Sunk Cost, Vendor Lock, and the AI Tools Health Systems Can't Let Go Of

Most clinical AI governance frameworks tell you how to evaluate tools before you deploy them. Nobody talks about how to exit a tool that is not working. In this episode, Dr. Sarah Matt walks through the anatomy of sunk cost bias in health system AI: how it starts (month four or five, mixed performance data, a vendor who keeps resetting the clock), how experienced vendor account teams use it to extend bad contracts, and how to build exit criteria into your governance framework before you ever go live. What you will take away from this episode: - Why sunk cost bias in vendor relationships is a governance failure, not a behavioral one - How vendors use remediation roadmaps to reset your evaluation clock - What a real clinical AI exit criterion looks like: specific, measurable, time-bound, established before go-live - How to execute a clean exit without losing six months to organizational politics - Why the cost of staying with a bad tool grows geometrically—Resources & Links:📖 Get the Book: "The Borderless Healthcare Revolution" is available now on Amazon and major retailers.💼 Work with Dr. Matt:Looking for a keynote speaker or strategic advisor?Visit: drsarahmatt.com🔗 Connect on Social:LinkedIn: https://www.linkedin.com/in/sarahmattmd/YouTube: https://www.youtube.com/@DrSarahMatt-ClinicalRealist📧 Subscribe to The Briefing: drsarahmatt.com/newsletter-signup —Disclaimer:The views expressed on this podcast are those of Dr. Sarah Matt and her guests. They do not necessarily reflect the official policy or position of any affiliated institutions. This content is for informational and educational purposes only and does not constitute medical advice or a professional consulting relationship.