Faces of Digital Health

Hosted by Tjasa Zajc

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Aug 2026

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Faces of Digital Health is a healthcare podcast about digital health technology, solutions, and innovations in practice, presented through real healthcare systems and the people behind them. The show looks into how different countries adopt digital health, what barriers they face, and why similar approaches succeed in some places but not others.Episodes feature clinicians, patients, entrepreneurs, and health system leaders sharing their practical experience. The focus is on digital health trends, practical digital health, and actionable insights for anyone curious about how digital health works in practice.

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August 4, 202640 min

Agentic Patient 8: Why an AI Founder Won't Trust Chatbots With Her Own Health

In this episode of The Agentic Patient, a Faces of Digital Health series on how patients are using AI to find answers the healthcare system didn't give them, Tjasa Zajc talks to Elena Ikonomovska, CEO and Co-Founder of Diadia Health. She stopped trusting chatbots with her own health data — after building an AI company on the problem they create. Elena talks about her two-and-a-half-year journey that followed her mother's death and her own dismissed symptoms — and the causal-reasoning AI she built in response. Guest: Elena Ikonomovska, CEO, Co-Founder & Chief AI Officer, Diadia Health What the conversation covers: - Why Ikonomovska calls generative AI's confident wrong answers "faithful hallucinations" - Building a causal-reasoning engine instead of using large language models for clinical decisions - Why lab "normal" ranges differ by genetics — and what that means for your bloodwork - Her own dismissed thyroid and pre-diabetes symptoms, and what a two-and-a-half-year diagnosis journey actually looks like - The risk of self-diagnosing from ChatGPT-style tools, and what to ask any AI health platform about your data - Why she believes AI should strengthen, not replace, the doctor-patient relationship - Early clinical results: agreement rates with physician judgment and reductions in diagnostic trial-and-error - The equity risk in AI-driven healthcare — who gets access to validated tools, and who doesn't Chapters: 00:00 Intro: why The Agentic Patient series exists 02:30 Meet Elena Ikonomovska and the case for causal AI 03:35 From two decades in machine learning to health AI 07:07 What the model needs: blood panels, genetics, and interactions 09:45 Elena's own diagnosis journey — two and a half years to answers 11:32 Why she wouldn't trust chatbots with her health today 12:40 "Faithful hallucinations": the hidden risk in generative AI 15:04 Inside a causal-reasoning engine built without generative AI 17:32 What happens when clinicians outsource reasoning to chatbots 21:06 Redefining "normal": genetics and personalized lab ranges 27:08 Women's health data gaps and the DTC testing boom 28:13 Strengthening, not replacing, the doctor-patient relationship 31:42 Chatbot safety advice: what patients should never share 38:07 Clinical validation, agreement rates, and what's next Faces of Digital Health: Website: https://www.facesofdigitalhealth.com LinkedIn: https://www.linkedin.com/company/faces-of-digital-health Spotify: https://open.spotify.com/show/4cElKJHrauyP6QJQaCkvdY Apple Podcasts: https://podcasts.apple.com/gb/podcast/faces-of-digital-health/id1194284040 Newsletter: https://fodh.substack.com The Agentic Patient series hub: https://www.facesofdigitalhealth.com/agentic-patient-blog #DigitalHealth #AIinHealthcare #PatientAdvocacy #WomensHealth #HealthTech #ClinicalAI #TheAgenticPatient

July 31, 202637 min

Will robots help us age at home? A historian who lives with one says not yet (Emily Kate Genatowski)

