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Craig Joseph, MD

@craigmjoseph.bsky.social
428 followers 314 following 225 posts

Was a doctor who was geeky. Now a geek who is doctory. Chief Medical Officer at Nordic Global. Co-author of "Designing for Health: The Human-Centered Approach." craigjosephmd.com Tottenham supporter. #COYS #informatics #medsky

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Craig Joseph, MD @craigmjoseph.bsky.social · 30/09/2026
I talked with Dr. Carla Haack, surgeon turned Emory's VP of Financial and Perioperative Informatics. Her take: most denials aren't clinician failures, they're design failures: CPT mismatches, siloed workflows, etc. Fix the system, not the effort. #MedSky buff.ly/M8XNT7C
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Designing for Health: Reducing Healthcare Friction Through Financial Informatics with Carla Haack, MD
Dr. Haack shares her unexpected journey from surgeon to healthcare innovator, offering practical insights into breaking down organizational silos, improving revenue cycle processes, and designing…
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Craig Joseph, MD @craigmjoseph.bsky.social · 22/09/2026
AI can now identify some cancers months or years before traditional diagnosis, but policy, reimbursement, and liability frameworks were built for a world where diagnosis comes before clinical action. The technology may be advancing faster than healthcare's playbook. #MedSky buff.ly/de2eZwO
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AI Can Detect Cancer Years Before Symptoms Appear. Health Policy Has Not Caught Up | Health Affairs Forefront
Unless health policy evolves alongside the science, the gap between what AI can predict and what health care is prepared to do with that knowledge will keep widening.
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Craig Joseph, MD @craigmjoseph.bsky.social · 17/09/2026
I interviewed cognitive scientist Matt Hays about a hard truth for healthcare leaders: training completion ≠ learning. We discussed why testing beats lecturing, why "desirable difficulties" improve retention, and how AI can support performance without building mastery. #MedSky buff.ly/ZzqCFLr
nordicglobal.com
Designing for Health: Interview with Matt Hays Ph.D.
They discuss desirable difficulties, confidence-based learning, delayed feedback, spaced repetition, and why traditional classroom training often fails to create lasting behavior change. The…
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Craig Joseph, MD @craigmjoseph.bsky.social · 11/09/2026
Give an expert radiologist a confident wrong AI answer: they get it right 45% of the time. The human in the loop has a harder job than the one we automated, and nobody measures it. What to track instead of override rate. nordicglobal.com/resources/yo...
nordicglobal.com
Your AI did not remove human judgment. It just relocated it.
AI can improve accuracy, but it does not eliminate human judgment. Learn why healthcare leaders must govern the decisions AI leaves behind.
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Craig Joseph, MD @craigmjoseph.bsky.social · 03/09/2026
I interviewed CHOP CHIO Dr. Bimal Desai about AI’s impact on medical education and clinical practice. Our conversation explored deskilling, "commit-then-compare" learning, AI-powered simulation, and how to preserve clinical judgment in an AI-enabled future. #MedSky buff.ly/ZSIuW8j
nordicglobal.com
Designing for Health: Interview with Bimal Desai, MD
The conversation also examines strategies for integrating AI into training, including "commit then compare" learning models, AI-assisted feedback systems, precision education, and even AI-free…
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Craig Joseph, MD @craigmjoseph.bsky.social · 19/08/2026
JAMA’s message for healthcare leaders: “doing less” is often harder than doing more. Trials of deprescribing and de-escalation show that some interventions can safely be reduced, while others cannot. Success requires patient selection, monitoring, and shared decision-making. #MedSky buff.ly/1S9Z0fJ
jamanetwork.com
Deescalation, Discontinuation, and Deimplementation Trials
Deescalation, discontinuation, and deimplementation trials have emerged in multiple health care contexts in which interventions are suspected of being inappropriately used, applied beyond their…
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Craig Joseph, MD @craigmjoseph.bsky.social · 18/08/2026
Order sets are necessary, but not sufficient. A study found that adding stewardship facilitation training to EHR order set changes did not significantly reduce inappropriate postoperative antibiotic use. Nearly half of eligible patients still received postoperative antibx. #MedSky buff.ly/dbnYChL
publications.aap.org
