The ASHHRA Podcast

40 Episodes
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By: Robert "Bo" Brabo and Luke Carignan

Healthcare runs on people. The ASHHRA Podcast is where the leaders responsible for those people come to think out loud.As the official podcast of ASHHRA (the American Society for Healthcare Human Resources Administration), this show has built a library of 250+ episodes for one audience: the CHROs, CPOs, VPs, and directors leading the healthcare workforce.Every week, hosts Bo Brabo and Luke Carignan sit down with the executives doing the hard work inside hospitals and health systems. Past guests include leaders from AdventHealth, Universal Health Services, Advocate Health, Johns Hopkins Medicine, and UC Health. These are unscripted, practitioner-to-practitioner conversations about...

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#267 - Employee Experience Is Patient Experience: 3 Healthcare HR Leaders From Covenant Health, BJC and AdventHealth
#267 - Employee Experience Is Patient Experience: 3 Healthcare HR Leaders From Covenant Health, BJC and AdventHealth episode artwork
#62
Today at 9:00 AM

Featuring Tim Juergensen, Chief Employee Experience Officer, Covenant Health; Deb Yost, Vice President of People Strategy, BJC HealthCare; and Gretchen Nery, Director of Employee Services, AdventHealth

Bo and Luke built this show on one idea: the employee experience and the patient experience are the same thing. Three leaders who live it, side by side with new narration. Tim defines it, Deb proves it, Gretchen makes it work on a Tuesday.

🎻 Tim Juergensen: Covenant Health Renamed the Function

Covenant does not call it HR, because the link to patient experience is empirical. Tim...


#266 - Healthcare HR News, November 2026: 43% of Nurses Want Out, AI Agents at 20%, 68 Health System Layoffs
#266 - Healthcare HR News, November 2026: 43% of Nurses Want Out, AI Agents at 20%, 68 Health System Layoffs episode artwork
#61
Last Thursday at 7:00 AM

Luke Carignan flies solo this week with three stories and one theme: fault lines. Three structural cracks forming at once in the nursing workforce, the AI transition, and the leadership layer being trimmed to pay for both.

🩺 Story 1: 43% Want Out of the Bedside. Most Can't Afford to Leave.

Nurse.org's 2026 State of Nursing survey (2,090 nurses) found 43% are likely to leave bedside nursing within a year, up from 38%, and 41% say financial necessity is what keeps them there. Nurse job satisfaction fell to 47% from 55%, giving back eight points after a three-year recovery. Advisory Board's November 2 ana...


#265 - Veterans Day 2026: Hiring, Serving and Leading Veterans in Healthcare
#265 - Veterans Day 2026: Hiring, Serving and Leading Veterans in Healthcare episode artwork
#59
Last Wednesday at 7:00 AM

For Veterans Day 2026, Bo & Luke pull three of the show's best Veteran conversations into one episode with new narration: Luke and Bo from last Veterans Day, Steve Maddox (Marine officer, Deloitte, Envision Healthcare), and Alex Hayman (retired Army officer, CPO at Southeast Primary Care Partners).

πŸŽ–οΈ Why Veterans Fit Healthcare

A hospital is a self-sustaining organization, and so is the military: logistics, food service, HR, clinical and non-clinical roles under one roof. BLS counts about 17 million Veterans in the U.S. and 8.3 million in the civilian labor force. Luke's tough love: if you are not t...


#264 - BJC HealthCare's Sean Peterson on 4 a.m. Discipline and Taking a Recruiting Team From Deficit to Green
#264 - BJC HealthCare's Sean Peterson on 4 a.m. Discipline and Taking a Recruiting Team From Deficit to Green episode artwork
#60
Last Monday at 1:00 PM

Featuring Sean Peterson, Director of Talent Strategies, BJC HealthCare

Sean Peterson is up at 4 a.m. and in the gym from 5 to 7:30 every weekday, before his two daughters wake up. He joins Luke to talk about how physical discipline becomes professional discipline, and how it carried a recruiting team from a deficit to the plus column in a year.

πŸ‹οΈ Do Hard Things Early

Sean played college soccer, turned down an MLS Combine invite, and got back into fitness when his first daughter was born. He earned a personal trainer certification in late...


