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Whitepaper

Getting to Grips with Governance: Building Strong Foundations for AI in the Healthcare Ecosystem

Overview

CHIME and Neurealm convened senior executives from Erlanger Health System, Valleywise Health, Tufts Medicine, SSM Health, and a large Midwestern non-profit health system to share how they are building governance that enables innovation instead of restricting it.

AI has moved into healthcare faster than most governance structures can keep up. Health systems are seeing real gains in clinical workflows and administrative efficiency, but they are also discovering vendor tools built on AI layers they didn’t know existed, subscription costs hitting EBITDA, and staff anxiety showing up in contract negotiations.

This whitepaper captures what these leaders say it actually takes: full visibility into how AI is being used, vendors held to real validation standards, and a culture primed to work with AI rather than fear it.

Inside the whitepaper:

  • Why one CIO’s decision to shut off ChatGPT broke three vendor products, and what it revealed about hidden AI dependencies
  • Two-pillar governance model built on visibility and demand, including the vendor validation standard that “eliminated an incredible amount of noise”
  • Why the biggest AI spend is on infrastructure you’ll never see, and why financial scrutiny around new AI initiatives is tightening
  • How leading CIOs are extracting untapped value from tools they already own before buying anything new
  • Where agentic AI fits for structural security risks that may not need to wait for committee review

Download White Paper