Integrating mission-aligned value with cost to assess the economic impact of AI in healthcare.

Declan, Arwen Bl; Taylor, R Andrew · NPJ Digit Med · 2026

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Abstract

Healthcare organizations must integrate mission-driven values with financial metrics to govern AI systems. We propose the Total Mission Value (TMV) framework, drawing on insights from Balanced Scorecard, Quintuple Aim, and organizational mission priorities. TMV integrates five ethically grounded domains that define TMV in healthcare: Patient Care, Staff Experience, Operations, Economic, and Education and Research. TMV supports aligning AI implementations with healthcare's core purpose while maintaining economic sustainability.