Hybrid Clinical AI for Hospitals and Clinics

Your Clinicians Already Use AI. Patient Data Shouldn’t Be the Price. With Akasiio, It Never Is.

Private AI in your own cloud for patient data. Leading managed models like Claude or GPT for public research. Answers written your specialists’ way, at a cost you can forecast.

How Akasiio routes every request Animated diagram. Requests from clinicians and workflows, such as dictation, lab reports, imaging and guideline questions, fall into a funnel and pass a policy check. Anything involving patient data, or where the check is unsure, goes to private AI in your own cloud, which draws on your own knowledge base of protocols and guidelines. Tasks with no patient data can go to managed AI such as Claude, GPT or Grok. Both routes return one answer, cited to your protocol, at optimized cost. A CLINICIAN OR WORKFLOW ASKS DictationLab reportImagingGuidelines Policy Check Patient Data? Yes, or Unsure No Patient Data YOUR CLOUD Private AI Patient data never leaves Your SLM MedGemma MedASR Your knowledge baseRAG WHERE IT HELPS Managed AI Public sources only Claude · GPT · Grok Zero patient data One Answer Cited to your protocol. Optimized cost. How Akasiio routes every request Animated diagram. Requests from clinicians and workflows, such as dictation, lab reports, imaging and guideline questions, fall into a funnel and pass a policy check. Anything involving patient data, or where the check is unsure, goes to private AI in your own cloud, which draws on your own knowledge base of protocols and guidelines. Tasks with no patient data can go to managed AI such as Claude, GPT or Grok. Both routes return one answer, cited to your protocol, at optimized cost. A CLINICIAN OR WORKFLOW ASKS DictationLab reportImagingGuidelines Policy Check Patient Data? Yes, or Unsure No Patient Data YOUR CLOUD Private AI Patient data never leaves Your SLM MedGemma MedASR Your knowledge base WHERE IT HELPS Managed AI Public sources only Claude, GPT or Grok Zero patient data One Answer Cited to your protocol. Optimized cost.
  • Patient Data Stays in Your CloudIt never reaches a public AI vendor.
  • Answers Written Your Specialists’ WayIt learns your protocols, templates and terminology, so clinicians edit less.
  • A Cost You Can ForecastNo per-token fees on clinical work. Managed AI only where it pays.

Built for hospitals and clinics. Equally at home in health-tech teams.

AI Is Already in Your Hospital. But Control Isn’t.

Clinical AI rarely fails for lack of good models. Control breaks down for five reasons, and most hospitals and clinics recognise at least one of them.

Reason 1Shadow AI

Your staff are already using AI. Just not yours.

Patient details get pasted into public chatbots because the approved tool is too weak or too slow.

The cost: A privacy and compliance risk you can’t see or audit.

Reason 2Stalled Pilots

Your AI pilot never reached patient work.

Privacy and security teams won’t approve sending patient data to an outside AI vendor, so AI stays on admin tasks and public research.

The cost: You pay for AI that never touches the work that matters.

Reason 3Generic Output

Every answer sounds like every other hospital’s.

General-purpose models ignore your protocols, care pathways and reporting templates, so clinicians rewrite what comes back.

The cost: The time AI was meant to save disappears in the rewrite.

Reason 4Runaway Cost

The AI bill grows with every consultation.

Per-token pricing rises with every page read and every note drafted, so finance can’t forecast it and heavy users get rationed.

The cost: The more useful AI becomes, the less you can afford to use it.

Reason 5Regulator Scrutiny

Regulators and boards are asking questions you can’t answer yet.

Data protection officers, insurers and auditors now ask how AI touches patient data.

The cost: Vague answers put approvals and renewals at risk.

It doesn’t have to be a trade-off.

Akasiio keeps patient data private, uses Claude or GPT only where it helps, answers your specialists’ way, and turns runaway token spend into a cost you can plan.

See how it works

Health-tech? The same five problems show up as shadow AI in the product team, stalled pilots, rework, unpredictable spend and hard questions from customers and regulators. See the health-tech page.

Hybrid AI: Private Where It Matters, Managed Where It Helps

Every request passes a policy check before any model sees it. Patient data runs on LLMs on GPUs in your own cloud, with no per-token fees. Work with no patient data can use Claude or GPT, billed per token for that share only. When in doubt, it stays private.

Battery of LLMs GPU Claude / GPT API

A RequestFrom a clinician or workflow

Policy CheckPatient data?

