UTMB, Sodexo Chiefs Link AI Deployment Failures to Internal Process Defects
Ai4
Enterprise artificial intelligence initiatives collapse when organizations try to automate broken internal processes rather than defining workflows and mapping tools directly to profit metrics.
## Background
Published by the Ai4 channel on YouTube on August 22, 2026, this panel session addresses the strategic vision and organizational frameworks required to scale generative AI from proofs-of-concept into full enterprise deployments. Moderated by TechCrunch contributor Kate Park, leaders from healthcare, enterprise facilities, AI research, and cloud infrastructure discuss leadership alignment, change management, and cross-functional value creation.
## TL;DR
The panel emphasizes that the primary obstacle to scaling generative AI is organizational incoherence and poorly mapped processes rather than technological capability. To avoid the trap of localized frontline conveniences that fail to deliver institutional ROI, leaders must backward-map deployments directly to P&L levers while maintaining consumer-grade software ergonomics that workers willingly adopt. Panelists share operational breakthroughs ranging from ambient clinical documentation and referral triage to predictive supply chains, advocating for fluid, highly iterable pilots. Looking ahead, the speakers highlight a pivotal transition from text-only back-office automation toward high-bandwidth multimodal systems that strip away administrative bureaucracy and restore direct human connection.
## Atmosphere & style
The conversation carries a pragmatic, refreshingly candid tone that trades standard tech evangelism for grounded operational realism. Kate Park maintains a brisk pace as the panelists trade cross-industry insights, candidly diagnosing executive missteps, organizational inertia, and the regressed state of modern digital workflows. The dynamic feels like an authentic peer-level debrief, balancing sharp warnings against risk paralysis with an invigorating, forward-looking view of multimodal AI's tangible impact on everyday work.
## Key takeaways
- [03:26](https://www.youtube.com/watch?v=g1gW5GWNss8&t=206s) Technology is rarely the primary barrier to scaling AI; systemic organizational incoherence and poorly mapped processes make automation impossible, as you cannot scale what you cannot define.
- [07:32](https://www.youtube.com/watch?v=g1gW5GWNss8&t=452s) Proofs of concept optimized solely for local frontline convenience often fail at the executive level unless freed capacity is deliberately converted into measurable institutional ROI.
- [13:10](https://www.youtube.com/watch?v=g1gW5GWNss8&t=790s) Maintaining workforce trust during rapid model evolution requires high-speed iteration and demonstrated organizational responsiveness to frontline user feedback.
- [17:34](https://www.youtube.com/watch?v=g1gW5GWNss8&t=1054s) Ambient clinical scribes and AI-driven referral queue triage demonstrate immediate operational wins in healthcare by curbing physician burnout and prioritizing acute patient care over arbitrary FIFO processing.
- [20:22](https://www.youtube.com/watch?v=g1gW5GWNss8&t=1222s) Enterprise AI adoption is reaching an inflection point, shifting focus from back-office operational scheduling and document analysis to human-facing, real-time interactive experiences.
- [21:26](https://www.youtube.com/watch?v=g1gW5GWNss8&t=1286s) AI pilots fail to scale when software ergonomics fall below consumer expectations or when initiatives lack a disciplined backward-mapping from P&L levers directly to frontline workflow triggers.
- [25:34](https://www.youtube.com/watch?v=g1gW5GWNss8&t=1534s) Risk paralysis often stems from an 'admiration of the risk' that ignores the severe operational costs and dangers of maintaining an inadequate status quo.
- [28:37](https://www.youtube.com/watch?v=g1gW5GWNss8&t=1717s) Digitization previously burdened professionals with click-heavy administrative overhead; AI's greatest opportunity is reversing this regression to return workers to clinical and technical reasoning.
- [32:07](https://www.youtube.com/watch?v=g1gW5GWNss8&t=1927s) Frontline AI adoption succeeds when organizations meet workers where they already are, embedding multimodal tools directly into existing habits rather than forcing an overhaul of physical workflows.
- [33:57](https://www.youtube.com/watch?v=g1gW5GWNss8&t=2037s) Generative AI creates cross-industry value by stripping away bureaucratic 'ceremony' and administrative friction, freeing workers to focus on the core human mission of their roles.
- [35:00](https://www.youtube.com/watch?v=g1gW5GWNss8&t=2100s) The next frontier of generative AI leverages multimodal sensory inputs—including voice biomarkers, interactive video, and point-of-care imaging—to deliver predictive insights far beyond text LLMs.
- [39:56](https://www.youtube.com/watch?v=g1gW5GWNss8&t=2396s) Enterprises maximize ROI by prioritizing rapid deployment speed, tight problem scopes, and early quantification over theoretical perfection or scattered experimentation.
## Detailed walkthrough
### [00:04](https://www.youtube.com/watch?v=g1gW5GWNss8&t=4s) Introductions and Panel Overview
TechCrunch contributing writer Kate Park introduces the panel on scaling generative AI across organizations. Joining her are four leaders representing diverse viewpoints across healthcare, enterprise services, AI research, and infrastructure:
- **Peter McCaffrey**, Chief Digital and AI Officer at the University of Texas Medical Branch (UTMB), an academic health system serving as a regional safety net in the Houston area.
- **Brian Carlson**, North America Chief Technology, Data, Digital and Innovation Officer at Sodexo, managing IT, AI, digital, and innovation across food services and facilities management for hospitals, corporate offices, college campuses, and stadiums.
- **Quinn Favret**, Co-founder and COO of Tavus, a San Francisco AI research lab founded in 2021 that has raised around $75 million to build real-time interactive face-to-face AI agents ("PALS") that look, see, and understand like humans.
- **David Wang**, Head of Product at Tetrate, an enterprise infrastructure company helping organizations monitor, understand, and govern their internal AI traffic for tangible business gains.
---
[03:26](https://www.youtube.com/watch?v=g1gW5GWNss8&t=206s) The Real Bottleneck: Technology vs. Organizational Incoherence
When asked whether the primary obstacle to AI rollout is technology or human and organizational readiness, Peter McCaffrey argues that technology is rarely the true bottleneck. Even without deliberate leadership intervention, tools will inevitably "infiltrate the organization anyway." The critical obstacle is that infinite technology cannot fix systemic organizational incoherence:
> "You can't scale and automate what you can't define to begin with."
If an organization lacks a clearly mapped, universally understood process—such as how a newly diagnosed heart failure patient is onboarded and educated—deploying AI will only magnify those underlying fractures. Brian Carlson reinforces this view, noting that enterprise-scale deployment across thousands of staff requires a clearly defined problem, consistent processes, trained people, and an execution plan.
```mermaid
flowchart TD
accTitle: Core Prerequisites for Enterprise AI Scaling
subgraph Def["1. Process Definition"]
A["Map End-to-End Workflows"] --> B["Clarify Roles & Responsibilities"]
end
subgraph Align["2. Organizational Alignment"]
B --> C["Establish Common Problem Statement"]
C --> D["Align Frontline Tasks with C-Suite ROI"]
end
subgraph Exec["3. Deployment & Feedback"]
D --> E["Targeted Solution or Tool Rollout"]
E --> F["Rapid Feedback & Iteration"]
end
```
Quinn Favret observes two distinct approaches among enterprise clients:
- **Bottom-up enablement:** Equipping staff across groups with general-purpose AI tools to boost everyday creativity, efficiency, and decision-making.
- **Top-down targeted rollouts:** Deploying tightly scoped solutions to solve specific business pain points, such as converting website sales leads or training customer support teams.
David Wang frames AI adoption as "Schrödinger’s problem"—at any given moment, AI is simultaneously deployed and not deployed until someone asks, sparking debates over what "deployed" really means. While AI tools have already infiltrated everyday work, true deployment in the eyes of leadership requires enterprise trust and governance.
---
[07:32](https://www.youtube.com/watch?v=g1gW5GWNss8&t=452s) Leadership Fever, the ROI Disconnect, and Schrödinger's Trust
Addressing what halts AI initiatives, David Wang points to executive misalignment. Leaders frequently catch "AI fever," demanding AI deployments without articulating a measurable business objective. This vague mandate confuses teams, turns every downstream technical decision into a bottleneck, and leads skeptical employees to assume the worst about the technology.
Brian Carlson explains that Sodexo tackles this hurdle by focusing heavily on change management, clear communication, and what they call **Sodexo Spark**—a framework that groups digital capabilities into client experience, consumer experience, and employee experience so individuals understand "what's in it for them" and organically pull demand.
Peter McCaffrey highlights a deep strategic flaw in the early "highly evangelical" phase of AI adoption:
- Teams canvassed frontline workers to ask what they found valuable, leading to proof-of-concepts (POCs) optimized for **local convenience** (e.g., clearing a task work queue faster).
- Frontline wins often fail to translate into institutional return on investment (ROI) unless freed-up capacity is redirected into measurable value elsewhere.
- Projects optimized solely for worker convenience fail to convince the VP or C-suite executive who must defend the financial investment, producing a successful frontline POC that is deemed a business failure at the executive level.
Carlson and Wang agree that tying frontline operational metrics directly to high-level business metrics is fundamentally a management and governance challenge, not a software problem. At Sodexo, administrative automation is specifically designed to free up staff from back-office toil so they can spend more time directly interacting with clients, guests, and patients.
---
[13:10](https://www.youtube.com/watch?v=g1gW5GWNss8&t=790s) Earning Trust Through Hyper-Speed Iteration
The panel explores how organizations can cultivate and maintain workforce trust as underlying AI models evolve at breakneck speed. McCaffrey points out that trust hinges on **responsiveness to feedback**. When employees voice concerns or requests regarding a hyper-iterable technology, failing to adjust quickly signals neglect and erodes confidence:
> "If you can't show them that their needs... could accommodate their feedback, you will erode their trust. Eventually, they will turn against you."
Enterprises are accustomed to slower operational cycles, making modern iterative delivery difficult to sustain. Favret notes the paradox: running fast inevitably leads to occasional missteps with a tool or deployment. The only way to survive these stumbles without destroying trust is to listen intently, communicate openly, and rapidly iterate on user feedback.
---
[14:38](https://www.youtube.com/watch?v=g1gW5GWNss8&t=878s) Real-World Deployments Delivering Concrete Value
Turning to production use cases delivering measurable value today:
- **Tetrate (Financial Services & Tech):** David Wang highlights developer productivity and customer service. Instead of relying on vague impressions that teams are moving faster, companies now measure increased feature velocity and correlate it with model compute expenses. In customer support, AI eliminates undifferentiated research and administrative prep work, allowing representatives to focus directly on customer interactions.
- **Sodexo (Supply Chain & Operations):** Brian Carlson describes operational AI integrations across their core value chain:
- **Product IQ:** A commercial recommendation platform that helps group-purchasing clients (such as hotels and restaurants) find cheaper, higher-quality products with optimized delivery schedules.
- **Perishable Supply Chain:** Predictive ordering algorithms for fresh goods like milk and lettuce, balancing inventory to eliminate stockouts and food waste.
- **Workforce Management:** Automated labor scheduling and shift optimization across complex venues.
- **Consumer Applications:** Personalization and recommendation engines embedded within guest-facing mobile applications.
[17:34](https://www.youtube.com/watch?v=g1gW5GWNss8&t=1054s) AI in Healthcare Operations: Ambient Scribes and Queue Triage
Peter McCaffrey highlights that while numerous AI use cases exist across an enterprise, one of the most universally valuable applications has simply been using AI as an analytics and outcome-measurement tool. Without automated analytics, teams face an "avalanche of now reporting" that threatens to suffocate operations when trying to analyze whether metrics like referral rates have meaningfully shifted. Moving from reporting burdens to concrete operational impacts, McCaffrey points to ambient clinical dictation as an indisputable win for healthcare. Placing a smartphone on the exam table lets physicians conduct natural, face-to-face appointments without being glued to electronic medical records. The AI documents the encounter and queues up orders in the background, which protects the human connection of the visit and materially curtails physician burnout—a critical safeguard given how costly and difficult it is to replace clinicians in a strained post-COVID workforce.
Healthcare is also confronting an environment where the "jobs to be done" expand exponentially: every improvement in diagnostic capability uncovers more conditions requiring clinical adjudication. To prevent administrative backlogs from overwhelming staff, UTMB shifted from a rudimentary first-in, first-out referral queue to an AI-driven triage system. When a kidney referral is submitted to nephrology, an AI model immediately reviews the referral against the patient's chart to gauge urgency rather than letting non-clinical access technicians manually process requests in arbitrary order. Patients with critical needs are bumped to the top of the queue instead of languishing for four to six weeks, preventing consequential clinical deterioration and ensuring fewer patients fall through the cracks.
[20:22](https://www.youtube.com/watch?v=g1gW5GWNss8&t=1222s) Moving from Back-Office Efficiency to Human-Facing Experience
Quinn Favret notes the irony that solving problems through greater efficiency inevitably surfaces even more operational challenges and opportunities. He commends McCaffrey’s scribe example, observing that productivity tools like Granola illustrate how ambient notetaking is already revolutionizing consumer and professional back-office workflows. For years, the predominant wave of AI adoption has concentrated on back-office automations, operational scheduling, and analytics. However, an inflection point is now underway where deployments are pivoting toward human-facing, interactive experiences.
Favret highlights emerging enterprise deployments in corporate learning and development, where workers engage in real-time roleplay simulations with conversational AI models that provide immediate coaching on tone, physical posture, and phrasing. Similar real-time modalities are expanding into medical intake, pre- and post-operative patient onboarding, and initial recruiting screens to elevate brand perception. Over the coming year, enterprise deployments will progressively shift from purely transactional efficiency optimizations to high-touch "experience optimizations" that dismantle rigid, outdated interactive voice response (IVR) phone systems.
[21:26](https://www.youtube.com/watch?v=g1gW5GWNss8&t=1286s) Why Enterprise AI Pilots Fail to Scale: Ergonomics and P&L Alignment
Addressing moderator Kate Park's question on why promising AI pilots fail to achieve broad enterprise adoption, David Wang argues that software ergonomics and user experience make or break a rollout. Historically, enterprise software operated under the resigned assumption that its user ergonomics would be terrible. ChatGPT permanently upended that standard: because the operative word in ChatGPT is *chat*, it established a consumer-grade benchmark for intuitive usability that enterprise workers now expect. Even with solid leadership alignment, if the ergonomics of an AI tool fail to provide seamless everyday utility, users will reject it.
