Kathie Philippou, with 40 years in practice management, shared her journey from a cinder block office to a digitized healthcare system. She detailed the transition from manual ledger systems to electronic medical records (EMRs) and practice management systems, highlighting the challenges and benefits. Philippou discussed the increasing importance of cybersecurity, driven by government mandates like MIPS, and the financial burden on practices. She emphasized the need for continuous education, compliance, and robust IT support. Philippou also noted the fragmentation of EMR systems and the ongoing struggle to balance costs and regulatory requirements in maintaining independent practices.