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December 18, 2025

Black Book: Less Than a Quarter of AI Pilots Scale Across Organizations, Exposing Governance Gaps

Newswire
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Contributed by: Kate Gamble
Summary
A recent study by Black Book Market Research reveals that while 84% of U.S. health systems have launched AI pilots in operational and clinical settings, only 23% have successfully scaled these initiatives across the organization. This discrepancy highlights a critical governance gap, with just 19% of health leaders implementing formal AI oversight, which can lead to mismanagement and unclear accountability for AI’s role and risks. Furthermore, the research notes that the supervisory burden placed on clinicians to manage AI outputs is often overlooked in return on investment evaluations, potentially skewing productivity assessments. For healthcare professionals, these findings underscore the urgent need for robust AI governance frameworks to ensure effective integration and management of AI technologies in clinical settings.

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