#264 - Healthcare HR News, November 2026: CHRO Hires Double, 59% Plan to Job Hunt, and the 76% AI Gap
#264 - Healthcare HR News, November 2026: CHRO Hires Double, 59% Plan to Job Hunt, and the 76% AI Gap episode artwork
#58
11/04/2026

Luke Carignan and ASHHRA CEO Jeremy Sadlier open November 2026 with three stories that are really one: the gap between where healthcare thinks it is and where the data says it is.

πŸͺ‘ Story 1: The CHRO Seat Is Being Rewritten

Becker's has tracked at least 25 hospital and health system CHRO and chief people officer appointments in 2026, more than double the 11 it reported in all of 2025. Of the 17 health system hires profiled, 65% came from sitting or recent CHROs elsewhere, only 12% were promoted from within, and three were first-time CHROs. Jeremy's read: after decades of consolidation, boards are...


#263 - Healthcare HR News, October 2026: Nurse Pay Compression, the 26% EAP Gap, and Fitch's 1.5% Margin Peak
#263 - Healthcare HR News, October 2026: Nurse Pay Compression, the 26% EAP Gap, and Fitch's 1.5% Margin Peak episode artwork
#57
10/27/2026

Luke Carignan and ASHHRA CEO Jeremy Sadlier close out October with three costs health systems already pay without naming them. Each one eats margin and morale, and each ends on a decision that sits with HR.

πŸ’΅ Pay Compression Is a Fairness Problem First

Nurse.org's 2026 salary survey of 3,758 nurses: 93% say pay is not keeping up with inflation and workload, and 23% say they are underpaid compared with new hires. Mercer's 2026 planning data puts healthcare merit increases at 2.9%, tied for the lowest of any industry, while starting wages rise. Jeremy's math: a range moving 5% a yea...


#262 - ASHHRA27 Preview: San Antonio's JW Marriott Hill Country, May 16-18 2027, and the 15-Partner AP3 Program
#262 - ASHHRA27 Preview: San Antonio's JW Marriott Hill Country, May 16-18 2027, and the 15-Partner AP3 Program episode artwork
#56
10/20/2026

Luke is on the road, so Bo sits down with ASHHRA Executive Director and CEO Jeremy Sadlier for a different kind of Weekly News Drop: the news is ASHHRA's own. Registration for ASHHRA27 is open, and the two of them walk through what the conference will feel like and how the ASHHRA Preferred Partner Program is built to lower what healthcare HR pays for everything it buys.

🀠 One Campus, Everybody You Meet Is ASHHRA

ASHHRA27 runs May 16-18, 2027 at the JW Marriott San Antonio Hill Country, with sessions, rooms, and restaurants in one pla...


#261 - Student Loan Repayment Beats the $50,000 Sign-On Bonus: CLASP's Romy Newman on ROTC for Healthcare
#261 - Student Loan Repayment Beats the $50,000 Sign-On Bonus: CLASP's Romy Newman on ROTC for Healthcare episode artwork
#55
10/19/2026

Featuring Romy Newman, VP of Talent Ecosystem, CLASP

Disclosure: CLASP is a sponsor of The ASHHRA Podcast.

Bo opens with a question from his Army years. What if every recruit paid for basic training up front and the Army just hoped they stayed? That is close to how the United States trains clinicians. Romy Newman co-founded Fairy Godboss, ran digital ad sales at the Wall Street Journal, and now leads talent ecosystem at CLASP, which connects health systems to clinical students before graduation and ties loan repayment to tenure.

πŸŽ“ The Debt Math Nob...


#260 - ChenMed's Jeff Battinus on Agentic AI Recruiting, and the 78% Who Chose the AI Interview
#260 - ChenMed's Jeff Battinus on Agentic AI Recruiting, and the 78% Who Chose the AI Interview episode artwork
#53
10/15/2026

Featuring Jeff Battinus, VP of Talent Attraction and Selection, ChenMed, and Yaniv Shimoni, Co-Founder, Take2

Disclosure: Take2 is a sponsor of The ASHHRA Podcast.

