Kno2fy

What if Washington Pulls the Plug? The Interoperability Contingency Plan Nobody Has

Wed, 01 Apr 2026 11:45:00 -0500

In this episode of Kno2fy, Brendan Keeler and Matt Becker join co-hosts Therasa Bell and Whitney Cole, once again, to break down what’s really happening with TEFCA, federal policy, and the future of healthcare networks.

From shifting priorities in Washington to the removal of the TEFCA Manner Exception, this conversation explores how interoperability is evolving from a regulatory framework into a competitive, market-driven ecosystem. But through all the change, one thing remains constant: the need for trust at scale.

If you’re trying to make sense of where interoperability is heading, and what it means for your organization, this episode cuts through the noise to focus on what actually matters.

Timestamps

01:00 – What’s happening in Washington with TEFCA right now

08:00 – Interoperability as a long game (and why progress feels slow)

15:50 – Breaking down the TEFCA Manner Exception removal

20:30 – The rise of competing networks (and why that might be good)

25:00 – Could TEFCA ever go away? (and why that’s unlikely)

29:30 – Lightning round & wrap up

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Hosted by: Therasa Bell and Whitney Cole

Produced by: Jess Garman

Research: JoJo Abbasi

A Kno2 Podcast

Interoperability Without the Theater: With Brendan Keeler

Thu, 05 Mar 2026 09:00:00 -0500

Healthcare interoperability is one of the most talked-about topics in digital health, but separating real solutions from marketing claims isn’t always easy.

Kno2fy is back! Co-hosts Therasa Bell and Whitney Cole are joined by Matt Becker, SVP of Interoperability and Public Policy at Kno2, and interoperability expert Brendan Keeler of HTD Health to talk about the reality behind interoperability in healthcare.

With HIMSS around the corner, they get into what healthcare leaders, technology vendors, and interoperability teams should look for when evaluating solutions. They discuss why interoperability is often misunderstood, what it actually takes to connect healthcare organizations at scale, and why building trusted networks across the care continuum is harder than most vendors claim.

The conversation also explores the importance of connecting the entire care continuum, including post-acute care, behavioral health, EMS, and home care to create a true longitudinal patient record.

If you're heading to HIMSS and trying to understand which interoperability solutions are real and which are just “interoperability theater,” this episode will help you ask better questions and cut through the hype.

Timestamps

[00:00] Introduction

[02:45] Why interoperability is harder than vendors claim

[16:00] What real interoperability work looks like

[22:50] Why connecting the entire care continuum matters

[37:45] A HIMSS survival guide for interoperability buyers

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Hosts: Therasa Bell and Whitney Cole

Producer: Jess Garman

Research: JoJo Abbasi

A Kno2 Podcast

Reimagining Post-Acute Care: Signature HealthCARE is Kno2 Connected!

Mon, 13 Oct 2025 15:45:00 -0500

It’s a special episode of Kno2fy just in time for Dreamforce!

Hosts Dr. Peter Schoch and Therasa Bell sit down with Doug Owens, CIO at Signature HealthCARE, to talk about breaking down barriers in post-acute care through smarter, connected technology.

Together, they'll give you a front row seat to see how Signature is utilizing the Kno2 MuleSoft Connector to unify data, eliminate communication gaps, and transform the way care teams collaborate across settings. From tackling CMS initiatives to future-proofing interoperability, this conversation shines a light on what’s possible when technology and vision align.

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CMS, AI, & More: Is Healthcare Ready to Connect?

Thu, 21 Aug 2025 18:00:00 -0500

Dr. Peter Schoch and Therasa Bell are back to kick off the new season with a discussion on all things CMS and why edge adoption is the key to unlocking true healthcare interoperability. Together, they're breaking down the new groundbreaking CMS initiatives, why EHR vendors need a curriculum of support, and how AI will accelerate the path to better connectivity. From reducing waste to transforming workflows, they share insights on how getting connected isn’t just a technical upgrade—it’s the first step toward safer care, stronger partnerships, and better patient outcomes.

Timestamps:

02:14 CMS Initiatives and Interoperability

07:12 Significance of Interoperability in Healthcare

10:50 Understanding Edge Adoption in Healthcare

13:38 Curriculum Development for EHR Vendors

16:45 The Importance of Interoperability

19:44 Building a Unified Front in Healthcare

22:46 Transforming Healthcare Workflows

25:25 The Role of AI in Healthcare Connectivity

28:34 The Future of Data Sharing in Healthcare

39:52 Introduction to EHR Partner Program

40:34 Call to Action for Healthcare Change

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What Keeps Us Up at Night: Interop Edition

Tue, 10 Jun 2025 14:30:00 -0500

In this episode, Dr. Peter Schoch and Therasa Bell are back to unpack the real challenges and real opportunities at the heart of healthcare interoperability. From the persistent struggle with referrals to the rising pressure on EHR vendors to deliver more intuitive, workflow-friendly solutions, they dig into what’s holding the industry back and what it’ll take to move forward. It’s a no-holds-barred look at what needs to change.

