Impact Unfiltered

Impact Unfiltered

Impact Unfiltered is a podcast about bold leadership, real stories, and the ideas shaping the future of healthcare, business, and community. Each episode features candid conversations with changemakers—from health directors and entrepreneurs to tribal leaders and nonprofit innovators—who are making a difference where it matters most. Whether you’re building programs, leading teams, or just care deeply about impact, this show brings practical insight and unfiltered inspiration from the frontlines of meaningful work. Honest dialogue. Practical wisdom. Unfiltered impact.

  1. 2d ago

    Wayne Gillis on Leading Large Systems, Small Rural Hospitals, and Everything In Between

    Welcome to another episode of Impact Unfiltered, where we dive deep into honest conversations with leaders creating real change in healthcare and beyond. Host Philippe Pucheu sits down with Wayne Gillis, a healthcare CEO with more than 30 years in the field. Wayne started as an open heart ICU nurse and went on to serve as a CNO, a COO and a clinical information officer, and for the last eight years he has led a hospital or hospital network as CEO. Together, they explore why AI belongs in the right places and not the wrong ones, how fractional physicians and telemedicine help rural hospitals deliver specialty care, why revenue cycle automation is where AI has matured the most, and how transparency and trust help reduce turnover. Tune in for an honest look at how healthcare leaders can reinvent rural care while keeping people at the center. 1. Introduction and Episode Overview - Real conversations with leaders driving change in healthcare, business, and community - Host Philippe Pucheu welcomes Wayne Gillis and asks about his background and work 2. From Open Heart ICU Nurse to Healthcare CEO - Started as an open heart ICU nurse and has spent about three decades in healthcare - Moved into leadership as a CNO, a COO and a clinical information officer, then spent the last eight years as a hospital or hospital network CEO 3. The Accidental Nurse - Entered nursing by chance while his wife was in nursing school - Was drawn in by how diverse nursing is and how much impact men could have in it 4. Wayne's Why: Earning and Keeping Trust - A clinical background taught him that patients and families are trusting you - Applies that same commitment now through tools, good processes and support for the people doing the work 5. Making Sure AI Is in the Right Places - Wants AI in healthcare, as long as it is kept out of the wrong places - Compares it to the electronic health record, which was promised to save time and has not always delivered - Sees AI as a partner to clinicians, not a replacement, with the right people in the room 6. Leading Large Systems and Small Rural Hospitals - Larger systems offer more FTEs, more specialization and easier recruiting, with closer competition - Rural CEO roles are among the most challenging because of fewer people and less access to specialized resources - Smooth transitions between rural and tertiary facilities help avoid gaps in care 7. Fractional Physicians, Telemedicine, and Revenue Cycle AI - Fractional physicians who work at two or three organizations help rural hospitals offer specialty care at a lower cost - Telemedicine supplements in-person schedules - Revenue cycle is where AI is most mature, with automation helping improve revenue, lower AR days and respond to payer claim rejections 8. What Excites Him About Rural Healthcare - Rural healthcare is going through a transformation, which creates the chance to reinvent it - Engaging the team in both problems and successes builds trust, supports the mission and affects turnover - AI summaries of EHR data could help clinicians see trends and spot decline earlier 9. Advice to His Younger Self - Would choose healthcare again and would assess all the opportunities and make good choices - Shares his experience of being told he could do "math other than nurse math" despite holding two business degrees and an MBA - Encourages listeners to go for it, learn along the way, lean on mentors and not let perceived barriers hold them back 10. Safety Culture and Where to Connect - Describes the shift from a punitive culture to one that celebrates what is learned from mistakes - Invites people to connect with him on LinkedIn, where he posts articles - Reminds listeners that healthcare has a big job and leaders need to stick together

  2. Oct 13 ·  Bonus

    Special: Philippe Pucheu on the $50 Billion Chance to Save Rural Access. Part 3 of 3

