7. When AI Fails Silently: What Healthcare Leaders and Accreditors Must Confront

Artificial intelligence is already embedded in healthcare systems across the country. But here is the uncomfortable reality: most organizations lack the infrastructure to detect when that AI is failing.

In this episode of Accreditation Insights, we sit down with Richard G. Greenhill, Principal and Founder of SmartSigma AI, to examine what he calls Silent Performance Failure™​, a critical and often invisible risk in AI-enabled healthcare environments.

We explore:
• Why AI governance is lagging behind deployment
• The risks to patient safety and institutional accountability
• What accreditors and boards should be asking right now
• How health systems can begin to operationalize oversight

This is not just a technology conversation. It is a governance, quality, and trust issue.

If you are leading, regulating, or evaluating organizations where AI is already in use, this is a discussion you cannot afford to miss.

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