```mermaid
flowchart LR
accTitle: Line of Sight to Value Backward Mapping
A["Measurable P&L Lever<br/>(Yield, Cost Reduction)"] --> B["Specific Operational Outcome"]
B --> C["Required Employee Action"]
C --> D["Underlying Workflow Trigger"]
D --> E["Targeted AI Replacement / Augmentation"]
```
Brian Carlson and Peter McCaffrey emphasize that ergonomic appeal must be matched with rigorous business fundamentals. Carlson explains that success hinges on defining strict success criteria before a project starts—often as concrete financial projections—and securing dedicated executive sponsorship within the affected function, whether sales, finance, or frontline operations. Crucially, teams must establish stage gates to pull the plug early if an initiative fails on paper, because pushing unviable technology erodes IT's organizational credibility. McCaffrey points out that while ambient scribes succeeded effortlessly because clinicians were intrinsically motivated to alleviate their own charting burnout, administrative workflows often require net-new friction. Scaling such initiatives requires a disciplined backward-mapping exercise:
- Identify the top three P&L levers directly affected (such as yield or unit cost reductions).
- Map the precise operational output that moves each lever.
- Trace backward to identify the specific human actions that trigger that output.
- Isolate the step where AI can take over workflow friction, establishing an unbroken "line of sight to value."
[25:34](https://www.youtube.com/watch?v=g1gW5GWNss8&t=1534s) Rapid Iteration, Fluid POCs, and Overcoming Risk Paralysis
Quinn Favret reflects on the vendor side of enterprise software, observing that the organizations deploying AI months or years ahead of competitors are those that define their metrics early and iterate with intense velocity. Proofs of concept (POCs) remain essential for leadership to establish governance and structure, but they must become fluid. Given that AI foundation models and tooling are being superseded week by week, static multi-month trials are obsolete; enterprises must continuously push forward along multiple axes simultaneously.
Turning to risk in high-stakes environments, Peter McCaffrey challenges the healthcare industry's tendency toward "admiration of the risk." Healthcare executives frequently cite stringent regulatory and compliance constraints as an excuse for inaction, neglecting the severe risk embedded in the status quo, where healthcare delivery remains woefully inadequate. Drawing a parallel to clinical research, McCaffrey insists that organizations must approach deployment roadblocks with the same urgency used to develop cancer chemotherapies. Rather than stopping at cataloging every way an implementation could go wrong, leaders must apply rigor to determining how to execute it safely and correctly.
[28:37](https://www.youtube.com/watch?v=g1gW5GWNss8&t=1717s) The Regressed State of Modern Workflows and Reviving Human Connection
Providing historical context, McCaffrey recounts the early 2000s federal "meaningful use" incentives, which operated on the naive assumption that digitizing records would cure healthcare's systemic problems. Instead, digitized records were bolted onto an antiquated operational culture, leaving clinicians marooned in a fragmented "sea of PDF files" and endless click streams. While a physician in the 1990s dedicated the bulk of their day to clinical reasoning, modern physicians spend 95% of their mental bandwidth navigating logistical data gathering, leaving only a tiny sliver of attention for clinical decision-making. Returning physicians to spending even half their time on actual patient decisions would be transformative.
Quinn Favret underscores that comparing modern AI solutions against recent software experiences relies on a false baseline because modern operational interfaces are deeply regressed. Decades ago, visiting a clinic meant speaking directly with a familiar receptionist and nurse who triaged information cleanly before the doctor walked in. Today, telehealth platforms require patients to submit identical intake forms four separate times, which physicians skip reading because they assume repetitive negative answers, resulting in redundant interrogations that waste high-value clinical time.
- Brian Carlson emphasizes that organizations face a stark choice: "you can automate a manual process or you can create an automated process," warning that anyone standing still in enterprise AI is actively falling behind.
- David Wang observes that current AI anxiety mirrors past enterprise debates over adopting the internet or public cloud; the winning strategy has never been avoidance, but determining the proper frameworks to monitor, measure, and govern the technology as it inevitably permeates the organization.
[32:07](https://www.youtube.com/watch?v=g1gW5GWNss8&t=1927s) Bringing AI to Frontline Workers and Meeting Users Where They Are
Kate Park asks Brian Carlson how Sodexo deploys advanced technologies to decentralized frontline operations across kitchens and facilities where staff rarely engage with conventional enterprise software interfaces. Carlson explains that thousands of frontline site employees routinely execute operational tasks like menu planning and waste tracking. Sodexo is actively targeting emerging multimodal capabilities to assist these workers directly, with near-term use cases focusing on computer vision and real-time sensory inputs for occupational health, kitchen safety, and shrinkage prevention.
Expanding on frontline adoption, Quinn Favret points to Anthropic as an exemplary model of integration strategy. Although Anthropic is not typically categorized as a frontline industrial software provider, their core design philosophy succeeds because they "meet people where they are." Successful AI transformation requires decoupling the technical deployment from user workflow overhauls; fighting both battles at once almost always guarantees operational rejection. By embedding models directly inside the tools, physical stations, and established habits that workers already rely upon, organizations eliminate friction and lower the barrier to widespread adoption.
[33:57](https://www.youtube.com/watch?v=g1gW5GWNss8&t=2037s) Stripping Away the "Ceremony" from Everyday Work
The discussion opens with an exploration of how generative AI drives transformative impact across traditional and non-traditional industries alike by removing bureaucratic overhead. In sectors ranging from food service to medicine and software engineering, human roles have historically been burdened with administrative rituals. In food hospitality, the real value lies in understanding and serving diners; for physicians, it is diagnosing and making clinical decisions rather than spending hours documenting charts; and for software engineers, value comes from solving technical problems rather than waiting on bureaucratic approvals for project plans.
AI functions as a catalyst to strip away this operational "ceremony," allowing employees to return to the core purpose of their professions. While it may seem counterintuitive to deploy advanced AI in manual or service-driven sectors, peeling back day-to-day job descriptions reveals massive layers of artificial complexity that automated systems can dismantle. The panel highlights that reducing the friction an individual worker experiences directly accelerates organizational adoption and time-to-value.
[35:00](https://www.youtube.com/watch?v=g1gW5GWNss8&t=2100s) Expanding Beyond Text: The Frontier of Multimodal AI, Voice, and Imaging
Turning away from text-centric large language models, the panel examines the exponential value emerging in voice, video, and computer vision. In healthcare, conversational voice interfaces are poised to become the defining, subtle concierge interface for patient interactions. In clinical imaging, AI capabilities have evolved far beyond replicating human observation: while a radiologist can detect an obvious nodule, AI models analyzing abdominal CT scans can identify microscopic, early-stage pancreatic cancer long before it is visible to the human eye. Coupled with ubiquitous, low-cost hardware like handheld ultrasound devices, AI transforms raw pixels into point-of-care diagnostic assays. This shifts the physician's clinical role from physical palpation to adjudicating automated diagnostic flags.
```mermaid
flowchart TD
accTitle: Multimodal AI Ingestion and Applied Outcomes
subgraph Ingestion["Multimodal Ingestion"]
V["Voice & Ambient Audio"]
I["Imaging & Visual Data<br/>(CT, Ultrasound, Legacy Charts)"]
F["Live Interactive Video<br/>(Facial Cues & Emotional State)"]
end
subgraph Intelligence["Multimodal AI Processing"]
P1["Biomarker & Pathology Detection<br/>(Early Pancreatic Cancer, Dementia)"]
P2["Real-Time Interactive Guidance<br/>(Technical Support & Tutoring)"]
P3["Unstructured Document Ingestion<br/>(Insurance History & Actuarial Data)"]
end
subgraph Impact["Operational & Clinical Outcomes"]
O1["Physician as Diagnostic Adjudicator"]
O2["50% Fewer On-Site Visits & +30-40% Efficacy"]
O3["Precision Underwriting & Asset Digitization"]
end
V --> P1
I --> P1
F --> P2
I --> P3
P1 --> O1
P2 --> O2
P3 --> O3
```
In conversational video and audio models, the richness of high-bandwidth sensory input unlocks unprecedented context. Video feeds allow AI to read facial expressions, discerning whether a student is frustrated by a calculus problem or eager for harder material, or guiding a customer through hardware troubleshooting by visually inspecting a broken printer. Outside the clinic, massive public initiatives—such as Texas allocating billions of dollars over the coming decade toward dementia prevention—will rely not on hospital-bound diagnostics, but on ambient voice biomarkers captured through everyday consumer devices. In finance and insurance, multimodal models unlock critical historical data locked inside legacy charts and visual graphs, providing the foundation for more accurate actuarial policies and competitive underwriting.
- Handheld point-of-care ultrasound devices, such as the Butterfly iQ, democratize image acquisition, turning field data into actionable clinical intelligence when paired with AI.
- Live multimodal support workflows have demonstrated real-world operational gains, including reducing on-site service call visits by 50% and improving treatment efficacy by 30% to 40% through richer contextual feedback.
- Financial and insurance institutions are treating multimodal vision as the second phase of digitization, extracting structured quantitative signals from historical visual graphs and unstructured tables.
[39:56](https://www.youtube.com/watch?v=g1gW5GWNss8&t=2396s) Final Takeaways: Speed, Iteration, and Quantifying Success
In the closing lightning round, the panelists deliver actionable guidance for enterprises launching AI initiatives. The foremost imperative across the board is prioritizing deployment speed over the pursuit of perfection. In an evolving technological landscape, an organization's ultimate return on investment depends on how rapidly it can test and implement solutions in real workflows rather than lingering in analysis paralysis.
To sustain this velocity, enterprise leaders must cultivate an iterative mindset, partnering with agile teams that embrace rapid experimentation rather than skeptical stakeholders. Rather than scattering resources across speculative proofs of concept, organizations must maintain tight focus, test one concrete workflow at a time, and define measurable success criteria upfront. Paralyzing debates over finding the theoretical "best" solution should be replaced by organizational alignment on an actionable starting point, transitioning early from subjective qualification to rigorous quantification.
- **Speed over perfection**: Moving fast to deploy and learn yields superior business outcomes compared to delaying implementations in search of flawless initial performance.
- **Select iterable partners**: Avoid skeptical or rigid teams during early deployments; prioritize internal teams and external vendors built around continuous iteration.
- **Focused experimentation ("Learn fast")**: Avoid "throwing spaghetti at the wall"; target single, high-conviction problems, execute through to completion, and establish clarity on what "good" looks like.
- **Align on action and quantification**: Teams should agree on a viable baseline rather than stalling over the theoretical "best" option, establishing concrete quantitative metrics early to avoid costly downstream misalignment.
## Notable quotes
> [03:26](https://www.youtube.com/watch?v=g1gW5GWNss8&t=206s) You can't scale and automate what you can't define to begin with. — Peter McCaffrey
> [07:32](https://www.youtube.com/watch?v=g1gW5GWNss8&t=452s) what's in it for them — Brian Carlson
> [13:10](https://www.youtube.com/watch?v=g1gW5GWNss8&t=790s) If you can't show them that their needs... could accommodate their feedback, you will erode their trust. Eventually, they will turn against you. — Peter McCaffrey
> [21:26](https://www.youtube.com/watch?v=g1gW5GWNss8&t=1286s) line of sight to value — Peter McCaffrey
> [25:34](https://www.youtube.com/watch?v=g1gW5GWNss8&t=1534s) admiration of the risk — Peter McCaffrey
> [28:37](https://www.youtube.com/watch?v=g1gW5GWNss8&t=1717s) sea of PDF files — Peter McCaffrey
> [28:37](https://www.youtube.com/watch?v=g1gW5GWNss8&t=1717s) you can automate a manual process or you can create an automated process — Brian Carlson
> [32:07](https://www.youtube.com/watch?v=g1gW5GWNss8&t=1927s) meet people where they are — Quinn Favret
> [39:56](https://www.youtube.com/watch?v=g1gW5GWNss8&t=2396s) throwing spaghetti at the wall
## Mentioned
TechCrunch, Kate Park, Peter McCaffrey, The University of Texas Medical Branch (UTMB), Brian Carlson, Sodexo, Quinn Favret, Tavus, David Wang, Tetrate, Sodexo Spark, Product IQ, Granola, ChatGPT, Anthropic, Butterfly iQ
## Video description
Peter McCaffrey - Chief Digital and AI Officer, The University of Texas Medical Branch
Kate Park - Editorial Contributor, TechCrunch
Brian Carlson - NorAm Chief Tech, Data, Digital & Innovation Officer, Sodexo
Quinn Favret - Co-Founder and COO, Tavus
David Wang - Head of Product, Tetrate.io
Scaling generative AI such as LLMs and multimodal AI from POC to enterprise-wide deployment requires not just technical readiness, but strategic vision. This session will focus on the broader organizational challenges and opportunities of integrating AI at scale. Panelists will discuss theories, best practices, and innovative approaches to embedding AI systems across business units to drive value. Explore how companies are navigating cross-functional alignment, ensuring leadership buy-in, and fostering a culture that supports widespread AI adoption. Learn about the strategic frameworks that can maximize the impact of generative AI on a large scale.
UTMB与Sodexo负责人将AI落地失败归咎于内部流程缺陷
当企业试图自动化存在缺陷的内部流程,而非明确定义工作流并将工具直接与利润指标挂钩时,企业级人工智能项目便会走向瓦解。
专家小组强调,规模化应用生成式AI的主要障碍在于组织脱节与流程梳理不足,而非技术能力问题。为避免陷入仅提升一线局部便利却无法带来机构级ROI的陷阱,管理者必须将技术部署逆向锚定至损益杠杆,同时保持员工乐于采用的消费级软件易用性。与会嘉宾分享了从环境临床病历记录、转诊分诊到预测性供应链等运营突破,主张开展灵活且高度可迭代的试点项目。展望未来,演讲者指出当前正迎来关键转型,正从纯文本的后台自动化迈向高带宽多模态系统,以消除繁冗的行政官僚流程并重构直接的人际连接。
技术极少成为规模化应用 AI 的真正障碍,组织的系统性不一致与未清晰梳理的业务流程才是核心瓶颈,因为企业无法规模化其无法明确定义的事物。 (3:26)
仅针对一线便利性优化的概念验证(POC)常因无法证明管理层看重的投资回报率(ROI)而夭折,成功的落地必须建立从一线工作流触发点到损益表(P&L)杠杆的完整反向映射。 (7:32)
环境临床听写(Ambient scribes)与 AI 驱动的转诊智能分诊在医疗运营中成效显著,不仅有效遏制了医生的职业倦怠,还彻底改变了传统先到先得的排队积压风险。 (17:34)
企业级 AI 正迎来关键转折点,应用重心正在从后台排程与文档分析等局部效率优化,全面转向以多模态为支撑、实时面向人的人机交互体验升级。 (20:22)
面对快速演进的模型生态,企业必须摆脱对潜在风险的过度空谈,以快速部署与敏捷迭代取代旷日持久的静态试点,在快速响应用户反馈中积累信任。 (25:34)
Reading summary
Enterprise generative AI initiatives falter not from technical limits, but from organizational incoherence, misaligned incentives, and vague executive mandates. Cross-industry leaders argue that sustainable scaling requires backward-mapping AI projects to balance-sheet metrics, integrating consumer-grade ergonomics into existing workflows, and favoring rapid iteration over risk-averse perfectionism.
