Risk Never Sleeps Podcast

Episode #233. AI Doesn’t Matter If Patients Don’t Win, with Michael Archuleta, Chief Information Officer with Mount San Rafael Hospital and Clinics

18 min · 11. juni 2026
episode Episode #233. AI Doesn’t Matter If Patients Don’t Win, with Michael Archuleta, Chief Information Officer with Mount San Rafael Hospital and Clinics cover

Description

Healthcare needs patient-centered innovation that actually saves lives. In this episode, Michael Archuleta, Chief Information Officer with Mount San Rafael Hospital and Clinics, shares how he is leading digital transformation as CIO of Mt. San Rafael Hospital, with a strong focus on patient-centered innovation. He explains that AI is only valuable when it directly improves patient outcomes, highlighting real-world applications such as radiology tools that help detect strokes and brain bleeds more quickly. Michael also emphasizes the importance of transforming hospitals into digital-first organizations and leveraging tools like remote patient monitoring to expand access, especially in rural communities. Ultimately, he underscores that financial sustainability and operational efficiency can be achieved while keeping the patient at the center of every decision. Tune in to hear how Michael Archuleta is turning AI from a buzzword into a life-saving, patient-first strategy! Resources: * Connect with and follow Michael Archuleta on LinkedIn [https://www.linkedin.com/in/michaelarchuleta1/?locale=es]. * Follow Mount San Rafael Hospital and Clinics on LinkedIn [https://www.linkedin.com/company/mtsanrafaelhospital/] and explore their website [https://www.msrhc.org/]! For more information and ways to increase risk awareness and safety, visit us at⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.censinet.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ [https://www.censinet.com/]. Music by⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠David Cosgrove⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ [https://www.linkedin.com/in/davidcosgrove/] an accomplished composer, musician, producer, and engineer. Listen to his latest project⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Del Piombo⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ [https://delpiombo.com/]. Learn more about your ad choices. Visit megaphone.fm/adchoices [https://megaphone.fm/adchoices]

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236 episodes

episode Episode #236. Rural Healthcare Can’t Afford Bad AI Decisions, with Jim Roeder, CIO and VP of IT at Lakewood Health System artwork

Episode #236. Rural Healthcare Can’t Afford Bad AI Decisions, with Jim Roeder, CIO and VP of IT at Lakewood Health System

AI in rural healthcare is about balance: innovation vs. risk, automation vs. control, and doing more with less. In this episode, Jim Roeder, CIO and VP of IT at Lakewood Health System, discusses how rural healthcare systems are approaching AI adoption, with a strong emphasis on governance, security, and alignment with organizational values. He highlights the challenge of managing both new AI tools and existing, often unrecognized AI embedded in current systems. While innovation like ambient listening is rapidly gaining traction, emerging technologies such as agentic AI require careful evaluation due to potential risks. With limited resources, his organization focuses on strategic prioritization, infrastructure modernization, and maintaining operational autonomy. Tune in to hear how a rural health system CIO is navigating AI governance, infrastructure modernization, and the real-world tension between innovation and security! Resources: * Connect with and follow Jim Roeder on LinkedIn [https://www.linkedin.com/in/jim-roeder-lhs/]. * Follow Lakewood Health System on LinkedIn [https://www.linkedin.com/company/lakewood-health-system/] and explore their website [https://www.lakewoodhealthsystem.com/]! * Check out the Health Sector Coordinating Council website [https://healthsectorcouncil.org/]! For more information and ways to increase risk awareness and safety, visit us at⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.censinet.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ [https://www.censinet.com/]. Music by⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠David Cosgrove⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ [https://www.linkedin.com/in/davidcosgrove/] an accomplished composer, musician, producer, and engineer. Listen to his latest project⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Del Piombo⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ [https://delpiombo.com/]. Learn more about your ad choices. Visit megaphone.fm/adchoices [https://megaphone.fm/adchoices]

18. juni 202618 min
episode Episode #235. If Nurses Don’t Trust Your AI, Your Innovation Is Dead, with Karie Ryan, Chief Nursing Officer at Artisight artwork

Episode #235. If Nurses Don’t Trust Your AI, Your Innovation Is Dead, with Karie Ryan, Chief Nursing Officer at Artisight

Technology adoption in healthcare doesn’t hinge on innovation; it hinges on trust. In this episode, Karie Ryan, Chief Nursing Officer at Artisight, explains why clinicians remain skeptical after years of short-lived IT initiatives and how proving ROI and workflow alignment is critical. She explores how AI and virtual care can reduce burnout, enhance decision-making, and improve both patient and nurse experiences, without replacing the human element of care. Karie also highlights the growing importance of ambient documentation to eliminate administrative burden and restore presence at the bedside. Tune in to learn how healthcare leaders can drive meaningful transformation by focusing on trust, ethics, and clinician-centered design! Resources: * Connect with and follow Karie Ryan on LinkedIn [https://www.linkedin.com/in/karieryan/]. * Follow Artisight on LinkedIn [https://www.linkedin.com/company/artisight/] and discover their website! For more information and ways to increase risk awareness and safety, visit us at⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.censinet.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ [https://www.censinet.com/]. Music by⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠David Cosgrove⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ [https://www.linkedin.com/in/davidcosgrove/] an accomplished composer, musician, producer, and engineer. Listen to his latest project⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Del Piombo⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ [https://delpiombo.com/]. Learn more about your ad choices. Visit megaphone.fm/adchoices [https://megaphone.fm/adchoices]

16. juni 202625 min
episode Episode #234. The Silent Collapse of Healthcare AI Adoption, with Landon Ware, Strategic Growth Executive for Ambience Healthcare artwork

