Pilot proposal · Health Service Executive · Ireland

Med AI Platform

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

19 interoperable services covering ED triage, sepsis, deterioration, bed management, oncology, waiting lists and discharge. Aligned to the HSE "AI for Care 2026 to 2030" Year-1 priorities.

Harishankar Somasundaram · MSc Artificial Intelligence (Ireland)
harishankar.info@gmail.com · Independent · April 2026
Why this, why now

Three things made this the right month to bring it.

January 2025
25,290+

on trolleys in Jan to Feb 2025 (INMO).

March 2026
"AI for Care"

Ireland's first national AI healthcare strategy, published.

2026 budget
€263M

Digital health line item for the year.

The crisis numbers are public. The strategy is published. The budget is allocated. What's missing is an integrated AI substrate. That is what this is.

The market gap

Ireland has point products. Ireland does not have an integrated platform.

VendorDomainWhere deployed in Ireland
Aidoc (Israel)Radiology AI triageMater · 15,600+ scans
eAltra (Ireland)Pre-chemo remote assessmentSt James's pilot
Oneview (Ireland)Patient engagementCHI · 7-year deal
UiPathRPA automationHSE · 50+ processes
Qventus / TeleTracking / GE Command CentreHospital operationsNot deployed in Ireland

No vendor currently offers ED triage + sepsis + deterioration + bed management + oncology + waiting-list intelligence in a single integrated system. That is the gap this platform fills.

Strategic alignment

Mapped to AI for Care 2026 to 2030. 4 of 5 Year-1 priorities already addressed.

AI for Care Year-1 priorityPlatform moduleStatus
Demand and Capacity ManagementHospital Ops · Bed Mgmt · ED Flow · Trolley Watch · Discharge LoungeBuilt
AI scribe to cut documentation 40%Clinical Scribe (app_10), SOAP + ICD-10Built
Support function automation (HR, finance, procurement)Hospital ERP (app_15)Built
Certified AI for radiologyOut of scope (complementary to Aidoc)N/A
Contact centre automationOut of scope v1Roadmap
The platform

19 interoperable services. One unified clinical dashboard.

ED Triage
Acuity · disposition · LOS
Sepsis ICU
LSTM · 4h · ext val Q1
Hospital Ops
DES + MARL
Oncology AI
Readmission + mortality · NCRI val pending
Patient Journey
Timeline · vitals · labs
Clinical Chat
LLM · multi-module RAG
Data / Twin
Digital twin + sim
Bed Management
Real-time + predictive
Waiting List
ML prioritisation
Clinical Scribe
SOAP · ICD-10
ED Flow
PET breach prediction
Hospital ERP
Finance · rostering
Trolley Watch
INMO-style counter
GDPR
Audit · DSAR · DPIA
XAI
SHAP · decision log
FHIR Gateway
HL7 FHIR R4 · NSCR-ready
Deterioration
NEWS2 · PEWS · IMEWS
Discharge Lounge
Predicted handoff
Alerts
Coalesced · WebSocket · ack

FastAPI + MongoDB + Kafka (Redpanda) + React 19 + TS + Tailwind 4. Helm charts ready. Linkerd mesh ready. Prometheus / Loki / Jaeger / OpenTelemetry across every service.

Quantified impact · one Model 4 hospital · Modelled

What becomes possible after pilot validation.

Annual benefit
€20 to 30M
Direct + deferred capex + time recovery
Bed-days released
~20,000
~1 day shorter mean LOS × 20k discharges
Sepsis lives saved
12 to 25
Per ICU · 4h horizon
Avoided onco readmits
120 to 160
15 to 20% reduction
Modelled, not measured. Calibrated against HSE BIU benchmarks and clinical AI literature. Comparable: Qventus reduces excess bed-days 20 to 35%, GE Command Centre cut ED wait 35% at Hopkins. The pilot exists to produce the Irish-context number that replaces these.
Three-year business case · single Model 4 site · Modelled, pilot must validate

Projected payback < 4 months. Y3 net benefit ≈ €23.6M.

Line itemYear 1Year 2Year 3
Platform licence + integration€1.8M€1.2M€1.2M
HSE-side implementation effort€0.6M€0.3M€0.2M
Total cost€2.4M€1.5M€1.4M
Bed-days released (~1d × 20k × €1k)€8M€18M€22M
Avoided onco readmissions (~150 × €6.5k)€0.4M€0.8M€1.0M
Documentation-time recovery€0.8M€1.6M€2.0M
Net benefit€6.8M€18.9M€23.6M

Bed-day value is notional throughput, not cash. Sensitivity: bed-day reduction is the dominant lever.

Proposed pilot

One site. One front-door bundle. 12 weeks. HIHI-framed.

Lead site
Mater Misericordiae

Already runs Aidoc. Innovation-friendly executive. Large urban ED.

Bundle: ED Triage + ED Flow + Trolley Watch + Bed Management
Vehicle
HIHI clinical pilot

12-month structured pilot framework. Pre-approved for AI evaluation. Zero up-front cost.

Output: three-site reference deck for HSE Demand and Capacity procurement
The falsification clause

If it doesn't work in 12 weeks, HSE owes nothing.

Three success metrics agreed at kickoff with HSE clinical sponsors. Candidates:

  • Door-to-doctor time (front-door bundle)
  • NEWS2-score-to-escalation latency (deterioration bundle)
  • 30-day oncology readmission stratification accuracy (cancer bundle)

At week 12, if none move in the right direction by a clinically meaningful margin, the pilot terminates. No licence, no integration cost, no ongoing obligation. The hypothesis is falsifiable. The downside is bounded.

12-month roadmap

What gets delivered, by quarter.

Q1
Localisation + dossier
  • MTS retrain
  • ICD-10-AM mapping
  • EU AI Act files
  • DPIAs
Q2
Mater pilot live
  • Front-door bundle in production
  • FHIR Gateway complete
  • Irish validation cohort begins
Q3
St James's + HIHI
  • Onco + Discharge + Bed Mgmt live
  • HIHI.AI 2026 national call
  • Two reference sites
Q4
UH Galway + national
  • ICU bundle live
  • Three-site reference deck
  • HSE Demand and Capacity engagement
Why me

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

Harishankar Somasundaram, MSc Artificial Intelligence (Ireland). Built solo over my MSc. Not a commercial product. The working artefact of a thesis: Ireland's acute crisis isn't solvable by another point product, and the missing piece is a single integrated AI substrate.

State, precisely: 19 services run end to end on a developer workstation. None are clinically deployed. Models are MIMIC-IV-trained. Irish-data validation, MTS retraining, ICD-10-AM alignment are explicit Phase 1 deliverables, not assumed.

No commercial intent today. 12-week HIHI pilot at one site, falsification clause included.

The ask

A 30-minute demo.
One pilot site.
Zero up-front cost under HIHI.

Step 1
30-min demo
HSE clinical and technical leads.
Step 2
Pick the site
Mater preferred. Open to alternatives.
Step 3
HIHI submission
Q3 to Q4 2026 national call.
Harishankar Somasundaram
MSc Artificial Intelligence · Ireland
harishankar.info@gmail.com · harishankar.info