# TRIAH — Trust & Ratings for AI in Healthcare

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> TRIAH is the independent standard for trust in healthcare AI. We certify, validate, and continuously monitor AI products used in clinical and healthcare-operational settings so patients, providers, and regulators can rely on them with confidence.

TRIAH (Trust & Ratings for AI in Healthcare) operates as an independent third party — unaffiliated with AI vendors — to evaluate healthcare AI products against a rigorous, transparent framework called the **8 Standards of Validation**.

## What TRIAH Does

TRIAH offers four service lines:
- **Product Evaluation & Certification** for healthcare AI vendors, awarding tiered badges (Platinum, Gold, Silver, Bronze) that reflect compliance with the 8 Standards. Includes continuous monitoring to maintain the awarded tier.
- **Advisement** — pre-validation readiness reviews, governance framework design, and regulatory strategy aligned to FDA, HIPAA, and state requirements.
- **Policy & Procedure** — audit-ready AI policies, risk frameworks, and standard operating procedures for healthcare organizations.
- **AI Marketplace** — a curated platform of TRIAH-certified products, with full evaluation scores visible, so health systems can shortcut vendor diligence.

## The 8 Standards of Validation

TRIAH evaluates healthcare AI products across eight critical dimensions:

1. **Regulatory compliance** — alignment with FDA, CE, HIPAA, and applicable health regulations
2. **Integrability** — interoperability with EHR systems via HL7, FHIR, and other clinical data standards
3. **Statistical validity** — rigor of model performance, generalizability, and continuous validation
4. **Clinical validity** — evidence-based grounding in real-world clinical outcomes
5. **Ethics and bias monitoring** — equitable access, fairness audits, demographic performance parity
6. **Human oversight** — preservation of clinician decision authority; AI augments rather than replaces judgment
7. **Transparency** — explainability of model behavior to clinicians and patients
8. **Security and privacy** — protection of patient health information and operational integrity

## Certification Tiers

- **Platinum** — Exceptional compliance across all 8 standards
- **Gold** — Strong compliance with minor gaps
- **Silver** — Solid foundation with identified improvement areas
- **Bronze** — Baseline trustworthiness; pathway for advancement

Tiers are visible to healthcare organizations and patients, and products may be re-evaluated to advance tiers over time.

## Core Values

- **Independence** — no commercial ties to AI vendors being evaluated
- **Clinical evidence** — grounded in medical standards and real-world outcomes
- **Human-centric AI** — AI augments, never replaces, clinical judgment
- **Transparency** — open methodology and clear reporting
- **Continuous assurance** — validation is ongoing, not one-time

## Validation Process

1. **Intake & Discovery** — TRIAH tailors the evaluation framework to the AI product's specific clinical context
2. **Documentation Deep-Dive** — comprehensive technical and clinical review
3. **Evaluation Against the 8 Standards** — rigorous independent assessment
4. **Certification** — tier awarded based on overall compliance
5. **Lifecycle Stewardship** — continuous monitoring and re-validation

## Who TRIAH Serves

- **AI vendors** building products for healthcare who want independent certification and a competitive trust signal
- **Healthcare organizations** (hospitals, health systems, payers) seeking to adopt AI safely and find vetted solutions
- **Patients** who deserve confidence that the AI involved in their care meets independent standards
- **Regulators** seeking a trusted independent benchmark for healthcare AI

## Key Pages

- Home: https://triah.ai/
- Mission: https://triah.ai/mission
- Core Values: https://triah.ai/values
- The 8 Standards: https://triah.ai/standards
- Service Offerings: https://triah.ai/offerings
- Validation Process: https://triah.ai/process
- Certification Tiers: https://triah.ai/certifications
- Contact / Get Certified: https://triah.ai/contact

## Contact

For AI product certification inquiries, healthcare organization advisement, or general questions: visit https://triah.ai/contact or email contact@triah.ai