Josh Spencer
Healthcare Generative AI

Helping healthcare safely harness the power of AI

CEO of Bastion Intelligence, trusted by 10,000+ healthcare organizations. Former CTO of UT Southwestern Medical Center. 16+ years securing critical healthcare infrastructure.

CEO, Bastion Intelligence Faculty, UT Dallas Co-Author, National AI Safety Standard Certified Ethical Hacker NIH Key Personnel, AI Security Stanford AI / ML H-ISAC AI Task Force

Why organizations trust Josh

A track record that spans building, securing, and scaling AI at the highest levels of healthcare.

Successful Execution

CEO at Bastion Intelligence, makers of BastionGPT — a secure AI platform now trusted by over 10,000 healthcare organizations across the U.S. He and his team serve as hands-on AI advisors to health systems with a focus on secure, compliant, and effective adoption.

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Health System Executive

Former CTO and CISO at UT Southwestern Medical Center. For a decade, he chaired the IT acquisition committee overseeing a $4.9 billion operating budget and led a team of 130 technologists through major infrastructure transformations.

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NIH Research & Standards

Designated NIH key personnel on research ensuring AI tools meet the same bar expected for anything used in patient care. Co-author of the ANSI national standard for how hospitals and health systems should safely use AI.

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AI Cybersecurity Authority

16+ years securing healthcare organizations. Certified Ethical Hacker (CEH), CISSP, CISA, and a dozen additional security credentials. Appointed to the AI task force at H-ISAC, the organization coordinating cybersecurity across every major hospital system and health plan in the country.

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Academic Foundation

MBA in IT Management. Machine Learning and AI Engineering certificates from Stanford University and Microsoft. BBA in Management of Information Systems (Cum Laude). Alliance Faculty at the Alliance for Medical Management Education, University of Texas at Dallas.

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Trusted Communicator

Presented at 280+ conferences, podcasts, training seminars, and boardroom briefings. Known for translating complex technical topics into clear, actionable business language. Has conducted over 1,000 one-on-one AI-focused interviews with clinicians and AI experts, bringing real-world depth to every conversation.

“Josh is highly technical but more importantly is an astute observer of people and recognizes that to really be successful at implementing change you need to bring the people along with you. His tech skills, his people skills, his business acumen, his approachability, and his advocacy to always do the right thing inspired trust.”
— John Roe, PMP · Director, UT Southwestern Medical Center

AI built for the realities of healthcare

If you’ve been to a doctor’s appointment lately, you’ve noticed your doctor is staring at their screen more than looking at you. For every hour a clinician spends on patient care, they commonly spend two more on documentation and administrative work. BastionGPT was created in 2023 to change that, giving clinicians secure access to the most powerful AI models from OpenAI, Google, and Anthropic so they can focus on what matters: their patients.

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Clinical Documentation

Listens to clinical conversations and drafts provider notes. A peer-reviewed study published using BastionGPT showed a 99.3% accuracy rate, rivaling or surpassing human capability.

02

Clinical Decision Support

Acts as a second set of eyes, catching what’s buried deep in a patient’s medical history. BastionGPT does the human equivalent of 120,000 hours of reading per day. No amount of coffee will get a provider through decades of records before a visit.

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Insurance & Prior Auth

Helps medical staff draft insurance letters that are 28× less likely to contain an error, all while keeping patient data private and secure. For many physicians, not having to wrestle with insurance documentation has been one of the most unexpectedly meaningful changes, with teams reporting a 13% drop in burnout after just 30 days.

99.3%
Physician-level accuracy
(Baylor/Texas Children’s study)
28×
Fewer errors in insurance
claim letters vs. human-only
10,000+
Healthcare organizations
across the U.S.
50–70%
Reduction in documentation
time per physician
82%
Increase in physician
work satisfaction

Feature Josh in your next conversation

  • Safe, secure, and compliant adoption of generative AI in healthcare
  • What boards and C-suites need to know about AI risk and opportunity
  • Cybersecurity in the age of AI: new threats, new defenses
  • From burnout to breakthrough: how AI is giving clinicians their time back
  • How to implement effective AI governance at the pace of AI
  • Building AI products in regulated industries: lessons from 10,000+ deployments
  • Emerging AI capabilites changing the face of healthcare

Podcasts · Boards · Keynotes · Panels

Josh brings a rare combination: a builder who ships AI products in healthcare every day, a former health system CTO who understands the operational realities, and a security expert who can speak credibly about risk. Whether it’s a 10-minute podcast segment or a board strategy session, he makes complex AI topics accessible, practical, and engaging.

Schedule a Consult →
Phone: (214) 619-8696 · Mon–Fri, 9 am – 5 pm CST
Office: 11816 Inwood Rd #3181, Dallas, TX 75244