Selected as Best Overall Capstone

Harvard Medical School Executive Education, "AI in Healthcare," February 2026

As featured in USA Today, Business Insider, Newsbreak

HCP-as-Pilot™ v4.0 — Operational AI Governance for AI-enabled healthcare
Read the Paper → 🇫🇷 En Français →

Trusted Continuity in Action

PatientCentricCare.AI Patient Recognition Platform — Engage (Home Companion), Capture (MyHealthCanvas), Remember (Trusted Health Memory) and Govern (PCC-SafetyOS), with patients, clinicians and caregivers always in control.

Home Companion™ — Evidence in Practice

Home Companion demonstrates how governed AI can preserve Trusted Health Memory before, during and between care.

Helping every patient feel known.

Engage · Capture · Remember · Govern — governed by PCC-SafetyOS™
The Trusted Health Memory Platform

Four components. One Patient Recognition Platform.

EngageCaptureRememberGovern — a single mental model across everything we build.

Engage
Home Companion™

Engages people before, during and between care.

Capture
MyHealthCanvas®

Captures what matters from every encounter.

Remember
Trusted Health Memory

Preserves continuity across time.

Govern
PCC-SafetyOS™

Governed AI — every interaction auditable, every decision accountable.

Early evidence
4,600+
Governed AI interactions
Residential care
Early testing in a live care setting
Hospital-at-Home
Preparing the next pilots
Trusted by design

Every interaction, governed by PCC-SafetyOS™

Governed AI for healthcare — so hospitals, investors and regulators can trust every AI-assisted interaction.

Human oversight
Consent management
Governed by PCC-SafetyOS™
Auditability
EU AI Act readiness
Privacy by design
Explore PCC-SafetyOS™ →
The Problem

Every healthcare visit shouldn’t feel like starting again.

The problem isn’t the care — it’s the continuity. Between appointments, what patients said, felt and understood fades. Clinicians meet the same person but start from scratch. Caregivers carry the burden of remembering alone.

Fragmented care

Electronic Health Records capture clinical events — but not what happens between them. Patients arrive unprepared, leave confused, and lose track of what was said.

Continuity of care

Trusted Health Memory preserves what matters between encounters — so every visit builds on the last, patients feel known, and clinicians have context before they ask.

Harvard Medical School — Best Capstone 2026
Current pilot testing — Basel
EU AI Act compliant architecture

Why Trusted Health Memory Matters

130M+
People aged 50+ across EU + UK
The continuity-of-care population
Eurostat, 2024
35%+
of EU adults live with a chronic condition
Recurring, specialist-led care needs
OECD, Health at a Glance: Europe 2024
EU AI Act
Governed end to end by PCC-SafetyOS™
Human authority, consent, escalation and audit by design
Human Authority
Demonstrated in early testing
Current pilot — real-world feasibility in early testing
Who benefits

Helping every patient feel known

“I don’t mind seeing someone new. I mind having to explain my life all over again.”

Home Companion exists to reduce that burden. It helps patients arrive prepared. It helps clinicians begin with context. It helps conversations move forward instead of starting again.

Patients & Caregivers
Feel known, not just treated
  • ✓ Feel known
  • ✓ Remember what matters
  • ✓ Prepare better
  • ✓ Stay engaged
  • ✓ Tell their story once
Clinicians
Understand the person before treating the patient
  • ✓ Understand the person before treating the patient
  • ✓ Spend less time searching
  • ✓ Start consultations with context
  • ✓ Have better conversations
  • ✓ Make more informed decisions
Healthcare Organisations
Evidence before scale. Governed AI.
  • ✓ Better continuity of care
  • ✓ Better patient experience
  • ✓ Evidence before scale
  • ✓ Governed AI
  • ✓ Human authority
How it works

What Trusted Health Memory makes possible

A simple flow — from the patient’s voice to a better conversation with their clinician.

Patient
speaks naturally
Home Companion™
engages & captures
Trusted Health Memory™
remembers
Clinical Team
has context
Better Conversation
richer, faster
More Continuous Care
every visit builds on the last

“When clinicians already know my story, I feel like a person — not just another patient.”

The experience Trusted Health Memory is designed to create.

