Orchestral AI Platform

Every patient has a risk profile. AI flags the high-risk ones. Governance is what makes that flag trustworthy.

Orchestral’s AI Platform manages the full lifecycle of health AI. Registration, validation, deployment, monitoring, and explainability through one framework built for regulated health systems.

30,000+

algorithm executions per month

2019

started running production AI in healthcare

3 countries

with production deployments

Syncronys logo
Ontario Health logo
Health New Zealand (Te Whatu Ora) logo

Built for health AI governance. Not adapted for it.

These are not generic AI tools adapted for healthcare. They are health-specific, clinically validated agents governed through a six-layer framework designed for publicly funded and regulated health systems.

Each agent is independently deployable. Each organization controls which agents are active in its environment. Every decision can be reviewed by your clinicians, your governance committee, and your regulator.

Start with rules. Add AI when you’re ready.

The health organizations we work with have one thing in common: they have been burned by AI promises. They need proven platforms, not prototypes.

Start with rules-based automation. Activate AI capabilities progressively as your team’s confidence and governance processes grow.

The choice of when to advance sits with your governance committee. Not the vendor.

Six layers of governance. One framework every agent operates under.

1. Model registration

Every AI asset in your organization is registered, regardless of origin. Vendor-supplied, internally built, open source, or commercial. Risk profile, intended use, training data, and clinical validation evidence all captured at registration.

2. Clinical validation

Structured assessment of clinical safety, efficacy, and appropriateness before deployment. Validation evidence packaged for governance review.

3. Deployment and regional control

Activation is environment-specific. Each facility, region, or organization controls which agents are active in their workflow. No silent global rollouts.

4. Performance monitoring

Continuous monitoring of model accuracy and clinical impact. Alerts when performance degrades.

5. Bias detection

Equity monitoring across protected and locally relevant population groups. Identifies differences in how a model performs across demographics, geographies, and programs.

6. Explainability

Every decision includes a reasoning trail. The clinician sees why the model surfaced the recommendation. Your leadership team sees why the model was approved. The regulator sees why the decision was defensible.

Eight pre-built agents. Clinically validated. Ready to deploy.

Each agent is independently deployable and governed through the same framework. Start with one. Expand when ready.

Care gap detection

Continuous identification of patients missing screenings, medication reviews, or care management enrolment.

Readmission and deterioration prediction

Identifies patients at risk of readmission or deterioration, with explainable reasoning integrated into discharge and care management workflows.

Program enrollment intelligence

Identifies eligible patients not yet enrolled in funded programs. Relevant for primary care, Medicaid, and value-based contract operators.

Prior authorization triage

Automated authorization review against medical policy, with full oversight, traceability, and exception handling.

Prescription safety

Drug interaction, contraindication, and dosing checks at the point of prescribing.

Clinical risk stratification

Population-level risk assessment using clinical, claims, and social determinant data.

Triage and case routing

Referral and case management triage with explainable urgency and complexity recommendations.

Equity monitoring

Continuous surveillance of program participation, outcomes, and access by demographic group. Surfaces inequity, then targets the agent that closes it.

The AI lives where the work happens. Not in a separate tool.

Connects to the applications your organization already uses. PMS and EMR systems. Case management and workflow tools. CRMs and member portals. Provider portals. Third-party clinical applications.

The clinician sees the recommendation in the workflow they already use. The case manager sees the risk score in the queue they already manage. The patient sees the right message in the channel they already use.

Running ServiceNow, Salesforce, or another workflow platform? Orchestral integrates as the clinical decision layer underneath. The workflow engine orchestrates the process. Orchestral provides the validated signal.

What teams ask first.

What happens when a regulator asks why the model made a recommendation?

Your organization has a complete audit trail for every decision. The documentation exists before the question is asked.

What if a model's performance degrades in production?

Continuous monitoring alerts your team when degradation occurs. Before harm reaches the patient.

What if a vendor updates their algorithm after deployment?

The change is captured, the impact assessed, and the deployment paused if the risk profile shifts. No silent updates pass through unrecorded.

Does the same governance apply to models we build internally?

Yes. Whether the model came from a vendor or your own team, it goes through the same registration and governance process. No exceptions.

Production deployments. National scale. Not pilots.

Ontario Health 811

Population-scale digital triage operating under the requirements of a publicly funded health system.

NZ Government Algorithm Hub

The world’s first national AI orchestration layer for health, running on Orchestral. Over 30,000 algorithm executions per month. During COVID-19, new predictive models were deployed within days, not months.

Regional prescription safety audit for 1M people (New Zealand)

Connected primary care prescribing data, applied clinical safety rules, and identified prescription risks including drug interactions, contraindications, and dosing concerns. Clinicians received actionable alerts. NZIER’s economic analysis estimated significant value from adverse events prevented.

Runs on your existing stack. Goes even further with the Data Platform.

The AI Platform connects to your existing data environment. Whatever you have built, it works on top of it.

Pair it with Orchestral’s Data Platform and both layers run on the same data model, the same governance framework, and the same source of truth. Every agent operates on data that is already connected, normalized, and governed. Nothing duplicated. Nothing rebuilt.

Or alternatively see how the AI platform solves specific problem? Explore our solutions - from readmission prediction and medication safety to rural health and prior authorization.

Discover Orchestral’s Data Platform Explore all solutions

Bring us a use case. We will show you what governed deployment looks like end to end.

Choose one use case from your environment. We will run it through the platform, show you the six-layer framework in action at each stage, and walk you through every decision the platform makes.

No commitment. Just a working session on your use case.