AI
AI Operator Licence
3sHealth — AMS

3sHealth

AI Operator Licence Program AMS Sprint 2 Master Plan

Complete Program Package with Agile Breakdown — AMS Scope

Prepared by: — Application Management Services (AMS)

Date: — April 2026

Version: — 2.1 (PO Reviewed)

Classification: — Internal — Draft

Audience: — AMS Leadership, AIOps Sprint Team

Scope: — AMS — Application Management Services

Table of Contents

1. Program Overview

**** — MISSION STATEMENT
Ensure every AMS team member who uses AI tools is trained, certified, and accountable — enabling innovation while protecting data, operations, and stakeholder trust.

The AMS AI Operator Licence Program (3s-AIOL) is a mandatory certification program ensuring every AMS team member who uses AI tools understands what AI can and cannot do, knows their responsibilities for data protection and privacy, can identify AI errors, hallucinations, and bias, follows established protocols, and maintains accountability. The core philosophy: "Human verify, Human decide, Human accountable." AI capabilities are embedding into every platform AMS manages. Oracle Fusion 26A/26B ships with AI agents for finance, procurement, and HCM. Microsoft 365 Copilot is being deployed across the organization. ServiceNow is adding AI-powered ticket routing, knowledge search, and virtual agents. While governance structures exist around AI and agent management, they have not yet been formalized into a structured training and certification framework — which is what this program addresses. The risk is not that AMS adopts AI too quickly. The risk is that AI adoption outpaces our formalized training and accountability structures, leading to data exposure, compliance gaps, operational errors, and loss of stakeholder trust.

Why "Operator Licence"?

Scope

| Scope Area | In Scope | Out of Scope | | --- | --- | --- | | Platforms | Oracle Fusion (ERP/HCM/SCM/EPM), ServiceNow, M365, BI | Clinical AI systems | | AI Types | Copilot, AI agents, coding assistants (Claude Code, GPT, Codex) | Clinical decision support AI | | Users | All AMS staff | 3sHealth staff other than AMS (future expansion) | | Activities | Admin AI, AI-assisted app development, workflow automation | Vendor internal AI dev practices |

Pilot Group

The AMS Application Services Management team serves as the first pilot cohort. This team manages the core enterprise platforms (Oracle Fusion, ServiceNow, M365) where AI integration is actively progressing. Target: first certified users within 90 days.

2. Core Principles & AUP Alignment

The 3s-AIOL program is the training and enforcement mechanism for the 3sHealth AI Acceptable Use Policy (AUP v2). Every principle in the AUP maps to specific training content. The AUP operates as a child policy under the AIGC AI Policy — the overarching governance document for AI use across Saskatchewan’s health system. | AUP Key Principle | Training Tier | Curriculum Coverage | | --- | --- | --- | | Know what AI is and understand its limitations | Tier 1 — Modules 1.1, 1.3 | AI fundamentals, hallucinations, bias, errors | | Use AI lawfully, ethically, and responsibly | Tier 1 — M1.4; Tier 2 — M2.5 | FOIP/HIPA obligations, ethics in admin AI | | Use AI securely per policies | Tier 1 — M1.4; Tier 2 — M2.4 | Data classification, tenant boundaries, approved tools | | Maintain meaningful human control | All Tiers — Core | Human-bookend model: human at start, agent in middle, human at end | | Understand the AI lifecycle | Tier 3 — M3.2; Tier 4 — Session 2 | Tool evaluation, governance, decommissioning | | Use the right AI tool for the task | Tier 2 — M2.3; Tier 3 — M3.2 | Risk classification matrix, tool approval | | Use AI openly and transparently | Tier 2 — M2.5 | Disclosure requirements, AI-assisted documentation | | Ensure users have required skills | Entire Program | Certification-before-access model |

AUP Data Rules — Covered in Training

Human Accountability Model

The program adopts a human-bookend model for AI-assisted work: the human initiates and defines the task, the AI agent or tool executes, and the human reviews, validates, and takes accountability for the output. This applies whether the AI interaction is a quick Copilot prompt or a multi-hour agentic workflow. The principle is consistent: humans are accountable for the content they produce with AI assistance. **** — NOTE: HR ENGAGEMENT REQUIRED
The human accountability framework for AI-assisted work needs to be developed in partnership with HR. This includes defining the accountability process when employees use AI tools, how AI-assisted outputs are attributed, and the appropriate escalation and corrective action framework. There is no existing whistleblower policy specific to AI — the HR engagement will determine how reporting and accountability are handled within existing or new policy structures.

