
Mike Kelley & Peter Vardaro
Short Clips
Peter Vardaro
Peter Vardaro started in biomedical equipment service, where unreliable connectivity and slow documentation often consumed more time than the repair itself. That frustration pulled him into low-code experiments, enterprise applications, medical-equipment logistics, and team leadership. In this conversation with Mike Kelley, Peter explains why applications must be designed for the business that may exist tomorrow, how repeated support tickets can point to features that help hundreds of people, and why leaders should measure and celebrate the time their teams return to the business. Peter also discusses vendor accountability, protected health information, AI governance, vibe-coded prototypes, and his belief that AI will make human judgment and relationships more valuable.
We review circuit consolidation, contracts, security, outage visibility, billing, and future flexibility to reduce chaos without forcing change.
Navigate through key moments in this episode with timestamped highlights, from initial introductions to deep dives into real-world use cases and implementation strategies.
[03:11] Peter Vardaro explains how poor software in biomedical equipment work pushed him toward building better business applications.
[04:07] A task that takes five minutes instead of ninety seconds becomes a serious cost when one thousand employees repeat it.
[07:16] Peter shares how an application designed for one service center had to support three before the demo was released.
[11:50] A medical device repair between operating rooms exposed how weak connectivity and poor software waste skilled time.
[15:26] Flu patterns, warehouse trends, and inventory turns can help teams put the right equipment in the right place.
[20:46] Business problems change daily, and teams often share the full truth only after they trust that IT is listening.
[23:49] A developer is worth more than a line of code, and an analyst is worth more than a documented process.
[24:47] Peter teaches help desk staff to look for repeated tickets that can become fixes for the whole organization.
[25:59] A logistics feature saved about four hundred hours a month and gave the business room for more useful work.
[30:18] Technical skill is not enough when a developer cannot spot the business problem missing from the written story.
[33:16] Protected health information requires compliant tools, encryption, and care across every point that handles the data.
[40:47] Peter expects people to place more value on human conversations, relationships, and creative work as AI spreads.

451-Peter Vardaro
Host: Mike Kelley
Guest: Peter Vaedaro
Mike Kelley: All right. Welcome back to, You've Been Heard the show where we
pull back the curtain for the IT leaders steering the ship today, and the rising
stars hungry for their own seat at the table. We've officially banned boardroom
buzzwords and rehearsed corporate scripts in favor of genuine, unvarnished talk
about what it really takes to lead. Peter, huge welcome to the show. We're
thrilled you've decided to join us today and trade stories with us over at
youvebeenheardcom. Sitting in the guest chair is Peter Vardaro, a tech executive
who knows what it feels like to have grease on his hands from the IT engine room
before stepping into the driver's seat. What makes Peter's playbook so
compelling isn't just his track record with enterprise scale, it's his knack for
cutting through tech complexity like a hot knife through butter, proving you
don't need an empire of jargon to build agile, resilient teams that actually
love what they do. So Peter, would you mind introducing yourself and sharing a
little on the ride that you've gone through to get to where you're at today?
Peter Vardaro: Oh, absolutely. My pleasure. And thank you so much for your warm
welcome. And thank you so much for having me on here. I've heard so much about
your show and really, it seems like a cherished nugget in the community of just
truth and unfiltered, just rawness that I'm so happy to be a part of. Right.
Mike Kelley: I appreciate that. Thank you.
Peter Vardaro: So thank you again. my name is Peter. I did start my career
actually in business operations. So in the healthcare industry, I actually
started as what's called a bmet, biomedical engineering technician. So I used to
work on equipment and out of the pure hatred for the software I used, I started
to like, say, I need to come up with something better. And that led me down a
path of it. that led me into enterprise applications where I've been very
happily sitting and working with teams to make things better.
Mike Kelley: So, tell me a little bit more about that, journey into the
enterprise stuff. Because, we talked a little bit before the show and we're
talking about the differences between, duffer and individual and stuff for
enterprise. And it amazes me how often people don't recognize the difference of
trying to do like navigation for an enterprise compared to navigation for you or
I on our phone to get to the store. Yeah.
Peter Vardaro: Absolutely. it has to work at enterprise scale because there's
going to be a lot of times where you're not going to hear about the small things
that don't work because you're soldiers and foot soldiers on the ground. They're
going to keep trying to trudge ahead. And a process that takes five minutes and
really should only take a minute and a half is costing your business money. And
if you don't recognize that with a business process analysis, looking at it and
just seeing why that's, oh, you can't scale your business. You have one thousand
employees using this application at once. Your APIs have to be scalable, right?
