Shaping the future of healthcare in British Columbia: Establishing provincial clinical governance for responsible deployment of artificial intelligence tools.

Journal: Healthcare management forum
Published Date:

Abstract

As healthcare embraces the transformative potential of Artificial Intelligence (AI), it is imperative to safeguard patient and provider safety, equity, and trust in the healthcare system. This article outlines the approach taken by the British Columbia (BC) Provincial Health Services Authority (PHSA) to establish clinical governance for the responsible deployment of AI tools in healthcare. Leveraging its province-wide mandate and expertise, PHSA establishes the infrastructure and processes to proactively and systematically intake, assess, prioritize, and evaluate AI tools. PHSA proposes a coordinated approach in AI tool deployment in collaboration with regional health authorities to prevent duplication of efforts and ensure equitable access to existing and emerging AI tools across the province of BC, incorporating principles of anti-Indigenous racism, cultural safety, and humility. The proposed governance structure underscores the identification of clinical needs, proactive ethics review, rigorous risk assessment, data validation, transparent communication, provider training, and ongoing evaluation to ensure success.

Authors

  • Angel Arnaout
    Provincial Health Services Agency, Vancouver, British Columbia, Canada.
  • Prabjot Gill
    Provincial Health Services Agency, Vancouver, British Columbia, Canada.
  • Alice Virani
    Provincial Health Services Agency, Vancouver, British Columbia, Canada.
  • Alexandra Flatt
    Provincial Health Services Agency, Vancouver, British Columbia, Canada.
  • Natasha Prodan-Balla
    Provincial Health Services Agency, Vancouver, British Columbia, Canada.
  • David Byres
    Provincial Health Services Agency, Vancouver, British Columbia, Canada.
  • Megan Stowe
    Provincial Health Services Agency, Vancouver, British Columbia, Canada.
  • Alireza Saremi
    Provincial Health Services Agency, Vancouver, British Columbia, Canada.
  • Michael Coss
    Provincial Health Services Agency, Vancouver, British Columbia, Canada.
  • Michael Tatto
    Provincial Health Services Agency, Vancouver, British Columbia, Canada.
  • May Tuason
    Provincial Health Services Agency, Vancouver, British Columbia, Canada.
  • Shannon Malovec
    Provincial Health Services Agency, Vancouver, British Columbia, Canada.
  • Sean Virani
    Provincial Health Services Agency, Vancouver, British Columbia, Canada.