Why Your AI Strategy Keeps Dying on Legacy Systems

In this episode of TechUnhinged, host Rabia Javeed sits down with Bob Berbeco, Chief Information Officer at Mahaska Health, a rural hospital in Iowa, and former informatics leader at Indiana University Health. Bob argues that AI strategies do not die because the technology fails, they die because nobody mapped the risk first. He explains why every modernization and AI decision at his organization runs through a risk matrix, why data governance and veracity must exist before a single model goes live, and how his team stopped accepting vendor pitches and instead built an AI center of excellence. He also shares the horror story of an aging billing system whose motherboard died and the vendor contract that saved it.