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Clinical-AI Architecture
Discovery-to-demo partner for HIPAA-aware LLM tooling, schema-constrained agents, and evaluation harnesses.
Joshua Farrow
Clinical-AI Solutions Architect and Board-Certified Behavior Analyst translating complex clinical workflows into scalable AI/LLM-based systems that honor compliance and measurable outcomes.
- LLM Systems for Care Delivery
- Data & ETL for Healthcare
- Product & Clinical Quality
What I Do
Partnering across discovery, design, and delivery for clinical and healthtech teams.
- LLM Systems for Care Delivery Prompt and agent design, JSON-schema tool calling, refusal and uncertainty handling, evaluation harnesses, and HIPAA-aware logging.
- Data & ETL for Healthcare Ingest PDFs, CSVs, and EHR exports into structured stores; determine math for optimal analytics; implement outcome and adoption dashboards.
- Product & Clinical Quality Workflow mapping, payer-aligned documentation hygiene, KPI design, and clinician-centered UX prototypes.
Selected Outcomes
Examples of measurable impact across ABA, analytics, and clinician workflows.
- ABA documentation co-pilot Designed schema-constrained plans and notes, function calling, and evaluation suites; reduced documentation time ~60–80% in pilot workflows.
- Analytics pipelines ETL from EHR, CSV, and PDF sources into Azure Data Explorer and SQL with product KPI and clinical dashboards that support decision-making.
- Clinician workflow demos Rapid web app prototypes to validate features and UX early and shorten adoption cycles.
Expertise
What teams rely on when navigating regulated healthcare and intelligent systems.
- LLM & AI Platform-agnostic prompt and agent design, schema-validated tool use, grounded RAG, embeddings, and similarity search.
- Python & Data Pandas, NumPy, Pydantic, FastAPI prototypes, ETL, PDF/CSV/EHR ingestion, Azure Data Explorer, PostgreSQL.
- Web & UX Web app prototypes that keep clinicians and operations teams in the loop.
- Compliance HIPAA/ePHI minimization, RBAC, audit-ready documentation, de-identification, and telemetry practices.
- Clinical Quality Medicaid and insurer documentation standards, supervision systems, caregiver coaching, and outcomes/KPI-centered design.
GitHub Projects
Selected public repositories that highlight innovative analytic capability and industry knowledge.
- FHIR Training kit equipping compliance and billing teams for value-based contracts; compiles FHIR resource primers, SMART-on-FHIR sandbox walkthroughs, and payer readiness checklists.
- semantic_tensor_memory Experimental memory system turning time series into navigable memory timelines; leverages PyTorch embeddings, vector search benchmarks, and temporal evaluation scripts.
- n-dimensional-llm Research sandbox for stress-testing high-dimensional world models.
Research, Publications & Service
Contributions that keep clinical innovation grounded in evidence and community.
- Co-author “Reinforcement Learning in Behavior Science and AI” (book chapter, forthcoming).
- Prior lab work ARVO abstract in IOVS on proton-coupled folate transporter research for retina health.
- Peer reviewer Journal of the Experimental Analysis of Behavior (JEAB) and The Bulletin (AI/LLM in research).
Pre-prints
Speculative research on quantum information dynamics and computational universes.
- Emergent Physical Laws from Self Referential Quantum Information Dynamics (SRQID) SSRN pre-print exploring how self-referential quantum information dynamics may give rise to physical laws.
- Quantum Automaton Tensor Network Universe (QATNU) SSRN pre-print proposing a tensor network universe model grounded in quantum automata perspectives.
Background & Credentials
Grounded in 15 years of autism and behavioral health practice across home, school, clinic, community, and telehealth.
- Clinical experience Board-Certified Behavior Analyst (LBA-VA) supporting teams across settings and modalities.
- Education M.S. Counseling (ABA Concentration), Nova Southeastern University; B.S. Biochemistry (Minor: Biotechnology), Virginia Tech.
Services
Typical engagements for founders, operators, and clinical leaders.
- LLM architecture & HIPAA-aware workflows Design end-to-end agentic systems for ABA and healthtech products.
- ETL & analytics pipelines Instrument product KPIs, outcomes dashboards, and adoption telemetry.
- Clinical quality playbooks Align documentation, supervision, and payer requirements to sustainable operations.
- Rapid prototyping & handoff Build React/Python demos with evaluation harnesses and clear transition documentation.
Let's Collaborate
Share your goals for clinical AI, analytics, or workflow redesign — I respond within two business days.
- Email [email protected]
- Calendar Book an intro session to explore alignment.
- Social LinkedIn ·