TDP 219: Carilion Clinic’s ACMIO Dr. Maruf Haider: The AI Question Nobody Wants to Answer, The Real Reason Clinicians Ignore CDS Alerts, and the One Phrase that Predicts Rollout Success

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On this episode of The Digital Patient, Dr. Joshua Liu, Co-founder & CEO of SeamlessMD, and colleague, Alan Sardana, chat with Maruf Haider, MD, ACMIO, Digital Health at Carilion Clinic, about "The AI Question Nobody Wants to Answer, The Real Reason Clinicians Ignore CDS Alerts, the One Phrase that Predicts Rollout Success, and more..." Click the play button to listen or read the show notes below.
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Audio:

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Guest(s):

• Maruf Haider, MD, Associate Chief Medical Information Officer for Digital Health at Carilion Clinic
• Joshua Liu, MD(@joshuapliu), Co-founder & CEO at SeamlessMD

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‍Episode 219 - Show Notes:

[00:00:07] Episode preview

[00:06:24] Why the most underappreciated moments in healthcare happen between visits

[00:08:26] How health systems can invest in digital between visits without waiting for value-based care

[00:09:57] The belief that virtual care is a “compromise” is the biggest barrier to scale

[00:12:17] How to make virtual care stick through trust, champions, and feedback loops

[00:14:03] Why acknowledging loss and clarifying accountability drive change adoption

[00:18:29] What alert fatigue reveals about accountability and leadership courage

[00:22:19] Why AI must be predictably safe—not just highly accurate

[00:25:50] What to measure beyond AI accuracy to drive meaningful adoption

[00:28:01] The real value proposition behind ambient AI scribes

[00:31:00] How frontline language predicts whether digital initiatives will succeed

[00:32:39] Why solving small frustrations unlocks readiness for transformation

[00:35:17] The leadership instinct physicians must unlearn at the enterprise level

[00:39:22] Why informatics remains a powerful lever for change in the AI era

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‍Fast 5 Lightning Round:

1. What is your favorite book or book you’ve gifted the most?
   The Creativity Code by Marcus du Sautoy
2. If you could instantly master any skill, what would it be?
   Turning complexity into clarity... or cooking.
3. Would you rather have Super strength, super speed, or the ability to read people’s minds?
   Mind reading.
4. What is something in healthcare you believe others might find insane?
   "Most health systems are really focused on access right now, but I think scaling access without redesigning care is going to scale poorly."
5. What is the last movie or TV show you saw, and what did you think of it?
   11/22/63 – pretty neat!

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