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Safe & Rapid AI Adoption for Health System Executives

AI is Running, With or Without You.

Your AI decisions need a playbook that's already worked at peer health systems. We bring it-- board-ready, safe, and applied to your next 90 days.

Safe, rapid AI adoption, delivered one step at a time.

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Get Your AI Maturity Score

65%

of hospitals use predictive AI models today

46%

actually test their AI models for bias

61%

test for accuracy, meaning 39% do not

100,000

patients impacted by a single AI workflow

AI is Everywhere in Your Stack. You Can't See All of It. But You’re Expected To.

 

Vendors Flip AI on Without Asking

Epic. Workday. Your scheduling tool. Your ERP. Features ship in updates you already approved. You didn't buy "AI." It arrived inside things you already own.

Your AI Inventory Doesn't Match Reality

Claude in legal. Copilot in admin. ChatGPT Enterprise in some pocket of the org. Plus, the clinical point solutions. Nobody has a single list. Nobody knows what's actively running.

The 3 a.m. Call is Yours

When something breaks, the page hits the CIO, not the committee. Outcomes live with clinicians. Compliance lives with the safety officer. Uptime, reliability, and the explanation to the board live with you.

Your Clinicians Are Buying AI Without You

Your radiologist gets taken out to golf and comes back wanting a new AI tool. Your residents want to let it rip. Your administrators want Copilot. Every department brings a different ask. You broker them all.

Your Board Wants ROI You Can't Yet Produce

You're spending millions on AI tools and models. The board wants the story. Most teams stop at "the tool ran X times." The climb up to throughput, diagnoses, and outcomes — that ladder is where the board lives. We help you climb it.

Why Safety Matters

In Healthcare, "Safe" Means Two Things: Safe Now. And, Safe Over Time.

Anyone can move fast. In healthcare, speed without safety is a headline, and safety that doesn't hold is a false promise. Safe and reliable AI adoption is the line between AI that protects your patients and AI that becomes your next class action.

Safety

Safe Now

In healthcare, an AI error isn't a typo. It's a patient. And because AI scales, one flawed decision doesn't harm one patient -- it reaches thousands at once. Safety is the floor you never move below, no matter how fast you go.

Reliability

Safe Over Time

Safe today isn't safe forever. AI models drift as the data shifts beneath them. A tool that passed review in January can quietly go wrong by June. Reliability is safety that holds -- monitored and maintained, never assumed.

This Isn't Theoretical. The Cost of Unsafe AI is Already on the Docket:

  • Recorded without consent: Patients are suing California health systems over an ambient AI scribe that recorded visits without consent. Class actions vs. Sutter, MemorialCare & Sharp HealthCare, 2026 (the Abridge scribe). (Re-verify litigation status before publishing.)
  • Care denied by algorithm: A major insurer faces a class action alleging it used AI to deny Medicare Advantage patients post-acute care, with roughly 90% of appealed denials later overturned. Estate of Lokken v. UnitedHealth.
  • The law caught up: California AB 3030 (AI patient communication disclosure) and SB 1120 (bars health plans from letting AI deny care on medical necessity). Both effective on Jan. 1, 2025.

Responsible AI Now Has a Joint Commission Certification.

The Joint Commission's Responsible Use of AI in Health Care (RUAIH) certification is the first recognized, third-party standard for governing AI across its full lifecycle. It will be on the agenda of every health system board. Our AI Assurance Framework is built to get you ready and keep you there.

01 Governance Board-level oversight and a standing AI committee. Our Management & Structure pillar.
02 Effective Data Management Secure data, privacy, and cybersecurity behind every model. Our Technology pillar.
03 Risk & Bias Reduction Clinical-risk and bias controls at every point a tool meets a patient. Our Compliance & Clinical Risk pillar.
04 Monitoring & Validation Live monitoring across the lifecycle, so drift is caught before a patient is. Built into every engagement.
05 Transparency, Education & Training Patient transparency and clinician training that sticks. Our People pillar.

WHY CHANGE

The Playbook that Built Your Reliability Wasn't Built for AI.

Your protocols, reviews, and frameworks worked because the systems they governed behaved predictably. AI is probabilistic. It learns, it drifts, and it scales one decision across every patient at once. Same discipline, new playbook.

Win Condition: Move Fast AND Safe

What's Most Important Before AI: Yesterday's Digital Playbook Built for AI: Today's AI Playbook
Risk Visibility Lagging Real-time
Risk Scale Per patient System-wide
Decision Logic Predictable Probabilistic
Feedback Periodic Continuous
Oversight Committee Embedded

Today's AI Playbook doesn't replace what you built. It extends it.

Our Services

A Partner to Get You Where You Need to Be

We Don't Drop a Deck and Wish You Luck.

Five service lines that bring you actionable clarity, board-ready ROI, and patterns from health systems already deploying AI. Operationalized with you, not handed off. Built from 20+ years of patient safety work at leading health systems, academic medical centers, and federal health organizations.

