Board-ready AI strategy, from people who ship it.

Most healthcare executives need a team that can talk about AI governance and show governed AI working in production - not slideware. RealActivity brings decades of hospital operations depth, a CMS-accepted methodology proven for 15+ years, and the governance posture boards and regulators now expect.

Why RealActivity

A team that ships governed AI - not slideware.

RealActivity's work spans dozens of US hospitals over the past 30 years, with clinical, compliance, and engineering depth across the company - including governed AI proven in production inside an academic medical center. The team's methodology is accepted by CMS as an alternative to traditional time studies and has supported successful third-party audits.

That is the difference between a deck and an engagement your CMO, CISO, and compliance leaders can act on - with Microsoft ecosystem depth and credible coverage across multiple model providers.

Partnership in progress

Governed access to Anthropic Mythos for hospital systems.

RealActivity is partnering with Anthropic to extend Claude Mythos Preview to health systems through the same governed OpenClaw harness that runs Tula and Aria - identity, policy, audit, and human oversight included.

For CIOs, CISOs, and engineering leaders, that means using Mythos for defensive work: vulnerability detection, code review, and hardening first-party applications and critical infrastructure - inside your boundaries, not as an unmanaged chat experiment.

Engagements are scoped with RealActivity; partnership terms and availability are in progress. Book a briefing to discuss fit for your organization.

What we offer

Three ways to start, all leading to the same place.

Each engagement is paid discovery that surfaces where governed AI - on the provider side or the patient side - creates value next.

CMO · CIO · CMIO · CEO

AI Strategy & Governance

A board-ready AI strategy for the academic medical center: readiness assessment, a governance framework, and a deployment roadmap - provider-agnostic by design, aligned to recognized AI risk frameworks, and a path to governed frontier capabilities (including Anthropic Mythos for code and systems review where appropriate).

Book a briefing
Chief Compliance Officer · VP Research Admin

CMS Compliance Readiness

A readiness assessment for physician effort reporting and cost-report allocation - how your current approach would hold up under a CMS or HHS audit, and where a continuous, attested record strengthens your posture.

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CMO · VP Medical Affairs

Physician Workforce Intelligence

A workshop that turns physician effort data into a workforce-planning instrument: true cFTE visibility, capacity analysis, and productivity benchmarking your committees can plan against.

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How an engagement works

Structured, peer-referenced, and built to expand.

01

Briefing

A focused conversation with your leadership to understand the institution's posture, pressures, and the door that gets to value fastest.

02

Assessment

A scoped diagnostic - readiness, governance, or workforce - benchmarked against how a peer academic medical center solved the same problem.

03

Roadmap

A board-ready set of recommendations and a deployment sequence, with the governance guardrails to adopt AI safely.

04

Pilot

Where it fits, a structured 90-day pilot on your data - provider activity, or a governed patient-agent pilot - that proves the value in your environment.

Start with a conversation, not a commitment.

The best first conversation connects your CMO and Compliance leadership. We'll bring the peer-institution proof.