The viral robot videos are choreography, not capability. A historian who has lived with a humanoid robot for a year explains what they still can't do. Emily Kate Genatowski is a historian and AI domestic robotics researcher who bought a humanoid robot, lived with it for over a year, and turned the experience into a TED talk. In this episode of Faces of Digital Health, she separates the demo-reel hype of 2026 from what home robots can actually deliver — and what that means for aging populations, caregiver shortages, and healthcare systems hoping robots will help people stay independent at home. She explains why companion robots and chore robots are still entirely separate machines, why her robot cannot get into a car, why retirees are often more enthusiastic about robots than younger workers — and why she believes we are living through a "digital Engels pause," where productivity rises faster than the mechanisms that distribute its benefits. Guest: Emily Kate Genatowski, historian and AI domestic robotics researcher Her TED talk: https://www.youtube.com/watch?v=rIg-Zt7bFHY What the conversation covers: - Humanoid robot hype in 2026 vs real-world capability - Living with a humanoid robot: logistics, frustration, and transport - Robots for elderly care and aging in place - Companion robots vs domestic chore robots — why they're separate devices - The "digital Engels pause": AI productivity without shared gains - US, China, and EU approaches to AI and robotics regulation - Emotional attachment to robots and robot design - Dual-use risks: humanoid robots and drones in warfare - "One soul, many bodies": the future architecture of home robots CHAPTERS CHAPTERS: 00:00 Intro 02:25 Welcome: a historian who lives with a humanoid robot 03:40 2026 robot hype: why the viral videos are choreography 05:45 Why buy a robot? How the year-long experiment began 07:28 From board games to policy: what the project became 08:57 Robots for aging in place — and who's actually optimistic 09:53 Companion robots vs chore robots: two separate machines 13:55 The digital Engels pause: productivity without shared gains 20:09 US, China, Europe: three regulatory cultures for AI and robotics 25:55 Why the robot travels in a box — and can't get into a car 29:58 Robot guilt: emotional attachment without eyes 33:14 Policy, not technology, as the bottleneck for elderly care robots 35:02 Dual use: drones, warfare, and where robotics could go wrong 37:25 One soul, many bodies: the bifurcated future of home robots FOLLOW FACES OF DIGITAL HEALTH Website: https://www.facesofdigitalhealth.com Newsletter: https://fodh.substack.com LinkedIn: https://www.linkedin.com/company/faces-of-digital-health Spotify: https://open.spotify.com/show/4cElKJHrauyP6QJQaCkvdY Apple Podcasts: https://podcasts.apple.com/gb/podcast/faces-of-digital-health/id1194284040 #DigitalHealth #Robotics #HumanoidRobots #AgingInPlace #HealthTech #AI

July 22, 202639 min

Data challenges with AI: Omissions, bloated problem lists and unnecessary token burn

Hallucination is not the biggest risk in clinical AI. Omission is — and it is far harder to detect. John Laursen, SVP at IMO Health, has spent his career on the layer of healthcare AI that gets the least attention: clinical terminology and the semantic data infrastructure underneath every model deployed in a hospital. IMO Health's terminology has been built and curated since 1994 and now sits behind roughly 12 billion terminology search transactions a year across US provider organisations and every major EHR. In this interview with Tjaša Zajc, Laursen makes the case that structured data was necessary but is no longer sufficient. AI reasoning across a thirty-year patient chart needs semantic continuity — an understanding that clinical language recorded in the 1990s and language recorded today can mean the same thing. Without it, health systems are investing in models that cannot reliably interpret their own records. The conversation also covers what happens when ambient AI scribes get it wrong, why accumulated clinical data has become a computational cost rather than an asset, and why clinician trust is the constraint that determines how fast clinical AI can move. Guest: John Laursen — Senior Vice President, IMO Health (Chicago, US) Host: Tjaša Zajc — Faces of Digital Health What the conversation covers: - Why omissions, not hallucinations, are the underrated risk in clinical AI - What a semantic layer does that structured data alone cannot - How clinical terminology maps to SNOMED CT and ICD-10 — and why those code sets were built for different purposes - Ambient AI scribes: what happens when a model mishears or over-infers a diagnosis - The billing and clinical consequences of an error entering the patient record - Why problem lists hundreds of entries long now cost money in token burn - Patient-generated and AI-generated content entering the EHR, and why health systems resist it - Translating lay language into clinical terminology without losing specificity - Ambient documentation, billing intensity and friction with payers - How data quality expectations differ between the US, the NHS, the Gulf states and Singapore - Who governs clinical data as coding complexity increases - Why AI performance breaks down on rare disease and the difficult 20% of cases - Knowledge graphs as a grounding source for clinical AI models - What health systems should require from AI vendors before clinical deployment Chapters: 02:20 Why the data layer decides what clinical AI can do 03:27 Inside IMO Health: 12 billion terminology searches a year 05:36 Keeping terminology current: SNOMED, ICD-10 and clinical governance 07:35 The semantic bridge: why structured data alone is not enough 10:17 Patient language versus clinical language in the record 12:23 When an ambient scribe mishears: clinical and billing consequences 14:53 Omissions, bloated problem lists and unnecessary token burn 19:12 Outside the US: the NHS, the Gulf, Singapore and coding complexity 20:46 Who governs clinical data as complexity increases 23:35 Patient-side AI recorders and resistance to external data 26:08 Ambient documentation, billing intensity and payer friction 29:21 The last 20%: rare disease, model limits and AI governance 33:38 Grounding, clinician trust and the cost of misfiring Faces of Digital Health: Website: https://www.facesofdigitalhealth.com Newsletter: https://fodh.substack.com Spotify: https://open.spotify.com/show/4cElKJHrauyP6QJQaCkvdY Apple Podcasts: https://podcasts.apple.com/gb/podcast/faces-of-digital-health/id1194284040 LinkedIn: https://www.linkedin.com/company/faces-of-digital-health #digitalhealth #healthcareAI #clinicalinformatics #EHR #ambientAI #interoperability #healthdata #SNOMED #healthIT #medicalcoding

