#21 live · One enterprise AI deployment, dissected every Tuesday. Free during beta →
One enterprise AI deployment,
dissected every Tuesday.
Written for executives who have to decide, not just read.
The 510(k) Gap: What Hospital Radiology Departments Haven't Resolved Before Their Next AI Model Update
by FDA through Q1 2025
Viz.ai is deployed
vendor model-update notice
No credit card · Unsubscribe anytime
17 sectors covered
The memo is written for three people.
If any of these is you, you should be on the list.
You approve or block AI spend.
You need the decision framed cleanly — what the options are, what the real risks are, and what the recommendation is. You do not have time to read the trade press and synthesize it yourself.
You build the brief for the executive.
The Reverse Brief format is exactly what you are already writing. Having a weekly template built from a real deployment means two fewer days of research and a structure your principal already recognizes.
You are running an AI initiative right now.
Post-mortems from comparable deployments are the most valuable input you are not getting. Every memo surfaces what went wrong, what held, and what questions your team should have asked before they started.
How it works.
One publication. One format. Every week.
Subscribe free.
Drop your email. No credit card, no trial. First memo lands in your inbox Tuesday morning.
One deployment, fully dissected.
Each Tuesday we pick one real enterprise AI deployment and write the complete Reverse Brief: Background, Decision Required, Options, Recommendation, Risks, and the Questions your team should be asking.
Take it into the room.
Every memo ships as an email, a 10-slide board-ready PDF, and a 30-minute podcast episode. Read it, drop the deck into a board pack, or absorb the brief on your commute — all three formats, every week.
Not another AI newsletter.
Most AI publications are written for builders. This one is written for the room that funds them.
What readers say.
From the executives and analysts who get it every Tuesday.
“I have been forwarding the Klarna memo to every executive at my company who keeps asking me what our AI strategy should be. It is the clearest framing of the build-versus-wait decision I have seen.”
“The Reverse Brief format is exactly how I build decks for our C-suite. Having a weekly template I can adapt saves me two days of research per initiative.”
“The questions section is the most valuable part. Every issue surfaces something my team has not asked yet. That alone is worth the subscription.”
The format.
Every memo follows the same six-section Reverse Brief structure. Same format, every week.
What happened and why it matters. The deployment, the org, the stated objective, and the result.
The specific question a leadership team must now answer, stated plainly.
Two to four distinct paths, with honest trade-offs attached to each. Not a list of buzzwords.
A single, direct recommendation with the reasoning behind it. No hedging.
The material risks — regulatory, operational, workforce, and reputational — that could alter the recommendation.
The six to eight questions that distinguish organizations that get this right from those that do not.
The 510(k) Gap: What Hospital Radiology Departments Haven't Resolved Before Their Next AI Model Update
Healthcare — AI-Assisted Diagnostic Radiology at Scale · Healthcare AI
FDA-cleared radiology AI is running in your hospital workflow under a 510(k) clearance that covers the algorithm version validated in the original study. When the vendor updates the model, most hospitals continue operating under the original clearance with no notification requirement and no internal protocol to detect the change. Your radiologist signs the report. Your professional liability insurer has begun asking about AI tool configuration. What protocol does your radiology department put in place?
Recent Issues
Full archive →The Hiring Algorithm: What HireVue's 750 Enterprise Clients Haven't Filed Since NYC Local Law 144 Took Effect
AI Screening Tools and the NYC Local Law 144 Compliance Gap
The Personal AI Subscription Problem: What Your Consultants, Lawyers, and Auditors Are Doing With Your Confidential Data
Shadow AI in Consulting, Legal, and Audit Engagements
The Ad Machine: What Enterprise Marketing Teams Haven't Governed When AI Is Generating Brand Creative at Scale
AI Creative Generation at Enterprise Scale
Breaking AI News
LiveScanned every 15 minutes across 200+ sources · View all alerts with analysis →
Frequently asked questions.
Still have questions? Email a human →
One real enterprise AI deployment, dissected in full, every Tuesday at 7 AM CT. Each issue follows the Reverse Brief format: Background, Decision Required, Options, Recommendation, Risks, and the Questions your team should be answering this week.
The Reverse Brief is a standard consulting deliverable structure. It starts with context, identifies the decision on the table, lays out options with trade-offs, makes a clear recommendation, surfaces the risks, and closes with questions that expose what your team may not have asked yet. It is designed to be forwarded to a principal, not just read and filed.
Executives, business analysts, and product managers at enterprises that are evaluating or actively running AI deployments. If you are the person who has to approve, block, or justify an AI initiative — this is for you. If you are a builder who wants model release notes, this is probably not your newsletter.
Yes. Free during the beta period — no credit card, no trial countdown. A paid tier is coming at $19/month. Beta subscribers will be grandfathered with advance notice, never a surprise charge.
Every memo ships as a 10-slide deck alongside the email. Same analysis, slide format, designed to be printed or forwarded into a board pack without reformatting.
Yes. Every issue ships with a 30-minute podcast episode — same analysis as the memo, adapted for audio. It covers the Background, Decision, Options, Recommendation, and Risks so you can absorb the brief during a commute or between meetings. Episodes are available on Spotify, Apple Podcasts, and the podcast page.
The Daily AI Digest is a free morning briefing published every weekday — 200+ sources distilled into the top AI headlines, model releases, and deployment news. It is separate from The Deployment Memo: the Memo is one deep deployment analysis per week, the Digest is a fast daily scan of what moved. Both are free. Many subscribers read both. You can browse the full archive and subscribe from the Digests page.
Most AI newsletters are written for builders who want to stay current. This is written for the person who has to decide whether to build — or buy, or wait, or reverse. The format is the same every week by design: you should be able to skim it in 10 minutes and know exactly what to bring into the room.
I work as a business analyst — which means I watch enterprise AI decisions get made from the inside, at the moment they matter. I built this publication because the brief I kept wanting to read before every meeting did not exist. Every issue is the decision framework I would have wanted before the room.
Issue #22 ships Jun 24.
You should be on the list.
No credit card · Free during beta · Unsubscribe anytime
Issue #21 is live · Free during beta