The Problem
Across the Continuum of Care

Care doesn’t stop at the clinic door — and neither should your memory of it

Most of care happens between visits — and most of it is forgotten. Home Companion builds a Trusted Health Memory that travels with the person before, during and after every encounter: helping them prepare for visits, understand care plans and carry what matters forward, while clinicians stay in control.

Not a scribe. Not remote monitoring. Not a patient portal. A governed companion for the human experience around every visit.

Continuity of Care

Continuity means the people looking after you already know enough about your story that you don’t have to keep starting again. Trusted Health Memory™ helps your story travel safely with you.

Fragmented Care

Different healthcare professionals often only see little pieces of your story instead of the whole picture. Trusted Health Memory™ helps reconnect those pieces.

Coming soon · The full continuum of care

Home Companion and MyHealthCanvas work independently today — one governed experience across the whole care cycle is coming soon.

Deep Dive: The Patient Experience Continuum around the Doctor Appointment — five steps: Prepare (before the visit), Capture (during the visit), Debrief (after the visit), Follow Through (between visits), Carry Forward (for the next visit). Powered by Home Companion Care Experience Layer and MyHealthCanvas Trusted Health Memory.

Where Home Companion helps today

Prepare with a memory that’s ready

Before important visits, Home Companion helps patients walk in prepared — nothing important forgotten:

  • Track concerns
  • Capture caregiver observations
  • Prepare questions
  • Organise information in MyHealthCanvas

Understand and carry it forward

After appointments, Home Companion helps patients hold on to what was said:

  • Review next steps
  • Organise information
  • Update MyHealthCanvas
  • Stay on track between visits

Inform, remember, organise, explain, document and escalate — never decide.

Home Companion never diagnoses, never changes medication, never suggests treatment, and never triages on its own. Every boundary is enforced and audited by PCC-SafetyOS™. Your clinician stays in command.

The Hypothesis

We believe Trusted Health Memory can improve continuity of care — by helping patients prepare, remember, understand and carry information forward between appointments.

That is the hypothesis a hospital pilot is designed to test.

The Pilot
For Clinical & Innovation Leads

Hospital Innovation Pilot

Generating the first real-world evidence that Trusted Health Memory can improve continuity of care, patient experience and appointment preparedness — while preserving human authority. A 30–90 day evaluation with no software purchase and no changes to clinical workflows.

Looking for Hospital Innovation Partners

We are inviting healthcare organisations to co-design prospective real-world evidence for AI-enabled continuity of care through no-cost innovation partnerships.

Pilot partners receive

  • Home Companion deployment
  • Patient onboarding and training
  • Governance framework
  • Joint evidence generation
  • Opportunity for co-authorship on resulting publications
  • Design guidance
Patient
collects the data
Home Companion™ + MyHealthCanvas®
engage & capture
Trusted Health Memory
remembers
Clinical Team
reviews & evaluates

Pilot structure

  • 30–90 day pilot, 50–200 patients
  • Complex-care patients (e.g. oncology, geriatrics)
  • No software purchase — a simple URL to the Home Companion web app plus the MyHealthCanvas PDF form (free Adobe Reader)
  • No changes to clinical workflows or standards of care
  • Joint clinical evaluation

Evidence generated

  • Patient engagement
  • Appointment preparedness
  • Conversation continuity
  • Patient experience
  • Trusted Health Memory™ creation
  • Governance & auditability
  • Human authority demonstrated

The hospital receives

  • Joint evidence report
  • Governance evaluation
  • Deployment recommendations
  • Publishable real-world evidence — your research team can be lead author

Pilot governance

  • Patient-owned, consent-based participation
  • GDPR & EU AI Act aligned by design
  • Human authority over every AI action
  • Full audit trail of every AI-assisted interaction
  • No changes to workflows or standards of care
Current status

4,600+ governed AI interactions completed in residential care. Hospital pilot recruitment now underway.

We provide the Home Companion web app, the MyHealthCanvas forms, onboarding and training at no cost during evidence generation. The patient collects the data through simple guided voice — and your research team can be lead author on the resulting white paper.

Become a Pilot Partner →
View the Hospital Pilot Framework →
Download the Governance & Data Stewardship Brief ↓
Express Interest

Start the conversation

Tell us about your organisation and what you are trying to achieve. We will respond within two working days.

By submitting, you agree we may contact you about a pilot. Data handled per our Privacy Policy. Sent securely to andy@patientcentriccare.ai.

