From Systemness to the “Spaces in Between”: Building an Integrated, Patient-Centered Enterprise In this episode of the Accelerating Physician Leader Impact series, University Hospitals COO Dr. Paul Hinchey shares how his journey from paramedic to physician executive shaped his commitment to solving problems at scale. Dr. Hinchey reflects on building true “systemness” across a $6B health system—aligning culture, incentives, and operations around the patient journey rather than individual sites of care. He discusses leveraging EMS as an underutilized strategic asset, integrating academic and community missions, and redesigning structures to drive value-based transformation. Dr. Hinchey based transformation. Paul also highlights the importance of mentorship and UH’s Anton Fellowship in developing the next generation of physician leaders. Looking ahead, he explores innovations that excite him most, including virtual consult expansion, advanced remote monitoring, and ambient AI that reduces administrative burden and strengthens the clinician-patient connection. Filled with practical insights and grounded leadership wisdom, this conversation offers a compelling look at the future of integrated, patient-centered care.

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