Tech It to the Limit

Elliott Wilson

Welcome to Tech It to the Limit — the podcast where digital health, healthcare innovation, and operational reality all get shoved into the same overloaded server rack… and somehow still boot successfully. Hosted by Elliott Wilson, Tech It to the Limit explores the messy, hilarious, occasionally terrifying intersection of healthcare, technology, AI, clinical transformation, and the humans stuck trying to make all of it actually work at scale. This is not a “synergy” podcast. No buzzword smoothies. No pretending every pilot program is “revolutionary.” Instead, expect smart conversations with health system leaders, clinicians, founders, policymakers, technologists, and operators who’ve survived enough go-lives, governance meetings, workflow disasters, and innovation theater to have earned a few opinions. Topics include: AI in healthcare that works… and AI that absolutely should not have made it past the steering committeeVirtual care, virtual nursing, and the operational realities behind the hypeSmart hospitals, digital transformation, workflow redesign, and governance at enterprise scaleCybersecurity, interoperability, automation, ambient tech, and the eternal struggle against the fax machine’s undead spiritThe human side of innovation: burnout, trust, adoption, leadership, and why “just one more platform” is usually how the villain enters the storyThe vibe? Part healthcare strategy. Part elder-millennial group chat. Part conference hallway conversation after somebody says, “Okay, off the record…” Whether you’re a CIO, CMIO, nurse leader, founder, analyst, policymaker, healthcare IT professional, or just someone trying to survive another AI keynote without hearing the phrase “frictionless ecosystem,” this show is your prescription for insight, sarcasm, and surprisingly practical wisdom. Because at the end of the day: #MachinesMakeCareMoreHuman

  1. Oct 4

    Will AI Replace Nurses? Bonnie Clipper on Nursing AI + Kirk Barnes on Digital Health Sales

    Will AI replace nurses? In this episode of Tech It to the Limit, Elliott welcomes back nursing innovation guru Bonnie Clipper to tackle the question she gets asked on LinkedIn more than almost any other: will AI replace nurses? Bonnie makes the case that most AI tools on the market today were built for physician workflows, not nursing ones, and that nursing's "last mile" role in healthcare, the hands on, emotional, human work, is exactly what keeps it furthest from automation. They dig into trust data from recent studies on clinician AI adoption, why nurses currently report lower AI literacy and trust than physicians, and what it would actually look like for AI to clear the noise out of a nurse's shift instead of adding to it. The segment wraps with a lightning round game, Nurse GPT or Portugese, mixing nursing AI trivia with questions about Bonnie's future expat life. Then, recorded live at ViVE, Elliott sits down with Kirk Barnes, a digital health commercialization strategy expert whose career spans pharma, biotech, venture capital, economic development, and startup incubation at Georgia Tech's ATDC. Kirk shares the networking philosophy that's carried him through layoffs, startup shutdowns, and career pivots: real networking is about giving before you need anything in return. The conversation turns to one of the most expensive and common mistakes digital health founders make: hiring salespeople without understanding sales as its own discipline. Kirk unpacks his "suspect vs. prospect" framework, why sales is really about monetizing problem solving rather than convincing someone of something, and previews the launch of his new venture, the Digital Health Sales Institute. Tune in to hear why both nursing's future and digital health sales success come down to the same idea: trust has to be earned, and earned early, before you ever need to cash it in. In this episode: [00:00] Podcast welcome[00:53] Meet Bonnie Clipper[02:25] Will AI replace nurses?[03:27] Why nursing workflows matter[06:35] The last mile of nursing[11:12] Building trust and AI literacy[16:13] The Nurse GPT game[23:54] Hokey Pokey ad break[25:48] Meet Kirk Barnes[26:56] Dad joke icebreaker[27:34] Kirk's career origin[29:10] Recession and startups[30:02] Networking before you need it[31:16] Building a healthtech program[34:38] Sales hiring pitfalls[38:02] Monetizing problem-solving[40:15] Launching the Sales Institute[43:05] Wise Nugs recap[47:40] Final wrap and creditsResources: Tech It To The Limit Podcast Website Apple PodcastBonnie Clipper LinkedIn -https://www.linkedin.com/in/bonnieclipperKirk Barnes LinkedIn https://www.linkedin.com/in/kirkbarnes/ Digital Health Sales Institute: https://digitalhealthsalesinstitute.com/Elliott Wilson LinkedIn - https://www.linkedin.com/in/matthewelliottwilson

