The Biggest Mistake I See in AI Implementation

Everyone wants to know: “What should we use ChatGPT for?”

Wrong question.

Here’s the right one: “What repetitive decision-making work is killing our team’s time?”

Let me show you the difference.

The Problem Everyone Gets Wrong

Last month, a concierge practice owner asked me: “How do I use AI to write better job descriptions?”

I said, “You don’t need better job descriptions. You need to stop wasting 25 hours interviewing the wrong people.”

Same tech. Completely different outcome.

How We Actually Use AI at PURE

When we were hiring our concierge RN, I didn’t start with the technology. I started with the problem:

The Problem:

  • 185 candidates applied
  • Most looked good on paper
  • 90% were terrible cultural fits
  • We were drowning in “highly qualified” people who’d never work

What everyone does: Use AI to write a better Indeed post, then manually screen everyone anyway.

What we did: Built an AI that filters by cultural fit BEFORE we ever talk to them.

We taught it to score every candidate on:

  • Cultural fit (40%)
  • Technical skills (35%)
  • Growth potential (25%)

Only candidates scoring 4.0+ moved forward.

The result? Instead of interviewing 20 mediocre candidates, we interviewed 6 exceptional ones.

The AI didn’t replace hiring. It replaced the part of hiring that was wasting our time.

The Framework

Here’s how to actually implement AI in your practice (or business, or life):

Step 1: Find the Low-Value, High-Volume Work

Not “What’s hard?” — What’s repetitive and takes forever?

Examples from healthcare:

  • Screening resumes
  • Summarizing patient charts
  • Answering the same insurance questions
  • Scheduling follow-ups
  • Writing referral letters

Ask: “What work drains time but doesn’t require human judgment?”

Step 2: Define Your Criteria

How do YOU make that decision?

When you’re screening a resume, what are you actually looking for? Write it down.

For us, it was:

  • Do they use words like “empower” and “optimize”? (cultural fit signal)
  • Do they have concierge or boutique medical experience? (technical skill)
  • Are they early-career enough to grow with us? (growth potential)

Most people skip this step. They hand AI a vague task and wonder why it fails.

Define the rubric a human would use. Then let AI apply it at scale.

Step 3: Let AI Do the Grind

Now — and only now — you automate.

We didn’t ask AI to “find good candidates.”

We asked it to:

  1. Read every resume
  2. Score it against our rubric
  3. Flag anything above 4.0

AI is incredible at applying consistent criteria to high-volume work. It never gets tired. It never skips someone because it’s 4:45 PM on a Friday.

Step 4: Humans Do the Judgment Calls

AI gets us from 185 candidates to 6.

We pick the final hire.

That’s the part that actually requires human intuition — the energy in the room, the way they answer a curveball question, whether we’d trust them with our patients.

AI amplifies judgment. It doesn’t replace it.

What This Looks Like in Practice

Since we implemented this:

Hiring:

  • Time per position: 25 hours → 6 hours
  • Quality of final candidates: Dramatically higher
  • Decision fatigue: Gone

Patient intake:

  • AI summarizes new patient forms before the appointment
  • Dr. Miranda walks in already knowing the story
  • Patients feel heard faster

Lab analysis:

  • AI flags trends in bloodwork (e.g., “Ferritin dropping for 6 months”)
  • We catch things earlier
  • Longevity members get proactive interventions, not reactive ones

None of this is “AI replaces the doctor.”

It’s “AI handles the grind so the doctor can be a doctor.”

The Big Miss

Most healthcare AI projects fail because they start with:

  1. “Let’s buy this AI tool”
  2. “Now what do we use it for?”

That’s backwards.

Start with:

  1. “What’s killing our time?”
  2. “What criteria do WE use to make that decision?”
  3. “Can AI apply those criteria at scale?”
  4. “Great — now humans focus on judgment calls”

Stop asking “What can AI do?”

Start asking “What shouldn’t humans be doing?”


P.S. — That “unicorn RN” we hired? Emily scored a 5.5 on resume, 4.5 on the AI phone screen. She’s MSN-FNP from U Miami, lives in Coral Gables, has concierge infusion experience.

The AI didn’t find her. It just made sure we didn’t miss her in a pile of 185 resumes.

That’s the whole point.