Dr. Nicholas Genes is an emergency physician and clinical informaticist – he’s implemented EHRs, developed mHealth apps, and led telemedicine initiatives. From his role in IT leadership at a large urban academic medical center, he remains an enthusiastic believer in the potential for technology to improve patient care and safety, while making staff more efficient. Over the years, though, he’s also seen the toll of unintended consequences, and has developed a healthy skepticism toward rosy pitch decks or sweeping policy initiatives.