PPTO AI Governance Workbook

That question ends most AI governance meetings in silence. Hospitals and health systems are deploying clinical AI faster than they can govern it — and when a board member, regulator, or reporter finally asks who's accountable, "we have a policy" isn't an answer.

PPTO AI Governance: A Hands-On Implementation Guide & Template Collection for Healthcare AI Oversight gives healthcare leaders the six documents that turn AI governance from a policy binder into a working program. Built on the PPTO Framework (People, Process, Technology, Operations), each template is field-ready: fill it in, use it in your next committee meeting, and you have real oversight in place — not just a statement of intent.

AI Governance Committee Charter — define who sits on your committee and what authority they actually have

RACI Accountability Grid — assign clear ownership so "everyone" isn't quietly responsible for nothing

Multi-Pillar Pre-Deployment Checklist — a structured review gate before any AI system goes live

Five-Criterion Risk-Tiering Rubric — score every AI system's risk level consistently, not by gut feel

Clinical Equity Metrics Dashboard — monitor for bias and disparate impact after deployment, not just before

90-Day Enterprise Implementation Timeline — a realistic rollout sequence for standing up governance from scratch

CMOs, CIOs, compliance officers, quality and safety leaders, and board members at hospitals and health systems who need AI oversight that will hold up to scrutiny — from a regulator, an accreditor, or their own board.

Each template includes instructions for use, a worked example from a fictional 350-bed community hospital, and guidance for adapting it to organizations of different sizes, from critical access hospitals to multi-facility health systems.

Dr. Vernette Grant, DBA, MHA, BPH, is a healthcare strategy consultant and AI governance researcher. Her PPTO Framework is used by hospital and health system leaders to move AI oversight from policy to practice.