In this #shifthappens episode, Ghazenfer Mansoor, CEO and founder of Technology Rivers, shares how real AI adoption in healthcare starts with trust, not tech. From HIPAA-first design to clinician-led workflows, Ghazenfer reveals why starting small, designing for compliance, and embedding AI invisibly into operations are the keys to scaling transformation in the industry. He also dives into the ethical challenges of bias, the strategic tension between HIPAA and GDPR, and why human oversight remains essential in care delivery.