Concept for discussion on our call, Wednesday, October 21.A starting point to react to, not a finished design. Items marked [confirm with Bob] are not yet checked.Concept C, the buyer first. A role switcher in the hero, so a CMIO, a CNIO or a CIO lands on their own path.

Agentic Clinical Operating System for Oracle Health

Agentic AI inside Oracle Health, explained for the CMIO, the CNIO and the CIO.

The CORES Platform lives inside the Oracle Health EHR and turns real-time information into coordinated action. Clinical leaders, most often the CMIO, see the clinical case first and bring in the CIO.

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Pick your role

Shown when CMIO is picked

Clinical logic you can check

Each agent has a specific job. Challenge agents verify the work of the primary agents, and when they disagree the system flags it for human review instead of showing an answer it cannot stand behind.

  • Every insight links to its source note and timestamp
  • The AI suggests, the clinician decides
Read the CMIO brief

Development partner

"Discharge planning was the right place to start because the stakes and the complexity are so high."

Dr. John "Clay" Callison, Jr.
Chief Medical Information Officer, UT Medical

[confirm with Bob]

Shown when CNIO is picked

Less coordination work for nurses and case managers

Discharge coordination pulls case managers and social workers away from complex clinical cases. Agents review the chart, keep the discharge plan current and ask clinicians targeted questions on mobile, so there is less paging and phone tag.

  • Plans update as information enters the chart
  • One view of readiness, sign-offs and length of stay
  • Time back for nursing and case management [confirm with Bob]
Read the CNIO brief

From the TransformativeMed team

"We can't hire our way out of this problem, we must eliminate the work."

Aharon tenBroek, RN
VP Client Services, TransformativeMed

Shown when CIO is picked

Embedded in Oracle Health, with governance built in

The CORES Platform is written in Oracle code and runs inside the EHR, with no outside pipe going in. It is embedded in PowerChart, with read and write across orders, documentation, reference data and workflows.

  • Multi-agent verification, source linking, clinician override and full audit logging
  • Security, HIPAA and BAA detail [confirm with Bob]
Concept note. How do SMART, FHIR and MPages fit with written in Oracle code? [confirm with Bob]

Read the CIO brief

See how a rollout runs

2026Best in KLASĀ®, Clinician Digital Workflow
100+hospitals
15+years of implementations
90Net Promoter Score
UT Medicaldevelopment partner, agentic discharge planning

From pilot to production

The three phases TransformativeMed describes for moving an Agentic Clinical Operating System from pilot to production. [confirm with Bob]

1

Weeks 1 to 4

Foundation

The platform goes into the EHR test environment with read and write set up, and IT and informatics teams are trained.

2

Months 2 to 4

Pilot

Agents go live on pilot units with human oversight and weekly feedback from clinicians.

3

Months 5 to 12

Scale

Proven workflows roll out to more units, and second and third use cases are added.

Concept note. These phases come from a June post on implementation in general, and a CIO will read them as a commitment. Keep them only if they are the plan you stand behind.

Questions by role

Answers grouped by the leader who asks them.

All roles

Who usually brings TransformativeMed into a health system?

Most often the CMIO, who sees the clinical benefit first and then brings in the CIO. A CNIO can play the same part. TransformativeMed works with health systems that run the Oracle Health EHR.

CIO

What does a CIO need to know about the CORES Platform?

It is written in Oracle code and runs inside the Oracle Health EHR, embedded in PowerChart, with multi-agent verification, source documentation linking, clinician override and full audit logging. Security, HIPAA and BAA detail [confirm with Bob]

CNIO

How does the CORES Platform help nurses and case managers?

Agents review the chart, keep discharge plans current as information enters the chart and ask clinicians targeted questions on mobile, so case managers and social workers spend less time on manual coordination.

CMIO

How can a CMIO check what the AI agents do?

Every agent-generated insight links to the source note and timestamp in the chart. Challenge agents verify the primary agents, disagreements go to human review, and clinicians can always override.

CIO

How long does a rollout take?

TransformativeMed describes three phases. Foundation takes weeks 1 to 4, a pilot runs in months 2 to 4, and scale and expansion follow in months 5 to 12 [confirm with Bob].

Bring your CIO to the demo.

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