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Healthcare · 7 months

Responsible AI review deployed under a HIPAA-aligned governance framework

Integrated health system, 42 hospitals

9 wks
Pilot to production
58%
Review effort reduced
100%
Decisions audit-logged

Engagement

  • Healthcare
  • 7 months

The situation

Eleven AI pilots had stalled in security review. Legal could not evidence how models handled protected health information or how outputs were validated.

What we did

  1. 01Established an AI governance standard with the CISO and privacy office.
  2. 02Built an evaluation harness measuring extraction accuracy against counsel review.
  3. 03Designed human-in-the-loop checkpoints with full decision audit logging.
  4. 04Retired seven pilots; promoted four to production with defined ownership.

Outcome

  • Research agreement review effort reduced 58%.
  • Every AI-assisted decision traceable to reviewer and model version.
  • Framework adopted as the enterprise standard beyond legal.

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