Notes from the AI Governance Practice

Field-tested writing on AI governance, Fractional Chief AI Officer leadership, and workforce adoption inside healthcare and insurance.

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The Governance Playbook Your Health System Was Probably Going to Write Anyway

The Governance Playbook Your Health System Was Probably Going to Write Anyway A CMIO I was talking to a few weeks back shared something with me that I keep thinking...

The Floor Is Rising In Revenue Cycle, And Most Hospitals Are Still Looking At The Ceiling

The Floor Is Rising In Revenue Cycle, And Most Hospitals Are Still Looking At The Ceiling I had a conversation last week with a healthcare leader who asked me a very...

AI in Healthcare Has an Equity Problem, and Most Leaders Are Not Talking About It

AI in Healthcare Has an Equity Problem, and Most Leaders Are Not Talking About It ## The conversation we are not really having When health systems talk about AI right...

Your AI Problem Isn’t the AI. It’s That People Stopped Trusting Each Other.

I’ve been paying close attention To something that keeps showing up in conversations I have with leaders and decision makers, especially in the healthcare field. They...

Your Team’s AI Confidence Just Dropped. That’s Exactly What Should Happen.

Last month, I sat across a decision-maker… Who’d just rolled out an AI-powered workflow to the entire department. Adoption was up just three months in...

The Rise of AI Pretenders (And Why It’s Actually a Sign of Growth)

“We have an AI strategy” In 2026, more than ever, every single leader is expected to say exactly this. Boards and investors demand and reward it, and teams...

Shadow AI Risks in Higher Education Start When Leaders Look Away

I’m in a master’s program with a focus in AI… But, during my experience, most instructors don’t even acknowledge AI use in class.  They may offer...

AI Loneliness (And Why “Efficiency” Is The Problem)

I visited an office last week… A successful, thriving company, and I noticed something that worried me. It wasn’t the noise. It was the silence (and, no, not...

The Rise of AI Imposter Syndrome (And Why It’s a Good Sign)

I have two Master’s… One in Digital Transformation Leadership and another one in Cyberpsychology. I also have my own company dedicated to helping...