Eliminating Inappropriate Postoperative Antibiotics: A Stepped-Wedge Cluster Randomized Trial
BACKGROUND. Unnecessary postoperative antibiotic use is common. This study evaluated whether modifying electronic health record order sets plus participation in a facilitation workshop by the…
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Craig Joseph, MD @craigmjoseph.bsky.social · 17/08/2026
SMART reduces pediatric asthma exacerbations, yet adoption remains limited. Clinicians support the evidence, but prior auths, coverage barriers, workflow challenges, and caregiver attachment to albuterol continue to block guideline-concordant care. #MedSky buff.ly/joBafzF
publications.aap.org
Barriers to Implementing SMART for Asthma in Pediatric Primary Care
10.1542/6394274437112Video AbstractPEDS-VA_2026-0763246394274437112OBJECTIVES. To characterize awareness, use, and perceived barriers to implementing single maintenance and reliever therapy (SMART)…
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Craig Joseph, MD @craigmjoseph.bsky.social · 16/08/2026
Trustworthy AI isn't primarily a technology challenge. It's a governance challenge. A new Pediatrics paper warns that limited pediatric datasets, developmental variability, automation bias, and consent complexities could widen disparities unless health systems invest. #MedSky buff.ly/YNWkhIe
publications.aap.org
Building the Foundations for Trustworthy AI in Pediatrics
Artificial intelligence (AI) adoption in health care is rapidly accelerating, with pediatrics positioned to benefit from improvements in quality, efficiency, and access to care. Recent frameworks…
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Craig Joseph, MD @craigmjoseph.bsky.social · 14/08/2026
Copilot said: Password resets aren't really an IT problem. They're an identity verification problem. In healthcare, weak verification increases cyber risk, and cumbersome processes create clinician downtime. The goal is faster access and stronger security, not choosing one. #MedSky buff.ly/iG1RqTz
nordicglobal.com
Healthcare password resets are an identity security issue
Learn how healthcare organizations can reduce clinician downtime, strengthen service desk identity verification, and use Nordic’s CLEAR integration to secure password reset workflows.
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Craig Joseph, MD @craigmjoseph.bsky.social · 07/08/2026
AI won't fix inconsistent documentation or poor tech adoption. Often, it magnifies them. Health systems seeing real ROI are focusing first on standardized workflows, behavior change, digital literacy, and adoption metrics. Technology doesn't drive transformation. People do. #MedSky buff.ly/ThvCcyB
nordicglobal.com
Healthcare AI readiness: the 4 foundations that drive adoption, ROI, and long-term success
AI readiness in healthcare starts with standardized workflows, strong adoption, continuous learning, and in-the-flow support that help organizations realize long-term value from AI.
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Craig Joseph, MD @craigmjoseph.bsky.social · 06/08/2026
I interviewed Dr. Bart Kaczmarek, a family physician who reengineered primary care to manage 4,000 patients, maintain same-day access, and work <25 hours/week. Our discussion: delegation, workflow design, clinic flow, and why fixing processes often beats buying more tech. #MedSky buff.ly/5quASsV
nordicglobal.com
Designing for Health: Interview with Bart Kaczmarek, MD
Primary care physicians are facing growing demands to improve patient access, reduce administrative burden, and maintain high-quality care, all while navigating workforce shortages and increasing…
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Craig Joseph, MD @craigmjoseph.bsky.social · 05/08/2026
Ambient AI scribes may reduce documentation burden, but they also risk offloading clinical reasoning. Notes should remain tools for thinking, communication, compliance, and patient education, not just AI-generated records. Efficiency matters. Cognitive skills matter more. #MedSky
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Re-Centering Clinical Documentation in the Age of AI Scribes: Four Aims of the Patient Chart Note
Clinical documentation has evolved from a tool that supports clinical reasoning, teaching, and communication into a burdensome document shaped by regulatory, financial, and administrative requirements. The rise of EHRs and now ambient AI scribes may improve efficiency, but they also raise concerns about cognitive off-loading and the potential erosion of clinical reasoning and documentation skills. The authors propose re-centering the chart note around four core functions: supporting clinician thinking, communicating with others, meeting legal and billing requirements, and educating patients, while ensuring clinicians learn these skills before relying heavily on AI.
