Position: Former General Manager, Collective Medical Technologies (acquired by PointClickCare)
Current Title: CEO, Castlemark Consulting
Previous Roles: VP of Professional Services at Orion Health; VP of Managed Services at Axway; Managing Consultant at Software Architects, Inc.; Programmer Analyst, City of Arlington
Location: Lake Bonham, TX

Summary: Kary Nulisch was originally positioned as the key executive overseeing Collective Medical Technologies’ relationship with the Illinois Department of Healthcare and Family Services (HFS) under the HealthChoice Illinois ADT Health Information Exchange initiative. His involvement is notable not only for what was delivered, but also for what was deliberately withheld.

Kary came from a long legacy of hands-on system deployment work, reminiscent of how Dana's own father worked down in the trenches within the long-term care industry, bringing technology into facilities for surveillance, reimbursement optimization, and administrative control. Kary represented that same "down in the weeds" strategy—only this time, the goal was to quietly extract sensitive data while impeding the transparency, accountability, and functionality that were contractually required.

Tactics and Patterns: Despite being the lead on a multimillion-dollar federally funded contract, Kary resisted full implementation and transparency at every stage. He:

Delayed data field sharing and limited early HL7 message support
Created bottlenecks around access and availability of streaming data
Operated with a lack of urgency and accountability, stalling progress despite clear contractual requirements
Enabled a vendor culture of compliance avoidance while still extracting value for private stakeholders

Dana Wilson, the program lead on the state side, was forced to learn HL7 streaming protocols and systems integration workflows on her own in order to even understand what was being done incorrectly. Rather than collaborating, Kary's team initially withheld nearly all data points, then incrementally opened limited fields—only after repeated escalations.

Once PointClickCare acquired Collective Medical Technologies, Kary left the organization. Leadership then transferred to a series of unstable handoffs: one leader undergoing cancer treatment and another (Heidi Ferré) who was fired before completion of the contract’s primary implementation phases.

Concerns: Kary’s role demonstrates a pattern of strategic stalling used to exploit state funding and federal waivers without ever delivering full value to the public. This form of "compliance theater" enabled the state to claim the existence of an operational Health Information Exchange while preventing true interoperability, analysis, or systemic improvement. Instead, it preserved profit margins for long-term care providers, insurers, and back-end analytic firms.

Connections:

Possible ties to Dana Wilson's father via shared strategy patterns in long-term care tech rollouts
Associated indirectly with Kati Hinshaw and Deepak Dhankher through the vendor-state revolving door
Core player in why the HIE project, though nominally "active," remained fundamentally dysfunctional

Conclusion: Kary Nulisch’s tenure marks the start of the institutionalized sabotage within the Illinois HealthChoice Illinois ADT initiative. His actions embody the archetype of a public-private partner exploiting trust, minimizing delivery, and exiting before accountability can be enforced. The downstream effects still impact data integrity, care coordination, and patient protection across Illinois today.

from:Brian Glubok <brianglubok@gmail.com>to:"consciouscreationiam@gmail.com" <consciouscreationiam@gmail.com>
date:Apr 17, 2024, 9:14 AMsubject:Amazing to Meet You

Hi Dana,

I want to constantly emphasize how amazing it is to have met you this morning. Lately I am resonating at a higher frequency than I am used to and your aura and positive energy is immediately apparent to me.

Recently an ethereal acquaintance asserted and emphasized to me in correspondence that I was a light-spreader - I was thrilled to hear it, though not that aware of it. I do what I can, yes - the world has been good to me and I try not to play the "victim card" too much - despite my comedic riff on the subject this morning with you in the parking lot at Discovery. And I am somewhat famous / notorious for "speaking truth to power" - but that doesn't automatically make me a "light-spreader". So I was kind of flattered to hear it.

*****

I looked at your web-site - Amazing! You are a very gifted person, and you are no doubt helping many others (me included, now). Please continue to do that.

Leaving Discovery this morning, I heard two guys in the parking lot discussing how there's a Grateful Dead Night Friday at the Cardinals game in St. Louis - I attended that event once before there, in 2022 - I do love that band (or a good cover band performing their songs).'

Closer to home, I'll invite you for coffee or a meal (no alcohol!) for tomorrow night at Boone's - if you can't make it tomorrow, we'll look for another time - I can try to find out when they have their Open Mic Night there, that is always an especially good time to visit.

A couple more notes, than an executive summary:

1) Brian Glubok is my legal name, and my "Bridge Playing" name - Sean Silverman is my "painting name",, and the name I prefer to go by in Springfield.

2) I recently (around a month ago) launched my "Bridge Agency", and also began writing (and posting) a blog on my life in bridge (also chronicled on Wikipedia) - since I saw you earlier today I wrote #37 this morning, I mentioned our encounter there.

3) I will make it a high priority that I treat you with respect and deference - you are an amazing and talented woman, and I am especially impressed that you are sophisticated about the toxic jabs - that you have used artistic means like the book you described to resist that and perhaps save some lives - that is more amazing still.

So while I will make every effort not to crowd you, I do want to acknowledge - you are a very attractive and gifted woman, and I am a single guy, looking hard for a suitable partner. IThis will not surprise you, certainly you are no stranger to male attention, but even so, I don't want you to have to guess lor wonder about that.

That said, I am open to any sort of friendship or casual acquaintanceship with you - I am a painter (as well as a writer and world-renown bridge player) so I was especially struck by the quality of your art.

Sorry this note ran so long - main point:

It was great to meet you this morning!

Your Friend,

Sean Brian