Why healthcare is funded to reduce demand

Check out this episode of the #1 people analytics podcast with special guest, Dr. Gary Russo, Executive Director of Workforce Intelligence at Providence Health!

In this wide-ranging and deeply human conversation, Cole sits down with Gary to explore what it really means to build and sustain a people analytics function for more than a decade inside one of the largest not-for-profit health systems in the United States.

Gary reflects on hitting his ten-year mark at Providence Health & Services and what it takes to move beyond the AI hype cycle that has dominated so many analytics conversations. Rather than chasing headlines, he shares how real progress often happens in small, unglamorous steps: defining terms, building trust, clarifying governance, and laying foundations so better decisions can take root years later. From early debates about what “analytics” even meant to establishing strategic HR data governance across dozens of executives, Gary explains why perseverance and continuity of vision matter more than any single dashboard or model.

The discussion dives into how healthcare fundamentally differs from other industries. In a world where leaders can honestly say they skipped your email because they were saving lives, prioritization hits differently. Gary unpacks the unique reimbursement model of healthcare, where organizations are rewarded when patients get well and do not return—creating an industry that is, in many ways, funded to keep itself out of business. He also explores the looming workforce crisis driven by aging populations, chronic disease, and nurse shortages, and why creative, nontraditional pathways into care delivery may be essential to sustaining the system.

AI gets a reality check as Gary distinguishes between generative buzzwords and the quieter power of automation, robotics, and computer vision already transforming surgery and diagnostics. He emphasizes that governance—clear definitions, aligned metrics, and shared language—is the prerequisite not only for AI, but for productive conversations between HR, finance, and operations. Sometimes progress begins with something simple, like distinguishing between “position FTE” and “worked FTE” so debates end and better questions can begin.

Throughout the episode, Gary blends neuroscience, therapy insights, improv training, and even fire performance into his leadership philosophy. He shares how relationship counseling principles apply to employer-employee dynamics, why listening goes far beyond surveys, and how understanding human uncertainty is central to responsible analytics. The conversation also tackles burnout, pessimism, social isolation, hybrid work, and the growing gap between strategy and so-called “data fluency” problems—challenging the assumption that unused dashboards signal a skills issue rather than a clarity issue.

At its core, this episode is about using analytics in service of something bigger: putting more caregivers at the bedside, strengthening communities, and making decisions that ripple far beyond a spreadsheet. If you care about the intersection of AI, workforce planning, healthcare, and long-term culture change, this is one you won’t want to miss.

If you like this episode, you’d also love exploring prior episodes—visit colenapper.com for the full archive and show links.