Twenty-two years in healthcare recruiting, and Jeff Battinus says his career is changing in front of his face. He joins Bo with Take2 co-founder Yaniv Shimoni to separate real agentic AI from the version that is a sticker on an old process.

πŸ€– Agent or Bumper Sticker

Battinus's test is blunt. Most of the big vendors, he argues, bolted AI onto applicant tracking systems that were alr...


#259 - Healthcare HR News, October 2026: GLP-1 Coverage at 36%, Gen Z at 30% of RNs, Predicting Attrition
#259 - Healthcare HR News, October 2026: GLP-1 Coverage at 36%, Gen Z at 30% of RNs, Predicting Attrition episode artwork
#54
10/13/2026

Bo and Jeremy are back from the ASHHRA Executive Summit in Savannah, Luke held the fort, and the three of them land on one theme: the systems that win are not doing anything magical. They are deciding earlier than everyone else.

πŸ’Š The GLP-1 Decision You Cannot Keep Deferring

One in eight American adults is on a GLP-1 right now, per KFF. IFEBP's June 2026 pulse survey puts employer coverage for weight loss at 36%, and 19% of employers have already dropped it. Jeremy's read from the summit: candidates already on a GLP-1 are choosing hospital A ove...


#258 - 64% of Rural Health Leaders Expect a Physician Retirement. Only 41% Have a Succession Plan.
#258 - 64% of Rural Health Leaders Expect a Physician Retirement. Only 41% Have a Succession Plan. episode artwork
#51
10/08/2026

Luke Carignan runs this one solo while Bo and Jeremy are in Savannah for the ASHHRA Executive Summit. One theme ties the week together: your move. Every story lands on a decision that sits in an HR office.

🩺 The Physician Succession Crisis Nobody Scheduled
New research from MGMA, Jackson Physician Search and LocumTenens.com found 64% of rural administrators expect a physician to retire or cut back within five years, and only 41% have a formal succession plan. Two-thirds of the significant physician vacancies from the past three years are still open searches today.
Act...


#257 - Nationwide Children's Inclusion Lead on Belonging, Discernment, and the 44-Day New Hire Window
#257 - Nationwide Children's Inclusion Lead on Belonging, Discernment, and the 44-Day New Hire Window episode artwork
#50
10/07/2026

Featuring Dominiece Hoelyfield, Lead Inclusion and Culture Consultant, Nationwide Children's Hospital

Bo opens with a question worth sitting with. The last time you walked into your workplace, did you feel like you belonged? Not tolerated, not accommodated, not represented in the right percentage on a slide. Dominiece Hoelyfield has spent a decade and a half on the difference, and she answers it as a practitioner rather than a program.

🧭 Serve the People Who Serve the People

Healthy employees deliver better care to families who arrive at their most vulnerable. That is the...


#256 - Yale Study: Ambient AI Cut Burnout 13 Points, Cleveland Clinic Apprentices Hit 95% Retention
#256 - Yale Study: Ambient AI Cut Burnout 13 Points, Cleveland Clinic Apprentices Hit 95% Retention episode artwork
#49
09/29/2026

Luke Carignan runs this one solo and flips the format. No crisis, no warnings. Three healthcare workforce stories that went right, and three things healthcare HR can act on because of them.

🩺 Ambient AI Moved Burnout in 30 Days

Yale researchers put an ambient AI scribe in front of 263 clinicians across six health systems. Burnout fell from 51.9% to 38.8% in a month. Cognitive load dropped, after-hours charting dropped, and clinicians reported more eye contact with patients.

Action: Find out whether ambient scribing sits on your technology roadmap or in an IT que...


#255 - OhioHealth Cut Time to Fill 42% in One Year: Noe Arceo's Four Knows of Healthcare Recruiting
#255 - OhioHealth Cut Time to Fill 42% in One Year: Noe Arceo's Four Knows of Healthcare Recruiting episode artwork
#48
09/25/2026

Featuring Noe Arceo, Vice President of Talent Acquisition & Workforce Development, OhioHealth

Noe Arceo calls the team he joined at OhioHealth a good team with good bones. His first year went into the parts of the hiring process they could control, and time to fill came down 42%. The method behind it fits on a single sheet of paper he has carried since his Baylor Scott & White days.

