The 12
Vendors
That Hold

82% NEVER SHIP · 82% NEVER SHIP · 82%

17/21 → 21/21 e2e TESTED

GOVERNANCE = PRODUCTION

// FRAGMENT 001 — THE PROBLEM

AI dies in pilot.

82% of AI initiatives never reach production. Not from bad technology. From no operating model. In a DSO, that's not a statistic. It's a liability.

82%Never Ship

17/21→21/21e2e Tested

2%At Scale

// FRAGMENT 002 — THE GATES

01 Patient Data Validation — patient records, imaging, and scheduling verified at the boundary
02 Practice Integration Tests — full suite must pass against PMS, imaging, billing; no urgency exceptions
03 Change Verification — hash-verified artifact comparison
04 Clinical Approval — risk-tiered; every clinical decision escalates to a dentist
05 ProofPacket — HMAC-signed audit trail, not a chat message
06 HIPAA Compliance — logging, drift, rollback, board reporting

20 questions to ask before buying another AI tool. Free. No email wall.