PRISM-EQ™

A Governance-First Framework for Equitable, Audit-Ready AI in Healthcare

PRISM-EQ™ (Proactive Regulatory Intelligence and Safety Monitoring for Equitable Quality) is a conceptual governance framework aligned with established healthcare expectations, including CMS Quality Assessment and Performance Improvement requirements, Joint Commission Leadership and Performance Improvement standards, AHRQ safety science, and emerging AI governance guidance such as the NIST AI Risk Management Framework, ISO/IEC 42001, ONC transparency requirements, and FDA lifecycle oversight concepts.

PRISM-EQ is not a software product or prescriptive implementation methodology. It is intended to support healthcare leaders by equipping them to govern AI responsibly while remaining audit-ready and equity-focused.

Figure 1. Governance Risk Accumulation Across the AI Adoption Lifecycle. Conceptual illustration adapting adoption-stage terminology from diffusion of innovation theory (Rogers) and technology adoption literature (Moore) to highlight governance and regulatory risk in healthcare AI deployment. This figure is illustrative and does not represent empirical measurements.