Medigram, Inc.
Medigram provides governance and evidence infrastructure for healthcare AI, enabling hospitals to track, verify, and preserve audit trails for consequential AI-driven clinical decisions. The platform creates governed decision records at the point of care, designed for mobile workforces, and helps institutions meet NIST CSF Tier 3 governance standards while addressing emerging D&O insurance underwriting requirements.
- Regulatory & Compliance Technology
- Healthcare Technology
- Digital Health
- Software Only
Funding
Founders
Founder details are not available yet.
Product
Problem
Hospitals are deploying AI they don't control, generating data they don't own, and creating liability they can't defend. Vendor AI runs in third-party clouds, so audit trails sit outside the institution and decisions cannot be reconstructed during litigation. When connectivity fails, oversight fails with it, and most institutions do not own the evidence they would need to defend themselves.
Solution
Medigram provides a governance and evidence platform that creates a governed record at the moment and place a consequential AI-influenced decision is made. The platform captures what informed the call, what the system was permitted to contribute, and the accountable authority who owned it, sealed contemporaneously rather than reconstructed later. Evidence sits on the institution's premises and under its keys, ensuring the organization generates, stores, and controls its own governance data. The solution supports mobile workforces, allowing physicians to document decisions from a sideline, training room, or hospital floor using only a phone. Medigram enables hospitals to demonstrate control over AI decisions, meet NIST CSF Tier 3 governance standards, and prepare for D&O insurance carriers moving from AI-risk questionnaires toward explicit governance requirements.
Target Audience
Primary customers are hospitals and health systems deploying AI for clinical decisions, along with physicians who carry malpractice liability for AI-influenced care and need audit trails they can validate. The platform also serves risk management and legal teams preparing for D&O underwriting scrutiny.
Features
- Governed Decision Records that capture decision inputs, system permissions, and accountable authority at the point of care, sealed contemporaneously
- On-premises evidence storage under the institution's control, preventing governance data from leaving the organization's jurisdiction
- Mobile-first design supporting documentation from any location with a phone as the only computer present
- Hold capability that preserves the record when inputs are insufficient, rather than guessing, with the hold itself recorded
- Alignment with NIST CSF Tier 3 (Repeatable) governance maturity standards
- Support for reconstructing AI actions during litigation, grievances, or committee reviews with contemporaneous evidence