01
AI Inventory
Register external agents, applications, models, tools, owners, and deployment status.
External healthcare AI trust infrastructure
The trust network for external healthcare AI.
One secure way for outside AI to identify itself, receive permission, access healthcare tools and data, execute approved work, and prove what happened.
Licensed Anchor Point distributor for MedTech · MedTech is the first market
Sierra // External AI security
Monitoring
Illustrative platform view
External AI activity
Runtime inspection active
Known agents
Identified
Scoped access
Purpose bound
Trusted events
Evidence created
Live policy decisions
Identity · Purpose · Permission- ALLOW
Case Logistics Agent
inventory.read
- APPROVAL
Authorization Agent
document.submit
- DENY
Unknown vendor agent
patient.clinical.read
Trust chain
Device manufacturer
Authorized operator
Case Logistics Agent
Approved health system
Decision evidence
Owner, model, tool, purpose, policy, decision, and result recorded as one trusted event.
The cross-organization problem
The manufacturer does not own the hospital. The hospital does not own the agent.
Yet their systems need to work together. Sierra establishes the trusted identity, permission, connection, and evidence that lets an outside AI actor participate in a healthcare workflow.
Which AI is acting?
Identify the agent, application, model, owner, operator, and tools behind every request.
Is this action permitted?
Separate identity from authorization, then evaluate purpose and minimum-necessary access at runtime.
Can the transaction be proven?
Preserve the policy, decision, result, provenance, and risk context as an auditable event.
The Sierra trust network
Connect once. Establish trust across organizations.
Every request is tied to an organization, human authority, agent, purpose, permission, and destination before an approved action reaches healthcare.
Explore the Sierra GatewayExternal ecosystem
Manufacturer
Distributor
Representative
AI application
Sierra trust boundary
01
Discover
02
Identify
03
Authorize
04
Inspect
05
Enforce
06
Prove
Every decision becomes evidence
Healthcare infrastructure
EHR / FHIR
Supply chain
Scheduling
Clinical systems
- 01
Discover
- 02
Identify
- 03
Authorize
- 04
Inspect
- 05
Enforce
- 06
Execute
- 07
Prove
External healthcare AI infrastructure
Discover, identify, authorize, connect, execute, and prove.
Security is the admission requirement. Sierra combines it with trusted connectivity and governed execution across organizational boundaries.
02
Vendor & agent identity
Verify the chain of authority from organization and operator to agent, model, and tool.
03
AI Gateway
Route external AI activity through one healthcare-specific trust and enforcement boundary.
04
Policy engine
Evaluate purpose, permissions, data class, facility, and workflow before every action.
05
Runtime defense
Inspect behavior for prompt injection, tool misuse, data leakage, and unexpected destinations.
06
Trusted event ledger
Create evidence of who acted, why, under which policy, and with what result.
Healthcare policy at runtime
Identity is not permission.
An authenticated agent still needs a valid purpose, permitted data, approved tools, an authorized destination, and the right human or organization behind it. Sierra evaluates that context for every action.
Minimum necessary access
Prefer short-lived, scoped authorization for the current workflow over persistent vendor credentials.
01
Allow
Execute an action that satisfies identity, purpose, permission, and policy.
02
Deny
Stop an action that falls outside the approved workflow or trust chain.
03
Redact
Remove sensitive fields before the request reaches its destination.
04
Transform
Modify a request so it conforms to the receiving organization’s policy.
05
Require approval
Pause higher-risk activity for a named human decision-maker.
Trusted healthcare events
Every execution creates evidence.
Preserve who acted, what agent and model were used, why the action occurred, which data and tools were involved, which policy decided it, and what result followed.
Technology partnership
Healthcare trust infrastructure beneath every connection.
As a licensed Anchor Point distributor for MedTech, Sierra uses Anchor Point’s identity, policy, security, observability, and controlled-execution foundation at the trust boundary around healthcare’s third-party ecosystem.
Sierra for independent MedTech
Secure the agents. Put them to work.
Sierra also helps independent MedTech organizations deploy governed agents for cases, purchase orders, inventory, authorization, DME, CRM, contracts, and knowledge — with the gateway operating beneath the workflow.
Partner product
Manufactured by Theragen · Distributed and supported by Sierra
ActaStim
A prescription wearable bone growth stimulator supported through Sierra’s distribution, onboarding, insurance coordination, and patient-service operations.
What does Sierra secure?+
Sierra is designed for AI systems operated outside a healthcare organization — including agents and applications from manufacturers, distributors, representatives, DME suppliers, and other third parties.
Is agent identity the same as permission?+
No. Sierra treats identity and authorization separately. A verified agent must still have an approved purpose, limited permissions, permitted data, and an authorized destination for each action.
What happens when an action is higher risk?+
The gateway can allow, deny, redact, or transform a request. It can also pause execution and require a named human to approve the action.
How does Sierra create accountability?+
Each action can produce a trusted event that records the actor, owner, model, tool, purpose, permission, policy, decision, result, provenance, and risk context.
Does Sierra still support MedTech operations?+
Yes. Sierra applies the same governed foundation to practical MedTech agents for cases, purchase orders, inventory, authorization, DME, CRM, contracts, and knowledge.
Establish the trust boundary
Know which AI is acting before it reaches healthcare.
Explore how Sierra can identify external AI actors, enforce purpose-bound access, and preserve evidence across healthcare connections.
Request a platform briefing