THE CONN SERIES: Drift Control, Not Blame
The moment you say one named person is accountable for drift, the room hears a different word. Scapegoat. You can watch it happen. Someone’s shoulders tense, because they assume the plan is to find a neck to hang the next failure on. That instinct is one of the biggest reasons organizations never assign the conn, […]
THE CONN SERIES: Detection and Authority in One Seat
The conn is the named, accountable human who holds detection and authority in one seat, and who runs the operating model against drift. There is one phrase in that definition people skim past, and it carries the whole design: in one seat. Read most versions of AI accountability and you will find detection and authority […]
THE CONN SERIES: What the Conn Is, and What It Is Not
For three weeks I have described a gap and refused to fill it. Drift that is structural, not sloppy. Drift that belongs to no one, because the seat that should hold it sits empty. And drift that AI now runs at machine speed, across every case, before anyone notices. Every piece circled the same missing […]
AI Inherits Your Assumptions and Runs Them at Scale
A human used to be the throttle. Someone applied the rule, caught the edge case, paused when the numbers looked wrong. That person was slow, and their slowness was a feature. It gave the drift a place to surface. An agent removes the throttle. It applies what it inherited to every entity and every period, […]
The Seams Where Ownership Disappears
Drift does not spread evenly. It pools at the seams, the handoffs between functions, teams, and vendors, where each side is certain the other one owns it. If drift has no owner by default, the next question is where the missing ownership hurts most. The answer is consistent across every organization I have worked in. […]
Drift Has No Owner by Default
Ask who owns the gap between the system you documented and the system you run. In most organizations the honest answer is no one, and no hire, tool, or program the market sells you changes that. Let me tell you about an owner who was promoted eight months ago. She built a program well. Clear […]
The Four Places Drift Hides
You cannot govern drift by watching everything. It concentrates in four places, and inspecting those four beats any platform that promises to watch them all. Once leaders accept that the system they run has drifted from the system they documented, the next question is the practical one. Where do I look? You cannot reconcile everything […]
The System You Run Is Not the One You Documented
Every organization operates two systems at once: the one it wrote down and the one it runs. The distance between them is called drift, and most leadership teams are governing the wrong one. Walk into most organizations and the operating model looks impeccable. Clean process maps. Named owners. Approval gates in the right places. Then […]
EHR Implementation Problems: Why 50% of Healthcare IT Projects Miss Their Deadlines (And How to Fix It)
EHR implementations are among the most complex IT projects in any industry. Multiple departments. Thousands of workflows. Clinical staff who have zero patience for systems that slow down patient care. Regulatory requirements that change mid-project. Vendors with their own timelines and priorities. The statistics reflect this complexity. Industry data shows the average EHR implementation runs […]
The Velocity Governance Framework™: How You Govern Fast
THE OPERATING MODEL · PART TWO Speed and control are not opposites. By Michelle McKinney, MBA, CSM | CEO and Founder, TransformXperience LLC Reading time: 9 minutes