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Episode #

30

AMDIS CMIO Roundtable: Epic Deployment Revisited

Epic Deployment Revisited brings together three seasoned HIT leaders — John Lee, MD (Founder, HIT Peak Advisors), Yaa Kumah-Crystal, MD (Associate Professor of Biomedical Informatics, Vanderbilt University Medical Center), and Roy Esaki, MD (Chief Health Information Officer, The Queen’s Health System) — for a candid discussion about what it really takes to implement Epic well. From governance pitfalls and technical debt to cloud migration, third-party integrations, and patient experience, this roundtable sheds light on the biggest mistakes health systems make and how to avoid them. Watch to hear how leaders are reimagining EHR deployments to better serve clinicians and patients alike.

EPISODE GUESTS

John Lee

HIT Peak Advisors

The Epic Whisperer

Dr. John Lee is a practicing emergency medicine physician, health IT executive, and specialized consultant known as the "Epic Whisperer," who bridges the gap between high-level clinical strategy and hands-on technical execution within Epic EHR ecosystems. As the Founder of HIT Peak Advisors, he leverages his unique dual background as a frontline clinician and an Epic architect to help health tech startups navigate complex integrations and assist healthcare organizations with workflow and analytics optimization. Dr. Lee's distinguished career includes nearly three decades of clinical practice at Edward Hospital, alongside extensive administrative leadership roles as the Chief Medical Information Officer (CMIO) for Edward-Elmhurst Health and Senior Vice President and CMIO for the Allegheny Health Network. Currently balancing his clinical duties at Edward-Elmhurst with a role as a Clinical Informatics Specialist for The MetroHealth System, he specializes in translating complex data structures like SmartData and SQL into practical, high-yield solutions that align with actual clinical realities.

Roy Esaki

The Queen's Medical Center

Chief Health Information Officer

Dr. Roy Esaki, MD, MS, FASA, is a board-certified anesthesiologist, pain management specialist, and clinical informaticist who serves as the Chief Health Information Officer (CHIO) at The Queen's Health Systems, the largest healthcare system in Hawaii. In this executive capacity, he collaborates with senior leadership to direct enterprise digital strategy, optimize electronic health record systems, and champion clinical technology innovations aimed at enhancing patient safety and alleviating clinician administrative burden. Dr. Esaki holds a mechanical engineering degree from the Massachusetts Institute of Technology, earned both his medical degree and a Master’s in Clinical Research from the University of Michigan, and completed his anesthesiology residency and pain medicine fellowship at Stanford University. Alongside his executive duties, he maintains an active clinical practice as the Assistant Chief of the Anesthesia Department at the Queen's Medical Center, serves on the board of directors for the Hawaii Health Information Exchange, and acts as an Assistant Clinical Professor at the University of Hawaii John A. Burns School of Medicine.

Yaa Kumah-Crystal

Vanderbilt University Medical Center

HealthIT Clinical Director

Dr. Yaa Kumah-Crystal, MD, MPH, MS, is an associate professor of biomedical informatics and pediatric endocrinology at Vanderbilt University Medical Center (VUMC), where she bridges clinical practice with groundbreaking research in medical AI and health technology. Serving as a clinical director and core design advisor within Vanderbilt HealthIT, she spearheads the innovations portfolio with a primary focus on voice assistant technology, conversational user interfaces, and generative AI integrations to streamline the electronic health record (EHR) provider workflow. Notably, she is the project lead for the Vanderbilt EHR Voice Assistant (VEVA) initiative, which uses natural language communication to improve data summarization, visualization, and accessibility for both clinicians and patients. In addition to her extensive informatics leadership, she remains an active, practicing physician, supervising pediatric endocrine fellows and treating clinic patients at VUMC.
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