Miso is deployed within your health system's cloud environment, between the applications using AI and the model providers they access.
Your organization retains control of model credentials, governance policies, and audit records. Miso provides and supports the software that enforces those policies across AI traffic.
Where Miso sits and what it controls.
The Miso gateway and policy store are deployed within your cloud account, so model credentials, governance configuration, and audit records remain under your organization's administrative control.
Applications connect through an OpenAI-compatible API rather than integrating separately with each model provider. Existing AI applications are pointed at Miso; their code stays as it is.
Miso works with your infrastructure, security, and privacy teams through deployment, initial policy configuration, and production rollout, and maintains the software after.
The core deployment consists of an application container, a PostgreSQL database, and the cloud services you already run: identity, secrets, networking, logging. This keeps the infrastructure a health system has to introduce and operate to a minimum.
What remains inside, what may leave, where credentials and records reside.
Only traffic sent to model providers through routes your organization has authorized.
Identifiers the route names are replaced before the request leaves. The provider that receives it is on your registry with an agreement in force. The record of the request stays inside.
Miso does not create a second, external repository for the governance data required to operate the gateway.
Miso is a control point inside an architecture you already own. It does not replace your cloud, identity, or security stack.
How Miso and your teams get the first applications governed.
Miso fits into existing cloud and application environments without requiring teams to rebuild their AI applications. Applications connect through an OpenAI-compatible endpoint. Miso works with the health system to establish the surrounding identity, network, provider, and governance configuration.
Deploy Miso within the health system's cloud boundary and connect identity, networking, and logging.
Configure the model accounts and the contractual relationships the organization has already approved.
Translate approved use cases, data classes, models, and agreements into enforceable routes. The policy is validated before it is deployed.
Move selected internal applications or vendors to governed endpoints and expand from there.
Your environment. A supported Miso deployment.
Miso maintains the software, delivers updates, and supports the deployment as your AI environment evolves. Your organization controls the infrastructure it runs on.
Send us a description of your environment: cloud, identity provider, the providers you hold agreements with. We reply with how Miso would sit in it.
See how Miso would fit into your environment