Healthcare

The Hidden Roadblocks to Smarter Hospitals

The Hidden Roadblocks to Smarter Hospitals

As hospitals look to improve outcomes with faster, more informed decisions, infrastructure limitations remain a major hurdle. This episode—part two of a five-part Health and Life Sciences at the Edge series exploring The Future of Patient Monitoring—dives into what’s holding back smarter, more connected care. Intel’s Andrew Lamkin, AI Solutions Architect, and Bikram Day,…

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Latest

Case Study - PayerWatch
ROI Case Study

Denials are no longer a slow leak in the revenue cycle—they’re a fast-moving, rule-shifting game controlled by payers, and hospitals that don’t model denial patterns in real time end up budgeting around losses they could have prevented. PayerWatch’s four-digit, client-verified ROI in 2024 shows what happens when a hospital stops reacting claim by…

Read More
Healthcare
Clip 2 – Fighting for Coverage: One Patient’s Story

Health insurers love to advertise themselves as guardians of care, but the real story often begins when a patient’s life no longer fits neatly into a spreadsheet. In oncology especially, “coverage” isn’t a bureaucratic checkbox—it’s the fragile bridge between a treatment that finally works and a relapse that can undo years of grit…

Read More
Healthcare
Clip 1 – Fighting for Coverage: One Patient’s Story

In “Fighting for Coverage,” a patient describes a double war: the physical fight to stay alive and the bureaucratic fight to prove to an insurer that her life is worth the cost. Her account spotlights a core tension in the U.S. system—coverage decisions are increasingly shaped by prior authorizations and desk-based reviewers who…

Read More
Healthcare
The Sustainability of the Healthcare System

The sustainability of the healthcare system won’t be secured by another round of cost-cutting or clever benefit design alone, but by a hard cultural pivot toward alignment: payers, providers, employers, and patient advocates pulling on the same rope instead of grading each other on different exams. Right now we’ve built a maze that…

Read More
Healthcare
Allow Doctors to Provide Care Without Making Patients Fight the Insurance System

Patients shouldn’t have to become their own case managers just to access a hip replacement, transplant, or any other life-changing procedure; the moment they’re pushed into a paperwork fight, the system has already shifted its burden onto the sick. In a functional healthcare model, clinicians and their teams handle the insurer negotiations behind…

Read More
Healthcare
The Impact of Physician Advisors on Hospital Revenue and Patient Advocacy in a Payer-First Era

Physician advisors are becoming the quiet linchpin of hospital resilience in a reimbursement environment where insurers increasingly treat care like a spreadsheet exercise. As payers tighten criteria and automate denials, the gap between clinical reality and business logic widens—and without a skilled physician advisor (and a disciplined appeals pathway), health systems risk watching…

Read More

Latest

imposter syndrome
Busting Imposter Syndrome Through Presence, Community, and the Power of Delegation
December 10, 2025

Many of us know the feeling: you rack up accomplishments, hit the milestones you once dreamed of, and still there’s a quiet voice asking, “Am I really good enough?” Imposter syndrome has a way of showing up even in our strongest moments, often right when we’re stepping into new opportunities or chapters of growth. And…

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Inside Breaking Down the New Behavioral Threat Assessment Report
Breaking Down the New National Behavioral Threat Assessment Report
December 9, 2025

School Safety Today podcast, presented by Raptor Technologies. In this episode of School Safety Today, host Dr. Amy Grosso interviews guest expert Will Durgin to discuss the newly released Behavioral Threat Assessment and Management (BTAM) Report from the National Threat Assessment Center and Homeland Security. They explore how this report differs from previous NTAC…

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Trades
HVAC Safety Reform with Fallon Dyle: Rethinking Chemical Practices and Tackling Hidden Health Hazards in the Field
December 9, 2025

