One Click At a Time: Technology Empowered Family Medicine Podcast

Kameron Matthews MD, JD: Possibility Beyond Tradition

Dr. Kameron Matthews is a family physician and Chief Health Officer for Cityblock Health, an innovative value-based care provider that leans on technology to integrate care. In this episode, Kelly and Lalita explore Kameron's journey through medical school and law school, her leadership at the Veteran's Health Administration, and what bringing innovation beyond tradition looks like. A key lesson: just because we've always done something in a certain way doesn't mean that we have to keep doing it...

AAFPxRock Health: The Starfield Summit

In early May, Lalita and Kelly attended the Starfield Summit, a collaboration between the American Academy of Family Physicians and Rock Health, in Kansas City, MO! In this episode, they reflect on the conversation at the summit and their key takeaways on the principles that can guide AI development to support primary care with ground truths, including the 4 Cs of Primary Care (Comprehensiveness, First Contact, Coordination, and Continuity) which were inspired by research from the summit's names...

Reducing Administrative Burden for Family Physicians

In April, Kelly gave a talk called "Reducing Administrative Burden for Family Physicians" to the Texas Academy of Family Physicians at their Lectureship CME series. In this episode, she shares her talk with you, our One Click At A Time listeners! Using the AAFP mnemonic "The Triple Ts: Techniques, Technologies, and Transformations," she breaks down how to organize ourselves and where we can focus our attention when targeting administrative burden, whether it is through human centered design prac...

Is Family Medicine Innovation?

Innovation is a word that is liberally used in technology spaces. Within family medicine circles, we believe that innovation is baked in to our self-perception. Bridging that gap is like leading a diplomatic mission. In a payment landscape where family medicine is the "upstream" problem to the "downstream solution," what is the innovative role of family medicine? In this episode, Kelly and Lalita break down the innovative origins of family medicine, and dissect the role that uncertainty and full...

Repost: Breaking down the attack on Change Healthcare

Repost: Kalie Dove-Maguire, MD: Choosing Coding Over Sourdough

We're taking a break for the month of April, but we still want you to meet some of our incredible friends and colleagues! In September of 2024, we chatted with Chief Product Officer extrodinaire, Kalie Dove-Maguire. Take a listen! In this episode, Kelly and Lalita chat with a good friend of the podcast, Dr. Kalie Dove-Maguire. Kalie is an Emergency Medicine physician who is now the Chief Product Officer at Evidently, an AI-enabled chart review tool. Previously, Kalie was the Senior Director of P...

Repost: Value Based Payment Makes Us Sad

We're taking a break for the month of April, so we thought we would repost some of our spicier takes! This episode was originally published July 16, 2024. "Value" based care is all the rage, but as two family docs interested in data and measurability, we're not so sure. VBC will likely increase the need for informaticists and good data queries, but are proxies dictated by payers really able to capture the value of primary care? Or is qualitative research a better way to measure the immeasurable?...

Marisha Burden, MD: The Physician-Researcher Who Does

In this week's episode, Kelly and Lalita speak with Dr. Marisha Burden, the division head of Hospital Medicine and a professor of medicine at the University of Colorado School of Medicine and the co-creator of the mobile platform, Gritty Work. She's an avid researcher, publisher, and thought leader on evidence-based work design and building thriving teams. With a remarkable broad research base and the curiosity to creatively address research questions on optimal teams, workplace improvements for...

Esther Johnston, MD: Global Health and Technology

Alternate title: Assessment BEFORE Plan In this episode, Lalita and Kelly speak with Esther Johnston, MD, family physician and an Assistant Professor at the University of Minnesota North Memorial Family Medicine Residency Program. She currently serves as the Director of the Global Engagement Network for Primary Health Care (GEN-PHC), a polycentric collaborative of primary care academicians that aims to facilitate the development of educational pathways, data, policies, and programs needed to sup...

Alex Butler, MD: Fun is the Key

Kelly and Lalita chat with Alex Butler, MD a pediatric chief resident at Boston Children’s Hospital and Boston Medical Center, and the co-founder and Chief Product Officer of River Records, an AI-powered documentation and data summarization platform. Alex received a medical degree and a Masters in Clinical Informatics from Columbia University. In this episode, the three discuss the phenomenon of a "noteless EHR," the interface goals of River Records, the influence of Dr. Lawrence Weed on clinica...

