HIMSS26 Ep#6 Technology Is Not a Governance Problem It Is a People Problem

Community health centers see one in seven Americans — and one in three in rural communities. Yet they operate with tight budgets, fragmented data, a growing shortage of providers, and the same cybersecurity threats facing every health system in the country

In this episode, Jay Modh, Founder and CEO of Intuitive.ai, sits down with Isaiah Nathaniel, CIO and SVP at Delaware Valley Community Health System and CIO Executive Advisor for the National Association of Community Health Systems. Isaiah shares the unfiltered principles driving his transformation strategy — and why trust, not technology, is always his starting point

From early adopter strategies and AI governance to a bold prediction about what the exam room looks like in three years, Isaiah brings the kind of candor and clarity that is rare in healthcare leadership conversations

🏥 Trust first — technology strategy must start with provider trust patient trust and system trust before a single acronym is introduced or adopted

📊 AI is not the data problem — it exposes the data problem — community health centers are data rich but presenting it correctly and governing it responsibly is where the real work happens

🔒 If it does not pass security requirements it does not get to Isaiah's desk — SOC 2 HITRUST bias review and hallucination records are mandatory gates before any AI conversation begins

🧠 No technology is solving governance — governance is a people problem — putting someone in a governance committee does not work if the organization is not ready for the change that governance demands

⏱️ Timeline

0:00 — Introduction — Jay Modh of Intuitive.ai meets Isaiah Nathaniel CIO at Delaware Valley Community Health

0:41 — Why Isaiah is excited about companies like Intuitive helping community health

1:00 — The core principles driving digital transformation at Delaware Valley

1:34 — Trust collaboration and security — the three non-negotiables before any technology

2:27 — Co-design and co-development — building AI with providers not against them

3:06 — Removing access barriers through technology not introducing them

3:47 — The data and interoperability strategy from EHR to population health to AI

5:05 — How Isaiah brings nurses clinicians and operations staff into the vision first

5:33 — Early adopters alpha groups and friendly competition — making AI adoption stick

7:39 — AI is not the problem — data is the problem and here is how Isaiah is solving it

8:55 — How consumer AI like ChatGPT is arriving at the clinic before the system is ready

13:23 — Security is job zero — if it does not pass the gate it does not get reviewed

14:47 — Governance is not a technology problem it is a people and change management problem

16:06 — Isaiah's message to aspiring CIOs — a slow no beats a fast yes

18:36 — Together we achieve apart from that we selfishly perceive — a message to nurses and clinical staff

20:19 — Three-year prediction — no computers in exam rooms wearables ambient AI and saliva-based labs

22:08 — Would Isaiah let a robot perform surgery on him — yes if the error rate is under 5%

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