    Welcome to another episode of Impact Unfiltered, where we dive deep into honest conversations with leaders creating real change in healthcare and beyond. This is Part 3, the finale of a special three-part conversation.Guest host Stuart Gilly interviews host Philippe Pucheu, who has spent nearly two decades on the front lines of rural healthcare, and the conversation pulls back from the mechanics of 340B to the bigger picture: the future of rural and tribal care.Together, they take on the perception that small rural care is somehow less than big-city care and make the case that the opposite is often true, weighing the $50 billion Rural Health Transformation Program, the vanishing supply of primary care providers, and Philippe's vision for putting primary care inside the pharmacy and making rural clinics the first touch point for patients. It builds to his rallying call for the healthcare underdogs, small entities taking control of their own care. 1. Introduction and Episode Overview A special format where the tables turn and guest host Stuart Gilly interviews host Philippe Pucheu 2. The Biggest Challenge: The Perception That Rural Care Is Less The greatest challenge is the perception that small rural care is lower quality than big-city carePhilippe points back to the family-practice doctor who made house calls and knew your history, a continuity big systems broke up 3. Why Smaller Can Mean Better Care A rural provider can call another provider immediately, while a big system sends a chart referral and the patient waits weeksPatients often get about 15 minutes at a big facility versus up to an hour and a full history locally 4. The $50 Billion Rural Health Transformation Program The program targets workforce, technology, prevention, new care models, and local access as rural care slowly erodesThe dollars should reinforce what a facility does well and fund what it does not, such as a provider on site once a month 5. Meeting Patients Where They Are: The First Touch Point Rural access points should be the first touch point, or tip of the spear, for a patient's careFor homebound patients a local house call beats an ambulance ride, and driving 90 minutes for local-ready care is waste 6. Why Patients Drive Past Rural Hospitals Patients perceive rural care as less, and insurance may cover only one visit, so they drive to the big facilityInsurers sometimes own parts of hospital systems and steer patients toward them 7. Collaboration Over Competition Funding lets each facility bolster what it does well and get help where it is weakA facility 30 miles down the road can pick up what another cannot, building a network of rural systems supporting one another 8. Primary Care Inside the Pharmacy The core shortage is in primary care, as new doctors specialize for higher payHe proposes primary care within the pharmacy, with revenue funding local labs, an MRI, and extended ER hours 9. Building Local Trust and a Local Benefits Idea Rural centers earn community trust by asking what people actually needHis magic-wand idea is a local benefits program covering primary care and labs alongside a catastrophic premium 10. The Healthcare Underdogs The need of a community of organizations running telehealth, workforce, remote monitoring, and collaborative care, alongside those just beginningHealthcare needs every lens, like legs on a table, and Philippe's rallying call is for the underdogs producing better outcomes from the inside out

  3. Oct 13 ·  Bonus

    Special: Patient, Provider, Pharmacy: Philippe Pucheu On 340B Eligibility. Part 2 of 3

    Welcome to another episode of Impact Unfiltered, where we dive deep into honest conversations with leaders creating real change in healthcare and beyond. This is Part 2 of a special three-part conversation. Guest host Stuart Gilly continues his interview with the show's own host, Philippe Pucheu, and it gets practical, opening with a story that sounds almost impossible: a tribe in the South with no pharmacy, no pharmacist, and no way to fill a single prescription that still cut its drug spend by more than half.Together, they walk through how it happened, from the mail-order contract pharmacy that passed savings straight to tribal members, to the myths about who qualifies for 340B, the HRSA application that shrinks from 120-plus pages to a streamlined tribal path, and the manufacturer restrictions now being fought in some 23 states. Philippe lays out the crawl, walk, run path from contract pharmacy to an in-house operation, and his advice to any tribal health leader who feels unready. 1. Introduction and Episode Overview A special format where the tables turn and guest host Stuart Gilly interviews host Philippe Pucheu 2. The Challenge: A Tribe With No Pharmacy A tribe in the South with no pharmacy, no pharmacist, and no way to fill a prescriptionIt wanted to advance its clinic and keep care on the reservation, but volume did not yet justify building one 3. The Solution: A Mail-Order Contract Pharmacy Philippe's team created a mail-order touchpoint from a local pharmacy they ownMedications were provided near actual acquisition cost, with the savings passed to the tribal member 4. The Win-Win-Win The tribe pays less, and the patient pays zero or less at the counter, which makes them want to participateThe pharmacy gains the patient and the access to carve care back to a local clinic or FQHC 5. Clearing Up 340B Myths: Who Qualifies 340B is not only for uninsured care, and a tribal program is not limited to enrolled Native American membersAnyone who chooses the clinic can become a patient, which opened the room to grow and scale 6. The Three Basis Points: Patient, Provider, Pharmacy 340B is patient-driven: as long as the patient chooses a qualifying clinic, they can participateA patient, a provider, and a pharmacy must line up, letting it serve tribal and non-tribal members 7. The HRSA Application: 120 Pages vs. a Streamlined Path Registration runs through HRSA, and a full FQHC or grant application can be 120-plus pagesTribes get a much smaller one cut to a couple of pages, and with the right expert it can be done in as little as 15 minutes 8. Contract Pharmacy, Agreements, and Audits Entities can run an on-site pharmacy or use a contract pharmacy set up through a pharmacy services agreementAudits track the patient list, prescriptions, and policies, and HRSA-certified 340B experts keep it compliant 9. Where 340B Goes Wrong: One-Sided Contracts and Manufacturer Limits Without oversight, a contract pharmacy chasing profit can take advantage of a tribe chasing savings, so an experienced middleman levels the fieldManufacturers have sued in roughly 23 states to limit how many contract pharmacies an entity can use 10. Crawl, Walk, Run, and Advice for Leaders Volume and population dictate whether to start contracted or build in-house, and many tribes start contracted, then build their own as volume growsTo any leader who feels unready: ask the questions this month, since fear will drive you or faith will, and no tribe is too small

