Board reporting pack
What it is
The Board reporting pack is the artifact that satisfies RUAIH focus area 1 — Governance — at the control level.
Who signs it
The accountable executive, to the board quality or audit committee.
A document without a signature is a draft. An assessor is checking that someone with authority put their name to it.
What an assessor asks for
At least one board or board-committee paper in the last twelve months reporting AI use and outcomes.
What goes in it
- Portfolio summary by risk tier, not by count
- What changed for patients — the outcomes view
- What the committee declined to deploy, and why
- Incidents and near-misses, with disposition
- Monitoring exceptions and the actions taken
- Regulatory and certification posture
- The decisions the board is being asked to note or approve
The most common failure
Reporting deployment counts. The board does not need to know how many tools are live; it needs to know what changed for patients and what you decided not to deploy. The second list is shorter, harder to write, and far more informative.
Where this sits
See the RUAIH crosswalk for how this control maps across CHAI’s playbooks and the NIST AI RMF.
Written and reviewed by Neel Chauhan, MD MBA, physician-executive and founder of the Healthcare AI Institute. Last reviewed 2026-07-30.
Specified from the published RUAIH focus areas and the September 2025 Joint Commission and CHAI guidance, plus the failure modes we see most often in practice.
The Institute accepts no vendor sponsorship, holds no vendor equity and takes no referral fees.