Guided Notes

AI in the EHR

Predictive models, ambient documentation, generative AI for in-basket and summaries, governance and transparency requirements, bias, validation and the analyst's role.

Where AI shows up in EHRs

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• Predictive models: sepsis risk, deterioration, readmission, no-show prediction, length of stay. • Ambient clinical documentation: AI listens to the visit (with consent) and drafts the note. • Generative AI: drafting replies to patient portal messages, summarizing long charts, suggesting orders or codes, patient-friendly explanations of results. • Operational AI: scheduling optimization, bed management, revenue cycle automation. • Imaging and specialty AI integrated into workflows (e.g. stroke detection alerts).