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Craig Joseph, MD @craigmjoseph.bsky.social · 04/08/2026
Open notes made documentation patient-facing. As ambient AI scribes take over, the real challenge is preventing AI from scaling decades of jargon and patient-blaming language. The winners will govern AI documentation standards, not just clinician training. #MedSky
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From Documentation to Communication: Rethinking Language in Clinical Notes - Journal of General Internal Medicine
Journal of General Internal Medicine -
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Craig Joseph, MD @craigmjoseph.bsky.social · 03/08/2026
I went to a World Cup match expecting a miserable 4-hour wait and left with a patient experience lesson: people tolerate delays when they have certainty. Healthcare keeps optimizing speed while ignoring transparency. Fund the countdown clock, not the lobby. #MedSky buff.ly/WEbbxYW
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What a football stadium taught me about reducing patient frustration
Explore how healthcare leaders can reduce patient frustration by prioritizing certainty, transparency, and clearer communication over costly amenities or faster wait times.
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Craig Joseph, MD @craigmjoseph.bsky.social · 02/08/2026
Patients want access to their health information. They also want a choice in how they receive life-changing news. The real challenge isn't transparency. It's designing result-release workflows that support patient preferences, not just EHR defaults. #MedSky
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Patient Choice, Busy Health Systems, and Health Information Access
The 2016 21st Century Cures Act advanced US national efforts to improve interoperability of electronic health information and strengthen patient engagement. The Cures Act is the most recent step in…
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Craig Joseph, MD @craigmjoseph.bsky.social · 01/08/2026
I spoke with Stacie Stoner about a powerful idea: healthcare should be as easy to navigate as other consumer experiences. We explored reducing patient and clinician friction, improving virtual care, and treating care gap closure as a guided process, not a reminder campaign. #MedSky buff.ly/MNWD2Y5
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Designing for Health: Interview with Stacie Stoner, SVP of Operations CareTalk Health
Healthcare has made significant investments in digital tools and virtual care, yet many patients still encounter unnecessary complexity when trying to access care, complete preventive screenings, or…
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Craig Joseph, MD @craigmjoseph.bsky.social · 31/07/2026
Patient-facing AI may deliver ROI sooner than clinical AI. An EHR-integrated chatbot helped patients understand test results and was most valued by those with complex health needs. #MedSky
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Early experience with a patient-facing AI chatbot integrated in a patient portal
AbstractBackground and significance. Many patients struggle to interpret lab and test results.Objective. To evaluate patient experience, usability, and int
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Craig Joseph, MD @craigmjoseph.bsky.social · 12/07/2026
Study of 683,800 overdose survivors found that patients started on a GLP-1 had a 39% lower risk of repeat overdose within 3 years. The association held across alcohol and non-alcohol overdoses and was even stronger in patients not receiving addiction-treatment medications. #MedSky
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GLP-1 Treatment Associated with a 39% Lower Risk of Repeat Substance Overdose
Among adults who have had a documented substance overdose, those who started on a GLP-1 had a 39% lower risk of a repeat overdose within three years of their overdose compared to patients who were…
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Craig Joseph, MD @craigmjoseph.bsky.social · 10/07/2026
I wrote about a famous hospital chair study years ago. A new JAMA trial suggests we may be overinvesting in nudges and underinvesting in clinical judgment. A simple video game improved trauma triage among experienced physicians, without an EHR build, alert, or committee. #MedSky
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You can’t nudge your way out of a clinical judgment problem
Learn why healthcare leaders should distinguish workflow problems from judgment problems and how simulation-based training may improve clinical decision-making.
