Evidence map›Paper›PMID 41673321›Full record

ArticleNPJ digital medicine2026

Advancing healthcare AI governance through a comprehensive maturity model based on systematic review.

Rowan Hussein, Anna Zink, Bashar Ramadan, Frederick M Howard, Maia Hightower, Sachin Shah, Brett K Beaulieu-Jones

Abstract read
In one paragraph

Article in NPJ digital medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Rowan HusseinCenter for Computational Medicine and Clinical Artificial Intelligence, Department of Medicine, University of Chicago, Chicago, IL, USA. rowan.hussein@uchicagomedicine.org.
Anna ZinkCenter for Computational Medicine and Clinical Artificial Intelligence, Department of Medicine, University of Chicago, Chicago, IL, USA.
Bashar RamadanCenter for Computational Medicine and Clinical Artificial Intelligence, Department of Medicine, University of Chicago, Chicago, IL, USA.
Frederick M HowardCenter for Computational Medicine and Clinical Artificial Intelligence, Department of Medicine, University of Chicago, Chicago, IL, USA.
Maia HightowerEquality AI, Park City, UT, USA.
Sachin ShahCenter for Computational Medicine and Clinical Artificial Intelligence, Department of Medicine, University of Chicago, Chicago, IL, USA.
Brett K Beaulieu-JonesCenter for Computational Medicine and Clinical Artificial Intelligence, Department of Medicine, University of Chicago, Chicago, IL, USA. beaulieujones@uchicago.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Artificial Intelligence (AI) deployment in healthcare is accelerating, yet governance frameworks remain fragmented and often assume extensive resources. Through a systematic review of 35 frameworks for AI implementation in healthcare (published 2019-2024), we identified seven critical domains of healthcare AI governance. While existing frameworks provide valuable guidance, the resource requirements create barriers for smaller healthcare organizations. To address this gap, we organized key findings from the review to create the Healthcare AI Governance Readiness Assessment (HAIRA), a five-level maturity model that provides actionable governance pathways based on organizational resources. HAIRA spans from Level 1 (Initial/Ad Hoc) to Level 5 (Leading), with specific benchmarks across all seven governance domains. This tiered approach enables healthcare organizations to assess their current AI governance capabilities and establish appropriate advancement targets. Our framework addresses a critical need for adaptive governance strategies that ensure that AI implementation delivers tangible benefits to systems of varying resource levels.

Identifiers

PMID41673321
PMCPMC13004926

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.