is a pathway for the job of being a clinician, being a nurse, to be a fulfilling one. There is a...
Health leaders: your AI strategy may exist… but is it operational? Here’s how organizations are actually deploying agentic AI: https://t.co/iAzZysMNQp Meet NTT DATA at #ViVE2026 🤝 @NTT_DATA_NA #AgenticAI #HITSM
Healthcare AI doesn’t need to be louder. It needs to be smarter, narrower, and trusted. Prenosis’ FDA-authorized sepsis diagnostic shows what that looks like in practice. 🔗https://t.co/JQBRCOKfO3 @PrenosisInc #patientsafety #HITSM
Watch @alexmhogan's latest STATus Report video for a slickkkkk video transition and to catch up on the "AI replacing doctors" conversation. https://www.youtube.com/watch?v=XxGm3BZTf4A
HIPAA guarantees patients a right to their own medical records. In practice, most health systems require patients to fill out a release-of-information form designed for a different legal purpose; justify why they want their own data; and wait. I sampled...

A cyborg pancreatic islet-cell implant takes the stem cell strategy to a new level of precision and potential future therapy for T1 diabetes @ScienceMagazine https://t.co/gkmsrzU1e4 https://t.co/qgegRPlEIl
A key study of $GRAL's Galleri test in the UK failed to reach its primary endpoint, but showed benefits on a secondary endpoint. Tell me what you all think. https://t.co/CDrvokqPop
The most used multicancer early detection (MCED) blood test (liquid biopsy) uses methylation (GRAIL). But combining that with DNA fragmentomics, as reported today @NatureCancer, improves early detection https://t.co/VkNDR4XuW3
What happens when you drop great tech into a fee-for-service system? Farzad Mostashari has a blunt answer—and it’s worth hearing. See what Aledade is doing to make the math work for value-based care: https://t.co/iMKzsdQSrl @AledadeACO #ValueBasedCare #HITsm https://t.co/lL49Ha2UHC
SMART Health IT team submitted formal comments on HTI-5. Feel free to read and borrow language. Briefly: Deregulation should not mean losing sight of whether interoperability is actually working. (HTI-5 risks eliminating the instrumentation ASTP/ONC needs to steer a successful...

Should residents and med students get access to AI scribes? Or does it risk critically de-skilling them? My 7 thoughts: 1/ Students are increasingly using scribes in all aspects of their life. I’m not in school anymore but I suspect many...

Predicting when symptoms of Alzheimer's disease will occur with elevated p-tau217 blood test and a person's age, even 20+ years in advance @NatureMedicine https://t.co/EYaGglBh1H
👍Profusa is my pick for 2026. Fascinating technology to measure real time tissue biochemistry. This is a fundamental shift from blood to tissue to shine a new light on cellular status and metabolism. https://t.co/gfduGvgJTX @ProfusaInc #medicine $PFSA #diabetes
“A robot with soul” ElliQ from @intuitionrobo can help address loneliness & isolation in the @nytimes https://t.co/ydLLNCwnHS
It's 2026, so... I just wrote a Claude Skill that faxes a request form to my healthcare provider.

AI automates cytology, which is a laborious, manual, human subjective task, for pre=screening cells for abnormalities and making initial diagnoses today @Nature https://t.co/ZI3F2pkMxE https://t.co/WsUcRjkHFN https://t.co/mdz1DM6xs7
It can take decades for new medical research to change what happens in the exam room. AI is going to massively accelerate this process. The dissemination of medical research into clinical practice is not slow because the science is slow. It...
Upcoming meeting of federal vaccine panel may be postponed after HHS missed deadlines https://t.co/zfAl7owoQg via @statnews
Legacy systems are piling up—and so is the risk. Great insights from @QuestDX on why ECM is the smartest, most scalable way to archive and protect healthcare data. ➡️ https://t.co/NcgrjGUq3D #HealthECM #HealthIT #HITSM

⚡ How AI, Data, and Innovation are Rewriting the Future of Care Let's take a closer look at education in medicine and healthcare. But let's start with a simple question. 🤔 Are you happy with that generic "tear sheet" of information...

This book explains how disruptive technologies and emerging trends such as robotics, artificial intelligence, 3D printing, precision medicine or patient design will impact the manufacturing and distribution of pharmaceuticals in order to prepare successfully for a better future of healthcare. It's...

In a new study, authors created a physician-validated benchmark spanning 10 text-based and multimodal tasks, against which they evaluated leading large language models (LLMs). "Then, we developed “Dr. CaBot,” an AI discussant designed to produce written and slide-based video presentations...