Private Where It MattersLLMs on GPUs in your own cloud

Managed Where It HelpsPer token, public work only

One AnswerLower cost per answer

Sovereign Where It Matters

Patient data is handled only by open-source models you control. When in doubt, a request stays private.

Frontier Capability Where It Helps

Managed models such as Claude, GPT or Grok keep your knowledge current without ever seeing a patient record. You pay per token only for this share of the work.

The Right-Sized Model for Each Task

Most requests are answered by small, fast models. Large models are reserved for the cases that need them.

Use Cases and Clinical Scenarios

See how Akasiio answers: a clinician asks, and every answer separates observation from interpretation, states its confidence, cites your own protocol and shows which AI handled it.

Input

CT thorax, 280 slices

Private AIPatient data: stays in your cloud

Clinician

Draft the findings for this CT thorax in our template.

Akasiio Draft for clinician review
Observation
Lungs: no focal consolidation. Small left pleural effusion. Mediastinum within normal limits.
Interpretation
Findings consistent with a small left-sided effusion; no other acute abnormality identified.
Confidence
Moderate
Grounded in your protocol
Formatted in your CT thorax reporting template (Radiology templates, v4, section 2).
Clinician action
Radiologist reviews the images, edits the draft and signs the report.

Illustrative examples with synthetic data. These are not real patient data or real model output; they show the format of Akasiio’s answers. Document names and sections are examples of your own protocols.

Scenarios by specialty and task

Radiology “Has anything changed since the last X-ray?” Grounded in: Your department’s reporting templates and follow-up protocols. Private AIValidation first Radiology “Give me a first draft of the structured report.” Grounded in: Your structured reporting templates and preferred terminology. Private AIValidation first Pathology “Where should I look first on this slide?” Grounded in: Your lab’s reporting protocol and grading conventions. Private AIValidation first Dermatology “Does this lesion meet our biopsy criteria?” Grounded in: Your clinic’s referral and biopsy criteria. Private AIValidation first Ophthalmology “Pre-sort today’s retinal screening images.” Grounded in: Your screening protocol and grading scheme. Private AIValidation first Internal medicine “Which of these results need action today?” Grounded in: Your reference ranges, escalation rules and follow-up protocols. Private AIPilot-ready Intake and triage “Summarise the intake before I see the patient.” Grounded in: Your intake questionnaires and triage protocol. Private AIPilot-ready Every specialty “What does our protocol say for this patient?” Grounded in: Your protocols, care pathways and formulary. Private AIPilot-ready Clinical updates “Summarise this week’s published guidelines.” Grounded in: Public sources, formatted in your clinical-update template. Managed AIPilot-ready Patient information “Explain this published guidance in plain language.” Grounded in: Public guidance and your house style, reviewed before use. Managed AIPilot-ready
See every use case and scenario in detail

Every Hospital and Clinic Will Have AI. Only Yours Will Work Like Your Specialists.

General-purpose assistants give every provider the same answers. As more clinical work passes through AI, the protocols and judgement that set your organisation apart become available to anyone with a subscription.

AspectGeneric AIAkasiio
Learns fromPublic data, the same for every customerYour protocols, guidelines and care pathways
Writes likeThe vendor’s house styleYour specialists
Judged byThe vendor’s benchmarksYour specialists, on real cases
ImprovesWhen the vendor updates everyoneEvery time your clinicians review a case
UsesOne vendor’s model for everythingPrivate models for patient data, managed models where they help
Runs onThe vendor’s serversYour own cloud account

Your Competitor Can License the Same Model Tomorrow. They Can’t License Your Protocols, Your Cases or Your Specialists’ Judgement.

Senior specialists reviewing a patient case together at a display

Five Reasons Hospitals and Clinics Choose Akasiio

Exclusive

Your know-how, your AI.

Its knowledge, writing style and quality standard come from your specialists. Nothing you build trains anyone else’s model.

Private

Confidential by design.

Every model that sees patient data runs in your cloud account. We operate the platform without any access to your data.

Proven

Your clinicians approve it first.

Clinicians rate answers on real cases. A model or change goes live only when it meets the standard they set, and every answer cites its source.

Best of Both

The strongest model for each task.

Private models for clinical work, and Claude or GPT for public research. Agentic RAG pulls in the exact protocol or record. New models are adopted only after testing on your cases.

Efficient

Costs less as you grow.

Small models first, capacity that follows clinic hours, and no per-token fees on clinical work. Managed AI is paid for only where it earns its place.

