ScribeGuard
AI-scribe governance · Canada · PHIPA / IPC
You run an AI scribe. Now you're expected to govern it.
Since the Ontario IPC's January 2026 guidance, clinics using AI scribes are expected to govern them — a committee, a privacy impact assessment, a vendor-risk file, ongoing monitoring, an audit trail. And the PHIPA accountability sits with you, the custodian — not the scribe vendor. Most clinics got the time savings and none of the governance. ScribeGuard is the layer that closes that gap, over the scribe you already use.
The exposure
The regulator now expects a governance program. You probably have none.
AI-scribe adoption among Canadian physicians jumped from roughly a fifth in 2024 to two-thirds by mid-2025. The tool ingests confidential patient conversations, can hallucinate, and prioritises flow over clinical nuance. The IPC's guidance — with BC and Newfoundland & Labrador following — turned that into a standing obligation. Here is what a regulator would ask you to show.
No governance committee
The IPC expects an AI governance committee and a risk-management framework anchored in PHIPA accountability. Most clinics have neither.
No privacy impact assessment
A PIA and threat-risk assessment — refreshed as the scribe changes — are expected. A vendor's marketing PDF is not one.
No vendor-risk file
Due diligence on the scribe: access limits, retention and destruction, breach notification, contractual safeguards. Rarely on file.
No output monitoring
A human kept in the loop, checking scribe output for accuracy and PHI leakage. Almost nobody is doing this systematically.
No audit trail
The documentary evidence — minutes, PIA, vendor file, monitoring logs — is the actual asset in an IPC inquiry. Missing.
The liability is yours
PHIPA penalties reach $200K for an individual and $1M for an organisation. The custodian carries it — the vendor does not.
The fix
A governance layer over the scribe you already run.
ScribeGuard doesn't replace your scribe or ask you to switch. It sits over whatever you use — Tali, Mutuo, ScribeBerry, Nexus, Heidi, Abridge — and turns the regulator's checklist into a living, auditable program. Vendor-neutral by design.
Gap assessment
A short intake scores your clinic against the IPC checklist and names exactly what's missing — committee, PIA, vendor file, monitoring — so you can see your exposure in plain terms.
Governance artifacts, generated
The committee charter, privacy impact assessment, vendor-risk assessment, end-user agreements and policies — produced for your clinic and your scribe, kept current as either changes.
Output monitoring
Ongoing spot-checks of scribe output for accuracy drift and PHI leakage, with a human-in-the-loop record — the "we are watching this" evidence the guidance expects.
The audit trail
Everything lands in one place: minutes, assessments, monitoring logs, version history. If the IPC asks "what is your AI governance program?", you have the answer on file.
- Vendor risk assessments Current privacy posture and contractual gaps for your specific scribe — refreshed when it ships an update.
- Regulatory tracking Ontario today; BC and NL as their instruments land — your file kept mapped to what each regulator expects.
- Committee-in-a-box Charter, cadence, and minutes for the governance committee the guidance asks you to stand up.
- Always current A policy binder goes stale the day the vendor changes its model. This doesn't — that's the point of a program over a document.
To be clear
What ScribeGuard is — and what it is not.
What it is
- A governance and assurance layer over the scribe you already use.
- Vendor-neutral — every scribe assessed on the same basis.
- Built for a 1–15 provider clinic, not an enterprise.
- A living program with an audit trail, not a one-off binder.
What it is not
- Not a scribe. It doesn't write your clinical notes.
- Not an EMR or patient-facing tool.
- Not legal advice — it produces the artifacts and evidence; your lawyer stays your lawyer.
- Not tied to, or against, any one vendor.
Where this stands
We're building this — and we're being straight with you.
ScribeGuard isn't live yet. There's nothing to buy on this page, no clinics using it today, and no customer logos we could honestly show you. This page describes what we're building and why, so you can tell us whether it's the fix you need.
If it is, join the waitlist below. Early-access members help shape the product and get in first when it opens. That's the whole deal — no card, no commitment, and we'll only email you about ScribeGuard.
Early access
Does this match your exposure? Get in first.
Two minutes tells us whether we're building the right thing — and puts you at the front of the line for early access. We'd rather hear a hard "not for me" than a polite yes.
Who's building this
Built by someone who knows where the PHI flows.
ScribeGuard comes from twenty-plus years in Canadian healthcare IT — EMR builds, FHIR/HL7 integrations, OntarioMD and HRM work, ISO 27001 certification experience, and a working knowledge of PHIPA and what the IPC actually looks for. That's the rare seat: understanding both where the scribe plugs into your EMR and what a custodian's accountability obligation really requires. Most privacy lawyers know the law but not the data flow; most health-tech founders know the tool but not the accountability. ScribeGuard sits at that intersection.