A clinician-governed bedside co-pilot deployed across cardiothoracic, internal medicine, and emergency, integrated to the hospital's electronic record under SaMD-pathway governance.

The medical center's clinicians were under documented time pressure that institutional leadership had stopped pretending was tolerable. Three prior vendor pilots had failed institutional governance — either because the model was not calibrated to the patient population the AMC actually serves, or because the rationale chain was not citable in a way the hospital's clinical-governance board could accept.

The Chief Medical Information Officer was clear with the firm at the first briefing: the AMC would not deploy a system whose recommendations the clinician could not defend in morbidity-and-mortality conference.

Vitae deployed on-premise inside the hospital's network, integrated to the EHR via FHIR and to the institutional clinical-knowledge base via internal APIs. No patient data leaves the institution. The platform is operated under joint clinical-IT governance.

Every bedside recommendation carries a citation chain back to the originating evidence — institutional protocol, society guideline, peer-reviewed literature — with the evidence level marked. Clinicians review every recommendation before action; the system never executes orders.

For the firm’s standing architectural posture, see architecture and trust & standards.