People process technology and operations framework for establishing AI governance in healthcare organizations.

Kim, Jee Young; Hasan, Alifia; Balu, Suresh; Sendak, Mark · NPJ Digit Med · 2026

expert_opinion · Level V

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Abstract

AI governance ensures responsible use of AI through rules, processes, and technological tools. Implementing AI governance in healthcare delivery organizations (HDOs) requires understanding necessary capabilities and assessing readiness. This study introduces the scalable People, Process, Technology, and Operations (PPTO) framework-adapted from the People, Process, Technology (PPT) model-to guide governance across key domains. The PPTO framework offers a systematic roadmap for safe, effective, and equitable AI adoption in HDOs.