HIPAA-aware clinical automation without moving PHI offsite

On-Prem Medical AI Appliance

Hardened hardware, local model execution, EHR connectors, role-limited agents, and managed governance for clinics that need AI without handing patient data to generic cloud workflows.

Target launch Miami clinics
Data posture PHI local by default
Model control Governed agents
Sales motion Pilot to financed deployment

Turnkey appliance deployment for private practices, clinics, specialty groups, and small hospitals.

Explore the system

Scroll-built appliance

The tower assembles into a governed local AI stack.

Each layer represents part of the deployment: compute, model storage, encryption, EHR integration, backups, and the clinician-facing agent layer.

Compute
GPU
NVMe
TPM
EHR
Agents
Compute core Server-class CPU and ECC memory

The build begins with resilient local compute sized for clinic workloads.

Clinical AI infrastructure

Everything a practice needs to run useful AI under local control.

01

Private execution

Task-specific agents run on the appliance with external transfer disabled by default and local audit trails for sensitive workflows.

02

Hardened access

Client-side encryption, RBAC, 2FA, YubiKey support, signed updates, encrypted backups, and secure rollback processes.

03

Managed deployment

Provisioning, EHR connector setup, monitoring, governance, model updates, and integration support handled as a service.

04

Clinician review

Notes, billing assistance, diagnostics support, chart analysis, triage, and research workflows stay in decision-support mode.

Pain points

Clinics want automation, but cloud AI creates friction where trust should be.

Administrative drag Notes, coding, triage, inbox review, and monitoring consume clinician time.
Compliance anxiety Cloud AI can raise PHI exposure concerns, vendor review delays, and legal uncertainty.
IT gap Most practices lack staff to deploy, govern, patch, and monitor local AI safely.

Interactive demo

A governed clinical agent cockpit buyers can understand in minutes.

Local execution / audit log enabled / outbound transfer blocked

Notes Agent

Transforms encounter audio and chart context into a structured draft note with review gates before EHR commit.

  • SOAP and specialty-specific formats
  • Local chart context and source references
  • Clinician approval before chart updates

Triage Agent

Sorts inbound requests, flags urgency indicators, and drafts staff routing actions under practice policy.

  • Inbox and call summary triage
  • Escalation rules by role and specialty
  • Queue visibility for office managers

Billing Assist

Surfaces documentation gaps, coding suggestions, and possible revenue leakage without submitting claims automatically.

  • Human review before billing action
  • Audit trail for every recommendation
  • Specialty-specific coding logic

Front Assistant

Supports intake, scheduling prompts, FAQs, and follow-up workflows while respecting role boundaries.

  • Practice-specific voice and scripting
  • Consistent patient-facing responses
  • Learning from approved workflows only

Florida EHR roadmap

Start with high-value connectors, then expand by paid integration scope.

Epic

Enterprise hospitals and larger specialty groups.

Oracle Cerner

Community hospitals and health systems.

athenahealth

Independent and ambulatory practices.

eClinicalWorks

High-volume outpatient clinics.

Allscripts

Legacy and transitional environments.

Business model

Pilot, deploy, finance, and retain through managed service.

Small practices

$9.9k pilot / $24.9k deployment

Solo and boutique clinics with core agents, simple EHR scope, remote onboarding, and optional lease.

Hospitals

$150k to $1M+ deployment

Multi-appliance deployments, enterprise controls, on-site support, validation services, and custom integrations.

ROI estimator

Annual admin time value

8providers
6hours/week
$120hourly rate
$299,520estimated annual value

Compliance posture

Market the controls. Keep clinical claims disciplined.

Before scale BAA framework, HIPAA risk assessment, incident response plan, pen test evidence, and validated adapters.
Risk controls Audit logging, role limits, clinician review, insurance, secure updates, backups, and rollback.
Future-proofing FHIR and HL7 adapters, industrial hardware options, governance automation, and enterprise orchestration.

Appliance stack

Compact hardware with enterprise controls.

Compute

Xeon or EPYC, ECC memory, enterprise GPU options, TPM 2.0, secure boot, and remote management.

Storage

RAID-backed NVMe tiers, encrypted drives, model cache, secure erase, and hourly encrypted backups.

Reliability

Ruggedized chassis, low-noise cooling, UPS bridge, spare modules, and advanced replacement options.

Preload

Hardened OS, container runtime, orchestration agent, governance layer, update client, and EHR adapters.

Sales intake

Qualify the practice and route the deployment conversation.

Practice profile

Workflow priorities

Commercial fit