AI is already in your practice. Who decides what it does, and who answers when it gets it wrong?Your practice management system added AI scheduling in a routine update. Your imaging software flags findings now. Your patient portal has a chatbot. And someone at your front desk may be pasting patient details into a free AI tool to write a better insurance appeal. Nobody brought these decisions to you, because nobody knew they were decisions.AI can multiply your decisions. It cannot multiply the people prepared to answer for them. When something goes wrong, the cost doesn't land in the conference room. It lands on the assistant, the front desk, the clinician, and the patient. Upstream gaps create downstream costs, and those costs always land on the people closest to the work or the patient.Before You Trust It is a practical governance guide for healthcare and dental leaders who want AI to make their practice safer, not just faster. Renee C. Portee draws on thirty years in healthcare, from Army combat medic to dental and medical office manager to fifteen years inside the VA, to show you the decisions that have to be made before you trust AI, and the ones that have to keep being made once you do.Inside, you'll learn how to:Find every AI tool already running in your practice, including the features vendors added to software you already pay forScore your practice against the Fifteen Pillars of AI governance and know exactly where to startBring new AI in with staff voice, patient impact, rollout discipline, and training built in from the startDecide who can approve a tool, who can stop it, and how much human review its output needsGive staff a clear escalation path for the moment AI gets it wrongProve what your AI did, trace where your patient data goes, and stay aligned as the rules keep changingLead through the pressure without avoiding the hard calls or handing everything to compliance Built to be used, not just read:A one-page framework map and a fifteen-question scorecardA Monday Morning Move and a Diagnostic near the end of most chaptersThe full 45-question Fifteen Pillars AssessmentA worked example that follows one AI scribe through every key document, filled in, plus the smallest version a solo practice can start withA one-page governance charter you can write and sign this week You don't need technical knowledge. You need the authority to make decisions and the honesty to see your practice the way your staff experience it.For practice owners, dentists, physicians, practice managers, operations leaders, compliance officers, and anyone responsible for how AI comes into a healthcare or dental organization and how it's governed once it's there.Trust is a decision you make on evidence. Without evidence, it's just hope. And hope is not a control.Make the decisions before you trust it.
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