Talk With Acuity.

What is changing

AI can learn your institution. Who owns what it learns?

The next healthcare lock-in is not the software. It is the institutional intelligence created from your workflows, policies, decisions, outcomes and people.

What could be

One operating layer built around your population. Intelligence stays yours.

Your patients. Your clinicians. Your institutional intelligence.

1Compute where the population lives.
2Keep institutional learning local and portable.
3Share only what you choose to federate.
Localby default
Portableby design
Federatedby permission
Model independentby architecture
The new tension

Do not trade institutional intelligence for AI access.

A health system can keep its patient data and still lose the intelligence created from that data if the learning accumulates inside a vendor-controlled model, memory or cloud.

Centralized intelligence

Send context out. Rent the intelligence back.

Workflows, overrides, local policies, outcomes and institutional decisions can become durable intelligence outside the institution.

The risk is deeper than data lock-in: the organization may lose control of the learning created by its own care delivery.
Federated intelligence

Keep the intelligence. Share what you choose.

Acuity brings governed computation to the local clinical state, preserves provenance and separates institutional intelligence from platform intelligence.

Participation in network learning is explicit. Private intelligence remains private.
Clear boundaries

Know what belongs to whom.

Federation only works when ownership, provenance and learning rights are explicit before intelligence moves.

Institution Patient + clinical data

Clinical records, patient state and protected health information remain governed by the institution and applicable data rights.

Institution Institutional intelligence

Local workflows, policies, thresholds, calibrations, overrides, outcomes and institutional knowledge remain institution-controlled and portable.

Acuity Platform intelligence

Acuity's clinical-state architecture, Evidence Contracts, CHI, Cue orchestration, governance, provenance and evaluation infrastructure remain Acuity platform IP.

Network Shared intelligence

Only explicitly permitted, validated and appropriately generalized learning participates in the federated network.

Federated architecture

Compute follows the population.

The institution does not have to send its durable intelligence to a central model. Acuity can run in Acuity cloud, a customer VPC, on-prem or dedicated compute.

Local intelligence node

Your institution

Patient and longitudinal clinical state
Institutional knowledge graph and ontology extensions
Local rules, workflows, calibrations and evaluations
Human decisions, overrides, outcomes and provenance
Rights + Governance

Only permitted intelligence crosses the boundary.

Federated network

Shared intelligence

Validated hypotheses and evaluation packages
Permitted generalized algorithms and updates
Aggregate performance evidence
No automatic transfer of private institutional memory
How learning moves

Bring the question to the data.

Federation sends bounded hypotheses, algorithms or evaluation packages to the local environment. Only authorized results leave.

01Evidence

Local clinical data and patient state remain governed at the node.

02Rights

CyberCue applies identity, purpose, scope and learning permissions.

03Compute

Models and deterministic logic evaluate locally.

04Validate

Outcomes and evaluations determine what is trustworthy.

05Federate

Only permitted generalized learning enters the network.

What clinicians see

Federated underneath. Simple at the point of care.

The architecture changes who owns the intelligence—not the clinician's need to know who changed, why and what comes next.

ACUITY.health
Population → Patient → Cue
Population Cue20
Who needs
help now?
AB
CD
EF
GH
JK
LM
NP
Patient longitudinal state
Illustrative product rendition
Priority ↑
CHI73
Worst systemCV
Trend↓
WHY THIS PATIENT MOVED

Weight increased. Dyspnea appeared. Cardiovascular state worsened.

Review RPM + symptoms
Medication reconciliation complete
Outreach ready
Technical clarity

No hidden intelligence boundary.

The model can change. The cloud can change. The institution's durable intelligence should not disappear with either.

Institutional state Portable intelligence

Institution-owned rules, workflows, calibrations, ontology extensions, evaluations and provenance remain exportable rather than trapped inside a model vendor.

Foundation models Replaceable inference engines

Foundation models reason over governed context. They are not the authoritative clinical state or the durable institutional memory.

Governance Intelligence Rights Envelope

Identity, tenant, purpose, consent, provenance, learning rights, permitted scope and destination travel with the intelligence.

Learning modes Private or federated

Organizations can keep intelligence private or explicitly participate in a governed learning network.

Deployment Cloud · VPC · On-prem · Dedicated compute

Compute can follow the institution's security, latency and sovereignty requirements.

Portability Institutional Intelligence Capsule

A maintained export can preserve institution-owned state, graph extensions, workflows, calibrations, evaluations and rights metadata.

Provenance Know where intelligence came from

Institution, Acuity platform and network-derived intelligence remain distinguishable rather than collapsing into one opaque model.

Federation Validate locally. Share selectively.

Network learning is based on explicit permissions and validated artifacts—not automatic centralized capture.

Deployment paths

Choose how much intelligence leaves.

Architecture and commercial deployment can match the institution's governance posture instead of forcing one centralized model.

01 — Private Intelligence

Run Acuity against local institutional state with no network learning beyond what the organization explicitly permits.

02 — Federated Learning Network

Participate in governed shared learning while patient data and private institutional intelligence remain local.

03 — On-Prem Intelligence Vertical

Run the clinical intelligence stack inside institution-controlled infrastructure while retaining Acuity's governed platform layer.

The future is not one company owning healthcare's memory. It is healthcare institutions owning their intelligence—and choosing what the network learns together.

Your population. Your intelligence.

One operating layer without surrendering the intelligence your institution creates.

Acuity makes clinical intelligence computable, governable, portable and federatable—while preserving the boundary between institutional intelligence, Acuity platform intelligence and shared network learning.