ARTIFICIAL INTELLIGENCE GOVERNANCE AND RISK MANAGEMENT FRAMEWORK FOR HEALTHCARE INFORMATION SYSTEMS

Main Article Content

Md Tanzimul Islam
Md Rokibul Hasan
Md Jahid Howlader
Md Minar Hossain
Md Mehedi Hasan Antor
Sinigdha Islam

Keywords

Artificial Intelligence, Healthcare Governance, Risk Management, Clinical Decision Support, Patient Safety, Regulatory Compliance, Algorithm Accountability

Abstract

Healthcare organizations increasingly deploy artificial intelligence systems for diagnostic support, treatment recommendations, and operational optimization, yet these implementations often lack comprehensive governance and risk management frameworks. This research develops an integrated AI governance framework specifically designed for healthcare information systems, addressing unique challenges including patient safety, data privacy, regulatory compliance, and clinical accountability. We analyzed 156 healthcare AI implementations across multiple institutions to identify governance gaps and risk factors. Our framework encompasses five core dimensions: ethical oversight structures, technical risk assessment protocols, clinical validation requirements, data governance standards, and regulatory compliance mechanisms. Through systematic evaluation of existing AI deployments, we identified critical risk categories including algorithmic bias affecting patient populations, model drift compromising diagnostic accuracy, data quality issues undermining predictions, and inadequate human oversight enabling automation errors. The framework incorporates continuous monitoring processes, stakeholder accountability structures, and incident response protocols tailored to healthcare contexts. Implementation results demonstrate that organizations adopting structured governance frameworks reduced AI-related adverse events by 67% and improved regulatory audit outcomes significantly. This research provides healthcare administrators with practical guidance for establishing responsible AI governance while maintaining innovation capacity and patient safety standards.


 

Abstract 0 | Pdf Downloads 0

References

1. Beam, A.L. and Kohane, I.S. (2020) 'Big data and machine learning in health care', JAMA, 319(13), pp. 1317-1318.
2. Benjamens, S., Dhunnoo, P. and Mesko, B. (2020) 'The state of artificial intelligence-based FDA-approved medical devices and algorithms', NPJ Digital Medicine, 3(1), pp. 1-11.
3. Char, D.S., Shah, N.H. and Magnus, D. (2020) 'Implementing machine learning in health care—addressing ethical challenges', New England Journal of Medicine, 378(11), pp. 981-983.
4. Chen, I.Y., Pierson, E., Rose, S., Joshi, S., Ferryman, K. and Ghassemi, M. (2021) 'Ethical machine learning in healthcare', Annual Review of Biomedical Data Science, 4, pp. 123-144.
5. Finlayson, S.G., Bowers, J.D., Ito, J., Zittrain, J.L., Beam, A.L. and Kohane, I.S. (2021) 'Adversarial attacks on medical machine learning', Science, 363(6433), pp. 1287-1289.
6. Gerke, S., Minssen, T. and Cohen, G. (2020) 'Ethical and legal challenges of artificial intelligence-driven healthcare', Artificial Intelligence in Healthcare, pp. 295-336.
7. Liu, X., Faes, L., Kale, A.U., Wagner, S.K., Fu, D.J., Bruynseels, A., Mahendiran, T., Moraes, G., Shamdas, M., Kern, C. and Ledsam, J.R. (2019) 'A comparison of deep learning performance against health-care professionals in detecting diseases from medical imaging', The Lancet Digital Health, 1(6), pp. e271-e297.
8. Martinez, N., Bertran, M. and Sapiro, G. (2020) 'Minimax Pareto fairness: A multi-objective perspective', International Conference on Machine Learning, pp. 6755-6764.
9. Mittelstadt, B.D., Allo, P., Taddeo, M., Wachter, S. and Floridi, L. (2016) 'The ethics of algorithms: Mapping the debate', Big Data & Society, 3(2), pp. 1-21.
10. Nestor, B., McDermott, M.B.A., Boag, W., Berner, G., Naumann, T., Hughes, M.C., Goldenberg, A. and Ghassemi, M. (2019) 'Feature robustness in non-stationary health records', Machine Learning for Healthcare Conference, pp. 381-405.
11. Obermeyer, Z., Powers, B., Vogeli, C. and Mullainathan, S. (2019) 'Dissecting racial bias in an algorithm used to manage the health of populations', Science, 366(6464), pp. 447-453.
12. Parikh, R.B., Teeple, S. and Navathe, A.S. (2019) 'Addressing bias in artificial intelligence in health care', JAMA, 322(24), pp. 2377-2378.
13. Price, W.N. (2019) 'Medical malpractice and black-box medicine', Big Data, Health Law, and Bioethics, pp. 295-306.
14. Rajkomar, A., Dean, J. and Kohane, I. (2019) 'Machine learning in medicine', New England Journal of Medicine, 380(14), pp. 1347-1358.
15. Reddy, S., Allan, S., Coghlan, S. and Cooper, P. (2020) 'A governance model for the application of AI in health care', Journal of the American Medical Informatics Association, 27(3), pp. 491-497.
16. Roberts, M., Driggs, D., Thorpe, M., Gilbey, J., Yeung, M., Ursprung, S., Aviles-Rivero, A.I., Etmann, C., McCague, C., Beer, L. and Weir-McCall, J.R. (2021) 'Common pitfalls and recommendations for using machine learning to detect and prognosticate for COVID-19 using chest radiographs and CT scans', Nature Machine Intelligence, 3(3), pp. 199-217.
17. Rudin, C. (2019) 'Stop explaining black box machine learning models for high stakes decisions and use interpretable models instead', Nature Machine Intelligence, 1(5), pp. 206-215.
18. Tonekaboni, S., Joshi, S., McCradden, M.D. and Goldenberg, A. (2019) 'What clinicians want: contextualizing explainable machine learning for clinical end use', Machine Learning for Healthcare Conference, pp. 359-380.
19. Wong, A., Otles, E., Donnelly, J.P., Krumm, A., McCullough, J., DeTroyer-Cooley, O., Pestrue, J., Phillips, M., Konye, J., Penoza, C. and Ghous, M. (2020) 'External validation of a widely implemented proprietary sepsis prediction model in hospitalized patients', JAMA Internal Medicine, 181(8), pp. 1065-1070.