Download the Governing Hospitals AI: 2026 Board to Bedside Accountability Guide
2026 “How-To” for Directors, Executives, and IT Leaders — Free to the Industry
New from Black Book Research Insights: Governing Hospital AI: 2026 Board-to-Bedside Accountability Guide — a practical, step-by-step resource to move your organization from glossy demos to auditable outcomes with clear decision rights, risk-tiered controls, clinical validation, and vendor accountability.
Why this guide, Why now
Hospitals are adopting AI fast; governance is catching up. Leaders report pilots that stall, equity plans that aren’t measured, and contracts without change-control for model updates. This guide closes the gap with plain-English standards, stage-gates, and evidence packs your Board can rely on.
What you’ll get (at a glance)
- Decision rights & operating model: Board oversight, an executive-chartered AI Governance Council (AIGC), and three-lines-of-defense applied to AI
- Risk-tiered controls: A pragmatic taxonomy and tiering rules that scale oversight with potential harm (Section 2,)
- Stage-gates you can run: Intake → validation → pilot (with silent trials for Tier-1) → go-live → monitoring → change-control → retirement (Sections 6–7,)
- Built-in clinical safety & equity: Acceptance thresholds, subgroup monitoring, and a mitigation playbook (Sections 8–9).
- Privacy & cybersecurity for AI: Threat models, PHI boundaries, generative-AI safety patterns, and incident response (Section 10)
- Vendor accountability: Due diligence, “silent trial” pilots, contract clauses, evidence packs, and TCO (Section 11,)
- Workforce & change: Role-based competencies, adoption metrics, burnout guardrails (Section 12)
- Value & ROI you can audit: Benefits math, payback rules, equity-weighted value (Section 13)
- Roadmap & maturity model: 90/180/365-day plan and “graduation” metrics (Section 14)
Who it’s for
Boards of Directors, CEOs/Administrators, CFOs, COOs, CIOs/CMIOs/CQOs/CNOs, and service-line leaders who need a repeatable, auditable way to deploy AI safely, equitably, and ROI-positively—without vendor spin
Clear executive moves for the next 90 days
- Charter the AIGC and adopt a one-page AI risk-appetite statement.
- Launch an AI registry, tier all live/in-flight systems, and start AI Impact Assessments.
- Amend top vendor contracts for advance change-notice & version pinning; run a kill-switch drill.
- Select one high-value pilot with pre-registered clinical, equity, burden, and ROI thresholds.
Three non-negotiables when vendors lead with pilots
- Silent trial for Tier-1
- Written go/no-go thresholds
- Change-control with your right to independent validation.
Board dashboard categories (p.47): Safety & incidents, calibration, equity gaps, adoption & burden, value vs. TCO, compliance, and security posture—so scale decisions are data-led.
Evidence Pack (minimum per system) (p.58): AIA, Model Card, Dataset Datasheet, validation & equity reports, monitoring plan, change-control, security/privacy summary, training records, and gate minutes—produced within 48 hours on request.
Appendices you can use immediately
- AIGC Charter
- AI Impact Assessment (full template)
- Transparency templates & Board dashboard
- Vendor Pack (RFP + Due Diligence)
- Policy skeletons & Evidence Pack checklist
- Board checklist for CIO/CFO accountability in AI governance
Independent. Actionable. Vendor-neutral.
This gratis Black Book resource is provided as a public service to healthcare—especially hospitals and health systems seeking an independent development guide free from vendor influence, commissions, or endorsements. It translates sector obligations (FDA/ONC/HIPAA/FTC; Joint Commission/CHAI; NIST AI RMF; state & EU/UK developments) into policy → control → artifact mappings your teams can actually run
About the research
Content draws on Black Book’s Hospital AI Governance Pulse (Q1–Q2 2025; stratified by bed size, region, ownership) and is engineered for rapid operationalization
Black Book Market Research
Make AI decisions predictable and auditable. From Boardroom to bedside, this guide gives you the controls, artifacts, and playbooks to scale what works—safely, equitably, and with ROI you can prove.
Contact: research@blackbookmarketresearch.com for more information.