You’ll hear candid insights about learned helplessness around technology, why understanding provider workflows is non-negotiable, and how true interoperability can transform care coordination. If you care about fixing fragmentation and getting referrals right, this episode delivers the clarity (and energy) you’ve been waiting for.

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Access Granted: Say Hello to Individual Access Services

Mon, 14 Apr 2025 16:00:00 -0500

In this episode, we're joined by Matt Becker, VP of Interoperability at Kno2. Your hosts and special guest explore Individual Access Services (IAS)! This conversation will be all about how technology, especially AI, is transforming the way patients engage with their own healthcare data, making care more personal, informed, and efficient.

They'll touch on the ongoing challenges faced by electronic health record systems, the need for true interoperability, and how regulatory efforts like TEFCA, through IAS, are shaping a more patient-centered future. This episode will show how this game-changing innovation is driving better outcomes by putting patients at the center of care.

Timestamps:

[00:00] Introduction and Overview

[07:08] Technical Adoption and Trust Frameworks

[12:15] Introduction to Individual Access

[18:00] The Role of Technology in Patient Empowerment

[20:46] AI's Impact on Individual Access

[25:55] The Future of EHRs and Patient Engagement

[38:00] TEFCA's Role in Patient Record Access

[48:18] Security, Privacy, and Patient Data

[55:21] The Future of Healthcare: Addressing Provider Shortages and Innovations

[56:05] Final Thoughts

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Hot Takes & Hard Truths: AI, Data, and Edge Adoption

Tue, 25 Mar 2025 13:15:00 -0500

Buckle up for a lively episode as Peter and Therasa dive into the latest buzz in healthcare tech! Fresh off the floors of ViVE and HIMSS, they dish on the real state of interoperability, AI’s growing role in data management, and why the lack of 100% ‘perfect healthcare data’ doesn't mean we should stop progressing. They also break down the latest on TEFCA, debunk some common myths, and talk about why edge adoption is imperative to better patient care. Get ready for a few hot takes and plenty of insight along the way!

[00:00] Intro and Conference Recap

[06:06] Data Integrity and Adoption

[10:07] The Framework of Privacy and Trust

[12:46] Data Processing and the Role of AI

[18:15] Privacy Concerns and Misperceptions

[23:34] The Future of National Exchange Networks

[26:16] Edge Adoption and the Complete Patient Record

[47:49] Navigating Current Events and Interoperability

[50:06] The Dangers of Misinformation

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Bringing the Future of Home Health into Vivid Reality Today

Mon, 24 Feb 2025 17:00:00 -0500

In this episode of Kno2fy, hosts Dr. Peter Schoch and Therasa Bell engage in a deep conversation with Patrick Mobley, CEO of Vivid Health, about the transformative role of technology in healthcare. They explore the challenges faced by healthcare providers, the importance of interoperability, and how Vivid Health's provider led AI-driven platform aims to reduce administrative burdens for providers and enhance patient care. The discussion focusses on Home Health and highlights the the significant efficiences brought to several common workflows such as intake, assessment, and care plan development. They emphasize the importance of technology, particularly AI, in enhancing provider efficiency and patient care. The speakers express a shared commitment to transforming healthcare through innovative solutions that empower providers and enhance patient outcomes.

xCures: Advancing Interoperability at the Point of Care.

Fri, 14 Feb 2025 15:00:00 -0500

In this episode of Kno2fy, hosts Dr. Peter Schoch and Teresa Bell discuss the importance of interoperability in healthcare with special guest Kenny Wong from XCures. They reflect on the previous season, share insights about the evolving landscape of healthcare technology, and explore the role of XCures in enhancing patient care through AI-assisted platforms. The conversation emphasizes the significance of unstructured data, the integration of technology with electronic health records, and the human element in healthcare delivery.