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Craig Joseph, MD @craigmjoseph.bsky.social · 09/07/2026
I interviewed SE Health CDO Robert Slepin about a hard truth of healthcare transformation: projects rarely go exactly as planned. We discussed adaptive leadership, defining what “good” looks like, AI governance, and why disciplined experimentation beats both hype and fear. #MedSky
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Designing for Health: Interview with Robert Slepin CDO & SVP, SE Health
In this episode, Craig Joseph sits down with Robert Slepin, Chief Digital Officer at SE Health, to explore lessons learned from a decades-long healthcare leadership career spanning vendor…
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Craig Joseph, MD @craigmjoseph.bsky.social · 07/07/2026
Burnout isn't a resilience problem; it's an infrastructure problem. A Health Affairs article argues health systems should treat clinicians like elite athletes: monitor workload, build in recovery, and provide embedded support. Better workforce design = safer patient care. #MedSky
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Built To Sustain: A Clinical Infrastructure Model From Elite Athletics | Health Affairs Forefront
The question is not how clinicians can be made more resilient. It is why an institution performing at the highest level of human demand has declined to build the infrastructure that every comparable…
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Craig Joseph, MD @craigmjoseph.bsky.social · 27/06/2026
Most documentation training ignores how notes read to patients. A Harvard curriculum shows that teaching and measuring patient‑centered language (PCL) significantly improves note quality. Documentation isn’t a byproduct; it’s a designed skill that shapes trust. #MedSky
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Centering the patient in student documentation: a novel curriculum and assessment rubric for patient-centered note-writing
This Innovation Report describes a local approach to a challenge facing medical schools more generally—how to effectively teach students to write notes thr
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Craig Joseph, MD @craigmjoseph.bsky.social · 26/06/2026
I interviewed Dr. Bonnie Hartstein Shweiki on how “following your frustration” can drive real change, from access and patient flow to high-reliability practices. We also unpack #EHR safety risks and where AI might help (if we don’t repeat history). #MedSky
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Designing for Health: Interview with Bonnie Hartstein Shweiki, MD
In this episode, Dr. Bonnie Hartstein Shweiki shares how an unconventional career path from military service to pediatric emergency medicine and healthcare leadership shaped her approach to quality,…
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Craig Joseph, MD @craigmjoseph.bsky.social · 25/06/2026
I argue health systems run a house of brands, but manage one. Patients judge four reputations (system, service line, clinician, trust) on different clocks. Until we assign ownership and measure each separately, we’ll keep missing growth and blaming marketing. #MedSky
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Your health system is a house of brands
Health systems often manage reputation as one brand, but patients experience it as many. Learn why system brand, service-line reputation, clinician reputation, and institutional trust need distinct…
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Craig Joseph, MD @craigmjoseph.bsky.social · 11/06/2026
I sat down with Sarah Hanbridge, a nurse-turned-CCIO, on why digital transformation fails. Her team improved discharges 35% using real-time data and coaching, not just tech. Same lesson for AI: start with problems, people, and process ... then tools. #MedSky
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Interview with Sarah Hanbridge, RN
In this episode, I sit down with Sarah Hanbridge, a nurse-turned-digital leader in the UK’s NHS who has spent her career translating frontline frustration into system-level change. We talk about what…
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Craig Joseph, MD @craigmjoseph.bsky.social · 05/06/2026
I argue healthcare is making the same mistake cable did: writing off reputation as a “young patient” issue. In reality, all patients weigh trust, access, and cost together, often via AI summaries. Reputation isn’t marketing; instead, it’s operations (data, access, workflows). #MedSky
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The cord-cutter in your waiting room
Healthcare leaders risk repeating cable’s biggest mistake by treating reputation as a generational issue instead of a competitive advantage.
