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P.Ai Global Health (Patient Ai) is a Patient-Centric, Global, Causal, Multi-Agentic AI Healthcare Infrastructure Solution.

Team

Patient-first & empowered. Clinician-guided. Built with guardrails.

Principle

Patients should have control of their health information — even when it is scattered across provider EMRs and EHR silos — and the ability to use it to pull healthcare services toward them.

Healthcare today largely operates top-down — industry-heavy, institution-centered, and fragmented — with patients often excluded from meaningful participation in their own care decisions. P.Ai Global Health is designed bottom-up.

Safety boundaries

  • • No autonomous diagnosis
  • • No shortcuts around clinical judgment
  • • No compromise on privacy

Founder

Sadasivam “Sivam” Eniasivam

Founder & CEO

Pharmaceutical executive with over 40 years of experience in regulated healthcare markets, physician engagement, and capital-intensive environments. Long-time patient advocate focused on health equity, trust architecture, and patient-controlled longitudinal records.

P.Ai Global Health was born not from theory — but from lived experience inside healthcare systems, where documentation burden, fragmented records, administrative overload, and unequal access affect real people every day.

Bottom-Up Access Model

Free tier for patients

Secure, multimodal intake and a personal health information vault with permission-based sharing controls.

Free tools for providers

Clinician-in-the-loop ambient documentation assistance to reduce administrative burden — without replacing clinical judgment.

Documentation & approval

All documentation outputs remain drafts until reviewed, edited, and approved by the licensed clinician. No independent clinical authority. No record finalization without provider approval.

Health Information Vault & Integrity Controls

Patient health information is organized within a secure, patient-controlled vault architecture supported by encryption, audit logging, and cryptographic integrity validation (including blockchain-enabled verification where appropriate). Patients control access permissions and sharing pathways while existing legal custodianship structures under HIPAA remain intact.

The objective is interoperability with accountability — not displacement of covered entities.

Clinical & Workflow Guidance (Informal Advisory)

Clinical alignment must precede scale. The following individuals provide informal guidance based on their expertise. They are not employees, officers, or directors of P.Ai Global Health.

Dr. Archna Eniasivam, MD

Informal Advisor — Hospital Medicine & Ambient Documentation

Associate Professor in Hospital Medicine. Recipient of the Society of Hospital Medicine Award of Excellence for DEI Leadership.

Advisory input only. No clinical oversight role.

Mr. Vish Narayan

Informal Advisor — Enterprise Systems & Analytics Architecture

IBM Distinguished Engineer. CTO, Industry Sector Analytics & Optimization, IBM.

Advisory input only. No governance or operational authority.

Clinical Pilot Pathway (Planned)

Before broad deployment, P.Ai Global Health will undergo structured pilot evaluation in a private physician practice setting with compliance review and measurable workflow outcomes.

Dr. Balaji Singh, M.S (Surgery)

Potential Pilot Introduction — Private Practice Setting

Dean, General Surgery. Professor, Sri Ramachandra Medical College, Chennai, India.

No formal affiliation at this time.

Guardrails & Core Functions

Engineering

Secure-by-design infrastructure, encryption, controlled access, auditability, and resilience.

Clinical Review

Human-in-the-loop validation. Documentation support — not clinical automation.

Patient Advocacy

Multilingual inclusion. Cultural sensitivity. Real-world accessibility.

Privacy & Compliance

HIPAA-aligned policies, data minimization, audit logging, vendor risk review, and clear escalation pathways.

A Note on Intent

P.Ai Global Health is being built deliberately — not to disrupt recklessly, but to rebalance healthcare: patient-controlled health information, clinician-supported documentation, transparent guardrails, bottom-up access, and global health equity at scale.