『Trust Debt: The Bill Comes Due at Renewal, with Arvita Tripati』のカバーアート

Trust Debt: The Bill Comes Due at Renewal, with Arvita Tripati

Trust Debt: The Bill Comes Due at Renewal, with Arvita Tripati

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【Amazonプライム会員限定】今ならプレミアムプランが4か月 月額99円。

10月19日まで。※適用条件あり
Somewhere in your organization there is an AI tool in year two of its contract, performing worse than the day you signed. The model did not change. Your patients did. Arvita Tripati calls what accumulates in that gap trust debt, and she has watched it accrue from three different chairs. She spent nearly two decades bringing regulated products to market across digital health, medtech, diagnostics, clinical research, and AI. She ran product and quality, so she was accountable for what happened after a health system said yes. She ran security as a CISO, so she was the person who killed deals that had already been promised to a board. Her deployment work includes rolling KardiaMobile out across all fifteen NHS Academic Health Science Networks, plus vendor implementations at Memorial Sloan Kettering, Cleveland Clinic, and Mayo. In this episode of The Clinical Realist, Dr. Sarah Matt and Arvita Tripati work through three things buyers do to themselves. Nobody owns drift for their own population, because clinical ops assumes the vendor is monitoring and the vendor is monitoring, just not against that health system's patients. The pilot runs on enthusiasts who absorb an implementation burden ordinary staff will not, so it proves something the contract cannot rely on. And security arrives late, after the organization is already committed, which turns review into a waiver conversation instead of a go or no-go. What you will take away: - What trust debt is, in one sentence you can say to a board - What a deployment that dies at renewal looks like at month three versus month fourteen, and the tell a COO could have caught at month six - Why enthusiast-staffed pilots systematically mislead the contract that follows them - What changes when security reviews before the commitment instead of after - The question to ask about population drift before you sign, not at renewal Vahana Labs: https://vahanalabs.ai Book a Discovery and Clarity Session: https://calendly.com/sarahmattmd Subscribe to The Sarah Matt Briefing: https://drsarahmatt.com/newsletter-signup

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Resources & Links:

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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.

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