Pilot proposal · HSE Ireland

Med AI Platform

One integrated AI platform for the acute hospital crisis Ireland is in.

Harishankar Somasundaram · MSc Artificial Intelligence (Ireland)
harishankar.info@gmail.com · hse.harishankar.info
The problem
11,595

Patients on trolleys in February 2026.
The worst February on record.

INMO Trolley Watch · University Hospital Limerick alone: 1,978
Why now

The funding, the strategy, the regulation, all converged this quarter.

€263M
2026 Digital Health budget allocated by the Department of Health.
"AI for Care"
Ireland's first national AI healthcare strategy, published March 2026. 4 of 5 Year-1 priorities are addressable by this platform today.
2 Aug 2026
EU AI Act high-risk obligations apply. Vendors without an explainability and audit-trail layer get locked out.
The solution

One AI substrate. Front door to back door.

Nine clinical department agents, optimised together by Multi-Agent Reinforcement Learning, reading and writing through one HL7 FHIR R4 spine.

ED
Ward
ICU
Discharge

No other vendor in Ireland today offers this end-to-end. Aidoc does radiology. eAltra does pre-chemo. Oneview does engagement. The integration layer is empty.

The proof Simulation
92.9%

Mean wait-time reduction in DES-MARL simulation.
28.4 hours to 2 hours. +137% throughput.

MIMIC-IV-derived flow data, 9 department agents, MADDPG/MAPPO, 5-stage curriculum learning. Not a clinical RCT. The 12-week pilot is the validation.
What's built today

Not slideware. Running end to end.

19
FastAPI services in production locally
22
Kafka domain events on a Redpanda spine
15+
Dashboard pages, React 19 + TypeScript
100%
SHAP-explained predictions, GDPR-audit-logged

Architecture: FastAPI · MongoDB · Kafka · React · Helm · Linkerd-ready · Prometheus / Loki / Jaeger. On-premises deployable from day one. Live walkthrough available on 24-hour notice.

Modelled impact, one Model 4 hospital, per year Modelled
€20-30M
Annual benefit envelope (mid-case)
~20,000
Bed-days released (Qventus benchmark applied)
12-25
Sepsis lives saved per ICU per year
< 4 mo
Payback period

Calibrated against Qventus (20-35% bed-day reduction across US health systems) and GE Command Centre (35% ED wait cut at Hopkins). The pilot produces the Irish-context number that replaces these.

The ask
€0

12-week pilot. One site. Falsification clause.

Three success metrics agreed at kickoff. If none move at week 12, the pilot terminates and HSE owes nothing. No licence, no integration cost, no obligation.

Vehicle: Health Innovation Hub Ireland (HIHI) framework.
Lead site target: Mater Misericordiae (already runs Aidoc) or UH Limerick (worst trolley count).
Why me

Built solo. By a recent MSc AI graduate in Ireland.

11+
Years shipping production AI at scale (prior commercial work).
90 days
From this conversation to a Mater pilot live, if HSE agrees.

MSc AI (First Class Honours, Dublin Business School). Built HSE Pulse end to end as a thesis proposition. No commercial intent today. Offered for evaluation under HIHI or as a research collaboration.

Next step

A 30-min demo.
One pilot site.
Zero up-front cost.

Harishankar Somasundaram
harishankar.info@gmail.com · +353 89 977 5093
https://hse.harishankar.info/