THe Original Orchestrators

The health system spent millions of dollars on that algorithm. They ran the vendor demo. They signed the contract. They completed the implementation checklist. What they did not build — what most hospital AI systems are missing entirely — is the governance layer between that alert and that nurse. No named clinical operator. No credentialed human with formal authority to approve, override, or audit. No protocol that tells that nurse: your judgment governs here, and here is the infrastructure that backs it. That gap has a cost. And it lands on the nurse. Every time.