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Beyond the Pitch: Lessons from HIMSS on AI, Governance and Leadership

The Healthcare Information and Management Systems Society (HIMSS) annual conference always brings forward valuable conversations, but this year’s event stood out for the depth of executive engagement and the evolving expectations around AI in healthcare. It’s clear that the industry is moving beyond technology alone. Leaders want solutions that don’t just check a box but drive real impact at scale.

One conversation that stood out was with a leader from a large health system. He was candid — he had been avoiding conversations with us. Not out of disinterest but because he saw the complexity in making AI a reality at his facility. 

When we talked about radiology solutions, he nodded along. But as the discussion expanded to multidisciplinary teams, the challenges became even more apparent. This would introduce new layers of complexity that would require significant coordination across departments.

This is where the conversation took a turn. Rather than only emphasizing technology, the focus shifted to transparency, governance and regulatory alignment. 

Healthcare organizations are seeking partners who understand not just the potential of AI but also the challenges in adoptionpartners who can engage with regulatory structures and ensure AI is implemented in a compliant, clinically meaningful way. That broader perspective sparked deeper reflection during our conversations with leaders, underscoring their need for AI strategies and experienced thought partners that align with their operational realities and patient care priorities.

Throughout the conference, the most engaging conversations weren’t about product features but about how AI transitions from a “vendor product” to an enterprise-wide strategy. The expectation is shifting. Vendors that take a consultative approach, helping organizations navigate governance, change management and education alongside technology implementation, are seen as far more valuable partners.

Another major takeaway? The foundation model discussion is gaining traction. Some leaders wanted to dive deep, while others were exploring the implications. The fundamental question remained the same: “What does this mean for me?” While the approach is still maturing, the curiosity is there, and it’s clear that organizations want more than just AI — they want guidance on how to implement and scale it effectively.

HIMSS reaffirmed that the industry is in transition. AI isn’t new, but the way healthcare leaders engage with it is evolving. The expectation is no longer just about finding a vendor; it’s about finding a true partner who can help navigate the complexities of AI adoption. Organizations that recognize this shift and build collaborative relationships with their AI partners will be the ones that lead the way forward.

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Demetri Giannikopoulos
Demetri Giannikopoulos brings expertise in healthcare technology implementation, clinical workflow and care coordination optimization, and interdisciplinary team development to his role as Chief Transformation Officer at Aidoc. Over two decades in the field of healthcare technology have shaped his highly collaborative and creative approach. He's active in the healthcare community and has served as an industry and patient representative on committees, boards and councils. These include the Coalition for Imaging & Bioengineering Research (CIBR) Executive Steering Committee (2018-2020), American Board of Artificial Intelligence in Radiology (ABAIR), American College of Radiology (ACR) Patient and Family Advisory Council and the ACR Committee on Appropriateness Criteria. He also serves as a Patient-Centered Outcomes Research Institute (PCORI) Ambassador. Giannikopoulos draws on his technical background in computer science as well as professional and personal experiences as he works with the Aidoc team and partners to optimize care pathways. He graduated cum laude with a bachelor's degree in computer science from Florida State University.
Demetri Giannikopoulos
Chief Transformation Officer