🎯 The Four Knows

Twenty years of healthcare recruiting compressed into four habits: know the business, know your pipeline, know the players, know your numbers. Miss one...


#254 - Healthcare HR News, September 2026: NEJM on AI Jobs, 800 Facilities at Risk, 56 AI-Ready Workflows
#254 - Healthcare HR News, September 2026: NEJM on AI Jobs, 800 Facilities at Risk, 56 AI-Ready Workflows episode artwork
#47
09/22/2026

Eight hundred hospitals, nursing homes, maternal wards, and psychiatric centers have already closed, cut services, or landed at risk. Not projected. Already happened. Three stories this week, and every one of them lands on an HR desk.

πŸ€– NEJM: AI Grows the Clinical Workforce

Dhruv Khullar of Weill Cornell Medicine published the counter-argument on September 12. Cheaper care means more care, not less work, and one critical failure at any stage still requires a human watching. If he is right, the shortage gets worse, not better. Action: build pipelines now, and stop assuming a four-year deg...


#253 - Healthcare M&A Is Up 33% in 2026: Franciscan Health's Kellie Woods on Building the Pipeline First
#253 - Healthcare M&A Is Up 33% in 2026: Franciscan Health's Kellie Woods on Building the Pipeline First episode artwork
#46
09/21/2026

Featuring Kellie Woods, Manager of Talent Acquisition, Franciscan Health

Most people running talent acquisition at a large health system started at a large health system. Kellie Woods didn't. She spent years at two independent community hospitals in Northwest Indiana, watched both get absorbed, and now covers nursing, physician practices, home health and hospice across eleven hospitals with a team of seven. That path shows in how she reads what is coming.

πŸ₯ A Hospital Is a Small Community

The boiler tech, the cook, the housekeeper, all of them move patient outcomes. Talent acq...


#252 - Nurse Turnover Costs $61,000 per Replacement: Infirmary Health's Ivy Singley on Hiring in 2026
#252 - Nurse Turnover Costs $61,000 per Replacement: Infirmary Health's Ivy Singley on Hiring in 2026 episode artwork
#45
09/18/2026

Featuring Ivy Singley, Director of Employment Services and Workforce Development, Infirmary Health

Replacing one bedside nurse ran just over $61,000 last year. Every single percentage point of RN turnover swings the average hospital's bottom line by roughly $290,000 a year. Treating that as a pipeline problem misses what happens inside the walls every day, and Ivy Singley has spent almost 30 years in those walls.

🚫 Retire the Word "Resilience"

Naming resilience as a core trait tells candidates they will work in chaos. Boomers hear grit. This generation hears sunup to sundown and passes. HR Ris...


#251 - Healthcare HR News, September 2026: ChatGPT in Epic, 40 Hospital Mergers, 92% Bracing for Strain
#251 - Healthcare HR News, September 2026: ChatGPT in Epic, 40 Hospital Mergers, 92% Bracing for Strain episode artwork
#44
09/16/2026

ChatGPT Is Inside Epic, 40 Mergers in Six Months, and 92% Bracing for Strain

Three stories, one direction. Technology is accelerating, consolidation is accelerating, and the people running health systems have stopped waiting to see how it shakes out.

πŸ€–Β  ChatGPT Now Reads Epic Charts: 325 Million Patient Records and What Healthcare HR Does NextΒ 

On September 1, OpenAI launched ChatGPT for Healthcare with a direct Epic integration. Clinicians pull visit notes, labs, medications and specialist records into ChatGPT without leaving the workflow. Epic holds 325 million patient records across 1,000-plus US hospitals. UCSF Health is already pilot...


#250 - Burl Stamp on What Makes a Better Healthcare Leader
#250 - Burl Stamp on What Makes a Better Healthcare Leader episode artwork
09/10/2026

70% of Engagement Comes Down to One Thing. Your Boss.