  4. Oct 13 ·  Bonus

    Special: What is 340B and Why it Matters? Philippe Pucheu on Rural and Tribal Care. Part 1 of 3.

    Welcome to another episode of Impact Unfiltered, where we dive deep into honest conversations with leaders creating real change in healthcare and beyond. This is Part 1 of a special three-part series. The tables turn as guest host Stuart Gilly interviews the show's own host, Philippe Pucheu, a doctor of pharmacy and founder and CEO of PBM Solutions. Stuart opens with the question that anchors the whole series: what exactly is 340B, and why does it matter?Together, they trace 340B from its 1992 origins to today's spotlight: how the program works, the bad actors who divert its savings into new hospital wings instead of lowering patient costs, and why most purchases flow through big hospital systems rather than the FQHCs, clinics, and Tribes it was built to help. 1. Introduction and Episode Overview A special format where the tables turn and guest host Stuart Gilly interviews host Philippe Pucheu 2. What Is 340B and Why It Matters A federal drug pricing program established in 1992 to help certain providers lower prescription costsThe core purpose is to lower the cost passed on to the patientNow under the spotlight as a hot topic tied to the federal budget and pending changes 3. The Origins of 340B: Rural Access in 1992 Built to protect rural access through FQHCs, critical access hospitals, and disproportionate share (DSH) hospitalsIt targeted uninsured patients who still needed care under the old system, offsetting the cost of no-pay care 4. Disease States and How Pricing Works Diabetes and HIV/AIDS treatments helped catapult the program in the early 1990sThe government sets a federally matched, upper-limit price on medicationsAfter rebates net out, some medications come down to about a dollar for an entire dispensation 5. Bad Actors and Misdirected Savings Attention centers on bad actors spending 340B savings on things other than patient careHospital wings, clinics, and surgery centers get funded, but the patient's cost at the door does not dropThe dollars were meant to help people, not pad pockets or buy provider groups 6. Who Really Uses 340B Roughly 85 percent of 340B purchases come from large hospital systemsOnly a small share reaches FQHCs, Ryan White clinics, Tribes, and black lung programsA 340B rebate program is set to begin in 2027, which many hospital systems oppose 7. FQHCs Explained and Who They Serve FQHCs are the outpatient, independently owned side, unlike inpatient hospital careA grantee qualifies for grants; a look-alike is a non-grantee, both with strict reportingThey serve rural areas as a stopgap where no family practice provider exists 8. The Headwinds and Compliance Burden Lower reimbursements and tough physician recruitment squeeze rural clinicsRising regulation adds a compliance load they need the right partner to manageHospital systems try to absorb them, and closures are a real risk 9. The Opportunity: Independence and One-on-One Care The biggest opportunity belongs to FQHCs that stay independent and add servicesPatients want real, one-on-one care, not a rushed, volume-driven visit 10. Holistic Care and Better Patient Outcomes Outcomes should be settled on data, comparing hospital outpatient clinics with FQHCsFQHCs offer holistic care instead of fragmented referrals where no one talksThe future of a well-run FQHC is better outcomes by bringing services in-house