Process Definition and the Frontline-to-P&L Disconnect (3:26)
Peter McCaffrey (UTMB) contends that technology is rarely the true enterprise bottleneck, observing that organizations cannot scale or automate workflows they cannot clearly define. Early generative AI efforts frequently suffered from an evangelical phase where proofs of concept were optimized strictly for frontline convenience, such as clearing administrative work queues. David Wang (Tetrate) notes that executive 'AI fever' often dictates tool adoption without defining measurable business objectives, creating downstream technical friction and worker skepticism. When frontline time savings fail to translate into demonstrable institutional returns, leadership often writes off otherwise functional tools as business failures.
To bridge this divide, Brian Carlson (Sodexo) emphasizes establishing clear financial projections, governance, and stage gates to decommission unviable experiments before they damage IT credibility. McCaffrey advocates a disciplined backward-mapping process: identify top profit-and-loss levers (such as yield or unit-cost reductions), isolate the specific operational outputs that influence them, map the required employee actions, and only then introduce targeted AI automation to remove workflow friction.
Adoption Through Ergonomics and Workflow Integration (21:26)
David Wang points out that ChatGPT permanently reshaped enterprise software expectations by demonstrating intuitive, consumer-grade ergonomics. If an internal AI deployment introduces clunky interfaces or friction, frontline staff will reject it regardless of executive mandates. Quinn Favret (Tavus) and Carlson stress that successful deployments must meet workers within their established environments and habits, warning that attempting to reform user behavior while simultaneously introducing new software almost guarantees failure.
The panel underscores that generative AI delivers its strongest adoption by stripping away bureaucratic 'ceremony.' Modern medical workflows, for instance, force physicians to spend up to 95% of their attention navigating electronic health records and data collection rather than clinical decision-making. Ambient scribes succeeded because they directly mitigated clinician charting burnout without disrupting natural patient examinations. Similarly, Sodexo introduces computer vision and sensory inputs directly onto physical kitchen stations to track safety and shrinkage without burdening staff with traditional software inputs.
Targeted Deployments Across Operations and Healthcare (14:38)
Production use cases deliver verifiable returns when applied to concrete operational bottlenecks rather than speculative, diffuse rollouts. At Sodexo, algorithmic integrations optimize perishable supply chains for items like milk and produce to eliminate waste, automate complex workforce scheduling, and power its Product IQ platform to recommend cost-effective purchasing options for hospitality clients. Tetrate monitors developer velocity alongside model compute expenditures and deploys support systems that automate research so service representatives can focus on customer interactions.
In healthcare delivery, UTMB replaced conventional first-in, first-out administrative queues with an AI-assisted referral triage model. When a patient receives a nephrology referral, the system checks chart history to assess clinical urgency, bumping high-risk cases to the front of the schedule rather than leaving them in a static four-to-six-week backlog. Favret notes that deployments are also expanding from back-office administrative automation toward interactive human experiences, including conversational roleplay coaching for corporate training, automated patient intake, and modern alternatives to rigid phone response menus.
Multimodal Expansion and Overcoming Risk Paralysis (25:34)
The panel identifies significant untapped enterprise value in multimodal models incorporating voice, video, and computer vision. In clinical diagnostics, AI models inspecting CT scans can identify microscopic pancreatic cancer before it is perceptible to human radiologists, while handheld ultrasound hardware turns raw imaging into point-of-care assessments. In financial services, multimodal vision extracts structured underwriting intelligence from legacy charts and unstructured graphs. Furthermore, large-scale public initiatives, such as Texas investing billions into dementia prevention, will lean on ambient voice biomarker analysis via consumer hardware.
Capturing these operational gains requires overcoming institutional paralysis. McCaffrey criticizes healthcare leadership's tendency toward 'admiration of the risk,' arguing that regulatory hesitation ignores the severe risks already embedded in broken, fragmented status-quo operations. Panelists agree that organizations must replace static multi-month trials with fluid proofs of concept, maintaining trust by responding rapidly to frontline user feedback and prioritizing quick deployment velocity over the search for a theoretically perfect solution.
While the panel provides clear frameworks for targeting business metrics and integrating ergonomics, organizations still face the operational friction of overhauling antiquated operational processes without overburdening workers. The enduring enterprise challenge lies in maintaining agile governance and employee trust when underlying foundational models evolve significantly faster than standard institutional planning cycles.
## Background
该视频由 YouTube 频道 Ai4 于 2026 年 8 月 22 日发布。视频记录了一场关于在大型企业中规模化部署生成式 AI 的圆桌研讨,聚焦于如何跨越概念验证(POC)走向全组织级应用,探讨跨部门协同、高管对齐、组织文化与战略框架等核心议题。
## TL;DR
来自医疗、企业服务、前沿 AI 实验室及基础设施领域的专家共同指出,阻碍企业 AI 规模化的根本瓶颈在于组织流程的割裂与未被清晰定义的业务痛点,而非技术本身。讨论深入剖析了从自下而上的“局部便利”转向自上而下“可衡量业务价值”的必要性,并展示了在医疗智能分诊、供应链优化、研发效能提升与多模态人机交互等场景下的真实落地成果。专家们一致建议,企业应走出盲目罗列风险的停滞思维,摒弃对“绝对最优解”的执念,通过极速迭代、精准量化指标与端到端流程重构,将员工从繁琐杂务中解放出来以释放真正价值。
## Atmosphere & style
整场圆桌讨论务实而犀利,嘉宾们摒弃了空洞的技术布道与狂热口号,直击企业推进 AI 时面临的真实阵痛与管理短板。各方观点交织碰撞、节奏紧凑,在揭示“薛定谔的部署”与医疗系统繁文缛节等现实困境时既幽默辛辣又发人深省。随着讨论从批判痛点转向多模态赋能与实战建言,现场洋溢着工程理性与行动导向的紧迫感,给观众带来一场高度专业、接地气且充满实战洞见的思维激荡。
## Key takeaways
- [03:26](https://www.youtube.com/watch?v=g1gW5GWNss8&t=206s) 企业 AI 规模化落地的核心障碍不是技术本身,而是组织流程的不连贯性与缺乏明确定义的业务标准,导致自动化与扩展无从谈起。
- [07:32](https://www.youtube.com/watch?v=g1gW5GWNss8&t=452s) 摆脱 AI 布道时代的投资回报陷阱:自下而上关注的一线局部便利往往与管理层关注的底线收益脱节,必须将技术动作直接对齐核心业务财务指标。
- [07:32](https://www.youtube.com/watch?v=g1gW5GWNss8&t=452s) 索迪斯提出 Spark 体验框架,将 AI 能力拆解为客户、消费者与员工三大体验支柱,通过直观呈现技术收益将落地推行从被动推销转为主动拉动需求。
- [10:48](https://www.youtube.com/watch?v=g1gW5GWNss8&t=648s) 企业级 AI 必须以端到端全流程视角建立治理机制,避免局部单点用例的孤立优化对上下游协作产生负面外部性。
- [12:14](https://www.youtube.com/watch?v=g1gW5GWNss8&t=734s) 组织信任的存续取决于反馈与敏捷迭代的响应速度,面对高频更迭的技术和潜在故障,快速响应与持续优化是防止信任瓦解的关键晴雨表。
- [14:38](https://www.youtube.com/watch?v=g1gW5GWNss8&t=878s) 研发效能与客户支持场景已从凭感觉评估走向精准量化,企业正严格核算功能上线周期、算力消耗并剥离无差别的繁重前置杂务。
- [16:29](https://www.youtube.com/watch?v=g1gW5GWNss8&t=989s) 医疗场景中环境语音听写(Ambient Dictation)大幅减轻医生职业倦怠,而基于 AI 的转诊智能分诊能够打破传统先到先得队列,动态置顶急危重症患者。
- [20:36](https://www.youtube.com/watch?v=g1gW5GWNss8&t=1236s) 生成式 AI 正迎来范式转移:应用重心从单纯的后台降本与效率优化,大步迈向面向人际互动(Human-Facing)的多模态与端到端体验重塑。
- [21:12](https://www.youtube.com/watch?v=g1gW5GWNss8&t=1272s) 众多 POC 无法规模化源于忽视消费级的人机工效学体验,以及缺乏阶段门禁(Stage-gating)止损机制与从 P&L 财务杠杆逆向推导的清晰链路。
- [26:56](https://www.youtube.com/watch?v=g1gW5GWNss8&t=1616s) 在医疗等高风险强监管领域,过度审视风险而维持现状同样是巨大风险,需吸取当年电子病历仅增加机械点击流杂务的数字化教训。
- [30:30](https://www.youtube.com/watch?v=g1gW5GWNss8&t=1830s) 治理逻辑应从消极罗列出错风险转向建立科学度量与监控体系,与其被动修补低效的手动流程,不如底层重构原生自动化工作流。
- [32:07](https://www.youtube.com/watch?v=g1gW5GWNss8&t=1927s) 深入现场一线赋能需在用户现有工作流中相遇,通过“剥离工作仪式感”减少繁文缛节与案头录入,让员工聚焦于核心决策与客户服务。
- [35:00](https://www.youtube.com/watch?v=g1gW5GWNss8&t=2100s) 多模态能力爆发释放非文本数据红利,不仅在医疗影像中展现超人类视觉诊断潜力,还在企业端大幅减少售后现场上门并盘活历史资产。
- [40:33](https://www.youtube.com/watch?v=g1gW5GWNss8&t=2433s) 落地起步阶段速度胜过完美,企业应优先绑定具备高敏捷迭代能力的团队,避免因过度苛求完美而拖慢落地转化。
- [41:14](https://www.youtube.com/watch?v=g1gW5GWNss8&t=2474s) 敏捷迭代的核心在于聚焦单点并务实地就可行方案达成共识,而非死磕无法预知所谓的最优解,同时应尽早确立精准的量化衡量指标。
## Detailed walkthrough
### [00:04](https://www.youtube.com/watch?v=g1gW5GWNss8&t=4s) 圆桌讨论开场与嘉宾阵容介绍
TechCrunch 特约撰稿人、《Signals》AI 与创新通讯主理人 Kate Park 担任本次研讨的主持人。本次讨论的主题聚焦于“如何在大型企业中规模化落地生成式 AI(Generative AI)”,从概念验证(POC)走向全组织级部署。四位来自医疗、跨国企业服务、前沿 AI 实验室以及基础设施领域的行业专家受邀进行跨维度探讨:
