Clinical governance
How clinical decisions are made on JhiOn.
A registered medical practitioner leads clinical governance. AI prepares; your doctor decides, signs and speaks to you. Everything is traceable.
The clinical lead
The clinical lead owns eligibility, protocol versions, escalation rules, clinical audit and incident review. A business lead cannot override a clinical decision.
The AI boundary
What AI does
- Classifies your reports
- Links every value to its page
- Drafts material for your doctor
Software never issues
- A diagnosis
- A prescription
- A dose change
- A test order
AI classifies your reports, links every value to its page, and drafts material for your doctor. Your doctor reviews it, decides and signs. Software never issues a diagnosis, prescription, dose change or test order.
Safeguards against rubber-stamping
A doctor who signs whatever the AI drafts is not reviewing it. These rules keep the review real.
- Review-rate limits: no doctor reviews more cases in a session than the Lead Doctor sets as safe.
- Sampled audits: a share of every doctor's signed decisions is re-read by the Lead Doctor.
- A second read on high-risk cases before anything is signed.
- Every edit a doctor makes to a draft is recorded with their name, the time and the reason.
Uploaded documents are treated as data, never as instructions.
Escalation paths
| Situation | What happens |
|---|---|
| Routine information | Your coordinator answers, with doctor-approved education. |
| New or worsening non-urgent finding | Doctor review within one working day during service hours. This is a service target, not a guarantee. |
| Urgent concern | Immediate on-screen direction to in-person urgent care, and the clinical escalation contact is notified. |
| Incomplete or conflicting record | Interpretation is blocked until the record is clarified. |
| Need for specialist care | A documented referral, with consent and a handover that is tracked. |
Every case has a named owner and a defined response. Urgent concerns are directed to in-person care, not managed by this service.
Quality review
- Every pilot baseline and plan change is reviewed.
- Sampled cases are audited weekly.
- Every serious incident is reviewed.
- Affected workflows are paused when a defect could cause harm.
For partner doctors and labs
- Prepared, source-linked summaries, so your consult starts at the decision.
- Documented consent for everything we share.
- No per-referral incentives.
- Verified credentials and signed service terms before any provider is listed.
I am a
- Doctor
- Laboratory
- Other
More good years, one 90-day plan at a time.
Join the Hyderabad pilot waitlist. We will confirm eligibility on a short call.
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