At the HIMSS AI Forum, Ryan Sadeghian, the chief medical information officer at the University of Toledo, discussed the advantages of developing a tailored AI platform for healthcare rather than adopting existing solutions. He stressed the importance of integrating AI within established IT and governance frameworks to enhance safety, compliance, and minimize bias, while also addressing specific organizational needs and gaps. Key focus areas for the AI initiative include improving clinical documentation and supporting value-based care, which collectively aim to boost operational efficiency and ultimately improve patient outcomes. This approach highlights the critical role of custom AI solutions in aligning with healthcare providers' unique requirements and governance standards.