If I Took It Out Today, Would an Outcome Change? | The 229 Podcast with Diane Constantine, Cathy Patterson, and Vicki Sergent

September 3, 2026: Diane Constantine (Children's Hospital of Philadelphia), Cathy Patterson (Banner Health), and Vicki Sergent (Froedtert ThedaCare Health) sit down with Sarah Richardson. If an innovation saves clinician time, prevents harm, and improves the patient experience, but cannot produce a clean 12-month ROI, does it deserve to scale? Cathy's test: if she took it out today, would an outcome change. Vicki's MyChart Bedside was supposed to take a year of phased rollouts. Innovation-unit nurses adopted it hard enough that the system was up in three months. Diane will not manufacture a dollar value for rare pediatric harm. She will measure it.

Key Points:

• 0:00 Does a 12-month ROI decide scale

• 1:30 Name the scorecard

• 6:10 UST

• 6:43 Set the thresholds before go-live

• 11:20 Value that never hits the P&L

• 16:19 Who owns the outcome after go-live

• 21:04 Adoption versus vanity

• 25:58 One decision they would copy

• 31:31 The question for tomorrow's scorecard

LinkedIn: 229Project

Donate: Alex's Lemonade Stand: Foundation for Childhood Cancer