82% of AI initiatives never reach production. In healthcare, that number is a liability. This is the governance model that made AI board-defensible across $32B in mergers and 130,000+ patients.
Every AI deployment passes through 12 cryptographically-signed gates. No bypass. No exceptions. No "urgent" deploys without verification. This is what makes AI board-defensible.
Clinical data integrity verified before AI touches it. Corrupt feeds, missing fields, PHI exposure — caught at the boundary.
Full test suite must pass. No exceptions for urgency. If the test fails, the deploy fails.
Hash-verified artifact comparison. If the output changed, you know exactly why.
Risk-tiered: confidence above 85% auto-executes. 70-85% requires validation. Below 70% escalates. Clinical decisions always escalate.
HMAC-signed audit trail. "Done" is cryptographically verifiable, not a chat message.
HIPAA logging, model drift detection, rollback triggers, board reporting. Gates 6-12 in the full checklist.
Plus a free 30-minute AI readiness assessment. Walk away with a 90-day plan.
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