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12 Governance Gates Every Hospital Syste
Healthcare.

82% of AI initiatives never reach production. Not from bad technology — from no operating model. This is the governance checklist that makes AI board-defensible.

130K+Patients
$32BMerger
GWUAward
3h→15mED Wait
82%Never Ship
287%Prod ROI
$16BWasted/Yr
95%Zero P&L
2%At Scale
The Governance Gates

Each gate is a commitment,
not a checkbox.

Six cryptographically-signed checkpoints between an AI model and a production outcome.

i.

Clinical Data Validation

Clinical data integrity verified at the boundary. PHI exposure caught before AI sees it.

ii.

Integration Test Suite

Full suite must pass. No urgency exceptions. The test failure IS the deploy failure.

iii.

Change Verification

Hash-verified artifact comparison. If the output changed, the reason is in the log.

iv.

Human Approval Gate

Risk-tiered: above 85% auto-executes. Clinical decisions always escalate to a human.

v.

ProofPacket Signing

HMAC-signed audit trail. "Done" is cryptographically verifiable, not a Slack message.

vi.

PHI Compliance

HIPAA logging, drift detection, rollback triggers, automated board reporting.

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Download the 12 Governance Gates Checklist

Plus a 30-minute AI readiness assessment.

Or call 262.343.5680

Common Questions
Is this just for healthcare?

No. The governance model applies to any organization deploying AI in healthcare.

Do I need to buy anything?

No. The checklist is free. The 30-minute assessment is free.

We already have an AI committee.

Most AI committees approve projects but don't govern deployments. The gates are operational checkpoints.