  5. Sep 22

    Making Patient Access Easier Through Smarter Technology with Kayce Degenhardt

    Welcome to another episode of Impact Unfiltered, where we dive deep into honest conversations with leaders creating real change in healthcare and beyond. Host Stuart sits down with Kayce Degenhardt, Vice President of Clinical Applications at Inova Health System, who oversees roughly 600 applications and a team of about 210 supporting five hospitals and around 300 clinics in the DC area. A former interventional radiology technologist turned health IT leader, Kayce traces her mission back to her mother's cancer journey and a three-week wait for an MRI stuck in a queue. Together, they explore what it looks like when technology accelerates care instead of blocking it, from a waitlist tool that cut imaging waits by six days to ambient AI that saved physicians over 900 hours. Kayce shares how she led a turnaround by meeting all 210 team members first, why culture beats tools, and how the industry can adopt AI safely. Tune in for an honest look at healthcare technology built around the people who deliver care. 1. Introduction to Impact Unfiltered and Episode Overview Real conversations with leaders driving change in healthcare, business, and communityHost Stuart welcomes Kayce Degenhardt, VP of Clinical Applications at Inova Health SystemThemes: patient access, clinician time, culture, and the safe adoption of AI2. From Interventional Radiology to Health IT Leadership Started clinically in interventional radiology before moving into health ITNow oversees about 600 applications, including the Epic EMR, and a team of roughly 210Inova spans five hospitals and around 300 clinics across the greater DC area3. Her Why: A Mother's Cancer Journey and Easier Patient Access Her mother's cancer diagnosis exposed gaps in how patients navigate the systemAn initial MRI sat in a queue, forcing a three-week waitHer mission became making patient access easier in an over-regulated industry4. Defining Impact: Measuring Every Project's Outcome Quantifies the outcome of every project taking more than 20 hoursA waitlist tool texts opted-in patients earlier slots when others cancelThat tool cut advanced imaging waits by an average of six days5. When Technology Helps Instead of Getting in the Way Tracks pajama time, the hours clinicians spend charting after their workdayAmbient listening lets AI document the visit and place orders for sign-offThe tool saved physicians over 900 hours in its first couple of months6. Reducing Cognitive Load with Generative AI Uses generative AI mainly to reduce clinicians' cognitive loadTargets administrative tasks so staff can focus on patientsAims to cut clicks, typing, and note length wherever possible7. Leading a Turnaround: Assess the Team First Believes you cannot pour from an empty cup, so she started with her own teamMet all 210 members individually to surface barriers and make quick fixesSpent year one strengthening the team, then turned to serving the organization8. Finding Champions and Building Culture Identifies passionate change agents and empowers them with real supportArgues culture, not tools, is the true differentiator for an organizationCredits Inova's CEO for making culture and psychological safety a priority9. Frontline Adoption and Designing for the Right Thing Comes with receipts: Inova's EHR was named second-best by its nursesCredits informatics partners as the liaisons between tech and clinical worldsDesigns software to make it easy to do the right thing, not just add fields10. Governing AI, Looking Ahead, and Where to Connect Says the industry must govern AI, manage hallucinations, and keep a human in the loopSees telehealth and lighter administrative loads expanding access and speeding careAdvises staying true to yourself and remembering healthcare is about people; connect with her on LinkedIn

