Policy Governance
Your clinical policies enforced at the infrastructure level. Every escalation rule followed. Every workflow triggered correctly. Every conversation auditable. Every action traceable.
Your Policies Exist. Your Systems Don't Enforce Them.
Every healthcare organization has clinical policies, escalation procedures, and operational rules. They live in binders, SharePoint folders, and training decks. But when AI handles thousands of patient conversations per hour, how do you ensure it follows the rules? Manual review doesn't scale. After-the-fact audits find problems too late. You need governance built into infrastructure — policies enforced automatically, every time, without exception.
Governance Capabilities
Your Rules. Automatically Enforced.
Define policies in plain language. The platform enforces them in every conversation, every workflow, every decision.
- Escalation Rules
- Chest pain mentioned? Route to clinical staff immediately. Cost barrier detected? Task for financial counselor. Confusion about medication? Transfer to pharmacist. Your escalation logic, executed automatically.
- Workflow Triggers
- Refill confirmed triggers 90-day follow-up. Appointment scheduled updates care gap status. Barrier identified creates task. Every conversation outcome drives the next action according to your protocols.
- Consent Management
- Consent tracked per patient, per channel. Opt-outs processed immediately. Preferences honored across all communications. Never contact a patient who's said no.
- Time-Based Rules
- No calls before 9 AM local time. No weekend outreach for non-urgent matters. Holiday blackouts respected. Your calling policies enforced automatically.
- Priority Stratification
- High-risk patients first. Quality measure deadlines respected. Resource constraints balanced. The platform triages your entire population according to your priorities.
- Role-Based Access
- Pharmacists see medication data. Care managers see care gaps. Administrators see operations. Everyone sees exactly what they need — nothing more, nothing less.
How It Works
Define Once. Enforce Everywhere.
Clinical leadership defines policies in plain language: "If a patient mentions suicidal thoughts, immediately transfer to crisis counselor and notify care manager." The platform translates this into enforceable rules.
Every conversation, every workflow, every automated decision checks against your policy layer. No exceptions, no drift, no "I didn't know that was the rule." Enforcement is automatic and consistent.
When policies change, update once and every conversation instantly follows the new rules. No retraining AI models. No updating scripts. No hoping staff remembers the memo.
- Plain Language Rules No coding required to define policies
- Instant Enforcement Changes apply to all conversations immediately
- Zero Drift Policies enforced consistently, every time
Complete Auditability
Every Action Traceable. Every Decision Explainable.
When questions arise, you have answers.
AI in healthcare creates accountability questions. How do you explain why the system made a specific decision? How do you prove it followed the rules? How do you demonstrate consistent behavior across millions of interactions?
The governance layer logs everything. Not just what happened, but why. Which policy triggered the action. What data informed the decision. What alternatives were considered. Audit any conversation. Explain any outcome. Export records for any review.
- Decision Logging Complete record of AI reasoning
- Policy Attribution Which rules drove each action
- Exportable Records Ready for any audit or review
Governance at Scale
Enterprise Governance Without Enterprise Overhead
- 100%
- Policy Enforcement
- of conversations governed
- Instant
- Rule Changes
- deployment of policy updates
- Complete
- Decision Logging
- audit trail for every action
- Built-in
- Version Control
- track policy changes over time
Your Organization's Rules
Governance That Fits Your Reality
Every organization is different. Academic medical centers have different rules than community practices. Large payers have different policies than regional plans. Your governance layer reflects your specific requirements.
Configure rules per department, per location, per patient population. Clinical pharmacists have different escalation thresholds than retail pharmacists. Care managers in Florida follow different protocols than those in Texas.
Inheritance and override patterns let you set enterprise defaults while allowing local customization. Central control where you need consistency. Flexibility where you need it.
- Multi-Level Rules Enterprise, department, location, team
- Inheritance Patterns Set defaults, allow exceptions
- Version History Track every policy change over time
See Governance in Action
30-minute walkthrough with our team. See how your clinical policies become enforceable infrastructure.