Who Owns What?
Accountability is only meaningful where it matches the authority to act. Most governance failures in healthcare AI are not failures of intent; they are failures of boundary, where responsibility was assigned to parties who never held the authority, access, or capability to discharge it. So we state the boundaries plainly.
What each party owns
- TTIC. The conditions and mechanisms within its agency: the requirements, the evidence expectations, the standards work, and the trusted networks that connect them. TTIC does not implement, endorse, score investments, or make the decision, and it is neither a training nor an education entity.
- Institutions. Deployment and operating decisions, their performance, and their outcomes. Inside the institution, every function owns the evidence of its own performance: clinical, technical, security, legal and governance, operational, and financial. The chief financial officer gates the capital that follows the evidence of every function.
- Investors. Diligence and capital allocation, including what unresolved requirements mean for risk, cost, timing, and value.
- Companies. Execution and remediation.
A named owner, not a committee
In every case, a named accountable owner holds the outcome. Not a committee, not a technology, not a vendor.
What we do not claim
We work within these boundaries and do not claim what lies outside them: the behavior, influence, access, networks, and skillsets of parties beyond our own. That restraint is not a limitation of the vision. It is what makes every claim inside the boundary one we can stand behind.
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- Published by
- Trustworthy Technology & Innovation Consortium (TTIC)
- Author
- By Sherri Douville, Founder & Chair, Trustworthy Technology & Innovation Consortium (TTIC)
- Originally published
- Last updated
- Canonical resource
- https://trustworthytechnologyinnovation.com/answers/who-owns-what/
Provenance: This resource is an original practitioner architecture from the Trustworthy Technology & Innovation Consortium (TTIC), developed to operationalize healthcare AI governance standards into institutional practice. External standards and source materials are cited separately.
Cite this resource
Sherri Douville. “Who Owns What.” Trustworthy Technology & Innovation Consortium (TTIC), 2026. https://trustworthytechnologyinnovation.com/answers/who-owns-what/.