On Record

Intelligent Video Solutions

On Record is a podcast where we talk with professionals and other subject matter experts from diverse markets that are using video and audio in innovative ways to support their organization's objectives. Hosted by Mike Anzalone and Carmen Haak, On Record highlights how audio and video tools are used in education, healthcare, simulation, communication sciences, and research. The podcast offers a platform for professionals to share insights, experiences, and practical applications with others seeking to leverage A/V in their organization.

  1. 4d ago

    Inside the VALT: Treating Video as a First-Class Data Source with Wowza's Barry Owen

    In this episode of On Record, hosts Mike Anzalone and Carmen Haak speak with Barry Owen, Chief Solutions Architect at Wowza, the streaming engine technology that powers the video component of the VALT platform.  Barry took an engineering path from the start, working as a programmer on image processing products before video work drew his interest. He knew Wowza's founders from his previous work at Adobe, and the timing lined up for him to join the company, where he began in engineering. He has since moved into his current role as Chief Solutions Architect, an outward-facing position focused on understanding customer needs and determining how video can address them.  The episode opens with Barry's take on where the streaming industry stands today. Getting live video out at scale, securely and reliably, is now a largely solved problem, and the newer challenge is drawing real-time insight out of video that would otherwise sit unwatched in storage. He points to Wowza's recent AI product launch and the beta program that preceded it, including a use case from an offshore monitoring customer that inspects oil rigs and other harsh-environment infrastructure. AI models trained on remote camera feeds can flag events such as bubbles escaping from a pipe or a pressure gauge reading that is too high, generating a real-time alert instead of requiring a person to watch video around the clock. Barry notes that the same approach generalizes to clinical simulation settings, where a model could flag whether a patient is out of an expected position at the wrong time.  On what Wowza Streaming Engine actually does, Barry describes an end-to-end platform that takes in video from sources like cameras, files, or satellite links, processes and packages it for delivery to any device in near real time, and layers in security such as encryption and access control. It is built to be API-driven and is typically embedded inside other products, which is how it functions within VALT rather than being sold as a standalone tool. On scalability, Barry explains that Streaming Engine is designed to take advantage of underlying hardware, including GPUs, to process high camera counts efficiently, and that it can deploy on premises, on edge devices, in the cloud, or in some combination. The right architecture depends on the use case: a customer whose stream count fluctuates sharply, such as jumping from 100 to 1,000 streams on weekends, needs a different setup than one running a small number of streams out to a large audience.  Among the more distinctive deployments Barry has worked on: streaming live video and telemetry from Formula One cars to the pits, supporting NASA's Artemis program with live video from the moon, and enabling E911 operators to receive real-time video from callers. He frames the broader shift underway as treating video as a first-class data source rather than a passive recording, and connects this to the healthcare simulation market, where video functions as evidence supporting learner competency. Wowza's platform is designed to be open, so organizations can add or train models suited to their own use case, such as a clinical model that expects one event to follow another within a set time window and flags it when that does not happen. On working in sensitive environments such as healthcare, law enforcement, and research, Barry emphasizes that video analysis with Streaming Engine and Wowza's Video Intelligence framework runs on premises or at the edge rather than being sent to the cloud, which allows deployment inside existing hospital networks, police stations, and other secure environments without giving up control of the video.  Asked where Wowza's AI capabilities are headed over the next several years, Barry traces a path from basic object detection, such as counting vehicles, toward more predictive capabilities like anticipating a traffic jam or accident from a scene, and toward synthetic video detection built with a model from Nvidia that flags AI-generated video so organizations such as news outlets can handle it differently than user-generated or social content. He also discusses context detection, which can be used to keep advertising or content transitions from clashing tonally with surrounding footage, and to support content moderation at scale. Asked what sets Wowza Streaming Engine apart, Barry points to its API-first design, dating back to the product's original launch in 2007, and its extensibility. As an example, he describes using Claude to help him write code again after a decade away from it, which let him add a new protocol called MoQ, short for Media over QUIC, to Streaming Engine using only its public APIs, without modifying the core product. He explains that MoQ is built on QUIC, the UDP-based transport behind HTTP/3, and is designed to address the latency issues inherent to TCP-based protocols like WebRTC, while also supporting features WebRTC was not built for, including accessibility and DRM.  Toward the end of the conversation, Barry offers practical advice for organizations upgrading or starting a video streaming initiative. His recommendation is to pick one clear use case, get it working end to end, and only then think about scale, using existing cameras and servers wherever possible rather than assuming new infrastructure is required. He notes that Wowza's deployment options range from small edge devices to multi-server GPU setups, and that most streams today are ultimately viewed on mobile devices, which should inform how output is optimized. His closing thought for listeners already streaming is to look at how that video is actually being used, and to consider whether new AI and video intelligence tools could help extract more value from existing infrastructure and past investment.  Barry Owen can be reached on LinkedIn or through his posts on the Wowza blog.