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Craig Joseph, MD @craigmjoseph.bsky.social · 04/06/2026
I spoke with leaders from BSMH and CLEAR about why identity management is now a clinical, security, and burnout issue, not just IT. Done right, it reduces friction and improves trust for both patients and clinicians. #MedSky buff.ly/rj0GbZw
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Interview with Edmund Siy, CITO BSMH and Alex Krinsky, CLEAR
In this episode, we explore how modern identity solutions are transforming both patient and provider experiences. From reducing friction in workflows to strengthening trust and security, the…
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Craig Joseph, MD @craigmjoseph.bsky.social · 14/05/2026
This is what I have to say to Dr. Jayne: yes, yes, and ... YES! Any tool is useless in the hands of folks who don't know how to use it. It's a dangerous world for patients if their caregivers don't know what they don't know.
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Curbside Consult with Dr. Jayne 5/11/26 – HIStalk
I worked this week with medical students who are nearing the end of their first year of clinical clerkships. Most of them have spent at least three months on rotations covering internal medicine or…
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Craig Joseph, MD @craigmjoseph.bsky.social · 11/05/2026
Clinicians don’t fear AI replacing them; they fear AI overruling judgment, wrecking workflows, and shifting liability onto them. Ignore that reality and resistance is inevitable. AI success lives or dies on trust, local validation, and change management. #MedSky buff.ly/bYQRiQI
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Your delivery robot is fine. Your rollout may not be.
Clinicians aren’t afraid of AI taking their jobs. They’re afraid of what happens when AI stays in the workflow and they’re still liable.
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Craig Joseph, MD @craigmjoseph.bsky.social · 10/05/2026
JAMA warns the biggest AI risk isn’t deskilling veteran clinicians but “never skilling” trainees. When AI replaces cognitive struggle, we lose illness scripts, judgment, and metacognition. AI must coach and safeguard — not shortcut — clinical reasoning. #MedSky
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Promoting Clinical Expertise in the Age of AI
This Viewpoint discusses how overreliance on artificial intelligence (AI) can lead to deskilling and mis-skilling among clinicians still in training and the importance of thoughtful design and…
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Craig Joseph, MD @craigmjoseph.bsky.social · 07/05/2026
Good advice: 𝗔𝗺𝗮𝘁𝗲𝘂𝗿𝘀 𝘁𝗿𝗮𝗶𝗻 𝘂𝗻𝘁𝗶𝗹 𝘁𝗵𝗲𝘆 𝗴𝗲𝘁 𝗶𝘁 𝗿𝗶𝗴𝗵𝘁; 𝗽𝗿𝗼𝗳𝗲𝘀𝘀𝗶𝗼𝗻𝗮𝗹𝘀 𝘁𝗿𝗮𝗶𝗻 𝘂𝗻𝘁𝗶𝗹 𝘁𝗵𝗲𝘆 𝗰𝗮𝗻’𝘁 𝗴𝗲𝘁 𝗶𝘁 𝘄𝗿𝗼𝗻𝗴. Design corollary: make it easy to do the right thing, and difficult to (but not impossible) to do the wrong thing. Thanks to Jayne HISTalk, MD for the recommendation!
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Curbside Consult with Dr. Jayne 5/4/26 – HIStalk
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Craig Joseph, MD @craigmjoseph.bsky.social · 06/05/2026
Knowledge workers now switch tasks every 45 seconds. For clinicians, that's not just inefficiency; it's a patient safety issue. The fix isn't willpower; it's structure: protected focus time, batched admin work, and no-interruption zones for high-risk cognitive tasks. #MedSky buff.ly/OKWPI1C
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The Secret to Success Is ‘Monotasking’
In a world full of distractions, getting your brain to focus on one thing at a time requires radical measures.
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Craig Joseph, MD @craigmjoseph.bsky.social · 05/05/2026
"Human in the loop" sounds great until you're the human. Michael Hallsworth argues AI oversight is cognitively exhausting and erodes professional identity. Radiologists and pathologists are living this now, and it's coming for every physician who touches an EHR. #MedSky
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Who wants to be the human in the loop?
