Articles

AI Gap

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GapDevelopersImplementersThird-party enablersExamples of third-party enablers
Clarify roles and responsibilities for AI development, deployment, and monitoringDevelop, test, and validate high-quality productsImplement and monitor products over time
Communicate issues, risks, and mitigation strategies
Develop responsible AI standards and risk frameworks and related educational materials
Develop and share monitoring tools
The HITRUST Common Security Framework creates standards on data management and information risk to demonstrate compliance with HIPAA mandates.
Democratize local AI governanceShare and update relevant product information, including risks and benefitsEstablish local governance that maintains an inventory of AI technologies, monitors for safety, quality, and bias, and establishes protocols for reporting unexpected adverse AI-related eventsBuild an inventory of software tools and registries of experiences with AI technologies
Help initiate robust local governance
Provide training and monitor adherence to AI standards
The Joint Commission monitors hospitals’ adherence to national best practices for quality and patient safety, preserving local autonomy and enabling some standardization.
Enable rapid evidence generation on the clinical impact and value of health AIHelp create evidence-generating networks to monitor and improve products over timeSupport evidence-generating networks by contributing expertise and diverse sources of updated, high-quality dataFacilitate evidence generation by building representative data networks and marketplaces
Provide privacy-preserving technologies to reduce burden associated with data confidentiality
Dandelion Health’s or Mayo Clinic Platform’s validation service
Trustworthy and Responsible AI Network
Government-affiliated entities (eg, PCORnet)

Abbreviations: AI, artificial intelligence; HIPAA, Health Insurance Portability and Accountability Act; HITRUST, Health Information Trust Alliance.

$^a$A developer refers to an organization building AI technologies, while an implementer is an organization that deploys them. Sometimes, the same organization might be a developer and an implementer.