Health systems that counted on EHR certification to reveal how AI tools were trained and validated are about to lose that guarantee. The final rule also left one closely watched set of proposals untouched. Source: HTI-5 Final Rule Drops Source-Attribute Requirements for AI and Other Decision Support Tools From EHR Certification on healthsystemcio.com - Interviews & Webinars with Health System IT Leaders

Rich Bailey, CIO at San Mateo County Health Information Technology, discusses how the county won approval to extend Epic to its remaining health divisions. He explains why he built the case on the cost of staying fragmented and left ROI projections out of it, how 35 permanent positions went into the same board request and why finance leaders should be a CIO's closest allies. Source: San Mateo County Health’s Bailey Says Its Epic Business Case Rested on the Cost of Staying Fragmented on healthsystemcio.com - Interviews & Webinars with Health System IT Leaders

Luke Olenoski, SVP and CIO at Main Line Health, says vendors should start with IT or reach IT and the business owner together, and that adoption at peer health systems carries more weight than a clever subject line. Source: Main Line Health’s Olenoski Says Vendors Should Start With IT and Let Peer Customers Make the Case on healthsystemcio.com - Interviews & Webinars with Health System IT Leaders

Health systems braced for ransomware, yet the attack behind healthcare's worst quarter on record usually encrypts nothing. Health-ISAC's newest count shows where that attack starts, and one CISO's fix covers both ends of the phone line. Source: Health-ISAC Ties Healthcare’s Record Attack Quarter to ShinyHunters Theft of Staff Credentials on healthsystemcio.com - Interviews & Webinars with Health System IT Leaders

Integration cost has kept many health systems buying Epic’s own AI tools. Epic’s new Connectors may change part of that math and add a permissions decision, and several answers CIOs need are still missing. Source: Epic’s Connectors Will Let Its AI Agents Complete Tasks in Other Vendors’ Apps, Reopening the In-Suite Question for CIOs on healthsystemcio.com - Interviews & Webinars with Health System IT Leaders

Anthony Guerra, Founder and Editor of healthsystemCIO, recounts how a leaking dishwasher, a gasket he no longer needed and a utility’s relentless automated reminders turned into months of frustration, and what the experience says about bureaucracies that can’t adjust when a customer or patient falls outside their workflows. Source: Reminder Hell on healthsystemcio.com - Interviews & Webinars with Health System IT Leaders

Luke Olenoski, SVP and CIO at Main Line Health, discusses how the Philadelphia-area system keeps AI governance moving at the pace of the technology. He explains how it settled who decides AI questions, built an AI assessment into existing intake, gave 14,000 team members Copilot Chat and spread training through peer influencers, and why API charges from existing systems produced its biggest AI cost surprises. Source: Main Line Health’s Olenoski Says AI Governance Has to Move as Fast as the Technology on healthsystemcio.com - Interviews & Webinars with Health System IT Leaders

Ash Goel, MD, of Bronson Healthcare; Craig Richardville of UF Health; Lisa Stump of Mount Sinai Health System; and Tinu Tadese, MD, formerly of Boston Medical Center Health System, discuss how health systems standardize technology across acquired hospitals while keeping local workflows that deliver value. They cover testing claims of difference with data, spreading local best practices and governance that settles the gray areas. Source: IT Leaders Say Health System Standardization Should Keep the Variation That Adds Value on healthsystemcio.com - Interviews & Webinars with Health System IT Leaders

Dr. Bimal Desai, Vice President and Chief Health Informatics Officer at Children's Hospital of Philadelphia, discusses why CHOP's Epic AI tools still feel like separate point solutions and what the next stage, an assistant that anticipates clinicians' needs during a visit, will take. He explains when health systems should partner with vendors to validate AI, how CHOP weighs third-party tools against waiting for Epic, and how it stages every AI rollout. Source: CHOP’s Desai Says EHR AI Must Move From Point Solutions to Anticipating Clinicians’ Needs on healthsystemcio.com - Interviews & Webinars with Health System IT Leaders

Joel Vengco, SVP and Chief Information & Digital Officer at Hartford HealthCare, Barry Stein, MD, SVP, Chief Clinical Innovation Officer & CMIO at Hartford HealthCare, and Shantanu Nigam, co-founder and CEO of Vitea, discuss why approving an AI tool is only the start of governing it. They cover shadow AI as a demand signal, vendor model changes that send tools back through intake, and independent, always-on monitoring. Source: Health System Leaders Say AI Governance Must Continue Long After Approval on healthsystemcio.com - Interviews & Webinars with Health System IT Leaders

Dr. Sarah Pletcher, Chief Digital Health Officer and System Vice President, Executive Medical Director for Strategic Innovation at Houston Methodist, discusses how health systems build the business case for large technology projects. She recommends agreeing with finance on two metrics to track, explains how retention gains can count as avoided costs, and describes phased budgets that fund adoption. She also covers Houston Methodist's OR computer vision deployment. Source: Houston Methodist’s Pletcher Says Large Technology Projects Need No More Than Two ROI Metrics Agreed With Finance on healthsystemcio.com - Interviews & Webinars with Health System IT Leaders

Molly McColl, Vice President of Virtual Health and Clinical Transformation at Advocate Health, explains how Care Model Engineering supports the move from individual pilots to systemwide programs. She describes defining expected outcomes, reusing screening-program standards and evaluating clinical tool requests against the existing technology stack first. Source: Advocate Health’s McColl Says Care Model Engineering Helps Virtual Care Move Beyond Pilots on healthsystemcio.com - Interviews & Webinars with Health System IT Leaders

Matt Seul, Principal Information Security Architect at Sutter Health, says AI-driven attacks can exploit familiar weaknesses at much greater speed and scale. Discussing the Hugging Face incident, he identifies connections between AI models and other systems as important control points and calls for investment in existing security controls. He offers his own perspective, not an official Sutter position. Source: Sutter Health’s Seul Says Defending Against AI Agents Means Paying Down Security Technical Debt on healthsystemcio.com - Interviews & Webinars with Health System IT Leaders

When a vendor's clinical AI model fails mid-use, a health system cannot simply retrain it. New HSCC guidance spells out what the hospital owns, what the vendor owns and why the contract shapes the response. Source: HSCC Outlines Hospital and Vendor Roles in Clinical AI Incident Response on healthsystemcio.com - Interviews & Webinars with Health System IT Leaders

Anthony Guerra, Founder and Editor of healthsystemCIO, reflects on how adding an origin story to the company’s About page took him down memory lane, and on the people who helped him along the way. Pride and humility, he argues, should combine into gratitude and a duty to help others climb. Source: Holding the Ladder on healthsystemcio.com - Interviews & Webinars with Health System IT Leaders