Paul J. Swider

Paul J. Swider

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Excel Contains the Loop
How the spreadsheet that defined the Windows era is now defining native AI
 • Paul J. Swider
The Clinical App Store Has No Building Inspector.
Your health system just approved four AI vendors. Your patient just experienced them as one.
 • Paul J. Swider
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.
 • Paul J. Swider
Payers Made Healthcare AI a Liability. Providers Must Make It Accountable.
Insurers trained models on patients' own records, then used them to deny care. The lawsuits and the new state laws followed.
 • Paul J. Swider
Agent Governance Is Moving Upstream
Enterprise AI | Agent Governance | Open Source
 • Paul J. Swider
Clinical AI Does Not Need to Be Perfect. It Needs to Make Care Safer.
The baseline is not perfection. The baseline is the current error rate.
 • Paul J. Swider
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…
 • Paul J. Swider
Paul J. Swider
Paul J. Swider
AI insights from a 30-year healthcare tech veteran who's built mission-critical systems worldwide and knows what actually works in academic medical centers, hospitals, and hospital systems.
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Paul J. Swider

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