Shows
Out of the FHIR PodcastEpisode 8 - Ron Urwongse - (Defacto Health) Building a Real Provider Directory🎙️ Episode 8 – Why Provider Data Is Still Broken (And How to Fix It) | Guest: Ron UrwongseIn this episode of Out of the FHIR, Gene sits down with Ron Urwongse founder of Defacto Health, a self professed Provider Data Nerd, health tech strategist, and one of the sharpest minds in provider data infrastructure to unpack why provider data remains stubbornly inaccurate, fragmented, and operationally painful across the healthcare ecosystem.💡 Ron exposes the root problem: most healthcare APIs are still glorified databases with business logic missing from the stack. He explains how data accuracy isn’t just about syncin...2025-08-0132 min
Out of the FHIR PodcastEpisode 7 - "Plaid" in Healthcare with Brendan Keeler & Jason Kulatunga - Part 2Out of the FHIR – Special Edition: Plaid for Healthcare, Part 2 Episode Title: The Infrastructure Awakens: From Interop Dreams to Data-Driven RealityIn Part 2 of our special double-header episode, Eugene Vestel dives even deeper into the bold vision of a connected healthcare ecosystem with two of the industry's sharpest minds:* 🧠Brendan Keeler – Interoperability Practice Lead at HTD Health* 🚀 Jason Kulatunga – Founder of Fasten Health, Techstars NYC '24We go beyond the buzzwords and into the infrastructure truths that will define the next decade of healthcare:🔹 Why the FHIR movement is both essential...2025-07-2524 min
Out of the FHIR PodcastPart 1 of Out of the FHIR Special Episode - Plaid of Healthcare Deep Dive with Brendan Keeler And Jason Kulatunga of Fasten Health🎙️ Out of the FHIR: Deep Dive – Plaid in Healthcare with Brendan Keeler & Jason Kulatunga - Part 1In this episode of Out of the FHIR, we go deep into the future of healthcare interoperability with two visionaries at the forefront of change: Brendan Keeler, Interoperability Practice Lead at HTD Health, and Jason Kulatunga, Founder of Fasten Health and Techstars NYC alum.We explore:* 🧩 What a "Plaid for Healthcare" could really look like* 🔄 Why control, transparency, and patient-directed access are non-negotiable* ⚙️ The architectural and cultural hurdles standing in the way* 📊 How Fasten...2025-07-2122 min
Out of the FHIR PodcastOut of the FHIR Podcast - Episode 5 - Joshua Kelly - Part 2🎙️ Out of the FHIR Podcast: Part 2 with Joshua Kelly – Highlights🚀 What’s Joshua Excited About?* Payer-to-Payer ExchangeA pivotal shift enabling payers to consume data—not just expose APIs—transforming how charts are transferred and reducing manual burden. Huge potential impact on chart chase inefficiencies and member onboarding.* FHIR-Specific AI Model Evaluations (FIRE Evals)Joshua outlines Flexpa's work on evaluating LLMs for FHIR tasks like:* Extracting structured data from FHIR resources* Generating FHIR bundles from text* Using reinforcement learning with verified rewards (not RLHF) to improve smaller, private models that outp...2025-07-1521 min
Out of the FHIR PodcastOut of the FHIR Episode 4 - Joshua Kelly - Part 1Episode 4: Unlocking Interoperability with Joshua KellyIn this episode, Gene Vestel sits down with Joshua Kelly, CTO of Flexpa, to unpack the complexities of healthcare interoperability. They discuss real-world challenges, cutting-edge strategies, and practical solutions for seamless data exchange across healthcare systems. Josh shares valuable perspectives on the future of interoperability, highlighting opportunities to transform patient care through technology and collaboration. We dive deep with Josh into why healthcare is so different from other industries and the critical role terminology plays in interoperability. Plus, we nerd out on issues around coding concepts and the misuse of value...2025-07-0919 min
Out of the FHIR PodcastOut of the FHIR Podcast - Episode 3 - Cody EbbersonEpisode 3 of Out of the FHIR is for the builders, skeptics, and believers in making healthcare data actually usable.🎙️ We talk about:* Why you can’t build real AI with garbage data even if it’s from Epic’s APIs* How 400+ custom Epic installs = a fake sense of interoperability* Why FHIR is the glue and how Cody's team at Medplum is building with it from day one* The uphill battle to get structured data into workflows that actually help providers (instead of adding to burnout)🔥 We also compar...2025-06-3030 min
Out of the FHIR PodcastOut of the FHIR podcast - Episode 2 - Darren DevittEpisode 2 – Education, Empowerment & FHIR Realism with Darren DevittIn this episode of Out of the FHIR, Eugene sits down with Darren Devitt — a seasoned med tech and Health IT consultant, widely recognized for his practical, no-fluff approach to FHIR education and implementation. Known for his engaging presentations at HL7 Dev Days and his hands-on training content, Darren brings a rare combination of deep technical insight and sharp industry perspective.We dive into:* Darren’s journey in the world of FHIR* The real-world gaps between standards and implementations* Why FH...2025-06-2328 min
Out of the FHIR PodcastOut of the FHIR Podcast Episode 1 - with Grahame GrieveIn our inaugural episode of "Out of the FHIR," host Eugene Vestel sits down with Grahame Grieve, the visionary founder of HL7 FHIR (Fast Healthcare Interoperability Resources). Grahame shares the origin story of FHIR, highlighting the critical need for simplified yet powerful healthcare interoperability standards that led him to pioneer this groundbreaking framework.Grahame offers insights into why FHIR quickly became a global standard, addressing not just technological but also practical and strategic challenges faced by healthcare systems worldwide. He discusses how FHIR enables streamlined, efficient data exchange, fostering innovation and improving patient outcomes across diverse healthcare...2025-06-1223 min
Out of the FHIR PodcastFHIR: Benefits and Challenges ExploredFHIR Talk: Building Modern Healthcare Data Platforms - Hype vs. Reality Get full access to FHIR IQ playbook at evestel.substack.com/subscribe2025-04-2307 min