As HVAC systems evolve and health concerns take center stage, the industry is being forced to reckon with more than just performance specs. A growing threat from resilient biofilms, coupled with widespread misinformation about chemical cleaners like bleach, is pushing technicians and manufacturers to reexamine how they approach safety and maintenance. Reports have emerged…

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creative
How an Underdog Mindset, Creative Discipline, and People-First Leadership Helped Cecil Cross Build Lasting Professional Equity
December 9, 2025

More and more, the creative journey looks less like a straight line and more like a series of pivots, setbacks, and surprising new opportunities. As layoffs, industry shifts, and unpredictable career turns reshape what a “typical” creative path looks like, many professionals are being pushed to turn uncertainty into momentum. Many are asking how to…

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Latest Articles Healthcare

sterile
Articles Healthcare
The Silent Foundation of Patient Safety: Why Water Quality Matters in Sterile Processing
November 10, 2025

In healthcare, patient safety and operational efficiency often depend on invisible systems working perfectly in the background. One of those systems—water quality—has quietly become a defining factor in sterile processing success. With new standards such as AAMI ST108 setting stricter expectations, hospitals, and SPDs (Sterile Processing Departments) are rethinking how they monitor, manage, and measure…

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The SPD Hack Playbook: Streamlining Sterile Processing with Smart Tech and Team Buy-In

Sterile Processing Departments (SPDs) are the unsung backbone of surgical care — ensuring every instrument, tray, and tool is safe, sterile, and ready when needed. Yet, despite their vital role, SPD workflows often rely on manual processes and underrecognized best practices. As healthcare systems push for greater efficiency and staff well-being, SPD managers are turning…

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Hot Takes on Rural Healthcare: Lessons from the Frontlines of a System in Decline

Across America, rural hospitals are facing an existential crisis. From physician burnout and recruitment struggles to malpractice insurance woes and shrinking OB units, the challenges facing small health systems are multiplying. According to the National Rural Health Association, roughly 190 rural hospitals have closed down or discontinued inpatient care since 2010 — and many more…

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Smarter, Faster, Kinder: How AI Can Help Hospitals Deliver Better Care, All While Keeping Care Human

Artificial intelligence (AI) is no longer just a buzzword in healthcare — it’s becoming a real partner in how providers care for patients and improve everyday experiences. With rising patient expectations, limited resources, and mounting administrative complexity, hospitals and insurers alike are turning to AI to improve efficiency, communication, and satisfaction. In fact, Citi research…

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competition
Articles Healthcare
The Open Road to Reform: Why Healthcare Needs Disruption, Innovation, and the Return of Real Competition
October 15, 2025

The U.S. healthcare system is at a crossroads — facing rising costs, limited competition, and a widening gap between innovation and accessibility. According to projections from the Centers for Medicare & Medicaid Services (CMS), national health spending is expected to grow faster than the overall economy over the next decade — about 5.8% per year…

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The Future of RCM: Leveraging AI, Automation, and Human-Centered Design to Transform Patient Financial Care

Hospitals today are juggling tighter budgets, shifting regulations, and increasingly savvy patients—all while trying to keep financial operations running smoothly. That pressure has made the revenue cycle a powerful lever for innovation. The spread of artificial intelligence (AI) and automation is no longer experimental; it’s reshaping how health systems manage billing, reimbursement, and patient engagement….

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Lasting Success in Healthcare Depends on Human Understanding: Why the Most Resilient Revenue Cycles Are Built on Empathy, Not Algorithms

Hospitals today are fighting a two-front battle — one against increasingly sophisticated payers armed with automation and AI, and another to meet patients’ rising expectations for clarity and convenience. A recent joint study by Knowtion Health and the Healthcare Financial Management Association found that nearly one in two revenue cycle executives now identify payer denials…

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From Humility to High Performance: What Healthcare Leaders Can Learn from Parallon’s Global Strategy

