Everyone has the framework.
Almost nobody has the instruments.
The Joint Commission now certifies hospitals on the Responsible Use of AI in Healthcare (RUAIH). The Coalition for Health AI (CHAI) publishes the governance playbooks behind it. All of it is deliberately framework-level. The Institute publishes the layer underneath — the registries, protocols, rubrics and unit economics an operator needs on Monday.
Check your readiness — free Bring the Institute in →
Consultancy or law firm? We deliver governance work under your brand.
Inside HAI-OS · public demo, no signup
Start where you are
You run AI at a health system
Follow the survey-readiness path: find your gaps with the readiness score, build the record with the certification reference, then let the platform keep it for you.
You're evaluating or buying AI
Follow the verification path: the Transparency Registry — 560+ FDA clearances, refreshed weekly — then the due-diligence checklist. All sourced, no vendor money anywhere.
You build or sell healthcare AI
Your buyers now need evidence from you. The Vendor Governance Dossier assembles it once; the open MGR standard makes your governance record portable to any buyer's system.
You want the operating knowledge
Start with the complete guide to healthcare AI governance, then sixteen operational titles with companion instrument packs, the agent privileging framework for AI that acts, and bulk & advisory when you want us closer.
AI governance cannot be backdated.
When a clinical model drifts or an autonomous agent errs, a committee charter is not evidence. Closed-Loop Defensibility is the open standard that binds every anomaly to an automated response and an accountable, timestamped human decision, preserved as a record that accumulates with dates. It is the umbrella over everything the Institute publishes.
What is your decision latency? (2-min audit) Read the standard (CC BY 4.0)
The free layer
Fourteen working instruments — assessment, market research, economics, reference — free with no signup walls, because that is how trust is built in a field full of pitch decks.
See everything free → Open the live platform demo →
When you're ready to buy
Everything above stays free forever. These are the four things we sell, with the price on the label:
Toolkits — from $97
Sixteen instrument packs: the scorecards, workbooks, protocols and audit rubrics behind each book, ready to run. Browse the toolkits →
The books
Sixteen operational titles written from the operator's chair, on Amazon in paperback and Kindle. Browse the library →
HAI-OS platform — $15,000/yr
The governance system of record for an institution: inventory, monitoring, enforcement, survey-ready evidence. See the platform →
Verified vendor profile — $950/yr
Your website, governance contact and sealed governance record on your company's registry page, human-reviewed. Find your company →
The Operations Edge
One operational argument a week, what broke, what the numbers said, and the instrument that would have caught it. Written for people who have to implement rather than opine.
New titles and toolkits go to this list first. No vendor sponsorship, no list sharing, unsubscribe in one click.
Arrive at the survey with a record, not a binder.
The readiness score maps your gaps against the certification's five focus areas in ten minutes and produces a board-ready report. The platform demo is public: no signup, no sales call.