In 2023, University of Iowa Health Care surveyed their clinicians about their documentation experience to find out where it could improve.
A majority of respondents cited clinical documentation as a roadblock to their own efficiency and patient care.
After an initial pilot with Nabla in 2024, UI Health Care quickly followed up with an enterprisewide rollout across the 862-bed academic medical center rather than smaller deployments by specialty.
A follow-up survey in 2025 found that since adoption of the ambient solution, there was a 26% reduction in burnout and a 14% increase in satisfaction with the electronic health records system.
This approach worked well in the beginning, Blum says, but as UI Health Care matures its AI governance, it needs to move away from point solutions toward a platform approach.
One of the requirements that UI Health Care had for its ambient solution was that the vendor was not allowed to train its models on the health system's data.
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