Chris Dymek came to healthcare informatics by way of philosophy, and she still thinks like a philosopher: the first question is what we actually mean. As Director of Digital Healthcare Research at AHRQ, she funded AI research, helped launch work on AI and patient safety, and wrote a request for information asking healthcare organizations how they thought about AI literacy. It was never published. She left in May 2025 and carried the work into the DCI network instead. In this conversation, she lays out the distinction at the center of her framework, knowing-that versus knowing-how, the three constituencies who each need something different, and why a literate staff and a literate patient population are what let a health system move forward without breaking things.