CHAI AI Governance Standard

The Governance Standard for Responsible Health AI

CognitiveView is a CHAI Implementation Partner helping HealthTech companies implement the CHAI AI Governance Standard and helping hospitals and health systems assess AI vendors before adoption.

Coalition for Health AI (CHAI)Implementation PartnerImplementing all 40 CHAI governance controls
Doctor reviewing health information in a bright clinical setting

CHAI Governance

  • GovernanceComplete
  • Risk ManagementComplete
  • Data ManagementComplete
  • Testing & ValidationComplete
  • EvidenceComplete
  • AI ReadinessComplete

Built by the Health AI Community

CHAI brings together health systems, industry, academia, government, patient advocacy, and other stakeholders to build consensus around responsible AI in healthcare.

Healthcare professionals meeting to review information together

Nearly 3,000

organizations across the CHAI community

218

health systems, of which 14% are academic medical centers

75%

industry members, of which about 25% are startups

100+

philanthropic, professional advocacy, medical specialty, and standards organizations

Why a Common Health AI Governance Standard Matters

Healthcare AI is moving from experimentation into clinical, operational, and patient-facing workflows. A common standard helps both innovators and health systems build and adopt AI responsibly.

For HealthTech Companies

  • Demonstrate responsible AI
  • Manage risk across the lifecycle
  • Build evidence of implementation
  • Accelerate adoption with hospitals

For Hospitals & Health Systems

  • Evaluate vendors consistently
  • Understand risks and controls
  • Review evidence and testing
  • Make informed adoption decisions

What Does CHAI Governance Cover?

CHAI organizes responsible health AI governance into eight areas spanning policy, people, lifecycle, risk, data, third parties, and learning.

View all 40 controls

1. AI Policy

Establish policies and governance expectations for responsible AI.

3 controls

2. Organizational Structures

Define governance roles, accountability, and oversight.

4 controls

3. Organizational Resources

Provide the people and capabilities needed for responsible AI.

10 controls

4. Responsible AI Lifecycle Management and Use

Manage AI responsibly from planning through ongoing use.

6 controls

5. Risk and Impact Assessments

Identify, assess, and address AI risks and impacts.

5 controls

6. Responsible Data Management and Use

Manage data responsibly across its AI lifecycle.

5 controls

7. Third Party Management

Assess and govern third-party AI systems and relationships.

1 control

8. Education, Training and Feedback

Build AI governance knowledge and gather ongoing feedback.

6 controls

CHAI Health AI Use Cases

The CHAI framework applies across real healthcare AI systems and workflows.

View all use cases

Mental Health Chatbot

Clinical Trials

Ambient AI

Agentic AI

EHR Information Retrieval

Clinical Decision Support

For HealthTech Companies

Implement the CHAI governance controls, build evidence, and demonstrate AI readiness.

Implement CHAI

For Hospitals & Health Systems

Assess AI vendors using a consistent governance standard and make informed adoption decisions.

Assess a Vendor

From Standard to AI Readiness

  1. Implement Controls
  2. Build Evidence
  3. Test & Validate
  4. AI Readiness Audit
  5. Assurance
  6. Continuous Governance