Healthcare is evolving faster than ever—from the surge of AI-driven automation to rising patient expectations for seamless, consumer-style care. Amid this transformation, leaders face the challenge of keeping technology human. According to Deloitte’s 2025 Global Health Care Outlook, seven in ten C-suite healthcare executives across five countries say improving operational efficiency and productivity is a…

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healthcare
Articles Healthcare
Dr. Kevin Stevenson Gives His Thoughts on the Evolution of Healthcare Over the Past Decades
October 13, 2025

As healthcare continues to transform faster than ever — shaped by post-pandemic burnout, staffing shortages, and the rise of AI — leaders are being forced to rethink what it truly means to deliver both value and compassion in medicine. With the U.S. expected to face a shortage of 64,000 nurses in 2030, healthcare leaders are…

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How Censis’ AI-Powered Final Check Drives Compliance, Accuracy, and Confidence in Sterile Processing

Sterile processing teams are under constant pressure—handling growing surgical demands, working short-staffed, and navigating strict regulations—so getting every instrument tray assembled right the first time has never mattered more. Even a single assembly error can cascade into costly OR delays or, worse, compromise patient safety. Recent research highlights that most surgical instrument errors stem from…

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The Future of Sleep Apnea Treatment: Vivos’ Oral Appliance Technology Offers an Alternative to CPAP

Obstructive sleep apnea affects a whopping 30 million Americans, yet millions remain undiagnosed or abandon CPAP therapy due to its discomfort and inconvenience. Recent innovations in oral appliance therapy, however, are opening up new possibilities for patients seeking safe, effective, and lasting solutions. With sleep apnea linked to virtually every chronic disease—from heart disease to…

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Elevating the Standards Together: What We Are Looking Forward to at CtUC 2025

The sterile processing industry stands at a pivotal moment. With surgical case volumes rising while departmental resources remaining flat, the pressure to “do more with less” has never been greater. Nowadays, sterile processing departments (SPDs) are struggling with high staff turnover and growing compliance requirements. And while these regulations are designed to improve patient…

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Latest Healthcare Podcasts

Deny This! with Brian McGraw - PayerWatch
Inside ERISA Denials: Why Employers May Be the Real Decision-Makers Behind Your Insurance Card
December 2, 2025

Insurance denials aren’t new, but they’re hitting a breaking point right now. As prior authorizations surge and patients face longer delays for everything from imaging to specialty drugs, more providers are realizing that the “payer” on the card often isn’t the one truly holding the reins. A growing share of Americans are covered…

Read More
Technology Is Transforming Cardiovascular Care But Can Access Keep Up?

Cardiovascular care is entering one of its most transformative periods in decades. Advances in AI imaging and minimally invasive procedures are transforming the diagnosis and treatment of heart disease. According to the World Health Organization, an estimated 19.8 million people died from cardiovascular diseases in 2022, representing approximately 32% of all global deaths. This…

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Patient Care and Orthopedic Innovation in the Age of AI: Why Human Skill Still Outweighs Robotics

The rise of artificial intelligence in medicine is reshaping how orthopedic surgeons diagnose, plan, and deliver care. From robotics in the operating room to AI-driven diagnostics and bone segmentation tools, orthopedic innovation is advancing rapidly. Yet, adoption in everyday surgical practice has been more measured. For example, in 2022, robot-assisted technology accounted for…

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Leading Through Change: Dr. Kevin Stevenson on Workforce, Innovation, and the Future of Healthcare

Healthcare is at a critical turning point, where staffing pressures, shrinking reimbursements, and rising patient expectations are reshaping the future of healthcare. According to the AACN Nursing Workforce Fact Sheet, the federal government projects more than 203,000 new registered nurse positions will be created annually from 2021 to 2031, reflecting high demand from an…

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Revenue Cycle
Healthcare
Transformation Without Disruption: How Access Healthcare Is Rewiring the Revenue Cycle with Agentic AI
September 17, 2025