  2. Oct 6

    Building a Simulation Center of Excellence: Kelly Foltz-Ramos on Research, Technology, and Innovation at University of Buffalo

    In this episode of On Record, hosts Mike Anzalone and Kyle Shelstad speak with Dr. Kelly Foltz-Ramos, Assistant Professor and Director of Simulation and Innovation at the University of Buffalo School of Nursing, a Fellow of the American Academy of Nursing and the leader behind UB's designation as New York State's first simulation center of excellence.  Kelly traces her path from health information administration to bedside nursing to clinical education, landing at UB after spending five years building a simulation program from scratch at a large hospital system, largely self-taught at a time when simulation in healthcare was still a new field. She talks about how a combination of institutional trust, a background in educational theory, and a drive to research every new initiative she introduces has allowed her to keep moving the program forward.  The conversation covers several of Kelly's current and recent projects. She explains how UB uses virtual reality to give urban-campus nursing students exposure to rural and underserved care environments, funded through a grant she secured in 2023. She describes a custom GPT she built from the ground up, trained on healthcare simulation standards, interprofessional education competencies, and best practice frameworks, now capable of generating complete simulation scenarios in roughly five minutes. She has also integrated AI voices into mannequin-based simulations to improve standardization and allow patient characters to sound more realistic.  Kelly's most technically involved current project is the Shared Mental Model study, a collaboration with UB's School of Engineering that combines video capture from two angles, EEG brain activity data, and eye-tracking data collected inside a virtual reality environment. The goal is to train a model that can predict in real time when communication or teamwork is breaking down during a simulation, then prompt students to course-correct before an error compounds. She explains what a shared mental model is, how TeamSTEPS tools are woven throughout UB's curriculum, and why getting health professions students to speak a common clinical language matters for patient safety.  On the video side, Kelly covers how UB uses recording across the full simulation arc: pre-briefing, live facilitation, observer learning, and debrief. She walks through published research showing that observers gain equal knowledge, confidence, and satisfaction compared to active simulation participants, and explains how reduced cognitive load for observers likely plays a role. She distinguishes between formative and summative evaluation, explains how UB uses a scaffolded approach to build skills progressively through the program, and discusses when recording is warranted versus when live streaming alone is enough. She also shares how the move from a repurposed casino security system and DVD burning to a purpose-built simulation recording platform changed what her team could actually do with video.  The episode closes with Kelly's buying advice for programs evaluating video systems: start with a needs assessment, prioritize systems built for simulation rather than general AV capture, and talk to programs that have recently gone through implementation before you decide.  Kelly can be reached at foltz@buffalo.edu.

  3. Sep 15

    How NAIT Built an Interprofessional Simulation Program That Keeps Getting Bigger

    In this episode of On Record, hosts Mike Anzalone and Carmen Haak speak with Lisa George, Associate Chair of Simulation and Interprofessional Education, and Tom Waring, Lead Simulation Technologist, from the Northern Alberta Institute of Technology (NAIT) Center for Advanced Medical Simulation (CAMS).  Lisa and Tom walk through how NAIT designs and runs interprofessional education (IPE) simulations that bring together students from 14 health programs — and, most recently, five institutions across Alberta. They discuss what it takes to build scenarios that work for multiple disciplines at once, from the needs analysis and learning objectives all the way through to debrief, and why getting the facilitation and technology teams involved from the start is so important.  The conversation takes a close look at NAIT's mass casualty incident (MCI) simulation, now in its third year. What started as a student suggestion has grown into a full-scale exercise involving real ambulances, local firefighters, a 1,000 square foot extended reality theater, and a simulated multi-hospital system running simultaneously. The team captured this year's event from 40 camera angles across two runs — generating over 120 hours of footage now being used to support ongoing research and shape future programming.  Lisa and Tom also discuss the specific role video plays at CAMS: supporting student self-reflection during debriefs, enabling observers to participate without crowding the simulation space, testing products with industry partners in realistic conditions, and measuring outcomes like closed-loop communication and patient handoffs. They share where they see simulation heading next, including the use of AI to generate personalized feedback, build virtual pre-simulation experiences, and assist facilitators during debrief.  The episode closes with practical advice for programs looking to build at this scale: involve your technical team from day one, keep learning objectives at the center of every decision, prepare students before they arrive, and don't be afraid to ask for what seems out of reach.