Col. Brian Cahill: Informatics Leadership Through the Culture of Nursing

In this episode, Lalita and Kelly speak with Col. Brian Cahill, Chief of Soldier Primary Care and soon-to-be Chief Nursing Officer at Carl R. Darnall Army Medical Center in Fort Cavazos, Texas. As a colonel in the army with a 20-year career in clinical and administrative leadership roles, Brian discusses his journey from bedside nursing to completing a Masters degree in Clinical Informatics at Duke University to implementing MHS Genesis as CMIO at the Army Medical Center. He delves into the chal...

Origin Stories

Kelly and Lalita share their own backgrounds and how they got interested technology innovation. They also share the origin story of the podcast! Other hot takes on this week's episode include: - Do we actually want to work at the top of our license? - Sometimes fun solutions are better than efficient ones - Big picture thinking to change systems and identifying stakeholders

Sara Pastoor, MD: Leading the Pack

In this week's episode, Lalita and Kelly speak with Dr. Sara Pastoor, a DPC family physician at People-Centered Health and the Head of Primary Care Advancement at Elation Health. Sara shares her origin story of her instrumental role in shifting the military from AHLTA (the armed services EHR) to safer interfaces, all the way to Elation Health which emphasizes the importance of co-development between family physicians and design/engineering teams. She also shares some incredible leadership advice...

Jordan Chanler-Berat, MD: Radical POCUS

Jordan Chanler-Berat, MD is an Emergency Medicine physician and the founder/CEO of POCUS Preceptor, a company that supports clinical learners to learn point-of-care ultrasound later in their careers. In addition to practicing at Baystate Health, Berkshire Health Systems, and Holyoke Medical Center and teaching at ultrasound at UMass Chan Medical School, Dr. Chanler-Berat spends time as a clinical advisor for Circucare, a novel wearable cardiac ultrasound biotechnology company. In this episode, J...

Sarah Nosal, MD: Ask, Lead, Simplify

Dr. Sarah Nosal, MD is the president-elect of the American Academy of Family Physicians and a practicing family physician in the Bronx. In this episode, Sarah shares her journey with Lalita and Kelly from her days programming a turtle in kindergarten to becoming the Vice President for Innovation & Optimization and Chief Medical Information Officer at The Institute for Family Health, a federally qualified health center in New York. Lalita, Kelly and Sarah talk about the importance of asking f...

Travis Bias, DO: The Family Medicine Business Ambassador

Travis Bias, DO, MPH, FAAFP, is a Family Medicine physician and Deputy Chief Medical Officer of Health Information Systems at Solventum, the healthcare business spin-off of 3M. Travis has had a varied career, including full time clinical medicine, peace corps work as a medical educator, and multiple roles within 3M. Kelly, Lalita and Travis talk about his experiences being the only family physician in a corporate setting, what the day to day entails, and how family physicians are perfectly situa...

Elliott Wortham: Considering the Unconsidered

We're back for 2025! In this episode, Lalita and Kelly speak with Elliott Wortham, a design and strategy consultant and the Director of Cove Studio in San Francisco, CA. Elliott helps us understand design principles for the family physician and how a fresh perspective is imperative to problem solving. Ultimately, each one of us can consider the unconsidered in our clinical environments to make it a better experience all around.

Reflections

Thank you to all of our listeners for tuning in each week! In this episode, Kelly and Lalita reflect on an incredible year of doing 28 podcast episodes, and how these conversations have changed their perspective on technology in primary care, while impacting how they practice medicine on the ground. Kelly and Lalita highlight some of their favorite podcast moments and set intentions for the new year.

Patricia Kelly Marsh, MD: BELIEVE!

In the second to last episode of the season, Kelly and Lalita have a wonderful conversation with family physician, entrepreneur, and CEO of AskMeYourMD, Dr. Patricia Kelly Marsh. In this episode, Patricia shares with us how she is breaking the mold when it comes to telemedicine and payment models, and how the thing driving her through thick and thin is strong sense of confidence, faith, and believing in yourself at all costs. An inspiring and truly entertaining episode!

Robert Oh, MD: CGM Pioneer

Dr. Robert Oh's career has spanned military service, residency education, and he now serves as the Chief Wellness Officer for the Veterans Affairs Health Care System in Palo Alto. An enthusiast for cutting edge medical innovations, Rob has used continuous glucose monitors since 2019 and advocates for their use in family medicine practices. In this episode, Kelly, Lalita and Rob discuss medical research, the challenges of applying statistics-based evidence based medicine to individual patients, a...

