Abstract
AI governance ensures responsible use of AI through rules, processes, and technological tools. Implementing AI governance in healthcare delivery organizations (HDOs) requires understanding necessary capabilities and assessing readiness. This study introduces the scalable People, Process, Technology, and Operations (PPTO) framework-adapted from the People, Process, Technology (PPT) model-to guide governance across key domains. The PPTO framework offers a systematic roadmap for safe, effective, and equitable AI adoption in HDOs.