Your Chief AI Officer · Wednesday, October 28, 2026
Audit Epic data access costs as consumer AI connections climb
Today's items center on who controls access to patient data and what that access costs, from a STAT investigation of Epic to a podcast report of rising MyChart-to-ChatGPT traffic. Alongside it come concrete moves for revenue, security and clinical governance: imaging denials worth appealing, new federal cyber and post-quantum work, and a debate on advertising inside decision support. Each one trades administrative drag or unmanaged risk for time back with patients.
3 items · about 8 minutes · ordered for the CHRO
Read as:EditorChief AI OfficerCEOCOOCFOCIO and CTOCISOCMO (medical)CNOCHROCMO (marketing)CompliancePatient experience
Act today
Insights a leader can act on this week: what happened, the one move to make, and the roles it falls to.
01Regulatory·1 source·For patients
Chief AI OfficerCISOCIO and CTO
NIST released a report describing timelines and migration activities for federal agencies moving to post-quantum cryptography standards. NIST says it can serve as a resource for technology providers and organizations building quantum-readiness road maps.
Do this week. Ask your EHR, cloud and medical device vendors for their post-quantum migration road maps and add the question to new contracts. Run this
- The claim.
- NIST says the report can guide organizations developing quantum-readiness road maps.
- The evidence.
- This is primary guidance from NIST, a federal standards agency; it describes federal timelines rather than private-sector mandates.
Read the full item
Sources:NIST News
02Reported·2 sources·For patients and employees
Chief AI OfficerCFOCIO and CTO
Healthcare Dive interviewed Epic's Ryan Bohochik on industry progress ahead of the Jan. 1 deadline for payers to adopt new prior authorization technology. Separately, MedCity News reports ClarityCare raised $16.5 million to automate prior authorization work as plans face federal decision deadlines.
Do this week. Ask your top five payers this week for their prior authorization API readiness status and test dates. Run this
- The claim.
- Epic's Bohochik describes industry progress toward the deadline; ClarityCare says automation can cut the administrative workload that keeps patients waiting.
- The evidence.
- No independent data on payer readiness is given in the candidates.
Read the full item
Sources:Healthcare DiveMedCity News
03Opinion·4 sources·For patients and employees
Chief AI OfficerCMO (medical)Compliance
Letters in JAMA respond to a Singh and Mello Viewpoint warning that advertising in AI clinical decision support can influence care. One proposes a clinical query firewall; another compares free tools to past drug company giveaways. The authors reply that ending the practice altogether is unlikely.
Do this week. Inventory free or ad-supported AI decision support tools clinicians use and set a policy on which are permitted. Run this
- The claim.
- The letter writers argue commercial interests can shape medical judgment through ad-supported AI tools, and that clinical queries need protection.
- The evidence.
- These are opinion letters in JAMA; no study of patient impact is cited.
Read the full item
Sources:JAMAJAMAJAMAJAMA
Less administrative work. Better patient care. A better working life for the people who deliver it. Drafted by Lumen from the named sources above, checked by rule against those sources (every figure, two independent outlets or a primary source) and published only when it passes. A person can pull any item, and corrections are published. Apolitical, always. Nothing here is medical advice. How Your Chief AI Officer is made. Ecofy LLC.
