AI Adoption Playbook

Credal
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Jul 24, 2025 • 31min

From 14 to 14,000 patients: How UCHealth scales healthcare with AI | Richard Zane (UCHealth)

UCHealth’s healthcare AI methodology currently enables 1 nurse to monitor 14 fall-risk patients, with plans to scale to 140, then 1,400 through computer vision and predictive analytics. Instead of exhausting pilots, they deploy in phases: test, prove, optimize, then scale. This has created a system that prioritizes force multiplication of current staff rather than replacing them, enabling healthcare professionals to work at the top of their scope. Richard Zane, Chief Innovation Officer also tells Ravin how their computational linguistics system automatically categorizes thousands of chest X-ray incidental findings into risk levels and manages closed-loop follow-up communication, ensuring critical findings don't fall through administrative cracks. Richard's three-part evaluation framework for technology partners — subject matter expertise, technical deep dive, and financial viability — helps them avoid the startup graveyard.    Topics discussed: UCHealth's phase deployment methodology: test, prove, optimize, scale Force multiplication strategy enabling 1 nurse to monitor 14+ patients Computational linguistics for automating incidental findings Three-part startup evaluation: subject matter, technical, and financial assessment FDA regulatory challenges with learning algorithms in healthcare AI Problem-first approach versus solution-seeking in healthcare AI adoption Cultural alignment and operational cadence in multi-year technology partnerships Listen to more episodes:  Apple  Spotify  YouTube Website
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Jul 10, 2025 • 29min

How construction companies can leverage AI at scale | Dan Williamson

The construction industry sits on goldmines of unstructured data that could revolutionize how buildings get built. From thousands of contracts to communication logs spanning 12-36 month building cycles, Dan Williamson, Director of Artificial Intelligence at Ryan Companies US, says all that data remains largely untapped. Dan walks Ravin through how Ryan is building AI systems to unlock this data, from contract risk analysis to robots doing reality capture on job sites. But the real challenge is organizational. Getting trade workers who've operated the same way for decades to embrace robotic assistants requires finding business evangelists willing to co-create change rather than having it imposed from above. Topics discussed: Building enterprise AI strategy in traditional construction and real estate industries Leveraging unstructured data from contracts, communications, and building drawings Finding business evangelists to co-create change rather than imposing technology top-down Deploying robots on job sites for reality capture and progress tracking Processing hundreds of thousands of leases and construction contracts with AI Transforming construction drawings from unstructured data into actionable insights Managing 60+ contracts per project across 100-250 annual construction projects Automating safety risk assessment through job site communication analysis Replacing manual data entry with AI-powered construction workflow applications
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Jun 27, 2025 • 36min

Why AI should live in the business unit, not security: Lessons from mobile and cloud transitions | Mandy Andress (Elastic)

At Elastic, CISO Mandy Andress learned that pragmatic guardrails work better than blanket bans for managing AI adoption across their 3,500-person distributed workforce. Instead, she enables AI tools with smart controls rather than block them entirely. As both a customer and provider in the AI ecosystem, Elastic faces unique challenges in AI strategy. Mandy explains how they're applying hard-learned lessons from cloud vendor lock-in to build flexible AI systems that can switch foundation models with minimal engineering effort.  She also shares why AI ownership is naturally migrating from security teams to business units as organizations mature their understanding of the technology.   Topics discussed: Elastic's dual role as vector database provider and AI customer. Transitioning AI ownership from security teams to business units. Building foundation model flexibility to avoid vendor lock-in. Quantifying AI business value through time auditing versus traditional ROI. Managing enterprise AI tool procurement floods without innovation barriers. Pragmatic AI guardrails versus blanket AI-blocking strategies. AI team organizational structures based on technical maturity. Focusing AI governance on access controls and API fundamentals. Behavioral analytics for credential-based attack detection. Listen to more episodes:  Apple  Spotify  YouTube Website
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Jun 17, 2025 • 46min

How Yext created AI fact sheets to standardize vendor evaluations | Rohit Parchuri (CISO at Yext)

At Yext, evaluating every AI tool through a security-first lens sparked comprehensive AI governance frameworks that protect enterprise data without stifling productivity. Rohit Parchuri, SVP & CISO, explains how they developed "AI fact sheets" for these evaluations, comparing each tool against specific business goals, data protection requirements, and existing capabilities. This process prevents tool duplication while ensuring security standards are met before deployment. But governance is just one piece of Yext's AI strategy. As a company born from AI technology, they've already built their own ML models to filter false positives from security tools, and they have direct experience with AI's data amplification risks — like how incorrect restaurant ingredient data could trigger FDA issues across all client listings. Rohit explores how enterprises can build sustainable AI programs that accelerate business outcomes while maintaining robust security controls.   Topics discussed: AI's intent recognition versus traditional RPA systems. Implementing "AI fact sheets" for vendor evaluation. Building security checkpoints. Balancing employee productivity with data protection. Managing free consumer AI tools like ChatGPT. Developing AI acceptable use policies. Replacing tier-1 analysts with AI systems. Creating feedback loops for vulnerability categories. Evaluating AI vendor security frameworks. Predicting AI replacement timelines for security roles. Listen to more episodes:  Apple  Spotify  YouTube Website
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10 snips
May 29, 2025 • 50min

