Built for the people most often left out
More than a decade of research, building, and advocacy, pointed at one thing. Making healthcare technology work for the patients and clinicians who usually go unconsidered.
Studying the tools,
not just using them
I have studied patient-facing technology since 2013, a decade before the current AI wave, alongside national leaders in hospital medicine at UCSF.
Ambient AI on the
front lines of training
My lead study evaluates ambient AI scribes across four family medicine residencies, measuring their effect on documentation burden, burnout, and workflow. It won the 2025 AFMRD and NAPCRG national award for family medicine resident scholarship. The manuscript is being prepared for journal submission.
A documented
arc of work
Journal of Medical Internet Research
Patient recommendations to improve implementation and engagement with portals in acute care. With S.R. Greysen and A.D. Auerbach, UCSF.
View on PubMed →JAMIA
A randomized controlled trial to improve engagement of hospitalized patients with their patient portals. With S.R. Greysen and A.D. Auerbach, UCSF.
View article →JMIR Research Protocols
Using tablet computers to increase patient engagement with electronic personal health records. With S.R. Greysen, A. Rajkomar, and A.D. Auerbach.
View article →Annals of Internal Medicine
Hospital-initiated transitional care interventions as a patient safety strategy: a systematic review. With S. Rennke, R. Wachter, and others.
View article →Also author of two AHRQ patient-safety book chapters and peer-reviewed abstracts.
I do more than talk
about AI in medicine
I prototype tools, run them in my own practice, and only recommend what earns its place.
Organizations and ventures
I co-found and lead organizations that put digital health equity into practice, from Beluma Health, building for safety-net primary care, to the Alma First nonprofit.
Tools I've prototyped
CVD Compass is a working prototype I built to test an idea, a guideline-backed cardiovascular prevention aid that generates bilingual, plain-language patient handouts. It is a proof of concept, not a product in use. Building it showed me what these tools need to earn a place in real primary care.
AI I use every day
I use AI in my own practice to save time and stay current. I built automations that brief me on new clinical guidelines each week and pull together the AI and healthcare news worth knowing, so I keep learning without adding hours to my day. I test tools on myself before I recommend them to anyone.
Sharing the journey
in real time
In development, gathering feedback
Through Beluma Health, the company I co-founded, I am building an agentic AI tool for primary care and safety-net clinics, where the need is greatest. I share the journey as it happens, the problem I am solving, what I am learning, and the questions I am working through. I keep the build itself close while it takes shape. Follow along as it develops.
From clinic
to community
CTRC 14th Annual Digital Health Summit · June 2026
Patients with chronic disease spend under 3 hours a year with a clinician and manage the other 8,760 hours on their own. This talk lays out what actually works to close that gap in safety-net primary care, and how new guidelines and 2026 payment rules finally support it.
More about this talk
The math of visit-centric care is unsustainable: a single primary care physician would need 26.7 hours a day to deliver full guideline care to a 2,500-patient panel. The visit is the beginning, not the boundary.
The evidence is strong across five conditions. Telehealth lowered systolic blood pressure by 4.9 mmHg and HbA1c by 0.42% across 75 trials and more than 100,000 patients. Remote monitoring paired with nurse coaching moved average blood pressure from 152/85 to 132/74 in a year. Home monitoring is no longer an add-on: the 2025 AHA/ACC hypertension guideline and the 2026 ADA standards move home blood pressure and continuous glucose monitoring to the center of care.
What makes programs fail is routing raw device alerts into the physician's inbox. Role clarity, not technology, sustains the program. And the equity test is simple: if scaling widens the gap, it is not scaling, it is sorting.
The clinic is where care is planned. The community is where health is made.
Hosted by California Telehealth Resource Center.
A clinician in
the policy room
I'm President-Elect of the Sonoma Mendocino Lake County Medical Association, with four years of board service, and a delegate to the California Medical Association's House of Delegates for District X.
At CMA Legislative Day in Sacramento, I spoke with legislators on protecting patients from AI deepfake impersonation of physicians, and on keeping a human in the loop when claims are reviewed by algorithm.
Training the next
class of clinicians
I have taught AI and digital health to medical students at UC Riverside School of Medicine, and I precept family medicine residents at Kaiser Permanente Santa Rosa. In residency, I co-created a Distinction track in Digital Health and AI, and an Academic Medicine and Leadership track, preparing physicians to use technology for equitable care. I mentor students and fellows moving into digital health.
Training the next generation
of digital health leaders
Alma First, our 501(c)(3) nonprofit, grew out of a curriculum my co-founder, Dr. Jhaimy Fernandez, created to teach digital health equity. I helped shape it into a program with a digital health and AI focus. Across five cohorts, more than 25 students have trained as digital health equity fellows, building skills in digital health, digital literacy, and equity while serving as digital navigators for underserved patients. We brought them to community health fairs and to national conferences including HLTH, HIMSS, and LMSA West. Many have gone on to medical school, careers in healthcare and informatics, or ventures of their own. This is how we train the next generation of digital health leaders. Sponsorship, not just mentorship. Not pointing to the door, but opening it for them.
Selected honors
Bring this work
to your team
For consulting, advisory roles, speaking, or collaboration, I would love to hear from you.