What exactly leaves your account?

Everything Under the Hood, Built for Clinical Work

A complete clinical AI stack, operated for you. Each capability runs where it belongs: private for patient data, managed where public sources help.

Battery of LLMs

Several large models on call, each chosen per task, so no single model or vendor limits your work.

Private + Managed

Small Language Models

Fast, efficient SLMs answer most requests first, keeping every answer quick and low-cost.

Private

Fine-Tuned Models

Models tuned on your protocols, templates and terminology, so notes and reports read like your department wrote them.

Private

Agentic Framework

Supervised agents run multi-step work, such as assembling history, prior results and the right protocol into a pre-visit summary, with a clinician approving each outcome.

Private + Managed

Medical Imaging Models

Open medical models read CT, MRI, pathology and X-ray images, validated on your own cases before any clinical use.

Private

Guideline and Literature Research

Published guidelines, studies and drug information, researched from authoritative public sources and kept current.

Managed

Structured Citations

Every answer cites its source to the protocol, section or page, with observation kept separate from interpretation.

Private + Managed

Purpose-Built Document Parsing

Lab reports, referral letters, scans and tables read accurately, with low-quality pages flagged for human review.

Private

Medical Dictation in Your Language

Dictate in English or a leading European language, with speech processed inside your cloud. Uncertain drug names, doses and dates are flagged for review.

Private

Policy Check, Audit Trails and Role-Based Access

Governance built in from day one, the way hospitals already work.

Private
  • Patient-Data Policy CheckEvery request is checked before any model sees it. Anything involving patient data, or where the check is unsure, stays private.
  • Audit TrailsEvery request, source, route and approval is logged in your account, ready for privacy officers, regulators and auditors.
  • Role-Based AccessPhysicians, nurses, administrative staff and business users see only what their role allows.

Private runs in your cloudManaged public sources onlyPrivate + Managed routed per request

  • Your Knowledge
  • Hybrid AI
  • Your Clinicians Approve

Hybrid AI That Costs Less as You Grow

Every AI workload has a break-even point. Below it, paying per token is cheaper; above it, owned capacity wins. Akasiio puts each workload on the right side of that line, and moves it when it crosses.

Pay-per-use AI: cost rises with every request Private AI you build and staff yourself Akasiio hybrid: engineered to stay lean

Illustrative. Monthly cost (vertical) against monthly usage (horizontal); dots mark each break-even point.

Where the Savings Come From

  • Small Models FirstMost requests never reach the most expensive models.
  • Capacity That Follows Clinic HoursComputing scales down at night and at weekends, so you do not pay for idle hardware.
  • Shared HardwareSeveral models and tasks share the same processors instead of each needing their own.
  • No Platform Team on Your PayrollWe run the engineering that would otherwise need a dedicated team.
  • Managed AI Only Where It PaysPer-token spend is limited to the tasks that need it, under a monthly cap. Clinical work carries no per-token fee.

At very low volumes, pay-per-use can be cheaper. Our break-even calculator shows where your hospital sits. Cost is one reason for hybrid AI, not the only one: patient confidentiality often justifies private AI before the numbers do.

Clinical AI Without the Build Project

Building hybrid clinical AI yourself means hiring a team, building a platform and keeping it running before a single clinician benefits. With Akasiio, you skip straight to the part that matters: your clinicians using it.

Hours, Not Months

Your private environment is running in hours, while a build-it-yourself project typically spends its first months on hiring and infrastructure. A supervised pilot with your clinicians follows within weeks.

No Hiring Race

No AI engineers, MLOps specialists or GPU experts to recruit in one of the tightest talent markets. Your IT team stays focused on the systems it already runs.

No New on-Call Rota

Upgrades, monitoring, scaling, security patches and model releases are handled around the clock. No infrastructure for your team to babysit.

Build it yourself
Hire the teamBuild the platformIntegrate modelsBuild evaluationSecurity reviewPilot
With Akasiio
Set upKnowledgePilotLive

Illustrative comparison of typical phases. Your timeline depends on scope and your own review processes.

Not a Prototype. Akasiio Runs on XePlatform.

XePlatform is our production AI operations platform, already running private and managed AI side by side inside customers’ own cloud accounts. Underneath is platform engineering on Kubernetes: a wide ecosystem of interconnected open-source tools for model serving, scaling, observability and security, integrated, tested and operated as one platform. Akasiio is the healthcare product built on it, so the engineering underneath is proven before your first pilot begins.

