Monthly AI Monitoring Scorecard

Monthly AI Monitoring Scorecard

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Eight numbers to review each month after go-live

1. Clinician flag rate

What to track: How often clinicians report a wrong or unhelpful answer.

Warning sign: A sudden rise, or a rate near zero (which may mean people have stopped reporting).

2. Flags by severity tier 

What to track: Flags sorted using your severity scale.

Warning sign: Any Tier 1 (Unsafe) case, or Tier 2 cases rising.

3. “I don’t know” rate

What to track: How often it declines, and whether those declines were right.

Warning sign: A big shift in either direction after a content or system change.

4. Citation support rate 

What to track: In a monthly sample, how many cited passages truly support the claim.

Warning sign: Any decline from your baseline.

5. Test set results

What to track: Pass rate on your clinician-graded cases, re-run after every EHR, template, content or model change.

Warning sign: Fewer passes after a change nobody thought would matter.

6. Time to fix

What to track: Days from a flag to a resolved fix, by tier.

Warning sign: Flags sitting with no named owner.

7. Content freshness

What to track: Sources past their review date, and how fast approved updates reach the AI.

Warning sign: Overdue or withdrawn documents still in use.

8. Active use

What to track: Number of clinicians using it, and how often they override or ignore answers.

Warning sign: Use dropping after a bad experience.

Pro Tips:
  • Set your own thresholds from your first 90 days of data. A generic target won’t fit your setting.

  • Review the scorecard with a clinician and the content owner in the room, not just IT.