Integrating AI Solutions Seamlessly into Existing Electronic Health Records and Clinical Workflows for Improved Patient Management

In the United States, healthcare organizations have several challenges. They face staff shortages, more paperwork, and patient care that is harder to manage. Medical practice leaders and IT managers are looking for tools to make their work easier and improve care for patients. Artificial intelligence (AI) is a technology that can help when added properly to systems like Electronic Health Records (EHRs) and clinical workflows.

This article talks about important points, advantages, and ways to add AI to EHRs and clinical work. It focuses on helping patient management in US medical offices. AI can automate tasks, which lowers paperwork, helps doctors and nurses work better, and supports safer patient care.

The Importance of Seamless AI Integration in Healthcare

AI use in healthcare has grown fast. Almost 90% of healthcare leaders say AI and upgrading EHRs are top goals. AI can do many things like find diseases early, help doctors make decisions, and handle routine tasks. This helps make care cheaper and better.

But using AI well means more than just having the technology. Past problems with EHRs show what can go wrong. Early EHR systems made work harder for doctors and nurses and were slow to be accepted. AI works well only if it fits into the normal work, helps the care team, and does not add more trouble.

Good AI integration helps medical offices get the most out of it. By using lots of patient data and smart computer programs, offices can improve care teamwork, cut mistakes, and use resources better with their current IT systems.

AI’s Role in Electronic Health Records and Clinical Workflows

EHRs are the main way patient data is kept in the US. They save many details like medical history, lab results, medicines, and visit notes. But managing all this data by hand takes a lot of time and makes mistakes more likely. This adds stress to clinicians.

AI helps with these problems in several ways:

  • Automation of Administrative Tasks: AI can do repeated jobs like coding, scheduling, billing, and writing clinical notes. For example, AI can cut down documentation time by about six hours each week. This gives doctors more time with patients.
  • Clinical Decision Support: AI looks at patient data in real time to spot problems, suggest treatments, and warn of possible complications. This helps improve diagnosis and care plans.
  • Improved Data Interoperability: AI helps to standardize and understand data from many sources. This makes communication between departments and care places better.
  • Personalized Patient Management: AI uses full patient records, including social factors, to customize follow-up care, support with taking medicines, and managing long-term illnesses.

Studies show nearly 800,000 deaths or serious disabilities each year in the US happen because of diagnosis errors. AI decision support can help lower these mistakes by giving extra checks and finding risks earlier.

AI Platforms Transforming Healthcare

Some AI platforms show strong results in improving healthcare work in big systems. These can serve as examples for smaller medical offices that want to grow.

For example, Lumeris’ Tom platform is an AI system made to support primary care in the US, where about 100 million people do not have enough access. Tom gathers billions of data points from health systems, labs, pharmacies, insurance claims, wearable devices, and other sources to build patient profiles. It automatically handles tasks like scheduling, chronic disease follow-ups, medicine checks, and patient education. Tom works all day, every day, fitting into primary care work to reduce paperwork and help providers focus on care.

Microsoft’s Dragon Copilot focuses on nursing work. It uses AI that listens during nurse-patient talks and turns these into notes for the EHR. This cuts the nursing time spent on paperwork, which is usually over 25% of their shift, and helps reduce burnout reported by many US nurses. Dragon Copilot can also add other AI apps for coding and patient interaction, making AI tools work smoothly in the workflow.

Pieces Technologies’ AI platform was chosen by MetroHealth System to improve clinical notes and workflows. This platform creates ready-to-use progress notes, discharge summaries, and other documents that save doctors 40-50 minutes and case managers about an hour each day. It uses a process with human checks to keep notes safe and accurate. MetroHealth also works with Pieces on research about AI tools for cancer patient care.

These platforms show that AI works best when tests back it up, rules are followed, and it fits directly into daily work, rather than working alone.

Key Considerations for AI Adoption and Integration

Medical offices in the US have many choices and steps when picking and adding AI tools:

  • Alignment with Institutional Priorities: AI tools should fit the office’s main goals like improving patient access, lowering staff stress, or making care better.
  • Cost and Infrastructure Readiness: Money, IT system ability, and staff training need careful thought. AI works better when existing EHRs can support data sharing and AI processing in real time.
  • Clinical Utility and Workflow Integration: AI must help and not interrupt current clinical work. Tools made with input from clinicians have a better chance to be accepted.
  • Regulatory and Safety Compliance: AI must be accurate, safe, and follow rules like HIPAA. Some AI tools have safety checks tested on many cases to reduce risks.
  • Interoperability: AI solutions need to connect smoothly with different EHRs, care teams, and specialty systems to keep data flowing and support team work.
  • Ongoing Support and Continuous Improvement: AI tools need long-term vendor help, monitoring, and updates to keep working well and adjust to changing clinical needs.

IT managers should check if vendors have proven results and a history of successful uses in similar healthcare places.

AI and Workflow Automation in Healthcare Practices

AI-driven automation targets repeated tasks that take up much time for doctors and staff. Automation not only cuts these tasks but helps standardize care. This lets offices see more patients without lowering care quality.

