I MAKE
COMPLEX SYSTEMS
MOVE.
For more than 15 years, Georgina Dukes-Harris has worked inside the systems that shape how care reaches people, from hospitals and public programs to healthcare technology and community infrastructure.
Her work lives in the gap between a good idea and what it actually takes to make that idea work in the real world.
BETWEEN THE IDEA
AND THE IMPACT
IS THE WORK.
Georgina has built her career in the space where strategy becomes execution.
A policy can be brilliant on paper and fail in implementation. A technology can be sophisticated and fail because nobody trusts it. A healthcare program can be well funded and still miss the people it was designed to serve. A community can know exactly what it needs and still lack the power or infrastructure to make institutions respond.
Her work has consistently lived inside those gaps.
- Policy
- Operations
- Technology
- Community
- Implementation
The work is making the system move.
FIFTEEN YEARS.
FIVE ARENAS.
ONE THROUGHLINE.
Georgina's foundation was built inside healthcare institutions. Her early work exposed her to the realities of hospital operations, patient access, community health, population health, and the machinery required to move care through large organizations.
Her experience across academic medical centers and healthcare organizations gave her an operator's understanding of the system: how decisions get made, where implementation breaks, and why good intentions are rarely enough.
- Social determinants screening in Epic
Led the creation of a social determinants screening tool deployed within Duke University Health System to strengthen care management and support the shift from volume to value.
- Outpatient clinic for high-risk patients
Operational lead for a Duke outpatient clinic addressing social determinants to reduce readmissions and ED overuse among underinsured patients.
- Preventive cardiology strategy
Built the business plan for a Duke Preventive Cardiology Center focused on primary and secondary cardiovascular risk reduction.
- Population health outreach at MUSC
Established more than 70 community partnerships and coordinated FQHC pathways for uninsured patients as Population Health Outreach Coordinator.
- Practice redesign at HCA
Redesigned patient check-in workflows at HCA Physician Services and helped stand up a same-day-appointment call center serving Medicaid-expansion alternative patients.
Georgina's work expanded beyond individual healthcare institutions into the infrastructure connecting healthcare, government, and community organizations.
At Unite Us, she played a leadership role in the expansion and implementation of NCCARE360, North Carolina's statewide coordinated care network, across all 100 counties.
The work required more than technology. It required aligning health systems, government agencies, community organizations, payers, frontline workers, and residents around entirely new ways of working together. This chapter deepened her expertise in the hardest part of innovation: implementation at scale.
- Medicaid IT performance
Provided operational support for South Carolina's Medicaid Eligibility Determination System (MEDS) and Medicaid Management Information System (MMIS), and served as the technology and performance improvement liaison across application development, QA, and program support.
- NCCARE360 statewide expansion
Led community engagement and implementation work that helped bring NCCARE360 to all 100 North Carolina counties, connecting health systems, human-services agencies, payers, and community organizations on a shared coordination platform.
- Health-system Epic integrations
Onboarded WakeMed as North Carolina's second health-system Epic integration for NCCARE360, and supported additional health-system implementations across the state.
- COVID-19 rapid-response coordination
Helped design a statewide rapid-response workflow inside NCCARE360 that routed food, housing, income, and transportation support during the height of the pandemic.
- Medicaid transformation operationalization
Supported the operational rollout of Medicaid transformation efforts across Healthy Opportunities pilots, prepaid health plans, and commercial payers in North Carolina.
Throughout Georgina's career, community engagement has never been a final step in an implementation plan. It has been part of the infrastructure.
Her work has focused on what it takes to bring institutions and communities into genuine relationship, mobilize people around new models of care, and build programs alongside the people expected to use them.
She has worked across community health, social care, and workforce transformation, helping organizations translate strategy into participation. Her approach is rooted in a simple belief: community is not a stakeholder group to consult after the decisions have already been made.
- Community launches at scale
Directed one of the largest community launches for Unite Us, bringing more than 100 community-based organizations online with an active referral inside the first 24 hours.
- Statewide community presentations
Delivered more than 130 community presentations across North Carolina in a single year, translating a new coordination model to residents, providers, and government partners.
