AI-Native Platform

The intelligence layer
for Learning Health Networks

Every patient encounter generates learning that benefits future patients. We embed AI at every layer — from data ingestion through clinical action — to transform how clinical knowledge is created and applied.

Federated — raw patient data never leaves the institution
Network at a Glance
100+
Network sites by Year 3
82%
Remission rate (ICN model)
4
Clinical domains
<2yr
Evidence-to-practice target
🧬 Multi-Omic
⚡ Real-Time CDS
Federated Privacy
The Problem

A system that forgets

Healthcare generates 30% of the world's data, yet clinical knowledge takes an average of 8 years to reach the bedside — and most of it never arrives at all. Clinicians are overwhelmed by data but starved of actionable insight.

8yr
Evidence-to-Practice Gap
80%
Unstructured Clinical Data
14%
Of Research Reaches Clinical Practice
The Opportunity

Learning Health Networks + AI

Learning Health Networks have proven that networked collaboration produces measurable outcomes. We add the missing layer: intelligence.

Proven at Scale

ImproveCareNow: 100+ centers, 30K+ patients, 82% remission in pediatric IBD. 990 physicians across 5 countries demonstrate what networked collaboration achieves.

The Missing Layer

Existing LHNs lack AI, molecular data integration, clinical decision support, federated analytics, and automated evidence synthesis. We build what's missing.

Federated by Design

Raw patient data never leaves institutions. Federated learning with differential privacy allows the network to learn collectively while each institution retains full data sovereignty.

Molecular + Clinical Unified

Genomic, transcriptomic, proteomic, and metabolomic data alongside clinical phenotype — a unified multi-omic platform that no existing LHN provides.

Platform Vision

Three core principles

An AI-native system where machine intelligence is woven into every layer, from data ingestion through clinical action.

Every Encounter Learns

Clinical care and knowledge generation are inseparable. Every patient interaction feeds AI models that continuously improve diagnostic and therapeutic recommendations across the entire network.

Augment, Don't Replace

AI synthesizes evidence, surfaces patterns, and ranks recommendations — while maintaining full clinical autonomy. Physicians lead; the intelligence layer informs.

Federated by Design

Institutions retain complete data sovereignty while contributing to shared intelligence. The network grows smarter with every cell, without any institution sacrificing control.

Technical Architecture

Five-tier platform

Layered, microservices-based architecture with federated data fabric and AI-native design.

1
Data Ingestion & Harmonization
Foundation

FHIR R4 native ingestion with AI-powered NLP to unlock unstructured clinical notes. Supports HL7 v2, CDA, CSV, and direct EHR adapters.

FHIR R4 Native AI NLP HL7 v2 CDA 80% unstructured data unlocked
2
Federated Data Fabric
Privacy-First

Local data nodes at each institution. No raw data movement. Differential privacy and cross-silo federated learning enable collective intelligence without data exposure.

Differential Privacy Local Nodes No Raw Data Movement Cross-Silo FL
3
AI & Analytics Engine
Intelligence

Diagnostic CDS, therapeutic matching, prognostic models, multi-omic deep learning, and digital twin simulation — the cognitive core of the platform.

Diagnostic CDS Therapeutic Matching Prognostic Models Multi-Omic DL Digital Twins
4
Clinical Application Layer
Point of Care

SMART on FHIR EHR-embedded apps, network dashboards, research workbench, and AI-powered clinical trial matching at the point of care.

SMART on FHIR EHR Embedded Network Dashboards Trial Matching
5
Governance & Security
Trust Layer

HIPAA foundation with OAuth 2.0, immutable audit trails, AI bias detection, model registry, and full explainability for every clinical recommendation.

HIPAA OAuth 2.0 Audit Trails Bias Detection Explainability
Clinical Domains

Four domains, one platform

A domain-agnostic core architecture serving interconnected clinical domains simultaneously, sharing intelligence across every cell.

Rare Diseases

Phenotype clustering and diagnostic odyssey reduction for patients who have been lost to the system. Natural history modeling, N-of-1 trials, and GA4GH Phenopackets integration.

Phenotype Clustering Diagnostic Odyssey Reduction N-of-1 Trials GA4GH Phenopackets
Oncology / Precision Medicine

Tumor genomic profiling, molecularly-matched therapy selection, resistance prediction, and AI-powered clinical trial matching aligned to the mCODE standard.

Tumor Genomic Profiling Therapy Matching Resistance Prediction mCODE Standard
Chronic Disease

Flare prediction, treatment optimization, remote patient monitoring, and care pathway personalization with patient-reported outcome tracking integrated at every touchpoint.

Flare Prediction Treatment Optimization Remote Monitoring PRO Tracking
Emerging Therapeutics

Drug repurposing through multi-omic signal detection, safety surveillance, synthetic control arms for adaptive trials, and pharmacogenomic integration for individualized therapy.

