Field Notes
Jul 10, 2026
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1 min read
Most governance lives in a binder. Six shifts thatmake it live at the bedside.
Jul 9, 2026
They promised 10-80-10. Clinicians are living50-10-40. The load did not disappear. It movedrooms.
Jul 8, 2026
Five Signs Someone Else Wrote Your AI Strategy:And the board approved it. The strategy exists.The ownership does not.
Jul 7, 2026
No Return Address: A decision that moves without a named ownerreaches the patient with no return address.
Jul 6, 2026
Is it governed?" gets you a smile. It nevergets you a name.
Jul 2, 2026
She Approved It Perfectly. TheSeat Was Empty.
Accountability
+4
Jul 1, 2026
2 min read
The Five-Step Clinical AI Accountability Audit.
Jun 30, 2026
The Booth Nobody Stands In. The Data LayerNobody Governs.