Integrated Risk and Safety Data Analysis

We analyze the specific intersection points where technology and workflow can fail between physician and patient. The detailed methodology behind our patient safety work at leading health systems and the Harvard teaching institutions, is now applied to AI-driven clinical workflows.

Outcome: A defensible view of where AI introduces risk to clinical care.

Guided Risk and Safety Program (GraSP)

A curated library of proven, compliant paths to meet CMS SAFER standards. Multiple ways to get to the right answer, so we can match the right approach to your health system's reality, instead of forcing one rigid template on every org.

Outcome: Compliance you can actually achieve, not theory you can't.

SAFER Guides Knowledge Platform

A platform that operationalizes CMS SAFER Guides for EHR safety and AI use. Tactical assessment questions at every inflection point, captured responses, scored outcomes. Licensable for content or used directly for your CMS attestation.

Outcome: Regulatory compliance with a working tool, not just policy.

AI Adoption Framework

Our Five-pillar framework (Management Structure, Technology, Financial, Compliance + Clinical Risk, People) deployed across the full AI life cycle: intake, testing, scaling, monitoring, validation. Not a broad catch-all governance category — the stratified way to actually implement, manage, and monitor.

Outcome: AI adoption you can defend at every phase, from board approval to bedside.

AI Workflow Optimization

We roll up our sleeves with your clinical teams to redesign AI-touched workflows. Where AI helps, where it doesn't, where humans verify, where feedback loops close. The operational layer most consultants skip because it's the hard part.

Outcome: Workflows where AI actually streamlines care, instead of adding cleanup work.

YOUR PATH FORWARD

Three Steps from Where You Are to Your Next AI Move

You don't need an AI overhaul. You need your next AI move. Here's the path every health system follows:

1

Top Pains

We identify your top three AI decisions on the table right now. Vendor pressure, board questions, EHR features, Copilot rollout — whichever are keeping you up. We map them against what peer health systems have already solved.

You receive: Top three pain map + peer-system parallels

2

Next Moves

We deliver a 90-day plan with peer-tested moves matched to your top three pains. Board-ready. Sequenced by what gets you out of discussion mode fastest.

You receive: 90-day sequenced plan + board materials

3

Real Progress

We work alongside your team to apply the peer moves. Live governance, ROI up the ladder, vendor coordination, board updates. Your AI moving fast and safe for every patient.

You receive: Safe, rapid AI live + board-ready ROI

OUR METHODOLOGY

Five Pillars. Three Phases. One Framework.

Every engagement is structured around our proven AI Adoption Framework, ensuring governance covers your entire organization, not just IT.

Pillars

  • Management & Structure: Board governance, AI committee formation, executive oversight
  • Technology: AI inventory, EHR integration, vendor assessment, safety controls
  • Financial: ROI framework, investment mapping, cost-benefit tracking
  • Compliance & Clinical Risk: Regulatory readiness, med-mal protocols, audit trails
  • People: Stakeholder alignment, clinician training, change management

Phases

  • Phase 1: Readiness & Evaluation (Pre-Deployment)
  • Phase 2: Testing & Usage (Deployment)
  • Phase 3: Monitoring & Validation (Post-Deployment)

Proven at Mount Sinai

Real Governance. Real Results.

(EisnerAmper's) expertise, responsiveness, and commitment to quality were instrumental in creating a process that aligns with best practices in AI governance and compliance.

Tom Gillette

CIO, Mount Sinai Medical Center

145

question evaluation framework across 10 categories

7

foundational assessment components

10+

years serving leading U.S. health systems

$30K+

starting engagement expanded to $240K+ and growing*

 

View Case Study

* $30K to $240K+ reflects one engagement's growth, not an average or typical result.

THE COST OF STANDING STILL

What Happens to the AI You're Not Watching?

Every month the AI you can’t see keeps running, the gap between what’s deployed and what’s governed grows. Your committee meets quarterly. The vendors ship weekly.

The Backlog Grows

Every vendor demo, every flipped feature, every department’s ask waits on you. Without a playbook to run them through, the pile grows faster than you can clear it.

You Stay Reactive

With no plan, every AI decision is a fire drill. You answer for tools after they’re live, not before. The cost isn’t one incident, it’s never getting ahead.

Board Blindness

Your board is asking about AI. Can you tell them exactly what's running, what it risks, and what it returns? Or, just that you "invested in technology?”

Shadow AI Spreads

When governance lags, clinicians route around it. They adopt tools you haven't vetted, on systems you don't control. The safety exposure grows, and the shadow AI you'll answer for later grows with it.

Unproven ROI

Millions spent on AI with no way to climb from tool-level metrics to board-level outcomes. The CFO sees cost. The board sees risk. Nobody sees performance.

Competitive Erosion

The health systems that adopt AI safely and govern it well will attract talent, patients, and partnerships. The ones that stall will explain why, to a board that already knows peers moved first.

Get Started

Run Today's AI on a Playbook Built for It.

Start with an AI Adoption Maturity Assessment. In weeks, you will know exactly what AI is running in your organization and have a clear path to safe and rapid AI adoption. Safe, rapid AI adoption -- one move at a time.

 


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