In this episode of The New CISO, host Steve Moore welcomes Sherri Douville for a conversation that sits outside the show's usual lane — less war story, more blueprint. Sherri works alongside CISOs rather than inside the role, and arrives with a pointed argument about what the job is becoming.
She starts with why TTIC exists. IEEE UL 2933 gave healthcare a full-stack standard for clinical IoT device and data interoperability, but a standard on paper does nothing until it is adopted, implemented, and maintained. Getting there in a high-reliability industry means pulling in CIOs, CISOs, physicians, and engineers — and, Sherri admits, negotiating turf wars with bodies who assume you have come for their territory.
Then the headline: how to make security cool. Sherri's answer starts with visibility — getting CISOs onto stages, onto podcasts, and into print in front of clinical leadership. Underneath it is a claim about trust. In healthcare, trust is the core of the business rather than an adjacent concern, which makes the CISO its natural steward. With AI pushing trust to the center of every industry, she argues that is the opening to become the rock star of the C-suite.
Steve raises a banking CISO's framing of AI as a curious seven-year-old with a gun. Sherri pushes back on the spot: her analogy is the gifted teenager — capable, resource-hungry, and badly in need of direction. That leads to her real thesis. Scarce expertise used to carry economic value, and AI is rapidly compressing the worth of expert analysis. What appreciates instead is judgment, authority, execution, verification, organizational integration, and ownership of the outcome. Executives do not want more reports; they want the security problem to go away without adding coordination burden.
The last stretch turns practical. Sherri walks through running Exabeam's open-source Praxen against Medigram's own code — painless to run, with remediation effort scaling to whatever standard you are chasing — and pairs it with Observra for continuous runtime telemetry. She closes on why it matters: when systems go down in a hospital, the real damage is not the outage hour but the fortnight of delays, miscommunications, and pile-up that follows for clinicians and patients.
Key Topics
- Why standards bodies stall at adoption, not authorship
- Making security “cool”: visibility, stages, and executive presence
- Trust as the core of the business in high-reliability industries
- The gifted teenager vs. the curious seven-year-old with a gun
- Judgment, authority, execution, verification, integration, ownership
- Selective depth and the player-coach executive
- Running Praxen pre-deployment; Observra for runtime telemetry
- What a healthcare outage really costs, 14 to 20 days out
Guest Bio
Sherri Douville is CEO and Architect of Medigram and Founder and Chair of the Trustworthy Technology & Innovation Consortium (TTIC). She co-chairs the Trust subgroup of IEEE UL 2933 (TIPPSS), the standard for trust in clinical IoT. Medigram builds and operates Darwin, a governed AI decision platform whose agentic fleet runs in production and writes a sealed governance record at the moment of every agent action — an auditable trail for counsel, courts, insurers, and credit rating agencies. Sherri spent over a decade at Johnson & Johnson across a dozen disease states before physician leaders pulled her into healthcare IT and AI. She calls herself an accidental technologist: a domain expert who got into the code, logging 200 GitHub commits across June and July.
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