Guardrails for Health AI: How, Why and When

Originally broadcast February 6, 2025

Artificial intelligence is revolutionizing health care—but how do we ensure it’s safe, effective, and responsible? Dr. Brian Anderson, CEO of the Coalition for Health AI (CHAI), explains to “Conversations on Health Care” how his organization is working to establish clear guidelines for responsible AI in health care.

Formed in 2021 during the pandemic, CHAI has grown from eight organizations to nearly 3,000, bringing together healthcare leaders, tech companies, and policymakers to build industry-wide best practices. A key achievement is development of a draft Framework for Responsible Health AI, which includes an AI Assurance Standards Guide—a critical step in setting transparency and accountability benchmarks for AI tools.

“I think there are a lot of challenges in the AI ecosystem right now,” Dr. Anderson tells hosts Mark Masselli and Margaret Flinter. “One of them certainly is trust in the healthcare space. You look at survey after survey – people broadly in society don’t trust AI with really consequential decisions like those that we face in healthcare.”

Of particular interest to the community health center sector is the news that Dr. Kyu (“Q”) Rhee, CEO of the National Association of Community Health Centers, is joining the CHAI board.

Dr. Anderson compared AI transparency to food labeling: just as consumers expect to know what’s in their food, healthcare providers need clear disclosures about AI models—what data they were trained on, their limitations, and their suitability for different patients. CHAI’s proposed AI Nutrition Label aims to provide exactly that level of insight, helping health systems make informed decisions about AI deployment.

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