# Governed: Answers from the formulary, not from the model.

A healthcare use case for Tileward: an assistant over your own clinical policies and formularies that refuses personal medical advice before inference, and records every refusal for audit. Staff ask questions all day that a general model will cheerfully answer; the risk is rarely that it refuses too little, it is that afterwards nobody can show what it was asked, or what it did.

Page: https://tileward.com/use-cases/healthcare/

## Lock what must not come from a model

Tileward Governance locks these regulated topics, switchable per key, so a triage assistant and a billing assistant can hold different permissions. Every tile switches off independently.

- Personal medical advice
- Clinical medicine
- Medical Devices
- Health Insurance & Claims
- Public Health & Epidemiology

The full roster of tiles is on the [Governance page](https://tileward.com/governance/#topics).

## Answer from your own clinical documents

Tileward Documents grounds the answer in the formulary, the care pathway, the policy: whatever the answer is meant to come from.

- Formularies and dosing policy
- Care pathways and protocols
- Coding and claims guidance
- Consent and privacy procedures

Each answer comes back with the passages it was given, and your files are never pooled with other tenants.

## See it on your own policy

Bring what the assistant must not discuss. An engineer will lock it, try to get past it, and show you the record. Thirty minutes, no deck. [Talk to an engineer](https://calendar.app.google/hg2DzFTxKJgwFWm19).

## Related

- [Governance tile roster](https://tileward.com/governance/#topics): every tile that can be locked
- [Tileward Governance](https://tileward.com/governance/): refuse locked tiles before inference
- [Tileward Documents](https://tileward.com/documents/): answer from approved files, with citations
- [Use cases](https://tileward.com/use-cases/): the three job patterns and the other worked examples
- [Start free](https://app.tileward.com/?join=explore): the Tileward console, no card