    Will AI Replace Nurses? Bonnie Clipper on Nursing AI + Kirk Barnes on Digital Health Sales
  2. Jun 5

    AI Ay Ay! How TGH Scales Healthcare Innovation and AI Faster Than Most Health Systems

    In this episode of Tech It to the Limit, pediatric ER physician and digital health veteran Dr. Adam Glasofer returns to the pod with a characteristically unfiltered take on the oversaturation of AI in healthcare. He argues that while AI tools are genuinely game changing for clinical workflows and point of care decision support, the current investment climate has created a dangerous incentive structure. Then, recorded live at VIVE in Los Angeles, Elliott sits down with Scott Arnold, EVP and Chief Digital and Innovation Officer, and Rachel Feinman, SVP of Innovation Ventures and Digital Solutions, from Tampa General Hospital for a candid conversation on operationalizing innovation. They reveal why most health systems say they want innovation but build only black holes for ideas, how TGH built actual on ramps from Idea HQ and innovation challenges to a Shark Tank event where frontline nurses pitch board members, and why "proceed until apprehended" has become their operating mantra. Tune in to hear why the future of healthcare may depend less on replacing humans and more on designing technology that helps humans think, decide, and care better. In this episode: [01:14] Welcoming Dr. Adam Glasofer[02:53] The oversaturation of AI in healthcare[05:17] Where AI actually belongs in clinical care[07:23] Lessons from CPOE and order set design[10:54] Will we ever license AI to practice medicine?[11:34] The irreplaceable human elements of clinical care[14:14] Ambient AI and the accountability paradox[15:45] The biggest fear in AI oversaturation[24:47] Sponsored skit: Kwor’m.ai[27:14] Introducing Scott Arnold and Rachel Feinman[30:04] Tampa General's innovation vision and culture[32:34] How frontline ideas reach the innovation portfolio[34:35] On-ramps for innovation: Idea HQ and Shark Tank events[36:46] From idea to scale: cycle times and the "advanced work" phase[40:06] Change management and winning hearts on the frontline[43:03] Inside the Palantir partnership[45:03] Real wins: sepsis detection, care traffic control, and the blood supply crisis[49:54] Advice for startups pitching health systems[56:30] Most overused word at VIVE 2025[58:13] Elliott's nuggets of wisdom[01:05:03] Episode wrap-upResources: Tech It To The Limit Podcast WebsiteApple PodcastDr. Adam Glasofer LinkedInScott Arnold LinkedInRachel Feinman LinkedInElliott Wilson LinkedIn - https://www.linkedin.com/in/matthewelliottwilson

    AI Ay Ay! How TGH Scales Healthcare Innovation and AI Faster Than Most Health Systems
  3. May 8

    Analog ViVEs: Autonomous Healthcare & AI: Fixing Broken Systems - with Dr. Anil Jain of Innovaccer

