AI Governance Checklist for Healthcare & Regulated Industries

Executive AI governance accountability formally designated

AI governance committee established with formal charter

Board or senior leadership AI governance reporting established

AI governance program budget and resources allocated

Annual governance review schedule established

Comprehensive AI usage policy developed and distributed

Approved AI tools list maintained and communicated to staff

Prohibited AI uses explicitly defined — including PHI handling restrictions

AI policy review schedule established (minimum annual)

Policy acknowledgment and distribution documented

AI vendor inventory completed across all departments and locations

Vendor risk tier assigned to each vendor

BAA status confirmed for all applicable vendors

Vendor assessment process documented and operational

Preferred vendor list or standardization framework established

AI system usage monitoring implemented

Vendor compliance monitoring process established

Staff AI usage monitoring and enforcement mechanisms in place

Governance audit process documented and scheduled

AI incident detection and escalation process operational

AI inventory completed — all tools documented across departments and locations

AI risk assessment conducted for high-risk deployments

Risk prioritization completed based on severity and regulatory consequence

Remediation roadmap documented with owners and timelines

AI incident response process documented and tested