Jun 9, 2026 · 49 min · 14 segments
There is a graveyard of brilliant health tech products. Clinically validated, technically sound, built by people who understood the problem. And completely unused. Ross Drynan and Josh Wren spent a…
Ross DrynanGuest
Josh WrenGuest
Randeep Singh GillHostAnd Ross, in our previous Tech Dental episode, you said something that stayed with me.
Now that you're on the other side of the institutional infrastructure, has your view on that changed?

And the problem is by the time you've built your AI course, five things from that course is out of date.

But specifically, those views are actually hardened because AI hasn't actually changed the problem.

So if your leadership process and your culture is weak, AI will just magnify that.

And actually, or the team just doesn't use AI to go faster while your competitors are, which is even worse.

I now think that adoption and your ability to grow is a function of leadership clarity.

We design something with our clients called the alignment spine, where everybody aligns behind a set of behaviors, operating principle standards, and identifies the most important thing in the business.

And if the leadership team can't articulate that very clearly, and everyone in an organization can't articulate that clearly, everything downstream of that becomes a problem so you can design and optimize the perfect playbook the perfect go-to-market but if your culture isn't by design and you have people in your business who are misaligned to the culture because you've just hired to fill a seat doesn't matter what you've designed doesn't matter how clever you are you will fail and that's only hardened over time

But I think what it's enabling, if used correctly, is it should unfairly unleash people within the team, reduce the... kind of unnecessary low value work and enable them to focus on the highly valuable task, whether that's customer facing, whether that's innovating, whether that's improving process.
And Ross, in our previous Tech Dental episode, you said something that stayed with me.
Now that you're on the other side of the institutional infrastructure, has your view on that changed?

And the problem is by the time you've built your AI course, five things from that course is out of date.

But specifically, those views are actually hardened because AI hasn't actually changed the problem.

So if your leadership process and your culture is weak, AI will just magnify that.

And actually, or the team just doesn't use AI to go faster while your competitors are, which is even worse.

I now think that adoption and your ability to grow is a function of leadership clarity.

We design something with our clients called the alignment spine, where everybody aligns behind a set of behaviors, operating principle standards, and identifies the most important thing in the business.

And if the leadership team can't articulate that very clearly, and everyone in an organization can't articulate that clearly, everything downstream of that becomes a problem so you can design and optimize the perfect playbook the perfect go-to-market but if your culture isn't by design and you have people in your business who are misaligned to the culture because you've just hired to fill a seat doesn't matter what you've designed doesn't matter how clever you are you will fail and that's only hardened over time

But I think what it's enabling, if used correctly, is it should unfairly unleash people within the team, reduce the... kind of unnecessary low value work and enable them to focus on the highly valuable task, whether that's customer facing, whether that's innovating, whether that's improving process.
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