Governance Template
AI Governance Policy Templates & Resources
AI Acceptable Use Policy Template
A customizable policy template that establishes organizational standards for the use of artificial intelligence tools across clinical, administrative, and operational functions. Designed for healthcare organizations, DSOs, and enterprise environments requiring HIPAA-aligned AI governance policy.
Purpose
Define organizational standards for acceptable and prohibited AI tool use.
When To Use
Use when establishing, updating, or formalizing your organization's AI governance policy infrastructure. Appropriate for initial policy development, post-incident policy revision, and annual governance review cycles.
Template Contents
Scope & Applicability
Defines the organizational scope, personnel covered, and AI tools subject to the policy.
Approved AI Tools
Framework for maintaining and communicating the approved AI tools list, including approval process and authorization requirements.
Prohibited Uses
Explicit definitions of prohibited AI usage — including PHI handling restrictions, unapproved tool adoption, and prohibited data inputs.
Data Handling Requirements
Standards for how AI tools may interact with organizational data, including PHI handling, de-identification requirements, and output review obligations.
Employee Obligations
Individual employee responsibilities under the policy, including training requirements, reporting obligations, and compliance attestation.
Enforcement & Consequences
Policy enforcement mechanisms, consequence framework for violations, and escalation pathways for compliance concerns.
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