Hospitals are juggling shrinking margins and rising costs while denial volumes remain stubbornly high. In the revenue cycle alone, hundreds of billions are lost annually to preventable errors and inefficiencies—in fact, Access Healthcare CEO Shaji Ravi cites more than $250 billion wasted each year. Meanwhile, payers have accelerated their use of AI to adjudicate…

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Transforming the ICU Through Technology: Advances in Critical Care Telehealth Delivering Gold-Standard Care Anywhere

Critical care in the United States faces a mounting crisis. With a shortage of board-certified intensivists and younger, less experienced nurses filling ICUs, hospitals often struggle to provide timely, gold-standard care. Studies show that hospitals with board-certified intensivists in their ICUs see a 30% reduction in patient mortality, yet thousands of facilities still lack…

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From Online to On-Site: How Hybrid Models Are Building the Healthcare Workforce of Tomorrow

Health systems across the U.S. are staring down a stubborn talent gap—one that COVID-era lessons, hybrid training models, and employer partnerships are beginning to reshape. In Detroit, Houston and beyond, multi-billion-dollar expansions are colliding with persistent shortages, forcing new pathways into care careers. Meanwhile, loan-repayment and incumbent-worker funds are emerging as powerful levers to…

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Transforming Healthcare Workforce Development: Sustainable Solutions Through Early Engagement, Access, and Leadership

Healthcare systems continue to face intense workforce challenges, with nursing at the center of concern. According to the U.S. Bureau of Labor Statistics, employment of registered nurses is expected to grow 5% between 2024 and 2034—faster than the average growth across all jobs in the U.S. economy. While this growth reflects rising demand for…

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healthcare
Healthcare
The Future of Employer Benefits: Balancing Rising Healthcare Costs with Creative, Employee-Centered Perks
August 28, 2025

The landscape of employee benefits has undergone a seismic shift in the last decade. From the rise of telemedicine to the introduction of lifestyle spending accounts and stipends for services like DoorDash and HelloFresh, employers are reimagining how they support workers in a post-pandemic, inflation-conscious world. With healthcare costs rising and talent competition intensifying,…

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Pharma Manufacturing: Meeting Annex I with Precision Machining for Safer Sterile Drug Production

Pharmaceutical manufacturers are under increasing pressure to deliver sterile, high-quality medicines in smaller batches and faster cycles. As pharma manufacturing evolves, regulatory demands have intensified, especially following the 2023 revision of EU GMP Annex I, which places new emphasis on contamination control strategies, improved traceability, and minimizing human intervention throughout production. According to American…

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How THA Strengthens Texas Healthcare Through Policy, Workforce Solutions, and Community Collaboration

As healthcare continues to evolve in response to post-pandemic challenges, workforce shortages, and an ongoing mental health crisis, the institutions that support the backbone of healthcare—hospitals—are under immense pressure. In Texas, where geographic and demographic diversity create unique complexities, the role of hospital associations in steering policy and support services is more vital than…

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The Uber of Healthcare: How OverbookMD is Using Data and Tech to Redefine Patient Care

In today’s world, where instant delivery and ride-sharing are everyday norms, healthcare access still lags behind. Patients now wait an average of 31 days to see a specialist in major U.S. cities—a 19 percent jump since 2022—according to AMN Healthcare’s 2025 survey. The stakes are high: delays can lead to worsening conditions, increased ER visits,…

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Latest Videos Healthcare

The Hidden Roadblocks to Smarter Hospitals
Health and Life Sciences at the Edge
The Hidden Roadblocks to Smarter Hospitals
December 9, 2025

As hospitals look to improve outcomes with faster, more informed decisions, infrastructure limitations remain a major hurdle. This episode—part two of a five-part Health and Life Sciences at the Edge series exploring The Future of Patient Monitoring—dives into what’s holding back smarter, more connected care. Intel’s Andrew Lamkin, AI Solutions Architect, and Bikram Day,…

