ICT EP 2.8: The Cost of Fragmented Enrollment Ownership And Why Leadership Must Step In

In this episode, Liam and Ted unpack why enrollment behaves more like an operating system rather than a standalone process. They explore the question of ownership, the role sponsors play through protocol design, and how operational practices, healthcare realities, and human behavior all influence who ultimately makes it into a study.The conversation moves through multiple lenses from eligibility criteria and healthcare documentation to behavioral science, site motivation, patient experience, and operational execution, highlighting why small decisions made early can have outsized effects later.Tune in to explore why improving enrollment starts with rethinking how the system is built.