Open Access

Operationalizing CHAI: Translating Coalition for Health AI Governance Playbooks into Oracle Cloud ERP Controls

https://doi.org/10.55640/ijaair-v03i10-04

PDF

Srikanth Dasharadhi ¹ ,

⁴ Enterprise Technology Leader, Oracle Cloud ERP and Healthcare Modernization United States

Abstract

Healthcare organizations are enabling AI-embedded ERP features faster than governance rules are being written for them, and in mid-2026 the rules arrived faster than most solution architects expected. The Coalition for Health AI published eight governance playbooks on 27 May 2026, and five days later the Joint Commission opened its voluntary Responsible Use of AI in Healthcare certification, which means a surveyor can now ask a health system to demonstrate its AI governance rather than describe it. Neither document specifies which system setting enforces any of it, and arguably neither should, since both are written to apply across every vendor a health system might run. This paper closes that gap for one platform. Six governance domains running through the CHAI playbooks and RUAIH guidance, namely accountability, transparency, human oversight, pre-deployment risk assessment, continuous monitoring, and third-party risk, are each mapped to a control that already exists inside Oracle Cloud ERP: role-based security profiles, approval hierarchies, and the execution traceability introduced with Oracle's 2026 Fusion Agentic Applications and AI Agent Studio. The mapping is supported by a four-tier risk model that determines how much autonomy an agent may hold, an audit evidence model stating what a surveyor should be shown for each domain, and a six-step implementation sequence. The contribution is a practitioner synthesis drawn from Oracle Cloud ERP transformation programs in regulated health systems. It is not a controlled study, and no compliance outcome, audit finding rate, or certification result is reported or claimed.

Keywords

Coalition for Health AI, Oracle Cloud ERP, Fusion Agentic Applications, AI Agent Studio

References

Hooper, Lundy and Bookman LLP, "Joint Commission and the Coalition for Health AI (CHAI) Release Governance Frameworks to Address AI in Health Care," Sep. 29, 2025. [Online]. Available: https://hooperlundy.com/joint-commission-and-the-coalition-for-health-ai-chai-release-governance-frameworks-to-address-ai-in-health-care/

Joint Commission, "Joint Commission and Coalition for Health AI (CHAI) Release Initial Guidance to Support Responsible AI Adoption Across U.S. Health Systems," Sep. 17, 2025. [Online]. Available: https://www.jointcommission.org/en-us/knowledge-library/news/2025-09-jc-and-chai-release-initial-guidance-to-support-responsible-ai-adoption

Coalition for Health AI, "Coalition for Health AI (CHAI) Releases Comprehensive Governance Playbooks to Streamline AI Implementation for Health Systems," PR Newswire, May 27, 2026. [Online]. Available: https://www.prnewswire.com/news-releases/coalition-for-health-ai-chai-releases-comprehensive-governance-playbooks-to-streamline-ai-implementation-for-health-systems-302782394.html

Credo AI Advances AI Governance in Healthcare Through Coalition for Health AI (CHAI) Partnership," BusinessWire, Apr. 28, 2026. [Online]. Available: https://www.businesswire.com/news/home/20260428575394/en/Credo-AI-Advances-AI-Governance-in-Healthcare-Through-Coalition-for-Health-AI-CHAI-Partnership

S. Freeman, A. Wang, S. Saraf, E. Potts, A. McKimm, E. Coiera, and F. Magrabi, "Developing an AI Governance Framework for Safe and Responsible AI in Health Care Organizations: Protocol for a Multimethod Study," JMIR Research Protocols, vol. 14, 2025. doi: 10.2196/75702

Oracle Corp., "Oracle Introduces Fusion Agentic Applications," Oracle News, Mar. 24, 2026. [Online]. Available: https://www.oracle.com/news/announcement/oracle-introduces-fusion-agentic-applications-2026-03-24/

Oracle Corp., "Oracle Expands AI Agent Studio for Fusion Applications with Agentic Applications Builder and New Intelligent Workflow Tools," Oracle News, Mar. 24, 2026. [Online]. Available: https://www.oracle.com/news/announcement/oracle-expands-ai-agent-studio-for-fusion-applications-with-agentic-applications-builder-2026-03-24/