They have to be able to accept that data. They have to be able to hit the
database correctly. it's not like it's one time. And if you lose something, it's
not too big of a deal. You're losing revenue, you're losing customers
potentially if it's not properly done.
Mike Kelley: Okay. so you started to recognize that, but I'm sure you didn't.
Well, you already actually said that you came in with a little bit of that
innate knowledge because you were one of those foot soldiers, and you were the
guy that was suffering through that. Push the button and wait five minutes. and
so then you started wanting to, well, I'm sure you probably started figuring
out, hey, there's a button here. What's this one do? What's that one do? What's
this one do? Yeah.
Peter Vardaro: And you go.
Mike Kelley: Down, you got to know the software.
Peter Vardaro: Yeah. You go down this dangerous path because then you come up
with a proof concept that's not scalable by any means too, right? You come up
with your own, like, proof of concept that just kind of gets you by and just
shows you what it can do. And then you get a taste for what it can be and what
it can do for the business overall. And then eventually you start digging into
it and you're like, oh, I need to do something different because this can't
scale the way it is. So then you start kind of looking at, you know, your
enterprise level software and get involved in that stuff. And you start finding
that you can still do some of that really great tooling with something that's
much more scalable.
Mike Kelley: So as you talk about scaling, help simplify that because you know
what? It's almost one of those buzzwords that, I said we weren't going to talk
about, but it, it's a normal one and it's one that we just, in all honesty and a
majority of the conversations I've had with our fellows, we haven't really dove
into scaling and what scaling means and what does it take. And, back to your
example, a five minute thing. It should take one minute. So there's four wasted
minutes. And if you got a thousand people doing it, there's four thousand wasted
minutes per each of these transactions. That's when scaling actually kind of
comes into play. But how does it come into play in the way that you're talking
about setting the foundation.
Peter Vardaro: Yeah. So a number of times you start in a big problem. Also, that
challenge that's presented by the business is sometimes if they have trouble
foreseeing their own success, they tell you to plan for X and then they're
hitting Y, which is much further ahead. Right? One of the applications that we
built was planning for one service center. So all the application was planned to
do is, it's always going to have these certain types of transaction with one
location. Well, then by the time we released the demo, they had three support
centers that were going to have to do this. And it creates a whole new pathway
that was completely missed during requirements gathering. So now, because that
almost like planned obsolescence into let's just build it one way without
thinking about how the business could grow without planning on what would ten
years in the future look like, five years in the future look like something that
you're, what does success look like in your wildest dreams? Plan for it at the
foundation.
Mike Kelley: Now, here's an aspect of this that I've found that I need to be
careful of because I have this tendency to gold plate things from the beginning.
So when we're trying to do a minimally viable product to, well, today's
methodology is get out the bare bones and then.
Peter Vardaro: There's nothing so permanent as a temporary solution.
Mike Kelley: I remember hearing that or a different version of that. There's
nothing as expensive as the cheapest solution. It was in Spanish, but they
translated it for me. and there's nothing so permanent as the, working on
temporarily designing something in production.
Peter Vardaro: Yes. Yeah. As soon as the business can see something works, they
just want to roll with it, right? Because that scaling is not necessarily
understood until unfortunately, you're in possibly a bind, right? Something that
you design that you really only tested with a half dozen users, just to see if
you can get through a workflow, doesn't mean it's going to behave the same way
at a thousand users, right? Especially when you're talking about records that
are supposed to maybe stack on top of each other, start exhibiting different
behaviors once you're really starting to fire rapidly, with a lot more traffic,
that's when things start to get a little bit complicated.
Mike Kelley: So for our fellows who find themselves in this situation, they
started to build some kind of an application. They started to put something
together and they did their job and they got their requirements and, did the
research, but didn't realize that the business was starting to look towards the
future and what they could do tomorrow. what suggestions do you have for helping
build that foundation in a way that will allow for the scaling?
Peter Vardaro: Generally always under promise, over deliver. So keep a little
bit in your back pocket from what your estimates are on what the thing can do,
and then put your project management hat on too, and make sure that as long as
everyone understands with what they're working with, what the scale is, that
everybody understands that this will have this expected lifespan. Right. and if
you are also very honest, that may help you get the seat at the table that
you're looking for, right? Because if you can be very raw and honest with the
business as well and say, this can has a viable life at this point, if we go
this route or if we go this route, we can do this. Can you tell me a little bit
about what our future plans look like? You can possibly be there for the
business decision as well.
