AI Policy Template for Healthcare Practices
Healthcare practices face the strictest AI constraints of any industry: HIPAA applies to every AI tool that touches patient information, and the popular consumer chatbots don't offer Business Associate Agreements on free plans. Meanwhile AI scribes, billing assistants, and patient-message drafting are becoming standard. The gap between what staff are already doing and what's legally permitted is exactly what a written AI policy closes.
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AI risks specific to healthcare practices
- Pasting patient details into a chatbot without a BAA is a HIPAA violation, even if names are removed carelessly
- AI scribes and transcription tools record PHI and need vendor agreements before use
- Clinical decisions influenced by AI output require documented clinician review
- Patients may need to be informed when AI tools participate in their care or communications
Compliance requirements your policy must address
HIPAA
Protected health information (PHI) as defined by HIPAA must never be entered into any AI tool unless the Company has a signed Business Associate Agreement (BAA) with the tool vendor and the tool has been explicitly approved for PHI by management. Employees must treat any patient or health-related information as PHI unless told otherwise.
AI Governance and Billing Integrity
AI tools that create, receive, maintain, or transmit PHI must be included in the Company's HIPAA security risk analysis and technology asset inventory; a vendor's own security or compliance claims do not substitute for the Company's own risk assessment. Decision-support or predictive tools used in patient care, including those built into certified electronic health record systems, are subject to the Section 1557 prohibition on discrimination on the basis of race, color, national origin, sex, age, or disability, and the Company will make reasonable efforts to identify and mitigate that risk before and during their use. Any AI-generated clinical note, code, diagnosis prompt, or billing suggestion, including prompts to add risk-adjusting diagnoses, must be reviewed and confirmed by the treating clinician before it affects a medical record or a submitted claim; federal enforcement authorities have identified AI-influenced documentation and coding as an active enforcement priority, and accepting an AI-generated suggestion without independent clinical verification is not a defense in a billing integrity review.
Patient Notice and AI Scribe Consent
Before an ambient AI scribe or any other tool records, transcribes, or summarizes a patient encounter, the patient must be told what the tool does and must agree to its use, and that consent must be documented; a patient who declines is seen and documented without the tool. Where state law requires it, patients must be informed when AI is used in their care or in communications sent to them, and any AI-drafted patient communication must be reviewed by a clinician before it is sent. Recordings and transcripts are retained only as long as the approved tool's agreement and the Company's record-retention rules allow.
What a complete AI policy for healthcare practices includes
- Purpose, scope, and who the policy covers (employees, contractors, volunteers)
- Approved AI tools and the process for approving new ones
- Acceptable uses — and the prohibited list, including data that must never enter prompts
- Privacy-law clauses for your jurisdictions (GDPR, EU AI Act, CCPA, PIPEDA) plus HIPAA and AI Governance and Billing Integrity and Patient Notice and AI Scribe Consent requirements
- Human review and accountability rules for AI output
- Incident reporting, enforcement, and annual review
Frequently asked questions
- Can we use ChatGPT with patient information?
- Only if you have a BAA with the vendor and the specific service is covered by it — which is not the case for consumer ChatGPT plans. Your policy should name the approved tools and prohibit PHI everywhere else.
- Do AI scribes need to be in the policy?
- Absolutely. Ambient scribes record entire patient encounters. The policy should require a BAA, patient notice where required by state law, and clinician review of every AI-generated note.
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Related guides
- CPSO AI Policy Template: What Ontario Medical Clinics Need in Writing (2026)
- CPSA AI Policy Template: What Alberta Clinics Need Under the HIA (2026)