Six administration workflows in the 2.0.0-beta.1 release turn synthetic or approved aggregate evidence into checkable calculations and review drafts. Try a denial comparison, choose your workflow, and replay it locally. The 51 specialists remain available.
20 focused MCP servers connect scattered healthcare sources to useful tools. Explore facilities, ownership, quality, claims, finance, and research with structured responses, source metadata, and local caches.
The United States Health Systems Observatory is an evidence-bound discovery and routing layer for authoritative healthcare data. Eight read-only inspection operations expose published metadata. The research planner remains disabled; the tools acquire no data, perform no analysis, and do not authorize access.
The American Journal of Healthcare Strategy is the lab’s publishing platform: a home for healthcare leadership, management, research, and conversation. Articles, podcasts, strategy insights, and books turn ideas into a shared resource.
The lab’s journal, media platform, and digital bookstore.
Journalarticles & research
Audiopodcasts & interviews
Booksdigital bookstore
Project documentationReviewed September 2026
Project index
Project directory
25 original projects across healthcare, agent tools, systems research, and public knowledge. Explore the work and its current boundaries.
Healthcare intelligence
From scattered public records to useful operational evidence.
Healthcare AgentsSix evidence-aware administration workflows, with 51 specialists available.Public beta+
The explicitly selected 2.0.0-beta.1 release adds synthetic/aggregate calculations and human-review drafts. Fresh npm installation was verified on BuilderBob. Other hosts and live model quality need separate acceptance.
USHSOFind the right health-system data. Understand the evidence.Live+
An evidence-bound observatory for authoritative source metadata, access requirements, and possible joins. Eight read-only machine/native WebMCP inspection operations expose published metadata; the research planner remains disabled. The tools acquire no data, perform no analysis, and do not authorize access.
Healthcare ToolkitReusable analytics and a structured health-system profile engine.Private repository+
Typed metrics, explicit missingness, reusable sources, hospital rosters, and facility maps. The repository distinguishes MIT analytics and ingestion packages from proprietary application packages.
Source repository is private; public installation is not offered here.
Healthcare Admin WorkbenchOperational questions become evidence-backed workup packets.Private package+
A ChatGPT Apps SDK app and private Codex plugin using exported public metadata. V1 routes non-PHI administrative work with source context and human-review handoffs.
Source repository is private; public installation is not offered here.
FAST IdentityStable identities for nonprofit health systems.Private repository+
A bounded-memory Rust updater and resolver. Opaque HSIDs preserve identity through renames, with explicit lifecycle evidence and a deliberately small public identity contract.
Source repository is private; public installation is not offered here.
MR-ExploreA desktop lens on hospital price transparency.Private repository+
A Windows application for importing, searching, filtering, and exporting large hospital pricing files, using Polars, DuckDB, and an optional Rust search extension.
Source repository is private; public installation is not offered here.
Access Red TeamEvaluate the digital front door to patient access.In development+
A patient-access assessment practice covering voice assistants, chat agents, websites, and portals, with methodology, deliverables, and an inquiry flow.
Source repository is private; public installation is not offered here.
Agent engineering
Tools for building, coordinating, and working with AI.
Codex Co-EngineerGive Codex a team. Keep control of the result.Open source+
Coordinate Grok, Cursor, and Muse across up to eight independent assignments, with isolated workspaces, durable task receipts, and results returned for review.
Codex CommonsShared context for agents and their collaborators.Prototype+
An experimental coordination and memory system with task identity, project knowledge, a bounded forum, and durable history. The repository describes prototype contracts, not a deployed service.
SEALUnderstand the system before changing it.Local plugin scaffold+
Mission-oriented skills map repositories, formulate requirements, qualify changes, and expose proof gaps and launch blockers through inspectable local artifacts.
Inline KeysCredential entry without plaintext in the conversation.Open source+
A short-lived local form writes a user-supplied credential to a confirmed file and returns request status to Codex. The destination remains readable to processes with the same OS permissions.
Human as ToolBring in human judgment at the right moment.Private plugin+
A Codex skill for recruiting the human’s context, preferences, authority, physical action, or verification while keeping workflow coordination with the agent.
Source repository is private; public installation is not offered here.
Systems & research
Model the problem. Test the assumptions. Make the work inspectable.
Cameo MCP BridgeConnect AI assistants to living engineering models.Open source+
162 documented tools connect MCP clients to CATIA Magic / Cameo Systems Modeler for SysML and UML querying, editing, validation, diagrams, and methodology-aware workflows.
MBSE AgentsDomain-specific systems engineering prompts.Open source+
Five specialist agents, 20 examples, and mappings across six MBSE tools bring standards context and reviewer preparation into seven supported assistant platforms.
FresnelFirModel-based verification for generated code.Private repository+
A Rust verification project that combines declarative specifications, systematic state exploration, and WebAssembly execution to produce reproducible discrepancies.
Source repository is private; public installation is not offered here.
Sexy SystemsExplore agents as a systems engineering platform.Concept+
A working vision for Capella/Arcadia integration with engineering rules and composable specialist agents represented as searchable data. This is a concept, not a shipped platform.
Working concept; no public release.
OracleSeparate market research from deterministic execution.Early development+
A Rust prediction-market system in foundation development, with proposed intelligence, risk, execution, and reconciliation layers. No performance or readiness claim.
Source repository is private; public installation is not offered here.
Thesis LabTest prediction-market theses with paper trades.In development+
Persona-agent research, live market adapters, an MCP surface, and a replayable paper-trading engine. The repository does not expose real-order execution.
Source repository is private; public installation is not offered here.
Publishing & public knowledge
Put useful knowledge within reach of the people who need it.
AJHCSThe American Journal of Healthcare Strategy.Live+
The lab’s journal and publishing platform brings together articles, podcasts, strategy insights, a digital bookstore, and institutional access.
Navy Yard NavigatorConnect people with work and training.Public beta project+
A focused Navy Yard opportunity navigator with a 30-record launch dataset, official-source links, eligibility and availability context, and verification notes.
Source repository is private; public installation is not offered here.
Cole LyonsThe writing and operating record behind the work.Personal publication+
Essays, project cases, operating notes, and public artifacts connect the lab’s work to Cole’s healthcare analytics and workflow evaluation practice.
Project descriptions checked against repository documentation on September 8, 2026; USHSO’s canonical README was rechecked on September 30, 2026. Availability labels describe the documented state; prototypes and concepts are identified explicitly. Forks, hosting configuration, archived predecessors, and internal operations repositories are excluded.
How we work
Evidence and human review
01
Start with the source.
Keep evidence, interpretation, and uncertainty visible. A confident answer is only useful if you can understand what supports it.
02
Build things people can use.
Ship focused tools, readable interfaces, and clear ways in. Connect public data to real questions and practical work.
03
Keep judgment accountable.
Agents support the work. People own consequential decisions. Prototypes, access conditions, and limits should be explicit.
A note on the healthcare tools.
These projects support research and administration. They do not replace clinical, legal, billing, or compliance judgment. Public source discovery does not grant data access, and prompt libraries are not PHI-processing environments.
Contribute to the lab
Work with Open-Informatics
Contact us about healthcare research, data sources, engineering contributions, or compute support.