Mike Kelley: Yeah. And that one's critical. I mean, it's part of understanding
the business and having that business acumen. But, being able to be with them
while they're making those decisions helps you understand or, better how to
direct each of the individual projects that you're dealing with. yeah.
Peter Vardaro: There's nothing typically worse than when we're included in a
reactive nature, right? When we're included after a decision has been made,
they've purchased the software, they've made decision to go this route. And,
maybe a quick conversation could have alleviated a lot of pain points, or at
least given us all the understanding. So that way we move forward together.
Mike Kelley: Yeah. So tell me a little bit more about this, working with the med
tech and some of your experiences there and, the challenges of scaling up what
kinds of things have you seen or been involved in. I'm really interested in what
were the constraints that got you to say, I'm tired of being a tech. I want to
help the other guys like me who are suffering from this frustration.
Peter Vardaro: I found myself sitting in a hallway between, like operating
rooms, working on a machine called a cell saver. spins blood down from a
surgery, cleans it and allows you to kind of reuse it for a patient during
surgery. It's actually very good clinically to help with patients recovery. And
I'm working on this machine, and it's taking me so much longer to document my
work than to actually work on the machine. The machine was actually a dream to
work on. it used to be really fun. Machine had almost like a little bit of a
flat surface, almost like you could put your laptop right on there. So it was
perfect for the documentation portion of it. But I found like poor connectivity,
having to rewrite things like five times. I always had the understanding you're
going to do a lot of documentation when working on medical devices. It's a
critical part of it to understand, what the thing is going through, but it just
was exacerbated by the conditions of the software, my network connection, all of
that. And I thought to myself, there's really got to be a better way. My guys
are wasting a lot of time doing this, too. A lot of times I'd have to send
multiple guys out, one of them just to do documentation for the others, because
the documentation just got that rigorous.
Mike Kelley: and you're in between operating rooms and you think that you'd have
all of the connectivity that you'd need. Hospitals are usually highly connected
locations.
Peter Vardaro: There were definitely a lot of older hospitals, especially in the
northeast here where you've got a lot of, masonry work that affects a lot of
connections. And if you don't necessarily think that you're going to need an
access point in an operating room, you may not have one very close.
Mike Kelley: To you because how many people are supposed to be on the computer
while they're slicing somebody up?
Peter Vardaro: It starts to change over time, right? Because they start using
different technologies that then requires it. But at the time, you know, fifteen
years ago, that wasn't as much of a thought.
Mike Kelley: Okay. And so you went from dealing with that, trying to figure out
how to scale that. So, what was some of the adventures that you undertook as you
made that move? I mean, switching over to being a network admin and doing
network scans and deploying connectivity throughout buildings like that. It
sounds like you were dealing with multiple buildings and focused more on the
equipment, not the facility.
Peter Vardaro: I was very focused on the machines. That was really everything
that I did. So I almost had no thought on the network. And we tried to make it
so I could always work offline if possible. So cellular connections, things like
that, which were definitely difficult to work with, especially with the
conditions of these northeast hospitals from time to time. Right. eventually
what I tried doing is I just tried building something in like little low code
app builder just to get my hands dirty. I kind of showed it to, team is like a
proof of concept and people like, you gotta show this to the CEO and CEO saw it
and he's like, oh, you're going to do more of this and starts to kind of move me
into that IT direction because he recognized immediately that there was
absolutely opportunity there.
Mike Kelley: You bet you didn't think to copyright it before you showed it to
him.
Peter Vardaro: At the time I was young, I had none of these ideas right. I was
just looking to make things better.
Mike Kelley: Right, and that seems to be a fundamental piece of many of us in
these seats and I want to solve the puzzle. Yes, I want to help, and I want to
make things better. I want to make it faster. what other kinds of challenges do
you run into with medical equipment and working with that in general?
Peter Vardaro: Well, eventually I got to, work a little bit less with the
medical equipment and started working more with the application, as one does.
