About
An ICU nurse who saw the gap.
The Florence Ecosystem was founded on a simple observation: the people closest to patient care — nurses — were being excluded from the governance of the AI systems being deployed in their units.
The Founder
Robert Elvin Domondon
Robert is an ICU nurse with 22 years of critical care experience at UBC/Sutter Health in San Francisco. He holds credentials as a CCRN, CSC, and CMC. He is a licensed physician (MD, Philippines) and hospital administrator. He completed graduate work at Ateneo de Manila University.
For over two decades, Robert has worked the night shift in one of the most demanding clinical environments in healthcare. He has seen firsthand how technology decisions made in boardrooms affect the nurses at the bedside — and the patients in the beds.
When AI began entering healthcare, Robert saw the gap: the people with the deepest clinical judgment — nurses — had no seat at the governance table. AI systems were being deployed in clinical environments without the input of the professionals who would be responsible for their consequences.
The Florence Ecosystem is his answer. Not a protest, but an architecture. A governed institutional system that embeds nursing intelligence at the center of how AI is built, deployed, and sustained in healthcare.
Credentials
Author
"Heart in a Time of COVID"
The Mission
Embed nursing intelligence at the center of AI governance.
Embed nursing intelligence — the holistic judgment, moral accountability, and systems coordination that nurses bring — at the center of how AI is governed, orchestrated, deployed, and sustained in healthcare, globally and permanently.
Core Values
What we stand for.
Patient Safety Above All
Every decision passes through the patient safety filter.
Verification as Sacred Duty
AI outputs are hypotheses, not facts.
Human Primacy
Human-in-the-loop is the core, not the backup.
Stewardship Over Sovereignty
We steward nursing intelligence; we do not own it.
Courage with Compassion
Tell the truth even when uncomfortable.
The Organizations
Five institutions. One ecosystem.
NIN
The Professional Community
Nurse Intelligence Network
Where nurses connect, learn, mentor, and build. NIN converts distributed attention into practitioner intelligence. The community layer that makes everything else possible.
NAIO
The Governance Institution
AI Integration & Orchestration Institute
Defines standards, certification, and governance authority. Issues NAIO-C, NAIO-A, and NAIO-F credentials. The institutional trust layer that regulated health systems require.
EDENA
The Ethical Intelligence Layer
Ethical Decision Engine for Nurse-led AI
Converts governance principles into executable risk classification. Green, Yellow, Red tiers. The runtime ethics engine that ensures AI actions are classified before execution.
Florence-X
The Control Plane
Orchestration Infrastructure
The conductor that coordinates all agents, tools, memory, and human stewards. Routes work, enforces risk tiers, manages memory zones, and logs everything.
NINE²
The Venture Engine
Niche Incubator for Nurse Entrepreneurs
The factory for producing governed nurse-AI ventures across every clinical niche. 10 phases, 42 steps, 8 clinical tracks. From thesis to portfolio management.
The Florence Ecosystem exists because nursing intelligence — the holistic judgment that comes from 22 years at the bedside, from the 3 AM ventilator alarm, from the family conversation that changes everything — cannot be replicated by any model. It can only be honored, protected, and placed at the center of the systems that serve patients.
Join the Movement