Oracle Corp., "Oracle Introduces Fusion Agentic Applications for Finance and Supply Chain," Oracle News, Apr. 9, 2026. [Online]. Available: https://www.oracle.com/news/announcement/oracle-introduces-fusion-agentic-applications-for-finance-and-supply-chain-2026-04-09/

Oracle Corp., "Oracle Adds New Fusion Agentic Applications to Help Customers Improve Supply Chain Performance," Oracle News, Jun. 29, 2026. [Online]. Available: https://www.oracle.com/news/announcement/oracle-adds-new-fusion-agentic-applications-to-help-customers-improve-supply-chain-performance-2026-06-29/

"26B Roadmaps, Agentic Apps for Finance, HR, SCM, and CX," The Fusion Insider, Oracle Blogs, May 15, 2026. [Online]. Available: https://blogs.oracle.com/fusioninsider/roadmaps

"Oracle Brings Governed AI Agents to Fusion Applications," TechWire Asia, Jul. 2026. [Online]. Available: https://techwireasia.com/2026/07/oracle-ai-agent-studio-fusion-applications/

Joint Commission, "Joint Commission Releases First of Its Kind, Exclusively Designed for Healthcare Organizations, Voluntary Responsible Use of AI in Healthcare Certification," Jun. 1, 2026. [Online]. Available: https://www.jointcommission.org/en-us/knowledge-library/news/2026-05-responsible-use-of-ai-in-healthcare-certification

National Institute of Standards and Technology, "Artificial Intelligence Risk Management Framework (AI RMF 1.0)," NIST AI 100-1, Jan. 2023. doi: 10.6028/NIST.AI.100-1

National Institute of Standards and Technology, "Artificial Intelligence Risk Management Framework: Generative Artificial Intelligence Profile," NIST AI 600-1, Jul. 2024. doi: 10.6028/NIST.AI.600-1

International Organization for Standardization and International Electrotechnical Commission, "ISO/IEC 42001:2023, Information technology, Artificial intelligence, Management system," ISO, Geneva, 2023.

International Organization for Standardization and International Electrotechnical Commission, "ISO/IEC 23894:2023, Information technology, Artificial intelligence, Guidance on risk management," ISO, Geneva, 2023.

J. R. Kuhn and S. G. Sutton, "Continuous Auditing in ERP System Environments: The Current State and Future Directions," Journal of Information Systems, vol. 24, no. 1, pp. 91-112, 2010. doi: 10.2308/jis.2010.24.1.91

K. Singh and P. J. Best, "Design and Implementation of Continuous Monitoring and Auditing in SAP Enterprise Resource Planning," International Journal of Auditing, vol. 19, no. 3, 2015. doi: 10.1111/ijau.12051

J. Cobbe, M. S. A. Lee, and J. Singh, "Reviewable Automated Decision-Making: A Framework for Accountable Algorithmic Systems," in Proc. 2021 ACM Conference on Fairness, Accountability, and Transparency (FAccT), 2021, pp. 598-609. doi: 10.1145/3442188.3445921

M. P. Sendak, M. Gao, N. Brajer, and S. Balu, "Presenting machine learning model information to clinical end users with model facts labels," npj Digital Medicine, vol. 3, no. 41, 2020. doi: 10.1038/s41746-020-0253-3

United States Department of Health and Human Services, "HIPAA Security Rule," 45 C.F.R. Part 164, Subparts A and C.

S. Dasharadhi, "Bounding Agent Autonomy in Regulated ERP Environments: A Risk-Tiered Control Model for Healthcare Finance and Supply Chain," companion paper, 2026. [Working title, pending author confirmation.]

Most read articles by the same author(s)

<< < 4 5 6 7 8 9 10 11 12 > >>

International Journal of Advanced Artificial Intelligence Research

Operationalizing CHAI: Translating Coalition for Health AI Governance Playbooks into Oracle Cloud ERP Controls

Abstract

Keywords

References

Most read articles by the same author(s)

Similar Articles