Maintenance Notice

Due to necessary scheduled maintenance, the JMIR Publications website will be unavailable from Wednesday, July 01, 2020 at 8:00 PM to 10:00 PM EST. We apologize in advance for any inconvenience this may cause you.

Who will be affected?

Accepted for/Published in: Journal of Medical Internet Research

Date Submitted: Apr 10, 2026
Date Accepted: May 3, 2026
Date Submitted to PubMed: May 12, 2026

The final, peer-reviewed published version of this preprint can be found here:

From Data Stewardship to Model Stewardship: Extending Governance Frameworks for AI Era Health Data Use

Rozenblit L, Labkoff S, Safran C

From Data Stewardship to Model Stewardship: Extending Governance Frameworks for AI Era Health Data Use

J Med Internet Res 2026;28:e97859

DOI: 10.2196/97859

PMID: 42119572

From Data Stewardship to Model Stewardship: Extending Governance Frameworks for AI-Era Health Data Use

  • Leon Rozenblit; 
  • Steven Labkoff; 
  • Charles Safran

ABSTRACT

Maris et al. document important ethical challenges at the intersection of electronic health record data and AI development, but existing governance frameworks designed for secondary data use are categorically insufficient for AI model training, which creates persistent, deployable artifacts that encode local clinical patterns as generalizable knowledge. Drawing on two decades of stewardship framework development, we propose extending governance from data stewardship to model stewardship.


 Citation

Please cite as:

Rozenblit L, Labkoff S, Safran C

From Data Stewardship to Model Stewardship: Extending Governance Frameworks for AI Era Health Data Use

J Med Internet Res 2026;28:e97859

DOI: 10.2196/97859

PMID: 42119572

Download PDF


Request queued. Please wait while the file is being generated. It may take some time.

© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.