Description
HIPAA SECURITY RULE | 45 CFR 164.308(a)(1)(ii)(A)
HIPAA AI Governance Committee Charter Template
Document ID: HEL-AI-CHARTER-001 • Version 1.3
A governance policy that names an “AI Governance Committee” without defining that committee’s authority, membership, and decision process leaves a gap an auditor will find immediately. A risk analysis under 45 CFR 164.308(a)(1)(ii)(A) that references AI oversight needs a documented governing body behind it, not an informal group that meets when someone remembers to schedule it. Organizations deploying clinical decision support, predictive analytics, generative AI, or vendor-embedded AI tools need a chartered committee with defined scope, authority, and an intake process before the first AI use case reaches production.
This charter establishes the Committee’s oversight across the full AI lifecycle: evaluation, vendor and solution approval, implementation, monitoring, and retirement. It defines scope (including generative AI, predictive analytics, operational automation, and vendor-embedded AI, with explicit exclusions for non-learning rule-based automation), guiding principles, committee composition and voting structure, and detailed roles and responsibilities for each committee role. The AI use case intake and approval process section maps directly to the AI Intake and Governance Review Request Form (HEL-AI-INTAKE-001), and the incident management section coordinates with the AI Incident Response Addendum (HEL-AI-INC-001). Monitoring cadence, meeting frequency, reporting lines, and a review and update schedule complete the operational structure, with revision history, signature, and related documents appendices for audit documentation.
What Is Included
Charter Foundation
- Purpose, scope, and authority sections defining what AI systems fall under Committee oversight
- Guiding principles for patient safety, data integrity, and cybersecurity risk management
- Committee composition with core voting members and defined voting authority
Operational Process
- Roles and responsibilities for the chair and each member role
- AI use case intake and approval process workflow
- Monitoring and oversight cadence, and incident management coordination
- Meeting frequency, reporting structure, and periodic review and update schedule
Documentation
- Revision history, signature, and related documents appendices
Who This Is For
Hospitals, health systems, and medical groups forming a dedicated AI Governance Committee for the first time, or converting an informal IT or compliance review process into a chartered body with documented authority. Privacy officers and CIOs preparing for an OCR audit or board-level AI risk review will use this to demonstrate that AI oversight has a defined governance structure, not an ad hoc one.
This charter is designed to operate alongside the AI Governance Policy (HEL-AI-GOV-001) and requires organization-specific committee membership, meeting cadence, and reporting lines to be completed before adoption. The vendor and solution approval step in the Committee’s lifecycle scope is operationalized by the AI Vendor Security & Compliance Questionnaire (HEL-AI-VDQ-001).
Format: Microsoft Word (.docx), fully editable • Delivered as an instant digital download • Document ID: HEL-AI-CHARTER-001
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