Clinical AI GovernanceOverview

Models in registry

2 high or critical tier

Active in production

4 deployment signatures held

Suspended

waiting on an accountable decision

Attestations due — 2026-Q3

1/2 active models attested

33h

Median time to decision

suspension → accountable action, from the chain

Governance health

77 In shape

Attested this quarter (1/2)50%

Active models clean of drift100%

Active models with deployment sign-off100%

Compliance controls implemented80%

Weighted: attestation currency 40 · drift cleanliness 30 · sign-off coverage 15 · compliance 15. Components without data drop out and weights renormalise. Operational posture only — not a clinical claim.

Audit chain

hash-linked entries

chain intact — verified now

Each entry's SHA-256 covers its content and the previous entry's hash. Verified live on every load of this screen — the binder ships the same verdict.

Attestations due — 2026-Q3

Sepsis early-warning Attest

Portfolio AUROC — every attested model, one axis

4 quarters on record

Ambient documentation scribe Radiology worklist triage Readmission risk stratification Sepsis early-warning

Portfolio — risk × lifecycle

Active

In review

Suspended

Retired

critical

1 ···

high

··1 ·

moderate

1 ·1 ·

low

·1 ·1

Highlighted cells carry risk: anything suspended, and critical-tier models in production. Click through to the registry.

Compliance — by framework

ruaih-202635/44 controls

chai0/0 controls

nist-ai-rmf0/0 controls

Green implemented (or n/a), gold in progress. Controls are mapped per model on its page; the binder carries the full crosswalk.

Activity — live from the audit chain

agent suspended

system · 2026-08-29T08:36 UTC · Referral triage router (agt_2ceb25ac95a9733f) automatically suspended pending human review

agent scope breach

system · 2026-08-29T08:36 UTC · Referral triage router (agt_2ceb25ac95a9733f) performed out-of-scope action 'decline_refer

agent registered

[email protected] · 2026-08-29T08:36 UTC · Referral triage router (agt_2ceb25ac95a9733f) registered under proctoring; scope [classify

agent privileged

[email protected] · 2026-08-29T08:36 UTC · Prior-authorization submission agent (agt_50961de690c077a0) granted privileges by neelhawa

agent registered

[email protected] · 2026-08-29T08:36 UTC · Prior-authorization submission agent (agt_50961de690c077a0) registered under proctoring; s

agent registered

[email protected] · 2026-08-29T08:36 UTC · Ambient documentation scribe (agt_3a531e5cf218c60d) registered under proctoring; scope [dr

acknowledge drift — Readmission risk stratification

[email protected] · 2026-08-25T22:14 UTC · signed as cmio, sig 09d335fc26d35048d4a6e88d1d90bcf99c9276f36c26019067cd095269381906: Equi

suspended drift — Readmission risk stratification

system · 2026-08-25T22:14 UTC · active → suspended_drift: automatic: 2026-Q3 demographic parity gap 0.09 exceeded locked e

drift attested — Readmission risk stratification

[email protected] · 2026-08-25T22:14 UTC · 2026-Q3: AUROC 0.874 vs baseline 0.88, decay 0.68% — EQUITY THRESHOLD BREACHED (gap 0.09 >

active — Readmission risk stratification

[email protected] · 2026-08-25T22:14 UTC · under_review → active: approve_deployment signed by [email protected] as cmio

approve deployment — Readmission risk stratification

[email protected] · 2026-08-25T22:14 UTC · signed as cmio, sig 0ed4e6ee9dd77b2ca41f00bf1c959c93a48195c0829c7f866e2fa5c49bec75fd: Loca

under review — Readmission risk stratification

[email protected] · 2026-08-25T22:14 UTC · proposed → under_review: baseline locked, awaiting deployment sign-off

Registry

Model	Risk	Status	Latest AUROC	Trend
Radiology worklist triage RadPriority (demo vendor) · Imaging	high	Suspended — drift	0.849 2026-Q2 · 8.71% decay		Open
Readmission risk stratification CareSignal (demo vendor) · Inpatient	moderate	Suspended — drift	0.874 2026-Q3 · 0.68% decay		Open
Ambient documentation scribe ScribeWell (demo vendor) · Ambulatory	moderate	Active	0.871 2026-Q3 · 1.02% decay		Open
Sepsis early-warning In-house · ED + inpatient	critical	Active	0.887 2026-Q2 · 2.53% decay		Open
No-show prediction In-house · Ambulatory	low	Under review	—	—	Open
Prior-auth letter drafting In-house · Revenue cycle	low	Retired	—	—	Open