Pivoting to Technology Adoption
70% of technology transformations fail. Not because of the technology, but because organizations never close the adoption gap. The system goes live. The people never fully adopt it. The investment stalls.
If your clinicians won't use the new EHR, your teams are working around the new platform, or your rollout is technically "done" but nobody's actually using it, this show is for you.
Host Donna P. Mitchell, The Transformation Authority™ and author of Pivoting to Technology Adoption: Mind the Gap, brings 49 years across five regulated industries (telecommunications, aviation, airline management, healthcare, and emerging technologies) to every conversation. From hospital systems to enterprise and mission-driven organizations, she has enabled more than 150,000 professionals through four major types of transformation, and she knows exactly where adoption breaks down.
Each episode features the executives, clinical leaders, and strategists who have faced the gap firsthand, and the decisions that determine whether technology delivers or derails: clinician and workforce adoption, healthcare technology, and enterprise change.
Forbes Business Council member. Senior Executive Healthcare Think Tank member. Five industries. One question: will your people adopt what your technology promises?
New to Pivoting to Technology Adoption?
129
Aug. 25, 2026
The Autonomous Enterprise: What Privileges Should You Allow AI? | Steven Hall, ISG
Steve Hall, Chief AI Officer at ISG, argues the question executives keep asking is the wrong one. Not what AI can do — what privileges you should allow it. He walks through the autonomous enterprise, what his market data shows about who is capturing AI's value, and the one word he says determines whether adoption happens at all. TOPICS COVERED: - Why 2025 changed the question from what AI can do to where you should let it act - The autonomous enterprise — and what earning autonomy actua
104
Feb. 3, 2026
Why AI Fails in Regulated Industries: EY Leader on Governance, People & ROI | Srinath Chandramohan
Why do so many enterprises fail at AI adoption? The technology works — but the governance doesn't. In this episode, Donna P. Mitchell speaks with Srinath Chandramohan — Senior Manager at Ernst & Young with 17+ years driving enterprise transformation — about why AI projects fail in regulated industries and what executives must understand about governance, human expertise, and ROI. TOPICS COVERED: Why governance is the key player in AI adoption How 30 years of expertise can't be replaced — but
100
Jan. 6, 2026
Why AI Projects Fail: An Oracle Strategist on Data, Guardrails & the 70% Problem | Diganta "Digs" Sen Gupta
Why do 70% of AI projects fail? In this milestone Episode 100, Donna P. Mitchell sits down with Diganta "Digs" Sen Gupta — Forbes Technology Council member, IEEE AI Governance Committee member, and Oracle enterprise architect with 25+ years of experience — to break down what executives must understand about data readiness before any AI initiative. WHAT'S COVERED: Why "everyone from bedrooms to boardrooms" talks AI but most projects fail The data silo problem destroying enterprise AI initiativ
134
Oct. 13, 2026
AI Follows the Culture | What CEOs Miss About Fear and Adoption | Brett Schklar
Your AI rollout will only be as healthy as the culture it lands in. Brett Schklar, CEO of GROW Powered and author of AI Without the BS, has talked with nearly 2,000 CEOs about AI. He explains why so much of the workforce is still afraid of it, why adoption starts with 1% wins instead of home runs, and why IT should not lead the charge. TOPICS COVERED Why AI follows the culture you already have What fear of AI looks like two or three levels below the CEO Why 1% better each week beats sw
133
Oct. 6, 2026
A Bad Process, Finished Quicker. What Leaders Miss Before They Add AI, with Tom Altman
Most AI efforts do not stall on the technology. They speed up a process nobody has looked at closely. Fractional CTO/CIO Tom Altman explains why AI takes a bad process and makes it finish quicker, why the trouble lives in the handoffs, and what leaders should tell their people about AI. TOPICS COVERED Why AI makes a bad process finish quicker Where data and process problems hide: the handoffs What AI can take off a staff accountant's desk today Why ERP and CRM come before new AI too
132
Sept. 29, 2026
The Ending Is Where You Should Start — Rich Bornstein on the Story Gap
Rich Bornstein returns to talk about the gap inside the adoption gap: how leaders communicate change to their own workforce, and why most of them start in the wrong place.
