The Operating Systemhttps://imorgon.netOperational excellence for radiology, imaging centers, and healthcare technology, hosted by Andy Milkowski of Imorgan. Andy spent 20 years inside medical imaging, first selling ultrasound equipment at Siemens, now running Imorgan, where his team builds the AI middleware that pulls hours out of a radiologist's day. He started The Operating System because most healthcare leaders he respects don't have time for vendor decks, theory, or another panel of consultants saying the same things. They want to know what's actually working for the people doing the work at the highest level.en2026 Imorgon MedicalThu, 09 Jul 2026 07:00:00 -0000Thu, 09 Jul 2026 07:00:00 -0000https://rss2.flightcast.com/g3h0h2vnmej586l3yri7ggzt.xmlFlightcast RSS Feed GeneratorThe Operating Systemhttps://files.flightcast.com/workspaces/va3ypo1fnivetd73r8657nhk/01KS63GBR43EPBXMC4JDMS3EFA/main_show_artwork_-_the_os.jpghttps://imorgon.netOperational excellence for radiology, imaging centers, and healthcare technology, hosted by Andy Milkowski of Imorgan.

Andy spent 20 years inside medical imaging, first selling ultrasound equipment at Siemens, now running Imorgan, where his team builds the AI middleware that pulls hours out of a radiologist's day. He started The Operating System because most healthcare leaders he respects don't have time for vendor decks, theory, or another panel of consultants saying the same things. They want to know what's actually working for the people doing the work at the highest level.

]]>episodicAndy MilkowskiAndy Milkowskiandy@imorgon.netOperational excellence for radiology, imaging centers, and healthcare technology, hosted by Andy Milkowski of Imorgan. Andy spent 20 years inside medical imaging, first selling ultrasound equipment at Siemens, now running Imorgan, where his team builds the AI middleware that pulls hours out of a radiologist's day. He started The Operating System because most healthcare leaders he respects don't have time for vendor decks, theory, or another panel of consultants saying the same things. They want to know what's actually working for the people doing the work at the highest level.Imaging, radiology, and healthcare tech operations.falsehealthcare operations, radiology, medical imaging, imaging centers, healthcare technology, health-tech, hospital operations, healthcare leadership, AI in healthcare, healthcare entrepreneurship, radiology podcast, imaging center podcast, medical imaging podcast, healthcare operations podcast, radiology operations, imaging center CEO podcast, healthcare technology podcast, AI in radiology podcast, health-tech podcast, MRI operations podcastnoWhen Clinical Knowledge Meets Code with Dr. Lee MilliganMost CIOs come up through IT. Lee Milligan came up through the ER. After training at UCLA and working as an attending emergency physician, Lee taught himself to program, got pulled into his hospital's EHR selection process, and eventually became Senior Vice President and Chief Information Officer at Asante Health System in Oregon, a role he held for 22 years. He later joined SimonMed Imaging, one of the largest outpatient imaging providers in the United States, as CIO. In this episode, Lee walks through the decisions and frameworks that shaped his career at the intersection of clinical care and healthcare technology. Topics include: CodeRunner: a single-page resuscitation tool he built inside Epic that is now part of the system's foundation, and why having a clinician build it changed what the tool was capable of IT project prioritization: why the most important conversation is not inside the IT department, but with the CEO and CFO about the gap between organizational ambition and execution capacity AI in radiology: how Lee reduced X-ray turnaround times at SimonMed by 36 hours in two weeks by asking radiologists one question about which modality they hated reading most Operational bottlenecks: how a fax machine was quietly throttling order volume at SimonMed, and how he fixed it The CIO role reframed: why the job is not about managing technology, but about motivating people to do the right things at the right times within the right constraints Lee now runs Asbury Health Tech Partners, where he advises hospitals, imaging centers, and investors on healthcare technology decisions. Connect with Lee Milligan: LinkedIn: linkedin.com/in/ldm007 Website: asburyhealthtech.com Connect with Andy Milkowski: LinkedIn: linkedin.com/in/andymilkowski Website: imorgan.netflightcast:01KWZAJXH2SS6FZSGRAMZKQP6WThu, 09 Jul 2026 07:00:00 -0000Andy MilkowskiMost CIOs come up through IT. Lee Milligan came up through the ER.