Zus - Partnering to Improve Care and Fuel Performance in VBC

Mon, 20 Jan 2025 19:00:00 -0500

In this episode of Kno2fy, host Dr. Peter Schoch engages with Amy Bagge-Smith and Anusha Tomar from Zus Health, to discuss the critical role of healthcare communication and interoperability. They explore the mission of Zus in providing real-time patient data, the shift towards value-based care, and the importance of usability in clinical workflows. The conversation emphasizes the need for effective data management to improve patient outcomes and the overall healthcare experience. In this conversation, Dr. Schoch and his guests discuss the evolving landscape of healthcare, focusing on the financial pressures faced by providers, the shift towards value-based care, and the challenges of fragmentation in healthcare delivery. They emphasize the importance of interoperability and effective communication in addressing these challenges, while also considering the impact of regulatory changes and the role of partnerships in driving meaningful change in the industry.

Journey to Value - The Foundations of Risk

Mon, 07 Oct 2024 11:00:00 -0500

In this episode of Notify, Dr. Peter Schoch and Therasa Bell begin a new miniseries the critical role of interoperability and healthcare communication in value-based care and population health. In this episode Dr. Schoch demystifies Pop Health and Value-Based Contracting and provides all providers with a simple to understand foundation on which to begin, continue and or maximize their VBC performance. They explore foundational concepts such as the burden of disease, risk distribution, determinants of health, and the value equation, emphasizing the importance of understanding these elements for success in value-based care. In future episodes Dr. Schoch will walk through very pragmatic steps any provider or provider organization can take, in any care setting to bet better at Value-Based care.

3....2....1..."Houston we have lift off..." The Launch of TEFCA

Tue, 17 Sep 2024 09:00:00 -0500

Ever wonder what it takes to get a public private partnership for national exchange off the launch pad? In this episode of Kno2fy, hosts Dr. Peter Schoch and Therasa Bell discuss the latest updates on TEFCA and the importance of interoperability in healthcare. They emphasize the need for trust in data exchange, the significance of a broad treatment definition, and the advocacy for inclusive healthcare exchange. The conversation highlights the existential moment for the industry as stakeholders navigate the complexities of healthcare communication and work towards a more connected future.

Virtual Care Providers: The Value of Connection

Mon, 24 Jun 2024 09:00:00 -0500

In this episode of Kno2fy, Dr. Peter Schoch and Therasa Bell are joined by Travis Rush, CEO of Reperio, to discuss the importance of virtual care and the role of technology in healthcare. They highlight the need for healthcare providers to embrace interoperability and digital communication to improve patient care. Reperio offers a biometric screening kit that can be delivered to patients' homes, providing data to augment virtual visits. They also utilize AI to assist their healthcare professionals during virtual visits, improving efficiency and accuracy. The conversation emphasizes the convenience and accessibility of virtual care, and its role in the overall health ecosystem.

Sign Here: Provider to Provider Signature Workflows Finally Solved

Mon, 27 May 2024 17:00:00 -0500

The Kno2fy podcast discusses the problem of provider-to-provider signing workflows in healthcare. The discussion highlights the relationship between Kno2 and DocuSign. The conversation delves into the partnership between DocuSign and Kno2, focusing on the efficiency and effectiveness of their provider-to-provider signature workflow solution. The discussion emphasizes the value of interoperability, trust, and concludes with a focus on the strategic design pillars important and unique to the solution.

Kno2 Connected: Unlocking the Potential of Digital Health Platforms

Mon, 20 May 2024 09:00:00 -0500

In this episode of Kno2fy, Dr. Schoch and Therasa share a usable definition of Digital Health Platforms. Digital Health Platforms are any tool that delivers or engages with patients and providers outside of the electronic health record (EHR). They explore the rise of digital health platforms and the challenges of integrating them with EHRs. The hosts also highlight the impact of virtual care and the role of AI in assisting healthcare providers. They emphasize the value of being Kno2 Connected as a digital health platform. In this conversation, Dr. Schoch and Theresa specifically discuss the value of being connected to the broader healthcare ecosystem and the importance of sharing clinical information with digital health platforms. They focus on the topic of virtual care and highlight examples of virtual care platforms that address specific healthcare needs, such as managing early-stage dementia or eating disorders. They emphasize the need for these platforms to have access to clinical information and the bidirectional sharing of data with the system of record. They also discuss the challenges and opportunities of virtual care adoption, including regulatory requirements, reimbursement models, and the recognition of virtual care as a part of mainstream healthcare.

