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Blockchain Enabled Governance Model for Enterprise Cloud Based AI and Machine Learning in Healthcare

Abstract

The rapid adoption of enterprise cloud infrastructures to deploy artificial intelligence (AI) and machine learning (ML) in healthcare has introduced unprecedented capabilities in predictive analytics, personalized medicine, and operational optimization. However, the integration of cloud-native AI systems within healthcare ecosystems presents critical governance challenges related to data privacy, algorithmic transparency, regulatory compliance, accountability, and trust. A blockchain-enabled governance model offers a decentralized, immutable, and auditable framework to address these concerns while enhancing interoperability and secure data exchange. By leveraging distributed ledger technology, smart contracts, and cryptographic validation mechanisms, healthcare enterprises can establish transparent consent management, secure data provenance tracking, automated regulatory enforcement, and trustworthy AI lifecycle management. This paper proposes a blockchain-enabled governance architecture tailored for enterprise cloud-based AI and ML systems in healthcare. It explores existing governance limitations, analyzes technological integration mechanisms, and presents a structured research methodology for implementation and evaluation. The model emphasizes compliance with healthcare regulations, ethical AI standards, and scalable enterprise deployment. Ultimately, this governance framework aims to foster trust among stakeholders—including patients, clinicians, regulators, and technology providers—while supporting innovation, accountability, and clinical excellence in cloud-driven healthcare ecosystems.

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