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Season 6 | Episode 12 - Jul 18, 2025

The '50/50 Rule' – and Other Unconventional AI Practices That Create Lasting Value

Featuring Anne Herleth Vice President, Member Insights

Episode Description

In this conversation, Anne Herleth discusses the critical importance of governance in healthcare AI, emphasizing the need for practical rules to manage AI effectively. She introduces four key rules: the 50-50 rule for balancing quick wins with long-term transformation, the 80% rule for choosing good enough solutions, the one-in-two-out rule for managing vendor relationships, and the 12-month rule for adapting to rapid changes in technology.

Key Takeaways

Governance in healthcare AI impacts patient safety and finances. Health systems struggle to balance innovation with safety. The 50-50 rule helps fund long-term transformation initiatives. The 80% rule encourages using good enough solutions. The one-in-two-out rule simplifies vendor management. The 12-month rule promotes flexibility in contracts. Health systems must adapt quickly to AI changes. Discipline in trade-offs is essential for AI success. Implementation is prioritized over perfection in AI. Continuous innovation is necessary in healthcare AI.

The full transcript of our conversation is also available to read. Show the Transcript.

About Our Host

Anne Herleth Vice President of Member Insights

In this conversation, Anne Herleth discusses the critical importance of governance in healthcare AI, emphasizing the need for practical rules to manage AI effectively.