The governance checklist that made AI board-defensible across $32B in hospital mergers and 130,000+ patient interactions. Built from production, not theory.
Twelve cryptographically-signed checkpoints between an AI model and a patient outcome. Each one answers a specific question the board will ask when something goes wrong.
Clinical data integrity verified at the boundary. PHI exposure caught before AI sees it.
Full suite must pass. No urgency exceptions. The test failure is the deploy failure.
Hash-verified artifact comparison. If the output changed, the reason is in the log.
Risk-tiered: above 85% auto-executes. Clinical decisions always escalate to a human.
HMAC-signed audit trail. "Done" is cryptographically verifiable. Not a Slack message.
HIPAA logging, drift detection, rollback triggers, automated board reporting.
Plus a 30-minute assessment. Walk away with a 90-day plan.
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