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Let’s dive in 👇
If you have only 30 seconds - some of the key updates:
US hospitals remain underprepared for AI governance, with only 29% maintaining formal model inventories.
InterSystems (US) launched a clinical AI assistant that retrieves and summarises patient data conversationally.
My Doctor Friend (US) introduced a patient-side AI copilot offering real-time contextual guidance when clinicians aren’t available.
Vital (US) rolled out a no-login urgent care platform with >94% wait-time accuracy and 60–78% adoption.
Elon Musk claimed Tesla’s Optimus robots will evolve into autonomous surgical systems.
FDA (US) signalled tighter oversight for generative-AI mental-health tools, including risk categories and drift monitoring.
HCA Healthcare (US) expanded Azure-based operational AI across 180+ hospitals.
Cambridge University Hospitals (UK) detailed a full-stack Azure AI architecture with governance and ambient pilots.
No Barrier (US) raised $2.7M for real-time multilingual clinical translation.
If you have more time, read on for the foresight of the week and the full breakdown of what shaped healthcare AI last week👇
Signal of the week
Hospitals are moving from AI pilots to full-stack AI infrastructure

This week, HCA Healthcare (US) reveals its expansion of Azure-driven operational AI across 180+ hospitals, Cambridge University Hospitals (UK) detailed a full Azure-based AI architecture with governance, deployment pipelines and ambient voice pilots, and Spain advanced its national imaging-AI strategy through cancer-screening pilots. Three very different systems - but the same direction of travel.
From speaking with providers across both ends of the spectrum, I’ve seen first-hand how the divide is becoming huge: some hospitals are building structured governance, model inventories and controlled deployment pathways, while others have none - and are quietly panicking as the baseline shifts beneath them.
Foresight:
The race has begun. Over the next 12 months, the competitive gap will be determined by infrastructure and governance - not by who buys the most or best tools.
Solutions and Launches
InterSystems (US): Launched the HealthShare AI Assistant, a conversational tool that retrieves clinical data, surfaces insights and supports clinician engagement. [link]
Vital (US): Launched a no-login urgent care platform that delivers real-time updates, >94% accurate wait times, and personalised guidance via SMS. Early pilots show 60-78% patient adoption and 30-50% reductions in LWOBS/AMA. [link]
My Doctor Friend (US): A patient-side AI copilot launched, providing contextual health explanations to patients in moments where clinicians are inaccessible.[link]

Avicenna.AI (France): Launched AVI, a PACS-integrated platform that surfaces AI findings invisibly within radiologist workflows. It centralises stroke, PE, aortic and spinal models into a single integration point. [link]
Elon Musk: Says Tesla’s Optimus robots will become super surgeons handling complex procedures autonomously in the future.[link]
Governance, Policy, and Ethics
FDA (US): The FDA signalled tighter expectations for generative-AI mental health tools, emphasising clearer risk categories, uncertainty detection, drift monitoring and more robust evidence requirements. [link]

National Academy of Medicine (US): Released a comprehensive AI Code of Conduct outlining responsible development, validation and oversight. It offers health systems a governance blueprint that goes beyond local policies. [link]
EDPS (EU): Issued risk-management guidance for procuring AI systems involving personal data. It reinforces privacy-by-design in sensitive health settings. [link]
Spain: The country approves a national AI strategy for healthcare. Plans include using AI for early cancer detection, with pilots active in Andalusia. This accelerates integration of imaging AI into national screening. [link].
Research and AI Advancements
Google launches Gemini 3: a multimodal reasoning model with deeper contextual understanding and improved intent interpretation. [link]
Report finds healthcare providers underfunding AI governance
Only 29% of US hospitals maintain formal AI inventories or auditing processes, raising compliance and safety concerns. Leaders cite insufficient vendor documentation as a major barrier to deploying AI responsibly. [link]Artificial superintelligence alignment in healthcare
The review warned that advanced, opaque AI systems could destabilise clinical infrastructure if misaligned. It argues for health-specific alignment frameworks to prevent long-term systemic risks. [link]
MAFM^3: Modular Adaptation of Foundation Models for Multi-Modal Medical AI [link]
Partnerships, Collaborations, and Implementations
HCA Healthcare (US): deployed Azure-based AI for staffing and operational forecasting across 180+ hospitals. It has reduced overtime and improved resource allocation. [link]
Matic + Codematic (US):Their AI platform processes 95% of claims error-free. This reduces denials, particularly in behavioural health networks. [link]
Children’s Hospital of Philadelphia + Epic AI Text Assistant (US):
This will simplify complex medical notes into patient-friendly language. It strengthens the intent of OpenNotes by making records accessible to patients. [link]Cambridge University Hospitals + Microsoft / Newton’s Tree (UK):
CUH detailed a full Azure-based AI architecture with an AI deployment platform, governance structures and an ambient voice pilot. It serves as a blueprint for end-to-end clinical AI pipelines. [link]
Bets on the Next Health System
Investments:
No Barrier (US): raises $2.7M seed, developing real-time clinical translation tools for 40+ languages. [link]
Iambic Therapeutics (US): raises $100M Series B (US) to advance three AI-discovered oncology drugs into Phase 2 trials. The funding accelerates their integrated wet-lab and AI pipeline.[link]
Synchron (US) raises $200M Series D to continue clinical trials of its BCI implant for ALS patients. It has FDA breakthrough designation for speech restoration. [link]
Voize (Germany) raised $50M Series A to automate up to 30% of nursing documentation using ambient AI. [link]
Nabta Health (UAE) raises $2M pre-Series A to scale its hybrid AI-powered women’s health model across MEA. It combines digital triage with clinic-based care pathways.[link]
M&ALuma Health + Tonic (US): Acquisition to extend their AI-driven patient access platform to 1,000 health systems, including major Oracle Health EHR customers.[link]
GetWell Network + RhythmX AI (US): The two firms merged under SymphonyAI to unify patient engagement with precision insights.[link]
Radiology Partners + Cognita Imaging (US)- $80M acquisition to boost Mosaic Drafting AI’s performance and expands Cognita’s deployment scale.[link]
That’s a wrap for Edition #6 of Health AI Foresight.
My goal with this newsletter is simple - to connect the present, the emerging, and the future of healthcare AI.
See you next week.
- Dr. Aboufandi
📩 Something stand out? Or have a suggestion? Hit reply - I read every message.

