Shadow AI, Shrinking Budgets, and the Agents Nobody Approved | Newsday

June 1, 2026: Bill Russell, Drex DeFord, and Sarah Richardson bring back the highlights from three simultaneous healthcare summits in Destin, Florida, covering imaging leaders, CTOs, and children's CIOs. The conversations were connected by a few uncomfortable truths: four in ten health systems cannot measure the AI they have already deployed, most organizations have dozens of agents running on their networks without anyone knowing, and budgets are getting squeezed by rising RAM costs and what leaders are calling the AI tax. From data literacy gaps and ungoverned agents to the idea of onboarding AI like a new hire, this episode captures what healthcare's sharpest leaders are actually wrestling with right now.

Key Points:

• 00:46 Summit Takeaways Setup

• 09:55 Agents and Governance Gaps

• 18:18 Proving AI ROI

• 22:31 Budgets, Vendors, and Wrap

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