After training at UCLA and working as an attending emergency physician, Lee taught himself to program, got pulled into his hospital's EHR selection process, and eventually became Senior Vice President and Chief Information Officer at Asante Health System in Oregon, a role he held for 22 years. He later joined SimonMed Imaging, one of the largest outpatient imaging providers in the United States, as CIO.

In this episode, Lee walks through the decisions and frameworks that shaped his career at the intersection of clinical care and healthcare technology. Topics include:

  • CodeRunner: a single-page resuscitation tool he built inside Epic that is now part of the system's foundation, and why having a clinician build it changed what the tool was capable of
  • IT project prioritization: why the most important conversation is not inside the IT department, but with the CEO and CFO about the gap between organizational ambition and execution capacity
  • AI in radiology: how Lee reduced X-ray turnaround times at SimonMed by 36 hours in two weeks by asking radiologists one question about which modality they hated reading most
  • Operational bottlenecks: how a fax machine was quietly throttling order volume at SimonMed, and how he fixed it
  • The CIO role reframed: why the job is not about managing technology, but about motivating people to do the right things at the right times within the right constraints

    Lee now runs Asbury Health Tech Partners, where he advises hospitals, imaging centers, and investors on healthcare technology decisions.

    Connect with Lee Milligan:
    LinkedIn: linkedin.com/in/ldm007
    Website: asburyhealthtech.com

    Connect with Andy Milkowski:
    LinkedIn: linkedin.com/in/andymilkowski
    Website: imorgan.net
]]>When Clinical Knowledge Meets Code with Dr. Lee MilliganAndy Milkowskifull2012false31Most CIOs come up through IT. Lee Milligan came up through the ER. After training at UCLA and working as an attending emergency physician, Lee taught himself to program, got pulled into his hospital's EHR selection process, and eventually became Senior Vice President and Chief Information Officer at Asante Health System in Oregon, a role he held for 22 years. He later joined SimonMed Imaging, one of the largest outpatient imaging providers in the United States, as CIO. In this episode, Lee walks through the decisions and frameworks that shaped his career at the intersection of clinical care and healthcare technology. Topics include: CodeRunner: a single-page resuscitation tool he built inside Epic that is now part of the system's foundation, and why having a clinician build it changed what the tool was capable of IT project prioritization: why the most important conversation is not inside the IT department, but with the CEO and CFO about the gap between organizational ambition and execution capacity AI in radiology: how Lee reduced X-ray turnaround times at SimonMed by 36 hours in two weeks by asking radiologists one question about which modality they hated reading most Operational bottlenecks: how a fax machine was quietly throttling order volume at SimonMed, and how he fixed it The CIO role reframed: why the job is not about managing technology, but about motivating people to do the right things at the right times within the right constraints Lee now runs Asbury Health Tech Partners, where he advises hospitals, imaging centers, and investors on healthcare technology decisions. Connect with Lee Milligan: LinkedIn: linkedin.com/in/ldm007 Website: asburyhealthtech.com Connect with Andy Milkowski: LinkedIn: linkedin.com/in/andymilkowski Website: imorgan.netWhen The Referral Breaks Down with Chris BaxleyChris Baxley has spent his career solving problems that most healthcare operators have decided to live with. He served in the US Army, earned his MBA at Vanderbilt, and worked through the 2008 financial crisis as a healthcare investment banker at JP Morgan. He then moved into operating roles at Healthways, Healthgrades, and Rad Partners, where he helped scale from a few hundred radiologists to over 4,000 and built partnerships with 17 of the 20 largest hospital systems in the country. He is now President and Chief Growth Officer at VitalEngine, a referral and collaboration platform working to fix one of healthcare's most stubborn operational failures. In this episode, Chris breaks down why convenience, not clinical quality, is the dominant factor in how patients choose where to go for care, and what that means for imaging center operators competing for volume. He explains the mechanics behind Healthgrades' B2B model, the principles that made Rad Partners scale successfully, and why 35 to 50 percent of referrals across specialties never get completed. The conversation is a masterclass in understanding patient flow from the outside in, and in building the connective tissue between providers that most organizations have simply never prioritized. Timestamps 00:00 Why Design Matters 00:38 Meet Chris Baxley 01:38 From Army to Healthcare 03:18 Vanderbilt MBA Path 04:22 Project Pyramid Origins 07:53 JP Morgan in 2008 10:49 Crisis Finance Lessons 14:23 Healthgrades Marketplace 22:26 Convenience Wins Patients 25:54 Scaling at Rad Partners 33:32 VitalEngine Referral Fix 39:38 Rapid Fire and Wrap Guest Bio Chris Baxley is President and Chief Growth Officer at VitalEngine, a referral and collaboration platform built to fix one of healthcare's most stubborn operational failures. He previously held senior operating roles at Rad Partners (where he helped scale from a few hundred radiologists to over 4,000), Healthgrades (where he led large IDN strategy and built partnerships with 17 of the 20 largest US hospital systems), and Healthways. Earlier in his career, Chris served in the US Army and worked as a healthcare investment banker at JP Morgan through the 2008 financial crisis. He earned his MBA from Vanderbilt. Guest Contact LinkedIn: https://www.linkedin.com/in/chrisbaxley/ Website: https://www.vitalengine.comflightcast:01KVGFMS3B5D43FE5DD93ZNCYDThu, 25 Jun 2026 07:00:00 -0000Andy MilkowskiChris Baxley has spent his career solving problems that most healthcare operators have decided to live with. He served in the US Army, earned his MBA at Vanderbilt, and worked through the 2008 financial crisis as a healthcare investment banker at JP Morgan. He then moved into operating roles at Healthways, Healthgrades, and Rad Partners, where he helped scale from a few hundred radiologists to over 4,000 and built partnerships with 17 of the 20 largest hospital systems in the country. He is now President and Chief Growth Officer at VitalEngine, a referral and collaboration platform working to fix one of healthcare's most stubborn operational failures.

