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Data governance often sounds technical, but its real impact shows up at the bedside. This episode explores how unclear data definitions, inconsistent metrics, and poorly governed information can slow care, erode clinician trust, and limit the effectiveness of AI in healthcare. Informatics leaders Dr. John Lee, Dr. Howard Landa, and Dr. Mark Pierce share practical insights on how thoughtful data design supports better clinical decisions, safer care delivery, and more reliable health technology outcomes. Guests: Dr. John Lee, President HIT Advisors; Dr. Howard Landa, CMIO Adventist Health; Dr. Mark Pierce, Former CMIO Parkview Health System Host: Gregg Malkary - Spyglass Consulting Group - https://spyglass-consulting.com/ Lighthouse Healthtech - https:Lighthouse-healthtech.com Cohost: Keith Washington - Companions in Courage Foundation - https://cic16.org/ Sponsored by: Simplifi Medical https://www.SimplifiMedical.com Audio/Video: Tim Jones - Health Nuts Media - https://healthnutsmedia.com/ Marketing: Josh Troop - Troop-Creative - https://www.troop-creative.com Learn More at: www.beyond-blueprint.com Chapters: 00:00 | Why Data Governance Gets Ignored 02:01 | Data Governance as a Patient-Safety Issue 04:25 | When Data Helps — and When It Slows Care 06:29 | Too Much Information, Not Enough Clarity 09:14 | The “Raiders of the Lost Ark” Data Warehouse Problem 11:04 | Why Leaders Delay Governance Work 13:06 | The Real Investment Required 14:28 | The PD-Not-PDSA Cycle in Healthcare 15:16 | AI Fails Without Clean Data 16:55 | What Breaks When Definitions Differ 18:05 | Bad Data at the Bedside: A Stroke Decision 20:19 | How Trust in Data Is Lost 23:13 | Silent Workarounds Across Hospitals 25:18 | Where Organizations Should Start 27:15 | Making Data Actionable for Clinicians 29:26 | Governance as Organizational DNA 31:24 | Aligning AI Governance With Data Governance 32:13 | Use AI to Clean Data First 34:15 | Bias, Training Data, and Clinical Risk 36:29 | Final Message: When Rules Are Unclear, Care Suffers PODCAST: https://www.beyond-blueprint.com/podcast BLOG: https://www.beyond-blueprint.com/blog TIKTOK: / beyondtheblueprinthealth LINKEDIN: / beyond-the-blueprint-web-series THREADS: @btbhealthseries X: @BtBwebseries INSTAGRAM: / beyondtheblueprinthealth