A neglected question that is about to explode
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Craig Joseph, MD @craigmjoseph.bsky.social · 04/05/2026
Matt Hasan argues medicine's AI vulnerability is self-inflicted: we've trained and paid physicians for exactly the tasks algorithms are learning to do cheaply. The fix it to reform GME, reimbursement, and AI literacy to reward the integrative care machines can't replicate. #MedSky buff.ly/KpilWtU
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A Profession At The AI Frontier: Medicine Must Reinvent Itself Or Cede Ground | Health Affairs Forefront
Medical schools and residency programs should treat artificial intelligence literacy not as an elective augmentation but as a core clinical competency, one as fundamental as pharmacology or…
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Craig Joseph, MD @craigmjoseph.bsky.social · 30/04/2026
New episode: I sat down with CNIO Dione Rogers, RN on why digitizing a broken process amplifies it, and her VOD method (Visualize, Optimize, Digitize), born from a literal "paper picnic" in a hospital car park. A must-listen if you lead digital transformation in healthcare. #MedSky
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Interview with Dione Rogers, RN
In this episode, Craig Joseph is joined by Dione Rogers, a registered nurse turned Chief Nursing Informatics Officer and digital transformation leader, Dione shares her unconventional career journey…
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Craig Joseph, MD @craigmjoseph.bsky.social · 29/04/2026
AI adoption fails not because clinicians resist tech, but because leaders scope it too broadly. Narrow AI to a few concrete, high‑friction workflows, bake it into defaults, and behavior follows. This is behavior change, not an IT problem. #MedSky buff.ly/Irs0cpz
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Want your teams to use AI more? Try this
How narrowing the scope can turn AI ambition into real behavior change
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Craig Joseph, MD @craigmjoseph.bsky.social · 27/04/2026
Sentara cut hospital-onset MRSA nearly 50% by embedding risk scores in Epic, letting nurses initiate decolonization protocols without waiting for orders, and making documentation frictionless. Prevention works when you make it the easy choice. #MedSky
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A Prevention-First Approach to MRSA That Cut Infections in Half and Saved $1 Million
Sentara Health reduced hospital-onset MRSA cases by nearly 50% after pairing an automated MRSA risk score in Epic with targeted decolonization workflows. It has avoided an estimated $1.18 million in…
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Craig Joseph, MD @craigmjoseph.bsky.social · 24/04/2026
I like Pollan's concept of "consciousness hygiene." 𝗪𝗲 𝘀𝗵𝗼𝘂𝗹𝗱 𝘁𝗿𝘆 𝘁𝗼 𝗯𝗲 𝗺𝗼𝗿𝗲 𝗳𝗼𝗰𝘂𝘀𝗲𝗱 𝗼𝗻 ... 𝗻𝗼𝘁 𝗯𝗲𝗶𝗻𝗴 𝘁𝗼𝗼 𝗳𝗼𝗰𝘂𝘀𝗲𝗱. I'm in! Look for me in the grocery store, staring into the abyss, while waiting to check out.
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Defending Our Consciousness Against the Algorithms
Defending Our Consciousness Against the Algorithms: Why it’s good to be bored
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Craig Joseph, MD @craigmjoseph.bsky.social · 20/04/2026
Adam Carewe, MD: vibe coding isn't a coding problem. It's a context problem. The 15 min of structured prep before prompting is the same skill as taking a patient history. Domain fluency is scarce; code is commodity. Physicians are the right kind of technical. #MedSky buff.ly/oU9agp6
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The Vibe Coding Gap Is Not a Coding Problem
Vibe coding rewards one skill above all: the ability to gather and structure context before asking a system to act. Physicians have spent careers building exactly that.
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Craig Joseph, MD @craigmjoseph.bsky.social · 17/04/2026
We've spent 20 years publishing guidelines against routine CXRs in pediatric asthma. Utilization hasn't budged. The problem isn't knowledge; it's system design. Fix your defaults, get data to clinicians, and own de-implementation. #MedSky
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Implementation has a playbook. De-implementation has a prayer.
De-implementation is harder than implementation. Learn why changing low-value care takes workflow design and accountability, not guidelines alone.