July 17, 202643 min

Who Fills The Gap After OpenEvidence Left Europe (Philippe Habets, EvidenceHunt)

OpenEvidence didn't leave Europe because of regulation alone — its ad-and-data business model never fit the European market. When OpenEvidence, the $12B clinical AI search platform used daily by over 40% of US physicians, withdrew from the EU and UK in April 2026 citing the EU AI Act, European clinicians lost a tool many had quietly adopted. In this episode, Philippe Habets — physician-scientist and CEO of Amsterdam-based EvidenceHunt — argues the story is as much about business models as regulation: ad-funded clinical search and selling clinician search behaviour to pharma don't transfer to Europe, where clinicians distrust anything that looks commercial. We also examine what AI evidence search is measurably doing inside hospitals: more uniform knowledge across teams, fewer junior-to-senior consultations, faster decisions — and the open question of whether that convergence improves care or narrows clinical thinking. Guest: Philippe Habets, MD PhD, CEO & co-founder, EvidenceHunt (Amsterdam) What the conversation covers: - Why OpenEvidence left Europe: EU AI Act vs the ad-based and data-selling business model - What hospitals did after OpenEvidence's exit — governance, procurement, shadow AI use - How AI literature search changes clinical decision making and medical hierarchies - Automation bias, tunnel vision and who is liable when AI is wrong - Guardrails in practice: PII stripping, refusing clinical advice, reformulating case questions into research questions - Why LLM answers differ between tools — and the omission problem in complex patients - Living guidelines: automating systematic literature reviews and guideline updates (some protocols are 17 years old) - Should patients have access to the same evidence tools as clinicians? - EvidenceHunt vs OpenEvidence: data sources, GDPR, medical device regulation - What won't change in healthcare AI in the next three years Previous episode with Philippe Habets (2023): https://www.youtube.com/watch?v=F8tC0B4NvpM CHAPTERS 00:00 Introduction 03:11 OpenEvidence leaves Europe: what it meant for a European competitor 04:31 No user spike — but hospitals started asking questions 06:54 What EvidenceHunt is: from PubMed frustration to systematic reviews 11:35 How clinicians actually adopt AI evidence tools 13:46 Uniform knowledge, fewer senior consultations: measured effects on clinical thinking 16:24 Tunnel vision, automation bias and the liability question 18:04 Guardrails in practice: PII stripping and refusing clinical advice 20:31 The omission problem: evidence is group statistics, patients are N of 1 23:26 The real reason OpenEvidence left: ads, data-selling and European distrust 29:03 Should patients have the same evidence tools as clinicians? 31:51 Why disclaimers aren't enough — safeguards must be enforced in the product 33:43 Living guidelines: automating updates for protocols up to 17 years old 40:00 The biggest product challenge: too many features, one clean interface 41:40 What won't change in healthcare AI in the next three years FACES OF DIGITAL HEALTH Website: https://www.facesofdigitalhealth.com Newsletter: https://fodh.substack.com LinkedIn: https://www.linkedin.com/company/faces-of-digital-health Spotify: https://open.spotify.com/show/4cElKJHrauyP6QJQaCkvdY Apple Podcasts: https://podcasts.apple.com/gb/podcast/faces-of-digital-health/id1194284040 #digitalhealth #healthcareAI #OpenEvidence #EUAIAct #clinicaldecisionsupport #evidencebasedmedicine #healthtech

