Governance Briefs

Healthcare organizations are adopting AI-enabled clinical tools at an accelerating pace.

Boards and executive teams must ensure that governance structures evolve with those tools.

These Governance Briefs are designed to highlight board-level oversight considerations, risk alignment questions,

and accountability frameworks relevant to AI-assisted clinical decision making.

They are not technical engineering documents.
They are governance memoranda intended to support informed executive discussion.

Board Considerations Before Adopting LLM-Based Clinical Tools:

Governance Brief No.1

A board-level review of oversight structure, validation requirements, accountability allocation, and vendor risk alignment

prior to deployment.

Governance Brief No.2

This brief outlines governance considerations related to liability exposure when AI- or LLM-assisted
tools influence clinical decision-making.

Governance Brief No.3

This brief outlines governance considerations related to speech-to-text transcription accuracy in AI-
assisted clinical documentation workflows.

Governance Brief No. 4

This brief outlines governance considerations related to human verification standards when AI- or
LLM-assisted tools are integrated into clinical workflows.

Governance Brief No.5

This brief outlines governance considerations related to vendor risk allocation, contractual
protections, and insurance alignment when adopting AI- or LLM-enabled clinical tools.

Boards evaluating AI-enabled clinical systems may benefit from an independent governance perspective prior to deployment.

A structured external review often surfaces gaps that are easy to miss during implementation planning.