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RealActivity - Mission Critical Healthcare Systems @realactivityusa

Proven AI solutions for hospitals. Provider Support Copilot, CMS Compliance Agent, Intelligent RVU Agent—enhancing workflows, and physician performance.

Joined August 2017
  • Posts 4,990
  • Following 229
  • Followers 874
2,491 Photos and videos
When a hospital builds a new wing, it doesn't just check that the electrician and plumber are licensed. Someone inspects the building. The clinical app store checks every vendor. Nobody inspects the stack. 🔗 vist.ly/5a7tq #HealthcareAI #AIGovernance #AgenticAI #RealActivity #Verifiable
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Composition is the healthcare AI governance gap of 2026.The five questions to ask about the stack, not the agent. Read full insights here: open.substack.com/pub/pauljs… #DigitalHealth #ResponsibleAI #RealActivity

Governed Intelligence per Dollar. What Healthcare Already Knows About Metrics That Lie.

Healthcare already ran this experiment. We called it fee-for-service, and it took us twenty years to fix.

paulswider.com
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Your health system approved four AI vendors. Your patient experienced them as one. Every agent in the clinical marketplace passed inspection. Nobody inspected the building. #HealthcareAI #AIGovernance #HealthIT
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Microsoft Scout, Meet Tula: Extending the Same Agent Runtime to Patient Care x.com/i/broadcasts/1RJZzzOZQ…
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One priority rule settles every conflict. Read it here: open.substack.com/pub/pauljs… #AISafety #MicrosoftAI #AIinhealthcare #RealActivity

The Dual-Spec Skill Stack

How I built a personal medical AI that passes both the Anthropic spec and Microsoft’s eval gauntlet at score 1.00

paulswider.com
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5 evals. 5 passes. Score 1.00, zero standard deviation. This new article breaks down the dual-spec skill stack behind my personal medical AI. Authored on Anthropic's open Agent Skills standard, run on OpenClaw, validated by Microsoft's Waza. #Verifiable #HealthcareAI #HealthTech #AgentSkills
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Event details: himss1.eventsair.com/himss-a… #HIMSSAIF #HealthAI #HealthTech #HealthIT

HIMSS AI in Healthcare Forum

Join healthcare leaders in Boston June 23-25, 2026 for the AI in Healthcare Forum. Explore cutting-edge AI innovations transforming healthcare delivery.

himss1.eventsair.com
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Attending this week? Reach out and find @pswider on the floor. Or book a time on his calendar: calendly.com/paulswider/30mi…

25-Min Meeting with Paul J. Swider - RealActivity

Set 15-25 minutes with me. Looking forward for a meaningful conversation with you.“Each meeting occurs at the precise moment for which it was meant. Usually, when it will have the greatest impact on...

calendly.com
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Tomorrow @pswider is at the AI in Healthcare Forum Boston as a Cloud Wars analyst. Two days. 34 speakers. The healthcare AI conversations that actually matter. #HIMSSAIF #HealthAI #HealthTech #HealthIT #CloudWars #DigitalHealth #RealActivity
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Read more: open.substack.com/pub/pauljs… #ClinicalAI #DigitalHealth #PatientSafety #RealActivity

From Vibe Coding to Clinical Orchestration: How AI Will Change the Role of Doctors

Healthcare is having its “vibe coding” moment.

paulswider.com
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Software had its "vibe coding" moment. Medicine is next. The difference: a bad AI output in code is a bug. In healthcare it can harm a patient. So the doctor doesn't become a passive approver. They become the clinical architect and the accountable human in the loop. #HealthcareAI #AIGovernance
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Learn more about the event: himss1.eventsair.com/himss-a…

HIMSS AI in Healthcare Forum

Join healthcare leaders in Boston June 23-25, 2026 for the AI in Healthcare Forum. Explore cutting-edge AI innovations transforming healthcare delivery.

himss1.eventsair.com
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If you are attending, send Paul a message @pswider or set a time to connect: 🔗 calendly.com/paulswider/30mi…
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Excited to share that our founder @pswider will be at the #AIinHealthcare Forum Boston June 25-26, attending as an analyst. 34 speakers. Every major health system and federal health IT name in one room. He is tracking what is in production on patient AI. Find him on the floor. #HIMSS #HealthcareAI #RealActivity
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Read full brief: linkedin.com/pulse/clinical-…

Clinical AI Does Not Need to Be Perfect. It Needs to Make Care Safer.

Five questions healthcare leaders should ask to govern clinical AI against the real baseline, the current error rate, not an imagined perfect status quo.

linkedin.com
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The riskiest workflow in your hospital might be the one you already trust. Clinical AI Does Not Need to Be Perfect. It Needs to Make Care Safer. 5 questions every healthcare leader should ask before they approve, pause, or scale clinical AI. 👇 #HealthcareAI #AIGovernance #PatientSafety
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Book a 15-minute briefing: bookings.cloud.microsoft/boo…
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Aria, one governance plane for patient and workforce agents (6:00): youtu.be/tl9G1S22kjk Wren, governed access to Epic (1:30): youtube.com/shorts/9GM5Zqd0d… Tula on GitHub: github.com/realactivity/tula

Aria. One Governance Plane for Patient Agents and the Hospital Agent...

Aria is one governance plane for the agents touching the clinical r...

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Your hospital is about to run two fleets of AI agents. Most governance plans cover one. Workforce agents under Agent 365. Patient agents already out there, ungoverned, on consumer apps. Aria is one governance plane for both. #AgenticAI #AIGovernance
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That's the layer we build. Tula is the open-source patient agent on the same runtime Microsoft chose for Scout. Aria is the governed plane the institution owns. The runtime is free now. The harness never will be. Full analysis from our founder. open.substack.com/pub/pauljs…

The Runtime Is Free Now. The Harness Is the Business.

Microsoft built its flagship agent on OpenClaw and is pushing policy conformance upstream. If you build governed agents for healthcare, the market just moved to your thesis.

paulswider.com
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