- **Peter McCaffrey**:德克萨斯大学医学分校(University of Texas Medical Branch,简称 UTMB)首席数字与 AI 官(CDAO),病理学家出身。UTMB 是一个集科研、教学和临床诊疗于一体的学术医疗系统,作为休斯顿地区广大患者的关键医疗安全网,其核心目标是提供可规模化、可靠且高质量的普惠医疗。
- **Brian Carlson**:索迪斯北美区(Sodexo North America)首席技术、数据、数字化与创新官,全面掌管传统 IT、AI、数字化及创新业务。索迪斯主要为医院(患者营养与零售餐饮)、企业办公场所、大学校园和体育场馆提供餐饮与综合设施管理服务。
- **Quinn Favret**:Tavus 联合创始人兼 COO。Tavus 是一家位于旧金山的 AI 研究实验室,自 2021 年(“在 AI 真正爆火之前”)便深耕该领域,已累计融资约 7500 万美元。他们专注于构建驱动实时交互的面部 AI 智能体(Face-to-face AI agents,内部代号为 "PALs"),让智能体具备逼真的外观、视觉与理解能力并可部署至各行业企业中。
- **David Wang**:Tetrate 产品负责人,负责构建帮助企业观测、管理和治理(Govern)AI 流量的基础设施,使企业清晰洞察组织内部 AI 的使用现状与优化空间,并将技术数据转化为实际业务收益。
---
### [03:26](https://www.youtube.com/watch?v=g1gW5GWNss8&t=206s) 企业 AI 规模化落地的瓶颈:技术不是核心障碍,组织流程不连贯才是根因
针对主持人提出的核心问题——“阻碍 AI 在大型组织中落地的最大挑战究竟是技术本身,还是组织与人员的就绪度”,嘉宾们一致认为技术从来不是真正的瓶颈所在。
Peter McCaffrey 尖锐地指出,即便管理层不去主动推进技术部署,AI 技术也会不可避免地“渗透(Infiltrate)”进组织;但单纯拥有无限强大的技术根本无法奇迹般地解决复杂的医疗系统难题。医疗乃至大型企业面临的本质问题是“组织不连贯性(Organizational Incoherence)”——即究竟由谁在做什么、出于什么目的而做,内部往往缺乏统一认知。AI 并未制造这种断裂,而是像一面照妖镜将其彻底曝光:“你无法对连自己都无法明确定义的事物进行规模化与自动化(You can't scale and automate what you can't define to begin with)。”如果连“新确诊心力衰竭的患者如何完成建档与患者教育”这种标准化流程内部都缺乏共识,AI 就无从谈起。
Brian Carlson 紧接着补充,在面向成千上万名员工推广时,必须具备明确的问题、标准化的流程、合格的人员以及清晰的推进计划,以确保落地的“一致性与可预测性”。
```mermaid
flowchart TD
accTitle: Enterprise AI Deployment Dilemma
subgraph Bottlenecks["核心瓶颈"]
A["业务流程未定义 / 组织不连贯"] --> B["AI 无法规模化与自动化"]
end
subgraph Approaches["企业落地路径"]
C["自下而上(Bottom-Up)"] --> E["个人生产力工具赋能<br/>易产生局部便利与ROI脱节"]
D["自上而下(Top-Down)"] --> F["聚焦特定高价值业务问题<br/>(如销售线索转化、培训客服)"]
end
Bottlenecks -.-> Approaches
```
Quinn Favret 从服务跨国 500 强到街边小店的广泛客户实践出发,将企业的落地路径归纳为两种截然不同的模式:
- **自下而上(Bottom-Up)模式**:给团队提供通用生产力工具,以提升创造力、效率并优化决策,但面临全员培训和管理分散的挑战。
- **自上而下(Top-Down)模式**:企业带着极其具体的硬指标痛点而来(例如“提高官网销售线索转化率”或“培训员工以更好处理客服支持”),采用针对性产品在隔离场景中快速攻坚。两种路线没有绝对对错,但多数企业正在向特定场景明确的 Top-Down 方案倾斜。
David Wang 幽默地将当前的 AI 部署状态比喻为“薛定谔的部署(Schrödinger's problem)”——在任何给定时刻,AI 在一家组织里都同时处于“既部署了又没部署”的叠加态。只要不去追问,它就悄然存在于各个角落;一旦追问,大家就会对“什么是真正的部署”争论不休。他强调,如果没有建立起企业级的“信任(Trust)”,AI 就会永远停留在薛定谔状态。
---
### [07:32](https://www.youtube.com/watch?v=g1gW5GWNss8&t=452s) 从“局部自嗨”到“高管对齐”:摆脱 AI 布道时代的投资回报陷阱
在深入探讨妨碍 AI 项目实质推进的阻力时,嘉宾们剖析了从高管层认知模糊到一线员工激励机制错位的多重断层。
David Wang 强调了领导层方向明确的重要性。许多管理层陷入了盲目的“AI 狂热(AI fever)”,只是一味高呼“我们需要更多 AI”,却无法给出具体的商业目标。这种模糊性会直接引发全组织的迷茫,导致技术选型失去优先级指导,使每项技术都沦为绊脚石;最终推向市场的技术不仅无法被业务人员消化吸收,甚至会引发员工对 AI 的最坏猜想与抵触心理。
针对员工认知与落地阻力,Brian Carlson 分享了索迪斯的应对举措。索迪斯将技术攻关重点转向变革管理与沟通,推出了名为 **“Sodexo Spark”** 的全新框架体系,将 AI 能力归纳并拆解为三大核心体验支柱:
- **客户体验(Client Experience)**
- **消费者体验(Consumer Experience)**
- **员工体验(Employee Experience)**
通过这一框架,员工能够直观理解“这项技术对自己有什么好处(What's in it for them)”,进而变被动推行为主动拉动需求(Pull the demand)。
Peter McCaffrey 随后总结了企业正在经历的关键范式转变:过去很长一段时间的 AI 推进处于“高度布道化时代(Highly evangelical era)”,即为了证明 AI 能创造价值,团队深入到所谓的“一线(Frontline)”去询问“什么能让你感受到价值”。这种做法虽能快速促成大量 POC(概念验证),但一线员工的价值诉求往往局限于“本地便利性(Local convenience)”(例如只想清空眼前的待办任务工作流),这种诉求虽合理却与管理层(C-suite)关注的底线收益脱节。一线员工感到省时省力,并不等于企业获得了可衡量的 ROI,除非节省的带宽能切实转化为其他产出。如果优化方向无法对齐那些真正需要捍卫预算投资的副总裁(VP)级别高管,项目在基层看似成功,在全企业层面上依然会走向失败。
### [10:48](https://www.youtube.com/watch?v=g1gW5GWNss8&t=648s) 端到端优化、治理平衡与团队信任的双重挑战
在企业级 AI 战略的讨论中,Brian Carlson 率先从大型企业运营的视角切入,指出不能仅仅孤立地看待局部的单一微观用例(niche use cases)。在复杂的企业环境中,如果某一个部门获得了局部胜利,却给上下游流程的其他环节带来了损失,这种单点突破就毫无意义。因此,企业真正需要的是对“端到端全流程(end-to-end process)”进行全面审视,并建立一种平衡的治理机制,确保 AI 部署能够为整个组织带来全局收益,这也是目前企业面临的核心挑战。
```mermaid
flowchart TD
accTitle: 孤立用例与端到端协同治理对比
subgraph Siloed["局部孤立视角 (容易导致部门失衡)"]
A["单点微观用例优化"] --> B["某一部门获益 / 效率提升"]
B -. 负外部性.-> C["上下游协作受阻 / 整体失衡"]
end
subgraph EndToEnd["端到端协同视角 (全局共赢)"]
D["端到端全流程审视"] --> E["平衡的治理体系"]
E --> F["全链路体验优化与跨部门共赢"]
end
```
Quinn Favret 随后将讨论引向了“信任(Trust)”的维度。他强调,无论 AI 的愿景多么宏大,归根结底都必须回答一个具体问题:员工在日常工作中是否真正相信 AI 能够稳定、可靠地完成既定任务?要建立这种信任,企业既需要推出经过深度测试、深度微调且切实可用的工具,又必须在“现实可用性”与“可能性的艺术(the art of the possible)”之间取得平衡。当前模型与技术产品日新月异,新工具层出不穷,企业管理者面临的现实难题是:如何在紧跟行业最前沿创新步伐的同时,确保团队对现有部署的工具保持坚定的信任。
---
### [12:14](https://www.youtube.com/watch?v=g1gW5GWNss8&t=734s) 一线脱节、组织协同与通过敏捷迭代构建信任
Peter McCaffrey 进一步指出了企业在自上而下与自下而上推进 AI 时普遍暴露的深层矛盾——一线员工与高管层之间的认知脱节。想要真正实现可量化的投资回报率(ROI),整个组织必须对“价值是如何被创造出来的”达成连贯一致的理解,明确一线指标如何直接关联并驱动核心业务指标。Peter 直言:“这实际上是一个管理问题,而不是 AI 技术问题。” Brian Carlson 对此表示认同,并补充道,像 Sodexo 这样极其依赖一线人力的企业,其核心目标正是通过将员工从繁琐的后台事务中解放出来,把省下来的宝贵时间与精力全部重新投入到直接服务客户、消费者和宾客的一线互动中。
David Wang 接着分析称,组织的内在协同性(organizational coherence)是所有企业梦寐以求却极难达成的目标,这在 AI 时代不仅没有消失,反而因为 AI 带来的极高推进速度而被进一步放大——企业跑得越快,自身绊倒的地方就暴露得越明显。关于如何建立信任,David 提出:
- **反馈响应速度是信任的关键晴雨表**:当业务利益相关方提出诉求时,企业必须通过快速迭代证明 AI 具备应对这些需求的能力;如果无法快速响应,信任就会迅速瓦解。
- **迭代速度决定信任存续**:传统企业以往从未面临过如此高频的迭代要求,一旦跟不上这一速度曲线,员工就会对技术失去信心。
- **跌倒后的应对策略**:Quinn 总结道,高速奔跑中必然会遭遇挫折或系统故障,防止信任崩塌的唯一方式就是“倾听第一、迅速响应并持续迭代优化”。
---
### [14:38](https://www.youtube.com/watch?v=g1gW5GWNss8&t=878s) 落地实效:量化研发效能与解放客户支持流程
主持人 Kate Park 将话题转向当前正在切实产生业务价值的实际用例,询问各位嘉宾在自身企业或客户场景中看到哪些落地成果。Tetrate.io 的 David Wang 首先代表高科技与金融服务技术领域分享了经验,指出企业高管最关注的两大业务成果是**研发人员生产力(开发创新成本)**与**客户体验**:
- **从“感觉(Vibes)”走向精准量化**:软件工程的范式已被 AI 彻底改变。领先的企业不再仅凭“感觉开发变快了”来做评估,而是精确量化功能交付速度与创收产品上线周期的提升,并将其与消耗的 AI 算力及工具成本进行严格对标。
- **剥离无差别的繁重事务(Undifferentiated Heavy Lifting)**:在客户服务与准备环节中,大量的调研、背景准备和基础劳动被 AI 取代,使团队能够将核心精力集中在“真正照顾客户”本身,而非“为照顾客户做耗时准备”。
---
### [16:29](https://www.youtube.com/watch?v=g1gW5GWNss8&t=989s) 供应链、采购优化与医疗场景中的 AI 实战价值
Sodexo 的 Brian Carlson 介绍了 AI 贯穿其全业务价值链的多个成熟应用。Sodexo 推出了一款名为 **Product IQ** 的集采赋能产品,为酒店、餐厅等客户提供智能采购建议,实时推荐性价比更高、配送更准时的替代产品,并通过功能完备的独立采购门户优化整体支出。在内部供应链端,AI 被用于预测牛奶、生菜等生鲜产品的精准采购量,有效防止过度采购或供货不足。此外,Sodexo 还在劳动力排班优化以及面向消费者的移动端个性化推荐引擎中深度集成了 AI。
```mermaid
flowchart LR
accTitle: 医疗转诊智能分诊对比流程
subgraph Traditional["传统排队模式"]
A["患者转诊接入"] --> B["先到先得 FIFO 队列"]
B --> C["非临床准入人员分配"]
C --> D["病情延误风险 (滞留4-6周)"]
end
subgraph AISmart["AI 智能分诊模式"]
E["患者转诊接入"] --> F["AI 深度解析病历与病情"]
F --> G["动态优先级排队"]
G --> H["紧急重症即时优先就诊"]
end
```
随后,UTMB 的 Peter McCaffrey 详细拆解了医疗健康领域的两大核心落地成果:
- **全局分析与效能评估**:利用 AI 自动评估业务成效与转诊率变化,避免团队被繁重庞杂的常规数据汇报工作压垮,提高决策纪律性。
- **环境语音听写(Ambient Dictation / AI 医生助手)**:医生在问诊时只需将手机放在桌上与患者面对面交谈,AI 会自动完成病历文档书写并预先开立医嘱。这不仅保留了医患沟通的人文温度,更大幅降低了高昂且紧缺的医生资源的职业倦怠(physician burnout)。
- **转诊队列智能优先级重排**:以肾脏科(nephrology)转诊为例,传统模式依赖行政准入人员按“先到先得(FIFO)”被动排期,容易导致重症患者在长达 4 至 6 周的等待期内病情恶化。引入 AI 后,系统会自动审查患者病历与转诊单,智能识别危急程度并动态置顶高危病例,确保关键医疗资源第一时间覆盖最急需的患者。
---
### [19:48](https://www.youtube.com/watch?v=g1gW5GWNss8&t=1188s) 从后台降本走向面向人际交互的 AI 新范式
面对医疗场景的案例,Quinn Favret 产生强烈共鸣,指出医疗领域的现状印证了一个普遍规律:“你解决的问题越多、效率提升得越高,涌现出的新挑战和新机遇也会成倍增长。”
Quinn 提到,过去数年行业内的 AI 落地主要集中在后台提效、自动化、流程调度、智能分析,以及像 Granola 这样的个人会议转录记录工具上。而当前整个行业正在迎来一个重要拐点:**AI 部署正从单纯的后台降本(Back Office),快速迈向面向人际互动(Human-Facing)的全新交互场景**。例如在企业培训与组织发展(L&D)领域,AI 已经被深度用于高度逼真的角色扮演(Roleplay)和沉浸式业务模拟,实现真正拟真、双向互动的复杂沟通训练。
### [20:36](https://www.youtube.com/watch?v=g1gW5GWNss8&t=1236s) 生成式 AI 的范式转移:从效率优化到体验重塑
在人机交互与多模态能力的演进中,AI 不仅能理解文本,还能实时捕捉肢体姿势、面部动作以及语调变化并提供即时反馈。这种深度交互正在迅速渗透至医疗问诊接诊、患者入院指引、术前术后护理,乃至求职面试等关键场景,成为企业建立首要品牌印象的前沿阵地。当前企业部署 AI 正在经历一场深刻的范式转换:在接下来的发展周期中,AI 的应用重心将从单纯追求“效率提升与成本压缩”,大步迈向“端到端体验优化”,全面替代过往那些僵化笨拙、体验倒退的传统交互式语音应答(IVR)系统与机械化流程。
```mermaid
flowchart TD
accTitle: AI 应用演进与落地成功要素
subgraph Evolution["AI 演变趋势"]
direction LR
E1["传统阶段:纯效率与降本<br/>(替代人工、死板 IVR)"] --> E2["新兴阶段:体验深度优化<br/>(多模态感知、重塑交互)"]
end
subgraph ScaleFactors["规模化落地的核心支柱"]
direction TB
S1["人机工效体验 (Ergonomics)<br/>对齐消费级产品体验"]
S2["明确业务价值 (P&L Levers)<br/>从财务杠杆逆向推导动作"]
S3["阶段门禁与赞助 (Stage-gating)<br/>及早止损以捍卫团队信誉"]
S4["敏捷流动态势 (Fluid POC)<br/>紧跟底层模型快速迭代"]
end
Evolution --> ScaleFactors
```
---
### [21:12](https://www.youtube.com/watch?v=g1gW5GWNss8&t=1272s) 为什么许多 AI POC 无法规模化落地?人机工效与业务价值闭环
针对主持人关于“为何众多前景光明的 AI 概念验证(POC)最终折戟沉沙、无法走向企业级规模化”的提问,技术提供商与企业实践者给出了多维度的诊断。从技术界面的角度来看,决定规模化成败的关键变量往往在于“人机工效学”(Ergonomics)与最终交互体验。过去业界普遍默认企业级软件的交互体验极为糟糕,但以 ChatGPT 为代表的生成式 AI 本质上是消费级形态的产品,其核心词汇在于自然的“聊天”(Chat),这为大众设立了极高的交互预期。如果在企业内部推广一套 AI 工具时忽略了这种直观、顺畅的工效设计,再多的管理层对齐也难以挽救糟糕的落地效果。
从业务推进与组织治理的视角来看,缺乏严谨的立项与退出机制是导致试点搁浅的另一大主因。一个成功的项目必须在启动前就明确界定问题陈述与衡量“成功”的具体量化标准,这通常是一套严格的财务核算,并需要得到销售、财务或一线业务团队等对应业务负责人(Executive Sponsorship)的全力背书。更为关键的是建立“阶段门禁”(Stage-gating)机制:如果一个方案在纸面上都无法跑通商业逻辑,就应果断止损放弃,而不是硬着头皮推进注定失败的技术探索,否则技术团队在业务部门眼中的信誉将彻底丧失。
在医疗等复杂组织内部,阻碍规模化的深层矛盾在于“价值创造与员工日常意愿之间的摩擦”。像环境智能听诊(Ambient AI)这类工具之所以能迅速铺开,是因为它直击临床医生的职业倦怠痛点,员工有自驱力去使用;然而,许多具有巨大财务价值的后台任务(例如捕捉漏报计费)往往意味着新的增量工作量。要打破这一瓶颈,业务线负责人必须清晰展示技术动作与财务价值之间的直接视线(Line of sight to value):
- 明确核心财务杠杆:业务主管必须指出前三大损益(P&L)抓手是来自于产能提升还是成本削减。
- 逆向因果推演:从最终目标反向倒推——产生这一财务结果需要哪些具体动作?触发该动作的前置步骤是什么?一路倒推直至找到 AI 能够切入并接管的底层工作流节点。
- 确立推行动机:唯有让全体参与者深刻认同“做这件麻烦事是因为它能直接创造可衡量的业务价值”,项目才不至于因员工个人偏好的分歧而中途偏航。
---
