How a Nurse Practitioner is Rebuilding Geriatric Care with AI from the Ground Up

In this episode of AI with Bry, we explore how artificial intelligence is reshaping healthcare delivery, clinician experience, and proactive care models through the lens of a clinician entrepreneur in geriatric and behavioral health.

AI is changing not just documentation and automation, but how care is delivered, how clinicians interact with patients, and how systems shift from reactive to proactive models. The challenge is not adoption—it is designing systems that reduce friction, improve outcomes, and keep patients and clinicians at the center.

This episode reframes AI through geriatric care, caregiver strain, administrative burden, and the opportunity to close gaps in continuity and access.

Guest: Joe Harrison

Joseph Harrison is a nurse practitioner, clinician entrepreneur, and Founder & CEO of Avail Healthcare, a clinician-built medical group delivering proactive in-home and virtual care for seniors and underserved adults.

He has experience in mobile care, Medicare Advantage, and geriatric mental health, leading teams supporting patients with dementia, depression, anxiety, and chronic conditions. He also serves as volunteer clinical faculty at UCSF.

At Avail Healthcare, he builds care models focused on aging in place and caregiver support, grounded in the quintuple aim: patient experience, provider experience, outcomes, equity, and sustainability.

We explore how AI is reshaping real-world healthcare delivery.

Joe explains that geriatric systems are structurally reactive, requiring patients to come to care instead of care coming to them. This drives higher cost, fragmentation, and missed early intervention.

AI enables a shift toward proactive care through remote monitoring, AI-assisted triage, and continuous communication, improving early detection and reducing emergency utilization.

A major theme is administrative burden. AI scribes now document visits in real time, reducing charting, improving accuracy, and giving clinicians more time with patients.

Joe notes that 15–20% of healthcare costs are administrative, creating major system-wide friction. AI reduces this load for both clinicians and patients.

We also explore the caregiver crisis, with 1 in 4 adults acting as caregivers. AI helps generate care plans, coordinate resources, and reduce coordination burden.

Another key insight is the rise of clinician entrepreneurs. AI tools now allow non-technical clinicians to design workflows, analyze data, and build systems using natural language interfaces.

Joe emphasizes that governance, infrastructure, and privacy must scale alongside innovation to protect patients and providers.

Core theme: AI should not only improve efficiency—it should improve human care.

What You’ll Learn:

• Why healthcare is reactive and how AI enables proactive care

• How AI transforms geriatric and behavioral health delivery

• Role of AI scribes in reducing burnout

• Why 15–20% of healthcare costs are administrative

• How AI improves documentation and billing accuracy

• The caregiver crisis and AI support systems

• How remote monitoring reduces ER visits

• Why clinician experience affects outcomes

• AI agents as virtual team members

• Rise of clinician entrepreneurs using AI tools

• Non-technical building via AI interfaces

• Importance of governance and privacy

• Alignment with the quintuple aim

Resources:

Avail Healthcare https://www.availhealthcare.co

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The future of healthcare AI will not be defined by automation alone, but by whether systems reduce friction, support clinicians, and bring care closer to those who need it most.

Learn, leverage, and lead.