AI build vs buy: How do you choose between custom tools vs vendors? | Diamond Bishop

Diamond Bishop, Director of Engineering and AI at Datadog, discusses innovative approaches in building AI agents for production incident management. He emphasizes the transition from simple workflow automation to defining AI agents with real decision-making autonomy. The conversation highlights the critical need for trust and reliability in enterprise AI through root cause identification, enabling proactive solutions before engineers are needed. Additionally, Diamond explores the significance of adopting standards like Anthropic's MCP for seamless tool integration across diverse environments.
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May 19, 2025 • 49min

From 0 to 600 custom GPTs in one company: Why creativity beats technology in AI transformation | Michael Domanic

How do you achieve 75% weekly active AI tool usage across an enterprise? At UserTesting, it started with a deliberate strategy to foster experimental adoption while maintaining governance guardrails. Michael J. Domanic, Head of Generative AI Business Strategy, tells Ravin their approach to transforming internal workflows through AI on this episode of The AI Adoption Playbook. Rather than treating AI as purely a technical concern, UserTesting has built an impressive culture of AI adoption by empowering cross-functional teams, establishing clear usage guidelines, and meticulously tracking tangible business value. Their 800-person team has created 600 custom GPTs, many of which have transformed workflows across departments. Michael also explores how UserTesting balanced centralized governance with democratized experimentation, their methods for measuring ROI, and why creativity — not just technical expertise — might be the critical ingredient for successful enterprise AI transformation. Topics discussed: Building an enterprise AI strategy that achieved 75% weekly active users through balanced governance and democratized experimentation. Creating custom GPTs trained on organizational knowledge to streamline processes like OKR development across all company levels. Establishing cross-functional "AI ambassadors" and regular office hours to drive adoption and showcase successful use cases. Implementing clear AI usage guidelines that protect sensitive customer data while encouraging internal experimentation and innovation. Measuring AI ROI by focusing on business outcomes rather than time savings, with metrics tied to specific operational improvements. Balancing centralized AI governance through a dedicated council with decentralized, department-level experimentation and implementation. Exploring the differences between AI transformation and traditional digital transformation, including executive-level buy-in from day one. Discussing the challenges incumbent software companies face when integrating AI versus new AI-native applications built from scratch. Developing strategies for scaling AI applications from experimentation to production through appropriate security and governance protocols. Examining the philosophical aspects of AGI development and the importance of creativity rather than technical skills in leading AI transformation.
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May 1, 2025 • 41min

Incident response AI: How do you build an AI that tells you how to fix outages? | Lawrence Jones

When technical systems fail at companies like Netflix or Etsy, every minute of downtime can cost millions. That's why incident.io is building AI systems that can automatically investigate and diagnose technical problems faster than human engineers. In this episode of The AI Adoption Playbook, Lawrence Jones, Product Engineer at incident.io, tells Ravin how they're creating an automated incident investigator that can analyze logs, traces, and metrics to determine what went wrong during an outage. He shares their methodical approach to AI development, focusing on measurable progress through evaluation metrics and scorecards rather than intuitive "vibe-based" changes. Lawrence also discusses the evolution of their AI teams and roles, including their newly launched AI Engineer position designed specifically for the unique challenges of AI development, and how they use LLMs themselves to evaluate AI system performance. Topics discussed: Building an AI incident investigator that can automatically analyze logs, traces, and metrics to determine the root cause of technical outages. Creating comprehensive evaluation frameworks with scorecards and metrics to measure AI performance against historical incident data. Using LLMs as evaluators to determine if AI responses were helpful by analyzing post-incident conversations and user feedback. Developing internal tooling that enables teams to rapidly test and improve AI systems while maintaining quality standards. Evolving from individual "vibe-based" AI development to team-based systematic improvement with clear metrics for success. Structuring AI engineering roles and teams to balance product engineering skills with specialized AI development knowledge. Implementing product-focused AI features like chatbots that can help automate routine tasks during incident response. Leveraging parallel human and AI processes to collect validation data and improve AI system performance over time. Building versus buying AI evaluation tools and the advantages of custom solutions integrated with existing product data. Exploring the future of AI in technical operations and whether AI will enhance or replace human roles in incident management. Listen to more episodes:  Apple  Spotify  YouTube
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Apr 17, 2025 • 46min

LLM-as-a-judge: How Shopify built AI judges that match human reviewers | Spencer Lawrence