3. Certification Framework

**** — Tier 1: Awareness Tier 2: Practitioner Tier 3: Champion Tier 4: Governance

Who — All AMS staff Daily AI users (AMS analysts, service desk, dev teams) AMS team leads & managers AMS leadership, Steering Committee reps

Duration — ~2 hours (self-paced) 8 hours (2×4hr blended) 16 hours (4×4hr instructor-led) 24 hours (6×4hr intensive)

Renewal — Annual Annual Biannual Biannual

Prerequisite — None Tier 1 Tier 2 + nomination Tier 3 (or exemption)

Assessment — 20 MCQ (80% pass) Practical + written (70%) Capstone + presentation Policy deliverable + simulation

Tool Access — None (awareness only) Role-specific approved tools All approved + admin Full + governance/config

Access Control Integration

Certification status ties to Active Directory. Expired certification results in access revocation within 24 hours. Tier 1 holders have no AI tool access (awareness only). Tier 2 and above unlocks role-specific tools. This is the enforcement backbone of the AUP’s “certification required” mandate.

Equivalency & Exemptions

Staff with existing AI certifications (Google AI Essentials, Microsoft AI Fundamentals, etc.) may apply for Tier 2 equivalency. All exemptions still require Tier 1 completion — AMS-specific context is mandatory.

Compliance & Enforcement

| Violation | Response | | --- | --- | | Using AI tools without certification | Access revoked, mandatory re-certification | | Using unapproved AI tools (Shadow AI) | Access revoked, manager notification, re-training | | AI-related data breach | Investigation per FOIP/HIPA protocols, potential certification revocation | | Repeated non-compliance | Escalation to manager and HR per accountability framework |

4. Tier 1 — AI Awareness

Audience: All AMS Staff | Duration: ~2 hours (online, self-paced) | Renewal: Annual | Assessment: 20 MCQ from 60-question bank, 80% pass, 3 attempts

Module 1.1: What Is AI? (30 min)

Learning Objectives

Content

Activity

“Is This AI?” interactive quiz — 10 examples from AMS-managed systems where learners identify which features use AI.

Deliverables to Build

Module 1.2: AI at AMS (20 min)

Learning Objectives

Content

Activity

“Your AI Footprint” — learners identify 3 AI-powered features they already interact with daily.

Deliverables to Build

Module 1.3: AI Risks and Limitations (25 min)

Learning Objectives

Content

Activity

“Spot the Hallucination” — review 3 AI-generated admin outputs (financial summary, HR response, procurement recommendation) and identify the errors.

Deliverables to Build

Module 1.4: Privacy, Data, and Your Obligations (25 min)

Learning Objectives

Content

Activity

“Can You Enter This?” — 5 scenario cards where learners classify data as safe/caution/prohibited for different AI tools.

Deliverables to Build

Module 1.5: Reporting and Accountability (20 min)

Learning Objectives

Content

Activity

Scenario walkthrough: “The AI-generated financial report shows wrong figures. Walk through the complete reporting process.”

Deliverables to Build

Tier 1 Assessment Design

| Element | Detail | | --- | --- | | Format | 20 multiple-choice questions, randomized from bank of 60 | | Pass Rate | 80% (16/20) | | Attempts | 3, with question randomization between attempts | | Time Limit | 30 minutes | | Distribution | Module 1.1 (4Q), M1.2 (3Q), M1.3 (5Q), M1.4 (5Q), M1.5 (3Q) | | Annual Renewal | 15-question quiz, 30-60 min refresher covering updates since last certification |

5. Tier 2 — AI Practitioner

Audience: AMS daily AI users — analysts, service desk, dev teams | Duration: 8 hours (2×4hr) | Delivery: Blended | Assessment: Practical + written, 70% pass

Session 1: Using AI Effectively (4 hours)

Module 2.1: Prompt Engineering for Admin Systems (60 min)

Module 2.2: Evaluating AI Output — The FACTS Framework (60 min)

Module 2.3: AI Tools in Your Role — 4 Tracks (60 min)

Module 2.4: Data Handling and Privacy in Practice (60 min)

Session 2: Working Responsibly with AI (4 hours)

Module 2.5: AI Ethics in Administrative Systems (60 min)

Module 2.6: Workflow Integration (60 min)

Module 2.7: Incident Management (60 min)

Module 2.8: Practical Assessment (60 min)

| Task | Duration | Description | | --- | --- | --- | | Task 1 | 15 min | Complete a role-specific task using an approved AI tool | | Task 2 | 15 min | Evaluate an AI-generated output using FACTS, identify 3+ issues | | Task 3 | 10 min | Classify 5 data scenarios for AI processing | | Task 4 | 10 min | Walk through an incident reporting scenario | | Task 5 | 10 min | Written reflection on AI use in your role |

Pass Rate: 70% aggregate, no section below 50%. 5 assessment variants.

