California is a “two party state” where both parties must consent to any recording. This applies to AI scribes in the exam room, and can be a bother to manage correctly with every visit with every patient. For some organizations this is millions of times per year.
Dr. Macdonald’s big idea?
Set a smart data element as part of the question for any clinician to ask the patient “OK if my AI scribe writes my note today? If ok for your visit with me, OK if all your future visits with UCDavis clinicians can do the same?” (my paraphrase, his wording is of course better). If the patient answers “yes” which they do the vast majority of time, then the EHR stores that and shows it to all subsequent clinicians throughout the organization, so no need to ask again. ONE consent, ONE time, revokable by patient if needed.
SO SIMPLE. Thanks, Scott, for this innovation.