Featuring Burl Stamp, FACHE, President, Stamp and Chase | Author, Becoming a Better Boss

Before we get started, sit with this number: 70%. That is how much of employee engagement is determined not by your comp structure, your benefits package, or your culture initiative. It comes down to one thing. The person they report to.

Bo sits down with Burl Stamp, former hospital CEO, fellow of the American College of Healthcare Executives, and author of the most timely leadership book in healthcare this year...


#249 - Healthcare HR Software Failure: It's Not the Technology
#249 - Healthcare HR Software Failure: It's Not the Technology episode artwork
#50
09/04/2026

Why Healthcare HR Tech Fails: It's Never the Software

Featuring Stephanie Wright, Founder, Wright Talent Advisory

Only 43% of HR professionals say their HR technology is effective. Fewer than half. These are organizations that ran vendor selection, sat through demos, built a business case, got budget approved, signed a contract, and went live. Then more than half of them looked at what they bought and said it was not working.

Luke sits down with Stephanie Wright, a healthcare TA implementation specialist who has worked across Workday, Phenom, and other major platforms at...


#248 - Healthcare M&A Up 33%: Three Stories HR Leaders Must Know
#248 - Healthcare M&A Up 33%: Three Stories HR Leaders Must Know episode artwork
#49
09/03/2026

Hospital M&A Is Up 33%, CommonSpirit Has 250 AI Tools Running & UHS Just Bought a Mental Health App

August 31st, 2026. Bo Brabo and Luke Carignan. Three stories, one theme: health systems are making big, deliberate moves. Merging before they have to, deploying AI at scale, and buying digital companies to own the front door to care.

🀝 The Consolidation Wave and Why This Time It's Different

Hospital M&A is up 33% year-over-year in Q2 2026. Sixteen deals, $7.7 billion in total value. Atrium Health is taking control of WakeMed with a pledged $2 billion investment. MultiCare is...


#247 - Healthcare Recruiting Automation 2026: The Agentic Shift
#247 - Healthcare Recruiting Automation 2026: The Agentic Shift episode artwork
#47
08/27/2026

96% of Applicants Fall Into the Abyss. Take2 AI Is Pulling Them Back Out.

Featuring Yaniv Shimoni, Co-Founder, Take2 AI | ASHHRA Podcast Sponsor

The average hospital has 43 unfilled nursing positions. It takes up to 102 days to recruit an experienced RN. And your recruiting team is talking to three to four percent of the people who apply. The other 96%? They fall into the abyss. Yaniv Shimoni built a company to fix that β€” and healthcare was not the plan. The CHROs made it one.

Bo sits down with Yaniv, co-founder of Take2 AI and St...


#246 - Healthcare Workforce Planning 2030: Three Things That Matter
#246 - Healthcare Workforce Planning 2030: Three Things That Matter episode artwork
#48
08/25/2026

Four Years Left: The 2030 Staffing Cliff, APRN Expansion & Why 76% of Leaders Can't Execute

August 24th, 2026. Bo Brabo, Luke Carignan, and ASHHRA Executive Director Jeremy Sadlier. Four years to 2030. Three stories. One question underneath all of them: what are you actually doing about it?

πŸ“‰ The Shortage Isn't Leaving β€” Here's the Timeline
AMN Healthcare's white paper layered five years of search data against BLS and CDC projections and landed where every independent source has: sustained staffing pressure through at least 2030 across nursing, allied health, physicians, and advanced practitioners. HRSA projects demand for 3.4 milli...


#245 - Healthcare Culture Strategy: Start With Compassion
#245 - Healthcare Culture Strategy: Start With Compassion episode artwork
#46
08/20/2026

Leadership Is a Verb, Not a Title β€” and New Hope Treatment Centers Is Proving It

Featuring Tabitha Bramblett, Chief People Officer, New Hope Treatment Centers

Most organizations promote their best performer into a leadership role and then wonder why everything falls apart. Tabitha decided to build the program that changes that β€” and she did it at a 500-person behavioral health organization serving kids and teens across four states.

Luke and Bo sit down with Tabitha to talk about what leadership development actually looks like when you build it from scratch, why cult...