6. Tier 3 — AI Champion (Outlined)

Audience: AMS Team Leads & Managers | Duration: 16 hours | Renewal: Biannual | Prerequisite: Tier 2 + nomination Full detail in Sprint 3 after Tier 1 & 2 pilot feedback. | Session | Topic | Duration | Key Competencies | | --- | --- | --- | --- | | Session 1 | Leading AI Adoption | 4 hours | Change management, tool evaluation, pilot design, success metrics | | Session 2 | Governance & Compliance | 4 hours | FOIP/HIPA/PIPEDA, AI procurement, vendor assessment, risk management | | Session 3 | Technical Foundations for Leaders | 4 hours | How AI works (non-technical), Oracle/M365/ServiceNow AI roadmaps, secure dev oversight | | Session 4 | Capstone | 4 hours | Training others, capstone presentation |

7. Tier 4 — AI Governance (Outlined)

Audience: AMS Leadership, Steering Committee reps | Duration: 24 hours | Renewal: Biannual Full detail in Sprint 4. Duration may be condensed. | Session | Topic | Duration | Focus | | --- | --- | --- | --- | | Session 1 | AI Strategy & Vision | 4 hours | Healthcare admin AI landscape 2026, gap analysis, opportunity mapping | | Session 2 | Advanced Governance & Policy | 4 hours | Governance design, policy lifecycle, regulatory navigation, liability | | Session 3 | Technical Deep Dive | 4 hours | AI architectures, data governance, security threats, OCI/Azure | | Session 4 | Ethics & Equity | 4 hours | Admin AI bias, data sovereignty, OCAP principles, employee consent | | Session 5 | Economics & Procurement | 4 hours | ROI methodology, TCO, RFP design, vendor licensing | | Session 6 | Simulation & Certification | 4 hours | Steering Committee simulation, policy defense |

8. AUP Integration Map

This traceability matrix ensures every AUP requirement is explicitly taught, practiced, and assessed within the AMS context. | AUP Section | Requirement | Training Module(s) | Assessment | | --- | --- | --- | --- | | §3 Principles | Know AI and limitations | T1-M1.1, T1-M1.3 | Tier 1 Quiz | | §3 Principles | Use AI lawfully/ethically | T1-M1.4, T2-M2.5 | Quiz + Ethics case study | | §4 Data Rules | Data classification compliance | T1-M1.4, T2-M2.4 | Quiz + Tier 2 Lab | | §4 Data Rules | PHI de-identification | T1-M1.4, T2-M2.4 | Data scenario exercises | | §5 Tool Approval | Approved tools only | T1-M1.2, T2-M2.3 | Quiz + practical demo | | §6 Prohibited Uses | No autonomous decisions without review | T1-M1.5, T2-M2.5 | Scenario walkthroughs | | §7.1 Human Review | Human-bookend validation on all outputs | T1-M1.5, T2-M2.2 | FACTS framework lab | | §7.2 Bias | Identify and mitigate bias | T1-M1.3, T2-M2.5 | Ethics case study | | §7.3 Transparency | Disclose AI-generated content | T2-M2.5, T2-M2.6 | Documentation exercise | | §7.4 Verification | Verify facts/citations/calculations | T2-M2.2 | FACTS lab (10 documents) | | §7.5 Copyright/IP | Review for IP concerns | T2-M2.5 | Ethics discussion | | §7.6 Incident Reporting | Report to manager + ESS + AIGC | T1-M1.5, T2-M2.7 | ServiceNow walkthrough | | §9 Training | Foundational training before AI use | Tier 1 (mandatory) | Certification gate | | §10 High-Risk | Pre-approval for high-risk use cases | T3-M3.3, T3-M3.4 | Tier 3 capstone | | §12 Enforcement | Non-compliance consequences | T1-M1.4, T1-M1.5 | Tier 1 Quiz |

