The governed AI workforce

AI that works within healthcare, not around it.

A governed AI workforce — 23 named agents across six autonomy levels (A0–A5), with review gates where they matter. Most agents only propose; a qualified human accepts. Every consequential output is challenged and risk-checked before it acts, every action traces back to verifiable evidence, and every boundary is explicit.

23 named agentsSix autonomy levels (A0–A5)Provenance by defaultHuman-in-the-loop
Autonomy levels

Six autonomy levels (A0–A5). Clear rules at each one.

Not all AI is equal. Every agent is hard-capped at one of six autonomy levels, and each level comes with explicit, enforced rules about what it may do and when a human must step in. Most agents only propose.

A0
Suggest (utility)
Spell-check, template suggestions, readability hints, translation hints
No PHI leaves the regulated boundary. Safe to use without review.
A1
Draft
Notes, letters, assessments, handovers, case summaries
A human edits and signs before anything is committed.
A2
Propose
Triage bands, escalations, code suggestions, outreach drafts
A human accepts before it takes effect. Most agents sit here.
A3
Reversible execute
Queue ordering, analytics narratives, sandboxed simulation
Reversible and within tenant policy. The operator can override.
A4
Bounded autonomous
Low-risk operational actions under explicit tenant guardrails
Every action is logged and reversible; the tenant sets the limits.
A5
Not enabled by default
Anything clinically influential or potentially regulated
Clinical review, safety case and a separate regulatory workstream required.
Named AI workers

Twenty-three agents. Named jobs. Explicit boundaries.

AI Workforce ships with 23 pre-defined agents — led by the patient-care ones (remote monitoring, virtual wards, deterioration). Each has a scoped job, a Care Graph grounding and a hard boundary it cannot cross — regardless of prompt.

01
RPM Monitor Agent

Watches remote-monitoring device streams and proposes an escalation when a patient drifts outside agreed parameters.

Never auto-actions care or pages a responder — a clinician accepts or dismisses.
02
Virtual Ward Agent

Watches a virtual-ward caseload and proposes who to escalate, visit, or step down — with the reasoning.

Never admits, discharges, or steps a patient down on its own.
03
Hazard Field Curator Agent

Curates a live, caseload-wide risk map and proposes who is deteriorating or at risk now, so clinicians can prioritise.

Ranks and proposes only; never turns a flag into action by itself.
04
Medication Adherence Agent

Spots patients likely missing doses and proposes a nudge or a clinician/pharmacist follow-up.

Can never change the medication plan itself.
05
Care Coordination Agent

Watches care-plan execution and proposes the next tasks, follow-ups, and chase actions that close care gaps.

Proposes only; a human accepts before anything happens.
06
Assessment Agent

Drafts a structured pre-visit assessment — problem list, relevant history, and an assessment/plan frame with cited drivers.

A clinician completes, judges, and signs; draft only.
07
Documentation Agent

Drafts clinical notes, letters, visit and discharge summaries from the consult and its surrounding context.

A credentialed human reviews and signs; nothing is written to the record silently.
08
Handover Agent

Drafts a structured SBAR shift/care handover — caseload state, outstanding tasks, escalations, and per-patient risks.

The outgoing clinician reviews and signs the authoritative handover.
09
Patient Concierge Agent

Answers patients' logistics and care-plan questions, drafts reminders, and routes anything clinical to a human.

Never gives unsupervised clinical advice; clinical messages go to a person.
10
Referral Intake Agent

Reads an inbound referral, extracts the key facts, and proposes a triage band and routing.

Proposes only; a clinician makes the triage decision.
11
Inbox Triage Agent

Sorts incoming messages, tasks, and alerts into a priority and the right queue, surfacing urgent and safeguarding items first.

Never auto-actions clinical content; a person acts on it.
12
Prior-Auth Agent

Gathers the evidence, drafts the medical-necessity narrative, and assembles a prior-authorisation package against payer rules.

Never submits to a payer — a human submits.
13
Coding & Revenue Agent

Reads the documentation and proposes ranked, evidence-cited billing codes, flagging upcoding and under-capture.

Never accepts its own codes or submits a claim; a coder signs off.
14
Revenue Leakage Agent

Scans schedules, charges, coding, coverage, and denials for missed or under-billed revenue, and proposes a recovery action.

Never posts a charge or changes the billing record.
15
Executive Analyst Agent

Answers operational and executive questions over de-identified analytics and drafts a narrative with charts.

