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From storytelling at Disney to life-and-death decisions in healthcare, CIO Gary Alwah has seen every wave of technological change—from the rise of the internet to the dawn of GenAI. In this episode, he shares what it takes to build resilient teams, drive responsible innovation, earn clinician trust, and lead technology as a true business. A masterclass in leadership from one of the most experienced CIOs in the industry. 00:00 – Teaser and intro 01:02 – Why Gary returned to healthcare 02:32 – "Healthcare is life and death" 04:33 – From care delivery to payers: both sides of healthcare 05:44 – Leading diverse teams at Disney 08:03 – Lessons from the internet era to the GenAI era 10:17 – Why governance matters deeply in healthcare 11:38 – Creative freedom vs. Clinical guardrails 13:10 – Culture, change & clinician buy-in 14:54 – Driving sustainable IT 17:24 – Embedding sustainability into teams 19:37 – Balancing innovation and trust 21:45 – What employees expect today 22:54 – The most exciting part of GenAI 24:52 – Business and tech are converging 25:59 – How Gary’s thinking has evolved 27:51 – Advice for emerging IT leaders 29:50 – Books on high-performance teams