// 82% of AI initiatives never reach production. In orthopedic patient flow, that's a liability.
// This is the governance system that made AI board-defensible.
// 130,000+ patients. ED wait: 3 hours to 15 minutes.
| # | GATE_NAME | DESCRIPTION | FAILURE_ACTION |
|---|---|---|---|
| 01 | PATIENT_FLOW_VALIDATION | Patient volume and imaging data verified at boundary. Corrupt feeds caught pre-inference. | BLOCK + ALERT |
| 02 | INTEGRATION_TEST | Full test suite against EHR and PACs must pass. No urgency exceptions. | BLOCK + LOG |
| 03 | CHANGE_VERIFY | Hash-verified artifact comparison. Output diff logged. | ROLLBACK |
| 04 | HUMAN_APPROVAL | Risk-tiered: &85 auto. 70-85 validate. <70 escalate. Clinical = always human. | ESCALATE |
| 05 | PROOFPACKET | HMAC-signed audit trail. Cryptographic completion proof. | REQUIRE_SIGN |
| 06 | OUTCOME_COMPLIANCE | Outcome logging, drift detection, rollback, board reporting. Gates 6-12 in full download. | BLOCK + REPORT |
Free. No email wall. 30-minute assessment included.
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