Kim Jee Young, Hasan Alifia, Kueper Jacqueline, Tang Terence, Hayes Chris, Fine Benjamin, Balu Suresh, Sendak Mark
Duke Institute for Health Innovation, Durham, NC, USA.
Trillium Health Partners, Mississauga, ON, Canada.
NPJ Digit Med. 2025 Aug 15;8(1):522. doi: 10.1038/s41746-025-01909-3.
This research applies the People, Process, Technology, and Operations (PPTO) framework to develop AI governance within a large hospital system in Canada that is early in AI adoption. Stakeholder interviews identified the organization's strengths, gaps, and priorities for AI governance, providing foundational insights into the organization's readiness and needs. Co-design workshops then adapted the PPTO framework to the organization's specific context. Together, these efforts led to the creation of policies and the formation of an AI governance committee within the organization. This work demonstrates that the PPTO framework is a practical and adaptable tool for developing AI governance in real-world healthcare settings. It also addresses a critical gap in the field by generating empirical evidence of how a conceptual AI governance framework can be implemented within healthcare delivery organizations to drive organizational change.
本研究应用人员、流程、技术与运营（PPTO）框架，在加拿大一家刚开始采用人工智能的大型医院系统内开展人工智能治理工作。通过与利益相关者进行访谈，确定了该组织在人工智能治理方面的优势、差距和优先事项，为了解该组织的准备情况和需求提供了基础见解。随后，通过协同设计研讨会，使PPTO框架适应该组织的具体情况。这些工作共同促成了政策的制定以及该组织内人工智能治理委员会的成立。这项工作表明，PPTO框架是在现实世界的医疗环境中开展人工智能治理的实用且可调整的工具。它还通过提供实证证据，证明了概念性的人工智能治理框架如何在医疗服务组织中实施以推动组织变革，从而填补了该领域的一个关键空白。
