At AVIA Network Summit 2025, we introduced sludge, the unnecessary documentation and operational friction that undermines workforce satisfaction and patient experience.

We also debuted the 100 Million Hour Challenge, aligned with the Zero Documentation Nexus Collaborative that was co-developed with 10 leading health system CFOs and COOs to eliminate non-value-added work at scale. This Nexus Collaborative was shaped alongside operational leaders, including Joe Moscola, former EVP of Strategy & Operations at Northwell Health and AVIA Advisor, and Richa Gupta, former COO of Rush Medical Group and AVIA Advisor.

Watch the session to learn how health systems can identify, measure, and eliminate sludge and reclaim time where it matters most.

Speakers:
– Sonia Singh, Executive Advisor, AVIA
– Clay Holderman, CEO, AVIA
– Richa Gupta, Former COO, Rush Medical Group; AVIA Advisor
– Joe Moscola, Former EVP Strategy & Operations, Northwell Health; AVIA Advisor