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Imagine a hospital corridor lined with open doors and a chorus of hotel bells, each ring a patient hoping to be found. That’s the picture Julie Derringer Smith paints from real stories of downtime, the moments when networks collapse, call systems fail, and teams fight to deliver safe care without the tools they rely on. Julie brings two decades in clinical informatics atop years at the bedside, and she turns that experience into a simple but radical premise: resilience is a clinical operations discipline, not just a cybersecurity task.
We dig into Leadership by Design, Julie’s practical framework that maps growth from novice to expert using observable skills. No more vague advice like “show initiative.” Instead, leaders get a clear coaching plan, and team members get a transparent path to advancement. This clarity becomes critical during outages, when pattern recognition, prioritization, and calm execution can prevent harm. Julie shares the mindset shift that separates “testing to pass” from “testing to break,” and why that difference defines proficient practitioners in health tech.
From there, we get tactical. Julie explains how Contingency Health Solutions approaches downtime with tools designed to run when the internet doesn’t. Bell Assist gives patients a cellular-based call capability with location awareness and prioritization, while a lightweight bed management module restores throughput and room turnover visibility when EHRs and intercoms are offline. We cover everyday value too, including meeting CMS requirements for communication in ED overflow spaces without expensive infrastructure. Along the way, we surface hidden dependencies in radiology, pharmacy, and supply chain, and outline how to run serious tabletop exercises that prepare clinical leaders for the worst-case scenario.
If you care about patient safety, informatics, nursing leadership, or hospital operations, this conversation offers a blueprint you can act on today. Subscribe for more practical health tech stories, share this episode with a colleague who owns downtime planning, and leave a review with your biggest resiliency question—we’ll tackle it next.

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