A Field Series
Perspectives
Field essays on the operational layer of healthcare. Biweekly, on infrastructure-first AI, public health practice, and the conversations the trade press doesn’t cover.
The Layer Beneath the Model: A 3-Arc Framework
Most AI pilots in health systems fail not at the model layer but at the infrastructure layer beneath it. After a decade implementing across the largest integrated health system and a top academic medical center, a framework for the connectivity problem we keep trying to solve with models.
Read the essayThe Workhorse Use Case: Why Prevention Screening Is the Cleanest AI Opportunity Nobody Is Building For
Prevention screening has the most evidence, the clearest workflow, the highest patient impact, and the most measurable outcome. And it’s barely getting a slide at the conference. Why the field is chasing diagnosis when the leverage is upstream.