July 14, 202634 min

The AI Model Race Is Over. The Data Race in Healthcare Is Just Starting (Robert Tovornik, Better)

AI models are "eager to please" — and in healthcare, that's a liability. So what should LLMs never be allowed to do in clinical software? Three years after GPT-3 reached the public, frontier models have largely converged in capability. In this episode, Robert Tovornik, Innovation Lead at Better — the healthcare IT company building on openEHR — explains why the real differentiator in healthcare AI is no longer the model but the data layer underneath it. He makes the case for keeping clinical coding and terminology in deterministic systems, confining LLMs to retrieval and orchestration, and validating AI the way you'd come to trust a colleague: through experience, not certification. Guest: Robert Tovornik, Innovation Lead, Better What the conversation covers: - Why frontier LLMs are converging — and why context now matters more than model capability - What AI should never do in clinical software: inference vs retrieval - Why ICD-10 and SNOMED coding should stay in deterministic systems, not ChatGPT - How to validate non-deterministic AI systems when unit tests no longer work - Automation bias: what happens when users stop checking AI outputs - Conversational EHRs — solving the "missing button" problem in clinical interfaces - Vibe coding vs regulated clinical software: why one iterates in hours and the other in years - An ambient AI scribe built in two weeks — deployed in India, stalled in Europe - EU AI Act, data residency laws, and the cost of compliance - Digital twins, ambient AI, and what hospitals should invest in before deploying AI Faces of Digital Health explores how healthcare systems around the world adopt digital technologies and AI. 🔗 Website: https://www.facesofdigitalhealth.com 🎧 Spotify: https://open.spotify.com/show/4cElKJHrauyP6QJQaCkvdY 🎧 Apple Podcasts: https://podcasts.apple.com/gb/podcast/faces-of-digital-health/id1194284040 📰 Newsletter: https://fodh.substack.com 💼 LinkedIn: https://www.linkedin.com/company/faces-of-digital-health #healthcareAI #openEHR #digitalhealth #healthIT #EHR #clinicalAI #healthcareinnovation 02:20 Three years of GPT: from model capability back to data and context 04:26 How AI changed software development inside an openEHR vendor 06:13 Clients now arrive with AI-informed (and misinformed) requirements 09:05 Why clinical coding belongs in deterministic systems, not ChatGPT 11:27 "Eager to please": why LLMs shouldn't be trusted with inference 14:03 Validating non-deterministic AI when unit tests no longer work 16:50 How do you trust AI? The same way you trust a colleague 18:03 Regulation, compliance costs, and the automation bias problem 20:09 Conversational EHRs and the missing-button problem 23:02 Vibe coding vs iterating regulated clinical software 25:23 Users are building AI experience faster than health systems 27:50 An ambient scribe built in two weeks — adopted in India, stalled in Europe 29:16 Data quality as the differentiator between good and bad AI systems 31:10 Ambient AI, operation prep, and the digital twin horizon

June 19, 202646 min

Agentic Patient 7: How to Use AI as a Caregiver — Without Letting It Diagnose | Pratik Desai