119
May 27, 2026
System First, Tools Second — AI Sales Leadership with Greg Grand
System first. Tools second. That is the framework Greg Grand brings to AI sales leadership — and the reason most sales transformations fail. In this episode of Pivoting to Technology Adoption, Greg Grand — founder of G Squared Advisors and creator of the AI Sales Leader certification suite — joins host Donna P. Mitchell to break down why most executives are getting AI sales transformation wrong from the start. With 30 years of enterprise sales leadership including building the Google
Recent
134
Oct. 13, 2026
AI Follows the Culture | What CEOs Miss About Fear and Adoption | Brett Schklar
Your AI rollout will only be as healthy as the culture it lands in. Brett Schklar, CEO of GROW Powered and author of AI Without the BS, has talked with nearly 2,000 CEOs about AI. He explains why so much of the workforce is still afraid of it, why adoption starts with 1% wins instead of home runs, and why IT should not lead the charge.
TOPICS COVERED
Why AI follows the culture you already have
What fear of AI looks like two or three levels below the CEO
Why 1% better each week beats sw
TOPICS COVERED
Why AI follows the culture you already have
What fear of AI looks like two or three levels below the CEO
Why 1% better each week beats sw
133
Oct. 6, 2026
A Bad Process, Finished Quicker. What Leaders Miss Before They Add AI, with Tom Altman
Most AI efforts do not stall on the technology. They speed up a process nobody has looked at closely. Fractional CTO/CIO Tom Altman explains why AI takes a bad process and makes it finish quicker, why the trouble lives in the handoffs, and what leaders should tell their people about AI. TOPICS COVERED Why AI makes a bad process finish quicker Where data and process problems hide: the handoffs What AI can take off a staff accountant's desk today Why ERP and CRM come before new AI too
132
Sept. 29, 2026
The Ending Is Where You Should Start — Rich Bornstein on the Story Gap
Rich Bornstein returns to talk about the gap inside the adoption gap: how leaders communicate change to their own workforce, and why most of them start in the wrong place.
131
Sept. 22, 2026
What People Need — Why Buy-In Is Not a Nice-to-Have
Seventy percent of technology transformations fail — and it is not the technology. It is the human adoption gap. In this solo author read, Donna P. Mitchell reads Chapter 5 of her book Pivoting to Technology Adoption: Mind the Gap — the chapter that closes Part One and makes the case that buy-in is not a nice-to-have. It is the whole game. TOPICS COVERED - The four readiness questions most organizations never ask - Why understanding has to come before every other investment - Why training is
130
Sept. 8, 2026
What People Do — Shadow Systems, Sabotage, and the Distance Between the Dashboard and the Floor
Seventy percent of technology transformations fail — and it is not the technology. It is the human adoption gap. In this solo author read, Donna P. Mitchell reads Chapter 4 of her book Pivoting to Technology Adoption: Mind the Gap, and makes the case that every workaround in your organization is a message you are not reading. TOPICS COVERED Why shadow systems are feedback, not resistance The Shadow Ledger and the hidden liabilities of ungoverned technology Three places the dashboard and the
129
Aug. 25, 2026
The Autonomous Enterprise: What Privileges Should You Allow AI? | Steven Hall, ISG
Steve Hall, Chief AI Officer at ISG, argues the question executives keep asking is the wrong one. Not what AI can do — what privileges you should allow it. He walks through the autonomous enterprise, what his market data shows about who is capturing AI's value, and the one word he says determines whether adoption happens at all. TOPICS COVERED: - Why 2025 changed the question from what AI can do to where you should let it act - The autonomous enterprise — and what earning autonomy actua
Join the Email List
Listen On
