HEALTHCARE · AI IN CLINICAL WORKFLOWS
AI in Clinical Workflows
Independent governance, oversight, and managed technology services for the AI that is already embedded in clinical care, and the AI that is about to be.
THE AI REALITY
The technology behind every note, every read, every decision support.
AI is already in your clinical workflow. Ambient scribes are writing notes. AI is pre-reading imaging. Clinical decision support is firing alerts. Sepsis models are triggering rapid response. And in most hospitals, nobody owns governance. The FDA, ONC, and HHS have all issued guidance, payers are starting to ask questions, and state AGs are writing laws. Healthcare AI is no longer emerging. It is operational, and it needs the same governance discipline as any other clinical technology.
Sentinel Solutions Group makes sure those decisions land in your favor, whether you are piloting your first ambient scribe or building an AI governance committee for an IDN. We do not sell the technology. We govern the decisions around it.
1,000+
FDA-authorized AI/ML medical devices (FDA, 2024)
<20%
of health systems have deployed at least one AI solution (AHA)
<20%
have a formal AI governance committee (HIMSS)
CHALLENGE
The problem we solve.
Health systems are deploying AI at speed (ambient scribes, AI-read imaging, clinical decision support, sepsis and deterioration models, revenue cycle automation, patient-facing chatbots) while vendors compete to lock them into platforms they may not be able to evaluate. The clinicians using these tools and the executives approving them rarely have an independent technical voice in the room. Sentinel fills that gap: practitioner-led advisory, vendor-neutral evaluation, and AI governance built by people who understand clinical operations, not just machine learning.
THE CHALLENGES
The pressures shaping modern healthcare technology.
CMOs, CMIOs, and IT directors are navigating a landscape that punishes the wrong technology decision and rewards the right one. These are the pressures we help hospitals manage.
AI Governance & Committees
Who approves new AI tools? Who monitors drift? Who owns bias testing? Who owns the clinician override protocol? Governance bodies have to exist, have authority, and have teeth.
Ambient AI & Documentation
Ambient scribes are the fastest-adopted AI in healthcare. They also change what ends up in the legal record. Contract terms, validation, and oversight cannot be left to the vendor.
Model Validation & Monitoring
Black-box AI in clinical care is not acceptable. Bias testing, performance monitoring, drift detection, and clinical impact assessment are the new table stakes.
Procurement & Contract Discipline
SaaS pricing escalation, proprietary data formats, hidden integration fees, and vague SLAs are baked into most public-safety vendor contracts. Without independent scrutiny, hospitals sign deals that punish them at every renewal.
Interoperability & Health Information Exchange
Patient safety and clinical outcomes depend on data flowing across EHR, HIE, lab, pharmacy, imaging, and revenue cycle systems, and with regional hospitals, state HIEs, public health agencies, and payers. Most hospitals still struggle with basic interoperability.
Clinical Workforce, Training & Adoption
New technology only works if nurses, physicians, and clinical staff actually use it. Recruiting, training, and change management are as critical as the platform itself, and they are routinely under-budgeted in modernization programs.
OUR APPROACH
We have run the unit, written the clinical policy, and built the platform.
Sentinel was built by people who came up inside healthcare and the technology that supports it. Our team brings decades of bedside, administrative, and engineering experience across the largest health systems in the region, then trained clinicians on technology, workflow, and process. Our advisory board includes practicing clinicians and leaders (nurses, physicians, and clinical directors) who have served everywhere from agriculture country to the largest metro departments. That lived experience shapes every recommendation we make.
From the Bedside to the Boardroom
We understand the operational reality of healthcare because we have lived it. Our team knows what clinicians need at 2 a.m., and we know how to translate that into the procurement, governance, and contract language that protects the hospital long after.
Vendor-Native Expertise
We have built, sold, and deployed the EHR, HIE, clinical applications, and clinical documentation platforms healthcare organizations are evaluating. We know the contract language, the hidden SKUs, the integration gotchas, and the renewal traps that vendors do not advertise.
Technical Mastery
Our co-founder served as a Principal Systems Engineer overseeing some of the most complex healthcare IT environments in the country, and our advisory board adds decades of additional engineering depth across HIPAA, networks, infrastructure, and cybersecurity.
A Team, Not a Single Consultant
You do not get a single consultant, you get the full bench. Our advisory board of practicing clinicians, nursing leaders, and healthcare IT veterans is actively involved in every engagement, tailored to your specific program. Sentinel is one of the only firms that brings both deep technical expertise and operational breadth directly tied to mission-critical clinical operations.
CORE CAPABILITIES
End-to-end governance for healthcare technology programs.
Every engagement is anchored in six disciplines that protect hospitals from bad decisions, bad contracts, and bad outcomes.
Organizational Change Management
Clinicians will use a system if it is built for them and rolled out the right way, and abandon it if it is not. We design change strategies informed by real-world deployments, including our founder’s Joint Commission to ICD-10 national coding transition experience, so adoption sticks.
Risk Assessment & Management
We identify the technical, operational, contractual, cyber, HIPAA, and political risks that threaten your program, and build mitigation strategies your CEO, CMO, or board can defend in any audit, after-action, or community meeting.
