What happens when your most critical imaging system is held together by workarounds and tip sheets? Oliver Galicki, VP of Information Services at Memorial Hermann, reveals how he led a 12-month enterprise imaging overhaul — from eight vendors to a signed contract — while balancing technical debt, physician alignment, and scarce dollars.

His guiding philosophy: if your house is on fire, you cannot innovate. Discover how pragmatic IT leadership turns infrastructure chaos into a foundation for the future.

~1:30 Oliver’s journey from intern to VP

~4:30 Technical debt explained — the 23-year-old PACS problem

~8:00 “If your house is on fire, you can’t innovate”

~11:00 Building governance and physician alignment

~17:00 Streamlining decisions — 8 vendors to 1 in 12 months

~22:00 The ROI challenge for foundational IT

~28:00 Leadership style — authenticity, transparency, and speaking both languages

~32:00 Upskilling IT teams for the AI era

~35:00 Book and podcast recommendations

Electronic health records were supposed to transform healthcare—but instead, they digitized broken workflows.

In this episode of After the Chaos, the conversation explores why EHRs increased complexity instead of reducing it, and what healthcare can learn moving forward.

Key topics include:

• Why EHRs failed to improve care coordination
• The disconnect between technology and clinical workflows
• The importance of clinician-led design
• How to avoid repeating the same mistakes with AI

AI presents a new opportunity—but only if healthcare moves beyond digitization and into true redesign.

What happens when healthcare technology is built without the people who use it most?

In this episode of Success in Chaos, Angela and Kandice sit down with Dr. Melinda Kidder, DHA, MSN, RN, CENP, MPHC, Chief Nursing Officer for the Office of the National Coordinator for Health IT, to unpack one of the most overlooked drivers of success in healthcare innovation: frontline clinician involvement.

From her journey as a CNA to shaping national health technology policy, Dr. Kidder shares hard-earned lessons from the early days of EHR adoption—and why those same mistakes are now being repeated in the age of AI.

You’ll learn:

• Why nurses must be involved from day one—not as an afterthought
• The biggest disconnect between tech design and real clinical workflows
• What most organizations get wrong about AI adoption
• How to build governance models that actually work
• Why “closing the loop” is the most overlooked step in implementation

If you’re a healthcare executive, operator, or innovator trying to make technology actually deliver outcomes—not just features—this episode is a must-listen.