In the special episode, we ask, "What if the chaos you're leading through isn't actually chaos at all?"

Kandice Garcia, RN — CEO of Tungsten QI Partners and Quality Improvement Director for the ACR Learning Network — and co-host of Success in Chaos shares why healthcare leaders keep hitting walls: we're applying linear, manufacturing-style management to a complex, human system.

Discover the dual empowerment model behind 85+ improvement projects at Cleveland Clinic, Mayo, Stanford, and beyond — plus a grounded take on AI that every healthcare leader needs to hear.

1:00 From exercise physiology to radiology nursing
3:00 The Stanford story: RITE program & Dr. David Larson
7:00 Building the ACR Learning Network's Empower program
9:00 Why Tungsten QI Partners was born
13:30 Complex vs. complicated: why healthcare isn't chaos
17:30 Dual empowerment: connecting frontline knowledge to leadership
20:45 AI in healthcare: the cavalry isn't coming
26:30 Books shaping Kandice's thinking

What happens when your most critical imaging system is held together by workarounds and tip sheets? Oliver Galicki, VP of Information Services at Memorial Hermann, reveals how he led a 12-month enterprise imaging overhaul — from eight vendors to a signed contract — while balancing technical debt, physician alignment, and scarce dollars.

His guiding philosophy: if your house is on fire, you cannot innovate. Discover how pragmatic IT leadership turns infrastructure chaos into a foundation for the future.

~1:30 Oliver’s journey from intern to VP

~4:30 Technical debt explained — the 23-year-old PACS problem

~8:00 “If your house is on fire, you can’t innovate”

~11:00 Building governance and physician alignment

~17:00 Streamlining decisions — 8 vendors to 1 in 12 months

~22:00 The ROI challenge for foundational IT

~28:00 Leadership style — authenticity, transparency, and speaking both languages

~32:00 Upskilling IT teams for the AI era

~35:00 Book and podcast recommendations

Electronic health records were supposed to transform healthcare—but instead, they digitized broken workflows.

In this episode of After the Chaos, the conversation explores why EHRs increased complexity instead of reducing it, and what healthcare can learn moving forward.

Key topics include:

• Why EHRs failed to improve care coordination
• The disconnect between technology and clinical workflows
• The importance of clinician-led design
• How to avoid repeating the same mistakes with AI

AI presents a new opportunity—but only if healthcare moves beyond digitization and into true redesign.