Vendor Selection & Procurement
RFP development, scoring rubric design, vendor evaluation, reference checks, contract negotiation, and SOW authoring. We level the playing field so the best fit wins, not the best sales team or the slickest demo.
Program & Project Management
PMP-disciplined program governance with public-sector fluency. We structure work for political visibility, audit defensibility, and multi-administration continuity, so your modernization survives elections, budget cycles, and command turnover.
IT Managed Services
Beyond advisory. Sentinel can operate alongside your team, maintaining EHR and clinical systems environments, mobile data infrastructure, clinical archives, networks, cybersecurity controls, and every system that touches patient safety and clinical integrity.
Independent Deployment Oversight (IV&V)
We watch the vendor so you do not have to. Independent verification and validation across milestones, data conversion, acceptance testing, training, go-live, and warranty, keeping vendors accountable to the contract you signed.
From admission to discharge and beyond, Sentinel stays with the chart.
Most firms specialize in one slice, the EHR, the revenue cycle, the imaging, the analytics. We have sat at every seat and engineered every layer. This signature is how we see the full arc, and where Sentinel sits most actively.
Specialized support for the work that ends up in a board meeting, a CMS audit, or a root cause analysis.
Five ongoing services shaped by the pressures of modern healthcare. Records systems kept clean against CMS and Joint Commission reporting standards, critical incidents reviewed with defensibility in mind, and clinical analytics built to actually reduce time-to-resolution.
EHR Provisioning & Administrator Services
Ongoing EHR configuration, user management, reporting setup, and system optimization.
EHR Data Integrity & Compliance Management
Continuous validation of reporting data to ensure CMS and Joint Commission reporting accuracy, with audit-ready documentation.
Sentinel Event & Critical Incident Review
Independent analysis of high-risk incidents to identify trends and reduce liability exposure.
Clinical Documentation Workflow Optimization
Streamlining body camera and clinical documentation processes to reduce backlog and improve audit and compliance readiness.
Command Center & Capacity Operations Support
Full lifecycle support for RTCC development, including staffing models, workflows, and technology integration.
OUR PRACTICES
Four practices. One standard of delivery.
Every Sentinel engagement is governed by proprietary practices built for the realities of healthcare technology, not borrowed from commercial IT playbooks.
PROGRAM MANAGEMENT
Sentinel Delivery Framework™
How we govern your program.
PMP-disciplined program governance structured for multi-jurisdictional complexity, elected leadership accountability, and federal grant compliance. Every milestone and decision gate is designed for the healthcare reality, where executive transitions, board oversight, CMS mandates, and union negotiations shape the timeline more than any vendor’s project plan.
CHANGE MANAGEMENT
Sentinel Readiness Method™
How we prepare your people.
Organizational change management built for bedside clinicians, charge nurses, and clinical leadership, not corporate end users. We design adoption strategies informed by shift rotations, union dynamics, field deployment realities, and the operational truth that your EHR and clinical systems cannot go dark for training. When the new system goes live, your clinicians and staff are ready.
CONFIGURATION AUTHORITY
Sentinel Deployment Blueprint™
How we own the configuration.
Configuration authority for ambient AI scribe deployments, clinical decision support integration, AI-read imaging platforms, and clinical AI governance frameworks. Sentinel owns the foundational decisions around model selection, human-in-the-loop design, bias monitoring, clinical validation, and escalation criteria, producing the Blueprint, training, and administrator documentation that keeps AI governable across the clinical enterprise.
VALUE ASSURANCE
Sentinel Value Assurance™
How we prove the value.
Post-deployment governance for your AI clinical workflow investment. Sentinel independently measures whether model accuracy, clinician trust, and documented care outcomes specified at procurement are being realized in clinical production, and documents vendor accountability when AI performance drifts from committed levels.
After engagement closes, Sentinel Sustain keeps the practice active across the life of the investment. Three tiers: Core, Active, and Strategic.
Learn more →DEEP EXPERTISE
Domain mastery across every system that touches a clinician.
These are the specific platforms, standards, protocols, and operational disciplines we work in every day.