    Prior authorization is now a bot‑to‑bot conversation waiting to happen. The only thing missing is the interoperability standard. In this episode of Tech It to the Limit, former co-host Sarah Harper returns as the show's first guest in its bold new format, making the case for going analog in a hyper connected world. She explores how the constant presence of screens, notifications, and digital noise has quietly become a wellness problem, not just for patients, but for caregivers and designers alike. Drawing from her own life audit, her kids' tin can phone, and the growing cultural backlash against smartphones, she argues that the health tech industry must design for unplugging just as intentionally as it designs for engagement. The conversation challenges builders and clinicians to ask a harder question: is the technology we're adding actually improving lives, or just adding to the noise? Then, recorded live at HLTH in Los Angeles, Elliott sits down with Dr. Anil Jain, Chief Innovation Officer at Innovaccer, for a candid conversation on what autonomous healthcare actually looks like in practice. Drawing from his time at IBM Watson Health and years leading large scale health system transformation, Dr. Jain unpacks why AI for the sake of AI has never been the right message, how data quality remains the unglamorous prerequisite to everything, and why the EMR rollout is a cautionary tale worth revisiting. He also shares what Innovaccer is building right now, from AI powered heart failure management to prior authorization automation, and makes the case that AI orchestration is the next great interoperability challenge. Tune in to hear why the future of health technology may depend equally on knowing when to unplug and when to automate, and why both require the same thing: designing with real people at the center. . In this episode: [00:00] Introduction[01:21] Welcoming back Sarah Harper[03:55] Going analog in a digital world[07:02] Analog trends in pop culture[20:00] Sponsored skit: Parent Trap AI[22:34] Introducing Dr. Anil Jain[27:57] The importance of data quality in AI[33:51] Designing empathy into AI[36:22] The vision for autonomous healthcare[43:45] Innovator's real-world solutions[47:03] The future of prior authorization[49:50] Advice for digital health founders[51:01] Episode wrap-up Resources: Tech It To The Limit Podcast Website Apple PodcastSarah Harper LinkedIn -https://www.linkedin.com/in/sarahbethharperDr. Anil Jain LinkedIn -https://www.linkedin.com/in/aniljainmd/Innovaccer: https://innovaccer.com/Elliott Wilson LinkedIn - https://www.linkedin.com/in/matthewelliottwilson

    Analog ViVEs: Autonomous Healthcare & AI: Fixing Broken Systems - with Dr. Anil Jain of Innovaccer
  4. Feb 6

    UX Marks the Spot: Patient Advocacy in Health Tech - Wearables, Socials, Patient Portals and More

    Tech It to the Limit Episode 4.01 Patient Power: Dr. Archelle Georgiou and Danielle Teal on Patient Advocacy in Healthcare Tech In the Season 4 premiere of Tech It to the Limit, hosts Sarah Harper and Elliott Wilson return with humor, heart, and a timely focus on the most important voice in healthcare: the patient. The episode kicks off with the usual banter, nostalgic tech gifts, and a brand-new game, Trial Ready or Try Again, which puts emerging oncology innovations to the test and separates real breakthroughs from sci-fi hype. The episode features two remarkable guests. Danielle Teal, a Mayo Clinic Joy Program champion and patient advocate, shares her lived experience navigating a breast cancer diagnosis and how technology showed up during moments of shock, vulnerability, and resilience. Dr. Archelle Georgiou brings decades of insight as a physician, former healthcare executive, and nationally recognized patient advocate, offering perspective on where health technology truly empowers patients and where it falls short without personalization, context, and compassion. Together, they explore patient portals, AI, wearables, social platforms, and decision-making tools, emphasizing kindness, listening, and partnership in care. This Season 4 opener sets a powerful tone, highlighting how innovation and empathy must work together to create technology that genuinely supports patients and their real-world journeys. In this episode: [00:00] Welcome to Tech It to the Limit[00:51] Season 4 kickoff[01:20] Introducing our expert guests[02:37] Holiday tech gifts recap[04:38] Analog vs. digital: a fun debate[15:35] Patient advocacy and technology[24:51] A year ago: the start of chemotherapy[25:33] The challenge with technology in healthcare[26:00] Personalized health information: the key to better care[41:44] The importance of kindness in healthcare design[46:31] Call to action: Patients as equal partners[52:08] Wise nugs[59:48] Episode close & HealthTech HaikuResources: Tech It To The Limit Podcast WebsiteApple PodcastDanielle Teal LinkedIn -https://www.linkedin.com/in/danielletealDr. Archelle Georgiou https://www.archellemd.com/abouthttps://www.linkedin.com/in/archellegeorgiouPodcastSarah Harper LinkedIn -https://www.linkedin.com/in/sarahbethharperElliott Wilson LinkedIn - https://www.linkedin.com/in/matthewelliottwilson