Kubernetes-Native Platform EngineeringIntegrated Open-Source EcosystemInfrastructure ProvisioningStaged Releases with RollbackObservability for AI and InfrastructureGPU Autoscaling and Backup

Where Your Specialists Save Time First

Most hospitals start with one of these workflows. Every answer shows where it came from.

Lab Reports to Structured Results

Scanned and digital reports become structured results. Each value is read twice, and any mismatch is flagged.

Protocol Questions

Ask in plain language. Answers come from your own protocols, linked to the page they came from.

Pre-Visit Summaries

Referral letters, history and prior results, summarised before the consultation begins.

Dictation to Notes

Dictate in English or a leading European language. A structured draft note is ready for review and signature.

Akasiio supports clinical decisions. It does not make them: a clinician reviews every output.

Explore workflows, example outputs and specialty scenarios

How Akasiio Fits into Your Hospital or Clinic

Your clinicians work with Akasiio inside your own cloud account. We run the platform from outside, with no access to what is inside.

PatientReceives Better-Informed Care
ClinicianAsks, Reviews, Decides
Your own cloud account
Akasiio assistantReads reports, scans and dictation, and answers with sources
Private AI modelsSmall models first, larger models when needed
Your Knowledge Base RAGProtocols, guidelines and care pathways, searched for every answer and cited to the page
Your quality standardClinician ratings that decide what goes live
Deployment, monitoring and updates, with no access to your data
Managed AI, where it helpsClaude, GPT or Grok, billed per token, never given patient data

What Exactly Leaves Your Account?

Patient data: never, including prompts, outputs, documents and logs. Operational health metrics: only these, which you can inspect or switch off. Managed AI: only the public sources and non-patient tasks you route to it, under a monthly cap you set. See the full data-flow breakdown.

From Introduction to a Supervised Pilot

Start with one workflow. Your privacy and security teams review in parallel, with documentation we supply.

  1. Set Up

    Hours

    Akasiio is installed in your cloud account, in the region you choose, in Europe or North America.

  2. Add Your Knowledge

    Days

    Protocols, guidelines and reference documents are indexed, each source traceable. You choose which tasks may use managed AI.

  3. Pilot with Your Clinicians

    About four weeks

    Clinicians use Akasiio on real cases and rate every answer.

  4. Go Live

    When your standard is met

    The configuration your clinicians approved goes live. Rolling back takes one step.

Trust You Can Verify, Not Just Read About

Healthcare buyers rightly ask for proof. Here is what you can inspect before you decide, and what your pilot hands you at the end.

Inspect Before You Decide

  • The ArchitectureLayers, boundaries and data flows, including exactly which tasks may reach managed AI, documented on our platform and security pages.
  • The Security OverviewControls, telemetry and access model, written for your CISO and privacy officer.
  • The Evaluation MethodHow clinicians rate answers, and the thresholds that decide what goes live.
  • The Ownership TermsWhat you own and keep, set out in the contract.

What Your Pilot Produces

  • A Private ScorecardHow each model performed on your cases: accuracy, missed findings and more.
  • An Outcome ReportTime saved and acceptance rates, compared with your own baseline.
  • Governance EvidenceDocumentation to support your impact assessment and security review.
  • A Costed PlanWhat production will cost, based on measured usage rather than estimates.

We Operate It. You Own It.

  • No New Team to HireNo AI engineers, DevOps staff or GPU specialists.
  • Run for You Around the ClockWe deploy, monitor, update and support the platform.
  • Yours If You LeaveYour knowledge base, models, ratings and settings stay with you and keep running.

Pricing, Explained

The platform subscription
A fixed fee covering operation, monitoring, updates, the release process and support.
Your cloud costs
Computing and storage in your own account, billed to you directly by your cloud provider, with no markup.
Managed AI, where you use it
Per-token charges for non-patient tasks, kept in check with a monthly cap.
Your pilot
A fixed-scope pilot, priced up front. Ask us for details.

No per-token fees for clinical work. Estimate your break-even point with our calculator.

How You Will Know It Works

Before the pilot starts, we record how your team works today. Then we measure the difference.

Documentation TimeFrom end of dictation to a signed note
Pre-Visit PreparationTime spent gathering history per consultation
Lab Report TurnaroundFrom receipt to structured results in the record
Answer QualityAccuracy and missed findings, rated by your clinicians
Clinician AcceptanceDrafts accepted with no or minor edits

Frequently Asked Questions

About hybrid, private and managed clinical AI for hospitals and clinics.