### [25:34](https://www.youtube.com/watch?v=g1gW5GWNss8&t=1534s) POC 的流变:在快速迭代的 AI 前沿中保持动态敏捷
从解决方案构建方的视角来看,能够在企业级部署中跑赢同行数月乃至数年的企业,普遍具备极快的响应速度:他们清晰定义成功指标,并在落地过程中维持极高的迭代与创新频率。当前的 AI 落地陷入了一种“薛定谔悖论”(Schrödinger's paradox)——企业往往既无法断言 AI 已经完全落地,也无法断言其尚未部署。
POC 固然为管理层提供了结构化的试错沙盒,但随着底层基础模型和工具链以周、月为单位高频更迭,传统的静态 POC 正在演化为一种动态流转的持续验证流程。企业必须学会在多个维度上同步推进与试错,推动技术边界不断向前。POC 的形式不会消亡,但其在企业内部的定义、评估方式与战略地位已经发生了根本性重塑。
---
### [26:56](https://www.youtube.com/watch?v=g1gW5GWNss8&t=1616s) 医疗与高风险领域的 AI 抉择:坐视不理是最大的风险
在强监管、高风险的医疗行业中,如何划定“AI 自主决策”与“AI 辅助人类决策”的界线是一个核心命题。很多医疗机构常常陷入对潜在风险的过度审视(admiration of the risk),却选择性忽视了一个残酷事实:在当前医疗体系本就极不完备的现实下,“坐视不理、维持现状”(Not doing anything)同样是巨大的风险。合规与安全性固然是必须跨越的红线,但面对技术演进,机构应当具备如同寻找攻克癌症的新型化疗药物一般的紧迫感,以严密的工程逻辑去探索正确的实现路径,而不是任由组织文化停留在罗列风险清单并以此为由裹足不前。
回顾本世纪初医疗数字化的历史教训,当年业界天真地推行“有意义使用”(Meaningful Use)法规,试图通过全面推行电子病历(EMR)解决医疗问题,结果却是在陈旧落后的体系上硬套了一套数字化外壳,最终给医护人员留下了如同“PDF 文件海洋”般繁琐割裂的点击流界面。
- 临床决策被严重挤压:医生本应将核心精力放在诊断与照护决策上,现实中却有 95% 的脑力被前置的杂务、信息检索和系统打卡消耗殆尽,真正留给患者决策的时间仅剩可怜的一小部分。
- 医疗体验的历史倒退:对比二三十年前,患者进门有熟悉的接待员无缝流转信息给护士,护士测完体征转交医生,医生能在极短时间内提供精准决策;而如今的远程医疗或线上系统,却逼迫患者重复填写四遍相同的表单,医生深知患者只是机械地勾选“否”,导致医患双方陷入无效沟通的恶性循环。
- AI 的破局使命:将医护人员从荒谬的数字化后勤杂务中解救出来,即使只能将临床决策时间的占比恢复到一半,也是对当代医疗体系的一次重大拯救。
### [30:30](https://www.youtube.com/watch?v=g1gW5GWNss8&t=1830s) 流程重塑与治理逻辑:从“罗列风险”转向“度量与监控”
在探讨医疗及企业服务中低效流程的弊端时,嘉宾们指出,许多传统流程因为拼凑了低劣的软硬件而出现体验倒退——例如一项原本高效的工作,却因为反复机械地核对信息而耗费极高价值专家的 20 分钟时间,最终效果依然不尽如人意。面对这种痛点,企业面临两种根本不同的路径选择:“自动化现有的手动流程”或者“重新构建全新的原生自动化流程”。嘉宾强调,在当今 AI 技术演进的大潮中,“原地踏步就等于落后,因为其他人都在全力向前推进”。
针对医疗等强合规行业对 AI 风险的顾虑,讨论指出,与其不断罗列 AI 可能会出错的各种场景而止步不前,不如聚焦于“如何把事情做对”。这种技术变革与当年的数字化转型、互联网普及乃至公有云的引入如出一辙——每一次技术浪潮初期,行业都会经历摸索阶段,但最终都会建立起成熟的衡量与治理体系。AI 的渗透是不可阻挡的必然趋势,企业应当将核心精力放在如何建立科学的评估指标与监控机制,确保其安全、受控地创造价值。
```mermaid
flowchart LR
accTitle: AI Adoption Governance Cycle
subgraph Mindset["认知转变"]
A["传统思维: 罗列风险 / 拒绝变革"] --> B["现代思维: 构建指标 / 动态治理"]
end
subgraph Execution["落地路径"]
C["被动修补: 自动化低效手动流程"]
D["底层重构: 创建原生自动化工作流"]
end
B --> D
```
---
### [32:07](https://www.youtube.com/watch?v=g1gW5GWNss8&t=1927s) 深入一线业务场景:以“剥离繁文缛节”赋能传统与现场员工
当话题转向 Sodexo 这样深耕于后厨、物业设施和现场一线运营的非传统科技环境时,Brian Carlson 阐述了 AI 在基层员工中的实际应用场景。Sodexo 在各个驻点拥有数以千计的一线员工,他们日常需要进行菜单规划、厨余浪费追踪与物资管理。随着多模态能力的成熟,AI 在健康安全管理以及库存损耗防范(Shrinkage Prevention)方面展现出了巨大的应用潜力,成为未来数年内持续深耕的重点用例。
Quinn Favret 补充道,向一线工人推广技术的关键在于“在用户所在的地方与他们相遇(Meet people where they are)”。他以 Anthropic 为例指出,成功的技术部署不是强迫用户颠覆现有的作业习惯去适应全新工具,而是把 AI 深度嵌入到现有的工作流与环境中,尽量减少单个人员需要做出的改变。David Wang 对此深表赞同,并提出了“剥离工作仪式感(Stripping away the ceremony)”的概念:
- **餐饮服务业**:剥离繁杂的数据录入仪式,让员工将更多时间投入到理解和真正服务客户上;
- **医疗卫生领域**:减少大量冗长病历书写等案头工作,让医生专注于核心的医疗决策与患者救治;
- **软件工程领域**:减少繁琐的方案审批流程,让工程师专注于高价值的实际问题解决。
---
### [35:00](https://www.youtube.com/watch?v=g1gW5GWNss8&t=2100s) 超越文本的多模态爆发:语音、影像与视频释放的数据新红利
当前行业对生成式 AI 的讨论大多局限于文本,但多模态(语音、图像、视频)正在开启全新的价值空间。Peter McCaffrey 从病理学与医学影像的角度指出,AI 不仅能自动化人类已有的识别能力(如辅助确认结节),更具备超越人类肉眼极限的全新诊断能力。例如在腹部 CT 扫描中,早期胰腺癌的蛛丝马迹在人眼看来极难察觉,但 AI 算法能够敏锐捕获,这相当于创造了一种全新的床旁诊断范式。随着 Butterfly iQ 等便携式超声设备的普及,前沿数据的采集变得极其轻便,医生的角色正在从传统的“靠手触摸肿块”转变为“对 AI 风险预警进行综合裁决”。此外,得克萨斯州投入数十亿美元用于失智症预防,这类筛查未来将不再局限于医院,而是通过 Siri 等日常语音交互,利用更丰富的多模态生物标志物实现早期被动监测。
```mermaid
flowchart TD
accTitle: Multimodal AI Value Across Industries
subgraph Healthcare["医疗健康领域"]
H1["微型硬件普及 (如 Butterfly iQ)"] --> H2["AI 超人类视觉 (早期胰腺癌/病灶捕获)"]
H3["日常语音/交互数据"] --> H4["常态化生物标志物监测 (失智症预防)"]
end
subgraph Enterprise["企业与服务领域"]
E1["视频/面部情绪分析 (教学辅导/客户支持)"] --> E2["减少 50% 现场上门 / 提升 30-40% 疗效"]
E3["非文本历史资产 (金融图表/保险保单影像)"] --> E4["数字化第二阶段 (精细核保与客户洞察)"]
end
```
Quinn Favret 从构建对话式音频与视频模型的角度进一步阐述了富媒体数据的独特价值。与纯文本相比,视频和音频能够传递极高维度的信息:
- **情绪与认知状态感知**:在远程辅导中,系统可以通过面部微表情与语调判断学生是因微积分难题而感到沮丧,还是跃跃欲试希望挑战更难的问题;
- **交互式远程排障**:在客户支持场景下,用户只需将摄像头对准故障打印机,多模态 AI 便能实时指导其完成维修。这类部署已在实际场景中帮助客户减少了 50% 的现场上门服务,并将干预疗效提升了 30% 至 40%。
David Wang 补充指出,在金融服务与保险行业,多模态 AI 标志着“数字化转型的第二阶段(Phase 2 of Digital)”。许多核心资产(如历史财务走势图、精算数据图表、扫描保单)本质上都是图像形式,多模态模型能够深度解析这些非文本资产,帮助金融机构更精准地制定保险策略并形成核心竞争壁垒。
---
### [39:56](https://www.youtube.com/watch?v=g1gW5GWNss8&t=2396s) 专家建言:AI 落地起步阶段的核心法则
在圆桌讨论进入尾声之际,主持人 Kate Park 邀请各位嘉宾为刚踏上 AI 征程的企业提供避坑指南与供应商建议。Quinn Favret 率先总结道,在技术瞬息万变的当下,企业面临的各种建议可能极其复杂,但最核心的一条法则是:“速度胜过一切(Speed matters more than anything else)”。无论企业当前处于技术探索的哪一个阶段,快速验证、快速迭代才是拉开竞争差距的关键。
### [40:33](https://www.youtube.com/watch?v=g1gW5GWNss8&t=2433s) 速度与完美的博弈:通过敏捷迭代与找对伙伴实现落地
在探讨企业如何跨越 AI 采纳曲线时,嘉宾们深入分析了技术落地过程中速度与质量之间的核心张力。无论一家企业当前处于技术创新的最前沿,还是暂时处于落后状态,真正决定其能否从 AI 中获取实际收益的唯一要素,就是看他们能以多快的速度将技术投入实际应用并落地部署。然而在实践中,“速度”最大的天敌往往就是对“完美”的过度执念。如何在快速推进与追求完美之间找到最佳平衡点,被证明是企业最终能否取得最佳业务成果的关键驱动力。
随后,现场嘉宾将这一观点进一步升华,提出企业在推动项目时,必须将“可迭代性”(iterability)置于所有其他品质之上。特别是当团队作为开路先锋率先探索新技术时,切忌去选择那些态度消极、满腹怀疑的合作团队;相反,必须挑选那些具备敏捷迭代能力、愿意同频共振的伙伴并肩前行,唯有这样才能在快速试错中建立正向循环。
```mermaid
flowchart TD
accTitle: 速度、迭代与落地的平衡循环
subgraph Mindset["战略思维"]
A["拒绝完美主义陷阱"] --> B["追求落地与采用速度"]
end
subgraph Execution["执行落地"]
B --> C["筛选具备高迭代能力的团队"]
C --> D["快速试错与敏捷验证"]
end
D --> E["达成最优业务成果"]
E -.->|持续反馈| A
```
- **速度决定收益**:企业从 AI 获益的实际能力,直接取决于从评估到应用落地的速度有多快。
- **摒弃完美主义陷阱**:过分苛求完美往往会扼杀速度,必须在推进速度和技术精细度之间实现动态平衡。
- **挑选高迭代潜力的团队**:起步阶段不要浪费时间试图说服持怀疑态度的队伍,而要优先与能够持续、敏捷参与迭代的伙伴深度绑定。
---
### [41:14](https://www.youtube.com/watch?v=g1gW5GWNss8&t=2474s) 聚焦明确定义与量化指标:达成共识而非死磕“最优”
紧接着,其他嘉宾从方法论层面对快速迭代进行了更具体的拆解。所谓的“快速学习”(learn fast),本质上就是一种积极正向的“快速失败”(fail fast)。企业在推行 AI 时切忌“病急乱投医”、像漫无目的地“往墙上扔意面”(throw spaghetti at the wall)那样盲目试探。真正的捷径反而是保持极度聚焦,一次只专注攻克一件事,脚踏实地将方案推进到底,同时必须清晰定义“达到良好状态到底意味着什么”(what good looks like)。
进一步的探讨指出,在所有能成功快速迭代的团队中,存在一个极其微妙却决定性的认知差异:团队需要达成的共识,是“就某个方案达成一致”,而不是“非要找到那个绝对最优的解”。在技术演进飞速的当下,根本没有人能预知何为绝对的“最优”;如果非要死磕完美答案,只会陷入无休止的内耗与停滞。此外,团队必须从定性评估全面转向定量衡量——明确“良好”的量化指标,远比口头定性地描述更具指导意义。及早确立这种量化指标和务实的共识机制,能帮企业在后续扩展阶段避免付出巨大的沉没成本与试错阵痛。最后,主持人在掌声中致谢各位嘉宾,圆满结束了整场圆桌讨论。
- **快速学习与聚焦单点**:拒绝广撒网式的盲目试错,一次只做一件事并坚持做到底,把失败转化为快速吸收经验的通道。
- **求共识,不求所谓的最优解**:“同意某一个方案”(agree on something)远比“必须就最优解达成一致”(agree on the best thing)高效得多,因为在未知领域没人能预先定义真正的最优。
- **量化指标先于定性描述**:将评估标准从单纯的定性(qualification)转向精准的量化(quantification),及早消除未来可能出现的业务隐患与阵痛。
## Notable quotes
> [03:26](https://www.youtube.com/watch?v=g1gW5GWNss8&t=206s) 你无法对连自己都无法明确定义的事物进行规模化与自动化(You can't scale and automate what you can't define to begin with)。 — Peter McCaffrey
> [03:26](https://www.youtube.com/watch?v=g1gW5GWNss8&t=206s) 薛定谔的部署(Schrödinger's problem)——在任何给定时刻,AI 在一家组织里都同时处于“既部署了又没部署”的叠加态。 — David Wang
> [12:14](https://www.youtube.com/watch?v=g1gW5GWNss8&t=734s) 这实际上是一个管理问题,而不是 AI 技术问题。 — Peter McCaffrey
> [14:38](https://www.youtube.com/watch?v=g1gW5GWNss8&t=878s) 将核心精力集中在“真正照顾客户”本身,而非“为照顾客户做耗时准备”。 — David Wang
> [19:48](https://www.youtube.com/watch?v=g1gW5GWNss8&t=1188s) AI 部署正从单纯的后台降本(Back Office),快速迈向面向人际互动(Human-Facing)的全新交互场景。 — Quinn Favret
> [26:56](https://www.youtube.com/watch?v=g1gW5GWNss8&t=1616s) 坐视不理、维持现状(Not doing anything)同样是巨大的风险。 — Peter McCaffrey
> [30:30](https://www.youtube.com/watch?v=g1gW5GWNss8&t=1830s) 原地踏步就等于落后,因为其他人都在全力向前推进。 — Peter McCaffrey
> [32:07](https://www.youtube.com/watch?v=g1gW5GWNss8&t=1927s) 在用户所在的地方与他们相遇(Meet people where they are)。 — Quinn Favret
> [39:56](https://www.youtube.com/watch?v=g1gW5GWNss8&t=2396s) 速度胜过一切(Speed matters more than anything else)。 — Quinn Favret
> [41:14](https://www.youtube.com/watch?v=g1gW5GWNss8&t=2474s) “同意某一个方案”(agree on something)远比“必须就最优解达成一致”(agree on the best thing)高效得多,因为在未知领域没人能预先定义真正的最优。 — David Wang
## Mentioned
Kate Park, TechCrunch, Signals, Peter McCaffrey, 德克萨斯大学医学分校 (University of Texas Medical Branch / UTMB), Brian Carlson, 索迪斯北美区 (Sodexo North America), Quinn Favret, Tavus, PALs, David Wang, Tetrate, Sodexo Spark, Product IQ, Granola, ChatGPT, Anthropic, Butterfly iQ, Siri
## Video description
Peter McCaffrey - Chief Digital and AI Officer, The University of Texas Medical Branch
Kate Park - Editorial Contributor, TechCrunch
Brian Carlson - NorAm Chief Tech, Data, Digital & Innovation Officer, Sodexo
Quinn Favret - Co-Founder and COO, Tavus
David Wang - Head of Product, Tetrate.io
Scaling generative AI such as LLMs and multimodal AI from POC to enterprise-wide deployment requires not just technical readiness, but strategic vision. This session will focus on the broader organizational challenges and opportunities of integrating AI at scale. Panelists will discuss theories, best practices, and innovative approaches to embedding AI systems across business units to drive value. Explore how companies are navigating cross-functional alignment, ensuring leadership buy-in, and fostering a culture that supports widespread AI adoption. Learn about the strategic frameworks that can maximize the impact of generative AI on a large scale.
