A viewpoint in JAMA by Duke’s Michael Pencina, PhD, Jonathan McCall, MS, and Nicoleta Economou, PhD, discusses the need for a federated registration system for AI technologies in healthcare. The authors argue that the transparency requirements set forth by the Office of the National Coordinator should extend to all health AI technologies that could be captured by local registries that share similarities with institutional review board portals. The data could then be integrated nationally, creating a system akin to ClinicalTrials.gov for health AI technologies. By establishing local registries that feed into a national system, the approach aims to enhance safety, effectiveness, and equity in AI deployment, while building trust and ensuring accountability in the use of these technologies.
