AI governance for hospitals and health systems
TRAIGA helps healthcare organizations inventory every clinical AI system, run patient-harm risk assessments, generate the disclosures TRAIGA requires, and produce board-level governance reports — all from a single HIPAA-compatible platform.
1,200+
Texas orgs subject to TRAIGA
86%
Hospitals using at least one clinical AI system
$1M+
Civil penalty exposure per TRAIGA violation
~24,000
AI systems requiring TRAIGA registration
Built for every stakeholder in healthcare AI governance
AI governance in healthcare spans compliance, clinical informatics, legal, and the board. TRAIGA gives each team exactly what they need.
Chief Compliance Officer
The challenge
“I need to prove to regulators, auditors, and the board that we have a defensible AI governance program — with documentation to back it up. Our current process is a mix of spreadsheets and tribal knowledge.”
How TRAIGA helps
TRAIGA gives you a single, audit-ready record for every AI system across your health system. Risk assessments, controls, disclosures, and executive certifications — all timestamped and linked. Exam-ready from day one.
Clinical Informatics Director
The challenge
“We have dozens of AI tools embedded in our EHR and procured from third-party vendors. Legal keeps asking me for a complete inventory, but nobody has one. I need a systematic way to catalog and assess them.”
How TRAIGA helps
TRAIGA's guided intake form captures every field regulators require — vendor, model, clinical context, patient population, human oversight mechanisms. Most teams inventory their first 10 systems on day one.
General Counsel / Legal
The challenge
“TRAIGA imposes disclosure requirements, incident reporting obligations, and board attestation requirements. I need to understand exactly what we're exposed to and have evidence we've addressed it.”
How TRAIGA helps
TRAIGA maps each AI system to its specific TRAIGA obligations — disclosures, oversight documentation, incident reporting. One-click disclosure generation. Executive attestation records. Full compliance audit trail.
Hospital Board / CEO
The challenge
“Our AI systems represent a significant reputational and regulatory risk. I need a clear picture of our AI governance maturity — and assurance that someone is accountable for keeping it current.”
How TRAIGA helps
TRAIGA's board governance report pack is designed for exactly this conversation: executive summary, risk heat map, control implementation status, open incidents, and governance maturity score — generated in seconds.
Which clinical AI systems does TRAIGA cover?
Every AI system your organization deploys in a consequential clinical or administrative decision is covered — including EHR-embedded AI that most compliance teams don't know exists.
| AI System Type | Common Examples | Typical Risk Tier | TRAIGA Covered |
|---|---|---|---|
Clinical Decision Support | Diagnostic AI, treatment recommendations, medication dosing alerts | Critical | |
Prior Authorization AI | Insurance review algorithms, utilization management tools | Critical | |
Triage & Scheduling | ED triage support, appointment prioritization, call routing | High | |
Predictive Analytics | Readmission prediction, sepsis early warning, fall risk scoring | High | |
EHR-Embedded AI | Epic Cognitive Computing, Oracle Clinical AI, third-party plugins | High | |
Population Health AI | Care gap identification, risk stratification, chronic disease management | Moderate | |
Revenue Cycle AI | Coding automation, billing optimization, denial prediction | Moderate | |
Administrative AI | Scheduling optimization, staffing models, supply chain AI | Moderate |
Not sure if a specific system is covered? Read the full TRAIGA compliance guide →
Everything your healthcare AI governance program needs
Eight integrated capabilities designed for the healthcare AI governance workflow — from initial clinical AI inventory to ongoing board reporting.
Clinical AI System Inventory
Centralized registry for every AI system across your health system — including EHR-embedded tools from Epic, Cerner, and Oracle Health that are often invisible to compliance teams. Captures vendor, model, clinical context, patient population, and deployment setting.
Patient-Harm Risk Scoring
Healthcare-specific risk weighting that accounts for patient harm potential, clinical setting, affected population vulnerability (pediatric, elderly, underserved), human oversight adequacy, and reversibility of harm. Produces a calibrated risk tier mapped to TRAIGA requirements.
TRAIGA Disclosure Generator
One-click generation of patient-facing AI disclosures and public-facing notices required under the Texas Responsible AI Governance Act. Auto-populated from your verified AI system inventory — eliminating weeks of manual legal drafting.
Clinical Control Framework
Auto-generated control recommendations per risk tier, covering human-in-the-loop requirements, explainability documentation, model performance monitoring, bias testing, and override procedures. All trackable and auditable within the platform.
Board Governance Report Pack
Board-ready AI governance reports generated in seconds: executive summary, complete AI system inventory with risk tiers, control implementation status, open incident log, and governance maturity score. Designed for the hospital governing board's oversight obligations.
Clinical AI Incident Log
Structured workflow for logging, triaging, investigating, and resolving AI-related clinical incidents — from biased algorithm outputs to system malfunctions. Every incident links to the AI system record, risk assessment, and control framework for full traceability.
Multi-Framework Mapping
Map clinical AI controls to TRAIGA, FDA AI/ML guidance, EU AI Act, NIST AI RMF, and ISO 42001 simultaneously. One documentation effort satisfies multiple regulatory frameworks — critical for health systems operating across multiple jurisdictions.
