The Shadow AI Reckoning| Governance Infrastructure for the 2026-2027 Compliance Cascade
You updated your NPP. Leadership thinks you’re compliant.
But here’s the question nobody asked: Can you actually document which AI systems are touching the data you just made promises about?
Because, the updated HIPAA Security Rule gets finalized—requiring comprehensive asset inventories, mandatory annual compliance audits, and written documentation of every implementation specification.
And mid-sized health systems can’t throw consulting firms at this problem in Q4 2026 and expect functional governance by the time enforcement begins in 2027.
This training is for the 30 CMIOs who understand:
→ February 16 was a governance test most organizations failed without realizing it
→ Shadow AI (the tools IT doesn’t know about) is about to become a compliance crisis
→ You can’t bolt governance onto chaos when OCR shows up asking for your annual audit
→ Infrastructure built before May beats panic bought in November
You’ll walk away with operational systems, not strategy decks:
∙ Shadow AI identification protocol (the foundation for asset inventory compliance)
∙ Risk stratification framework (because not all AI requires the same governance)
∙ Documentation templates that satisfy both state disclosure laws AND federal audit requirements
∙ Implementation timeline mapped to actual regulatory deadlines
The Timeline That’s Critical For You:
May 2026: Security Rule finalizedLate 2026: 240-day compliance countdown beginsQ1 2027: First mandatory annual auditsQ2 2027: OCR enforcement starts
The window to build infrastructure instead of buying panic is closing.
This isn’t about AI strategy. It’s about operational readiness for regulatory mandates already in motion.
Limited seats. For leaders who know systems beat scrambling.
Who This Is For:
∙ CMIOs at mid-sized health systems (100-500 beds)
∙ Clinical informatics directors managing AI tool proliferation
∙ Compliance leaders who know February 16 revealed gaps they need to fix
Who This Isn’t For:
∙ Organizations waiting for “clear guidance” before acting
∙ Leaders looking for motivational content instead of operational frameworks
∙ Anyone who thinks they can handle 2027 audits with spreadsheets started in Q4 2026
Registration closes when capacity is reached.