Luther Cale, Vice President of Clinical Programs at Healthstream, the leading healthcare talent management and clinical readiness solution, talks with Tom about how he enjoys living in Ecuador and raising his daughter there. Luther has been working from other countries for over 15 years. He tells us when it's important to be back in the office and when it's better to be remote. Tom talks about the difficulty of building political capital in a remote work environment.  Luther tells how hybrid work works best. Tom and Luther talk about using virtual reality technology in CPR training with the American Red Cross. Tom and Luther talk about the opportunity and difficulty of using all the data virtual reality collects to show learning results. Luther discusses how data needs to be managed and protected to prevent misuse. Tom and Luther discuss the management of innovation councils. Tom and Luther talk about the strategy of loss leaders. Tom asks what Luther would do differently if he could restart career. Tom and Luther discuss selling into hospitals and whether saving lives is in the economic interest of a hospital. Luther shares his hope that healthcare can become more about remaining healthy than recovering from being sick.