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Why Where Matters

Our weekly newsletter that tackles the complex world of location based services using concepts from Care Traffic Control. Taping into IoT, digital twins, geolocation and mobile devices we provide insight to an industry that is primed for new ideas.

The Flight Simulator for Your Supply Chain by Bryan Small. Visual comparing traditional supply chain management (stressed) versus semantic intelligence approach (confident). Tagline: Crash in the simulator, succeed in reality.
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The Flight Simulator for your Supply Chain

Hey Reader, The Flight Simulator for Your Supply Chain What if you could predict the impact of your IV pump preventive maintenance schedule on clinical availability before taking units offline? What if you knew how changing restocking schedules would affect OR efficiency before disrupting anyone's workflow? What if you knew which PAR reductions were safe and which ones would compromise patient care before making any cuts? This isn't science fiction. It's what happens when you apply the same...

Hey Reader, When RTLS Meets AI-Native Design: Beyond Asset Tracking to Revenue Generation Two Emerging Use Cases with referenced Case Studies: Predictive Patient Flow and OR Optimization Last time I talked about AI-Native Consulting - how adding AI to traditional RTLS use cases like equipment tracking transforms them from "where's my IV pump" to "predict when we'll run short and automatically redistribute before it happens." That was about making existing use cases smarter. But here's what...

Hey Reader, AI-Native Healthcare Consulting: The Missing Link Between Your Problems and AI's Promise How Hospitals Turn AI into a Competitive Advantage: With Three Real-World Applications. In my first newsletter, I warned you about vendors who prioritize profits over patient outcomes. In my second newsletter, I demonstrated how Lean Infrastructure, which prioritizes solving problems before finding technology, protects your organization from predatory practices. Now that AI has arrived, every...

Hey Reader, The healthcare industry might finally take indoor navigation seriously? At Open@Epic last week, Epic announced its partnership with Cartogram, which brings patient wayfinding directly into MyChart. This move represents the convergence of appointment scheduling, patient engagement, and location intelligence.But this isn't just about helping patients find their appointments—it's about building the geospatial foundation that unlocks Care Traffic Control and transforms hospital...

How smart hospitals flip the script on technology decisions

Hey Reader, Lean Infrastructure: The Antidote to Vendor-Driven Healthcare Technology How Smart Hospitals Flip the Script on Technology Decisions Last week, I warned you about predatory practices destroying healthcare organizations—vendors who prioritize their profits over your patient outcomes. This week, I want to show you the solution: Lean Infrastructure. After three decades of watching hospitals make devastating technology decisions, I've identified what separates the winners from the...

A Healthcare Integration Expert's Warning After Three Decades in the Field

Hey Reader, When Profits Trump Patients: A Healthcare Integration Expert's Warning After Three Decades in the Field The Erosion of Healthcare's Mission In my three decades as a healthcare systems integrator, I've witnessed a disturbing transformation in how corporate America approaches healthcare. What began as a mission-driven industry focused on providing solutions that improve patient care has increasingly become a profit-driven machine that prioritizes investor returns over clinical...

Hey Reader, Apologies for the extended gap in posts, but I've been swamped with requests since the Where Matters book launched. While this is certainly a good problem to have, it means I need to make some adjustments to deliver the quality content our readers deserve. Fortunately, I have a colleague who joins me weekly to discuss the very topics we cover in this newsletter, and he's offered to become a contributor. Bryan Small has been an LBS integrator for 30 years, spending most of his...

Hey Reader, Introduction Now that we have transitioned from 2024's "year of AI" into what experts are calling 2025's "year of AI Agents,". We are seeing AI as the interface with more and more systems. But, is it time to look beyond AI Agents to the environments where these agents operate. While AI Agents might capture headlines, the real transformation lies in how we design intelligent systems that blend human expertise with targeted automation. This is done with "Agentic Design". Healthcare...

Hey Reader, Introduction In today's complex healthcare environments, the orchestration of people, equipment, medications, and supplies represents one of the most significant operational challenges hospitals face. The movement of what is often called "staff and stuff", drives both costs and care quality. While futuristic visions of healthcare often include robots, the reality is that this technology exists today—what's missing is the operational framework to maximize its potential. This is...

Hey Reader, Introduction Location-based services are foundational to automation in healthcare operations, supporting everything from asset tracking to patient flow management. Traditional Real-Time Location Systems (RTLS) have dominated this space for years, but a technological revolution is is starting to emerge. Computer vision (CV) isn't just an alternative to conventional location technologies—it's redefining what's possible in spatial awareness and intelligent workflow management. While...