The Tate Chronicles: HIMSS26 with Dr. Holly Miller and Paul Wilder

In this special live episode from HIMSS 2026 in Las Vegas, Jim Tate interviews two leading figures in healthcare interoperability and innovation: Dr. Holly Miller, Chief Medical Officer at Sendura Solutions, and Paul Wilder, Executive Director of Commonwealth Health Alliance. Dr. Miller demonstrates Sendura’s 360X closed-loop referral system using real-time, discrete data exchange via the Centauri PISP and TEFCA-compliant QHIN networks, showcasing how a patient’s journey—from primary care to psychiatric evaluation, emergency care, and post-discharge recovery—can be seamlessly tracked and shared across systems. She highlights the transformative power of patient-controlled individual access through platforms like HealthX, which aggregates data via TEFCA IAS queries and leverages AI to deliver personalized insights. Paul Wilder expands on the momentum behind TEFCA and QHINs, emphasizing that data is now moving at the speed of utility rather than policy, driven by real clinical needs. He discusses the rapid adoption of ambient AI in clinical workflows, the growing ecosystem of apps enabling individual access, and the importance of data quality for future AI applications. Both guests agree that interoperability is no longer a theoretical goal but a functional reality, with key milestones including automated payer-provider exchanges and the maturation of trust frameworks. The episode closes with a forward-looking vision of patient empowerment, AI-driven insights, and a healthcare system increasingly built on trust, utility, and seamless data flow.