  6. Sep 14

    Building High-Trust Teams: Victor Bycroft on Critical Access Hospital Leadership

    Welcome to another episode of Impact Unfiltered, where we dive deep into honest conversations with leaders creating real change in healthcare and beyond. Host Philippe sits down with Victor Bycroft, a nurse of about 30 years and a longtime chief nursing officer and chief nurse executive in critical access and rural hospitals. Healthcare was never the plan: the Army offered him a medic role, and that carried him from EMT work into emergency and trauma nursing and on into leadership. Together, they explore why a small rural hospital does not mean lesser care, why supporting the team has to be a leader's first priority, and what meaningful innovation looks like when electronic records and AI so often add work instead of removing it. Victor explains why change fails when staff are never told the why, and shares the culture practices that took his last hospital from a Band-Aid station reputation to the place patients and staff actively chose. Tune in for an honest look at rural healthcare leadership. 1. Introduction to Impact Unfiltered and Episode Overview Host Philippe welcomes guest Victor BycroftThemes: rural healthcare, team support, innovation, and trust2. Meet Victor Bycroft: From Army Medic to Nurse Executive Roughly 30 years as a nurse, with 20-plus years as a chief nursing officer and chief nurse executiveArmy medic and EMT first; emergency and trauma nursing was his first love24 years in critical access hospitals; now advising and consulting between roles3. Rural Healthcare: Smaller Does Not Mean Less The common misperception, even inside healthcare, is that a rural hospital means lessResources and volume are limited, but the work is still full-scope hospital careRural clinicians cover every stage of care while big-system staff handle one piece4. Setting Priorities: Support the Team First Supporting staff has to come before cost control, innovation, and outcomesUnsupported staff turn over, and turnover is expensiveInnovation fails and outcomes suffer when staff do not believe in the plan5. What Meaningful Innovation Actually Looks Like Innovation has to create efficiency and work for the staff using itElectronic medical records promised better lives but often added time at the deskVictor sees promise in AI but says it is aimed too heavily at providers, not nurses6. Why Change Succeeds in Some Organizations and Stalls in Others Failure to implement change traces back to a failure of leadershipStaff push back when change arrives with no explanation of the whyWith real buy-in, his last hospital finished 90 percent of its strategic plan in year one7. Building a High-Trust Culture by Being Present Trust comes from sitting down in every department, not from routine roundingListen to what people actually face, then fix somethingHe helped wherever hands were needed, including maintenance, dietary, and housekeeping8. Defining Impact and Changing Hospital Culture Impact means improving lives for staff, patients, and the surrounding communitySimple practices: a 10/5 rule, eye contact, and a no-point policy that walks patients where they need to goIn two years the hospital went from Band-Aid station to the place people chose9. Advice for Emerging Leaders and the Lesson No Book Teaches Moving from a large system into rural healthcare is not a step downExpect the community to know your name and where you workDisciplinary action is the hardest leadership work; a leader serves the team, not one person10. Hope for the Future and Where to Connect Despite the burnout headlines, Victor sees strong people coming up and worth mentoringFind him on LinkedIn under Victor BycroftHis top leadership book is Extreme Ownership by Jocko Willink and Leif Babin

  7. Jul 21

    Beyond the Four Walls: Dr. Lisa Birdsall Fort on the Future of Remote Healthcare

    Welcome to another episode of Impact Unfiltered, where host Philippe sits down with Dr. Lisa Birdsall Fort, emergency physician and Associate Chief Medical Information Officer (CMIO) at Ochsner Health. Dr. Fort shares her journey into clinical informatics and explains how she bridges clinical care, technology, and administration to improve patient outcomes. The conversation explores Ochsner's virtual emergency department, the growing role of AI in healthcare, and innovations such as ambient listening, smart rooms, wearables, and agentic technology. Dr. Fort also discusses the future of remote care, particularly for rural and aging communities, and shares leadership lessons on adaptability, lifelong learning, and embracing innovation. Whether you're in healthcare or simply curious about its future, this episode offers valuable insights you won't want to miss. 1. Introduction to Impact Unfiltered and Episode Overview Introduction of guest: Dr. Lisa Birdsall Fort of Ochsner Health Setting the themes: clinical informatics, artificial intelligence, and virtual care transformation 2. Meet Dr. Lisa Birdsall Fort: Roles and Day-to-Day Emergency physician who still practices clinically, calling it “the best day of my week” Associate CMIO over inpatient care at Ochsner Health, spanning EDs, medical-surgical areas, ICUs, and procedural areas Medical director and leader over Ochsner’s virtual care center, providing centralized monitoring across 40-plus hospitals 3. What Is a CMIO? Chief Medical Information Officer, a relatively new title emerging over the past decade to decade and a half One of four associate CMIOs, each covering a domain such as inpatient, digital medicine, pediatrics, or ambulatory care 4. The Path from Provider to Technology Leader Started in operations as an ED medical director around 2011–2012 Tasked with bringing electronic health records into the emergency department during the “meaningful use” era Joined Ochsner in 2017 and moved into quality work on sepsis, heart attack, and stroke care 5. Finding Her “Why”: Hurricane Katrina A third-year medical student who evacuated to Baton Rouge during Hurricane Katrina Volunteered at the Pete Maravich Assembly Center at LSU, caring for evacuees arriving from New Orleans Inspired by an emergency physician’s breadth of skill: “that’s what I wanna be” 6. Defining Impact: “Clin-gineering” The humanity of emergency medicine lies in being present with patients during acute injury or illness “Clin-gineering” pairs bedside insight with an understanding of the system needed to support it 7. Technology in Practice: The Virtual Emergency Department Stood up in roughly five weeks to help patients who don’t truly need the ED find the right care Navigates patients coming from nurse-on-call, urgent care, primary care, and specialty clinics 8. Staying Aligned with Community Need Observe the environment and talk to the people doing the work, not just the leader voice Consolidate, centralize, and standardize resources through the virtual care center and virtual nursing program 9. Artificial Intelligence in Healthcare: Augmentation, Not Replacement AI is not new to healthcare, but tools like ChatGPT opened an entirely new toolkit Ambient listening captures the conversation so clinicians focus on the patient, not the screen Smart rooms, wearables, and patches help monitor for fall risk, pressure injuries, and more 10. The Future of Healthcare: Remote Care and Agentic Technology Strategy horizons are shrinking, making it hard to project even seven months, let alone seven years Delivering care beyond “the four walls of the hospital,” including in patients’ homes “Faith or fear”: partnering with trusted digital companions to free people for the most complex work 11. Legacy, Leadership, and What’s Next Advice to her younger self: stay flexible and pivot when opportunities cross your path “Never give up on the next amazing thing”