[Source](https://www.youtube.com/watch?v=g1gW5GWNss8)
Source quotes
[3:26] Peter McCaffrey: 你无法对连自己都无法明确定义的事物进行规模化与自动化(You can't scale and automate what you can't define to begin with)。
[3:26] David Wang: 薛定谔的部署(Schrödinger's problem)——在任何给定时刻,AI 在一家组织里都同时处于“既部署了又没部署”的叠加态。
[12:14] Peter McCaffrey: 这实际上是一个管理问题,而不是 AI 技术问题。
[14:38] David Wang: 将核心精力集中在“真正照顾客户”本身,而非“为照顾客户做耗时准备”。
[19:48] Quinn Favret: AI 部署正从单纯的后台降本(Back Office),快速迈向面向人际互动(Human-Facing)的全新交互场景。
[26:56] Peter McCaffrey: 坐视不理、维持现状(Not doing anything)同样是巨大的风险。
[30:30] Peter McCaffrey: 原地踏步就等于落后,因为其他人都在全力向前推进。
[32:07] Quinn Favret: 在用户所在的地方与他们相遇(Meet people where they are)。
[39:56] Quinn Favret: 速度胜过一切(Speed matters more than anything else)。
[41:14] David Wang: “同意某一个方案”(agree on something)远比“必须就最优解达成一致”(agree on the best thing)高效得多,因为在未知领域没人能预先定义真正的最优。
Source quotes
[3:26] Peter McCaffrey: You can't scale and automate what you can't define to begin with.
[7:32] Brian Carlson: what's in it for them
[13:10] Peter McCaffrey: If you can't show them that their needs... could accommodate their feedback, you will erode their trust. Eventually, they will turn against you.
[21:26] Peter McCaffrey: line of sight to value
[25:34] Peter McCaffrey: admiration of the risk
[28:37] Peter McCaffrey: sea of PDF files
[28:37] Brian Carlson: you can automate a manual process or you can create an automated process
[32:07] Quinn Favret: meet people where they are
[33:57] ceremony
[39:56] throwing spaghetti at the wall
Original transcript
[0:04] Good morning everyone. Thanks for joining today.
Uh for those who don't know me, my name is Kate
[0:09] Park. I'm a contributing writer for Techrunch
and I also run my own newsletter, Signals,
[0:16] um focused on AI and innovation
across Asia and beyond. Okay. So
[0:22] um I'm very excited today uh to we are
going to talk about scaling AI scaling
[0:27] generative AI across organizations. Uh I'll
be your moderator for the next 45 minutes and
[0:34] uh we will we have a great uh great panelists
here today each approaching this challenging
[0:40] from a different uh different perspective.
So let me briefly introduce our panelists.
[0:50] Okay. Peter McAffrey, chief digital and AI officer
at the University of Texas Medical Branch. Brian
[0:57] Carson, North America chief technology data
digital and innovation officer at Sodexo. Queen
[1:03] Fabret, co-founder and COO of Tabos and David
Dang, head of product at Tetrate. I'd love for
[1:10] each of you to briefly introduce yourself uh and
tell us about what your organization does. Yeah,
[1:18] let's all start. Hey everyone, I'm Peter McAffrey.
So, uh, I'm a pathologist by training. My main
[1:23] job at the University of Texas Medical Branch
is I head our our digital and AI efforts. I'm
[1:27] our digital and AI officer. Um, you know, we're
an academic health care system. We do research,
[1:32] teaching, patient care. Ultimately though, we
serve as a safety net for many patients in the
[1:36] Houston area and is to provide scalable, reliable,
highquality care to everyone. Thank you. Uh,
[1:44] hello, I'm Brian Carlson. I head the North
American tech teams for Sedexo North America
[1:50] which incorporates your standard IT stuff, your
AI, your digital, your innovation, those types
[1:57] of things. We do what we call food services and
facility management which uh we sell to hospitals
[2:02] for patient nutrition and retail, corporate
offices, college campuses, sports and stadiums,
[2:08] things like that. Uh and we do a combination of
food service as well as facilities management.
[2:13] Thank you. Oh, yeah. Go ahead. Awesome. Hey, good
morning everyone. My name is Quinn Favre. I'm the
[2:18] co-founder of TAVIS. Tavis is a AI research
lab based in San Francisco. Specifically,
[2:23] a lot of what we're building are models to
power real-time interaction. Right? So, these
[2:27] face-to-face AI agents, we call them PALS, that
you can actually talk to and they look like you,
[2:32] they see like you, they understand like you, and
you can deploy them across different enterprises.
[2:36] So, we've been building since 2021 or so. so long
since before AI was cool and um since we had big
[2:42] conferences like this and uh since then we've
raised about $75 million or so to pursue this.
[2:46] So it's been quite the quite the fun ride. Thank
you. Hello everyone. I'm uh David Wang. I look
[2:52] after product management for for Tetrate. Um what
Tetrate does is we help you to understand your
[2:58] AI traffic, help you to understand and govern
it. And that means for the people who are using
[3:04] AI in your organization um the enterprise can
understand how AI is being used and what could
[3:10] be changed about it. And so my job basically is
to build the infrastructure that allows this to
[3:15] happen and increasingly help our customers use the
information from our infrastructure for business
[3:21] gains. All right. Thank you everyone. Let's
jump right in. So we are going to talk about
[3:26] let's start with where we are today. Uh where
are we right now? Everyone is talking about
[3:31] AI transformation. Uh but how difficult is it
actually to roll out AI across large organization.
[3:38] So is it is the biggest challenge the technology
itself or getting people and organizations ready
[3:44] to actually adopt it? So who want to go first?
Peter, you want to go first? Yeah. Yeah. So, I'll
[3:51] tell you I um there's definitely technology needed
to enable that, but what we always talk about at
[3:57] UTMB is it's not really the bottleneck. Like even
if we don't deploy tech, tech tech will infiltrate
[4:05] the organization anyway. Not that that's our plan,
but that will happen. And so the the real question
[4:11] is so what? If you have infinite technology,
that's not going to magically fix healthcare.
[4:16] I think the problem that we have is as a system
there's just a lot of organizational incoherence
[4:21] in what's being done by whom for what purpose
and AI has revealed that didn't create that but
[4:26] it's really revealed that that you can't scale and
automate what you can't define to begin with and
[4:32] so if no one can say yes this is the process
that everyone mutually understands about how
[4:38] a patient with a new diagnosis of heart failure
gets on board and educated then that's the root
[4:43] cause and to me that's really the thing that
impacts acts any deployment whether it's AI or
[4:48] not AI and that's the root issue we have because
we're just a complex org with lots of different
[4:53] uh sub teams and processes that we're trying to
wrangle I build on that a little bit you know to
[5:00] me it's you got to have a problem to solve you
got to have a process you got to have people
[5:05] and you got to have a plan to actually drive it
out because you're probably like us where you're
[5:10] trying to scale across thousands and thousands of
people and it has to be consistent it has to be
[5:15] predictable and it has to be a use case that's
clearly defined. Yeah, it's it's been really
[5:21] interesting from our purview too. I I completely
agree with what you all said. We work with a
[5:25] really diverse set of clients, right? So, everyone
from Fortune 500s to Fortune 10s to enterprises in
[5:30] different countries to a mom and pop shop, right?
And we've seen two different styles of approaches
[5:35] when it comes to really implementing AI across the
enterprise. One of which is, I think, what we're
[5:39] starting to mention up here, which is a bottom-up
approach, right? How do we give our team members,
[5:43] our groups, our our people the right tools to help
them be more creative, productive, efficient, um,
[5:49] and ultimately make better decisions? And so that
has its own distinct and unique challenges. The
[5:53] other side of the coin and what we're also seeing
is a really big trend towards top- down enterprise
[5:58] deployments, right? Where companies are coming in
and they say, "Hey, I have this specific problem,
[6:02] right? I have a problem with converting sales
leads on my website. I have a problem with
[6:07] training and and educating my team members so they
can handle support requests better. And they're
[6:11] coming in and they're looking for solutions or
specific products or areas to really drive that
[6:17] down. And it's much more about hey, how do we do
a great roll out um in a isolated manner versus
[6:22] how do we train everyone to use this in different
ways? And there's definitely not a right answer
[6:26] between either of them. But it is interesting to
see some enterprises definitely gravitate towards
[6:30] one end or the other, some fall in between. And
um I I think that within itself is something
[6:34] worth calling out as well that it's not just
giving people the tools but it could actually
[6:37] be rolling out specific solutions as well. Yeah.
So just completely agree with this uh infiltration
[6:44] terminology and I think the thing interesting
I see is that um most people won't even be able
[6:50] to tell you what what it looks like when AI is
deployed truly. So well I think uh tongue and
[6:56] cheek I think AI deployment and AI transformation
is kind of like a Schroingers problem. At any
[7:01] given moment uh AI is both rolled out and not
rolled out in your organization and you won't know
[7:06] until you ask the question and then people start
to debate over the definition of rolled out. So
[7:11] um I would say overall AI is already here. It's
everywhere but then is it deployed? That depends
[7:16] on your definition of what deployed is and a lot
of times the bottleneck is uh for some people
[7:23] to call it deployed it has to be trusted and uh
without trust it is in the shorter state. Okay.
[7:32] The next question is very similar but what are
the biggest things that prevent AI deployment
[7:38] uh from moving forward? Is it like a technical
limitation or security concerns or simply getting
[7:44] people aligned? So yeah I can yeah I I'll get
started with that. So it's like what I see is
[7:52] um yes to all the like every every aspect
there's bottleneck but in different sequence
[7:59] I think there's a huge leadership component
in terms of even defining the goal of an AI
[8:05] roll out the business objective um and I think
that's often fuzzy because um sometimes leaders
[8:10] just get AI fever and they say we just need more
AI without defining what it's for and that puts
[8:15] the organization in a state of confusion and if
you start off with that confusion And of course
[8:19] the technology route becomes much harder because
um there's no path to determine to prioritize or
[8:27] guide deep deployment and then every tech becomes
a bottleneck. And then finally like even if you
[8:33] do get some tech out there people won't be able
to absorb it and even understand what it's for
[8:37] and therefore sometimes they just make the worst
assumption about AI and you won't get adoption.
[8:42] So that's that's what I see. Yeah. I'm going to
I'm going to go back to my people part of the
[8:47] process. And uh you know, we've been putting a lot
of effort into communication, change management,
[8:53] explaining things. We've even recently kind of
rebranded or readjusted our messaging to what
[8:59] we're calling now Sedexo Spark, which is how we
group our capabilities into client experience,
[9:05] consumer experience, and employee experience.
And we're hoping that's going to help people
[9:09] kind of understand in what's in it for them and
where they can go to find the latest and greatest
[9:15] tools and capabilities for them. So we've kind of
gotten through some of the other more technical
[9:20] components of things now and a lot of it's really
focused on how do we get people excited, engaged
[9:26] and have them pull the demand through the process.
I think one thing I would say is really to echo
[9:32] one of the points you made. I think and we as an
organization have veered more towards these top-
[9:37] down models because I think one of the challenges
we've observed there was an era many of us are
[9:43] still in it of AI deployment that was I would
call highly evangelical meaning the whole idea
[9:48] was to convince you that it's possible to have
value and the way to do that was to go throughout
[9:52] the enterprise to the quote unquote front line
whatever that means and then ask them what makes
[9:57] you feel value and this is does effectively get
PC's but the problem is that the incentives and
[10:04] value at the front line are really not the same
as in the seauite. They're almost always valid,
[10:10] but they're about local convenience. I want my
work queue to be done and the and this is we're
[10:17] trying to mature out of this to a degree because
even if you achieve that, it doesn't have an ROI
[10:23] in of itself unless it's put bandwidth somewhere
else or whatever. And this is an organizational
[10:29] capability. And so I think the big challenge
is you can you you will realize that the thing
[10:35] you are tuning to and optimizing for is often not
actually relevant to the VP person who's going to
[10:42] defend the investment and this uh can be a success
at the front line but will be a failure kind of
[10:48] at the seauite level and cautioning against that
I think is an important lesson in all that right
[10:54] you want to add something can I add something on
top of his because we're both in enterprise right
[10:59] To me, it's that endto-end process and how you
optimize the endto-end experience for everyone
[11:04] in the loop. And I to me, that's what you were
saying. It's just I word it a little differently,
[11:07] but it's really important not to look at
little use cases, niches, because it wins
[11:11] for one and someone else loses. And how do you
have a balanced governance that ensures that
[11:16] it's a win for the organization, right? And
that's that's the real challenge right now,
[11:20] I think. Yes. And ultimately to to the first point
too, all of this comes back to trust, right? Now,
[11:26] do do you trust in your day-to-day life things
like that? Th those are maybe pie in the sky
[11:29] questions, but do you trust it to reliably execute
or deliver the job that you have deployed it to
[11:34] do, right? And so how do you make your team trust
AI, right? Ultimately becomes that question. And
[11:42] um having these really deep, really fine-tuned
deployments or these tools that you know work,
[11:47] you've tested, you can give to them is something
that's incredibly important. But on the flip side,
[11:50] you also need to balance that with the art of
the possible, right? models are moving so fast,
[11:55] products are moving so fast, companies are popping
up every day. And so how do you balance both and I
[12:00] mean this is a literal question by the way. Um
how do you balance both trust right with your
[12:04] teams rolling out these proper proper tools and
getting them to believe in them and see them do
[12:08] the job with also innovating as fast as the market
is moving and keeping up with the innovation.