We’re looking for evidence partners

Home Companion is not being marketed as a finished clinical product. We’re looking for teaching hospitals and innovation partners who want to help determine whether Trusted Health Memory can improve continuity of care for people living with chronic illness. Together we’ll generate the evidence needed to decide what should come next.

The future of healthcare AI is not autonomous systems operating alone.
It is Human Authority.

Governed AI, operating in real-world environments in early testing, ahead of clinical expansion.

Current Pilot Testing — Operational Metrics

Operational numbers from current pilot testing — Basel.

Honest scope: These observations come from an informal early-feedback arrangement at a single care setting in Basel, via a care professional. This is not yet a formal institutional pilot. Figures are tester-observed and shown to illustrate feasibility, not clinical efficacy.

Interactions Logged
4,600+
Growing weekly — 2,400+ in last 30 days
Governance Events Audited
180+
Tamper-evident ledger
Daily Check-ins Captured
76
Active this week
Escalations Processed
22
Consent-confirmed in every logged case to date; no overrides recorded
Multilingual Language-Switch Success
29 / 30
DE / FR / EN / IT — tester-observed (96.7%)
System Uptime
Target ≥ 99%
Within target
Escalation Response
Target < 90s median
Within target

Early Real-World Evidence (RWD)

Home Companion is already generating operational evidence in real-world home environments — before hospital deployment.

  • Human–AI interaction, bounded
  • Safe human escalation
  • Trusted Health Memory
  • Governance audit trail
  • Patient engagement
  • Patient-owned history
Home Companion app in live residential care - voice-native medication reminder

Home Companion in live residential care — voice-native and governed

Current pilot evidence — signals we are observing, not yet clinical claims

4,600+
governed AI interactions
12 · 3 · 2
patients · caregivers · months
Observed: conversation continuity & engagement, and safe human escalation.

Building early real-world evidence before scaling into hospital care.

Where Home Companion Creates Value

The specialist & chronic-care journey across the continuum of care — from preparation to carry-forward into the next visit.

🩺

Specialist & Chronic Care Pathways

Oncology follow-up · cardiology review · diabetes & respiratory clinics

1

Prepare — patient arrives ready, with questions and history to hand

2

Capture & Debrief — what mattered from the visit is retained, not lost

3

Follow Through — between encounters, the plan stays on track

4

Carry Forward — a structured patient memory into the next visit

See the governance model in action

Apply for a 30-Day Pilot →
Download the Governance & Data Stewardship Brief ↓
View Hospital Pilot Framework ↓
Why It’s Safe to Pilot
One Architecture

Trusted Health Memory, built on a governed foundation

One platform, four roles — Engage with Home Companion, Capture with MyHealthCanvas, Remember with Trusted Health Memory, and Govern every action with PCC-SafetyOS.

Engage

Home Companion™

Voice-first AI engagement application. Engages patients before, during and between encounters — strategically non-medical.

Capture

MyHealthCanvas®

Structured patient capture — symptoms, medications, questions, priorities and outcomes. Patient-owned.

Remember

Trusted Health Memory

Persistent, patient-owned longitudinal memory that grows richer with every interaction — the continuity layer EHRs cannot create.

Govern

PCC-SafetyOS™

Governed by PCC-SafetyOS™ — consent, auditability and human oversight on every AI-assisted action, EU AI Act-aligned.

Flight Recorder

Tamper-evident audit trail — every interaction classified, timestamped, and stored.

Flight Recorder audit log preview
  • Every AI action recorded with authority level
  • Consent status verified before escalation
  • Boundary refusals logged with context
  • Regulatory-ready evidence for EU AI Act compliance

Same audit standard regulators will require for high-risk AI.Built from day one — not retrofitted.

Acoustic Privacy by Design

Voice interactions processed locally. Raw audio never stored. Only governance metadata is retained.

  • No cloud recording of conversations
  • Only structured metadata logged (consent, escalation, authority)
  • GDPR and UK data protection compliant
  • Patient retains full control over data sharing
Human Authority — the operating model behind Home Companion — read more
The Operating Model

The question is no longer whether AI can perform tasks — it’s whether humans can govern increasingly capable agent teams safely and accountably. Human Authority keeps humans accountable for outcomes while AI executes delegated tasks within defined boundaries.

