There are three things every healthcare organization needs when AI goes wrong. Most don't have them.
We help healthcare executives build board-visible AI governance before they need it.
The Accountability Gap
Healthcare executives are increasingly accountable for AI-influenced decisions. But most organizations lack the clarity, visibility, and governance posture to defend that accountability when boards, regulators, or litigators ask hard questions.
Board Visibility
'Who owns AI decisions?' is now a board-level question. Most executives can't answer it clearly.
Decision Accountability
When AI influences clinical or operational decisions, someone must be accountable. Most organizations haven't named who.
Defensible Posture
If a decision goes wrong, can you show that governance was reasonable? The answer matters before the question is asked.
Know Where Your AI Governance Stands.
Two free assessments. Same question from different vantage points. Pick the one that fits your role.
Leadership Assessment
For senior executives
12 questions · ~5 minutes
Answer based on organizational decisions and leadership visibility. No detailed knowledge of specific AI implementations required.
Implementation Assessment
For CIOs, clinical informatics, quality, and risk leaders
20 questions · ~10–12 minutes
Covers procurement evaluation, local validation methodology, deployment practices, bias and equity assessment, and monitoring depth. Designed for someone with direct knowledge of what's deployed.
Not sure which fits? If you're a senior executive without detailed visibility into your AI tool deployments, the Leadership Assessment is the right choice.
Core Principles
Visibility Before Action
Executives can't govern what they can't see. We start by surfacing where AI already influences decisions — often in places leadership doesn't realize.
Accountability Without Paralysis
Governance shouldn't freeze progress. We help organizations define clear decision rights so they can move forward deliberately, not fearfully.
Evidence Over Assertion
When boards or regulators ask hard questions, assertions aren't enough. We help you build the evidence trail that demonstrates reasonable oversight.
Not Vendors. Not Litigators. Governance Stewards.
Most AI advisory falls into two camps: those who sell you tools, and those who defend you in court. We do neither. We're independent advisors who help you govern AI decisions with clarity, confidence, and evidence — so your board can defend your choices and your clinicians can trust the technology.
Radically Independent
We don't sell AI tools, platforms, or implementation services. Our only interest is your governance clarity.
Executive-Level Focus
We speak the language of boards and C-suites — fiduciary duty, risk posture, defensibility — not MLOps and model drift.
Healthcare-Only Expertise
40+ years of combined experience in health IT, federal programs, and clinical systems. We know what 'reasonable oversight' means in healthcare.
Built for the Responsible AI Executive
Our clients are healthcare leaders who take AI seriously — not as hype, but as risk and opportunity that requires deliberate governance.
C-Suite Leaders
CEOs, COOs, CIOs, and CMIOs accountable for AI-influenced decisions
Board Members
Audit, Risk, and Quality committee members asking hard questions about AI oversight
Quality & Risk Triads
Compliance, Legal, and Quality leaders who need governance frameworks that work
40+ Years of Healthcare Infrastructure Experience

Teresa Younkin, MSHI
CEO & Co-Founder
AI Governance & Healthcare Strategy
20+ years translating complex AI and interoperability concepts into executive-ready strategies. HL7 Da Vinci contributor. Leadership in health data governance, federal programs, and organizational change.

Jim Younkin, MBA, FACHDM
CTO & Co-Founder
Federal Health IT & AI Systems Architect
30+ years building healthcare infrastructure — from pioneering one of the nation's largest HIEs to leading AI implementation projects for ONC/ASTP. Deep expertise in what 'reasonable oversight' looks like at scale.
Ready to Build Governance Boards Can Defend?
Start with a conversation. No pitch, no pressure — just clarity on what your organization needs.
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