EPISODE · Apr 28, 2026 · 55 MIN
Managing AI Platforms for Healthcare (ep 27)
from The Derby Mill Series · host Intrepid Growth Partners
When the right answer is a matter of life and death, how do you ensure that your AI systems avoid fatal mistakes? Signal 1 is a software platform for healthcare that functions as a control panel for deployed AI systems in hospitals. Rather than building individual models, Signal 1 focuses on improving the safety, observability and governability of pre-existing AI models used throughout the patient experience. The platform enables health systems to track real-world performance, detect drift and risk, enforce approval workflows, and tie AI predictions to improved clinical and operational outcomes.Tomi Poutanen is Signal 1’s CEO and co-founder. His earlier start-up, Layer 6, employed artificial intelligence to provide financial services companies with predictive analytics, and was acquired by TD Bank, where Tomi served as chief AI officer. In this episode, Tomi works with the Derby Mill team to discuss the future of healthcare, whether machine learning could make hospitals obsolete, and how to improve the management of systems that include numerous different AI agents working together. GUESTS AND HOSTSTomi Poutanen, CEO, Signal 1Ajay Agrawal, co-founder and partner, Intrepid Growth PartnersRichard Sutton, senior advisor, Intrepid Growth Partners, 2024 Turing Award recipient, pioneer of reinforcement learning and professor, University of AlbertaSendhil Mullainathan, senior advisor, Intrepid Growth Partners, MacArthur Genius grant recipient and professor, MITNiamh Gavin, senior advisor, Intrepid Growth Partners, Applied AI scientist and CEO, Emergent PlatformsSuzanne Gildert, CEO, Nirvanic Consciousness Technologies, quantum physicist, co-founder of Sanctuary AI and KindredLINKS Signal 1 websiteMedia on Signal 1 from the Globe and Mail, Betakit and the University of TorontoDerby Mill series website. Derby Mill is created by the team at Intrepid Growth Partners and produced by Ghost Bureau.Be sure to catch every episode of The Derby Mill Series by subscribing on the following platforms: YouTube // Spotify // Apple Podcasts // SubstackDISCUSSION POINTS00:00 Cold open00:44 Ajay’s tee up01:22 About Signal 104:11 Tomi’s Signal 1 explainer06:25 Mechanics of Signal 107:10 Tomi’s first-order question08:45 Signal 1’s core value prop09:29 Patient experience perspective12:27 Taking MD out of the loop13:56 Why Signal 1 focuses on AI18:20 Evaluating AI systems22:46 Rows23:13 Ajay’s segue24:42 Part 2: Signal 1 at the Limit25:12 Niamh’s sci-fi hospital vision29:04 Rich questions the premise31:25 Sendhil: Division of labor for AI34:50 Tomi: Niamh’s vision is real38:22 Tomi: Competitive healthcare43:55 Sendhil: Virtues of randomness49:44 Niamh: Multiple agent drama52:54 Tomi’s final remarksDISCLAIMERThe content of this podcast is for informational and educational purposes only and should not be construed as marketing, solicitation, or an offer to buy or sell any securities or investments. The opinions expressed in this video are those of the participants and do not necessarily reflect the views of Intrepid Growth Partners or its affiliates. Any discussion of specific companies, technologies, or industries is for illustrative purposes and does not constitute investment advice. Viewers are encouraged to consult with their own financial, legal, and tax advisors before making any investment decisions. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit insights.intrepidgp.com
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Managing AI Platforms for Healthcare (ep 27)
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