In this episode, Chris breaks down why convenience, not clinical quality, is the dominant factor in how patients choose where to go for care, and what that means for imaging center operators competing for volume. He explains the mechanics behind Healthgrades' B2B model, the principles that made Rad Partners scale successfully, and why 35 to 50 percent of referrals across specialties never get completed. The conversation is a masterclass in understanding patient flow from the outside in, and in building the connective tissue between providers that most organizations have simply never prioritized.

Timestamps

  • 00:00 Why Design Matters
  • 00:38 Meet Chris Baxley
  • 01:38 From Army to Healthcare
  • 03:18 Vanderbilt MBA Path
  • 04:22 Project Pyramid Origins
  • 07:53 JP Morgan in 2008
  • 10:49 Crisis Finance Lessons
  • 14:23 Healthgrades Marketplace
  • 22:26 Convenience Wins Patients
  • 25:54 Scaling at Rad Partners
  • 33:32 VitalEngine Referral Fix
  • 39:38 Rapid Fire and Wrap

Guest Bio

Chris Baxley is President and Chief Growth Officer at VitalEngine, a referral and collaboration platform built to fix one of healthcare's most stubborn operational failures. He previously held senior operating roles at Rad Partners (where he helped scale from a few hundred radiologists to over 4,000), Healthgrades (where he led large IDN strategy and built partnerships with 17 of the 20 largest US hospital systems), and Healthways. Earlier in his career, Chris served in the US Army and worked as a healthcare investment banker at JP Morgan through the 2008 financial crisis. He earned his MBA from Vanderbilt.

