
Unforeseen Consequences: The Power of (Accurate) Provider Directories
02/21/25 • 34 min
In this episode of Hard Problems, Smart Solutions, the Newfire Podcast, host Brendan Iglehart, Staff Healthcare Architect at Newfire Global Partners, discusses the critical role of accurate provider directories in healthcare with Ron Urwongse, co-founder of Defacto Health.
Ron, an expert in healthcare data interoperability, shares his journey and insights into the development and optimization of provider directories.
The conversation covers the intersection of various healthcare stakeholders, the importance of data accuracy, regulatory impacts, and the future of healthcare data standards.
Listeners are provided with actionable strategies for navigating healthcare interoperability and enhancing operational efficiency and patient care outcomes.
00:00 Introduction to Hard Problems, Smart Solutions
00:37 Meet Ron Urwongse: Pioneer in Healthcare Data
03:28 The Importance of Accurate Provider Directories
08:30 Regulatory Impact on Provider Directories
13:15 Challenges and Innovations in Data Standards
25:08 Future Trends in Healthcare Data
30:16 Actionable Strategies for Organizations
33:13 Conclusion and Final Thoughts
In this episode of Hard Problems, Smart Solutions, the Newfire Podcast, host Brendan Iglehart, Staff Healthcare Architect at Newfire Global Partners, discusses the critical role of accurate provider directories in healthcare with Ron Urwongse, co-founder of Defacto Health.
Ron, an expert in healthcare data interoperability, shares his journey and insights into the development and optimization of provider directories.
The conversation covers the intersection of various healthcare stakeholders, the importance of data accuracy, regulatory impacts, and the future of healthcare data standards.
Listeners are provided with actionable strategies for navigating healthcare interoperability and enhancing operational efficiency and patient care outcomes.
00:00 Introduction to Hard Problems, Smart Solutions
00:37 Meet Ron Urwongse: Pioneer in Healthcare Data
03:28 The Importance of Accurate Provider Directories
08:30 Regulatory Impact on Provider Directories
13:15 Challenges and Innovations in Data Standards
25:08 Future Trends in Healthcare Data
30:16 Actionable Strategies for Organizations
33:13 Conclusion and Final Thoughts
Previous Episode

Building Scalable Data Products: Lessons from Tech to Healthcare
In this episode of Hard Problems, Smart Solutions, the Newfire Podcast, host Gordon Wong, VP of Data AI at Newfire Global Partners, welcomes Sandeep Dhamale, Director of Engineering, Data and Intelligence at the American Medical Association. Sandeep shares his journey from fintech to healthcare, highlighting how his fintech experiences have shaped his strategies in tackling healthcare's data challenges. He discusses transformative projects at AMA, including Datalabs GPT and the AMA Intelligent Platform, and emphasizes the importance of scalable data solutions for improving patient and operational outcomes. Together, they explore how healthcare organizations can overcome data challenges, achieve interoperability, and measure the ROI of their data efforts. The conversation also covers the intersection of data product development, AI, and maintaining security and privacy in healthcare.
Chapters:
- 00:00 Introduction to Hard Problems, Smart Solutions
- 00:21 Guest Introduction: Sandeep Dhamale
- 01:14 Career Journey: From Fintech to Healthcare
- 05:38 Challenges in Healthcare Data
- 07:47 Measuring ROI in Healthcare Data Efforts
- 10:07 Data Marketplaces in Healthcare
- 13:21 AMA Intelligent Platform
- 22:05 AI and Generative AI in Healthcare
- 30:10 Security and Privacy in Healthcare Data
- 33:32 Maintaining and Scaling Data Platforms
- 36:58 Emerging Technologies and Future Trends
- 45:18 Conclusion and Closing Remarks
Next Episode

How Standards Drive Innovation
In this episode of Hard Problems, Smart Solutions, host Will Crawford, Head of Advisory Services and CTO at Newfire Global Partners, converses with Dr. Paulo Pinho, a practicing physician and seasoned health informaticist. Dr. Pinho shares his diverse career journey, combining clinical practice, payer technology, and entrepreneurship.
In this episode, you will gain insights into:
- Why interoperability remains elusive despite decades of effort (hint: legacy systems + fragmented incentives).
- How standards like SNOMED, LOINC, and ICD-10 evolved and why they often fall short for real-world care.
- What clinicians really need from AI tools (and why trust, not just tech, is key to adoption).
- How ambient listening and NLP are reshaping clinical documentation and enabling better decision-making.
- Why data equity matters and how biases in healthcare documentation can quietly undermine even the best machine learning models.
- Concrete examples of innovation: from COVID test standardization to fall risk modeling using multi-source data.
00:00 Introduction to the Podcast
00:18 Meet Dr. Paulo Pinho
00:36 The Evolution of Healthcare Standards
02:44 Challenges in Data Standardization
06:32 Advances in Medical Knowledge
12:23 AI in Healthcare: Opportunities and Challenges
23:54 The Role of Coding Systems in Healthcare
26:19 Success Stories in Healthcare Technology
40:04 Equity and Access in Healthcare
43:31 Advice for Clinicians and Non-Clinicians in Health IT
48:35 Conclusion and Future Topics
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