Read More
ROI Case Study

Denials are no longer a slow leak in the revenue cycle—they’re a fast-moving, rule-shifting game controlled by payers, and hospitals that don’t model denial patterns in real time end up budgeting around losses they could have prevented. PayerWatch’s four-digit, client-verified ROI in 2024 shows what happens when a hospital stops reacting claim by…

Read More
Clip 2 – Fighting for Coverage: One Patient’s Story

Health insurers love to advertise themselves as guardians of care, but the real story often begins when a patient’s life no longer fits neatly into a spreadsheet. In oncology especially, “coverage” isn’t a bureaucratic checkbox—it’s the fragile bridge between a treatment that finally works and a relapse that can undo years of grit…

Read More
Clip 1 – Fighting for Coverage: One Patient’s Story

In “Fighting for Coverage,” a patient describes a double war: the physical fight to stay alive and the bureaucratic fight to prove to an insurer that her life is worth the cost. Her account spotlights a core tension in the U.S. system—coverage decisions are increasingly shaped by prior authorizations and desk-based reviewers who…

Read More
healthcare system
Healthcare
The Sustainability of the Healthcare System
December 3, 2025

The sustainability of the healthcare system won’t be secured by another round of cost-cutting or clever benefit design alone, but by a hard cultural pivot toward alignment: payers, providers, employers, and patient advocates pulling on the same rope instead of grading each other on different exams. Right now we’ve built a maze that…

Read More
Allow Doctors to Provide Care Without Making Patients Fight the Insurance System

Patients shouldn’t have to become their own case managers just to access a hip replacement, transplant, or any other life-changing procedure; the moment they’re pushed into a paperwork fight, the system has already shifted its burden onto the sick. In a functional healthcare model, clinicians and their teams handle the insurer negotiations behind…

Read More
The Impact of Physician Advisors on Hospital Revenue and Patient Advocacy in a Payer-First Era

Physician advisors are becoming the quiet linchpin of hospital resilience in a reimbursement environment where insurers increasingly treat care like a spreadsheet exercise. As payers tighten criteria and automate denials, the gap between clinical reality and business logic widens—and without a skilled physician advisor (and a disciplined appeals pathway), health systems risk watching…

Read More
How Hospitals Can Defend Against Payer Denials Without Sacrificing Patient Care

Payer denials used to feel like a series of personal affronts—clinicians and administrators trading war stories in hallways, certain they were being shortchanged but lacking the proof to do more than fume. Today, that fog should be lifting: with data warehouses, smarter analytics, and years of claims history, hospitals can pinpoint which payers…

Read More
insurance denials
Healthcare
From Peer-to-Peers to Paper Wars: Inside the Daily Grind of Fighting Insurance Denials
December 3, 2025

Insurance denials have quietly become one of the most powerful forces shaping American healthcare, not through better outcomes but through a steady tightening of what insurers are willing to cover and when they’ll say so. The real scandal isn’t just that claims get rejected—it’s that the system rewards obstruction, pressuring hospitals to spend…

Read More
Navigating the Power Differential: A Physician’s Perspective

Healthcare in the U.S. often feels less like a covenant and more like a negotiation conducted on a tilted table, where insurers hold the rulebook and patients hold the receipt for their pain. The “two-midnight rule” and similar fixes were meant to tame arbitrary denials, yet the system keeps sprouting fresh loopholes because…

Read More
Navigating the Denial Pipeline: How Medicare Advantage Plans Reshape Access to Care

Medicare Advantage was sold as a smarter, more efficient way to care for seniors, but too often the efficiency seems to land on the wrong side of the patient–provider relationship. When plans deny or delay needed services through opaque rules and weak oversight, beneficiaries feel it first—in missed therapies, postponed procedures, and a…

Read More
Rebecca Interview: When Peer-to-Peer Reviews Stop Being About the Patient