#244 - Candidate Fraud, Nurse AI Use, and the Turnover Leak
#244 - Candidate Fraud, Nurse AI Use, and the Turnover Leak episode artwork
#45
08/19/2026

Nurses Tripled AI Use Without You, 170K New Grads Can't Fix 40% Turnover & CHROs Think They've Won

August 17th, 2026. All three: Bo Brabo, Luke Carignan, and ASHHRA Executive Director Jeremy Sadlier β€” plus a first for the Monday News Drop: a special field correspondent. Three stories, one thread: is your workforce moving faster than your strategy?

🚨 Field Report: Candidate Fraud Is Already at Scale
Casey Marquette, CEO of Covenant HR and AP3 partner, joins as the show's first field correspondent. 22 North Korean operatives submitted 167,000 applications, completed 21,000 interviews, and secured 76 US jobs using stole...


#243 - Building the Healthcare Workforce Before They Apply
#243 - Building the Healthcare Workforce Before They Apply episode artwork
#44
08/13/2026

You Can't Hire Your Way Out of This β€” St. Elizabeth Healthcare Proves It

Featuring Brittany Sorrell, Director of Workforce Development, St. Elizabeth Healthcare

700,000 open healthcare jobs every month. 306,000 unemployed healthcare workers to fill them. The math does not work. Brittany Sorrell has spent three years building the model that actually does β€” and it starts in high school.

Luke sits down with Brittany, a former bedside nurse and nursing faculty member turned workforce development director, to talk about what it looks like when a health system stops trying to recruit its way to s...


#242 - The Workplace You Don’t Recognize Yet
#242 - The Workplace You Don’t Recognize Yet episode artwork
#43
08/11/2026

Gen Z Nurses Need 2.5x More Manager Contact, 69% Lack Fraud Controls & New Hires Decide in 5 Days

August 10th, 2026. Bo is back. All three: Bo Brabo, Luke Carignan, and ASHHRA Executive Director Jeremy Sadlier. Three stories, one thread β€” the distance between the workforce you have and the strategy you're running.

πŸ‘©β€βš•οΈ Gen Z Is 30% of Your Nursing Workforce β€” Your Manager Model Wasn't Built for Them
AONL and Laudio's spring 2026 report (nearly 100,000 nurses, 150+ hospitals): Gen Z is the second-largest RN generation and the only cohort growing. They need 2.5x more meaningful manager interactions per month to...


#241 - Nurse Burnout 2026: It's Actually Moral Injury
#241 - Nurse Burnout 2026: It's Actually Moral Injury episode artwork
#42
08/04/2026

You've Been Treating Burnout. It's Actually Moral Injury.

August 3rd, 2026. Luke Carignan is flying solo, and he has something to say. Three stories. One thread. An uncomfortable conclusion the research is forcing.

🩺 It's Not Burnout. It's Moral Injury. That Changes Everything.
Connect RN's "Burnout in 2026 Looks Different" draws a distinction that reframes the whole conversation: burnout is depletion. Moral injury is a wound β€” the repeated experience of being asked to act against your own values with no way out. A global study of nearly 10,000 nurses across 35 countries found more than half...


#240 - Why Nurses Are Staying But Not Okay
#240 - Why Nurses Are Staying But Not Okay episode artwork
#41
07/28/2026

41% of Nurses Stay for One Reason: They Can't Afford to Leave

July 27th, 2026. Luke Carignan and ASHHRA Executive Director Jeremy Sadlier open with a number that is hard to sit with β€” and spend the rest of the episode on the organizations doing something about it.

🩺 Nurses Are Staying. But They're Not Okay.
The Nurse.org 2026 State of Nursing Survey (2,000 nurses nationwide): job satisfaction dropped from 55% to 47% in a single year. Eight points in 12 months is a cliff, not a slope. 43% say they're likely to leave the bedside in the next year...


#239 - Healthcare Has 700,000 Unfilled Jobs Monthly
#239 - Healthcare Has 700,000 Unfilled Jobs Monthly episode artwork
#40
07/27/2026

700,000 Openings, 306,000 Workers & Smart Rooms Are Keeping Nurses from Quitting

July 20th, 2026. Luke Carignan and ASHHRA Executive Director Jeremy Sadlier cover three stories connecting workforce math, program accountability, and the technology investment quietly becoming a retention strategy.

