Success in Chaos

What do you do when you know what your patients need, but no one will pay for it? Josh Gregoire, DNP, RN, AVP of Quality and Population Health at Valley Health System, has built programs the system was not ready to fund. His work includes a Food as Medicine program, an LGBTQ primary care center, and an IRB-approved maternal health trial. In this episode, Josh shares how he uses community support, proof of concept, and strong relationships to move ideas forward. He also explains what it means ...

What happens when your most critical imaging system is held together by workarounds and tip sheets? Oliver Galicki, VP of Information Services at Memorial Hermann, reveals how he led a 12-month enterprise imaging overhaul — from eight vendors to a signed contract — while balancing technical debt, physician alignment, and scarce dollars. His guiding philosophy: if your house is on fire, you cannot innovate. Discover how pragmatic IT leadership turns infrastructure chaos into a foundation...

When everything feels loud, how do leaders decide what truly matters? In this episode of Success in Chaos, Dr. Kernesha Weatherly, Vice President of Imaging at Ochsner Health, joins hosts Angela Adams and Kandice Garcia to explore what it means to lead with clarity, humility, and calm in times of rapid change. From growing up in Alabama to guiding one of the nation’s most advanced imaging programs, Dr. Weatherly shares how travel shaped her worldview, why she believes in “connection before co...

In this episode of Success in Chaos, Angela Adams and Kandice Garcia Tomkins engage with Dr. Foster Mobley, a seasoned leader in healthcare. They explore the essence of authentic leadership, the importance of self-awareness, and the challenges leaders face in chaotic environments. Dr. Mobley emphasizes the need for leaders to connect deeply with their teams, cut through the noise, and embrace change, especially in the context of AI's growing influence in healthcare. The conversation also high...

Policy veteran Blair Childs, CEO of Childs and Associates, joins hosts Angela Adams, RN, and Kandice Garcia Tomkins, RN to make sense of D.C.’s latest “big beautiful bill” and the forces reshaping U.S. healthcare. Blair distills three defining shifts—market-based total-cost accountability, fixing perverse fee-for-service incentives, and true consumerism via interoperable data—and explains what leaders should do now. The conversation dives into the Rural Transformation Fund timeline, why to en...

Melonie Lagalante, FACHE, shares how St. Tammany Health System turned rapid change into lasting progress. From post-COVID workforce recovery to high-reliability care and homegrown talent pipelines, she reveals how culture, community, and mission-driven leadership fuel innovation. This episode serves as a playbook for leaders navigating staffing challenges, operational pressures, and transformation, all while maintaining a focus on what matters most: people. Episode chapter guide: 04:34 Melon...

Angela and Kandice welcome healthcare innovator Kara Trott, founder and former CEO of Quantum Health. In this inspiring episode, Kara shares insights from her incredible journey of transforming consumer healthcare navigation into a billion-dollar business. Kara’s new book, No One Alone: Humanizing Healthcare as an Outsider, explores how empathy, consumer-centric approaches, and strategic innovation can profoundly impact healthcare. Listen in to discover how embracing the consumer experi...

In this episode of Success in Chaos, Angela Adams, RN, and Kandice Garcia Tomkins, RN, talk with John Hill, founder and principal of Healthcare Consensus Partners and a seasoned healthcare executive with over 25 years of leadership across for-profit, nonprofit, and faith-based health systems. They discuss the chaotic healthcare landscape and the essential qualities of effective leadership in such an environment. John shares insights on the importance of focus, clarity, and authenticity in lea...