I Don't Care

Kevin Stevenson

The challenges healthcare executives and administrators face are constantly changing. Host Kevin Stevenson talks with the heroes behind the heroes that are enabling hospitals, urgent care centers and telemedicine operators to spend their time tending to patients, while they handle the logistics.

  1. 2 DAYS AGO

    Diagnosing Your Capital Asset Health: Why Asset Visibility Is the New Financial Imperative in Healthcare

    Hospitals and surgery centers own millions of dollars in equipment — but owning assets and having actionable visibility into them are two different things. Most systems maintain inventories, yet many struggle with outdated records, fragmented tracking, and limited insight into useful life or service contracts. With nearly half of U.S. hospitals reporting negative operating margins in recent years, that gap between ownership and visibility is no longer just an operational nuisance — it’s a financial risk. So here’s the real question healthcare leaders are asking: How can we measure the true health of our capital assets — and what does that mean for long-term revenue stability? That’s the question at the heart of this episode of I Don’t Care. Host Dr. Kevin Stevenson sits down with Grant Luke, Strategic Account Manager at CapExpert, to explore how healthcare organizations can diagnose their capital asset health. The conversation dives into the operational blind spots that drive unnecessary spending and how AI-powered inventory technology is helping hospitals and ASCs gain baseline visibility over their medical equipment, service contracts, and lifecycle data. Top insights from the talk… Many organizations unknowingly repurchase equipment they already own due to lack of system-wide visibility. Without a reliable, consolidated inventory across facilities or departments, teams often buy new devices instead of reallocating existing assets — driving redundant capital spend.Surplus and underutilized equipment consumes valuable space and capital that could be redeployed more strategically. Idle devices sitting in storage rooms or clinical areas tie up square footage, inflate depreciation schedules, and represent missed opportunities for resale or redistribution within the system.Vendor fragmentation and non-standardized preventive maintenance contracts create avoidable financial waste. When multiple vendors service similar equipment across locations, organizations lose leverage, complicate oversight, and miss opportunities for consolidation and cost containment.Grant Luke is a healthcare technology and SaaS leader with more than a decade of experience spanning sales, ASC operations, IT project management, and supply chain strategy. He has held leadership roles with organizations including Surgical Care Affiliates (SCA Health), United Surgical Partners International (USPI), and HST Pathways, where he led ASC innovation initiatives, EHR implementations, operational efficiency projects, and enterprise vendor evaluations. Now serving as Strategic Account Manager at CapExpert, Luke helps ambulatory surgery centers leverage AI-driven supply chain and asset visibility solutions that deliver measurable cost savings, operational efficiency, and strong first-year ROI.

    25 min
  2. 4 DAYS AGO

    Exploring the Intersection of Board Governance, Community Engagement and Creativity with Ann Margolin

    Behind every city vote, hospital budget or zoning decision is a leader navigating tough, often conflicting priorities. Right now, public leaders are operating in an environment of rising healthcare costs, workforce shortages and heightened community expectations—especially within safety-net systems that collectively provide billions in uncompensated care each year. The stakes are real—they affect patients and their families on some of the hardest days of their lives. When the pressure is loud and the resources are limited, how does a leader decide what’s right—and how do they stay grounded in purpose along the way? On this episode of I Don’t Care, host Dr. Kevin Stevenson sits down with Ann Margolin, former Dallas City Council member, investor, community leader and artist. The conversation explores how values-driven leadership operates under pressure—from contentious zoning battles to healthcare budget crises—and how creativity and civic engagement remain essential tools for effective governance. Top insights from the talk… Why principled leadership matters when representing 85,000 constituents—and how to make tough public decisions amid vocal opposition.How creative governance can stabilize a safety-net health system, from managing budget shortfalls to launching cost-saving care models like nurse midwife programs and community-based clinics.The overlooked role of art and creativity in strengthening communities, improving healthcare environments and helping leaders reconnect with purpose.Ann Margolin is a former Dallas City Council member and the first woman to serve as Chair of the Parkland Hospital Board, where she led finance and strategic planning efforts and oversaw the launch of the system’s first community-based primary care clinics. She brings deep expertise in public governance, budget oversight, economic development and nonprofit leadership, having chaired and served on numerous civic and philanthropic boards while advancing initiatives in healthcare, arts advocacy and education. Furthermore, she is a founding member of the Texas Women Ventures Fund and an active investor in technology, real estate and women-led enterprises.