πŸ“Š Stop Calling It a Shortage β€” It's a Structural Gap
The Conference Board, in partnership with Northwell Health: every month in the US there are more than 700,000 healthcare job openings and only 306,000 unemployed workers available to fill them. Supply is less than half of demand β€” every single month. The report calls on four levers: expanding career...


#238 - RN Staffing Report: The Numbers That Matter
#238 - RN Staffing Report: The Numbers That Matter episode artwork
#39
07/14/2026

$60,090 Per Nurse Exit, 3.35 Million Workers Finally Protected & Virtual Nursing Is Working

July 13th, 2026. Bo, Luke, and ASHHRA Executive Director Jeremy Sadlier cover three stories that all connect to the same question: are you doing everything you can to keep the people you have?

πŸ’° The Number Your CFO Hasn't Modeled: $60,090
The NSI 2026 National Healthcare Retention and RN Staffing Report β€” 527 acute care hospitals, nearly a million workers β€” puts the cost to replace one staff RN at $60,090. National RN turnover is 17.6%, costing the average hospital $5.2 million annually. Every percentage point shift in turnover is wort...


#237 - Stop Losing Great Candidates After They Apply
#237 - Stop Losing Great Candidates After They Apply episode artwork
#38
07/09/2026

The Hiring Automation Gap No One Is Talking About

Featuring Mike DeMarco, Senior Product Marketing Manager, Phenom

Healthcare is ranked #2 out of eight industries for overall hiring automation maturity. Healthcare was among the first to deploy voice screening agents. So why are nurses still taking 64 days to fill and internal positions taking 57?

Bo and Luke welcome Mike DeMarco β€” the self-described "Bruce Springsteen of Product Marketing" β€” to unpack Phenom's 2026 State of Hiring Automation Report, which audited over 200 companies across eight industries and surfaced a gap that explains almost everything.

πŸ“Š The Gap...


#236 - Praise Boosts Nurse Retention, AI Predicts Quitting
#236 - Praise Boosts Nurse Retention, AI Predicts Quitting episode artwork
#37
07/06/2026

Healthcare Is Dead Last in Recognition Culture. Plus: AI That Predicts Who's About to Quit & What CEOs Are Betting On in 2026

July 6th, 2026. Bo, Luke, and ASHHRA Executive Director Jeremy Sadlier are back from the long weekend with a deliberately positive episode β€” three stories built to give you energy heading into the week.

πŸ† Healthcare Is Last in Recognition Culture β€” and the Fix Is Free
The OC Tanner 2026 State of Employee Recognition Report (42,000 employees, ten countries) found healthcare at the bottom for recognition champions β€” leaders who actively build cultures of appreciation. The cost...


#235 - Doctors + HR Embrace Smart AI
#235 - Doctors + HR Embrace Smart AI episode artwork
#35
07/02/2026

Inside Advocate Health's AI Strategy β€” From a Physician Who Builds It

Featuring Dr. Andy McWilliams, Clinical AI Product Development Lead, Advocate Health

Recorded live at Advocate Health's The Pearl innovation quarter in Charlotte, North Carolina.

Dr. Andy McWilliams is a practicing hospitalist β€” boarded in internal medicine and pediatrics β€” who has spent 15 years at Advocate Health and now helps lead its clinical AI strategy. He is not a theorist. He is a physician who uses these tools, sees patients, and builds governance around the same technology his colleagues depend on every day.

<...


#234 - Proven AI Scribes Reduce Physician Burnout Quickly
#234 - Proven AI Scribes Reduce Physician Burnout Quickly episode artwork
#36
06/30/2026

Hospitals Are Building Their Own Schools, AI Scribes Cut Burnout 13 Points in 30 Days & Healthcare Is the Only Thing Keeping the US Job Market Positive

June 29th, 2026. Bo, Luke, and ASHHRA Executive Director Jeremy Sadlier cover three stories this week that all point in the same direction: healthcare HR is not a support function. It is the engine.