  4. Sep 8

    Inside the VALT: Building AI features with Intention

    In this special episode of On Record's Inside the VALT series, hosts Mike Anzalone and Carmen Haak speak with Eli Lipasti, Director of IT at Intelligent Video Solutions (IVS).  Lipasti studied computer engineering at the University of Wisconsin-Madison and joined IVS right out of college as a support engineer, providing technical support for the VALT software and helping build new processes for the support team. His role since then has expanded to include product management and technical design work that ties customer feedback directly to new VALT development. He also takes part in ongoing conversations with prospective and current customers about their technical needs.  Lipasti explains that IVS's approach to AI in VALT started with conversations, not a single attention-getting feature. Rather than building something flashy for its own sake, the team spoke with simulation instructors and faculty about where they needed help, and the common request was for tools that let a smaller team support a growing number of students. That feedback shaped the first feature: on-server transcription. IVS is adding a GPU to its appliance servers so that video and audio can be transcribed entirely on-site and offline, without sending data to an outside service. Lipasti ties this directly to privacy requirements common among IVS clients, including HIPAA and government-level compliance standards that many commercial transcription services do not meet.  The next layer of features builds on that local transcription. Diarization will identify which participant is speaking at any given moment, so instructors can track how an individual student's communication changes across a program rather than only within a single recording. Automated summaries will highlight key moments, quotes, and action items within long recordings, reducing the time staff spend reviewing footage that runs far longer than anyone has time to watch in full. Lipasti notes that these tools are meant to give staff their time back, not to replace an instructor's judgment. Because VALT already lets teams tag and search recordings by participant, custom field, or sharing status, adding searchable transcript content to that same system means instructors can find a specific phrase or interaction across dozens of past recordings in seconds rather than hours.  Model selection is its own area of ongoing work. VALT's current transcription uses OpenAI's Whisper, a widely used general purpose speech recognition model, but Lipasti notes that general models perform less well on medical terminology, drug names, and clinical procedure names. IVS is tracking a newly introduced benchmark called medical word error rate, which measures transcription accuracy specifically on medicine-related language, and plans to add a medicine-specific speech model for its next version alongside diarization and summaries.  Looking further out, IVS is adding optical character recognition that reads vitals monitors during a recording, tracking blood oxygen, heart rate, and respiration rate as data points plotted alongside the video timeline, along with a customizable field for tracking any other number that appears on screen. Because the feature reads the vitals display rather than integrating with a specific manikin, it keeps VALT usable across manikin brands, an approach Haak notes is important to clients who use equipment from multiple vendors. Sentiment analysis is also part of the plan: assessing tone, pacing, and vocal cues in a recording rather than only the words themselves, both live and after the fact. Lipasti flags that state-level regulation of sentiment analysis is still developing, and stresses that the goal is to support a clinician's or instructor's own judgment rather than produce a diagnosis.  Asked for advice for listeners considering AI tools of their own, Lipasti recommends starting with a clear-eyed look at data privacy needs, since that decision narrows which tools are realistically available. He also cautions against subscribing to too many AI services or add-ons at once, since managing a large number of vendor agreements and data policies can become its own burden, and some newer AI vendors may not stay in business long enough to be a safe long-term choice.

  5. Sep 1

    Building Better Simulation Programs with Video, Data, and Community with Lance Baily

    Building Better Simulation Programs with Video, Data, and Community with Lance Baily  Founder and CEO, HealthySimulation.com  Lance Baily is the founder and CEO of HealthySimulation.com, a leading resource for healthcare simulation professionals around the world. With a background that spans film and digital media, EMS, simulation operations, and industry education, Lance has spent years helping simulation programs better understand the technologies, workflows, and strategies that support effective learning. He is also the founder of SIMGHOSTS, a longtime advocate for simulation technologists, and a recognized voice in the healthcare simulation community.  In this episode of On Record, Lance shares how his unusual path through film production, emergency services, and simulation leadership shaped his perspective on the role of audio and video in healthcare education. The conversation explores how AV systems support simulation-based learning through recording, debriefing, learner reflection, orientation, and program promotion, while also helping institutions gather data that supports operational decisions and long-term investment.  Lance also discusses the broader challenges simulation programs face when selecting and scaling video infrastructure, including faculty education, cross-department collaboration, IT alignment, space design, and long-term planning. Along the way, he offers practical guidance for simulation leaders building new programs or redesigning existing ones, while also looking ahead to emerging trends such as cloud-based systems, virtual patients, XR, AI, and the growing role of AV in both education and patient safety. Taken together, the episode offers a thoughtful look at how video technology can strengthen simulation programs, improve learning outcomes, and support the future of healthcare training.