Episode #234. The Silent Collapse of Healthcare AI Adoption, with Landon Ware, Strategic Growth Executive for Ambience Healthcare

Most hospitals celebrate 40% adoption of AI tools, but what if that’s actually failure? In this episode, Landon Ware, Strategic Growth Executive for Ambience Healthcare, explains how ambient AI is evolving from basic scribing into a comprehensive system that supports clinicians before, during, and after patient encounters. By combining accurate documentation with real-time coding, the technology helps healthcare organizations capture more value while reducing administrative burden. However, he highlights that the biggest issue in the industry isn’t innovation—it’s low adoption, with many tools only used 10–40% of the time. Looking ahead, expanding into nursing workflows, inpatient settings, and early-care moments like EMS will be key to unlocking the full potential of ambient AI. Tune in to learn why utilization is the real bottleneck in healthcare AI, and what it will take to fix it! Resources: * Connect with and follow Landon Ware on LinkedIn [https://www.linkedin.com/in/landon-ware/]. * Follow Ambience Healthcare on LinkedIn [https://www.linkedin.com/company/ambiencehealthcare/] and explore their website [https://www.ambiencehealthcare.com/]! For more information and ways to increase risk awareness and safety, visit us at⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.censinet.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ [https://www.censinet.com/]. Music by⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠David Cosgrove⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ [https://www.linkedin.com/in/davidcosgrove/] an accomplished composer, musician, producer, and engineer. Listen to his latest project⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Del Piombo⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ [https://delpiombo.com/]. Learn more about your ad choices. Visit megaphone.fm/adchoices [https://megaphone.fm/adchoices]

15. juni 202629 min
episode Episode #233. AI Doesn’t Matter If Patients Don’t Win, with Michael Archuleta, Chief Information Officer with Mount San Rafael Hospital and Clinics artwork

Episode #233. AI Doesn’t Matter If Patients Don’t Win, with Michael Archuleta, Chief Information Officer with Mount San Rafael Hospital and Clinics

Healthcare needs patient-centered innovation that actually saves lives. In this episode, Michael Archuleta, Chief Information Officer with Mount San Rafael Hospital and Clinics, shares how he is leading digital transformation as CIO of Mt. San Rafael Hospital, with a strong focus on patient-centered innovation. He explains that AI is only valuable when it directly improves patient outcomes, highlighting real-world applications such as radiology tools that help detect strokes and brain bleeds more quickly. Michael also emphasizes the importance of transforming hospitals into digital-first organizations and leveraging tools like remote patient monitoring to expand access, especially in rural communities. Ultimately, he underscores that financial sustainability and operational efficiency can be achieved while keeping the patient at the center of every decision. Tune in to hear how Michael Archuleta is turning AI from a buzzword into a life-saving, patient-first strategy! Resources: * Connect with and follow Michael Archuleta on LinkedIn [https://www.linkedin.com/in/michaelarchuleta1/?locale=es]. * Follow Mount San Rafael Hospital and Clinics on LinkedIn [https://www.linkedin.com/company/mtsanrafaelhospital/] and explore their website [https://www.msrhc.org/]! For more information and ways to increase risk awareness and safety, visit us at⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.censinet.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ [https://www.censinet.com/]. Music by⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠David Cosgrove⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ [https://www.linkedin.com/in/davidcosgrove/] an accomplished composer, musician, producer, and engineer. Listen to his latest project⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Del Piombo⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ [https://delpiombo.com/]. Learn more about your ad choices. Visit megaphone.fm/adchoices [https://megaphone.fm/adchoices]

11. juni 202618 min
episode Episode #232. Code Blue: When the Hospital Goes Offline, with Natalie Freels, clinician, researcher, and educator in hospital internal medicine at Mayo Clinic Florida artwork

Episode #232. Code Blue: When the Hospital Goes Offline, with Natalie Freels, clinician, researcher, and educator in hospital internal medicine at Mayo Clinic Florida

What happens to patient care when the systems everyone depends on suddenly go dark? In this episode, Natalie Freels, clinician, researcher, and educator in hospital internal medicine at Mayo Clinic Florida, shares her work as a physician assistant in hospital internal medicine at Mayo Clinic, where she operates at the intersection of clinical care, technology, and healthcare resilience. Her work includes implementing tools like continuous glucose monitoring, optimizing EHR systems, and leading downtime preparedness efforts to ensure care delivery continues safely when systems fail. She emphasizes that true resilience is not about recovery speed, but about maintaining consistent clinical workflows without technology. Natalie also reflects on her nontraditional career path and highlights the importance of purpose-driven work, thoughtful innovation, and embracing a portfolio career mindset in a rapidly evolving, AI-driven healthcare landscape. Tune in to hear how Natalie Freels is rethinking healthcare resilience at Mayo Clinic, designing clinical workflows that keep patients safe even when technology fails! Resources: * Connect with and follow Natalie Freels on LinkedIn [https://www.linkedin.com/in/natalie-freels/]. * Follow Mayo Clinic on LinkedIn [https://www.linkedin.com/company/mayo-clinic/] and explore their website [https://www.mayoclinic.org/]! For more information and ways to increase risk awareness and safety, visit us at⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.censinet.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ [https://www.censinet.com/]. Music by⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠David Cosgrove⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ [https://www.linkedin.com/in/davidcosgrove/] an accomplished composer, musician, producer, and engineer. Listen to his latest project⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Del Piombo⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ [https://delpiombo.com/]. Learn more about your ad choices. Visit megaphone.fm/adchoices [https://megaphone.fm/adchoices]

9. juni 202627 min