9. Implementation Plan

| Phase | Timeline | Key Milestones | Exit Criteria | | --- | --- | --- | --- | | Phase 1: Foundation | Days 1-90 | Build Tier 1 & 2 content, AMS pilot certification, approve core policies | AMS pilot team 100% Tier 2 certified, LMS operational, policies approved | | Phase 2: AMS Rollout | Months 4-6 | Launch Tier 1 across AMS (50% target), expand Tier 2, develop Tier 3, first tool approvals | 50%+ AMS Tier 1, 50+ Tier 2, 3-5 tools approved | | Phase 3: Maturity | Months 7-12 | 80% AMS Tier 1, 100+ Tier 2, first Tier 3 & 4 cohorts, evaluation, Year 2 plan | 80%+ Tier 1, leadership Tier 4 certified, 10+ tools |

**** — CURRENT SPRINT FOCUS
Sprint 2 — Phase 1, Month 2 (Build Content). Immediate deliverables: complete Tier 1 & 2 curriculum, build content artifacts, configure LMS, prepare for AMS pilot.

10. Agile Structure

Epic: AMS AI Operator Licence Program (3s-AIOL) Features: Major program components (each tier, governance, assessment, LMS, comms, pilot) Stories: User-centered work items within each feature Tasks: Concrete implementation steps within each story

Feature Roadmap

| ID | Feature | Stories | Sprint | Status | | --- | --- | --- | --- | --- | | F-01 | Tier 1: AI Awareness Curriculum | 3 | Sprint 2 | Active | | F-02 | Tier 2: AI Practitioner Curriculum | 9 | Sprint 2 | Active | | F-03 | Assessment & Certification System | 5 | Sprint 2-3 | Planned | | F-04 | LMS Configuration & Integration | 4 | Sprint 2 | Active | | F-05 | AUP Training Integration | 3 | Sprint 2 | Active | | F-06 | AMS Pilot Execution | 5 | Sprint 3 | Planned | | F-07 | Tier 3: AI Champion Curriculum | 6 | Sprint 3-4 | Backlog | | F-08 | Tier 4: AI Governance Curriculum | 4 | Sprint 4-5 | Backlog | | F-09 | Communication & Change Management | 4 | Sprint 2-3 | Planned | | F-10 | Governance Framework & Risk Matrix | 4 | Sprint 2-3 | Planned |

11. Full Backlog — Stories & Tasks

F-01: Tier 1 — AI Awareness Curriculum (Sprint 2)

S-01.1 Tier 1 Module Content Development (13 pts) Acceptance Criteria:

S-01.2 Tier 1 Assessment & Quiz Bank (5 pts) Acceptance Criteria:

S-01.3 Tier 1 Annual Renewal Module (2 pts) Acceptance Criteria:

F-02: Tier 2 — AI Practitioner Curriculum (Sprint 2)

S-02.1 Prompt Engineering Module (2.1) (8 pts) Acceptance Criteria:

S-02.2 FACTS Framework Module (2.2) (8 pts) Acceptance Criteria:

S-02.3 4 Role-Track Workbooks (2.3) (13 pts) Acceptance Criteria:

S-02.4 Data Handling Module (2.4) (5 pts) Acceptance Criteria:

S-02.5 Ethics Module (2.5) (5 pts) Acceptance Criteria:

S-02.6 Workflow Integration Module (2.6) (3 pts) Acceptance Criteria:

S-02.7 Incident Management Module (2.7) (5 pts) Acceptance Criteria:

S-02.8 Tier 2 Practical Assessment (8 pts) Acceptance Criteria:

S-02.9 Tier 2 Facilitator Guide (5 pts) Acceptance Criteria:

F-04: LMS Configuration & Integration (Sprint 2)

S-04.1 LMS Configuration (5 pts) Acceptance Criteria:

S-04.2 Active Directory Integration (8 pts) Acceptance Criteria:

S-04.3 Reporting Dashboards (3 pts) Acceptance Criteria:

S-04.4 Sandbox Environments (5 pts) Acceptance Criteria:

F-05: AUP Training Integration (Sprint 2)

S-05.1 AUP Traceability Matrix (3 pts) Acceptance Criteria:

S-05.2 AUP Prohibited Data Integration (5 pts) Acceptance Criteria:

S-05.3 AI Licence Responsibilities Card (2 pts) Acceptance Criteria:

Backlog Summary

| Metric | Count | | --- | --- | | Total Features | 10 | | Stories (Sprint 2 Active) | 25 | | Stories (Backlog Sprint 3+) | 23 | | Total Estimated Story Points | ~140 |

3sHealth — Health Shared Services Saskatchewan AI Operator Licence Program — AMS Sprint 2 Master Plan v2.1 Internal — Draft — April 2026 — PO Reviewed