Healthcare Algorhythm

How Dr. Ricardo Febry Is Helping Seniors Stay at Home Longer Through Better Care Coordination

What does it really take to help older adults remain safely at home? In this episode of Healthcare Algorhythm, Dr. Will Strimel sits down with Dr. Richard Febry, founder of Care Associates, a physician-led organization delivering home-based primary care, transitional care, caregiver support, and hospice services to medically complex seniors. Drawing on decades of experience in nursing homes, hospitals, hospice, and home-based care, Dr. Febry shares how his journey led him to rethink traditional healthcare delivery and build a model focused on keeping frail older adults out of institutions whenever possible. The conversation explores why so many seniors struggle to navigate a fragmented healthcare system, the critical role of caregivers, and how better coordination—not just better medicine—can dramatically improve quality of life. Dr. Febry also discusses his unique experience building custom technology solutions for his organization, his perspective on artificial intelligence in healthcare, and why clinicians should become more involved in shaping the tools they use every day. Whether you're a healthcare professional, caregiver, healthcare entrepreneur, or simply interested in the future of aging in place, this episode offers valuable insights into one of healthcare's most important challenges. KEY TOPICS DISCUSSED 1. Home-based primary care and transitional care 2. Keeping older adults safely at home 3. Caregiver support and care coordination 4. The GUIDE dementia care model 5. Healthcare fragmentation and aging populations 6. Physician-led innovation and software development 7. Artificial intelligence in clinical practice 8. Technology's role in improving patient outcomes 9. The future of independent medical practice ABOUT OUR GUEST Dr. Richard Febry is the founder of Care Associates, a Louisiana-based healthcare organization focused on integrating home-based medical care, caregiver support, dementia services, case management, adult day care, and hospice services for frail and homebound older adults. With experience spanning internal medicine, nursing home care, hospital medicine, hospice, and healthcare technology development, Dr. Febry has built a unique model centered on helping seniors age in place while supporting the families who care for them. CONNECT WITH DR. RICHARD FEBRY Website: https://care.associates [https://care.associates] CONNECT WITH HEALTHCARE ALGORHYTHM Website: https://www.tuliohealth.com [https://www.tuliohealth.com] Subscribe on your favorite podcast platform for conversations exploring healthcare innovation, care coordination, technology, and the people working to improve the patient experience.

How Antonio Johnson Is Rethinking Rehabilitation, Staffing, and Recovery in Post-Acute Care

In this episode of the Healthcare Algorhythm Podcast, Dr. Will Strimel sits down with Antonio Johnson to explore one of the most pressing operational challenges in healthcare today: the growing gap between patient demand and the clinical workforce in post-acute care. Antonio brings more than 20 years of leadership experience across skilled nursing, rehabilitation, and multi-site healthcare operations. Together, they discuss the realities facing rehabilitation providers, including staffing shortages, clinician burnout, rising educational costs, value-based care pressures, and the growing administrative burden placed on frontline teams. The conversation also dives into how emerging technologies—including AI-powered documentation tools, EMR customization, and transcription capabilities—may help reduce friction for clinicians while improving operational efficiency and patient outcomes. Antonio shares real-world examples of how organizations are adapting to these pressures and what separates teams that successfully embrace innovation from those that struggle with change. Dr. Strimel and Antonio also discuss the future of rehabilitation, the importance of organizational culture, the role of prehabilitation before surgery, and why patient education and engagement are critical to improving recovery and preserving independence as the population ages. This episode offers valuable insight for healthcare operators, clinicians, rehabilitation leaders, and anyone interested in the evolving intersection of workforce strategy, technology, and patient recovery. KEY TOPICS COVERED 1. Skilled nursing and rehabilitation workforce shortages 2. Clinician burnout and retention strategies 3. Value-based care pressures in post-acute settings 4. AI integration in EMRs and clinical documentation 5. Technology adoption in healthcare organizations 6. The future of rehabilitation and recovery care 7. Prehabilitation and surgical recovery optimization 8. Leadership, culture, and operational transparency in healthcare

How Greg Sciarra Is Reducing Hospitalizations by 40% Through Prevention and Behavior Change

EPISODE SUMMARY What if we could prevent hospitalizations before they happen—at scale? In this episode of the Healthcare Algorhythm Podcast, Dr. Will Strimel sits down with Greg Sciarra, COO of Embrace Prevention Care, to explore a model of care designed to keep seniors healthy, independent, and out of the hospital. Embrace Prevention Care is focused on a fundamental shift in healthcare—from reactive, episodic treatment to continuous, preventive engagement. By helping patients adopt simple, sustainable health behaviors and reinforcing them over time, their team has demonstrated over a 40% reduction in hospitalizations in their patient population. Greg shares how their approach is grounded in geriatric principles like “what matters most,” how they focus on just 1–2 high-impact behaviors across multiple chronic conditions, and why consistent follow-up—not complexity—is the key to lasting change. The conversation also dives into their work within Medicare’s GUIDE pilot program, where they support patients with dementia and their caregivers—addressing one of the most overlooked drivers of outcomes: caregiver burnout. We also discuss: * Why healthcare remains fragmented and episodic * The real challenges of behavior change in chronic disease * How Embrace integrates with primary care rather than replacing it * What value-based care has gotten right—and where it still falls short * Why preventing one hospitalization may matter more than treating ten This is a conversation about execution, not theory—and what it actually takes to deliver better outcomes in one of healthcare’s most complex populations. LINKS & RESOURCES 🔗 Greg Sciarra (LinkedIn): linkedin.com/in/greg-sciarra-rph-mba [https://www.linkedin.com/in/greg-sciarra-rph-mba/] 🔗 Embrace Prevention Care: https://embracepreventioncare.com [https://embracepreventioncare.com] 🔗 Learn more about Medicare GUIDE Program: https://www.cms.gov/priorities/innovation/innovation-models/guide [https://www.cms.gov/priorities/innovation/innovation-models/guide]

