ETHICAL AI IN HEALTHCARE: A PPTO Governance Playbook for Hospital and Health System Leaders

Every day, AI makes life-and-death decisions in your hospital. Is your governance keeping pace? The healthcare AI market is exploding - from $20 billion in 2024 to a projected $200 billion by 2030. Algorithms now detect sepsis, triage patients, predict readmissions, and allocate care resources. But governance has not kept pace with adoption. Biased algorithms quietly deny care. Opaque systems erode trust. And when something goes wrong, no one is clearly accountable. Good intentions are never enough. Ethical AI in Healthcare bridges the gap between AI ethics in theory and AI ethics in practice. Written by Dr. Vernette Grant - a healthcare executive, researcher, and published authority on AI governance - this practical playbook gives hospital and health system leaders a proven, step-by-step framework for deploying AI responsibly, equitably, and effectively. Introducing the PPTO Framework Built on Dr. Grant's peer-reviewed research and validated through real healthcare organizations, the PPTO Framework translates abstract ethical principles into concrete operational action across four pillars: - People - Build the right governance team with the right roles and skills - Process - Design workflows that ensure ethical AI from concept to retirement - Technology - Deploy the tools that enable bias detection, audit trails, and transparency - Operations - Track equity metrics, monitor outcomes, and drive continuous improvement This revised and expanded 2026 edition includes seven evidence-based enhancements: a visual PPTO-to-Principles Mapping Table, a five-criterion risk-tiering rubric, a RACI accountability model, mandatory demographic stratification requirements, a ten-percentage-point disparity threshold as an enforceable equity standard, a complete monitoring-and-response worked example, and a limitations and future directions section. What You'll Find Inside Real-world case studies that reveal how governance failures happen - and how to prevent them. Ready-to-use tools including an AI application inventory template, a pre-deployment review checklist, sample metrics dashboards, and role descriptions. Practical guidance on navigating FDA, CMS, and HIPAA compliance. Strategies that scale - whether you lead a 1,000-bed academic medical center or a 50-bed rural hospital. Who This Book Is For Hospital executives, CMOs, CNOs, CIOs, quality and patient safety officers, compliance professionals, data scientists, AI governance committee members, and board leaders. No technical background required - just the commitment to lead responsibly. The future of healthcare depends on the governance choices you make today.