Guest Contact

]]>When The Referral Breaks Down with Chris BaxleyAndy Milkowskifull2573false21Chris Baxley has spent his career solving problems that most healthcare operators have decided to live with. He served in the US Army, earned his MBA at Vanderbilt, and worked through the 2008 financial crisis as a healthcare investment banker at JP Morgan. He then moved into operating roles at Healthways, Healthgrades, and Rad Partners, where he helped scale from a few hundred radiologists to over 4,000 and built partnerships with 17 of the 20 largest hospital systems in the country. He is now President and Chief Growth Officer at VitalEngine, a referral and collaboration platform working to fix one of healthcare's most stubborn operational failures. In this episode, Chris breaks down why convenience, not clinical quality, is the dominant factor in how patients choose where to go for care, and what that means for imaging center operators competing for volume. He explains the mechanics behind Healthgrades' B2B model, the principles that made Rad Partners scale successfully, and why 35 to 50 percent of referrals across specialties never get completed. The conversation is a masterclass in understanding patient flow from the outside in, and in building the connective tissue between providers that most organizations have simply never prioritized. Timestamps 00:00 Why Design Matters 00:38 Meet Chris Baxley 01:38 From Army to Healthcare 03:18 Vanderbilt MBA Path 04:22 Project Pyramid Origins 07:53 JP Morgan in 2008 10:49 Crisis Finance Lessons 14:23 Healthgrades Marketplace 22:26 Convenience Wins Patients 25:54 Scaling at Rad Partners 33:32 VitalEngine Referral Fix 39:38 Rapid Fire and Wrap Guest Bio Chris Baxley is President and Chief Growth Officer at VitalEngine, a referral and collaboration platform built to fix one of healthcare's most stubborn operational failures. He previously held senior operating roles at Rad Partners (where he helped scale from a few hundred radiologists to over 4,000), Healthgrades (where he led large IDN strategy and built partnerships with 17 of the 20 largest US hospital systems), and Healthways. Earlier in his career, Chris served in the US Army and worked as a healthcare investment banker at JP Morgan through the 2008 financial crisis. He earned his MBA from Vanderbilt. Guest Contact LinkedIn: https://www.linkedin.com/in/chrisbaxley/ Website: https://www.vitalengine.comFuture MediaThe Power of Operational Data with Michael WendtMost imaging leaders think they have a throughput problem. Michael Wendt says they have a drama problem. A 23-year Siemens Healthineers veteran who rose to Senior Vice President running North American sales and service, Michael now runs The Green Chair Group, helping radiology practices unlock productivity hidden inside their existing operations. In this episode, he walks through exactly how he helped one client increase patient volume by 50% without changing a single piece of equipment or adding one staff member. The secret is not scanning faster. It is eliminating unwanted variation across every step of the patient journey, from scheduling and jewelry removal to contrast prep and bathroom reminders, so the scanner keeps making that familiar knocking noise as long as possible each day. Timestamps 00:00 Why telling your staff to see five more patients will backfire 02:00 Michael's 23-year journey from biomedical engineer to SVP at Siemens Healthineers 04:30 The Green Chair concept: never improve operations at the expense of patient care 06:30 Why dashboards report the news but don't make it 09:00 How one client achieved 50% more patient volume without new equipment or staff 12:00, Designing workflows intentionally: who does what, and when 15:00 The human side: making your team part of the solution 20:00 How poor image quality is its own source of unwanted variation 22:00 Using data without creating fear on the floor 25:00 How to prevent operations from slipping back to old habits 30:00 Rapid fire: the biggest misconception in MRI productivity and what truly great operations look like Guest Bio Michael Wendt is the founder of The Green Chair Group, where he helps radiology practices unlock productivity hidden inside their existing operations. He spent 23 years at Siemens Healthineers, rising to Senior Vice President running North American sales and customer service across the company's imaging portfolio. Michael holds a PhD in biomedical engineering and has been inside more imaging operations than almost anyone alive. Guest Contact LinkedIn: https://www.linkedin.com/in/michaelwendtphd/ Website: thegreenchairgroup.com Email: michael@thegreenchairgroup.comflightcast:01KT789CP4ZAA7XTNVQVB9EQTMThu, 11 Jun 2026 07:00:00 -0000Andy MilkowskiMost imaging leaders think they have a throughput problem. Michael Wendt says they have a drama problem. A 23-year Siemens Healthineers veteran who rose to Senior Vice President running North American sales and service, Michael now runs The Green Chair Group, helping radiology practices unlock productivity hidden inside their existing operations. In this episode, he walks through exactly how he helped one client increase patient volume by 50% without changing a single piece of equipment or adding one staff member. The secret is not scanning faster. It is eliminating unwanted variation across every step of the patient journey, from scheduling and jewelry removal to contrast prep and bathroom reminders, so the scanner keeps making that familiar knocking noise as long as possible each day.

