The Digital Patient

219: Carilion Clinic’s ACMIO Dr. Maruf Haider: The AI Question Nobody Wants to Answer, The Real Reason Clinicians Ignore CDS Alerts, and the One Phrase that Predicts Rollout Success

Feb 12, 2026
Dr. Maruf Haider, ACMIO and internist-turned-informatics leader focused on digital patient engagement and safe AI in healthcare. He discusses why clinicians ignore clinical decision alerts, how to make virtual and between-visit care stick, and where AI can be predictably safe. He also covers cultural signals that predict rollout success and the hidden harms of AI-generated documentation.
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ADVICE

Act Now Without Waiting For VBC

  • Don't wait for value-based payment to act; redesign incentives and panel rewards now.
  • Prioritize preventative care and reduce systemic 'inflammatory burden' to survive financial and staffing headwinds.
INSIGHT

Virtual Care Is A Precision Tool

  • The hardest belief to change was that virtual care is a compromise rather than a precision tool.
  • Maruf Haider reframed virtual care as choosing the right moments, not replacing in-person care wholesale.
ADVICE

Concrete Steps To Scale Virtual Care

  • Build trust, recruit clinical champions, and create frictionless feedback loops to scale virtual care.
  • Automate documentation and infuse contact center workflows to support care teams while keeping patient-centricity.
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