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Shiva Kakkar

Your AI Project Doesn't Have a Technology Problem

It has an adoption problem. 90% lab accuracy means nothing if doctors won't use it.

Research from McKinsey and academic studies reveals why most AI transformations fail—and what to do instead.

The Adoption Crisis: By The Numbers

30%

Dashboard adoption rate (unchanged since early 2000s)

Despite decades of improvement in BI tools, user adoption remains stagnant because organizations focus on features rather than workflow integration.

Proksch et al., 2024
48%

Leaders citing employee resistance as top automation risk

Nearly half of executives identify human factors—not technical limitations—as their primary barrier to AI transformation success.

McKinsey, 2019
$1+

Minimum adoption investment per $1 development spend

Organizations with 1:1 or adoption-heavy budgets achieve 3x higher real-world deployment success than those maintaining traditional 90/10 dev/training splits.

McKinsey 'Rewired', 2023
90%

Lab accuracy that failed in deployment (Google diabetic retinopathy AI)

Perfect technical performance means nothing if the system doesn't fit into existing clinical workflows and physician decision-making processes.

Proksch et al., 2024

The Framework You're Missing

Most organizations obsess over feasibility risk (Can we build it?) while ignoring adoption risk (Will people use it?). This misalignment kills 70% of AI projects.

Feasibility Risk

Can we build it?

Technical specifications, model accuracy, infrastructure requirements

Example metrics:
  • Model F1 score
  • Latency performance
  • API reliability

Traditional emphasis: 90% of budget and attention

Adoption Risk

Will people use it?

Workflow integration, user motivation, organizational readiness

Example metrics:
  • Daily active users
  • Task completion rate
  • Time to proficiency

Reality check: Where 70% of AI projects actually fail

Real-World Examples of Coordination Tax:

  • Marketing generates AI-powered insights in hours, but finance takes weeks to manually validate them
  • Customer service uses AI to respond in minutes, but product team takes days to process feedback manually
  • Sales forecasts in real-time with AI, but operations planning still runs on monthly spreadsheet cycles

Traditional vs Adoption-First AI Strategy

The strategic shift that triples your deployment success rate

Primary Focus

Traditional Approach
Technical feasibility and pilot accuracy
Adoption-First Approach ★ Recommended
Employee readiness and workflow integration

Risk Priority

Traditional Approach
Can we build it? (Feasibility risk)
Adoption-First Approach ★ Recommended
Will people use it? (Adoption risk)

Budget Allocation

Traditional Approach
90% development, 10% training
Adoption-First Approach ★ Recommended
$1:$1 development to adoption minimum (McKinsey)

Success Metric

Traditional Approach
Pilot accuracy and technical performance
Adoption-First Approach ★ Recommended
Real-world deployment and sustained usage

Team Structure

Traditional Approach
Data scientists and engineers lead
Adoption-First Approach ★ Recommended
Cross-functional with org change experts

Timeline Approach

Traditional Approach
Build first, worry about adoption later
Adoption-First Approach ★ Recommended
Design for adoption from day one

Measurement Focus

Traditional Approach
Model performance metrics (accuracy, F1, AUC)
Adoption-First Approach ★ Recommended
Business impact and user satisfaction scores

Failure Point

Traditional Approach
The lab-to-production gap (Google diabetic retinopathy AI)
Adoption-First Approach ★ Recommended
Avoiding McKinsey's 5 critical sins
Recommended approach based on McKinsey research and deployment data

What Motivates vs Demotivates Adoption

Organizations that address demotivators first see 3x higher adoption rates than those that pile on motivators while ignoring resistance factors.

6 Motivators

  • 1 AI augments rather than replaces their role
  • 2 Clear workflow improvements and time savings
  • 3 Autonomy over when and how to use tools
  • 4 Proper training and ongoing support
  • 5 Quick wins that demonstrate immediate value
  • 6 Leadership visibly using the same tools

4 Demotivators

  • 1 Forced implementation without consultation
  • 2 Unclear ROI on personal time investment
  • 3 Systems creating more work than they save
  • 4 Fear of job displacement or skill obsolescence

McKinsey's finding: Traditional approaches focus on adding motivators (better training, more features) while ignoring demotivators (forced adoption, unclear ROI). Flip the priority—eliminate friction first, then amplify enablers.

Common Questions About AI Adoption

Why do most AI transformations fail despite successful pilots?

Research identifies five critical patterns in failed AI transformations: treating AI as a pure technology play, pursuing isolated pilots without integration plans, underestimating organizational change requirements, failing to measure real business impact, and ignoring the adoption gap. 48% of leaders cite employee resistance as their top automation risk. The Google diabetic retinopathy AI is a stark example—90% accuracy in the lab, complete failure in deployment because doctors wouldn't use it.

Source: McKinsey 2019; Proksch et al. 2024
What's the difference between feasibility risk and adoption risk?

Feasibility risk asks 'Can we build it?' Adoption risk asks 'Will people use it?' Most organizations obsess over feasibility (technical specs, pilot accuracy) while ignoring adoption (workflow integration, user motivation). Dashboard adoption has been stuck at 30% since the early 2000s—not because dashboards don't work, but because employees don't use them. Adoption risk is why your AI project succeeds in the lab but fails in production.

Source: Industry research; Proksch et al. 2024
What motivates versus demotivates employees to adopt AI?

Six motivators drive adoption: feeling AI augments rather than replaces them, seeing clear workflow improvements, having autonomy over tool usage, receiving proper training, experiencing quick wins, and seeing leadership use the same tools. Four demotivators kill adoption: forced implementation without consultation, unclear ROI on their time investment, systems that create more work than they save, and fear of job displacement. Organizations that address demotivators first see 3x higher adoption rates.

Source: McKinsey 'Rewired' 2023; Organizational behavior research
How much should we budget for AI adoption versus development?

Research recommends at minimum a 1:1 ratio—for every ₹1 spent on AI development, spend ₹1+ on adoption infrastructure. This includes workflow redesign, change management, training, incentive restructuring, and measurement systems. Organizations that maintain the old 90% dev / 10% training split see pilot success rates of 15-20%. Those who flip to 50/50 or adoption-heavy budgets see real deployment success rates above 60%.

Source: McKinsey 'Rewired' 2023

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