Timestamps

00:00 Why telling your staff to see five more patients will backfire

02:00 Michael's 23-year journey from biomedical engineer to SVP at Siemens Healthineers

04:30 The Green Chair concept: never improve operations at the expense of patient care

06:30 Why dashboards report the news but don't make it

09:00 How one client achieved 50% more patient volume without new equipment or staff

12:00, Designing workflows intentionally: who does what, and when

15:00 The human side: making your team part of the solution

20:00 How poor image quality is its own source of unwanted variation

22:00 Using data without creating fear on the floor

25:00 How to prevent operations from slipping back to old habits

30:00 Rapid fire: the biggest misconception in MRI productivity and what truly great operations look like

Guest Bio

Michael Wendt is the founder of The Green Chair Group, where he helps radiology practices unlock productivity hidden inside their existing operations. He spent 23 years at Siemens Healthineers, rising to Senior Vice President running North American sales and customer service across the company's imaging portfolio. Michael holds a PhD in biomedical engineering and has been inside more imaging operations than almost anyone alive.

Guest Contact

]]>The Power of Operational Data with Michael WendtAndy Milkowskifull2024false11Most imaging leaders think they have a throughput problem. Michael Wendt says they have a drama problem. A 23-year Siemens Healthineers veteran who rose to Senior Vice President running North American sales and service, Michael now runs The Green Chair Group, helping radiology practices unlock productivity hidden inside their existing operations. In this episode, he walks through exactly how he helped one client increase patient volume by 50% without changing a single piece of equipment or adding one staff member. The secret is not scanning faster. It is eliminating unwanted variation across every step of the patient journey, from scheduling and jewelry removal to contrast prep and bathroom reminders, so the scanner keeps making that familiar knocking noise as long as possible each day. Timestamps 00:00 Why telling your staff to see five more patients will backfire 02:00 Michael's 23-year journey from biomedical engineer to SVP at Siemens Healthineers 04:30 The Green Chair concept: never improve operations at the expense of patient care 06:30 Why dashboards report the news but don't make it 09:00 How one client achieved 50% more patient volume without new equipment or staff 12:00, Designing workflows intentionally: who does what, and when 15:00 The human side: making your team part of the solution 20:00 How poor image quality is its own source of unwanted variation 22:00 Using data without creating fear on the floor 25:00 How to prevent operations from slipping back to old habits 30:00 Rapid fire: the biggest misconception in MRI productivity and what truly great operations look like Guest Bio Michael Wendt is the founder of The Green Chair Group, where he helps radiology practices unlock productivity hidden inside their existing operations. He spent 23 years at Siemens Healthineers, rising to Senior Vice President running North American sales and customer service across the company's imaging portfolio. Michael holds a PhD in biomedical engineering and has been inside more imaging operations than almost anyone alive. Guest Contact LinkedIn: https://www.linkedin.com/in/michaelwendtphd/ Website: thegreenchairgroup.com Email: michael@thegreenchairgroup.comIntroducing 'The Operating System'Operational excellence for radiology, imaging centers, and healthcare technology, hosted by Andy Milkowski of Imorgan. Andy spent 20 years inside medical imaging, first selling ultrasound equipment at Siemens, now running Imorgan, where his team builds the AI middleware that pulls hours out of a radiologist's day. He started The Operating System because most healthcare leaders he respects don't have time for vendor decks, theory, or another panel of consultants saying the same things. They want to know what's actually working for the people doing the work at the highest level.flightcast:01KT271CHZ1ZDYSMH6R8ZHC7B5Tue, 02 Jun 2026 21:35:00 -0000Andy MilkowskiOperational excellence for radiology, imaging centers, and healthcare technology, hosted by Andy Milkowski of Imorgan.

Andy spent 20 years inside medical imaging, first selling ultrasound equipment at Siemens, now running Imorgan, where his team builds the AI middleware that pulls hours out of a radiologist's day. He started The Operating System because most healthcare leaders he respects don't have time for vendor decks, theory, or another panel of consultants saying the same things. They want to know what's actually working for the people doing the work at the highest level.

]]>Introducing 'The Operating System'Andy Milkowskitrailer47false1Operational excellence for radiology, imaging centers, and healthcare technology, hosted by Andy Milkowski of Imorgan. Andy spent 20 years inside medical imaging, first selling ultrasound equipment at Siemens, now running Imorgan, where his team builds the AI middleware that pulls hours out of a radiologist's day. He started The Operating System because most healthcare leaders he respects don't have time for vendor decks, theory, or another panel of consultants saying the same things. They want to know what's actually working for the people doing the work at the highest level.