Clinical AI Defines Extrinsic Trust Contractual Promises

In a 2026 viewpoint, Anthony Kelly proposes a contractual framework to operationalize extrinsic trust in clinical AI. He defines three promises—reliability, scope and equity, and shift and uncertainty—and outlines a minimum evidence package, verification roles, and governance for deployment. The framework aims to help health systems generate structured validation evidence and monitoring to enable accountable, safe clinical AI adoption.