DHOA 5.6: Care Delivery in Uncertain Times (Jackie Kimmell)

05/09/2025 25 min
DHOA 5.6: Care Delivery in Uncertain Times (Jackie Kimmell)

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Episode Synopsis

In this episode ofDigital Health On Air, host Adnan Iqbal speaks with Jackie Kimmel, author of The Privacy Prescription and thought leader at Rock Health, to explore the intersection of healthcare innovation, regulatory uncertainty, workforce challenges, and emerging technologies like AI.

Key Discussion Points:

Healthcare in a State of Uncertainty:
Jackie explains how health systems—some with centuries of history—are facing unprecedented challenges, including workforce shortages, financial strain, shifting reimbursement models, and unpredictable policy changes under new federal leadership.

Policy and Regulatory Unknowns:
With new leaders at HHS and CMS, health systems are bracing for possible changes to reimbursement structures, value-based care models, and workforce visa pipelines—while also anticipating fewer federal regulations on AI adoption.

Workforce Shortages and Innovative Solutions:
Jackie highlights how health systems are rethinking job requirements, embracing on-the-job training, and building healthcare career pipelines through community partnerships. Success stories like Cleveland Clinic’s 20–30% increase in fill rates showcase promising results.

AI Adoption and Change Management:
While AI is already reducing provider burnout and improving patient experiences, surveys show clinicians feel excluded from decision-making, leading to resistance and fear. Jackie emphasizes the need for strong change management and frontline involvement to maximize AI’s impact.

Reasons for Optimism:
Despite challenges, Jackie sees promise in AI’s potential to standardize care, improve clinical decision support, and drive preventive and integrative medicine initiatives, signaling a transformative era for healthcare delivery.

Future Research:
Jackie shares her interest in AI-powered clinical decision support systems and how they could help standardize care quality across health systems.

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