    24 min
  3. 24/12/2025

    How Predictive AI Is Helping Hospitals Anticipate Admissions and Optimize Emergency Department Throughput

    Emergency departments across the U.S. are under unprecedented strain, with overcrowding, staffing shortages, and inpatient bed constraints converging into a throughput crisis. The American Hospital Association reports that hospital capacity and workforce growth have lagged, intensifying delays from arrival to disposition. At the same time, advances in artificial intelligence are moving from experimental to operational—raising the stakes for how technology can meaningfully improve patient flow rather than add complexity. So, how can emergency departments reduce bottlenecks and move patients more efficiently through care without compromising clinical judgment or trust? Welcome to I Don’t Care. In the latest episode, host Dr. Kevin Stevenson sits down with Mitch Quinn, Director of AI/ML at ChoreoED, to explore how AI-driven insights can help hospitals anticipate admissions and discharges earlier, coordinate downstream services, and ultimately improve ED throughput. Their conversation spans the real-world operational challenges ED leaders face, the practical application of machine learning in high-acuity settings, and what it takes to deploy AI tools that clinicians actually trust and use. What you’ll learn… How AI models trained on a hospital’s own historical data can accurately anticipate admissions up to hours earlier, enabling parallel workflows.Why focusing on “high-certainty” admissions and discharges—rather than rare edge cases—creates immediate operational value in the ED.How adaptive, continuously retrained models can support both experienced clinicians and newer providers in high-turnover environments.Mitch Quinn is a Director of AI and Machine Learning and a computer scientist with 20+ years of experience building production-grade AI systems across healthcare and cybersecurity. He specializes in deep learning, large-scale model architecture, and end-to-end ML pipelines, with leadership roles spanning applied research at Blue Cross NC, enterprise AI consulting, and real-time cyber threat detection. His career highlights include designing high-performance deep neural networks, anomaly detection systems operating at enterprise scale, and foundational software frameworks used by large engineering organizations.

    29 min
  4. 19/12/2025

    Bridging the Gap Between Hospital Discharge and Daily Life: How In-Home Senior Care Improves Outcomes and Reduces Readmissions

    As hospitals across the U.S. shorten length of stay and push more recovery into the home, families are increasingly left to manage complex care needs without formal training or support. Roughly one in five patients with chronic conditions like COPD or congestive heart failure is readmitted within 30 days—a cycle that costs the healthcare system billions annually and places enormous strain on caregivers. Against the backdrop of hospital-at-home models, aging demographics, and caregiver burnout, in-home senior care has become a critical piece of the post-acute care puzzle. So how can families ensure their loved ones are truly supported at home—not just medically, but functionally and emotionally—after discharge? In this episode of I Don’t Care, host Dr. Kevin Stevenson sits down with Lance Summey, Franchise Owner at Home Instead. Together, they unpack the realities of nonmedical in-home senior care, how it integrates with hospitals, home health, and hospice, and why seemingly “small” daily tasks can dramatically impact health outcomes. Key Topics Covered in This Episode… Why nonmedical care matters: How help with activities of daily living—bathing, dressing, meals, transportation, and companionship—directly influences clinical outcomes and reduces hospital readmissions.Hospital-to-home transitions: The growing importance of in-home care as hospitals discharge patients earlier and rely on the home environment to support recovery.Caregiver burden and sustainability: Why family caregivers often reach a breaking point, and how professional in-home care allows loved ones to remain family—not full-time caregivers.Lance Summey is a franchise owner with Home Instead, the world’s largest provider of nonmedical in-home senior care. He holds a Master’s in Social Work from Baylor University and brings firsthand experience from both hospital systems and personal family caregiving. Motivated by his mother’s battle with breast cancer and his grandmother’s experience with multiple sclerosis, Summey has dedicated his career to bridging gaps in post-acute and long-term care—particularly where traditional medical models fall short. His work focuses on reducing hospital readmissions, integrating care teams, and supporting families through some of life’s most challenging transitions.

