Healthcare AI governance for CMIOs and clinical informatics leaders

The problem from this chair

You are accountable for tools you did not procure, embedded in products you did not choose, and the governance framework everyone cites stops exactly where your job starts.

The metrics you are actually measured on

• Documentation time per encounter and after-hours EHR time
• Alert burden and override rate
• Model performance by subgroup on your own population
• Time from validation request to result
• Inbox volume per provider

Every framework in the library is anchored to metrics like these rather than to model performance, because model performance is not what you are asked about in a board meeting.

Where to start

The evidence library, starting with the local validation memo. It is the artifact that most often does not exist and the one that most often should.

The honest limit

Nothing here removes the need for judgment about your own organisation. The instruments make the judgment faster and make it auditable. They do not make it for you.