    UX Marks the Spot: Patient Advocacy in Health Tech - Wearables, Socials, Patient Portals and More
  5. 12/19/2025

    HLTH-Y Dose Part 2

    Tech It to the Limit Episode 3.11 - HLTH-Y Dose Part 2: The Future of Agentic, Ambient, and Diagnostic Artificial Intelligence In this second part of HLTH, Sarah Harper and Elliott Wilson dive back into the cutting-edge world of AI, focusing on technology that not only acts but also listens and sees what humans can’t. The episode features three insightful conversations from HLTH this fall, proving that the future isn't just about AI, it's about AI that works for you. First, meet Jon Wang, CEO of Assort Health, who explores the frontier of agentic AI. Next, Dr. Adam Glasofer of Vertex Health brings a reality check to the flashy health tech landscape. Finally, Dr. Zachary Tan and Jeff Dunkel of Optain Health demonstrate how their AI-powered retinal exam transforms diagnostic care. In This Episode: [00:47] Welcome back: Bonus episode 2.0[02:16] Exploring agentic AI with Assort Health[06:03] Interview with Jon Wang, CEO of Assort Health[21:47] The future of ambient innovation with Vertex Health[23:12] Interview with Dr. Adam Glasofer of Vertex Health[30:33] Survival tips for health tech startups[32:43] Navigating health conferences as a founder[42:37] AI and retinal screening innovations[49:23] Scaling precision imaging in frontline care[55:00] Wrapping up and looking aheadResources: Tech It To The Limit Podcast Website Apple PodcastJon Wang LinkedIn - https://www.linkedin.com/in/jonxwangAssort Health - https://www.assorthealth.com/Dr. Adam Glasofer LinkedIn - https://www.linkedin.com/in/adam-glasofer-mdVertex Health - https://vertexhealthconsulting.com/Dr. Zachary Tan LinkedIn - https://www.linkedin.com/in/zacharytanJeff Dunkel LinkedIn - https://www.linkedin.com/in/jeff-dunkel-5529aa4Sarah Harper LinkedIn -https://www.linkedin.com/in/sarahbethharperElliott Wilson LinkedIn - https://www.linkedin.com/in/matthewelliottwilson

    HLTH-Y Dose Part 2
  6. 12/12/2025

    HLTH-Y Dose Part 1

    In this special HLTH bonus episode of Tech It to the Limit, hosts Sarah Harper and Elliott Wilson battle post-conference fatigue and full-blown health FOMO by bringing the conference floor straight to your earbuds. While Sarah recovers from a “very real case of health FOMO,” Elliott reports from the trenches after surviving days of buzzwords, badge scanners, and $9 lattes. To shake up the usual format, they press play on two standout booth interviews from HLTH. First, Elliott sits down with Dr. Lynne Nowak of Surescripts for a deep dive into seamless prescribing, touchless prior authorization, interoperability, and price transparency. Dr. Lynne breaks down how automation is shrinking prior auth from a multi-day nightmare into a near-instant, 30-second reality, reducing burnout for clinicians and removing friction for patients who just want their meds on time and at a price they can afford. Then, the episode shifts into venture-building mode with returning guest John Beadle of Aegis Ventures. John unpacks how his consortium model is helping health systems move from “innovation theater” to real innovation delivery by building and scaling AI companies faster than the market average. From ambient AI becoming table stakes to the rise of patient-facing agents, he offers a clear view of where healthcare innovation is headed next. In this episode: [00:00] Introduction[01:16] Health conference recap setup[07:13] Interview Dr. lynne Nowak automation and burnout[10:25] Touchless prior authorization explained[12:59] Interoperability and data exchange[18:11] Trust and data governance[19:55] Future of data science at Surescripts[21:12] Interview wrap up Dr. lynne[24:42] Interview John Beadle AI startups and health systems[26:02] Startup success metrics and examples[28:11] Clinician experience and ambient AI[32:19] Advice for health conference attendees[33:07] Sponsor segment HIPAA compliance tool[34:22] Episode wrap up and teaser for part two[35:40] Healthtech haiku and sign-offResources: Tech It To The Limit Podcast Website Apple PodcastDr. Lynne Nowak LinkedIn -https://www.linkedin.com/in/lynnee-nowak-md-62054583/Surescripts - https://surescripts.com/John Beadle LinkedIn - https://www.linkedin.com/in/johnpbeadle/Aegis Ventures - https://aegisventures.com/Sarah Harper LinkedIn -https://www.linkedin.com/in/sarahbethharperElliott Wilson LinkedIn - https://www.linkedin.com/in/matthewelliottwilson