A lot of people don't even know they have high blood pressure, while over 200 million people wear an Apple Watch. The bridge between the two is whether an Apple Watch can properly detect hypertension. A new JAMA study aimed...
Value-based care data gap: Why metrics fail to reach the bedside https://t.co/CvUOKiL4Ki #Policy #PublicHealthPolicy via @kevinmd
Are induction cooktops dangerous for people with pacemakers? In rare cases, magnets can interfere with heart devices, but typically only when held extremely close. That doesn’t mean the technology is dangerous. It means awareness matters. Modern shielding + thoughtful device placement significantly reduce...
I analyzed the mandatory "EHI Export" documentation for essentially every certified EHR on the market. Read on for the full picture; examples of the good, the bad, and the ugly; and recommendations for ONC, vendors, and patients to improve access...
Healthcare organizations already have content. The challenge is reviewing and improving it at scale. Fred Camacho, PhD (HealthcareGPS) explains how AI enables human-in-the-loop health-literate revisions.👇 https://t.co/0iieGLgaNc @HealthcareGPSai #IHA #HealthLiteracy #HITSM https://t.co/c0GsWP93Uj
.@Vero_Bioscience is working to end age related chronic disease. With a simple blood test, Vero uses proteomics and machine learning to measure the biological age of each organ, revealing where the body is aging fastest so people can intervene early...
Something’s changing in post-acute care. Payers and providers are aligning on priorities, data, and technology—and it’s reshaping the continuum. 🔗 https://t.co/cq0WY5sKsh @PointClickCare #postacutecare #HITSM
Healthcare will never interoperate like banking or ride-sharing—and that’s okay. Jay Nakashima explains why healthcare data is different, and how networks are adapting: https://t.co/6q2TCgEW0q @eHealthExchange #QHIN #HITSM
Hospitals aren’t losing because of too little data—they’re losing because insight arrives too late. Great breakdown from Bamboo Health on why TEAM will reward real-time intelligence, not spreadsheets. ➡️ https://t.co/zYH1JPyKDd #TEAMModel #HealthIT #HITSM

Since 2020, health systems have diverged in Digital Health strategies for patient journeys (e.g. pre/postsurgery engagement). Two main camps: Camp 1: “We will deliver the best digital experience for patients that delivers the highest patient adoption, engagement and outcomes - we’re...
Choosing the right interpreting partner = compliance, trust & better outcomes. @Boostlingo’s Nate Klause highlights 10 top providers: https://t.co/cCnTqW5jvU #HealthEquity #HealthcareIT #HITSM

I interviewed a dual-boarded psychiatrist and internist who warns that the ambiguity of CPT codes is being used to criminalize physicians. Dr. Muhamad Aly Rifai joined me to discuss the chilling case of Dr. Ron Elfenbein. During the COVID-19 pandemic, Dr. Elfenbein...

I'll give a presentation today to medical students at Semmelweis Medical School about the rise of digital health and AI, as part of the 𝐷𝑖𝑠𝑟𝑢𝑝𝑡𝑖𝑣𝑒 𝑇𝑒𝑐ℎ𝑛𝑜𝑙𝑜𝑔𝑖𝑒𝑠 𝑖𝑛 𝑀𝑒𝑑𝑖𝑐𝑖𝑛𝑒 course that I co-launched. 𝐈𝐟 𝐭𝐡𝐞𝐫𝐞 𝐢𝐬 𝐨𝐧𝐞 𝐦𝐞𝐬𝐬𝐚𝐠𝐞 𝐲𝐨𝐮 𝐰𝐨𝐮𝐥𝐝 𝐫𝐞𝐚𝐥𝐥𝐲 𝐥𝐢𝐤𝐞...
Can you guess what this device is for? It is made by Koushicare, and it helps people with dry eye. https://t.co/FilgMQ1JEy
Pain that comes from mammography has been a common challenge in screening. But what if a device can change that experience? Here is a no-compression breast CT. As far as I know, no-compression dedicated breast CTs like the Koning Vera exist...
Your human users might only read the visible content in your page, but bots read the HTML comments :-) I appreciated this nugget from my EHI Export analysis, and I have to say that I agree with "kendra/sli", they had...

The most valuable skills for 2026 are not mysterious. Delivery leadership, data literacy, EPR fluency, governance, and communication keep reappearing. These skills survive restructures, tech shifts and policy cycles. Career Navigator 2026 outlines the full skills picture.
Working on a story about where AI is actually creating more, rather than less, work for clinicians. (As in, adding additional grunt work or even creating entirely new and tiresome workflows.) Reach out if you'd like to contribute.
For the Nancy Guthrie case, an idea and maybe a crazy one but she had a pacemaker which often implantable devices use bluetooth such as Medtronic's. Couldn't you war-drive (drones even better) with a high gain antenna with amplifiers -...
.@tryprana is an AI primary doctor in your pocket that monitors you 24/7. Connect your wearables to your medical records to monitor for clinical drift. At any moment, you can instantly bring a Board-Certified MD into the chat to review your...

Our latest paper appeared today as a cover (inside front) feature article in Advanced Functional Materials, titled “A Bioresorbable Neural Interface for On-Demand Thermal Pain Block.” The focus is on a bioresorbable, implantable form of neural electronics that supports precisely...
Bringing the innovative capabilities of @OracleHealth Clinical AI Agent to the NHS and throughout the UK underscores our commitment to empowering doctors to deliver exceptional care. By embedding advanced AI-powered capabilities into clinician workflows, we can tackle some of the region's biggest healthcare...

Over 90% of responders believe it's time for mammography to incorporate AI for every readout, whereas close to 0% who get screened are getting that interpretation now, and at no out-of-pocket charge https://t.co/hITOBNd7pg https://t.co/x1I6Ffxfio