Overview

By the time you realize you need AI governance, you are already behind. A patient is quietly deteriorating in bed 14. The algorithm watching over him says he's fine. It has been wrong for three weeks and no one knows. When a new Director of IT walks into Meridian Health, he discovers what every modern leader eventually does: artificial intelligence has already woven itself into nearly every important decision in the organization, and almost none of it is being watched. A model that drifts. A tool no one owns. A policy no one follows. A powerful colleague whose favorite project he may have to shut down. The Hidden System is a business book disguised as a thriller. Through one leader's first year of governing AI without strangling the innovation that makes it valuable, it delivers a complete, battle-tested framework-the Five Paths to AI Governance: Visibility, Accountability, Risk Alignment, Control Design, and Continuous Oversight. Each path is earned through a real decision made under real pressure, then distilled into practical, copy-ready tools you can use Monday morning. Grounded in the same principles as Gartner's AI Trust, Risk and Security Management (AI TRiSM) framework, but written in the language of someone who's been paged at 6:42 in the morning, this is the honest version-including what governance costs. If you lead anywhere near technology and decisions, you are already living this story. The only question is whether you're closing the gap, or letting it grow in the dark.

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