CANON Named Owner Principle · every AI deployment requires two named persons in the audit trail, a Governance Owner and a Decision Owner, not one substituting for the other WORKING PAPER №01 The handoff that isn’t · how clinical AI escapes accountability · Mo Johnson, MD MBA EVIDENCE Duke-Margolis 2026 · most US health systems have not named who owns the clinical AI decision when something goes wrong CANON Layer 4 · Clinical AI Governance at the bedside · the layer where the named owner has to live FRAMEWORK Clinical AI Accountability Canvas™ · the diagnostic framework distinguishing Clinical AI Governance from General AI Governance EVIDENCE Stanford MedAgentBench · agentic systems already executing clinical recommendations without a named adjudicator on the chart CANON The Two Inputs · internal data the institution audits · external data the model was trained on, rarely audited at the deployment site CITATION MedicoVigilance™ Issue 6 · The Layer With No Name · 1,627 institutional subscribers CANON The Accountability Gap™ · the structural failure point where AI stops and the named owner starts FRAMEWORK Mind the 9 Blocks™ · the nine institutional blocks that must be in place before clinical AI deployment EVIDENCE npj Digital Medicine · the four-layer governance cascade · most institutions have built the first two layers and left Layer 4 unbuilt FRAMEWORK The Accountability Gap™ (TAG™) · two seats, one handoff, any regulated sector · clinical AI and financial AI WORKING PAPER №02 The seam · how a bank's automated triage system closed the alerts nobody read · Mo Johnson, MD MBA FRAMEWORK The Accountability Canvas · nine blocks, one Gap Score™, any regulated deployment · clinical AI and financial AI PORTFOLIO GPe Research · adjudication infrastructure for regulated sectors, in clinical AI and financial AI. CANON Named Owner Principle · every AI deployment requires two named persons in the audit trail, a Governance Owner and a Decision Owner, not one substituting for the other WORKING PAPER №01 The handoff that isn’t · how clinical AI escapes accountability · Mo Johnson, MD MBA EVIDENCE Duke-Margolis 2026 · most US health systems have not named who owns the clinical AI decision when something goes wrong CANON Layer 4 · Clinical AI Governance at the bedside · the layer where the named owner has to live FRAMEWORK Clinical AI Accountability Canvas™ · the diagnostic framework distinguishing Clinical AI Governance from General AI Governance EVIDENCE Stanford MedAgentBench · agentic systems already executing clinical recommendations without a named adjudicator on the chart CANON The Two Inputs · internal data the institution audits · external data the model was trained on, rarely audited at the deployment site CITATION MedicoVigilance™ Issue 6 · The Layer With No Name · 1,627 institutional subscribers CANON The Accountability Gap™ · the structural failure point where AI stops and the named owner starts FRAMEWORK Mind the 9 Blocks™ · the nine institutional blocks that must be in place before clinical AI deployment EVIDENCE npj Digital Medicine · the four-layer governance cascade · most institutions have built the first two layers and left Layer 4 unbuilt FRAMEWORK The Accountability Gap™ (TAG™) · two seats, one handoff, any regulated sector · clinical AI and financial AI WORKING PAPER №02 The seam · how a bank's automated triage system closed the alerts nobody read · Mo Johnson, MD MBA FRAMEWORK The Accountability Canvas · nine blocks, one Gap Score™, any regulated deployment · clinical AI and financial AI PORTFOLIO GPe Research · adjudication infrastructure for regulated sectors, in clinical AI and financial AI.
TOPIC

Financial AI Governance

The accountability architecture for automated decision and monitoring systems in financial institutions, naming the Governance Owner and Decision Owner across triage, escalation, and review workflows.

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