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North Carolina, USA
Joined February 2009
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At #NCIOM, a key question: How do we turn healthcare AI governance into everyday practice?
Executives, clinicians, staff & patients need role-specific AI literacy—not just policies.
At Instancy, we're bridging learning and in-workflow guidance.
#HealthcareAI #ResponsibleAI
Do the math: 12 patients a day × 20 min of charting each = 4 hours of a PT’s shift just typing. Half the clinical day, in the EMR. It follows them home as 9pm pajama time — and 91% of providers link admin burden to burnout (APTA 2025). zurl.co/49Yfv
40 prior auths. 13 hours of staff time weekly. The solution isn’t working faster. It’s combining AI, in-app guidance, and automation across EHRs and portals. Less paperwork. More patient care.
RCM Automation & Staff Training | zurl.co/RU3vD #RCM #HealthcareAI
HIMSS26 signal: 85% of the largest EHR’s base is live on its AI suite, with native agent-building and medical foundation models. Bolt-on AI is giving way to an architecture question: “Which architecture?”
zurl.co/Gi2R5
#EHR #HealthIT #AgenticAI
The 2026 EHR benchmark (620 execs, 145 orgs): the market shifted from replacement to optimisation. 79% now rate clinical governance as critical, 76% stabilisation, 72% workflow simulation, 68% benefits tracking. The value is in adoption, not installation. zurl.co/LFtdS
The 2025 ACCME Data Report: 242K+ activities, 57.5M learner interactions, a record $3.85B in income, and AI formally acknowledged for the first time. The twist: fewer providers and activities than last year. The field is doing more with less. zurl.co/Siw9I
Behavioral health: 78% burnout, 40% vacancy, and clinicians spend 34-55% of their time on documentation. A 272-clinician study found ambient AI cut burnout from 52% to 39% in 30 days. Measure documentation ROI in retention, not minutes saved. zurl.co/Onmtx
Medicare Advantage denies at ~2x traditional Medicare. But 80.7% of appealed MA prior-auth denials get overturned, and fewer than 12% are ever appealed. Most denials are winnable; almost nobody works them. Your biggest leak is the denials you skip. zurl.co/jagpJ
At Duke’s Caregiver Community Event in Durham.
Caregiving is the work between visits. That’s what we’re building toward: education families can follow, visibility between sessions, and prior auth that doesn’t steal hours from the care.
zurl.co/cEg3P
The 2026 denial benchmark: ~12.6% average initial denial rate, ~806M denied claims, ~$262B cost. But AI-first orgs deny 30-50% less, by preventing, not appealing. Top drivers (CARC 197, 11, 16) are all catchable pre-submission. Where do you sit? zurl.co/l6mLN










