Temitayo Bewaji @drtemib
Physician, entrepreneur, loves God, family, sports, music and tech. bewajihealth.com Jamaica Joined November 2013-
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AI is already running in your clinic. The question is whether you have guardrails,or not. No rollback criteria = no control. No audit thresholds = no accountability. "Bold" without governance isn't bold. It's just unaware.
A $10M threshold shaped 800 procurement decisions at UHWI. The legal limit was $1.5M. No memo. No author. No date. Someone made a call. It became practice. Practice became policy. If you can't source a rule in 10 minutes, it's drift.
AI will get it wrong. That's not a flaw,it's a fact. Before go-live, define: → When to pause the tool → What triggers manual review → How to shut it down without breaking everything else Governance before deployment. Not after the incident.
Your AI governance chair shouldn't be the physician who owns the tools. You need the skeptic. The one who questions everything. The one who tells you no. That's not a problem. That's the point.
"Let's revisit next quarter" is a decision. It's just a bad one. Clinic leaders: if you can't name which AI features are live and who owns them, you don't have an AI strategy. You have a liability.
You need the skeptic. The one who questions everything. The one who tells you no. That's not a problem. That's the point.
Vendors promising 2-week AI rollouts aren't lying about speed. They're lying about complexity. Clinic ops teams: before any tool goes live, know exactly what's active, what it touches, and who owns it when it breaks. Governance first. Demo second.
Hospitals don't collapse from one bad decision. They drift. Unsourced rules. Missing reports. Shortcuts that became systems. Score your org on those 3 right now. If you can't explain where a policy came from, the audit will explain it for you.
Your boss didn't turn on you because you failed. They turned on you because you succeeded , loudly enough for others to notice. That's not your problem to fix. That's their insecurity to own. Know the difference before you shrink yourself trying to solve it.
"Who owns AI decisions in your clinic?" isn't an IT question. It's clinical. Legal. Ethical. No single person has the full picture , so governance can't sit with one person either. Build the committee before something goes wrong.
A policy in a folder isn't a practice. One phishing click. 72 hours of crisis. Why? No access controls. No response plan. No training. The breach didn't create the gap. It exposed one that had been growing for years. Does your clinic have a plan or just a document?
AI was already in the scheduling system. Nobody knew. 7 tools. Running for a year. No oversight, no rollback plan. The question isn't whether to adopt AI. It's: what do you already have? Start with an honest inventory. Then ask who owns it.
A clinic found 7 AI tools already running. 3 had been active for over a year , unreviewed. You don't adopt AI once. It arrives in updates, bundled in platforms, on by default. Do you know what's live in your systems right now?
UHWI didn't lose $40B in one decision. It drifted , one missing report, one unsourced rule, one "temporary" shortcut at a time. Your org has drift too. The question is whether YOU find it first.
Most clinics manage by hallway chaos and Monday surprises. The fix: 10-minute standing huddle before the first patient. 4 people. Name what's coming. Assign ownership. Move on. Replace 40 minutes of chaos with 10 minutes of clarity.
AI doesn't always arrive with a purchase order. It arrives in updates. Bundled in platforms. Activated by default. Most clinics have no idea what's already running,or who's watching it. Audit your systems before an algorithm makes the wrong call.
Near misses don't disappear—they just hide until you create a place to surface them. Daily huddles turn hallway mentions into 90-second decisions. Status updates inform. Rituals protect.
"Is there an AI in our scheduling system?" If your team can't answer that instantly , you have a governance gap, not a tech gap. Know what's live. Know what it controls. Before a patient gets 12 minutes instead of 45.
"Let's revisit next quarter" is a decision. It's just a bad one. Clinic leaders: if you can't name which AI features are live and who owns them, you don't have an AI strategy. You have a liability.
Daily huddles cut meeting time from 14 min to 9 in one week. The fix: 5-item agenda, named owners, hard deadlines. Result: fewer fires, less phone chaos, problems surfaced before they spread. What blockers are hiding in your clinic right now?
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