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Emergency Physician

Document encounters and navigate the EHR

Enhances✓ Available Now

What You Do Today

Document history, exam, medical decision-making, procedures, and disposition for every patient — often 20-30 per shift — while the documentation requirements keep growing.

AI That Applies

Ambient clinical documentation AI listens to your patient encounters, generates the note from the conversation, and populates the EHR fields — history, exam, MDM, and plan.

Technologies

How It Works

The system ingests conversation as its primary data source. NLP models parse document text into structured data — extracting named entities, classifying sections by type, and flagging content that deviates from expected patterns. The output — note from the conversation — surfaces in the existing workflow where the practitioner can review and act on it. You still review every note for accuracy.

What Changes

This is the single biggest AI impact in the ED right now. Instead of spending 3 hours per shift on documentation, AI drafts notes from your conversations. You review and sign.

What Stays

You still review every note for accuracy. AI mishears, misinterprets, and occasionally fabricates. Your signature on that note carries medicolegal weight — review is non-negotiable.

What To Do Next

This section won't tell you what your numbers should be. It will show you how to find them yourself. Every instruction below produces a real, verifiable result in your organization. No benchmarks, no projections — just the steps to build your own evidence.

1

Establish Your Baseline

Know where you are before you move

Before adopting AI tools for document encounters and navigate the ehr, understand your current state.

Map your current process: Document how document encounters and navigate the ehr works today — who does what, how long it takes, where the bottlenecks are. You need this baseline to measure improvement.
Identify the judgment points: You still review every note for accuracy. These are the boundaries AI won't cross.
Assess your data readiness: AI tools for this area need data to work. Check whether your organization has the historical data, integrations, and data quality to support Ambient Clinical Documentation tools.

Without a baseline, you can't measure whether AI actually improved anything. You'll adopt tools without knowing if they're working.

2

Define Your Measures

What to track and how to calculate it

Time per cycle

How to calculate

Measure how long document encounters and navigate the ehr takes end-to-end today, then after AI adoption.

Why it matters

The most visible improvement is speed. If AI doesn't save time, question whether it's adding value.

Quality of output

How to calculate

Track error rates, rework frequency, or stakeholder satisfaction scores before and after.

Why it matters

Speed without quality is just faster mistakes. Measure both.

When to check: Check after 30 days of consistent use, then quarterly.
The commitment: Give new tools at least 30 days before judging. The first week is always awkward.
What NOT to measure: Don't measure AI adoption rate as a KPI. Adoption follows value — if the tool helps, people use it.
3

Start These Conversations

Who to talk to and what to ask

your department medical director

What data do we already have that could improve how we handle document encounters and navigate the ehr?

They set clinical practice guidelines that AI tools must align with

your health informatics lead

Who on our team has the deepest experience with document encounters and navigate the ehr, and what tools are they already using?

They manage the EHR integrations and clinical decision support configuration

a nurse informaticist

If we brought in AI tools for document encounters and navigate the ehr, what would we measure before and after to know it actually helped?

They bridge the gap between clinical workflow and technology implementation

4

Check Your Prerequisites

Confirm readiness before you invest

Check items as you confirm them.