Ilo Romero, VP/Associate CIO at WVU Medicine; Pam Austin, former SVP/CIO at Ballad Health; and Guido Giunti, MD, PhD, Chief Data Officer at St. James's Hospital Dublin, examine why AI literacy programs stall when IT owns them alone. They make the case that operational and clinical leaders hold the trust adoption depends on, and offer a role-based, federated model for building workforce capability that outlasts any single tool.