Right. And then I started to realize, okay, it wasn't even all of it just being
the documentation. It was the whole logistics portion of it. So, not working
directly for hospitals, but actually being a service provider, we are providing,
medical devices to hospitals who need them just in time as their senses spikes,
they run out of these devices and need backups and need to, fulfill things for
patients that they are expecting coming in the door. And the whole logistics
problem of it that became much more interesting because you can start to plan a
little bit based on a lot of different information. You start to look at things
that are really cool, like the CDC's flu map, and you look at your warehouse
trends and you start looking at what your average inventory turn is. That's
something. Now you can start using some of your regular data points to start
solving those problems. And that became a really cool challenge.
Mike Kelley: You started to learn the data science or did you bring others in to
help you figure out those leading indicators? and when they were telling you,
okay, increase stock here, get move stock from there to there. because I'm
assuming you were learning all of this prior to today's tool sets.
Peter Vardaro: Yeah, absolutely. So essentially a lot of what our industry went
through at the time was just understanding based on gut feel. So the only other
thing that we have is we can compare to the Australian flu map, which is offset
from the US flu map to give us an indicator of how bad flu is going to be here.
That gives us not really a very strong number, but almost like a coefficient to
say, okay, this is what we can kind of expect, but really it's much more of a
data science problem. And we're still working through that a bit more. You
always kind of want to refine, just like with an AI model, just keep training it
to see what you can. You want to reduce the number of wasted movements in your
inventory transactions. So transfers cost money, getting equipment up and ready,
preventive maintenance, all the costs, money you want to try to avoid having too
much equipment and avoid moving stuff unnecessarily. So knowing where stuff
should be at the right time is a really good thing to know.
Mike Kelley: So the levels of inventory and the types of devices that you're
talking about, are you talking about things that you can sling over your
shoulder and move around the facility? Or are you talking about like, things
that get deployed into a room and never move again until the lease is up.
Peter Vardaro: Majority of the stuff that we do is movable medical equipment,
which is going to be like IV pumps that go on a pole. A lot of respiratory
equipment like ventilators, high flow therapy devices. We also do a lot of beds
and therapeutic surfaces. Those all have different inventory turns to them,
which is really cool. and it's not something that necessarily all fits on the
same schedule in the same way. Different types of illnesses also create spikes
in the inventory differently.
Mike Kelley: Okay. you were doing all of this back in twenty twenty, weren't
you?
Peter Vardaro: I was involved in twenty twenty, actually. I even had to put my
biomed hat back on for a little bit because there was nobody trained on some of
the equipment that I was at the time. So we have a need for more and more
technical people. And, I really hope that more people get much more involved in
the technology. but at the time, there were certain devices that were, hard to
service that I still knew how to. So I put that hat back on and, did a little
bit of that with my sleeves rolled up to, but yeah, we were doing in twenty
twenty, but it got so bad. It was like you didn't have two ventilators to rub
together if you needed to. Right.
Mike Kelley: Right. Yeah. And that's what made me think of that was because you
mentioned those,
Peter Vardaro: It completely destroys all your data sets too. You can't look
back to twenty twenty or any time around and like, make sense of your data. It's
completely disrupted. So now we're starting to get some good data again. But
also post Covid, you had a lot of hospitals by excess equipment. You had a lot
of things that happened that, disrupts the normal flow of inventory. So
nothing's been the same. Nothing will probably be the same again. The only
constants change, right?
Mike Kelley: Yeah. Unfortunately. okay. So moved into the application. What kind
of an application are we talking about then or at scale for your organization?
Because it's not a warehouse management system is it.
Peter Vardaro: Or it is in a warehouse management system. And we're building off
of, standard platform tools like ServiceNow and building with some plug ins to
that as well. So what's really cool is that something like that, I can get,
developers who can turn things around very quickly. they have some baselines for
the inventory management stuff. And then you can also build some of your data
science. And then they've got great plugins that will connect to snowflake. So
not to plug any vendors for anything, but you know, that's just our tech stack.
Mike Kelley: Yeah. And it's the norm of the day, man. There's what, five
different solutions out there that fit into that realm. so what are some of the
other things that you've found or challenges that you'd like to share with
others that whose eyes aren't going to glaze over and who understand what you're
talking about? Yeah.
Peter Vardaro: I think, a lot of the challenges is really the communication
sometimes with the business and even coming from that business operation side, I
start to talk to other units. There are things that even as things change and
you step away from that, you're not involved in that day to day anymore. You
have to spend a lot more time listening because their problems are changing day
by day. you have to listen three times more than you think. You need to slow
everything down. Spend a lot more time listening. And that trust will start to
come your way, that you're actually doing right by them too, because they may
not even tell you the entire truth until they believe that you're listening.