Behind the sterile labels of “inpatient” versus “observation” care is a messy reality: clinicians and insurers often enter peer-to-peer reviews without a shared rulebook, turning what should be a clinical dialogue into a box-checking exercise. The speaker’s frustration points to a broader problem in U.S. healthcare utilization management—decisions about coverage can feel pre-decided,…

Read More
Other Healthcare Articles
How Hospitals Can Defend Against Payer Denials Without Sacrificing Patient Care
December 3, 2025

Payer denials used to feel like a series of personal affronts—clinicians and administrators trading war stories in hallways, certain they were being shortchanged but lacking the proof to do more than fume. Today, that fog should be lifting: with data warehouses, smarter analytics, and years of claims history, hospitals can pinpoint which payers…

Read More
From Peer-to-Peers to Paper Wars: Inside the Daily Grind of Fighting Insurance Denials
December 3, 2025

Insurance denials have quietly become one of the most powerful forces shaping American healthcare, not through better outcomes but through a steady tightening of what insurers are willing to cover and when they’ll say so. The real scandal isn’t just that claims get rejected—it’s that the system rewards obstruction, pressuring hospitals to spend…

Read More
Navigating the Power Differential: A Physician’s Perspective
December 2, 2025

Healthcare in the U.S. often feels less like a covenant and more like a negotiation conducted on a tilted table, where insurers hold the rulebook and patients hold the receipt for their pain. The “two-midnight rule” and similar fixes were meant to tame arbitrary denials, yet the system keeps sprouting fresh loopholes because…

Read More
Navigating the Denial Pipeline: How Medicare Advantage Plans Reshape Access to Care
December 2, 2025

Medicare Advantage was sold as a smarter, more efficient way to care for seniors, but too often the efficiency seems to land on the wrong side of the patient–provider relationship. When plans deny or delay needed services through opaque rules and weak oversight, beneficiaries feel it first—in missed therapies, postponed procedures, and a…

Read More
Rebecca Interview: When Peer-to-Peer Reviews Stop Being About the Patient
December 2, 2025

Behind the sterile labels of “inpatient” versus “observation” care is a messy reality: clinicians and insurers often enter peer-to-peer reviews without a shared rulebook, turning what should be a clinical dialogue into a box-checking exercise. The speaker’s frustration points to a broader problem in U.S. healthcare utilization management—decisions about coverage can feel pre-decided,…

Read More
Navigating Payer Denials: A Physician Advisor’s Perspective #2
December 2, 2025

A physician advisor recently described a case that should unsettle anyone who cares about fair, clinically grounded coverage decisions: a Medicaid patient arrived comatose from an overdose, was emergently intubated, developed aspiration pneumonia, and stayed through three midnights before leaving against medical advice. By any bedside standard, this is acute, unstable care—exactly what…

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Navigating Payer Denials: A Physician Advisor’s Perspective #1
December 2, 2025

America’s healthcare system is buckling under a contradiction we’ve normalized: we expect reliable care for roughly 380 million people while letting every major lever of the system be pulled by for-profit players chasing the same dollar. In any market, companies will optimize for profit, but in medicine that instinct collides with a rulebook…

Read More
Inside ERISA Denials: Why Employers May Be the Real Decision-Makers Behind Your Insurance Card
December 2, 2025

Insurance denials aren’t new, but they’re hitting a breaking point right now. As prior authorizations surge and patients face longer delays for everything from imaging to specialty drugs, more providers are realizing that the “payer” on the card often isn’t the one truly holding the reins. A growing share of Americans are covered…

Read More
Laying Out the Landscape in Today’s Patient Monitoring
December 2, 2025

More and more hospital environments rely on continuous, high-quality data to support faster clinical decisions, but much of today’s patient monitoring still varies widely by unit, device, and workflow. This episode kicks off a five-part Health and Life Sciences at the Edge series exploring The Future of Patient Monitoring. Intel’s Kaeli Tully, Solutions Engineer…

Read More