In this episode of Hard Problems, Smart Solutions, host Will Crawford, Head of Advisory Services and CTO at Newfire Global Partners, converses with Dr. Paulo Pinho, a practicing physician and seasoned health informaticist. Dr. Pinho shares his diverse career journey, combining clinical practice, payer technology, and entrepreneurship. In this episode, you will gain insights into:Why interoperability remains elusive despite decades of effort (hint: legacy systems + fragmented incentives).How standards like SNOMED, LOINC, and ICD-10 evolved and why they often fall short for real-world care.What clinicians really need from AI tools (and why trust, not just tech, is key to adoption).How ambient listening and NLP are reshaping clinical documentation and enabling better decision-making.Why data equity matters and how biases in healthcare documentation can quietly undermine even the best machine learning models.Concrete examples of innovation: from COVID test standardization to fall risk modeling using multi-source data.00:00 Introduction to the Podcast00:18 Meet Dr. Paulo Pinho00:36 The Evolution of Healthcare Standards02:44 Challenges in Data Standardization06:32 Advances in Medical Knowledge12:23 AI in Healthcare: Opportunities and Challenges23:54 The Role of Coding Systems in Healthcare26:19 Success Stories in Healthcare Technology40:04 Equity and Access in Healthcare43:31 Advice for Clinicians and Non-Clinicians in Health IT48:35 Conclusion and Future Topics

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