From Black-Box APIs to Agentic Control: A Case Study in Building Production-Grade Gen AI Systems for Healthcare

One-liner summary:
The client lacked a unified, secure AI foundation to build proprietary LLMs and deploy production-grade AI agents at scale.

The Problem with the Status Quo

For this leading healthcare organization, AI adoption was a strategic transformation. The executive team set out to establish Agentic AI as foundational infrastructure supporting scalable, compliant deployment of intelligent agents across clinical and operational functions.

They aimed to build a production-grade architecture where agents could reason, act, and evolve using institutional knowledge within regulated workflows.

Where the Gaps Were

  • No agent hosting layer to support orchestration and routing at production scale
  • Reliance on public LLM APIs, limiting traceability, compliance, and customization
  • No vectorized context layer to retrieve institutional knowledge
  • No governance stack for lifecycle management, auditing, or PHI-safe operations

Architecting intelligent agents without these foundations risked compliance failures and patient safety concerns.

What We Delivered

Ideas2IT delivered a production-ready Agentic AI stack in under 10 weeks, designed specifically for the client’s infrastructure, compliance, and security requirements.

Core System Components:

  • LLM Layer: Fine-tuned transformer models (via LoRA) trained on clinical and operational data
  • Context Engine: FAISS-based vector store structured around domain-specific ontologies
  • Agent Framework: Containerised, lifecycle-managed agents with routing, triage, and annotation capabilities
  • Execution & Governance Plane: RBAC enforcement, prompt logging, observability dashboards, and human-in-the-loop modules
  • Secure Deployment: Fully encrypted and hosted on Kubernetes with built-in audibility

Outcomes We Achieved

Area Outcome
Billing cycle time Reduced from 45 days to fewer than 10 days
Release velocity Weekly rollouts enabled via CI/CD
Clinical data workflow Migrated to AI-assisted, browser-native environment
Partner integrations Expanded to 6+ platforms including ERP and CRM
Developer productivity Improved through service isolation and modular code
Industry
Healthcare
Location
Florida, USA
Tech Stacks

Azure

Challenge

A leading healthcare provider partnered with Ideas2IT to deploy a HIPAA-compliant Agentic AI Architecture featuring private LLMs, secure context pipelines, and autonomous agents that improved clinical triage efficiency by 40%.

Key Takeaways

  • Agent-first foundation: Built specifically to support autonomous reasoning and action
  • Domain-specific training: Models were tuned on internal, regulated data
  • Integrated governance: RBAC, audit logs, and HITL feedback loops were included by default
  • Composable architecture: Each layer is modular, traceable, and independently scalable

Co-create with Ideas2IT

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We’ll align on what you're solving for - AI, software, cloud, or legacy systems
You'll get perspective from someone who’s shipped it before
If there’s a fit, we move fast — workshop, pilot, or a real build plan
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