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Craig Joseph, MD @craigmjoseph.bsky.social · 16/04/2026
Dr. Shan Liu (MGH ED) on the Designing for Health pod discussing #EHR burden, implementation science, and why safety culture is a leadership problem, not a clinical one. The gap between evidence and adoption is where initiatives die. #MedSky buff.ly/8Hbpv5G
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Designing for Health: Shan Liu, MD
In this episode, Dr. Craig Joseph sits down with Dr. Shan Liu, an emergency medicine physician at Massachusetts General Hospital and coauthor of a children’s book written with her daughter. The…
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Craig Joseph, MD @craigmjoseph.bsky.social · 14/04/2026
AI on broken admin workflows = faster broken workflows. PHTI's new report: prior auth "bot wars" are multiplying, ambient scribes are driving E/M upcoding, and payers are fighting back. The arms race is real, and we all foot the bill. #MedSky buff.ly/wGCG5iE
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Administrative AI: Current Use and Potential Impact
This report examines how AI is reshaping healthcare administrative processes and why current deployment is unlikely to deliver system-level savings.
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Craig Joseph, MD @craigmjoseph.bsky.social · 10/04/2026
Epic Cosmos data: RSV hospitalizations + ICU admissions dropped from 30% to 15.6% of encounters between 2017–2026, while ED visits nearly doubled to 45%. Vaccines are working. Now update your capacity models accordingly. #MedSky
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Emergency Departments Now Handle Nearly Half of RSV Encounters as Hospitalizations and ICU Admissions Decline
Facilitating rapid sharing of new medical knowledge
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Craig Joseph, MD @craigmjoseph.bsky.social · 07/04/2026
Doctors are not calculators. Full stop. Read this article! buff.ly/Ez1qFzA
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Doctors Are Not Calculators
Why Clinical Judgment Matters in a World of Uncertain Numbers
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Craig Joseph, MD @craigmjoseph.bsky.social · 06/04/2026
My assessment of Dr. Carewe's thesis: yes. And thank you. buff.ly/Ptlgsos
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Words Are Not Interchangeable
And in healthcare, the wrong one can cost you the room.
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Craig Joseph, MD @craigmjoseph.bsky.social · 01/04/2026
Physician leaders must embrace risk & own transformation. My chat with Dr. Steve Williams (ACMO and Chief of Urology @ UTMB) covers culture change, real-time dashboards, and building the next generation of clinical leaders. #MedSky
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Interview with Stephen B. Williams, MD, MBA, MS, FACS, FACHE
In this episode learn about the challenges physicians face when stepping into leadership, especially around risk tolerance, change management, and standardization and why healthcare transformation…
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Craig Joseph, MD @craigmjoseph.bsky.social · 30/03/2026
Ambient AI is medicine's second chance to build a clinical record that actually supports reasoning, not just billing. Don't let the vendor's template decide what it's for. Again. #MedSky
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We let billing define the medical record. AI gives us a chance to take it back.
AI is reshaping clinical documentation. Learn how ambient AI can help reclaim the medical record for clinical reasoning.
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Craig Joseph, MD @craigmjoseph.bsky.social · 21/03/2026
Inova embedded Epic training into physician incentive comp: 4 hrs/year, carrot not stick. Result: 90% participation, 55% jump in Net EHR Experience scores. Turns out framing and autonomy beat mandates. Who knew? #MedSky
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Boosting Provider Engagement and EHR Satisfaction with an Incentive-Based Training Program
"Inova’s incentive program led to nearly 90% of eligible providers completing at least four hours of ongoing training, leading to higher EHR Experience scores."
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Craig Joseph, MD @craigmjoseph.bsky.social · 18/03/2026
Dr. Sarah Gebauer — anesthesiologist, palliative care doc, and former RAND AI evaluator — joined me to discuss AI accountability gaps and why post-go-live tool evaluation is dangerously overlooked. Who owns it when #AI fails? #MedSky
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Designing for Health: Sarah Gebauer, MD [Podcast]
An anesthesiologist, palliative care physician, informaticist, AI evaluator, world traveler, and all‑around multidimensional human. On this episode explore the intersections of clinical practice,…
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