Stop Waiting For Perfection To Deploy AI Solutions
I see many organizations and CIOs wait forever and use governance as a stall tactic to deploy AI solutions.
HHS has released an AI strategy outlining how the agency plans to use AI to improve efficiency, drive innovation, and strengthen national health outcomes. Healthcare CIOs share similar goals, and the HHS plan provides a practical model for scaling AI responsibly.
HHS organizes its strategy around five pillars:
Strengthening governance and risk management to build public trust.
Designing user-centered AI infrastructure and platforms.
Equipping the HHS workforce with tools and training to ease administrative burdens and boost mission impact.
Promoting rigorous research standards (”gold-standard science”) to ensure reliability and reproducibility of AI-driven work.
Modernizing care and public-health delivery to improve outcomes at both individual and population levels.
For healthcare organizations, the number of competing AI models and frameworks from industry groups can make adoption harder. Looking at HHS’s approach, two themes stand out as especially practical for CIOs: trust-focused governance and unified infrastructure with workforce enablement.
Trust-Focused Governance
HHS proposes a department-wide governance model that includes a central board, a shared inventory of AI use cases, and clear oversight for systems that affect health outcomes or individual rights. The strategy references the NIST AI Risk Management Framework as a foundation for assessing risk and requires steps such as pre-deployment testing, impact assessments, independent review, and ongoing monitoring.
CIOs can’t treat AI as a routine software rollout. Healthcare organizations will need to demonstrate how they govern their AI systems, what risks they’ve assessed, and who is accountable for decisions that affect clinical or operational outcomes.
A practical governance approach can include:
A clear council or oversight group
Documented decisions for high-impact models
Coordination across legal, compliance, and risk functions
The CIO’s goal is to create transparency without unnecessary complexity.
Unified Infrastructure And Workforce Enablement
As a healthcare CIO, you should treat AI as an enterprise platform, not a collection of pilots. Follow the HHS theme on building a reusable “value layer” of shared AI capabilities that every department can plug into. This theme includes designing reusable components, establishing standards for model evaluation, and ensuring data and workflow integration across clinical and administrative functions.
Healthcare leaders need to treat workforce enablement as a core requirement, not an afterthought. Staff need role-specific training that moves from basic literacy to applied skills, so AI tools reduce the administrative burden rather than adding new tasks. When teams know how to use AI confidently and appropriately, organizations can automate repeatable work, freeing clinicians to focus on patient care while maintaining compliance with HIPAA and other requirements.
Healthcare CIOs cannot afford to wait for the perfect AI framework. The market is full of recommendations, many so complex that they slow adoption rather than help it. CIOs need to focus less on debating models and more on operationalizing the tools they already have. Progress comes from starting, testing, adjusting, and building momentum vswaiting for certainty. The key is to get moving.