With rapidly evolving artificial intelligence solutions, healthcare organizations need an implementation roadmap. A "clinical trials" informed approach can promote safe and impactful implementation of artificial intelligence. This framework includes four phases: (1) Safety
(2) Efficacy
(3) Effectiveness and comparison to an existing standard
and (4) Monitoring. Combined with inter-institutional collaboration and national funding support, this approach will advance safe, usable, effective, and equitable deployments of artificial intelligence in healthcare.