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July 10, 2025 24 mins

In this episode, I sat down with Dr. Ronn Berrol to unpack how a single hospital pilot became a 21-site success story—not by replacing Epic, but by solving the one thing it couldn’t do well: surfacing the right data, at the right time, for the right patients. We dove deep into how high-risk patients can be flagged before they escalate into crisis, and how real-time data sharing across emergency departments can dramatically reduce admissions and improve flow. And the secret ingredient? A clinician champion who didn't wait for a committee to say yes—he created momentum from the floor up.


1.Don’t Confuse Your EHR with Strategic Insight Tools

 Dr. Ronn shared how even the best EMRs like Epic can bury clinicians in data. What made a difference wasn’t more information—but surfacing the right information at the right time for high-risk patients.



2.Champions Create Change, Not Systems Alone

 Technology alone didn’t earn trust. It was the clinicians—like Ronn—who piloted it, saw value, and advocated upward that drove full-scale adoption across 21 hospitals.



3.Pilot First, Scale Fast—But Only When It Works

 Many hospitals hesitate to adopt new solutions unless a clear ROI is shown early. That’s why the original pilot funded by a hospital foundation was a turning point.



4.Care Coordination Starts Before the Crisis

 With tools that flag social risks, housing instability, or medication lapses—this platform helped avoid ER boarding by addressing patients’ needs before they spiraled.



5.Modern Innovation Means Cross-Hospital Collaboration

 Emergency departments often operate in silos. But the real breakthrough came from sharing real-time patient data across unaffiliated EDs.



6.You Don’t Need to Solve Everything—Just What Others Miss

 What made this solution a win wasn’t trying to replace Epic—it filled the critical gap Epic couldn’t: surfacing actionable insights, fast.



Have you ever been the “first yes” that helped an innovation take off in your org?


Episode Timeline: 

00:01:56 - How piloting EDO began through visibility gaps in local EDs.

00:03:51 - Clinical inefficiencies and the importance of care pathways.

00:05:50 - Workflow improvements reduced boarding and increased capacity.

00:07:53 - How a charitable foundation funded the pilot despite cost concerns.

00:09:37 - Dr. Ron contrasts EDO vs Epic and explains its push-not-pull advantage.

00:11:17 - EDO pushes key info in 30-45 seconds vs long EHR chart reviews.

00:13:42 - How EDO helps solve new CMS and system-wide goals.

00:17:26 - Dr. Ron expands on how lack of access causes overreliance on EDs.

00:21:48 - Key takeaway #1: EHR ≠ strategic insight tool.

00:22:17 - Key takeaway #2: Clinician champions drive change.

00:22:31 - Key takeaway #3: Pilot first, scale fast.

00:22:47 - Key takeaway #4: Coordinate care before crisis.

00:23:13 - Key takeaway #5: Share data across hospitals.

00:23:30 - Key takeaway #6: Fill the gap, don’t replace the system.


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