See every AI model running in your hospital,
before it surprises you.

Hospitals are running clinical AI from a dozen vendors. Lattice watches all of it and delivers a signed report every morning: drift, fairness, safety posture, and what your radiologists actually think. Not another dashboard nobody opens.

lattice · daily governance report · 07:00
Models monitored
14
Drift (PSI)
0.21
Fairness disparity
Pass
Confidence distribution · chest X-ray triage (last 24h)
Supported by Y Combinator IHE-aligned HIPAA-safe egress
Why this matters

Clinical AI is already in production.
The oversight isn't.

A modern hospital runs imaging triage, sepsis prediction, and documentation models from multiple vendors. Each one quietly drifts, updates, and makes decisions a patient may one day question. Today, almost no one can see the whole picture.

Models you can't see

Vendor AI runs inside the PACS and EHR with no shared view of accuracy, drift, or how often it's wrong for specific patient groups.

Silent updates

A vendor can swap the model behind an API overnight. Performance shifts and the hospital is the last to know, until a reader notices.

Evidence on demand

When compliance, counsel, or a regulator asks "what was this model doing on that date?", the answer takes weeks to assemble, if it can be assembled at all.

The deliverable

A signed report in the right inbox at 7am.

Leadership doesn't log into SaaS; they read email. Lattice ships one PDF per role, sized for that role, cryptographically signed so it can be trusted three forwards deep. Anyone can verify it offline.

IT Director

  • Alerts fired and acknowledged in the last 24 hours
  • Latency p95 vs. target, per model
  • Vendor-silently-updated detector
  • Posture changes in the period

CMIO & CIO

  • Drift (PSI) by model, with baseline comparison
  • Subgroup fairness: HHS §1557 disparity
  • Radiologist thumbs-up / thumbs-down rollup
  • Selection-bias caveat in plain language

Compliance Officer

  • Continuous posture: ARCH-AI, Assess-AI, ONC HTI-1
  • FDA PCCP envelope status + breach detection
  • Evidence packets with chain-of-custody
  • US state-law disclosure obligations
What makes it different

Three things no dashboard gives you.

01

Signed reports, not a dashboard

Leadership reads email, not SaaS. Lattice ships a per-role signed PDF every morning, and a missed day is an SLA event. The CMIO never has to scroll past the IT director's alert log to reach the clinical signal.

02

The radiologist's voice, built in

Every AI result carries a one-click thumbs-up / thumbs-down. That feedback becomes the next morning's "readers are pushing back on this model" finding, model-level aggregate only, so individual labor data stays private by design.

03

Verifiable offline, by anyone

Every signed artifact verifies with standard tooling against your institution's published public key. No Lattice infrastructure required. When a report travels three forwards deep, the signature is how trust gets re-anchored.

How it works

Sits beside your stack.
Touches no PHI on the wire.

Lattice reads the signals your AI already emits, measures what matters, and turns it into evidence, without changing how your clinicians work.

01 · Ingest

Tap existing feeds

HL7 and DICOM signals from the models you already run, no rip-and-replace.

02 · Measure

Drift & fairness

Continuous PSI, subgroup disparity, latency, and silent-update detection.

03 · Report

Sign & deliver

Per-role PDFs signed with the institution's key, sent to the right inbox.

04 · Prove

Evidence on demand

Chain-of-custody packets, ready when compliance or counsel asks.

Built for the constraints

Standards-aligned.
No marketing security.

Public design records document what's enforced cryptographically versus procedurally, so your IT, legal, and clinical teams can trust the claims.

IHE-aligned

UPS-RS work-list status, AI-Results, and ERA classification, predictable shapes for PACS and EHR teams.

HIPAA-safe egress

PHI redactor with strict-mode default; a loud failure blocks the entire batch before anything leaves the wire.

HHS §1557 + FDA PCCP

Subgroup fairness disparity reporting and PCCP envelopes with automatic breach detection.

Air-gap friendly

Deterministic narration is a first-class path. No external API is required for the core workflow.

IT-friendly alerting

Email, Microsoft Teams, and SMS, not PagerDuty. One-click signed acknowledgment from the message.

Silent-drift detector

Statistical tests on confidence distributions catch vendors swapping models out from under you.

Liability evidence

Signed, chain-of-custody, transparency-log-anchored bundles for any decision under later scrutiny.

Standards-honest

Public ADRs separate what is enforced in code from what is procedure. Nothing oversold.

Security by design

Your data never leaves your control.

Lattice is built for compliance-first environments. The hard guarantees are cryptographic, not promises in a slide.

Runs inside your network

Deploy on-prem or in your private cloud. PHI stays behind your firewall. Lattice works with signals, not patient records.

Per-institution signing key

Every report and evidence packet is signed with your own private signing key. The public key is yours to publish and verify against.

Verify with no vendor

Counsel can confirm any artifact offline with standard open-source tooling, no Lattice account, server, or internet connection.

Ready to see what your AI is actually doing?

If you run clinical AI in production and want oversight your leadership will actually read, let's set up a pilot.

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