What happens when AI capabilities outpace organizational readiness? At Shopify, this tension has pushed them to develop a practical implementation approach that balances rapid experimentation with sustainable value creation.  Spencer Lawrence, Director of Data Science & Engineering, shares how they've evolved from simple text expansion experiments to sophisticated AI assistants like Help Center and Sidekick that are transforming both customer support and merchant operations. At the heart of their strategy is a barbell approach enabling self-service for small AI use cases while making targeted investments in transformative projects. Spencer also explains how their one-week sprint cycles, sophisticated evaluation frameworks, and cross-functional collaboration have helped them overcome the common challenges that prevent organizations from realizing AI's full potential. Successful AI implementation requires more than just technical solutions — it demands new organizational structures, evaluation methods, and a willingness to constantly reevaluate what knowledge work means in an AI-augmented world. Topics discussed: Shopify's evolution from early text expansion experiments to production-level AI assistants that support both customers and merchants. Creating sophisticated evaluation frameworks that combine human annotators with LLM judges to ensure quality and consistency of AI outputs. Implementing a barbell strategy that balances small self-service AI use cases with strategic investments in high-impact projects. Running one-week sprints across all AI work to maximize iteration cycles and maintain velocity even at enterprise scale. Addressing the gap between AI capabilities and real-world impact through both technological solutions and organizational change. Building feedback loops between technical teams and legal/compliance departments to create AI solutions that meet governance requirements. Fostering a culture that values experimentation while developing clear policies that give employees confidence to innovate responsibly. Exploring how AI will raise productivity expectations rather than simply reducing workloads across all roles and functions. Using AI as a strategic thought partner to generate novel ideas and help evaluate different perspectives on complex problems. Developing a forward-looking perspective on knowledge work that embraces AI augmentation while maintaining human judgment and oversight. Listen to more episodes:  Apple  Spotify  YouTube
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Apr 3, 2025 • 41min

Enterprise AI security: How MongoDB secured data for 5,000 employees | David Vainchenker

Forget theoretical planning — MongoDB dove headfirst into AI adoption and let real-world usage guide their strategy. David Vainchenker, Sr. Director of Enterprise Initiatives & Tools at MongoDB, joins Ravin on this episode of The AI Adoption Playbook to share this practical approach and unpack their evolution from simple chatbots to sophisticated agent-based systems.  David shares their practical challenges with measuring AI's business impact, explaining why time savings metrics alone weren't convincing to leadership without translating to actual dollar savings or increased capacity. He also offers candid insights about security concerns, copyright issues with AI-generated code, and the delicate balance between innovation and governance. Topics discussed: Why shipping AI tools quickly and learning from actual usage patterns proved more effective than predicting theoretical use cases. The challenge of translating AI time savings into measurable business impact that resonates with leadership and affects the P&L. Security and compliance considerations when implementing AI at enterprise scale, including permission-aware retrieval requirements. Managing the balance between build vs. buy decisions in the fast-evolving AI landscape while ensuring business continuity. The reality of AI-assisted coding adoption rates varying significantly between junior and senior engineers in large organizations, and the copyright implications of having non-human-generated code. How MongoDB approaches vertical (specialized) vs. horizontal (platform) AI solutions for different use cases across the enterprise. The budgeting challenges created when every existing software vendor offers AI capabilities as premium add-ons. The importance of maintaining cross-system AI capabilities that match human workflows spanning multiple applications. Listen to more episodes:  Apple  Spotify  YouTube Website
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Mar 10, 2025 • 50min

From 30% to 99% AI accuracy in production | Allen Jeter (Lattice)

In this episode of The AI Adoption Playbook, Allen Jeter, Director of IT at Lattice, describes how his team transformed internal operations by strategically implementing AI assistants across multiple departments. Starting with a clear focus on reducing manual work and response times, Allen walks Ravin through how Lattice built their first AI solutions, from an experimental chatbot using Okta Workflows and Pinecone to production-grade systems serving their People Operations and security teams. What sets Lattice's approach apart is their pragmatic focus on solving real business problems rather than chasing AI for its own sake. By identifying specific pain points, implementing security guardrails from the beginning, and deploying AI directly within existing workflows like Slack, they've achieved impressive adoption across the organization. Allen also shares invaluable advice for IT leaders looking to implement AI, emphasizing early experimentation, stakeholder involvement, and the importance of understanding your business problems before attempting AI solutions. Topics discussed: Implementing AI assistants for People Operations that provide 24/7 support for employee questions about benefits and company policies. Building a security bot that helps sales teams respond to customer security questionnaires faster, reducing bottlenecks and accelerating sales cycles. Evaluating the crowded AI vendor landscape with specific requirements rather than getting caught up in marketing hype. The importance of integrating AI tools into existing workflows like Slack channels to maximize adoption without changing user behavior. Creating effective prompt engineering strategies to help teams customize AI responses and maintain accuracy across different domains. Implementing proper governance and permissions structures that respect existing data access controls to ensure compliance. Measuring success through concrete metrics like reduction in manual work hours and decreased time-to-answer across departments. Using AI to enrich support ticket metadata automatically, enabling better insights without manual categorization work. Balancing experimentation with security guardrails to enable innovation while protecting sensitive company and customer data. Resources Mentioned: Credal’s blog post, “The Enterprise Adoption Curve: Lessons Learned So Far”

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