TransformativeMed and Enquirer Consulting Group

Four ways to show the ACOS platform, and one agentic example

Bob, Stephanie and Dylan, these are the mockups from our November 5 call. The diagram on your homepage reads like a technical manual for a CIO. Each option below keeps the detail a CIO wants and adds a version a physician, a director or a VP running one product line understands at a glance.

For our working session on Tuesday, November 24.

Judge the design more than the words. We do not yet know exactly how CORES fits into each hospital system, so the wording here is placeholder. The working session settles it.
Starting point

The diagram today

Rebuilt from your homepage so we are all looking at the same thing. Every box is accurate. The trouble is the reading order, since a clinical reader meets protocols and platform names before learning what any of it does for a patient or a team.

OUT-OF-THE-BOXCORES apps
CUSTOM AND LOCALIZEDInnovative solutions
CLINICAL AND OPERATIONAL AI AGENTS
MCPAPIs
AI-DATASemantic platform
AGENTIC ORCHESTRATIONOrchestration platform
LEGACY CORES WORKFLOW MODULES AND TOOLS
SMART, FHIR, MPAGES AND INTEGRATIONS
EHR, CLINICAL WORKFLOWS, OPERATIONS WORKFLOWS, DATA REPOSITORIES

What a CIO sees. A clean architecture, with standards, orchestration and a data layer, all sitting on Oracle Health.

What a physician or a service line VP sees. Nine boxes of terms, and no answer to the only question they bring to the page, which is what changes on my unit on Monday.

What each option below does. It leads with that answer, then keeps this full diagram one click away for the CIO.

Option A

Two depths, one diagram

The same block on the homepage, with a switch. The plain view opens by default. The CIO view is the full technical diagram, a single tap away. Try the switch below.

transformativemed.com

AI agents that work inside your Oracle Health EHR

They watch the chart, do the follow-up work your teams do by hand, and ask a clinician only when a person has to decide.

1

They watch the chart

Agents read new results, orders and notes as they land, around the clock.

2

They do the legwork

They pull out the tasks, chase the sign-offs and keep the plan current, without a phone call.

3

A clinician stays in charge

When a decision is needed, the right person gets one short question on their phone. Their answer goes straight back into the chart.

The CORES Platform, an Agentic Clinical Operating System

Embedded in Oracle Health, real time and multi-agent. Layers from the top.

SolutionsOut-of-the-box CORES apps, plus custom and localized solutions for your own workflows
AI agentsClinical and operational agents, each with one job, with challenge agents that check the others
Platform servicesMCP APIs, a semantic AI data layer and agentic orchestration
Workflow foundationThe established CORES workflow modules and tools
IntegrationSMART, FHIR, MPages and further integrations
Your Oracle Health EHRClinical workflows, operations workflows and EHR data repositories

Why this one. It is the smallest change. The diagram you have stays as the CIO view, so nothing a technical buyer relies on is lost.

Option B

Where it sits

Three layers anyone in a hospital already knows. It names the gap ACOS fills, so the term means something before the reader meets any of the architecture.

transformativemed.com/acos
System of action

CORES, the Agentic Clinical Operating System

Turns what is in the chart into work that gets done, inside the EHR.

⇅
System of insight

Analytics and AI copilots

Help people interpret information. A person still has to act on it.

⇅
System of record

Your Oracle Health EHR

Stores the information. Stays exactly where it is.

Under each layer, a "See the architecture" link opens the full diagram for the CIO.

Why this one. It answers the question a buyer asks first, which is whether this replaces anything, and the answer is no. It also gives AI search one clear sentence to repeat about what an ACOS is.

Option C

Start with the problem

Bob's point on the call was that a buyer evaluating a widget misses the bigger picture. This version puts the platform in the middle and the problems around it, so the director who came in for one problem sees the others.

transformativemed.com/what-we-solve
Live today

Discharge planning

The first agentic use case, running inside Oracle Health.

One platform inside your EHRAgents built around the bottleneck your health system has

Readmissions

A real problem a client brought to us.

Sepsis protocols

A real problem a client brought to us.

Clinical trial awareness

A real problem a client brought to us.

Ophthalmology

A real problem a client brought to us.

Your bottleneck

Bring the problem. The agents are built around it.

Each tile opens a use case page, the problem in the client's words, then how the agents handle it.

Why this one. It turns "we solve problems" into something a reader can point at. Each tile becomes its own page, and those pages are what AI search tools quote when a buyer asks how to fix that problem. The four problems here are the ones Bob named on the call. His list of the rest fills the page.

Option D

Follow one patient

The architecture told as a story, left to right. Gold steps are the agents. Purple steps are people. A doctor sees their own day in it.

transformativemed.com/how-it-works
Care team

The chart fills up

Results, consults and notes land in Oracle Health as they always have.

Agent

Agents read it

They watch every chart, day and night, and pick out what still stands between this patient and the next step.

Agent

They chase the work

Open tasks are tracked and each service's sign-off is followed up.

Physician

One question, on mobile

When only a person can decide, the right clinician gets one short question.

Agent

The plan updates itself

The answer goes back into the chart and the team's worklist shows the new status.

Mobile, illustrative
This is the discharge readiness agent. Your patient in 5 North may be ready to go home soon. Are they medically ready for discharge?
Yes, CT this morning was clear. Placing the order now.
Thank you. The discharge plan is updated.

Why this one. Your own discharge screens already show this conversation. Built as a short animation, it shows "multi-agent, real time, embedded" without using any of those words.

Worked example

Discharge planning, the manual way and the agentic way

One process shown both ways, the format for every use case page. We used discharge because it is live. The steps are illustrative and come from your own site, so your team corrects them on the 24th.

The manual way

A case manager drives every step by hand.

  1. 1
    Review each chartOpen every patient on the list to work out who might go home soon.Repeated for every patient, every shift
  2. 2
    Find the open itemsRead notes and orders to spot the tasks and barriers still open.Barriers often surface late
  3. 3
    Chase each servicePage or call each consulting service for its sign-off.Paging and phone tag
  4. 4
    Ask the physicianWait for the attending to confirm the patient is medically ready.Waits on whoever is free
  5. 5
    Update the plan by handRecord each answer and keep the team informed.The plan is only as current as the last update

The agentic way

Agents do the legwork. People make the decisions.

  1. 1
    Agents watch every chartAround the clock, they flag who is likely ready to go home.Agent
  2. 2
    Tasks come out automaticallyOpen tasks and barriers are pulled from the chart as they appear.Agent
  3. 3
    Sign-offs are trackedEach service's status shows on the worklist, and the agents follow up.Agent
  4. 4
    The physician gets one questionA short message on mobile, and the answer goes straight into the chart.Agent asks, physician decides
  5. 5
    The plan stays currentThe case manager works the exceptions, with the plan up to date in real time.Case manager in control
The same pattern, any bottleneck. Swap discharge for readmissions, sepsis or clinical trial awareness and the shape holds. Agents watch, do the legwork and ask a person only when a person has to decide. That is the message the site carries beyond discharge.
For the 24th

What settles the direction

Questions for the session

  • Which option, or which mix, goes on the homepage and which goes on the ACOS page.
  • Dylan, how CORES installs at a new hospital, so the CIO view is right.
  • The correct steps for the discharge example, from your case management team's view.
  • Whether the patient story in Option D works as a short animation.

Useful before then

  • Bob, the list of real problems clients have brought you, for the Option C tiles and the use case pages.
  • Any screens from your discharge workflow you are comfortable showing on the site.
  • Anything here that is plainly wrong. A one-line reply is plenty.