The Change Lab- Kissinger Group
AI strategy gets a lot harder when the stakes are high, the organization is large, and the technology keeps moving underneath you. In this conversation, Sondra Kiss sits down with Rob Alger of Kaiser Permanente to explore what responsible AI leadership actually looks like inside a complex healthcare environment. They discuss how leaders can balance speed with safety, why Kaiser does not use AI to make clinical decisions, what “human in the loop” looks like in practice, and why the emerging orchestration layer matters as agents, vendors, and data systems become more interconnected. Rob also shares one of Kaiser’s most successful AI applications so far: ambient listening that helps clinicians reduce documentation burden while improving the quality of patient interaction. This episode is especially useful for leaders thinking about AI governance, operating model design, vendor risk, and how to move beyond pilots into real production value. WHAT YOU’LL LEARN * Why speed versus safety is the wrong oversimplification for AI leadership * Why Kaiser keeps clinical decisions with clinicians * What “human in the loop” means in a real service environment * What the orchestration layer does in an agentic AI environment * Why privilege, auditability, and vendor sprawl matter more than most organizations realize * Why AI adoption stalls when teams try to bolt it onto old processes * What a real AI success story looks like in practice These conversations reflect leaders sharing their own experiences navigating real transformation work. The perspectives expressed are personal and don’t necessarily represent their organizations.
3 episodios
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