  6. Aug 18

    Clinical Writing, Generative AI, and the Bias Problem: A Conversation with Annie Holland

    In this episode of On Record, hosts Carmen Haak and Kyle Shelstad speak with Annie Holland, a faculty member in the Communication Sciences and Disorders department at the MGH Institute of Health Professions, part of the Mass General Brigham Health System and one of the top-rated Speech-Language Pathology programs in the country. Annie is also the inaugural recipient of the CAPCSD-IVS Clinical Education Seed Grant.  Annie shares how her path from pediatric clinical practice, including work in neonatal intensive care and school systems, led her to graduate education, where she now teaches master's-level SLP students with a strong emphasis on clinical writing. She discusses her published research on biased language in clinical documentation, which had students identify and rewrite problematic language in sample reports before and after a targeted training module. The conversation covers specific examples of where bias tends to appear in SLP writing, including assumptions around gender and cultural identity, and why getting that language right matters for families, patients, and the broader care team.  From there, Annie talks through her current IVS-funded research project, which uses a multi-institution team of experts to analyze AI-generated speech-language evaluation reports for biased and subjective language. The goal is to understand what these platforms are actually producing, across multiple tools, and in conditions that reflect how students and practicing clinicians are using them right now. She offers practical guidance for programs considering AI documentation tools, including the importance of prompt quality, the environmental cost of excessive trial-and-error prompting, and the need to go in with a clear plan rather than hoping for good output.  One of the more unexpected findings she shares: the strongest resistance to AI in her department has not come from faculty. It has come from students, many of whom have well-considered concerns about how these tools are being used in clinical practice. Annie and her colleagues have had to rethink how they introduce AI into the curriculum as a result.  The episode closes with how video recording connects all of this work at MGH IHP's on-campus clinic, where live-streamed sessions give students room to practice independently, recorded sessions anchor clinical writing exercises and AI output review, and end-of-semester video shares let the entire cohort learn from one another's patient work.  Annie can be reached on LinkedIn or via email at AK.Holland@mghihp.edu. Her published research on biased language in clinical writing is available open access in Teaching and Learning in Communication Sciences and Disorders. More information on the CAPCSD-IVS Clinical Education Seed Grant is available at capcsd.org/scholarships.

  7. Aug 4

    Supervising Students, Serving the Community: Inside Northeastern University’s Speech, Language and Hearing Center with Caren McDonough

    In this episode of On Record, hosts Mike Anzalone and Carmen Haak speak with Caren McDonough, Clinical Director for the Speech, Language and Hearing Clinic at Northeastern University.  Caren brings more than 30 years of experience as a speech-language pathologist, having worked across acute care, inpatient and outpatient rehab, schools, and private practice before moving into clinical education. She walks through how video is woven into both sides of her work at Northeastern: in the classroom, where recorded sessions support the 25 guided observation hours students need before working with clients, and in the clinic, where all seven treatment rooms are recorded and available for live viewing by supervisors and family members alike.  The conversation gets into specifics around how video functions as a feedback tool for new clinicians, who often leave a session feeling uncertain about what happened only to watch the recording and find they did far better than they remembered. Caren explains how she uses older recordings in the classroom while protecting current students from having their sessions played for peers, and how family observation, whether through a two-way mirror or a laptop in the waiting area, gives supervisors a way to coach caregivers on what they can carry home.  Camera capability matters a lot in a pediatric setting, and Caren is candid about both the value of PTZ tracking for active children and the ongoing challenge of ceiling-mounted microphones missing quiet voices. She covers how Northeastern's clinic serves the broader community, including veterans and referrals from nearby schools and hospitals, and what written consent looks like in practice, including how the clinic handles clients who decline to be recorded.  The episode also covers the program's growing interprofessional simulation work, including recent scenarios run with pharmacy and physical therapy students, and how Caren thinks about AI in a clinical education context. She sees strong potential in AI for generating treatment materials and saving preparation time, but flags real concerns around false references, HIPAA compliance, and the need for students to understand where the guardrails are.  Caren closes with practical advice for anyone setting up a video system in a clinical environment: keep tech support accessible, work through HIPAA compliance before you go live, and make sure your IT department is part of the conversation from the start.  Caren can be reached by email at caamc@northeastern.edu or by phone at (617) 373-7831.

About

On Record is a podcast where we talk with professionals and other subject matter experts from diverse markets that are using video and audio in innovative ways to support their organization's objectives. Hosted by Mike Anzalone and Carmen Haak, On Record highlights how audio and video tools are used in education, healthcare, simulation, communication sciences, and research. The podcast offers a platform for professionals to share insights, experiences, and practical applications with others seeking to leverage A/V in their organization.