Mike Kelley: Yeah. And I was wondering, so how do you train your people to
listen? Because you can no longer be out there doing all of that. So now you've
got to have your team going out and doing that. And so how are you tempering
them or training them to think about or look or try a little harder?
Peter Vardaro: Well, a lot of times I'll try to make sure people shadow me a
little bit and I'll get right in there and have that conversation, especially on
certain high value initiatives. And, I'll let my team after we'll do like little
sync up meeting. What did you think? What could we have done better? And then
I'll let them run with it a couple times and I'll shadow and we'll just kind of
give each other like honest advice. What could we have done better each other?
And I try to just be very honest and open with my team at all times. if I've
done something wrong, I always want them to tell me if they do anything wrong,
I'm going to tell them. And not in any type of way that's supposed to be
backlash. It's just say you're going to get better results if you do it this
way. And teams always kind of appreciate it if you treat everybody well, they're
happy to hear it.
Mike Kelley: Yeah, I was listening to a book recently and some of that's like
the difference between being nice and being kind and sometimes being nice is
when you're not telling everybody the whole truth because you're trying to be
kind or nice to their feelings. And being kind is sometimes that harsh truth and
giving it, showing them that kindness and being honest with them.
Peter Vardaro: Yeah. Not telling them truth isn't going to help your team grow.
And you can't grow if your team's not growing. So I need somebody who's going to
be able to take my old position for me to make, grow up that ladder. And if I
don't have that, I'm not going to get there or even I'm given the opportunity to
get there. Everything is collapsing behind me and I'm not going to stay there
very long anyway.
Mike Kelley: Yeah. Because you'll get pulled back in. Yeah. And it seems to be
something that so many of us don't really understand too, is that, build my
replacement; a lot of us get afraid of doing that and not recognizing that by
having somebody that can follow behind me, I can move to a different. I can
grow, I can continue to do something new and different. And they're growing
because they're learning all of the things that I've learned. Yeah.
Peter Vardaro: I try to tell every member of my team, their value is not what
they think it is. Every single time my developer thinks that their value is in
the line of code that they wrote. My business analyst thinks that it's in the
process. They develop. Like it's never that. The brain that you have in your
head can do better. You can come up with complex ideas that solve problems that
make the world better for somebody else. That's your values making things better
the same way we're trying to. However you do that, those are tools you're using.
That's not what gives you value. So detach yourself from the thing that you
think gives you value and change yourself. Rewrite what you think is true.
Mike Kelley: Interesting. I really like that thought and the way that you've
articulated it, because it's true. It really is. So what was the experience that
helped you? You understand your value. When did you understand that lesson or
did you have somebody teaching you?
Peter Vardaro: I feel like for me, it was something that I just kind of saw in
the little mini successes I had in building the first applications and little
widgets that were making my life better because it wasn't just making my life
better, it made life better for a lot of people. So a lot of times we'll kind of
like bring our business analysts through from the help desk and say, I'll tell
them there are features in this help desk, whether you realize it or not. If
somebody has a repeat issue, it's probably something we can automate and fix. So
I'll try to get them started there. And then I'll tell them when you fix a
ticket, that helps one person, when you write a feature that helps everybody,
that possibly helps hundreds of people. And now I get to tell them when I get to
grow one of you into a director. I've helped possibly thousands of people, so
the scale just grew.
Mike Kelley: That's awesome. Peter. at this point, I don't know how many of
these podcasts I've done. to me, you're articulating a unique thought. and I see
it and I understand it and Iike, I'd like to think that I've done it myself. but
I've never seen it in that light. you got any more, you can expand on it.
Peter Vardaro: I think that's just the beauty of scale. When you start to see
the winds happen, you get a little bit hungrier for them. So I like to make sure
that the team members know what that win feels like. And one thing that we also
really like to go back to is let's calculate this internal return on our
investment. So there are a couple times where, team members will, write
something up, write up the features developers work on it, make sure that
everyone gets their shout out and their day in the light and a little bit of
shine that we can put on them, but then we'll try and come back at that point of
that ROI, at least a year, we'll look back and we'll say, okay, this is how many
hours we saved. And when it's something huge, like I think there was one
logistics, one that saved like four hundred hours a month. We were just like
completely floored.
Mike Kelley: That's ten employees. That's ten full time employees.
