Field Notes

Short dispatches from the accountability frontier

Field Notes

Aug 13, 2026

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1 min read

The Average

An average cannot be acted on. A ranked ten can.

Mo Johnson, MD MBA

Framework

Aug 12, 2026

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1 min read

Say Say Say

51 percent of finance chiefs say they don't have theauthority to govern AI at all. That is not a governancechallenge. It is an empty seat with a challenge writtenon it.

Mo Johnson, MD MBA

Framework

Aug 11, 2026

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1 min read

Tipping Point

That is four jobs described as one person. The gap doesnot close by naming a role. It closes by naming two.

Mo Johnson, MD MBA

Framework

Aug 10, 2026

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1 min read

The Unscored

Expanding who gets evaluated is a governance decisionwearing a growth number.

Mo Johnson, MD MBA

Framework

Aug 7, 2026

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1 min read

The Timeout

Every operation starts with everyone standing still. AIentered the same room and nobody kept the pause.

Mo Johnson, MD MBA

Framework

Aug 6, 2026

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1 min read

The Bias

An accurate model answering the wrong question passesevery fairness test built to check the answer.

Mo Johnson, MD MBA

Framework

Aug 5, 2026

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1 min read

The Black Box

Accuracy stopped being the product. The explanation is. It shows up as 13 hours a week.

Mo Johnson, MD MBA

Field Notes

Aug 4, 2026

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1 min read

Layers of Clinical AI

Every layer inherits the one beneath it. Accountabilityis the layer nobody built.

Mo Johnson, MD MBA

Field Notes

Aug 3, 2026

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1 min read

The Seventh

The model does not make one decision. It makes ten.Nine happened before anyone in your building looked ata screen.

Mo Johnson, MD MBA

Field Notes

Jul 31, 2026

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1 min read

The Unbuilt Seat

$217 million in investor losses before anyone foundout. The paper answered this in 2022. The seat stilldoes not exist.

Mo Johnson, MD MBA

Field Notes

Jul 30, 2026

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1 min read

Continuity

It was never about recall. It was about continuity.Somewhere, the past you already made the call.

Mo Johnson, MD MBA

Field Notes

Jul 29, 2026

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1 min read

The Vendor Knew First

Half the physicians in America adopted a consultationlayer before their institutions knew it was in thebuilding.

Mo Johnson, MD MBA

Field Notes

Jul 28, 2026

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1 min read

The Second Sort

You sorted habit from judgment. Nobody sorted ownedfrom unowned.

Mo Johnson, MD MBA

Field Notes

Jul 27, 2026

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1 min read

The Tool

An agent can carry the task. It cannot hold theoutcome.

Mo Johnson, MD MBA

Field Notes

Jul 24, 2026

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1 min read

The Seam

You came here for clinical AI. The gap did not stayin medicine.

Mo Johnson, MD MBA

Field Notes

Jul 15, 2026

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1 min read

The Default

Nobody decided it. The chart says someone did.

Mo Johnson, MD MBA

Field Notes

Jul 13, 2026

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1 min read

The Promotion

Nobody announced it. Clinical AI got promotedanyway. The capability got the new title. Theownership seat stayed empty.

Mo Johnson, MD MBA

Field Notes

Jul 10, 2026

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1 min read

The Living Map

Most governance lives in a binder. Six shifts thatmake it live at the bedside.

Mo Johnson, MD MBA

Field Notes

Jul 9, 2026

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1 min read

The Ratio

They promised 10-80-10. Clinicians are living50-10-40. The load did not disappear. It movedrooms.

Mo Johnson, MD MBA

Field Notes

Jul 8, 2026

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1 min read

The Signs

Five Signs Someone Else Wrote Your AI Strategy:And the board approved it. The strategy exists.The ownership does not.

Mo Johnson, MD MBA

Field Notes

Jul 7, 2026

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1 min read

The Autonomy

No Return Address: A decision that moves without a named ownerreaches the patient with no return address.

Mo Johnson, MD MBA

Field Notes

Jul 6, 2026

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1 min read

The Nod

Is it governed?" gets you a smile. It nevergets you a name.

Mo Johnson, MD MBA

Field Notes

Jul 2, 2026

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1 min read

The Blind Spot

She Approved It Perfectly. TheSeat Was Empty.

Mo Johnson, MD MBA

Field Notes

Jul 1, 2026

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1 min read

The Kickstart Audit

The Five-Step Clinical AI Accountability Audit.

Mo Johnson, MD MBA

Field Notes

Jun 30, 2026

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1 min read

The Empty Booth

The Booth Nobody Stands In. The Data LayerNobody Governs.

Mo Johnson, MD MBA

Field Notes

The Average

Say Say Say

Tipping Point

The Unscored

The Timeout

The Bias

The Black Box

Layers of Clinical AI

The Seventh

The Unbuilt Seat

Continuity

The Vendor Knew First

The Second Sort

The Tool

The Seam

The Default

The Promotion

The Living Map

The Ratio

The Signs

The Autonomy

The Nod

The Blind Spot

The Kickstart Audit

The Empty Booth

Published by GPe Research · gperesearch.com