More answers for security and privacy teams
What is hybrid clinical AI?

Hybrid AI uses different models for different tasks. In Akasiio, anything involving patient data stays on private, open-source models in your cloud, with small models answering first and larger models when needed. Tasks with no patient data, such as tracking new guidelines or summarising published research, can use managed models such as Claude, GPT or Grok.

Why not private AI for everything, or a managed tool for everything?

Private-only means clinicians miss out on the most capable models for public research. Managed-only sends patient data to a vendor and bills every page by the token. Hybrid gives each task the right model: confidentiality where it matters, frontier capability where it helps, and the lower cost for each workload.

Can patient data ever reach a managed model?

No. Every request passes a policy check before any model sees it. Anything involving patient data, or where the check is unsure, stays private. You decide which task types may use managed AI at all, and you can switch it off entirely.

What is private AI for hospitals and clinics?

In Akasiio, private AI is the part that handles patient data. The models run inside your own cloud account or data centre, under your control, instead of on a vendor’s servers. Akasiio delivers it as an operated platform, so hospitals and clinics get the benefits without building an AI team.

How is Akasiio different from building clinical AI ourselves?

Running clinical AI is far more than provisioning a server with a GPU. It needs infrastructure provisioning as code, model serving, retrieval over your own documents, staging environments, release engineering with evaluation gates and rollback, observability of both the AI applications and the infrastructure, autoscaling, backup and security policy, all kept running every day. Akasiio delivers that complete platform engineering stack, built on XePlatform, inside your own cloud account and operated for you, so a supervised pilot can start within weeks without new hires.

What exactly does Akasiio operate for us?

XePlatform, the engine under Akasiio, runs the full stack in your account: managed Kubernetes and node pools, infrastructure provisioning, model serving and scaling, the policy check that routes each request, staging environments, the release pipeline that tests every model against your benchmark, observability for AI applications and infrastructure, backup and recovery, and security policy enforcement. Your team keeps ownership; we keep it running.

Is Akasiio GDPR and HIPAA compliant?

Akasiio is designed to support both GDPR in Europe and HIPAA in the United States. Patient data is processed only inside your own account, your organisation remains the data controller or covered entity, and we provide documentation to support your impact assessments and security reviews. Compliance itself depends on how your organisation uses the platform.

Can Akasiio run on-premise or in a private cloud?

Yes. Akasiio runs on the major public clouds in the region you choose, in Europe or North America, or in a private cloud, built on open standards so you can move without rebuilding.

Which languages does Akasiio support for medical dictation?

English, plus leading European languages such as Dutch, German, French, Spanish and Italian. Akasiio uses medical speech recognition for English and a multilingual model adapted to medical vocabulary for other languages, validated on your own clinicians’ recordings and running inside your account. Uncertain drug names, doses and dates are flagged for review.

Is Akasiio a medical device?

No. Akasiio is clinical decision support with human oversight: a clinician reviews every output. Your organisation defines the intended use of each workflow.

Which AI models does Akasiio use?

Open-source medical and general models, such as the MedGemma family, run inside your account for all clinical work. New models are adopted only after they pass evaluation on your own cases. Managed models such as Claude, GPT or Grok are used only for tasks with no patient data.

Can Akasiio read CT, MRI, pathology and X-ray images?

Yes, the open medical models Akasiio uses can process CT, MRI, histopathology and chest X-ray images, including comparisons with prior images. Imaging scenarios need local validation on your own cases before clinical use, and may fall under medical-device rules depending on intended use, so we start them as supervised evaluations.

Which medical specialties can use Akasiio?

Any specialty can start with protocol questions, lab report extraction, pre-visit summaries and dictation. Specialty scenarios cover radiology, pathology, dermatology, ophthalmology, internal medicine and intake or triage, each grounded in your own protocols and criteria.

How much does hybrid clinical AI cost?

A fixed platform subscription plus your own cloud costs, with no per-token fees for clinical work. Managed AI is billed per token only for the tasks you route to it, under a monthly cap. Small models first, capacity that follows clinic hours and shared hardware keep the cost of each answer low. Our break-even calculator shows when owning capacity becomes cheaper than paying per use.

How long does a clinical AI pilot take?

The environment is set up in hours and your knowledge loaded within days. A supervised pilot with your clinicians typically runs about four weeks, while your privacy team completes its assessment in parallel.

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