    29 min
  5. 16/12/2025

    How Simulation-Based Education Is Transforming Healthcare Leadership and Decision-Making Worldwide

    As healthcare systems worldwide face rising costs, workforce shortages, and increasing pressure to balance quality with financial sustainability, traditional classroom-based management education is struggling to keep pace. According to the World Economic Forum, healthcare spending now accounts for nearly 10% of global GDP, making leadership decision-making more consequential—and more complex—than ever. At the same time, educators and executives alike are searching for ways to prepare leaders for real-world uncertainty, not just theoretical case studies. So how do you train healthcare leaders to make better decisions when the stakes are high, the data is imperfect, and the environment is constantly changing? That’s the core question explored in the latest episode of I Don’t Care, hosted by Dr. Kevin Stevenson, featuring Jeremy Lovelace, Founding Director of HFX Technologies Group. Stevenson and Lovelace dive into how simulation-based healthcare management education is reshaping the way future and current healthcare leaders learn strategy, finance, and human-centered decision-making—across borders, systems, and sectors. Key Takeaways from the Conversation… Simulation over static cases: Dynamic, financially driven simulations provide a more realistic and measurable way to train healthcare decision-makers than traditional case competitions or lectures.Global adaptability: A simulation originally modeled on a leading Brazilian hospital has proven effective across diverse systems, including U.S. health systems, European providers, and the UK’s NHS.Human skills under pressure: Beyond financial metrics, simulations reveal leadership gaps in teamwork, stress management, and judgment under uncertainty—often the most powerful learning outcomes.Jeremy Lovelace is the Founding Director of HFX Technologies Group, a firm specializing in simulation-based training for strategic and financial decision-making. With a background in management consulting and decision science, Lovelace has worked extensively with universities, healthcare organizations, and public-sector institutions across Europe, the Americas, and beyond. His work includes partnerships with global business schools such as University College London and simulations inspired by top-tier healthcare institutions like Hospital Israelita Albert Einstein in Brazil. Lovelace holds an MBA and brings decades of experience in leadership development, education technology, and applied strategy.

    31 min
  6. 21/10/2025

    Hot Takes on Rural Healthcare: Lessons from the Frontlines of a System in Decline

    Across America, rural hospitals are facing an existential crisis. From physician burnout and recruitment struggles to malpractice insurance woes and shrinking OB units, the challenges facing small health systems are multiplying. According to the National Rural Health Association, roughly 190 rural hospitals have closed down or discontinued inpatient care since 2010 — and many more are at risk. As healthcare administrators grapple with these realities, leaders like Wayne Gillis are voicing hard truths that the industry can’t afford to ignore. So, what’s really happening behind the scenes in rural healthcare — and what can leaders do to ensure these communities don’t face a “quiet collapse”? Welcome to I Don’t Care. In the latest episode, Dr. Kevin Stevenson is joined by Wayne Gillis, President & CEO of Rehoboth McKinley Christian Health Care Services. Together, they explore the state of rural healthcare, the pressures facing modern physicians, and the evolving mindset of leadership in the post-COVID era. From the dangers of the boardroom to the rise of the “gig” healthcare workforce, this episode pulls no punches. Top insights… The Boardroom Effect: How decision-making too far removed from the front lines can create inefficiencies — or even risk patient safety.Burnout and Bureaucracy: Why younger physicians fear burnout as the norm and how administrative burdens and insurance interference are fueling the exodus.The Quiet Rural Collapse: How workforce shortages, declining reimbursements, and dwindling births are driving small-town healthcare toward a breaking point.Wayne Gillis is a healthcare executive and former health system CIO who blends clinical expertise with business strategy to drive transformation, operational excellence, and financial turnaround. As President & CEO of Rehoboth McKinley Christian Health Care Services, he led the organization to eliminate $15 million in debt, restore financial stability, and deliver its first positive EBITDA in years. Previously, as Market CEO of Great Falls Health Network, Gillis doubled EBITDA from $13 million to $27 million, oversaw a $70 million hospital expansion, and launched new heart and spine service lines. Earlier in his career at Wake Forest Baptist Health, he modernized reporting systems, integrated major acquisitions, and achieved multi-million-dollar cost savings through technology innovation and process redesign.

    36 min
  7. 21/10/2025

    Technology Is Transforming Cardiovascular Care But Can Access Keep Up?

