Healthcare AI governance, on both sides of care. Built over 15+ years alongside hospitals and academic medical centers.

Gloucester, MA
Joined August 2017
Stephen Ibaraki recently interviewed @pswider about more than 30 years of building for healthcare. The conversation spans hospital systems, healthcare operations, engineering, community, and the shift toward patient-controlled AI. #HealthcareAI #HealthIT #ResponsibleAI
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We're proud to support the #AICommunityConference Boston 2026 Boston's AI community continues to grow thanks to people who generously share their knowledge, time, and expertise. Looking forward to bringing everyone together on November 13! #AICOBoston #BostonAI #communityrocks
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A special thank-you to Bill Wilder for helping rally the community, and to Philip Magnuszewski for his leadership and contributions to the conference over the past two years. Community events like this take a dedicated team, and we're grateful to everyone involved.
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Six months after an AI tool goes live, can your team show what changed, who reviewed it, and what action followed? Monitoring continues after approval. RealActivity helps health systems map the evidence, owners, and escalation paths. #ResponsibleAI #HealthcareAI #AIGovernance
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Patients should be able to say no when asked to share health information. Our open-source Tula Check-in Wallet passed all 109 specification checks across five scenarios on the SMART Testing EHR using synthetic data. Including “decline everything." #PatientAgency #healthcareAI
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Try the Tula Check-in Wallet with synthetic patient data. Share selected records or decline the request entirely. smart-health-checkin.org/con… For personal health organization and literacy, not clinical advice. #KillTheClipboard #Interoperability #OpenSource #RealActivity
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RealActivity - Mission Critical Healthcare Systems retweeted
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One of the biggest takeaways from #MySummitNA's keynote earlier this week was how #AIagents are becoming more accessible to people who understand business problems firsthand, even if they aren't professional developers.
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#HealthcareAI governance cannot stop at the hospital boundary. On #ShiftHappens, @pswider and Dux Raymond Sy discuss what changes when patients control the agent, the data, and the decisions around how that data is used. Watch: youtu.be/UOPz26ixIxg #AIGovernance #AIAgents
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#CommunitySummitNA expects 5,500+ attendees in #Nashville this week. We're looking forward to the practical conversations across the #MicrosoftAI and Business Applications community. Thank you to John Siefert and Dynamic Communities for bringing people together. #MySummitNA
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We're looking forward to seeing @pswider speak at Community Summit in #Nashville. Nearly 30 years building healthcare technology, and he's still bringing real code to the conversation. This time Tula, OpenClaw, and industry-specific AI agents. #MySummitNA #HealthcareAI
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RealActivity - Mission Critical Healthcare Systems retweeted
In #Nashville next week for Community Summit. Making time Oct. 15 to compare notes with healthcare leaders on AI evaluation, governance and the move from pilot to production. In town? Send me a note. Coffee and a practical conversation. #MySummitNA #HealthcareAI #AIAgents
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A different kind of conference swag from Manila. Following @pswider’s session at Modern Work Conference Manila, we’re sharing the repo behind the work. It’s free and open for the community: github.com/pswider/autopilot… #MWCMNL #AIAgents #MicrosoftCopilot #Scout #AIGovernance #HealthcareAI #RealActivity #communityrocks
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This is field work we wanted to make available to the community. If you’re building with Microsoft Scout, exploring Autopilot, or working through agent governance and evaluation, we hope there’s something useful here.
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Thank you to everyone who joined Paul’s session at Microsoft Makati and to the Modern Work Conference Manila community for having us. And a special part of the week for us is getting members of our Philippine team together in person. Hope the repo saves you some time.
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