Decision ownership audit
2–3 week sprint
Map who decides what, where decisions stall, and which handoffs create compliance drag.
Clear ownership. Calm escalations. Workflows that hold under pressure.
Kanav Jain
I work with healthcare and AI teams to catch preventable risk early and keep execution steady before issues snowball.
I start by aligning decision owners, risk thresholds, and escalation paths so teams can move quickly without dropping safety or compliance.
Where to start
Proof points
100M+ patient–clinician connections across clinical workflows
Policy checks, approvals, and overrides remain easy to trace
Postmortems feed new evals and guardrails
Where I'm most useful
Proof
Two examples of how this work helped teams in practice.
Product leadership
Built and scaled Doximity Dialer with safety rails and clinician-led overrides during failure.
Platform strategy
Consumer-directed health experiences with support handoffs that hold during failure moments.
Services
Three ways we can work together to steady execution.
Decision ownership audit
2–3 week sprint
Map who decides what, where decisions stall, and which handoffs create compliance drag.
Escalation path stress test
2 week diagnostic
Pressure-test escalation paths against real incident scenarios and remove routing ambiguity.
Human-in-the-loop reliability review
Workflow hardening
Tighten override, appeals, and QA feedback loops so teams can recover fast under load.
Tools
The practical tools I use with teams.
Practical operating patterns I use with teams to reduce preventable failures when pressure rises.
Use clinical-risk evidence, not checkbox compliance. Every recommendation is tied to an owner, a workflow change, and a measurable risk reduction target.
Case studies + operating notes
Writing
Plain-language essays and operator notes from shipping healthcare workflows under load.
Latest essays
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Modern life rewards a kind of “maturity” that often has very little to do with being right.
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"We condemn the excesses" isn’t an apology, it’s a tactic. From Amritsar 1919 to Minneapolis 2026, discover how…
Best for history
Why “we care” substitutes for obligation—and how delay gets disguised as kindness.
Best for philosophy
People are not becoming inherently dishonest, lazy, or cynical. They are becoming game-theoretically optimal for the…
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