Published May 11, 2026
The operational gap that appears when promising healthcare AI demonstrations encounter real-world workflows, scale, and exceptions.
Xillium Series
A series by Don Wickelgren examining how accountability, workflow design, and human judgment shape AI in healthcare operations.
Published here as Xillium’s permanent, citable archive. Also shared on LinkedIn.
Published
May 11, 2026
The operational gap that appears when promising healthcare AI demonstrations encounter real-world workflows, scale, and exceptions.
Published
May 19, 2026
The uncertainty frontline teams face when organizations have not defined when AI output should be trusted, questioned, or overridden.
Published
May 26, 2026
An examination of the exception-heavy administrative work that healthcare automation pilots often fail to capture.
Published
June 1, 2026
The operational questions that emerge when healthcare organizations have not clearly defined where AI tasks end and human judgment begins.
Published
June 16, 2026
The accountability questions that remain when an AI system performs as designed but its output does not match operational reality.
Published
June 23, 2026
Questions about the role and value of human judgment as healthcare organizations redesign workflows around AI.
Published
June 30, 2026
Frontline concerns about AI-supported clinical systems that may not recognize when their inputs or outputs are wrong.
Published
July 14, 2026
What happens when a successful healthcare AI pilot encounters real-world volume, ambiguity, and exceptions.
Published
July 22, 2026
A look at the visible workload and less obvious operational costs created when prior authorizations are delayed, denied, or never completed.
Published
July 28, 2026
The gap between documented processes and the work teams actually perform through exceptions, workarounds, and unwritten knowledge.
Published
July 29, 2026
A closer look at what changed inside Ford when AI use expanded and experienced engineers returned.
Published
August 5, 2026
A referral failure that exposes what can happen when ownership is unclear at a workflow handoff.
Published
August 11, 2026
The judgment calls hidden inside routine healthcare work when rules and payer criteria no longer provide a clear answer.
Published
August 19, 2026
The unresolved responsibility questions surrounding AI-generated healthcare work when review and approval roles are not clearly assigned.
Published
August 25, 2026
Two internal audit cases centered on a difficult question: who actually took the recorded action?
Published
September 1, 2026
The difficulty of evaluating AI-supported administrative work when failures produce no complaint, contradiction, or downstream signal.
Published
September 2, 2026
An account failure that remained hidden while activity, productivity, communication, and escalation reports continued to appear healthy.
Published May 11, 2026
The operational gap that appears when promising healthcare AI demonstrations encounter real-world workflows, scale, and exceptions.
Published May 19, 2026
The uncertainty frontline teams face when organizations have not defined when AI output should be trusted, questioned, or overridden.
Published May 26, 2026
An examination of the exception-heavy administrative work that healthcare automation pilots often fail to capture.
Published June 1, 2026
The operational questions that emerge when healthcare organizations have not clearly defined where AI tasks end and human judgment begins.
Published June 16, 2026
The accountability questions that remain when an AI system performs as designed but its output does not match operational reality.
Published June 23, 2026
Questions about the role and value of human judgment as healthcare organizations redesign workflows around AI.
Published June 30, 2026
Frontline concerns about AI-supported clinical systems that may not recognize when their inputs or outputs are wrong.
Published July 14, 2026
What happens when a successful healthcare AI pilot encounters real-world volume, ambiguity, and exceptions.
Published July 22, 2026
A look at the visible workload and less obvious operational costs created when prior authorizations are delayed, denied, or never completed.
Published July 28, 2026
The gap between documented processes and the work teams actually perform through exceptions, workarounds, and unwritten knowledge.
Published July 29, 2026
A closer look at what changed inside Ford when AI use expanded and experienced engineers returned.
Published August 5, 2026
A referral failure that exposes what can happen when ownership is unclear at a workflow handoff.
Published August 11, 2026
The judgment calls hidden inside routine healthcare work when rules and payer criteria no longer provide a clear answer.
Published August 19, 2026
The unresolved responsibility questions surrounding AI-generated healthcare work when review and approval roles are not clearly assigned.
Published August 25, 2026
Two internal audit cases centered on a difficult question: who actually took the recorded action?
Published September 1, 2026
The difficulty of evaluating AI-supported administrative work when failures produce no complaint, contradiction, or downstream signal.
Published September 2, 2026
An account failure that remained hidden while activity, productivity, communication, and escalation reports continued to appear healthy.