RN · Epic Super User · Clinical Success

Still building for the people I worked beside.

I left the bedside for health tech to fix the tools that fail clinicians — and build ones that make care more humane, for patients, staff, and providers. The same belief I carried on the floor, and the best tools I've ever gotten to build with.

15+ yrs RN Epic Super User Builds live BI dashboards Open to Clinical Success roles
Geoffrey Smith, RN, in the cardiac cath lab — lead vest stitched “Cath Lab Geoffrey Smith” Cardiac cath lab — the people I build for.
Bottom line up front

A rare hire: a clinician who ships production data pipelines — and the translator who turns them into decisions physicians actually act on. Health-tech teams lose weeks in the gap between the clinic and the codebase; I close it. Point me at the friction, and your team ships faster — with the floor already on board.

The bridge

I speak clinician, and I speak data.

Most healthcare teams have two groups who don't share a language: the clinicians who live the workflow, and the technologists who build the systems. I've spent fifteen years on the clinical side, so I can stand in the middle and carry meaning both ways.

In practice, that means taking the data a clinic already has — appointments, claims, chart exports — and turning it into a single page a physician can read in a minute: which patients to follow up with, and why. Building the chart is the easy part. Making it something a clinician actually uses, mid-shift, is the job.

The clinical years · beats 1–6

The years that taught me who I build for.

Six roles across fifteen years — each one a closer read on the clinicians, the workflows, and the data I work with now.

01
First floor
Rutland Regional Medical Center · RN · 2006–2008
protocol ↔ person
THE PROOF

Bedside fluency — learning to read the gap between protocol and the person in the bed.

02
The system
CHI / Baylor St. Luke's · RN, Epic Super User · 2008–2018
nurses ↔ Epic developers
THE PROOF

Resistant staff turned confident adopters; triage time under ten minutes.

03
Founder
Huduma Farm Hub, Zimbabwe · Owner / Operator · 2018–2021
clinicians ↔ cloud SaaS
THE PROOF

3 → 40 clinics in six months — proof the bridge instinct travels across contexts.

04
High-volume cath
Swedish (Seattle) → Mayo Clinic (Phoenix) · RN, Cath Lab · 2021–2024
clinical workflow ↔ Epic integration
THE PROOF

Charting friction down, retention up — at the highest volumes.

05
Safety & risk
Tucson Medical Center · Patient Safety & Risk · 2024–2025
frontline workflows ↔ surveillance systems
THE PROOF

40% lift in serious-event detection.

06
Clinical ops lead
Tohono O'odham Health Care · Lead Clinical Nurse · 2025
providers ↔ process improvement
THE PROOF

72% participation lift; 40% fewer safety events — adoption through trust.

The Pivotbeat 07 · late 2025 – present

The deliberate turn — already underway.

This isn't a plan; it's what I do now. At a virtual cardiac-rehab company, I manage medical-group partnerships, build the dashboards leaders actually use, and wire in AI to cut the busywork — putting fifteen years of knowing how clinicians work to use on the other side of the screen. By choice, not drift.

clinical perception ↔ executive direction

Building the data pipeline

I build the whole thing end to end: pull the raw data, clean it with rules that flag errors instead of hiding them, match each record to the right provider, and turn it into a finished, shareable report — checked so the numbers hold up.

The differentiator

Turning data into a decision

The report doesn't just show numbers — it tells each physician the one patient to follow up with next, and why. One clear next step per provider, in plain language they can act on between cases.

Built to protect patients

Real patient data demands care. I keep identifying details out, show only the minimum needed, and design every report so privacy is the default — not an afterthought.

Clarity from chaos

Where the arc lands.

Few turn a warehouse into a humane executive story a cardiologist will act on. Here is one.

Portfolio sample · fictional client · no PHI Six-Month Program Review sample deliverable
Six-Month Program Review
Generic reconstruction · fictional client · illustrative figures
Open full sample
Live · fictional sample · no PHI
Six-Month Program Review — live
The full scorecard, rebuilt as an interactive Tableau dashboard · illustrative figures
Open in Tableau
Live · interactive
Real-Time Wearable Biometric Analysis
Live Tableau Public dashboard · hover and explore it
Open in Tableau
Open source · on GitHub

The most dangerous minutes of a hospital day are the ones where one nurse hands a patient to another. clinical-llm-evals tests how safely LLMs write that handoff: five clinician-authored cardiac scenarios, a rubric where fabrication is a scored penalty, blinded human scoring, and a clinician-review gate enforced in code.

First published results: my blinded scoring found chart-unsupported claims in 7 of 10 frontier-model handoffs. An LLM judge applying my exact rubric caught 1 of the 7 — the failure mode that matters most clinically is the one automated grading missed.

clinical-llm-evals
LLM evaluation harness for nursing handoffs · Python · results published July 2026
View on GitHub
Evidence
Epic Super User15+ YEARS
BSN4.0 GPA
Tableau · SQL · MetabaseBI STACK
AI certifications Asana Foundations certification Oracle Cloud Infrastructure AI Foundations Associate 2025
Charles "Geoffrey" Smith

Let's build something your clinicians will actually use.

You've seen the work — and the fifteen years behind it. I'm the bridge between clinical reality and health-tech growth: the person who makes the software land on the floor. If that's the gap your team keeps hitting, let's talk.

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Learn anything, one voice at a time.

Rounds turns your AI into a learning steward — it archives what you're following, synthesizes where it stands, researches every unfamiliar concept into a brief you can trust, and quizzes you on a spaced cycle until it's actually yours. Answer three questions and leave with a working skill. Nothing to install, nothing leaves the page.