  8. Jun 6

    Sovereignty and Healing as One: Sherylene Yazzie’s Vision

    In this episode of Impact Unfiltered, host Stuart sits down at the Self-Governance Conference with Sherylene Yazzie, Executive Director of the Navajo Department of Health. A companion to the conversation with Navajo Nation President Buu Nygren, this dialogue centers on Yazzie’s guiding phrase: “Navajo healing Navajo.” She explains why sovereignty and healing are the same project, shares outcomes from the YHC detox facility in Phoenix — where more than 200 Navajo people have entered care — and lays out a vision for preventive health rooted in farming, agriculture, medicinal plants, running, and fasting. With strategies for reaching the next generation on the platforms they use, and a closing reflection on the traditional Navajo morning practice of asking the sun to burn away negativity, this episode is a master class in tradition-rooted leadership. 1. Background and Role Yazzie has served over 20 years in public service. As Executive Director, she leads health strategy for the Navajo Nation, spanning 27,000 square miles and nearly half a million members.2. Navajo Healing Navajo Healing begins with individuals taking ownership. Decades of programming led people to believe solutions only come from hospitals, but Yazzie calls for a return to traditional and communal ways.“Our people have been programmed to think our solutions are at the hospital — and forgotten our medicinal ways, our traditional ways, our communal ways.”3. Self-Governance and Healing Self-governance empowers sovereignty; Navajo healing Navajo empowers identity. The scale of the Nation demands monumental change.4. Phoenix Detox Facility The YHC facility exists because of self-governance. Over 200 Navajo people have been healed. The goal is not just recovery but creating productive citizens whose example ripples to younger generations.5. Preventive Health Yazzie’s priority is preventive health: medicinal communities, farming, and traditional practices. She emphasizes reprogramming how people think and behave, returning to pre-contact self-reliance.6. Why She Does This Work Driven by passion for elders, children, and all relatives, Yazzie says:“I make a difference in someone’s life, even if it’s just one person — that means so much to me.”7. Expanding Behavioral Health The Nation has five agencies with facilities, but none accredited for detox. Yazzie’s plan is to elevate standards across all five, mirroring the YHC model closer to home.8. Tradition as Preventive Health Healing through farming, agriculture, medicinal plants, running, and fasting. The Navajo Nation is a food desert; water and infrastructure are catalysts for change.9. Reaching the Next Generation Youth live on phones and social media. Yazzie sees opportunity in podcasts, radio-style repetition, and cultural content. Language gaps are real — translating Navajo into English loses meaning.“How do we reach the younger generation who don’t understand our Navajo language?”10. Empower Yourself First Her message: you can do anything you want, but empowerment begins with yourself.11. The Sun as Medicine A traditional morning practice: bless yourself with the sun, asking it to burn away negativity.“Ask the sun. It has that much power. It will magically burn all of that negativity from you.”12. Closing Remarks and Gratitude The episode closes with recognition of Sherylene Yazzie’s leadership, appreciation for her integration of tradition and health, and encouragement to continue scaling the YHC model across the Nation.

About

Impact Unfiltered is a podcast about bold leadership, real stories, and the ideas shaping the future of healthcare, business, and community. Each episode features candid conversations with changemakers—from health directors and entrepreneurs to tribal leaders and nonprofit innovators—who are making a difference where it matters most. Whether you’re building programs, leading teams, or just care deeply about impact, this show brings practical insight and unfiltered inspiration from the frontlines of meaningful work. Honest dialogue. Practical wisdom. Unfiltered impact.