How do hospitals govern consequential AI decisions?
Hospitals govern consequential AI decisions with infrastructure they generate, store, and control themselves, not a report from a vendor's server: governance data belongs to the hospital, not third-party vendors or the cloud provider, on their premises, under their control, on their timeline. That governance follows a four-part promise: know what was authorized, verify what happened, preserve the evidence, know who is accountable.
“If the hospital didn't generate it, store it, and control it, it isn't governance. It's a report from someone else's server.”
Governance data belongs to the hospital. Not third-party vendors. Not the cloud provider. The institution making the clinical decisions owns the evidence trail, on their premises, under their control, on their timeline.
Standards-compliant infrastructure that creates litigation-grade evidence by default, with the hospital owning every audit trail and controlling every decision. Every consequential decision produces a sealed Governed Decision Record, with a named accountable authority, at the moment the decision is made.
Every term above is defined once, at Medigram's definitions page, and quoted verbatim wherever it appears. The independent verification behind these claims is documented in full on the evidence page.
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