Ongoing Governance Program
AI governance isn't a one-time compliance exercise. TRAIGA tracks review due dates, monitors for material system changes, and prompts re-assessments when models are updated, replaced, or decommissioned — keeping your governance record current.
Board-ready AI governance reports — generated in seconds
Hospital governing boards are increasingly expected to demonstrate oversight of AI risk. Regulators, accreditors, and investors want to know that board members understand the AI governance posture of the organization.
TRAIGA generates a complete board AI governance report pack from your live system data — in seconds, not weeks.
Board AI Governance Report Pack
Auto-generated from your live AI system registry
- Executive summary of AI governance program maturity
- Complete clinical AI system inventory with risk tiers
- Control implementation status — open items and owners
- AI incident log — open and resolved incidents
- Governance maturity score across five dimensions
- TRAIGA disclosure compliance status
- Upcoming review obligations and due dates
- Executive and board member certification records
Designed for the Joint Commission, CMS, and emerging board-level AI accountability standards — ready to present at your next governance meeting.
Healthcare AI governance — frequently asked questions
Common questions from compliance officers, clinical informatics teams, legal counsel, and hospital boards evaluating AI governance solutions.
- Does the Texas TRAIGA Act apply to my hospital?
- If your hospital or health system operates in Texas and uses AI systems in decisions that materially affect patient care, access to services, or financial obligations, TRAIGA applies to you. This includes clinical decision support tools, prior authorization AI, patient scheduling algorithms, triage support systems, and population health platforms. TRAIGA holds the deploying organization — not the AI vendor — accountable for governance.
- What AI systems in our EHR are covered by TRAIGA?
- AI functionality embedded in Epic, Cerner, Oracle Health, and other EHR platforms is covered under TRAIGA when your organization deploys it in clinical decisions affecting patients. This includes Epic's Sepsis Prediction, LVEF model, Deterioration Index, and any third-party clinical AI integrated via the App Orchard. Even if you didn't build the AI, you're accountable for documenting and governing it under TRAIGA.
- What patient disclosures does TRAIGA require for clinical AI?
- TRAIGA requires deploying organizations to provide notice when AI systems are used in decisions that materially affect a patient's access to services, health outcomes, or financial obligations. Disclosures must be in plain language, accessible to the affected individual, and available prior to the AI-influenced decision where practicable. TRAIGA's disclosure generator produces these notices automatically from your system inventory.
- How does TRAIGA handle vendor-supplied AI?
- TRAIGA (the platform) recognizes that most hospitals deploy a mix of in-house and vendor-supplied AI. For vendor AI, TRAIGA provides a vendor questionnaire template to collect the governance documentation your vendors should be able to provide (risk assessments, model cards, bias testing results). You document what you know, flag gaps, and track remediation — all within the platform.
- Is TRAIGA HIPAA-compatible?
- Yes. TRAIGA is built with healthcare data handling requirements in mind. The platform documents governance metadata about your AI systems (vendors, use-cases, risk scores, controls) — not patient records. TRAIGA's infrastructure runs on AWS with encryption at rest and in transit, role-based access control, MFA, and audit logging consistent with HIPAA Security Rule requirements.
- How long does a hospital AI governance program take to set up?
- Most hospitals complete their initial AI system inventory within one to three weeks, depending on the number of systems and stakeholder availability. TRAIGA provides a structured intake form, a vendor questionnaire, and an onboarding guide. Many compliance teams inventory their first ten AI systems on day one and have their first risk assessments completed by end of week one.
- Can TRAIGA handle large integrated delivery networks?
- Yes. TRAIGA is a fully multi-tenant SaaS platform designed to scale from a single community hospital to a large integrated delivery network with dozens of facilities. Role-based access allows compliance officers, clinical informatics teams, legal counsel, and board members to have appropriately scoped access. You can organize AI systems by facility, service line, or business unit and generate consolidated governance reports at the system level.
- What does a hospital board AI governance report include?
- TRAIGA's board AI governance report pack includes: (1) an executive summary of your AI governance program maturity; (2) a complete inventory of clinical AI systems with risk tiers; (3) a control implementation status summary; (4) an open incident log; and (5) a governance maturity score. It is designed to give the hospital governing board the evidence needed to satisfy their oversight obligations under AI regulation, Joint Commission guidance, and emerging board-level AI accountability standards.
Related healthcare AI governance resources
Healthcare AI Governance Overview
Full overview of healthcare AI governance requirements and how TRAIGA addresses them.
TRAIGA Compliance Guide
Complete guide to Texas Responsible AI Governance Act obligations for healthcare organizations.
Hospital AI Oversight Requirements
In-depth article on what hospital AI oversight programs must include under current regulations.
AI Risk Register for Healthcare
How to build and maintain an AI risk register that satisfies TRAIGA and FDA guidance.
Start governing your clinical AI today
Hospitals and health systems using TRAIGA get their first AI system inventoried in under 10 minutes. No implementation project, no credit card, no waiting. TRAIGA compliance starts today.
HIPAA-compatible — no patient data required
TRAIGA disclosures generated in one click
Board governance report pack in minutes