What happens after we detect disease?

In this episode of After the Chaos, Angela and Kandice reflect on their conversation with Dr. Dan Durand of Prenuvo and unpack a critical shift in healthcare.

As whole-body imaging and AI accelerate early detection, healthcare is facing a new challenge: managing the explosion of data and ensuring it leads to action.

They explore:

• The future of preventative care in a single visit
• The rise of consumer-driven healthcare and demand for insight
• Why the system isn’t built to manage what it finds
• The growing gap between information and care
• How AI is reshaping roles, research, and leadership

Detection is improving. But without follow-through, outcomes won’t.

What does it take to rethink healthcare from the inside out?

In this episode of Success & Chaos, hosts Angela Adams, RN (CEO, Inflo Health) and Kandice Garcia, RN (Owner, Tungsten QI Partners) sit down with Dr. Dan Durand, radiologist, physician executive, and President & Chief Medical Officer of Prenuvo.

Dr. Durand shares his journey from Johns Hopkins and McKinsey to leading one of the most ambitious prevention-focused health platforms in the world.

Together they explore:

• How whole-body MRI is reshaping the early detection conversation
• Why “data is now easier to come by than providers”
• And what AI may mean for the future of diagnostic decision-making

Dr. Durand also discusses Prenuvo’s growing research footprint, including a dataset of 150,000+ whole-body scans and collaborations with nearly 30 academic institutions.

For healthcare leaders navigating workforce shortages, rising consumer expectations, and rapid advances in AI, this conversation offers a thoughtful look at how prevention may reshape the system.

Episode Chapters

01:19 Dr. Dan Durand’s Leadership Journey

07:11 The Vision Behind Prenuvo

14:43 Integrating Proactive Medicine into a Reactive System

19:32 Leadership and Healthcare Transformation

23:39 Consumer Demand for Preventive Care

27:26 Research and Data in Preventive Health

32:22 AI and the Future of Healthcare

Crista Durand, President and CEO of Hospital for Special Care, shares how leaders can disrupt process—not purpose—by turning strategy into a living, breathing part of culture. From trust and transparency to listening first, this episode offers practical guidance for leading through healthcare’s toughest moments.

02:39 Unique Aspects of Hospital for Special Care
05:28 The Plan on a Page Methodology
08:21 Culture and Communication in Leadership
14:11 Adapting Strategies During Crisis
17:00 The President Advisory Council
21:30 Empowering Frontline Staff
24:09 Listening and Building Relationships
26:28 Vision for the Future of HFSC
28:00 Accessing Programs and Services
30:52 Final Thoughts and Leadership Advice

Crista's Resource Recommendations

• Humbitious: The Power of Low-Ego, High-Drive Leadership
• The 21 Irrefutable Laws of Leadership: Follow Them and People Will Follow You

In this episode of After the Chaos, Angela and Kandice break down their conversation with David Facchini, Director of Radiology at Yale. From starting as a transporter to building a fully manual follow-up program before technology existed, David brings hard-earned lessons on creating—and sustaining—high-reliability care. Angela and Kandice explore the real cost of “just building it internally,” the hidden resource burden behind manual worklists, and why leaders must think long-term when choosing technology partners. This debrief offers candid insights for any radiology or quality leader navigating Epic-first pressures, limited FTEs, and rising expectations for follow-up care.

This Success in Chaos episode, The Front-Lines of Chaos, explores what it truly takes to lead in today’s healthcare system. Yale New Haven Hospital’s David Facchini, MBA joins Angela and Kandice to discuss culture change, incidental findings, and building trust in high-pressure environments.

From his journey as a transporter to becoming a system executive, David shares how authenticity, connection, and persistence can transform patient safety and follow-up reliability. Through real cases and real leadership lessons, this episode shows why solving care gaps requires more than technology—it requires people willing to lead from the front lines.

Episode Chapter Guide

04:02 Understanding Incidental Findings in Healthcare

10:11 Building a Quality Improvement Program

15:42 The Role of Culture in Healthcare Initiatives

20:43 David's Journey from Technologist to Executive

24:43 Inspiration and Leadership in Healthcare

David's Resource Recommendations

Not Impossible Labs

ACR Learning Network

RSNA marked a turning point for radiology AI.

For years, the exhibit hall was filled with impressive algorithms and flashy demos. This year, the focus shifted to something far more important: workflows, interoperability, and follow-up.

Radiology leaders are no longer asking, “Is this cool?” They are asking:
Can it integrate?
Can we measure outcomes?
What happens after a finding is detected?

As shared on After the Chaos, one of the biggest risks in today’s AI adoption is turning on detection without a plan for care. A worklist is not a follow-up. Without orchestration, AI can actually increase liability instead of improving outcomes.

Another major shift is the demand for proof over hype. Leaders want real clients, real workflows, and real results—not marketing promises.

The future of radiology AI isn’t about one-off algorithms or closed platforms. It’s about interoperable, end-to-end workflows that ensure patients actually receive the care their images identify.

At RSNA, the message was loud and clear: Interoperability is now the competitive advantage.

Episode chapter guide:

01:50 Insights from RSNA: Technology and Quality Improvement
04:41 Navigating Technology Selection in Radiology
08:39 The Evolution of AI in Radiology
12:23 Interoperability and Workflow Integration
17:59 Demand for Proof: Moving Beyond Hype
20:33 Care Orchestration and Follow-Up Challenges

In this episode of Success in Chaos, Angela and Kandice talk with Dawn Davison, MPH, FACHE, a nationally recognized innovation and quality improvement leader and President of the ACHE Upstate New York Chapter. Dawn shares how curiosity and human connection fuel transformation across complex health systems. From optimizing workflows to building cultures of trust, she reveals how clarity and creativity can thrive amid healthcare’s chaos—and why mastering focus amid chaos begins with people.

Episode chapter guide:

02:55 The Importance of Relationships in Healthcare
07:55 Empowering Teams and Leadership Development
12:48 Navigating Technology in Healthcare
19:53 Success Amidst Chaos: Lessons Learned
23:49 Balancing Leadership and Personal Life
29:20 Cultural Insights from International Experience

Dawn's book recommendations:

• Make Your Bed: Little Things That Can Change Your Life...And Maybe the World by Admiral William H. McRaven
• Talking to Strangers: What We Should Know About the People We Don't Know by Malcolm Gladwell
• River Town: Two Years on the Yangtze by Peter Hessler

Angela Adams, RN, and Kandice Garcia, RN, reflect on their conversation with Dr. Karnesha Weatherly, who reminds us that “what looks like resistance is often misunderstanding.” Through stories of travel, leadership, and balance, they explore how empathy and listening can transform tense moments into connection. From gardens to pottery wheels, the hosts share how stepping away from work helps them return with clarity and creativity. This episode is a reminder that great leadership isn’t about control—it’s about curiosity, compassion, and the courage to slow down and truly understand.