The governance blueprint that cut orthopedic ED wait times from 3 hours to 15 minutes across 130,000+ patient visits. Built from production, not theory.
Twelve cryptographically-signed checkpoints between an AI model and a patient flow outcome. Each one answers a specific question the board will ask when throughput drops.
Patient volume and imaging data verified at the boundary before AI optimizes scheduling.
Full suite must pass against EHR and PACs. No urgency exceptions. The test failure is the deploy failure.
Hash-verified artifact comparison. If the throughput model 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.
Outcome logging, model drift detection, rollback triggers, automated board reporting.
Orthopedic Practice AI Patient Flow: From 3-Hour Waits to 15-Minute Throughput. Plus a 30-minute assessment.
Download + Book Assessment