Healthcare AI from Someone Who’s Actually Built It
For 30 years, I’ve been in the trenches—building AI systems that give clinicians hours back in their day. This isn’t theory. It’s battle-tested intelligence from real hospital deployments.
Why This Newsletter Exists
Most healthcare AI content is written by people who’ve never deployed a system in a live clinical environment. I’ve been architecting mission-critical healthcare AI since 2001—from preventing Y2K hospital failures to building today’s frontier AI models trained on actual PeopleSoft operations data.
Who This Is For
Healthcare Executives who need to cut through the AI hype and understand what actually works in clinical settings.
AI Professionals building healthcare solutions that clinicians will trust and use—not abandon after the pilot phase.
Global Innovators who know the best ideas come from diverse perspectives and real-world implementation, not boardroom PowerPoints.
What Makes This Different
Every insight comes from actual deployments across major health systems. I’ve trained 3,000+ engineers, led 50+ HIPAA cloud migrations, co-founded the Wheelhouse AI Center of Excellence, and graduated from Microsoft Startups Level 4.
I’ve also traveled over a million miles across all seven continents, speaking at conferences and learning how different healthcare systems tackle similar problems. That global perspective shapes everything I share here.
What You’ll Get
Real implementation playbooks from someone who’s actually done it—not consultants selling the next engagement
Ethical AI frameworks that work in production, not just on slides
Global trends from healthcare systems worldwide, backed by firsthand experience
Behind-the-scenes engineering of systems handling millions of clinical encounters
Executive strategy for leaders navigating AI adoption without the vendor BS
Community wisdom from leading the Boston Healthcare Cloud & AI Community and connecting innovators across 50+ countries
My Story in 60 Seconds
2001: Built one of the first AI triage engines for same-day surgery (eliminated unnecessary pre-op visits using classification trees)
2008: Designed algorithms that cut prescription overuse
2010-2020: Moved 50+ HIPAA workloads to Azure before it was cool
2019-2020: Microsoft MVP & Azure Most Influential
2024: Co-founded Wheelhouse AI Center of Excellence, graduated Microsoft Startups
2025: Launched Wheelhouse Frontier—world’s first frontier model fine-tuned on PeopleSoft + executive prompt data
Today: Chief AI Officer at RealActivity, where we build AI tools that protect clinician time and improve patient outcomes.
The Mission
Use AI to care for those who care for others.
Technology should serve humanity, not the other way around. Every system I build starts with one question: “Does this give time back to clinicians?”
If the answer isn’t yes, we don’t ship it.
Let’s Connect
Connect with me on LinkedIn to continue the conversation and join a global community of healthcare innovators.
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