What Drives Adoption at the Edge? The Why is More Important than the How

Mon, 13 May 2024 13:15:00 -0500

In this episode of the Kno2fy podcast, Dr. Peter Schoch and Therasa Bell discuss the importance of healthcare communication and interoperability. They reflect on recent interviews with partners and the transformative impact of being connected. They also explore the challenges of educating healthcare providers about interoperability and the need for technology vendors to create seamless solutions. The conversation touches on topics such as patient consent, sharing patient information, and the impact of interoperability on workflows. The hosts emphasize the importance of education and communication in bridging the gap between providers and technology. The conversation explores the importance of education in promoting interoperability in healthcare. It emphasizes the need for doctors to understand the impact of interoperability so they can become the designers of their own workflow improvements. The conversation also highlights the power of education in driving innovation and putting pressure on technology vendors to deliver good solutions. The burden of change management and work on providers is discussed, with a call to decrease this burden through technology. The conversation touches on the topics of data sharing, awareness of available technology, and the need for education at scale.

Prompting Improved Clinical Outcomes and Profitability for PT: A Conversation with Prompt EMR

Mon, 06 May 2024 16:00:00 -0500

Prompt is a full-service EMR practice management and patient engagement platform for physical therapy clinics. They focus on increasing efficiency, wowing patients, improving financial outcomes, and creating a happier staff. The company was founded by Adam Baliatico and Micheal Dwyer, who wanted to provide better technology solutions for physical therapy patients. Prompt's software is a single platform that can be configured to meet the needs of different clinics. They prioritize customer success and rely on customer feedback to drive innovation. Prompt helps PT practices grow revenue, decrease costs, and improve staff satisfaction. They emphasize the importance of interoperability and bi-directional integrations to provide a seamless experience for users. They also advocate for the value of physical therapy and the need for CMS and Medicare to recognize its cost-saving potential. Prompt offers demos and tips to help PT clinics operate more efficiently.

Carefeed: Unlocking the Potential of Being Kno2 Connected

Mon, 29 Apr 2024 22:00:00 -0500

In this episode of Kno2fy, host Dr. Peter Schoch interviews Terry Wall, the founder and CEO of Carefeed, a healthcare technology company based in Cincinnati, Ohio. Carefeed focuses on digitizing and automating processes in the post-acute care space, such as skilled nursing facilities and assisted living facilities. The goal is to save staff time, improve operational efficiencies, and enhance the resident and family experience. Carefeed integrates with electronic health records (EHRs) and payroll providers to ensure accurate and up-to-date information. The company also emphasizes the importance of interoperability and connectivity in healthcare.

Equipping Healthcare To Treat Eating Disorders At Scale - Meet Equip Health

Mon, 15 Apr 2024 16:00:00 -0500

Join us today as we talk to one of our newest partners innovating in the practice of treating eating disorders of all ages in the US. Equip health has a unique and innovative model and recognizes the importance of digital communication facilitating the free flow of clinical information at the point of care to drive workflows such as referrals and enhance clinical outcomes with clinical information at the point of care.

Adoption at the Edge - It's no Joke

Mon, 01 Apr 2024 09:00:00 -0500

In this episode, Dr. Peter Schoch and Therasa Bell discuss the adoption of interoperability and the barriers that need to be overcome. They explore the importance of interoperability adoption for realizing its promised impact on workflow, efficiency, safety, and provider experience. They also discuss the vision of a successful QHIN and the goal of seamless exchange across all clinical workflows. The conversation touches on the need to shift from process measures to outcome measures when evaluating the impact of interoperability. Dr. Schoch emphasizes the importance of providing every provider with the information they need to deliver the best care experience and outcomes. The episode concludes with a discussion on how Kno2 plans to break down barriers to interoperability.

Are we there yet? It's not the destination it's the journey - Really??

Mon, 25 Mar 2024 14:30:00 -0500

In this episode, Dr. Schoch and Theresa discuss the state of interoperability at the end of 2023 and look ahead to 2024. They reflect on the evolution of interoperability over the past few decades, from HL7 V2 messaging in the 80s to the adoption of IHE profiles and CDA in the 2000s. They also explore the concept of federated interoperability and the movement towards organization-to-organization and organization-to-patient communication. Dr. Schoch shares his personal experience with implementing electronic health records and discusses the ongoing challenge of defining interoperability and meaningful communication. The conversation concludes with a discussion on the confusion surrounding the term 'interoperability' and the desire for further progress in the field in 2024.

