You Can’t Innovate in a House on Fire: Oliver Galicki on Healthcare IT Chaos
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You Can’t Innovate in a House on Fire: Oliver Galicki on Healthcare IT Chaos
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Summary
What happens when your most critical imaging system is held together by workarounds and tip sheets? Oliver Galicki, VP of Information Services at Memorial Hermann, reveals how he led a 12-month enterprise imaging overhaul — from eight vendors to a signed contract — while balancing technical debt, physician alignment, and scarce dollars.
His guiding philosophy: if your house is on fire, you cannot innovate. Discover how pragmatic IT leadership turns infrastructure chaos into a foundation for the future.
~1:30 Oliver’s journey from intern to VP
~4:30 Technical debt explained — the 23-year-old PACS problem
~8:00 “If your house is on fire, you can’t innovate”
~11:00 Building governance and physician alignment
~17:00 Streamlining decisions — 8 vendors to 1 in 12 months
~22:00 The ROI challenge for foundational IT
~28:00 Leadership style — authenticity, transparency, and speaking both languages
~32:00 Upskilling IT teams for the AI era
~35:00 Book and podcast recommendations