How can certification programs scale item development without compromising quality? This poster shares lessons from Inteleos, a global healthcare certification organization, and its use of AI-assisted item development to address growing content demands and limited SME capacity. Attendees will learn how Inteleos integrated Surpass Copilot into existing workflows, reduced drafting time, improved SME productivity, increased item acceptance rates, and maintained rigorous governance and quality standards throughout the process. The case study offers practical insights for organizations seeking to adopt responsible AI in high-stakes assessment development while preserving human oversight and expert judgement