The Age of the QHIN: A Fireside Chat With Dr. Micky Tripathi

Mon, 04 Mar 2024 14:15:00 -0500

Dr. Schoch and Therasa host Dr. Mickey Tripathi and discuss the history and importance of network interoperability in healthcare. Tripathi explains that TEFCA (Trusted Exchange Framework and Common Agreement) is a critical milestone in the industry's journey towards interoperability. He emphasizes the need for network-to-network interoperability and the incremental value that TEFCA offers. The trio then discuss various barriers to adoption, including the need for interoperability to be easier than using fax machines. Dr. Tripathi highlights the role of sister agencies in the federal government in driving adoption and the importance of collaboration between public and private sectors. The conversation concludes with the recognition that interoperability at scale that drives impact in healthcare is a collaborative effort involving various stakeholders.

The Future of Healthcare Communication is Now: We Are A QHIN!

Mon, 12 Feb 2024 13:15:00 -0500

What do cell phone networks and QHIN have in common? Join Dr Schoch and Therasa Bell with special guest Jon Elwell CEO of Kno2 as they discuss the recent milestone achievements of HITRUST Certification of the Kno2 Platform and their Designation as 1 of only 7 federally designated Qualified Health Information Networks (QHIN). Here the story of the journey, the commitment to mission and the impact of these achievements on the future of healthcare as they add fuel to the fire to democratize health information exchange.

Ivy Rehab gets Kno2 Connected and Innovates to streamline the referral process.

Mon, 05 Feb 2024 09:00:00 -0500

Listen to discover how being Kno2 Connected gave Ivy Rehab the freedom to unlock a more frictionless referral and intake process benefitting both their own patients and the referring providers. Join our conversation with Marla Ranieri, PT, DPT, OCS, Head of Innovation and Clinical Innovation at Ivy Rehab as we discuss the work of leading change through interoperability and its impact on patients and providers.

Interoperability is Foundational to Solving Healthcare's Biggest Problems Pt. 5 - patient experience

Tue, 16 Jan 2024 10:00:00 -0500

Sharing information at the point of care creates better outcomes, a safer care environment and a more frictionless and better patient experience of care. Just another example of the foundational nature of interoperability in the solutions to healthcare's biggest problems. Join us on this episode of Kno2fy for a look into the impact of interoperability on the patient experience.

Interoperability and Healthcare's Biggest Problems Pt 4 - The Provider Experience

Tue, 12 Dec 2023 08:00:00 -0500

We will never achieve the goals of healthcare reform, value based care or resolve the problems of provider shortage until we honestly and diligently address the provider experience. In a world where Patient Centered Care, Patient Experience and Patient reported outcomes are common catch phrases to create a much needed market orientation in healthcare have we forgotten those most instrumental in delivering care and serving consumers? we discuss how interoperability impacts some of healthcare's biggest problems through the persona of a healthcare provider.

Interoperability is Foundational to Solving Healthcare's Biggest Problems Pt. 3 - a look at the provider

Tue, 28 Nov 2023 20:00:00 -0500

"We have been so busy fighting for the scraps from Longshank's table that we have forgotten our God given right to so much more." William Wallace - Braveheart. Today Therasa puts Dr. Schoch on the hotseat to get inside the psyche of a provider around the topic of interoperability. Join them as they continue the Healthcare Story of Therasa's father and discuss insights into the provider's perspective on interoperability and the impact on provider experience.

Interoperability and Healthcare's Biggest Problems Part 2 - Making Interoperability Relatable

Tue, 07 Nov 2023 09:00:00 -0500

Dr. Schoch and Therasa leverage a real life personal healthcare situation to identify areas where the free flow of clinical information could improve cost, provider experience, patient safety, experience of care, clinical outcomes and healthcare business fundamentals. This second episode in this important series is real, relatable, touching and deeply pragmatic.

Interoperability and Healthcare's Biggest Problems!!

Tue, 24 Oct 2023 08:00:00 -0500

In this episode Dr. Schoch and Therasa discuss a number of issues critical issues from a review of recent trade shows, through a overview of healthcare's biggest problems and the role of interoperability in solving them to an introduction of TEFCA/QHIN you will not want to miss this current episode. Listen as your hosts demystify common regulatory and technical language to leave you with a practical framework for understanding the next evolution in networks and introduce the important impact of getting connected in solving healthcares biggest problems.

Stop Talking About Interoperability and Just Help Me

Sun, 08 Oct 2023 09:00:00 -0500

Meet your hosts and get to know the perspective, experience and expertise they bring to the future of health care communications and learn how together at kno2 they are thoughtfully solving healthcare's biggest problems!

We're Coming.....

Thu, 05 Oct 2023 12:00:00 -0500

Introducing Kno2fy, a podcast from Kno2. Just like the wind you cannot see us but you can see our impact everywhere in healthcare as we are leading the future of healthcare communication and thoughtfully solving healthcare's biggest problems.