Never shows a figure without citing its source-of-truth value.
16
Safety Reviewer Agent

Adversarially reviews a clinically-influential AI output — steel-mans, hazard- and evidence-audits it — and can block, revise, or escalate how it is shown.

Reviews how an output is presented; never decides care or replaces the safety gate.
17
Pre-Mortem Agent

Before a change ships, assumes it has already failed and works backwards to enumerate hazards, scoring each and proposing mitigations.

Proposes a block/proceed recommendation; a human decides.
18
Quality Auditor Agent

Samples AI outputs and clinical/operational work for missing evidence, contradictions, and over-confidence, and proposes findings.

Never quarantines an agent or signs off on its own authority.
19
Causal Recommender Agent

Uses the Causal Care Graph to propose the single intervention most likely to actually cause a better outcome, with the reasoning.

A human reviews; it never executes the intervention.
20
Simulation Agent

Designs and runs what-if simulations — capacity, staffing, pathway changes — in a sandbox and interprets the results for planning.

Sandbox only; no live patient or queue effect.
21
Reasoning Trace Composer Agent

Composes the auditable reasoning-and-evidence record that must accompany every consequential AI output.

Blocks release of any output that cannot be evidenced; never edits clinical content.
22
Compliance Agent

Continuously watches operations for compliance gaps — access anomalies, missing consents, retention/DSAR risk — and proposes fixes.

Proposes a remediation plan; a compliance lead decides and executes.
23
Federation Steward Agent

Watches cross-organisation data-sharing agreements for stale scopes, lapsed assurance, and consent drift, and proposes changes.

Proposes only; an org admin decides and executes.
What’s different

Seven things other AI platforms don’t do.

AI Workforce is not a chat widget bolted onto an EHR. It is a first-class AI runtime inside MahCare — graph-grounded, evidence-first, governed end-to-end.

Care Graph-grounded reasoning

AI operates over a structured graph of patients, tasks, medications and messages — not free-text RAG over PDFs. Every answer traces to graph nodes.

Agent Studio

Admins configure agent goals, approval rules, prompts and escalation paths without writing code. Policy is owned by the operations team, not engineering.

Simulation & replay

Test policy changes against historical events before release. See exactly how a new routing rule or approval threshold would have behaved last quarter.

Evidence by default

Every AI action stores provenance — model, prompt, inputs, sources, reviewer and outcome. Audit is free, not an afterthought.

Outcome-linked learning

Agents are measured on closed-loop outcomes: contact success, overdue reduction, time saved, override rates. Not vanity metrics.

Multi-channel patient AI

One governed layer across portal, SMS, email, voice and app. Consistent policy, consistent provenance, consistent safety posture.

Federated learning, privately

Opt-in, privacy-preserving learning across organisations: the models improve from collective outcomes without any raw patient data ever leaving your walls.

AI governance

Nine non-negotiable governance requirements.

Provenance, minimisation, registries, evaluations, review, classification, tenant overrides and customer-facing analytics. Each is specified and enforced.

AI-001
Provenance mandatory

Model, provider, version, prompt, inputs, timestamp, actor and decision path stored for every AI action.

AI-002
PHI minimisation

Redaction, routing and retention controls applied before any model invocation, per tenant and market.

AI-003
Registries & flags

Model registry, prompt registry, feature flags, market restrictions and tenant controls managed centrally.

AI-004
Evaluation harnesses

Quality, hallucination rate, safety, override rate, drift and latency tracked against golden sets.

AI-005
Review & rollback

Review queues, rollback paths, feedback capture, incident handling and bad-output suppression.

AI-006
Risk classification

AI use cases classified by regulatory and safety risk before enablement. Tier gates enforced.

AI-007
Tenant policy overrides

Tenants can tighten autonomy, review thresholds and permitted providers below the platform default.

AI-008
Customer AI analytics

Time saved, approval rates, override rates and outcome deltas exposed to customers, not hidden.

AI-009
Cost tracking & attribution

Per-tenant, per-agent, per-use-case metering of AI spend, throughput and incident rates — tied to commercial metering and review.

Hard safety boundaries

Four rules AI Workforce will never break.

These are enforced at the platform level, below tenant policy. No prompt, no configuration, no override can cross them.

Non-negotiablePlatform-level safety
  • 01No AI autonomously prescribes, discontinues, or alters medication.
  • 02No AI silently writes to the legal clinical record.
  • 03Clinically influential outputs require human review before action.
  • 04All submissions to external parties remain human-accountable.
Brief your team

See AI Workforce working on real care workflows.

We’ll walk through the tiers, workers, governance controls and evidence exports on your own service lines — not a generic demo dataset.