Drug Repurposing Safety Signals Synthetic Controls Pharmacogenomics
Evidence-Based Medicine

Living evidence engine

From static guidelines to continuous evidence at the point of care. The network generates its own real-world evidence in a continuous cycle.

1
Capture

PubMed, Cochrane, ClinicalTrials.gov, FDA, and network real-world evidence streams

2
Appraise

AI-assisted GRADE scoring with expert clinical review and quality confidence metrics

3
Synthesize

Knowledge graph maps disease–biomarker–therapy relationships across the entire network

4
Apply

Point-of-care CDS ranked and contextualized to each patient's molecular profile

5
Generate

The network produces its own real-world evidence, feeding the cycle continuously

Quality Improvement

PDSA at the speed of care

Traditional improvement cycles wait months to collect enough data. Hive's AI layer measures every PDSA cycle in real time — across every site simultaneously — so teams know what's working before the cycle even closes.

Plan

Identify & Hypothesize

AI continuously monitors network-wide outcome variance and proactively surfaces improvement opportunities. Teams define measures, targets, and hypotheses — with baseline run charts pre-populated from network data.

AI surfaces gaps before teams know to look
Do

Implement & Monitor

EHR integration captures process measures automatically as the change rolls out. Real-time adoption dashboards track implementation fidelity site-by-site. AI alerts if rollout deviates from protocol before problems compound.

Real-time fidelity tracking across all sites
Study

Analyze & Compare

Statistical Process Control charts update with every new data point. AI distinguishes common-cause variation from true improvement signals — no more waiting for a full cycle to know if a change is working. Peer benchmarking shows how your site compares to the network.

SPC signal detection in days, not months
Act

Standardize & Spread

When significance is reached, AI generates spread playbooks based on what high-performing sites did differently. Network-wide standardization with local adaptation tracking ensures the right change reaches every patient, not just the sites that ran the pilot.

AI-generated playbooks accelerate network spread
Real-Time SPC

Statistical Process Control charts update with each new patient encounter — no batching, no waiting.

Network Benchmarking

Compare your improvement cycle against all peer sites simultaneously to identify best practices.

Signal vs. Noise

AI distinguishes common-cause variation from true improvement signals — alerting teams the moment a change reaches significance.

Spread & Scale

Proven changes propagate across the network via AI-generated playbooks, compressing months of spread work to days.

Data Migration

Zero-data-loss migration

1
Discovery & Profiling

Automated inventory and data quality assessment of all source systems

2
Semantic Mapping

AI-assisted FHIR mapping with confidence scoring and human validation

3
Transform & Enrich

FHIR R4 conversion, NLP extraction, terminology modernization

4
Validate & Reconcile

Schema, semantic, and quantitative checks with full reconciliation reporting

5
Parallel Op & Cutover

Clinician UAT, divergence detection, 12-month archive of source data

Development Roadmap

36 months to 100+ sites

From concept to a self-sustaining, internationally deployed learning health network.

I
Months 1–9
Foundation
FHIR R4 core deployment
Federated node architecture
3–5 pilot sites onboarded
Initial AI/NLP pipeline
EHR integration adapters
II
Months 10–18
Expansion
All 4 domains active
Molecular data pipeline
15–25 sites live
Genomic CDS activated
Governance structure
III
Months 19–27
Intelligence
Federated learning live
Digital twin simulation
Evidence synthesis active
50+ sites connected
Pragmatic trial support
IV
Months 28–36
Scale
100+ sites internationally
Regulatory-grade RWE
Self-sustaining governance
Open standards adoption
Commercial sustainability
Why Us

A generational shift

First-generation LHN tools digitized the whiteboard. We build the intelligence layer. The gap isn't incremental — it's architectural.

Capability Legacy LHN Tools Hive Networks
AI / Machine Learning None NLP, federated learning, digital twins, predictive models
Molecular Diagnostics None Full multi-omic: NGS, liquid biopsy, pharmacogenomics
Clinical Decision Support None SMART on FHIR, real-time, molecularly contextualized
Data Architecture Centralized warehouse Federated with differential privacy
Analytics SPC charts, dashboards Deep learning, multi-omic, biomarker discovery
Evidence Synthesis Manual / none PubMed/Cochrane monitoring, automated knowledge graph
Clinical Trials None AI trial matching, synthetic controls, pragmatic trials
Interoperability Generic APIs FHIR R4 native, SMART on FHIR, 21st Century Cures

"They digitized the LHN whiteboard.
We are building the LHN brain."

Get Started

Every patient who enters the network
improves care for every patient who follows.

The question is not whether AI-powered Learning Health Networks will transform clinical care, but whether you will be among those who build it.

Request a Demo
1
Identify pilot sites
2
Convene Steering Committee
3
Secure Phase 1 funding
4
Establish Patient Advisory Council