From Hours Saved to Hours Reinvested: The AI Math Health Systems Keep Getting Wrong

Every health system has AI pilots. Far fewer have systems that scale past them, and the difference is rarely the model. Nicole Sanders and Christine Williams left large enterprise and platform roles to start Foxtrot Services, a firm built to take AI implementations from prototype into production in regulated, high stakes environments. They work across healthcare, manufacturing, financial services, and supply chain, including the implementation work behind Surgence, the ecosystem connecting providers, distributors, and suppliers on shared supply and demand data. In this conversation they get specific about the call every CIO is weighing right now, whether to wait for the EHR vendor to build the capability or to move without them, and what it actually takes to convert saved hours into money. They also go at the part nobody puts in the case study: what compute and licensing cost at scale, why the architecture underneath determines the bill, and how permissions and governance break when a pilot becomes a system.

Nicole Sanders, Co-Founder and Co-CEO, Foxtrot Services

Christine Williams, Co-Founder and Co-CEO, Foxtrot Services

Megan Antonelli, Chief Executive Officer, HealthIMPACT Live

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