AI couldn't cure his mother's stage 4 cancer. It caught three near-fatal errors, found a same-day appointment, and helped her leave on her own terms. When Pratik Desai's mother was diagnosed with stage four duodenal adenocarcinoma — a rare cancer with roughly 3,000 US cases a year — she was nearly discharged without an oncology appointment. Over the next 76 days, Desai used AI at her bedside, from 5am to 10pm, to understand each report, prepare for every appointment, and push a stretched health system to move at the pace her diagnosis demanded. This is a frank account of where AI helped, where it didn't, and the line he refuses to cross. This is a 1:1 interview in The Agentic Patient — a Faces of Digital Health series on how patients and caregivers actually use AI: which tools, which prompts, and which guardrails. GUEST Pratik Desai — New Jersey-based AI practitioner; caregiver and builder of a free, local AI tool for patients HOST Tjaša Zajc — Founder & host, Faces of Digital Health / The Agentic Patient WHAT THE CONVERSATION COVERS - Using AI to interpret a biopsy report and push for a same-day "stat" CT scan - Why AI and the doctors agreed on the care — and clashed on the speed - Finding a same-day oncology appointment through an AI-assisted network search - An error-riddled CT report the AI refused to read — and what it did to trust - Running three Claude "personas" as built-in second and third opinions - A local, open-source AI tool that keeps medical data off the cloud - How to prompt as a patient or caregiver: awareness, knowledge, advocacy — not diagnosis - Where AI failed him: prognosis, and the rule he broke under pressure - Defining quality of life when the outcome is already known CHAPTERS 0:00 How patients use AI — and the guardrails 1:20 Day one: a healthy mother, a diagnosis no one would name 3:34 The first prompt, and pushing for a stat CT scan 7:43 Using AI in the open: agreement on care, friction on speed 9:35 The counterfactual: 76 days with AI at the bedside 12:40 Finding a same-day appointment through a network search 13:40 The CT report the AI refused to read 15:50 When trust erodes: good faith, not competence 18:41 Why switching hospitals wasn't an option 21:54 Defining quality of life: her three goals 28:27 Three Claude personas, and a local private tool 35:12 How to prompt: awareness, knowledge, advocacy — not diagnosis 37:54 Where AI fell short, and the closing asks THE AGENTIC PATIENT SERIES New to the series? Start here → [PASTE PREVIOUS AGENTIC PATIENT EPISODE LINK] All episodes → https://www.facesofdigitalhealth.com/agentic-patient-blog MORE FROM FACES OF DIGITAL HEALTH 🌐 Website: https://www.facesofdigitalhealth.com 📨 Newsletter: https://fodh.substack.com 🎙 Podcast (Apple): https://podcasts.apple.com/gb/podcast/faces-of-digital-health/id1194284040 💼 LinkedIn: https://www.linkedin.com/company/faces-of-digital-health Pratik's tool Regana: https://github.com/RaganaCorp/openhealth-prototype-1 #DigitalHealth #HealthAI #AgenticPatient #PatientAdvocacy #AIinHealthcare #CancerCare #Caregiving #FacesOfDigitalHealth

June 9, 202658 min

We're Overestimating Medical AI — and Underestimating the Harm (Jessica Morley, Yale)

AI ethicist Jess Morley: these chatbots are giving medical advice — so regulate them as medical devices. Part of The Agentic Patient, a Faces of Digital Health series on how patients actually use AI — which tools, which prompts, which safeguards. In this episode, host Tjaša Zajc sits down with Dr Jess Morley, Associate Research Scientist at the Yale Digital Ethics Center and a former AI subject-matter expert at the UK Department of Health and Social Care, for a clear-eyed account of where health AI is going wrong — and how to use it well anyway. Morley argues we systematically overestimate what these tools can do and underestimate the harm. She makes the case for "skeptical optimism," explains why bioethics principles built for one-to-one care break down against many-to-many AI harms, and reframes ambient scribes as inference engines rather than transcription services — with real consequences for coding, billing and patient records. Then she gets practical: the guardrails, prompts and habits patients (and clinicians) can use today. Guest: Dr Jessica Morley — Associate Research Scientist, Yale Digital Ethics Center; formerly UK Department of Health and Social Care and the Bennett Institute, University of Oxford. What the conversation covers: - Why "skeptically optimistic" is the honest position on health AI - AI adoption as "a hammer looking for nails" — and what needs-led design would look like instead - OpenEvidence, EU rules and the question of regulatory capture - The DeepMind–Royal Free case and why law alone isn't enough - Beneficence, non-maleficence, autonomy, justice — and where they fail for AI - Ambient AI scribes, miscoding, billing inflation and phantom tests - Paid vs free models and the widening access gap - The "ask why" rule and knowing when to walk away from a chatbot - Red-teaming your own assumptions and playing models off each other - Building a personal "harness" with skills so AI works from your history - The last-mile problem and the case for regulating LLMs as medical devices - Whether AI is narrowing how clinicians think Chapters: 02:50 — Intro: The Agentic Patient and the case for skeptical optimism 05:52 — "A hammer looking for nails": adoption pressure without a plan 07:25 — OpenEvidence, EU rules and regulatory capture 09:42 — The DeepMind–Royal Free lesson: why law needs ethics 13:29 — The bioethics principles and what they were built to do 19:40 — Autonomy, consent and the ambient-scribe problem 21:49 — Scribes as inference engines: miscoding, fraud and phantom tests 29:06 — Paid vs free models and the access gap 33:25 — Using AI safely: the "ask why" rule 37:38 — Knowing when to walk away: engagement design and degradation 44:58 — Red-teaming and playing models off each other 49:00 — Harnesses and skills: making the model work for you 51:38 — The last-mile problem and regulating AI as a medical device 58:00 — Does AI narrow the clinician's mind? The Agentic Patient series: https://www.facesofdigitalhealth.com/agentic-patient-blog Website: https://www.facesofdigitalhealth.com Newsletter: https://fodh.substack.com LinkedIn: https://www.linkedin.com/company/faces-of-digital-health