- Special-population focus groups
Built ongoing engagement structures with communities historically underserved by coordinated care, including HIV/AIDS communities, immigrant and refugee families, children and youth, and domestic-violence survivors.
- Health-equity policy work
Helped shape health-equity strategy across rural equity, maternal and child health, LGBTQIA+ communities, immigrant and refugee communities, and criminal-justice-involved populations.
Community trust is infrastructure.
Georgina entered healthcare technology because she saw how infrastructure could change what was possible at scale. Over time, her relationship with technology evolved. She moved from implementing technology to shaping products, and eventually to building them.
Through fellowships, hands-on experimentation, and the emergence of AI-assisted development tools, she has expanded her technical fluency and become an active participant in product creation. Her work now includes using modern AI-enabled tools to prototype, test, and build healthcare workflows alongside technical teams.
She is not a traditional software engineer. She is an operator with enough technical fluency to participate meaningfully in building, and enough context to know what is worth building.
- Epic workflow implementation
Led design of the social-determinants screening workflow inside Epic at Duke, and contributed to broader Epic-based workflows connecting clinical care with community resources.
- New technology evaluation
Created and ran a New Technology Process at Duke Heart that allowed clinicians to submit and receive funding for innovative technology proposals aimed at transforming care delivery.
- Product strategy at Unite Us
Helped shape product decisions inside Unite Us by translating community and special-population feedback into features prioritized by the product and social-care-integration teams.
- AI-enabled building
Uses modern AI-enabled tools including Lovable, Supabase, Vercel, and Claude Code to prototype and iterate on healthcare workflows alongside technical teams.
The distance between “I have an idea” and “I can build a version of it” has collapsed.
Swishvo is where the previous chapters converge. After years of working across healthcare systems, public infrastructure, community mobilization, and technology, Georgina kept encountering the same fundamental gap.
Some of the providers and forms of care communities trusted most remained structurally disconnected from the infrastructure healthcare uses to credential, document, reimburse, and measure care.
Georgina founded Swishvo to help close that gap. Today, Swishvo is building healthcare infrastructure designed to make trusted care visible, billable, and sustainable.
- Draws from healthcare operations
Built on lessons from hospital operations, service-line strategy, and patient-access redesign inside academic medical centers and community hospitals.
- Draws from Medicaid and public programs
Informed by hands-on work with Medicaid IT systems, statewide performance improvement, and Medicaid transformation implementation.
- Draws from community infrastructure
Shaped by leading statewide coordinated-care implementation and building trust with organizations closest to the people healthcare struggles to reach.
- Draws from technology and lived experience
Combines healthcare technology experience, an operator's product instincts, and Georgina's own lived experience navigating systems that were not built with her in mind.
THE NUMBERS
ARE NOT THE STORY.
- 15+
Across healthcare systems, technology, public infrastructure, and community care.
- 100
Statewide NCCARE360 expansion connecting healthcare and community care.
- 5
Health systems, public infrastructure, community, technology, and building Swishvo.
STRATEGY IS NOT
THE SAME AS EXECUTION.
- 01See the system
Understand how money, policy, technology, incentives, institutions, and people actually interact.
- 02Find the gap
Where is strategy breaking in real life? Where are people falling through? Where is trust missing?
- 03Build the bridge
Create the operating model, partnership, workflow, technology, team, or infrastructure required to connect the pieces.
- 04Move the people
No system changes unless people move with it. The work includes mobilizing teams, organizations, communities, and leaders around a shared direction.
STILL LEARNING.
- Rock Health Innovation Fellow
- Google AI Fellow
- Aspen Ideas Health Fellow
- Master of Health Administration
- MDiv Candidate
- Ordained Minister
THE WORK
IS STILL MOVING.
Today, Georgina is bringing the pieces together.
Healthcare operations. Public infrastructure. Community trust. Policy. Technology. Spiritual formation. Lived experience.
Swishvo is the company she is building now. But the larger work remains the same: building systems that make room for people healthcare has historically struggled to see.
SOME PROBLEMS
NEED MORE
THAN AN IDEA.
THEY NEED A BUILDER.
If you are building at the intersection of healthcare, technology, community, policy, or care, Georgina is interested in the conversations that move the work forward.