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Federal Tech Podcast:  for innovators, entrepreneurs, and CEOs who want to increase reach and improve brand awareness

Ep 317 Mission-Driven AI Modernization in Federal Health Systems

26 min24 april 2026

Connect to John Gilroy on LinkedIn https://www.linkedin.com/in/john-gilroy/

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The Veterans Administration is a system with nine million enrolled veterans across 1,300 facilities. In a system like that, downtime is not an option.

Today, we look at how a company successfully reduced documentation time, increasing adoption in one part of this massive system.

We sat down with Nilanjan Sengupta from Thoughtworks to learn which methods proved successful.

He began by stating the focus must not be on bits and bytes, but on mission outcomes. For example, for years, clinicians spent 10–20 minutes per patient on documentation, often taking 2 or more hours to leave their shift.

Sengupta highlights a successful pilot of AI ambient scribe technology at the VA to address this issue. It was so successful that it achieved an 86% adoption rate among primary care providers.

During the interview, Sengupta outlined topics such as the importance of data governance, trust infrastructure, and a responsible AI strategy.

He emphasized the need for a well-governed data discovery process and a cultural shift towards treating data as a mission-critical product.

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