
The 90% Problem: Why Clinical AI Pilots Don't Scale
You ran the pilot. The AI worked. The clinicians loved it. The outcomes were solid. Then you tried to roll it out system-wide and it fell apart. This is the 90% problem, and it is not a technology problem. It is an adoption problem. In this episode, Dr. Sarah Matt breaks down why pilot success is the wrong measure for scaling readiness, the four structural gaps that separate a winning pilot from a failed implementation, what clinical governance actually needs to look like before you scale, and the decision architecture that separates health systems that scale AI from the ones that do not…
The skinny
The skinny isn't ready yet — notes appear once the transcript is processed.