One stack, three layers: Human Authority defines the model, HCP-as-Pilot™ keeps a clinician in command, and PCC-SafetyOS™ enforces it at runtime — with Home Companion applying it across the continuum of care.

From Human-in-the-Loop to Human Authority Human Authority HCP-as-Pilot™ PCC-SafetyOS™ Runtime Governance Layer Consent · Authority · Escalation · Audit AGENT TEAM Conversation Agent Planning Agent Monitoring Agent Escalation Agent Documentation Agent Patient Outcome Humans govern outcomes. Agents execute tasks.
Governance architecture — how every interaction is governed — read more

Every patient interaction passes through seven governance layers before reaching the patient — across the continuum of care.

Home Companion governance flow across the continuum of care: Patient (at home, in appointments, between visits) → Interaction Layer → PCC-SafetyOS Runtime Enforcement → Consent Gate → Escalation Logic → Audit Recorder → Human Authority (clinician in command)

Governed. Auditable. Human-led. Every interaction is designed to be safe, respectful, and accountable — and logged so it can be checked.

Why now — the governance window — read more

Regulatory inevitability creates a narrow window for first-mover advantage.

2025
Consumer AI enters homes at scale — without governance
2026
EU AI Act enforcement begins — Home Companion generates compliance evidence
WE ARE HERE
2027
First enforcement precedents — ungoverned systems face sanctions
2028
Payer requirements emerge — governance evidence becomes table stakes
2029+
Clinical expansion — only systems with proven governance history qualify
How it scales — only when governance is proven — read more

Governance maturity unlocks capability expansion. Never the reverse.

Phase I

Non-medical companionship. Governance proof.

Phase II

Structured wellbeing monitoring. Expanded boundaries.

Phase III

Clinical-grade integration. Regulatory inheritance.

  • Each phase requires demonstrated governance maturity from the previous
  • Regulatory inheritance: evidence from Phase I directly supports Phase II authorization
  • No capability expansion without proven safety at the current tier
Why we start non-medical — read more

Deliberate scope constraint that accelerates the long-term regulatory pathway.

Faster Deployment

Non-medical scope avoids SaMD classification, enabling immediate real-world deployment and evidence generation.

Governance Evidence

Every interaction generates the audit data regulators will require for higher-risk AI — built before it’s mandated.

Evidence Builds Forward

Phase I evidence directly supports Phase II/III authorization — governance maturity compounds over time.

Current Evidence
The Science

Why we believe Trusted Health Memory is worth testing

These studies don’t prove Home Companion works. They support the hypothesis that structured conversation and continuity deserve rigorous evaluation.

Emerging peer-reviewed evidence suggests that AI-enabled care calls and structured conversation may support memory, mood and social connection in older adults. Home Companion is designed around that principle — while remaining non-medical: it does not diagnose, treat or replace clinical care.

Peer-reviewed · 2025

AI care calls and dementia

A 2025 Scientific Reports study of community-dwelling individuals with dementia found regular AI care calls were associated with improved memory scores and reduced depressive symptoms.

Design implication: consistent, supportive conversation may be more valuable when delivered regularly and personally.

Kang et al., Sci Rep 15:27116 (2025) ↗
Randomised trial · 2024

Structured conversation and cognition

The I-CONECT randomised controlled trial of frequent structured video conversations with socially isolated older adults found evidence that conversational engagement may support cognitive and psychosocial outcomes.

Design implication: conversation itself may be a meaningful intervention pathway, especially where loneliness and isolation are present.

Dodge et al., The Gerontologist 64(4) (2024) ↗

Human-first interpretation

These studies don’t prove every such system improves outcomes — they point to a credible direction: structured, supportive conversation can matter. We build around that while staying non-medical, governed and auditable.

Home Companion is a non-medical system. It does not diagnose, treat or make clinical decisions. Evidence cited here supports the rationale for conversational engagement and future research, not a claim of clinical efficacy for Home Companion.

If structured conversation can influence memory, mood and connection, then governance is not optional — it is essential. That is why Home Companion is built around Human Authority and PCC-SafetyOS™ from the beginning.

A Memory That Adapts To The Person

Memory-aware, multilingual, culturally adaptive — helping people hold on to the thread of their care, in their own language.