    HLTH-Y Dose Part 1
  7. 11/07/2025

    Scale Force: Microsoft’s Dr. David Rhew on Responsible AI, Oculomics & the Future of Care

    In this final episode of Season 3 of Tech It to the Limit, hosts Sarah Harper and Elliott Wilson go global and get grounded with a very special guest. After sharing travel tales from Germany and the HLTH conference, Sarah and Elliott debut their new game, “Trust-O-Meter,” rating real-world health tech scandals and solutions on a scale from “hospital stairwell cell signal” to “grandma’s green bean casserole.” Then, they sit down with Dr. David Rhew, Global Chief Medical Officer at Microsoft, for a wide-ranging, surprisingly personal conversation on everything from his pivot from academia to industry ( a VA grant pushed him out) to the future of oculomics, voice biomarkers, and responsible AI. Dr. Rhew breaks down the three layers of bias, explains why implementation is everything, and doesn’t shy away from the hard truth about AI and the future of the healthcare workforce. It’s a deep, funny, and profoundly human conversation to close out the season. The episode wraps with Wise Nugs and a final health tech haiku, leaving listeners hopeful and ready for Season 4. Key Takeaways Trust needs humans in the loop :AI earns credibility when it supports clinical workflows, not replaces them.Bias hides in plain sight :Data, model design, and deployment all carry bias. Responsible AI means addressing all three.Implementation eats innovation for breakfast: Technology does not change healthcare; adoption and usability do.Your eyes and voice are the new vital signs :Oculomics and voice biomarkers are turning everyday signals into early detection tools.Equity must be built in, not bolted on:“Neutral AI” does not exist. Fairness and transparency have to be engineered from the start.Automation is not the enemy; stagnation is :AI will replace tasks, not purpose. The key is reskilling and redefining human work. In this episode: [00:00:13] Welcome to the season 3 finale[00:01:19] Host travel log[00:05:24] Game debut: Trust-o-meter[00:22:01] Interview: Dr. David Rhew[00:23:34] Dad jokes and Korean BBQ regrets[00:25:27] From white coat to cloud[00:30:52] Bridging the hype-reality gap[00:34:50] Oculomics: The 2-minute eye scan[00:38:02] The DMA of bias[00:45:27] The TRAIN consortium[00:48:45] Cloud consolidation and data stewardship[00:58:29] Call to action: Operationalizing trust[01:05:32] Spicy nugs: Key takeaways[01:14:09] Health tech haiku and sign-off Resources: Tech It To The Limit Podcast Website Apple PodcastDr. David Rhew LinkedIn -https://www.linkedin.com/in/david-rhew-m-d-1832764/Sarah Harper LinkedIn -https://www.linkedin.com/in/sarahbethharperElliott Wilson LinkedIn - https://www.linkedin.com/in/matthewelliottwilson

    Scale Force: Microsoft’s Dr. David Rhew on Responsible AI, Oculomics & the Future of Care
  8. 10/03/2025