Peter Vardaro: Yeah, absolutely. Now, of course, it doesn't mean that you can
like reduce ten employees headcount. It just means that now you have that
scalability in the business. I have capacity to fill with more revenue
generating activity actually. Instead, there you can give people a little bit of
room to breathe and do their job better. Instead, we'll look at a feature like
that and I'll highlight to the team members who worked on it. This is because of
you. You guys put your hands on this and made the people who do this their day
easier. They could now do their job better. And ultimately, at the end of the
day and our industry, it helped the patient.
Mike Kelley: Which is always a good thing to be able to, bring it back to you as
you're affecting lives, and not just in the way that we're talking about of our
coworkers and making their, days a little bit easier. and it's also an
interesting way to think of scale too, right? Because, when you started talking
about scale, I'm thinking about, yeah, okay, build this widget for this office
and it's going to help that group or that company. but oh, now we need to get it
to five distribution centers and scaling like that or. You built it for ten
people and now you want it for one hundred people, and now you want it for one
thousand people. But trying to teach the tech support or the help desk guys,
hey, a ticket equals helping one person a feature or that fix that stops that
recurring issue helps the organization.
Peter Vardaro: Yep. Absolutely. And as they start, I can see the gears turning.
And then as those features get released, those bug fixes get released and they
start to realize that their regular ticket count went down at post release.
They're like, oh, I get it now. That's kind of the cool thing. I love kind of
teaching that to people and then seeing it actually happen. That's really great.
Mike Kelley: Got any examples?
Peter Vardaro: Well, there was definitely that one with that, large feature with
the, saving four hundred hours. There's another one where we just Automated a
billing process that was just taking up a lot of time, and we just put a bunch
of hours back in everyone's plate, and that was huge. I think one of the ones
that probably a little bit more proud of our customer experience team was really
starting to run a bit ragged because they were just they one of the hardest
working groups in our organization because they run a twenty four hour business,
because our customers are twenty four over seven, three sixty five. So they have
to staff overnight. They have to keep people running through holidays and
everything. And we found that we could automate a couple of ordering processes
that came through certain pathways. And we were able to reduce something like
three hundred orders in a certain given time period, which, just made everyone
breathe easier. Now, the rush to hire people because, okay, if we're not, we're
going to burn more people out. That slowed and they got that breathing room.
That was one that I thought was exceptional.
Mike Kelley: Awesome. So, there was some hints to the vendor circus. And when I
was doing my background research on you. what things have you learned from
working with vendors and trying to manage, the hype and the promises and, it
almost sounds like, part of your organization is dealing or being a vendor
yourself too. Yes. So it's got to be an interesting dichotomy there.
Peter Vardaro: Yeah. Providing the service from what we do for our customers, a
lot of the service that we provide has to be ready well in advance. So there's
not just the just in time delivery, like when you're working with an IT vendor.
So that's a little bit different because that that battleground is actually
every day way in advance. You usually keep like a queue of equipment in advance.
So our battlegrounds are really more in supply chain, making sure parts are
ready at the right time and all that. when it comes to managing it vendors, that
does become a little bit tricky because, especially, I mean, for a while, I've
interviewed many people who, worked in different areas, worked with different
programming languages for a long time. And it doesn't necessarily tell you what
they're willing to understand about the business. And it's really that if they
don't understand it themselves, then they're really just going to be able to
write code off of what a story gives them, and it will be absent of anything
that's missing there. So that puts a lot more pressure internally to make sure
that that story is written perfectly. And so I really look for people who can
think and preempt the problems the business isn't thinking about. And I try to
also be very honest that I don't expect every relationship to be perfect. I
expect us to be open and honest with each other, and that's just to work through
things.
Mike Kelley: Yeah. And that honesty again, and just being able to, talk it
through and be able to tell people when it's not working, when it is working,
and look for the new solution.
Peter Vardaro: And give them the opportunity to correct course, If they're
willing to course correct, then let's be teammates. Let's do this. If you're not
willing to, because you don't think that you should have to learn the business,
I don't really have time for that.
Mike Kelley: Yeah. It's kind of harsh, but if you're not learning the business
anymore, then. No. Yeah.
Peter Vardaro: Yeah. In the world of AI, that is going to really radically
transform the way everyone does everything. I think it is more important than
ever for us to understand the core reason why do we do anything that should be,
your statement, every meeting we start needs to be, why are we here? Right. Stay
focused. What is it that we're doing? what problem are we trying to solve today
and stay on that track? if you have people who are not understanding the depths
of that, then they're not really fully engaged. They're just going to write code
and writing code is being simplified.