[12:14] And I wonder um curious if you you guys see
this is like uh as you try to navigate this
[12:19] top down bottom up you often reveal that sometimes
there is a true disconnect between the frontline
[12:26] workers and the executives. I mean what you're
describing to be able to create that ROI implies
[12:32] like a coherent understanding throughout the whole
organization about how value is created. How does
[12:36] a frontline job relate a frontline metric relate
to a business metric? And that's actually a hard
[12:41] problem. That is not an AI problem. That is a that
is a management problem. I think to build on that
[12:47] a little bit is we look at it right we want to put
our employees especially frontline in front of the
[12:52] consumer the guest the client more like we're
starved for that level of attention and time.
[12:58] So whatever we do to free them up or give them
something more efficiently from a back office
[13:03] or a point of view we're completely redeploying
to engage with consumers and clients and guests.
[13:10] Yeah. Yeah, I guess a comment I would make, you
know, several lots of good points raised. I think
[13:13] the organizational coherence is probably like the
ultimate goal of all enterprises to achieve and
[13:19] is so hard to do and it was a problem before AI,
it's problem after AI. It's often exacerbated by
[13:24] AI because the now that you can move quickly, it's
revealing where you trip over yourself uh and how
[13:30] that is challenging. To your point about building
trust, I think absolutely correct and one of the
[13:34] things I've observed that is the like soft signal
of trust is responsiveness to feedback. Not all
[13:39] feedback should be responded to, granted, but when
you have stakeholders who have needs, it if you
[13:45] can't show them that their needs, allegedly this
hyperiterable technology could accommodate their
[13:50] feedback, you will erode their trust. Eventually,
they will turn against you. And so, it's got to
[13:55] be expressed through the iteration speed. But
then that's the thing that as an enterprise
[13:59] is the hardest for us because you've never had
to iterate as fast as what you can do now. So,
[14:05] it's a different game. And if you fall off the
curve doing that, people will lose trust in the
[14:10] technology. So it's a it's an acute challenge of
the moment. I think it's a fundamental juiposition
[14:16] that's really interesting, right? Because you're
moving faster than ever. So you have to run. And
[14:19] when you're running, you're going to trip. And
so when you do trip, inevitably we'll we'll all
[14:23] trip at some point with a deployment or a tool.
How do you not let that impact trust? And and I
[14:27] think exactly what you're saying. You move fast.
You show responsiveness to it. You iterate on the
[14:32] feedback. You listen first and foremost, and you
continue to run fast. All right, great. Thank you.
[14:38] Thank you for sharing your insight. And let's uh
talk about what's actually working today. So, uh I
[14:45] would like to ask what is AI actually doing today?
Whether inside your own organization or with your
[14:50] customers, uh what are some examples where AI is
delivering real value? So, some kind of use cases
[14:56] you can share, anything you would like to share
about your customers examples. Yeah, I can I can
[15:03] start with that. So uh I'm I'm in the high-tech
business and our customers tend to be financial
[15:09] services technology organizations. So one of
the biggest uh the two sort of business outcome
[15:15] concerns folks are usually concerned with in an
innovation organization is developer productivity.
[15:20] So your innovation the cost of innovation and uh
the second is customer experience. I'll speak to
[15:25] both quickly. in terms of um innovation
cost of innovation fundamentally software
[15:31] engineering has been changed by AI and what's
being successful is people actually u measuring
[15:39] the impact of increasing velocity of generating
features and revenue generating products and be
[15:45] able to correlate that with the cost of AI used.
So that's something that I'm seeing starting to
[15:51] happen. So it's not just the vibe that things
are moving faster but a quantification of what
[15:56] is faster and what is the cost of doing so
that translates to better experience and
[16:01] more revenue. On the flip side in terms of um uh
cost reduction I think like you know a lot of the
[16:08] uh toil around research and preparation and
uh kind of like undifferiated heavy lifting
[16:16] now is being uh replaced with AI. So I see that,
you know, for a lot of our customers internally,
[16:22] more time is spent um taking care of our customers
versus preparing to take care of customers. Yeah.
[16:29] So we're we've got AI projects running in just
about every part of our our value chain process.
[16:35] So I'll go through maybe a couple that I think
are the most relevant for the group. You know,
[16:40] one of our businesses is a a buying group type
of power where we provide opportunity for people
[16:46] to buy products like hotels, uh, restaurants,
stuff like that. And we have a product called
[16:51] Product IQ, which actually helps recommend if
you buy this product, it's cheaper, it's better,
[16:56] it can get there on time, things like that. So,
we actually have a fully functional website where
[17:01] clients can purchase that product and use it to
optimize their spend. Um, we're doing something
[17:07] similar on our supply chain side to make sure we
buy the right products at the right times and get
[17:12] them there. And when it's fresh things like milk
and lettuce and stuff like that, you really don't
[17:17] want to over buy or under buy. Um, so we have
a couple of cases like that. We have several
[17:23] things running in terms of labor scheduling, labor
optimization. Uh and then in our consumer apps,
[17:29] our mobile apps, we have some recommendation
engines and things like that that allow us to
[17:34] kind of recommend stuff to consumers if they may
like it or not like it. Yeah, I think uh you know
[17:41] for us there there's many AI use cases deployed.
I think the most pervasively universally useful
[17:47] thing has actually been AI as an analytics tool to
your point like being able to say is it effective
[17:54] and how do I analyze whether the referral rate
change for this is like really laborious the
[17:58] more you do the more you have to do that and it's
easy to get suffocated by just the avalanche of
[18:03] now reporting on the thing you're doing. It's been
really helpful to be able to kind of go faster at
[18:08] like analysis of outcomes and the and the size of
an opportunity just be more disciplined about it.
[18:14] And then some of the things where you know I've
I've seen AI really positive affect the enterprise
[18:19] ambient dictation is probably the obvious one in
healthcare. So the idea you put the phone on the
[18:23] table and you talk to face to face and I'm not in
the medical record but my documentation is done
[18:27] my orders are teed up like it preserves the sort
of human bond of the of the appointment. It also
[18:33] materially prevents physician burnout. Those are
very hard resources to replace. They're expensive.
[18:38] They're complex, you know, and it's it you need
to preserve that workforce and keep the sort of
[18:43] exodus of burnt out employees, especially postco
there's been a lot of workforce burnout. The other
[18:47] one I think is interesting is healthcare is in
this interesting spot where the jobs to be done
[18:52] seems to be growing exponentially because the more
you can diagnose things that are wrong with you,
[18:56] the more labor there is to like adjudicate that
and what happens with it. And so you already have
[19:01] a strained workforce. So how does AI help you
manage these things? So one of the ways we do
[19:05] that is now in our referral queue. So you get
a referral to nefrology for example for kidney
[19:11] instead of just a first in first out queue where
you went in you had the referral on date X and
[19:15] some you know access technician is allocating you
and they're not the doctor they don't really know
[19:20] the the AI will review that referral your chart
and be like is it urgent is it not how urgent
[19:24] should it go now and kind of move stuff to the top
of the queue. So even with the existing workforce,
[19:29] the things aren't languishing that could become
consequential by virtue of sitting in a queue
[19:34] for four to six weeks. And so and to me that's a
material benefit to patients because they are more
[19:38] seen as they should be in that more less balls
dropped to the cracks and healthcare is at risk
[19:43] of more of that happening the more things there
are to be done. Isn't that funny what you said?
[19:48] The the more efficient you get, the more problems
you solve, the the more challenges that typically
[19:51] come up and the more opportunities that come up. I
I think we've seen that left and right as well. Um
[19:57] I I really liked your scribe point. I think that
was spot on because there's been such a wave of
[20:01] back office efficiency, automation, um analytics
is another one over the past few years, right?
[20:07] Where it is everything from process to scheduling
to analysis and insight all the way to simply um
[20:13] augmenting day-to-day workflows. Like if if anyone
out there uses granola for example as a notetaker,
[20:17] right? I think that's a great consumer example of
of the scribe example. Um, one of the things that
[20:22] we're starting to see as well is this inflection
on AI deployments starting to be more humanf
[20:27] facing versus purely back office as well. We've
seen really big implementations around learning
[20:32] and development where you can do roleplay and
simulation and have a proper back and forth with
[20:36] someone and get feedback in real time on posture
on, you know, what you're doing and how you're
[20:40] saying it even all the way down to tone. Um, all
the way to medical intake, patient onboarding
[20:45] or pre or posttop care. Um, and then another one
being potentially even interviewing, right? making
[20:50] sure you can have that first touch and really
build brand image. And so one of the trends I
[20:53] think we'll start to see and it's still early, but
one of the trends we'll start to see over the next
[20:56] year is a lot of the AI deployments are going
to start to shift from purely being efficiency
[21:01] optimizations to really being experience
optimizations as well and replacing a lot of these
[21:05] like previously regressed IVR systems and things
like that. Thank you. Um we've seen many AI pilots
[21:12] uh that look promising but never scale. So what
made the difference between a successful pilot and
[21:19] uh something that people actually used at
scale? Um yeah, that's my question. So uh David,
[21:26] you want to go first? Yeah, sure. I think
for the technology organizations I work with,
[21:31] a lot of has to do with um the ergonomics and uh
paying attention to the experience. Um it's funny
[21:38] because you know we were uh we deploy enterprise
technology and there's a time when enterprise
[21:43] technology it's just assumed the ergonomics is
bad but I think the one thing like the AI has
[21:48] changed is that AI is a consumer product like if
we remember what drove the revolution like chat
[21:54] GPT was the thing that brought AI on the map
and the operative word of chat GPT is chat and
[22:00] it's an amazingly good ergonomic uh interface for
people to see the power of AI. So that has I think
[22:09] um set a new standard for what people expect the
eye experience to be and therefore just from a
[22:16] pure aside all the usual stuff like leadership
alignment. Yes. Yes. Yes. But when it comes to
[22:21] actually rolling out a piece of AI technology
the ergonomics of that is really important.
[22:27] That's something new that I have not seen before.
So I'll take a little bit different approach but
[22:33] definitely agree with with what you said. Um, for
us it's I think first really identifying what the
[22:38] use case is, the problem statement. Um, and this
stuff I think is the same on any project, program,
[22:44] product, whatever, you know, analogy you want to
use for it. Um, but it's it's getting the right
[22:51] use case. It's understanding what your success
criteria looks like before you start. Meaning,
[22:56] what is going to be good? In a lot of cases, it's
a financial calculation. It's having the right
[23:01] executive sponsorship. So if I'm doing something
in sales, I need sales to support it. If I need
[23:06] I'm doing something in finance, I need them to
support it. If it's something consumerf facing,
[23:10] I need that team to support it as well, too. So
it's executive sponsorship. It's the right use
[23:16] case. It's knowing what good looks like. And also,
it's stagegating through the process to know that
[23:20] if I can't make it work on paper, I probably
shouldn't be attempting it, right? So knowing
[23:25] when you've you're going to fail and pulling back
early, right? that builds credibility with the
[23:32] organization to let's well let's try something
else let's try something different let's look
[23:35] at this scenario right but uh you know I think
a lot of tech teams push too hard on something
[23:40] that will never work and then they just lose their
entire credibility with the organization as well
[23:47] yeah definitely and I think uh you know I would
definitely agree everything that's been said you
[23:52] know sometimes you get lucky and things are just
the right ergonomic fit like ambient was this way
[23:57] yes we we drive you know CMI is great at driving
education, but it's a product people like and are
[24:03] personally motivated by virtue of their burnout to
pursue. And so you don't have to convince them to
[24:07] do it. And that's really great. And often times
in organizations, the things that are valuable
[24:12] to do aren't the things that the workforce might
just spontaneously prefer to do anyway. And there
[24:19] there's some friction to create value. You know,
it's like, oh, if you're going to catch this extra
[24:24] billing opportunity in the back office, there's
a net new work ask that has to go somewhere.
[24:29] And I think where this fails to scale is when
people do not understand how what you're doing
[24:35] impacts or ties to value. And it sounds kind of
ambiguous, but I think it lends itself to a very
[24:40] specific exercise. And we've tried to do a lot
more recently as say if you're a VP level person,
[24:45] you own a business area, you have a thing that
creates value. You have to be able to articulate
[24:52] what the value is. Is it yield? Is it, you
know, cost savings and what are your P&L levers?
[24:57] Pick the top three. Don't stop there though.
So you have the lever. What action produces the
[25:03] output and you go backwards. What produces that
action? What produce that action until you stop at
[25:07] a thing where you know it it's not your workflow
or AI can you know come in and take that over. It
[25:12] has to be very much line of sight to value because
things just get totally derailed otherwise like oh
[25:17] I don't like this or I would rather do it this way
and it's like valid but this will just never end
[25:24] unless everyone can say yes but I'm doing this
because it gets me to value. So if you can't
[25:28] make that rationalization uh the ship will just go
off course inevitably and get stuck somewhere. We
[25:34] sit on the other side of the fence where we're
not the ones actually necessarily in the weeds
[25:37] with implementation but instead are building the
solutions for the enterprise to implement. And so
[25:41] I'll start by saying I love what you all said. Um
what we see across enterprises and successful PC's
[25:46] are the people who come in and are able to deploy
quickest, understand what the success metric is
[25:52] they're trying to drive, iterate fast and and
innovate along it are often the ones who deploy
[25:56] AI months if not years before their counterparts.
Right? And so I completely agree with everything
[26:00] you all said on actually outlining everything
really clearly, making sure you have the success
[26:05] metrics, but I actually think a lot of this goes
back to the the Schroinger's paradox earlier on,
[26:09] right? where AI is neither um you know deployed
or not deployed at any given time and while PC's
[26:15] are a really helpful tool for leadership to you
know instill a sense of structure and a experiment
[26:21] within a uh within an organization ultimately AI
is evolving fast enough where PC's are becoming
[26:28] fluid right AI models AI tools are being replaced
week by week month by month year by year and so
[26:34] being able to consistently iterate push across
multiple axes at the same time and drive that
[26:39] frontier forward um wherever you fall on that
frontier line is also one of the things that's
[26:43] making enterprises either successful or candidly
not successful today as well and so um I don't
[26:48] think PC's are going away for what it's worth
because that gives the structure to roll these
[26:51] out within organizations but the way PC's are seen
or discussed internally are also fundamentally
[26:56] changing you're working from different industry
but have a similar same challenges so Peter I
[27:03] have a question for you uh healthcare is one of
the most regulated and highstake industry ries
[27:09] environment. So where do you where do you draw the
line between letting AI take on certain tasks and
[27:15] um using AI to support human decision making?
