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A feature update can be a new clinical system

When a documentation tool begins offering decision support, the original approval may no longer be sufficient.

Healthcare AI products are expanding quickly. A vendor relationship that began with note drafting may add chart synthesis, evidence retrieval, order support or clinical recommendations.

What practices should take from this

Treat material capability changes as a fresh review. Revisit intended use, data access, evidence, user training, patient communication, monitoring and the contract. Decide whether the feature should be enabled at all, piloted with a subset or restricted by role.

This is not resistance to innovation. It is change control—the same discipline practices use when a clinical process or medication workflow changes.

Create a quarterly vendor review and require vendors to identify meaningful model or feature updates. Governance must move at the speed of the product.