Katherine Davis, MD: Educating at Scale

Dr. Katherine Davis is a family physician and educator with a background in health informatics. Dr. Davis was instrumental as residency faculty at Summa Health in Akron, Ohio and most recently took that experience to apply her expertise at scale at MDCalc. Kelly and Lalita chat with Katie about her experiences and how important it is for family medicine physicians to have a seat at the table in health technology.

Data Sharing, Abortion Access, and the Right to Privacy

Kelly and Lalita talk about data privacy and its impacts on patient/physician safety, and how regulating an implied right to privacy is important to prevent indiscriminate data sharing...while still being excited about interoperability! It's a mixed bag conversation!

Shawn Martin: AAFP x Rock Health

Kelly and Lalita talk to Shawn Martin, CEO of the AAFP on a new collaboration with Rock Health, a digital health investment and consulting group. They talk about the intention and the vision behind the collaboration and about how family physicians can get a seat at the table. They also discuss how this collaboration can help family physicians better understand our current technological environment, support family medicine education, improve operational and clinical workflows, and help disruptors...

Kalie Dove-Maguire, MD: Choosing Coding Over Sourdough

In this episode, Kelly and Lalita chat with a good friend of the podcast, Dr. Kalie Dove-Maguire. Kalie is an Emergency Medicine physician who is now the Chief Product Officer at Evidently, an AI-enabled chart review tool. Previously, Kalie was the Senior Director of Product at Carbon Health, where she oversaw the EHR and the rollout of AI-enabled ambient documentation. Kalie, Lalita, and Kelly chat about career journeys, innovations in the future of health tech, and ground their conversations i...

Lalita Goes to Rock Health Summit!

In this episode Kelly interviews Lalita on her experience attending the Rock Health Summit in San Francisco, California. The Rock Health Summit "is a digital health conference that brings together diverse minds from technology, medicine, public health, and beyond for a day of inspired conversation and connection." Lalita shares the overall gist and gets into the specifics of some of the themes and products that she saw during the event. If you're interested in reviewing all of the speakers, you ...

Matt Sakumoto, MD: Efficient Eddie, AI, and Scribes

Kelly and Lalita welcome their very first guest! Matt Sakumoto is the Regional Chief Medical Informatics Officer at Sutter West Bay Medical Group in San Francisco, and health tech start-up consultant. He is a graduate of the UCSF Health Informatics Fellowship and an Internal Medicine Physician at a Virtual First Medical Practice at Sutter. In this episode Kelly, Lalita and Matt talk about using personas in clinical technology education, AI scribing, and Matt shares a Help Desk Ticket of the Week...

Health IT Policy Part 3: TEFCA and The Gauge Wars

Assistant Secretary for Technology Policy. HTI-2 Proposed Rule Patient, Payer, Provider API Information Session https://www.youtube.com/watch?v=hn3Bn3_9l9M Public Comment for ONC rule: https://www.federalregister.gov/documents/2024/08/05/2024-14975/health-data-technology-and-interoperability-patient-engagement-information-sharing-and-public-health...

Kelly Goes to Epic UGM!

In this episode, Kelly shares her experience and takeaways from Epic's UGM! We discuss Epic's influence on the software space including: - Generative and Predictive AI - Whether we should start tackling downtime issues - Cybersecurity - Epic's international, interconnected influence - Change Management - Keeping up with change ...and more!

Health IT Policy Part 2: HITECH, MACRA, and Cures Act

Alternate Title: Slime Mold Maps and Taco Seasoning In this excellent episode, Kelly and Lalita dive back into the discussion on Health IT legislation, this time starting with HITECH (Health Information Technology for Economic and Clinical Health Act) and moving through the 21st Century Cures Act. We discuss the role of Health IT regulation in developing the current landscape, and where we hope things go as we build out some of the aspirational goals of the Cures Act. Also, how do we swing the p...

Health IT Policy Part 1: IOM Goals, HIPAA

References: Institute of Medicine. Computer-Based Patient Record: An Essential Technology of Health Care. 1991. https://nap.nationalacademies.org/catalog/18459/computer-based-patient-record-an-essential-technology-for-health-care Ambinder, EP. A History of the Shift Toward Full Computerization of Medicine. J Oncol Prac. 2005 Jul; 1(2): 54–56. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2793587/ George W Bush White House Archives. President Bush Strengthened America's Health Care System. https:/...