The Practice

Clinical AI Safety
and Governance

Engagement scopes for hospitals deploying AI into care. Every engagement applies the SAFE AI framework.

Engagements

Many ways to engage.

Below are sample scopes. Every engagement applies the SAFE AI framework and is shaped to your environment. Start with the Quick Read; expand as your governance matures.

Ambient Scribe Quick Read

A two-week SAFE AI assessment of your ambient documentation deployment. The fastest way to see the framework applied to a system already in your environment, and the most common entry point to the practice.

What We Examine

  • Vendor architecture and update history
  • Training data documentation
  • Current drift monitoring practice
  • Inference logging and audit trail
  • Clinician oversight workflow

What You Receive

  • SAFE AI worksheet with RPN-scored failure modes
  • Mitigation recommendations tied to existing governance
  • Executive briefing for your AI committee or board
  • Optional readout meeting with quality leadership
Duration: 2 weeks
Pricing: Scoped per engagement

AI Inventory of Record

A defensible baseline of every AI system in clinical use across your hospital, with risk tier and governance gap analysis. Designed to satisfy emerging regulatory requirements (state AI laws, CMS guidance) and to anchor an annual refresh cycle.

What We Examine

  • Every AI system in clinical or operational use
  • Vendor accountability and contract posture
  • Risk tiering by clinical impact and population
  • Governance gap per system
  • Regulatory alignment (HIPAA, state AI laws, CMS)

What You Receive

  • Living inventory document with risk tier per system
  • Per-system governance gap analysis
  • Regulatory readiness scorecard
  • Annual refresh option
Duration: 4 to 6 weeks
Pricing: Scoped per engagement

Drift and Governance Audit

A deeper engagement for hospitals with multiple clinical AI tools in production. Establishes ongoing monitoring controls and a defensible governance trail for your board, your insurer, and any future regulator.

What We Examine

  • Full SAFE AI on each in-scope system
  • End-to-end inference logging and traceability
  • Drift detection capability per model
  • Incident response and escalation pathways
  • Board and committee reporting cadence

What You Receive

  • Full SAFE AI report across in-scope systems
  • Monitoring playbook with recommended controls
  • Governance maturity assessment
  • Board briefing materials
Duration: 6 to 8 weeks
Pricing: Scoped per engagement

Vendor Management Assistance

Independent review of AI vendor proposals, contracts, and clinical-safety claims before you sign. We score the disclosures, flag the gaps, and translate the risk into language your procurement, IT, and legal teams can act on.

What We Examine

  • Vendor proposal and contract documentation
  • Training data lineage and disclosure language
  • Drift monitoring and inference logging access
  • Indemnification, BAA, and liability terms
  • Clinical-safety claims and supporting evidence

What You Receive

  • SAFE AI scoring of the proposal across risk dimensions
  • Side-by-side comparison across vendors when applicable
  • Recommended contract amendments and red-flag list
  • Executive summary for the procurement decision
Duration: 1 to 3 weeks per proposal
Pricing: Scoped per engagement
The First Conversation

How a SAFE AI engagement starts.

Every engagement begins with a thirty-minute scoping call. You describe the AI systems currently in your environment, the governance structure you have, and the question you most want answered. We confirm whether a Quick Read, an Inventory, or a full Audit is the right starting point.

Most hospitals start with a Quick Read on the ambient scribe, because it is the most visible system, the one with the most clinical exposure, and the one for which a SAFE AI worksheet produces the clearest action list.

From there, the practice scales with your governance maturity.

Ready to scope an engagement?

Thirty minutes. No deck. We tell you which engagement fits your environment.

Start the Conversation