The 229 Podcast: Balancing Technology, Growth, and Innovation in Dynamic Times Sarah Hatchett

October 23, 2025: Sarah Hatchett, SVP and CIO of Cleveland Clinic, manages IT across a sprawling healthcare network spanning Ohio, Nevada, Florida, and international destinations. Sarah reveals how they track time spent on pilots, balance 60% run versus 40% innovation, and the real challenge of managing Epic's 160 annual feature releases. Explore inside their billion-dollar neurological hospital, built featuring real-time gait analysis as patients walk through the door, and why 3,500 physicians call their ambient listening tool "magical" after piloting five different products. Plus, the uncomfortable calculation every CIO faces: when do you stop waiting on Epic's roadmap and just buy the point solution that delivers value today? Key Points: 01:17 Cleveland Clinic's Expansion04:35 Managing Technical Debt and Prioritizing Projects13:29 Innovative Projects at Cleveland Clinic16:51 Epic's Roadmap and Third-Party Solutions26:58 Best of Breed vs. EHR patient X: This Week Health LinkedIn: This Week Health Donate: Alex’s Lemonade Stand: Foundation for Childhood Cancer