πŸŽ“ Health Systems Are Building Their Own Talent Pipelines
A CLASP report declares 2026 the year of the talent pipeline, and the data backs it up. Sierra View Medical Center, Cleveland Clinic, and Froedtert Health are...


#233 - Winning Healthcare - Workforce Leaders Embrace Smart AI
#233 - Winning Healthcare - Workforce Leaders Embrace Smart AI episode artwork
#34
06/25/2026

Advocate Health's Nakesha Lopez on Work Forward: AI Transformation for 175,000 Teammates

Featuring Nakesha Lopez, Chief People and Culture Officer, Advocate Health

Recorded in her office at The Pearl, Advocate Health's innovation quarter in Charlotte. Nakesha Lopez runs people and culture for 175,000 teammates across six states at the third largest not-for-profit health system in the country. She got there by way of Trinidad, Brooklyn, a pre-med track she abandoned, and ten years in investment banking that included the Lehman Brothers bankruptcy.

🧭 HR Strategy Is Business Strategy or It Is Nothing

A p...


#232 - Proven Secrets to Win the Hiring Battle
#232 - Proven Secrets to Win the Hiring Battle episode artwork
#33
06/24/2026

Pay Transparency Hits July 1, Two-Thirds of HR Leaders Don't Know What AI Can Do & 84% of Healthcare Workers Feel Taken for Granted

June 22nd, 2026. Luke Carignan is flying solo β€” Bo and Jeremy are out β€” and he is not slowing down. Three stories: compliance, technology, and the most human challenge in healthcare right now.

βš–οΈ Pay Transparency Laws Hit Virginia and Maine July 1
Every job posting in Virginia and Maine must include an actual salary range beginning July 1st. No "competitive compensation." No DOE. Virginia's law has no employer size threshold β€” a 20-person clinic and...


#231 - Medicaid Work Requirements 2026: 80 Hours a Month, Effective July 31 β€” What HR Leaders Must Do Now
#231 - Medicaid Work Requirements 2026: 80 Hours a Month, Effective July 31 β€” What HR Leaders Must Do Now episode artwork
#32
06/15/2026

Greenwood LaFleur Is Still Fighting, Medicaid Work Requirements Land July 31 & the Layoff Tracker Is Telling You Where the Work Is

June 15th, 2026. Bo and Luke open with a Mississippi hospital that was supposed to close today β€” and is still open. Then a Medicaid rule taking effect without a real comment window. Then a layoff tracker that, read correctly, is actually a roadmap for HR.

πŸ₯ Greenwood LaFleur: Still Open, Still Fighting
The 25-bed public hospital in Greenwood, Mississippi extended its WARN Act closure date from June 15th to July 31st as negot...


#230 - Healthcare Layoffs, GLP1 Coverage, and CMS Updates
#230 - Healthcare Layoffs, GLP1 Coverage, and CMS Updates episode artwork
#31
06/11/2026

The Layoff Tracker, Cigna's GLP-1 Cut & What Happens When Compliance Fails

June 8th, 2026. Bo and Luke break down three stories connected by the same thread: what happens when organizations wait too long to act.

πŸ“‰ The Layoff Tracker Keeps Growing β€” the Pattern Is Now Structural Becker's and Fierce Healthcare updated their 2026 trackers again this week. Care New England, ECU Health, Intermountain Health, and dozens more added to the list. The Mississippi rural hospital we covered in March officially filed for Chapter 9 in April. The pattern: almost all of these are administrative and billi...


#229 - Brilliant Healthcare HR Strategies That Help Teams
#229 - Brilliant Healthcare HR Strategies That Help Teams episode artwork
#30
06/02/2026

Three Things That Escaped the Savannah Convention Center

Luke Carignan and ASHHRA Executive Director Jeremy Sadlier are back from ASHHRA26 β€” and the sessions were too good to leave at the convention center. Bo is out this week, but the content more than covers for it. Three themes from the conference floor that every healthcare HR leader needs on their radar right now.

πŸ€– AI Hit the Bedside and the Org Chart β€” Simultaneously Four out of five physicians are already using AI for documentation and admin. Nursing schools are rethinking curricula to train AI-augm...