June 3, 202613 min

Healthcare AI Policy in 2026: Only 7 of 38 OECD Countries Have an AI Strategy

98% of patients welcome AI in their care — and still want a human in charge. That tension ran through the OECD and Spanish Ministry of Health conference on scaling AI in health (Madrid, late May 2026), and it frames this episode of Faces of Digital Health. Out of 38 OECD countries, only seven have a formal AI strategy and just over a tenth run workforce upskilling programmes — the ambition is outrunning the institutions meant to govern it. Host Tjaša Zajc brings together voices from across the conference to ask what actually has to change: regulation, trust, who gets a seat at the table, and the parts of the agenda nobody is funding. Featuring: - Eric Sutherland — Senior Economist, OECD - Aferdita Bytyqi — Executive Director & Founding Partner, Digital Transformations for Health Lab (DTH-Lab) - Erza Selmani — Research Fellow, DTH-Lab - Valentina Strammiello — Executive Director, European Patients Forum (EPF) - Dr Ricardo Baptista Leite — CEO, HealthAI (the Global Agency for Responsible AI in Health) - Dr Persephone Doupi — Senior Medical Officer, Finnish Institute for Health and Welfare; President, European Federation for Medical Informatics (EFMI) What the conversation covers: - Why trust — not capability — is the binding constraint on health AI adoption - The OECD readiness gap: AI strategies, HTA frameworks and workforce upskilling - How patients really feel about AI: consent forms, transparency, and keeping clinicians central - Why youth health and wellbeing keep getting left out of AI governance frameworks - Five recommendations to make the EU AI Act work for health and competitiveness - Coordinating the EU AI Act, MDR/IVDR and the European Health Data Space - Health technology assessment and reimbursement as the real barriers to scale - AI literacy and prevention: the most underweighted lever in the room Chapters: 0:10 — Welcome: AI in Health & the 2026 OECD Conference in Madrid 0:25 — Key Stats: Only 7 of 38 OECD Countries Have a Formal AI Strategy 2:10 — Eric Sutherland (OECD): We're Not Using Data as Effectively as We Could 3:11 — Afrodita & Erza (DTH Lab): Youth Health Is Missing from AI Governance Frameworks 5:12 — Valentina Stramello (EPF): 98% of Patients Are Positive About AI, But Trust Requires Transparency 7:14 — Dr. Ricardo Baptista Leite (Health AI): 5 Recommendations to Fix EU AI Policy for Health 10:53 — Persephone Doupi (EFMI): We Must Prioritize AI Literacy and Shift Healthcare Toward Prevention — 🎧 Listen: https://www.facesofdigitalhealth.com 📩 Newsletter (incl. written OECD conference summary): https://fodh.substack.com 💼 LinkedIn:https://www.linkedin.com/company/12594967/ 🌐 Site: https://www.facesofdigitalhealth.com #DigitalHealth #HealthAI #AIinHealthcare #HealthPolicy #EUAIAct #EHDS #ResponsibleAI #PatientVoice #HealthTechAssessment #HealthTech

May 26, 202642 min

Doctors are using ChatGPT in clinic and not all care about privacy (Health.Tech 2026)

