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. What you will take away: - Why measuring tool accuracy in a pilot tells you almost nothing about system-wide adoption - The four governance elements that must exist before any rollout decision - How to build the decision architecture before the pilot ends, not after implementation fails - The question health system leaders should be asking before they even design the pilot Website: https://drsarahmatt.com | Book a conversation: https://calendly.com/sarahmattmd | LinkedIn: https://www.linkedin.com/in/sarahmattmd/—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.