Clinical and operational workflows, healthcare data, interoperability, FHIR and API strategy, analytics, AI evaluation, governance and human-review design.
People and expertise that move work forward.
Bourgeois supports government, nonprofit and commercial organizations through healthcare and public health, family and human services, education and training, research and evaluation, program operations, technology, engineering and professional services. We scope the work first, then align delivery expertise with the actual requirements.
Thomas J. Bourgeois, MPH
Enterprise Systems Architect · Healthcare Informatics · Data, AI & Automation
Experience across federal healthcare and academic medical-center environments, spanning healthcare systems, data and analytics, interoperability, workflow automation, AI architecture, technical implementation and staff enablement. This is professional experience, not a claim of Bourgeois government contract awards.
Multidisciplinary services for complex work.
We support clearly scoped government and commercial requirements through direct services, prime contracting, subcontracting or qualified teaming arrangements.
System design, databases, APIs, legacy-to-modern integration, data movement, technical discovery, implementation planning and delivery oversight.
Adoption, foster and kinship support, outreach, program coordination, service navigation and technical assistance, with qualified delivery resources matched to scope.
Training, curriculum, workforce development, public health research, evaluation, program administration and stakeholder support.
Applied AI, document workflows, risk governance, technical evaluation, project coordination and specialist-led delivery.
Choose the orchestration model that fits the work.
Bourgeois designs and evaluates production-oriented agentic AI systems with LangChain and LangGraph, CrewAI, and Microsoft AutoGen. The architecture is selected around state, tools, handoffs, risk and operational control—not framework popularity.
Stateful graph orchestration for explicit nodes, edges, conditional routing, tool use, persistence, checkpoints and human interrupts. A strong fit when workflows need durable state, deterministic control points and observable execution.
Role-based Agents, Tasks and Crews combined with Flows for structured state and control. Useful when specialist responsibilities map naturally to collaborative work while the surrounding process still needs explicit governance.
Conversational multi-agent teams using AgentChat patterns such as selector teams, handoffs, bounded termination and tool-enabled specialists. Useful for dynamic collaboration where the next specialist depends on shared context.
Across all three approaches, Bourgeois can design retrieval-augmented generation (RAG), tool calling, state and memory, structured outputs, routing and handoffs, human approval gates, privacy and security controls, evaluation and red teaming, observability, failure recovery and bounded execution.
Use the level of support the work actually needs.
Projects can be narrowly scoped or ongoing. The goal is to add senior architecture and domain judgment without forcing an organization into a larger engagement than necessary.
Review a problem, evaluate options, define architecture, identify risks, plan integrations or provide senior technical guidance to an existing team.
Turn an approved direction into a working system through hands-on architecture, integration, automation, QA and coordination with engineering or delivery teams.
Prepare teams to use, govern or operate new systems through practical training, implementation guidance, SOPs and stakeholder communication.
Typical reasons organizations reach out.
Intake, review, routing, follow-up, reporting or data movement consumes time and needs a more reliable process.
The solution must connect with databases, APIs, documents, communications, websites, legacy systems, permissions or audit requirements.
The work needs careful evaluation, human oversight, traceability, data boundaries and architecture that can stand up to operational scrutiny.
Tell us about your project or requirement.
Share the current situation, the systems involved and the outcome you are trying to achieve. Scope, timing and the right engagement model can be worked out after fit is established.