The Clinical Realist copertina

The Clinical Realist

The Clinical Realist

Di: Dr. Sarah Matt
Ascolta gratuitamente

A proposito di questo titolo

Healthcare innovation is broken. We have billion-dollar AI running on 1990s infrastructure. We have startups dying in "Pilotitis." And we have leaders frozen by analysis paralysis.

Dr. Sarah Matt (The Clinical Realist) is here to fix the disconnect between the tech stack and the trauma bay.

Join Dr. Matt—physician, strategist, and author of The Borderless Healthcare Revolution—as she cuts through the hype to reveal what actually works in modern medicine. No buzzwords. No fluff. Just the raw, unvarnished truth about how to lead, build, and survive in the future of healthcare.

If you are tired of the "Star Trek" vision and want the "Clinical Reality," this is your show.

Subscribe to The Sarah Matt Briefing for weekly insights on healthcare AI, access strategy, and the business of medicine: https://drsarahmatt.com/newsletter-signup

© 2026 The Clinical Realist Disturbo fisico e malattia Economia Gestione e leadership Igiene e vita sana Management
Episodi
  • The Pilot Trap: What Health Systems Get Wrong About Implementation

    The Pilot Trap: What Health Systems Get Wrong About Implementation
    Apr 22 2026
    Your pilot worked. You got approval to scale. Six weeks into full implementation, something is wrong: not catastrophically wrong, just wrong enough to make you wonder whether "it worked in the pilot" meant anything at all. In this episode, Dr. Sarah Matt breaks down the pilot trap: the gap between proving a tool works under controlled conditions and proving an organization is ready to run it under normal operating conditions. Pilots and implementations are not on the same continuum. They measure fundamentally different things. The health systems that scale successfully treat the pilot as a learning vehicle, not a prediction. The ones that get stuck assumed pilot success equaled implementation readiness. What you will take away from this episode: - Why pilot success measures tool performance, not organizational readiness - The three gaps that trap most health systems: motivation, workflow integration, governance - Why resistance to clinical AI is usually not irrational, and how to diagnose the source - How the physician champion role shifts from pilot advocate to implementation steward - Why building governance before implementation begins is the single variable most predictive of scale-up success Website: https://drsarahmatt.com | Book a Discovery and Clarity Session: https://calendly.com/sarahmattmd | LinkedIn: https://www.linkedin.com/in/sarahmattmd/

    —

    Resources & Links:

    📖 Get the Book: "The Borderless Healthcare Revolution" is available now on Amazon and major retailers.

    💼 Work with Dr. Matt:
    Looking for a keynote speaker or strategic advisor?
    Visit: drsarahmatt.com

    🔗 Connect on Social:
    LinkedIn: https://www.linkedin.com/in/sarahmattmd/
    YouTube: https://www.youtube.com/@DrSarahMatt-ClinicalRealist

    📧 Subscribe to The Briefing: drsarahmatt.com/newsletter-signup

    —
    Disclaimer:
    The views expressed on this podcast are those of Dr. Sarah Matt and her guests. They do not necessarily reflect the official policy or position of any affiliated institutions. This content is for informational and educational purposes only and does not constitute medical advice or a professional consulting relationship.
    Mostra di più Mostra meno
    10 min
  • The Wrong Diagnosis: Why Health Systems Keep Failing at AI

    The Wrong Diagnosis: Why Health Systems Keep Failing at AI
    Apr 15 2026

    Most health systems that fail at clinical AI adoption are not failing because the tool is bad. They are failing because they diagnosed the problem wrong before they ever touched a vendor pitch. In this episode, Dr. Sarah Matt breaks down the core misdiagnosis that derails AI implementation: health systems treat AI failure as a technology problem when the actual issue is a question problem. The organizations whose AI implementations succeed are not the ones with the best tools. They are the ones who learned to ask the right question first. Dr. Matt draws on direct clinical and advisory experience, including a session with ophthalmologists at SUNY Upstate, where she stopped a room full of smart physicians mid-conversation and asked them what framework their department used to evaluate whether an AI tool was safe for their workflow. The silence that followed is exactly the gap this episode addresses. What you will take away from this episode: - Why tool failure is almost always governance failure in disguise - Why 'should we use this AI tool?' is the wrong first question - The correct first question: do we have the framework to evaluate whether this tool is safe for our workflow? - Why physicians have authority in this conversation that they are not using - How getting the diagnosis right at the start saves 18 months of remediation Website: https://drsarahmatt.com | Book a conversation: https://calendly.com/sarahmattmd | LinkedIn: https://www.linkedin.com/in/sarahmattmd/

    —

    Resources & Links:

    📖 Get the Book: "The Borderless Healthcare Revolution" is available now on Amazon and major retailers.

    💼 Work with Dr. Matt:
    Looking for a keynote speaker or strategic advisor?
    Visit: drsarahmatt.com

    🔗 Connect on Social:
    LinkedIn: https://www.linkedin.com/in/sarahmattmd/
    YouTube: https://www.youtube.com/@DrSarahMatt-ClinicalRealist

    📧 Subscribe to The Briefing: drsarahmatt.com/newsletter-signup

    —
    Disclaimer:
    The views expressed on this podcast are those of Dr. Sarah Matt and her guests. They do not necessarily reflect the official policy or position of any affiliated institutions. This content is for informational and educational purposes only and does not constitute medical advice or a professional consulting relationship.
    Mostra di più Mostra meno
    9 min
  • The 90% Problem: Why Clinical AI Pilots Don't Scale

    The 90% Problem: Why Clinical AI Pilots Don't Scale
    Apr 8 2026
    You ran the pilot. The AI worked. The clinicians loved it. The outcomes were solid. Then you tried to roll it out system-wide and it fell apart. This is the 90% problem, and it is not a technology problem. It is an adoption problem. In this episode, Dr. Sarah Matt breaks down why pilot success is the wrong measure for scaling readiness, the four structural gaps that separate a winning pilot from a failed implementation, what clinical governance actually needs to look like before you scale, and the decision architecture that separates health systems that scale AI from the ones that do not. What you will take away: - Why measuring tool accuracy in a pilot tells you almost nothing about system-wide adoption - The four governance elements that must exist before any rollout decision - How to build the decision architecture before the pilot ends, not after implementation fails - The question health system leaders should be asking before they even design the pilot Website: https://drsarahmatt.com | Book a conversation: https://calendly.com/sarahmattmd | LinkedIn: https://www.linkedin.com/in/sarahmattmd/

    —

    Resources & Links:

    📖 Get the Book: "The Borderless Healthcare Revolution" is available now on Amazon and major retailers.

    💼 Work with Dr. Matt:
    Looking for a keynote speaker or strategic advisor?
    Visit: drsarahmatt.com

    🔗 Connect on Social:
    LinkedIn: https://www.linkedin.com/in/sarahmattmd/
    YouTube: https://www.youtube.com/@DrSarahMatt-ClinicalRealist

    📧 Subscribe to The Briefing: drsarahmatt.com/newsletter-signup

    —
    Disclaimer:
    The views expressed on this podcast are those of Dr. Sarah Matt and her guests. They do not necessarily reflect the official policy or position of any affiliated institutions. This content is for informational and educational purposes only and does not constitute medical advice or a professional consulting relationship.
    Mostra di più Mostra meno
    16 min
Ancora nessuna recensione