EHR, HIE & Clinical Applications
- EHR needs assessment and selection for all organization sizes
- EHR evaluation, RFP authoring, and migration planning
- Mobile clinical apps and bedside documentation
- CMS and state-specific reporting compliance
- Asset management, clinical documentation, and patient case management modules
- HL7/FHIR interoperability with regional hospitals and HIEs
- Data conversion, validation, and historical migration
Clinical Documentation & Imaging
- EHR platform selection and deployment
- Imaging and ancillary system integration
- Clinical documentation systems and data retention policy
- Clinical documentation (DEMS) governance
- Storage architecture and lifecycle planning
- HIPAA disclosure workflow and access governance
- Legal hold and audit trail design
HIPAA, Cyber & Compliance
- HIPAA Security Policy compliance and audit prep
- Multi-factor authentication deployment
- Network segmentation and zero-trust architecture
- Ransomware readiness and tabletop exercises
- Vendor managed-service HIPAA responsibilities
- Personnel screening and access control
- Incident response and breach readiness
Clinical Analytics & Quality
- Enterprise command center design and deployment
- Clinical analytics and business intelligence platforms
- Clinical quality review and patient advocacy case management
- Clinical data audit workflow and e-discovery tooling
- Population health and data sharing platforms
- Predictive analytics and pattern analysis governance
- Federal partner integration (EHR, NICB, HIEs)
Clinical Training & Adoption
- Clinical technology training curriculum development
- Clinical preceptor and nursing orientation program integration
- Recruitment and retention strategy advisory
- Wellness and peer support program design
- Change management and adoption planning
- Policy and procedure development
- Tabletop exercises and operational readiness
Integration & Interoperability
- HL7 and FHIR integration advisory
- Medical device interoperability and IoMT evaluation
- Clinical mobility platforms and bedside connectivity
- Multi-hospital clinical and records data sharing
- Regional interoperability planning
- State HIE and public health integration
- Clinical mobile and telehealth communications
WE KNOW THE TRICKS OF THE TRADE
Pitfalls we help health systems avoid.
These are the traps that consume budgets, derail timelines, and leave hospitals stuck with systems that do not serve them. We have seen them firsthand, and we know exactly how to neutralize them.
01
Proprietary Data Lock-In
EHR and clinical platform vendors that encode patient data, workflow metadata, and report templates in formats only they can read. We insist on open data standards, documented schemas, and exportability clauses before the contract is signed.
02
Hidden Integration Costs
The line items that appear after go-live: lab interfaces, imaging integrations, pharmacy connectors, HIE feeds, and “professional services” fees for every custom API call. We surface them during procurement, not after.
03
AI Licensing & Vendor Lock-In
Per-user licensing that escalates with system growth, storage tiers that punish retention compliance, and per-export fees for clinical documents or data migration. We negotiate caps, predictable storage costs, and portability terms up front.
04
HIPAA Misalignment with Vendors
Cloud and managed-service vendors that sign HIPAA attestations they cannot actually fulfill, leaving your organization holding the bag at audit time. We verify HIPAA posture before the contract, not after the breach.
05
Underestimated Clinical Adoption Curves
Vendors who promise “intuitive” platforms and deliver weeks of clinician training your team was never warned about. We demand realistic training hours, super-user programs, and protected ramp-up periods in the SOW.
06
Procurement Without Reference Reality
Organizations that sign based on demos and reference calls curated by the vendor. We conduct independent reference checks and dig into how the platform actually performs at organizations of comparable size and complexity.
WHO YOU ARE WORKING WITH
Practitioners. Engineers. Nursing leaders.
The people who lead every Sentinel engagement have spent their careers inside hospitals, behind the engineering consoles of the country’s most complex clinical systems, and at the bedside and nursing stations that keep patients safe.
Amber Jacoby
HEALTHCARE OPERATIONS & NURSING LEADERSHIP
Justin Scott
HEALTHCARE, CLINICAL OPERATIONS & PATIENT SAFETY ADVISORY
Also Supporting Your Program
Kendra Branson · HIPAA Compliance & Contracts Advisory
Four ways to bring Sentinel into a AI clinical workflow program.
The right engagement depends on where the organization is in the AI rollout lifecycle. Each tier has its own scope discipline and its own deliverable cadence.
Sentinel Sustain
End-to-end managed operations for the AI clinical decision support, ambient documentation, imaging assistance, and workflow-augmentation infrastructure Sentinel helped you deploy. Sustainment, model-drift monitoring, vendor coordination, and 24/7 incident response. The AI is still flagging the right cases at the right moment, because someone is still accountable for the model and the workflow at once.
We govern the program. We never sell the platforms.
Read moreSentinel Guardian
Ongoing retainer with quarterly governance reviews, pre-decision advisory, and an open line for board response, clinical-leadership coordination, FDA SaMD posture, and vendor escalations. The organization has independent counsel on the technology side of the table, before the next AI vendor pitch, the next algorithmic-bias inquiry, or the next regulatory update.
Sentinel documents. We do not litigate.
Read morePractice-Led Engagement
Anchored to one of SDF, SRM, SDB, or SVA. Best when the organization knows which discipline is needed: an AI clinical deployment, clinician adoption change readiness, configuration authority on model thresholds and human-in-the-loop logic, or post-deployment outcome governance with bias and accuracy review. Fixed scope, named practice, defined deliverables.
Independent. Practitioner-led. Vendor-neutral.
Explore subscriptionsThe Integrated Package
A specialized service plus a signature practice plus Sentinel Institute training, packaged as a single integrated engagement. For organizations standing up an AI clinical workflow capability from scratch and building the institutional capacity to govern it through model updates, vendor changes, and the next regulatory cycle.
Cutting-edge. Never bleeding-edge.
Read moreREADY WHEN YOU ARE
Your next EHR, HIE, or clinical systems modernization decision starts here.
Let us show you what independent, vendor-neutral healthcare technology advisory actually looks like. A 30-minute conversation is the fastest way to see if Sentinel is the right fit for your hospital.