That's a great question. So I have many thoughts
[27:21] on this topic. I won't I won't uh impose them
all upon the group here but uh definitely we're
[27:27] a high-risisk high regulated industry. We should
respect the risk. One thing I think often happens
[27:32] in and why this conference is very nice to talk to
non-healthcare people that happens kind of inside
[27:37] of healthcare is a lot of admiration of the risk
without an acknowledgement that not doing anything
[27:43] is also risk because the state of healthcare today
is woefully incomplete to actually affectuate
[27:50] positive care in a lot of patients lives and
so there's it could be more urgency I think for
[27:55] healthcare to say yes it's a challenging road to
figure out the compliant path But we have to do
[28:01] it with the same imperative that we have to find a
chemotherapy that can cure cancer X. This can just
[28:07] sit there and say well it can be hard you know and
on the on the back of that I think that these are
[28:12] solvable challenges. So we think of things like
compliance and can I use this model here and there
[28:16] yeah you don't want to get it wrong but you can
get it right and you can't let the org culture
[28:22] stop at enumerating the ways you get it wrong cuz
it's like yes so let's do it correctly. So there's
[28:28] a rigor of like we'll do it the right way. We will
be specific about what that is. We will articulate
[28:33] why. We will pursue the path forward. And the last
part about decision-m. So for those who are not in
[28:38] healthcare, you know, 5-second history lesson.
So in the early 2000s, we had this thing called
[28:42] meaningful use where everyone believed naively in
retrospect that if you gave everyone an electronic
[28:47] medical record would like fix healthcare. Oh,
it's going to be digital. Great. Every problem
[28:50] solved. So these financial imperatives convinced
people to deploy it all. So we got digitized on an
[28:57] arcane culture and system. So you have a digital
interface like a sea of PDF files basically that
[29:03] a human agent has to like deal with to do patient
care. This is not a system at all really. And so
[29:10] uh what happened to the physician in the '9s where
I'm a physician I think about your care and your
[29:15] decision-m became I may get to that after 95% of
my mind is burned out doing all the logistical
[29:22] information gathering and click streams to get to
think about your care. So to me, if we could just
[29:28] get back to a point where what physicians did
was make decisions about your care, even half
[29:34] the time, let alone most the time, healthcare
would be in a much better place than today,
[29:37] where it's like a sliver of the time. And I think
really digging out of that hole is the mission
[29:42] now. You bring up such a good point there, too,
because what happens is a lot of people compare
[29:47] what AI is doing today versus what the experience
was a few years ago, but those experiences a few
[29:52] years ago aren't actually good source of truth.
they're largely regressed, right? And you you take
[29:57] the uh the healthcare example, when you used to go
to the doctor 20, 30 years ago, you'd go in, you'd
[30:02] talk to the receptionist right off the bat, they
would know you, they would recognize you, they
[30:06] would ask if you had any insurance change, etc.
You they would then pass the relevant information
[30:09] on to maybe the nurse, right? The nurse comes
in, they take your your vitals, they understand,
[30:14] they then give it to the doctor, and the doctor's
able to come in and in a very short amount of
[30:18] time be incredibly effective, give the advice,
understand, etc. What you see now with tellahalth,
[30:22] for example, is you come in, you fill in the same
form four different times. The doctor doesn't read
[30:26] it because they know you just said no, no, no
to every one of them. They're asking the same
[30:30] question again and suddenly your appointment
takes 20 minutes of uh an incredibly like high
[30:35] value person's time and you're still not getting
the great output from it. And so so many of these
[30:40] experiences have just fundamentally regressed
where uh for lack of a better way of put it,
[30:44] we almost need to replace bad machines in a lot of
these places. Well, you you guys said two things
[30:50] that popped in into my mind um that I I summarize
in you can automate a manual process or you can
[30:57] create an automated process. And then the second
thing that really stuck with what you said is for
[31:03] me if you're standing still you're falling behind
because everyone else is moving forward. And to
[31:08] me that's kind of how you have to approach these
activities right and serving healthc care. Um I
[31:14] definitely I feel your pain brother. or failure
panel. Yeah, I think the the one thing Pier said
[31:20] is true is uh instead of enumerating all the ways
things can go wrong. Um think about what has to be
[31:26] done right and I I mean I think AI I mean as we
talk about this we probably could play this back
[31:31] and replace AI with digital or internet and it
would all fit or public cloud if you're from a
[31:35] more nerdier industry. But I mean ultimately
for all those different um sort of changes
[31:41] people figured out the right way to measure it and
govern it. So we're right now like we're kind of
[31:46] like figuring it out like but I think the focus
should be on what's the right way to measure it,
[31:50] what's the right way to monitor it versus it
simply just like cannot be done and therefore we
[31:55] shouldn't do it. It's it's again going to happen.
It's going to infiltrate no matter what. So better
[32:01] to focus on how to work it out safely and govern
it rather than the other way around. All right.
[32:07] Uh Brian, I also have a question for you. So
Daxup operates in a very different environment.
[32:13] uh like they're working in like kitchens and
facilities and frontline operations. How do you
[32:19] bring AI tools to people who may not traditionally
interact with you know enterprise software? So we
[32:27] still do have thousands of people at a like a site
level that do operate whe they're menu planning
[32:33] whether they're tracking waste um things like
that. So there are quite a few site level things
[32:39] that get done by a frontline of employ. Um I also
do think and and some of the multi capabilities
[32:46] that are kind of coming to fruition now will be
very interesting in a health and safety uh point
[32:52] of view in um in shrinkage prevention. Uh and I
think there's a series of use cases there that are
[32:59] starting to grow and develop that we'll we'll be
taking advantage of in the next couple of years.
[33:05] Great. Um, and for to jump to jump in there as
well, I think actually Anthropic is a really
[33:11] good example of someone who's done a great job
at this. Now, Anthropic might not be the company
[33:16] you imagine going to frontline workers in in a
kitchen or a factory, but the lesson to take from
[33:20] them and and why they've become so successful is
they've successfully met people where they are,
[33:25] right? They have help deploy the technology or
the AI to the consumer enterprise business in
[33:32] the environment that they already have, right?
They help you integrate your tools into it. They
[33:34] help you integrate your workflow etc. And so
I think when we talk about AI transformation,
[33:39] there's two aspects of it. One of them is the AI
and the efficiency. But the other one is what is
[33:44] the actual like users workflow and where are they
today? And it's a lot easier to fight one battle
[33:49] at a time versus fight both of them at once. And
so if you're able to take these deployments and
[33:52] meet someone where they already are, integrate
into their existing workflows and help minimize
[33:57] the amount of change that a actual individual user
has to take to see the results. the faster things
[34:02] will also move. Yeah. I mean, I think uh the
way AI impact even in nontraditional industries
[34:08] uh there's uh a lot of opportunity because
I think you guys both touched on this. A
[34:13] lot of it is if you strip away a lot of
the ceremony of how people do their jobs
[34:18] u from like if you're in the food services
industry, it's about understanding your
[34:21] customers and spending more time serving
your customers. If you're a physician,
[34:24] more about making decisions about health than to
like document what was done, right? If you're like
[34:29] a programmer, it's like an engineer is actually
solving a problem that's value added versus like
[34:34] getting approval for a plan. And a lot of the
ceremony can get stripped away by AI. So it's
[34:40] not quite it may be counterintuitive as to why
somebody who's in like a you know food service
[34:45] industry uses AI but like you look under the
job like we've we've like stuffed many jobs with
[34:50] ceremony and that ceremony can be uh stripped
away. your to ceremony is not a word on part.
[35:00] Yeah. Okay. Uh and a lot of the AI conversation
today focuses on text. Uh but the where do you see
[35:09] the biggest opportunities today in other areas
like um images, voice, video or other formats?
[35:18] I'm hungry to jump in here and say something.
So So I think just go ahead. Um and you made
[35:22] this point earlier. I think like for systemwide
benefits to patients, I think voice is a huge
[35:27] thing. Having that kind of concierge that can
attend to you and interact with you is will be
[35:34] the defining subtle interface of healthcare in
the future. I think so that's probably the right
[35:38] answer. I think another answer I really interested
because I I'm a pathologist. I'm an imaging guy in
[35:42] a way. What I think is really really cool and
I I'll talk radiology for a second is we know
[35:47] now that AI can not just do things humans could
do like you can see the nodules so can AI. is
[35:51] automating you seeing the nodule to help you see
it, you know, more reliably, but it can see things
[35:56] you literally couldn't see. So, an example
of this is like we have an abdominal CT. You
[36:01] can't see that there's pancreatic cancer there at
early stage, but the AI can see there's pancreatic
[36:06] cancer at early stage. Well, this is a whole new
like diagnostic assay basically. And the fact that
[36:12] AI even at the chip level is making imaging as a
modality always more ubiquitous, more scalable,
[36:18] more look like the butterfly IQ and ultrasound
that anyone can buy. As more of this data exists
[36:23] in the frontier, it can be leveraged as point of
care diagnostics by AI that can interpret it in
[36:29] ways we never could before. And so our role then
changes to be less about I have to feel the lump
[36:35] which is fading because most things are not like
that now to I need to adjudicate what happens when
[36:40] this flag means this and means that. But that
will be a a revolutionary service to patients.
[36:44] I think that we can know more about you earlier
doing things humans never were capable of doing.
[36:51] I have a little bias here because we're the lab
that builds the multimodal models. So if you've
[36:55] ever interacted with conversational audio or
conversational video that likely stemmed from
[36:59] us. Um so you know obviously quite bullish on on
the space. Um I what you said there was really
[37:06] interesting right about the image because you get
a higher degree of data that you can work with and
[37:10] we see the same in audio and video deployments in
in the conversational context because compared to
[37:15] text you have a higher degree of richness right
I'm able to see your face I'm able to see if
[37:19] you're bored and falling asleep I'm able to see if
you're you know interested and leaning forward and
[37:24] vice versa you're able to see my face and you can
take a lot of information from that right and and
[37:28] voice is you know really good as well but a step
down from that on on the video side and so there
[37:32] are use cases that voice and video uniquely
unlocks, right? Whether it is the ability to
[37:37] understand someone's, you know, emotional state
and factor that in the conversation. If you're
[37:41] in a tutoring session, is someone confused and
frustrated about their calculus problem or are
[37:44] they, you know, excited and they want something
more challenging? All the way to, you know,
[37:49] a support context where you're actually
on a video call, you're able to show them,
[37:53] um, you know, them, right, being the AI, uh, hey,
here here's my printer. What's wrong with it? Um,
[37:58] and it's able to guide you through because it has
that, you know, information uh, accessed. We have
[38:02] deployments across the board where people are able
to reduce on call site visits by 50%. Right? Where
[38:07] efficacy of treatment goes up 30 to 40% because
there's more information coming in. And obviously
[38:11] there's many reasons for that. But the richness
of data that comes from these mediums is is vastly
[38:15] different from what we previously had. This I yes
this excites me a lot also because you think of
[38:21] the world of like so in Texas dementia prevention
is one of our big things that we have billions of
[38:25] dollars of Texas for dementia prevention over the
next decade. This this is not a task that will be
[38:31] done in the hospital. It's a task that will
be done by AI being woven into your everyday
[38:36] interactions in your life in a way like voice that
is richer and the biomarkers are not going to come
[38:41] from medicine proper. They're going to come from
Siri or whatever. They come from the tech inward.
[38:46] And I think this is to the betterment of patients
without a doubt. And it's just a transformational
[38:50] wave that we have to deal with because it's the
right thing to do as the profession. Yeah. I
[38:56] think from my perspective multimoto is uh just
beginning to be understood of what's valuable
[39:02] like I think in financial services and insurance
industries and anywhere data dominates the core
[39:07] business competitive advantage a lot of there's
still a lot of um business data and therefore
[39:13] value that is in uh formats that are not text uh
like cuz in financial service a lot of the charts
[39:19] and historical sort of like numbers and figures
they're all images really. So if you think about
[39:25] these companies that are trying to figure out
it's like phase two of digital like right like
[39:30] people could maybe digitize some text but the rest
of the stuff that couldn't be digitized as text
[39:34] is basically images and for a lot of financial
services industries uh folks in insurance it's
[39:39] like it's either better data to help them offer
more accurate neural policies or it's their core
[39:45] competitive advantage in terms of serving their
clients better because they understand their
[39:48] history better. So lots of Yeah. Yeah. Yes.
Uh before we close, I'd like to ask each of
[39:56] you for one quick takeaway. Uh for organizations
that are just start just getting started with AI,
[40:04] what is one mistake you would tell them to avoid?
Uh and from the vendor perspective, what is the
[40:10] biggest piece of the what is the biggest piece of
advice you give customers before they begin their
[40:16] AI journey? Yeah, I'm happy to kick it off here.
Um I I mean there there's so much advice on either
[40:24] end of the spectrum that it's it's hard to distill
down. Obviously ultimately I think what we're
[40:29] seeing today though is that speed matters more
than anything else. It doesn't matter where you
[40:33] at where you're at on the adoption curve. If you
are at the forefront, if you're falling behind,
[40:37] the only thing that changes your effective ability
to benefit from AI is how fast you move to use it,
[40:42] implement it. And often times what comes at
the contradiction of speed is perfection,
[40:46] right? And so being able to balance those two
things effectively is what we've seen lead to
[40:52] the best and and ultimately the best business
outcomes with deployments. I think that's spot
[40:58] on. I think uh one of us said if you're going
to do something, focus on iterability above all
[41:04] other virtues and pick a team that can participate
iterably in something. Especially if you're first
[41:09] in don't pick a team that's like skeptical. Pick
an iterable partner and run with them. Yeah. Yeah,
[41:14] I'm going to I'm going to say probably something
very similar. What to me it's focus, learn fast,
[41:19] which is a positive way of saying fail fast,
right? Um, and be clear on what good looks
[41:25] like. And I think, you know, you don't need to
throw spaghetti at the wall here. You just need
[41:29] to be focused and try one thing at a time and
get to the end. Yeah. Yeah. I think uh I mean,
[41:36] completely agree. Um, the one thing maybe I'll
add is there's so much being said about knowing
[41:40] the outcome, knowing the goal. I would say
it's more important for from what I've seen
[41:45] people who can be successful and iterate fast is
people who can all agree that they just have to
[41:48] agree on something. It's very different to say
we have to agree on something versus we have
[41:52] to agree on the best thing. Nobody knows what
best is but we can all agree on something and
[41:57] um think about how you would quantify like
quantification is also there's a difference
[42:01] between knowing what good looks like and being
able to quantify what good is. So it's like agree
[42:05] on something not the best thing. Start think
about quantification rather than qualification.
[42:10] And I think that's these are the uh things
I can avoid paying down the road. Awesome.
[42:14] Thank you. Thank you so much you guys and thank
you to our panelists everyone. Yeah. Thanks.