Your AI is live. Your compliance program is catching up.

Build the governance baseline. Train your staff to it. Monitor what changes after. Structured AI compliance advisory for healthcare organizations that need a real governance program, not a template library, not a platform seat.

Your nursing supervisor used ChatGPT to draft a patient communication last month. She included patient details she didn't think twice about. Nobody told her not to. That is not a training failure. It is a governance failure: the policy that should have told her wasn't written yet, and the training that should have anchored it didn't exist. Rote starts with the foundation.

The ladder. Four engagements in sequence.

Each engagement builds on the one before it. Each delivers more when the prior step is in place.

01 / Snapshot
Know where your program stands today

The AI Readiness Snapshot is free. It places your organization on Rote's AI compliance maturity matrix and recommends the right engagement for your situation.

02 / Baseline
Establish your full compliance posture

The AI Compliance Baseline reviews all vendor relationships, analyzes your organizational documents against HIPAA requirements, and delivers a documented compliance posture.

03 / Program
Build the risk register and remediation roadmap

The AI Risk & Compliance Program acts on what the Baseline found. It delivers the risk register, the remediation roadmap, and board-ready documentation, plus direct advisory time.

04 / Partner
Stay current as regulations and AI tooling evolve

AI Governance Partner provides ongoing advisory, continuous vendor review coverage, quarterly posture reports, and an annual program reassessment, so the program you built stays current.

The ladder and an on-demand service.

Four engagements in sequence, plus an on-demand analytical service available at any stage.

01
AI Readiness Snapshot
"We're not sure where we stand or which service fits."

Structured maturity self-assessment. Delivers a maturity score, stage classification, and routing recommendation to the right engagement. The starting point before any paid engagement.

Free
Complimentary during launch (a $3,500 value)
See details →
02
AI Compliance Baseline
"We need to understand our full compliance posture across all vendors and policies."

Full vendor landscape review (up to 5 vendors risk-classified), cross-BAA analysis, organizational policy gap analysis with CFR citations, and prioritized gap list. 7–10 business days.

$10,000 – $14,000
See details →
03
AI Risk & Compliance Program
"We know our gaps. We need the risk register, roadmap, and board-ready documentation."

Comprehensive gap analysis, AI compliance risk register, prioritized remediation roadmap, board and enterprise documentation package. Up to 10 hours direct face time with Dan. 2–3 weeks.

$22,000 – $28,000
See details →
04
AI Governance Partner
"We have a program. We need ongoing governance as regulations and AI tooling evolve."

Monthly: 10 face-time hours, up to 2 vendor reviews, responsive advisory. Quarterly posture report. Annual program reassessment included: no need to repurchase a standalone Program each year. 30-day cancel.

$8,000 – $12,000/month
See details →
05
On-Demand
AI Vendor Analysis
"We have a specific vendor question. Not a full posture review, just one vendor that needs an answer now."

Not a ladder step. Available at any stage. Vendor Risk Report with risk classification (Compliant / Conditional / Non-Compliant), cross-BAA analysis, and remediation action list. 5 business days.

$5,000 – $7,000
See details →
See full service details and pricing Get a free Snapshot first

Regulations keep moving after your program is documented.

AI Governance Partner provides continuous vendor review coverage, quarterly posture reports, and an annual program reassessment, so the program you built stays current as AI tooling and regulations evolve. $8,000–$12,000/month with 30-day cancel.

See AI Governance Partner →

This is what a Snapshot looks like.

The Snapshot applies the Rote compliance methodology to your organization's current situation and delivers a structured maturity assessment. What you get back is a maturity stage, a service recommendation, and a 30/60/90-day roadmap.

AI Governance Snapshot · [Client Redacted] Confidential
Maturity Stage
Active Management
Score: 68 / 100
Service Recommendation
AI Compliance Baseline
Baseline before Program
Seven Elements Coverage
Written Standards & Policies
82%
Oversight & Governance
55%
Due Care & Training
71%
Communication & Education
60%
Monitoring & Auditing
40%
Enforcement & Discipline
78%
Incident Response
65%
Priority Finding

No formal HIPAA risk assessment completed in the past 12 months. Required under 45 CFR 164.308(a)(1). Recommend completing within 30 days as the highest-priority gap before any AI deployment expansion.

Representative example. Client details redacted. Your Snapshot reflects your organization's actual documents and posture.

Get your Snapshot See the full services

Recent writing

Analysis on HIPAA compliance, healthcare regulation, and the intersection of AI and regulated industries.

April 21, 2026
Consent Architecture: Scope, Collection, and Persistence

Consent architecture is not a single event. The three stages (scope, collection, and persistence) have to run in sequence. Get the order right and the architecture holds over time. Get it out of order and you have three components that coexist without working together.

All writing →

Know your gaps before
your next audit does.

The Snapshot is free. The Rote methodology is applied to your organization's actual situation and delivered as a maturity stage, a priority finding, and a 30/60/90-day roadmap. All within one week. Capacity is limited.