What if you could design a primary care practice from a blank canvas - AI at the front door, overhead at half the industry average, and every minute saved reinvested in the doctor-patient relationship?
Dr. Zeshan Rajput is doing it. A physician, clinical informaticist, and MBA with 15+ years across EHR implementations and federal health IT strategy, he's now building New Hope Primary Care in Columbia, Maryland from the ground up.
We dig into:
🏥 Dr. Rajput's #1 tip for growing a practice - design every patient touchpoint the way Disney would, and ask whether you'd want to be your own customer
🤖 The four-bucket framework for deciding what AI should and shouldn't touch - human only, human-first/AI review, AI-first/human review, and AI only
⚠️ Printers, passwords, policies - the three failure modes of every tech rollout, and why policy is the one most practices get wrong
📊 The #1 reason healthcare tech implementations underdeliver - and it's not the go-live, it's the optimization window that follows
💰 Targeting 25-35% overhead in a world where most practices run 65-80% - and the provider-only staffing matrix behind it
🔥 The hot take that might get him in trouble - which subspecialties of medicine could become AI-first first
Resources mentioned:
👤 Guest: Dr. Zeshan Rajput, MD
LinkedIn:
https://www.linkedin.com/in/zrajput/🏥 New Hope Primary Care:
https://newhopeprimarycare.com/?utm_campaign=talkie-podcast
📚 Books mentioned:
If Disney Ran Your Hospital: 9 1/2 Things You Would Do Differently - Fred Lee
🧠 Frameworks mentioned:
The 4-bucket framework for AI vs human work - credit to Dr. Mark Kramer
📝 Also referenced:
Talkie blog post - How Much Do Missed Calls Cost a Medical Practice? (with embedded calculator):
https://talkie.ai/blog/how-much-do-missed-calls-cost-medical-practice/
🎥 See how Talkie.ai works - AI medical receptionist demo:
https://www.youtube.com/watch?v=oOiJ3ITTrLY&list=PLLjcCBHYN2KoBqm-Dx-8lIwWLuU-CHXSg