Perspectives
Notes from inside the work.
Occasional long-form pieces on where healthcare software is heading — and how the work of building it is changing. Written from inside hospitals and inside the build, not above either. No fluff, no latest-thing chasing.
- AI strategy
The Tool That Was Missing
AI builds the code. Nothing we have organizes the work around it.
The papers argued what happens to the roles when building stops being the expensive part. Then came the practice — eight AI-first applications — and the thing no paper had prepared for: the ideas, sketches, plans, test notes and deployment answers had nowhere to live. We still need a system to document, manage and deliver software. It is just not the current one.
Read the paper → - AI strategy
BMAD Is a Reasonable First Step — It's Not the Destination
Moving from defensive AI adoption to exponential velocity in health IT software.
Adopting BMAD gets AI into the development workflow safely, and that is worth doing. The risk is treating it as the finish line. Why wrapping AI inside Scrum ceremony optimizes the one step that was never the bottleneck — and what an AI-native trajectory looks like instead.
Read the paper → - Strategy paper
When Building Becomes Free
A new operating model for the healthcare software company in the AI coding era.
For thirty years the constraint on every healthcare software company was the same: engineering capacity was scarce and expensive. AI coding has removed it. A founder's plan for how the company should be staffed, organized, and run once producing software is no longer the bottleneck.
Read the paper →
Built by the team that thinks this way.
Bluefish automates the tedious, manual work hospitals run on — and builds it from inside the building. Have a question, or want to see what that produces?
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