How Chris Widmayer Is Driving AI Readiness and Data-First Transformation in Healthcare Systems

Episode Summary: In this episode of Healthcare Algorhythm, hosted by Dr. Will Strimel, Dr. Strimel sits down with Chris Widmayer, CEO of Penrod, to explore how healthcare organizations can responsibly adopt AI by first solving their data and systems foundation. Chris shares how Penrod helps health systems, providers, and payers modernize their technology ecosystems through consulting and tech-enabled services focused on AI readiness, data strategy, and patient experience improvement. His work centers on bridging fragmented healthcare systems by leveraging platforms like Salesforce and Snowflake to enable more connected, efficient, and patient-centered operations. A key focus of the conversation is the concept of AI readiness—starting with clean, unified, and trusted data before introducing any AI tools. Chris explains how decades of mergers, acquisitions, and legacy EHR systems have created data silos that limit AI effectiveness and introduce operational risk if not properly addressed. The discussion also highlights real-world applications of AI in healthcare, including automated patient scheduling, AI-powered contact centers, and workflow optimization tools that reduce administrative burden on clinicians. Chris emphasizes that the goal of AI is not to replace human care, but to free up providers to spend more time on patients and less time on systems. Key Takeaways: 1. Why data readiness is the foundation of successful AI adoption in healthcare 2. How fragmented EHR and legacy systems create barriers to AI scalability 3. The role of Salesforce and Snowflake in building connected healthcare ecosystems 4. How AI is transforming patient access through scheduling and contact center automation 5. Why governance, compliance, and HIPAA constraints shape AI implementation 6. How health systems use “centers of excellence” to safely scale AI initiatives 7. Why the best AI strategies reduce administrative burden—not clinical judgment Golden Nugget: “If your data isn’t ready, your AI won’t be ready, data comes first, always.” Connect with Chris Widmayer: 1. LinkedIn: https://linkedin.com/in/widmayerhttps://linkedin.com/in/widmayer [https://linkedin.com/in/widmayer] 2. Website: https://penrodcrm.comhttps://penrodcrm.com [https://penrodcrm.com] | https://datasentials.comhttps://datasentials.com [https://datasentials.com] Listen Now & Subscribe: Available on Captivate, Spotify, iHeart Podcast, Apple Podcasts, Amazon Music, YouTube, or wherever you get your podcasts. Healthcare Algorhythm breaks down the systems, strategies, and technologies shaping modern medicine, turning complexity into clarity, one conversation at a time.

How Ethan Guerrieri Is Helping Seniors Age in Place Through Scalable, Personalized Home Care Systems

EPISODE SUMMARY: In this episode of Healthcare Algorhythm, hosted by Dr. William Strimel, Dr. Strimel sits down with Ethan Guerrieri, Vice President of Operations at Preferred Care at Home, to explore how large-scale home care networks are transforming senior care and reducing hospital readmissions through personalized, in-home support. Ethan shares the origin story of the family-founded business, which began in 1984 when his grandmother, a retired nurse, began offering in-home care from her own house. What started as a simple act of service has evolved into a nationwide franchise network supporting seniors across more than 130 locations. The conversation dives into the growing demand for aging-in-place solutions and how home care fills critical gaps left by hospitals, rehab facilities, and assisted living. Ethan explains how his organization builds customized care plans based on Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs), ensuring seniors receive both hands-on support and essential daily assistance. They also explore the challenges shaping the industry today, including caregiver shortages, post-COVID workforce burnout, fragmented care coordination, and the increasing importance of technology. Ethan highlights how wearables, real-time monitoring, and data-driven insights are improving transparency, early intervention, and family engagement in senior care. Key Takeaways: * Why most seniors transition into home care after hospitalization * How ADLs and IADLs shape personalized care planning * Why education is critical for families navigating insurance coverage gaps * How home care reduces readmissions through consistent follow-up and coordination * The role of technology and wearables in proactive senior care * Why caregiver culture and retention are now central to operational success. GOLDEN NUGGET: “Home care isn’t just support, it’s the missing link that keeps seniors safely where they want to be: home.” CONNECT WITH ETHAN GUERRIERI: * LinkedIn: https://linkedin.com/in/ethan-guerrieri-317101a9https://linkedin.com/in/ethan-guerrieri-317101a9 [https://linkedin.com/in/ethan-guerrieri-317101a9] * Website: https://preferhome.comhttps://preferhome.com [https://preferhome.com] Listen Now & Subscribe: Available on Captivate, Spotify, iHeart Podcast, Apple Podcasts, Amazon Music, YouTube, or wherever you get your podcasts. Healthcare Algorhythm breaks down the systems, strategies, and technologies shaping modern medicine, turning complexity into clarity, one conversation at a time.