Main areas of automation include:

  • Patient Scheduling and Follow-ups: AI can schedule appointments, screenings, and calls for medication checks. For example, Lumeris’ Tom starts routine follow-ups and customizes care, including arranging rides if needed.
  • Documentation and Clinical Notes: Tools like Microsoft’s Dragon Copilot and Pieces Technologies turn conversations or raw data into short and accurate clinical notes ready for EHRs. This saves many minutes for doctors and nurses every day.
  • Care Coordination and Administrative Tasks: AI helps with medicine checks, follow-up calls after discharge, prior authorizations, and reviews by working with payers and billing systems. This lowers manual work.
  • Data Integration and Decision Support: Algorithms analyze ongoing patient data from wearables, labs, and claims to give alerts, predict problems, and suggest treatments within the provider’s workflow.

These tasks can save doctors and nurses hours each week, giving them more time to focus on patients and lowering burnout. For example, MetroHealth says doctors save about 45 minutes daily on notes, and nurses have much less paperwork thanks to AI listening.

Automation also helps with remote patient monitoring and telehealth by using AI tools to keep patients involved between appointments and improve care for long-term illnesses.

Real-World Impact and Adoption in US Healthcare Settings

Healthcare groups that use AI platforms report better clinical work, safer patient care, and cost savings.

  • Northwell Health’s CIO, Sophy Lu, noted gains in efficiency and easy adoption after using the Aidoc aiOS™ platform in 17 hospitals. It helped standardize workflows and speed results.
  • Researchers say AI could save the US healthcare system up to $360 billion, with a big part of this from better EHR use.
  • AI use in EHRs has doubled recently. About 31% of healthcare providers now use AI tools compared to 16% last year.

Still, many leaders say their organizations are not fully ready to use AI well. Problems include weak plans and lack of readiness. These problems can be fixed by changing workflows, involving clinicians early in AI design, and testing usability carefully.

The American College of Cardiology (ACC) says that both doctors and patients need a say in how AI tools are made. Designs should meet clinical needs and ensure fair and safe care for all.

Final Points for Medical Practice Leaders

Medical practice leaders and IT managers in the US should focus on these when adopting AI:

  • Pick AI tools with proven safety, approval from regulators, and smooth EHR and workflow fit.
  • Choose solutions that lower staff workload and let providers spend more time with patients.
  • Ensure IT systems and staff are ready for AI.
  • Support ongoing monitoring and make improvements after AI is put in place.
  • Protect patient privacy, data security, and clinical quality in all AI use.

When chosen and used carefully, AI can help care teams serve more patients and improve patient management. This supports goals to improve access, quality, and value in US healthcare.

By focusing on practical ways to add AI and improve workflows, healthcare leaders can better prepare their offices to handle the growing needs of patient care in a complex system.

Frequently Asked Questions

What is Tom and who developed it?

Tom is a multi-agent AI-enabled primary care platform developed by Lumeris, designed as Primary-Care-as-a-Service (PCaaS) to support primary care physicians, health systems, and risk-bearing organizations in managing clinical and administrative tasks.

What primary care problem does Tom aim to solve?

Tom addresses the access and capacity gap in primary care, where 100 million Americans lack care, and the system needs approximately 2 billion hours of care versus the existing 500 million available hours, largely due to administrative burdens and limited resources.

How does Tom improve the efficiency of primary care delivery?

Tom automates background tasks such as scheduling, medication adherence follow-ups, post-discharge check-ins, and patient education, thus reducing administrative burden on providers and enabling more patient touchpoints without increasing staff workload.

What types of data does Tom aggregate to operate effectively?

Tom aggregates billions of clinical and non-clinical data points from health systems, labs, pharmacies, claims data, CMS, HIE data, wearables, continuous glucose monitors, and publicly available consumer data to construct comprehensive patient records.

How does Tom integrate with existing healthcare workflows?

Tom embeds directly into primary care workflows and IT systems such as EHRs, scheduling interfaces, and clinical resources like UpToDate, allowing seamless real-time data access and action without disrupting provider processes.

What role does AI and agentic technology play in Tom’s functionality?

Tom leverages agentic AI to autonomously decide and act on the best next action for patients in real time, going beyond recommendations to perform tasks, thereby enabling continuous care management and interaction.

How does Tom personalize patient interactions?

Tom uses data-driven algorithms that consider clinical history, social determinants of health, and up-to-date clinical guidelines to tailor interventions, such as administering a depression screening during unrelated follow-ups or arranging transportation when needed.

What measures has Lumeris taken to ensure Tom’s reliability and safety?

Lumeris tested Tom extensively with 260,000 test cases, researched over 60 LLMs, implemented guardrails against clinical hallucinations, and maintains a dedicated team to identify and resolve potential failure modes in clinical scenarios.

What are the anticipated benefits of Tom for primary care providers and patients?

Tom expands clinician capacity by handling routine tasks, increases patient engagement through more frequent touchpoints, reduces provider burnout, improves care coordination, and enhances overall patient care experience, facilitating panel expansion.

How is Tom being deployed and what are Lumeris’ future plans?

Tom is currently being deployed with select Lumeris health system customers, with plans for wider expansion to scale primary care access and support value-based care models across the U.S. healthcare system.