Artificial Intelligence (AI) is growing fast in many industries in the United States, including healthcare. According to the 2025 RSM Middle Market AI Survey, 91% of organizations in the U.S. and Canada use AI in some way. However, 92% of these organizations face problems when they try to use AI. The main issues are bad data quality, not enough skilled workers, and resistance to change. Many failures happen because AI projects are not connected to the main business goals.
Richard Schwartz from Cherry Bekaert said in a meeting that “the AI strategy should be guided by business value. Otherwise, it’s the business equivalent of a tail wagging the dog.” This means healthcare leaders must link their AI work to top priorities like improving patient care, running operations better, or meeting compliance rules. AI should not be used just because it is new technology.
If AI is not linked to business goals, projects can become separate from real hospital or clinic work. Research by Faisal Hoque shows that while 98% of companies try AI, only about 4% get good returns because their AI is not part of the overall plan that covers purpose, people, processes, and technology.
Understand Core Business Objectives
Medical practices usually want to improve patient results, increase money by handling billing and scheduling well, follow laws, and make patients and staff happier. Using an AI-first scorecard, as recommended by Harvard professors Marco Iansiti and Karim Lakhani, leaders can check how ready they are for AI in terms of adoption, architecture, and skills. This helps make sure AI plans match the practice’s goals.
Conduct a Comprehensive Data Audit
Good AI needs clean, easy-to-access, and well-managed data. Bad data quality was the top problem in the RSM survey, with 41% reporting it. Data in healthcare is often scattered in electronic health records (EHR), billing systems, and communication platforms. It’s important to check for data silos, accuracy, security, and privacy compliance before starting AI projects. Samsung’s problem with a data leak shows why data management matters.
Develop an Ethical AI Framework
Protecting patient data and following HIPAA rules is very important in healthcare. An ethical AI framework should cover data privacy, explain how AI decisions are made, and avoid bias that can affect care fairness and quality. This framework reduces legal risks and keeps trust with patients and staff.
Select AI Technologies that Reflect Business Needs
Medical practices should pick AI that solves clear problems. For example, natural language processing can help with documentation, machine learning can make appointment scheduling better, and AI systems like Simbo AI help automate front-office calls. Starting with small projects lowers risk. Rita McGrath from Columbia Business School suggests testing AI on a small scale so the organization can slowly adjust and handle changes well.
Prioritize Skill Development and Change Management
Lack of skills to run AI was a problem for 35% of people surveyed by RSM. Training staff and involving them early helps reduce resistance. It is important to communicate that AI helps workers rather than replaces them. Florin Rotar from Avanade says AI is best when it adds to human skills and replaces tasks, not jobs. Building a culture ready for AI needs leaders who support it and continuous learning.
Create Measurable KPIs and Governance Frameworks
Success should be measured with key performance indicators (KPIs) tied to clear business results like shorter wait times, better billing accuracy, or higher patient satisfaction. Jonathan Bunce from InterVision recommends using frameworks like the NIST AI Risk Management Framework (AI RMF). This organizes governance into four parts: Govern, Map, Measure, and Manage. This helps keep AI ethical and aligned with goals while delivering results.
Automation is one way AI shows clear benefits in healthcare. Simbo AI uses AI to handle front-office phone tasks, freeing staff and improving communication with patients.
Medical offices get many calls for appointments, prescription refills, and billing questions. Simbo AI’s automated phone service uses AI to answer these common questions. This lowers patient waiting times and lightens the load on staff. Google Cloud studies show that AI virtual agents can cut costs and make service more reliable. This means offices can give better patient service and reduce staff stress.
AI tools can automate tasks like claim processing, checking eligibility, and sending patient reminders. These help reduce mistakes and speed up payments. Adding AI to current workflows helps keep processes smooth and follows rules without needing big system changes.
Besides handling routine work, AI can assist clinical tasks. For example, AI can look at patient histories to find high-risk cases or support doctors with diagnoses. When AI tools match clinical goals, patient care improves and staff can focus on important work.
Data Privacy and Security
Patient data is sensitive and must be protected. Healthcare providers must control how data is shared and how AI is trained. Adobe’s practice of training AI only on owned or public data shows one way to reduce legal risks.
Organizational Culture and Change Management
AI projects can fail if staff feel worried or left out. Harvard’s Karim Lakhani says “culture eats strategy for breakfast.” Leaders need to explain clearly, support staff, and introduce AI in steps to help people adjust.
Measuring ROI and Impact Over Time
It can be hard to measure AI’s return on investment (ROI). Benefits include better efficiency, higher revenue, fewer errors, and happier patients. InterVision suggests tracking AI’s effects in phases from testing to full use. This helps make improvements and get the most value.
Skill Gaps and Leadership Commitment
AI needs more than just new machines. People must be trained and leaders must support the effort. According to Florin Rotar at Avanade, having executives and a Chief AI Officer often makes AI work better and more organized.
Balancing AI Innovation and Responsible Use
Organizations should not rush into AI without rules. Avanade compares good AI use to “guardrails” that guide development, instead of “speed bumps” that slow progress. This means being careful but also moving forward.
Many healthcare providers do not have AI experts on staff. That is why they work with outside companies or advisors. The RSM survey shows about 70% of groups look for outside help to get the most from AI. Partners like Simbo AI provide special technology for front-office tasks. This lowers the difficulty for practices and helps get early wins.
These partnerships provide help with operations, access to new AI tech, and advice on how to fit AI in and manage it well. Small and medium medical groups can use these partnerships to add AI without spending too much time or money on making their own solutions.
Medical practices in the U.S. face special laws and market rules. AI plans need to support:
Matching AI efforts with these special needs helps make sure projects add real value rather than making things harder.
When medical practices follow these steps, they can create AI strategies that work well. This helps improve patient care and how the clinic runs, while handling the complex healthcare system in the United States. Connecting AI closely with business goals reduces risks and helps get lasting value.
AI strategy must align with overall business goals, focusing on creating value rather than just enhancing technology capabilities. Identify specific business objectives and determine where AI can be effectively deployed first.
AI technologies can optimize multiple functions, from predictive maintenance in manufacturing to customer service automation. Their applications vary by industry and organizational maturity.
Start with a clear business value case, establish timelines and resource allocations, and track milestones. Programs should focus on quick wins to build momentum.
Ensure clear communication about how AI will enhance roles, what new skills are needed, and how employees can acquire them. Involve leaders to support change management.
Partnerships can provide expertise and capacity for urgent projects, helping organizations navigate the complexities of AI implementation.
Delivering quick wins helps build momentum, demonstrating immediate improvements in efficiency and accuracy, which can drive further adoption across the organization.
Data quality management is vital for AI success. Organizations must tackle data silos, inconsistencies, and integrity issues to enhance the effectiveness of AI programs.
A supportive organizational culture is essential for AI adoption. Employees need to feel empowered and supported to adapt to AI-driven changes in their roles.
Decide based on business value; if leading can provide a competitive edge, pursue it. Alternatively, learning from others as a fast follower can minimize risks.
Barriers include the lack of a clear AI strategy, skills shortages, and cultural resistance within the organization, which need to be addressed for successful AI deployment.