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Aidoc Staff

Measuring True Readiness for Clinical AI in Health Systems

While many health systems are eager to embrace AI, achieving scalable, impactful and lasting integration requires careful preparation and a clear, strategic approach. 

Becoming an AI-ready facility involves more than just investing in technology; it requires a strategic approach that ensures the organization is set up to support lasting change and achieve meaningful outcomes. AI readiness includes evaluating change management structures and equipping the organization to successfully implement initiatives that drive real, measurable impact over time.

Preparing for AI means positioning your health system to fully realize its benefits – enhancing workflows and improving patient outcomes, two of the key promises of AI’s transformative potential in healthcare

AI readiness is like training for a marathon. Many health systems are eager to lace up and start the journey, but true readiness requires more than enthusiasm and a budget. Just as a marathon runner needs a tailored training plan, balancing endurance, nutrition, mental strength and recovery, a health system needs a strategic foundation. Without scalable infrastructure and effective change management, even the most prepared organizations can struggle to go the distance.

A Comprehensive View on Readiness

The traditional view of AI adoption (all but skipping AI readiness) often overlooks the dynamic interplay of technology, people and processes. However, by reframing our understanding of what it means to be “AI ready,” we can unlock the potential of these technologies. 

Here are a few areas of consideration that can guide a health system in being AI ready and thus effectively integrating AI into their operations:

Embrace an Outcome-Centric Mindset

When it comes to AI, health systems need to shift from a tech-centric focus to an outcome-centric focus. Coming from an AI vendor that might sound counterintuitive, but instead of asking “What’s our AI strategy?” consider: “How can AI best be leveraged to improve patient care and operational efficiency?” Just as you wouldn’t have a software strategy in isolation, AI should be viewed as a powerful tool within a broader growth strategy. 

In working with more than 1,200 health systems on clinical AI integration, here are a few consistent themes from AI-ready health systems: 

  • Fostering Continuous Learning: Ongoing training and professional development related to AI technologies for relevant staff is highly encouraged.
  • Cultivating Cross-Functional Teams: Teams that include clinicians, IT professionals and administrative staff are established to enhance communication and collaboration during transitions.
  • Thorough Change Management Planning: Roles and responsibilities are clearly outlined, showing a readiness to navigate the complexities of AI integration more easily. 

By embracing these strategies, health systems can ensure they remain adaptable and AI-ready to leverage its potential to the fullest. 

Laying the Foundation: Preparing for Scalable AI Integration

Many health systems fail to reap the full benefits of AI because they treat it as a one-off solution without planning for scalability across the organization. Surprisingly, data reveals that up to 80% of AI projects fail to deliver due to poor planning and lack of scalability frameworks. In other words, AI cannot be viewed as a patchwork solution; it needs to integrate deeply into a health system, scaling across departments and adapting as patient care needs evolve.

Health systems that succeed think about scalability from day one as part of their AI readiness preparations. A strategic, scalable AI integration allows for expansion across departments without constant re-evaluation. Instead, AI becomes part of the organization’s fabric, ready to evolve and tackle future challenges. 

Building on the Basics: Effective Change Management in AI Readiness

Traditionally, healthcare has been organized into silos of service lines, each focused on specific aspects of care. However, AI introduces the capability for real-time collaboration across these silos, enabling a unified, patient-centered approach. This shift challenges established norms and compels organizations to rethink their workflows and structures to harness the full potential of AI-driven care. Health systems should focus on the following core ideas when thinking of readiness: 

  1. Leadership: Successful AI integration requires strong leadership, but not just at the CEO level. Clinical AI Champions, for example, play a pivotal role, guiding AI strategy and execution across service lines. These champions deeply understand AI in healthcare, advocate for its strategic value and coordinate across departments. Department Chairs and Vice Chairs, particularly in high-impact areas like radiology, are crucial in driving AI adoption within their service lines, building business cases and ensuring clinical support for the initiative. IT leaders, such as the Chief Innovation Officer (CIO) or Chief Digital Officer (CDO), are also essential, overseeing AI’s digital integration and ensuring alignment with enterprise goals. CIOs have increasingly moved toward adopting enterprise-wide AI strategies to reduce redundancy and drive systemic transformation. 
  2. Governance: While only 16% of health systems have an enterprise-wide governance policy “specifically intended to address AI usage and data access,” a study from McKinsey has found that “there are several elements of governance that can help in scaling […] AI use responsibly.” In short: a clear AI governance structure is essential. While creating governance around your clinical AI initiatives may sound daunting, the good news is that you can leverage existing governance committees. This can help you streamline decision-making while allowing for smoother integration. Read more about that here. 
  3. People and Processes: It’s not just about having the right technology–it’s about the people and processes that enable AI to thrive. Successful AI implementation in health systems relies on the collaboration of multidisciplinary teams, including clinicians, IT specialists and even data scientists. Change management is essential for guiding these teams through the cultural shifts required for AI adoption, minimizing disruptions and improving performance. Engaging clinician end-users early ensures their insights inform the integration process, building trust and addressing concerns proactively. Strategies like empowering champions, promoting transparency and providing ongoing education are crucial for embedding change management into AI governance. 
  4. Scalable Outcomes: AI isn’t just about improving clinical outcomes; it’s about ensuring those improvements can scale across the system. Health systems that address scalability as part of their AI readiness initiatives are primed to rapidly evolve AI alongside their health system’s needs. As Tim Calahan, MS, MBA, DBA, CTO at Michigan Medicine put it: “If you have to go get a tool every time, all of us do it yourselfers, we know how long it takes to go to Home Depot because you forgot a screwdriver. [But] if it’s already in the toolbox, it’s that much quicker to implement.” 

The Finish Line: Sustaining Momentum

Achieving initial milestones in AI readiness and implementation is crucial, but sustaining momentum is where the real challenge lies. Health systems must cultivate an environment that embraces continuous learning and adaptation.

This involves regularly reassessing AI strategies and outcomes, ensuring that systems are not just functional but continually optimized. Engaging staff in ongoing training and fostering a culture of innovation will empower them to leverage tools effectively, just as seasoned marathon runners refine their training methods to improve performance. When systems embrace this mindset, they can ensure that AI becomes an enduring asset, driving long-term value rather than a fleeting initiative with low engagement. 

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Aidoc Staff