Guy Pistone pinned a question
on his post Tuesday.
What's an idea you've been carrying
too long because you were trying to organize it
before you finished it?
My answer was uncomfortable.
About a year.
A framework for who owns
an AI decision sat in sketches
that entire time.
Organizing it felt safer
than finishing something
someone could challenge.
That answer stayed with me
longer than the comment did.
The same pattern runs
everywhere else in the build.
Every decision that lives in draft
while health systems and financial institutions
wait on the other side of it.
Four months ago
I said something in passing.
That the latest fin AI deployments
of TAG™ had to be a small,
deliberate cohort.
Not broad, shallow distribution.
The conversation moved on.
I forgot.
Yesterday it came back.
The system had it waiting.
Fully framed.
Not just the statement.
The context.
The direction I had pointed toward
without calling it a decision.
I sat with it
for ninety seconds.
Then I made the call.
Focused early cohort.
High touch implementation.
Explicit ownership
of the decision pathway
before scale.
Not because I was sharp
yesterday.
Because I was sharp
four months ago,
and something was paying attention
when I was not.
That is what people keep missing
about running on agents.
Not recall.
Continuity.
Deal flow moves fast enough
to dilute signal
into activity.
Where else has the past you
already made the call,
and the current you
hasn't found it yet?
Mo Johnson, MD MBA is a cardiothoracic surgeon and the founder of GPe Research. He created The Accountability Gap™ (TAG™), which names the moment the AI stops and the named owner starts. MedicoVigilance™ covers clinical AI. FinVigilance™ covers financial AI. Field Notes are short dispatches from the accountability frontier, published at tagframework.com.
Follow the work on LinkedIn: linkedin.com/in/mo-johnson