Data Liquidity and Tech Evolution with Thomas Keane, MD

In this episode, Physicianary host, Hansa Bhargava, MD, speaks with Thomas Keane, MD, MBA, national coordinator for Health Information Technology. They discuss data liquidity, as well as the importance of governing and expanding access for AI tools. Intro 0:24 Thomas Keane, MD, MBA 0:37 About Keane's journey. 1:31 How did you decide to go into leadership? […] What is the vision that guides you? 3:48 Do we need to have a leadership fellowship in some capacity, or should leaders learn by experience? 5:58 Would you agree that you have to hone different skill sets for different leadership roles? 6:41 Can you give us a high-level overview on how AI can help with efficiency? 9:37 About TEFCA (Trusted Exchange Framework and Common Agreement) 10:36 How do we ensure that patients are protected? 17:52 How do we scale these models for better access, especially if they are vetted? 21:02 How can physicians find out more about these resources? 25:32 As AI flows into our systems and transforms health care, what would you say is important for physicians to get involved with? 27:24 What is your Physicianary vision for 2026? 29:24 Do you have a favorite book or movie? 30:34 How to contact ONC. 31:31 Thank you! 31:45 Thomas Keane, MD, MBA, is the national coordinator for Health Information Technology. We'd love to hear from you! Send your comments/questions to Dr. Bhargava at [email protected]. For more from Keane and updates from the ONC, visit https://healthit.gov/contact-us/, and follow on X and LinkedIn. Bhargava and Keane report no relevant financial disclosures. References: ONC - Office of the National Coordinator for Health Information Technology. https://healthit.gov/. Accessed April 14, 2026. Regulations.gov. www.regulations.gov/. Accessed April 14, 2026. Request for Information: Diagnostic Imaging Interoperability Standards and Certification. Department of Health and Human Services. www.federalregister.gov/documents/2026/01/30/2026-01866/request-for-information-diagnostic-imaging-interoperability-standards-and-certification. Published Jan. 30, 2026. Accessed April 14, 2026. TEFCA. ONC - Office of the National Coordinator for Health Information Technology. healthit.gov/policy/tefca/. Published March 31, 2026. Accessed April 14, 2026. The Security Rule. (OCR), Office for Civil Rights. www.hhs.gov/hipaa/for-professionals/security/index.html. Published March 19, 2026. Accessed April 14, 2026.