    Cardiovascular care is entering one of its most transformative periods in decades. Advances in AI imaging and minimally invasive procedures are transforming the diagnosis and treatment of heart disease. According to the World Health Organization, an estimated 19.8 million people died from cardiovascular diseases in 2022, representing approximately 32% of all global deaths. This makes early detection, innovation, and prevention critical. New technologies promise faster procedures and better outcomes. However, the challenge is to ensure that access, affordability, and quality keep pace with innovation. As technology redefines what’s possible in cardiovascular medicine, how can health systems balance innovation with sustainability and make excellence more than just a marketing term? In this episode of I Don’t Care, host Dr. Kevin Stevenson reconnects with longtime colleague Jorge Parodi, a cardiovascular service-line leader with experience across major hospitals and health systems. Together, they trace the evolution of cardiovascular care from the rise of service-line models to the latest AI-driven tools shaping diagnosis and treatment. They also unpack what “centers of excellence” really mean today. Key Points of Conversation: From Service Lines to Systems Thinking: How hospitals began aligning cardiovascular services around the patient journey and cutting across departments to improve coordination, quality, and outcomes.Technology at the Heart of Care: Advances like pulse field ablation, AI-assisted CT imaging, and next-generation diagnostic tools are revolutionizing early detection and treatment while reducing invasiveness.Redefining Excellence: Why “center of excellence” designations vary widely across payers and regulators, and how data-driven quality metrics are reshaping what true cardiac leadership looks like.Jorge Parodi is a senior healthcare executive with over two decades of leadership in cardiovascular service line management and hospital operations. He has directed major heart and vascular programs across leading health systems, focusing on strategy, innovation, and quality improvement. Parodi specializes in developing high-performing, technology-driven cardiovascular programs that enhance patient outcomes and operational efficiency.

    29 min
  8. 20/10/2025

    Smarter, Faster, Kinder: How AI Can Help Hospitals Deliver Better Care, All While Keeping Care Human

    Artificial intelligence (AI) is no longer just a buzzword in healthcare — it’s becoming a real partner in how providers care for patients and improve everyday experiences. With rising patient expectations, limited resources, and mounting administrative complexity, hospitals and insurers alike are turning to AI to improve efficiency, communication, and satisfaction. In fact, Citi research estimates that roughly a quarter of all American healthcare spending goes toward administrative tasks — and intelligent automation could reduce that burden by nearly 30%, underscoring the enormous potential for AI to make care delivery smarter and more sustainable. But as adoption accelerates, one key question looms: Can AI truly make healthcare more human — or does automation risk depersonalizing care? In this episode of I Don’t Care with Dr. Kevin Stevenson, guest Brett Kiley, Vice President of Healthcare Solutions at Ciklum, explores how artificial intelligence can elevate — rather than replace — the patient experience. Together, they discuss practical, high-impact applications of AI that improve outcomes for both patients and providers, while emphasizing that technology alone can’t fix broken processes or disengaged teams. Key points of discussion… Fix the process first. AI only accelerates what’s already working — it can’t fix a bad workflow. Kiley stresses that organizations must repair operational inefficiencies before layering in intelligent automation.Predictive, proactive patient care. By modeling data from multiple sources, Ciklum helps healthcare organizations identify at-risk patients before issues arise, reducing readmissions and improving satisfaction.AI for empathy and efficiency. From ambient AI that automates clinical documentation to analytics that highlight emotional drivers of patient frustration, AI can empower providers to focus on care — not clicks.Brett Kiley is the Vice President of Healthcare Solutions at Ciklum, where he helps healthcare organizations design and scale AI-driven customer experience and operational strategies that deliver measurable ROI. With over 20 years at CVS Health, he led digital transformation and patient experience initiatives that lifted Net Promoter Scores from 24 to 76, drove $100M+ in EBIT impact, and reduced call volumes by nearly half. Known for his hands-on healthcare expertise and data-driven approach, Kiley now advises hospitals, insurers, and startups on turning complex systems into efficient, patient-centered experiences powered by AI.

    26 min

About

The challenges healthcare executives and administrators face are constantly changing. Host Kevin Stevenson talks with the heroes behind the heroes that are enabling hospitals, urgent care centers and telemedicine operators to spend their time tending to patients, while they handle the logistics.