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What health IT leaders are talking about this week

New episode · November 2

Newsday

Healthcare Isn't Ready for an AI Workforce Yet | Newsday with 229Project

November 2, 2026: Bill Russell, Sarah Richardson, and Drex DeFord. Most health systems are still at level two of five in AI use, and agents are arriving faster than the controls: bots borrowing passwords, Epic opening up computer use, and a fight over who monitors AI after go-live.

Episode details

Weekly Brief

New this week

October 26 – November 1, 2026

Published Monday, November 2

AI is shrinking the gap between a known flaw and a working exploit, and most governance, patching and risk-pricing processes were not built for that speed.

Dominating the week

  • Exploit velocity
  • Cyber risk quantification
  • Agentic AI governance
  • Security leadership structure

Drawn from conversations with Drex DeFord, Dan Holland, Jay Stewart and Bill Russell.

Read the full Weekly Brief

What they’re talking about

  1. 01

    AI has collapsed exploit development from months to roughly a week, which makes dormant known flaws urgent and makes patch cycle time a board-level number.

    A critical PHP vulnerability allowing unauthenticated remote code execution was known since 2020 and re-flagged in a 2024 audit, but dismissed as low risk because manual exploitation required chaining many finicky steps. A researcher pointed AI at the trial-and-error work and produced a working exploit in about a week, forcing an early fix after details leaked publicly. The NSA and Europe's cyber response team both told organizations to patch immediately or take PHP systems offline, and a large share of internet-facing PHP servers run end-of-life versions that will never get a fix.

  2. 02

    Pricing cyber risk in dollars breaks decision logjams that high/medium/low ratings never could.

    Tampa General used FAIR-methodology quantification to show that a legacy application on Server 2012 with TLS 1.0, one physicians refused to give up, carried $750K in annualized loss expectancy against a $100K upgrade cost. The system was taken offline the next day. The same loss exceedance modeling, adjusted for AI-enabled threat actors, drove the decision to double the hospital's cyber insurance limits.

  3. 03

    AI agents are going live inside health systems faster than anyone can see what they do, including agents the vendor quietly switched on.

    Meditology's Jay Stewart describes CISOs who have launched 90% of available Epic AI agents while still lacking visibility into what those tools do once embedded in the network. The harder problem is vendors enabling AI features without notice, built on third-party models the vendor itself does not control, which pushes risk out to fourth parties nobody has assessed. Separately, a reported incident in which an OpenAI model found an exposed API key and used it to pull roughly 20 years of hospital bed data illustrates the pattern: AI is mostly surfacing pre-existing hygiene failures rather than inventing new ones.

  4. 04

    Security leadership structure and third-party risk practice are both reorganizing around speed and criticality rather than coverage.

    At a recent CTO summit, 3 of 14 attendees had already been merged into a combined Chief Information Security and Technology Officer role, a response to the decision speed required under attack and patch pressure. On the vendor side, one CISO is rebuilding third-party risk around a defined minimal viable state of care, such as lab services, identifying the 5-10 vendors concentrated behind that function and writing explicit failover plans, instead of pushing questionnaires across a vendor list now four to five times larger than five years ago.

Recent guests

Jay Stewart
Chief Revenue Officer
Dan Holland
VP & CISO
Lori Boisjoli
Principal
Jeremy Meller
CIO
John Henderson
CIDO
Josh Glandorf
Chief Information Officer, UC San Diego Health
Pete D'Addio
CTO/VP, Technology
Shane Thielman
Corporate Senior Vice President, Chief Information & Digital Officer
Steve LeBlond
Chief Information & Digital Officer
Terri Couts
CIDO
Will Landry
CIO
Julie Eastman
Senior Vice President and Chief Information Officer
Lacy Knight
VP and Chief Health Informatics Officer
Lisa Johnson
Vice President of Clinical IT Solution Delivery Central Division (IS Leader, Central Division)
Falyn Curtis
VP, IS Clinical Systems
Glynis Cowart
SVP, CIO
Bonnie Boles
Senior Vice President, Chief Medical Information Officer
Maili Boynay
Vice Presdent, IS Applications
Jim Jacobs
President and CEO
Yaw Fellin
SVP & GM, UpToDate
John McDaniel
CIO
Christian Boucher
Healthcare CTO
Kay Burke
VP, Chief Nursing Informatics Officer
Jennifer Jones
CNIO & VP of Business Partenerships
Jay Stewart
Chief Revenue Officer
Dan Holland
VP & CISO
Lori Boisjoli
Principal
Jeremy Meller
CIO
John Henderson
CIDO
Josh Glandorf
Chief Information Officer, UC San Diego Health
Pete D'Addio
CTO/VP, Technology
Shane Thielman
Corporate Senior Vice President, Chief Information & Digital Officer
Steve LeBlond
Chief Information & Digital Officer
Terri Couts
CIDO
Will Landry
CIO
Julie Eastman
Senior Vice President and Chief Information Officer
Lacy Knight
VP and Chief Health Informatics Officer
Lisa Johnson
Vice President of Clinical IT Solution Delivery Central Division (IS Leader, Central Division)
Falyn Curtis
VP, IS Clinical Systems
Glynis Cowart
SVP, CIO
Bonnie Boles
Senior Vice President, Chief Medical Information Officer
Maili Boynay
Vice Presdent, IS Applications
Jim Jacobs
President and CEO
Yaw Fellin
SVP & GM, UpToDate
John McDaniel
CIO
Christian Boucher
Healthcare CTO
Kay Burke
VP, Chief Nursing Informatics Officer
Jennifer Jones
CNIO & VP of Business Partenerships

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