Cleo vs Activepieces

Detailed side-by-side comparison to help you choose the right tool

Cleo

Automation & Workflows

AI-powered clinical decision support platform for acute care hospitals, providing real-time patient deterioration detection, sepsis prediction, and workflow optimization to improve outcomes and reduce clinician burnout.

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Starting Price

Custom

Activepieces

Automation & Workflows

Open-source workflow automation platform for app integrations, AI steps, and MCP-ready agents.

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Starting Price

Custom

Feature Comparison

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FeatureCleoActivepieces
CategoryAutomation & WorkflowsAutomation & Workflows
Pricing Plans10 tiers8 tiers
Starting Price
Key Features
  • Early Warning System for Patient Deterioration: Claims to continuously monitor physiological trends from EHR data to identify patients at risk of clinical deterioration before traditional scoring systems trigger alerts. Unlike Epic's built-in Sepsis Model, which focuses on sepsis scoring alone, this module targets broader clinical deterioration patterns.
  • Sepsis Prediction: Analyzes combinations of vital signs, lab values, and clinical documentation to flag patients meeting or approaching sepsis criteria for earlier intervention. Vendor claims this outperforms static rule-based sepsis screens, but no peer-reviewed validation is publicly available.
  • EHR Integration: Claims connectivity with major electronic health record systems including Epic and Cerner to ingest real-time patient data without disrupting existing clinical workflows. Integration depth and compatibility should be verified directly with the vendor.
  • AI agents with custom instructions and tools
  • Visual drag-and-drop flow builder
  • 689+ native integrations

Cleo - Pros & Cons

Pros

  • Aims to consolidate deterioration detection, sepsis prediction, and capacity management into a single acute-care-focused platform, potentially reducing the need to procure and integrate multiple point solutions
  • Claims direct integration into existing EHR workflows (Epic, Cerner) so clinicians don't need to learn a separate application
  • Configurable alert sensitivity reportedly allows clinical informatics teams to tune the system to their facility's tolerance for alert fatigue
  • Describes explainable risk scores showing contributing factors, which if validated would enable clinicians to make informed decisions rather than relying on black-box outputs
  • Covers multiple acute care use cases within a single platform, unlike competitors that typically specialize in one domain (imaging, operations, or sepsis scoring alone)

Cons

  • Independent verification of the product, its customer base, and clinical outcomes is extremely limited — no peer-reviewed studies, named references, or specific outcome data are publicly available
  • Enterprise-only pricing (estimated at $50,000+/year based on comparable platforms) makes it inaccessible for small or rural hospitals without dedicated AI budgets
  • As a newer entrant, Cleo lacks the established install base and track record of competitors like Qventus, Viz.ai, or Epic's native tools, increasing procurement risk
  • Implementation requires a multi-week integration and calibration period, which may delay time-to-value by 2–3 months
  • Limited to acute care settings — organizations looking for outpatient, primary care, or population health AI will need a separate solution
  • FDA clearance status is not publicly documented, and no clinical validation studies are available in public databases such as PubMed

Activepieces - Pros & Cons

Pros

  • Open-source option is a real differentiator versus closed automation platforms.
  • Unlimited-user pricing is attractive for cross-functional teams.
  • Combines classic automation, AI steps, and MCP support in one platform.
  • Self-hosting helps with compliance and internal control.

Cons

  • Connector depth and UX are less mature than Zapier in some areas.
  • Advanced workflows may require JavaScript or debugging effort.
  • Task-based pricing can get expensive at scale.
  • Smaller ecosystem than longer-established automation rivals.

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