    Wonder Years Redux: Busting Generational Myths in Digital Health for Better Tech Adoption

    In this episode of Tech It To The Limit, hosts Sarah Harper and Elliot Wilson revisit generational myths in digital health and reveal why age isn’t the real barrier to adoption. Through their new game, Fact Check Fever, and a deep dive into the Capability-Motivation-Context (CMC) framework, they show how design, usability, and trust matter far more than birth year. From busting stereotypes to exploring how health systems can design with users, not for them, it’s a witty, insightful look at the future of inclusive, human-centered innovation. Key Takeaways Generational myths don’t hold up: Boomers use portals, Gen Z cares about privacy, and every group struggles with clunky design, not just “digital natives.”Design trumps demographics: Adoption isn’t about age, it’s about usability, accessibility, and human-centered design.Follow the CMC framework: Capability, motivation, and context, not birth year, to predict whether people engage with health tech.Health equity requires intention: Neutral AI does not exist; equity has to be actively built into technology.The biggest unifier isn’t age: A diagnosis, condition, or shared health journey brings people together across generations more than labels like Boomer or Gen Z.In this episode: [00:00:13] Welcome & episode introduction[00:00:55] Recap of Mayo Clinic live show[00:02:36] Looking ahead to HLTH: speakers, tracks, and the health tech “fashion week” vibe[00:05:08] Conference tracks & awards00:07:13] Launching Fact Check Fever: busting myths on portals, EHR burnout, Gen Z TikTok habits, and more[00:07:37] Fact Check Fever: generational myths & data[00:19:24] Break for fake sponsor: Patient Portal Plus Plus[00:20:44] Sincere segment: CMC framework for health tech adoption[00:22:24] Deep dive: CMC framework explained[00:31:17] Designing with, not for, users[00:35:31] Break for fake sponsor: Bias Focals[00:37:14] Spicy Nugs: co-host lightning round[00:46:41] Closing thoughts, HLTH call-to-action, and Elliot’s health tech haikuResources Tech It To The Limit Podcast WebsiteApple PodcastSarah Harper LinkedIn -https://www.linkedin.com/in/sarahbethharperElliott Wilson LinkedIn - https://www.linkedin.com/in/matthewelliottwilson

    Wonder Years Redux: Busting Generational Myths in Digital Health for Better Tech Adoption
5
out of 5
10 Ratings

About

Welcome to Tech It to the Limit — the podcast where digital health, healthcare innovation, and operational reality all get shoved into the same overloaded server rack… and somehow still boot successfully. Hosted by Elliott Wilson, Tech It to the Limit explores the messy, hilarious, occasionally terrifying intersection of healthcare, technology, AI, clinical transformation, and the humans stuck trying to make all of it actually work at scale. This is not a “synergy” podcast. No buzzword smoothies. No pretending every pilot program is “revolutionary.” Instead, expect smart conversations with health system leaders, clinicians, founders, policymakers, technologists, and operators who’ve survived enough go-lives, governance meetings, workflow disasters, and innovation theater to have earned a few opinions. Topics include: AI in healthcare that works… and AI that absolutely should not have made it past the steering committeeVirtual care, virtual nursing, and the operational realities behind the hypeSmart hospitals, digital transformation, workflow redesign, and governance at enterprise scaleCybersecurity, interoperability, automation, ambient tech, and the eternal struggle against the fax machine’s undead spiritThe human side of innovation: burnout, trust, adoption, leadership, and why “just one more platform” is usually how the villain enters the storyThe vibe? Part healthcare strategy. Part elder-millennial group chat. Part conference hallway conversation after somebody says, “Okay, off the record…” Whether you’re a CIO, CMIO, nurse leader, founder, analyst, policymaker, healthcare IT professional, or just someone trying to survive another AI keynote without hearing the phrase “frictionless ecosystem,” this show is your prescription for insight, sarcasm, and surprisingly practical wisdom. Because at the end of the day: #MachinesMakeCareMoreHuman