Doctors are using ChatGPT in clinic right now — and some of them don't care about privacy. Three operators on what that means for healthcare AI. Recorded live at health.tech in Basel, this panel from Faces of Digital Health unpacks the convergence reshaping clinical software: ambient AI scribes, agentic AI in healthcare, on-device LLMs, and the regulatory drag (MDR, EU AI Act, EHDS) that is widening the gap between what clinicians actually use and what hospitals are allowed to buy. Host Tjaša Zajc is joined by: Jonathan Bringas — CEO & Founder, Lapsi Health (Kaiku: FDA-cleared AI stethoscope, ambient scribe and clinical assistant in one device) Blaž Triglav — CEO, Mediately (drug information platform, 1M+ HCPs across Europe) Amanda Herbrand — Clinical data modelling consultant, formerly University Hospital Basel What the conversation covers: — Why EHR data fragmentation is the precondition AI hasn't solved — Shadow AI: why clinicians trust ChatGPT more than enterprise tools (and the agency hypothesis behind it) — The convergence of stethoscopes, scribes, drug information and decision support into one workflow layer — ROI in healthcare AI: financial, time, clinical accuracy — and Herbrand's fourth dimension, user satisfaction — "Doctors were the original vibe coders": the 2,000 Excel spreadsheets running European hospitals — Why FDA-cleared beats MDR in 2026 sales cycles, and what Chile's regulatory minimalism tells us — The asymmetry that will break European medtech: applicants using AI to build, regulators forbidden from using AI to assess — On-device AI, ambient computing, AGI in clinical workflows — and the de-skilling risk no one wants to discuss ⏱ Chapters 00:00 — Opening: AI agents, vibe coding, and what doctors actually want 01:30 — Data fragmentation: the precondition AI hasn't solved (Amanda Herbrand) 02:30 — Keiku: collapsing stethoscope, scribe and assistant into one device 05:15 — The convergence reshaping healthcare AI — and the shadow AI in clinic 07:30 — Why doctors trust ChatGPT more than enterprise tools: the agency hypothesis 10:30 — ROI: financial, time, clinical accuracy — and Herbrand's fourth dimension 15:30 — Choosing solutions: modular requirements and FDA-cleared moats 19:30 — EHDS and the missing connector in European standardisation 21:00 — "Doctors were the original vibe coders": the 2,000 spreadsheet problem 24:30 — The two-speed world: regulated medicine vs the Wild West 28:00 — Why Chile's regulatory minimalism beats Europe's MDR 30:30 — Agentic AI vs regulators: the asymmetry that will break European medtech 33:30 — On-device AI, AGI, and the deskilling no one wants to discuss 🎧 View the video podcast: https://www.youtube.com/watch?v=fciFwMmIfRc&t=174s 📩 Newsletter: https://fodh.substack.com 🔗 LinkedIn: / dashboard 🌐 facesofdigitalhealth.com #HealthcareAI #DigitalHealth #AmbientAI #AgenticAI #ClinicalAI #EHR #EHDS #MedTech #HealthTech

May 19, 202632 min

Aashima Gupta (Google Cloud): "Healthcare doesn't lack vision. It lacks courage."

Most conversations about agentic AI in healthcare get stuck on capability. This one is about the gap between capability and deployment — and what closes it. Aashima Gupta, Global Director of Healthcare Strategy and Solutions at Google Cloud, argues that healthcare's bottleneck isn't vision; it's courage. The processes are documented poorly or not at all, AI fluency programs reach a fraction of employees who want them, and most enterprises are running agents without the harnesses — grounding, evaluation, red-teaming — that production deployment actually requires. Meanwhile patients navigate three different "clock speeds" (annual insurance cycles, shifting provider rosters, Medicare pricing) that bear no relation to the timeline of their own health. We cover the European vs US deployment posture, the difference between agents-with-agency and rule-based AI, why Highmark's library of one million internal prompts matters, Google Cloud's full-stack efficiency play (TPU Ironwood, Gemini, the 40% data-centre electricity reduction DeepMind delivered years ago), and the multi-agent "harnesses" — including the red/blue/green team architecture — that are starting to make production-grade healthcare AI plausible. Video: https://youtu.be/rLtaxQLgCg0?si=JDP6kK97_tYsFoSb Newsletter: https://fodh.substack.com/ Agentic Patient Series: https://www.facesofdigitalhealth.com/agentic-patient-blog

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