Mike Kelley: Yeah, very simplified. and writing many things like that
documentation. I wonder how radically different your life would be had you had
the tools that are available today back then. So talk to me a little about AI
and the influences into your world and are you seeing it on the frontend? Are
you dealing with it, trying to build it into the backend? How is AI affecting
you and what you do on a regular day?
Peter Vardaro: Yeah, absolutely. We've actually just started up with AI strategy
and governance team. and actually, the director who oversees that was one of my
BA's at one point. And I honestly, one of the proudest things was actually
having him move into that role. we're starting to look at the new things that we
can do with it. it's one of those things where we also have to be a bit cautious
and really like hone in on the governance because there is a protected health
information involved in some of these orders. So there are certain types of
orders that we can kind of already start implementing some AI around. So most
movable medical equipment will not have an attachment to a patient. Hardly ever.
But a bed and therapeutic surface, the bed and mattress and frame, all that
stuff that typically does get attached to a patient in a database standpoint. so
it's one of those things that we've been a little bit cautious about making sure
that all of the tools are compliant because you have to make sure the entire
chain of command through that's holding that data has to be encrypted at rest in
transit all the way through. So every tool that you use in between has to be
okay. So we're getting to those initiatives. a lot of times AI is very
beneficial for us on the problems that everybody has. Logistics problems. How
many parts should I order? I have this many preventive maintenance things coming
up. So we get to plug it in for things like that. That's very helpful. but we're
looking to really solve bigger and bigger problems with it.
Mike Kelley: Yeah. Like trying to have it or feeding it the flu data and letting
it help solve some of these things or just trying to train that model and work
with that. But then again, PII and HIPAA have to be careful.
Peter Vardaro: You can let it make recommendations, right? But you have to still
have a human driving it.
Mike Kelley: Yeah. I keep seeing it now h I t l human in the loop. And then I
started to see human on the loop where they're watching it versus it being in
there and interacting with it. And, so how many AIs are being forced upon you
compared to AI that you're implementing? Because that's, been kind of a
discussion too. the third party.
Peter Vardaro: I don't think that anything is really forced on us. I think my
organization has been really curious to see what we can do with it. So I have a
lot of people excited, and we're kind of trying a little bit with everything,
some of what we're doing, like I mentioned, some of the platform we work on is
ServiceNow. So we're using some of their native, AI tools as well to try it
through that just because it kind of also simplifies things when you have less
integrations to work with. That also is nice to not have to troubleshoot that.
so we're definitely doing a big chunk with that. and then building a few things
called Gemini chat.
Mike Kelley: Okay. How are you guys trying to control that and keep people from
just grabbing or using the public models.
Peter Vardaro: So what we started to do, and this is really I'll have to see if
I can get John introduced to you guys because he's doing a phenomenal job with
this. he is actually helped work with infrastructure to see who's using it. And
then he just gave them licensing because you know, they're going to use it, give
them the, our licensing to make sure that they're using the right version.
Mike Kelley: Right version. And then does that give you guys the administrative
control to make sure that it's not training public models and all of those
pieces? Okay.
Peter Vardaro: Yeah. So now it's not, like, shame on you for using AI. It's,
hey, saw you were going to use AI. Let's get you working collaboratively with
us.
Mike Kelley: Yeah. work with us and let us pay for it. Yeah. You just go do.
Alright, so I had a conversation with somebody a little earlier today and we
were talking about vibe coding. What are you running into in that world? Because
I keep hearing that one being, double edged sword or dagger or.
Peter Vardaro: There are some dangerous points with it because if someone
doesn't understand what their vibe coding is probably just going to be a proof
of concept does not necessarily have the ability to scale because now more of
the pure infrastructure things, right? So a lot of times you end up with
something that someone thought of actually a pretty good workflow, right? But
and then you get into it and underneath the surface, the technologies that are
used are not going to work the same way. I keep thinking about even, scalability
is one of those things that comes up, when humans write it, when computer writes
it, right, it's going to be if I use, say, something like Azure sync, which
doesn't give you a lot of control over the data that syncs across versus I use
an API sync that has a lot more control. There's a clear difference in
scalability, one gets implemented a lot faster than the other. So if you're vibe
coding, a lot of times speed is your goal and it's going to be reflected in that
and the technology underneath. it absolutely has, some challenges there. And you
do have to try to work collaboratively with the business because if they're
happy to see this, you have to realize there's something that they like in it.