Honest scope: These observations come from an informal early-feedback arrangement at a single care setting in Basel, via a care professional. This is not yet a formal institutional pilot. Figures are tester-observed and shown to illustrate feasibility, not clinical efficacy.

“I wasn’t sure at first, but now it helps me remember what I want to ask before I see the doctor — and what was said afterwards. In my own language, at the right time.”

— Resident, Basel pilot

“I remember my appointments better. It reminds me gently, in my own language, at the right time.”

— Resident, Basel pilot

“My daughter worries less now. She knows the important things won’t be forgotten, and that if something goes wrong, the right person gets called.”

— Resident, Basel pilot

“I don’t lose track of things anymore. It’s not a nurse, it’s not a doctor — it just helps me keep everything straight.”

— Resident, Basel pilot

🕑Remembers what matters — appointments, routines and medication reminders, gently and on time
📝Keeps the thread — questions, concerns and what was said, ready for the next visit
🌐In their own language — German, French, English, Italian, and more
👪Caregiver summaries — peace of mind without surveillance
Apply for a 30-Day Pilot →
Value for the wider ecosystem (payers, researchers, families) — read more
Why It Compounds

Home Companion is designed so that every participant gains — care systems get safe, audit-ready AI; sponsors and researchers gain real-world evidence; families gain governed AI that protects autonomy in the home; and the wider public benefits from healthcare AI that is accountable by design.

Explore the Ecosystem & Sponsorship Model →
Resources & downloads — read more

Home Companion also supports independent adults and families directly. → See Home Companion for individuals and families

Built to extend — only as governance matures

Phase I demonstrates governance in non-medical environments.

Phase II is intended to extend Human Authority into HCP-as-Pilot™ workflows — with EHR integration, clinical escalation pathways and regulated care environments, subject to regulatory review and formal authorization.

Each phase expands capability only after governance maturity has been proven.

Important Notice: Home Companion is a non-medical system. It does not provide diagnosis, treatment, or clinical decision-making. Escalation is permitted only with user consent and subject to governance controls. Future phases are subject to regulatory review and formal authorization.

The Future of Healthcare Is Continuous

Healthcare works better when your story travels with you.

Trusted Health Memory helps patients feel known. PCC-SafetyOS™ helps organisations trust AI. Together they create safer, more continuous care.

Every visit should build on the last.

Frequently Asked Questions

What is Human Authority?

Human Authority is the operating model that keeps humans accountable for outcomes while AI executes delegated tasks within defined boundaries. HCP-as-Pilot™ keeps a clinician in command, and PCC-SafetyOS™ enforces it at runtime — with consent, escalation, audit and oversight built in.

What makes Home Companion “non-medical”?

Home Companion helps patients prepare for visits, understand what was said, and carry forward what matters between encounters — without providing clinical diagnosis, prescriptions, or treatment. This non-medical scope means faster deployment and lower regulatory burden, while generating real-world governance evidence that builds toward clinical-grade AI.

How does the audit trail work?

Every interaction is logged in a tamper-evident "Flight Recorder" — what the AI did, under what authority, whether consent was given, and whether escalation was triggered. The same governance evidence regulators require for high-risk AI under the EU AI Act.

Is this ready for a pilot in my organisation?

Phase I is designed for hospital innovation partnerships — a 30–90 day evaluation with no software purchase, no IT integration, and no changes to clinical workflows. The system operates independently with its own governance layer. Contact us to discuss a pilot partnership.

What data is collected and how is privacy protected?

Home Companion uses acoustic privacy by design — it processes voice interactions locally and only records governance metadata (consent given, escalation triggered, authority level). Raw audio is not stored. All data handling is designed to meet GDPR and UK data protection requirements.

Why isn’t an Electronic Health Record enough?

Electronic Health Records record healthcare events. Trusted Health Memory helps preserve the patient’s evolving story — in their own words — between those events. The two complement one another.

Is Home Companion replacing clinicians?

No. It helps patients prepare, remember and stay engaged. Clinicians remain responsible for diagnosis, treatment and clinical decisions.

Continue Reading

PatientCentricCare.AI aligns its governance approach with the principles of the EU AI Act and recognised AI governance frameworks including ISO/IEC 42001 and ISO/IEC 23894. Our objective is not simply compliance, but helping organisations deploy AI safely through trusted continuity, transparency and meaningful human authority.

Apply for a 30-Day Pilot →