So you can take that as a proof of concept, but then you still have to build it
into an enterprise tool.
Mike Kelley: Yeah, I was going to bring that up, individual product versus an
enterprise product. So you got to take that individual product that they've
created or coded or that concept that they came up with, and then start to turn
it into an enterprise solution.
Peter Vardaro: Absolutely. But it's great. Almost like a wireframe, if you think
about it. Right? A user is trying to understand what can I get out of my brain
to give to you that this is exactly what I want. The flow. They vibe code it.
They give you a wireframe. This is what I want to have a button here. I want to
click here. I want it to bring me here. And this is what all I want the app to
do. Well that's great. Wireframing. Now that makes it a lot easier to
communicate to a development team. All right, let's build this. But let's put
some best practices in it.
Mike Kelley: Yeah. And not only the wireframe, but it also helps them being the
business user, communicate in or translate their ideas into something that those
coders can use. Yeah, yeah.
Peter Vardaro: There's always this communication gap that you're trying to
resolve between what somebody has in their head and what they can't put down,
and the repeatable processes that you might have in your head. And also the
other things that the business is trying to accomplish simultaneously. So you
want to fit all that stuff together at the same time. And the better of an image
you have, the faster you can get there.
Mike Kelley: Yeah. So true. What other lessons do you want to impart to our
peers that are listening to us and or those that are listening, trying to move
forward; scalability values, not where you think it is?
Peter Vardaro: Yeah, I, think that a lot of things is just, the human aspect of
it. Listen more than you talk where you can, guide people with, kindness and
humility and all that stuff will always pay off. It doesn't matter what it is
that's going on. Be kind and it'll pay act.
Mike Kelley: That's an awesome thought. I really like that. because in all
honesty, I try to follow those ideals myself. so the question that I warned you
about earlier, what do you think we'll be talking about in eighteen months that
we haven't been talking about now?
Peter Vardaro: So, I think that we're going to have a need for more humans. I
think that that's actually going to be the surprising thing. as much as this
stuff is really cool, we're going to realize that some of it needs to be a
little bit more human. And I see that some of that is also coming true in what
is starting to be built. They're talking about Claude watermarking, its work
because we need to know what's human generated, and we're going to put value
differently on the things that are human generated. We're going to want things
that are human generated and other aspects of our life. Not really so much the
tech industry, right. It's going to be more so that we're going to value these
human to human, conversations and relationships. And, I think that that's going
to be a big deal. I think that, we're going to see a few different waves of what
happens with AI that, people will panic, things will subside, they'll panic
again, that'll happen. That's going to be a natural wave and progression. But I
think more than ever, eventually we're going to say, I really miss talking to
people the same way that we used to.
Mike Kelley: Yeah. very interesting talk and the wave analogy, because in my
mind, I was thinking the same thing, the tsunami of oh comes through, wipes
everything out. All of these people get taken out of customer service and being
the human interacting with people. And then right now we're in that point where
everything's rescinding back in and now they're starting to hire people back.
So, very interesting thought.
Peter Vardaro: I think actually one of my favorite use cases is, Ikea that
reduce so much of their customer service team with AI and just repurpose them
into kitchen designers. That opened up a brand new vertical for them. So they
expanded everything, their entire business by shifting customer service
representatives into a much more valuable, teammate.
Mike Kelley: And you know what? I haven't followed that story. Have they needed
to bring any of their customer service people back yet?
Peter Vardaro: Or I think that's working pretty well when it's targeted. Because
if you've got someone who says, this is my order number and these are the parts
that I needed, I think that works pretty well. And you can have that kind of do
that type of work. Absolutely. And now you can have a human being who isn't just
looking at a manual, looking things up and would you previously think is lower
value work? And now they can do something like put the creativity into kitchen
design. So I love that we can shift people into new verticals altogether. And
then you realize you need more people in this.
Mike Kelley: Yeah. And you kind of hit your circle on, we need more people.
Well, I have enjoyed this conversation. I hope you enjoyed it as well. I hope
our listeners enjoyed it, and remember to drop us a, like, listen to them some
more and join the community youvebeenheard.com. Peter, I appreciate the
conversation and the sharing of your experience, your honesty and your wisdom.
thank you so much for your time today.
Peter Vardaro: Thank you Mike. This was a lot of fun. I really appreciate you so
much. This was great.
451-Peter Vardaro
Host: Mike Kelley
Guest: Peter Vaedaro

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